Cerebral palsy

Cerebral palsy iboka rezvinetso izvo zvinogona kusanganisira huropi, izvo zvinokanganisa mashandiro ehurongwa hwemitsipa, senge kufamba, kudzidza, kunzwa, kuona, uye kufunga.

Kune akatiwandei akasiyana marudzi ecerebral palsy, anosanganisira spastic, dyskinetic, ataxic, hypotonic, uye yakavhenganiswa.

Cerebral palsy inokonzerwa nekukuvara kana kukanganisika kwehuropi. Mazhinji ematambudziko aya anoitika apo mwana anokura mudumbu. Asi zvinogona kuitika chero nguva mukati memakore maviri ekutanga ehupenyu, apo huropi hwemwana huchiri kukura.

Mune vamwe vanhu vane cerebral palsy, zvikamu zvehuropi zvinokuvadzwa nekuda kwehuremu hwepasi hweoksijeni (hypoxia) munzvimbo idzodzo. Hazvizivikanwe kuti nei izvi zvichiitika.

Vacheche vasati vazvarwa vane njodzi yakati rebei yekukudziridza cerebral palsy. Cerebral palsy inogona zvakare kuitika panguva yekutanga kweucheche semhedzisiro yemamiriro akati wandei, anosanganisira:

• Kubuda ropa muuropi
• Utachiona hwehuropi (encephalitis, meningitis, herpes simplex hutachiona)
• Kukuvara kwemusoro
• Utachiona munaamai panguva yekuzvitakura (rubella)
• Kusarapwa jaundice
• Kukuvara kwehuropi panguva yekuzvara

Mune zvimwe zviitiko, chikonzero checerebral palsy hachimbofa chakatemwa.

Zviratidzo zvecerebral palsy zvinogona kuve zvakasiyana kwazvo pakati pevanhu vane iri boka rezvinetso. Zviratidzo zvinogona:

• Iva munyoro kwazvo kana wakanyanya kuomarara
• Ingobatanidza chete divi remuviri kana mativi ese
• Zivikanwa zvakanyanya mune anga ari maoko kana makumbo, kana kusanganisira ese maoko nemakumbo

Zviratidzo zvinowanzoonekwa mwana asati ava nemakore maviri. Dzimwe nguva zviratidzo zvinotanga semwedzi mitatu. Vabereki vanogona kucherechedza kuti mwana wavo anonoka kusvika pamatanho ekukura senge kugara, kuumburuka, kukambaira, kana kufamba.

Kune akatiwandei akasiyana marudzi ecerebral palsy. Vamwe vanhu vane musanganiswa wezviratidzo.

Spastic cerebral palsy ndiyo yakajairika mhando. Zviratidzo zvinosanganisira:

• Tsandanyama dzakanyanya kuomarara uye dzisingatwasanuke. Vanogona kusimbisa zvakatowanda nekufamba kwenguva.
• Kufamba zvisina kujairika (gait) - maoko akasungwa akananga kumativi, mabvi akayambuka kana kubata, makumbo anoita "chigero" kufamba, kufamba pazvigunwe.
• Majoini akasimba uye haavhure kwese kwese (kunonzi kubatana chibvumirano).
• Tsvina kushaya simba kana kurasikirwa kwekufamba muboka remhasuru (kuoma mitezo).
• Zviratidzo zvinogona kukanganisa ruoko rumwe kana gumbo, rimwe divi remuviri, makumbo ese, kana maoko nema makumbo.

Zviratidzo zvinotevera zvinogona kuitika mune mamwe marudzi ecerebral palsy:

• Kufamba kusingaenzanisike (kumonyanisa, kubvunda, kana kumonyoroka) kwemaoko, tsoka, maoko, kana makumbo paunenge wakamuka, izvo zvinonyanya kuwedzera panguva yekushushikana
• Kudengenyeka
• Kusadzikama gait
• Kurasikirwa kwekubatana
• Tsandanyama, kunyanya pazororo, uye majoini anofamba zvakanyanya

Humwe huropi uye huta hurongwa zviratidzo zvinogona kusanganisira:

• Kudzidzira kuremara zvakajairika, asi kungwara kunogona kuve kwakajairika
• Matambudziko ekutaura (dysarthria)
• Kunzwa kana kuona matambudziko
• Kufenda
• Marwadzo, kunyanya kune vanhu vakuru, izvo zvingave zvakaoma kubata

Kudya uye kugaya zviratidzo:

• Zvakaoma kuyamwa kana kufudza mune vacheche, kana kutsenga uye kumedza muvakuru vana nevakuru
• Kusvipa kana kupatira

Zvimwe zviratidzo:

• Yakawedzera kudonhedza mate
• Inononoka kupfuura kukura kwese
• Kufema zvisina kufanira
• Urinary kusagadzikana

Anopa hutano anozoita yakazara kuongororwa neurologic. Muvanhu vakura, kuyedza kugona kwekuziva kwakakoshawo.

Mimwe bvunzo inogona kuitwa sezviri kudikanwa, kazhinji kutonga kunze kumwe kushushikana:

• Kuongororwa kweropa
• CT scan yemusoro
• Electroencephalogram (EEG)
• Kunzwa skrini
• MRI yemusoro
• Chiratidzo kuyedzwa

Iko hakuna mushonga we cerebral palsy. Chinangwa chekurapa ndechekubatsira munhu kuti ave akazvimiririra sezvinobvira.

Kurapa kunoda nzira yetimu, inosanganisira:

• Chiremba wepuraimari
• Dentist (mazino kuongorora-kumusoro anokurudzirwa kutenderedza yega mwedzi mitanhatu)
• Wezvemagariro
• Vanamukoti
• Varapi vekubasa, vemuviri, uye vekutaura
• Dzimwe nyanzvi, kusanganisira chiremba wezvemitsipa, chiremba wekuvandudza, pulmonologist, uye gastroenterologist

Kurapa kunoenderana nezviratidzo zvemunhu uye kudiwa kwekudzivirira matambudziko.

Kuzvitarisira uye kutarisira kumba kunosanganisira:

• Kuwana chikafu chakakwana uye chikafu
• Kuchengeta imba yakachengeteka
• Kuita maekisesaizi akakurudzirwa nevatapi
• Kudzidzira kukodzera kweuweti (zvigunwe zvigadzikisi, zvinwiwa, faibha, laxatives, kugara uchiita tsika)
• Kuchengetedza majoini kubva mukukuvara

Kuisa mwana muzvikoro zvenguva dzose zvinokurudzirwa kunze kwekunge hurema hwepanyama kana kukura kwepfungwa kuchiita kuti izvi zvisaitike. Dzidzo yakasarudzika kana chikoro chinogona kubatsira.

Izvi zvinotevera zvinogona kubatsira mukutaurirana nekudzidza:

• Magirazi
• Kunzwa rubatsiro
• Tsvina nemabhonzo
• Rubatsiro rwekufamba
• Mawiricheya

Kurapa kwepanyama, kurapa kwebasa, rubatsiro rwemabhonzo, kana kumwe kurapwa kunogona kudiwa kubatsira nezviitwa zvezuva nezuva nekutarisirwa.

Mishonga inogona kusanganisira:

• Anticonvulsants kudzivirira kana kudzikamisa kuwanda kwekugwinha
• Botulinum toxin kubatsira ne spasticity uye kudonhedza mate
• Tsinga dzinozorodza kuti uderedze kudedera uye kushomeka

Kuvhiya kunogona kudikanwa mune dzimwe nguva ku:

• Chengetedza gastroesophageal Reflux
• Cheka dzimwe tsinga kubva kumuzongoza kuti ubatsire nekurwadziwa uye kushomeka
• Isa nzvimbo yekudyisa machubhu
• Bvisa zvibvumirano zvakabatana

Kushungurudzika uye kupisa mukati mevabereki nevamwe vanochengeta vanhu vane cerebral palsy zvakajairika. Tsvaga rutsigiro neruzivo rwakawanda kubva kumasangano anoenderana nerebral palsy.

Cerebral palsy chirwere chehupenyu hwese. Kuchengetwa kwenguva refu kunogona kudikanwa. Iyo kusagadzikana haina kukanganisa inotarisirwa kureba kwehupenyu. Huwandu hwehurema hunosiyana.

Vazhinji vanhu vakuru vanokwanisa kugara munharaunda, kungave vakazvimiririra kana nematanho akasiyana erubatsiro.

Cerebral palsy inogona kutungamira kune anotevera matambudziko ehutano:

• Kuonda kwepfupa (osteoporosis)
• Kuvhiringidza ura
• Hip dislocation uye arthritis mumubatanidzwa wehudyu
• Kukuvara kubva pakuwa
• Pressure maronda
• Zvibvumirano zvakabatana
• Mabayo anokonzerwa nekudzipwa
• Chikafu chisina kunaka
• Kuderedzwa kwehunyanzvi hwekutaurirana (dzimwe nguva)
• Kuderedza njere (dzimwe nguva)
• Scoliosis
• Kufenda (mune inenge hafu yevanhu vanobatwa necerebral palsy)
• Kusarurwa kwevanhu

Fonera mupiki wako kana zviratidzo zvecerebral palsy zvichikura, kunyanya kana iwe uchiziva kuti kukuvara kwakaitika panguva yekuzvarwa kana kutanga kweucheche.

Kuwana rubatsiro rwakakodzera rwekusununguka kunogona kudzora njodzi yezvimwe zvisingawanzo zvikonzereke zvecerebral palsy. Muzviitiko zvakawanda hazvo, kukuvara kunokonzera kusagadzikana hakudziviriki.

Vanamai vane nhumbu vane mamwe marapirwo vangangoda kuteedzerwa mukiriniki ine njodzi huru yekuberekwa.

Spastic kuoma mitezo; Kuoma - spastic; Spastic hemiplegia; Spastic diplegia; Spastic quadriplegia

• Chikafu chemukati - mwana - kugadzirisa matambudziko
• Gastrostomy yekudyisa chubhu - bolus
• Jejunostomy yekudyisa chubhu

• Central nervous system uye yekumusoro tsinga system

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