Ngaba wakha wazibuza ukuba kuya kuba njani ukuba ngequbuliso awukwazi ukushukumisa ingalo okanye umlenze, okanye ukuba uziva ngathi inxalenye yomzimba wakho ilahlekelwa bubomi bayo kancinci kancinci? Kunzima kakhulu ukuyicinga, akunjalo? Le yimeko yokungakwazi ukushukumisa izihlunu zethu ngokuthanda kwethu, into esiyibiza ngokuba yi " Paralysis " kwisayensi yezonyango. Oku kwenzeka ngenxa yengxaki ethile kwinkqubo yethu yemithambo-luvo. Kuba, imithambo-luvo inika uphawu lokuba izihlunu zethu kufuneka zishukume. Ngoko ke, xa ukhubazekile , awukwazi ukushukumisa ezinye iindawo zomzimba wakho. Makhe sithethe ngale nto ngokweenkcukacha ezithe vetshe, kulungile?

Yintoni kanye kanye i-parasite?

Ngamafutshane, ukukhubazeka kukungakwazi ukulawula izihlunu emzimbeni wakho ngokuzithandela, oko kukuthi, ngentando yakho. Oku kubangelwa yinkqubo yethu yemithambo-luvo. Cinga ngayo njengentambo ethwala imiyalezo esuka engqondweni yethu ukuya kwizihlunu zethu. Ukuba kukho ingxaki kwenye indawo kule ntambo, umyalezo awudluli kakuhle. Kulapho izihlunu ziyeka ukusebenza, oko kuthetha ukukhubazeka . Oku kukhubazeka kunokuchaphazela naliphi na ilungu lomzimba. Kwakhona, kukho iindlela ezimbini eziphambili zokwenza oku:

• Ukukhubazeka okuncinci / i-Paresis: Kulapho unokulawula khona ezinye izihlunu, kodwa kunzima ukulawula ezinye. Ayikhubazekanga ngokupheleleyo, kodwa ivakala ibuthathaka.
• Ukukhubazeka ngokupheleleyo: Kwimeko enjalo, awukwazi ukulawula nayiphi na imisipha kuloo ndawo.

Kwakhona, kuxhomekeke ekubeni inkqubo yemithambo-luvo yonakele phi, ukukhubazeka kungahlulwahlulwa kube ziintlobo ezimbini:

• `Ukungaphumli kakuhle`: Kule meko, izihlunu zakho ziba buthathaka kakhulu kwaye zityhafe, njengelaphu elingenabomi.
• Ukukhubazeka kwe-Spastic: Oku kuxa izihlunu ziqina kwaye zishukuma rhoqo (i-spasticity). Ngokuchanekileyo, izihlunu ziyafinyela kwaye zishukume njengoko zithanda.

Kuxhaphake kangakanani ukukhubazeka komzimba ?

Ubusazi na ukuba eMelika kuphela, malunga nabantu abazizigidi ezi-5.4, okanye malunga nomnye kwabangamashumi amahlanu, kuthiwa banohlobo oluthile lokukhubazeka? Kukho iindaba ezimnandi. Abanye abantu banalo ukukhubazeka okwethutyana , kwaye ngokuhamba kwexesha, bayaphila kancinci kancinci okanye ngokupheleleyo. Umzekelo, kwimeko ebizwa ngokuba yi-'Bell's palsy', izihlunu ebusweni ziyakhubazeka okwethutyana, kodwa zihlala ziphila. I-'Palsy' yimeko ebangela ukukhubazeka nokungcangcazela. Nangona kunjalo, ' ukukhubazeka okungapheliyo' kuthetha ukuba awusayi kuze ukwazi ukulawula izihlunu zakho kwakhona. Oko kukuthi, awunakuyiguqula imeko.

Ziziphi iintlobo ezahlukeneyo zokukhubazeka?

Sikwahlela oku ngokwendawo echaphazelekileyo kukukhubazeka.

• Ukukhubazeka kwendawo ethile:Oku kuchaphazela indawo encinci yomzimba. Le meko ibonakala kakhulu ebusweni, ezandleni, ezinyaweni, okanye kwiintambo zelizwi.

• Ukukhubazeka okuqhelekileyo: Oku kuchaphazela indawo enkulu yomzimba. Oku kwahlulwahlulwa ngakumbi ngokwezinga lesiphumo:
• `I-Diplegia`: Oku kwenzeka xa indawo enye yomzimba ingasebenzi kakuhle kumacala omabini. Umzekelo, zombini iingalo, imilenze yomibini, okanye amacala omabini obuso.
• `Hemiplegia`: Oku kwenzeka xa elinye icala lomzimba likhubazekile ngokupheleleyo. Oko kukuthi, ingalo nomlenze kwelinye icala. Khawucinge nje, masithi umntu une-`Stroke` kwaye icala lakhe lasekunene likhubazekile, yiloo ndlela.
• `I-Monoplegia`: Kule meko, ingalo enye okanye umlenze omnye kuphela okhubazekileyo.
• `I-Paraplegia`: Oku kubandakanya ukukhubazeka kwemilenze yomibini. Ngamanye amaxesha isisu esisezantsi sinokuchaphazeleka.
• I-Quadriplegia (okanye iTetraplegia): Oku kuquka ukulahlekelwa yimilenze yomine kwaye ngokuqhelekileyo umqolo. Abantu abane-quadriplegia banokuphulukana nayo yonke intshukumo engaphantsi kwentamo.

Zithini iimpawu zokukhubazeka komzimba?

Ukuba unesifo sokukhubazeka, into ephambili kukuba awukwazi ukuhambisa inxalenye yomzimba wakho echaphazelekayo, inxalenye okanye yonke. Ngamanye amaxesha, kuxhomekeke kwindawo yokwenzakala, ukulahlekelwa yimvakalelo kuloo ndawo kunokwenzeka . Abanye abantu bazalwa benesifo sokukhubazeka, umzekelo abaneemeko ezifana ne-cerebral palsy. I-stroke kunye nokwenzakala komgogodla kunokubangela ukukhubazeka ngequbuliso . Ezinye iimeko zinokubangela ukukhubazeka kancinci kancinci . Kwiimeko ezinjalo, unokufumana iimpawu ezifana nezi:

• Kancinci kancinci, imvakalelo kunye nolawulo lwemisipha luyancipha.
• Ukuqaqamba kwemisipha.
• Ukurhawuzelela okanye ukuba ndindisholo kwamalungu omzimba.

Zithini izizathu zokukhubazeka komzimba?

Njengoko besikhe sathetha ngaphambili, ukukhubazeka kwenzeka ngenxa yengxaki kwinkqubo yethu yemithambo-luvo. Inkqubo yethu yemithambo-luvo ifana nesikhungo semiyalezo yomzimba wethu. Ithwala imiqondiso evela kwingqondo kuwo wonke umzimba kwaye iyixelela ukuba yenze ntoni. Ngoko ke ukuba kukho into eyonakeleyo kule nkqubo yemithambo-luvo, loo miyalezo ayifiki kakuhle kwimisipha. Uninzi lwexesha, kukwenzakala okubuhlungu okanye imeko yezonyango eyonakalisa imisipha kunye nemithambo-luvo. Ukulimala kwestroke kunye nomgogodla zezona zizathu zimbini ziphambili zokukhubazeka. Kukho ezinye izizathu, kuquka:

• Ezinye iimeko zikhona xa umntwana ezalwa, umzekelo `i-Spina bifida`.
• Izifo ezizikhusela ngokwazo emzimbeniIzifo ezizikhusela ngokwazo zizifo apho inkqubo yethu yokuzikhusela komzimba isebenza ngokuchasene nemizimba yethu. Imizekelo: I-Multiple sclerosis (MS) kunye ne-Guillain-Barré syndrome.
• Ukulimala kwengqondo, okufana nokwenzakala kwengqondo okubuhlungu kunye ne-cerebral palsy.
• Izifo ze-neurological , umzekelo, i-Amyotrophic lateral sclerosis (ALS).

Ziziphi iingxaki ezinokubakho ngenxa yokungakwazi ukuzenzela nto?

Ukukhubazeka kunokuchaphazela izihlunu zethu zokuphefumla kunye nesantya sentliziyo. Kunokuchaphazela nezinye iinkqubo zomzimba kwindawo echaphazelekayo. Ngokuxhomekeke kuhlobo lokukhubazeka, unokuba sengozini yezi zinto zilandelayo:

• Ubunzima bokuphefumla, ukukhohlela kunye ne-pneumonia .
• Amahlwili egazi kunye ne-deep vein thrombosis ( DVT ).
• Ubunzima bokuthetha okanye ukuginya ( i-Dysphagia ).
• Uxinzelelo kunye nokuxhalaba .
• Ukungasebenzi kakuhle kwe-erectile kunye nezinye iingxaki zesondo kumadoda.
• Uxinzelelo lwegazi oluphezulu (i-Autonomic dysreflexia) okanye uxinzelelo lwegazi oluphantsi (i-Orthostatic hypotension) kunye nesifo sentliziyo.
• Ukungakwazi ukuzibamba komchamo kunye nokulahlekelwa yindlela yokulawula amathumbu.
• Ukulimala koxinzelelo / Izilonda zebhedi kunye nokutyhefwa kwegazi (iSepsis).

Kubalulekile: Asinguye wonke umntu oza kuba neengxaki, kodwa kubalulekile ukuba uzazi ukuze ufumane ingcebiso kagqirha ngokukhawuleza.

Ungayibona njani i-parasite?

Xa usiya kugqirha, uza kukuhlola aze akubuze ngazo naziphi na iingozi oye wazifumana. Ukuba ukukhubazeka kwakho kuhamba kancinci kancinci, uza kubuza ukuba sele unexesha elingakanani unale ngxaki. Ukuze ufumane okungakumbi, ugqirha wakho unokuyalela olunye okanye ngaphezulu kwezi vavanyo zilandelayo:

• Uvavanyo lwe-X-ray: Ukujonga ukuba amathambo aphukile na kwaye imithambo-luvo yonakele na.
• Uvavanyo lwemifanekiso: I-CT scan okanye i-MRI ingenziwa ukujonga iimpawu zestroke, umonakalo wobuchopho, okanye umonakalo womqolo. I-full-body imaging scan inokujonga amathambo, izihlunu kunye nezicubu.
• I-Myelogram: Oku kujonga umonakalo kwintambo yomqolo nakwimithambo-luvo.
• I-Electromyogram (EMG): Le nto ivavanya umsebenzi wombane wemithambo-luvo kunye nemisipha.
• "Impompo yomqolo (ukubhoboza imilenze)":Oku kuquka ukuthatha ulwelo lomqolo nokulujonga ukuba alunazo na izifo, iimeko zokudumba, kunye nezifo ezifana ne-multiple sclerosis (MS).

Ngaba kunokwenzeka ukuba uphile emva kokukhubazeka?

Enyanisweni, okwangoku akukho nyango lokukhubazeka okusisigxina. Nangona kunjalo, iimeko zokukhubazeka okwethutyana ezifana ne-Bell's palsy zihlala ziphela ngokuhamba kwexesha ngaphandle konyango. Kwezinye iimeko, kunokubonakala ukuphucuka okuthile, ingakumbi kunyaka wokuqala.

Iphathwa njani okanye iphathwa njani i-parasite?

Unyango lokukhuhlana komzimba ludla ngokubandakanya unyango lomzimba, unyango lomsebenzi, kunye nonyango lokuthetha. Ezi nkonzo zokubuyisela umzimba kwimeko yesiqhelo ziquka ukunceda abantu baqhelane nokukhuhlana kwabo, ukubonelela ngemithambo, kunye nokubonelela ngezixhobo ezizilungelelanisayo nezincedisayo ukuze zibancede benze imisebenzi yemihla ngemihla. Ezi zinokunceda abantu abakhuhlana komzimba ukuba baphile ngokuzimela kwaye babe nobomi obungcono. Ezinye iindlela zonyango zixhomekeke kwisizathu sokukhuhlana komzimba kunye nendlela okukuchaphazela ngayo. Ugqirha wakho unokucebisa oku kulandelayo kunye nonyango lokubuyisela umzimba kwimeko yesiqhelo:

• `Izixhobo eziziqhelanisayo`: Izixhobo ezinceda abantu batye bodwa kwaye baqhube izithuthi.
• Izixhobo zokuncedisa: Izitulo ezinamavili, iiScooter, iiCrutches kunye neeCanes.
• Izixhobo zokufakelwa kwamathambo/zokufakelwa: Umzekelo, izixhasi.
• Iteknoloji esebenzayo kwilizwi: Sebenzisa iikhompyutha, iinkqubo zokukhanyisa, kunye neefowuni.
• Unyango lweengxaki zokukhubazeka, umzekelo, ukuqaqamba kunye neengxaki zomchamo.

Ungayithintela njani i-parasite?

Ukulimala komqolo yeyona nto iphambili ebangela ukukhubazeka. Ngoko ke, nazi ezinye iindlela onokuzithatha ukunciphisa umngcipheko wokwenzakala komqolo:

• Soloko unxibe ibhanti xa ukhwela imoto. Qinisekisa ukuba abantwana abancinci basebenzisa isihlalo semoto okanye isihlalo sokunyusa imithwalo ngendlela efanelekileyo.
• Jonga ubunzulu bamanzi phambi kokuba utsibe emanzini.
• Musa ukuqhuba uphantsi kwempembelelo yotywala okanye iziyobisi, kwaye musa ukuhamba nomntu ophantsi kwempembelelo yotywala.
• Landela amanyathelo okhuseleko xa udlala imidlalo okanye usenza eminye imisebenzi. Umzekelo, nxiba isigcina-ntloko xa udlala imidlalo okanye uqhuba ibhayisekile. Cela umntu akuncede xa usenza izinto ezifana nejimnastiki, kwaye usebenzise iimathi zokuthambisa apho kuyimfuneko.
• Ungaze umshukumise umntu ocinga ukuba uneentlungu entloko , entanyeni, okanye emqolo. Tsalela umnxeba ku-1990 ngoko nangoko (ukuba useSri Lanka) okanye kwinkonzo yongxamiseko efanelekileyo.

Ithini ingqikelelo yabantu abakhubazekileyo?

Ukufunda ukuphila nokukhubazeka kungaba ngumceli mngeni. Kungatshintsha ubomi bakho, izinto ozenzayo, kwanendlela ozicinga ngayo. Olu tshintsho lunokubangela iingxaki zempilo yengqondo kunye nokudakumba. Ngoko ke thetha nogqirha wakho malunga nokufumana inkxaso, yomzimba neyeemvakalelo. Ngokuhamba kwexesha kunye nokuvuselelwa, abantu abaninzi abanokukhubazeka bayaqhelana nemeko yabo. Abantu abaninzi baphila ubomi obuzimeleyo nobusebenzayo kunye nokukhubazeka kwabo. Abantu abane-quadriplegia (ukulahlekelwa yimilenze emine) bahlala befuna uncedo kwabanye ubomi babo bonke, kodwa basenokukwazi ukugcina iingqondo zabo zisebenza.

Ukugcina indlela yokuphila esempilweni kubaluleke kakhulu ukunciphisa umngcipheko weengxaki ezibangelwa sistroke. Ngokuqhelekileyo kucetyiswa ukuba ukhethe imithambo ehambelana nobuchule bakho kwaye ugcine inkqubo yokuzilolonga.

Ndifanele ndimbone nini ugqirha?

Ukuba uneempawu zestroke, okanye ukuba ucinga ukuba umntu wenzekele entloko , entanyeni, okanye emqolo, kufuneka utsalele umnxeba ku-1990 ngoko nangoko. Kwakhona, funa ingcebiso yezonyango ngoko nangoko kwezi meko zilandelayo:

• Ubunzima bokuphefumla, ukuginya, okanye ukuthetha.
• Kuvakala ngathi kukungaziva kakuhle kwamalungu omzimba okanye into enjalo.
• Ubuthathaka bemisipha (busenokuba yinto eqhubekayo okanye bube yinto efikayo idlule).
• Ngequbuliso awukwazi ukushukumisa izihlunu zakho.

Ndingayibuza yiphi imibuzo ugqirha wam?

Ungabuza ugqirha wakho imibuzo efana nale:

• Ingaba oku kukhubazeka kokwexeshana okanye okusisigxina?
• Ngaba ndiza kuphinda ndikwazi ukuhamba kwakhona? Ukuba kunjalo, kuza kuthatha ixesha elingakanani?
• Yeyiphi indlela engcono yonyango kum?
• Loluphi uhlobo lwezixhobo zokuhamba okanye izixhobo zokuncedisa ezinokundinceda?
• Ngaba kufuneka ndixhalabele iimpawu zeengxaki?

Ukukhubazeka komzimba yimeko etshintsha ubomi. Nokuba ukukhubazeka okwethutyana kunokuchaphazela amandla akho okwenza izinto ozithandayo. Ukuba ukukhubazeka kwenzeka ngequbuliso, kunokuba nzima ukuziqhelanisa notshintsho olukhulu kwindlela ophila ngayo. Ugqirha wakho unokukukhokela kwiinkonzo zokuvuselela kunye nempilo yengqondo ezikhoyo kuwe. Abantu abaninzi abanesifo sokukhubazeka baphila ubomi obusebenzayo besebenzisa izixhobo zokunceda kunye nenkxaso yabathandekayo. Ngoko ke kubalulekile ukuhlala uqinile.

Izinto ezibalulekileyo ekufuneka uzikhumbule (Umyalezo Wokuya Ekhaya)

Kulungile, masikhe sixoxe ngezinto ezilula ekufuneka uzikhumbule koko sithethe ngako.

• Ukukhubazeka kukungakwazi ukulawula izihlunu. Oku kubangelwa yingxaki kwinkqubo yemithambo-luvo.
• Oku kungaba yinxalenye okanye kuphelele, kwaye kunokuba kokwexeshana okanye okusisigxina.
• Ukulimala kwestroke kunye nomgogodla zezona zinto ziphambili ezibangela oku, kodwa nezinye izifo kunye nokwenzakala nazo zinokukuchaphazela.
• Kukho iimvavanyo ezahlukeneyo zokuxilonga ukukhubazeka komzimba, kwaye ugqirha nguye ogqibayo ukuba zeziphi.
• Nangona kungekho ndlela iqinisekileyo yokuphelisa ukukhubazeka okusisigxina, iinkonzo zokubuyisela kwimeko yesiqhelo ezifana nonyango lomzimba kunye nonyango lomsebenzi zinokuphucula umgangatho wobomi.
• Eyona ndlela ilungileyo yokuthintela ukukhubazeka kukuphepha iingozi , ingakumbi ezo zonakalisa umqolo.
• Nangona ukuphila nokukhubazeka kuyingxaki, ngenkxaso kunye nonyango olufanelekileyo, abantu abaninzi banokuphila ubomi obuxakekileyo.
• Ukuba ubona iimpawu zokungakwazi ukuzenzela nto, funa uncedo lwezonyango ngoko nangoko. Unyango olukhawulezileyo lunokwenza umahluko omkhulu.

Ngoko ke, ndiyathemba ukuba olu lwazi luza kukunceda. Ukuba wena okanye umntu omaziyo unemibuzo malunga nale meko, eyona nto ingcono onokuyenza kukuthetha nogqirha. Ungakhathazeki, baninzi abantu abanokukunceda!