Ubuhlungu ngenye yeziphumo ezingalindelekanga zokubetha . Iintlungu zentlungu ayiqhelekanga phakathi kweempawu zokuqala zesifo, kwaye kungathatha iiveki okanye iinyanga ngenxa yosizi lwe-post-stroke ukuphuhlisa. Ngenxa yokuba kuthatha ixesha elithile ukuba intlungu yokuhlunguphaza emva kokuqala, ininzi abasindileyo abayiqapheli ukuba intlungu yokubethwa yintlungu ingenxa yokubethwa kwesifo, kwaye ngokuqhelekileyo iqwalasela intlungu emveni kokuba isifo sidibana nokuguga, uxinzelelo okanye enye into.
Kubalulekile ukuba ubuhlungu bakho bentlungu buhlolwe ngugqirha wakho kuba kukho ezininzi unyango olululo. Nangona usenokwenza umsebenzi onzima wokubuyisela kwi-stroke yakho, akufanele ufanele ubeke iintlungu ze-muscle, ukukhathazeka, ukutshisa, okanye naluphi na uhlobo olungathintekiyo olukhuselekile ngaphezu kwayo yonke into.
Kukho iintlobo ezahlukahlukeneyo zentlungu yokuhlunguphaza emva kokuba nganye idinga indlela efanelwe ngayo. Ngoko ke, ukuba wena unobungozi bezithuba emva kokuba uyazi omnye umntu onentlungu, usenokungenalo unyango olufanayo ukuba intlungu yakho ayinayo inqanaba elinye njengentlungu yomnye.
Ubunzima be-Spasticity-Paiced Pain
Emva kokuphazamiseka, izihlunu ezinobuthathaka zingaba nzima okanye zinzima . Ngokuqhelekileyo, abasindileyo bahlaselwa yintlungu, ebonakalayo ngokugqithiseleyo, ukunyuka kwezinto ezinobuthakathaka, ezinamahlunu.
Le ntsholongwane yomzimba kunye nokuqina komzimba kunokuvelisa intlungu ebuhlungu kwimisipha ye-spastic, kunye nokukhathazeka kwezihlunu eziseduze eziqhutyelwa ngokuphindaphindiweyo okanye zibekwa kwindawo engathandekiyo.
Ukuba unentlungu ebuhlungu besifo sakho se-post-stroke, usenokufuna ukuthatha i-muscle-relaxer ngomlomo, okanye ukusebenzisa i-creams-relaxing creams, kunye / okanye ukuthatha inxaxheba kwipilisi yokwenyama ukuze uncedise ukunciphisa ukungcola. Kusenokwenzeka ukuba ufanele uthabathe imithi yesifo ukuba uhlazo luqhubeka naluphi na unyango olujoliswe ekukhuliseni ubuqhetseba.
Ngamanye amaxesha, xa ukunyanzelana kwexesha kuqhubekile kwaye akuphuculanga kunye nezidumbu ze-muscle, ii-injections kunye ne-toxin ye-botulin inokunceda ukunciphisa ubuhlungu be-muscle, nokunciphisa intlungu .
Intlungu Ephakathi
Uhlobo lweentlungu ezibizwa ngokuba buhlungu buphakathi luchaphazela malunga neepesenti ezili-10 zabantu abasindayo. Intlungu engundoqo ayiqondakali kakuhle, kwaye kukholelwa ukuba yimbangela yokuphendula okuyinkimbinkimbi yengqondo ngokulimala koluhlungu, okubangelwa ukuxhamla.
Abaninzi abasindileyo abanomdla obukhulu bukhalaza ngobuhlungu obukhulu kunye obuqhubekayo obubandakanya ukugubha, ukutshisa, ukubetha, ukunyamezela okanye ezinye izinto ezingathandekiyo. Ngokuqhelekileyo, intlungu ephakathi ihambelana nemivimbo eyenza ukulahlekelwa ngokwemilinganiselo yamandla emisipha kunye nokunciphisa ukucutha ukulinganisela, kwaye ngokungekho ngokwemivimbo eyenza ukulahlekelwa ngokupheleleyo kwamandla okanye ukulahlekelwa ngokupheleleyo kweentlungu.
Imithi yeentlungu eziqhelekileyo ayinakuphumelela ekulawuleni intlungu ephakathi. Kuye kwafunyanwa ukuba unyango lwe-anti-seizure kunye nee-antidepressants zindlela eziphambili zokunciphisa intlungu ephakathi.
Ubuhlungu beMisculoskeletal
Intlungu ye-musculoskelet isoloko ichazwa njengentlungu okanye ukugubha kwezihlunu, ngokuqhelekileyo kumagxa, intamo, iingalo, imilenze, okanye umva. Intlungu ye-musculoskelet yindlela eqhelekileyo yokuhlunguphaza emva kwintlungu, kwaye ayifani nokungahambi kakuhle kobuhlungu besisiphako kunye neentlungu eziphakathi, nangona abanye abasindileyo banobuhlungu banamava angaphezu kweyodwa.
Intlungu ye-musculoskelet ivame ukuba yomelele ukuya kwi-intanethi ngokukhawuleza, kwaye iphinda iphuculwe kunye neyeza eziqhelekileyo zonyango. Nangona kunjalo, ngamanye amaxesha, intlungu ye-musculoskeal ingaba nzima kangangokuthi kukuthintela ekusebenziseni umzamo wakho xa uhambisa imisipha yakho kuba ukunyakaza okuqhelekileyo kunokunyusa intlungu. Intlungu ye-musculoskeletal post-stroke ingaba yenye yeengxaki ezithintekayo xa kuziwa ukuhlaziywa kwesisindo kunye nokuvuselelwa . Ngoko ke, kubalulekile ukuxubusha intlungu yakho kunye neqela lakho lezonyango, ukwenzela ukuba uqhubeke nokubuyela kumgangatho wakho ophezulu xa ufumana ukulawula ubuhlungu.
Intloko
Abangama-20 ukuya ku-30 ekhulwini kwi-survivors of stroke baqala ukuvala intloko okokuqala ngqa ebomini babo emva kokuba nesifo. Abanye abasindileyo besifo sekhanda ngaphambi kokuba bahlaselwe yintsholongwane banokuba neentloko ezibi kakhulu emva kokuphazamiseka. Zonke izibetho zingabangela iintloko zamakhanda ngexesha lokuphucula, kodwa izibetho ezinzima zihamba kakhulu ezinxulumene neentloko ngexesha, kwaye nangemva koko, ukubuyiswa kwesifo.
Iintsuku zentloko ezityhutyhayo azifani. Iintlungu zentloko zentlungu zingabangela ukugubha, ukuxubha, ukuxhalaba, ukuvalelwa kwesohlwayo, ukuxakeka, kunye nokukhathala. Ezinye iintloko zentlungu zixinzeleleka, ezinye ziyi-headraps, ezinye ziyizinyokhwe zonyango, kwaye ezinye zibangelwa ukunyuka kwegazi.
Ukuba wena okanye othandekayo unamahlunu emva kokuphazamiseka, udinga ukuvavanywa ngokugqithisileyo nge-neurologist, onokwazi ukuxilonga uhlobo oluthile lweentloko kunye nokunikezela unyango olufanelekileyo. Kukho unyango olululo olukhoyo kwiintloko kwaye akufanele ube neentlungu zentlungu xa uhlaziya kwi-stroke yakho.
Phantom Limb Pain
Intlungu ye-Phantom yintlungu engavamile, kodwa ibuhlungu buhlungu. Iintlungu zentlungu yeFantom zidla ngokuchazwa njengentlungu evela kwindawo yengalo okanye umlenze oye waphoswa, kwaye ke akakho.
Sekunjalo, abasindileyo abaxhamlileyo abanokuphelelwa ngamandla okanye ukulahlekelwa kwintlungu epheleleyo kunokuziva ngathi ingalo okanye umlenze wabo "awunakho," kwaye unokufumana ubuhlungu bentlungu. Kukho amayeza kunye neendlela zokwelapha zokuvuselela ubuhlungu bentlungu ye-phantom. Unyango kufuneka ulungele ngqo umntu osindayo ngenxa yokuba akusiyo wonke umntu obhekene nosizi lwentlungu ephucukileyo enokuphucula indlela efanayo.
ILizwi
Ubuhlungu buyinto engamkelekiyo kunye neyokumangalisa imivimbo edlalayo ngokuqhelekileyo emva kokuba isigaba sokuqala se-stroke sigxilile. Uninzi lwabasindileyo boluhlu luba nolunye uhlobo lweentlungu ngexesha elithile, kodwa intlungu idla ngokuphucula unyango kwaye, emva kwexesha elithile, ukunyamezeka ngokomzimba kungaphucula ngokwaneleyo ukwenzela ukuba unyango alusekho.
Ubunzima yingxaki enzima yokuhlala nayo, kwaye abanye abantu banokulingwa ukuba "banzima." Nangona kunjalo, kukho iindlela zokwenza unyango olusesikweni ngenxa yentlungu, emva koko ufanele ukwazi ukuba unokufumana uhlaziyo lwe-stroke ngaphandle kokubandezeleka kwentlungu.
> Imithombo:
> Ubunzima bexesha kunye neNqanaba leNtshukumo yokuPhulwa kwesifo: Emva kokufunda iSibhedlele esisisigxina. I-Paolucci S, i-Iosa M, i-Toni D, i-Barbanti P, i-Bovi P, i-Cavallini A, i-Candeloro E, i-Mancini A, i-Mancuso M, i-Monaco, i-Pieroni A, i- Recchia S, i-Sessa M, i-Strambo D, i-Tinazzi M iCruccu G, iTruini A, I-Medicine Pain, ngo-2016 ngoMeyi; 17 (5): 924-30
> Ubunzima beentlungu emva kokuphazamiseka - ukuphononongwa ngokugxila kwiintlungu eziphambili zentlungu, i-Seifert CL, i-Mallar Chakravarty M, i-Sprenger T, i-Panminerva Med. 2013 Mar; 55 (1): 1-10