Ukululama ngemuva kokushaywa unhlangothi

Isifo sohlangothi senzeka lapho ukugeleza kwegazi kuye kunoma iyiphi ingxenye yobuchopho kuyeka.

Umuntu ngamunye unesikhathi esihlukile sokutakula kanye nesidingo sokunakekelwa kwesikhathi eside. Izinkinga ngokuhamba, ukucabanga nokukhuluma kuvame ukuba ngcono emasontweni noma ezinyangeni zokuqala ngemuva kokushaywa unhlangothi. Abanye abantu bazoqhubeka nokwenza ngcono izinyanga noma iminyaka ngemuva kokushaywa unhlangothi.

UKUHLALA PHI NGEMVA KOKUSHAYWA YISITOKELA

Iningi labantu lizodinga ukuvuselelwa kwesifo sohlangothi (rehab) ukubasiza ukuthi balulame ngemuva kokuphuma esibhedlela. Ukuvuselelwa kwesifo sohlangothi kuzokusiza ukuthi uphinde uthole amandla okuzinakekela.

Izinhlobo eziningi zokwelashwa zingenziwa lapho uhlala khona, kufaka phakathi nasekhaya lakho.

• Abantu abangakwazi ukuzinakekela ekhaya ngemuva kokushaywa unhlangothi bangathola ukwelashwa engxenyeni ethile yesibhedlela noma esikhungweni sabahlengikazi noma sokuvuselela.
• Labo abakwaziyo ukubuyela emakhaya bangaya emtholampilo okhethekile noma othile afike kubo.

Ukuthi ungabuyela yini ekhaya ngemuva kokushaywa unhlangothi kuncike ku:

• Ukuthi uyakwazi ukuzinakekela
• Luyoba lukhulu kangakanani usizo ekhaya
• Noma ngabe ikhaya liyindawo ephephile (ngokwesibonelo, izitebhisi ekhaya zingase zingaphephi esigulini sohlangothi esinenkinga yokuhamba)

Ungahle udinge ukuya ekhaya lokuhlala, ikhaya lomndeni wabantu abadala, noma ikhaya lokululama ukuze ube nemvelo ephephile.

Kubantu abanakekelwa ekhaya:

• Izinguquko zingadingeka ukuze uhlale uphephile ekuweni kwasendlini nasendlini yangasese, uvimbele ukuzulazula, futhi wenze ikhaya lisebenziseke kalula. Umbhede nendawo yokugezela kufanele kube lula ukufinyelela kuyo. Izinto (njengokuphonsa amatagi) ezingadala ukuwa kufanele zisuswe.
• Amadivayisi amaningi angasiza ngezinto ezifana nokupheka noma ukudla, ukugeza noma ukushawa, ukuhambahamba ekhaya noma kwenye indawo, ukugqoka nokuzilungisa, ukubhala nokusebenzisa ikhompyutha, neminye imisebenzi eminingi.
• Ukwelulekwa ngokomndeni kungakusiza ukuthi ubhekane nezinguquko ezidingekayo ekunakekelweni kwasekhaya. Ukuvakashela abahlengikazi noma abasizi, izinsizakalo zokuzithandela, abenzi bamakhaya, izinsizakalo zokuvikela abantu abadala, ukunakekelwa kwabadala, nezinye izinsiza zomphakathi (njengoMnyango Wokuguga wendawo) kungasiza.
• Iseluleko sezomthetho singadingeka. Ukuqondiswa kwangaphambili, amandla abameli, nezinye izenzo zomthetho kungenza kube lula ukwenza izinqumo mayelana nokunakekelwa.

UKUKHULUMA NOKUXHUMANA

Ngemuva kokushaywa unhlangothi, abanye abantu bangaba nezinkinga ekutholeni igama noma bakwazi ukukhuluma ngaphezu kwegama elilodwa noma ibinzana ngasikhathi. Noma, bangaba nenkinga yokukhuluma nhlobo. Lokhu kubizwa nge- aphasia.

• Abantu abake baba nesifo sohlangothi bangakwazi ukuhlanganisa amagama amaningi, kepha kungenzeka angabi nangqondo. Abantu abaningi abazi ukuthi abakushoyo akulula ukukuqonda. Bangakhungatheka lapho bebona ukuthi abanye abantu abakwazi ukuqonda. Umndeni nabanakekeli kufanele bafunde ukuthi bangasiza kanjani kangcono ukuxhumana.
• Kungathatha iminyaka efika kwengu-2 ukubuyisa inkulumo. Akuwona wonke umuntu ozolulama ngokuphelele.

I-stroke nayo ingalimaza imisipha ekusiza ukuthi ukhulume. Ngenxa yalokhu, le misipha ayihambi ngendlela efanele lapho uzama ukukhuluma. Lokhu kubizwa nge-dysarthria.

Uchwepheshe wezinkulumo nolimi angasebenza nawe nomndeni wakho noma abanakekeli. Ungafunda izindlela ezintsha zokuxhumana.

UKUCABANGA NOKUKHUMBULA

Ngemuva kwesifo sohlangothi, abantu bangaba:

• Izinguquko emandleni abo okucabanga noma ukucabanga
• Izinguquko zokuziphatha nezindlela zokulala
• Izinkinga zememori
• Ukwahlulela kabi

Lezi zinguquko zingaholela ku:

• Ukwanda kwesidingo sezinyathelo zokuphepha
• Izinguquko kwikhono lokushayela
• Olunye ushintsho noma izixwayiso

Ukudangala ngemuva kohlangothi kuvamile. Ukudana komoya kungaqala ngokushesha ngemuva kokushaywa unhlangothi, kepha izimpawu kungenzeka zingaqali kuze kube seminyakeni engu-2 ngemuva kwesifo. Ukwelashwa kokucindezeleka kufaka phakathi:

• Umsebenzi owandisiwe womphakathi. Ukuvakasha okwengeziwe ekhaya noma ukuya esikhungweni sokunakekela izingane esidala ngemisebenzi.
• Imithi yokudangala.
• Ukuvakashela kumelaphi noma kumeluleki.

IZINKINGA ZAMASIMULE, NEZINHLANGANO

Ukuhambahamba wenze imisebenzi ejwayelekile yansuku zonke njengokugqoka nokondla kungaba nzima ngemuva kokushaywa unhlangothi.

Imisipha kolunye uhlangothi lomzimba ingahle ibe buthakathaka noma inganyakazi nakancane. Lokhu kungabandakanya ingxenye kuphela yengalo noma umlenze, noma lonke uhlangothi lomzimba.

• Imisipha ohlangothini olubuthakathaka lomzimba ingaqina kakhulu.
• Amalunga nemisipha ehlukene emzimbeni kungaba nzima ukuhamba. Ihlombe namanye amalunga omzimba kungenzeka ahlukane.

Eziningi zalezi zinkinga zingadala ubuhlungu ngemuva kokushaywa unhlangothi. Ubuhlungu bungabuye buvele ezishintsheni zobuchopho uqobo. Ungasebenzisa imishanguzo yezinhlungu, kodwa hlola umhlinzeki wakho wokunakekelwa kwezempilo kuqala. Abantu abanezinhlungu ngenxa yemisipha eqinile bangathola imithi esiza ngokuqaqamba kwemisipha.

Abelaphi bomzimba, abelaphi basemsebenzini, kanye nodokotela bokuhlumelelisa umzimba bazokusiza ukuthi ufunde kanjani:

• Gqoka, uzilungise, udle
• Geza, ugeze bese usebenzisa indlu yangasese
• Sebenzisa izinduku, izihambisi, izihlalo ezinamasondo, namanye amadivayisi ukuze uhlale uselula ngangokunokwenzeka
• Kungenzeka ubuyele emsebenzini
• Gcina yonke imisipha iqine ngangokunokwenzeka futhi uhlale uvivinya umzimba ngangokunokwenzeka, noma ungakwazi ukuhamba
• Phatha ukuphazamiseka kwemisipha noma ukuqina ngokuzivocavoca okweluliweyo kanye nama-brace alingana neqakala, indololwane, ihlombe namanye amalunga

UKUNAKEKELWA KWENSIMBI NOKUSEBENZA

Ukushaywa unhlangothi kungaholela ezinkingeni ngesinye noma ngokulawula isisu. Lezi zinkinga zingabangelwa:

• Ukulimala kwengxenye yobuchopho esiza amathumbu nesinye ukusebenza kahle
• Ukungasiboni isidingo sokuyogeza
• Izinkinga ukufika endlini yangasese ngesikhathi

Izimpawu zingafaka:

• Ukulahleka kokulawulwa kwamathumbu, uhudo (ukunyakaza kwamathumbu okuxekethile), noma ukuqunjelwa (ukunyakaza kwamathumbu kanzima)
• Ukulahlekelwa ukulawula isinye, ukuzwa isidingo sokuchama kaningi, noma izinkinga zokuchitha isinye

Umhlinzeki wakho angahlinzeka ngemithi yokusiza ngokulawula isinye. Ungadinga ukuthunyelwa kuchwepheshe wesinye noma wamathumbu.

Kwesinye isikhathi, uhlelo lwesinye noma lwamathumbu luzosiza. Kungasiza futhi ukubeka isihlalo sokuhamba eduze nalapho uhlala khona usuku lonke. Abanye abantu badinga ipayipi lomchamo unomphela ukukhipha umchamo emzimbeni wabo.

Ukuvimbela izilonda zesikhumba noma zengcindezi:

• Hlanza ngemuva kokungalawuleki
• Shintsha isikhundla kaningi futhi wazi ukuthi ungahamba kanjani embhedeni, esihlalweni, noma esihlalweni esinamasondo
• Qiniseka ukuthi isihlalo esinamasondo singena kahle
• Yiba namalungu omndeni noma abanye abanakekeli bafunde ukuthi bangazibheka kanjani izilonda zesikhumba

UKUGUQA NOKUDLA NGEMVA KOKUQHUBEKA

Izinkinga zokugwinya kungenzeka ngenxa yokunganakwa lapho udla noma ulimaza izinzwa ezikusiza ukugwinya.

Izimpawu zezinkinga zokugwinya yilezi:

• Ukukhwehlela noma ukuklinya, kungaba ngesikhathi noma ngemuva kokudla
• Imisindo yokugedla kusuka emphinjeni ngesikhathi sokudla noma ngemuva kokudla
• Ukususwa komqala ngemuva kokuphuza noma ukugwinya
• Ukuhlafuna kancane noma ukudla
• Ukukhwehlela ukudla emuva emuva kokudla
• Ama-hiccups ngemuva kokugwinya
• Ukungakhululeki kwesifuba ngesikhathi noma ngemuva kokugwinya

Uchwepheshe wezinkulumo angasiza ngokugwinya nokudla izinkinga ngemuva kokushaywa unhlangothi. Izinguquko zokudla, njengokuqina koketshezi noma ukudla ukudla okumsulwa, kungadingeka. Abanye abantu bazodinga ithubhu yokudla unomphela, ebizwa nge-gastrostomy.

Abanye abantu abathathi amakhalori anele ngemuva kokushaywa unhlangothi. Ukudla okunama-kilojoule amaningi noma izithasiselo zokudla eziqukethe amavithamini noma amaminerali kungavimbela ukuncipha komzimba futhi kukugcine uphilile.

EZINYE IZINDABA EZIBALULEKILE

Bobabili abesilisa nabesifazane bangaba nezinkinga ngokuya ocansini ngemuva kokushaywa unhlangothi. Imithi ebizwa nge-phosphodiesterase type 5 inhibitors (njenge-Viagra, i-Levitra, noma i-Cialis) ingasiza. Buza umhlinzeki wakho ukuthi ngabe le mithi ikulungele yini. Ukukhuluma nomelaphi noma umeluleki nakho kungasiza.

Ukwelashwa nokushintsha kwendlela yokuphila ukuvimbela esinye isifo kubalulekile. Lokhu kubandakanya ukudla okunempilo, ukulawula izifo ezinjengesifo sikashukela nomfutho wegazi ophakeme, futhi kwesinye isikhathi ukuphuza umuthi ukusiza ukuvimbela esinye isifo sohlangothi.

Ukuvuselelwa kwesifo sohlangothi; Ingozi ye-cerebrovascular - ukuvuselelwa; Ukululama ekushayweni unhlangothi; Stroke - ukululama; CVA - ukululama

• Ukubekwa kwe-Angioplasty kanye ne-stent - umthambo we-carotid - ukukhishwa
• Ukulungiswa kwe-aneurysm yobuchopho - ukukhipha
• Ukuhlinzwa komthambo weCarotid - ukukhipha
• Uhlelo lokunakekelwa kwamathumbu nsuku zonke
• Ukuvimbela izilonda zengcindezi
• Ukushaywa unhlangothi - ukukhishwa

I-Dobkin BH. Ukuvuselelwa kwemizwa. Ku: Daroff RB, Jankovic J, Mazziotta JC, Pomeroy SL, ama-eds. I-Neurology kaBradley ekwenziweni kwemitholampilo. Umhla wesi-7. IPhiladelphia, PA: Elsevier; 2016: isahluko 57.

URundek T, uSacco RL. Isibikezelo ngemuva kokushaywa yisifo. Ku: Grotta JC, Albers GW, Broderick JP, Kasner SE, et al, abahleli. Unhlangothi: I-Pathophysiology, i-Diagnosis, ne-Management. Umhlaka 6. IPhiladelphia, PA: Elsevier; 2016: isahluko 16.

UStein J. Stroke. Ku: Frontera WR, iSilver JK, uRizzo TD, ama-eds. Okubalulekile Kwemithi Yomzimba Nokuvuselelwa. Umhla wesi-4. IPhiladelphia, PA: Elsevier; 2019: isahluko 159.