Treatment for sequelae of head impact

We often see some people suffering from amnesia after recovering from a head impact. This is what we call the sequelae of head impact. What should we do when this happens? Many people think that this is incurable, but their understanding is wrong. Let us now introduce the treatment methods for the sequelae of head impact.

Treatment:

1. Because the scalp is rich in pain receptors, when the scalp soft tissue is damaged by external force, the blood vessels and nerves distributed on the scalp are often damaged, causing direct damage to the blood vessels and nerves and secondary damage. For example, secondary vascular spasm, vasoconstriction and dilation dysfunction, nerve rupture, local skin damage, local edema, inflammatory stimulation, etc., all of the above factors can lead to the occurrence of headaches. This type of headache is characterized by severe stabbing and burning pain and lasts for a long time, and can last from one day to several days if not treated. The localization is relatively clear, with the injured area being the most obvious. There is obvious tenderness at the injured area and its surrounding areas, and the corresponding local skin also has inflammatory reactions such as flushing and edema.

2. Headache is an unpleasant experience, often accompanied by emotional reactions such as irritability, distress, and anxiety. When a severe headache makes it unbearable for the patient, causing him to be restless, or even struggling and shouting, we can provide analgesic treatment. Measures include non-morphine drugs such as aspirin and indomethacin; morphine analgesics such as pethidine and acetaminophen; sedatives and hypnotics such as phenobarbital and chlorpromazine; anti-anxiety drugs such as diazepam; and antidepressants such as amitriptyline. As the wound heals, the headache caused by scalp injury will gradually ease and even disappear. The scalp is rich in blood vessels, and the skin and subcutaneous tissue are dense. It is difficult for bleeding to stop on its own after a laceration, and shock often occurs due to severe bleeding. In addition, there are emissary veins in the subcutaneous tissue of the scalp that are connected to the cranial laminar veins and intracranial venous sinuses. Once infection occurs after scalp injury, it can easily spread deep into the body and cause complications such as meningitis, cranial osteomyelitis, epidural abscess, and brain abscess. So relatively speaking, the treatment of scalp wounds is more important than the treatment of headaches and cannot be ignored. The principles for treating scalp injuries are debridement, hemostasis, bandaging, and skin grafting when necessary.

3. Generally speaking, a normal adult skull can withstand a static weight of 280 kg. Exceeding this weight may cause fractures. When a bone is fractured, the periosteum is damaged. Distributed on the surface of the periosteum are various types of pain receptors that can respond to a variety of stimuli such as mechanical, temperature, and chemical substances. The fibers distributed in the periosteum that are responsible for transmitting pain impulses to the central nervous system are AS fibers and C fibers, with C fibers being the majority and AS fibers only a minority. Type C fibers are the thinnest unmyelinated fibers of all fibers. They have a slow conduction velocity, generally only 1 to 2 m/s, and mostly transmit burning pain and dull pain. AS fibers are myelinated fibers with a conduction velocity of 15 to 30 m/s. It is generally believed that tingling pain is transmitted by AS fibers. Therefore, when the skull is fractured, the patient may initially feel severe stabbing pain, which then gradually turns into a dull pain with unclear location, and of course, it will be accompanied by swelling and tenderness of the scalp at the fracture site. In addition, cranial nerves and blood vessels pass through the foramina at the base of the skull. When the nerves and blood vessels are damaged, the headache will be more severe. When dealing with skull fractures, the first thing to do is to clearly diagnose whether the patient has a fracture and the type of skull fracture. With the widespread use of modern diagnostic instruments today, it is not difficult to diagnose skull fractures. The diagnosis rate of skull fractures can reach 95% to 100% through X-rays or CT scans. If you have a skull fracture, you should go to the hospital in time and ask a specialist to reposition it or remove the fracture fragments surgically. Be careful to prevent complications such as heavy bleeding and infection. The treatment of headache caused by skull fracture should follow the following principles: (1) Find the right medicine. (2) Control pain and the patient's anxiety, depression and other mental changes, and correct the patient's insomnia. (3) Avoid drug addiction and dependence. Patients should follow the doctor's instructions, cooperate fully, and not take medicine without authorization.

The above content introduces us to how to treat the sequelae of head impact. We can carry out rehabilitation training according to the above methods. It is entirely possible to cure our sequelae. I hope the above content is helpful to everyone.