Ingabe ingane yakho inomzimba oqinile, oqinile ngendlela exakile? Ingabe kungaba yi-Spastic Cerebral Palsy? Ake sixoxe ngalokhu!

Wake waphawula ukuthi umzimba wengane yakho uqinile kancane, noma ukuthi imilenze yakhe izizwa iqine ngendlela exakile? Wake waphawula ukuthi lapho eqala ukuhamba, imilenze yakhe igoba ngaphakathi bese ehamba njengesikelo? Noma ingabe ubonakala sengathi usemuva kancane kwezinye izingane njengoba ekhula? Lokhu kungaba izimpawu zesimo esibizwa ngokuthi i-Spastic Cerebral Palsy. Ungakhathazeki, sizoxoxa ngalokhu ngokuningiliziwe.

Kuyini i-Spastic Cerebral Palsy?

Kalula nje, i-Cerebral Palsy iyiqembu lezimo zemizwa ezithinta ubuchopho kanye nesimiso sezinzwa. Lokhu kwenza kube nzima ukulawula ukunyakaza komzimba kanye nokuma kwawo. I-Spastic Cerebral Palsy uhlobo oluvame kakhulu lwe-cerebral palsy. Kulesi simo, imisipha yengane iyaqina (yilokhu esikubiza ngokuthi "i-Spasticity") bese ilahlekelwa ukuguquguquka. Ngezinye izikhathi, uma lokhu kuqina kukhulu, kungaba buhlungu. Futhi, ingane ingase ibhekane nokushukuma kwemisipha okungazelelwe, okungalawuleki, noma ukuqaqamba kwemisipha.

Cabanga nje, lapho ingane yakho yelula isandla sayo ukuze ibambe ithoyizi, isandla sayo siyanyakaza futhi ayikwazi ukulibamba kahle. Noma lapho ihamba, ayibeki izinyawo zayo phansi kahle, kodwa izama ukuhamba ngezinzwane zayo. Ngezinye izikhathi, lapho yelula isandla sayo ngokuzumayo ukuze ibambe into efana nebhola, ingase izwe ubuhlungu. Izinto ezinjengalezi zingabonakala kulesi simo.

Yiziphi izinhlobo eziyinhloko ze-Spastic Cerebral Palsy?

Kunezinhlobo ezintathu eziyinhloko ze-Spastic Cerebral Palsy. Ake sibone ukuthi ziyini.

I-Spastic diplegia/diparesis

Lokhu kuthinta kakhulu imilenze yengane. Imisipha ezinqeni nasemilenzeni iyaqina, okwenza kube nzima ukuhamba. Kungenzeka ukuthi uke wabona ezinye izingane zihamba zidonseleke ngaphakathi namadolo azo ethintana (njengesikelo). Yilokho okwenzekayo kulesi simo. Siphinde sikubize ngokuthi 'ukuhamba ngesikelo' .

I-Spastic hemiplegia/hemiparesis

Kulesi simo, izimpawu zithinta uhlangothi olulodwa lomzimba wengane kuphela . Okusho ukuthi, uhlangothi lwesokudla noma lwesobunxele. Ingalo, umlenze, noma zombili izingalo nemilenze kulolo hlangothi kungathinteka.

I-Spastic quadriplegia/quadriparesis

Lolu uhlobo olubi kakhulu lwalesi sifo. Luthinta zombili izingalo, imilenze yomibili, kanye nobuso . Ezinye izingane zingase zibe nezinye izimpawu, njengokukhubazeka kokufunda (ukubambezeleka kwengqondo) kanye nokuquleka.

Ziyini izimpawu ze-Spastic Cerebral Palsy?

Kulungile, manje ake sibone ukuthi yiziphi izimpawu ingane engase izibonise kulesi simo.

• Imisipha eqinile
• Imisipha eqinile, ukuguquguquka okunciphile
• Ubuhlungu bemisipha
• Ukunyakaza kwemisipha okungahleliwe noma ukuqaqamba

Lezi zimpawu zibangela ukuthi izitho zomzimba ezithintekile zinyakaze kakhulu futhi zingabi bushelelezi. Lezi zimpawu zingase zibe mnene kwezinye izingane, kodwa zingase zibe zimbi kakhulu kwezinye.

Yiziphi izimpawu zokuqala ze-Spastic Cerebral Palsy?

Ngezinye izikhathi kuba nezimpawu ezingabonakala zisencane. Udokotela wakho uzozinaka ngokukhethekile lezi zimpawu lapho ehlola ingane yakho.

• Ukwanda kwethoni ezithweni ( lokhu kungabonakala ngesikhathi sokuhlolwa ngudokotela)
• Ubunzima bokwelula amalunga ngokugcwele
• Ukwephuza ukuqeda izinyathelo zokukhula (isibonelo, ukukhasa, ukuhamba, ukubamba okuthile)
• Ubunzima ngokuxhumana
• Ubunzima bokuhamba noma indlela engavamile yokuhamba (isibonelo, ukushayisana kwamadolo uma uhamba)
• Ukuhamba ngezinyawo kuphela

Kungani kwenzeka i-Spastic Cerebral Palsy?

Lesi simo empeleni sibangelwa ukulimala kwezindlela zobuchopho ezilawula imisipha nokunyakaza. Lo monakalo ungabangelwa ukuntuleka komoya-mpilo ebuchosheni, ukulimala ebuchosheni, noma , ngokungavamile, ushintsho lwezakhi zofuzo (ushintsho ku-DNA).

Kunezimo eziningana lapho ukulimala kobuchopho noma ukuntuleka komoya-mpilo kungenzeka khona ngesikhathi sokukhulelwa, ukubeletha, noma ngemva nje kokuzalwa:

• Ukugeleza kwegazi okuphazamisekile kuya ebuchosheni (isib., isimo esibizwa ngokuthi "i-ischemic stroke")
• Ukopha ebuchosheni (isib., isimo esibizwa ngokuthi i-hemorrhagic stroke)
• Ukulimala kobuchopho ngenxa yokutheleleka
• Ukulimala kobuchopho okubuhlungu (TBI)

Ngaphezu kwalokho, ingane inamathuba amancane okuthuthukisa i-Spastic Cerebral Palsy uma:

• Ukuzalwa ngaphambi kwesikhathi
• Isisindo esiphansi sokuzalwa
• I-jaundice enzima engelashwa kahle
• Ukutheleleka okuthinta umama, umbungu, noma i-placenta ngesikhathi sokukhulelwa
• Ukuba nezingane eziningana esibelethweni, njengamawele noma amawele amathathu (Amaningi)
• Izinkinga ngesikhathi sokukhulelwa (isibonelo, izimo ezinzima njengokuqhekeka kwe-placenta noma ukuqhekeka kwesibeletho)
• Ukuchayeka kumakhemikhali anobuthi angalimaza ubuchopho (isibonelo, ukuchayeka isikhathi eside ku-mercury ekudleni kwasolwandle)

Yiziphi ezinye izinkinga ezingaba khona ngenxa ye-Spastic Cerebral Palsy?

Lesi simo asigcini nje ngokuthinta imisipha yengane. Ezinye izinkinga zingavela. Lezi zifaka:

• Ubunzima bokukhuluma nokuxhumana
• Izinkinga ezihlobene nekhono lokufunda (ukukhubazeka kwengqondo)
• Ukuquleka
• Ukulahlekelwa umbono
• Ukulahlekelwa ukuzwa

I-Spastic Cerebral Palsy itholakala kanjani?

Lesi simo sivame ukutholakala ebuntwaneni noma ebuntwaneni. Isinyathelo sokuqala sokuxilongwa ukuthi udokotela noma umbelethisi wakho ahlole ingane yakho ngokomzimba.

Udokotela uzohlola amandla emisipha yengane yakho, ukunyakaza kwayo, amakhono ayo okunyakaza, kanye nokuxhumana kwayo. Uzokubuza nokuthi ingane yakho ikhula kahle yini ngokweminyaka yayo (isib., ingabe iyakhasa noma iyahamba).

Hlobo luni lokuhlolwa oluqinisekisa lesi simo?

Uma ukuhlolwa ngokomzimba kubonisa ukuthi i-spastic cerebral palsy iyimbangela engaba khona, udokotela wakho angase acele ukuhlolwa kwezithombe ukuze abheke izindawo zomonakalo wobuchopho. Angase futhi acele ukuhlolwa ukuze akhiphe ezinye izimo ezingase zibangele izimpawu ezifanayo.

• Ukuhlolwa kwe-MRI (Magnetic Resonance Imaging)
• Ukuskena kwe-CT (`(Ukuskena kwe-CT - Ukuskena kwe-Computed Tomography)`)
• Ukuhlolwa kwegazi
• Ukuhlolwa kofuzo

Iphathwa kanjani i-Spastic Cerebral Palsy?

Umgomo oyinhloko wokwelapha lesi simo ukuthuthukisa ikhono lengane lokuhamba. Nakuba lingelapheki ngokuphelele, izimpawu zingalawulwa futhi ingane ingasizwa ukuba iphile impilo enhle.

Lokhu okulandelayo kusetshenziswa njengezindlela zokwelapha:

• Ukuzivocavoca nsuku zonke okwelula ekhaya ukuvimbela ukuqina kwemisipha ukuthi ikhule ngokuhamba kwesikhathi
• Ukwelashwa ngokomzimba, ukwelashwa emsebenzini, kanye/noma ukwelashwa ngenkulumo
• Ukusebenzisa ama-braces akhethekile, ama-cast, noma ama-splint ukusiza ukwelula imisipha ngokubamba izingalo noma imilenze endaweni efanayo
• Ukusetshenziswa kwamadivayisi okusiza njengezihlalo zabahamba ngezinyawo noma izihlalo zabakhubazekile
• Imithi yokunciphisa ukuqina kwemisipha kanye nokuqaqamba (njenge-`(Baclofen)`, `(Diazepam)`, `(Clonazepam)`, `(Dantrolene)` kanye ne-`(Tizanidine)`)
• Imijovo ye-botulinum toxin (eyaziwa nangokuthi i-Botox®) isiza ukukhulula imisipha.
• Ukwelashwa nge-intrathecal baclofen kuyindlela lapho umuthi ufakwa khona ngqo emgogodleni.
• I-rhizotomy ekhethiwe yokuhlinzwa, inqubo yokuhlinzwa yokunciphisa ukuqina kwemisipha

Ithimba lezokwelapha lizonquma uhlelo lokwelapha olufanele ingane yakho. Lokhu kungahluka kuye ngengane.

Ingakanani iminyaka yokuphila kwengane ene-Spastic Cerebral Palsy?

Ezimweni eziningi, i-Spastic Cerebral Palsy ayithinti ngqo isikhathi sokuphila kwengane. Kodwa-ke, uma izimpawu zinzima futhi zingelashwa kahle , izinkinga ezivelayo ngezinye izikhathi zingathinta isikhathi sokuphila kwengane. Khumbula, nakuba kungekho ikhambi lalesi simo, ngokwelashwa, ingane ingaphila impilo enhle.

Ingabe lesi simo siba sibi kakhulu ngokuhamba kwesikhathi? (Ingabe siyathuthuka?)

I-Spastic Cerebral Palsy ayisona isifo esiqhubekayo. Lokhu kusho ukuthi imisipha efanayo eyathinteka ebuntwaneni isathinteka kamuva ekuphileni. Ayithinti imisipha emisha. Kodwa-ke, uma ingelashwa, ukuqina kwemisipha ethintekile kungaba kubi ngokuhamba kwesikhathi.

Ukwelashwa kubaluleke kakhulu ngoba ukunciphisa ukuqina kwemisipha kungasiza kakhulu ekusebenzeni kwengane (njengokuhamba, ukushintsha izingubo, nokubamba izinto). Kunganciphisa nobuhlungu. Ingane izodinga ukwesekwa yithimba lezokwelapha impilo yayo yonke ukuze iphile nalesi simo.

Kufanele ngimbone nini udokotela?

Uma ubona izimpawu zokuqala zokuthi ingane yakho ingaba ne-Spastic Cerebral Palsy, xhumana nodokotela ngokushesha. Khuthazeka kakhulu uma ubona noma yiziphi izinguquko noma ukubambezeleka ekunyakazeni nasekukhuleni kwengane yakho.

Yimiphi imibuzo okufanele ngiyibuze udokotela wami?

Ungase ube nemibuzo eminingi uma uthola ngesimo sengane yakho. Nansi eminye imibuzo ongayibuza udokotela wakho:

• "Ungangisiza yini ngiqonde ukuthi ingane yami inesifo esingakanani?"
• "Uncoma uhlobo luni lokwelashwa?"
• "Yiziphi izinjongo zokwelashwa?"
• "Ingabe kukhona imiphumela emibi yokwelashwa?"
• "Kufanele ngenze isikhathi esingakanani ukwelashwa ngokomzimba noma ukwelashwa ngokomsebenzi?"
• "Ingabe ukuhlinzwa kuzothuthukisa izimpawu zengane yami?"

Izinto ezibaluleke kakhulu okufanele uzikhumbule (Umyalezo Wokuya Ekhaya)

I-Spastic Cerebral Palsy ingaba yisimo esiyinselele enganeni nasemndenini wayo ngoba ubuchopho nemisipha yengane akukhulumisani kahle. Lezi zimpawu zingathinta ikhono lengane lokuhambahamba ngokuphepha nangokuzimela.

Nokho, nakuba ingelapheki, ngenhlanhla, kunezindlela zokwelapha ezahlukahlukene ezingaphathwa. Ukwelashwa ngokomzimba, ukwelashwa ngokomsebenzi, ukwelashwa ngenkulumo, kanye nemithi kungathuthukisa ikhwalithi yokuphila kwengane. Kuzodingeka uhlale uxhumana nethimba lezokwelapha lengane yakho. Uma wena noma umndeni wakho ninemibuzo ngalokhu, ningesabi ukubuza udokotela.

I- Spastic Cerebral Palsy, I-Spastic Cerebral Palsy, I-Cerebral Palsy, Ukuqina Kwemisipha, I-Spasticity, I-Neurology Yezingane, Izinkinga Zokunyakaza, Ukukhula Kwengane