Wake wazizwa sengathi isandla sakho, indololwane , noma iminwe yakho iqinile futhi kunzima ukuyigoba? Noma uzizwa sengathi isandla sakho siyanyakaza noma siyanyakaza ngokungalawuleki? Uma lokhu kwenzeka kuwe noma kothile omaziyo, kungenzeka ukuthi kungenxa yalesi simo esikhuluma ngaso namuhla. Ake sixoxe ngalokhu kalula nangokuzola.
Kalula nje, kuyini i-Upper Limb Spasticity?
Lokhu kwenzeka lapho imisipha esezingalweni zakho, ikakhulukazi izitho zakho ezingenhla, iba lukhuni futhi iqine. Ngezinye izikhathi, le misipha ingase inyakaze noma ijike ngokungalawuleki. Ngokuvamile sikubiza lokhu ngokuthi ukujikijela kwemisipha, noma 'ukujikijela'.
Lesi simo senzeka lapho kunomonakalo othile ohlelweni lwezinzwa zomzimba wethu. Cabanga ngale ndlela: ubuchopho bethu kanye nomgogodla yizikhungo ezimbili zokulawula eziyinhloko ezithumela izimpawu zikagesi emisipheni yomzimba wethu. Lapho lezi zikhungo zokulawula zonakele ngenxa yokushaywa unhlangothi, isifo, noma ingozi, inqubo yokuthumela lezo zimpawu iyaphazamiseka. Kufana nocingo olusebenzayo olunqunywayo. Kungenxa yalezi zimpawu eziphazamisekile ukuthi imisipha iqala ukuqina nokunyakazisa ngokungadingekile.
Into ebalulekile ukuthi lesi akusona isimo esisongela impilo. Kodwa-ke, ubuhlungu nokungakhululeki okubangelwa yiso kungaba nomthelela omkhulu emisebenzini yakho yansuku zonke. Ngisho nemisebenzi elula njengokugqoka noma ukugeza ingaba nzima.
Kodwa ungakhathazeki, ukwelashwa kwalesi simo sekuthuthuke kakhulu kunakuqala. Kunezindlela eziningi zokwelapha ezingakusiza ukuthi uphinde ukhululeke emisipheni yakho futhi uthuthukise ukulawula izandla.
Yiziphi izizathu eziyinhloko zalokhu?
Njengoba sixoxile ngaphambili, imbangela eyinhloko yalokhu ukulimala ohlelweni lwethu lwezinzwa, ikakhulukazi ubuchopho noma umgogodla. Imisipha yethu iyanyakaza lapho ithola izimpawu zikagesi ezivela emithanjeni. Lezi zimpawu zivela ebuchosheni nasemgogodleni. Uma lezi zonakele, inqubo yokuthumela izimpawu iba yiphutha. Lezi zimpawu ezishintshashintshayo yizo ezibangela ukuba imisipha iqine futhi inyakaze.
Kunezizathu eziningana eziyinhloko zokuthi kungani lokhu kulimala kungenzeka:
- Isifo sohlangothi: Isifo sohlangothi senzeka lapho umthambo wegazi oholela ebuchosheni uvaleka noma uqhuma ngenxa yokuqhekeka kwegazi. Lokhu kuphuca amangqamuzana obuchopho umoya-mpilo negazi alidingayo, okubangela ukuba afe. Lokhu kungalimaza uhlelo lwezinzwa futhi kuholele ezimweni ezinjengalezi.
- Ezinye izimo zezokwelapha: Lesi simo singabangelwa nezifo ezilimaza uhlelo lwezinzwa, njenge-"Multiple Sclerosis" kanye ne-"Cerebral Palsy."
- Ukulimala: Ukulimala okukhulu ebuchosheni noma emgogodleniUhlelo lwezinzwa lungalimala.
Ziyini izimpawu zalesi simo?
Ngezinye izikhathi lezi zimpawu zivela emavikini, ezinyangeni, noma ngisho neminyaka ngemva kokuhlaselwa yisifo sohlangothi noma ukulimala kobuchopho. Qaphela lezi zimpawu ezilandelayo.
| Isibonakaliso | Incazelo elula |
|---|---|
| Ukuqina/ukuqina kwemisipha yengalo | Imisipha esandleni iqine njengetshe. |
| Ukuthuthumela okungalawuleki | Ukuqhaqhazela noma ukunyakazisa izandla okungalawuleki. |
| Ubunzima bokusebenzisa isandla | Ubunzima bokusebenzisa isandla ukubamba okuthile, ukubhala, noma ukwenza eminye imisebenzi. |
| Ukuqina kwamalunga | Ukuqina kwendololwane, isihlakala, noma amalunga omunwe. |
| Isandla sisesimweni esingavamile | Izinto ezifana nokugcina izingalo zakho ziseduze nomzimba wakho, ukugcina izindololwane zakho zigobile, nokubamba izandla zakho ngezibhakela. |
| Ubuhlungu | Ukuzwa ubuhlungu lapho uqondisa noma ushukumisa ingalo, indololwane, isihlakala, noma iminwe. |
Khumbula, uma ingelashwa, le misipha ingaba lukhuni futhi isandla sakho singanamathela endaweni eyodwa. Lokhu kungenza kube nzima kakhulu ukwenza imisebenzi yansuku zonke. Uma uke waba nesifo sohlangothi noma ukulimala kobuchopho,Uma kwenzeka uzwa ukuqina kwemisipha, ukudikiza, noma ukungakhululeki ezithweni zakho zomzimba, tshela udokotela wakho ngokushesha.
Kwenziwa kanjani ukuxilongwa?
Kulesi simo, kuzodingeka ubone udokotela ochwepheshe ohlelweni lwezinzwa , noma "udokotela wezinzwa".
Uzoqala ngokukuhlola ngokomzimba. Uzohlola ukuthi ungakwazi yini ukunyakaza nokulawula izandla zakho, izindololwane, izihlakala kanye neminwe. Uzohlola nokuguquguquka kwakho ngokugoba nokwelula amalunga akho.
Ngaphezu kwalokho, udokotela uzokubuza imibuzo embalwa. Isibonelo:
- Yimiphi imisipha ethintekayo yi-contraction ?
- Kuqale nini lokhu?
- Lokhu kushaya kwenzeka kangaki?
- Ingabe ukwenza okuthile kuzonciphisa lesi simo? Ingabe kuzosikhulisa?
- Ingabe kukhona ubuhlungu noma ukuqina?
- Yiziphi izinkinga obhekene nazo ekwenzeni umsebenzi wakho wansuku zonke?
Ungase futhi wenze ukuhlolwa kwe-electromyography (EMG) ukuze ubone ukuthi imisipha yakho nezinzwa zisebenza kahle kangakanani. Lokhu kuhilela ukuhlala esihlalweni noma ukulala embhedeni nokuba nama-electrode amaningana anamathele emisipheni engalweni yakho. Lawa ma-electrode anezingxenye ezincane, ezifana nenaliti ezingena emisipheni. Lawa axhunywe emshinini onezintambo ezilinganisa umsebenzi kagesi wemisipha nezinzwa. Udokotela uzokucela ukuthi ugobe futhi uqondise ingalo yakho. Umshini uzobe usuqopha umsebenzi. Lokhu kuhlolwa kungathatha cishe imizuzu engama-30 kuya kwengama-60.
Yiziphi izindlela zokwelapha?
Umgomo oyinhloko wokwelapha lokhu ukuvimba imisipha ukuthi ingaqini ngokungadingekile futhi ikuvumele ukuthi ushukumise izitho zakho ngokukhululeka. Kubaluleke kakhulu ukuqala ukwelashwa ngaphambi kokuba imisipha iqine futhi ubuhlungu bukhule.
Udokotela uzonquma ukwelashwa okufanele kakhulu ngokusekelwe esimweni sakho sempilo kanye nezimpawu.
| Indlela yokwelapha | Incazelo |
|---|---|
| Ukuzivocavoca kanye nokwelashwa ngokomzimba | Ungenza ukwelula umzimba okwenza imisipha namalunga akho aguquguquke. Uchwepheshe wezokwelapha umzimba angakufundisa ukuthi ungakwenza kanjani lokhu ngendlela efanele. |
| Ama-braces noma ama-Splints | Ukugqoka lokhu kusiza ukugcina imisipha namalunga esesimweni esifanele futhi kuvimbele ukuqina. |
| Izinhlobo ezikhethekile zemithi yokugoma | Imijovo efana ne -onabotulinumtoxinA (Botox) kanye ne -abobotulinumtoxinA (Dysport) ingafakwa emisipheni ukuze ikhululeke futhi inciphise ukuqaqamba. Kodwa-ke, lokhu kungabangela eminye imiphumela emibi, njengobunzima bokuphefumula nokugwinya, ngakho khuluma nodokotela wakho ngalokhu ngokucophelela. |
| Imithi Yomlomo | Iziphumuli zemisipha ezifana ne -baclofen , i-diazepam , kanye ne -tizanidine . |
| Imijovo Yokuvimba Imizwa | Uma eminye imithi yehluleka ukulawula ubuhlungu, kunikezwa imijovo ukuze kuthuntubeze imizwa ebangela ukuqaqamba kwemisipha. |
| Ukuhlinzwa | Uma kungekho okunye ukwelashwa okuphumelelayo, ukuhlinzwa kokusika imizwa noma imisipha ebangela ukuqaqamba kunganconywa njengendlela yokugcina. |
Uma isimo sakho sithuthuka, inani lokwelashwa lingancishiswa. Ngakho-ke, kubaluleke kakhulu ukulandela uhlelo lokwelashwa olunikezwe udokotela wakho ngqo nokwazisa udokotela wakho nganoma yiziphi izinguquko oziqaphelayo.
Izinto ongazenza wena
Kanye nokwelashwa, kunezinto eziningana ongazenza wena ukuze ugcine imisipha namalunga akho eguquguquka ngangokunokwenzeka.
- Hlala usebenza ngangokunokwenzeka: Ukuzivocavoca kukhulula imisipha futhi kwandisa ukuguquguquka. Ukubhukuda nokuzivocavoca okwakha amandla kuhle kakhulu. Ngisho nezinto ezifana nokudlala imidlalo noma ukwenza imisebenzi yasekhaya kungasiza ekushukumiseni izitho zomzimba eziqinile.
- Lala kahle: Izimpawu zingase zibe zimbi kakhulu njengoba ukukhathala kuyanda.
- Hlala ukhululekile engqondweni:Ukucindezeleka kungenza lesi simo sibe sibi kakhulu. Ngakho-ke yenza into oyithandayo ezolisa ingqondo yakho, njengokufunda incwadi, ukuhambahamba, noma ukuzindla.
Uma ingelashwa, imisipha ingaba lukhuni futhi ibe buhlungu ngokuhamba kwesikhathi. Kodwa-ke, ngezokwelapha zesimanje, manje usungakwazi ukulawula isandla sakho futhi uphile impilo esebenzayo. Udokotela wakho wezokwelapha ngokomzimba noma uchwepheshe wezokwelapha emsebenzini angakufundisa izindlela zokwandisa ukuguquguquka kwakho nezindlela ezintsha zokwenza imisebenzi yansuku zonke kalula.
Umlayezo Wokuya Nawe Ekhaya
- I-Upper Limb Spasticity iwukuqina okungalawuleki nokunyakazisa imisipha engalweni. Lokhu akusongeli impilo.
- Isizathu esiyinhloko salokhu ukulimala kwesimiso sezinzwa ngenxa yokushaywa unhlangothi, izifo ezithile, noma izingozi.
- Uma uzwa izimpawu ezifana nokuqina kwengalo, ukuthuthumela okungalawuleki, noma ubuhlungu, ikakhulukazi uma unomlando wesifo sohlangothi, bona udokotela ngokushesha.
- Kunezindlela eziningi zokwelapha eziphumelelayo zalokhu, okuhlanganisa ukuzivocavoca umzimba, imithi, imijovo ekhethekile, kanye nokuhlinzwa.
- Kanye nokwelashwa, ukuhlala usebenza, ukulala kahle, nokuhlala uphumule ngokwengqondo kungakusiza ukuthi ululame ngokushesha.
💬 Comments (0)
No comments yet. Be the first to share your thoughts here.
Add Your Comment