Ukuqina

Ukuqina kuyimisipha eqinile noma eqinile. Kungabizwa nangokuthi ukuqina okungavamile noma ukwanda kwethoni yemisipha. I-Reflexes (ngokwesibonelo, i-reflex edolweni) inamandla noma ihaba. Isimo singaphazamisa ukuhamba, ukunyakaza, ukukhuluma, neminye imisebenzi eminingi yokuphila kwansuku zonke.

Ukuqothuka kuvame ukubangelwa ukulimala engxenyeni yobuchopho ebandakanyeka ekuhambeni okungaphansi kolawulo lwakho. Kungenzeka futhi kusukela ekulimaleni kwezinzwa ezisuka ebuchosheni ziye emgogodleni.

Izimpawu zokuqina ngokweqile zifaka:

• Isimo esingajwayelekile
• Ukuphatha ihlombe, ingalo, isihlakala, nomunwe endaweni engejwayelekile ngenxa yokuqina kwemisipha
• I-reflexes ejulile ye-tendon ejulile (i-knee-jerk noma ezinye izingqondo)
• Ukunyakaza okuphindaphindayo kwe-jerky (clonus), ikakhulukazi uma uthintwa noma uhanjiswa
• Isikele (ukuwela kwemilenze njengoba amathiphu esikelo ebezovalwa)
• Ubuhlungu noma ukukhubazeka kwendawo ethintekile emzimbeni

Ukweqisa kungase kuthinte nenkulumo. Ukwehluleka okukhulu, isikhathi eside kungaholela ekwandeni kwemisipha. Lokhu kunganciphisa ukuhamba noma ukushiya amalunga egobile.

Ukuqina kungadalwa yinoma ikuphi kokulandelayo:

• I-Adrenoleukodystrophy (ukuphazamiseka okuphazamisa ukuwohloka kwamafutha athile)
• Ukulimala kobuchopho okubangelwa ukuntuleka komoya-mpilo, njengoba kungenzeka lapho kuminza noma eduze ukufuthwa
• I-Cerebral palsy (iqembu lezinkinga ezingabandakanya imisebenzi yobuchopho nenqubo yezinzwa)
• Ukulimala ekhanda
• I-Multiple sclerosis
• Isifo se-Neurodegenerative (izifo ezilimaza ubuchopho nohlelo lwezinzwa ngokuhamba kwesikhathi)
• I-Phenylketonuria (isiphithiphithi lapho umzimba ungakwazi ukwephula i-amino acid phenylalanine)
• Ukulimala komgogodla
• Unhlangothi

Lolu hlu alufaki zonke izimo ezingadala ukuqothuka.

Ukuzivocavoca umzimba, kufaka phakathi ukunwebeka kwemisipha, kungasiza ekwenzeni izimpawu zibe nzima kakhulu. Ukwelashwa ngokomzimba nakho kuyasiza.

Xhumana nomhlinzeki wakho wezempilo uma:

• Ukuqothuka kuya ngokuya kuba kubi
• Uyakubona ukukhubazeka kwezindawo ezithintekile

Udokotela wakho uzokwenza ukuhlolwa komzimba futhi abuze mayelana nezimpawu zakho, kufaka phakathi:

• Kwaqashelwa nini okokuqala?
• Kuthathe isikhathi esingakanani?
• Ingabe ikhona njalo?
• Kunzima kangakanani?
• Yimiphi imisipha ethintekayo?
• Yini eyenza kube ngcono?
• Yini eyenza kube kubi kakhulu?
• Yiziphi ezinye izimpawu ezikhona?

Ngemuva kokunquma imbangela yokushesha kwakho, udokotela angakuthumela kumelaphi womzimba. Ukwelashwa ngokomzimba kuhilela ukuvivinya umzimba okuhlukile, kufaka phakathi ukuzelula nokwelula imisipha. Imithambo yokwelapha ngokomzimba ingafundiswa kubazali abangasiza ingane yabo ukuyenza ekhaya.

Ezinye izindlela zokwelashwa zingafaka:

• Imithi yokwelapha ukuqina. Lokhu kudinga ukuthathwa njengokuyalelwa.
• Ubuthi beBotulinum obungafakwa emisipheni ecijile.
• Ezimweni ezingavamile, ipompo esetshenziselwa ukuletha ngqo umuthi ku-fluid fluid nakuhlelo lwezinzwa.
• Kwesinye isikhathi ukuhlinzwa ukukhipha imisipha noma ukusika indlela yezinzwa-yemisipha.

Ukuqina kwemisipha; I-Hypertonia

• Isistimu yezinzwa emaphakathi nesistimu yezinzwa ezungezayo

IGriggs RC, iJozefowicz RF, u-Aminoff MJ. Indlela eya esigulini esinesifo se-neurologic. Ku: IGoldman L, iSchafer AI, ama-eds. Imithi yeGoldman-Cecil. Umhla ka-25. IPhiladelphia, PA: Elsevier Saunders; 2016: isahluko 396.

UMcGee S. Ukuhlolwa kohlelo lwezimoto: ukusondela ebuthakathakeni. Ku: McGee S, ed. Ukuxilongwa Komzimba Okusekelwe Ebufakazini. Umhla wesi-4. IPhiladelphia, PA: Elsevier; 2018: isahluko 61.