Ukunyakaza - okungalawuleki

Ukunyakaza okungalawuleki kufaka izinhlobo eziningi zokunyakaza ongakwazi ukuzilawula. Zingathinta izingalo, imilenze, ubuso, intamo, noma ezinye izitho zomzimba.

Izibonelo zokuhamba okungalawuleki yilezi:

• Ukulahleka kwethoni yemisipha (i-flaccidity)
• Ukuhamba kancane, ukusonteka, noma ukuqhubeka (chorea, athetosis, noma dystonia)
• Ukunyakaza okungazelelwe kokuqhuqha (i-myoclonus, i-ballismus)
• Ukunyakaza okungalawuleki okuphindaphindwayo (i-asterixis noma ukuthuthumela)

Kunezimbangela eziningi zokunyakaza okungalawulwa. Ukunyakaza okuthile kuhlala isikhashana nje. Okunye kungenxa yesimo saphakade sobuchopho nomgogodla futhi kungahle kube kubi kakhulu.

Okunye kwalokhu kuhamba kuthinta izingane. Ezinye zithinta abantu abadala kuphela.

Izimbangela ezinganeni:

• Isifo sofuzo
• I-Kernicterus (i-bilirubin eningi kakhulu ohlelweni lwezinzwa oluphakathi)
• Ukuntuleka komoya-mpilo (hypoxia) lapho kuzalwa

Izimbangela kubantu abadala:

• Izifo zesistimu yezinzwa ezanda kakhulu
• Isifo sofuzo
• Imithi
• Ukushaywa unhlangothi noma ukulimala ebuchosheni
• Izimila
• Izidakamizwa ezingekho emthethweni
• Ukuhlukumezeka kwekhanda nentamo

Ukwelashwa ngokomzimba okubandakanya ukubhukuda, ukuzelula, ukuhamba, nokuvivinya umzimba kungasiza ngokuxhumanisa futhi kunciphise umonakalo.

Buza umhlinzeki wezempilo ukuthi izinsiza zokuhamba, njengodondolo noma i-walker, zingasiza yini.

Abantu abanalesi sifo bathambekele ekuweni. Khuluma nomhlinzeki ngezinyathelo zokuvimbela ukuwa.

Ukusekelwa komndeni kubalulekile. Kuyasiza ukuxoxa ngokukhululekile ngemizwa yakho. Amaqembu okuzisiza ayatholakala emiphakathini eminingi.

Shayela umhlinzeki wakho uma uneminyakazo engachazeki ongakwazi ukuyilawula engapheli.

Umhlinzeki uzokwenza ukuhlolwa komzimba abuze ngezimpawu zakho nomlando wezokwelapha. Uzoba nokuhlolwa okuningiliziwe kwezinhlelo zombili zezinzwa nezemisipha.

Imibuzo yomlando wezokwelapha ingafaka:

• Ngabe kukhona ukuphambana kwemisipha okungenzeka kubangele ukuma okungajwayelekile?
• Ingabe izingalo ziyathinteka?
• Ingabe imilenze iyathinteka?
• Yaqala nini le nhlangano?
• Ingabe kwenzeka ngokuzumayo?
• Ingabe bekulokhu kuqhubeka kancane kancane ngaphezu kwamasonto noma izinyanga?
• Ingabe ikhona ngaso sonke isikhathi?
• Ingabe kubi kakhulu ngemuva kokuzivocavoca umzimba?
• Ingabe kuba kubi kakhulu uma ucindezelekile?
• Kungcono ngemuva kokulala?
• Yini eyenza kube ngcono?
• Yiziphi ezinye izimpawu ezikhona?

Izivivinyo ezinga-odwa zifaka:

• Ukuhlolwa kwegazi (njenge-CBC noma umehluko wegazi)
• I-CT scan yekhanda noma indawo ethintekile
• I-EEG
• Ukubhoboza i-lumbar
• I-MRI yekhanda noma indawo ethintekile
• Ukuhlolwa komchamo

Ukwelashwa kuya ngesizathu. Ukunyakaza okuningi okungalawuleki kuyelashwa ngemithi. Ezinye izimpawu zingathuthuka zodwa. Umhlinzeki wakho uzokwenza izincomo ngokuya ngezibonakaliso nezimpawu zakho.

Ukunyakaza okungalawulwa; Ukunyakaza komzimba okungazinikeli; Ukunyakaza komzimba - okungalawuleki; IDyskinesia; I-athetosis; Myoclonus; I-Ballismus

• Isistimu yezinzwa emaphakathi nesistimu yezinzwa ezungezayo

UJankovic J, uLang AE. Ukuxilongwa nokuhlolwa kwesifo i-Parkinson nezinye izinkinga zokuhamba. Ku: Daroff RB, Jankovic J, Mazziotta JC, Pomeroy SL, ama-eds. I-Neurology kaBradley ekwenziweni kwemitholampilo. Umhla wesi-7. IPhiladelphia, PA: Elsevier; 2016: isahluko 23.

I-Lang AE. Ezinye izinkinga zokuhamba. Ku: IGoldman L, iSchafer AI, ama-eds. Imithi yeGoldman-Cecil. Umhla ka-25. IPhiladelphia, PA: Elsevier Saunders; 2016: isahluko 410.