Yini Ebangela Ukukhubazeka Kobuchopho?

-Delile

• Ukubuka konke
• Yini imbangela enkulu yokukhubazeka kobuchopho?
• Izimbangela ze-Congenital CP
• Izimbangela ze-CP ezitholakele
• Imibuzo ejwayelekile ngezimbangela ze-CP
• Ingabe abantu abadala bangathola ukukhubazeka kobuchopho?
• Ingabe i-shaken baby syndrome ingadala ukukhubazeka kobuchopho?
• Ingabe i-cerebral palsy genetic?
• Ingabe ukubhema ngesikhathi sokukhulelwa kubangela ukukhubazeka kobuchopho?
• Ingabe isifo sohlangothi singabangela ukukhubazeka kobuchopho?
• Ingabe i-cerebral palsy degenerative?
• Izinhlobo ze-cerebral palsy
• Ukukhubazeka kobuchopho obusabekayo
• Isifo sokukhubazeka kwengqondo se-Dyskinetic
• I-Hypotonic cerebral palsy
• I-Ataxic cerebral palsy
• I-cerebral palsy exubile
• Izinkinga ezingaba khona zokukhubazeka kobuchopho
• Ukuphatha ukukhubazeka kobuchopho
• Ukudla okudlela endlini

Ukubuka konke

I-Cerebral palsy (CP) iyiqembu lokuphazamiseka kokuhamba nokuxhumanisa okubangelwa ukukhula kwengqondo okungavamile noma ukulimala kobuchopho.

Yisifo esivame kakhulu ukuphazamiseka kwemizwa ezinganeni futhi sithinta cishe izingane ezineminyaka engu-8 ubudala, ngokusho kocwaningo luka-2014.

Izimpawu ze-CP ziyahlukahluka ngobukhulu, kepha zivame ukuvela eminyakeni emibili yokuqala yokuphila.

Izimpawu ezivamile ze-CP zifaka:

• ukucabanga okungajwayelekile
• imisipha eqinile
• ifloppy noma isiqu esiqinile nezitho
• izinkinga zokuhamba
• ukuma okungajwayelekile
• ukugwinya izinkinga
• ukungalingani kwemisipha yeso
• ukuthuthumela nokunyakaza okungazibandakanyi
• inkinga ngamakhono amahle emoto
• ukukhubazeka ekufundeni

Ngokusho kweCenters for Disease Control and Prevention (CDC), i-CP iyakhula ngaphambi kokuzalwa kepha ingabuye itholakale ebuntwaneni.

Isimo asibi sibi ngokuhamba kwesikhathi, futhi izingane eziningi ezine-CP ziyaqhubeka nokuphila impilo ezimele. Ngaphezu kwezingane ezine-CP zingahamba ngaphandle kosizo, ngokusho kwe-CDC.

Kule ndatshana, sizohlola izimbangela ezivame kakhulu ze-CP. Sizophendula futhi imibuzo ongayithola ngalesi sifo esijwayelekile sokunyakaza.

Yini imbangela enkulu yokukhubazeka kobuchopho?

I-CP eqala ngaphambi, ngesikhathi, noma kungakapheli amasonto amane wokuzalwa yaziwa njengeCgenital CP.

Cishe amacala e-CP azalwa ngokuya nge-CDC. I-CP eba ngaphezu kwezinsuku ezingama-28 ngemuva kokuzalwa ibizwa nge-CP etholakele.

Izimbangela ze-Congenital CP

Ezimweni eziningi, imbangela ngqo ye-CP yokuzalwa ngokuvamile ayaziwa. Kodwa-ke, noma yiziphi izimo ezilandelayo zingaba izimbangela.

• I-Asphyxia neonatorum. I-Asphyxia neonatorum ukuntuleka komoya-mpilo ebuchosheni ngesikhathi sokubeletha nokubeletha futhi kungadala ukulimala kobuchopho okuholela ku-CP.
• Ukuguquka kwezakhi zofuzo. Ukuguqulwa kwezakhi zofuzo kungaholela ekukhuleni okungavamile kobuchopho.
• Ukutheleleka ngesikhathi sokukhulelwa. Ukutheleleka okusuka kumama kuye embungwini kungadala ukulimala kwengqondo kanye ne-CP. Izinhlobo zezifo ezixhunyaniswe ne-CP zibandakanya izinkukhu, isimungumungwane saseJalimane (rubella), kanye nezifo ezibangelwa amagciwane.
• Ukopha ebuchosheni. Isifo sohlangothi esibelethweni singaholela ekulimaleni kwengqondo naku-CP. Ukushaywa yisisu kungabangelwa yimithambo yegazi eyakhiwe ngokungajwayelekile, amahlule egazi, nokukhubazeka kwenhliziyo.
• Ukukhula okungavamile kobuchopho. Ukutheleleka, ukushisa komzimba nokuhlukumezeka kungadala ukukhula kwengqondo okungajwayelekile okuholela ku-CP.

Izimbangela ze-CP ezitholakele

I-CP yaziwa njenge-CP etholakalayo lapho iba ngaphezu kwezinsuku ezingama-28 ngemuva kokuzalwa. I-CP etholakalayo ivame ukukhula ngaphakathi kweminyaka emibili yokuqala yokuphila.

• Ukuhlukumezeka ekhanda. Ukulimala kabi ekhanda kungaholela ekulimaleni unomphela kobuchopho. Izimbangela ezijwayelekile zokuhlukumezeka ekhanda zibandakanya ukushayisana kwezimoto, ukuwa nokuhlaselwa.
• Izifo. I-Meningitis, i-encephalitis, nezinye izifo kungaholela ekulimaleni unomphela kobuchopho.
• I-jaundice. I-jaundice engalashwa ingaholela ohlotsheni lokulimala kobuchopho okubizwa ngokuthi. I-Kernicterus ingaholela ekukhubazekeni kobuchopho, ezinkingeni zombono nasekulahlekelweni kokuzwa.

Imibuzo ejwayelekile ngezimbangela ze-CP

Ingabe abantu abadala bangathola ukukhubazeka kobuchopho?

Abantu abadala abakwazi ukuthuthukisa i-CP. Kuza kuphela phakathi neminyaka emibili yokuqala yokuphila. Kodwa-ke, abantu abadala abaningi baphila nokukhubazeka kobuchopho okhule ebuntwaneni noma ngaphambi kokuzalwa.

Ingabe i-shaken baby syndrome ingadala ukukhubazeka kobuchopho?

I-Shaken baby syndrome ukuhlukumezeka ekhanda okudalwa lapho ingane inyakaziswa kakhulu noma ishaya ikhanda. I-Shaken baby syndrome ingadala ukulimala kobuchopho okungaholela ekukhubazekeni kobuchopho.

Ingabe i-cerebral palsy genetic?

Ucwaningo alukakatholi i-CP njengesifo sofuzo. Kodwa-ke, ngokusho kokubuyekezwa kuka-2017, abanye abacwaningi basola ukuthi kungenzeka ukuthi ufuzo lube nomthelela ekuthuthukiseni ukukhubazeka kobuchopho.

Ingabe ukubhema ngesikhathi sokukhulelwa kubangela ukukhubazeka kobuchopho?

Ukubhema ngesikhathi sokukhulelwa kwandisa amathuba okuthi umbungu ube nokukhula okungavamile kobuchopho.

Lokhu kukhula kobuchopho okungavamile kungasiza ezimeni ezinjengokukhubazeka kobuchopho noma ukuquleka, njengoba kuphawuliwe ocwaningweni lwango-2017.

Ingabe isifo sohlangothi singabangela ukukhubazeka kobuchopho?

Imivimbo yobuntwana ingadala ukukhubazeka kobuchopho ezinganeni. I-stroke ukuvinjelwa kokugeleza kwegazi ebuchosheni okungadala ukulimala kwezicubu ezizungezile.

Ingabe i-cerebral palsy degenerative?

I-Cerebral palsy ayonakalisi futhi ayibi kubi ngokuhamba kwesikhathi. Uhlelo olufanele lwezokwelapha olufaka ukuzivocavoca kanye nezikhathi zokuchwepheshe bezokunakekelwa kwezempilo zingasiza ukuphatha nokuthuthukisa izimpawu.

Izinhlobo ze-cerebral palsy

Kunezinhlobo ezine ze-CP ezaziwayo kwezokwelapha. Kungenzeka futhi ukuba nokuxubana kwezimpawu ezivela ezinhlotsheni ezahlukahlukene ze-CP.

Ukukhubazeka kobuchopho obusabekayo

I-Spastic cerebral palsy iyindlela ejwayelekile kakhulu. Cishe amaphesenti angama-80 ane-CP anokuhluka lokhu. Ukukhubazeka kobuchopho obuthambile kubangela imisipha eqinile nokunyakaza okunyantisayo.

Abantu abaningi abanalesi sifo banamaphethini wokuhamba angajwayelekile. Abantu abane-CP enamandla kakhulu bangase bangakwazi ukuhamba nhlobo.

Isifo sokukhubazeka kwengqondo se-Dyskinetic

I-Dyskinetic cerebral palsy ibangela ukunyakaza kwezitho okungavamile nokuzibandakanya. Kungathinta nokunyakaza kolimi.

Abantu abane-dyskinetic cerebral palsy bavame ukuba nenkinga yokuhamba, ukukhuluma nokugwinya. Ukunyakaza kwabo kungahle kuhamba kancane futhi kusonteke noma kusheshe futhi kufiphale.

I-Hypotonic cerebral palsy

I-Hypotonic cerebral palsy ibangela ukuthi imisipha yakho ikhululeke ngokweqile. Imvamisa, umuntu one-hypotonic CP unezitho ezibonakala ziyi-floppy.

Izingane ezinalesi sifo zivame ukuba nenkinga yokusekela ikhanda lazo. Izingane ezindala zingaba nezinkinga ngokukhuluma, ukucabanga nokuhamba.

I-Ataxic cerebral palsy

I-Ataxic cerebral palsy ibangela ukunyakaza kwezitho zokuzithandela okuholela ezinkingeni ngokulinganisela nokuxhumanisa. Abantu abanalolu hlobo lwe-CP bangaba nenkinga ngokuhamba kahle kwezimoto.

I-cerebral palsy exubile

Abanye abantu abane-CP bangaba nezimpawu zezinhlobo ezingaphezu kweyodwa ze-CP. Abantu abaningi abane-CP exubekile banexube le-spastic ne-dyskinetic CP.

Izinkinga ezingaba khona zokukhubazeka kobuchopho

I-CP ingadala izinkinga ezahlukahlukene zomzimba ngenxa yokungajwayelekile kokuhamba. Abantu abane-CP nabo bangazizwa behlukanisiwe, okungaholela ezimeni zempilo yengqondo njengokucindezeleka noma ukukhathazeka.

Okulandelayo izinkinga ezingaba khona ze-cerebral palsy:

• ukuguga ngaphambi kwesikhathi
• ukungondleki
• ukudana
• ukukhathazeka
• izifo zenhliziyo namaphaphu
• i-osteoarthritis
• ubuhlungu obungapheli
• scoliosis

Abantu abane-CP banamazinga aphezulu ezimo ezahlukahlukene njenge:

• umfutho wegazi ophezulu (umfutho wegazi ophakeme)
• isifo samathambo
• ubuhlungu obuhlangene
• imivimbo
• izinkinga zokukhuluma
• ukugwinya ubunzima
• isifo sikashukela
• izimo zenhliziyo
• isithuthwane

Ukuphatha ukukhubazeka kobuchopho

I-CP ayonakalisi futhi ayibi kubi ngokukhula. Izimpawu zivame ukuthuthuka ngohlelo olufanele lokwelashwa.

Ukwelashwa kubandakanya ukwelashwa ngokomzimba, imithi, kanye nokuhlinzwa ngezikhathi ezithile ukusiza ukuphatha izinkinga zokuhamba. Izinhlobo zokwelashwa zifaka:

• ukwelashwa ngokomzimba
• ukwelashwa emsebenzini
• ukwelashwa kokukhuluma
• ukwelashwa kokuzijabulisa
• ukuphumula kwemisipha
• imijovo yemisipha
• ukuhlinzwa kwamathambo
• ngokukhetha ukusika imicu yezinzwa (ezimweni ezingavamile)

Ukudla okudlela endlini

Ukuqala kokukhubazeka kobuchopho kuphambi kokuzalwa noma ebuntwaneni. Ngokuxilongwa nokwelashwa okufanele, abantu abaningi abane-cerebral palsy bayakwazi ukuphila impilo ephelele futhi ezimele.