Ingabe umzimba wengane yakho ubonakala uqinile kakhulu? Ake sifunde nge-Hypertonia!

Uma ubamba ingane yakho encane, noma uma ubamba izingalo noma imilenze yayo, wake wazizwa yini ukuthi umzimba wayo uqinile kakhulu futhi kunzima ukuyigoba? Ngezinye izikhathi imisipha yengane ingaba lukhuni ngokungadingekile. Namuhla sizokhuluma ngalesi simo, esibizwa ngokuthi i-Hypertonia . Ungakhathazeki, ukuqaphela lokhu kuyisinyathelo sokuqala.

Kuyini i-Hypertonia?

Kalula nje, i-hypertonia iwukucindezeleka kwemisipha ngokweqile. Kufana nocezu lokhuni olunamathela esikhundleni sebhande lerabha. Izingane ezinalesi simo zinezingalo, imilenze, nezintamo eziqinile kakhulu, okwenza kube nzima ukuzishukumisa.

Sonke sinokucindezeleka/ukumelana emisipheni yethu. Yilokhu esikubiza ngokuthi i-muscle tone . Bamba nje i-biceps yakho esandleni sakho ngenkathi umile. Yilokho ukuqina okuzwayo. Le muscle tone yikona okusisiza sihlale siqonde, silondoloze ibhalansi yethu, futhi sigcine izinzwa zethu zisebenza kahle.

Ngakho-ke, uma lo msindo wemisipha uphakama kakhulu, okungukuthi, lapho kuvela i-hypertonia, ukunyakaza kuba yinto eyenzeka ngomshini, njengerobhothi. Ngenxa yokuthi imisipha ayikwazi ukuphumula, ukuguquguquka komzimba kuphansi kakhulu. Izingane ezinjalo zinobunzima bokugcina ibhalansi, ukuhamba, ukufinyelela nokuqoqa izinto. Ngezinye izikhathi zidinga ngisho nosizo lokudla.

Yiziphi izinhlobo ze-Hypertonia?

Kunezinhlobo ezimbili eziyinhloko ze-hypertonia. Odokotela baxilonga lokhu ngokugoba ingalo noma umlenze womntwana ngokuphindaphindiwe ngesivinini esihlukile nangezindlela ezahlukene.

• I-Spastic hypertonia noma i-spasticity: Lokhu kwenzeka lapho ukusabela kwe-reflex kanye ne-muscle spasms kwanda ngokunyakaza. Cabanga ngengalo yengane iqina futhi inyakaza njengoba izama ukunyakaza.
• I-dystonic hypertonia noma ukuqina: Kulokhu, ukuqina kwemisipha akushintshi ngokunyakaza. Kubonakala sengathi kuhlala kuqinile.

Lesi simo sithinta bani? Kuvamile kangakanani?

I-Hypertonia, isimo esithinta izinsana nabantu abadala, singavela ngemva kokulimala ohlelweni lwethu lwezinzwa oluphakathi - ubuchopho kanye nomgogodla. Ngezinye izikhathi singavela ngemva kwengozi, noma singaba uphawu lwesimo sokuzalwa . Ngokuvamile sitholakala ngaphambi kokuba ingane ifinyelele eminyakeni emibili ubudala.

Kunzima ukusho ukuthi lokhu kuvame kangakanani, ngoba i-hypertonia ingaba uphawu lwezinye izimo. Kodwa ayivamile njenge -hypotonia - ubuthakathaka bemisipha - okuthinta amakhono okunyakaza kwengane.

I-Hypertonia ithinta kanjani umzimba womntwana?

Uma ingane yakho ine-hypertonia , kungaba nzima ukuhambisa izitho zayo. Okwenzekayo ukuthi kunenkinga ngokuxhumana phakathi kobuchopho, imizwa, nemisipha. Imisipha ayazi ukuthi kufanele inciphe noma iphumule nini kahle. Cabanga ngakho njengesibani sethrafikhi esiphukile. Akukho siginali yokuthi izimoto zime noma zihambe. Ngokufanayo, ngenxa yokuthi imisipha yengane iqinile, kungaba nzima ukuhamba, futhi ingalahlekelwa yibhalansi yayo bese iwela. Ngoba umzimba awusabeli ngokushesha ngokwanele ukuze uyisize ibuyisele ibhalansi yayo.

Ziyini izimpawu ze-Hypertonia?

Izimpawu ze-hypertonia zibangelwa ukuthi imisipha iba lukhuni kakhulu. Lezi zimpawu zingahluka kumuntu nomuntu. Futhi, ubukhulu bezimpawu buyahlukahluka kuye ngokuthi indawo yomonakalo ebuchosheni noma emgogodleni ikuphi.

Lezi yizimpawu ezivamile:

• Ububanzi bokunyakaza buyehla, njengebanga eliphelele ingalo engaphakanyiswa ngalo.
• Kunzima ukunyakazisa izingalo zakho, imilenze, kanye nentamo.
• Ukulahlekelwa ibhalansi nokuwa njalo.
• Ukunyakaza kwamalunga kulinganiselwe, futhi ukuguquguquka komzimba kuphansi kakhulu.
• Kungase kube nobuhlungu obukhulu kanye nobuhlungu emisipheni.
• Ukudikiza nokudikiza kwemisipha okungahleliwe (i-myoclonus).

Kwezinye izimo ezinzima kakhulu, isimo esibizwa ngokuthi "ukugoba" singavela. Lokhu kusho ukuthi amalunga ayavaleka endaweni yawo, futhi imisipha, imisipha, izicubu, kanye nesikhumba kuyaqina unomphela, okwenza amalunga aqine futhi aqine. Uma lokhu "kugoba" kwenzeka, kunzima kakhulu ukuhambisa ingxenye yomzimba ethintekile.

Ziyini izimbangela ze-Hypertonia?

Imbangela eyinhloko ye-hypertonia ukukhubazeka kokuxhumana ohlelweni lwethu lwezinzwa oluphakathi - okungukuthi, ubuchopho kanye nomgogodla. Lolu hlelo lulawula ukusebenzisana phakathi kwezinzwa nemisipha.

Ithoni yemisipha ilawulwa yizindlela ezixhumanisa imizwa nobuchopho. Uma lezi zindlela zonakele noma zivinjiwe, imisipha ayikwazi 'ukuzwa' kahle izimpawu ezivela emithanjeni. Lapho ithoni yemisipha ikhula, ubuchopho abukwazi ukutshela imizwa ukuthi, 'Kulungile, phumula imisipha yakho manje.'

Kunezizathu eziningana zokuthi kungani isimiso sezinzwa singalimala ngale ndlela futhi sibangele i-hypertonia:

• Ukulimala kokubeletha: Isibonelo, uma umntwana entula umoya-mpilo ngesikhathi ephuma esibelethweni sikanina (umsele wokubeletha).
• Isimila sobuchopho.
• Izimo ezithinta indlela imizwa exhumana ngayo nemisipha.
• Ezinye izinhlobo zomonakalo ohlelweni lwezinzwa oluphakathi.
• Izinkinga ezenzeka ngesikhathi sokukhula kwengane.
• Isifo sohlangothi.

Ezinye izimo ezine-hypertension njengophawu

I-Hypertonia ingaba uphawu lwezimo eziningana ezithinta ukuxhumana phakathi kobuchopho kanye nezinzwa nemisipha yomzimba. Uma udokotela ethola ukuthi ingane yakho ine-hypertonia, bazohlola nengane yakho ukuze bahlole ezinye izimo ezithinta uhlelo lwezinzwa oluphakathi, njenge:

• Ukukhubazeka kobuchopho
• I-multiple sclerosis
• Isifo sikaParkinson

Ihlolwa kanjani i-Hypertonia?

Ukuze ahlole ukuthi ingane yakho inalesi simo, udokotela uzoqala ahlole izici zomzimba zengane. Lapho, bazonaka izinto ezilandelayo:

• Ukulinganisela nokuhlanganisa.
• Amakhono okunyakaza komzimba: Lokhu kusho izinto ezifana nendlela yokubamba into ethile, indlela yokuhambisa izingalo nemilenze yakho, kanye nendlela yokuhlala.
• Ukuzindla.
• Umsebenzi wezinzwa.

Lokhu kuhlolwa akubuhlungu enganeni. Ngokuvamile, kusetshenziswa ithuluzi elifana nesando sokuzilolonga.

Udokotela uzobuza nangomlando wezokwelapha womndeni wakho. Uzothola nokuthi ngabe kube nezinkinga ngaphambi noma ngesikhathi sokuzalwa komntwana, nokuthi ngabe lesi simo siyimbangela.

Ukuhlolwa kokuhlonza

Uma udokotela wakho esola umfutho wegazi ophakeme, angase acele ezinye izivivinyo eziningana ukuqinisekisa ukuxilongwa. Lezi zivivinyo zifaka:

• Ukuhlolwa kwezithombe ukuze kubhekwe ubuchopho kanye nomgogodla: Isibonelo , i-MRI scan noma i -CT scan .
• I-Electromyograms (EMG): Lokhu kulinganisa umsebenzi wemisipha kanye nemizwa.

Iphathwa kanjani i-Hypertonia?

Ukwelashwa kuncike ebunzimeni besimo somfutho wegazi ophakeme futhi kugxile kakhulu ekuphatheni izimpawu.

Nazi ezinye izindlela zokwelapha ezingasetshenziswa ekwelapheni umfutho wegazi ophakeme:

• Vivinya umzimba njalo, ngangokunokwenzeka.
• Ukuya ekwelashweni ngokomzimba ukuze uthuthukise izinga lokunyakaza kwakho kubaluleke kakhulu. Udokotela we-physiotherapist ukufundisa ukuthi ungakhulula kanjani imisipha eqinile futhi wenze ukunyakaza kube lula.
• Imijovo yendawo, njenge- botulinum toxin, inikezwa ngqo emisipheni ethintekile. Lokhu kuvimbela okwesikhashana izimpawu zemizwa.
• Ukunikeza umuthi wokukhulula imisipha ukuze kuncishiswe ukuqaqamba kwemisipha.
• Ukwelapha esinye isimo sezokwelapha esiyisisekelo esinomfutho wegazi ophakeme njengophawu.

Ngaphezu kwalokho, kunezindlela zokwelapha zokuthuthukisa ukuhamba nokuqinisekisa ukuphepha kwabantu abanomfutho wegazi ophakeme, ikakhulukazi ukunciphisa ingozi yokuphuka kwamathambo ngenxa yokuwa. Abantu abaningi abanomfutho wegazi ophakeme kakhulu basebenzisa imishini yokuhamba njengendlela ephephile yokuhambahamba emhlabeni wonke.

Ngingalindela ukululama ngokushesha kangakanani ngemva kokwelashwa?

I-Hypertonia yisimo esihlala isikhathi eside, kodwa ngokwelashwa, ungathuthuka ngokuhamba kwesikhathi. Umgomo wokwelashwa ukunciphisa izimpawu nokuthuthukisa ukusebenza kwemisipha. Ukuthi uzizwa ungcono ngokushesha kangakanani kuncike embangela kanye nobunzima besimo.

Ungayinciphisa kanjani ingozi yokuba nengane ene-hypertension?

Kunzima ukunciphisa ingozi yokuba nomntwana onomfutho wegazi ophakeme. Lokhu kungenxa yokuthi imbangela ngokuvamile ayivimbeki, ikakhulukazi uma ihlobene nesimo sezokwelapha esiyisisekelo. Kodwa-ke, udokotela wakho uzosebenza nawe ukuze axoxe ngezindlela eziphephile zokunciphisa ukulimala kokubeletha kanye nezinkinga zokubeletha ngesikhathi sokubeletha. Lezi zinto zingasiza ekunciphiseni ingozi yokuba nomfutho wegazi ophakeme.

Yini ongayilindela uma unengane ene-hypertension?

Ngenxa yokuthi umfutho wegazi ophakeme uyisimo esihlala isikhathi eside, ukubikezela kuncike embangela yokuxilongwa. Ezinye izingane zingase zizizwe zingcono ngemva kokwelashwa isikhathi eside, futhi lesi simo singase singabi nomthelela omkhulu empilweni yazo iyonke. Kodwa-ke, ezimweni ezimbi kakhulu, umfutho wegazi ophakeme ungaqhubeka uba mubi ngokuhamba kwesikhathi. Lokhu kungathinta impilo nenhlalakahle yengane iyonke. Kwezinye izimo , kungase kube nokukhubazeka okungapheli . Kukhona futhi nengozi eyengeziwe yokuwa, ukutheleleka, kanye nezilonda zokulala . Ukwelapha imbangela eyisisekelo yomfutho wegazi ophakeme kungathuthukisa umbono wengane.

Ngingamnakekela kanjani umntwana wami one-hypertension?

Kubalulekile ukusekela ingane yakho ngalokhu kuxilongwa. Kungathatha isikhathi eside ukuthi ingane yakho ithuthukise amakhono okunyakaza komzimba - izinto ezifana nokubamba, ukufinyelela izinto, nokukhasa. Kodwa-ke, ukusebenza eduze nodokotela wengane yakho nokulandela ukwelashwa okunconywayo kungasiza ekunciphiseni izimpawu zayo futhi kuyisize ihlangabezane nezigaba zokukhula ezifanele iminyaka.Ungafinyelela futhi.

Njengoba ingane ikhula, kungase kudingeke ukunakekelwa kwesikhathi eside . Isibonelo, ukwelashwa okuqhubekayo ngokomzimba kungasiza ekuthuthukiseni ukuhamba kwayo njengoba ihileleka kakhulu ezweni eliyizungezile.

Kufanele ubonane nini nodokotela?

Uma ingane yakho ikhombisa izimpawu zomfutho wegazi ophakeme, kufanele nakanjani ubonane nodokotela. Izimpawu ezinjalo zifaka:

• Uma unenkinga yokunyakaza izingalo zakho, imilenze, noma intamo.
• Uma ingane izizwa iqinile uma uyithinta, ngisho noma ihleli nje.
• Uma imisipha yakho ibonakala sengathi iyanyakaza noma iyanyakaza ngokungalawuleki.

Yimiphi imibuzo okufanele ngiyibuze udokotela?

Kungumqondo omuhle ukubuza le mibuzo uma ubona udokotela:

• "Ingabe kukhona imiphumela emibi emithini enikezwe ukwelapha isimo somntwana?"
• "Ingane yami kufanele ibonane kangaki nodokotela wezokwelapha ngokomzimba?"
• "Ingabe kukhona esinye isimo sezokwelapha esiyisisekelo esibangela isimo sengane yami?"

Uyini umehluko phakathi kwe-Hypotonia ne-Hypotonia?

Umehluko phakathi kwalokhu kokubili ulula. I-Hypertonia yilapho imisipha iqine kakhulu . I-Hypotonia iphambene nalokho, lapho imisipha iqine kakhulu. I-Hypotonia yaziwa nangokuthi 'i-floppy infant syndrome' . Lokhu kungenxa yokuthi akukho ukumelana okuvela emisipheni lapho umzimba womntwana ushukunyiswa, okwenza umntwana abonakale ebuthakathaka futhi engenampilo.

Umyalezo esifuna ukuwuthatha ekhaya kule ndaba uthi

Kungaba yinto ecasulayo ngempela ukubamba ingane yakho encane, uzizwe sengathi iyisithombe. Kodwa khumbula, kunezindlela zokwelapha lokhu. Ngenxa yokuthi i-hypertonia ivimbela imisipha yengane yakho ukuthi iphumule, njengoba ikhula futhi ifinyelela izigaba zayo zokukhula ezifanele iminyaka, izodinga usizo olwengeziwe kuwe nakudokotela wakho.

Ukubekezela ngokwelashwa kwengane yakho, (ngokuvamile isikhathi eside), kuyingxenye enkulu yokusiza ingane yakho ukuthi iphile nalesi simo esibizwa ngokuthi i-Hypertonia. Awuwedwa, odokotela kanye nabelaphi bezokwelapha ngokomzimba bakhona ukukusiza wena nomntwana wakho.

I- Hypertonia, ukuqina kwemisipha yengane, uhlelo lwezinzwa, impilo yengane, ukwelashwa ngokomzimba, ukukhubazeka kobuchopho, izinyathelo zokukhula