Ukulimala Kokuzwakala Kwengqondo Yikuphi? Izimpawu, Izimbangela, & Ukwelashwa

Ukulimala kokuzwakala kwengqondo (TBI) kwenzeka uma ingqondo yakho yonakale ngenxa yokushayiswa ngokungazelelwe, ukuthuthumela, noma isiqopha esingena ekhanda lakho. Cabanga ngakho njengengqondo yakho ethuthumela noma ephukile ngaphakathi ekhanda lakho, okungathinta isikhashana noma unomphela indlela ingqondo yakho esebenza ngayo.

I-TBI ihluka kusuka ekuqhaqhazweni okuncane okuphulukayo ezinsukwini ezimbalwa kuya ekulimaleni okukhulu okudinga ukunakekelwa isikhathi eside. Izindaba ezinhle ukuthi ngokunakekelwa okufanele kwezokwelapha nokwesekwa, abantu abaningi abane-TBI bangaphulile kahle futhi babuyele ekuphileni okunemqondo, okuanelisayo.

Ziyini izimpawu zokulimala kokuzwakala kwengqondo?

Izimpawu ze-TBI zingabonakala ngokushesha noma zithuthuke kancane kancane ngamahora noma izinsuku ngemuva kokulimalwa. Ingqondo yakho ilawula konke okwenziwa umzimba wakho, ngakho-ke izimpawu zingathinta izindawo eziningi ekuphileni kwakho.

Izimpawu ozibonayo ziyahluka kuye ngokuthi yiliphi ingxenye yengqondo yakho elilimalile nokuthi ukukhulu kangakanani ukonakala. Abanye abantu baphawula izinguquko ngokushesha, kanti abanye bangase bangazi ukuthi kukhona okungalungile kuze kube ngemva kwezinsuku lapho izimpawu ziqala ukubonakala.

Izimpawu zokwenyama zivame ukufaka:

• Ubuhlungu bekhanda obungase bube sibi ngokuhamba kwesikhathi
• Ukuphefumula noma ukugabha
• Ukukhungatheka noma izinkinga zokulinganisela
• Ukubona okuphazamisekile noma okubili
• Ukuzwela ekukhanyeni noma umsindo
• Ukukhala ezindlebeni
• Ukukhathala noma ukulala
• Ukukhuluphala noma ukulala ngaphezu kokujwayelekile

Izimpawu zengqondo nezingqondo zingabonakala njenge:

• Ukudideka noma ukuzizwa ukhungathekile
• Izinkinga zokukhumbula, ikakhulukazi ngezinto zakamuva
• Ukukhuluphala ukugxila noma ukunaka
• Ukukhuluphala ukuthola amagama afanele
• Ukucabanga okuhamba kancane noma ukucubungula
• Ukukhuluphala ukwenza izinqumo

Ukushintsha kwemizwelo nokwenzeka kungafaka:

• Ukucasuka noma ukushintshashintsha kwesimo sengqondo
• Ukukhathazeka noma ukukhathazeka
• Usizi noma ukudabuka
• Ukushintsha komuntu
• Ukulahlekelwa isithakazelo emisebenzini oyithandayo
• Ukuphazamiseka noma ukukhathazeka

Ezigulini ezinzima ze-TBI, ungase futhi uhlangabezane nokuhlinzwa, ubuthakathaka ezingalweni noma emilenzeni, ukulahleka kokuxhumanisa, noma ukudideka okukhulu. Lezi zimpawu zidinga ukunakekelwa okusheshayo kwezimo eziphuthumayo futhi akufanele ziganjwa.

Khumbula ukuthi ubuchopho babantu bonke buyakhahlukile, ngakho-ke izimpawu zakho zingase zihluke kwezomunye umuntu. Okubaluleke kakhulu ukuthola ukuhlolwa okufanele kwezokwelapha uma uqede ukulimala ekhanda, ngisho noma izimpawu zakho zibonakala zingenamandla.

Imiphi imihlobo yokulimala kobuchopho obulimazekile?

Odokotela bahlukanisa i-TBI ngokusekelwe ekuthini ukukhulu kangakanani nohlobo lolonakalo oluvele. Ukuqonda lezi zigaba kungakusiza ukwazi ukuthi yini okulindeleke ngesikhathi sokuphulukisa.

I-TBI eMnyama (Ukuqhaqhazela): Lolu uhlobo oluvamile kunazo zonke, olumelela cishe u-80% wokulimala kobuchopho bonke. Ungase ulahlekelwe ukwazi okungaphansi kwemizuzu engama-30 noma ungalahlekelwa nhlobo. Izimpawu zivame ukuthuthuka ezinsukwini ezimbalwa kuya emavikini ngokuphumula okuhle nokunakekelwa.

I-TBI ephakathi nendawo: Ungase ulahlekelwe ukwazi imizuzu engama-30 kuya kumahora angama-24 futhi uzizwe udidekile izinsuku noma amaviki. Ukuphulukisa kuvame ukuthatha izinyanga, futhi ungase udinga ukuqeqeshwa kabusha ukuze uthole ezinye izakhono.

I-TBI enzima: Lokhu kuhilela ukulahlekelwa ukwazi okungaphezu kwamahora angama-24 noma ukuba nokulimala okukhulu kobuchopho. Ukuphulukisa kungathatha iminyaka, futhi ezinye iziphumo zingase zihlale njalo. Noma kunjalo, abantu abaningi basaphucula kakhulu ngokwelashwa okubanzi.

Odokotela futhi bahlukanisa i-TBI ngohlobo lokulimala. Ukulimala ekhanda okuvaliwe kwenzeka lapho ubuchopho bakho buhamba ngaphakathi kwendwangu yakho ngaphandle kokwephula. Ukulimala ekhanda okuvulekile kwenzeka lapho okuthile kungena endwangu yakho futhi kulimaze ngokuqondile inyama yobuchopho.

Indawo yokulimala kwakho ibalulekile. Ukonakala kolwemi lwakho lwe-frontal lobe kungathinta ubuntu bakho noma ukwenza izinqumo, kuyilapho ukulimala kolwemi lwakho lwe-temporal lobe kungathinta khona ikhono lokukhumbula noma lolwemi.

Yini ebangela ukulimala kokuzwakala kolwemi?

Ukulimala kokuzwakala kolwemi kwenzeka uma ikhanda lakho lihlangana nokuthinta okungazelelwe, okunamandla, noma uma ubuchopho bakho buthinta kakhulu ngaphakathi kwendwangu yakho. Izimbangela eziyinhloko zihluka ngamaqembu ezineminyaka, kepha izimo ezithile zifaka wonke umuntu engozini enkulu.

Izimbangela ezivame kakhulu zihlanganisa:

• Ukuwa, ikakhulukazi kubantwana abancane nabantu abadala
• Izingozi zezimoto, kuhlanganise izimoto, izimoto ezinkulu, nezibhayisikili
• Ukulimala okuhlobene nemidlalo, ikakhulukazi emidlalweni yokuxhumana
• Ubudlova, kuhlanganise ubudlova basekhaya nokuhlaselwa
• Ukuqhuma kwezinto ezivuthayo, okuvamise ukuthinta abasebenzi basebuthweni
• Ukushaywa yizinto noma ukushaya izinto

Izimbangela ezingavamile kepha ezinzima zihlanganisa:

• Izilonda zezibhamu ekhanda
• Ukuthinta okukhulu, ikakhulukazi kubantwana (i-shaken baby syndrome)
• Imicimbi yezokwelapha njengokuqhuma kwegazi noma ukushoda komoya
• Izingozi zendawo yomsebenzi ezihilela imishini enzima

Ngezinye izikhathi, lokho okubonakala njengokuqhuma okuncane kungabangela ukulimala okukhulu kobuchopho, ngenkathi ezinye izikhathi, izingozi ezibonakala zikhulu zibangela ukonakala okuncane. Impendulo yobuchopho bakho ekulimala ayikho njalo ebingatheni, kungakho noma yiliphi ukulimala ekhanda kufanele kuphathwe ngokwelapha.

Ubudala buhlanganisa indima. Abantwana abancane nabantu abadala abangaphezu kweminyaka engama-65 banengozi enkulu ngoba ama-brains abo asathuthuka noma aba buthakathaka ngokweminyaka.

Nini okufanele ubona udokotela ngokulimala kokuzwakala kolwemi?

Kufanele ufuna ukunakekelwa kwezokwelapha ngokushesha ngemuva kokulimalala ekhanda, ngisho noma uzizwa kahle ekuqaleni. Ezinye izingozi zobuchopho azibonisi izimpawu ngokushesha, futhi lokho okubonakala kuncane ngezinye izikhathi kungaba nzima.

Hamba e-emergency room ngokushesha uma uhlangabezana nalokhu okulandelayo:

• Ukulahlekelwa yiwokuqaphela, ngisho noma kube okwesikhashana
• Izinhlungu ezinzima noma ezibi kakhulu
• Ukugabha okuphindaphindayo
• Ukuhlushwa yizigwegwe
• Ukudideka okukhulu noma ukungazi ukuthi ukhona kuphi
• Ubuthakathaka noma ukungazizwa emihombweni noma ezinyaweni
• Ukukhuluma okungacaci
• Ukushintsha okukhulu kwesenzo noma ubuntu

Funani ukunakekelwa kwezokwelapha ngokushesha uma uqaphela:

• Izinkinga zokukhumbula ezingaphuli
• Ubunzima bokuqonda emsebenzini noma esikoleni
• Izinkinga zokulala eziqhubeka
• Ukushintsha kwesimo sengqondo okukukhathazayo wena noma umndeni wakho
• Izinkinga zokulinganisela noma ukukhungatheka
• Ukuba nomuzwa wokuba sengozini ekukhanyeni noma umsindo ongayeke

Kubantwana, qaphela ukukhala okukhulu, ukushintsha kwemikhuba yokudla noma yokulala, ukulahlekelwa isithakazelo emisebenzini abayithandayo, noma ubunzima bokududuzwa. Lezi zingaba izimpawu zokulimala kwengqondo ngisho noma ingane ingakwazi ukusho ukuthi izizwa kanjani.

Thembani izinzwa zenu. Uma kukhona okungalungile ngemuva kokulimalala kwekhanda, kuhlale kungcono ukuhlolwa. Ukubhekwa kwasekuqaleni nokuphathwa kungavimbela izinkinga futhi kusekele imiphumela emihle yokubuyela esimweni esiqondile.

Ziyini izimbangela zengozi zokulimala kwengqondo okuthintayo?

Izici ezithile zenza kube lula ukuthi uhlushwe yi-TBI, nakuba noma ubani angalimaza ingqondo ngaphansi kwezimo ezifanele. Ukuqonda lezi zici zengozi kungakusiza ukuthi uthathe izinyathelo zokuvikela uma kungenzeka.

Izici zengozi ezihlobene nobudala zihlanganisa:

• Ukuba mncane kakhulu (ngaphansi kweminyaka engu-4) ngenxa yokuthuthukisa amakhono omoto nezinga elikhulu lekhanda-komzimba
• Ukuba ngumuntu osemusha noma osemusha (15-24) ngenxa yezenzo ezingozi nendlela yokuphila ephambili
• Ukuba ngaphezu kweminyaka engu-65 ngenxa yokwanda kengozi yokuwa nemiphumela yemithi

Izici zendlela yokuphila nemisebenzi:

• Ukuhlanganyela emidlalweni yokuxhumana njengobhola, i-hockey, noma ibhokisi
• Ukungagqoki amabhande okuphepha noma izivikelo zikhanda uma kudingeka
• Ukuphuza utshwala, okwandisa ingozi yengozi
• Ukuba nempikiswano yengqondo ngaphambili, okukwenza ube sengozini
• Ukusebenza emisebenzini engozi enjengokwakha noma insizakalo yempi

Izici zezokwelapha nezenhlalo:

• Ukuthatha imithi ethonya ibhalansi noma ukuqapha
• Ukuba nezinkinga zobona noma ukuzwa
• Ukuphila ezimweni zokuhlala ezingaphephile
• Ukuba ebuhlotsheni obunobudlova
• Ukuba nezimo ezithile zezokwelapha ezandisa ingozi yokuwa

Amadoda a cishe kabili ahlupheka kakhulu kunabesifazane nge-TBI, ngokuyinhloko ngenxa yokuthi ahlanganyela kakhulu emisebenzini nasemsebenzini ongozi. Noma kunjalo, abesifazane bangase babe nezimpawu ezahlukene nezezimpawu zokutakula.

Ukuba nezici eziningi zengozi akusho ukuthi uzoba nempikiswano yengqondo. Kunalokho, ukuqaphela kusiza ukwenza izinqumo ezicacile mayelana nezinyathelo zokuphepha kanye nokuziphatha okuvikelayo impilo yengqondo yakho.

Ziyini izinhlanganisela ezingaba khona zokulimala kwengqondo okuqalekayo?

Nakuba abantu abaningi baphila kahle nge-TBI, abanye bangase babe nezinkinga ezivela ngokushesha noma zivele ngezinyanga noma ngeminyaka kamuva. Ukuqonda lezi zinto kukunika amandla okuqapha nokuthi nini kufanele ucele usizo olwengeziwe.

Izinhlanganisela eziqala ngokushesha zingafaka:

• Ukukhula kwengqondo, okungandisa ukucindezeleka okungozi ngaphakathi kwesikhumba sakho
• Ukuphuza igazi ngaphakathi noma ngaphandle kwengqondo
• Ama-blood clots avimba ukugeleza kwegazi
• Ukuhlushwa, okungase kuqale ngokushesha noma kuqale kamuva
• Ukutheleleka uma isikhumba siqhekekile
• Ukonakala kwezitho zegazi noma izinzwa

Izinhlanganisela zesikhathi eside zingabandakanya:

• I-sindroma yokungathí ngemuva kokuthi umuntu aphulukiswe yingozi, lapho izimpawu zihlala khona izinyanga eziningi
• Ubuhlungu bokhanda obuhlala njalo noma i-migraine
• Izinkinga zokukhumbula nokuqonda
• Usizi, ukukhathazeka, noma ezinye izifo zengqondo
• Izifo zokulala
• Ukushintsha kokunambitha noma ukunuka
• Ukungena engozini enkulu yokuthi uthole i-dementia kamuva ekuphileni

Izinkinga ezingavamile kodwa ezingathi sína zihlanganisa:

• I-Second impact syndrome, lapho umonakalo wesibili uqala ngaphambi kokuba owokuqala uqede
• I-Chronic traumatic encephalopathy (CTE) evela ekulimala kwekhanda okuphindaphindayo
• Ukuhlushwa okuhlala njalo okudinga ukunakekelwa isikhathi eside
• Ukuma komzimba noma isimo sokungabi namandla ezimweni ezinzima

Ubungozi bezinkinga buyahluka kuye ngokuthi umonakalo wakho ukhulu kangakanani, ukuthi uthole ukwelashwa ngokushesha kangakanani, iminyaka yakho, nokuthi impilo yakho iphilile kangakanani. Iningi le-TBI ezincane liyaphola ngaphandle kokuthi kube khona imiphumela ehlala njalo, kuyilapho izimo ezinzima zivame ukubangela inselele ehlala njalo.

Ukuba nezinkinga akusho ukuthi isimo sakho asipheli ngethemba. Abantu abaningi abanezingozi ze-TBI baqhubeka bephila impilo enhle ngokusekelwa okufanele, ukwelashwa, namasu okuziqondisa.

Kungenzeka kanjani ukunqoba ukulimala ebuchosheni?

Unganciphisa kakhulu ubungozi be-TBI ngokuthatha izinyathelo zokuphepha ezilula ekuphileni kwakho kwansuku zonke. Nakuba izinhlekelele zingabenza noma ubani, le miqondo iyakuvikela ubuchopho bakho ekulimala.

Izinyathelo zokuphepha zezimoto:

• Gqoka ibhulukwe lakho njalo, ngisho nasezinkundleni ezifushane
• Sebenzisa izihlalo zezimoto ezifanele nezindawo zokubeka izingane
• Ungalokothi uqhube uthukuthele ngokusebenzisa utshwala noma izidakamizwa
• Gwema ukuqhuba okuhlukaniswe, okuhlanganisa nokubhala imiyalezo
• Gqoka izivikelo uma uqhuba izimoto, izibikeli, noma ama-scooter
• Landela imithetho yomgwaqo futhi uqhube ngokuqapha

Amasiko okuphepha ekhaya:

• Susa izinto ezingathinta abantu, njengezigqoko eziqhekekile noma ukuntanta kwezinto
• Faka izibambo emakamelweni okugeza nasezitebhini zezitebhisi
• Sebenzisa ama-mats angagqwali emathubeni nasezifundeni zokuhlanza
• Qinisekisa ukuthi kukhona ukukhanya okwanele endlini yakho
• Qinisekisa amafasitela bese ufaka amasango okuvikeleka kubantwana abancane
• Gcina izikhali ngokuphepha nangokuqinile

Ukuphepha kwezemidlalo nokudlala:

• Gqoka izingubo zokuphepha ezifanele umdlalo wakho
• Landela imithetho futhi ubonise ukuziphatha okuhle kwezemidlalo
• Funda amakhono afanele kubafundisi abaqeqeshwe kahle
• Ungabuyi ukudlala uma ulimele ikhanda
• Khetha imisebenzi efanele iminyaka

Kubantu abadala, ukuzivocavoca njalo ukuze kulondolozwe amandla nokuqina, ukuhlolwa kwamehlo, nokubuyekezwa kwemithi kungavimbela ukuwa. Abazali kufanele bahlanze izindlu zabo futhi baqaphe abantwana abancane ngokucophelela ngesikhathi bedlala.

Khumbula ukuthi ukuvimbela akuwona umqondo wokuphila ngokwesaba kodwa ngokwenza izinqumo ezihlakaniphile ezivikela inhlangano yakho ebaluleke kakhulu ngenkathi usajabulela ukuphila okujabulisayo nokugcwele.

Uhlolwa kanjani ukulimala kokhanda okukhulu?

Ukuhlola i-TBI kuhilela ukubheka ngokucophelela izimpawu zakho, umlando wakho wezokwelapha, futhi ngokuvamile ukuhlolwa okukhethekile ukubona ukuthi ubuchopho bakho busebenza kanjani. Udokotela wakho uzofuna ukuqonda ngokuqondile ukuthi kwenzekeni futhi ukuthi uzizwe kanjani kusukela ekulimala.

Umhlinzeki wakho wezempilo uzoqala ngokubuza imibuzo eningiliziwe mayelana nempi, lapho izimpawu zaqala khona, nokuthi zishintshe kanjani ngokuhamba kwesikhathi. Bazofuna futhi ukwazi ngomlando wakho wezokwelapha, imithi, nanoma yikuphi ukulimala kokhanda okwakwenzeka ngaphambili.

Ukuhlolwa komzimba kuvame ukufaka:

• Ukubheka abafundi bakho nokuhamba kwamehlo
• Ukuhlola izimpendulo zakho nokuhlanganiswa
• Ukulinganisa ibhalansi yakho nokuhamba
• Ukulinganisa amandla akho nomuzwa
• Ukulalela inkulumo yakho nolimi
• Ukubona ukulala kwengqondo yakho nokukhumbula

Izivivinyo zekhono lokucinga zingahlola:

• Amandla akho okukhumbula ulwazi olusha
• Ukugxila nobude besikhathi sokugxila
• Amakhono okuxazulula izinkinga
• Isilinganiso sokucubungula
• Amakhono olulimi

Izivivinyo zokwenza izithombe zingafaka:

• I-CT scans ukuhlola ukuphuza igazi, ukuvuvukala, noma ukweqa kwamapulangwe
• I-MRI scans ukubona isimo esiningilizi sengqondo
• Amathuluzi akhethekile e-MRI okuhlola umsebenzi wengqondo

Ngokulimala okuncane kwe-TBI, izivivinyo zokwenza izithombe zivame ukubonakala zilungile ngisho noma unezimpawu. Lokhu akusho ukuthi ukulimala kwakho akulona iqiniso noma kubalulekile. Izimpawu zakho nokuhlolwa kwakho kokwelapha yingxenye ebaluleke kakhulu yokuxilongwa.

Inqubo yokuxilongwa iyasisiza iqembu lakho lokunakekelwa kwezempilo ukuqonda ubukhulu bokulimala kwakho nokuthuthukisa uhlelo lokwelapha oluhle kakhulu lesimo sakho esithile.

Iyini ukwelashwa kokulimalala kwengqondo okuqalekayo?

Ukwelashwa kwe-TBI kugxila ekunqobeni ukulimala okuqhubekayo, ukuphatha izimpawu, nokweseka inqubo yokwelapha yengqondo yakho yemvelo. Uhlelo lokwelapha lwakho luzokwenziwa ngokwezidingo zokulimala kwakho nezibonakaliso zakho.

Ukwelashwa okuphuthumayo kwe-TBI eqatha kungafaka:

• Ukuhlinzwa ukususa ama-blood clots noma ukunciphisa ukuvuvukala kwengqondo
• Imithi yokulawula ukuhlwitha noma ukunciphisa ukucindezeleka kwengqondo
• Ukusekelwa kokuphefumula uma kudingeka
• Ukuqapha e-intensive care unit
• Ukusekelwa kokudla

Ukwelashwa kwe-TBI ephansi kuya kwelinye elikhulu kuvame ukufaka:

• Ukuphumula, kokubili ngokomzimba nangokwengqondo
• Imithi yokunciphisa ubuhlungu ngenxa yezinhlungu zikhanda
• Imithi yezinkinga zokulala noma zezimo zengqondo
• Ukubuyela kancane ezenzweni ezijwayelekile
• Izivivinyo zokulandelela ukuqapha intuthuko

Izinsizakalo zokuvuselela zingafaka:

• Ukuqeqeshwa komzimba ukuthuthukisa amandla nokubambisana
• Ukuqeqeshwa komsebenzi ukuze ufunde kabusha imisebenzi yansuku zonke
• Ukuqeqeshwa kokukhuluma ngezinkinga zokukhuluma noma zokugwinya
• Ukuqeqeshwa kwengqondo ukuqondisa izinkinga zokucabanga nokukhumbula
• Uwelwesi lwengqondo ngesekelo lokuzwelana
• Ukuvuselelwa komsebenzi ukuze ubuyele emsebenzini

Izindlela ezintsha zokwelapha ezifundwa zihlanganisa:

• Ukwelashwa nge-oksijini ephakeme kakhulu
• Ukwelashwa ngamangqamuzana eselula
• Amakhono akhethekile okukhuthaza ubuchopho
• Imithi eyenzelwe ukulwa nokulimala kwengqondo

Ukuphulukana nokulimala kwengqondo kubonakala njengendlela ehamba kancane engathatha amasonto, izinyanga, noma ngisho neminyaka. Iqembu lakho lokunakekelwa kwezempilo lizohlala lisebenza nawe ukuze lilungise uhlelo lwakho lokwelapha njengoba uqhubeka nezidingo zakho zishintsha.

Umgomo awukona nje ukwelapha izimpawu zakho kodwa ukukusiza uphinde uthole umsebenzi ngangokunokwenzeka futhi uzilungiselele noma yiziphi izinguquko ezihlala njalo ukuze ukwazi ukuphila impilo enenjongo, enezithembiso.

Indlela yokwelapha ekhaya ngesikhathi sokulimala kwengqondo?

Ukuphatha ukuphulukana kwakho ekhaya kudinga isineke, ukuzinza, kanye nokusekelwa komndeni nabangane. Izindlela ezifanele zokunakekelwa ekhaya zingathuthukisa kakhulu ukuphulukana kwakho futhi kukusize uzizwe ulawula ukuphulukana kwakho.

Ukuphumula nokuphathwa komsebenzi:

• Thola ubuthongo obukhulu futhi ugcine amashejuli obuthongo ajwayelekile
• Thatha amaqhekeza ngesikhathi semisebenzi edinga ingqondo
• Yandisa amazinga wemisebenzi kancane njengoba izimpawu ziphulukana
• Gwema utshwala nezinye izidakamizwa
• Khawukhawulelise isikhathi sesikrini uma kwenza izimpawu zibe zimbi

Izindlela zokuphatha izimpawu:

• Sebenzisa ama-ice packs ngezinhlungu zikhanda
• Zama amakhono okuphumula njengokuphefumula okujulile
• Gcina idayari yezimpawu ukuze uqaphele izindlela
• Sebenzisa izinto zokusiza ukukhumbula njengezikhalenda nezinqamuleli
• Hlukanisa imisebenzi enzima zibe izinyathelo ezincane

Ukudala indawo yokusekela:

• Ncipha umsindo nokukhanya okukhanya uma kukukhathaza
• Hlela indawo yakho yokuhlala ukuze unciphise ukudideka
• Gcina izinombolo zocingo ezibalulekile zilula ukuzithola
• Susa izingozi zokuphepha ezingabangela ukuwa
• Yenza othile akuhlolwe njalo

Ukudla nokuphila impilo enhle:

• Dla ukudla okujwayelekile, okuhlanzekile ukuze usekele ukululama kwengqondo
• Hlala uthambile usuku lonke
• Thatha imithi ngokuqondile njengoba kulotshwe
• Hlanganyela emidlalweni ebhongayo njengoba kuvunyelwe ngudokotela wakho
• Zama amasu okuqeda ukucindezeleka

Unganqikazi ukucela usizo ngemisebenzi yansuku zonke uma uyidinga. Ukuba nokwesekwa akusho ukuthi ubuthakathaka. Kusho ukuthi uhlakaniphile ngokuphulukiswa kwakho futhi unikeza ingqondo yakho ithuba elihle kakhulu lokuphulukiswa.

Khumbula ukuthi ukuphulukiswa akuhlali kuyindlela eqondile. Ungaba nezinsuku ezinhle nezinsuku ezinzima, okuyinto evamile ngokuphelele futhi akusho ukuthi awuphucuki ngokujwayelekile.

Kufanele ulungiselele kanjani isikhathi sakho sokuya kudokotela?

Ukulungiselela izivivinyo zakho zezokwelapha kungakusiza ukuthi uthole izinzuzo eziningi kusuka ezikhathini zakho nabaphakeli bezempilo futhi kuqinisekise ukuthi zonke izinkinga zakho zixazululwe kahle.

Ngaphambi kwesikhathi sakho sokuya kudokotela:

• Bhala zonke izimpawu zakho nokuthi zenzeka nini
• Bala yonke imithi kanye nezithasiselo ozithathayo
• Letha ilungu lomndeni noma umngani ukuze asekele futhi akusize ukukhumbula ulwazi
• Lungiselela uhlu lwemibuzo ofuna ukuyibuza
• Butha noma yimaphi amarekhodi ezempilo wangaphambili noma imiphumela yokuhlolwa
• Qaphela ukuthi izimpawu zithinta kanjani imisebenzi yakho yansuku zonke

Imibuzo ebalulekile okufanele uyicabangele ukuyibuza:

• Ngubani uhlobo lokulimala kwengqondo engikulo?
• Yiziphi izimpawu engingazilinda ezingabonisa ukuba zimbi?
• Ngingabuya nini emsebenzini, esikoleni, noma ekuqhumeni?
• Yiziphi imisebenzi engingayigwema nokuthi isikhathi esingakanani?
• Ingabe kukhona ukwelashwa okungasiza izimpawu zami ezithile?
• Kungathatha isikhathi esingakanani ukuphulukana?
• Yiziphi izimpawu zexwayiso ezidinga ukunakekelwa ngokushesha kwezokwelapha?

Ulwazi olumele wabelane ngalo nodokotela wakho:

• Imininingwane mayelana nendlela ukulimala okuqale ngayo
• Zonke izimpawu ozibonile, ngisho noma zibonakala zincane
• Indlela izimpawu eziye zashintsha ngayo ngokuhamba kwesikhathi
• Okwenza izimpawu zibe ngcono noma zimbi
• Indlela ukulimala okuthinta ngayo umsebenzi wakho, ubuhlobo, noma impilo yakho yansuku zonke
• Noma yikuphi ukukhathazeka ngokuphulukana kwakho

Ungakhathazeki ngokubuza imibuzo eminingi noma ukuthatha isikhathi eside kakhulu. Umhlinzeki wakho wezempilo ufuna ukukusiza ukuthi uqonde isimo sakho futhi uzizwe ukhululekile ngecebo lakho lokwelashwa.

Thola amanothi ngesikhathi sokuqokwa noma ucele umuntu okusekelayo ukuba akusize ukukhumbula ulwazi olubalulekile. Kuvamile ukuzizwa udiniwe futhi ukhohlwe imininingwane uma ubhekene nokulimala kwengqondo.

Iyini into ebaluleke kakhulu mayelana nokulimala kwengqondo okuthintayo?

Into ebaluleke kakhulu okumele uyiqonde nge-TBI ukuthi yonke imali yengqondo iyodwa, futhi ukuphulukana kubukeka kungahlukile kubantu bonke. Nakuba uhambo lungazizwa ludiniwe, abantu abaningi abane-TBI ezinzima kuya ezimaphakathi baphulile kahle ngenxa yokunakekelwa okuhle nokusekelwa.

Ubuchopho bakho bunakho ukukwazi okuhle kokuphulukisa nokuziqondisa, ngisho noma sekwilimala. Ngokwelashwa okulungile, ukuzeka kade umsindo, nesisekelo sokusekela, ungasebenza ekutholeni ukuphulukana okuhle kakhulu esimweni sakho esithile.

Ungazami ukuqalisa ukuphulukana kwakho noma uqhathanise intuthuko yakho nabanye. Gxila ekuzinakekeleni, ulandele icebo lakho lokwelashwa, futhi ugubhe izinzuzo ezincane endleleni. Zonke izinyathelo ezithuthukayo, kungakhathaliseki ukuthi zincane kangakanani, yithuba elibalulekile.

Khumbula ukuthi ukufuna usizo kuyisibonakaliso sobukhulu, hhayi ubuthakathaka. Kungakhathaliseki ukuthi udinga ukunakekelwa kwezokwelapha, ukusekelwa ngokomzwelo, noma usizo olusebenzayo, ukufinyelela usizo kunika ithuba elihle kakhulu lokuphulukiswa okuphumelelayo.

Uma usekela umuntu onenkinga ye-TBI, isineke sakho nokuqonda kwakho kwenza umehluko omkhulu ekuhambeni kwabo kokwelapha. Ukuphulukiswa kuvame ukuba yimisebenzi yeqembu, futhi ukusekela kwakho kubaluleke kakhulu kunalokho ongase uqonde.

Imibuzo evame ukubuzwa mayelana nokulimala kokuzwakala kwengqondo

M1: Ungaphulile ngokuphelele yini ekulimala kokuzwakala kwengqondo?

Abantu abaningi abane-TBI ezincane baphulile ngokuphelele phakathi kwamasonto kuya ezinyangeni. Ngokulimala okulinganiselwe kuya kokukhulu, ukuphulukiswa kuyahlukahluka kakhulu, kodwa abantu abaningi benza intuthuko enkulu futhi bangabuyela ekuphileni okunemqondo, okusebenzayo. Iminyaka yakho, impilo yakho jikelele, nokuthi uthola ukwelashwa ngokushesha kangakanani konke kuthonya imiphumela yokuphulukiswa.

M2: Kuthatha isikhathi esingakanani ukuphulukiswa ekulimala kokuzwakala kwengqondo?

Izimpawu eziningi zokulimala kokuzwakala kwengqondo ziyaphela phakathi kwezinsuku ezingu-7-10, yize abanye abantu bengase bathathe amasonto noma izinyanga eziningi ukuze bazizwe bevamile ngokuphelele. Cishe u-10-15% lwabantu ababhekana nezimpawu ezihlala isikhathi esingaphezu kwezinyanga ezintathu, okuthiwa yi-post-concussion syndrome. Isikhathi sokuphulukiswa siyancika ezintweni ezifana neminyaka yakho, ukulimala kwangaphambili, nokuthi uphumule kangcono kangakanani ngesikhathi sokuphola.

M3: Kuphephile yini ukulala ngemva kokulimalwa kwekhanda?

Ngokuvamile kuphephile ukulala ngemva kokulimalwa kwekhanda okuncane, kodwa othile kufanele akuhlolwe njalo emahoreni ambalwa amahora angu-24-48 okuqala. Kufanele uvuswe uma kunzima kakhulu ukuvuswa, ukugabha, noma ukubonisa izimpawu zokudideka. Uma une-head injury enzima, ochwepheshe bezokwelapha bayokunakekela eduze endaweni yesibhedlela.

M4: Ingabe izimpawu ze-TBI zingabonakala ezinsukwini noma emavikini ngemva kokulimalwa?

Yebo, ezinye izimpawu ze-TBI zingathuthuka kancane kancane ezinsukwini, emaviki, noma ngisho nangenyanga ngemva kokulimalala okuqala. Lokhu kuvela sekwephuzile kuvamile kakhulu ezimpawu zokuqonda njengobunzima bokuqonda, ubunzima bokuhlala ugxile, kanye nokuhlukahluka kwesimo sengqondo. Hlala ufuna ukwelashwa kwezokwelapha uma kukhona izimpawu ezintsha ezivela ngemva kokulimalala kwekhanda, ngisho noma sekuyiminyaka edlule.

U-Q5: Ingabe ngizodinga ukuyeka ukudlala imidlalo emva kokulimalala kwengqondo?

Lokhu kuncike ebukhali bokulimala kwakho kanye nokuphulukana kwakho siqu. Akufanele ubuye emidlalweni ngenkathi usalokhu unezimpawu ezivela ekulimaleni kwengqondo kwangaphambili. Udokotela wakho uzohlola isimo sakho esithile futhi angakuncoma ukushintsha okwesikhashana noma okungapheli ezingeni lakho lomsebenzi. Abaningi abadlali bemidlalo bayabuya emidlalweni ngokuphepha ngemva kokuthola impilo kahle kanye nokukhululwa kwezokwelapha.