Uma uthola ukuthi une- myelitis ehambayo , uyaqonda ukuthi lesi simo singathinta kanjani ukuhamba kwakho konke okusebenzayo kanye nekhwalithi yokuphila. I-myelitis eguquguqukayo inganciphisa indlela ohamba ngayo, uhambe embhedeni, futhi usuke esihlalweni esisodwa kuya kwesinye. Lokhu ukulinganiselwa kokusebenza kungaba nomthelela omkhulu ekusebenzeni kwakho futhi ujabulele imisebenzi yokuzilibazisa.
I-myelitis eguquguqukayo yisifo esizimele esisithinta umgogodla. Ukukhubazeka okubangelwa yile nqubo yesifo kuyashintsha kakhulu. Indawo ye-lesion emthonjeni womgogodla, ubuchopho besifo, kanye nokuphathwa kwesifo ngemuva kokuxilongwa kungabangela umthelela ekubambeni okubonakalayo kanye nokulinganiselwa kokuhamba komsebenzi okuhlangene nakho ngenxa ye-myelitis ehambayo.
Ukwelashwa ngokomzimba we-myelitis engathandwayo kungenzeka ngezilungiselelo eziningi ezahlukene. Uma uthola ukutholwa kuqala, ungase usebenze nomhlengikazi wesibhedlela esibhedlela . Ungase futhi usebenze nomthandi ekuvuselelweni kwe-acute noma ekhaya ukusiza ukuthuthukisa ukuhamba kwakho futhi ubuyele emsebenzini omkhulu.
Ukwelapha ngokomzimba we-myelitis engathintana nakho kungase kwenzeke nasesimweni sokuphulukisa iziguli.
Ukuthola Umtholampilo Ophuthumayo
Ngaphambi kokuqala ukwelapha ngokomzimba ongakapheli we-myelitis, ungase ufise ukwenza ucwaningo oluthile ukuze uqiniseke ukuthi uthola usizo olufanele lomzimba wakho .
Qala ngokuthola abahlengikazi bezempilo eduze kwendlu yakho, bese ufonela abambalwa ukuqinisekisa ukuthi bayakwazi ukukusiza ukuphatha isimo sakho. Qinisekisa ukuthi ubuze mayelana nokuhlangenwe nakho kwangaphambili nezinye iziguli ezine-myelitis engezansi, futhi uchaze kahle isimo sakho samanje nokulinganiselwa okusebenzayo. Ungase futhi ufune ukubuza imibuzo ejwayelekile mayelana nemithetho yomshuwalense, izinqubomgomo zehhovisi, namahora okusebenza.
I-Outpatient Physical Therapy Ukuhlolwa
Ukuvakasha kwakho kokuqala kumhlengikazi wezokwelapha ophuthumayo cishe kuyoba ukuhlola nokuhlola kokuqala. Phakathi nalesi sigaba, umhlinzeki wakho womzimba uzohlangana nawe ukuze axoxe ngesimo sakho nomlando. Uyothola futhi ukuqoqa idatha eyisisekelo kanye nezilinganiso ukusiza ukunquma isu elihle lokuphatha.
Izingxenye ezijwayelekile zokuhlolwa kokuqala zihlanganisa, kepha azikhawulelwe ku:
- Umlando : Le ngxenye yokuhlola yilapho utshela umhlinzeki wakho womzimba mayelana nesimo sakho samanje nokuthi uye waqhubeka kanjani kusukela ekuqaleni. Umlando wakho wezokwelapha odlule uzoxoxwa, futhi noma yikuphi okunye ukwelashwa okwenziwe ngesimo sakho kuyothathwa. Imithi yakho yamanje ingabhalwa, ngakho-ke kuwumqondo omuhle ukuletha uhlu kwanoma imuphi umuthi oyithathayo.
- Imiphumela yokulinganisa : Ithuluzi lokukala lomphumela lingasetshenziselwa ukusetha imigomo nokuqapha izinguquko ekuhambeni kwakho kokusebenza njengoba uya emitholampilo. Amathuluzi wemiphumela evamile afaka ukuhlolwa kwe-Walk Minute 6 , i-Tinetti Balance Scale, noma i- Timed Up and Go Test . Lezi zivivinyo zingabuyekezwa njalo ukuze ziqaphe intuthuko.
- I-Gait : Inzuzo yindlela yokuhlola indlela ohamba ngayo. Umhlinzeki wakho womzimba uzoqapha umthamo wakho futhi abuke izinkomba ezithile namaphethini emjikelezweni wakho we-gait ongakusiza ukunquma ukwelashwa okungcono kuwe. Uma usebenzisa idivayisi yokusiza njengomuntu ohambahamba , isihlalo sabakhubazekile, noma umhlanga, angakwazi ukuqinisekisa ukuthi ubukhulu ngendlela efanele nokuthi uyayisebenzisa kahle.
- Amandla : Isazi sakho somzimba sizovivinya amandla ezandleni nasemilenzeni yakho ukuze uthole isilinganiso sokuqala sokuthi ukungasebenzi kwamandla kungathinta kanjani umsebenzi wakho.
- Ukuhamba kwesimo : Umhlinzeki wakho womzimba angasebenzisa i- goniometer ukukala ububanzi bokuhamba (i-ROM) ezungeze amalunga akhethekile. Izindlela zokuqala ze-ROM zingasetshenziswa ukusiza ukunquma intuthuko lapho uthola ukwelashwa ngokomzimba.
- I-spasticity : Spasticity yinkimbinkimbi eyinkimbinkimbi eyenzeka emzimbeni uma inkinga efana ne-myelitis ehamba phambili ivela ohlelweni lwesigungu sezinzwa. Umhlinzeki wakho wenyama angakwazi ukukala ithoni yakho yonke nokuphambana ukuze usize ukuhlinzeka ngemithi efanele ye-spasticity.
- Ukuzivumelanisa nezimo : Uma uke wahlala esibhedlela isikhathi eside ngenxa ye-myelitis ehambayo, ungabona ukulahlekelwa kwemisipha yokuguquguquka kwemisipha nokunyakaza. Isazi sakho somzimba singalinganisa ukuguquguquka kwakho futhi kungasiza ekuthuthukiseni ukuguquguquka kwakho konke.
- Ukulinganisela : Ukuxilongwa kwe-myelitis engathinteki kungathinta ukulinganisela kwakho konke nokuqwashisa umzimba wakho. Umhlinzeki wakho womzimba uzohlola ibhalansi yakho ukuze uqinisekise ukuthi uphephile uma uhambahamba futhi usize ukuqondisa ukwelashwa kwanoma yikuphi ukulimala okungase kube khona.
Ukwelapha
Ngemuva kokuhlolwa kokuqala nokuhlolwa, umhlinzeki wakho womzimba kufanele asebenze nawe ukuthuthukisa imigomo kanye nesu lokuphatha ngendlela efanele. Imigomo ehlukile ingase ihluke kakhulu komuntu nomuntu, kodwa umgomo jikelele wezokwelapha zokwelashwa eziphuthumayo ze-myelitis engezansi ukukhulisa ukuhamba komsebenzi ukukusiza ukuba ubuyele endleleni yakho yokuphila yangaphambilini.
Njengoba ukukhubazeka okubonwe nge-myelitis engafaniyo kuyahluka kakhulu, ngeke kwenzeke ukuhlonza indlela yokwelapha "i-cookie-cutter" noma i-protocol ye-myelitis engezansi. Khumbula ukuthi usebenze eduze nomhlinzeki wakho womzimba ukuze uqonde ukwelashwa kwesimo sakho esithile.
Imithi ejwayelekile ye-myelitis ehambayo ihlanganisa, kepha ayikhawulelwe ku:
- Ukuvuselela kwe-neuromuscular : Ukuvuselelwa kwamagesi we-neuromuscular (NMES) kuyindlela yokwelapha evame ukusetshenziselwa ukwelashwa ngokomzimba. Kuyindlela yokuvuselela kagesi esetshenziselwa ukusiza inkontileka eyodwa yemisipha yakho noma iqembu lemisipha. Uma uhlushwa ubuthakathaka emkhakheni othize we-muscle njengomphumela we-myelitis ohambayo, umhlinzeki wakho womzimba angakhetha ukusebenzisa i-NMES ukusiza ukuthuthukisa ukukhishwa kwalelo qembu lezinsimba ukuze kuthuthukiswe umsebenzi wakho jikelele. Khumbula ukuthi i-NMES iyindlela yokwelashwa okungajwayelekile, futhi amaseshini akho yokwelapha kufanele ahlanganise ukuzivocavoca okusebenzayo nokunyakaza lapho kunokwenzeka.
- Ukuzivocavoca : Ukuzivocavoca kungase kubekwe ngumhlengikazi wakho wezemvelo ukukusiza ukuba uthuthukise amandla, i-ROM, nokuguquguquka noma ukunciphisa ubukhulu bomzimba. Ukuzivocavoca okucacile kungenziwa kunqunywe ukusiza ukuthuthukisa ukutholakala kwakho kanye nokulinganisela. Umhlinzeki wakho womzimba angasebenzisa imishini yokuzivocavoca njengebhodi le- BAPS ukusiza ukuthuthukisa ibhalansi, kanye nesitatimende sokubhala , i- UBE , noma ibhayisikili kungasiza ekuthuthukiseni ukukhuthazela okuphelele kanye nempilo yengqondo.
- Ukuqeqesha okuzuzwayo : Uma unenkinga yokuhamba, udokotela wakho ongokwenyama angasebenza nawe ngokuya kwakho. Uzoqinisekisa ukuthi usebenzisa idivayisi efanele yokusiza ngesimo sakho, futhi umzimba ungenziwa ukuze usize ukuthuthukisa i-gait yakho yonke.
Isici esibalulekile sokuhamba, ukuhamba, nokuhamba yisikhathi sokuhlukana kwemisipha. Udokotela wakho angakhetha ukusebenza nawe ukuthuthukisa ukuqwashisa jikelele nokulawulwa komzimba ngokuzivocavoca ukusiza ukuthuthukisa isivinini kanye nokusebenza kwezikhathi zokuhlukana kwemisipha.
Ukuyeka Ukuphulukisa Ukwelashwa Kwemvelo
Umbuzo ovamile abantu abaningi abane-myelitis engezansi bawukuthi, "Kufanele ngiye nini lapho ngiya emitholampilo enamakhono?"
Impendulo yalo mbuzo ingaba yinkimbinkimbi kusukela ukuhlukahluka okuningi okungahle kuthinte inkambo yakho yangokwenyama yokwelashwa ngokomzimba for myelitis transverse. Ungase uthuthuke ngokungenasici ngokusebenzisa ukwelapha okwelashwa okuphulukisayo futhi uzuze ngokushesha amandla, i-ROM, nokuhamba komsebenzi jikelele. Imiphumela nemigomo oyibekayo lapho uqala ukwelashwa ngokomzimba kungatholakala kalula, futhi ukwelashwa kwakho kungagcinwa emtholampilo ngenkathi usebenza ngokuzimela ekhaya.
Isimo sakho singase sibe sibi kakhulu, futhi ukuthuthuka kwakho nge-PT kungase kuphuze futhi kudinga umsebenzi omncane ( nesisusa ) ukufeza imigomo yakho. Qinisekisa ukuthi usebenza eduze nomhlengikazi wakho wangokwenyama nodokotela ukuze uqonde isimo sakho esiqondile nokuthi yini ongayilindela ukwelashwa ngokomzimba.
Khumbula ukuthi ukuxilongwa kwe-myelitis ehambayo kuhambisana nakho ukuchazwa okuguquguqukayo jikelele. Isimo sakho singakushiya ngokulahlekelwa kokusebenza okuncane kuze kube nzima. Umhlinzeki wakho womzimba angasebenza nawe ukuqinisekisa ukuthi uyakwazi ukufeza ukuhamba kwakho okusebenzayo okukhulu, kodwa ukwelashwa ngezikhathi ezithile kungase kukhishwe ngenkathi uqhubeka nokubhekana nokulinganiselwa okusebenzayo.
Uma uthola ukuthi une-myelitis eguquguqukayo, ukusebenza eduze nomthandi wezinto ezingokwenyama emtholampilo ophuthumayo kungakusiza ukufezekisa imigomo yakho yokuhamba nokusiza ukuthi ubuyele ezingeni lakho langaphambilini lomsebenzi ngokushesha futhi ngokuphepha.