I-Hemiparesis ibuthakathaka ngokwengxenye kwelinye icala lomzimba. I-Hemiparesis inokuphazamisa okanye kwicala lekhohlo lomzimba. Ubuthathaka bunokubandakanya iingalo, izandla, imilenze, ubuso okanye ukudibana. Phantse iipesenti ezingama-80 zabantu abasindileyo bafumana i-hemiparesis, okwenza enye yezona ziphumo zixhaphake.
Abantu abane-hemiparesis basakwazi ukuhambisa icala elichaphazelekayo lomzimba, kodwa banamandla angancinci.
Elinye icala lomzimba linokuphelelwa amandla, kwaye le meko ibizwa ngokuthi i-hemiplegia.
Izizathu
Ukongeza kwi-stroke, i-hemiparesis inokubangelwa ezinye zeemeko zonyango. Izizathu eziqhelekileyo ze-hemiparesis zilandelayo:
- Stroke
- Isifo sokugubhuka
- Ukulimala kabuhlungu- kunokuchaphazela ingqondo, umgudu okanye iinzwa
- Izimo zezocwangco zengqondo-iintsholongwane ezifana ne-cerebral palsy ezivela ekuzalweni zingabangela ubuthathaka kwelinye icala lomzimba
- Izifo zesibetho
- Isisu seengqondo okanye umgudu
- Ukukhulelwa kwengqondo, umgudu okanye ukuthetha
- Izimo zengqondo kunye neengqondo zingabangela ubuthathaka besikhashana
- I-post ictal paralysis - ubuthathaka besikhashana emva kokutshatyalaliswa
- Izimo ezivuthayo nezizimeleyo
Iimpawu
Isibonakaliso esibonakalayo kakhulu se-hemiparesis sisifo sokukhubazeka kwesinye icala lomzimba. Iimpawu zihambelana necala lochopho okanye umgudu owonakele. Ukulimala kwicala lasekhohlo lobuchopho ngokufanayo kubangela ubuthathaka kwicala elifanelekileyo lomzimba.
Ukulimala kwicala lasekunene kwengqondo kubangela ubuthathaka kwicala lasekhohlo lomzimba.
Ngokuxhomekeka kwimeko yokulimala komnxeba kunye nenqanaba lokulimala emgodleni, i-hemiparesis inokubandakanya uhlangothi olufanayo lomzimba njengengozi lomnxeba, okanye inokubandakanya icala.
Ezinye iimpawu ze-hemiparesis ziquka ezi zilandelayo:
- Ukungakwazi ukugcina ibhalansi
- Unzima ukuhamba
- Ukungakwazi ukuqonda izinto
- Ukunciphisa ukuchaneka kokuhamba
- Ukukhathala komzimba
- Ukungabikho koqhagamshelwano
- Uncike kwelinye icala ngelixa umi, uhamba okanye uhleli
- Ukulahlekelwa kwesilwanyana okanye ukulawula isisu
Ukuxilongwa
Ukuba ukhononda malunga naziphi na iimpawu ze-hemiparesis, ugqirha wakho uya kuhlola. Kungaba nzima ukunquma ukuba impawu zakho zibangelwa ubuthathaka, intlungu okanye esinye isizathu. Uvavanyo lwangaphakathi luquka uvavanyo lweengcamango zakho, uvakalelo lwakho kunye namandla akho, kwaye ugqirha wakho 'uya kulinganisela' amandla akho kwisikali se-1-5. Eli nqanaba linokukunceda xa ugqirha ofanayo okanye abanye oogqirha bavavanya amandla akho ngexesha elizayo, njengoko lingasetyenziselwa ukuthelekisa.
Isilinganisi sokulinganisa samandla omzimba sisilandela:
0/5 Akukho ntshukumo
I-1/5 I-muscle epholileyo
2/5 Iimvelelo ukusuka kwicala ukuya kwelinye icala, kodwa ayikwazi ukuphakamisa ingalo okanye umlenze ngokuchasene nombane
3/5 Unokunyuka ngokuchasene nokunyaniseka, kodwa kungabi nxamnye nantoni na, njengokunyanzeliswa kancinci ngumhloli
4/5 Unokunyuka emagunyeni, njengokunyanzelisa umhloli, kodwa kungekhona ngamandla angalindelekileyo
5/5 Unokunyuka emagunyeni ngamandla alindelekileyo
Ukuxilongwa kwebangela ye-hemiparesis kunokuqinisekiswa kunye nezifundo zokucinga, ezingabandakanya oku kulandelayo:
- I-Brain okanye iSpine scan scan
- I-Brain okanye i-MRI
Unyango
Unyango lwe-hemiparesis luqala ngokubhekiselele kunyango olujoliswe kuyo, nokuba ngaba imbangela iyingozi, isifo seengqondo okanye isifo njl
Injongo yonyango lwexesha elide le-hemiparesis kukukwakha izakhono zokuqinisa izakhono kunye nokulungelelanisa nokuphucula amandla akho okulawula imisebenzi yansuku zonke.
Ukubuyisela
Ukuphulukiswa kwezobugcisa kunye nokusebenza kubalulekile ekubuyiseni i-hemiparesis. Ulwaphulo lungabandakanya ukusetyenziswa kwamandla kagesi kwisibongo, imifanekiso, ukusetyenziswa kwezixhobo zokuncedisa ezifana nenqana, ihambahamba okanye isitulo sabakhubazekile. Ngethamsanqa, i-hemiparesis ayikho imeko eqhubekayo ngaphandle kokuba kukho ubungqina banobudlova obukhulayo, obukhulayo kwengqondo.
Ukuguqulwa ekhaya kuya kufuneka ukuba kwenziwe ukulungiselela nokunceda ukwandisa ukuhamba. Ezinye zezilungiso zingaquka:
- Ukubamba imivalo
- Ramps
- Izihlalo zangasese eziphakanyisiweyo
- Ibhentshi kwi-tub
- Okungekho-fakela umgca wokubamba kwibhayibhile
- Ubusiki bezinyo zombane
- Umbane
ILizwi
I-Hemiparesis ibonakaliso oluqhelekileyo lwezifo ze-neurological. Ininzi idla ngokuchaphazela ingalo, umlenze okanye zombini, i-hemiparesis yenza kube nzima ukugcina inqanaba eliqhelekileyo lezinto ezizimeleyo zemihla ngemihla, kwaye enye yezona zinto ezibangela ukukhubazeka. I-stroke yimbangela eqhelekileyo ye-hemiparesis, kwaye yintoni isizathu sokuthintela isithintelo inxalenye ebalulekileyo yokuphila okunempilo okufuneka wonke umntu azi.
> Imithombo:
> Ukubuyiselwa koMsebenzi weMoto emva kokuqhaqhaqha: UkuHlola okuHlanganisiweyo okuPhezulu kwiMicandelo yokuThuthukisa ukuPhepha koPhuzo oluPhakamileyo, i-Hatem SM, i-Saussez G, i-Della Faille M, i-Prist V, i-Zhang X, i-Dispa D, i-Bleyenheuft Y, i-Front ne-Neurosci. 2016 Sep 13; 10: 442