Ubuhlungu bungenye yemiphumela eminingi engalindelekile yokushaywa yisifo . Ubuhlungu bokuthunyelwa komzimba akuvamile phakathi kwezimpawu zokuqala zengozi, futhi kungathatha amasonto noma izinyanga ukuze ubuhlungu be-post-stroke bukhule. Ngenxa yokuthi kuthatha isikhashana ukuzwa ubuhlungu be-post-stroke ukuqala, abasindile abaningi abahlukunyezwayo abaqapheli ukuthi ukuhlunguphazwa ngemuva kokushaya isifo ngenxa yesifo, futhi ngokuvamile babheka ubuhlungu obungokomzimba ngemva kokushaywa yisifo sokuthi uhlobene nokuguga, ukucindezeleka noma Okunye.
Kubalulekile ukuba ubuhlungu bakho be-post-stroke buhlolwe udokotela wakho ngoba kunezindlela eziningi zokwelashwa eziphumelelayo. Ngenkathi usuvele wenza umsebenzi onzima wokubuyisela emuva kwesifo sakho, akudingeki ukuba ubeke izinhlungu ze-muscle, u-soreness, ukuvutha noma noma yiluphi olunye uhlobo olubi olungavinjelwe ngaphezu kwakho konke okunye.
Kunezinhlobo eziningana ezihlukahlukene zobuhlungu be-post-stroke ukuthi ngamunye udinga indlela efanelwe. Ngakho-ke, uma uqobo ubuzwa ubuhlungu be-post-stroke futhi uma uyazi omunye umuntu onomzimba ophuthumayo, kungenzeka ukuthi awutholi ukwelashwa okufanayo uma ubuhlungu bakho abukho esigabeni esifanayo nobuhlungu bomunye umuntu.
Ubuhlungu be-Spasticity-Impuced
Ngemuva kokushaywa yisisu, imisipha ebuthakathaka ingaba nzima noma iqine . Ngokuvamile, abasindile abanesihlungu babhekana nesisindo somzimba, esibhekene nokunyakaza okuphazamisayo, okwezintambo ezibuthakathaka, eziqinile.
Le misipha ye-post-stroke ne-tightness ingaveza ubuhlungu obuhlungu emisipha ye-spastic, kanye nokuhlukumeza kwemisipha eseduze ephindwe kaningi noma ibekwe endaweni engakhululekile.
Uma unesihlungu esivela ku-muscle sprotic muscle, cishe kuzodingeka uthathe imisipha ephumuzayo ngomlomo, noma usebenzise ama-creams-relaxing creams, kanye / noma uhlanganyele ekwelapheni okungokwenyama ukuze usize ukunciphisa ubuhlungu obukhulu. Kungase kudingeke uthathe imithi yokwelapha uma ukuhlukumeza kuqhubeka naphezu kwelashwa okuhloswe ekuqaliseni isiphalamende.
Ngesinye isikhathi, uma i-spasticity iphikelela futhi ingaphuthuki ngokuziphumuza kwemisipha, ama-injection nge-toxin ye-botulinum angasiza ekunciphiseni ukuqina komzimba, futhi kunciphise ubuhlungu .
I-Pain Central
Uhlobo lobuhlungu obubizwa ngokuthi ubuhlungu obuphakathi buphazamisa amaphesenti angu-10 abesindalayo. Ubuhlungu obuphakathi akuqondakali kahle, futhi kukholakala ukuthi yimbangela yokuphendula okuyinkimbinkimbi kobuchopho ekulimazeni kwesisu, okuholela ekutheni i-hypersensitivity.
Abasindile abaningi abahlukunyezwayo abanomunyu ophakathi nendawo bakhononda ubuhlungu obunzima obuphikisanayo obungabandakanya ukugubha, ukuvutha, ukushaya, ukuthambekela noma ezinye izinzwa ezingathandeki. Ngokuvamile, ubuhlungu obuphakathi buhlobene nokushaywa okubangelwa ukulahlekelwa okulinganiselwe kwamandla omzimba kanye nokunciphisa okunciphisa ukulinganisa, futhi ngokuvamile hhayi ngemivimbo eyenza ukulahlekelwa okuphelele kwamandla noma ukulahlekelwa okuphelele kwezwa.
Imithi ejwayelekile yokuhlunguphazwa ngokuvamile ayiphumelele ekulawuleni ubuhlungu obuphakathi. Imithi yokuqeda izidakamizwa kanye nezidakamizwa zokuhlukunyezwa ziye zatholakala ukuthi ziyindlela eziphumelela kakhulu zokunciphisa ubuhlungu obuphakathi.
Ubuhlungu be-Musculoskeletal
Ubuhlungu be-musculoskeletal buvame ukuchazwa njengobuhlungu noma ukugula kwemizimba, ngokuvamile emahlombe, entanyeni, ezandleni, emilenzeni noma emhlane. Ubuhlungu be-musculoskeletal wuhlobo oluvame kakhulu lokuhlunguphazwa ngemuva kokushaya, futhi ngokungafani nokuhlukunyezwa kwe-muscle spasticity futhi ehlukile ebuhlungu obuphakathi, nakuba abanye abasindile isifo besifo sinokuhlukunyezwa okungaphezu kweyodwa.
Ubuhlungu be-musculoskeletal ngokuvamile buba mncane ukuze bube bukhulu ngokweqile, futhi bujwayele ukuphuza imithi yokwelapha ejwayelekile. Kodwa-ke, ngezinye izikhathi, ubuhlungu be-musculoskelet bungaba bukhulu kakhulu kangangokuthi kukuvimbela ekusebenziseni umzamo wakho ogcwele lapho uhambisa imisipha yakho ngoba ukunyakaza okuvamile kungase kukhulise ubuhlungu. Ubuhlungu be-musculoskeletal post-stroke kungaba esinye sezikhazamiso ezinkulu uma kuziwa ekutheni uphinde uvuselele futhi uvuselele . Ngakho-ke, kubalulekile ukuxoxisana nobuhlungu bakho neqembu lakho lezokwelapha, ukuze uqhubeke uthola kabusha ezingeni eliphezulu kakhulu uma uthola ukulawula ubuhlungu.
Izinsizwa
Abangu-20 kuya kwangu-30 amaphesenti abahlukunyezwa yi-stroke baqala ukuzwa ikhanda okokuqala empilweni yabo ngemva kokushaywa yisifo. Abanye abasindile isifo sokushaya isisu ngaphambi kokuba bahlaselwe isifo bangaba nezinhlungu eziphuthumayo ngemuva kokushaywa yisifo. Yonke imivimbo ingabangela ukukhanda ikhanda ngesikhathi sokuphumula, kodwa izigameko ezinzima kakhulu ezihlobene kakhulu nezinsizwa ngesikhathi, nangemva kwalokho, ukululashwa kwesifo.
Amakhanda aphethwe yi-post akuyona into efanayo. Ubuhlungu bekhanda lokuthunyelwa komzimba lungenza ukukhukhumezeka, ukubhoboza, ukukhuluphazeka, ukuzwa isicashu, isizungu, nokukhathala. Ezinye izinhlungu ze-post-stroke ziyizinsizi zokuphefumula, ezinye ziyikhanda le-migraine, ezinye ziyikhanda elikhishwa ngamakhanda, kanti ezinye zibangelwa ukushintsha kwegazi.
Uma wena noma othandekayo uzwa ikhanda ngemva kokushaya, udinga ukuhlolwa okuphelele yi-neurologist, ongakwazi ukuhlonza uhlobo oluthile lwekhanda lakho futhi anikeze ukwelashwa okufanele. Kukhona izindlela zokwelapha ezitholakalayo ezinhlokweni zekhanda futhi akudingeki ukuba uhlushwa ubuhlungu bekhanda ngenkathi usuphulukile kusuka kuhlangothi lwakho.
I-Phantom Limb Pain
Ubuhlungu bezinyawo zepantom luhlobo olungavamile, kodwa lubuhlungu lobuhlungu. Ukuhlunguphazwa kwamagqabha e-Phantom kuvame ukuchazwa njengobuhlungu obuvela endaweni yengalo noma umlenze osusiwe, ngakho-ke awukho.
Kodwa-ke, abasindile besifo esibucayi abanokukhubazeka okujulile noma ukulahlekelwa okuphelele kokuzizwa bangase bazizwe sengathi ingalo noma umlenze wabo "awukho," futhi bangase bazwe ubuhlungu obukhulu besandla. Kukhona imithi kanye namasu wokwelashwa okuvuselela ubuhlungu obukhulu bomzimba. Ukwelashwa kudinga ukuqondiswa ngokuqondile kumuntu oyedwa osindayo ngoba akuwona wonke umuntu obhekene nosizi lwesilwane esiphuthumayo olwenza ngcono ngendlela efanayo yokwelapha.
Izwi elivela
Ubuhlungu buyimiphumela engavumelekile futhi engamangazayo evame ukuqala kahle emva kokuqala kwesigaba sokushaya isisu. Iningi labasindile isifo sibhekene nohlobo oluthile lobuhlungu isikhathi esithile, kepha ubuhlungu buvame ukuthuthukisa ukwelashwa futhi, ngemva kwesikhathi, ukunganaki ngokomzimba kungathuthuka ngokwanele ngokwanele ukuthi ukwelashwa akusadingeki.
Ubuhlungu kuyinkinga enzima ukuhlala nayo, futhi abanye abantu bangalingeka ukuba "baphumelele." Kodwa-ke, kunezinketho zokwelashwa eziphumelelayo zokuhlunguphazwa kokulandela, ngakho-ke kufanele wazi ukuthi ungathola ukuphulukiswa kwesifo sakho ngaphandle kobunzima obengeziwe bokuhlupheka.
> Imithombo:
> Isikhathi Sokuvama Nesikhathi Sokuhlunguphazwa Kwangemva Kwesifo: Isifundo Esisekelwe Esibhedlele Esihambelana Nesixazululo Esibucayi. I-Paolucci S, Iosa M, Toni D, Barbanti P, Bovi P, Cavallini A, Candeloro E, Mancini A, Mancuso M, Monaco S, Pieroni A, Recchia S, Sessa M, Strambo D, Tinazzi M Cruccu G, Truini A, Imithi Yezinhlungu, ngo-2016 Meyi; 17 (5): 924-30
> Izinto eziyinkimbinkimbi zobuhlungu ngemva kokushaya - ukubuyekezwa ngokugxila ebuhlungu obuphakathi kokuhamba, uSefert CL, i-Mallar Chakravarty M, i-Sprenger T, i-Panminerva Med. 2013 Mar; 55 (1): 1-10