
baadhaakaramaina medadu gaayam yokka samasyalu

baadhaakaramaina medadu gaayam (tbi, medaduku saareeraka gaayam) vividha rakaala samasyalanu kaligistundi, aarogya prabhavalu tbi kaadu, conny daani phalitamgaa untaayi. gaayam teevratatoo samasyala pramaadam perugutundi; ayithe telikapati baadhaakaramaina medadu gaayam kooda saamaajika paraspara charyalu, upaadhi mariyu rojuvaaree jeevitaaniki aatamkam kaliginche vaikalyalaku daariteestundi. tbi saareeraka, abhignaa, bhavodvega mariyu pravartanaa samasyalatho sahaa vividha samasyalanu kaligistundi.
concussion tarvaata sambhavinche lakshanaalu-baadhaakaramaina medadu gaayam yokka chinna roopam-post-concussion syndromga suuchistaaru.
apasmaraka sthithipai prabhavam.
saadhaaranamgaa, oka tbi phalitamgaa vachhe spruha yokka aaru asaadhaarana sthithulu unnaih 
spruha rugmatalu teevramaina tbito badhapaduthunna gananeeyamaina sankhyalo prajalanu prabhaavitam chestaayi; aasupatri nundi discharge ayina teevramaina tbi unnavaarilo, 10%-15% vruksha sthithilo untaaru, mariyu eee sankhyalo sagam mandhi matrame okati nundi moodu samvatsaraalalo spruhaloki vastaaru.
abhignaa lopaalu.
spruha tirigi pondhe teevramaina tbi unna chaalaa mandhi rogulu aneka unnata sthaayi manasika naipunhyaalanu kolpovadamtho sahaa abhignaa vaikalyalanu anubhavistaaru. tii. bii. ii. nii anusarinchagala abhignaa lopaalalo drushti lopam; antaraayam kaliginchina antardrushti, teerpu mariyu aalochana; taggina prosessing vegam; drushti maralchadam; mariyu nairoopya tarkam, pranaalika, samasya parishkaram mariyu bahula-pani vanti karyanirvahaka vidhullo lopaalu unnaayi. talaku gayapadina vyaktulalo atyanta saadhaarana abhignaa balaheenata ayina ghnaapakasakti nashtam, talaku gaayam ayina vyaktulalo 20-79% loe sambhavistundi, idhi teevratanu batti untundi. post traumatic amnitia (pii. tii. eah), balaheenamaina ghnaapakasaktitoo kuudina gandaragola sthithi, nirdishta ghnaapakaalu kolpovadam ledhaa krotta vaatini roopondinchadaaniki ledhaa nilva cheyadaaniki pakshika asamarthatha kaligi untundi.
algimers vyaadhi (AD) anedi chittavaikalyam, ghnaapakasakti nashtam mariyu ksheenistunna abhignaa saamardhyaalato vargeekarinchabadina pragatiseela, neurodegenerative vyaadhi. parisoedhanalu yuktavayassu praarambhamlo thala gaayam mariyu jeevitamlo taruvaata prakatana abhivruddhi madhya sambandhaanni suuchistunnaayi; thala gaayam entha teevramgaa unte, prakatana abhivruddhi chendhe pramaadam antha ekkuvagaa untundi. thala gaayam vyaadhini prerepinchadaaniki itara kaarakaalato sankarshana chendavachani mariyu ippatike pramaadamloo unna vyaktulalo vyaadhi prarambhanni vegavantam cheyavachani konni aadharalu suuchistunnaayi. udaaharanaku, apolypoprotein ii (raktapravaaham dwara collestraalnu ravana cheyadaaniki sahayapade sahajamgaa sambhavinche protein ayina apo 4) yokka oka nirdishta roopam unna talaku gayapadina vyaktulu eee perigina pramaada vargamloki vastaaru.
mitamaina nundi teevramaina tbi unna rogulaku telikapati tbi unnavaari kante abhignaa lopalatho ekkuva samasyalu untaayi, conny aneka telikapati tbilu sankalana prabhavanni kaligi undavacchu. kereer baxerlalo aidugurilo okaru deerghakaalika baadhaakaramaina medadu gaayam (ctbi) thoo prabhaavitamavutaaru, idhi abhignaa, pravartanaa mariyu saareeraka balaheenatalaku kaaranamavutundi. deerghakaalika baadhaakaramaina encephalopathy anie kooda piluvabade chittavaikalyam pugilistica anedi ctbi yokka teevramaina roopam. sudeerghakaalam paatu talapai punaraavrutamaina debbala valla kalige eee paristhiti pradhanamgaa kereer baxerlanu prabhaavitam chestundi mariyu iteevala american football mariyu ice haakeetho paatu sainika sevatho sahaa itara contact kreedalatho mudipadi undhi (aann mckey chudandi). idhi saadhaaranamgaa chittavaikalyam ledhaa ksheenistunna manasika saamarthyam, ghnaapakasakti samasyalu mariyu parkinsonism (prakampanalu mariyu samanvayam lekapovadam) gaa vyaktamavutundi. baxing vrutti jeevitam praarambhamaina 6 nundi 40 samvatsaraala madhya ekkadainaa lakshanaalu praarambhamavutaayi, sagatuna 16 samvatsaraala praarambhamtho.
communication samasyalu.
tbi rogulalo bhasha mariyu communication samasyalu saadhaarana vaikalyalu. kondaru afasianu, matlade mariyu vraatapuurvaka bhashanu ardham chesukovadamlo mariyu utpatti cheyadamlo ibbandini anubhavinchavacchu; ledhaa shareera bhasha mariyu bhavodvega, asaabdika sankethaalu vanti communication yokka marinta suukshmamaina amsaalatoe vaariki ibbandi undavacchu. kondariki prosodic disfunction anie piluvabade swaram ledhaa vampu samasyalu undavacchu. prasanga kandaraalanu niyantrinche medadulooni bhaagam debbatinnatlayite matlade bhaashatho samasyalu sambhavinchavachhu. disorthria anie piluvabade eee rugmatalo, roogi tagina bhasha gurinchi aalochinchavachhu, conny padaalanu roopondinchadaaniki mariyu sabdaalanu utpatti cheyadaaniki avasaramaina kandaraalanu upayoginchalekapovadam valla padaalanu sulabhamgaa matladaledu. prasangam tarachugaa nemmadigaa, aspashtamgaa mariyu gandaragolamgaa untundi.
indriya lopaalu.
tbi rogulaku indriya samasyalu undavacchu, mukhyamgaa drushti samasyalu undavacchu; vaaru chustunna vaatini namodu cheyalekapovacchu ledhaa vastuvulanu gurtinchadamlo nemmadigaa undavacchu. alaage, tbi rogulu tarachugaa chethi-kanti samanvayamtho ibbandi padataaru, deenivalla vaaru vikrutamgaa ledhaa asthiramgaa kanipistaaru. itara indriya lopaalalo vinikidi, vaasana, ruchi ledhaa sparsha samasyalu untaayi. tinnitus, chevulalo mogadam ledhaa garjinchadam sambhavinchavachhu. ruchi ledhaa vasananu proses chese medadulooni bhaagaaniki nashtam kaliginchina vyakti nirantara chedhu ruchi ledhaa haanikaramaina vasananu grahinchavacchu. sparsha bhavanni niyantrinche medadulooni bhaagaaniki nashtam kaliginchadam valla tbi roogi nirantara charma jaladarimpu, durada ledhaa noppini abhivruddhi cheyavachu. eee paristhitulu arudugaa untaayi mariyu chikitsa cheyadam kashtam.
bhavodvega mariyu pravartanaa samasyalu.
tbi bhavodvega ledhaa pravartanaa samasyalanu mariyu vyaktitvamlo maarpulanu kaliginchavacchu. tii. bii. ii. nii anusarinche bhavodvega lakshanaalu bhavodvega asthirata, niraasa, aandolana, hypomania, unmaadam, udaaseenata, chiraaku mariyu kopam. obsessive compulsive desorder, madyam ledhaa maadakadravyaala durviniyogam ledhaa maadakadravyaala aadharapadatam, dystemia, clinical depression, bipolar desorder, fobias, panic desorder mariyu schizophreniatho sahaa manasika rugmatalaku tbi oka vyaktini mundugaane gurichestundi. tbi unnavaarilo naaluginta oka vanthu mandhi clinical depressionnu abhivruddhi chestaaru, mariyu sumaru 9 saatam mandhi unmaadaanni anubhavistaaru. anni manasika anaarogyaala praabalyam 18 saatam niyanthranalatho poliste, gayapadina oka samvatsaramlo mitamaina nundi teevramaina tbilo 49 saatam mariyu telikapati tbilo 34 saatam untundi. tii. bii. ii. unna vyaktulu gaayam ayina konni samvatsaraala tarvaata kooda itarula kante manasika samasyalaku ekkuva pramaadam kaligi untaaru. gaayam tarvaata rendu samvatsaraala varaku konasage samasyalalo chiraaku, aatmahatya aalochanalu, nidralemi mariyu gatamlo aanandinche anubhavaala nundi aanandaanni anubhavinche saamarthyam kolpovadam vantivi unnaayi.
tii. bii. ii. nii anusarinche pravartanaa lakshanaalalo nirodham, kopaanni niyantrinchalekapovadam, hataattugaa undatam, chorava lekapovadam, anuchitamaina laingika karyakalapalu mariyu vyaktitvamlo maarpulu unnaayi. vividha pravartanaa samasyalu gaayam unna pradaesaaniki sambandhinchina lakshanaalu; udaaharanaku, mundu lobe gayalu tarachugaa nirodhakata mariyu anuchitamaina ledhaa pillatanam pravartanaku daariteestaayi, mariyu taatkaalika lobe gayalu tarachugaa chiraaku mariyu dookudu kaligistaayi.
saareeraka samasyalu.
noppi, mukhyamgaa talanoppi, oka tbi taruvaata vachhe saadhaarana samasya. apasmaraka sthithilo undi, ekkuva kaalam nischalamgaa padukovadam valla raktam gaddakattadaaniki (lothaina sirala raktam gaddakattadam) kaaranam kaavacchu, idhi pulmonary embolijaaniki kaaranamavutundi. apasmaraka sthithilo, komaalo ledhaa vruksha sthithilo unna rogulaku itara teevramaina samasyalalo ottidi pullu, pneumonia ledhaa itara antuvyaadhulu mariyu pragatiseela bahula avayava vaiphalyam unnaayi.
post traumatic muurchalu vachhe pramaadam gaayam teevratatoo (kudi vaipuna unna chitram) perugutundi mariyu mukhyamgaa mastishka gayalu ledhaa hematomas vanti konni rakaala medadu gaayaalato perugutundi. talaku chochukupoye gayalu unnavaarilo 50 saatam mandiki muurchalu vastaayi. prarambha muurchalu unna vyaktulu, gaayam ayina oka vaaramlone sambhavinche vaaru, post traumatic muurcha (prarambha gaayam tarvaata oka vaaram kante ekkuva kaalam sambhavinche punaraavruta muurchalu) pramaadam ekkuvagaa untundi, ayithe muurchalu prarambha gaayam tarvaata oka dasaabdam ledhaa anthakante ekkuva kaalam kanipinchavacchu mariyu saadhaarana muurcha rakam kooda kalakramena maaravacchu. saadhaaranamgaa, vaidya nipunulu gaayam ayina modati vaaramlone tbi rogulalo muurchalaku chikitsa cheyadaaniki mariyu muurchalu konasagithe matrame aaa tarvaata anticonvalsant mandulanu upayogistaaru.
teevramaina tbi tarvaata neurostarms sambhavinchavachhu. glassgo coma score (zii. sii. ess) entha takkuvagaa unte, neurostarming vachhe avakaasam antha ekkuvagaa untundi. roogi yokka swayampratipatti naadii vyavastha (ans), kendra naadii vyavastha (cns), saanubhooti naadii vyavastha (sns) mariyu paracypathetic naadii vyavastha (psns) teevramgaa raajee padinapudu neurostarms sambhavistaayi. idhi eee krindi sambhaavya praanaantaka lakshanaalanu srushtinchagaladuh perigina intra-chronial pressure (icp), tachycardia, prakampanalu, muurchalu, jwaraalu, perigina raktapotu, perigina mastishka vennemuka dravam (csf) mariyu diaphoresis. neurostarm episodlanu tagginchadaaniki ledhaa niyantrinchadaaniki vividha rakaala mandulanu upayoginchavacchu.
tbi phalitamgaa parkinsons vyaadhi mariyu itara motaru samasyalu chaalaa arudu conny sambhavinchavachhu. parkinsons vyaadhi, deerghakaalika mariyu pragatiseela rugmata, besal ganglia debbatinna phalitamgaa tbi tarvaata samvatsaraala taruvaata abhivruddhi chendavacchu. tbi tarvaata abhivruddhi chendagala itara kadalika rugmatalalo prakampanalu, ataxia (samanvayarahita kandaraala kadalikalu) mariyu myoclonus (kandaraala shock lanty sankochaala) unnaayi.
purre pagullu medadunu kappi unche meninges, membranelanu cheelchiveyagalavu, idhi cerebrospinal fluid (csf) leaklaku daariteestundi. dura mariyu arachnoid pora madhya kanneeru, dheenini csf fistula anie pilustaaru, idhi csf suberachnoid sthalam nundi subdural pradaesamlooki leak kaavadaaniki kaaranamavutundi; dheenini subdural hygroma antaaru. csf mukku mariyu chevi nundi kooda leak kaavacchu. eee kanneellu bacterianu kuharamloki kooda anumatinchagalavu, idhi meningitis vanti infectionlaku kaaranamavutundi. gaali intracronial kuharamloki pravesinchi suberachnoid pradaesamloe chikkukunnappudu neumocephalus sambhavistundi. intracronial kuharam lopala infections tbi yokka pramaadakaramaina samasya. avi dura matter velupala, dura krinda, arachnoid (meningitis) krinda ledhaa medadulo (cheemu) sambhavinchavachhu. eee gayalalo chaalaa varaku prarambha gaayam ayina konni vaaraalalone abhivruddhi chendutaayi mariyu purre pagullu ledhaa chochukupoye gaayaala phalitamgaa erpadataayi. praamaanika chikitsalo antibiatics mariyu konnisaarlu sokina kanajaalaanni tolaginchadaaniki shastrachikitsa untundi.
purre yokka adugubhaagamlo gayalu medadu nundi neerugaa udbhavinche naraalanu (kapaala naraalu) debbateestaayi. kapaala naraala nashtam phalitamgaa ilaa jaragavachuhu
hydrocephalus, post traumatic ventricular elangement, medadulo CSF perukupoyinappudu sambhavistundi, phalitamgaa mastishka jatarikala vistarana mariyu ICP perugudala jarugutundi. eee paristhiti tbi yokka teevramaina dasalo abhivruddhi chendavacchu ledhaa taruvaata varaku kanipinchakapovacchu. saadhaaranamgaa idhi gaayam ayina modati samvatsaramlone sambhavistundi mariyu naraala parinaamam, balaheenamaina spruha, pravartanaa maarpulu, ataxia (samanvayam ledhaa samatulyata lekapovadam), aapukonaleni ledhaa perigina icp sankethaalu vantivi kaligi untundi.
thala ledhaa medaduku edainaa nashtam jarigithe, saadhaaranamgaa raktanaala vyavasthaku kontha nashtam jarugutundi, idhi medadulooni kanaalaku raktaanni andistundi. sareeram chinna rakta naalaalanu saricheyagaladu, conny pedda rakta naalaalaku nashtam teevramaina samasyalaku daariteestundi. medaduku daariteese pradhana dhamanulalo okadaaniki nashtam kaliginchadam valla dhamani nundi raktasraavam dwara ledhaa gaayam jarigina pradaesamloe raktam gaddakattadam dwara stroke yerpadavachhu, idhi medaduku rakta pravahanni addukuntundi. raktam gaddakattadam anedi thalaloni itara bhagalalo kooda abhivruddhi chendavacchu. itara rakaala vascular samasyalalo vasospasum, dheenilo rakta naalaalu rakta pravahanni kudinchi, parimitam chestaayi, mariyu raktanaalaala vaipu balaheenapadi, beloonlu bayataku vachhe raktanaalaala erpade prakriya untaayi.
dravam mariyu harmonela asamatulyata kooda chikitsanu klishtataram chestundi. sariiramantataa petutory, thyroid mariyu itara grandhulu panicheyakapovadam valla harmonela samasyalu talettavachhu. tbi yokka rendu saadhaarana harmonela samasyalu antiduratic harmon yokka anuchita sraavam syndrome mariyu hypothyroidism.
maroe saadhaarana samasya spasticity. eee paristhitiloo, sariiramlooni konni kandaraalu gattiga ledhaa hypertonicga untaayi endukante avi puurtigaa vishraanti teesukolevu.

