Kuchulukana: zomwe zimayambitsa, zomwe zimayambitsa, zizindikilo komanso momwe amathandizira

Zamkati

• Zomwe zimayambitsa kusakhazikika
• Zizindikiro zazikulu
• Momwe mankhwalawa amachitikira
• 1. Zithandizo
• 2. Physiotherapy
• 3. Mapulogalamu a botox

Kuchulukana ndimkhalidwe womwe umadziwika ndikuchulukirachulukira kwa kupindika kwa minyewa, komwe kumatha kuwoneka mu minofu iliyonse, zomwe zingapangitse kuti zikhale zovuta kuti munthu azichita zochitika za tsiku ndi tsiku, monga kuyankhula, kusuntha komanso kudya, mwachitsanzo.

Vutoli limachitika chifukwa cha kuwonongeka kwina kwa ubongo kapena msana womwe umawongolera kusuntha kwa minofu, komwe kumatha kukhala chifukwa cha sitiroko kapena chifukwa cha ubongo. Komabe, kutengera kusokonezeka kwaubongo, kuchepa mphamvu kumatha kukhala kocheperako, kukhudza minofu yaying'ono, kapena kukulirakulira ndikubweretsa ziwalo mbali imodzi ya thupi.

Kuchepetsa mphamvu ndizovuta, ndiye kuti, sizingachiritsidwe, koma ndizotheka kuchepetsa zizolowezi kudzera mu physiotherapy, kugwiritsa ntchito mankhwala omwe akuwonetsedwa ndi neurologist, monga zopumulira minofu, kapena kugwiritsa ntchito komweko botox. 

Zomwe zimayambitsa kusakhazikika

Kukhazikika kumatha kuchitika mwa munthu yemwe ali ndi ziwalo zaubongo, chifukwa kuwonongeka kwaubongo komwe kumachitika munthawiyi kumakhudza kamvekedwe ka minofu, yomwe ndi mphamvu yomwe minofu imapangitsa kuti isunthe, kuwononga mayendedwe a mikono ndi miyendo, mwachitsanzo.

Anthu omwe avulala modetsa nkhawa muubongo, chifukwa changozi, amatha kukhala osakhazikika, omwe amawoneka chifukwa chovulala muubongo kapena cerebellum, ndipo izi zimapangitsa kuti mathero a mitsempha asathenso kutumiza uthenga wosuntha kwa minofu.

Kuchulukana kumakhalanso kofala kwa anthu omwe ali ndi multiple sclerosis, chifukwa matendawa amadzipangitsa kuti asokonezeke ndimanjenje yomwe imakhudza minofu. Onani zomwe multiple sclerosis, zizindikiro ndi chithandizo.

Kuphatikiza apo, zina zomwe zingayambitse kuchepa ndi encephalitis, meningitis, stroko, amyotrophic lateral sclerosis, phenylketonuria ndi adrenoleukodystrophy, yotchedwanso matenda a Lorenzo.

Zizindikiro zazikulu

Zizindikiro zakuchulukirachulukira zimadalira kukula kwa zotupa muubongo kapena msana, koma zimatha kuwoneka:

• Kuphwanya modzipereka kwa minofu;
• Zovuta kupindika miyendo kapena mikono;
• Kupweteka kwa minofu yomwe yakhudzidwa;
• Kuwoloka miyendo mosadzipangira;
• Zowonongeka pamodzi;
• Kupweteka kwa minofu.

Chifukwa cha kusintha kwa minofu, munthu wolimba amatha kukhala ndi mawonekedwe olakwika, atakulunga mikono, miyendo ndi mapazi atatambasula ndikukhotetsa mbali imodzi.

Zizindikiro zakuchulukirachulukira komwe zimaperekedwa ndi munthuyu ndizofunikira kuti adotolo azitha kuwona kuuma kwakusinthaku, motero, akuwonetsa chithandizo choyenera kwambiri. Chifukwa chake, kuuma kumayesedwa malinga ndi sikelo ya Ashworth pa:

• Gulu 0: wodwalayo samapereka chidule cha minofu;
• Gulu 1: kufinya pang'ono;
• Gulu 2: kuchulukitsa kwa minofu, kukana kuyenda;
• Gulu 3: kuwonjezeka kwakukulu kwa kusungunuka kwa minofu, movutikira kupindika miyendo;
• Gulu 4: minofu yolimba komanso osakhoza kuyenda.

Chifukwa chake, molingana ndi kuuma kwake, ndizotheka kuyamba chithandizo choyenera kwambiri, kotero kuti kuchuluka kwakanthawi kumachepa pakapita nthawi ndikulimbikitsa moyo wa munthu.

Momwe mankhwalawa amachitikira

Chithandizo cha kuchepa kwa thupi chikuyenera kutsogozedwa ndi katswiri wa zamagulu, chifukwa ndikofunikira kuwunika zomwe zimayambitsa vutoli, komanso kuopsa kwa kusinthako. Zosankha ndizo:

1. Zithandizo

Nthawi zambiri mankhwala osokoneza bongo amagwiritsidwa ntchito, monga baclofen kapena diazepam, omwe amathandiza minofu kupumula ndikuthana ndi zowawa, mwachitsanzo. Zithandizo zina zomwe zitha kutchulidwanso ndi benzodiazepines, clonidine kapena tizanidine, zomwe zimachepetsa kufalikira kwazomwe zimapangitsa kuti thupi lizisangalala.

2. Physiotherapy

Kupititsa patsogolo zizindikiritso zakulimbikira kumalimbikitsidwanso kuchita chithandizo chamankhwala kuti matekinoloje azilumikizana komanso kupewa zovuta zina, monga kulumikizana molumikizana, chifukwa chosagwiritsa ntchito chiwalo chomwe chakhudzidwa. Physiotherapy mwachangu imatha kugwiritsidwa ntchito ndi:

• Cryotherapy: Kugwiritsa ntchito kuzizira kwa minofu yomwe yakhudzidwa kuti ichepetse kwakanthawi chizindikiritso chomwe chimapangitsa kuti minofu igwirizane;
• Kutentha ntchito: amalola kupumula kwakanthawi kwa minofu, kuchepetsa kupweteka;
• Kinesiotherapy: njira yophunzitsira munthuyo kukhala wopanda nkhawa, kudzera pakuchita masewera olimbitsa thupi kapena kugwiritsa ntchito orthoses;
• Kukondoweza kwamagetsi: kukondoweza ndimagalimoto ang'onoang'ono amagetsi omwe amathandizira kuwongolera kupindika kwa minofu.

Zochita za physiotherapy zimayenera kuchitika kawiri pa sabata ndi physiotherapist ndipo mutha kuchita masewera olimbitsa thupi omwe amaphunzitsidwa tsiku lililonse kunyumba. Chithandizochi chimathandizira kuchepetsa zizindikilo zakuchulukirachulukira ndikuthandizira magwiridwe antchito azatsiku ndi tsiku.

3. Mapulogalamu a botox

Majekeseni a botox, yotchedwanso botulinum toxin, itha kugwiritsidwa ntchito pochepetsa kuuma kwa minofu ndikuthandizira kuyenda molumikizana, kumuthandiza munthu kuchita zochitika za tsiku ndi tsiku komanso magawo a physiotherapy.

Majakisoniwa ayenera kuwonetsedwa ndi adotolo ndikuchitapo kanthu pochepetsa kutsekeka kwaminyewa mosaganizira, komabe zochita zawo zimakhala ndi nthawi, pakati pa miyezi inayi mpaka chaka chimodzi, zomwe zimafala kuti ayambe kugwiritsa ntchito mankhwala atsopano pakatha miyezi 6 ntchito yoyamba. O botox Zitha kuwonetsedwanso kuti zithandizire ana. Onani ntchito zina za botox.