Spinal Trauma: ndichiyani, ndichifukwa chiyani zimachitika komanso chithandizo
Zamkati
- Zizindikiro zake ndi ziti
- Zoyenera kuchita kuvulala kukayikiridwa
- Chifukwa chiyani zimachitika
- Momwe mungatsimikizire matendawa
- Momwe mankhwalawa amachitikira
Kusokonezeka kwa msana ndi kuvulala komwe kumachitika mdera lililonse la msana, komwe kumatha kuyambitsa kusintha kosatha kwamagalimoto ndi zochitika m'chigawo cha thupi pansi pa kuvulala. Kuvulala koopsa kumatha kukhala kwathunthu, komwe kumawonongeka kwathunthu kwamagalimoto ndi zomverera pansi pamalo pomwe kuvulala kumachitika, kapena kosakwanira, komwe kutayika kumeneku kumakhala pang'ono.
Zovuta zimatha kuchitika pakugwa kapena pangozi yapamsewu, mwachitsanzo, zomwe ndi zinthu zomwe ziyenera kuchitidwa nthawi yomweyo kuti zisawonjezere kuvulaza. Tsoka ilo, palibe chithandizo chobwezeretsa kuwonongeka komwe kumachitika chifukwa cha vuto la msana, komabe, pali njira zina zomwe zimathandiza kuti chovulacho chisakulire ndikuthandizira munthuyo kuti azolowere moyo watsopano.
Zizindikiro zake ndi ziti
Zizindikiro za kuvulala kwa msana zimadalira kukula kwa chovulalacho komanso dera lomwe limachitikira. Munthuyo amatha kukhala wolumala, pomwe gawo lokhalo la thunthu, miyendo ndi chiuno limakhudzidwa, kapena quadriplegic, pomwe thupi lonse limakhudzidwa pansi pakhosi.
Kuvulala kwa msana kumatha kubweretsa zizindikiritso zotsatirazi:
- Kutaya mayendedwe;
- Kutayika kapena kusintha kwa chidwi cha kutentha, kuzizira, kupweteka kapena kukhudza;
- Kupweteka kwa minofu ndi kukokomeza kwakanthawi;
- Kusintha kwa magwiridwe antchito, chidwi chakugonana kapena chonde;
- Zowawa kapena zowawa;
- Kuvuta kupuma kapena kuchotsa zotulutsa m'mapapu;
- Kutaya chikhodzodzo kapena matumbo.
Ngakhale chikhodzodzo ndi matumbo zatayika, izi zimapitilizabe kugwira ntchito bwino. Chikhodzodzo chimapitilizabe kusunga mkodzo ndipo matumbo amapitilizabe kugwira ntchito yake pakudya, komabe, pali zovuta kulumikizana pakati paubongo ndi izi kuti zithetse mkodzo ndi ndowe, zomwe zimawonjezera chiopsezo chotenga matenda kapena kupanga miyala mu impso.
Kuphatikiza pa zisonyezozi, panthawi yovulala pakhoza kukhalanso ndi ululu wammbuyo kapena kupsinjika m'khosi ndi kumutu, kufooka, kusagwirizana kapena kufooka mdera lililonse la thupi, dzanzi, kumva kulasalasa komanso kutaya mphamvu m'manja, zala ndi mapazi, kuvuta kuyenda ndikukhala olimba, kupuma movutikira kapena kukhazikika pamakhosi kapena kumbuyo.
Zoyenera kuchita kuvulala kukayikiridwa
Pambuyo pangozi, kugwa, kapena china chake chomwe chingayambitse vuto la msana, muyenera kupewa kusuntha munthu wovulalayo ndipo nthawi yomweyo muyimbire foni mwadzidzidzi.
Chifukwa chiyani zimachitika
Matenda a msana amatha chifukwa cha kuwonongeka kwa ma vertebrae, ligaments kapena disc discs kapena kuwonongeka mwachindunji pamtsempha wa msana, chifukwa cha ngozi zapamsewu, kugwa, kumenya nkhondo, masewera achiwawa, kulowa m'malo opanda madzi pang'ono kapena malo olakwika, kuvulaza chipolopolo kapena mpeni kapenanso matenda ngati nyamakazi, khansa, matenda kapena kuchepa kwa msana.
Kukula kwa chotupacho kumatha kusintha kapena kusintha patadutsa maola ochepa, masiku kapena masabata, omwe atha kukhala okhudzana ndi chisamaliro chapakati, kuzindikira molondola, chisamaliro chofulumira, kuchepa kwa edema ndi mankhwala omwe angagwiritsidwe ntchito.
Momwe mungatsimikizire matendawa
Dokotala amatha kugwiritsa ntchito njira zingapo zowunikira kuti amvetsetse ngati pakhala pali vuto pamtsempha wa msana komanso kuopsa kwa chovulalacho, ndipo X-ray nthawi zambiri imawonetsedwa ngati kuyesa koyambirira kuti kuzindikire kusintha kwa mafupa, zotupa, zophulika kapena kusintha kwina mzati.
Kuphatikiza apo, mutha kugwiritsanso ntchito CT scan kuti muwone bwino zovuta zomwe zimapezeka pa X-ray, kapena MRI scan, yomwe imathandizira kuzindikira ma disc a herniated, magazi oundana kapena zina zomwe zingayambitse msana.
Momwe mankhwalawa amachitikira
Sizingatheke kuthetsa kuwonongeka kwa msana wam'mimba, komabe, kufufuza kwa mankhwala atsopano kungapitirize. Komabe, zomwe zitha kuchitidwa panthawiyi ndikuteteza zotupa kuti zisawonjezeke ndipo, ngati kuli kofunikira, agwiritse ntchito opaleshoni kuti achotse zidutswa za mafupa kapena zinthu zakunja.
Pachifukwa ichi, ndikofunikira kwambiri kusonkhanitsa gulu lokonzanso kuti lithandizire munthuyo kuzolowera moyo wawo watsopano, mwakuthupi komanso mwamaganizidwe. Gululi liyenera kukhala ndi physiotherapist, wothandizira pantchito, namwino wokonzanso, wothandizira zamaganizidwe, wogwira ntchito zachitukuko, katswiri wazakudya komanso wochotsa mafupa kapena ma neurosurgeon omwe amakhazikika pakuvulala kwa msana.
Thandizo lachipatala panthawi yangozi ndilofunikanso kwambiri, chifukwa limatha kuletsa kukula kwa ovulala, ndipo chisamaliro choyambirira, kuzindikira ndi kulandira chithandizo, kumathandizira kuti munthu asinthe komanso akhale ndi moyo wabwino.