Yintoni iCerebral Palsy? Masifundise umntwana wakho.

Njengomama okanye utata, wonwabe kakhulu xa ubona umntwana wakho ekhula kancinci kancinci, xa umbona edlula kwinqanaba elilandelayo, akunjalo? Kodwa ngamanye amaxesha, xa umntwana wakho efika kade kwizinto ezifana nokuqengqeleka, ukuhlala, nokuma, uziva usoyika kancinci. Nangona uninzi lwexesha ezi zizinto eziqhelekileyo, ngamanye amaxesha kunokubakho imeko yezonyango emva koku efana ne " Cerebral Palsy". Ungakhathazeki, siza kuthetha ngayo yonke into ngokulula namhlanje.

Ngamafutshane, yintoni i-cerebral palsy (CP)?

I-Cerebral Palsy, esiyibiza ngokuba yi-CP ngamafutshane, liqela leemeko ezichaphazela intshukumo yomntwana, ukulinganisela , kunye nokusebenza kwemisipha. Igama elithi "cerebral" lithetha into enxulumene nengqondo. Igama elithi "Palsy" lithetha ubuthathaka okanye ingxaki ngemisipha.

Le meko yenzeka xa inxalenye yengqondo elawula iintshukumo zomzimba wethu ingakhuli kakuhle, okanye ukuba kukho umonakalo kuloo nxalenye ekuzalweni okanye ebuntwaneni. Ngokuqhelekileyo, umntwana uzalwa enale meko. Siyibiza ngokuba yi "congenital CP." Kodwa kunqabile kakhulu, le meko inokubangelwa nangumonakalo engqondweni emva kokuzalwa.

I-CP inokuba phakathi kweengxaki ezincinci nezinzima. Abanye abantwana banokuba nobunzima bokuhamba nokuthetha. Uninzi lwabantwana alunangxaki ngengqondo yabo. Nangona kunjalo, abanye abantwana banokuba nokukhubazeka kwengqondo.

Ziziphi iintlobo eziphambili ze-CP?

I-CP inokwahlulwa ibe ziintlobo ezine eziphambili ngokuxhomekeke kwindlela umntwana ashukuma ngayo.

Okungakumbi malunga neSpastic CP

Olu lolona hlobo luqhelekileyo. Lwahlulwe lwaba ziinxalenye ezintathu:

• I-Spastic Diplegia: Le yimeko apho izihlunu emilenzeni ziqinile kakhulu. Izihlunu ezisemanqeni nasemilenzeni ziqinile, nto leyo ebangela ukuba amadolo ajike angene ngaphakathi kwaye imilenze inqamleze njengesikere xa uzama ukuhamba. Oku kukwabizwa ngokuba yi- "scissoring."
• I-Spastic Hemiplegia: Oku kuchaphazela icala elinye lomzimba (ngasekunene okanye ngasekhohlo). Ingalo nomlenze kwelo cala unokuba mfutshane kancinci kwaye ube mncinane kunelinye icala. Oku kubangela ukuba abanye abantwana bazame ukuhamba ngeenzwane zabo . Abanye banokuba nomqolo ogobileyo (i-scoliosis).
• I-Spastic Quadriplegia: Olu lolona hlobo lubi kakhulu lwe-spastic CP. Ichaphazela onke amalungu omane, umzimba, kunye nobuso. Ukuxhuzula kunye nobunzima bokuthetha nako kunokwenzeka.

Kutheni le meko isenzeka?

Kudla ngokuba nzima ukuchonga unobangela we-CP. Nangona kunjalo, inokubangelwa yiyo nayiphi na into ephazamisa uphuhliso oluqhelekileyo lwengqondo. Ezi zinto zinokwenzeka ngaphambi, ngexesha, okanye emva kokuba umntwana ezelwe.

Ezona zizathu ziphambili zezi:

• Usulelo kumama ngexesha lokukhulelwa: Usulelo olufana ne-German measles (Rubella), i-chickenpox (Chickenpox).
• Ukuzalwa ngaphambi kwexesha: Iintsana ezizelwe ngaphambi kweeveki ezingama-37 zisengozini enkulu.
• Iingxaki ngexesha lokuzalwa: Ubunzima ekubelekeni bunokubangela ukuba ingqondo yomntwana ingabi naoksijini (i-asphyxia). Nangona kunjalo, oku akuqhelekanga njengoko bekucingwa ngaphambili.
• Usulelo lobuchopho ebuntwaneni: Usulelo lobuchopho olufana ne-bacterial meningitis.
• I-genetics: Ezinye iinguqu kwi-genetic zinokuchaphazela ukukhula kwengqondo.
• I-Jaundice Enzima: Ukuba amanqanaba e-bilirubin aphakama kakhulu emva kokuzalwa aze anganyangwa, inokonakalisa ingqondo.

Zithini iimpawu zoku? Uzibona njani?

Iimpawu ze-CP ziyahluka kumntwana ngamnye, ngoko ke eyona nto ibalulekileyo kukuba amanyathelo okukhula komntwana wakho ayalibaziseka. Kodwa khumbula, ayizizo zonke iilibaziseko ezibangelwa yi-CP. Ukuba uneengxaki, kungcono ukuthetha nogqirha wakho.

Ifunyaniswa njani i-CP?

Ugqirha wezingane womntwana wakho uza kujonga ukukhula komntwana wakho rhoqo xa ehlolwa. Baza kujonga ngononophelo iintshukumo zomntwana wakho, ithoni yemisipha, kunye nendlela ami ngayo.

Ukuba unenkxalabo, ugqirha wakho angathumela umntwana wakho kwingcali yezifo zengqondo yabantwana. Ezi mvavanyo zilandelayo zinokufuneka ukuqinisekisa ukuxilongwa:

• Iiskeni zobuchopho: Iskeni ye -MRI (Magnetic Resonance Imaging) okanye i-CT (Computed Tomography) ingenziwa ukujonga ulwakhiwo lobuchopho. I-MRI inokuvelisa imifanekiso ecacileyo.
• I-EEG (i-Electroencephalogram): Abanye abantwana abane-CP banokuba nokuxhuzula (i-epilepsy). Olu vavanyo lulinganisa umsebenzi wombane wengqondo.
• Uvavanyo lwegazi: Uvavanyo lwegazi lwenziwa ukujonga ezinye iimeko zemfuza okanye zemetabolism ezibonisa iimpawu ezifanayo nezeCP.

Zithini iindlela zonyango?

I-CP ayinakunyangwa ngokupheleleyo. Nangona kunjalo, ngonyango olufanelekileyo nolawulo, umntwana unokuncedwa ukuba aphile ubomi obungcono kangangoko. Okukhona unyango luqala ngokukhawuleza, kokukhona iziphumo ziba ngcono. Oku kubandakanya iqela labantu abaninzi, kuquka oogqirha, iingcali zonyango lomzimba, iingcali zonyango lomsebenzi, iingcali zonyango lokuthetha, nabanye.

Iindlela eziphambili zonyango:

• Unyango Lomzimba : Oku kubaluleke kakhulu. Kuzilolonga ukuze kuqiniswe izihlunu, kuphuculwe ukuguquguquka, kwaye kuphuculwe ulungelelwano.
• Unyango Lomsebenzi: Lunceda umntwana ukuba enze imisebenzi yemihla ngemihla (umz., ukunxiba, ukutya, ukubhala) eyedwa.
• Unyango lokuthetha: Lukunceda ukuba uthethe, uginye, kwaye uthethe ngokucacileyo.
• Amayeza: Amayeza anikwa ukunciphisa ukuqina kwemisipha (izinto eziphumza imisipha), ukulawula iintlungu, kunye nokulawula ukuxhuzula. Ngamanye amaxesha ukujova ngeBotox kwiimisipha kunokunciphisa ukuqina okwethutyana.
• Utyando: Kwezinye iimeko, utyando lwamathambo lunokufuneka ukuze kolulwe izihlunu ezibhityileyo okanye kulungiswe indawo yamathambo.
• Izinto Zokuncedisa Ekuhambeni: Iinqwelo zokuhamba, iintonga, izitulo ezinamavili, kunye neebraces/splints ezahlukeneyo zinokunceda koku.

Ngaba le meko ingathintelwa?

Nangona i-CP ingenakuthintelwa i-100% yexesha, kukho izinto ezininzi esinokuzenza ukunciphisa umngcipheko.

• Ukuhlala usempilweni ngexesha lokukhulelwa: Fumana imigonyo efunekayo (ingakumbi iRubella) ngaphambi kokukhulelwa. Fumana ukutya okunempilo ngexesha lokukhulelwa, kwaye uphephe ngokupheleleyo ukutshaya notywala.
• Unyango Olufanelekileyo Ngaphambi Kokubeleka: Kubaluleke kakhulu ukuya kwiikliniki zonyango rhoqo ukususela ngomhla ofumanisa ukuba ukhulelwe.
• Ukukhuselwa kwiintsholongwane: Zikhusele kwiintsholongwane ngexesha lokukhulelwa nasemva kokuba umntwana ezelwe.
• Ukunyamekela ukhuseleko lomntwana wakho: Thintela ukwenzakala okunokwenzeka entlokweni yomntwana wakho (njengokuwa).

I-Cerebral Palsy, i-CP, iiPediatrics, iingxaki zobuchopho, ukulibaziseka kophuhliso, unyango lomzimba, i-spasticity