I-Hemiplegia: Izimbangela kanye Nezokwelapha Zokukhubazeka Okuyingxenye

-Delile

• Incazelo yeHemiplegia
• IHemiparesis vs. hemiplegia
• IHemiplegia vs. ukukhubazeka kobuchopho
• Izimpawu zeHemiplegia
• Izimbangela zeHemiplegia
• Unhlangothi
• Ukutheleleka kobuchopho
• Ukuhlukumezeka kwengqondo
• Izakhi zofuzo
• Izicubu zobuchopho
• Izinhlobo ze-hemiplegia
• I-hemiplegia yobuso
• Umgogodla hemiplegia
• I-hemiplegia ehambisanayo
• I-hemiplegia evuthayo
• I-hemiplegia eshintshanayo yobuntwana
• Ukwelashwa kwe-Hemiplegia
• I-Physiotherapy
• Ukwelashwa kokunyakaza okubangelwa ukuguquguquka (mCIMT)
• Amadivayisi okusiza
• Izithombe zengqondo
• Ukugqugquzela kagesi
• Ingabe i-hemiplegia ingunaphakade?
• Izinsizakusebenza zabantu abane-hemiplegia
• Ukudla okudlela endlini

Incazelo yeHemiplegia

IHemiplegia yisimo esidalwa ukulimala kobuchopho noma ukulimala komgogodla okuholela ekukhubazekeni kolunye uhlangothi lomzimba. Kubanga ubuthakathaka, izinkinga ngokulawulwa kwemisipha, nokuqina kwemisipha. Izinga lezimpawu ze-hemiplegia liyahlukahluka ngokuya ngendawo nobukhulu bokulimala.

Uma i-hemiplegia ihlasela ngaphambi kokuzalwa, ngesikhathi sokuzalwa, noma phakathi neminyaka emibili yokuqala yokuphila, yaziwa njenge-congenital hemiplegia. Uma i-hemiplegia ikhula kamuva empilweni, yaziwa njenge-hemiplegia etholakele. IHemiplegia ayiqhubeki. Lapho lesi sifo siqala, izimpawu azibi zimbi.

Qhubeka ufunda ukuze ufunde ukuthi kungani i-hemiplegia ivela kanye nezindlela zokwelashwa ezivamile ezitholakalayo.

IHemiparesis vs. hemiplegia

I-Hemiparesis ne-hemiplegia zivame ukusetshenziswa ngokungafani futhi ziveze izimpawu ezifanayo.

Umuntu one-hemiparesis uhlangabezana nobuthakathaka noma ukukhubazeka okuncane ngakolunye uhlangothi lomzimba wakhe. Umuntu one-hemiplegia angathola ukukhubazeka okugcwele ngakolunye uhlangothi lomzimba wakhe futhi angaba nenkinga yokukhuluma noma ukuphefumula.

IHemiplegia vs. ukukhubazeka kobuchopho

I-Cerebral palsy yigama elibanzi kune-hemiplegia. Kubandakanya ukuphazamiseka okuhlukahlukene okuthinta imisipha yakho nokunyakaza kwakho.

I-Cerebral palsy iqala ngaphambi kokuzalwa noma eminyakeni embalwa yokuqala yokuphila. Abantu abadala abakwazi ukukhula, kepha umuntu onesifo sokukhubazeka kwengqondo angabona izimpawu zishintsha njengoba bekhula.

Isizathu esivame kakhulu se-hemiplegia ezinganeni yilapho besesibelethweni.

Izimpawu zeHemiplegia

I-Hemiplegia ingathinta uhlangothi lwesobunxele noma lwesokudla lomzimba wakho. Noma yiluphi uhlangothi lobuchopho bakho oluthintekile lubangela izimpawu kolunye uhlangothi lomzimba wakho.

Abantu bangaba nezimpawu ezihlukile kwi-hemiplegia ngokuya ngobukhulu bayo. Izimpawu zingafaka:

• ubuthakathaka bemisipha noma ukuqina kolunye uhlangothi
• ukuqina kwemisipha noma imisipha enenkontileka unomphela
• amakhono emoto amahle
• ukuhamba kanzima
• ibhalansi engeyinhle
• inkinga yokubamba izinto

Izingane ezine-hemiplegia nazo zingathatha isikhathi eside ukufinyelela ezingeni lokuthuthuka kunontanga yazo. Bangasebenzisa nesandla esisodwa kuphela lapho bedlala noma begcina isandla esisodwa esibhakeleni.

Uma i-hemiplegia ibangelwa ukulimala ebuchosheni, ukulimala kobuchopho kungadala izimpawu ezingaqondile i-hemiplegia, njenge:

• izinkinga zememori
• unenkinga yokugxila
• izingqinamba zokukhuluma
• izinguquko zokuziphatha
• isithuthwane

Izimbangela zeHemiplegia

Unhlangothi

Ukushaywa unhlangothi kungenye yezimbangela ezivame kakhulu ze-hemiparesis. Ubukhulu bokubuthakathaka kwemisipha obutholayo kungaxhomeka kusayizi nendawo yohlangothi. Ukushaywa unhlangothi esibelethweni kuyimbangela evame kakhulu ye-hemiplegia ezinganeni.

Ukutheleleka kobuchopho

Ukutheleleka kobuchopho kungadala ukulimala okungapheli ku-cortex yobuchopho. Ukutheleleka okuningi kubangelwa amagciwane, kepha okunye ukutheleleka kungaba negciwane noma ukhunta.

Ukuhlukumezeka kwengqondo

Umthelela ongazelelwe ekhanda lakho ungadala ukulimala kobuchopho okungapheli. Uma ukuhlukumezeka kuthinta kuphela uhlangothi olulodwa lobuchopho bakho, i-hemiplegia ingaqala. Izimbangela ezijwayelekile zokuhlukumezeka kufaka phakathi ukushayisana kwezimoto, ukulimala kwezemidlalo nokuhlaselwa.

Izakhi zofuzo

Ukuguqulwa okungajwayelekile kakhulu kwe- I-ATP1A3 Isakhi sofuzo singadala isimo esaziwa ngokuthi ukushintsha i-hemiplegia ezinganeni. Kubangela izimpawu zesikhashana ze-hemiplegia eza futhi zidlule. Lesi sifo sithinta cishe umuntu oyedwa kwabayisigidi.

Izicubu zobuchopho

Izicubu zobuchopho zingaholela ezinkingeni ezahlukahlukene zomzimba kubandakanya i-hemiplegia. Izimpawu ze-hemiplegia zingase zibe zimbi kakhulu njengoba isimila sikhula.

Izinhlobo ze-hemiplegia

Okulandelayo ukuphazamiseka kokuhamba okungadala izimpawu ze-hemiplegia.

I-hemiplegia yobuso

Abantu abane-hemiplegia yobuso babhekana nemisipha ekhubazekile kolunye uhlangothi lobuso babo. I-hemiplegia yobuso nayo ingahlanganiswa ne-hemiplegia encane kwenye indawo emzimbeni.

Umgogodla hemiplegia

I-Spinal hemiplegia ibizwa nangokuthi yi-Brown-Sequard syndrome. Kubandakanya ukulimala ohlangothini olulodwa lomgogodla okuholela ekukhubazekeni ohlangothini olufanayo lomzimba njengokulimala. Futhi kubangela ukulahleka kobuhlungu nokushisa kwezinga lokushisa kolunye uhlangothi lomzimba.

I-hemiplegia ehambisanayo

Lokhu kubhekisela ekukhubazekeni kolunye uhlangothi lomzimba lapho kwenzeka ukulimala kobuchopho.

I-hemiplegia evuthayo

Lolu uhlobo lwe-cerebral palsy oluthinta kakhulu uhlangothi olulodwa lomzimba. Imisipha ohlangothini oluthintekile ihlala inenkontileka noma i-spastic.

I-hemiplegia eshintshanayo yobuntwana

Ukushintshana kwe-hemiplegia yobuntwana kuvame ukuthinta izingane ezingaphansi kwezinyanga eziyi-18 ubudala. Kubangela iziqephu eziphindaphindekayo ze-hemiplegia ezithinta uhlangothi olulodwa noma zombili zomzimba.

Ukwelashwa kwe-Hemiplegia

Izinketho zokwelashwa kwe-hemiplegia zixhomeke embangela ye-hemiplegia nobukhulu bezimpawu. Abantu abane-hemiplegia bavame ukubhekana nokuvuselelwa okuhlukahlukene okubandakanya abelaphi bomzimba, abelaphi bokuvuselela, kanye nabasebenzi bezempilo yengqondo.

I-Physiotherapy

Ukusebenza ne-physiotherapist kuvumela abantu abane-hemiplegia ukuthuthukisa ikhono labo lokulinganisela, ukwakha amandla, nokuxhumanisa ukunyakaza. I-physiotherapist nayo ingasiza ukwelula imisipha eqinile ne-spastic.

Ukwelashwa kokunyakaza okubangelwa ukuguquguquka (mCIMT)

Ukwelashwa kokunyakaza okwenziwe ngemigoqo okushintshiwe kubandakanya ukufaka isandla ohlangothini lomzimba wakho olungathinteki yi-hemiplegia. Le ndlela yokwelashwa iphoqa uhlangothi lwakho olubuthakathaka ukuthi lunxephezele futhi ihlose ukuthuthukisa ukulawulwa kwemisipha yakho nokuhamba.

Enye encane eyanyatheliswa ngo-2018 yaphetha ngokuthi ukufaka i-mCIMT ekuvuseleleni isifo kungasebenza kakhulu kunezokwelapha zendabuko kuphela.

Amadivayisi okusiza

Abanye abelaphi bomzimba bangancoma ukusetshenziswa kwe-brace, umoba, isihlalo esinamasondo, noma i-walker. Ukusebenzisa into esizayo kungasiza ekuthuthukiseni ukulawula kwemisipha nokuhamba.

Kungumqondo omuhle ukubonisana nochwepheshe wezokunakekelwa kwezempilo ukuze uthole ukuthi iyiphi idivayisi ekulungele kakhulu. Bangancoma nokuguqulwa ongakwenza ekhaya lakho njengezihlalo zangasese eziphakanyisiwe, ama-ramps, nemigoqo yokubamba.

Izithombe zengqondo

Ukucabanga ukuhambisa isigamu somzimba wakho esikhubazekile kungasiza ekuvuseleleni izingxenye zobuchopho ezibhekele ukunyakaza. Izithombe zengqondo zivame ukubhangqwa nezinye izindlela zokwelapha futhi kuyaqabukela zisetshenziswe zodwa.

Ukuhlaziywa okukodwa kwe-meta okubheka imiphumela yezifundo ezingama-23 kutholakale ukuthi izithombe zengqondo zingaba yindlela yokwelashwa ephumelelayo yokuthola amandla lapho kuhlangene nokwelashwa ngokomzimba.

Ukugqugquzela kagesi

Uchwepheshe wezokwelapha angasiza ekuvuseleleni ukunyakaza kwemisipha ngokusebenzisa amaphedi kagesi. Ugesi uvumela imisipha ongeke ukwazi ukuyinyakazisa ukuze uyibambe. Ukugqugquzela ugesi kuhlose ukunciphisa ukungalingani ohlangothini oluthintekile lobuchopho futhi kuthuthukise ubuchopho.

Ingabe i-hemiplegia ingunaphakade?

I-Hemiplegia yisimo esihlala njalo futhi ayikho ikhambi ngalesi sikhathi. Kuyaziwa njengesifo esingaqhubeki ngoba izimpawu azibi kubi ngokuhamba kwesikhathi.

Umuntu one-hemiplegia owenza uhlelo lokwelashwa olusebenzayo angakwazi ukuthuthukisa izimpawu ze-hemiplegia yakhe ngokuhamba kwesikhathi. Abantu abane-hemiplegia bavame ukuphila impilo ezimele futhi esebenzayo ngezinsiza zokuhamba zokuhamba.

Izinsizakusebenza zabantu abane-hemiplegia

Uma unengane ene-hemiplegia, ungathola imininingwane nokusekelwa kuwebhusayithi ye-Children's Hemiplegia and Stroke Association. Ungathola izinsiza ezithile zombuso wakho kuwebhusayithi yabo. Futhi banezinsizakusebenza zabantu abazinze eCanada noma e-United Kingdom.

Uma ulawula i-hemiplegia ebangelwa isifo sohlangothi, ungathola uhlu olude lwezinsiza kuwebhusayithi yeStroke Center.

Ukudla okudlela endlini

IHemiplegia ukukhubazeka okukhulu kolunye uhlangothi lomzimba wakho okubangelwa ukulimala kobuchopho. Kuyisifo esingaqhubeki futhi asibi sibi uma sesiqala. Ngecebo lokwelashwa elifanele, kungenzeka ukuthuthukisa izimpawu ze-hemiplegia.

Uma uphila ne-hemiplegia, ungenza lezi zinguquko ezilandelayo endleleni yakho yokuphila ukusiza ukuvuselelwa kwakho:

• Hlala usebenza ngokusemandleni akho.
• Shintsha ikhaya lakho ngamadivayisi okusiza njengamarampu, imigoqo yokubamba, nama-handrails.
• Gqoka izicathulo eziyisicaba nezisekelayo.
• Landela isincomo sikadokotela wakho samadivayisi okusiza.