Ngaba umntwana wakho unomzimba oqinileyo noqinileyo ngendlela engaqhelekanga? Ngaba yiSpastic Cerebral Palsy? Makhe sithethe ngale nto!

Ngaba wakha waphawula ukuba umzimba womntwana wakho uqinile kancinci, okanye ukuba amalungu akhe aziva eqinile ngendlela engaqhelekanga? Ngaba wakha waphawula ukuba xa eqala ukuhamba, imilenze yakhe igoba ngaphakathi aze ahambe njengesikere? Okanye ngaba ubonakala ngathi usemva kancinci kwabanye abantwana njengoko ekhula? Ezi zinokuba ziimpawu zesifo esibizwa ngokuba yiSpastic Cerebral Palsy. Ungakhathazeki, siza kuthetha ngale nto ngokweenkcukacha.

Yintoni iSpastic Cerebral Palsy?

Ngamafutshane, iCerebral Palsy liqela leemeko zemithambo-luvo ezichaphazela ingqondo kunye nenkqubo yemithambo-luvo. Oku kwenza kube nzima ukulawula iintshukumo zomzimba kunye neendlela zokuma. I-Spastic Cerebral Palsy lolona hlobo luqhelekileyo lwe-cerebral palsy. Kule meko, izihlunu zomntwana ziyaqina (oku sikubiza ngokuba yi-"Spasticity") kwaye zilahlekelwe bukuguquguquka. Ngamanye amaxesha, ukuba oku kuqina kukhulu, kunokuba buhlungu. Kwakhona, umntwana unokufumana ukuxhuzula kwemisipha ngequbuliso, okungalawulekiyo, okanye ukuxhuzula kwemisipha.

Khawuthelekelele, xa umntwana wakho esolula isandla sakhe ukuze abambe ithoyizi, isandla sakhe siyashukuma aze angakwazi ukuyibamba kakuhle. Okanye xa ehamba, uzama ukuhamba ngeenzwane zakhe endaweni yokugcina iinyawo zakhe zithe tyaba emhlabeni. Ngamanye amaxesha, xa ngequbuliso esolula isandla sakhe ukuze abambe into efana nebhola, usenokuziva iintlungu. Izinto ezinje zinokubonakala kule meko.

Ziziphi iintlobo eziphambili zeSpastic Cerebral Palsy?

Kukho iintlobo ezintathu eziphambili zeSpastic Cerebral Palsy. Masibone ukuba zeziphi.

I-Spastic diplegia/diparesis

Oku kuchaphazela kakhulu imilenze yomntwana. Izihlunu ezisezinqeni nasemilenzeni ziyaqina, nto leyo eyenza kube nzima ukuhamba. Usenokuba ubabonile abanye abantwana behamba betsale imilenze yabo ngaphakathi namadolo abo echukumisana (njengezikere). Yiloo nto eyenzekayo kule meko. Sikwabiza oku ngokuthi 'yi-scissoring gait' .

I-Spastic hemiplegia/hemiparesis

Kule meko, iimpawu zichaphazela icala elinye lomzimba womntwana kuphela . Oko kukuthi, nokuba licala lasekunene okanye lasekhohlo. Ingalo, umlenze, okanye zombini iingalo kunye nemilenze ekwelo cala zinokuchaphazeleka.

I-Spastic quadriplegia/quadriparesis

Olu lolona hlobo lubi kakhulu lwesi sifo. Sichaphazela zombini iingalo, imilenze yomibini, kunye nobuso . Abanye abantwana banokufumana ezinye iimpawu, ezinje ngokukhubazeka kokufunda (ukulibaziseka kwengqondo) kunye nokuxhuzula.

Zithini iimpawu zeSpastic Cerebral Palsy?

Kulungile, ngoku makhe sibone ukuba zeziphi iimpawu umntwana anokubonisa kule meko.

• Izihlunu eziqinileyo
• Izihlunu eziqinileyo, ukuncipha kokuguquguquka
• Intlungu yemisipha
• Iintshukumo zemisipha ezingafunekiyo okanye ukuqaqamba

Ezi mpawu zibangela ukuba amalungu achaphazelekayo ashukume kakhulu kwaye angabi buthuntu. Ezi mpawu zisenokuba ncinci kwabanye abantwana, kodwa zinokuba qatha ngakumbi kwabanye.

Ziziphi iimpawu zokuqala zeSpastic Cerebral Palsy?

Ngamanye amaxesha kukho iimpawu ezinokubonwa kwasebuntwaneni. Ugqirha wakho uya kuziqwalasela ngokukodwa ezi mpawu xa ehlola umntwana wakho.

• Ukwanda kwethoni kwimilenze ( oku kunokubonwa ngexesha lovavanyo lukagqirha)
• Ubunzima bokwandisa amalungu ngokupheleleyo
• Ukulibaziseka ekugqibeni izigaba zophuhliso (umzekelo, ukukhasa, ukuhamba, ukubamba into ethile)
• Ubunzima ngokulungelelanisa
• Ubunzima bokuhamba okanye indlela engaqhelekanga yokuhamba (umzekelo, ukungqubana kwamadolo xa uhamba)
• Ukuhamba ngeenzwane kuphela

Kutheni kukho iSpastic Cerebral Palsy?

Le meko ibangelwa kukonakala kwendlela yobuchopho elawula izihlunu kunye nokuhamba. Lo monakalo unokubangelwa kukungabikho komoya-mpilo engqondweni, ukwenzakala kwengqondo, okanye , kunqabile kakhulu, utshintsho lwemfuza (utshintsho kwi-DNA).

Kukho iimeko ezahlukeneyo apho ukonakala kwengqondo okanye ukunqongophala komoya-mpilo kunokwenzeka ngexesha lokukhulelwa, ukubeleka, okanye emva nje kokuzalwa:

• Ukuhamba kwegazi okuphazamisekileyo ukuya engqondweni (umz., imeko ebizwa ngokuba yi-"ischemic stroke")
• Ukopha engqondweni (umz., imeko ebizwa ngokuba yi-hemorrhagic stroke)
• Ukonakala kwengqondo ngenxa yosulelo
• Ukulimala kwengqondo okubuhlungu (TBI)

Ukongeza, umntwana unokuba nethuba elincinci lokuphuhlisa i-Spastic Cerebral Palsy ukuba:

• Ukuzalwa kwangaphambi kwexesha
• Ubunzima obuphantsi bokuzalwa
• I-jaundice ebuhlungu enganyangwanga kakuhle
• Usulelo oluchaphazela umama, umntwana ongekazalwa, okanye i-placenta ngexesha lokukhulelwa
• Ukuba nabantwana abaninzi esibelekweni, njengamawele okanye amawele amathathu (Amaninzi)
• Iingxaki ngexesha lokukhulelwa (umzekelo, iimeko ezinzima ezifana nokuqhekeka kwe-placenta okanye ukugqabhuka kwesibeleko)
• Ukuvezwa kwikhemikhali enobuthi eyonakalisa ingqondo (umzekelo, ukuvezwa ixesha elide kwi-mercury kwizilwanyana zaselwandle)

Ziziphi ezinye iingxaki ezinokubakho ngenxa yeSpastic Cerebral Palsy?

Le meko ayichaphazeli nje kuphela izihlunu zomntwana. Ezinye iingxaki zinokubakho. Ezi ziquka:

• Ubunzima bokuthetha nokunxibelelana
• Iingxaki ezinxulumene nobuchule bokufunda (Ukukhubazeka kwengqondo)
• Ukuxhuzula
• Ukulahleka kombono
• Ukulahlekelwa kukuva

Ifunyanwa njani iSpastic Cerebral Palsy?

Le meko idla ngokufunyaniswa isengumntwana okanye isengumntwana. Inyathelo lokuqala lokuxilongwa kukuba ugqirha okanye umbelethisi wakho ahlole umntwana wakho ngokwasemzimbeni.

Ugqirha uza kujonga amandla ezihlunu zomntwana wakho, iintshukumo zakhe, izakhono zakhe zokuhambisa amalungu omzimba, kunye nokulungelelaniswa komzimba. Uza kukubuza nokuba umntwana wakho ukhula ngokufanelekileyo na ngokweminyaka yakhe (umz., ngaba uyakhasa okanye uyahamba).

Luhlobo luni lovavanyo oluqinisekisa le meko?

Ukuba uvavanyo lomzimba lubonisa ukuba i-spastic cerebral palsy isenokuba yimbangela, ugqirha wakho unokuyalela iimvavanyo zokujonga imifanekiso ukuze ajonge iindawo ezinomonakalo engqondweni. Banokuyalela novavanyo ukuze basuse ezinye iimeko ezinokubangela iimpawu ezifanayo.

• Uvavanyo lwe-MRI (Magnetic Resonance Imaging)
• Iskeni ye-CT (`(Iskeni ye-CT - Iskeni ye-Computed Tomography)`)
• Uvavanyo lwegazi
• Uvavanyo lwemfuza

Iphathwa njani iSpastic Cerebral Palsy?

Injongo ephambili yokunyanga le meko kukuphucula amandla omntwana okushukuma. Nangona ingenakunyangwa ngokupheleleyo, iimpawu zinokulawulwa kwaye umntwana angancedwa ukuba aphile ubomi obulungileyo.

Ezi zilandelayo zisetyenziswa njengeendlela zonyango:

• Ukuzilolonga imihla ngemihla ekhaya ukuthintela ukuqina kwemisipha ukuba ingandi ngokuhamba kwexesha
• Unyango lomzimba, unyango lomsebenzi, kunye/okanye unyango lokuthetha
• Ukusebenzisa iibraces ezikhethekileyo, ii-cast, okanye ii-splint ukunceda ukolula izihlunu ngokubamba iingalo okanye imilenze kwindawo efanayo
• Ukusebenzisa izixhobo zokuncedisa ezifana nezitulo zokuhamba okanye izitulo ezinamavili
• Amayeza okunciphisa ukuqina kwemisipha kunye nokuqaqamba (njenge `(Baclofen)`, `(Diazepam)`, `(Clonazepam)`, `(Dantrolene)` kunye `(Tizanidine)`)
• Iinaliti ze-botulinum toxin (ezaziwa ngokuba yiBotox®) zinceda ukuphumza izihlunu.
• Unyango lwe-intrathecal baclofen yindlela apho amayeza anikwa ngqo kwi-spinal cord.
• I-rhizotomy ekhethiweyo yotyando, inkqubo yotyando yokunciphisa ukuqina kwemisipha

Iqela lezonyango liza kugqiba isicwangciso sonyango esilungele umntwana wakho. Oku kunokwahluka kumntwana ngamnye.

Ingakanani iminyaka yobomi bomntwana one-Spastic Cerebral Palsy?

Kwiimeko ezininzi, iSpastic Cerebral Palsy ayichaphazeli ngqo ubomi bomntwana. Nangona kunjalo, ukuba iimpawu zinzima kwaye azinyangwa ngokufanelekileyo , iingxaki ezivelayo ngamanye amaxesha zinokuchaphazela ubomi bomntwana. Khumbula, nangona kungekho nyango lwale meko, ngonyango, umntwana unokuphila ubomi obuhle.

Ingaba le meko iba mandundu ngokuhamba kwexesha? (Ingaba iyaqhubeka?)

I-Spastic Cerebral Palsy ayisosifo esiqhubekekayo. Oku kuthetha ukuba izihlunu ezifanayo ezazichaphazeleka ebuntwaneni zisenochaphazeleka kamva ebomini. Ayizichaphazeli izihlunu ezintsha. Nangona kunjalo, ukuba ayinyangwa, ukuqina kwezihlunu ezichaphazelekileyo kunokuba mandundu ngokuhamba kwexesha.

Unyango lubaluleke kakhulu kuba ukunciphisa ukuqina kwemisipha kunokunceda kakhulu ekusebenzeni komntwana (njengokuhamba, ukutshintsha impahla, nokubamba izinto). Kunganciphisa neentlungu. Umntwana uya kufuna inkxaso yeqela lezonyango ubomi bakhe bonke ukuze aphile nale meko.

Ndifanele ndimbone nini ugqirha?

Ukuba ubona naziphi na iimpawu zokuqala zokuba umntwana wakho unokuba neSpastic Cerebral Palsy, bonana nogqirha ngokukhawuleza. Yiba nexhala ngakumbi xa ubona naluphi na utshintsho okanye ukulibaziseka kwiintshukumo nophuhliso lomntwana wakho.

Ndingayibuza yiphi imibuzo ugqirha wam?

Usenokuba nemibuzo emininzi xa ufumanisa ngemeko yomntwana wakho. Nazi ezinye zemibuzo onokuzibuza ugqirha wakho:

• "Ungandinceda ndiqonde ukuba umntwana wam unesifo esinjani?"
• "Ucebisa uhlobo luni lonyango?"
• "Zithini iinjongo zonyango?"
• "Ngaba kukho naziphi na iziphumo ebezingalindelekanga zonyango?"
• "Ndifanele ndenze unyango lomzimba okanye unyango lomsebenzi ixesha elingakanani?"
• "Ngaba utyando luza kuziphucula iimpawu zomntwana wam?"

Izinto ezibaluleke kakhulu ekufuneka uzikhumbule (Umyalezo Wokuya Ekhaya)

I-Spastic Cerebral Palsy inokuba yingxaki enkulu kumntwana nakwintsapho yakhe kuba ingqondo nemisipha yomntwana azinxibelelani kakuhle. Ezi mpawu zinokuchaphazela amandla omntwana okuhambahamba ngokukhuselekileyo nangokuzimeleyo.

Nangona kunjalo, nangona ingenakunyangwa, ngethamsanqa, kukho iindlela ezahlukeneyo zonyango ezinokulawulwa. Unyango lomzimba, unyango lomsebenzi, unyango lokuthetha, kunye namayeza anokuphucula umgangatho wobomi bomntwana. Kuya kufuneka uhlale unxibelelana neqela lezonyango lomntwana wakho. Ukuba wena okanye usapho lwakho ninemibuzo malunga noku, musani ukoyika ukubuza ugqirha.

I- Spastic Cerebral Palsy, I-Spastic Cerebral Palsy, I-Cerebral Palsy, Ukuqina Kwemisipha, I-Spasticity, I-Neurology Yabantwana, Iingxaki Zokushukuma, Uphuhliso Lomntwana