Uhlobo olutsha lonyango olubizwa ngokuba yi-mirror yonyango luza kunceda izigulane ezibethelwa zizifo ezinobuthathaka obusemva.
Iyiphi imiraro yonyango?
Ulwaphulo lwama-Mirror lwaluqale lwaphuhliswa ukuphatha 'ubuhlungu be-phantom,' imeko apho abantu beva intlungu kwisandla okanye umlenze abalahlekileyo. Umntu onobande buhlungu buzwa intlungu 'kwingalo elahlekileyo' okanye 'umlenze olahlekileyo' nangona xa ingalo okanye umlenze unqunywe okanye ulahlekile, ngokuqhelekileyo ngenxa yokulimala.
Kwi-mirror therapy, izigulane zibeka ingalo echaphazelekayo emva kwesibuko ukuze ifihliwe kwimbono yesigulane. Izigulana zihambisa ingalo ephilileyo kwaye, ngenxa yokubekwa kwesibuko, ingqondo 'ikhohlisiwe' ekucingeni ukuba ingalo eyalimala ihambile. Lo mzekelo uye waboniswa ukunceda ukunciphisa impawu zentlungu kubantu abanobuhlungu be-phantom, kwaye ngoku abaphandi sele baqalise ukusebenzisa imilenze yonyango kunye nabasindileyo besifo okanye abakhubazekile. Umgaqo oqhelekileyo usebenzise isilathisi esibuko kwi-stroke rehabilitation.
Ingaba isilathisi esiluncedo sisetyenziselwa ukubetha?
Abasindileyo besihlunu abanesibhakabhaka sengalo okanye ingqondo yokukhubazeka bayacelwa ukuba bafihle ingalo ebuthakathaka phantsi kwebhokisi elincinci elinesibini. Emva koko, izigulane zicelwa ukuba zihambise ingalo enamandla kwaye zigcine zihamba kwisibuko. Oku kunika ingqondo ingumyalezo ongachanekanga ukuba ingalo ebuthakathaka ihamba.
Nangona abathathi-nxaxheba beyazi oko bakwenzayo nokuba kutheni benzayo-ingqondo isenayo indlela yokubhalisa umyalezo ongafanelekanga kunye 'nokucinga' ukuba ingalo ebuthathaka kunamandla kunokuba kunjalo. Ngokuhamba kwexesha, ukuthatha inxaxheba ngokuqhubekayo kwiiseshoni zokwelapha isibuko kunokuncedisa ingalo ebuthakathaka ngokukhuthaza ngokuthe ngqo indawo ehambelana nengqondo.
Ngaba isebenza?
Uvavanyo olukhulu lwe-mirror yonyango luvela kwi-database yaseCochrane, eyona nkcukacha enkulu yezigulane zezilonda emhlabeni jikelele. Ababhali beNgxelo yeCchrane kwi-mirror yokufunda ngonyango kubandakanye nabasindileyo abangama-564 abaye bathatha inxaxheba kwipilisi yesikrini kwiindawo ezahlukeneyo kwihlabathi. Abasindileyo besifo abaye bathatha inxaxheba kwipilisi yesikhumba babe nophuculo olulinganiselwe kwimisebenzi yokuphila kwansuku zonke xa kuthelekiswa neziphumo zabasindileyo besifo esithatha inxaxheba kwezinye iindidi zokuvuselelwa kwesigxina.
Enye, uphando olutshanje olwenziwa eTurkey luhlolisise izigulane ezingama-30 eziphazamisayo kwiiveki ezi-4. Elinye iqela lokubuyiselwa kwesifo soxinzelelo olwalufumana unyango oluqhelekileyo lweeveki ezi-4, iintsuku ezi-5 / iveki iiyure ezingama-2-4 ngosuku kwaye elinye iqela lafumana unyango oluqhelekileyo kodwa luneemviwo ezingama-30 zemizimba nganye ngosuku. La mabini maqela aphuculwe ngaphaya kwexesha le-4-week-rest rehabilitation, kodwa iqela elinobuchoko lonyango luneemilinganiselo ezingcono kakhulu zamandla, ukuncipha okuphawulekayo kwintlungu engemva kwesigxina kunye namazinga angcono okuzimela njengokuba kulinganiswa nemigqaliselo yinjongo. Izilinganiso zokulinganisa ezisetyenziselwa ukulinganisa ukuphuculwa yi-Operation Independence Measure (i-FIM motor), i-Visual Analog Scale (VAS) yesifo esibuhlungu, i-Brunnstrom Recovery Stages of arm (i-BRS ingalo) nesandla (isandla se-BRS) sokufumana imoto kunye ne-Fugl - Uvavanyo lweMeyer (FMA).
Ixesha elizayo lobugcisa besikrini
Ezi ziphumo zokuqala zokusebenzisa i-mirror ye-mirror ukuvuselelwa kwesisu kukhangisa. Ukongeza isilathwa sonyango kwisifo somzimba ngokuqhelekileyo emva kokuba ulwaphulo lulula. Akuzange kubekho nayiphi na imiphumo emibi echanekileyo okanye iziphumo ezingalunganga ezivela kwisibuko.
Ukwelapha ngokwenyama kunye nokuvuselelwa emva kokubethelwa komzimba kuthatha inxaxheba enkulu kunye nokusebenza kanzima kwinxalenye yomntu osindayo. Ukuba uhlaziya kwisifo, qiniseka ukuba usebenzise inzuzo okanye zonke izixhobo zakho zokufumana ukubuyiswa kwesigxina ukuze uphinde uphinde uphumelele ubuchule obunokwenyama nangokwaziyo.
Imithombo:
Iimpembelelo zonyango lwe-Mirror kwi-Stroke Izigulane nge-Complex Study Pain Syndrome Uhlobo 1: Isifundo esiLawulayo esingaphendulwanga, i-Vural SP, i-Nakipoglu Yuzer GF, i-Ozcan DS, i-Ozcan SD, i-Ozgirgin N, i-Archives of Medicine and Rehabilitation, Disemba 2015.
I-Treatment Based Based Mirror I-Treatment Increasing Motor Recovery kwi-Poststroke Hemiparesis: Uvavanyo olulawulwa ngokungahleliwe, i-Arya KN, i-Pandian S, i-Kumar D, i-Puri V, i-Journal of Stroke ne-Cerebrovascular Disease, ngo-Agasti 2015
I-Mirror yonyango yokuphucula imishini emva kokuphazamiseka, u-Thieme H, u-Mehrholz J, i-Pohl M, i-Behrens J, i-Dohle C., i-Cochrane Database ye-Systemic Reviews, Matshi 2012.