Ubungqingqwa

Ubuninzi bunzima okanye izihlunu ezinzima. Inokubizwa ngokuba kukuqina okungaqhelekanga okanye ukwanda kwethoni yemisipha. I-Reflexes (umzekelo, i-reflex-jerk reflex) yomelele okanye ibaxiwe. Le meko inokuphazamisa ukuhamba, ukuhamba, ukuthetha, kunye nezinye izinto ezininzi zokuphila kwemihla ngemihla.

Ukuxinana kudla ngokubangelwa kukonakala kwinxalenye yengqondo ebandakanyekayo ekuhambeni phantsi kolawulo lwakho. Inokuthi yenzeke kwakhona kumonakalo kwimithambo-luvo ephuma kwingqondo iye kwintambo yomqolo.

Iimpawu zokuphanga zibandakanya:

• Ukuma ngendlela engaqhelekanga
• Ukuthwala igxalaba, ingalo, isihlahla, kunye nomnwe kwi-engile engaqhelekanga ngenxa yokuqina kwemisipha
• Ukunyaniseka kwethenda ye-tendon (i-knee-jerk okanye ezinye iingcamango)
• Ukuphindaphinda okuphindaphindiweyo kwe-jerky (clonus), ngakumbi xa uchukumisiwe okanye ushukuma
• Isikere (ukuwela kwemilenze njengoko iingcebiso zesikere zaziza kuvalwa)
• Ubuhlungu okanye ukukhubazeka kwendawo echaphazelekayo yomzimba

Ubunono bunokuchaphazela intetho. Ukuqina, ukuhlala ixesha elide kunokukhokelela kwisivumelwano semisipha. Oku kunokunciphisa uluhlu lokuhamba okanye ushiye amalungu edibene.

Ukuxinana kunokubangelwa zezi zinto zilandelayo:

• I-Adrenoleukodystrophy (ukuphazamiseka okuphazamisa ukuwohloka kwamafutha athile)
• Umonakalo wobuchopho obangelwa kukungabikho kweoksijini, njengoko kunokwenzeka kwimeko yokurhaxwa okanye ekuxineni
• I-Cerebral palsy (iqela leengxaki ezinokubandakanya ukusebenza kwengqondo kunye neenkqubo zovalo)
• Ukwenzakala entloko
• Isifo sokugubhuka
• Isifo se-Neurodegenerative (izifo ezonakalisa ingqondo kunye nenkqubo yeemvakalelo ngokuhamba kwexesha)
• I-Phenylketonuria (ingxaki apho umzimba ungenakho ukwaphula i-amino acid phenylalanine)
• Ukulimala kwentambo yomqolo
• Ukubetha

Olu luhlu alubandakanyi zonke iimeko ezinokubangela ukungangqinelani.

Ukuzivocavoca, kubandakanya ukolula izihlunu, kunokunceda ukwenza iimpawu zingaphantsi kakhulu. Unyango lomzimba luyanceda.

Nxibelelana nomboneleli wakho wezempilo ukuba:

• Ukuxinana kuya kusiba mandundu
• Uphawula ukukhubazeka kweendawo ezichaphazelekayo

Ugqirha wakho uya kwenza uvavanyo lomzimba kwaye abuze malunga neempawu zakho, kubandakanya:

• Yaqala nini ukuqatshelwa?
• Ithathe ixesha elingakanani?
• Ngaba ihlala ikhona?
• Inzima kangakanani?
• Zeziphi izihlunu ezichaphazelekayo?
• Yintoni eyenza ibengcono?
• Yintoni eyenza mandundu?
• Zeziphi ezinye iimpawu ezikhoyo?

Emva kokumisela unobangela wokungangxami, ugqirha unokukuthumela kunyangi. Unyango lomzimba lubandakanya imithambo eyahlukeneyo, kubandakanya ukolula izihlunu kunye nokuqinisa umthambo Ukuzivocavoca umzimba kungafundiswa kubazali abanokuthi emva koko bancede umntwana wabo abenzele ekhaya.

Olunye unyango lunokubandakanya:

• Amayeza okunyanga ukuqaqamba. Oku kufuneka kuthathwe njengoko kuyalelwe.
• Ityhefu yeBotulinum enokufakwa kwimisipha ye-spastic.
• Kwiimeko ezinqabileyo, impompo esetyenziselwa ukuhambisa ngokuthe ngqo amayeza kulusu lomqolo nakwinkqubo yemithambo-luvo.
• Ngamanye amaxesha utyando ukukhupha ithenda okanye ukusika indlela yemithambo-luvo.

Ukuqina kwemisipha; IHypertonia

• Inkqubo ye-nervous central kunye ne-peripheral system

IGriggs RC, iJozefowicz RF, iAminoff MJ. Indlela yesigulana ngesifo se-neurologic. Ku: IGoldman L, iSchafer AI, ii-eds. Amayeza eGoldman-Cecil. Umhla wama-25. IPhiladelphia, PA: Elsevier Saunders; Ngo-2016: isahluko 396.

UMcGee S. Uvavanyo lwenkqubo yeemoto: indlela yokusondela kubuthathaka. Ku: McGee S, ed. Ubungqina obuSekwe ePhameni. Ngomhla we-4. IPhiladelphia, PA: Elsevier; I-2018: isahluko 61.