I-Hemiplegia: oonobangela kunye nonyango lokwahlula amalungu omzimba

Umxholo

• Inkcazo yehemiplegia
• IHemiparesis vs hemiplegia
• IHemiplegia vs.i-cerebral palsy
• Iimpawu zeHemiplegia
• Izizathu zeHemiplegia
• Ukubetha
• Usulelo lobuchopho
• Ukubandezeleka kwengqondo
• Imfuza
• Amathumba ebongo
• Iindidi zehemiplegia
• Ubuso behemiplegia
• Umqolo hemiplegia
• I-hemiplegia yangaphakathi
• Ukuqaqamba kwehemiplegia
• Ukutshintsha i-hemiplegia yobuntwana
• Unyango lweHemiplegia
• Umzimba wonyango
• Ukunyanga okunyanzelekileyo okunyanzelisiweyo kunyango (mCIMT)
• Izixhobo zokunceda
• Imifanekiso engqondweni
• Ukuvuselelwa kombane
• Ngaba ihemiplegia isigxina?
• Izixhobo zabantu abane-hemiplegia
• Yise kude

Inkcazo yehemiplegia

IHemiplegia yimeko ebangelwa ngumonakalo wobuchopho okanye ukwenzakala kwethambo lomqolo okukhokelela ekukhubazekeni kwelinye icala lomzimba. Kubangela ubuthathaka, iingxaki kulawulo lwemisipha, kunye nokuqina kwemisipha. Iqondo leempawu zehemiplegia ziyahluka ngokuxhomekeka kwindawo kunye nobungakanani bengozi.

Ukuba i-hemiplegia ihlasela ngaphambi kokuzalwa, ngexesha lokuzalwa, okanye kwiminyaka emi-2 yokuqala yobomi, yaziwa ngokuba yi-hemiplegia yokuzalwa. Ukuba i-hemiplegia ikhula kamva ebomini, yaziwa ngokuba yi-hemiplegia efunyenweyo. IHemiplegia ayihambelani. Nje ukuba isifo siqale, iimpawu azibi mbi.

Qhubeka ufunda ukuze ufunde malunga nokuba kutheni i-hemiplegia yenzeka kunye neendlela zonyango ezikhoyo ezikhoyo.

IHemiparesis vs hemiplegia

IHemiparesis kunye nehemiplegia zihlala zisetyenziswa ngokungafaniyo kwaye zivelise iimpawu ezifanayo.

Umntu one-hemiparesis ufumana ubuthathaka okanye ukukhubazeka okuncinci kwicala elinye lomzimba. Umntu one-hemiplegia unokufumana ukukhubazeka ngokupheleleyo kwelinye icala lomzimba wakhe kwaye unokuba nengxaki yokuthetha okanye yokuphefumla.

IHemiplegia vs.i-cerebral palsy

I-Cerebral palsy ligama elibanzi kune-hemiplegia. Ibandakanya iintlobo ezahlukeneyo zokuphazamiseka ezichaphazela izihlunu kunye nokuhamba kwakho.

I-Cerebral palsy ikhula ngaphambi kokuzalwa okanye kwiminyaka embalwa yokuqala yobomi. Abantu abadala abanakho ukukhula, kodwa umntu onesifo sokukhubazeka kwengqondo, angabona iimpawu zenguqu njengoko bekhula.

Unobangela oqhelekileyo wehemiplegia ebantwaneni kuxa besesibelekweni.

Iimpawu zeHemiplegia

I-Hemiplegia inokuchaphazela icala lasekhohlo okanye lasekunene lomzimba wakho. Nokuba leliphi icala lobuchopho bakho elichaphazelekayo libangela iimpawu kwelinye icala lomzimba wakho.

Abantu banokuba neempawu ezahlukeneyo ezivela kwi-hemiplegia ngokuxhomekeke kubukhali bayo. Iimpawu zingabandakanya:

• ubuthathaka bemisipha okanye ukuqina kwelinye icala
• Ukuxhamla kwemisipha okanye umsipha osisigxina
• izakhono zokuqhuba kakuhle
• ingxaki yokuhamba
• ukungalingani
• inkathazo yokubamba izinto

Abantwana abane-hemiplegia banokuthatha ixesha elide ukufikelela kumanqwanqwa ophuhliso kunontanga yabo. Banokusebenzisa isandla esinye kuphela xa bedlala okanye begcina isandla esinye kwinqindi.

Ukuba i-hemiplegia ibangelwa kukulimala kwengqondo, ukulimala kwengqondo kunokubangela iimpawu ezingabalulekanga kwi-hemiplegia, njenge:

• iingxaki zememori
• ingxaki yokujonga
• imiba yentetho
• utshintsho kwindlela yokuziphatha
• ukuxhuzula

Izizathu zeHemiplegia

Ukubetha

Ukubethwa sesinye sezizathu eziqhelekileyo zehemiparesis. Ubunzima bobuthathaka bemisipha obufumanayo bunokuxhomekeka kubungakanani kunye nendawo ekubetha kuyo. Ukubethwa esibelekweni sesona sizathu siqhelekileyo se-hemiplegia ebantwaneni.

Usulelo lobuchopho

Usulelo lwengqondo lunokubangela umonakalo ongapheliyo kwi-cortex yengqondo. Uninzi losulelo lubangelwa ziintsholongwane, kodwa ezinye izifo zisenokuba yintsholongwane okanye ukungunda.

Ukubandezeleka kwengqondo

Impembelelo yequbuliso entlokweni yakho inokubangela ukonakala kwengqondo okungapheliyo. Ukuba ukwenzakala kuchaphazela kuphela icala elinye lobuchopho, i-hemiplegia inokukhula. Izizathu eziqhelekileyo zengozi zibandakanya ukungqubana kweemoto, ukulimala kwezemidlalo kunye nokuhlaselwa.

Imfuza

Utshintsho olunqabileyo kakhulu YOKWENZA Imfuza inokubangela imeko eyaziwa njengokutshintsha i-hemiplegia ebantwaneni. Ibangela iimpawu zexeshana zehemiplegia ezizayo kwaye zihambe. Esi sifo sichaphazela malunga nesigidi kubantu abayi-1.

Amathumba ebongo

Izicubu zeBongo zingakhokelela kwiingxaki ezahlukeneyo zomzimba kubandakanya ihemiplegia. Iimpawu ze-hemiplegia zinokuba zibi ngakumbi njengoko ithumba likhula.

Iindidi zehemiplegia

Oku kulandelayo kukuphazamiseka kokuhamba kunokubangela iimpawu zehemiplegia.

Ubuso behemiplegia

Abantu abanobuso be-hemiplegia banamava akhubazekileyo kwelinye icala lobuso babo. Ubuso behemiplegia bunokudityaniswa ne-hemiplegia encinci kwenye indawo emzimbeni.

Umqolo hemiplegia

Umqolo we-hemiplegia ukwabizwa ngokuba yi-Brown-Sequard syndrome. Kubandakanya ukonakala kwelinye icala lomqolo obangela ukukhubazeka kwicala elinye lomzimba njengokulimala. Ikwabangela ukuphulukana nentlungu kunye nokuziva ubushushu kwelinye icala lomzimba.

I-hemiplegia yangaphakathi

Oku kubhekisa kukukhubazeka kwelinye icala lomzimba okwenzakala ebuchotsheni.

Ukuqaqamba kwehemiplegia

Olu luhlobo lwe-cerebral palsy echaphazela ikakhulu icala elinye lomzimba. Imisipha kwicala elichaphazelekayo ihlala ikhontrakthi okanye i-spastic.

Ukutshintsha i-hemiplegia yobuntwana

Ukutshintsha kwe-hemiplegia yobuntwana kuhlala kuchaphazela abantwana abangaphantsi kweenyanga ezili-18 ubudala. Ibangela iziqendu eziphindaphindayo zehemiplegia ezichaphazela elinye okanye omabini amacala omzimba.

Unyango lweHemiplegia

Izinketho zonyango lwe-hemiplegia zixhomekeke kwisizathu se-hemiplegia kunye nobukhulu beempawu. Abantu abane-hemiplegia bahlala befumana i-rehab eyahlukeneyo ebandakanya abanyangi bomzimba, oochwephesha bokubuyisela kwimeko yesiqhelo, kunye noochwephesha bezempilo yengqondo.

Umzimba wonyango

Ukusebenza kunye ne-physiotherapist kuvumela abantu abane-hemiplegia ukuba baphucule amandla abo okulinganisela, ukwakha amandla kunye nokulungelelanisa ukunyakaza. I-physiotherapist inokukunceda ukolula izihlunu eziqinileyo kunye ne-spastic.

Ukunyanga okunyanzelekileyo okunyanzelisiweyo kunyango (mCIMT)

Ukunyanga okunyanzelisiweyo okunyanzelekileyo kunyango kubandakanya ukuthintela icala lomzimba wakho ongachaphazelekanga yi-hemiplegia. Olu khetho lunyanzela icala lakho elibuthathaka ukuba lihlawule kwaye lijolise ekuphuculeni ulawulo lwakho lwemisipha kunye nokuhamba.

Enye encinci epapashwe ngo-2018 yagqiba ukuba kubandakanywa i-mCIMT ekubuyiselweni kwe-stroke kunokusebenza ngakumbi kunonyango lwendabuko kuphela.

Izixhobo zokunceda

Abanye abagqirha bangacebisa ukuba kusetyenziswe izihlangu zezilima ezidityaniswe ngentsinjana okanye ngeplangana, induku, isitulo esinamavili okanye isihambahamba. Sebenzisa isixhobo esincedisayo kunokunceda ukuphucula ulawulo lwemisipha kunye nokuhamba.

Ingcinga efanelekileyo yokubonisana neengcali zonyango ukuba ufumane ukuba yeyiphi na into ekulungeleyo. Banokucebisa uhlengahlengiso onokulenza ekhayeni lakho njengezihlalo zangasese eziphakanyisiweyo, iirampu kunye nokubamba imivalo.

Imifanekiso engqondweni

Ukucinga ngokuhambisa isiqingatha esikhubazekileyo somzimba wakho kunokunceda ukwenza amalungu engqondo abe noxanduva lokuhamba. Imifanekiso engokwengqondo ihlala idityaniswe nezinye iindlela zonyango kwaye kunqabile ukuba isetyenziswe yodwa.

Olunye uhlalutyo lweemeta olujonge kwiziphumo zezifundo ezingama-23 lufumanise ukuba imifanekiso engqondweni inokuba yindlela efanelekileyo yokufumana amandla kwakhona xa idityaniswe nonyango lomzimba.

Ukuvuselelwa kombane

Ingcali yezonyango inokunceda ukukhuthaza intshukumo yemisipha ngokusebenzisa iiphedi zombane. Umbane uvumela izihlunu ongenakukwazi ukuzihambisa ngononophelo kwisivumelwano. Ukuvuselelwa kombane kujolise ekunciphiseni ukungalingani kwicala elichaphazelekayo lengqondo kunye nokuphucula ingqondo.

Ngaba ihemiplegia isigxina?

IHemiplegia yimeko esisigxina kwaye akukho lunyango ngeli xesha. Kuyaziwa njengesifo esingaqhubekiyo ngenxa yokuba iimpawu azibi mandundu ngokuhamba kwexesha.

Umntu one-hemiplegia owenza inkqubo efanelekileyo yonyango unokukwazi ukuphucula iimpawu ze-hemiplegia ngokuhamba kwexesha. Abantu abane-hemiplegia banokuhlala ubomi obuzimeleyo kunye nobusebenzayo ngoncedo lokuhamba.

Izixhobo zabantu abane-hemiplegia

Ukuba unomntwana one-hemiplegia, unokufumana ulwazi kunye nenkxaso kwiwebhusayithi yaBantwana yeHemiplegia kunye neStroke Association. Unokufumana izixhobo ezithile zikarhulumente wakho kwiwebhusayithi yabo. Banazo nezibonelelo zabantu abaseKhanada okanye eUnited Kingdom.

Ukuba ulawula i-hemiplegia ebangelwa yistroke, unokufumana uluhlu olude lwezixhobo kwiwebhusayithi yeStroke Centre.

Yise kude

IHemiplegia kukukhubazeka kakhulu kwelinye icala lomzimba wakho okubangelwa kukonakala kwengqondo. Sisifo esingaqhubekiyo kwaye asibi mandundu nje ukuba sikhule. Ngesicwangciso sonyango esifanelekileyo, kunokwenzeka ukuba uphucule iimpawu zehemiplegia.

Ukuba uhlala ne-hemiplegia, ungenza olu tshintsho lulandelayo kwindlela ophila ngayo ukunceda ukubuyisela kwimeko yesiqhelo:

• Hlala usebenza ngokusemandleni akho.
• Guqula ikhaya lakho ngezixhobo ezincedisayo ezinje ngeerampu, imivalo yokubamba, kunye nezandla zokubambelela.
• Nxiba izihlangu ezithe tyaba nezixhasayo.
• Landela ingcebiso kagqirha wakho ngezixhobo zoncedo.