Hemiplegia: Zvinokonzera uye Kurapa kweKusarura Paralysis

Zvemukati

• Hemiplegia tsanangudzo
• Hemiparesis vs. hemiplegia
• Hemiplegia vs. cerebral palsy
• Hemiplegia zviratidzo
• Hemiplegia inokonzera
• Kurohwa
• Utachiona hwehuropi
• Kushungurudzika kwepfungwa
• Genetics
• Mamota ehuropi
• Mhando dzehemiplegia
• Chiso hemiplegia
• Spinal hemiplegia
• Contralateral hemiplegia
• Spastic hemiplegia
• Kusiyanisa hemiplegia yehucheche
• Hemiplegia kurapwa
• Physiotherapy
• Yakagadziriswa yekumanikidza-inosimudzira kufamba kurapa (mCIMT)
• Zvirongwa zvekubatsira
• Mifananidzo yepfungwa
• Kukurudzira kwemagetsi
• Hemiplegia inogara zvachose here?
• Zviwanikwa zvevanhu vane hemiplegia
• Tora woenda nazvo

Hemiplegia tsanangudzo

Hemiplegia chiitiko chinokonzerwa nekukuvara kwehuropi kana musana musana kukuvara kunotungamira kuora mitezo kune rimwe divi remuviri. Zvinokonzera kushaya simba, matambudziko nekudzora tsandanyama, uye kuomarara kwemhasuru. Iwo mwero wezviratidzo zvehemiplegia zvinosiyana zvichienderana nenzvimbo uye kukura kwekukuvara.

Kana hemiplegia ichirova usati waberekwa, panguva yekuzvarwa, kana mukati memakore maviri ekutanga ehupenyu, inozivikanwa sekuzvarwa hemiplegia. Kana hemiplegia ichikura gare gare muhupenyu, inozivikanwa sekuwana hemiplegia. Hemiplegia haina-kufambira mberi. Kana kanganisika ikangotanga, zviratidzo hazviwedzere kuipa.

Ramba uchiverenga kuti udzidze nezvekuti nei hemiplegia ichiitika uye nzira dzakajairika dzekurapa dziripo.

Hemiparesis vs. hemiplegia

Hemiparesis uye hemiplegia zvinowanzoshandiswa zvakasiyana uye zvinogadzira zviratidzo zvakafanana.

Munhu ane hemiparesis anoona kushaya simba kana kuora mitezo kudivi rimwe remuviri wake. Munhu ane hemiplegia anokwanisa kusvika kuzere kuora mitezo kudivi rimwe remuviri wake uye anogona kunetseka kutaura kana kufema.

Hemiplegia vs. cerebral palsy

Cerebral palsy iri izwi rakapamhamha kupfuura hemiplegia. Inosanganisira akasiyana siyana matambudziko anokanganisa mhasuru dzako uye kufamba.

Cerebral palsy inokura usati waberekwa kana mumakore mashoma ekutanga ehupenyu. Vakuru havagone kukura, asi munhu ane cerebral palsy anogona kuona zviratidzo zvichichinja sezvavanokwegura.

Chikonzero chakajairika chehemiplegia muvana ndeye kana ivo vari mudumbu.

Hemiplegia zviratidzo

Hemiplegia inogona kukanganisa chero kuruboshwe kana kurudyi kwemuviri wako. Chero ripi divi reropi rako rinokanganiswa rinokonzera zviratidzo kune rimwe divi remuviri wako.

Vanhu vanogona kuve nezviratidzo zvakasiyana kubva kuhemiplegia zvinoenderana nekuomarara kwayo. Zviratidzo zvinogona kusanganisira:

• mhasuru kushaya simba kana kuomarara kune rimwe divi
• tsandanyama spasticity kana zvachose chibvumirano tsandanyama
• hushoma hunyanzvi hunyanzvi hwemotokari
• kunetseka kufamba
• murombo balance
• kunetseka kubata zvinhu

Vana vane hemiplegia vanogonawo kutora nguva yakareba kuti vasvike pazviitiko zvekuvandudza kupfuura vezera ravo. Vanogona zvakare kushandisa ruoko rumwe chete pavanotamba kana kuchengeta ruoko rumwe muchibhakera.

Kana hemiplegia ichikonzerwa nekukuvara kwehuropi, kukuvara kwehuropi kunogona kukonzera zviratidzo zvisina kunangana nehemiplegia, senge:

• matambudziko ekurangarira
• kunetseka kuisa pfungwa
• nyaya dzekutaura
• hunhu hunoshanduka
• pfari

Hemiplegia inokonzera

Kurohwa

Kurohwa ndeimwe yezvikonzero zvinowanzoitika zvehemiparesis. Kukura kwemhasuru kushaya simba kwaunosangana nako kunoenderana nehukuru uye nzvimbo yesitiroko. Kurohwa mudumbu ndicho chikonzero chakanyanya kukonzera hemiplegia muvana.

Utachiona hwehuropi

Utachiona hwehuropi hunogona kukonzera kukuvara kusingaperi kune cortex yeuropi. Hutachiona hwakawanda hunokonzerwa nehutachiona, asi zvimwe hutachiona hunogona zvakare kuve hutachiona kana fungal.

Kushungurudzika kwepfungwa

Kungoerekana kwaitika kumusoro wako kunogona kukonzera kukuvara kwehuropi zvachose. Kana kushungurudzika kuchingobata rumwe rutivi rweuropi, hemiplegia inogona kukura. Zvinowanzokonzera kushungurudzika kunosanganisira kurovera kwemotokari, kukuvara kwemitambo, uye kurwiswa.

Genetics

Shanduko isingawanzoitika yeiyo ATP1A3 geni inogona kukonzera mamiriro anozivikanwa sekuchinjana hemiplegia muvana. Iyo inokonzeresa kwenguva pfupi hemiplegia zviratidzo zvinouya uye zvinoenda. Ichi chirwere chinokanganisa anenge 1 muvanhu miriyoni imwe.

Mamota ehuropi

Mamota ehuropi anogona kutungamira kune akasiyana matambudziko epanyama anosanganisira hemiplegia. Zviratidzo zvehemiplegia zvinogona kuwedzera zvakanyanya sezvo bundu richikura.

Mhando dzehemiplegia

Izvi zvinotevera kusagadzikana kwekufamba uko kunogona kukonzera zviratidzo zvehemiplegia.

Chiso hemiplegia

Vanhu vane kumeso hemiplegia vanoona vakaremara mhasuru kune rimwe divi rechiso chavo. Chiso hemiplegia inogona zvakare kusanganiswa neayo mashoma hemiplegia kumwe kunhu mumuviri.

Spinal hemiplegia

Spinal hemiplegia inonziwo seBrown-Sequard syndrome. Inosanganisira kukanganisa kune rumwe rutivi rwepelinha kunokonzera kuoma mitezo kune rumwe rutivi rwemuviri sekukuvara. Izvo zvakare zvinokonzeresa kurasikirwa kwekurwadziwa uye tembiricha yekunzwa kune yakatarisana nedivi remuviri.

Contralateral hemiplegia

Izvi zvinoreva kuremara kune rimwe divi remuviri iro kukuvara kwehuropi kunoitika mukati.

Spastic hemiplegia

Urwu ndirwo rudzi rwe cerebral palsy iyo inowanzo bata rumwe rutivi rwemuviri. Tsandanyama parutivi rwakakanganiswa zvinogara zvichitenderedzwa kana kushomeka.

Kusiyanisa hemiplegia yehucheche

Imwe hemiplegia yehudiki inowanzo bata vana vadiki pane mwedzi gumi nesere. Inokonzera zvikamu zvinodzokororwa zvehemiplegia zvinokanganisa rimwe kana mativi ese emuviri.

Hemiplegia kurapwa

Kurapa sarudzo yehemiplegia kunoenderana nechikonzero chehemiplegia uye kuomarara kwezviratidzo. Vanhu vane hemiplegia vanowanzoenda kune dzakasiyana-siyana rehabhu dzinosanganisira varapi vemuviri, vanogadzirisa varapi, uye nyanzvi dzehutano hwepfungwa.

Physiotherapy

Kushanda neye physiotherapist inobvumira vanhu vane hemiplegia kukudziridza kugona kwavo, kuvaka simba, uye kuronga kufamba. Chiremba wemuviri anogona zvakare kubatsira kutambanudza mhasuru dzakasimba uye dzakasimba.

Yakagadziriswa yekumanikidza-inosimudzira kufamba kurapa (mCIMT)

Kugadziriswa kwekumanikidza-kwakasimudzira kufamba kurapa kunosanganisira kudzora divi remuviri wako risina kukanganiswa nehemiplegia. Iyi yekurapa sarudzo inomanikidza divi rako risina kusimba kuti ribhadhare uye rinotarisira kugadzirisa yako mhasuru kutonga uye kufamba.

Imwe diki yakaburitswa muna2018 yakagumisa kuti kusanganisira mCIMT mukurohwa kwekugadziriswa kunogona kushanda zvakanyanya kupfuura kurapa kwechinyakare kwoga.

Zvirongwa zvekubatsira

Vamwe varapi vemuviri vanogona kukurudzira kushandiswa kwesimbi, tsvimbo, wiricheya, kana kufamba. Kushandisa chishandiso chinobatsira kunogona kubatsira kusimudzira mamhasuru uye kufamba.

Ipfungwa yakanaka kubvunza nyanzvi yezvehutano kuti uwane kuti ndechipi chishandiso chakanakira iwe. Ivo vanogona zvakare kukurudzira shanduko dzaunogona kuita kumba kwako dzakadai dzakasimudzwa zvigaro zvechimbuzi, ramps, uye kubata mabhawa.

Mifananidzo yepfungwa

Kufungidzira kufambisa hafu yakafa mitezo yemuviri wako kunogona kubatsira kumisikidza zvikamu zvehuropi zvinoitisa kufamba. Pfungwa dzepfungwa dzinowanzo sangana nedzimwe nzira dzokurapa uye hadziwanzoshandiswa dzoga.

Imwe meta-ongororo ichitarisa mhedzisiro yeongororo makumi maviri nematatu yakawana kuti mifananidzo yepfungwa inogona kuve nzira yekurapa inoshanda yekuwanazve simba kana ichibatanidzwa nehutano hwepanyama.

Kukurudzira kwemagetsi

Nyanzvi yezvekurapa inogona kubatsira kukurudzira kufamba kwemhasuru nekushandisa mapads emagetsi. Magetsi anotendera mhasuru dzausingakwanise kufamba uchiziva kuti chibvumirano. Kukurudzira kwemagetsi kunovavarira kudzikamisa kusaenzana munzvimbo yakakanganiswa yeuropi uye nekuvandudza huropi.

Hemiplegia inogara zvachose here?

Hemiplegia ndeyekusingaperi mamiriro uye hapana mushonga panguva ino. Inozivikanwa sechirwere chisingafambire mberi nekuti zviratidzo zvacho hazvinyanye kukura nekufamba kwenguva.

Munhu ane hemiplegia anoita chirongwa chinoshanda chekurapa anogona kukwanisa kugadzirisa zviratidzo zvehemiplegia nekufamba kwenguva. Vanhu vane hemiplegia vanogona kurarama hupenyu hwakazvimiririra uye hunoshanda pamwe nekushandisa zvekufambisa zvinobatsira.

Zviwanikwa zvevanhu vane hemiplegia

Kana iwe uine mwana ane hemiplegia, iwe unogona kuwana ruzivo nerutsigiro kubva kune Yevana Hemiplegia uye Stroke Association webhusaiti. Unogona kuwana zviwanikwa zvedunhu rako pawebhusaiti yavo. Ivo zvakare vane zviwanikwa zvevanhu vanogara muCanada kana kuUnited Kingdom.

Kana iwe uri kutarisira hemiplegia inokonzerwa nesitiroko, unogona kuwana runyorwa rurefu rwe zviwanikwa pane iyo Stroke Center webhusaiti.

Tora woenda nazvo

Hemiplegia chirwere chakakomba kune rumwe rutivi rwemuviri wako chinokonzerwa nekukuvara kwehuropi. Iyo isiri-inofambira mberi kusagadzikana uye hainyanye kuwedzera kana ichinge yatanga. Nechirongwa chakakodzera chekurapa, zvinokwanisika kugadzirisa zviratidzo zvehemiplegia.

Kana iwe uri kurarama nehemiplegia, unogona kuita zvinotevera shanduko kumararamiro ako kuti ubatsire kugadzirisa kwako:

• Gara uchishingairira paunogona napo.
• Chinja imba yako nemidziyo yekubatsira senge rampu, mabara ekubata, uye mahandra.
• Pfeka shangu dzakatsetseka uye dzinotsigira.
• Tevera kurudziro yechiremba wako yezvigadzirwa zvekubatsira.