Concussion nyob rau hauv ib tug me nyuam
Ib tug concussion nyob rau hauv ib tug me nyuam yog ib qho ntawm feem ntau raug mob thaum yau. Nws yog ib qho tseem ceeb nyob rau lub sijhawm no los muab kev pab thawj zaug rau tus menyuam thiab mus ntsib kws kho mob sai, vim tias qee zaum, thaum tsis muaj cov tsos mob sab nraud, cov teeb meem loj tuaj yeem tshwm sim.

Raws li kev txheeb cais los ntawm cov kws kho mob thiab kws kho mob traumatologist, kev raug mob hauv tus menyuam yog ib qho kev raug mob nrov tshaj plaws. Qhov no tsis yog qhov xav tsis thoob: cov menyuam yaus niaj hnub siv zog nce qhov chaw, nce toj, lossis rov ua dua dhia ntawm qhov siab, feem ntau tsoo lawv lub taub hau. Qee lub sij hawm qhov no tshwm sim los ntawm kev ua txhaum ntawm cov niam txiv: piv txwv li, vim yog kev saib xyuas, tus menyuam tuaj yeem dov thiab poob ntawm lub rooj hloov pauv lossis txaj, poob ntawm lub stroller. Txawm li cas los xij, kev raug mob hauv tus menyuam yog kev raug mob uas yuav tsum tau mus kho mob tam sim ntawd. Tom qab tag nrho, qee zaum hemorrhage nyob rau hauv lub hlwb tuaj yeem muab zais tom qab lub pob me me, thiab tom qab ntawd cov suav twb mus rau feeb.

Cov kws kho mob paub qhov txawv peb theem ntawm kev raug mob hauv tus menyuam: thawj (mob), thib ob (nruab nrab), thib peb (mob hnyav).

Hauv thawj qib, feem ntau tsis muaj tsos mob, lossis tus menyuam tuaj yeem yws ntawm qhov mob taub hau me me lossis kiv taub hau, uas daws lawv tus kheej li ntawm ib nrab teev.

Nrog rau qhov mob thib ob, tus menyuam muaj mob thiab kiv taub hau, thiab xeev siab tuaj yeem tshwm sim.

Hauv qib peb, tus menyuam tsis nco qab, hematomas tuaj yeem tshwm sim. Ib qho teeb meem loj tshaj plaws yog hemorrhage, uas tuaj yeem ua rau cerebral edema thiab coma.

Cov tsos mob ntawm ib tug concussion nyob rau hauv ib tug me nyuam

Cov tsos mob tseem ceeb ntawm concussion nyob rau hauv ib tug me nyuam:

  • ua tau poob ntawm kev nco qab (ntev los ntawm ob peb feeb mus rau 5 feeb);
  • ua tsis taus pa;
  • xua;
  • xeev siab, ntuav;
  • mob taub hau, kiv taub hau;
  • pom ob lub qhov muag;
  • nce rhiab heev rau lub teeb thiab suab nrov;
  • tsaug zog;
  • disorientation nyob rau hauv qhov chaw;
  • clumsiness, unsteadiness ntawm gait;
  • kev nkag siab qeeb thiab cov tshuaj tiv thaiv;
  • teeb meem nrog pw tsaug zog.

- Kev raug mob hauv tus menyuam yog ib qho kev raug mob ntawm lub hlwb, yog li koj yuav tsum nrhiav kev pab kho mob. Tus kws kho mob yuav ua tib zoo tshuaj xyuas tus menyuam, ntsuas nws tus mob thiab muab cov lus pom zoo tsim nyog rau kev kho mob thiab rov zoo. Nws yuav tsum nco ntsoov tias tom qab raug mob taub hau tej zaum yuav muaj qhov sib txawv ntawm lub teeb. Piv txwv li, tom qab tsis nco qab, tus me nyuam zoo siab, thiab zoo li tsis muaj teeb meem. Xws li lub sijhawm ntawm kev xav txog kev noj qab haus huv tuaj yeem kav ntev li ob peb feeb mus rau ob peb teev, tom qab ntawd qhov kev puas tsuaj loj tshwm sim. Qhov no yog ib qho cim qhia tias tus me nyuam tsis yog raug mob xwb, tab sis raug mob hnyav dua uas yuav tsum tau hu rau kev pab. Yog li ntawd, nws yog ib qho tsim nyog los saib xyuas tus me nyuam tsis yog tom qab raug mob, tab sis nyob rau hnub tom ntej, - hais Pediatrician Lilia Khafizova.

Kho ib qho concussion nyob rau hauv ib tug me nyuam

Kev kho mob ntawm qhov raug mob yog kws kho mob tau sau tseg, koj tsis tuaj yeem cia qhov xwm txheej no coj mus rau hauv qhov kev txiav txim kom tsis txhob muaj qhov tshwm sim loj.

diagnostics

- Ua ntej tshaj plaws, koj yuav tsum kuaj xyuas qhov chaw ntawm qhov nqaij ntshiv, txhawm rau los ntshav thiab kev puas tsuaj rau daim tawv nqaij. Tom qab ntawd, daim ntaub huv huv, daim ntaub so ntswg thiab txias yuav tsum tau siv. Tsis tas li hauv cov tshuaj, cov nplai tshwj xeeb yog siv los ntsuas kev nco qab thiab qib ntawm kev puas tsuaj. Tom qab kuaj xyuas thiab ntsuas cov tsos mob, txiav txim siab txog qhov xav tau rau kev kuaj xyuas ntxiv. Cov txheej txheem xws li neurosonography, radiography, CT, MRI, fundus kuaj yuav siv tau. Cov kev kuaj mob no yog siv los tshem tawm lwm yam kev raug mob hnyav dua, xws li pob txha taub hau lossis kev raug mob ntawm qhov hnyav tshaj plaws - thib peb. Lub concussion nws tus kheej yog ib qho kev hloov ntawm theem ntawm cov cell. Lawv tsis pom ntawm cov duab, tab sis nws yog qhov tseeb tias tsis muaj pob txha, hemorrhages, thiab lwm yam, - qhia meej txog tus kws kho mob Liliya Khafizova.

Kev kho mob niaj hnub

Kev kho mob ntawm qhov raug mob yog kws kho mob tau sau tseg tom qab kuaj xyuas thiab ntsuas tus mob ntawm tus menyuam. Yog tias tus neeg mob me me ua rau muaj kev ntshai, nws mus pw hauv tsev kho mob. Yog tias tsis muaj kev hem thawj rau lub neej, nws raug xa mus tsev kho mob. Raws li txoj cai, tus me nyuam hnub nyoog qis dua 6 xyoo raug soj ntsuam hauv tsev kho mob kom tsis txhob nco cov teeb meem xws li kev nqhis dej thiab ua pa tawm.

Hauv tsev, kev kho mob suav nrog pw so - tsis muaj computers, TV thiab lwm yam khoom siv! Kev so siab tshaj plaws yog qhov kev kho zoo tshaj plaws rau tus menyuam uas muaj kev cuam tshuam.

- Kev pab thawj zaug rau kev cuam tshuam ntawm tus menyuam yaus yog qhov yooj yim heev: ua ntej koj yuav tsum kho qhov txhab, thiab siv khaub thuas rau qhov chaw cuam tshuam. Yog tias tsim nyog, koj yuav tsum tau muab cov tshuaj tua kab mob (tshwj xeeb raws li ibuprofen thiab paracetamol raug tso cai rau menyuam yaus), nrog rau sab laj nrog kws kho mob uas yuav tshuaj xyuas tus menyuam, ntsuas nws tus mob thiab muab cov lus pom zoo tsim nyog. Kev kho mob rau concussion tsis tshua xav tau. Qhov tseem ceeb tshaj plaws nyob rau hauv kev kho mob ntawm concussion yog tag nrho so: lub cev, kev xav thiab kev txawj ntse, tshwj xeeb tshaj yog nyob rau hauv thawj hnub tom qab raug mob. Tab sis tsis tas yuav mus rau qhov kawg, tso tseg txoj kev ntawm lub neej paub tus me nyuam. Kev xa rov qab ntawm cov loads yuav tsum maj mam, dosed thiab nyob rau hauv txhua rooj plaub yog xaiv tus kheej. Yog hais tias ib tug me nyuam mus rau hauv kev ua kis las, nws yog ib qho tseem ceeb uas nws yuav zoo tag nrho ua ntej rov qab mus rau kev cob qhia li qub, Lilia Khafizova hais.

Tiv thaiv kev raug mob hauv tus menyuam hauv tsev

Tiv thaiv kom tsis txhob raug mob hauv tus menyuam hauv tsev yog qhov yooj yim heev: saib xyuas koj tus menyuam. Ntau leej niam thiab leej txiv yws yws: tus menyuam loj hlob zoo li ib tug fidget, koj tsis tuaj yeem pom nws ntawm qhov chaw ua si, thiab siv zog nce tsob ntoo siab lossis kab rov tav bar. Piav rau koj tus menyuam tias kev nce toj mus rau qhov siab yog qhov txaus ntshai, vim tias nws yooj yim heev kom poob ntawm qhov ntawd, ntaus koj lub taub hau lossis tawg ib yam dab tsi thiab tom qab ntawd taug kev hauv lub cam khwb cia ntev. Qhia rau nws tias kev ua viav vias nyuaj ntawm lub viav vias yog qhov txaus ntshai, thiab qhov txaus ntshai tshaj yog nyob ib puag ncig thaum lwm tus caij viav vias. Piav tias koj tsis tas yuav tsum khiav ceev, vim nws yooj yim heev rau dawm thiab poob, tawg koj lub hauv caug lossis lub taub hau.

Qhia rau cov menyuam yaus tias koj tsis tas yuav daws qhov kev tsis sib haum xeeb nrog koj lub nrig, vim tias lub tshuab tuaj yeem tuaj rau lub taub hau, thiab qhov no ua rau muaj kev phom sij loj.

Yog hais tias tus me nyuam tseem me me, tsis txhob cia nws nyob ib leeg ntawm lub rooj hloov pauv los yog ntawm ntug ntawm lub txaj, xyuas kom meej tias nws cov playpen muaj sab siab, thiab nws tau zoo fastened nyob rau hauv lub stroller. Thaum tus menyuam nyuam qhuav kawm taug kev, xyuas kom cov rooj tog uas muaj cov npoo ntse thiab cov ces kaum lossis ntaiv tsis tuaj yeem hla nws txoj kev. Thaum taug kev los ntawm lub tsheb, tsis txhob tso tseg txoj cai kev nyab xeeb thiab nco ntsoov nqa tus menyuam hauv lub rooj zaum menyuam yaus, thiab hauv kev thauj mus los hauv pej xeem, coj nws hauv koj txhais tes lossis tuav nws kom nruj kom nws tsis txhob poob thiab ntaus nws lub taub hau thaum nres nres. .

Nrov lus nug thiab lus teb

Tus kws kho menyuam yaus Liliya Khafizova teb.

Thaum twg koj yuav tsum mus ntsib kws kho mob rau kev raug mob hauv tus menyuam?

Muaj lub npe hu ua "tus chij liab" - cov tsos mob, nyob rau hauv lub xub ntiag ntawm uas koj yuav tsum tau ceev nrooj nrhiav kev pab kho mob! Cov tsos mob no muaj xws li:

- tsis nco qab (txawm hais tias nws kav ntev npaum li cas);

- ua pa tsis ua haujlwm;

- convulsions;

- xeev siab, ntuav;

- tso tawm cov kua ntshiab los yog los ntshav los ntawm qhov ntswg, pob ntseg;

- menyuam kawm ntawv asymmetry (qhov txawv ntawm cov menyuam kawm ntawv txoj kab uas hla ntawm sab laug thiab sab xis);

- yog hais tias lub tshuab poob rau ntawm pob txha saum pob ntseg;

- lub hnub nyoog ntawm tus me nyuam mus txog ib xyoos los yog nws tus mob yog nyuaj rau txiav txim;

- nce kub tom qab raug mob;

- yog hais tias tom qab ib tug zoo li tsis muaj zog tshuab ib tug loj o los yog bruising tau tsim;

- yog tias muaj kev cuam tshuam ntawm kev taug kev, kev tsis ruaj khov;

- tus me nyuam tsis pom zoo, tau tsaug zog, los yog vice versa, zoo siab heev;

- yog tias koj tsis tuaj yeem ua rau tus menyuam mos;

- tag nrho tsis kam noj thiab haus;

- cov tsos mob ntawm tsom iav - bruises tshwm nyob ib ncig ntawm lub qhov muag ntawm ob sab.

Tag nrho cov tsos mob no tom qab ib qho kev raug mob qw uas yuav tsum tau ceev (!) kev pab kho mob.

Dab tsi yog qhov tshwm sim ntawm kev raug mob hauv tus menyuam?

Feem ntau, kev raug mob ploj mus yam tsis muaj qhov tshwm sim tshwj xeeb, tab sis qee zaum lawv tuaj yeem hnyav heev thiab tshwm sim ob peb lub lis piam lossis ntau lub hlis tom qab raug mob. Tus me nyuam yuav chim siab thiab quaj qw, nkees sai. Tej zaum nws yuav muaj teeb meem nrog kev nco, pw tsaug zog, ua siab ntev thiab kev nkag siab ntawm cov ntaub ntawv, uas ua rau muaj teeb meem hauv tsev kawm ntawv. Nyob rau hauv cov xwm txheej hnyav, tus menyuam yuav raug mob los ntawm mob taub hau lossis txawm tias qaug dab peg, hnov ​​​​lus tsis zoo, kev nco hnyav thiab kev hais lus tsis zoo yuav tshwm sim. Tag nrho cov no, tau kawg, yuav xav tau kev kho mob ntev thiab nyuaj.

Nws yuav siv sijhawm ntev npaum li cas kom rov zoo los ntawm kev raug mob hauv tus menyuam?

Nrog rau kev nrhiav kev pab kho mob raws sij hawm, ua raws li tag nrho cov lus pom zoo, kev rov zoo yuav tshwm sim hauv ob peb lub lis piam, tsis muaj teeb meem. Thaum lub sij hawm rov qab los, nws yog ib qho tseem ceeb kom maj mam rov qab lub load thiab tiv thaiv tus me nyuam kom ntau li ntau tau los ntawm kev raug mob rov qab. Tsis txhob tso tseg cov khoom siv tiv thaiv hauv kev ua kis las, cov kaus mom hlau thaum caij scooter, rollerblading, caij tsheb kauj vab, siv lub rooj zaum hauv tsheb zoo, kho tag nrho cov rooj tog hauv tsev, saib xyuas kev tiv thaiv ntawm lub qhov rais. Tham txog kev nyab xeeb nrog cov menyuam yaus, thiab sim tsis txhob tso cov menyuam mos tawm mus.

Sau ntawv cia Ncua