Ngokuvamile, ukukhubazeka kusho ukuthambekela komzimba owodwa noma ngaphezulu komzimba. I-Hemiplegia ne-hemiparesis ngamagama asetshenziselwa ukuchaza ubuthakathaka ohlangothini olulodwa lomzimba.
Uma unenkinga yezokwelapha eye yabangela ukuba umzimba wakho ube buthakathaka, kungenzeka ube nokukhubazeka, i-paresis, i-hemiparesis noma i-hemiplegia i-Hemiplegia ne-hemiparesis yimigomo esetshenziselwa ukuchaza ubuthakathaka obuthinta uhlangothi olulodwa lomzimba.
Isibonelo, i-hemiplegia ingathinta umlenze nengalo ohlangothini olufanayo lomzimba.
I-Hemiplegia kanye nokukhubazeka kusho ukuthi izingxenye ezithintekayo ziwumzimba zibuthakathaka ngokuphelele, kanti i-hemparesis ne-paresis zisho ukuthi izingxenye ezithintekayo zomzimba zibuthakathaka kancane, nokuthi kukhona ezinye zamandla ezisele ezandleni noma emlenzeni obuthakathaka.
Sibutsetelo
Isizathu salesi sibonelo sobuthakathaka ngokuvamile esithinta isigamu somzimba wukuthi ubuchopho bomuntu nomnsalo womgogodla ngamunye banezinhlobo ezimbili ezifanayo ezibonakalayo 'ezingxenyeni' ngakwesokudla nangakwesobunxele. Ngamunye walawa ma-halves ulawula ukuhamba kohlangothi olulodwa lomzimba.
Ubuchopho bomuntu buqukethe isifunda sezindiza esibizwa ngokuthi umgodi wezimoto olawula ukunyakaza. Ohlangothini lwesobunxele nangakwesokudla kwe-cortex yecerebral ngayinye iqukethe umshini wesithuthuthu olawula uhlangothi oluhlukile lomzimba. Ngokufanayo, intambo yomgogodla iqukethe indawo ebizwa ngokuthi i-corticobulbar tract elawula ukunyakaza okungokwenyama, ngecala lesobunxele elawula ohlangothini olulodwa lomzimba nelanga lokunene elilawula elinye.
Ngakho, ukulimala kolunye uhlangothi lobuchopho noma intambo yomgogodla kuveza i-hemiplegia eseceleni kwesokunxele, ngenkathi ukulimala ngakolunye uhlangothi kuveza i-hemiplegia elungile.
Kunezinhlobo ezihlukahlukene ze-hemiplegia. Zihlukaniswa njenge:
- Okuyingxenye - ukugcina ukulawula okuthile kwemisipha
- Gcwalisa - ukungakwazi ukuhambisa noma yisiphi isisulu
- Ukulawula okungapheli - kwemisipha akubuyanga
- Isikhathi esithile - ukulawula okuyisisindo kubuya
- I-Flaccid - imisipha ibe yi-flabby futhi ingahle ihlehlise
- Ama-spastic - imisipha ibe nzima futhi ingase ichithe
Izimbangela
Ukunyakaza kwe-muscle kulawulwa yizimpawu ezithunyelwe emzimbeni ngobuchopho nomgogodla. Uma ubuchopho noma umonakalo wesikhuhlane kwenzeka, izimpawu azikwazi ukuqondisa imisipha ukuba ihambe, okuholela ekukhubaleleni. Izimo eziningi ze-hemiplegia zenzeka ngenxa yesifo sokushaya.
Ezinye izimbangela ze-hemiplegia zihlanganisa okulandelayo:
- Ukulimala kwentambo yomgogodla
- Isisu senhliziyo
- I-cerebral palsy
- Intamo ephukile
- Multiple sclerosis
- Izifo ezizenzakalelayo
- Ukukhubazeka kukaBell
- Ipholiyo
- Dystrophy yamaMuscular
- Spina bifida
- Ukulimala kwe-Brachial plexus
Ukuxilongwa
Ukuhlolwa kwe-hemiplegia kuhilela ukuhlolwa okulandelayo kwe-imaging nezinqubo zokuxilonga:
- X-ray
- CT scan
- I-MRI
- I-Myelography
- I-Electromyography (EMG)
- Gcwalisa inani legazi
Izinkinga
Izimo zesibili ze-hemiplegia yizinkinga ongase uzizwe ngenxa yobuthakathaka. Ngezinye izikhathi, lezi zinkinga azibonakali ngokushesha, futhi zingase zikhule izinyanga emva kokubona i-hemiplegia kuqala.
Ezinye zezinkinga ze-hemiplegia zihlanganisa:
- Izinkinga zesibindi- ukungabikho kokunye kanye / noma ukugcinwa komchamo
- Izinkinga zokulawula umzimba
- Ubuhlungu
- I-thrombosis ye-vein deep (DVT)
- I-dysreflexia ye-Autonomic
- Ukucindezeleka
- Izinkinga zokuphefumula
- Isifo senhliziyo
- Sepsis
- Amanxeba okucindezela
- Ubuhlungu be-muscle
- I-muscle atrophy
Ukwelapha
Ngezinye izikhathi, amandla omzimba angathuthuka eyedwa. I-Hemiplegia ingasabela ekwelapheni. Ezinye zokwelapha ze-hemiplegia zifaka:
- Ukwelashwa Kwemvelo
Ukuzivocavoca kuyawusizo ukugcina amalunga avulekile futhi aguquguquke. Izindlela zokwelapha ezihlelwe ngokucophelela zivimbela i-muscle atrophy ne-spasticity. Ukwelashwa ngokomzimba nakho kuyasiza ekuvimbeleni izinkinga ze-hemiplegia ne-hemiparesis - njengezifo zenhliziyo, isifo sikashukela, izilonda zomshoshaphansi, izifo eziphazamisa ukwelapha, izifo zokungena emanzini. - Ukwelapha Umsebenzi
Lolu uhlobo lwezokwelapha olugxile ekufundeni indlela yokunakekela imisebenzi ewusizo nemisebenzi yansuku zonke, njengokukhathalela.
- Izinsiza zokuhamba
Izinsiza zokuhamba zihlanganisa izihlalo zabakhubazekile nezigesi kanye nezikole kanye namabhande, amathrekhi kanye nabahamba ngezinyawo. Lezi zinsiza zingakusiza ukuba uhole impilo emele, esebenzayo ngisho noma une-hemiparesis noma i-hemiplegia. - Ubuchwepheshe bokusiza
Ukusebenzisa amadivaysi akhiqizwa ngezwi, amakhompiyutha, amakholi kanye nokukhanyisa izinhlelo kutholakala ngokwengeziwe futhi kuyasebenza ukusebenzisa. - Izinsiza ezithintekayo
Ukusebenzisa amadivaysi akhethwe ngokukhethekile ukushayela, ukudla izinto, usizo lwezempilo kanye nobuhle kungasiza ngosuku olusebenzayo ngemisebenzi yosuku.
Izwi elivela
I-Hemiplegia ne-hemiparesis yizimo ezinzima ukuzivumelanisa, kodwa kunezinyathelo ongazithatha ukuze wenze lula ngokuphila ne-hemiplegia noma i-hemiparesis. Izifo ze-neurological ezibangelwa i-hemiplegia ne-hemiparesis azivamile, futhi zikhona izinsiza ezingakusiza ngokusebenzisa ukubuyiswa kwakho kanye nezinsiza ezingakunika usizo ekusizeni ngezici ezingokoqobo zokuphila.
> Imithombo:
> Ukuvuselelwa Kwamandla Omzimba We-Neuromuscular for Restoration Motor in Hemiplegia, Knutson JS, Fu MJ, Sheffler LR, Chae J, Phys Med Rehabil Clin N N. 2015 Nov; 26 (4): 729-45