Kormeerida Xanuunka Dhibaatooyinka
Haddii aad la yaabi lahayd haddii aad qabtid cudurka postconcussive syndrome (PCS), waxaad tahay shirkad wanaagsan. Dad badani waxay qabaan su'aalo ku saabsan cudurka postconcussive syndrome, oo ay ku jiraan khabiiro dhaawacyada maskaxda ah ee maskaxda (TBI). Dhakhaatiir badan ayaa isku dayaya in ay ku heshiiyaan xitaa qeexidda saxda ah ee calaamadaha cudurka postconcussive syndrome. Sidaa darted, cilmi-baaris ku saabsan mawduucan ayaa ahaa dhoobo iyo marmarka qaarkood iska-horimaad.
Guud ahaan, qeexida ugu badan ee la aqbalo ayaa ah in cilladda postconcussive syndrome ay ka kooban tahay qof uu ku dhacay cudurka TBI-ga sahlan oo dabadeedna uu ku dhaco waxyaabahan soo socda:
- Madax xanuun , dawakhaad , xajin, daal, ama dulqaadka dulqaadka ee maqalka.
- Niyadjabin, niyadjab, walaac, ama maskax ahaan
- Feejignaanta mawduuca, xasuusta, ama dhibaatooyinka caqliga
- Insomnia
- Hoos u dhigista dulqaadashada khamriga
Khabiirada badankooda waxay isku raaceen in calaamaduhu bilaabaan ugu dambeyn 4 toddobaad kadib dhaawaca madaxa. Guud ahaan, dadka ugu badan ee qaba cudurka "postconcoms Syndrome" waxay leeyihiin astaamahooda si buuxda u xalliyaan. Waqtiga intiisa badani waxay dhacdaa toddobaadyo gudahood dhaawaca asalka ah, oo qiyaastii laba meelood labo meel dadka ah aan calaamado lahayn muddo seddex bilood ah shilalkooda. Kaliya qayb yar oo ka mid ah bukaanada ayaa lagu qiyaasay inay weli dhibaato ka haysato hal sano ka dib. Da'da weyn iyo dhaawaca hore ee madaxa waa khataraha soo kabashada mudada dheer.
Sidoo kale dhibka ciladda PCS waa xaqiiqda ah in PCS ay la wadaagto calaamado badan xaalado kale, sida badan, sida niyad-jabka iyo dhibaatada ka timaadda maskaxda, waxay ku badan tahay dadka qaba PCS. Sidoo kale, badanaa calaamadaha PCS waxaa la wadaagaa dadka aan lahayn cudur kale, ama dhaawac ah meel kale oo jidhka ah.
Tani waxay keentay khubaro ka mid ah in ay su'aal ka keenaan in xaaladda cudurka dhimirka ee hadda jiraa ay dhab ahaantii jirto oo ay tahay mid ka duwan kuwa kale. Dhinaca kale, dadka qaba calaamadaha la midka ah laakiin aan laheyn wax dhaawac ah ee madaxa ah ayaa si dhif ah u tilmaamaya heerka isku midka ah garashada garashada, dhibaatooyinka xusuusta, ama dareenka iftiinka sida kuwa ku dhacay TBI sahlan.
Qofna ma garanayo sababta ay dadka qaba dhaawaca madaxa ay u yeeshaan calaamadahaas. Taariikh ahaan, takhaatiirta ayaa ka dooday in sababta keentay PCS-da ay ahayd mid maskax ahaan ama maskaxiyan ah, laakiin runta ayaa ah in PCS ay ku lug leedahay isku-dhafnaan jireed iyo kuwo maskaxeed labadaba. Dhammaan ka dib, maskaxda ayaa masuul ka ah khibradaha maskaxeed, iyo dhaawacyada jirka waxay keeni karaan isbeddel nafsaani ah. Tusaale ahaan, bukaanno badan oo qaba cudurka "postconcussive syndrome" waxaa ka maqnaanaya dhiirigelin, taas oo si toos ah ula xidhiidha dhaawaca maskaxda ama la xidhiidha niyad jabka. Sidoo kale, qaar ka mid ah dhakhaatiirta ayaa xusay in bukaanada qaba cilladda post-concussive syndrome ay u muuqdaan inay ciriiri ku yihiin calaamadaha sida qaab la mid ah hypochondria. Tani waxay keeni kartaa in dadka qaba PCS-da ay culeyska saaraan calaamadaha, laakiin walaacooda ayaa laga yaabaa in ay ka yimaadaan dhaawaca jireed ee ay maskaxdooda ku hayaan?
Dad badan ayaa u muuqda in ay soo jeedinayaan in calaamadaha cudurka postconcussion-ka uu sii dheeraado, ay u badan tahay in ay tahay arrimo nafsaani ah oo ciyaaraya door weyn. Horumarinta calaamadaha sanadka oo idil waxaa la saadaalin karaa taariikhda xad-dhaafka aalkolada, awoodda fahamka yaryar, shakhsi ahaan shakhsiyeed, ama dhibaato maskaxiyan ah sida niyad-jabka ama welwelka. Dhinaca kale, khatarta calaamadaha dheeraadka ah ayaa sidoo kale la kordhiyay haddii dhaawaca bilowga ah uu la xiriiro Dhibaatada Coma ee Glasgow ama taariikhda hore ee dhaawaca madaxa.
Cudurka postconcussive syndrome waa baadhitaan caafimaad, taas macnaheedu maahan baaritaano dheeraad ah oo badanaa looga baahan yahay baadhitaanka dhakhtarka.
Taasi waxay tidhi, baadhitaanada sawir-baadhista positron (PET) ayaa muujiyay isticmaalka isticmaalka sonkorta ee maskaxda ee bukaanka qaba calaamadaha cudurka postconcussive syndrome, inkastoo dhibaatooyinka sida niyad-jabka ay u keeni karaan baaritaanno la mid ah. Awoodaha laga fogaaday waxay sidoo kale muujiyeen cillado aan caadi ahayn oo ku saabsan dadka qaba PCS. Dadka haysta PCS ayaa sidoo kale lagu ogaadey inay dhibco yaryar ka yareen imtixaannada garashada qaarkood. Dhinaca kale, xitaa ka hor dhaawaca madaxa, carruurta qaba cudurka "postconcussive syndrome" waxay bedelaan habdhaqanka habdhaqanka xun marka loo eego kuwa aan calaamadaha ku adkeynin miyir beelid.
Ugu dambeyntii, baaritaanka cudurka dhimirka ee post-concussive syndrome wuxuu noqon karaa mid muhiim ah marka loo eego calaamadaha ku lug leh. Ma jirto daaweyn kale oo loogu talagalay PCS-ga marka loo eego calaamadaha qofka. Madax xanuun ayaa lagu daaweyn karaa daawada xanuunka , iyo anti-emetics waxaa laga yaabaa in ay faa'iido u leedahay dawakhaad. Isku-darka daaweynta iyo daweynta ayaa faa'iido u leh calaamadaha niyad-jabka. Naafonimo kasta oo jireed ayaa laga yaabaa in lagu xalliyo daaweeyayaasha xirfadleyda si loo hagaajiyo kartida karti u leh inay si fiican ugu shaqeyso shaqada.
Waxaa muhiim ah in la aqoonsado in dadka badankood, calaamadaha cudurka postconcussive-ka ay hoos u dhacaan wakhti kadibna ay xalliyaan, oo leh tiro yar oo tiro yar oo dadka ah oo haysta dhibaatooyin sanado badan ama ka badan. Nidaamka ugu wanaagsan ee soo kabashada waxaa laga yaabaa inuu diiradda saaro daaweynta calaamadaha qofka, labadaba jirka iyo nafsadda, oo la xiriira xaaladdan adag.
Ilaha:
S Kashluba, Casey JE, Paniak C. Caabinta adeegsiga shuruudaha baaritaanka ICD-10 ee loogu talagalay cudurrada postconcussion syndrome ka dib dhaawac fudud oo maskaxda ku dhaca. Int. Neuropsychol Soc. 2006 Jan; 12 (1): 111-8.
TW Allister, Arciniegas D (2002). "Qiimeynta iyo daaweynta calaamadaha durugsan". NeuroRehabilitation 17 (4): 265-83.
MA McCrea. Dhaawaca Dhaawaca Maskaxda ee Dhibaatada Hoos u Dhaca iyo Calaamadaha Cadaadiska: Calaamadaha Cusub ee Cusub ee Daaweynta iyo Daaweynta. Oxford [Oxfordshire]: Jaamacadda Oxford University, (2008)