Rebecca K Blais
Military Medicine, chikulo, https://doi.org/10.1093/milmed/usaa241
27 October 2020
Kudalirika
Introduction
Khalidwe lachiwerewere (CSB) silimayang'aniridwa ndi mamembala ankhondo / omenyera ufulu wawo ngakhale ali pachiwopsezo chachikulu chazovuta zamaganizidwe zomwe zimayenderana ndi CSB, kuphatikiza posttraumatic stress disorder (PTSD), kukhumudwa, komanso kumwa mowa mopitirira muyeso. Kafukufuku wamba akuwonetsa kuti nkhanza zakugonana zimalumikizidwa ndi CSB yayikulu. Mwa mamembala ankhondo / omenyera nkhondo, zipsinjo zogonana zomwe zidachitika asadapite kunkhondo zimadziwika kuti ndizomwe zimayambitsa CSB, koma zotsatira zowunika zachiwerewere zomwe zimachitika nthawi yankhondo (nkhanza zankhondo [MSH] / nkhanza zankhondo [MSA ] pa CSB sikudziwika. Kuphatikiza apo, kuwunika kwa MSH / A kumapereka chiopsezo chachikulu chazovuta zokhudzana ndi zachiwerewere zomwe zidachitika usanachitike kapena utatha ntchito yankhondo, ndikuwonetsa kuti MSH / A itha kukhala wolosera zamphamvu za CSB. Kafukufuku wapano adawunika ngati kuwunika kwa MSH / A kumalumikizidwa ndi CSB yayikulu pambuyo powerengera zaumoyo wamaganizidwe ndi kuchuluka kwa anthu. Kafukufuku wapano akuwunikiranso makamaka mamembala am'bambo / omenyera ufulu wakale chifukwa amuna amawonetsa kutanganidwa komanso kukhumudwa komwe kumalumikizidwa ndi CSB yokhudzana ndi akazi.
Zipangizo ndi Njira
Mamembala ogwira ntchito achimuna / omenyera ufulu wakale (n = 508) adamaliza malipoti a CSB, MSH / A, PTSD komanso kukhumudwa kwakanthawi, kumwa moopsa, komanso zaka. CSB idasinthidwa pa MSH / A, PTSD komanso kukhumudwa, kumwa moyipa, komanso zaka kuti mudziwe ngati MSH / A idalumikizidwa ndi CSB pambuyo powerengera zina zowopsa.
Results
Chiwerengero cha 9.25% mpaka 12.01% yazomwe zanenedwa zikuwonetsa kuchuluka kwa CSB. Kuponderezedwa kwa CSB pa mawonekedwe a MSH / A pazenera, PTSD, kukhumudwa, kumwa mowa, komanso zaka zafotokozera 22.3% zakusiyanako. Kuwunika koyenera kwa MSH / A, zizindikiro zapamwamba za PTSD, komanso zizindikilo zakukhumudwa zimalumikizidwa ndi CSB yayikulu, koma zaka kapena kumwa mowa sizinali choncho.
Kutsiliza
Kuwunika kwa MSH / A kumawoneka ngati chiwopsezo chapadera kwa CSB pamwambapa komanso kupitirira zotsatira za kukhumudwa ndi PTSD. Popeza kuwunika kwa CSB sikuli gawo la chisamaliro cham'maganizo, madokotala angaganize zowoneka bwino za MSH / A ngati chisonyezero choti CSB ikhoza kukhala yovuta kuchipatala. Kafukufuku wam'mbuyomu wokhudzana ndi MSH / A komanso zotsatira zaumoyo komanso zakugonana akuwonetsa kuti kusiyanitsa pakati pa zovuta za MSH / A (kuzunzidwa kokha motsutsana ndi kumenyedwa) ndikofunikira chifukwa kusowa kotere kumawonekera ndi zowawa zakugonana zomwe zimakhudza kumenyedwa. Chifukwa chovomerezeka kwambiri ndi MSA, kafukufukuyu sanawone kusiyana pakati pa MSA ndi MSH. Kafukufuku wamtsogolo mderali amalimbikitsidwa pofufuza zovuta za MSH / A monga cholumikizira cha CSB.
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