I-Whiplash yintamo kanye nokulimala komgogodla okuvame ukubangelwa ukushayisana kwemoto ngemuva, kodwa lokho kunezinye izimbangela, futhi. Isibonelo, iNational Health Service yase-UK ithi ukushaya ngokungazelelwe ekhanda njengohlobo olulodwa olungase lisekelwe ngenkathi lidlala ngesikhathi sokuxhumana kwezemidlalo (ibhoksi noma ibhola lombhoxo,) noma i-slip noma ukuwa okudala i-jolt enamandla emuva emuva kwekhanda nazo zibangela.
Futhi esinye isizathu sibangelwa umntwana syndrome.
I-Whiplash ichazwe
Yini ngempela eyenzeka entanyeni yakho uma une-whiplash? Ake sibuke ngombono wokushayisana kwemoto ngemuva.
Ngokuvamile, kokubili ukushayela kanye nabagibeli emotweni eshaywa kungase kuqhubeke nokulimala kwe-whiplash. Kodwa abahlala kwenye imoto bangase balimala, futhi. Nokho, ukukhuluma ngokwemvelo, ukulimala kwabagibeli kwenye imoto akuyona i-whiplash.
Umthelela wokugqotshwa ngemuva kokugcina ukuphoqa intamo nekhanda ukuba "bashaye" ngokuzumayo nangokweqile, okubuye kubekwe lezo zakhiwo ngaphandle kokuhamba kwazo okujwayelekile. Njengoba uzobona, lokhu kunwebeka ngokweqile kungaba yinto eholela ebuhlungu bokulimala ngemuva kokulimala.
Ucwaningo lwango-2009 lwalunesihloko esithi "Biomechanics of Whiplash Injury" olwanyatheliswa kuyi- Chinese Journal of Traumatology luchaze izikhathi ezingu-3 ezihlukene emva komthelela, ngayinye enekhono lokulimaza entanyeni.
- Ekuqaleni, intamo isheshe futhi ithathwe ngamandla, okuyinto ukuhamba phambili ukugoba umgogodla wesibeletho . Kulesi sikhundla, intamo ilahlekelwa ijika layo elijwayelekile le-lordotic.
- Esigabeni sesibili, amathambo entanyeni ephansi aqala ukweluleka, okusho ukunyakaza kuya ekuqondeni okuphambene ne-flexion. Ngale ndlela, umgogodla wesibeletho uthatha ijika le-S.
- Yiqiniso, ukunyakaza okuqhubekayo kuyaqhubeka kuze kube yilapho wonke amathambo entanyeni eqhubeka. (Ukwandisa kufana nokunyakaza kwe-arching.) Ngakho esigabeni sesithathu nesekugcineni sokuthinta, intamo yonke isandisiwe.
Abacwaningi baseShayina bathola ubufakazi bokuqala bokuthi ubuhlungu bezintambo ezihlobene ne-whiplash bungabangelwa yi-strain kuya ku-capsule yesibambiswana se-facet (esivela ngemuva kwekholomu yomgogodla kuwo wonke amazinga we-vertebral,) noma ngokudonsa (ukuhamba okubizwa ngokuthi ukuphazamiseka ) we-vertebra eyodwa kusukela olandelayo. Bakhulume ubufakazi obengeziwe bokulimala kwesikhwama se-facet kunokuphazanyiswa kwama-vertebral.
Indlela Yokunciphisa I-Whiplash Effect
Nakuba kungenakwenzeka ngaso sonke isikhathi, ukuhlala ngokuphepha esihlalweni sakho kuyisilinganiso sokuvimbela ukulimala okuyinhloko. Ucwaningo olwenziwe ngonyaka ka-2006 lubonise ukuthi i-backrest (kufaka phakathi i-headrest) engaphezu kwamasentimitha angu-60 ukusuka ngemuva kwekhanda lakho, ingasiza ukunciphisa i-whiplash, uma kwenzeka noma uma kwenzeka.
Ngokusho kukaDkt. Brian Stemper, umbhali wocwaningo luka-2006, ijubane lezimoto ezinomthelela alinqumi ukulimala kwe-whiplash. Izimoto ezihamba kancane kancane zingakhipha ukulimala okukhulu kwe- whiplash , uthi.
Futhi abacwaningi baseYale bathi ikhanda lakho liphenduke ngesikhathi somthelela kwenza injabulo ye-whiplash ibe yimbi nakakhulu.
Bayaqaphela ukuthi kunezinga elide lokudlula elifaka imigqa emgodini womlomo wesibeletho lapho ikhanda lakho liphendukile - ngisho nangaphandle komthelela wokubhekana nalo. Kodwa uma ufika ngemuva kokuphela ngekhanda nentamo yakho kuleso simo, imigqa isetjisiwe nakakhulu. Lokhu kuphazamiseka kwenhliziyo kungabangela ekuthungeni nasekusimeni komgogodla, bathi.
Abacwaningi bangezela ukuthi ikhanda eliphendukile liyinkimbinkimbi kakhulu kunesikhundla lapho ubheke phambili khona; Ngenxa yalokhu, ukulimala okuhlobene kunzima nakakhulu.
Ngezinye izikhathi ukulimala kwe-whiplash akubonakali - kuwe noma kudokotela wakho.
Isizathu siyizimpawu ezifana nobuhlungu noma ukulinganiselwa akubonisi ngaso sonke isikhathi ngokushesha. Ngaphezu kwalokho, umonakalo owenziwe yi-whiplash uvame ukucindezeleka noma ukugxila emathangeni alula, futhi ngaleyo ndlela awubonakali kuma-x-ray, futhi okungajwayelekile, uma kwenzeka, kuma-MRIs.
Uma bezenza baziwayo, izimpawu ze-whiplash zihlanganisa izinto ezifana nobuhlungu bentamo, ukuqina kwentamo, ubuthakathaka behlombe, isizungu, ukukhanda ikhanda nokulahlekelwa inkumbulo nokuningi.
Umthombo:
Chen H., et. al. I-biomechanics ye-whiplash ukulimala. I-Chin J Traumatolo. Okthoba 2009. http://www.ncbi.nlm.nih.gov/pubmed/19788851
Isevisi yezeMpilo kaZwelonke. I-Whiplash. Ikhasi lewebhu le-NHS lokukhetha. Isibuyekezo sokugcina: Mashi 2014. http://www.nhs.uk/conditions/whiplash/Pages/Introduction.aspx
Panjabi, M. Whiplash Ukulimala Kunzima Kakhulu Uma Inhloko Ishintshiwe. Ikhasi lewebhu le-Yale News. Mashi 2006. http://news.yale.edu/2006/03/13/whiplash-injury-much-more-severe-when-head-turned
Stemper, Brian, Ph.D., Yoganandan, Narayan, Pintar, Frank, (2006) .Ukuthinteka kwekhanda emuva kokukhishwa kwentambo entanyeni ku-whiplash. Ukuhlaziywa Kwengozi Nokuvimbela. 38, 317-323. http://www.ncbi.nlm.nih.gov/pubmed/16289336
Stemper, Brian, Ph.D., Ingxoxo Yomuntu siqu kanye Nokuxhumana Kwama-imeyili. Dec 21 no-22 2006.