Rebecca K Blais
Military Medicine, usaa241, https://doi.org/10.1093/milmed/usaa241
27 October 2020
ngovepo
ziviso
Kuita zvebonde zvekumanikidzira (CSB) kunoitwa pasi pevashandi vemauto / veterans kunyangwe paine njodzi yakakwira yezvinetso zvepfungwa zvinosanganiswa neCSB, kusanganisira posttraumatic kusagadzikana kwepfungwa (PTSD), kushushikana, uye kushandisa doro zvisizvo. Tsvagurudzo yehurumende inoratidza kuti kushungurudzwa pabonde kwakabatana neCBB yepamusoro. Pakati penhengo dzechiuto / veterans, kushungurudzwa pabonde kwakaitika basa remauto risati razivikanwa sechiitiko cheCBB, asi kukanganisa kwekutarisa kwakanaka kwekushungurudzwa pabonde kwakaitika panguva yebasa remauto (kushungurudzwa pabonde nemauto [MSH] / kurwiswa kwepabonde [MSA ]) paCSB hazvizivikanwe. Uyezve, kuongorora zvakanaka kune MSH / A kunopa mukana wakakura wekushungurudzika maererano nekushungurudzwa pabonde kwakaitika pamberi kana mushure mebasa remauto, zvichiratidza kuti MSH / A inogona kunge iri chirevo chakasimba cheCSB. Chidzidzo cheazvino chakaongorora kana kuongorora kwakanaka kweMSH / A kwaibatanidzwa neCBB yepamusoro mushure mekuverengera hutano hwepfungwa uye hunhu hwevanhu. Chidzidzo chazvino chakanangana nenhengo dzevanhurume / veterans zvakapihwa kuti varume vanoratidzira kukwidziridzwa kwakanyanya uye kushushikana kwakabatana neCSB maererano nevakadzi.
Zvishandiso uye Maitiro
Nhengo yebasa revarume / veterans (n = 508) vakapedza kuzvitaurira-kwavo zviyero zveCSB, MSH / A, PTSD uye kushushikana kwakanyanya, kunwa zvine njodzi, uye zera. CSB yakadzoreredzwa paMSH / A, PTSD uye kushushikana kwekushushikana, kunwa zvine njodzi, uye zera rekuona kana MSH / A yaive yakabatana neiyo CSB mushure mekuverenga zvimwe zvinenjodzi.
Results
Yakazara ye9.25% kusvika ku12.01% yesamuenzaniso yakashumwa zviyero zvinoratidzira mazinga epamusoro eCSB. Kudzorerwa kweCSB paMSH / A chimiro chechiso, PTSD, kushushikana, kushandisa doro, uye zera rakatsanangura 22.3% yekusiyana. Kuongorora kwakanaka kweMSH / A, kwakakwirira zviratidzo zvePTSD, uye kwakanyanya kushushikana zviratidzo zvaibatanidzwa neakakwira CSB, asi zera kana kushandisa doro kwaisave.
mhedziso
Screening yakanaka yeMSH / A inoita kunge yakasarudzika njodzi kune CSB yepamusoro uye pamusoro pemhedzisiro yekuora mwoyo uye PTSD. Sezvo kuongororwa kweCSB kusiri chikamu chenguva dzose kurapwa kwehutano hwepfungwa, varapi vanogona kufunga yakanaka skrini yeMSH / A sechinogona kuratidza kuti CSB inogona kunge iri yekiriniki yekunetsekana. Ongororo yapfuura pamusoro peMSH / A uye yega uye zvehutano zvabuda zvinoratidza kuti kusiyanisa pakati peMSH / A masimba (kushungurudza chete vs. kurova) kwakakosha sezvo kusagadzikana kwakanyanya kunoonekwa nekushungurudzwa pabonde kunosanganisira kurohwa. Nekuda kwekubvumidzwa kwakaderera kweMSI, chidzidzo ichi hachina kuongorora mutsauko pakati peMSA neMSH. Ongororo yeramangwana munzvimbo ino yaizosimbiswa nekutsvaga kusagadzikana kweMSH / A sekubatana kweCSB.
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