I-stroke ingabangela iintlobo zeziphumo ezahlukeneyo zexesha elide nelifutshane. Enye yemiphumo eyinzima yesigxina yiqela leempawu ezibhekiswa njengento engabonakaliyo kwendawo, ukunyanzelwa kwendawo okanye i-hemiagnosia.
Ukungahoywa yixesha eliqhelekileyo elisetyenziselwa ukuchaza ukungabikho kwengqondo, ukungabikho kwengqwalasela okanye ukungabi nalwazi kolunye uhlangothi lomzimba okanye elinye icala lendawo yakhe.
Ukunganakwa kungabonakalisa ukungabikho kwengcamango yecala lombono emva kokuphazamiseka. Ukungahoywa kungabonakalisa nokulahleka kwenkalo yecala lokusindiswa kwesigxina.
Luhlobo luni lweStroke lubangela ukunganaki?
Ukungahoywa kunokuhlakulela emva kokuphazamiseka komonakalo okonakalisa i-lobe yangaphambili okanye i -lobe ye-parietal lobe yengqondo kuba ezi ndawo zilawula ukubonwa kwezinto ezibonakalayo. Ukusetyenziswa ngokuqhelekileyo-ukusetyenziswa kwendawo kubandakanya ukuqonda indlela izinto ezihambelana ngayo kwisithuba.
Ukungahoywa ngokuqhelekileyo kwenzeka ngokuphindaphindiweyo emva kokuphazamiseka okuphazamisa kwicala elingenaluso yengqondo-kwicala lekunene lobuchopho kubantu abanamalungelo okanye kwicala lesobunxele lobuchopho kubantu basekhohlo. Ngokuqhelekileyo, ulwimi aluchaphazelekanga kakhulu ngokunganyaniseki kuba umsebenzi weelwimi usekho kwicala eliphambili lobuchopho.
Kukho umahluko phakathi kwemivimbo engxondeni yengqondo kunye nemivimbo engxenyeni yekhohlo yengqondo, kwaye oku kwahlukileyo kubonakala ngokukodwa kubantu abashiyiweyo.
Iimpawu zokungahoywa
- Ukuvalelwa: Ukunganakwa kunokuchaphazela ukuqonda okanye ukufumana ingalo engasekhohlo okanye umlenze wesobunxele okanye zombini. Abasindileyo besinezintlu kunye nokunyanzelwa bahlala bengayinaki enye icala lomzimba, kwaye kwiimeko ezininzi, abazi ukuba bavakalelwa njani kwelinye icala lomzimba. Kwezinye iimeko, umntu osindayo esichengeni isigxina angaziva enomdla kwinqanaba elingalindelekanga, kodwa xa ebuzwa ukuba achaze indawo, unokubhekisela kwelinye icala (elingalunganga).
- Umbono: Ngamanye amaxesha abasindileyo abaxhamliweyo bayakuhoxisa konke okusemacaleni kombono, nangona kungekho nto ilahlekelwe yimbono. Kungaba ngumngeni ngakumbi ukuchaza ukuba ngaba usindala olwaphuliweyo unokulahleka kombono wembonakalo ngaphezu kokungayithobeli. Abasindileyo besihlunu kunye nokunyanzelwa kokubonakalayo banokukhawuleza xa into isondele iso (kuba babone into) kodwa abakwazi ukuchonga into okanye bakhumbule ukuyibona.
- Isandi: Ngokuqhelekileyo, umntu osindayo esinqabileyo angayinaki isandi esivela kwicala elingalunaki okanye unokuba nengxaki yokucinga apho izandi zivela khona.
- Ukuqwashiswa kwendawo engqongileyo: Abasindileyo besihlunu abaswele ukungakhange baqaphele izinto okanye abantu kwicala elinye.
Yeka indlela amava angagqithisi ngayo ama-Stroke Survivor Experiences
Oku kungabikho kolwazi kunokuba lukhulu, kuthintela abantu abahlukileyo abahlukumezayo. Kwabahlali abathile, ukunyanzelwa ngokungafanelekanga kuyakhungatheka kuba kunzima ukufumana izinto kwicala lasekhohlo lendlu, umzekelo.
Nangona kunjalo, xa unxephezelo lukhuni, umsindisi osisigxina akanakukwazi ukunyanzeliswa kwesigxina kwaye akanakuze akhathalele. Abanye abasindileyo besifo banokubona kuphela kwicala lekunene legumbi kodwa bengakuqondi kakuhle ukuba babona igumbi lonke.
Ukungabikho kolwazi lokuba kukho ingxaki kwenza umsebenzi wemihla ngemihla inzima kakhulu.
Ngokuqhelekileyo, abasindileyo bebadidekile malunga nommandla wokungahoywa kwaye banokunye okunye phakathi kwenkqubela kunye nokunyanzeliswa ngexesha lokuphucula.
Ukunyaniseka kungaphambanisa kunye nekhono lokuzibandakanya ngokupheleleyo ngokuvuselelwa
Ngokuqhelekileyo, umntu osindayo esichengeni ngesifo sokungahoxiswa ngokungafanelekanga akayiqondi ingxaki. Ngokuxhomekeka kwiimeko ezininzi, abasindileyo basenokukwazi ukuqonda ukubaluleka kokunyanzelwa, ngelixa abanye bengakholelwa ukuba kukho ukunyanzelwa kwabo bonke - kwaye banokuthi baqhube ingalo okanye umlenze xa bengekho.
Unyango lwezoNyango
Ukungahoywa rhoqo kuphucula ngokuthe ngcembe, nangona abanye abasindileyo beqhubeka bevalelwa iminyaka. Kukho iindlela ezimbalwa zonyango ezinokukunceda ukungahoywa. Ezi ziquka:
- Ukubuyiselwa kwakhona : Ulwaphulo emva kokuphazamiseka luquka iindlela ezahlukeneyo zobugcisa. I-Mirror yonyango ngenye yezindlela ezisetyenziselwa abanye abantu ukuba bafumane ukunyanzelwa kwe-visuospatial.
- Amachiza: Ngoku kubekho uphando olwenziwe kumachiza anokunceda ukunyanzeliswa kwe-visuospatial, kwaye ezinye iziphumo zikhangeleka. Kodwa, okwangoku, amayeza ayithathwa njengendlela enenzuzo kakhulu kule ngxaki.
- Ukuvuselelwa kwengqondo engapheliyo: Njengamachiza, kukho uphando malunga nale ndlela. Okwangoku, akukho ubungqina obuqinileyo obuxhasa ukusetyenziswa kweyeza lombane kule ngxaki, kodwa uphando luqhubekayo.
AbaNonophelo kunye neNkcazo yokuLawulwa kweZibonelelo
Ukungahoywa ngenye yezona ziphumo ezinzima kakhulu kubafundi abathandekayo. Abasindileyo bexinzelelo abanokunyaniseka banokuthi banelisekile kwaye bangakhathazeki ngokubetha ngenxa yokungaqondi kwabo. Kodwa phakathi kobunzima ukufumana izinto, ukungakwazi ukusebenzisana ngokupheleleyo nokuvuselelwa, kunye nokujonga okunciphisa intlungu, ukunyanzelwa komntu osindayo kungabangela uxinzelelo ngokomzwelo kumnakekeli.
Iingcebiso zokujongana nokunganakwa
- Linda. Ukungahoywa yintlupheko yangempela yengqondo. Akuyinkqubo yokuziphatha, 'ukuphika,' ukulibala okanye ukungaboni. Ukusinda kwesifo esibuhlungu kunye nesifo sokunganyaniseki akunakunceda.
- Zama ukunceda wakho umthandayo ophulukisayo ekuhlaselweni ngokumncedisa ukuba aphendukele kwaye akhangele kwigumbi ukusuka ngaphesheya. Oku kunokukunceda ukuba umntu obathandayo ahlolisise ngakumbi kwindawo yakhe. Yakha isenzo 'sokujikela kwaye ukhangele ukusuka kwelinye icala' ukuya kwixesha eliqhelekileyo kunye nemikhwa yomthandayo. Angeke akwazi ukunqoba ukunganyaniseki, kodwa unokukwazi ukukhumbula umkhwa othi "soloko ujikeleza xa ufuna into ethile."
- Ukuqwalasela ukhuseleko. Umthandayo akanakho ukukhononda ngentlungu, ukutshintsha kweqondo lokushisa okanye ukuphazamiseka kwicala elinganakiyo. Hlola ukulimala, izinto ezibukhali, okanye nayiphi na into engalimaza ilanga elijongelwe.
ILizwi
Ukungahoywa ngenye yezona zinto zingavamile kwaye kunzima ukuqonda imiphumo yesifo. I-Hemiagnosia iyabonakala ngakumbi kwaye ikhutshisa abantu abanonophelo kunokuba usindiswe ngengozi. Xa unomntu othandekayo ojongene nokunyanzeliswa kwezinto ezibonakalayo emva kokuphazamiseka, ukunakekelwa kwesisu kungafuneka ngokukodwa. Ukuqonda ukunyaniseka kuyona nyathelo ebalulekileyo ekujonganeni nale miqobo.
> Ukufunda okuqhubekayo:
> Ukungaqiniseki koBuninasiyo Ukuphucula ukuphucula i-Hemispatial Neglect After After Stroke: UkuHlola okuSingqinisiso kunye nokuHlola kweMeta, i-Salazar APS, i-Vaz PG, i-Marchese RR, i-Stein C, i-Pinto C, i-Pagnussat AS, i-Arch Phys Med iRehabil. 2017 Aug 9. pii: S0003-9993 (17) 30531-2. i-doi: 10.1016 / j.apmr.2017.07.009. [Epub ngaphambi kokuprinta]
> Ukwelashwa kwe-Pharmacological ye-Visuospatial Ukunyaniseka: Uhlolo oluhlelekile, i-van der Kemp J, i-Dorresteijn M, i-Ten Brink AF, i-Nijboer TC, i-Visser-Meily JM, i-Stroke i-Cerebrovasc Dis. 2017 kuMatshi; 26 (4): 686-700. i-doi: 10.1016 / j.jstrokecerebrovasdis.2017.02.012. Epub 2017 Feb 23.