Ukuhamba-okungalawulekiyo

Iintshukumo ezingalawulekiyo zibandakanya iintlobo ezininzi zeentshukumo ongenakuzilawula. Banokuchaphazela iingalo, imilenze, ubuso, intamo, okanye amanye amalungu omzimba.

Imizekelo yeentshukumo ezingalawulekiyo zezi:

• Ukuphulukana nethoni yezihlunu (flaccidity)
• Ukuhamba kancinci, ukujija, okanye ukuqhubeka kokuhamba (chorea, athetosis, okanye dystonia)
• Ukuhamba ngokukhawuleza kwe-jerking (myoclonus, ballismus)
• Ukuhamba okungalawulekiyo okuphindaphindayo (asterixis okanye ukungcangcazela)

Zininzi izinto ezibangela iintshukumo ezingalawulekiyo. Ezinye iintshukumo zihlala ixesha elifutshane. Ezinye zibangelwa yimeko esisigxina yengqondo kunye nentambo yomqolo kwaye zinokuba mandundu.

Ezinye zezi ntshukumo zichaphazela abantwana. Ezinye zichaphazela kuphela abantu abadala.

Oonobangela ebantwaneni:

• Ingxaki yemfuza
• I-Kernicterus (i-bilirubin eninzi kakhulu kwinkqubo ye-nervous system)
• Ukungabikho kweoksijini (hypoxia) ekuzalweni

Oonobangela kubantu abadala:

• Izifo zenkqubo yemithambo-luvo eziya zisiba mandundu
• Ingxaki yemfuza
• Amayeza
• Stroke okanye ukulimala kwengqondo
• Amathumba
• Iziyobisi ezingekho mthethweni
• Intloko kunye nentamo

Unyango lomzimba olubandakanya ukuqubha, ukuzolula, ukuhamba, kunye nokuzilolonga umzimba kunokunceda ngokulungelelanisa kunye nokucothisa umonakalo.

Buza umboneleli wezempilo ukuba ngaba izinto zokuhamba, ezinje ngenduku okanye i-walker, ziya kuba luncedo.

Abantu abanale ngxaki badla ngokuwa. Thetha nomboneleli malunga namanyathelo okuthintela ukuwa.

Inkxaso yosapho ibalulekile. Kuyanceda ukuxoxa ngokukhululekileyo ngeemvakalelo zakho. Amaqela okuzinceda afumaneka kwiindawo ezininzi.

Fowunela umboneleli wakho ukuba unayo nayiphi na intshukumo engachazekiyo ongakwaziyo ukuyilawula engahambi.

Umboneleli uya kwenza uvavanyo lomzimba kwaye abuze malunga neempawu zakho kunye nembali yonyango. Uya kuba noviwo oluneenkcukacha kuzo zombini iinkqubo zemithambo-luvo kunye nezihlunu.

Imibuzo yembali yezonyango inokubandakanya:

• Ngaba zikho izihlunu zemisipha ezinokubangela imeko engaqhelekanga?
• Ngaba iingalo ziyachaphazeleka?
• Ngaba imilenze ichaphazelekayo?
• Yaqala nini le ntshukumo?
• Ngaba yenzeka ngesiquphe?
• Ngaba iqhubekile kancinci kancinci ngaphezulu kweeveki okanye iinyanga?
• Ngaba ikhona ngalo lonke ixesha?
• Ngaba iba mbi emva kokuzilolonga?
• Iba worse xa unestress?
• Kungcono emva kokulala?
• Yintoni eyenza ibengcono?
• Zeziphi ezinye iimpawu ezikhoyo?

Uvavanyo olunoku-odolwa lubandakanya:

• Uvavanyo lwegazi (njenge-CBC okanye umahluko wegazi)
• Ukuxilongwa kwe-CT kwentloko okanye kwendawo echaphazelekayo
• I-EEG
• Ukugqobhoza iLumbar
• I-MRI yentloko okanye yendawo echaphazelekayo
• Uhlalutyo lomchamo

Unyango luxhomekeke kwisizathu. Iintshukumo ezininzi ezingalawulekiyo ziyanyangwa ngamayeza. Ezinye iimpawu zinokuphucula ngokwazo. Umboneleli wakho uya kwenza izindululo ngokusekwe kwiimpawu kunye neempawu zakho.

Iintshukumo ezingalawulwayo; Iintshukumo zomzimba ezingalambathanga; Ukuhamba komzimba - okungalawulekiyo; IDyskinesia; IAthetosis; Myoclonus; IBallismus

• Inkqubo ye-nervous central kunye ne-peripheral system

UJankovic J, uLang AE. Ukuchongwa kunye nokuvavanywa kwesifo seParkinson kunye nokunye ukuphazamiseka kokuhamba. Ku: Daroff RB, Jankovic J, Mazziotta JC, Pomeroy SL, ii-eds. I-Neurology kaBradley kwiKlinikhi yokuziqhelanisa. Umhla wesi-7. IPhiladelphia, PA: Elsevier; I-2016: isahluko 23.

Umlenze AE. Ezinye iingxaki zokuhamba. Ku: IGoldman L, iSchafer AI, ii-eds. Amayeza eGoldman-Cecil. Umhla wama-25. IPhiladelphia, PA: Elsevier Saunders; I-2016: isahluko 410.