Ingaba ukhubazekile engalweni okanye emlenzeni omnye? Masithethe nge-(Monoplegia)!

Ngaba wakha waziva ngathi ukhubazekile kwaye awukwazi ukushukumisa ingalo okanye umlenze? Okanye ngaba uye waphulukana nolawulo lwengalo okanye umlenze wakho kancinci kancinci? Oku kunokuba ngamava othusayo ngokwenene. Ngoko ke namhlanje siza kuthetha ngale meko, imeko yezonyango ebizwa ngokuba yi-`(Monoplegia)`.

Yintoni i-`(Monoplegia)`? Masiyiqonde ngokulula!

Ngamafutshane, `(Monoplegia)` ithetha ukuba ingalo enye okanye umlenze omnye womzimba wakho ukhubazekile ngokupheleleyo. Oko kukuthi, awukwazi ukuyishukumisa loo ngalo okanye umlenze ngokwakho. Sidla ngokusebenzisa igama elifana nelithi "paralysis" koku, kodwa kwi-`(Monoplegia)`, lilungu elinye kuphela elichaphazelekayo. Ngamanye amaxesha le meko inokuba yeyokwexeshana, oko kuthetha ukuba inokuphila emva kwexesha elithile. Nangona kunjalo, kwiimeko ezininzi, `(Monoplegia)` yimeko esisigxina.

Kutheni oku kusenzeka? Kwenzeka ntoni ngaphakathi emizimbeni yethu?

Cinga ngayo, imizimba yethu ngumatshini omangalisayo. Ine -`(iNkqubo yeNervous)`, oko kukuthi, inkqubo yemithambo-luvo. Oku kufana "negumbi lokulawula" lemizimba yethu. Imiyalezo evela kwingqondo, njengemiyalezo yombane, iya kwamanye amalungu omzimba ngale nkqubo yemithambo-luvo. Nokuba sifuna ukuhambisa ingalo okanye ukuphakamisa umlenze, lo myalezo kufuneka usuke kwingqondo udlule kwi-`Spinal Cord`, uze uhambe ngeengcambu zemithambo-luvo ezifanelekileyo, imithambo-luvo, uze uye kwi-`muscle`.

Ngoku khangela, kwenzeka ntoni ukuba kukho umonakalo okanye ukuphazamiseka kwenye indawo kule ndlela yomyalezo, oko kukuthi, ebuchotsheni, emgogodleni, kwiingcambu zemithambo-luvo, okanye kwimithambo-luvo ngokwayo? Emva koko loo myalezo awuyi kwimisipha ngokufanelekileyo. Kulapho loo ngalo okanye umlenze ukhubazeka khona, oko kukuthi, `(iMonoplegia)` iyenzeka. Yinkqubo enzima kakhulu, akunjalo? Yiyo loo nto kukho iindawo ezininzi ezinokubangela oku.

Zithini iimpawu ze-`(Monoplegia)`? Uyibona njani?

Uphawu oluphambili nolucacileyo lwe-"Monoplegia" kukungakwazi ukuhambisa ingalo okanye umlenze omnye. Nangona kunjalo, ukongeza koku, ungabona nezinye iimpawu ezingalweni okanye emlenzeni wakho ochaphazelekayo:

• Ukuvakalelwa ngathi iminwe yakho iyagoba: Iminwe okanye iinzwane zakho zisenokugoba ngaphakathi kwaye zigobe ngaphandle kokuba uqaphele.
• Ukulahlekelwa yimisipha: Kusenokuvakala ngathi ingalo/umlenze "ukhululekile" kwaye awunamandla.
• Ukwanda kwethoni yemisipha: Ngamanye amaxesha izihlunu zinokuba lukhuni kwaye zizive ngathi "zibethelwe ngamatye."
• Ukuqaqamba okanye ukuqina kwemisipha: Imisipha isenokuziva ngathi iyaxhuzula, iyaxhuzula, okanye iziva ngathi iqinile.

Indlela ezi mpawu ezibonakala ngayo iyahluka ukusuka komnye umntu ukuya komnye. Umzekelo, ukuba wenzakele okanye unesifo sohlangothi, ezi mpawu zinokuvela ngequbuliso.Nangona kunjalo, kwimeko yokuzalwa efana neCerebral Palsy, ezi mpawu zikhula kancinci kancinci.

Ziziphi izizathu eziphambili ze-`(i-Monoplegia)`?

Njengoko besikhe sathetha ngaphambili, le meko inokubangelwa kukonakala kwindawo ethile kwinkqubo yemithambo-luvo. Makhe sijonge izizathu eziphambili:

• I-Cerebral Palsy : Le yeyona nto ixhaphakileyo ebangela i-Monoplegia. Le yimeko echaphazela inkqubo yemithambo-luvo. Yenzeka xa iindawo zengqondo ezilawula izihlunu zingakhuli kakuhle okanye zonakele. Le meko idla ngokubakho ukususela ekuzalweni.
• Ukulimala kwengqondo okubuhlungu: Le meko inokwenzeka ukuba intloko yenzakele kakhulu, njengakwingozi, nto leyo ebangela umonakalo engqondweni.
• Ukulimala komqolo: Ukuba umqolo womqolo wonakele kwingozi, imiyalezo yemithambo-luvo edlula kuwo inokuphazamiseka, nto leyo ebangela ukuba kubekho i-"Monoplegia".
• Ukulimala engalweni okanye emlenzeni ochaphazelekayo: Ngamanye amaxesha, ukwenzakala okukhulu kumthambo omkhulu engalweni okanye emlenzeni nako kungaba yimbangela.
• Iintsholongwane: Ezinye izifo, ezifana nepoliyo, zingonakalisa inkqubo yemithambo-luvo kwaye zibangele le meko.
• Istroke kunye ne-aneurysms ephukileyo: Ezi zinokubangela ukuba ukuhamba kwegazi kwinxalenye yobuchopho kume, okubangela ukuba iiseli ezikuloo nxalenye zife, okubangela i-monoplegia.
• Usulelo lomqolo okanye ubuchopho: Usulelo lweentsholongwane okanye iintsholongwane zobuchopho okanye umqolo nazo zingunobangela.
• Iithumba ezikwi-spinal cord okanye ebuchotsheni: Ezi thumba zinokubangela umonakalo kwimithambo-luvo.

Ezinye iingxaki ezinokubakho ngenxa ye-`(i-Monoplegia)`

I-Monoplegia inokubangela ezinye iingxaki zempilo, kwaye kubalulekile ukuba uzazi ezo ngxaki.

• Amahlwili egazi: Kukho umngcipheko wokuba amahlwili egazi akheke engalweni okanye emlenzeni okhubazekileyo, njengoko ukuhamba kwegazi kuphazamiseka. I-Deep Vein Thrombosis (DVT), imeko apho amahlwili egazi akheka khona kwimithambo enzulu yemilenze, inokuba yingozi kakhulu.
• Ukukhubazeka: Ukulahlekelwa yingalo okanye umlenze omnye kwenza kube nzima ukwenza imisebenzi yemihla ngemihla, nto leyo ethetha ukuba kukho ukukhubazeka okuthile.
• Iingxaki zempilo yengqondo: Ukuphila nesi sifo esifana nesi ixesha elide kunokubangela uxinzelelo lwengqondo. Iimeko ezifana nokudakumba kunye noxinzelelo zinokwenzeka.

Musa ukuziva unesizungu ngexesha elinje. Kubalulekile ukufumana uncedo kusapho, kubahlobo, kwanakwagqirha.

Oogqirha bayixilonga njani imeko `(iMonoplegia)`?

Ukuba unale mpawu, xa ubona ugqirha, baya kuqala bakubuze imibuzo. Ngaba ukhe wenzakala kutshanje, kwaye xa uqaphela ezi mpawu okokuqala? Emva koko baya kwenza uvavanyo lomzimba. Ukongeza, banokwenza uvavanyo olufana nolu ukuze bancede ekufumaneni unobangela ochanekileyo:

• Ii-X-reyi: Jonga umonakalo emathanjeni.
• `(I-computed tomography - CT) scan` (I-CT scan): Thatha umfanekiso ocacileyo wengqondo okanye umqolo.
• Iskeni se-magnetic resonance imaging (MRI): Oku kunokubonelela ngeenkcukacha ezininzi malunga nengqondo, umqolo, kunye nemithambo-luvo.
• I-Electromyogram (EMG): Olu vavanyo lujonga ukuba ngaba imiqondiso yombane ithunyelwa kwimithambo-luvo ukuya kwimisipha yakho nokuba imisipha iyasabela na kuyo.

Ziziphi iindlela zonyango ze-`(Monoplegia)`?

Inyaniso kukuba, okwangoku akukho nyango lwe-monoplegia. Nangona kunjalo, oogqirha bazama ukunyanga unobangela oyintloko kunye nokulawula iimpawu zakho ukuphucula umgangatho wobomi bakho.

Kukho iindlela ezahlukeneyo zonyango:

1. Unyango

• Unyango lomzimba: Oku kunceda ukuphucula amandla, ukuguquguquka, kunye nokuhamba kwengalo/umlenze wakho okhubazekileyo. Kusetyenziswa iindlela ezahlukeneyo zokuzilolonga kunye nezixhobo zokuzilolonga.
• Unyango lomsebenzi: Olu nyango lukunceda ukuba wenze imisebenzi yemihla ngemihla, efana nokunxiba, ukutya, nokubhala, kwakhona wedwa.
• Unyango lwengqondo: Olu "nyango lokuthetha" lukunceda ujongane nemingeni yengqondo (efana nokudakumba, umsindo, nokuphelelwa lithemba) ehambisana nokuphila nokukhubazeka, kwaye lukunceda ukuchonga nokutshintsha iimvakalelo kunye nokuziphatha okungafanelekanga.

2. Izixhobo zokuncedisa

Ugqirha wakho unokucebisa izixhobo ezifana nezi ukukunceda ujikeleze kwaye wenze imisebenzi:

• Isitulo esinamavili
• Izikhonkwane
• Isikuta esikhethekileyo

3. Amayeza

Ngokuxhomekeke kwimeko yakho, amayeza anokunikwa ukulawula ezinye zeempawu:

• Izithomalalisi zentlungu
• Iziphumzi zemisipha
• Inaliti ebizwa ngokuba yi-``Botulinum toxin`` ngamanye amaxesha isetyenziselwa ukunyanga ukuqaqamba kwemisipha okanye ukuxhuzula kweengalo/imilenze.

4. Utyando

Kunqabile kakhulu, oogqirha banokucebisa utyando lokulungisa ezinye iingxaki emzimbeni (umzekelo, ukuba umthambo ucinezelekile).

Ndifanele ndimbone nini ugqirha?

Ukuba ufumana iimpawu ze-"Stroke" (umz., ukugoba ngequbuliso kwelinye icala lobuso, ukungakwazi ukuthetha, ukungasebenzi kakuhle kwengalo), okanye ukuba ukrokrela ukwenzakala okukhulu entloko, entanyeni, okanye emqolo,Fowunela u-1990 ngoko nangoko (iNkonzo yeAmbulensi yaseSri Lanka) okanye uye kwigumbi likaxakeka elikufutshane.

Ukongeza, bona ugqirha wakho ukuba unayo nayiphi na kwezi mpawu:

• Ukuba une-nausea okanye ukurhawuzelela okungapheliyo ezandleni okanye ezinyaweni zakho.
• Ukuba ubuthathaka bemisipha buhlala buhleli okanye bufika buphele.
• Ukuba ngequbuliso awukwazi ukushukumisa izihlunu zakho.

Ndimele ndibuze ntoni kugqirha wam?

Ukuba ufunyaniswe une-"Monoplegia", ungabuza ugqirha wakho le mibuzo. Le mibuzo iya kukunceda uyiqonde imeko kwaye ikuxelele ngonyango oluzayo.

• "Gqirha, ingaba imeko yam yeyokwexeshana okanye esisigxina?"
• "Kuza kundithatha ixesha elingakanani ukuphinda ndishukumise le ngalo/umlenze?"
• "Yeyiphi indlela yonyango oyicebisayo efanelekileyo kum?"
• "Zeziphi iindlela zonyango okanye izixhobo zokuncedisa ezikhoyo ezinokunceda imeko yam?"
• "Zeziphi iingxaki ekufuneka ndiziqaphele ngokukodwa?"
• "Ungandicebisa ukuba ndisebenzise `(Unyango lomzimba)` okanye `(Unyango lomsebenzi)` ngakumbi?"

Iyintoni imbonakalo yemeko ethi `(Monoplegia)`?

Uqikelelo lwe-monoplegia luxhomekeke kwisizathu kunye nobunzima bemeko. Ngamanye amaxesha imeko iyaphucuka kancinci ngokuhamba kwexesha. Nangona kunjalo, abantu abaninzi bahlala bekhubazekile ngonaphakade. Nangona kunjalo, unyango olufanelekileyo lunokunciphisa iimpawu kwaye luphucule umgangatho wobomi.

Yintoni umahluko phakathi kwe-`(Monoplegia)` kunye ne-`(Monoparesis)`?

Nangona la magama mabini efana kancinci, kukho umahluko omncinci.

• I-Monoplegia kukulahlekelwa ngokupheleleyo kukuhamba ngokuzithandela kwenye yeengalo okanye imilenze yakho.
• I-Monoparesis kuxa ulahlekelwa yinxalenye kuphela yamandla akho okushukumisa ingalo okanye umlenze omnye. Oko kuthetha ukuba awuphulukani namandla akho ngokupheleleyo, kodwa uba buthathaka kancinci.

Ngamafutshane, kwi-"Monoplegia" akukho bomi konke konke, ngelixa kwi-"Monoparesis" kukho ubomi obuthile, kodwa bubuthathaka.

Yintoni umahluko phakathi kwe-`(Monoplegia)` kunye ne-`(Hemiplegia)`?

Kubalulekile ukwazi oku.

• I-Monoplegia yimeko yokukhubazeka echaphazela ilungu elinye kuphela (ingalo enye okanye umlenze omnye).
• I-Hemiplegia kukulahlekelwa ngokupheleleyo kwelinye icala lomzimba (umz., ingalo yasekunene, umlenze wasekunene, mhlawumbi necala lasekunene lobuso).

Okokugqibela, izinto ekufuneka uzikhumbule (Umyalezo Wokuya Ekhaya)

I-Monoplegia yimeko etshintsha ubomi. Kusenokufuneka utshintshe indlela owenza ngayo imisebenzi yakho yemihla ngemihla – nokuba ukukhubazeka kwakho kungokwexeshana. Kuqhelekile ukuba uzive uneemvakalelo ezahlukeneyo (usizi, umsindo, uloyiko) ngale nto.

Kodwa, eyona nto ibalulekileyo kukukhumbula ukuba kukho unyango olunokunceda ekunciphiseni iimpawu zale meko kwaye luphucule umgangatho wobomi bakho. Thetha nogqirha wakho ukuze ufumane ukuba zeziphi iindlela ezikhoyo kuwe. Ungaze uzive ngathi uwedwa kolu hambo.

i- monoplegia, ukukhubazeka, ukulahlekelwa yingalo, ukulahlekelwa ngumlenze, izifo zemithambo-luvo, i-cerebral palsy, unyango