Emva kokuphazamiseka, indlela eyintloko yokuphulukisa nokuphucula iquka isicwangciso sokuvuselela ngokuphucula ukuphucula izakhono zomzimba kunye nomsebenzi wokuqonda. Kukho inani leentlobo ezahlukeneyo zokuvuselelwa kwesigxina, emva kokuba uhlaziye kwi-stroke, kuya kufuneka ukuba uthathe inxaxheba kwisinye okanye ngaphezulu kwezi.
Ulungiso lwenyama
Ulwaphulo oluthile lubandakanya iintlobo ezahlukeneyo zokuhamba kwemisipha kunye nokuzilolonga.
Imisebenzi yonyango yokuguqulwa kwamathambo yenzelwe ukuqeqesha ingqondo kunye nezihlunu ukuba zisebenze kunye nokusebenzisa indlela eyenza amandla omzimba kunye nokugcina ithoni ye-muscle enempilo. Uphando olutshanje olusuka eUnited Kingdom lusetyenzise idatha esuka kwi-database yaseCochrane, enye yeyona nto inkulu kunazo zonke i-databanks esaphila, ukuvavanya ukuphumelela kwonyango emva kokuhlaselwa. Iziphumo ze-UK ziphelile ukuba kukho uluhlu olubanzi lweendlela zokwelapha eziphathekayo kunye nezindlela ezisetyenziselwa ukujikeleza abantu abasindayo.
Ngoxa abaphandi abafumananga ukuba uhlobo oluthile lonyango lwangokwenyama lungcono kunabanye, baphetha ngelithi unyango lonyango lusebenza kakuhle ekuncediseni abaphuliweyo be-stroke ukuphucula ukuhamba (ukukwazi ukujikeleza,) ukuhamba ngokukhawuleza, ukusebenza ngokuzimeleyo kwaye unobungakanani obuhle. Abaphandi baqikelela ukuba i-dose efanelekileyo yonyango ukuba ibe malunga nemizuzu engama-30-60 ukuya kwemihla 5-7 ngeveki.
Ulwaphulo oluthile luye lwafunyanwa lusebenza ngakumbi xa iiseshoni zaqaliswa kungekudala emva kokubetha.
Uphuhliso lwezakhono
Ngokungafani nonyango lomzimba, unyango lomsebenzi luhlobo olongezelelweyo lomsebenzi wokuqeqesha. Abagqirha bezemisebenzi basebenzelana nabasindileyo besifo kwiimisebenzi zemihlaba yemihla ngemihla ezifana nokunyuka kwezitebhisi, ukungena kunye nokuphuma ebhedini nokugqoka.
Ngokuqinisekileyo, kukho ukuphazamiseka phakathi kwonyango lomzimba kunye neyeza lokusebenza, kwaye ezi zibini zizinto eziphambili zokuphuluzwa kwesifo, kodwa unyango lomzimba lujoliswe ngakumbi ekuqiniseni nasekugcineni igxininiso lamaqela ezihlunu, ngelixa unyango lwezakhono lujoliswe ngakumbi ekulungiseni usebenzisa izihlunu zeenjongo ezithile ezijoliswe.
Uthethelo kunye noTywala
Intetho kunye nokugwinya zizakhono ezifuna ukucinga malunga nento xa udibanisa imisipha. Zombini izakhono zisebenzisa imisipha yobuso, umlomo, ulwimi kunye nomqala. Iingxaki zentetho zilindeleke emva kokuphazamiseka, ngelixa ugxininisa iingxaki zivame ukuba zikumangalisekile ukusabalala kwabasindayo kunye nabathandekayo babo.
Ukuvavanya nokuvavanya kuqhutyelwa esibhedlele, kungakapheli iintsuku emva kwesifo. Njengoko uphila kwi-stroke yakho, inkulumo yakho kunye nokugwinya kwamakhono kunokuqala ukuphucula ngokwabo.
Intetho ibalulekile ekunxibelelaneni. Intetho idinga ukusebenzisa ulwimi ukuqonda oko abantu bathethayo. Intetho ifuna ukusetyenziswa kolwimi ukuthetha nabanye. Ulwaphulo lwentetho lujolise ekuqondeni amagama kunye nokuvelisa amagama abanye abangakuqonda ngokucacileyo. Ngamanye amaxesha, unyango lwentetho lubandakanya i-flashcards, imifanekiso, kwaye, ngokuqinisekileyo, ukuqhuba nokuphindaphinda ngokuthetha.
Ukuhlenga kubalulekile ngenxa yezizathu ezininzi. Ukutya kuyingxenye ebalulekileyo ebomini, kwaye oko akutshintshi emva kwesifo. Ukukwazi ukuphucula kuyimfuneko yokugcina ukutya okunomsoco. Nangona kunjalo, ukulungiswa ngokufanelekileyo kokugwinya kubalulekile kwezinye iinkalo zempilo, ngaphezu kwondlo. Xa ukugwinya izihlunu akuhambanga njengoko kufanelekile, ukukhahlela ukutya kukunye kweemiphumo eziyingozi.
Ukuchithwa kungabangela usulelo olubizwa ngokuba yi- aspiration pneumonia , eyona ngxaki enkulu phakathi kwabasindileyo besifo kunokuba abantu abaninzi bayaziqonda. Ukukhethwa ngokutya kunokubangela ukungabi nengozi kwe-oksijeni, leyo ingabangela ukulimala kwengqondo kunye nokufa kwengqondo.
Imiphumo yesifo sokukhubazeka ayiyinto engayinakuyihoywa. Ngethamsanqa, kukho inkqubo epheleleyo yokunyanga ukunyanga ukunyamekela abasindileyo abaxhamliyo ukuphepha ezi nkxalabo ezinzulu kwaye eziyikrakra ze-stroke.
ITradio Visual
Ulwaphulo olubonakalayo kunye nolwabiwo-mali luhlala luhleliwe kwiiseshoni zokuhlaziya ezidibeneyo zokusinda. Kungenxa yokuba umbono uxhomekeka kwi-balance balance and balance balance depend on the vision. Imimandla yengqondo e lawula le mi sebenzi emibini iyahlukileyo, kodwa ixhomekeka omnye komnye xa idibana. Yingakho kunengqiqo ukuba ukusetyenziswa kwesilinganiselo sokuhlaselwa kwesibalo kukubandakanya izakhono ezibonakalayo.
Uphando olusandul 'uphando lwezokwelapha lwakutshanje olubandakanya intsebenziswano phakathi kwabaphandi baseMemphis, eTennessee naseDenmark yagqiba ukuba amaphesenti angama-60 abantu abahlaselwa yintlungu abaye bathatha inxaxheba kwimibono yonyango kunye neyonyango yokuqeshisa, basebenze, xa kuthelekiswa nama-23 ekhulwini abantu abasindayo abazange bathathe inxaxheba kwiyeza.
Unyango lweCognitive
Ulwaphulo olusengqondweni luyiyona nto ingumgaqo omtsha wokuhlaziya isifo. Ulwaphulo olunokwenziwa kwengqondo lubandakanya ukungenelela okulungiselelwe ukuphucula izakhono zokucinga nokulungisa iingxaki. Kukho uluhlu lokukhubazeka kwengqondo emva kokuphazamiseka. Abasindileyo besihlunu abasuka kwi-stroke enkulu ye-corroke kaninzi banemiba engqiqo ngakumbi kunokuba abasindileyo bahlaselwe sisitrato esincinci. Izibonda ezisekhohlo ezisekhohlo zibangela ukuba zihluke ngokweenkcazo ezinokuba zihluke, kwaye oku kuya kuphazamisa indlela yakho yokuphulukana njengomntu osindayo.
Ulwaphulo olunokwenzululwazi luya kufana nokusebenzisa imidlalo yevidiyo , ubuchule bokwenene kunye nekhompyutheni eyenziwa ngokulungiswa kwimeko njengamanje kuhlolwa njengendlela zokuphucula umsebenzi wokuqonda emva kokuphazamiseka. Phakathi kweendlela ezahlukeneyo zokunqongophala kweengxaki zokuphazamiseka kwengqondo, uhlobo olungcono lweyeza lokuqonda alukasekwa. Nangona kunjalo, ngoku, isiphetho kukuba abasindileyo bezitho zonyango abaye bathatha inxaxheba kwipilisi yeengcamango bafumana ngcono kunokuba basindiswe ngabadlali abangeze bathathe inxaxheba kwipilisi yokuqonda.
Ulwaphulo lweZinyango
Iindidi ezintsha zonyango zibandakanya ukwelashwa kwesibuko, unyango lwamandla kunye nomculo wonyango. Abasindileyo besiqhwaba abathatha inxaxheba kwiingcaphephe zophando ezisebenzisa iindlela ezintsha zokuvuselela izifo zivame ukuvavanya bhetele kwiimilinganiselo zeziphumo zengozi kwaye kaninzi ababi nemiphumo emibi ebangelwa ukulungiswa kovavanyo. Idatha yokuqala yokubuyiswa emva kokuphazamiseka kukuthembisa, kodwa uphando lulwazi luhlala lubona ukuba kungenzeka ukuba 'i-placebo effect'. Impembelelo ye-placebo yinto yokuba umntu onokungenelela uya kuphucula ngenxa yenkolelo engaphambili yokuba ukungenelela kuya kunceda. Impembelelo ye-placebo ingenza ukungenelela kubonakale kunenzuzo nangona ukungenelela kungabalulekanga. Kukho umlinganiselo wesiphumo se-placebo kunye nesidanga sokunceda xa kufikelele kwiinkalo ezininzi zokuvuselela izinto okwangoku ziphantsi kophando.
> Imithombo:
> Choi YH, KuJ, Lim H, Kim YH, Paik NJ. Inkqubo yeselula yokubuyisela inqobo yesimo senqanaba lokubuyiswa kwesigxina esingenanto emva kokuphazamiseka kwesischemic. Ukubuyisela i-Neurol Neurosci. 2016; 34 (3): 455-63.
> Pollock A, iBaer G, uCampbell P, et al. Iinkqubo zokuvuselela izixhobo zokubuyiselwa komsebenzi kunye nokuhamba emva kwesifo. Cochrane Database Syst Rev. 2014; (4): CD001920.
> Schow T, uHarris P, iTeasdale TW, uRasmussen MA. Ukuvavanywa kwenkqubo yokuvuselela inyanga ezine yokugulisa izigulane kunye neengxaki zokulinganisela kunye nokungabonakali kwamabonakude. NeuroRabilitation. 2016; 38 (4): 331-41.