କନ୍‌କସନ ପର ସିଣ୍ଡ୍ରୋମ

Post-concussion syndrome
Post-concussion syndrome
Postconcussive syndrome; persistent post-concussive symptoms (PPCS)
	ଫାଇଲ:PMC3139069 234 2010 774 Fig2 HTML.png Increased diffusion on MRI is associated with the severity of post-concussive symptoms
ବିଭାଗ	Neurology, physical medicine and rehabilitation
ଲକ୍ଷଣ	Headache, dizziness, irritability, trouble sleeping, cognitive difficulties
ଅବଧି	> weeks
କାରଣ	Traumatic brain injury
ବିପଦ କାରକ	Mental health problems, multiple concussions, history of migraines
ରୋଗ ନିର୍ଣ୍ଣୟ ପଦ୍ଧତି	Based on symptoms after ruling out other causes
ସଠିକ ରୋଗ ନିର୍ଣ୍ଣୟ	Post-traumatic stress disorder, chronic pain, fibromyalgia
ପ୍ରତିକାର	Return to activity after no more than a brief period of rest
ଚିକିତ୍ସା	NSAIDs; SSRIs; physical or behavioral therapy
Prognosis	Most resolve after a few weeks
ପୁନଃପୌନିକ	30 to 80% post concussion
	[ଉଇକିଡାଟାରେ ବଦଳ କରନ୍ତୁ]

କନ୍‌କସନ ପର ସିଣ୍ଡ୍ରୋମ (ଇଂରାଜୀ ଭାଷାରେ Post-concussion syndrome/ PCS ) ହେଉଛି ସାମାନ୍ୟ ମସ୍ତିଷ୍କ ଆଘାତ (TBI); ^[୧] ଲକ୍ଷଣଗୁଡିକ ଅଧିକ ସମୟ ରହିଲେ ଅଧିକାଂଶ ଲୋକ ଏହି ଶବ୍ଦ ବ୍ୟବହାର କରନ୍ତି ।^[୪] ^[୯] ଏହାର ଲକ୍ଷଣ ମଧ୍ୟରେ ମୁଣ୍ଡବିନ୍ଧା, ଅସ୍ଥିର ଲାଗିବ, ବିରକ୍ତିକରତା, ଶୋଇବାରେ ଅସୁବିଧା କିମ୍ବା ବୋଧଶକ୍ତି ଅସୁବିଧା ହୋଇପାରେ ।^[୧] ^[୨] ରୋଗ ଜଟିଳ ହେଲେ ଉଦାସୀନତା, ଉଦ୍‌ବେଗ, ଏବଂ ଅତ୍ୟଧିକ ଔଷଧ ବ୍ୟବହାର ମୁଣ୍ଡବିନ୍ଧା ଅନ୍ତର୍ଭୁକ୍ତ ହୋଇପାରେ।^[୧୦] ^[୭]

ସାଧାରଣତଃ ଏହା ସାମାନ୍ୟ ଆଘାତଜନିତ ମସ୍ତିଷ୍କ ଆଘାତ ପରେ ଘଟିଥାଏ, ଏହା ମଧ୍ୟମ କିମ୍ବା ଗୁରୁତର ଆଘାତ ପରେ ମଧ୍ୟ ହୋଇପାରେ ।^[୪] ବିପଦ ସଙ୍କଟଗୁଡ଼ିକ ମଧ୍ୟରେ ମାନସିକ ସ୍ୱାସ୍ଥ୍ୟ ସମସ୍ୟା, ଏକାଧିକ କନ୍‌କସିନ ଏବଂ ଅଧକପାଳି ଇତିହାସ ହୋଇପାରେ ।^[୧] ଅନ୍ୟାନ୍ୟ ସମ୍ଭାବ୍ୟ କାରଣକୁ ଏଡ଼ାଇବା ପରେ ଏହାର ଲକ୍ଷଣ ଅନୁସାରେ ରୋଗ ନିର୍ଣ୍ଣୟ କରାଯାଏ ।^[୪] ଦୀର୍ଘସ୍ଥାୟୀ କିମ୍ବା ସ୍ଥାୟୀ ଲକ୍ଷଣଗୁଡିକର ସଂଜ୍ଞା ୧୦ ଦିନରୁ ଅଧିକ ଓ ୩ ମାସ ମଧ୍ୟରେ ପରିବର୍ତ୍ତନ ହୋଇଥାଏ ।^[୯] ଚେତନା ହରାଇବା ରୋଗ ନିର୍ଣ୍ଣୟ ଆବଶ୍ୟକ ନୁହେଁ ।^[୬]

ଅଧିକାଂଶ ଥର ଦିନେ ଦୁଇ ଦିନ ବିଶ୍ରାମ ପରେ ଶାରୀରିକ କାର୍ଯ୍ୟକଳାପକୁ ଫେରିଲେ ରୋଗ ପ୍ରତିରୋଧ ହୋଇପାରେ ।^[୧] ଆଘାତର ପ୍ରାରମ୍ଭିକ ୫ ଦିନ ପାଇଁ କମ୍ ଶିକ୍ଷାଗତ କାର୍ଯ୍ୟ ଯୁକ୍ତିଯୁକ୍ତ ଅଟେ ।^[୧] ଯଦିଓ କୌଣସି ନିର୍ଦ୍ଦିଷ୍ଟ ଚିକିତ୍ସା ନାହିଁ, ତେବେ ଲକ୍ଷଣଗୁଡିକ ଉନ୍ନତି ହୋଇପାରିବ ଯଦି ନନଷ୍ଟେରଏଡାଲ ଆଣ୍ଟି-ଇନଫ୍ଲାମେଟୋରୁ ଔଷଧ, ଶାରୀରିକ କିମ୍ବା ଆଚରଣବିଧି ଚିକିତ୍ସା କରାଯାଏ ।^[୧୦] ^[୬] ^[୭] ଲକ୍ଷଣ ନ ଯିବା ପର୍ଯ୍ୟନ୍ତ କ୍ରୀଡାକୁ ଫେରିବାକୁ ସୁପାରିଶ କରାଯାଏ ନାହିଁ।^[୮] ଦୁଇ ସପ୍ତାହ ପରେ ଅଧିକାଂଶ ମାମଲାର ସମାଧାନ ହୁଏ; ^[୮] ଯଦିଓ ବେଳେବେଳେ ମାସାଧିକ କିମ୍ବା ବର୍ଷାଧିକ କାଳ ରହିପାରେ ।^[୬]

କନ୍‌କସନ ପର ସିଣ୍ଡ୍ରୋମ ୩୦ରୁ ୮୦% ଲୋକଙ୍କୁ ପ୍ରଭାବିତ କରେ ।^[୧] ପ୍ରାୟ ୧୫–୨୦% ଲକ୍ଷଣଗୁଡିକ ୪ ସପ୍ତାହରୁ ଅଧିକ ସମୟ ଧରି ଚାଲିଥାଏ ।^[୫] ପୁରୁଷଙ୍କ ଅପେକ୍ଷା ମହିଳାମାନେ ଅଧିକ ପ୍ରଭାବିତ ହୁଅନ୍ତି ।^[୯] ଅନ୍ତତ ପକ୍ଷେ ୧୮୦୦ ଦଶକରୁ ଏହାର ବର୍ଣ୍ଣନା ଚାଲି ଆସିଛି ଓ ୧୯୩୪ ମସିହାରୁ ପ୍ରଚଳିତ ଶବ୍ଦ ବର୍ଣ୍ଣନା ଅଛି ।^[୧୧]

ଆଧାର

1 2 3 4 5 6 7 8 9 10 Mullally, WJ (August 2017). "Concussion". The American journal of medicine. 130 (8): 885–892. doi:10.1016/j.amjmed.2017.04.016. PMID 28502817.
1 2 Dhandapani, TPM; Garg, I; Tara, A; Patel, JN; Dominic, JL; Yeon, J; Memon, MS; Gergal Gopalkrishna Rao, SR; Bugazia, S (September 2021). "Role of the Treatment of Post-Concussion Syndrome in Preventing Long-Term Sequela Like Depression: A Systematic Review of the Randomized Controlled Trials". Cureus. 13 (9): e18212. doi:10.7759/cureus.18212. PMID 34722025.
↑ "Traumatic Brain Injury" (PDF). NINDS. Archived (PDF) from the original on 19 August 2022. Retrieved 13 August 2023.
1 2 3 4 5 6 Permenter, Cara M.; Fernández-de Thomas, Ricardo J.; Sherman, Andrew l (2023). "Postconcussive Syndrome". StatPearls. StatPearls Publishing. Archived from the original on 14 August 2023. Retrieved 12 August 2023.
1 2 "Diagnosis/Assessment of Prolonged Symptoms | Living Concussion Guidelines". concussionsontario.org (in ଇଂରାଜୀ). Archived from the original on 1 June 2023. Retrieved 12 August 2023.
1 2 3 4 "Post-concussion syndrome – Symptoms and causes". mayoclinic.org. Archived from the original on 2017-07-16. Retrieved 2022-04-16.
1 2 3 Kim, K; Priefer, R (September 2020). "Evaluation of current post-concussion protocols". Biomedicine & pharmacotherapy = Biomedecine & pharmacotherapie. 129: 110406. doi:10.1016/j.biopha.2020.110406. PMID 32768934.
1 2 3 "Concussion - Injuries and Poisoning". Merck Manuals Consumer Version. Archived from the original on 19 July 2023. Retrieved 12 August 2023.
1 2 3 Leddy, JJ; Baker, JG; Willer, B (May 2016). "Active Rehabilitation of Concussion and Post-concussion Syndrome". Physical medicine and rehabilitation clinics of North America. 27 (2): 437–54. doi:10.1016/j.pmr.2015.12.003. PMID 27154855.
1 2 Broshek, DK; De Marco, AP; Freeman, JR (2015). "A review of post-concussion syndrome and psychological factors associated with concussion". Brain injury. 29 (2): 228–37. doi:10.3109/02699052.2014.974674. PMID 25383595.
↑ Anderson, SD (1996). "Postconcussional disorder and loss of consciousness". The Bulletin of the American Academy of Psychiatry and the Law. 24 (4): 493–504. PMID 9001747.

[Mul2017-1] 1 2 3 4 5 6 7 8 9 10 Mullally, WJ (August 2017). "Concussion". The American journal of medicine. 130 (8): 885–892. doi:10.1016/j.amjmed.2017.04.016. PMID 28502817.

[Dh2021-2] 1 2 Dhandapani, TPM; Garg, I; Tara, A; Patel, JN; Dominic, JL; Yeon, J; Memon, MS; Gergal Gopalkrishna Rao, SR; Bugazia, S (September 2021). "Role of the Treatment of Post-Concussion Syndrome in Preventing Long-Term Sequela Like Depression: A Systematic Review of the Randomized Controlled Trials". Cureus. 13 (9): e18212. doi:10.7759/cureus.18212. PMID 34722025.

[3] "Traumatic Brain Injury" (PDF). NINDS. Archived (PDF) from the original on 19 August 2022. Retrieved 13 August 2023.

[Stat2023-4] 1 2 3 4 5 6 Permenter, Cara M.; Fernández-de Thomas, Ricardo J.; Sherman, Andrew l (2023). "Postconcussive Syndrome". StatPearls. StatPearls Publishing. Archived from the original on 14 August 2023. Retrieved 12 August 2023.

[CN2023-5] 1 2 "Diagnosis/Assessment of Prolonged Symptoms | Living Concussion Guidelines". concussionsontario.org (in ଇଂରାଜୀ). Archived from the original on 1 June 2023. Retrieved 12 August 2023.

[Mayo2023-6] 1 2 3 4 "Post-concussion syndrome – Symptoms and causes". mayoclinic.org. Archived from the original on 2017-07-16. Retrieved 2022-04-16.

[Kim2020-7] 1 2 3 Kim, K; Priefer, R (September 2020). "Evaluation of current post-concussion protocols". Biomedicine & pharmacotherapy = Biomedecine & pharmacotherapie. 129: 110406. doi:10.1016/j.biopha.2020.110406. PMID 32768934.

[Mer2023-8] 1 2 3 "Concussion - Injuries and Poisoning". Merck Manuals Consumer Version. Archived from the original on 19 July 2023. Retrieved 12 August 2023.

[Led2016-9] 1 2 3 Leddy, JJ; Baker, JG; Willer, B (May 2016). "Active Rehabilitation of Concussion and Post-concussion Syndrome". Physical medicine and rehabilitation clinics of North America. 27 (2): 437–54. doi:10.1016/j.pmr.2015.12.003. PMID 27154855.

[Bro2015-10] 1 2 Broshek, DK; De Marco, AP; Freeman, JR (2015). "A review of post-concussion syndrome and psychological factors associated with concussion". Brain injury. 29 (2): 228–37. doi:10.3109/02699052.2014.974674. PMID 25383595.

[11] Anderson, SD (1996). "Postconcussional disorder and loss of consciousness". The Bulletin of the American Academy of Psychiatry and the Law. 24 (4): 493–504. PMID 9001747.

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