Kutsvaga Kuongororwa Kunopesana
Kana uri kushamisika kana une postconcussive syndrome (PCS), uri mukana wakanaka. Vanhu vazhinji vane mibvunzo pamusoro pe postconcussive syndrome, kusanganisira nyanzvi mukukuvara kwehuputi hwepfungwa (TBI). Uye vanachiremba vazhinji vanotambudzika kubvumirana pane kunyange tsanangudzo chaiyo ye postoncussive syndrome. Nokuda kweizvi, kutsvakurudza pamusoro pehurukuro kwave kuri kudha uye dzimwe nguva kupesana.
Nenzira yakawanda, tsanangudzo inowanzogamuchirwa ndeyekuti postconcussive syndrome inosanganisira mumwe munhu ane chirwere cheT TBI uye anoramba achitambura kubva pane zvinotevera:
- Musoro , chizivi , malaise, kuneta, kana kuderedza kushivirira kune ruzha.
- Kunyangadza, kuora mwoyo, kuzvidya mwoyo, kana kushaya pfungwa mupfungwa
- Kuzviisa pasi pakufungisisa, kuyeuka, kana zvinetso zvepfungwa
- Kunyunyuta
- Yakaderedza kunwa doro zvisina kunaka
Nyanzvi nyanzvi dzinobvumirana kuti zviratidzo zvinotanga mushure memavhiki mana mushure mekukuvara musoro. Muzhinji, ruzhinji rwevanhu vane postconcussive syndrome vane zviratidzo zvavo kugadzirisa zvachose. Kazhinji yenguva ino inoitika mukati memavhiki ekukuvadzwa kwepakutanga, neinenge chikamu zviviri kubva kune zvitatu zvevanhu vari kusina zviratidzo-pasina mumwedzi mitatu yechipatara. Chikamu chiduku chevarwere vanofungidzirwa kuti vane matambudziko mushure megore. Zera rakwegura uye kukuvara kwepakuvamba kwepakutanga zvinokonzera njodzi dzekugara kwenguva refu.
Uyewo kuomesa kufungidzirwa kwePCS ndeyekuti PCS inoshandisa zviratidzo zvizhinji nemamwe mamiriro ezvinhu, mazhinji ayo, kufanana nokuora mwoyo uye mushure mekutambudza chirwere chepfungwa, inowanzoonekwa nevanhu vane PCS. Uyewo, zvizhinji zvezviratidzo zvePCS zvakagoverwa nevanhu vasina humwe hutano, kana nekukuvara kune imwe nzvimbo yemuviri.
Izvi zvakaita kuti dzimwe nyanzvi dzibvunze kana post-concussion syndrome inenge iripo sechinhu chakasiyana. Kune rumwe rutivi, vanhu vane zviratidzo zvakafanana asi vasina kukuvadza musoro musoro hakuwanzo kutsanangura chiyero chakafanana chekufungisisa kunonoka, kukanganwa kwezvinetso, kana kuchena senzwi sevaya vakatambura ne TBI ine unyoro.
Hapana anoziva chaizvoizvo nei vanhu vane kukuvara kwepamusoro vachiita zviratidzo izvi. Nhoroondo, vanachiremba vakakavhiringidza pamusoro pekuti chinokonzera PCS chaive chepanyama kana chepfungwa, asi chokwadi ndechokuti PCS inosanganisira kusanganiswa kwezvinhu zvose zvepanyama uye zvepfungwa. Pashure pezvose, uropi hunoita kuti zviitiko zvepfungwa zvivepo, uye kukuvara mumuviri kunogona kukonzera kuchinja kwepfungwa. Semuenzaniso, varwere vazhinji vane postconcussive syndrome havana chavanoita, izvo zvingave zvakabatana zvakananga nekurohwa kweuropi kana kuti zvakabatana nekugadzirisa kuora mwoyo. Saizvozvowo, vamwe vanachiremba vakaona kuti varwere vane post-concussive syndrome vanowanzotarisirwa nezviratidzo zvavo nenzira yakafanana ne hypochondria. Izvi zvingaita kuti vanhu vane PCS vawedzere-kusimbisa zviratidzo zvavo, asi kunetseka kwavo nenzira yakadaro kunokonzerwa nekukuvadzwa kwepanyama kunowanikwa neuropi dzavo?
Vakawanda vanoita sevanoratidza kuti nguva refu zviratidzo zve postoncussion syndrome zvinopera, zvinowanzoitika kuti pfungwa dzepfungwa dzinoita basa rakawedzerwa. Kubudirira kwezviratidzo zvinogara gore rinopfuura kunogona kufanoratidzwa nenhoroondo yekudhakwa zvisina kunaka, kukwanisa kunzwisisa kwepfungwa, hutano hwehutano, kana dambudziko repfungwa sezvinonzi kuchipatara kuora mwoyo kana kufunganya. Kune rumwe rutivi, mungozi yezviratidzo zvenguva refu yakawedzerwawo kana kukuvadzwa kokutanga kwaibatanidzwa neGlasgow Coma Score yakawanda kana nhoroondo yekare yakashungurudza musoro.
Postconcussive syndrome chirwere chekurapa, zvinoreva kuti hapana mimwe miedzo inowanzodiwa kunze kwechiremba chekuongororwa.
Izvozvo zvakati, positron emission tomography (PET) kuongorora kwakaratidza kushandiswa kuderedzwa kweglucose neuropi muvarwere vane zviratidzo zve postconcussive syndrome, kunyange zvazvo zvinetso zvakadai sokuora mwoyo zvinogona kukonzera kufanana kwakafanana. Kukanganisa kwakavhiringidza kwakaratidzawo kusakanganiswa kwevanhu vane PCS. Vanhu vane PCS vakawanikwawo kuti vakaderedza zvidzidzo pane zvimwe zviongorori zvekuziva. Kune rumwe rutivi, kunyange kusati kwambovhiringidzwa musoro, vana vane postconcussive syndrome vaine mafungiro asina kunaka maitiro kunze kweavo vane zviratidzo zvavo hazvina kuramba zvichiitika mushure mekugadzirisa.
Pakupedzisira, kuongororwa kwemashure-concussive syndrome kunogona kusakosha kudarika kuziva zviratidzo zvinosanganiswa. Hapana humwe hutano hwePCS pane kutarisa zviratidzo zvemunhu mumwe nomumwe. Musoro wepamusoro unogona kurapwa nemishonga inorwadza , uye anti-emetiyiti inogona kubatsira kune chirwere. Kusanganiswa kwemishonga uye kurapa kunogona kubatsira kune zviratidzo zvekuora mwoyo. Chero hurema hwepanyama hunogona kutaurirwa nevarapi vezvemishandiro yekuvandudza kukwanisa kwehutano kuita zvakanaka pabasa.
Zvakakosha kuziva kuti kune vanhu vakawanda, zviratidzo zvepasconcussive dzinoderedza nguva uye dzinogadzirisa, neine vashomanana chete vevanhu vane matambudziko anoramba gore kana kupfuura. Nzira yakanakisisa yekugadzirisa ingangodaro ichinyanya kufunga nezvekurapa zviratidzo zveumwe munhu, zvose mumuviri uye mupfungwa, zvinobatanidza nemamiriro ezvinhu akaoma.
Sources:
S Kashluba, Casey JE, Paniak C.Evaluating the utility of ICD-10 diagnostic criteria for postconcussion syndrome inotevera kushungurudzika kwakakomba kweuropi.J Int Neuropsychol Soc. 2006 Jan; 12 (1): 111-8.
TW Allister, Arciniegas D (2002). "Kuongorora nekurapwa kwezviratidzo zvepasconcussive". NeuroRehabilitation 17 (4): 265-83.
MA McCrea. Dild Traumatic Brain Kukuvadza uye Postconcussion Syndrome: The New Evidence Base for Diagnosis and Treatment. Oxford [Oxfordshire]: Oxford University Press, (2008)