Ingabe ukhubazekile engalweni noma emlenzeni owodwa? Ake sixoxe nge-(Monoplegia)!

Wake wazizwa sengathi ukhubazekile futhi awukwazi ukuhambisa ingalo noma umlenze? Noma ingabe kancane kancane walahlekelwa ukulawula enye yezingalo noma imilenze yakho? Lokhu kungaba yinto eyesabekayo ngempela. Ngakho-ke namuhla sizokhuluma ngalesi simo, isimo sezokwelapha esibizwa ngokuthi `(Monoplegia)`.

Kuyini `(i-Monoplegia)`? Masiyiqonde kalula!

Kalula nje, `(Monoplegia)` kusho ukuthi ingalo eyodwa noma umlenze owodwa womzimba wakho ukhubazekile ngokuphelele. Okusho ukuthi, awukwazi ukuyishukumisa leyo ngalo noma umlenze ngokwakho. Ngokuvamile sisebenzisa igama elifana nelithi "ukukhubazeka" kulokhu, kodwa ku-`(Monoplegia)`, kuthinteka isitho esisodwa kuphela. Ngezinye izikhathi lesi simo singaba sesikhashana, okusho ukuthi singaba ngcono ngemva kwesikhathi esithile. Kodwa-ke, ezimweni eziningi, `(Monoplegia)` yisimo esihlala njalo.

Kungani lokhu kwenzeka? Kwenzekani emizimbeni yethu?

Cabanga ngakho, umzimba wethu ungumshini omangalisayo. Une -`(Uhlelo Lwezinzwa)`, okungukuthi, uhlelo lwezinzwa. Lokhu kufana "negumbi lokulawula" lomzimba wethu. Imiyalezo evela ebuchosheni, njengemiyalezo kagesi, iya kwezinye izingxenye zomzimba ngalesi simiso sezinzwa. Kungakhathaliseki ukuthi sifuna ukuhambisa ingalo noma ukuphakamisa umlenze, lo myalezo kufanele usuke ebuchosheni udlule 'ku-Spinal Cord', bese udlula ezimpandeni zezinzwa ezifanele, imizwa, bese uya 'emisipheni'.

Manje bheka, kwenzekani uma kukhona umonakalo noma ukuphazamiseka endaweni ethile kulo mzila womyalezo, okungukuthi, ebuchosheni, emgogodleni, ezimpandeni zemizwa, noma emithanjeni ngokwayo? Khona-ke lowo myalezo awuhambi kahle emisipheni. Yilapho leyo ngalo noma umlenze ukhubazeka khona, okungukuthi, `(i-Monoplegia)` kwenzeka. Kuyinqubo eyinkimbinkimbi kakhulu, akunjalo? Yingakho kunezindawo eziningi kangaka ezingadala lokhu.

Ziyini izimpawu ze-`(Monoplegia)`? Uyibona kanjani?

Uphawu oluyinhloko nolusobala kakhulu lwe-"Monoplegia" ukungakwazi ukuhambisa ingalo noma umlenze owodwa. Kodwa-ke, ngaphezu kwalokhu, ungase uqaphele nezinye izimpawu engalweni noma emlenzeni wakho othintekile:

• Ukuzizwa sengathi iminwe yakho iyagoba: Iminwe noma izinzwane zakho zingase zigobe ngaphakathi futhi zigobe ngaphandle kokuthi uqaphele.
• Ukulahlekelwa yimisipha: Kungase kuzwakale sengathi ingalo/umlenze "ukhululekile" futhi awunawo amandla.
• Ukwanda kwethoni yemisipha: Ngezinye izikhathi imisipha ingaba lukhuni futhi izwakale "ikhandwe ngamatshe."
• Ukuqina kwemisipha: Imisipha ingase izwakale sengathi iyaqhaqhazela, iyaqhaqhazela, noma izizwa iqinile nje.

Indlela lezi zimpawu ezibonakala ngayo iyahlukahluka kuye ngomuntu nomuntu. Isibonelo, uma ulimele noma unesifo sohlangothi, lezi zimpawu zingavela ngokuzumayo.Kodwa-ke, esimweni sokuzalwa njenge-Cerebral Palsy, lezi zimpawu zikhula kancane kancane futhi kancane kancane.

Yiziphi izimbangela eziyinhloko ze-`(i-Monoplegia)`?

Njengoba sesixoxile ngaphambili, lesi simo singabangelwa umonakalo endaweni ethile ohlelweni lwezinzwa. Ake sibheke izimbangela eziyinhloko:

• I-Cerebral Palsy : Lesi yisona sizathu esivame kakhulu se-Monoplegia. Lesi yisimo esithinta uhlelo lwezinzwa. Sivela lapho izingxenye zobuchopho ezilawula imisipha zingakhuli kahle noma zonakele. Lesi simo sivame ukuba khona kusukela ekuzalweni.
• Ukulimala kobuchopho okubuhlungu: Lesi simo singase senzeke uma ikhanda lilimele kakhulu, njengasengozini, okubangela umonakalo ebuchosheni.
• Ukulimala komgogodla: Uma umgogodla ongemuva wonakele engozini, imiyalezo yezinzwa edlula kuwo ingaphazanyiswa, okuholela ku-"Monoplegia".
• Ukulimala engalweni noma emlenzeni othintekile: Ngezinye izikhathi, ukulimala okukhulu emthanjeni omkhulu engalweni noma emlenzeni nakho kungaba yimbangela.
• Ukutheleleka: Ezinye izifo, njenge-polio, zingalimaza uhlelo lwezinzwa futhi zibangele lesi simo.
• Isifo sohlangothi kanye nokuqhuma kwe-aneurysms: Lokhu kungabangela ukuthi ukugeleza kwegazi engxenyeni yobuchopho kume, okubangela ukuba amangqamuzana akuleyo ngxenye afe, okubangela i-monoplegia.
• Ukutheleleka komgogodla noma ubuchopho: Ukutheleleka kwamagciwane noma amagciwane kobuchopho noma umgogodla nakho kuyimbangela.
• Izimila emgogodleni noma ebuchosheni: Lezi zimila zingabangela ukulimala kwemizwa.

Ezinye izinkinga ezingase zenzeke ngenxa ye-`(i-Monoplegia)`

I-Monoplegia ingabangela ezinye izinkinga zempilo, futhi kubalulekile ukuzazi nazo.

• Amahlule egazi: Kukhona ingozi yokuthi amahlule egazi akheke engalweni noma emlenzeni okhubazekile, njengoba ukugeleza kwegazi kuphazamiseka. I-Deep Vein Thrombosis (DVT), isimo lapho amahlule egazi akheka khona emithanjeni ejulile yemilenze, ingaba yingozi kakhulu.
• Ukukhubazeka: Ukulahlekelwa yingalo noma umlenze owodwa kwenza kube nzima ukwenza imisebenzi yansuku zonke, okusho ukuthi kwenzeka ukukhubazeka okuthile.
• Izinkinga zempilo yengqondo: Ukuphila nesimo sesikhathi eside esinjengalesi kungaholela ekucindezelekeni kwengqondo. Izimo ezifana nokucindezeleka nokukhathazeka zingaba khona.

Ungazizwa unesizungu ngesikhathi esinjengalesi. Kubalulekile ukuthola usizo emndenini, kubangani, ngisho nakodokotela.

Odokotela basithola kanjani isimo `(i-Monoplegia)`?

Uma unalezi zimpawu, uma ubona udokotela, uzoqala ngokukubuza imibuzo. Ingabe uke waba nokulimala kwamuva nje, nokuthi uke wakubona nini okokuqala lezi zimpawu? Bese bezokwenza ukuhlolwa komzimba. Ngaphezu kwalokho, bangenza izivivinyo ezinjengalezi ukusiza ekutholeni imbangela eqondile:

• Ama-X-ray: Hlola umonakalo emathanjeni.
• `(I-computed tomography - CT) scan` (I-CT scan): Thatha isithombe esicacile sobuchopho noma umgogodla.
• Ukuskena kwe-magnetic resonance imaging (MRI): Lokhu kunganikeza nemininingwane eminingi mayelana nobuchopho, umgogodla, kanye nemizwa.
• I-Electromyogram (EMG): Lokhu kuhlola kuhlola ukuthi izimpawu zikagesi zithunyelwa yini zisuka emithanjeni ziya emisipheni yakho nokuthi imisipha iyasabela yini kuzo.

Yiziphi izindlela zokwelapha `(i-Monoplegia)`?

Uma ngikhuluma iqiniso, okwamanje alikho ikhambi le-monoplegia. Kodwa-ke, odokotela bazama ukwelapha imbangela eyinhloko nokuphatha izimpawu zakho ukuze bathuthukise ikhwalithi yempilo yakho.

Kunezinketho eziningana zokwelapha:

1. Ukwelashwa

• Ukwelashwa ngokomzimba: Lokhu kusiza ekuthuthukiseni amandla, ukuguquguquka, kanye nokunyakaza kwengalo/umlenze wakho okhubazekile. Kusetshenziswa izivivinyo nemishini eyahlukahlukene kulokhu.
• Ukwelashwa Komsebenzi: Lokhu kwelashwa kukusiza ukuthi wenze imisebenzi yansuku zonke, njengokugqoka, ukudla, nokubhala, futhi wedwa.
• Ukwelapha Ngengqondo: Lokhu "kwelapha ngokukhuluma" kukusiza ukuthi ubhekane nezinselele zengqondo (njengokudabuka, intukuthelo, nokuphelelwa yithemba) okuhambisana nokuphila nokukhubazeka, futhi kukusiza ukuthi ubone futhi ushintshe imizwa nokuziphatha okungenampilo.

2. Amadivayisi Okusiza

Udokotela wakho angase ancome amadivayisi anjengalawa ukukusiza ukuthi uzulazule futhi wenze imisebenzi:

• Isihlalo sabakhubazekile
• Izinduku zokusibekela
• Isikuta esikhethekile

3. Imithi

Kuye ngesimo sakho, imithi inganikezwa ukulawula ezinye zezimpawu:

• Imithi yokunciphisa ubuhlungu
• Iziphumuli zemisipha
• Umjovo obizwa ngokuthi ``Botulinum toxin`` ngezinye izikhathi usetshenziselwa ukwelapha ukuqaqamba kwemisipha noma ukudikiza kwezingalo/imilenze.

4. Ukuhlinzwa

Akuvamile kakhulu, odokotela bangase batuse nokuhlinzwa ukuze kulungiswe ukukhubazeka okuthile emzimbeni (isibonelo, uma inzwa icindezelwe).

Kufanele ngimbone nini udokotela?

Uma uzwa izimpawu ze-"Stroke" (isib. ukugoba okungazelelwe kolunye uhlangothi lobuso, ukungakwazi ukukhuluma, ukulahlekelwa ukusebenza kwengalo), noma uma usola ukulimala okukhulu ekhanda lakho, entanyeni, noma emgogodleni,Shayela ngokushesha ku-1990 (Sri Lankan Ambulance Service) noma uye ekamelweni lezimo eziphuthumayo eliseduze.

Ngaphezu kwalokho, bona udokotela wakho uma unezinye zalezi zimpawu:

• Uma une-numbness noma ukuqaqamba okuqhubekayo ezandleni noma ezinyaweni zakho.
• Uma ubuthakathaka bemisipha buqhubeka noma bufika buphinde buphele.
• Uma ngokuzumayo ungakwazi ukunyakaza imisipha yakho.

Yini okufanele ngiyibuze udokotela wami?

Uma kutholakale ukuthi une-"Monoplegia", ungabuza udokotela wakho le mibuzo. Lokhu kuzokusiza ukuthi uqonde lesi simo futhi kukutshele ngokwelashwa kwesikhathi esizayo.

• "Dokotela, ingabe isimo sami `(i-Monoplegia)` singesesikhashana noma sihlala njalo?"
• "Kuzongithatha isikhathi esingakanani ukuhambisa lengalo/umlenze futhi?"
• "Iyiphi indlela yokwelapha oyincomayo efaneleka kakhulu kimi?"
• "Yiziphi izindlela zokwelapha noma amadivayisi okusiza atholakalayo angasiza isimo sami?"
• "Yiziphi izinkinga okufanele ngiziqaphele ngokukhethekile?"
• "Ungangincoma yini `(Ukwelashwa ngokomzimba)` noma `(Ukwelashwa ngokomsebenzi)` okwengeziwe kimi?"

Iyini inhloso yalesi simo `(i-Monoplegia)`?

Ukubikezela kwe-monoplegia kuncike embangela kanye nobunzima besimo. Ngezinye izikhathi isimo siyathuthuka kancane ngokuhamba kwesikhathi. Kodwa-ke, abantu abaningi bahlala bekhubazekile unomphela. Kodwa-ke, ukwelashwa okufanele kunganciphisa izimpawu futhi kuthuthukise ikhwalithi yokuphila.

Uyini umehluko phakathi kwe-`(Monoplegia)` kanye ne-`(Monoparesis)`?

Nakuba la magama amabili efana kancane, kunomehluko omncane.

• I-Monoplegia iwukulahlekelwa ngokuphelele kokunyakaza ngokuzithandela kwenye yezingalo noma imilenze yakho.
• I-Monoparesis yilapho ulahlekelwa ingxenye kuphela yekhono lakho lokunyakaza ingalo noma umlenze owodwa. Lokho kusho ukuthi awulahlekelwa amandla akho ngokuphelele, vele ube buthakathaka kancane.

Kalula nje, ku-"Monoplegia" akukho ukuphila nhlobo, kuyilapho ku-"Monoparesis" kukhona ukuphila okuthile, kodwa kubuthakathaka.

Uyini umehluko phakathi kwe-`(Monoplegia)` kanye ne-`(Hemiplegia)`?

Kubalulekile ukwazi nalokhu.

• I-Monoplegia yisimo sokukhubazeka esithinta isitho esisodwa kuphela (ingalo eyodwa noma umlenze owodwa).
• I-Hemiplegia iwukulahlekelwa ngokuphelele kohlangothi olulodwa lomzimba (isb., ingalo yesokudla, umlenze wesokudla, futhi mhlawumbe nohlangothi lwesokudla lobuso).

Okokugcina, izinto okufanele uzikhumbule (Umyalezo Wokuya Ekhaya)

I-Monoplegia yisimo esishintsha impilo. Kungase kudingeke ushintshe indlela owenza ngayo imisebenzi yakho yansuku zonke - noma ngabe ukukhubazeka kwakho kungokwesikhashana. Kuvamile ukuzwa imizwa ehlukahlukene (ukudabuka, intukuthelo, ukwesaba) ngalokhu.

Kodwa, into ebaluleke kakhulu ukukhumbula ukuthi kunezindlela zokwelapha ezingasiza ekunciphiseni izimpawu zalesi simo futhi zithuthukise ikhwalithi yempilo yakho. Khuluma nodokotela wakho ukuze uthole ukuthi yiziphi izinketho ezitholakalayo kuwe. Ungalokothi uzizwe sengathi uwedwa kulolu hambo.

i- monoplegia, ukukhubazeka, ukulahlekelwa yingalo, ukulahlekelwa umlenze, izifo zezinzwa, ukukhubazeka kobuchopho, ukwelashwa