Ngaba wakha waziva ngathi isandla sakho, ingqiniba , okanye iminwe yakho iqinile kwaye kunzima ukuyigoba? Okanye ngaba uvakalelwa kukuba isandla sakho siyashukuma okanye siyashukuma ngendlela engalawulekiyo? Ukuba oku kwenzeka kuwe okanye kumntu omaziyo, kusenokuba kungenxa yesi simo sithetha ngaso namhlanje. Masithethe ngale nto ngokulula nangokuzolileyo.
Ngamafutshane, yintoni i-Upper Limb Spasticity?
Kulapho izihlunu ezingalweni zakho, ingakumbi amalungu akho angasentla, ziba nzima kwaye ziqine. Ngamanye amaxesha, ezi zihlunu zinokushukuma okanye zijijeke ngokungalawulekiyo. Sidla ngokubiza oku ngokuba kukuxhuzula kwezihlunu, okanye 'ukuxhuzula'.
Le meko yenzeka xa kukho umonakalo othile kwinkqubo yethu yemithambo-luvo yomzimba. Cinga ngale ndlela: ingqondo yethu kunye nomqolo ziiziko ezimbini eziphambili zolawulo ezithumela imiqondiso yombane kwimisipha yomzimba wethu. Xa ezi ziko zolawulo zonakele ngenxa yestroke, isifo, okanye ingozi, inkqubo yokuthumela ezo miqondiso iyaphazamiseka. Kufana nomgca wefowuni osebenzayo onqunyulwayo. Kungenxa yezi mpawu ziphazamisekileyo apho imisipha iqala ukuqina nokushukuma ngokungeyomfuneko.
Into ebalulekileyo kukuba le ayisosisongelo kubomi. Nangona kunjalo, iintlungu kunye nokungonwabi okubangelwa yiyo kunokuba nefuthe elikhulu kwimisebenzi yakho yemihla ngemihla. Nemisebenzi elula efana nokunxiba okanye ukuhlamba inokuba nzima.
Kodwa ungakhathazeki, unyango lwale meko luphucuke kakhulu kunangaphambili. Kukho unyango oluninzi olunokukunceda ufumane ukuguquguquka kwezihlunu zakho kwaye uphucule ulawulo lwesandla.
Ziziphi izizathu eziphambili zoku?
Njengoko besitshilo ngaphambili, unobangela oyintloko woku kukonakala kwenkqubo yethu yemithambo-luvo, ngakumbi ingqondo okanye umqolo. Izihlunu zethu ziyashukuma xa zifumana imiqondiso yombane evela kwimithambo-luvo. Ezi miqondiso zivela kwingqondo nakwimithambo-luvo. Xa ezi zonakele, inkqubo yokuthumela imiqondiso iba yinto engaguqukiyo. Ezi zimpawu zingaguqukiyo zezona zibangela ukuba izihlunu ziqine kwaye zishukume.
Kukho izizathu ezininzi eziphambili zokuba lo monakalo unokwenzeka:
- Istroke: Istroke senzeka xa umthambo wegazi okhokelela ebuchotsheni uvalekile okanye uqhuma ngenxa yokuqhekeka kwegazi. Oku kuncitshisa iiseli zobuchopho ioksijini negazi ezizidingayo, nto leyo ebangela ukuba zife. Oku kungonakalisa inkqubo yemithambo-luvo kwaye kukhokelele kwiimeko ezifana nezi.
- Ezinye iimeko zonyango: Le meko inokubangelwa zizifo ezonakalisa inkqubo yemithambo-luvo, ezifana ne-"Multiple Sclerosis" kunye ne-"Cerebral Palsy."
- Ukwenzakala: Ukwenzakala okukhulu engqondweni okanye emgogodleniInkqubo yemithambo-luvo inokonakala.
Zithini iimpawu zale meko?
Ngamanye amaxesha ezi mpawu zibonakala kwiiveki, kwiinyanga, okanye kwiminyaka emva kwestroke okanye ukwenzakala kwengqondo. Lumka kwezi mpawu zilandelayo.
| Uphawu | Ingcaciso elula |
|---|---|
| Ukuqina/ukuqina kwemisipha yengalo | Izihlunu ezisesandleni ziqinile njengelitye. |
| Ukungcangcazela okungalawulekiyo | Ukungcangcazela okanye ukushukuma kwezandla okungalawulekiyo. |
| Ubunzima bokusebenzisa isandla | Ubunzima bokusebenzisa isandla ukubamba into ethile, ukubhala, okanye ukwenza eminye imisebenzi. |
| Ukuqina kwamalungu | Ukuqina kwengqiniba, esihlahleni, okanye amalungu eminwe. |
| Isandla sikwindawo engaqhelekanga | Izinto ezifana nokugcina iingalo zakho zisondele emzimbeni wakho, ukugcina iingqiniba zakho zigobile, nokubamba izandla zakho ngamanqindi. |
| Intlungu | Ukuziva iintlungu xa ulungisa okanye ushukumisa ingalo, ingqiniba, isihlathi, okanye iminwe. |
Khumbula, ukuba awunyangwa, ezi zihlunu zinokuba lukhuni kwaye isandla sakho "sinamathele" kwindawo enye. Oku kunokwenza kube nzima kakhulu ukwenza imisebenzi yemihla ngemihla. Ukuba ukhe waba nestroke okanye wenzakele engqondweni,Ukuba ukhe waziva uxinezelekile, uqhaqhazela, okanye ubuthathaka kwimilenze yakho, xelela ugqirha wakho ngoko nangoko.
Yenziwa njani le nto yokuxilonga?
Kule meko, kuya kufuneka ubone ugqirha ogxile kwinkqubo yemithambo-luvo , okanye "kwingcali yezifo zengqondo".
Uza kuqala akuhlole ngokwasemzimbeni. Uza kujonga ukuba uyakwazi na ukushukuma nokulawula izandla zakho, iingqiniba, izihlathi kunye neminwe. Uza kuvavanya nokuguquguquka kwakho ngokugoba nokolula amalungu akho.
Ukongeza, ugqirha uza kukubuza imibuzo embalwa. Umzekelo:
- Zeziphi izihlunu ezichaphazeleka kukukruquka ?
- Iqale nini le nto?
- Kukangaphi oku kubhonga kwenzeka?
- Ngaba ukwenza into ethile kuya kuyinciphisa le meko? Ngaba kuya kuyinyusa?
- Ngaba kukho intlungu okanye ukuqina?
- Ziziphi iingxaki onazo ekwenzeni umsebenzi wakho wemihla ngemihla?
Ungenza uvavanyo lwe-electromyography (EMG) ukuze ubone ukuba izihlunu zakho kunye nemithambo-luvo zisebenza kakuhle kangakanani. Oku kuquka ukuba uhlale esitulweni okanye ulale ebhedini, kwaye ube nee-electrode ezininzi ezinamathele kwimisipha engalweni yakho. Ezi electrode zineenxalenye ezincinci, ezifana nenaliti eziya kwimisipha. Ezi ziqhagamshelwe kumatshini oneengcingo ezilinganisa umsebenzi wombane wemisipha kunye nemithambo-luvo. Ugqirha uya kukucela ukuba ugobe kwaye wolule ingalo yakho. Umatshini uya kurekhoda umsebenzi. Olu vavanyo lunokuthatha malunga nemizuzu engama-30 ukuya kwengama-60.
Zithini iindlela zonyango?
Eyona njongo yokunyanga oku kukuthintela izihlunu ukuba zingaqini ngokungeyomfuneko kwaye kukuvumele ukuba ushukumise amalungu akho ngokukhululekileyo. Kubaluleke kakhulu ukuqala unyango ngaphambi kokuba izihlunu zibe nzima kwaye intlungu ikhule.
Ugqirha uza kumisela unyango olufanelekileyo ngokusekelwe kwimeko yakho yempilo kunye neempawu.
| Indlela yonyango | Inkcazo |
|---|---|
| Ukuzilolonga kunye noNyango loMzimba | Ungenza ukolula umzimba okwenza izihlunu zakho kunye namalungu akho abe lula. Ingcali yezonyango ingakufundisa indlela yokwenza oku ngokuchanekileyo. |
| Iibraces okanye iiSplints | Ukunxiba ezi zinto kunceda ukugcina izihlunu kunye namalungu elungelelene kakuhle kwaye kuthintela ukuqina. |
| Iintlobo ezikhethekileyo zezitofu zokugonya | Iinaliti ezifana ne -onabotulinumtoxinA (Botox) kunye ne -abobotulinumtoxinA (Dysport) zinokufakwa kwizihlunu ukuze ziphumle kwaye zinciphise ukuxhuzula. Nangona kunjalo, ezi zinokubangela ezinye iziphumo ebezingalindelekanga, ezinje ngobunzima bokuphefumla nokuginya, ngoko ke thetha nogqirha wakho ngononophelo ngale nto. |
| Amayeza Omlomo | Iziphumzi zemisipha ezifana ne -baclofen , i-diazepam , kunye ne -tizanidine . |
| Iinaliti zeNeva Block | Xa amanye amayeza engaphumeleli ukulawula ukuqaqamba kwemisipha, kunikwa inaliti ukuze kuthintele imithambo-luvo ebangela ukuqaqamba kwemisipha. |
| Utyando | Ukuba akukho nyango luphumelelayo, utyando lokusika imithambo-luvo okanye imisipha ebangela ukuqaqamba kwemisipha lunokucetyiswa njengenyathelo lokugqibela. |
Ukuba imeko yakho iyaphucuka, ubungakanani bonyango bungancitshiswa. Kungoko ke, kubaluleke kakhulu ukulandela isicwangciso sonyango esinikwe ngugqirha wakho ngokuchanekileyo kwaye wazise ugqirha wakho ngalo naluphi na utshintsho olubonayo.
Izinto onokuzenza ngokwakho
Kunye nonyango, kukho izinto ezininzi onokuzenza ngokwakho ukuze ugcine izihlunu zakho kunye namalungu akho eguquguquka kangangoko.
- Hlala usebenza kangangoko unako: Ukuzilolonga kukhulula izihlunu kwaye kwandisa ukuguquguquka. Ukudada kunye nokuzilolonga okwakha amandla kulungile kakhulu. Kwanezinto ezinje ngokudlala imidlalo okanye ukwenza imisebenzi yasekhaya kunokunceda ukuhambisa amalungu omzimba aqinileyo.
- Lala kakuhle: Iimpawu zinokuba mandundu njengoko ukudinwa kusanda.
- Hlala ukhululekile engqondweni:Uxinzelelo lungenza le meko ibe mandundu. Ngoko ke yenza into oyithandayo ezolisa ingqondo yakho, njengokufunda incwadi, ukuhambahamba, okanye ukucamngca.
Ukuba ayinyangwa, izihlunu zinokuba nzima kwaye zibe buhlungu ngakumbi ngokuhamba kwexesha. Nangona kunjalo, ngonyango lwanamhlanje, ngoku unokuphinda ukwazi ukulawula isandla sakho kwaye uphile ubomi obusebenzayo. Ingcali yakho yomzimba okanye ingcali yakho yomsebenzi ingakufundisa iindlela zokwandisa ukuguquguquka kwakho kunye neendlela ezintsha zokwenza imisebenzi yemihla ngemihla ngokulula.
Umyalezo Wokuya Ekhaya
- I-Upper Limb Spasticity kukuqiniswa nokushukuma okungalawulekiyo kwemisipha engalweni. Oku akusongeli ubomi.
- Isizathu esiphambili soku kukonakala kwenkqubo yemithambo-luvo ngenxa yestroke, izifo ezithile, okanye iingozi.
- Ukuba ufumana iimpawu ezinjengokuqina kwengalo, ukungcangcazela okungalawulekiyo, okanye iintlungu, ingakumbi ukuba unembali yestroke, bonana nogqirha ngokukhawuleza.
- Kukho unyango oluninzi oluphumelelayo koku, kuquka ukuzilolonga, amayeza, inaliti ezikhethekileyo, kunye notyando.
- Kunye nonyango, ukuhlala usebenza, ukulala kakuhle, nokuhlala uphumle engqondweni kunokukunceda uphile ngokukhawuleza.
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