Masiqonde Ukukhubazeka Kahle ngeNirogi Lanka

Wake wazibuza ukuthi kungaba njani uma ungazelele ungakwazi ukushukumisa ingalo noma umlenze wakho, noma uma uzizwa ingxenye yomzimba wakho ilahlekelwa amandla ayo kancane kancane? Kungumcabango owesabekayo, akunjalo? Kwezokwelapha, ukungakwazi ukushukumisa imisipha yakho ngokuzithandela kwaziwa ngokuthi ukukhubazeka . Lokhu kwenzeka ngenxa yenkinga engaphakathi kwesimiso sakho sezinzwa, esisebenza njengesikhungo sokulawula esithumela izimpawu emisipheni yakho ukuze inyakaze. Lapho ukukhubazeka kwenzeka, ulahlekelwa ikhono lokuhambisa izingxenye ezithile zomzimba wakho. Ake singene ngokujulile kulesi sihloko ndawonye, ​​akunjalo?

Kuyini ngempela ukukhubazeka?

Kalula nje, ukukhubazeka kuwukulahlekelwa ukulawula imisipha ngokuzithandela. Uhlelo lwakho lwezinzwa luyisidlali esiyinhloko lapha. Cabanga ngemizwa yakho njengezintambo ezithwala imiyalezo esuka ebuchosheni bakho iye emisipheni yakho. Uma kukhona ukuphuka noma iphutha kuleyo ntambo, umyalezo awukwazi ukudlula, futhi imisipha yakho iyayeka ukusabela—lesi yisimo sokukhubazeka .

Ukukhubazeka kungathinta noma iyiphi ingxenye yomzimba wakho. Kunezindlela ezimbili eziyinhloko esikuhlukanisa ngazo:

• Ukukhubazeka okuyingxenye (i-Paresis): Lokhu kusho ukuthi usenokulawula imisipha yakho, kodwa ibuthakathaka kakhulu. Awukalahlekelwa ukusebenza okuphelele, kodwa imisipha izizwa ingasebenzi kahle.
• Ukukhubazeka okuphelele: Kulesi simo, awunawo nhlobo amandla okulawula imisipha endaweni ethintekile.

Singahlukanisa futhi ukukhubazeka ngokwezigaba ngokusekelwe endleleni imisipha eziphatha ngayo:

• Ukukhubazeka kwemisipha: Imisipha yakho iba buthakathaka, ithambe, futhi ithambe.
• Ukukhubazeka kwemisipha: Imisipha yakho iyaqina futhi ingase ibhekane nokugxumagxuma noma ukudikiza okungazikhetheli okwaziwa ngokuthi i-spasticity , lapho imisipha ifinyela yodwa.

Kuvame kangakanani ukukhubazeka?

Ubuwazi ukuthi e-United States kuphela, abantu ababalelwa ezigidini ezingu-5.4—cishe oyedwa kubantu abangu-50—baphila nohlobo oluthile lokukhubazeka?

Nokho, kunezindaba ezinhle. Ezinye izinhlobo zokukhubazeka zingezesikhashana futhi zingase zithuthuke noma ziphele ngokuhamba kwesikhathi. Isibonelo, ku- Bell's palsy , imisipha yobuso iyakhubazeka okwesikhashana, kodwa iziguli eziningi ziyalulama. Qaphela ukuthi igama elithi 'palsy' ngokuvamile libhekisela ekukhubazekeni okuhambisana nokuthuthumela noma ukunyakaza okungazikhetheli.

Kodwa-ke, ukukhubazeka okungapheli kusho ukuthi ukulawula imisipha kulahlekile unomphela futhi akukwazi ukuguqulwa.

Yiziphi izinhlobo ezahlukene zokukhubazeka?

Ukukhubazeka kuvame ukuhlukaniswa ngendawo yomzimba ethinta:

• Ukukhubazeka kwendawo: Lokhu kuthinta ingxenye encane yomzimba kuphela, ikakhulukazi ubuso, izandla, izinyawo, noma izintambo zezwi .

• Ukukhubazeka okuvamile: Lokhu kuhlanganisa izindawo ezinkulu zomzimba futhi kuhlukaniswa ngokwezinga lomthelela:
• I-Diplegia: Ithinta izindawo ezifanayo ezinhlangothini zombili zomzimba, njengezingalo zombili, imilenze yomibili, noma izinhlangothi zombili zobuso.
• I-Hemiplegia: Ithinta uhlangothi olulodwa lomzimba, njengengalo eyodwa nomlenze owodwa. Lokhu kuvamile ngemva kokuhlaselwa yisifo sohlangothi .
• I-Monoplegia: Ithinta isitho esisodwa kuphela, kungaba ingalo noma umlenze.
• Ukukhubazeka: Kuthinta imilenze yomibili futhi ngezinye izikhathi ingxenye engezansi yesisu.
• I-Quadriplegia (noma i-Tetraplegia): Ithinta wonke amalungu amane omzimba kanye nomzimba. Abantu abane-quadriplegia bangase babe nokunyakaza okuncane noma okungenakho nhlobo kusukela entanyeni kuye ezansi.

Ziyini izimpawu zokukhubazeka?

Uphawu oluyinhloko lokukhubazeka ukungakwazi ukuhambisa izingxenye zomzimba ezithintekile. Kuye ngembangela, ungase uzwe nokulahlekelwa ngokuphelele kwemizwa endaweni.

Abanye abantu bazalwa bekhubazekile, njengasezimweni ezifana ne -cerebral palsy . Kwezinye izimo, njengohlangothi nomaukulimala komgogodla , ukukhubazeka kungenzeka ngokuzumayo .

Ezimweni lapho ukukhubazeka kukhula kancane kancane , ungase uqaphele:

• Ukwehla okuqhubekayo kokuzwa kanye nokulawula imisipha.
• Ukuqaqamba kwemisipha noma ukuqaqamba okungahleliwe.
• Umuzwa wokuthuthumela noma ukungakhululeki ezithweni.

Yini ebangela ukukhubazeka?

Njengoba kushiwo, ukukhubazeka komzimba kuvela ezinkingeni ohlelweni lwakho lwezinzwa. Njengoba uhlelo lwakho lwezinzwa luyinethiwekhi yokuxhumana eyinhloko yomzimba, noma yimuphi umonakalo uvimbela ubuchopho ekuthumeleni imiyalelo edingekayo emisipheni yakho.

Ngokuvamile, ukulimala okubuhlungu noma izimo zezokwelapha eziyisisekelo yizona ezibangela. Ukufa kohlangothi kanye nokulimala komgogodla yizona zimbangela eziphambili zokukhubazeka.

Ezinye izimbangela zifaka:

• Izimo zokuzalwa ezifana ne -spina bifida .
• Izifo ezizenzakalelayo , lapho amasosha omzimba wakho ehlasela khona umzimba wakho, njenge- Multiple sclerosis (MS) kanye ne-Guillain-Barré syndrome .
• Ukulimala kobuchopho , okuhlanganisa ukulimala kobuchopho okubuhlungu noma ukukhubazeka kobuchopho .
• Izifo ze-neurological , njenge- Amyotrophic lateral sclerosis (ALS) .

Yiziphi izinkinga ezingaba khona?

Ukukhubazeka kungathinta imisipha yokuphefumula kanye nokusebenza kwenhliziyo. Kuye ngohlobo kanye nobunzima, ungase ubhekane nezingozi ezifana nalezi:

• Ubunzima bokuphefumula, ukukhwehlela okungapheli, kanye ne-pneumonia .
• Amahlule egazi, okuhlanganisa ne-deep vein thrombosis (DVT) .
• Ubunzima bokukhuluma noma ukugwinya ( i-Dysphagia ).
• Ukucindezeleka nokukhathazeka .
• Ukungasebenzi kahle kwe-erectile noma ezinye izinselele zempilo yocansi.
• Umfutho wegazi ophezulu (i-autonomic dysreflexia) noma umfutho wegazi ophansi (i-orthostatic hypotension) kanye nezimo zenhliziyo ezihlobene.
• Ukungakwazi ukuzibamba umchamo noma ukulahlekelwa ukulawula amathumbu.
• Ukulimala kwengcindezi (izilonda zokulala) kanye ne-sepsis.

Okubalulekile: Akuwona wonke umuntu obhekana nalezi zinkinga, kodwa ukuzazi kubalulekile ekuphathweni kwezempilo okusebenzayo. Uma ubona noma yikuphi ukulahlekelwa ukusebenza komzimba ngokuzumayo, sicela uxhumane no-911 noma izinsizakalo eziphuthumayo eziseduze nawe ngokushesha.

Kuhlonzwa kanjani ukukhubazeka?

Uma uvakashela udokotela wakho, uzokuhlola futhi akubuze nganoma yikuphi ukulimala kwamuva noma umlando wezokwelapha. Uma ubhekene nokukhubazeka okuqhubekayo, udokotela wakho uzofuna ukwazi ukuthi izimpawu zakho zaqala nini. Ukuze athole isithombe esicacile sempilo yakho, udokotela wakho angase akucele ukuhlolwa okulandelayo:

• Ama-X-ray: Ukuthola ukuthi amathambo aphukile ayacindezela noma ayalimaza yini imizwa yakho.
• Ukuhlolwa kwezithombe: Izinqubo ezifana ne-CT scan noma i-MRI zisetshenziselwa ukuhlonza izimpawu zokuhlaselwa yisifo sohlangothi, ukulimala kobuchopho, noma ukulimala komgogodla. Ukuskena kwezithombe zomzimba wonke kungakunikeza umbono ophelele wamathambo akho, imisipha, kanye nezicubu.
• I-Myelogram: Ukuhlolwa okukhethekile ukuhlola ukulimala komgogodla wakho kanye nezimpande zemizwa.
• I-Electromyogram (EMG): Ukuhlola umsebenzi kagesi ngaphakathi kwemisipha yakho kanye nezinzwa.
• Umpompi womgogodla (ukubhoboza i-Lumbar): Udokotela wakho angase aqoqe isampula yoketshezi lomgogodla wakho ukuze ahlole izifo, ukuvuvukala, noma izimo ezifana ne-Multiple Sclerosis (MS).

Ingabe ukukhubazeka kuyaphulukiswa?

Ukuze kube ngqo, okwamanje akukho ikhambi eliqinisekile lokukhubazeka okuhlala njalo. Kodwa-ke, izinhlobo zesikhashana zokukhubazeka, njenge-Bell's palsy, zivame ukuziphelela ngokwazo ngokuhamba kwesikhathi ngaphandle kokwelashwa. Kwezinye izimo, ungase ubone intuthuko ebalulekile, ikakhulukazi phakathi nonyaka wokuqala wesimo.

Ukukhubazeka kokukhubazeka kuphathwa kanjani futhi kwelashwa kanjani?

Ukwelashwa kokukhubazeka ngokuvamile kuhilela indlela ehlukahlukene, okuhlanganisa Ukwelashwa Ngomzimba, Ukwelashwa Ngomsebenzi, kanye Nokwelashwa Ngenkulumo. Lezi zinsizakalo zokuvuselela zibalulekile ekukusizeni ukuthi uzivumelanise nesimo sakho, zikuqondise ngokuzivocavoca okwelaphayo, kanye nokuhlinzeka ngamadivayisi ahambisanayo nawusizo. Lawa mathuluzi akunika amandla okuphila ngokuzimela kakhudlwana futhi uthuthukise ikhwalithi yakho yokuphila iyonke.

Uhlelo oluthile lokwelashwa luzoncika ngokuphelele esizathwini esiyisisekelo sokukhubazeka kwakho nokuthi kukuthinta kanjani. Kanye nokuvuselelwa, udokotela wakho angase atuse:

• Imishini evumelana nezimo: Amathuluzi asiza ngemisebenzi yansuku zonke njengokudla noma ukushayela.
• Imishini yokusiza: Izinsiza zokuhamba njengezihlalo zabakhubazekile, izikuta, izinduku zokusibekela, kanye nezinduku.
• Amadivayisi okufakelwa amathambo/okufakelwa: Njengezinsimbi zokusekela ezenziwe ngokwezifiso.
• Ubuchwepheshe obusebenzisa izwi: Ukukusiza ukuthi usebenzise amakhompyutha, izinhlelo zokukhanyisa, kanye namafoni.
• Ukwelashwa okuqondiswe ezinkingeni, njengokuqaqamba kwemisipha noma ukungasebenzi kahle kwesinyi.

Ungakuvimbela kanjani ukukhubazeka?

Njengoba ukulimala komgogodla kuyimbangela ehamba phambili yokukhubazeka, unganciphisa ingozi yakho ngokuthatha lezi zinyathelo zokuphepha:

• Gqoka ibhande lakho lesihlalo emotweni njalo futhi uqinisekise ukuthi izingane ziboshwe kahle ezihlalweni zemoto ezifanele noma ezihlalweni zokuphakamisa.
• Hlola ukujula kwamanzi ngaphambi kokucwila kunoma yiliphi ichibi noma umzimba wamanzi.
• Ungalokothi ushayele uphuze utshwala noma izidakamizwa, futhi gwema ukuhamba nanoma ubani okhubazekile.
• Beka ukuphepha kuqala ngesikhathi semidlalo nemisebenzi yomzimba. Gqoka isigqoko njalo uma ugibela ibhayisikili noma udlala imidlalo yokuxhumana. Sebenzisa omata abafanele bokubuka nokubeka izihlalo lapho wenza i-gymnastics noma eminye imisebenzi efanayo.
• Uma usola ukuthi kukhona ukulimala ekhanda, entanyeni, noma emhlane, ungalokothi ushukumise umuntu. Shayela ngokushesha ku-911 noma izinsizakalo eziphuthumayo zasendaweni.

Iyini inhloso (isibikezelo) kulabo abaphila nokukhubazeka?

Ukufunda ukuphila nokukhubazeka ngokungangabazeki kuyinselele enkulu yokuphila. Kungashintsha imikhuba yakho yansuku zonke, izinga lakho lokuzimela, ngisho nokuzibona kwakho. Lezi zinguquko ezibalulekile empilweni ngezinye izikhathi zingaholela ezinkingeni zempilo yengqondo noma ekucindezelekeni. Kubalulekile ukuxoxa nodokotela wakho ngenhlalakahle yakho yomzimba nengokomzwelo.

Ngokuhamba kwesikhathi kanye nokuvuselelwa okuzinikele, abantu abaningi bajwayelana ngempumelelo nesimo sabo. Abantu abaningi baphila impilo yokuzimela, esebenzayo, neyanelisayo naphezu kokukhubazeka. Ngisho nalabo abane-quadriplegia bavame ukugcina ingqondo isebenza kakhulu futhi, ngokusekelwa okufanele, bahlale behileleke kakhulu ezweni elibazungezile.

Ukugcina indlela yokuphila enempilo kubalulekile ekunciphiseni ingozi yezinkinga ezihlobene nokukhubazeka. Ukulandela inqubo yokuzivocavoca evunyelwe udokotela kunconywa kakhulu ukuze uhlale unamandla futhi uhambahamba ngangokunokwenzeka njengoba isimo sakho sikuvumela.

Kufanele ubonane nini nodokotela?

Uma uzwa izimpawu zesifo sohlangothi noma usola ukulimala okukhulu ekhanda, entanyeni, noma emhlane, shayela u-911 ngokushesha. Ngaphezu kwalokho, funa usizo lwezokwelapha ngokushesha uma ubona:

• Ubunzima obungazelelwe bokuphefumula, ukugwinya, noma ukukhuluma.
• Umuzwa wokuba ndikindiki noma ukuqaqamba kwamalungu akho.
• Ubuthakathaka bemisipha obuhlala njalo noma obuphindaphindayo.
• Ukungakwazi ukunyakazisa umsipha noma isitho ngokuzumayo.

Yimiphi imibuzo okufanele uyibuze udokotela wakho?

Zizwe ukhululekile ukubuza umhlinzeki wakho wezempilo le mibuzo ukuze uqonde kangcono isimo sakho:

• Ingabe lokhu kukhubazeka kwesikhashana noma okuhlala njalo?
• Ingabe kukhona ithuba lokuthi ngizophinde ngikwazi ukuhamba? Uma kunjalo, yisiphi isikhathi esilindelwe?
• Yiluphi uhlelo lokwelapha olusebenza kahle kakhulu esimweni sami esithile?
• Yimaphi amadivayisi aguquguqukayo noma awusizo angangisiza kakhulu?
• Yiziphi izimpawu ezithile zezinkinga okufanele ngiziqaphele?

Ukuphila nokukhubazeka, noma ngabe kungokwesikhashana, kuletha izinguquko ezinkulu endleleni yokuphila. Ukuzivumelanisa nalezi zimo ezintsha kungaba yinselele, kodwa sicela wazi ukuthi awuwedwa. Ithimba lakho lokunakekela laseNirogi Lanka lizokuqondisa ngezinsizakalo zokuvuselela kanye nokusekela impilo yengqondo ezingcono kakhulu ezitholakalayo. Ngokusekelwa nokunakekelwa okufanele, abantu abaningi baphila impilo esebenzayo kakhulu. Hlala uqinile futhi uhlale uphapheme.

Umyalezo Wokuya Nawo Ekhaya

Ake siphinde sixoxe ngamaphuzu abaluleke kakhulu okufanele siwakhumbule:

• Ukukhubazeka ukulahleka kokulawula imisipha , ngokuvamile ngenxa yenkinga ohlelweni lwezinzwa.
• Kungaba ngokwengxenye noma okuphelele , futhi kungaba okwesikhashana noma okuhlala njalo.
• Ukulimala komgogodla kanye nohlangothi kuyimbangela eyinhloko, kodwa ezinye izimo zezokwelapha nazo zingabangela ukukhubazeka.
• Udokotela wakho uzonquma izivivinyo ezifanele ukuze athole imbangela yezimpawu zakho.
• Nakuba kungase kungabi khona "ikhambi" lokukhubazeka okungapheli, ukuvuselelwa njengokwelashwa ngokomzimba nangokomsebenzi kungathuthukisa kakhulu ikhwalithi yempilo yakho.
• Ukuvimbela izingozi—ikakhulukazi lezo ezihilela umgogodla—kuyindlela engcono kakhulu yokunciphisa ingozi yokukhubazeka.
• Ngokusekelwa nokwelashwa okufanele, ungaphila impilo esebenzayo neyanelisayo.
• Uma ubona izimpawu zokukhubazeka, thatha isinyathelo ngokushesha bese ucela usizo lwezokwelapha oluphuthumayo ngokushesha.

Ngiyethemba ukuthi lolu lwazi luzokunikeza ukucaca okudingayo. Uma wena noma othile omaziyo ebhekene nalezi zinselele, isinyathelo esibaluleke kakhulu ukukhuluma nochwepheshe wezempilo. Akudingeki ubhekane nalokhu wedwa—usizo luyatholakala.