Masiqonde kakuhle i-Paralysis ngeNirogi Lanka

Ngaba wakha wazibuza ukuba kuya kuba njani ukuba ngequbuliso awukwazi ukushukumisa ingalo okanye umlenze wakho, okanye ukuba uziva inxalenye yomzimba wakho iphelelwa ngamandla kancinci kancinci? Yingcinga eyoyikisayo, akunjalo? Kwizonyango, ukungakwazi ukuzishukumisa ngokuzithandela izihlunu zakho kwaziwa ngokuba kukukhubazeka . Oku kwenzeka ngenxa yengxaki kwinkqubo yakho yemithambo-luvo, esebenza njengeziko lolawulo elithumela imiqondiso kwimisipha yakho ukuba ishukume. Xa ukukhubazeka kwenzeka, ulahlekelwa kukwazi ukushukumisa iindawo ezithile zomzimba wakho. Masingene nzulu kwesi sihloko kunye, akunjalo?

Yintoni kanye kanye i-parasite?

Ngamafutshane, ukukhubazeka kukulahlekelwa kulawulo lwemisipha ngokuzithandela. Inkqubo yakho yemithambo-luvo ngumdlali ophambili apha. Cinga ngemithambo-luvo yakho njengeentambo ezithwala imiyalezo esuka engqondweni yakho ukuya kwimisipha yakho. Ukuba kukho ukuqhekeka okanye impazamo kuloo ntambo, umyalezo awukwazi ukudlula, kwaye imisipha yakho ayiphenduli—le yimeko yokukhubazeka .

Ukukhubazeka kunokuchaphazela naliphi na ilungu lomzimba wakho. Kukho iindlela ezimbini eziphambili esizihlulahlula ngazo:

• Ukukhubazeka okuncinci (iParesis): Oku kuthetha ukuba usenolawulo oluthile kwizihlunu zakho, kodwa zibuthathaka kakhulu. Awukaphulukani nokusebenza ngokupheleleyo, kodwa izihlunu ziziva zingasebenzi.
• Ukukhubazeka ngokupheleleyo: Kwimeko enjalo, awunakulawula izihlunu kwindawo echaphazelekayo kwaphela.

Singakwazi nokwahlulahlula ukukhubazeka ngokwendlela izihlunu eziziphatha ngayo:

• Ukungakwazi ukuqina kwemisipha: Izihlunu zakho ziba buthathaka, zithambile, kwaye zityhafe.
• Ukukhubazeka kwemisipha: Izihlunu zakho ziyaqina kwaye zisenokuziva zishukuma okanye zishukuma ngokungazikhetheliyo okwaziwa ngokuba yi -spasticity , apho izihlunu ziqhobosheka zodwa.

Kuxhaphake kangakanani ukukhubazeka komzimba?

Ubusazi na ukuba eMelika kuphela, malunga nabantu abazizigidi ezi-5.4—malunga nomntu omnye kwabangama-50—baphila nohlobo oluthile lokukhubazeka?

Nangona kunjalo, kukho iindaba ezintle. Ezinye iintlobo zokukhubazeka zizinto zexeshana kwaye zinokuphucuka okanye ziphele ngokuhamba kwexesha. Umzekelo, kwi- Bell's palsy , izihlunu zobuso ziyakhubazeka okwethutyana, kodwa uninzi lwezigulane luyaphila. Qaphela ukuba igama elithi 'palsy' libhekisa kukukhubazeka okuhambisana nokungcangcazela okanye intshukumo engazimiselanga.

Nangona kunjalo, ukukhubazeka okungapheliyo kuthetha ukuba ulawulo lwemisipha lulahlekile ngonaphakade kwaye alunakuguqulwa.

Ziziphi iintlobo ezahlukeneyo zokukhubazeka?

Ukukhubazeka kudla ngokwahlulwa ngokwendawo yomzimba echaphazelayo:

• Ukukhubazeka kwendawo ethile: Oku kuchaphazela inxalenye encinci yomzimba kuphela, ikakhulu ubuso, izandla, iinyawo, okanye iintambo zelizwi .

• Ukukhubazeka okuqhelekileyo: Oku kugubungela iindawo ezinkulu zomzimba kwaye kuhlulwe ngakumbi ngokobungakanani bempembelelo:
• I-Diplegia: Ichaphazela iindawo ezifanayo kumacala omabini omzimba, njengeengalo zombini, imilenze yomibini, okanye amacala omabini obuso.
• I-Hemiplegia: Ichaphazela icala lonke lomzimba, njengengalo enye kunye nomlenze omnye. Oku kuqhelekile emva kwestroke .
• I-Monoplegia: Ichaphazela ilungu elinye kuphela, nokuba yingalo okanye umlenze.
• I-Paraplegia: Ichaphazela imilenze yomibini kwaye ngamanye amaxesha inxalenye esezantsi yesisu.
• I-Quadriplegia (okanye iTetraplegia): Ichaphazela onke amalungu omane omzimba kunye nemisipha yomzimba. Abantu abane-quadriplegia basenokungakwazi okanye bangakwazi kwaphela ukushukuma ukusuka entanyeni ukuya ezantsi.

Zithini iimpawu zokukhubazeka komzimba?

Uphawu oluphambili lokukhubazeka kukungashukumi kwamalungu omzimba achaphazelekileyo. Ngokuxhomekeke kwisizathu, unokufumana ukulahleka ngokupheleleyo kwemvakalelo kuloo ndawo.

Abanye abantu bazalwa benesifo sokukhubazeka, njengakwiimeko ezifana ne -cerebral palsy . Kwezinye iimeko, ezifana ne-stroke okanyeukwenzakala komqolo , ukukhubazeka kungenzeka ngequbuliso .

Kwiimeko apho ukukhubazeka kukhula kancinci kancinci , ungaqaphela:

• Ukwehla okuqhubekayo kwemvakalelo kunye nolawulo lwemisipha.
• Ukuqaqamba kwemisipha okanye ukuqaqamba okunganyanzelekanga.
• Ukuziva ngathi kukho ukurhawuzelela okanye ukuba ndindisholo kwamalungu omzimba.

Yintoni ebangela ukukhubazeka komzimba?

Njengoko sele kutshiwo, ukukhubazeka komzimba kuvela kwiingxaki ezikwinkqubo yakho yemithambo-luvo. Ekubeni inkqubo yakho yemithambo-luvo iyeyona ndlela iphambili yokunxibelelana emzimbeni, naluphi na ukonakala kuthintela ingqondo ekuthumeleni imiyalelo efunekayo kwimisipha yakho.

Amaxesha amaninzi, ukwenzakala okubuhlungu okanye iimeko zempilo ezingaphantsi kwesiqhelo zezona zibangela ukukhubazeka. Ukubetheka kunye nokwenzakala komqolo zezona zinto ziphambili ezibangela ukukhubazeka.

Ezinye izizathu ziquka:

• Iimeko zokuzalwa ezifana ne -spina bifida .
• Izifo ezizikhusela ngokwazo emzimbeni , apho inkqubo yakho yomzimba ihlasela umzimba wakho, njengeMultiple sclerosis (MS) kunye neGuillain-Barré syndrome .
• Ukulimala kwengqondo , kuquka ukwenzakala kwengqondo okubuhlungu okanye i-cerebral palsy .
• Izifo ze-neurological , ezifana ne- Amyotrophic lateral sclerosis (ALS) .

Ziziphi iingxaki ezinokubakho?

Ukukhubazeka kunokuchaphazela izihlunu zokuphefumla kunye nokusebenza kwentliziyo. Ngokuxhomekeke kuhlobo kunye nobunzima, unokujongana neengozi ezifana nezi:

• Ubunzima bokuphefumla, ukukhwehlela okungapheliyo, kunye ne-pneumonia .
• Amahlwili egazi, kuquka i-deep vein thrombosis (DVT) .
• Ubunzima bokuthetha okanye ukuginya ( i-Dysphagia ).
• Ukudakumba kunye nokuxhalaba .
• Ukungasebenzi kakuhle kwe-erectile okanye ezinye iingxaki zempilo yesondo.
• Uxinzelelo lwegazi oluphezulu (i-autonomic dysreflexia) okanye uxinzelelo lwegazi oluphantsi (i-orthostatic hypotension) kunye neemeko zentliziyo ezinxulumene noko.
• Ukungakwazi ukuzibamba komchamo okanye ukungakwazi ukulawula amathumbu.
• Ukulimala koxinzelelo (izilonda zokulala) kunye ne-sepsis.

Kubalulekile: Asinguye wonke umntu ohlangabezana nezi ngxaki, kodwa ukuzazi kubalulekile ekulawuleni impilo ngokukhawuleza. Ukuba ubona ukulahleka kwemisebenzi ngequbuliso, nceda uqhagamshelane ne-911 okanye iinkonzo zongxamiseko ezikufutshane nawe ngoko nangoko.

Ifunyanwa njani i-parasite?

Xa undwendwela ugqirha wakho, baza kukuhlola baze bakubuze malunga nokwenzakala kwakutshanje okanye imbali yezonyango. Ukuba unengxaki yokukhubazeka okuqhubekayo, ugqirha wakho uya kufuna ukwazi ukuba iimpawu zakho ziqale nini kanye kanye. Ukuze ufumane umfanekiso ocacileyo wempilo yakho, ugqirha wakho unokuyalela olunye okanye ngaphezulu kwezi vavanyo zilandelayo:

• Ii-X-reyi: Ukufumanisa ukuba amathambo aphukileyo ayacinezela okanye ayayonakalisa na imithambo-luvo yakho.
• Uvavanyo lwemifanekiso: Iinkqubo ezifana ne-CT scans okanye ii-MRIs zisetyenziselwa ukuchonga iimpawu zestroke, ukwenzakala kwengqondo, okanye umonakalo womqolo. I-scan yemifanekiso yomzimba wonke inokubonelela ngombono opheleleyo wamathambo akho, izihlunu kunye nezicubu.
• I-Myelogram: Uvavanyo olukhethekileyo lokujonga ukwenzakala komqolo wakho kunye neengcambu zemithambo-luvo.
• I-Electromyogram (EMG): Ukuvavanya umsebenzi wombane kwimisipha yakho kunye nemithambo-luvo.
• Ukumpompa komqolo (ukubhoboza i-Lumbar): Ugqirha wakho unokuqokelela isampuli yolwelo lomqolo wakho ukuze ajonge usulelo, ukudumba, okanye iimeko ezifana ne-Multiple Sclerosis (MS).

Ingaba ukungakwazi ukuzenzela nto kuyanyangeka?

Ukuba ndithetha ngqo, okwangoku akukho ndlela iqinisekileyo yokuphelisa ukukhubazeka okusisigxina. Nangona kunjalo, iintlobo zokukhubazeka okwethutyana, ezifana ne-Bell's palsy, zihlala ziphela ngokwazo ngokuhamba kwexesha ngaphandle konyango. Kwezinye iimeko, unokubona utshintsho olukhulu, ngakumbi kunyaka wokuqala wemeko.

Iphathwa njani kwaye inyangwa njani i-parasite?

Unyango lokukhubazeka ludla ngokubandakanya indlela eyahlukeneyo, kuquka iPhysical Therapy, iOccupational Therapy, kunye neSpeech Therapy. Ezi nkonzo zokubuyisela umva zibalulekile ekukuncedeni ukuba ulungelelane nemeko yakho, zikukhokele kwimithambo yonyango, kwaye zikubonelele ngezixhobo ezihambelanayo nezincedisayo. Ezi zixhobo zikunika amandla okuphila ngokuzimela ngakumbi kwaye uphucule umgangatho wobomi bakho bonke.

Isicwangciso sonyango esithile siya kuxhomekeka ngokupheleleyo kwisizathu esibangela ukukhubazeka kwakho kunye nendlela okukuchaphazela ngayo. Ngaphandle kokuvuselelwa, ugqirha wakho unokucebisa:

• Izixhobo ezilungelelanisa imeko: Izixhobo ezinceda kwimisebenzi yemihla ngemihla efana nokutya okanye ukuqhuba.
• Izixhobo zokuncedisa: Izixhobo zokuncedisa ukuhamba ezifana nezitulo ezinamavili, izikuta, iintonga, kunye neenduku.
• Izixhobo zokufakelwa kwamathambo/zokufakelwa: Ezifana neebraces ezenziwe ngokwezifiso zokuxhasa.
• Iteknoloji esebenzayo ngezwi: Ukukunceda usebenzise iikhompyutha, iinkqubo zokukhanyisa, kunye neefowuni.
• Unyango olujoliswe kwiingxaki, ezinje ngokuqaqamba kwemisipha okanye ukungasebenzi kakuhle kwesinyi.

Ungakuthintela njani ukukhubazeka komzimba?

Ekubeni ukwenzakala komqolo kuyeyona nto iphambili ekubangeleni ukukhubazeka, unganciphisa umngcipheko wakho ngokuthatha la manyathelo okhuseleko:

• Soloko unxibe ibhanti yakho yesihlalo emotweni kwaye uqinisekise ukuba abantwana bakhuselekile ngokufanelekileyo kwizihlalo ezifanelekileyo zemoto okanye kwizihlalo zokunyusa.
• Jonga ubunzulu bamanzi phambi kokuba untywile edamini okanye emanzini.
• Ungaze uqhube uphantsi kwempembelelo yotywala okanye iziyobisi, kwaye uphephe ukuhamba nomntu okhubazekileyo.
• Beka ukhuseleko kwindawo yokuqala ngexesha lemidlalo nemisebenzi yomzimba. Nxiba isigcina-ntloko rhoqo xa ukhwela ibhayisekile okanye udlala imidlalo edibanisa umzimba. Sebenzisa iimathi ezifanelekileyo zokubeka amabala kunye nezokugquma xa usenza ijimnastiki okanye eminye imisebenzi efanayo.
• Ukuba ukrokrela ukuba kukho ukwenzakala entloko, entanyeni, okanye emqolo, ungaze umshukumise loo mntu. Fowunela i-911 okanye iinkonzo zongxamiseko zasekuhlaleni ngoko nangoko.

Iyintoni imbono (ingxelo yokuqikelela) kwabo baphila nokukhubazeka?

Ukufunda ukuphila nokukhubazeka ngokungathandabuzekiyo ngumceli mngeni omkhulu ebomini. Kunokutshintsha imisebenzi yakho yemihla ngemihla, umgangatho wakho wokuzimela, kwanendlela ozijonga ngayo. Olu tshintsho lubalulekileyo ebomini ngamanye amaxesha lunokubangela iingxaki zempilo yengqondo okanye ukudakumba. Kubalulekile ukuxoxa ngempilo-ntle yakho yomzimba neyeemvakalelo nogqirha wakho.

Ngokuchitha ixesha kunye nokulungiswa okuzinikeleyo, abantu abaninzi bayakwazi ukuziqhelanisa ngempumelelo nemeko yabo. Abantu abaninzi baphila ubomi bokuzimela, obusebenzayo, nobanelisayo nangona bekhubazekile. Kwanabo bane-quadriplegia banokuhlala benengqondo esebenzayo kakhulu, kwaye ngenkxaso efanelekileyo, bahlala bebandakanyeka kakhulu kwihlabathi elibangqongileyo.

Ukugcina indlela yokuphila esempilweni kubalulekile ekunciphiseni umngcipheko weengxaki ezinxulumene nokukhubazeka. Ukulandela umthambo ovunyiweyo ngugqirha kuyacetyiswa kakhulu ukuze uhlale unamandla kwaye uhambahamba kangangoko imeko yakho ivuma.

Ufanele uye nini kugqirha?

Ukuba ufumana iimpawu zestroke okanye ukrokrela ukuba wenzekele kakhulu entloko, entanyeni, okanye emqolo, fowunela u-911 ngoko nangoko. Ukongeza, funa uncedo lwezonyango ngokukhawuleza ukuba uqaphela oku:

• Ubunzima obukhawulezileyo bokuphefumla, ukuginya, okanye ukuthetha.
• Ukuziva ngathi amalungu akho aziva ngathi aziva ukuba atyhafile okanye arhawuzelelwe.
• Ubuthathaka bemisipha obuhlala buhleli okanye obuphindaphindayo.
• Ukungakwazi ngequbuliso ukushukumisa umsipha okanye ilungu lomzimba.

Yeyiphi imibuzo omele uyibuze ugqirha wakho?

Zive ukhululekile ukubuza umboneleli wakho wezempilo le mibuzo ukuze uqonde ngcono imeko yakho:

• Ingaba oku kukhubazeka kokwexeshana okanye okusisigxina?
• Ngaba likho ithuba lokuba ndikwazi ukuphinda ndikwazi ukuhamba? Ukuba kunjalo, lithini ixesha elilindelekileyo?
• Yeyiphi isicwangciso sonyango esisebenzayo kwimeko yam ethile?
• Zeziphi izixhobo ezizilungelelanisayo okanye ezincedisayo ezinokuba luncedo kakhulu kum?
• Zeziphi iimpawu ezithile zeengxaki ekufuneka ndizijonge?

Ukuphila nokukhubazeka, nokuba kungokwexeshana, kuzisa utshintsho olukhulu kwindlela yokuphila. Ukuziqhelanisa nezi meko zintsha kunokuba nzima, kodwa nceda wazi ukuba awuwedwa. Iqela lakho lokhathalelo lwaseNirogi Lanka liza kukukhokela kwiinkonzo ezilungileyo zokubuyisela impilo yakho kwimeko yesiqhelo kunye nenkxaso yempilo yengqondo ekhoyo. Ngenkxaso nenkathalo efanelekileyo, abantu abaninzi baphila ubomi obukhutheleyo. Hlala uqinile kwaye uhlale uphilile.

Umyalezo Wokuya Ekhaya

Makhe siphinde siqwalasele ezona ngongoma zibalulekileyo ekufuneka sizikhumbule:

• Ukukhubazeka kukulahlekelwa kulawulo lwemisipha , okubangelwa yingxaki kwinkqubo yemithambo-luvo.
• Inokuba yeyodwa okanye epheleleyo , nokuba yeyexeshana okanye ingunaphakade.
• Istroke kunye nokwenzakala komqolo zezona zinto ziphambili ezibangela oku, kodwa ezinye iimeko zonyango nazo zinokubangela ukukhubazeka komzimba.
• Ugqirha wakho uza kugqiba uvavanyo olufanelekileyo ukuze abone unobangela weempawu zakho.
• Nangona kusenokungabikho "nyango" lokukhubazeka okusisigxina, ukuvuselelwa okufana nonyango lomzimba kunye nomsebenzi kunokuphucula kakhulu umgangatho wobomi bakho.
• Ukuthintela iingozi—ingakumbi ezo zibandakanya umqolo—yeyona ndlela ilungileyo yokunciphisa umngcipheko wokukhubazeka.
• Ngenkxaso efanelekileyo kunye nonyango, ungaphila ubomi obusebenzayo nobanelisayo.
• Ukuba ubona iimpawu zokungakwazi ukuzenzela nto, thatha inyathelo ngokukhawuleza kwaye ufumane unyango olungxamisekileyo ngoko nangoko.

Ndiyathemba ukuba olu lwazi luza kukunika ingcaciso oyifunayo. Ukuba wena okanye umntu omaziyo ujongene nale mingeni, elona nyathelo libalulekileyo kukuthetha nengcali yezempilo. Akunyanzelekanga ukuba ujongane nale meko wedwa—uncedo luyafumaneka.