Kawirikawiri, ziwalo zikutanthauza kufooka kwa gawo limodzi kapena zingapo za thupi. Hemiplegia ndi hemiparesis ndizogwiritsidwa ntchito pofotokozera zofooka pambali imodzi ya thupi.
Ngati mwakhala ndi vuto lachipatala limene lachititsa kuti thupi lanu likhale lofooka, mukhoza kukhala ndi ziwalo za thupi, paresis, hemiparesis kapena hemiplegia Hemiplegia ndi hemiparesis ndi mawu omwe amagwiritsidwa ntchito pofotokoza zofooka zomwe zimakhudza mbali imodzi ya thupi.
Mwachitsanzo, hemiplegia ingakhudze mwendo ndi mkono kumbali imodzi ya thupi.
Hemiplegia ndi ziwalo zimatanthawuza kuti mbali zomwe zimakhudzidwa ndi thupi ndizofooka, pamene hemparesis ndi paresis zimatanthauza kuti zigawo zomwe zimakhudzidwa ndi thupi zimangokhala zofooka, komanso kuti pali mphamvu zina zamagalimoto zomwe zatsala m'manja kapena mwendo.
Mwachidule
Chifukwa cha zofooka izi zomwe nthawi zambiri zimakhudza hafu ya thupi ndizoti ubongo wa munthu ndi msana wamtundu uliwonse zimakhala ndi "ma halves" omwe amawonekera kumanja ndi kumanzere. Zonsezi zimayendetsa mbali imodzi yokha ya thupi.
Ubongo wa munthu uli ndi dera lotchedwa motor motero yomwe imayendetsa kayendetsedwe ka magalimoto. Mbali ya kumanzere ndi kumanja kwa chigoba cha cerebral iliyonse imakhala ndi chida choyendetsa mbali yina ya thupi. Mofananamo, chingwe cha msana chimakhala ndi dera lotchedwa corticobulbar yomwe imayendetsa kayendetsedwe ka thupi, ndi mbali ya kumanzere ikulamulira mbali imodzi ya thupi ndi mbali yowongoka.
Choncho, kuvulala kumbali imodzi ya ubongo kapena msana kumapanga hemiplegia ya kumanzere, pamene kuvulaza kumbali inayo kumapanga hemiplegia.
Pali mitundu yosiyanasiyana ya hemiplegia. Amagawidwa monga:
- Tsankho - kusunga zina mwa minofu
- Kutha - kusakhoza kusuntha minofu iliyonse
- Kugonjetsa kwamuyaya sikubwerera
- Kwachidule - kubwezeretsa minofu kumabwerera
- Mafupa - minofu imakhala yowopsya ndipo imatha kuchepa
- Kupweteka - minofu imakhala yolimba ndipo imatha kupasula
Zimayambitsa
Kuthamanga kwa minofu kumayendetsedwa ndi zizindikiro zotumizidwa ku thupi ndi ubongo ndi msana. Pamene ubongo kapena kuwonongeka kwa msana zikupezeka, zizindikiro sizikhoza kuwongolera minofu kuti isunthe, zomwe zimayambitsa ziwalo. Matenda ambiri a hemiplegia amapezeka chifukwa cha stroke.
Zizindikiro zina za hemiplegia ndi izi:
- Mvula yamsana yavulala
- Matenda a ubongo
- Cerebral palsy
- Anagwedezeka khosi
- Multiple sclerosis
- Matenda osokoneza bongo
- Mliri wa Bell
- Polio
- Muscular Dystrophy
- Spina bifida
- Kuvulala kwa Brachial plexus
Kudziwa
Kufufuza kwa hemiplegia kumaphatikizapo mayeso ojambula awa:
- X-ray
- CT scan
- MRI
- Myelography
- Electromyography (EMG)
- Kuchuluka kwa magazi
Mavuto
Zinthu za pachimake za hemiplegia ndizovuta zomwe mungakhale nazo chifukwa cha kufooka. Nthawi zina, mavutowa sawonekeratu pomwepo, ndipo amatha miyezi ingapo mutangomva hemiplegia.
Zina za mavuto a hemiplegia ndi awa:
- Matenda a chikhodzodzo - kusagwedeza ndi / kapena kusungidwa kwa mkodzo
- Matenda oletsa kuchepetsa thupi
- Ululu
- Pansikati mthenda thrombosis (DVT)
- Autonomic dysreflexia
- Kusokonezeka maganizo
- Matenda a kupuma
- Matenda a mtima
- Sepsis
- Mabala opanikizika
- Kusokoneza minofu
- Musosis atrophy
Kuchiza
Nthawi zina, mphamvu zamtundu zingasinthe zokha. Hemiplegia ingayankhe mankhwala. Mankhwala ena a hemiplegia ndi awa:
- Thandizo la Thupi
Kuchita masewera olimbitsa thupi kumathandiza kuti macheza asamasunthike ndi kusintha. Njira zamakono zopangira mankhwala zimathandiza kuti minofu iwonongeke. Mankhwalawa amathandizanso kuchepetsa mavuto a hemiplegia ndi hemiparesis - monga matenda a mtima, shuga, zilonda zapakati, matenda obisala, matenda a m'mitsempha. - Thandizo Labwino
Uwu ndi mtundu wa mankhwala omwe akugwiritsidwa ntchito podziwa momwe angasamalire ntchito zothandiza ndi ntchito za tsiku ndi tsiku, monga kudzikonda.
- Zokwanira Zogwiritsa Ntchito
Zida zothandizira zokhudzana ndi maulendo ndi magetsi olumala ndi magalimoto opangira magalimoto komanso magalimoto, magalimoto komanso oyenda. Zothandizira izi zingakuthandizeni kutsogolera moyo wodziimira, wokhuthala ngakhale mutakhala ndi hemiparesis kapena hemiplegia. - Chithandizo Chothandizira
Kugwiritsira ntchito zipangizo zoyendetsedwa ndi mawu, makompyuta, matelefoni ndi makina opangira magetsi akukhala opezeka komanso othandiza kwambiri. - Zida Zothandizira
Kugwiritsira ntchito zipangizo zamakono zopangira galimoto, zida zogwiritsira ntchito, thanzi labwino ndi zothandizira zothandizira zingathandize pazinthu zamasiku ndi tsiku.
Mawu Ochokera
Hemiplegia ndi hemiparesis ndizovuta kusintha, koma pali zinthu zomwe mungachite kuti mukhale ndi hemiplegia kapena hemiparesis mosavuta. Matenda a ubongo omwe amachititsa hemiplegia ndi hemiparesis si zachilendo, ndipo pali zinthu zomwe zingakuthandizeni kudzera kuchipatala chanu komanso zinthu zomwe zingakuthandizeni kukuthandizani pazochitika zamoyo.
> Zotsatira:
> Kuponderezedwa kwa magetsi kwa magetsi ku Hemiplegia, Knutson JS, Fu MJ, Sheffler LR, Chae J, Phys Med Rehabil Clinic N Am. 2015 Nov; 26 (4): 729-45