I- stroke iyaziwa ngenxa yokukhubazeka ngokomzimba nangokwengqondo. Kodwa, ngaba uyayazi ukuba kwezinye iimeko ezikhethekileyo, ukubetha kungakwazi ukuphucula ikhono lobugcisa lobomi bentsholongwane? Ngokuqinisekileyo akusiyo impembelelo eqhelekileyo yokubetha, kodwa kunamabali aneleyo okubhaliweyo abasindileyo kunye nabasindileyo beengqondo abaye bafumana ukugxininiswa kwamandla obugcisa ukuba kuthathwa njengesiphumo sangempela nesisisigxina sogada.
Okumangalisayo kukuba, akukho ziko kuphela zokuphucula ubugcisa emva kokuphazamiseka, kukho iingxelo ezicacileyo ezichaza ubugcisa be-novo zobugcisa emva kokuphazamiseka. I-post-stroke ye-novo inokuthi ityala elitsha lobugcisa livele emva kokuphazamiseka, kunokuba nje kuphuculwe okanye kukuphuculwe kwezipho zokudala ezikhoyo.
Uhlobo Luni Lwezakhono Zokwenza Ubuchule obuya kuvela emva kwesisu?
Uninzi lweengxelo ezicacileyo ze-no nozakhono zobungcali phakathi kwabasindileyo bezochazwa bachaza abantu abaqala ukudweba kunye / okanye ukupenda emva kokuba nesifo. Azikho iziganeko eziqinisekisiweyo ezichazela ngokusindiswa kwezibilini ezihlakulela ezinye iintlobo zezipho zobugcisa, ezinjengezakhono zomculo okanye ukukhwabanisa ubuchule okanye ubuchule bombhalo.
Kuyathakazelisa ukuba kukho iinkcazo ezininzi zabantu abaneengqondo zokuphuhliswa komqondo ophuhliso lweetalente zezobugcisa kunokuba zikhona abantu abasindileyo besifo esichazayo.
Kodwa yimiba yokusindiswa kwesigxina eye yabonisa inzululwazi yezokwelapha kummandla wengqondo eyona nto ingabangela uxanduva lwe-novo lobugcisa. Iinkcazo ezichaziweyo ze-neurobiological malunga nokuba umonakalo wengqondo zingabangela njani iitalente zobugcisa zingachaza nokuba kutheni ubugcisa bubangelwa ngumdla wokugula komzimba kunokugqithisa.
I-No Novo Ikhono lobugcisa lwenzeka njani kwi-Stroke Survivors?
Okuthakazelisayo kukuba, abasindayo ababini be-stroke abanezakhono zobunxibe be-novo zichazwe nje kwiingxelo ezahlukileyo ezivela kumazwe ahlukeneyo. Aba basindileyo babenemivimbo ekhohlo. I-cortex engxenyeni yengqondo iyingxenye ye- cortex ye- cerebral kwaye iyaziwa ukulawula ukwazi nokuziqonda.
I-cortex yekholeji yesobunxele kunye ne-cortex ye-cerebral yeyona ndlela ihluke kakhulu. Ngabantu abasesandleni sokunene, kwicala lasekhohlo le-cortex ye-cerebral ngokuqhelekileyo ilawula izakhono zamatriki nezetetho, ngelixa i-right side ye-cortex yecerebral ilawula ngokubanzi izakhono zendawo kunye nokukwazi ukuqonda imiba emithathu yezinto. Zombini izigulane ezichazwe kwimeko zineengxelo ezifanelekileyo.
Omnye isigulane, umfazi waseFransi, wachazwa ngo-2010 kwi-Journal Pain . Oogqirha bakhe bachaza ukuba emva kokuba eshiye i-cortex i-stroke, wayengekho kuphela i-novo yokudweba ubuchule, kodwa naye wayenyanzelekile ukupenda. Ngokuthakazelisayo, iqela lezokwelapha lichaza into apho umfazi wayibonisa ngayo intlungu xa wayicwecwe ngento echazwa njengemibala 'ebandayo', ebonisa ukuba isenzo sakhe sokudweba sasinyaniswe kakhulu nokulimala kwakhe kwengqondo.
Oogqirha eSo Paulo, eBrazil naseBoston, eMassachusetts, bachaza omnye umntu oneminyaka engama-67 ubudala, owayeneminyaka engama-67 ubudala, owayenomdla wesifo ngo-2009. Wayephila kwi-stroke enesicikichi esichaphazela indawo ebanzi yecerebral cerebral cortex, kuquka nekhohlo i-cortex. Uchazwa njengomntu owayengumsebenzi owakhiwa ngaphambili owayengazange abe nolwazi oludlulileyo okanye ukubonakaliswa kobugcisa, lo mdlali osindileyo wecala waqala ukudweba nokudweba emva kokushaya kwakhe. Ngokuqinisekileyo, wayesekunene ngaphambi kokubetha kwakhe, kodwa emva kokushaya kwakhe, waqala ukusebenzisa isandla sakhe sobunxele esikhundleni sakhe sokunene.
Iingcali zesayensi zonyango ezihlola iziganeko ezingaqhelekanga zezipho ze-artistic emva kokuphazamiseka ziphakamisa iinkcazo zeendlela ezintsha zobugcisa ezinokuvela kwimpilo yabasindisi abathile xa behlaselwa sisifo.
Inkcazo ihambelana ne-cortex ene-insular.
Ubuchopho bethu bobuchopho buvumela ukuba sisebenze ngokufanelekileyo kuluntu, sisetyenziselwa iindibano zentlalo ezamkelekileyo ezihlala zichasene nezixhobo zokuqala kunye nokuziphatha okungalunganga. I-cortex engxowankulu inendima enkulu ekugcineni ezo zakhiwo zentlalo. Xa lonakaliswe, ke ukhethwa phantsi kwezinto ezisisiseko ezisemgangathweni ezisemgangathweni ezivunyelwe ukuba zithathe.
Ezinye izazi ze-neuropsychologists zibonisa ukuba bonke abantu (okanye abaninzi) sele benalo i-innate artistic genius engavinjelwa ukuzithiba esiyifunayo ukuze sikwazi ukusebenza kummandla ophucukileyo. Ngokwale ngqungquthela, xa i-cortex eyimimangaliso yalimala, imvelo yendalo yendalo ikhutshwa ize ivumeleke ukuba iphumelele.
Iingcali ze-neuro zibonisa ukuba iitalente zobugcisa zingaba 'zifihle' kubantu abanempilo ngenxa yezinto ezinqabileyo ezinokuthi zenzeke ngokwenza umsebenzi oqhelekileyo, onobuchopho. Oku kunokuchaza isizathu sokuba kukho iingxelo zabantu abanomdla wokugula komzimba oqala ngokukhawuleza ukuthetha ngokusebenzisa ubugcisa. I-Dementia, ngaphezu kwe-stroke, ibonakaliswa ukungabikho kokuvimba kunye nokuziphatha okubonakaliswa ngokukhululekile okungekho nto ingafanelekanga.
Enye inkcazo kukuba i-cortex efanelekileyo ye-cerebral iyona nto ibangela ukuqonda okucacileyo , inxalenye ebalulekileyo yokuvelisa imidwebo kunye nepeyinti. Kuyaziwa ukuba emva kokuphazamiseka, abasindileyo baqhuba inkqubo ebizwa ngokuba yi-neuroplasticity, eyenza imimandla enempilo yengqondo isebenze ixesha elide ukuze ihlawule iindawo ezimele. Abasindileyo abahlaselwa yintlungu abahlakulela iitalente ze-artistic emva kwe-left stroke engasekho ikwazi ukuba neuroplasticity echaphazelekayo ekubandakanyeka ukuxhatshazwa kwe-cortex ye-cerebral right.
Amakhono obugcisa emva kwesisu
Ngokona nxalenye, abaculi balahlekelwa iitalente kunye nekhono lokwenza ubuqhetseba obubugcisa emva kokuphazamiseka. Iqela loogqirha abavela eParma, e-Italy lichaza ukwehla ngokubanzi kwiinkcukacha, ubunzima, kunye nobunzima bemisebenzi yabaculi abaqeshwe abaye babetha isifo. Uninzi lwabaculi abanemivimbo echaphazela i-cortex ye-cerebral efanelekileyo yilahlekelwa amandla okubonakalisa ubunzulu bokubonwa kunye neengcamango ezingabonakaliyo ngokucacileyo njengaphambi kokubetha.
Izibetho zingabangela ukuba utshintsho kwimibono, njengokulahlekelwa kombono wendawo okanye ukulahleka kombono . Abasindileyo besihlwele abonisa izakhono ezintsha zobugcisa okanye abafumana ukuphuculwa kwamakhono obugcisa ngokuqinisekileyo bodwa ngaphandle kolawulo.
> Imithombo:
> I-Mazzucchi A, i-Sinforiani E, i-Boller F. Iigxina zezilonda zesiberebhu kunye nekhono lokudweba. Inkqubela yophando lobuchopho. 2013; 204: 71-98.
> Simis M, Bravo GL, Boggio PS, Devido M, Gagliardi RJ, Fregni F. Transcranial ukuvuselela ngoku ngqo kwi-novo ikhono lobugcisa emva kokubetha. I-Neuromodulation: Ubugcisa kwi-Interface ye-Neural . 2013; 17 (5): 497-501. i-doi: 10.1111 / ner.12140.
> UThomas-Anterion C, Creac'h C, uDionet E, et al. UDe novo umsebenzi wezobugcisa emva kwe-insular-sII ischemia. Ubuhlungu. 2010; 150 (1): 121-7.