Ukuba uye wafumanisa ukuba unesifo se -myelitis , ke uyaqonda ukuba le meko ingathintela njani ukuhamba kwakho okusebenzayo kunye nomgangatho wobomi. I-myelitis ehambayo inganciphisa indlela ohamba ngayo, uhambe ebhedeni, kwaye uhambe ukusuka kwisihlalo esinye ukuya kwesinye. Ezi zithintelo zomsebenzi zinokuba nomthelela omkhulu ekusebenzeni kwakho kwaye ujabulele imisebenzi yokuzonwabisa.
I-myelitis eguqulwayo isifo esisigxinayo esichaphazela intambo yomthambo. Ukukhubazeka okubangelwa yinkqubo yesifo kuyahluka. Indawo yokulonda kwintambo yomthambo, ubunzima besifo, kunye nokulawulwa kwesifo emva kokuxilongwa kunakho konke okuchaphazela ukuphazamiseka okubonakalayo kunye nokunciphisa ukuhamba okusebenzayo ngenxa ye-myelitis.
Ulwaphulo oluthile lwe-myelitis oluthile luya kwenzeka kwiimeko ezininzi ezahlukeneyo. Xa ufumanisa okokuqala, unokusebenza nomgulana wenyama esibhedlele . Unokuphinda usebenze kunye nomgqirha kwisilungiso esisezantsi okanye ekhaya ukuze uncede uphucule ukuhamba kwakho kwaye ubuyele kumsebenzi omkhulu.
Ulwaphulo oluthile lwe-myelitis olusandulanayo lunokuthi lube khona kwisithuba sokugula.
Ukufumana iKlinikhi yokuPhepha okuPheleleyo
Ngaphambi kokuba uqalise unyango lwangaphandle lwangaphandle lwe-myelitis, unokuba unqwenela ukwenza uphando oluthile ukuze uqinisekise ukuba ufumene umphathiswa ofanelekileyo wenyama .
Qala ngokufumana oogqirha bezilwanyana kufuphi nekhaya lakho, kwaye ufowunela abambalwa ukuqinisekisa ukuba banako ukukunceda ukulawula imeko yakho. Qinisekisa ukuba ubuze malunga namava anokuqala kunye nezinye izigulane ezine-myelitis eziphambeneyo, kwaye uchaze ngokucacileyo imeko yakho yangoku kunye nokunciphisa ukusebenza. Ungaphinda ufune ukubuza imibuzo ejwayelekile malunga nemimiselo yomshuwalense, imigaqo-nkqubo yeofisi kunye neeyure zokusebenza.
Isigulane soPhulo lweMpilo
Ukutyelela kwakho okokuqala kumgulana wezonyango ongaphantsi komzimba kuya kuba ngabavavanyo lokuqala kunye novavanyo. Ngethuba le seshoni, umgqirha wakho wobugcisa uya kudibana nawe ukuze axoxe ngemeko yakho kunye nembali. Naye uya kuqokelela idatha yesiseko kunye nemilinganiselo ukuncedisa isigqibo malunga nesicwangciso sonyango esingcono kakhulu kuwe.
Iziqendu eziqhelekileyo zovavanyo lokuqala zibandakanya, kodwa azithethi:
- Imbali : Le ngxenye yolu vavanyo yilapho uxelela umphathiswa wakho wenyama malunga nemeko yakho yangoku kunye nendlela iqhube ngayo ukususela ekuqaleni. Imbali yakho yonyango yexesha elidlulileyo iya kuxutyushwa, kwaye nayiphina iminye unyango oye wayilungiselela ngayo imeko yakho iya kuqatshelwa. Amachiza akho akhoyo angabhalwa, ngoko yinto efanelekileyo ukuzisa uluhlu lwamachiza owathathayo.
- Isiphumo sesiphumo : Isixhobo sokulinganisa isiphumo singasetyenziselwa ukusekela iinjongo kunye nokubeka iliso utshintsho ekuhambeni kwakho kokusebenza njengoko uhamba unyango lwangokwenyama. Izixhobo eziqhelekileyo zeziphumo zibandakanya uvavanyo lwe-Walk Minute 6 , i-Tinetti Balance Scale, okanye i- Timed Up and Go Test . Ezi mvavanyo zingaphinda ziphindwe rhoqo ukuze zijonge inkqubela phambili.
- Igalelo : Ukwahlula kwindlela ohamba ngayo. Umgulana wakho wenyama uya kubeka esweni i-gait yakho kwaye abuke iinkcukacha ezithile kunye neepatheni kwimijikelezo yakho ye-gait engokukunceda ukufumana unyango olungcono. Ukuba usebenzisa isichobo sokuncedisa njengesihamba, isihlalo sabakhubazekile, okanye inqanawa, unokukwazi ukuqinisekisa ukuba ubukhulu ngokufanelekileyo kwaye uyayisebenzisa ngokufanelekileyo.
- Amandla : I- yourrapist yakho yomzimba iya kuvivinya amandla kwiingalo zakho nasemilenzeni ukuze ufumane umlinganiselo wesiseko sokuthi ukungaphumeleli kwamandla kungathinta njani umsebenzi wakho.
- Ukuhamba kwesantya : Umgulana wakho womzimba angasebenzisa i- goniometer ukulinganisa uluhlu lwesinqubela (ROM) malunga namaqela athile. Izilinganiselo zeROM ezisisiseko zingasetyenziselwa ukuncedisa inkqubela phambili xa uya kwonyango.
- Ukusabalalisa : Ukuxhamla ingxaki yinkimbinkimbi ebunzima eyenzeka emzimbeni xa ingxaki efana ne-myelitis ehambayo ivela kwinkqubo ye-nervous central. Ingcali yakho yomzimba inokulinganisa ithoni yakho yonke kunye nokunyaniseka ukunceda ukubonelela unyango olufanelekileyo.
- Ukunyaniseka : Ukuba unendawo yokuhlala esibhedlele ixesha elide ngenxa ye-myelitis engapheliyo, unokwazi ukubona ukulahlekelwa kwemisipha yomzimba kunye nokunyakaza. Ingcali yakho yomzimba inokulinganisela ukuguquguquka kwakho kwaye inokunceda ukuphucula ukuguquguquka kwakho konke.
- Ukulinganisela : Ukuxilongwa kwe-myelitis engathandabuzeki kunokuchaphazela ukulinganisela kwakho konke kunye nokuqhelana nomzimba wakho. Umgqirha wakho wenyama uya kuhlola ibhalansi yakho ukwenzela ukuba uqinisekise ukuba ukhuselekile xa ushukunyuka kwaye uncedise ukukhokela unyango malunga naziphi na izilungelelaniso ezingabinayo.
Unyango
Emva kokuvavanya novavanyo lokuqala, umguqirha wakho wenyama kufuneka asebenze nawe ukuphuhlisa iinjongo kunye nesicwangciso esilungileyo sokonyango. Iinjongo ezikhethekileyo zinokuhluka ngokubanzi kumntu ukuya kumntu, kodwa injongo yonke yokuphulukiswa ngokomzimba kwimizimba yam myelitis kukunyusa ukuhamba komsebenzi ukukunceda ukuba ubuyele kwimpilo yakho yangaphambili.
Ekubeni ukuphazamiseka okubonakalayo kunye ne-myelitis eguqukayo kuyahluka kakhulu, akunakwenzeka ukuba kuluhlu lweendlela "zokukhupha" okanye umgaqo-nkqubo we-myelitis. Khumbula ukuba usebenze ngokusondeleyo kunye nomzimba wakho wenyama ukuze uqonde unyango lweemeko zakho.
Ionyango eziqhelekileyo ze-myelitis ezihambayo ziquka, kodwa azikhawulelwanga:
- Ukuvuselela kwe-Neuromuscular : Ukuvuselelwa kwamandla kagesi (NMES) yindlela yokunyanga esetyenziswa rhoqo kwiyeza. Yindlela yokuvuselela ugesi esetyenzisiweyo ukuncedisa enye yemisipha yakho okanye iqela lemihlunu. Ukuba unobuthathaka kwiqela elithile le-muscle njengesiphumo se-myelitis, umgula wakho angakhetha ukwenza i-NMES ukunceda ukuphulwa kweqela le-muscle ukuze kuphuculwe umsebenzi wakho jikelele. Khumbula ukuba ii-NMES zonyango oluthile, kwaye iiseshoni zakho zonyango kufuneka zibandakanye ukuzivocavoca kunye nokunyakaza xa kunokwenzeka.
- Ukuzivocavoca : Ukuzivocavoca kunokumiselwa ngumgqirha wakho wenyama ukuze akuncede uphucule amandla, iROM, kunye nokuguquguquka okanye ukunciphisa ukunyanzelana. Ukuzivocavoca okukodwa kunokumiselwa ukukunceda ukuphucula umnikazi wakho kunye nokulinganisela. Ingcali yakho yomzimba ingasebenzisa izixhobo zokuzivocavoca ezifana nebhodi ye-BAPS ukukunceda ukuphucula ibhalansi, kunye ne-treadmill, UBE , okanye ibhayisikili kunokunceda ukuphucula ukunyamezela kunye nempilo yengqondo.
- Uqeqesho lokufumana umvuzo : Ukuba unenkinga yokuhamba, umphathiswa wakho wenyama unokusebenza kunye nawe. Uya kuqinisekisa ukuba usebenzisa isixhobo esisisigxina esifanelekileyo kwimeko yakho, kwaye uqeqesho luyakwenziwa ukwenzela ukukunceda ukuphucula i-gait yakho yonke.
Icandelo elibalulekileyo lokunyuka, ukuhamba, kunye nokuhamba ngethuba lokuqhekeka kwemizimba. Umgqirha wakho unokukhetha ukusebenzisana nawe ukuphucula ulwazi jikelele kunye nokulawula umzimba ngokuzenzelela ukuphucula ukukhawuleza kunye nexesha lokuqhekeka kwemizimba.
Ukuyeka ukuphulukana noPhulo lomzimba
Umbuzo oqhelekileyo abantu abaninzi abane-myelitis ehamba phambili banjalo, "Ndifanele nini na ukuyeka ukuya kwiyeza elinobuchule?"
Impendulo yalo mbuzo ingaba nzima kunokuba iinguqu ezininzi zitshintshe ikhondo lakho lomzimba wonyango lwama-myelitis. Unokwenza inkqubela ngokungahambi kakuhle ngonyango ongaphantsi komzimba kwaye ufumane ukufumana ngokukhawuleza ngamandla, iROM, kunye nokuhamba ngokubanzi komsebenzi. Amanyathelo neziphumo ozibekayo xa uqalise unyango lwangokwenyama luza kufumaneka lula, kwaye unyango lwakho luyakunqandwa kwiklinikhi ngelixa usebenza ngokuzimela ekhaya.
Imeko yakho inokuba nzima kakhulu, kwaye inkqubela yakho ngePP inganciphisa kwaye idinga umsebenzi omncinci (kunye nefuthe ) ukufezekisa iinjongo zakho. Qiniseka ukuba usebenze ngokusondeleyo kunye nomgqirha wakho wenyama kunye nogqirha ukuze uqonde imeko yakho ethile kunye noko ungalindela kwipilisi yomzimba.
Khumbula ukuba i-diagnosis ye-myelitis ehambayo ihamba nayo isichasiselo esichaphazelekayo. Imeko yakho inokushiya ngokulahleka komsebenzi. Ingcali yakho yomzimba ingasebenza nawe ukuqinisekisa ukuba unako ukufezekisa ukuhamba kwakho kokusebenza okuphezulu, kodwa ngezinye izikhathi unyango lwangokwenyama lunokupheliswa ngelixa uqhubeka ufumana ukulinganiselwa okusebenzayo.
Ukuba uye wafumanisa ukuba u-myelitis ojikelezayo, usebenza ngokusondeleyo kunye nomgulana wezonyango kwikliniki yokugula kunokukunceda ufezekise iinjongo zakho zokuhamba kwaye uncede ubuyele kwinqanaba langaphambili lomsebenzi ngokukhawuleza nangokukhuselekileyo.