Wake wazizwa sengathi uzowa lapho usukuma ngokuzumayo, uhamba, noma ugoba ukuze ucoshe okuthile? Noma ingabe umuntu osekhulile endlini yakho uvame ukuwa ngaphandle kokulinganisela? Eqinisweni, ibhalansi yalo mzimba, okungukuthi, ibhalansi, ibaluleke kakhulu kunalokho esikucabangayo. Uma kukhona ngisho nokuntuleka okuncane kulokhu kulinganisela, kungaba yisithiyo esikhulu emisebenzini yethu yansuku zonke. Ngezikhathi ezinjalo, kusetshenziswa isivivinyo esilula kakhulu kodwa esibaluleke kakhulu ukukala ukuthi yiliphi izinga lokulinganisela umzimba wakho nokuthi usengozini engakanani yokuwa.
Kungani kwenziwa lokhu kuhlolwa kwebhalansi yeBerg?
Kalula nje, uma unesifo esingathinta ibhalansi yomzimba wakho, udokotela wakho angase akuncome lokhu kuhlolwa. Kufana nokulinganisela amasondo emoto. Kumayelana nokuhlola ukuthi umzimba wethu ulinganisele yini.
Cabanga ngakho, umzimba wethu ungumshini oyinkimbinkimbi kakhulu. Ukuze silondoloze ibhalansi, izinto eziningi zidinga ukusebenzisana, okuhlanganisa ubuchopho, indlebe yangaphakathi, amehlo, imisipha yemilenze kanye nomgogodla. Uma kukhona ngisho nobuthakathaka obuncane kunoma yikuphi kwalokhu, kungathinta ibhalansi yethu.
Nazi ezinye izimo zezokwelapha ezingathinta ibhalansi:
- Isifo sika-Alzheimer: Lesi yisimo lapho ukusebenza kobuchopho kwehla khona, okuholela ekulahlekelweni ukulawula umzimba kanye nokulinganisela.
- Izinkinga zendlebe/i-vestibular yangaphakathi: Indlebe yangaphakathi yingxenye yomzimba wethu ephethe kakhulu ibhalansi yethu. Kufana 'nezinga lomoya' emotweni. Ngakho-ke uma kunenkinga ngendlebe yangaphakathi, ungase ube nesiyezi njalo nokulahlekelwa ibhalansi.
- Ukukhubazeka kwengqondo.
- Ukulahlekelwa yizitho noma ukunqunywa kwezitho.
- Isifo samaphaphu: Ngezinye izikhathi, ngisho noma ungakwazi ukuphefumula kahle, umzimba wakho awutholi umoya-mpilo owanele, okungakwenza uzizwe ungaphili futhi kuthinte ibhalansi yakho.
- I-Multiple sclerosis (MS): Lesi yisifo esithinta isimiso sezinzwa, esibangela ikhono lomzimba lokudlulisa imiyalezo kwabanye, okuholela ekulahlekelweni ukulawula imisipha kanye nokulinganisela.
- I-Osteoarthritis: Ubuhlungu nokulahlekelwa umsebenzi okubangelwa ukuguguleka kwamalunga, ikakhulukazi amadolo nezinqe, kungathinta ibhalansi ngenkathi uhamba.
- Isifo sikaParkinson: Lesi sifo sithinta izingxenye zobuchopho ezilawula ukunyakaza komzimba, okubangela ukulahlekelwa okukhulu kwebhalansi lapho uhamba futhi ujika.
- Isifo sokulahlekelwa yingqondo esiqhubekayo.
- Ukulimala komgogodla.
- Ukulimala kobuchopho okubuhlungu.
Uma unalesi simo, lokhu kuhlolwa kungaba usizo kakhulu ekuhloleni ingozi yakho yokuwa.
Isebenza kanjani le Berg Balance Scale?
Lokhu kulula kakhulu. Udokotela wakho noma isazi sokuvivinya umzimba uzokunikeza izivivinyo eziyi-14 ezilula kakhulu ongazenza. Lokhu kuhlanganisa ukuhlala, ukuma, nokwenza ukunyakaza okuncane.
Babheka ukuthi wenza kanjani yonke le misebenzi, bese bekunikeza amaphuzu. Amaphuzu anikezwa esikalini kusukela ku-zero (0) kuya ku-4 (4) .
- Uthola amaphuzu ama-4 uma ukwazi ukwenza umsebenzi kahle ngaphandle kosizo noma ubunzima.
- Uthola amaphuzu angu-0 uma ungakwazi ukwenza umsebenzi, noma uma udinga usizo oluningi ukuze uwenze.
Ekugcineni, amaphuzu ayo yonke imisebenzi engu-14 ayahlanganiswa. Isibalo esiphelele sinquma ingozi yakho yokuwa.
Into ebalulekile ukuthi, lokhu akusikho ukuhlolwa "kokuphasa" noma "kokwehluleka". Kumayelana nokuqonda isimo sakho nokuthola ukuthi hlobo luni losizo oludingayo ukuze usebenze ngokuphepha empilweni yakho yansuku zonke. Ngakho-ke ungesabi lokhu nganoma iyiphi indlela.
Yini okufanele uyenze ngesikhathi sokuhlolwa?
Lokhu kuhlolwa kuvame ukuthatha imizuzu eyi-15 kuya kwengama-20. Udokotela we-physiotherapist noma udokotela uzokutshela ukuthi wenze le misebenzi. Lezi izinto ezilula kakhulu. Ake sibone ukuthi ziyini.
| Umsebenzi okufanele uwenze | Kalula nje... |
|---|---|
| Ukuvuka endaweni yokuhlala | Udinga ukuhlala esihlalweni bese ume uqonde ngaphandle kosizo lwezandla zakho. |
| Ukuma ngaphandle kokusekelwa | Udinga ukuma uqonde cishe imizuzu emibili ungathinti lutho. |
| Ukuhlala ngaphandle kokusekelwa | Udinga ukuhlala esihlalweni ngaphandle kokubeka i-backrest, ugoqe izingalo zakho, imizuzu emi-2. |
| Ukuhlala umi endaweni ethile | Udinga ukuhlala phansi esihlalweni kancane futhi ulawulwe umi endaweni ethile. |
| Ukusuka kwesinye isihlalo uye kwesinye | Kufanele uvuke esihlalweni esisodwa uhlale kwesinye esiseduze. |
| Ukuma uvale amehlo | Udinga ukuma imizuzwana eyi-10, ungathinti lutho, amehlo akho evaliwe. |
| Ukuma nezinyawo zombili ndawonye | Udinga ukuma ngaphandle kokusekelwa, ugcine imilenze yakho isondelene. |
| Ukukhothamela phambili ngengalo eyeluliwe | Ngesikhathi umile, udinga ukwelula izingalo zakho phambili ngangokunokwenzeka ngaphandle kokuwa. |
| Ukucosha into phansi | Kufana nesicathulo phansi eduze konyawo lwakho, kufanele usiphakamise ngaphandle kokulahlekelwa ibhalansi yakho. |
| Ukuphenduka nokubheka emuva | Ngesikhathi umile, kufanele ugcine imilenze yakho iqondile futhi ubheke phezu kwamahlombe akho nangemuva kwakho. |
| Ukuzungeza indilinga egcwele (ama-degree angu-360) | Kufanele ujikeleze indilinga ephelele lapho umi khona. |
| Ukushintshana ngokubeka izinyawo esihlalweni esiphambi kwakho | Udinga ukubeka umlenze owodwa esihlalweni esincane phambi kwakho, bese uwuthatha bese ubeka omunye umlenze phezu kwawo. Udinga ukukwenza lokhu izikhathi eziningana. |
| Ukuma unyawo olulodwa luqonde ngqo kolunye (ukuma ngasikhathi sinye) | Kufanele ume umugqa izinyawo zakho, uthinte isithende somlenze owodwa kanye nezinzwane zomunye. |
| Ukuma ngomlenze owodwa | Kufanele ume ngomlenze owodwa ngaphandle kokusekelwa isikhathi eside ngangokunokwenzeka. |
Uyasaba yini ukwenza lezi zinto?
Uma wenza eminye yale misebenzi, ikakhulukazi uma unenkinga yokulinganisela ngempela, kuvamile ukuzizwa wesaba futhi wethukile, "O, ngizowa?" Kodwa akudingeki ukhathazeke ngalokho nhlobo. Ngoba udokotela wakho noma uchwepheshe wezokwelapha ngokomzimba uzoba seduze kwakho kulo lonke lolu vivinyo. Uma uzizwa sengathi uzowa, bahlala bekulungele ukukubamba futhi bakusize.
Futhi, uma uzwa ubuhlungu ngenkathi wenza umsebenzi noma uma kunzima ukukwenza, kusho lokho ngokushesha. Asikho isidingo sokuphoqa noma yini.
Zithini izimpawu?
Isibalo sonke singasukela ku-0 kuya ku-56. Uma isilinganiso siphansi, kulapho ingozi yakho yokuwa iba nkulu khona. Izici ezintathu eziyinhloko zithinta indlela othola ngayo amaphuzu:
- Ukuqedela umsebenzi ngaphandle kosizo: Zicabange umi ngomlenze owodwa. Uma ukwazi ukukwenza ngaphandle kokusebenzisa izandla zakho noma ukubamba noma yini, uthola amaphuzu engeziwe.
- Ukuhlala endaweni ethile: Ngezinye izikhathi uzocelwa ukuthi uhlale endaweni ethile cishe umzuzu. Uma ukwazi ukukwenza kaningi, kulapho amaphuzu aphezulu khona.
- Ukuhlala uzinzile ngenkathi uhamba: Uma uhamba, unaka nendlela ogcina ngayo ukuma kwakho ukuze ulinganisele isisindo somzimba wakho.
Ngokusekelwe kumaphuzu akho okugcina, uzohlukaniswa ngezigaba ezintathu eziyinhloko, futhi udokotela uzoncoma ukuthi yiluphi uhlobo losizo oludingayo ukuze uluthole ngokuphepha.
| Ububanzi bamaphuzu (kumaphuzu angu-56 esewonke) | Lokho okushiwo yilokhu nokuthi yini ekuncomayo |
|---|---|
| Amaphuzu 41 - 56 | Lokhu kusho ukuthi ibhalansi yakho ilungile. Ingozi yokuwa iphansi kakhulu. Ungahambahamba ngokuphephile ngaphandle kosizo. |
| Amaphuzu angu-21 - 40 | Ingozi yakho yokuwa incane. Ungase udinge usizo ukuze uhambe ngokuphepha. Lokhu kungaba yinduku noma i-walker. |
| Amaphuzu 0 - 20 | Lokhu kusho ukuthi usengozini enkulu yokuwa futhi ungadinga isihlalo sabakhubazekile ukuze uhambe ngokuphepha. |
Kufanele ngimbone nini udokotela?
Ngokuvamile, lokhu kuhlolwa kwebhalansi ye-Berg kwenziwa kumuntu osevele enezinkinga zebhalansi. Ngakho-ke uma unesifo esithile, uma izimpawu zaso ziba zimbi kakhulu , noma uma kuvela izimpawu ezintsha, qiniseka ukuthi ukhuluma nodokotela wakho.
Ngisho nomuntu ongaguli angazizwa enesizungu, enesizungu, futhi elahlekelwe yibhalansi. Lokhu kungaba okwesikhashana. Kodwa-ke, kungaba izimpawu zokuqala zezinye izimo zezokwelapha. Ngakho-ke, uma lezi zimpawu zihlala isikhathi esingaphezu kwehora, noma uma zihambisana nezimpawu ezilandelayo, bheka udokotela ngokushesha.
- Ikhanda elibuhlungu
- Ubuhlungu bentamo
- Isicanucanu nokuhlanza
Udokotela wakho uzokwenza izivivinyo ezidingekayo futhi athole ukuthi yini ebangela lesi sizungu kanye nokulahlekelwa yibhalansi.
Kuthembeke kangakanani lokhu kuhlolwa?
Isikali se-Berg Balance siyindlela yokuhlola ejwayelekile esetshenziswa emhlabeni wonke ukukala ibhalansi kanye nengozi yokuwa. Ucwaningo lukhombisile ukuthi iyindlela ethembekile kakhulu.
Kodwa lokhu futhi kunemikhawulo. Isibonelo, lokhu kuhlolwa akukwazi ukusetshenziselwa ukuthola ukungahambi kahle kokuhamba. 'Ukuhamba' kwakho kubhekisela endleleni ohamba ngayo. Abanye abantu bashintshashintsha izinyawo zabo, abanye bahamba ngendlela enyakazayo. Kunezivivinyo ezihlukene zokuthola izinto ezinjalo.
Okokugcina, izinkinga zokulinganisela zingenza kube nzima ukwenza imisebenzi yakho yansuku zonke futhi zikuvimbele ekubeni matasa ngendlela ongathanda ngayo. Ukuhlolwa kwebhalansi ye-Berg kuyindlela enhle yokuhlola ukuthi ungakwazi yini ukuhambahamba ngokuphepha nangokuzethemba. Imiphumela izosiza udokotela wakho kanye nochwepheshe wezokwelapha ngokomzimba ukukunikeza ukwesekwa, ukuvivinya umzimba, kanye nesiqondiso osidingayo.
Umlayezo Wokuya Nawe Ekhaya
- Isikali se-Berg Balance siyindlela elula yokuhlola ibhalansi yakho kanye nengozi yokuwa.
- Lokhu akusikho ukuhlolwa "kokuphasa" noma "kokwehluleka". Kumayelana nokuqonda isimo sakho nokunquma ukuthi yiluphi usizo oludingayo.
- Ungakhathazeki ngokuwa, njengoba uchwepheshe (udokotela noma uchwepheshe wezokwelapha ngokomzimba) uzohlala enawe ngesikhathi sokuhlolwa.
- Uma amaphuzu ephansi, kulapho ingozi yokuwa iphakama khona. Kuye ngemiphumela, kuzonconywa ukuthi ngabe udinga ithuluzi lokusiza njengenduku, i-walker, noma isihlalo sabakhubazekile.
- Uma uvame ukuzizwa unesiyezi noma ungazinzile, ungakushayi indiva futhi nakanjani khuluma nodokotela wakho.
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