Zovuta

Kuphulika kumatha kuchitika mutu ukamenya chinthu, kapena chinthu choyenda chikumenya mutu. Kusokonezeka ndi mtundu wovulala kwambiri wamaubongo. Ikhozanso kutchedwa kuvulala koopsa muubongo.

Kusokonezeka kumatha kukhudza momwe ubongo umagwirira ntchito. Kuchuluka kwa kuvulala kwaubongo komanso kutalika kwake kudzadalira momwe kupwetekako kukukulira. Kupwetekedwa kumatha kubweretsa mutu, kusintha kwa kukhala tcheru, kutaya chidziwitso, kukumbukira kukumbukira, komanso kusintha kwamaganizidwe.

Kusokonezeka kumatha kubwera chifukwa cha kugwa, masewera, ngozi zapamsewu, kumenyedwa, kapena kuvulala mwachindunji kubade. Kuyenda kwakukulu kwaubongo (kotchedwa jarring) kwina kulikonse kumatha kupangitsa kuti munthu atayike (atakomoka). Kutalika komwe munthuyo amakhala atakomoka kungakhale chizindikiro cha kusokonezeka kwake.

Zovuta sizimatsogolera ku chidziwitso nthawi zonse. Anthu ambiri samachita mphwayi. Amatha kufotokoza kuwona konse koyera, kwakuda konse, kapena nyenyezi. Munthu amathanso kukhala ndi vuto lakumtima osazindikira.

Zizindikiro zakukhumudwa pang'ono zingaphatikizepo:

• Kukhala osokonezeka pang'ono, kumva kuti sitingathe kuyang'ana, kapena kusaganiza bwino
• Kukhala owodzera, ovuta kudzuka, kapena kusintha komweko
• Mutu
• Kutaya chidziwitso kwakanthawi kochepa
• Kutaya kukumbukira (amnesia) wa zochitika asanavulaze kapena atangotha ​​kumene
• Nseru ndi kusanza
• Kuwona magetsi owala
• Kumva ngati kuti "wataya nthawi"
• Kugona molakwika

Zotsatirazi ndizizindikiro zadzidzidzi zovulala mutu kwambiri kapena kusokonezeka. Pitani kuchipatala nthawi yomweyo ngati pali:

• Zosintha pakutchera ndi kuzindikira
• Chisokonezo chomwe sichichoka
• Kugwidwa
• Kufooka kwa minofu mbali imodzi kapena mbali zonse ziwiri za thupi
• Ophunzira m'maso omwe sali ofanana kukula kwake
• Kusuntha kwachilendo kosazolowereka
• Kusanza mobwerezabwereza
• Kuyenda kapena kuchepetsa mavuto
• Kusazindikira kwakanthawi kotalikirapo kapena zomwe zikupitilira (chikomokere)

Kuvulala kumutu komwe kumayambitsa kusokonezeka nthawi zambiri kumachitika ndi kuvulala kwa khosi ndi msana. Samalani kwambiri posuntha anthu omwe avulala mutu.

Wothandizira zaumoyo adzayesa. Ndondomeko yamanjenje ya munthuyo idzafufuzidwa. Pakhoza kukhala kusintha pakukula kwa mwana wa munthuyo, luso lake loganiza, kulumikizana, ndi malingaliro ake.

Mayeso omwe angachitike ndi awa:

• Kuyesa magazi ndi mkodzo
• EEG (kuyesa mafunde aubongo) kungakhale kofunikira ngati kugwidwa kukupitilira
• Sewero la Head CT (computerised tomography)
• MRI yaubongo (maginito amakanema ojambula) aubongo
• X-ray

Kuvulala pang'ono pamutu, palibe chithandizo chofunikira. Koma dziwani kuti zizindikiro zovulala pamutu zitha kuwonekera pambuyo pake.

Omwe akukuthandizani afotokoza zomwe muyenera kuyembekezera, momwe mungasamalire mutu uliwonse, momwe mungachitire ndi zizindikilo zanu, nthawi yobwerera ku masewera, sukulu, ntchito, ndi zina, ndi zizindikilo kapena zodandaula zomwe muyenera kuda nkhawa.

• Ana adzafunika kuyang'aniridwa ndikusintha zochitika.
• Akuluakulu amafunikiranso kuyang'anitsitsa ndikusintha zochitika.

Akuluakulu onse ndi ana ayenera kutsatira malangizo a omwe amakupatsirani nthawi yomwe zingatheke kubwerera ku masewera.

Muyenera kukhala mchipatala ngati:

• Zowopsa kapena zowopsa kwambiri zovulala pamutu zilipo
• Pali kuphwanya kwa chigaza
• Pali magazi aliwonse pansi pa chigaza chanu kapena muubongo

Kuchira kapena kuchira pakukangana kumatenga nthawi. Zitha kutenga masiku mpaka milungu, kapenanso miyezi. Munthawi imeneyo mutha:

• Khalani odzipatula, okwiya msanga, kapena osokonezeka, kapena musinthe zina ndi zina
• Khalani ndi nthawi yovuta ndi ntchito zomwe zimafunikira kukumbukira kapena kusinkhasinkha
• Khalani ndi mutu wofatsa
• Musachepetse phokoso
• Khalani otopa kwambiri
• Muzimva chizungulire
• Khalani ndi masomphenya owoneka bwino nthawi zina

Mavutowa mwina achira pang'onopang'ono. Mungafune kupeza thandizo kuchokera kwa abale kapena anzanu kuti apange zisankho zofunika.

Mwa anthu ochepa, zizindikiro zakusokonekera sizimatha. Zowopsa zakusintha kwakanthawi kwakanthawi muubongo ndizokwera pambuyo pakukangana kopitilira kamodzi.

Kugwidwa kumatha kuchitika pambuyo povulala kwambiri pamutu. Inu kapena mwana wanu mungafunike kumwa mankhwala oletsa kulanda kwa kanthawi.

Kuvulala koopsa kwambiri muubongo kumatha kubweretsa zovuta zambiri zamaubongo ndi zamanjenje.

Imbani wothandizira ngati:

• Kuvulala pamutu kumayambitsa kusintha pakakhala tcheru.
• Munthu ali ndi zizindikiro zina zowopsa.
• Zizindikiro sizimatha kapena sizikusintha pakatha milungu iwiri kapena itatu.

Itanani nthawi yomweyo ngati izi zikuchitika:

• Kuchuluka kwa kugona kapena kuvutika kudzuka
• Khosi lolimba
• Zosintha pamakhalidwe kapena machitidwe achilendo
• Kusintha kwa mayankhulidwe (osasunthika, ovuta kumvetsetsa, sizomveka)
• Kusokonezeka kapena mavuto amaganiza molunjika
• Masomphenya awiri kapena kusawona bwino
• Malungo
• Madzi kapena magazi akutuluka m'mphuno kapena m'makutu
• Mutu womwe ukuwonjezeka, umatenga nthawi yayitali, kapena sukukhala bwino ndikamachepetsa kupweteka kwakanthawi
• Mavuto kuyenda kapena kuyankhula
• Khunyu (kugwedeza mikono kapena miyendo popanda kuwongolera)
• Kusanza koposa katatu

Ngati zizindikiro sizichoka kapena sizikuyenda bwino pakadutsa milungu iwiri kapena itatu, lankhulani ndi omwe akukuthandizani.

Sikuti kuvulala konse pamutu kumatha kupewedwa. Onjezani chitetezo kwa inu ndi mwana wanu potsatira izi:

• Nthawi zonse gwiritsani ntchito zida zachitetezo pazochitika zomwe zitha kuvulaza mutu. Izi zikuphatikizapo malamba apampando, njinga zamoto kapena zisoti zanjinga zamoto, ndi zipewa zolimba.
• Phunzirani ndikutsatira malangizo oyendetsera njinga.

Osamwa ndikuyendetsa. Musalole kuti muyendetsedwe ndi munthu yemwe amamwa mowa kapena ali ndi vuto linalake.

Kuvulala kwaubongo - kusokonezeka; Zoopsa kuvulala kwaubongo - kusokonezeka; Kutseka kovulala pamutu - kusokonezeka

• Zovuta mwa akulu - kutulutsa
• Zovuta mwa akulu - zomwe mungafunse dokotala wanu
• Zovuta mwa ana - kutulutsa
• Zovuta mwa ana - zomwe mungafunse dokotala wanu
• Kupewa kuvulala pamutu kwa ana

• Ubongo
• Zovuta

Liebig CW, Congeni JA. Zovulala zokhudzana ndi masewera (kukomoka). Mu: Kliegman RM, St Geme JW, Blum NJ, Shah SS, Tasker RC, Wilson KM, olemba. Nelson Textbook of Pediatrics. Wolemba 21. Philadelphia, PA: Elsevier; 2020: chap 708.

Abambo L, Goldberg SA. Kusokonezeka mutu. Mu: Makoma RM, Hockberger RS, Gausche-Hill M, eds. Rosen's Emergency Medicine: Concepts and Clinical Practice. 9th ed. Philadelphia, PA: Elsevier; 2018: mutu 34.

Trofa DP, Caldwell JM E, Li XJ (Adasankhidwa) Zovuta ndi kuvulala kwaubongo. Mu: Miller MD, Thompson SR, olemba. DeLee Drez & Miller's Orthopedic Sports Medicine. 5th ed. Philadelphia, PA: Elsevier; 2020: chap 126.