I-Whiplash, ebizwa nangokuthi "i-whiplash", i-trauma yomgogodla womlomo wesibeletho ngokuvamile okubangelwa ukuguqulwa okungazelelwe kwejubane okulandelwa ukwehla okusheshayo ekhanda, okuvame ukubonwa uma kwenzeka izingozi. ngisho imoto elula. Izimpawu eziyinhloko ezihambisana ne-whiplash ubuhlungu nokuqina kwentamo. Ezinye izimpawu, njengekhanda elibuhlungu, ubuhlungu ezingalweni, noma ukuba nesiyezi, azivamile. Abantu abaningi bayalulama phakathi nezinsuku noma amasonto. Kwabanye, kungase kuthathe izinyanga ezimbalwa ngaphambi kokuba ubone ukuthuthuka okuphawulekayo. Ngemuva kwe-whiplash, kubalulekile ukubonana nodokotela ukuze wenze ukuxilongwa. Uma kwenzeka ubuhlungu bentamo, udokotela angakwazi ukunikeza imithi futhi mhlawumbe ukuvuselelwa, ngaphezu kwezincomo ezisebenzayo mayelana nendlela yakhe yokuphila.

Igama elithi "whiplash" - incazelo yesithombe esuselwe endleleni esetshenziselwa ukubulala unogwaja ngokuphuka intamo - ebizwa nangokuthi "whiplash" noma "whiplash" ngesiNgisi, isetshenziselwa ukuchaza indlela esheshayo kakhulu yokusheshisa nokunciphisa intamo ukuthi intamo. angabhekana.

Okuvame kakhulu kwabesifazane kunamadoda, i-whiplash ibangelwa ingozi yemoto ezimweni eziningi. Empeleni uma kushayisana ingemuva, umgibeli wemoto aqale aphushelwe ngendluzula esihlalweni sakhe bese aphonswa phambili. Futhi yilokhu "whiplash" ukunyakaza okubangela ukuhlukumezeka. Ngisho nangejubane elincishisiwe, uma kwenzeka kuba nomthelela, ukusheshisa kufana nokuthi, lapho ikhanda "lihamba phambili" liphonswa emuva, isisindo se-skull simelela amakhilogremu amaningana ayishumi. Intamo iba yinde, ama-vertebrae omlomo wesibeletho kanye nemisipha kunzima ukumelana nalokhu kudonsa. Ukwelula okunjalo, okuvame ukuhlotshaniswa nezinyembezi ezincane, kungase kubangele ukuzwa kokuqina kanye nobuhlungu besici se-whiplash.

Kungaba futhi umsuka we-whiplash:

• izimpophoma ;
• izingozi ngesikhathi somdlalo othintana naye njengebhola lombhoxo noma isibhakela;
• ingozi yomgwaqo (ingozi yabahamba ngezinyawo);
• ukuhlukumezeka ngokomzwelo, njll.

Indlela yokuqalisa ihlukile kuye ngembangela noma ubukhulu bokushaqeka.

Engozini yemoto enomthelela wangemuva ngesivinini esiphansi, ukunyakaza kwe-shock wave kudluliselwa kusukela ngemuva kuya phambili. Ngakho-ke umgogodla womlomo wesibeletho uzobhekana ngesikhathi esifushane kakhulu ukunyakaza okuyihaba nokungalawuleki kwe-flexion / extension. Lokhu kunyakaza kwe-back-to-front, ezimweni eziningi, kuvimbela i-cervical engenhla ekuguquguqukeni kanye nezibeletho ezingezansi ekwandiseni. Ngokuya ngobukhulu bokushaqeka, ama-disc angase athintwe noma ahanjiswe.

Njengoba ingemuva lentamo lingakwazi ukumunca ukushaqeka, imisipha yomlomo wesibeletho nayo idlula ngokushesha. Njengoba yehlulekile ukulindela igagasi lokushaqeka, le misipha izofinyela ngokuguqukayo. Lesi sivumelwano ngezinye izikhathi singathinta yonke imisipha ye-erector yomgogodla futhi kubangele ukuqala ngokuzumayo kwe-lumbago.

Ubunjalo besilonda kanye nenombolo nobukhulu bezimpawu ziyahlukahluka kumuntu nomuntu.

Endabeni ye-whiplash ebizwa ngokuthi "emnene", izimpawu zivela kancane ngemva kwengozi:

• phakathi kwamahora ama-3 nama-5 ngemva kwengozi, ubuhlungu nokucanuzela kwenhliziyo kungase kwenzeke;
• bese kuthi ezinsukwini ezilandelayo, ikhanda elibuhlungu (ikhanda) libe nesiyezi.

Ngokuphambene nalokho, uma kwenzeka i-whiplash "enzima", izimpawu zivela ngokushesha:

• ubuhlungu obukhulu futhi obungapheli bentamo, obuhambisana nokuqina kwentamo;
• i-torticollis;
• isiyezi;
• ukuba ndikindiki kanye nokushoshozela ezithweni ezingenhla, ikakhulukazi ezandleni;
• isicasuli;
• ukuhlanza;
• ikhanda;
• ubuhlungu phansi kogebhezi;
• ubunzima bokuma;
• ubuhlungu bentamo;
• i-tinnitus (ukukhala noma ukukhala ezindlebeni);
• ubunzima bokukhuluma;
• ukhathele;
• ukuphazamiseka kwamehlo;
• ubuhlungu bomhlathi;
• ukwehla kwesimo esijwayelekile nobungqabavu, njll.

Ukuphuka komlomo wesibeletho ngengxenye yomgogodla kuyisimo esibucayi kakhulu esibangela ukufa ngokushesha noma i-quadriplegia eqondile yesisulu. Ngenhlanhla, leli cala lihlukile. Eqinisweni, i-90% yamacala e-whiplash abangela kuphela izilonda zomlomo wesibeletho ezilula futhi zesikhashana, i-10% ebangela ukungahambi kahle okuhlala isikhathi eside kusukela ekuphathweni kwekhanda, ukuqina, izinkontileka, isiyezi, ukunciphisa ukuhamba, kuze kufike ekukhubazekeni. kuvunyelwe.

Abantu abaningi bayalulama phakathi nezinsuku noma ngisho namasonto. Kwabanye, kungase kuthathe izinyanga ezimbalwa ngaphambi kokuba ubone ukuthuthuka okuphawulekayo. Izimpawu eziphikelelayo zingahluka ngokuqina ngesikhathi sokuphulukiswa.

Iningi labantu lilulama kahle ngemva kwe-whiplash.

Uma kwenzeka ubuhlungu bentamo, okungukuthi ubuhlungu entanyeni, udokotela angakwazi ukunikeza imithi kanye nokuvuselelwa okungenzeka, ngaphezu kwezincomo ezisebenzayo mayelana nendlela yakhe yokuphila.

Imithi yokuqeda ubuhlungu bentamo

Nansi imithi engase inqunywe:

• ngenhloso yokuqala, kuvame ukuba yi-paracetamol noma isidakamizwa esingezona ukuvuvukala (NSAID);
• uma ukukhululeka kunganele, udokotela angase anikeze i-analgesic ehloselwe ukwelapha ubuhlungu obukhulu kakhulu: inhlanganisela ye-paracetamol / codeine, i-tramadol kanye nenhlanganisela ye-paracetamol / tramadol ingasetshenziswa ikakhulukazi;
• Uma kwenzeka kuba nemisipha ebuhlungu, kungase kunqunywe iziphumlisi zemisipha.

Ikhola yomlomo wesibeletho egqokwa isikhathi esifushane kakhulu

Uma ubuhlungu bukhulu kakhulu, ikhola yomlomo wesibeletho enegwebu ingase ibe usizo. Kodwa kunconywa ukuthi ungayigcini izinsuku ezingaphezu kwezingu-2 kuya kwezingu-3 ngenxa yengozi yokuhlala, ubuthakathaka bemisipha yentamo kanye nokuqina okwandayo uma kwenzeka ukugqoka isikhathi eside.

Ukufundiswa kabusha

Kungase kudingeke izikhathi ezimbalwa ze-physiotherapy. Kungasetshenziswa amasu ahlukene:

• i-electrotherapy, i-ultrasound kanye ne-infrared esetshenziswa entanyeni;
• ukudonsa komgogodla okwenziwa uchwepheshe onekhono, uma kungekho contraindications, kungase kube nenzuzo esikhathini esifushane;
• massage entanyeni;
• amasu okuhlanganisa asebenzayo noma angenzi lutho kanye namasu okukhishwa kwenkontileka ayanconywa.

Imisebenzi ephindaphindiwe ngokuphakamisa okunzima, ikakhulukazi phezulu, kufanele igwenywe ukuze ingakhulisi ubuhlungu bentamo futhi ivimbele ukuphindaphinda.

Uma kwenzeka umsebenzi wokuziphilisa, ukunakwa okukhethekile kufanele kukhokhwe ekubekweni okulungile kwendawo yokusebenza, ikakhulukazi isihlalo, ideski, ikhibhodi, isikrini sekhompyutha nokukhanyisa. Uma kunesidingo, ukulungiswa kwe-ergonomic kwendawo yokusebenza kungabhekwa njengokusheshisa ukuphulukiswa nokuvimbela ukuphindaphinda kobuhlungu bentamo.