Encephalopathy traumaticha jireenya dheeraa (CTE) rakkoo sammuu dha, kan inni sababa miidhaa mataa irra deddeebi'aa irraa kan ka'e fakkaata. Inni du'a seluloota sammuu keessatti argaman, kan digeenereeshen jedhaman, ni fidu. CTE yeroo itti dabaluun ni hammaata. Karaa itti CTE sirriitti beekkamu tokko qofa du'aa booda, yeroo sammuun qoratamu jira.
CTE rakkoo muraasa dha, kan ammaaf sirriitti hin hubatamin. CTE miidhaa mataa tokko qofa waliin walitti hin hidhatu. Inni miidhaa mataa irra deddeebi'aa waliin walitti hidhata, yeroo baay'ee tapha walitti bu'iinsa qabu keessatti ykn lolli waraanaa keessatti mul'ata. Misooma CTE waliin walitti hidhatamaa dha, sindroomi dhiibbaa lammaffaa, kan inni miidhaa mataa lammaffaa dura miidhaa mataa duraa mallattooleen isaa guutummaatti hin hir'atin dura uumamu.
Ogeeyyiin ammaaf akkamitti miidhaa mataa irra deddeebi'aa fi wantoota biroo jijjiirama sammuu keessatti fidu, kan inni CTE fidu, hubachuuf yaalu. Qorattoonni lakkoofsa miidhaa mataa nama tokko mudate fi hamma miidhaa sanaa akkam akka ta'e, balaa CTE irratti dhiibbaa qabaachuu isaa qoratu.
CTE sammuu namoota kubbaa miilaa Ameerikaa fi tapha walitti bu'iinsa qabu biroo taphatan keessatti, kan bokisingii dabalatee, argameera. Kana malees, miseensota waraanaa kanneen dhoqqii boombii irratti saaxilaman keessatti uumamuu danda'a. Mallattooleen CTE yaada irratti rakkoo yaaduu fi miiraa, rakkoo qaamaa, fi amala biroo dabalatu. Yaada irratti kun waggoota hedduu ykn waggaa kudhan booda miidhaa mataa uumamuu isaati.
CTE jireenya keessatti sirriitti beekkamuu hin danda'u, namoota balaa guddaa qaban malee. Qorattoonni ammaaf biomarkers CTE beekkamuuf hojjechaa jiru, garuu tokko illee ammaaf hin mirkanoofne. Yeroo mallattooleen waliin hidhataman CTE uumamu, tajaajiltoonni fayyaa sindroomi encephalopathy traumaticha beeksisuu danda'u.
Ogeeyyiin ammaaf baay'ina CTE uumamuu ummata keessatti hin beeku, garuu muraasa fakkaata. Sababoota isaa guutummaatti hin hubatu. Daawaa CTE fayyisu hin jiru.
Simtoota adda addaa kan walitti hidhamneef jecha hin jiru. Simtoota tokko tokko kan biraa irratti mul'achuu danda'u. Namoota yeroo du'anii CTE akka qaban mirkanaa'e irratti, simtoonni yaadannoo, amalaa, miiraa fi sochii jijjiirama keessatti argamu. Yaadachuu rakkisa. Yaadannoo dhabamu. Karoora, gurmeessaa fi hojii raawwachuu irratti rakkoo. Amala ofitti darbani. Humna. Dhiphina ykn dadhabina. Jijjiirama miiraa. Dhimma qabeenya fayyadamuu. Yaada of ajjeesu ykn gocha. Deemuu fi wal-ta'uu irratti rakkoo. Parkinsonism, kunis rifatoo, sochii gadi aanaa fi dubbachuu irratti rakkoo fidu. Dhukkubbii motor neuron, kunis seellota deddeebii deemuu, dubbachuu, humna ba'uu fi hafuura fudhachuu to'annoo irratti argamu balleessu. Simtoota CTE miidhaa mataa erga argate booda utuu hin mul'atin. Ogeeyyiin waggoota ykn waggaa hedduu booda miidhaa mataa irra deddeebi'ee erga argate booda akka mul'atu amanu. Ogeeyyiin akkasumas simtoota CTE haala lamaan akka mul'atu amanu. Jireenya isaa jalqaba keessatti, waggaa 20 fi 30 gidduu, haalli CTE jalqabaan dhiphina sammuu fi amalaa rakkisa fidu. Simtoota haala kana keessatti argaman keessatti dhiphina, yaaddoo, amala ofitti darbaniifi humna. Haalli CTE lammaffaan waggaa 60 ta'ee booda simtoota fidu jedhamee yaadama. Simtoota kunneen yaadannoo fi yaadachuu irratti rakkoo kan ta'an, gara dammii'inaatti akka guddatan eegama. Tarree guutuu mallattoowwan namoota CTE qaban yeroo du'anii ilaaluuf barbaachisan hanga ammaatti hin beekkamne. Akka CTE itti guddatu irratti beekumsi xiqqoo qaba. CTE waggoota hedduu booda miidhaa sammuu irra deddeebi'ee kan argate, kan salphaa ykn cimaa ta'u jedhamee yaadama. Haalota kana keessatti ogeessa fayyaa kee argaadhu: Yaada of ajjeesu. Qorannootiin namoota CTE qaban of ajjeesuuf balaa guddaa irratti akka argaman agarsiisa. Yoo of miidhuuf yaaddo qabaatte, 911 ykn lakkoofsa balaa naannoo kee bilbila. Yookaan waltajjiin of ajjeesu waliin walitti hidhadhu. U.S keessatti, 988 bilbila ykn barreessi 988 Suicide & Crisis Lifeline argachuuf ykn Lifeline Chat fayyadama. Miidhaa mataa. Miidhaa mataa yoo argatte, yeroo balaa itti barbaachisu hin argatinillee ogeessa fayyaa kee argaadhu. Ilma kee miidhaa mataa nama yaaddessu yoo argate, ogeessa fayyaa ilma kee yeroo sana bilbila. Simtoota irratti hundaa'uun, ati ykn ogeessa fayyaa ilma kee tajaajila fayyaa yeroo sana barbaachisu barbaachisuuf yaaluu ni danda'a. Rakkoo yaadannoo. Yaadannoo kee irratti yoo yaaddoo qabaatte, ogeessa fayyaa kee argaadhu. Akkaasumas yaadachuu ykn amala biraa yoo argatte ogeessa kee argaadhu. Jijjiirama amalaa ykn miiraa. Dhiphina, yaaddoo, humna ykn amala ofitti darbani yoo argatte, ogeessa fayyaa kee argaadhu.
CTE kan yeroo dheeraa booda miidhaa maddii irra deddeebi'an, kan salphaa ykn ulfa ta'an, erga itti fufan booda akka guddatu yaadama. Haala kana keessatti, ogeessa fayyaa kee bira dhaqi: Yaaddoowwan of-ajjeechaa. Qorannootiin namoonni CTE qaban of-ajjeechaa irratti balaa guddaa akka qaban agarsiisa. Yoo of-miidhuuf yaaddoon qabaatte, 911 ykn lakkoofsa balaa naannoo kee bilbila. Yookiin walitti-qunnamuu of-ajjeechaatiif bilbila. U.S keessatti, 988 bilbila ykn barreessi, 988 Suicide & Crisis Lifeline argachuuf, yookiin Lifeline Chat fayyadama. Miidhaa maddii. Miidhaa maddii yoo qabaatte, yeroo balaa barbaachisaa hin barbaadneyyuu, ogeessa fayyaa kee bira dhaqi. Yoo ilmi kee miidhaa maddii qabaatee yaaddoo si qabu, ogeessa fayyaa ilmii kee dafee bilbila. Mallattoowwan irratti hundaa'uun, ati yookiin ogeessi fayyaa ilmii kee, kunuunsa fayyaa hatattamaa barbaachisu akka barbaachisu yaaduu danda'a. Rakkoo yaadannoo. Yaadannoo kee ilaalchisee yaaddoo yoo qabaatte, ogeessa fayyaa kee bira dhaqi. Akkasumas, rakkoo yaaduu yookiin amala biraa yoo qabaatte, ogeessa fayyaa kee bira dhaqi. Jijjiirama amala yookiin yaada. Dhiphina, yaaddoo, hamilee yookiin amala hatattamaa yoo qabaatte, ogeessa fayyaa kee bira dhaqi.
A concussion happens when a forceful blow or sudden movement jolts your brain inside your skull. This movement can damage the brain.
Chronic traumatic encephalopathy (CTE) is often linked to repeated head injuries. Studies have mainly focused on athletes like football players and ice hockey players, as well as military personnel in war zones. However, other sports and situations like physical abuse can also cause repeated head trauma.
A head injury, like a concussion, can lead to various symptoms, including headaches and memory problems. Importantly, not everyone who has repeated concussions, even athletes or soldiers, develops CTE. Some studies haven't found a higher risk of CTE in people with repeated head injuries.
When a brain has CTE, scientists see a buildup of a protein called tau around the blood vessels. This tau buildup in CTE is different from the tau buildup seen in Alzheimer's disease or other forms of dementia. CTE is believed to cause parts of the brain to shrink, a condition called atrophy. This happens because the injuries disrupt the nerve cells that send electrical signals to each other, affecting communication between brain cells.
People with CTE might also show signs of other brain diseases, like Alzheimer's, amyotrophic lateral sclerosis (ALS), Parkinson's disease, or frontotemporal lobar degeneration (frontotemporal dementia). These other diseases can sometimes be difficult to distinguish from CTE.
Yeroo baay'ee miiraa maddii irratti dhiibbaan qaqqabuu kun, balaa CTE'n dhukkubsachuu guddisa jedhamee yaadama. Ogeeyyiin ammallee wanta balaa kana fidu ilaalchisee barachaa jiru.
Dhiibbaan CTE hin jiru. Garuu CTE ittisuun ni danda'ama, sababiin isaas walitti deddeebi'insa maddi-garaa wajjin walitti hidhata. Namoonni maddi-garaa tokko qaban irra caalaa miidhaa mataa biraa qabaachuu danda'u. Yaadachiisa amma jiru CTE ittisuuf, miidhaa hamaa qaamaa mataa hir'isuudha, miidhaa dabalataa maddi-garaa booda ittisuudha.
Yeroo ammaa, malaa itti hubatamuu danda'u hin jiru, kan yeroo nama jiraatuu keessatti CTE sirreeffamaa taasisuuf. Garuu, ogeeyyiin ulaagaa klinikaa sirreeffamaa maddi miidhaa irraa uumamuu (TES) irratti hojjechuu turan. TES dhukkuba klinikaa ta'ee, kan waliin wal qabatu CTE dha. Namoota balaa ol'aanaa keessa jiran, kan miidhaa mataa irra deddeebi'ee waggoottan hedduuf ispoortii ykn waraana keessatti argatanitti, shakkii CTE irratti ni jiraata. Sirreeffamaa taasisuun ragaa diigamuu qaama sammuu fi kuusaa tau fi prootiinii biroo sammuu keessatti argamu barbaada. Kunis du'aa booda, yeroo qaama sammuu ilaalamuutti qofa ni mul'ata. Qorattoonni tokko tokko, qorannoo yeroo nama jiraatuu keessatti CTE sirreeffamaa taasisuuf fayyadamuuf ni hojjetu. Warri kaan ammoo, sammuu namoota du'anii, kanneen CTE qabaachuu danda'an, kanneen taphattoota kubbaa miilaa Ameerikaa akka ta'anitti, qorannoo itti fufan. Abdii, yeroo booda, qorannoo sammuu, suuraa sammuu akka MRI adda addaa, fi biomarkers biroo fayyadamuun CTE sirreeffamaa taasisuuf ni jiraata. Kunuunsi Hospitaala Mayo Koodii keenya kunuunsaa kan ogeeyyii Hospitaala Mayo, yaaddoo fayyaa keessan waliin wal qabatu, kan miidhaa maddi miidhaa irraa uumamuu yeroo dheeraa irratti, isiniif gargaara. Egaa jalqaba. Odeeffannoo dabalataa. Kunuunsi miidhaa maddi miidhaa irraa uumamuu yeroo dheeraa irratti Hospitaala Mayo. EEG (electroencephalogram) MRI Suuraa qaama sammuu fayyadamuun ilaaluu (Positron emission tomography scan) Suuraa qaama sammuu fayyadamuun ilaaluu (SPECT scan) Odeeffannoo wal qabatu dabalataa agarsiisaa
Yaalaa CTE hin jiru. Dhukkubni sammuu kun guddinaa dha, jechuunis yeroo itti darbuun itti hammaata. Qorannoo itti dabalataa ilaalchisee walitti dhufeenya barbaachisaa dha, garuu malaan amma jiru miidhaa mataa ittisuudha. Hubannoo ilaalchisee miidhaa sammuu madaa ittisuu fi itti qophaa'uu ilaalchisee beekuun barbaachisaa dha. Wal ga'ii gaafadhu
Preparing for a Doctor's Appointment Regarding Mental Function or a Concussion
If you're concerned about your mental abilities or have experienced a concussion, you'll likely start by seeing your primary care doctor. They might refer you to a specialist, like a neurologist, psychiatrist, neuropsychologist, or another expert, for further evaluation.
Preparing for Your Appointment
Appointments can be short, and there's often a lot to discuss, so preparation is key.
Pre-Appointment Restrictions: Before your appointment, ask your doctor if there are any specific things you need to do beforehand, like fasting for blood tests.
Detailed Symptom Notes: Write down all your symptoms, even those that seem unrelated to your main concern. This includes when your symptoms started and if they're getting worse, and why. Provide specific examples to help your doctor understand.
Personal Information: Create a list of important personal details, including:
Bring Support: If possible, bring a family member, friend, or caregiver. They can help you remember important information during the appointment.
Prepare Questions: Make a list of questions, prioritizing the most important ones. This will help you make the most of your appointment time.
Example Questions to Ask Your Doctor:
Concussion-Specific Questions:
During the Appointment:
Don't hesitate to ask questions at any time if you don't understand something.
What to Expect from Your Doctor
Your doctor will likely ask you questions about:
Symptoms: Details of your symptoms (e.g., trouble with words, memory, focus, personality, or directions), when they started, how severe they are, and if anything seems to improve or worsen them. Have you stopped doing certain activities due to difficulty? Have there been any changes in your reactions to people or events? Are you experiencing more or less energy than usual? Have you noticed any trembling or trouble walking?
Medical History: Your past medical history, including family history of neurological diseases (like dementia, Alzheimer's, ALS, or Parkinson's), current medications, vitamins/supplements, alcohol consumption, and other medical conditions.
Concussion-Related Details (if applicable): If you've had a concussion, your doctor may ask about the events surrounding the injury, including any previous head injuries, the type of activity, how the injury occurred, immediate symptoms, memory of events before and after, loss of consciousness, or seizures.
Physical Symptoms: Nausea, vomiting, headaches (when they started), physical coordination problems, vision/hearing issues, changes in smell/taste, appetite, fatigue, sleep problems, dizziness, or vertigo.
Cognitive/Emotional Symptoms: Memory/concentration problems, mood changes (including irritability, anxiety, or depression), thoughts of harming yourself or others, and any other concerning symptoms.
This thorough preparation will help you have a productive and informative discussion with your healthcare provider.
Ibsa baraanaa: August madalii odeeffannoo fayyaa yoo ta’u deebiin isaas gorsa yaalaa hin ta’u. Dura hundumaa ogeessa fayyaa hayyama qabu naannoo keetti mari’adhu.
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