I-Hemiparesis inobuthaka obuthakathaka ohlangothini olulodwa lomzimba. I-Hemiparesis ingathinta noma ngakwesokunxele noma ngakwesokudla komzimba. Ubuthakathaka bungabandakanya izingalo, izandla, imilenze, ubuso noma inhlanganisela. Cishe amaphesenti angama-80 abantu abasindwa yi-stroke bahlangabezana ne-hemiparesis, okwenza kube omunye wemiphumela evamile kakhulu yesifo.
Abantu abane-hemiparesis basakwazi ukuhambisa ohlangothini oluthintekile lomzimba, kodwa ngamandla anganiselwe.
Olunye uhlangothi lomzimba lungase lube buthakathaka ngokuphelele, futhi lesi simo sibizwa ngokuthi i-hemiplegia.
Izimbangela
Ngaphezu kokushaya, i-hemiparesis ingabangelwa ezinye izimo zezokwelapha. Izimbangela ezivame kakhulu ze-hemiparesis yizinto ezilandelayo:
- Isibungu
- Multiple sclerosis
- Ukulimala okubuhlungu- kungathinta ubuchopho, umgogodla noma izinzwa
- Izimo zezokwelapha ezibangelwa ukubeletha- izimo zezokwelapha ezifana nokukhubazeka kwesiberethri ezikhona kusukela ekuzalweni kungabangela ubuthakathaka bunye uhlangothi lomzimba
- Izifo zesipula
- Isifo sobuchopho noma umgogodla
- Ukutheleleka kobuchopho, umgogodla noma ama-mening
- Izimo zengqondo nezengqondo zingabangela ubuthakathaka besikhashana
- Thumela ukukhubazeka kwe-ictal - ubuthakathaka besikhashana ngemuva kokuthunjwa
- Izimo ezivuthayo nezizimele
Izimpawu
Uphawu olucacile kunazo zonke lwe-hemiparesis ukukhubazeka okuyingxenye eyodwa komzimba. Izimpawu zihambisana nohlangothi lobuchopho noma umgogodla owonakele. Ukulimala ngakwesokunxele sobuchopho ngokuvamile kubangela ubuthakathaka ngakwesokudla komzimba.
Ukulimala ngakwesokunene sobuchopho ngokuvamile kubangela ubuthakathaka ohlangothini lwesobunxele lomzimba.
Kuye ngohlobo lokulimala komgogodla kanye nezinga lokulimala ngaphakathi komgogodla, i-hemiparesis ingafaka ohlangothini olufanayo lomzimba njengengozi yesikhuhlane, noma ingabandakanya ohlangothini oluhlukile.
Ezinye izimpawu ze-hemiparesis zihlanganisa okulandelayo:
- Ukungakwazi ukulinganisela
- Kunzima ukuhamba
- Ukungakwazi ukuqonda izinto
- Ukunciphisa ukuchithwa kokuhamba
- Ukukhathala kwemisipha
- Ukungabi nokuxhumana
- Uncike kolunye uhlangothi ngenkathi umile, uhamba noma uhlezi
- Ukulahlekelwa kwesilonda noma ukulawula kwesinye
Ukuxilongwa
Uma ukhononda nganoma yiziphi izimpawu ze-hemiparesis, udokotela wakho uzozihlola ngokomzimba. Kungaba nzima ukubona ukuthi izimpawu zakho zibangelwa ubuthakathaka, ubuhlungu noma esinye isizathu. Ukuhlola kwangokwenyama kubandakanya ukuhlolwa kwezingqondo zakho, ukuzwa kwakho namandla akho, nodokotela wakho 'uzokala' amandla akho ngesilinganiso sika-1-5. Lesi silinganiso singasiza nalapho udokotela ofanayo noma abanye odokotela behlola amandla akho ngokuhamba kwesikhathi, njengoba kungasetshenziswa njengesilinganiso.
Isilinganiso sokulinganisa samandla emisipha kanje:
0/5 Akukho ukunyakaza
1/5 Imisipha emihle yokudumala
2/5 Ukunyakaza kusuka ngakwesokhohlo, kepha ayikwazi ukuphakamisa ingalo noma umlenze ngokumelene nokuvuthwa
3/5 Ungahamba ngokumelene nodonsela phansi, kodwa hhayi ngokumelene nanoma yikuphi amandla, njengokunciphisa umhloli
4/5 Ungakwazi ukuhamba ngokumelene namandla, njengokuphonsela umhloli, kodwa hhayi ngamandla ajwayelekile alindelekile
5/5 Ungadlulela emandleni ngamandla alindelekile
Ukuxilonga imbangela ye-hemiparesis kungabuye kuqinisekiswe ngezifundo ze-imaging, ezingafaka phakathi okulandelayo:
- I-scan ye-Brain noma ye-Spine CT
- I-MRI ye-Brain noma ye-Spine
Ukwelapha
Ukwelashwa kwe-hemiparesis kuqala kuqondiswa ukwelashwa okuhlosiwe kwesizathu, kungakhathaliseki ukuthi imbangela iyingozi, isifo sobuchopho noma ukutheleleka njll.
Inhloso yokwelapha isikhathi eside i-hemiparesis ukwakha amakhono amakhono okuqinisa nokusebenzisana nokuthuthukisa ikhono lakho lokuphatha imisebenzi yansuku zonke.
Ukubuyisela
Ukwelapha ngokomzimba nokusebenza kubalulekile ekubuyiseleni i-hemiparesis. Ukwelapha kungabandakanya ukusetshenziswa kokuvuselela kagesi ebuchosheni, emifanekisweni, ukusetshenziswa kwezixhobo zokusiza ezifana nomhlanga, uhambahamba noma isihlalo sabakhubazekile. Ngenhlanhla, i-hemiparesis ayiyona into eqhubekayo ngaphandle kokuba kube nobufakazi bokuhlukumezeka kwengqondo ebukhuni.
Ukulungiswa ekhaya kungadingeka kwenziwe ukuze kulungiswe futhi kusize ukwandisa ukuhamba. Ezinye zezinguquko zingabandakanya:
- Bamba imigoqo
- Ramps
- Izihlalo zangasese ezikhulisiwe
- Ibhentshi ebhodini
- I-non-slip stick adhesive ihamba emabhodini
- Ibhuloho lamazinyo kagesi
- Ama-razors kagesi
Izwi elivela
I-Hemiparesis iyindlela ejwayelekile yezifo zezinzwa. Ngokuvame ukuthinta ingalo, umlenze noma bobabili, i-hemiparesis yenza kube nzima ukugcina izinga elivamile lemisebenzi yokuzimela yansuku zonke, futhi ingenye yezimbangela eziyinhloko zokukhubazeka. Ukushaywa yisisu kuyimbangela evamile kakhulu ye-hemiparesis, yingakho ukuvimbela ukushaywa yisisu kuyisici esibalulekile sokuphila okunempilo okumele wonke umuntu akwazi.
> Imithombo:
> Ukuvuselelwa kweMotshini Umsebenzi emva kokushaya kwesisu: Ukubuyekezwa Okuhlelekile Okugxilwe Emikhondweni Yokukhuthaza Ukuphuthuma Okuphezulu Okuphezulu, Hatem SM, Saussez G, Della Faille M, Prist V, Zhang X, Dispa D, Bleyenheuft Y, Front Hum Neurosci. 2016 Sep 13; 10: 442