Ngaba ngamanye amaxesha ukhe uzive ngathi xa uzama ukushukumisa ingalo okanye umlenze, ngequbuliso uba lukhuni ngokungathi ubethwe lilitye? Okanye uzive ngathi izihlunu zakho ziyaqhaqhazela kwaye zibuhlungu nangona umile nje? Le yimeko abantu abaninzi abayifumanayo, kodwa abazi ukuba yintoni kanye kanye. Kwizonyango, siyibiza ngokuba yiSpasticity. Ungakhathazeki, namhlanje siza kuthetha ngayo yonke into ngokulula, ngendlela onokuyiqonda.
Ngamafutshane, yintoni iSpasticity?
I-Spasticity yingxaki yenkqubo elawula intshukumo yezihlunu zethu. Cinga ngayo, xa sigoba ingalo, iqela elinye lezihlunu liyaqina (liyafinyela), ngelixa elinye iqela lezihlunu liphumla. Kufana nokutsalana; xa elinye icala litsalwa, elinye icala kufuneka liphumle. Le nkqubo ilawulwa yinkqubo yethu yemithambo-luvo ephakathi, eyingqondo kunye nomqolo (intambo yemithambo-luvo engaphakathi kwikholamu yomqolo) .
Ukuba le nkqubo yemithambo-luvo ephakathi yonakele ngesizathu esithile, inkqubo yemiqondiso kwezo zihlunu iyaphazamiseka. Okwenzekayo ke kukuba xa uzama ukuhambisa ingalo, izihlunu ekufuneka ziqine kunye nezihlunu ekufuneka zikhululeke zombini ziqine ngaxeshanye. Oku kwenza kube nzima ukushukuma, kubangela ukuqina kwezihlunu, kwaye kunokubangela intlungu.
Kwabanye, le meko isenokuba buthathaka, inokuba kukuxinana nje kwemisipha. Kwabanye, inokuqhubekela kwimeko apho ilungu liqina kangangokuba alinakulawuleka, nto leyo ebangela iintlungu eziqatha.
| Uphawu | Ingcaciso elula |
|---|---|
| Ukwanda kwethoni yemisipha (iHypertonia) | Nokuba umi nje, izihlunu zakho ziqinile kwaye azikhululekanga. |
| Ukuqaqamba kwemisipha | Ukuxinana ngequbuliso, okungalawulekiyo kunye nokuqina kwezihlunu. |
| I-Clonus | Uthotho lokushukuma okukhawulezayo, okungathi kukungcangcazela kwiindawo ezifana namaqatha. |
| Ukuma okungaqhelekanga | Imilenze, njengeengalo nemilenze, zigobile kwaye zoluliwe ngeendlela ezingaqhelekanga. |
| Intlungu kunye nokungonwabi | Intlungu ebangelwa kukuxinana kwemisipha kunye nokuqaqamba. |
| Ukuqiniswa | Izihlunu ziyaqina kwaye amalungu ayaqina ngokusisigxina, ngokungathi enziwe ngamatye, ngokuhamba kwexesha. |
| Ukuphazamiseka kwimisebenzi yemihla ngemihla | Ubunzima bokwenza nemisebenzi elula efana nokunxiba, ukuhlamba, okanye ukutya wedwa. |
Zithini izizathu zokuqaqamba kwemisipha?
Njengoko benditshilo ngaphambili, isizathu esiphambili soku kukonakala kwenkqubo yethu yemithambo-luvo, oko kukuthi, ingqondo okanye umqolo. Zininzi izizathu ezinokubangela lo monakalo.
- Ukulimala komqolo: Ukonakala komqolo okubangelwe yingozi.
- I-Multiple Sclerosis (MS): Isifo esonakalisa imithambo-luvo.
- I-Cerebral Palsy: Imeko ebangelwa kukonakala kwengqondo ngexesha lobuntwana.
- Istroke: Ukonakala kweeseli zengqondo ngenxa yokuphazamiseka kokuhamba kwegazi ukuya engqondweni.
- Ukulimala kwengqondo okanye entloko: Impembelelo entlokweni ngenxa yengozi.
- I-Amyotrophic Lateral Sclerosis (ALS): Isifo esiye sinciphise kancinci kancinci iiseli zemithambo-luvo ezilawula intshukumo.
- Ukungakwazi ukuzala kungabangelwa nazizinye iimeko ezininzi zemfuza.
Iphathwa njani i-spasticity?
Eyona nto ingcono kukuba zininzi iindlela zokunyanga le meko. Nangona i-spasticity ingenakunyangwa ngokupheleleyo, zininzi izinto onokuzenza ukulawula iimpawu, ukunciphisa iintlungu, nokwenza ubomi bakho bube lula.
Eyona ndlela isebenzayo yokunyanga oku kukusebenza neqela loogqirha abahlukeneyo, kungekuphela nje nomntu omnye. Eli qela lingabandakanya ingcali yemithambo-luvo, ingcali yemithambo-luvo, ingcali yemithambo-luvo, kunye nengcali yemithambo-luvo.
Unyango olungelulo utyando
Ezi zezona ndlela zonyango zokuqala eziza kusetyenziswa.
- Unyango lomzimba: Oku kubandakanya ikakhulu ukuzolula nokuqinisa umthambo wezihlunu eziqinileyo, kunye noqeqesho lokuhamba nokuma.
- Unyango lomsebenzi: Oku kuquka ukuzilolonga izihlunu ezisezandleni zakho ukuze ukwazi ukwenza imisebenzi yakho yemihla ngemihla, efana nokunxiba, ukuhlamba, nokupheka, wedwa.
- Unyango lokuthetha: Ukuba ukuxinana kuchaphazela izihlunu ebusweni bakho, emlonyeni, nasemqaleni, olu nyango lunokukunceda woyise ubunzima bokuthetha nokuginya.
- Amayeza: Kukho amayeza anokusetyenziswa ukuphumza izihlunu. Umzekelo, amayeza anje nge `(Baclofen)`, `(Tizanidine)`, `(Diazepam)`. Nangona kunjalo, la mayeza ngamanye amaxesha anokubangela iziphumo ebezingalindelekanga ezifana nokozela kunye nobuthathaka. Ke ngoko , kubalulekile ukusebenzisa la mayeza kuphela njengoko kumiselwe ngugqirha.
Unyango lwe-Botox injection
Ewe, yileyo `(Botox®)` okhe wayiva. Olu asilonyango lobuhle kuphela, kodwa lukwalunyango olusebenzayo kakhulu lokunyanga ukuqaqamba. Okwenzayo apha kukufaka le naliti ngqo kwimisipha eqinileyo. Emva koko ezo misipha ziyaphumla. Isiphumo sale nto sihlala malunga neenyanga ezi-3.
Utyando (utyando)
Ezi zihlala zisetyenziswa xa isifo sinzima kakhulu.
- Unyango lwe-ITB: Oku kuquka ukufakelwa ipompo encinci phantsi kwesikhumba sesisu ngotyando, ekhupha idosi ethile yeyeza elibizwa ngokuba yi-``(Baclofen)`` ngqo kulwelo olujikeleze imithambo-luvo yomqolo. Lineziphumo ezimbalwa ezingalindelekanga kunokulithatha ngomlomo.
- Utyando lwe-Selective Dorsal Rhizotomy (SDR): Olu lutyando oluntsonkothileyo kancinci. Kulo msebenzi, kukhethwa kuphela iingcambu zemithambo-luvo ezibangela ingxaki kwaye zinqunyulwe. Oku kunokunciphisa ukuqina kwemilenze.
- Utyando lwamathambo: Utyando lokubuyisela amalungu kunye nemisipha eqine kwaye iqine ngenxa yokuxinana.
Ufanele uye nini ngokuqinisekileyo kugqirha?
Oku kubaluleke kakhulu.
Ukuba ngequbuliso uva ukuqina kwemisipha nokushukuma ngolu hlobo ngaphandle kweengxaki zangaphambili, oko kungaba luphawu lomonakalo engqondweni okanye emgogodleni, ngoko bonana nogqirha ngokukhawuleza ngaphandle kokulibazisa.Yiya kwiYunithi yoNyango oluNgxamisekileyo (i-ETU) ukuba kuyimfuneko.
Ukuba sele uyazi ukuba une-spasticity, thetha nogqirha wakho ukuba ezi zinto zilandelayo zenzeka:
- Ukuba ukuqina nokuqaqamba komzimba kuyanda imihla ngemihla.
- Ukuba intlungu iyanda.
- Ukuba ufumana ubunzima obukhulu ekwenzeni imisebenzi yemihla ngemihla.
Umyalezo Wokuya Ekhaya
- I-Spasticity yimeko apho izihlunu ziqina kwaye zishukuma ngokungalawulekiyo, okubangelwa kukonakala kwengqondo okanye umqolo.
- Ubunzima boku bunokususela ekungonwabi okuncinci ukuya kwintlungu enzima eyenza imisebenzi yemihla ngemihla ingenzeki.
- Ungakhathazeki. Zininzi iindlela zonyango eziphumelelayo, ukusuka kunyango lomzimba ukuya kutyando.
- Ngokuthetha neqela lakho lezonyango, ungenza isicwangciso sonyango esifanelekileyo kuwe.
- Ukuba ubonakalisa iimpawu ezintsha okanye imeko yakho iba mandundu, funa ingcebiso kagqirha ngokukhawuleza.
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