Ukuchacha emva kokubethwa

Ukubetha kwenzeka xa ukuhamba kwegazi kuye nakweyiphi na indawo yengqondo kuyekile.

Umntu ngamnye unexesha elahlukileyo lokufumana kwakhona kunye nemfuno yokhathalelo lwexesha elide. Iingxaki ngokuhamba, ukucinga nokuthetha zihlala ziphucula kwiiveki zokuqala okanye kwiinyanga emva kokubetha. Abanye abantu baya kuhlala bephucula iinyanga okanye iminyaka emva kokubetha.

UKUHLALA PHI EMVA KWESIBHEKO

Uninzi lwabantu luza kudinga ukubuyiselwa kwimeko yesiqhelo ukubuyela kwimeko yesiqhelo (ukubuyisela kwimeko yesiqhelo) ukubanceda ukuba bachache emva kokuphuma esibhedlele. Ukubuyela kwimeko yesiqhelo kokubetha kuya kukunceda uphinde ubenakho ukuzikhathalela.

Uninzi lweentlobo zonyango lunokwenziwa apho uhlala khona, kubandakanya nasekhaya.

• Abantu abangakwaziyo ukuzikhathalela ekhaya emva kokubethwa sisifo banokuba nonyango kwindawo ekhethekileyo yesibhedlele okanye kwiziko lokonga okanye lokuvuselela.
• Abo banako ukubuyela emakhaya banokuya kwiklinikhi ekhethekileyo okanye umntu othile eze ekhayeni labo.

Nokuba ungabuyela ekhaya emva kokubethwa sisibetho kuxhomekeke:

• Nokuba ungazikhathalela na
• Lungakanani uncedo oluza kubakho ekhaya
• Nokuba ikhaya liyindawo ekhuselekileyo (umzekelo, izinyuko ekhaya zinokungakhuseleki kwisigulana esistroke esinengxaki yokuhamba)

Kuya kufuneka uye ekhayeni lokuhlala, kwikhaya losapho lwabantu abadala, okanye kwikhaya lokuchacha ukuze ube kwindawo ekhuselekileyo.

Kubantu abakhathalelwe ekhaya:

• Utshintsho lunokufuneka ukuze uhlale ukhuselekile ekuweni kwekhaya nakwindlu yangasese, kuthintele ukubhadula, kwaye wenze ikhaya libe lula ukusebenzisa. Ibhedi kunye nendawo yokuhlambela kufanele kube lula ukufikelela kuyo. Izinto (ezinjengokuphosa iiragi) ezinokubangela ukuwa kufuneka zisuswe.
• Zininzi izixhobo ezinokunceda kwimisebenzi enjengokupheka okanye ukutya, ukuhlamba okanye ukuhlamba, ukuhambahamba ekhaya okanye kwenye indawo, ukunxiba nokuzilungisa, ukubhala nokusebenzisa ikhompyuter, kunye neminye imisebenzi emininzi.
• Iingcebiso kusapho zinokukunceda ujongane notshintsho olufunekayo lokhathalelo lwasekhaya. Ukutyelela abongikazi okanye abancedisi, iinkonzo zamavolontiya, abenzi bamakhaya, iinkonzo zokhuselo zabantu abadala, ukhathalelo lwabantu abadala, kunye nezinye izibonelelo zoluntu (ezinje ngeSebe lokuGuga).
• Ingcebiso yezomthetho isenokufuneka. Imiyalelo engaphambili, amandla egqwetha, kunye nezinye izinto ezisemthethweni zinokwenza kube lula ukwenza izigqibo malunga nokhathalelo.

UKUTHETHA NOKUNXIBELELANA

Emva kokubetha, abanye abantu banokuba neengxaki zokufumana igama okanye bakwazi ukuthetha ngaphezu kwelinye igama okanye ibinzana ngexesha. Okanye, banokuba nengxaki yokuthetha konke konke. Oku kubizwa ngokuba yi-aphasia.

• Abantu abaye bahlaselwa sistroke banokukwazi ukudibanisa amagama amaninzi, kodwa basenokungabinangqondo. Abantu abaninzi abazi ukuba le nto bayithethayo akukho lula ukuyiqonda. Banokukhathazeka xa beqonda ukuba abanye abantu abanakuqonda. Usapho kunye nabanonopheli kufuneka bafunde ezona ndlela zilungileyo zokunceda ukunxibelelana.
• Kungathatha ukuya kuthi ga kwiminyaka emibini ukuphinda ufumane intetho. Asinguye wonke umntu oya kuphila ngokupheleleyo.

Istrowuku sinokonakalisa izihlunu ezikunceda uthethe. Ngenxa yoko, ezi zihlunu azihambi ngendlela eyiyo xa uzama ukuthetha. Oku kubizwa ngokuba yi-dysarthria.

Ingcali yokuthetha kunye nolwimi inokusebenza nawe kunye nosapho lwakho okanye abanonopheli. Unokufunda iindlela ezintsha zonxibelelwano.

UKUCINGA NOKUKHUMBULA

Emva kokubetha, abantu banokuba:

• Utshintsho kubuchule babo bokucinga okanye bokuqiqa
• Utshintsho kwindlela yokuziphatha nakwindlela yokulala
• Iingxaki zememori
• Ukugweba ngokungafanelekanga

Olu tshintsho lunokukhokelela ku:

• Ukwanda kwimfuno yamanyathelo okhuseleko
• Utshintsho kubuchule bokuqhuba
• Olunye utshintsho okanye izilumkiso

Uxinzelelo emva kokubetha kuqhelekile. Uxinzelelo lungaqala kwakamsinya emva kokubetha, kodwa iimpawu zisenokungaqali ukuya kuthi ga kwiminyaka emibini emva kokubetha. Unyango loxinzelelo lubandakanya:

• Ukwanda kwemisebenzi yentlalo. Ukutyelelwa ngakumbi ekhaya okanye ukuya kwiziko lokukhathalela abantu abadala ngemisebenzi.
• Amayeza oxinzelelo.
• Utyelelo kunyangi okanye kumcebisi.

IINGXAKI ZESISULE, EZIDIBENEYO, NEZINYE

Ukuhambahamba kunye nokwenza imisebenzi yesiqhelo yemihla ngemihla enjengokunxiba nokondla kunokuba nzima emva kokubetha.

Izihlunu kwelinye icala lomzimba zinokuba buthathaka okanye zingashukumi kwaphela. Oku kunokubandakanya kuphela indawo yengalo okanye umlenze, okanye icala lonke lomzimba.

• Imisipha kwicala elibuthathaka lomzimba inokuba yomelele kakhulu.
• Amalungu ahlukeneyo kunye nezihlunu emzimbeni kunokuba nzima ukuhamba. Igxalaba kunye namanye amalungu angaphambuka.

Uninzi lwezi ngxaki lunokubangela iintlungu emva kokubetha. Ubuhlungu bunokwenzeka kwakhona kwiinguqu kwingqondo uqobo. Unokusebenzisa amayeza entlungu, kodwa jonga kuqala kumboneleli wakho wokhathalelo lwempilo. Abantu abaneentlungu ngenxa yemisipha exineneyo banokufumana amayeza anceda ekuthambekeni kwezihlunu.

Abanyangi ngokwasemzimbeni, oochwephesha emsebenzini, kunye noogqirha bokubuyisela kwimeko yesiqhelo baya kukunceda ufunde ngendlela:

• Nxiba, uzilungise, utye
• Ukuhlamba, ukuhlamba nokusebenzisa indlu yangasese
• Sebenzisa imijuku, ukuhambahamba, izitulo ezinamavili, kunye nezinye izixhobo ukuze uhlale unomyayi kangangoko
• Mhlawumbi ubuyela emsebenzini
• Gcina yonke imisipha yomelele kangangoko kwaye uhlale usebenza ngokusemandleni, nokuba awukwazi ukuhamba
• Ukulawula i-spasms ye-muscle okanye ukuqina ngokuzilolonga kunye ne-brace efanelekileyo kwi-ankle, engqinibeni, egxalabeni nakwamanye amalungu.

UKUKHATHALELWA KWEBHOLA NENKOSI

Ukubetha kungakhokelela kwiingxaki ngesinyi okanye ukulawula amathumbu. Ezi ngxaki zinokubangelwa:

• Umonakalo kwinxalenye yengqondo enceda amathumbu kunye nokusebenza kwesinyi kakuhle
• Ungaqapheli isidingo sokuya kwindlu yangasese
• Iingxaki zokufika kwindlu yangasese ngexesha

Iimpawu zingabandakanya:

• Ukuphulukana nolawulo lwamathumbu, urhudo (ukungahambi kakuhle kwamathumbu), okanye ukuqhina (iintshukumo ezinzima)
• Ukuphulukana nolawulo lwesinyi, ukuziva isidingo sokuchama rhoqo, okanye iingxaki zokukhupha isinyi

Umboneleli wakho unokumisela amayeza ukunceda kulawulo lwesinyi. Unokufuna ukuthunyelwa kwisinyi okanye ingcali yamathumbu.

Ngamanye amaxesha, ishedyuli okanye ishedyuli yamathumbu iya kunceda. Inokukunceda ukubeka isitulo sokuhamba kufutshane nalapho uhlala khona imini yonke. Abanye abantu bafuna i-catheter engapheliyo yokuchama umchamo emzimbeni wabo.

Ukuthintela ulusu okanye izilonda zoxinzelelo:

• Coca emva kokungalawuleki
• Guqula indawo rhoqo kwaye wazi ukuba ungahamba kanjani ebhedini, esitulweni, okanye kwisitulo esinamavili
• Qinisekisa ukuba isitulo esinamavili singena ngokuchanekileyo
• Ngaba namalungu osapho okanye abanye abanonopheli bafunda ukujonga izilonda zolusu

UKUGUQA NOKUTYA EMVA KWESIBHEKO

Iingxaki zokuginya zisenokubangelwa kukungabikho kwengqwalaselo xa usitya okanye ukonakalisa imithambo-luvo ekunceda ukuba uginye.

Iimpawu zeengxaki zokuginya zezi:

• Ukukhohlela okanye ukukrwitsha, nokuba kungexesha okanye emva kokutya
• Izandi zokugungqa zisuka emqaleni ngexesha okanye emva kokutya
• Ukucoca umqala emva kokusela okanye ukuginya
• Ukuhlafuna kancinci okanye ukutya
• Ukukhohlela ukutya kubuyela umva emva kokutya
• I-Hiccups emva kokuginya
• Ukungonwabi kwesifuba ngexesha okanye emva kokuginya

Ingcali yezentetho inokunceda ngokuginya kunye nokutya iingxaki emva kokubetha. Ukutshintsha kokutya, njengokuqinisa ulwelo okanye ukutya ukutya okucocekileyo, kunokufuneka. Abanye abantu baya kufuna ityhubhu yokondla ngokusisigxina, ebizwa ngokuba yigastrostomy.

Abanye abantu abathathi iikhalori ezaneleyo emva kokubetha. Ukutya okunekhalori ezininzi okanye ukutya okuneevithamini okanye iiminerali kunokuthintela ukunciphisa umzimba kwaye kukugcine usempilweni.

EMINYE IMIBA EBALULEKILEYO

Bobabini abesilisa nabasetyhini banokuba neengxaki ekusebenzeni ngokwesondo emva kokubetha. Amayeza abizwa ngokuba yi-phosphodiesterase type 5 inhibitors (anje ngeViagra, Levitra, okanye iCialis) anokunceda. Buza umboneleli wakho ukuba ngaba ezi ziyobisi zikulungele na. Ukuthetha nonyango okanye nomcebisi nako kunokunceda.

Unyango kunye notshintsho kwindlela yokuphila ukukhusela olunye unyawo kubalulekile. Oku kubandakanya ukutya okusempilweni, ukulawula izifo ezifana neswekile kunye noxinzelelo lwegazi, kwaye ngamanye amaxesha ukuthatha amayeza ukukunceda ukuthintela esinye isifo.

Ukubuyela kwimeko yesiqhelo kokubetha; Ingozi yeCerebrovascular - ukuvuselelwa; Ukululama kwistroke; Ukubetha kwakhona; I-CVA-ukubuyisela kwakhona

• I-Angioplasty kunye nokubekwa kwindawo entle-umthambo we-carotid-ukukhutshwa
• Ukulungiswa kwe-aneurysm yobuchopho-ukukhutshwa
• Utyando lweCarotid-ukukhutshwa
• Inkqubo yemihla ngemihla yokunakekelwa kwamathumbu
• Ukuthintela izilonda zoxinzelelo
• Stroke - ukubhobhoza

I-Dobkin BH. Ukuvuselelwa kwengqondo. Ku: Daroff RB, Jankovic J, Mazziotta JC, Pomeroy SL, ii-eds. I-Neurology kaBradley kwiKlinikhi yokuziqhelanisa. Umhla wesi-7. IPhiladelphia, PA: Elsevier; Ngo-2016: isahluko 57.

Rundek T, Sacco RL. Ukuxela kwangaphambili emva kokubetha. Ku: Grotta JC, Albers GW, Broderick JP, Kasner SE, et al, ii-eds. Stroke: IPathophysiology, uDiagnosis, kunye noLawulo. Umhla wesi-6. IPhiladelphia, PA: Elsevier; 2016: isahluko 16.

UStein J. Stroke. Ku: UFrontera WR, iSilver JK, uRizzo TD, ii-eds. Iimfuno zoNyango loMzimba kunye noVuselelo. Ngomhla we-4. IPhiladelphia, PA: Elsevier; I-2019: isahluko 159.