Hemiparesis ndi ofooka pang'ono pambali imodzi ya thupi. Hemiparesis ikhoza kukhudza mbali ya kumanzere kapena kumanja kwa thupi. Kufooka kungaphatikize manja, manja, miyendo, nkhope kapena kuphatikiza. Pafupifupi 80 peresenti ya opulumuka ku stroke amavutika ndi hemiparesis, ndipo imachititsa kuti ikhale imodzi mwa zotsatira zofala za matenda a stroke.
Anthu omwe ali ndi hemiparesis amatha kusuntha mbali yokhudzana ndi thupi, koma ndi mphamvu zochepa.
Mbali imodzi ya thupi ikhoza kukhala yofooka kwathunthu, ndipo chikhalidwe ichi chimatchedwa hemiplegia.
Zimayambitsa
Kuwonjezera pa kupwetekedwa, hemiparesis ikhoza kuyambitsidwa ndi matenda ena ambiri. Zomwe zimayambitsa hemiparesis ndi izi:
- Sitiroko
- Multiple sclerosis
- Kuvulala koopsa-kungakhudze ubongo, msana kapena mitsempha
- Mavuto a zachipatala - matenda monga cerebral palsy omwe amabwera kuchokera kubadwa angachititse kufooka kwa mbali imodzi ya thupi
- Matenda a msana
- Chotupa cha ubongo kapena msana
- Kutengera kwa ubongo, msana kapena meninges
- Mavuto a maganizo ndi aumphawi angayambitse kanthawi kochepa
- Lembani ziwalo zowonongeka - zofooketsa kanthawi pambuyo pa kulanda
- Maonekedwe opweteka ndi osasintha
Zizindikiro
Chizindikiro chodziwika bwino cha hemiparesis ndi kupunduka kwa thupi kumbali imodzi ya thupi. Zizindikiro zimagwirizana ndi mbali ya ubongo kapena msana womwe wawonongeka. Kuvulaza kumbali ya kumanzere kwa ubongo kumabweretsa kufooka kumbali yoyenera ya thupi.
Kuvulala kumbali yowongoka ya ubongo kumabweretsa kufooka kumbali yakumanzere ya thupi.
Malingana ndi mtundu wa kuvulala kwa msana ndi mlingo wa kuvulala mkati mwa msana, hemiparesis akhoza kukhala mbali imodzimodzi ya thupi monga kuvulala kwa msana, kapena kungaphatikizepo mbali yina.
Zizindikiro zina za hemiparesis ndi izi:
- Kulephera kusunga bwino
- Kuvuta kuyenda
- Kulephera kumvetsa zinthu
- Kuchokera mwatsatanetsatane mukuyenda
- Kutopa kutopa
- Kusayanjanitsika
- Kutsamira kumbali imodzi poyima, kuyenda kapena kukhala
- Kutaya kwa thupi kapena chikhodzodzo
Kudziwa
Ngati mukudandaula za zizindikiro za hemiparesis, dokotala wanu adzafufuza. Zingakhale zovuta kudziwa ngati zizindikiro zanu zimachokera kufooka, kupweteka kapena chifukwa china. Kufufuza kwa thupi kumaphatikizapo mayesero a malingaliro anu, kumverera kwanu ndi mphamvu zanu, ndipo dokotala wanu 'adzayesa' mphamvu zanu pa chiwerengero cha 1-5. Chiwerengerochi chingathandizenso dokotala yemweyo kapena madokotala ena atayesa mphamvu yanu panthawi ina, monga momwe angagwiritsire ntchito ngati kuyerekezera.
Kuwerengera kwa mphamvu kwa mphamvu ya minofu ndi motere:
0/5 Palibe kusuntha
1/5 Minofu yowongoka
2/5 Kusunthika kumbali, koma sangakweze dzanja kapena mwendo kutsutsana ndi mphamvu yokoka
3/5 Angasunthike motsutsana ndi mphamvu yokoka, koma osati motsutsana ndi mphamvu iliyonse, monga kuyesa mofulumira
4/5 Angasunthike kuntchito, monga kukankhira kwa woyesa, koma osati ndi mphamvu zoyembekezeredwa
5/5 Angasunthire kuntchito ndi mphamvu yoyembekezeka
Kudziwa chifukwa cha hemiparesis kungatsimikiziridwenso ndi maphunziro ojambula zithunzi, omwe angaphatikizepo zotsatirazi:
- Kujambula kwa ubongo kapena kwapakati
- MRI ya ubongo kapena yapakati
Chithandizo
Chithandizo cha hemiparesis choyamba chimatsogoleredwa kuchipatala chowongolera, kaya chifukwa chake ndi stroke, chifuwa cha ubongo kapena matenda.
Cholinga cha chithandizo cham'tsogolo cha hemiparesis ndikumanga luso lamagetsi komanso kugwirizanitsa ndi kukonza luso lanu lochita zinthu za tsiku ndi tsiku.
Kubwezeretsa
Thandizo la thupi ndi ntchito ndilofunikira pakupeza hemiparesis. Mankhwalawa angaphatikizepo kugwiritsa ntchito magetsi ku ubongo, zithunzi, kugwiritsa ntchito zipangizo zothandizira monga ndodo, walker kapena wheelchair. Mwamwayi, hemiparesis sichikuyenda bwino pokhapokha pali umboni wa kupweteka kwa ubongo ndi ubongo.
Kusintha kwa nyumba kungafunike kupangidwira ndikuthandizira kuwonjezeka. Zina mwa zosinthidwa zingaphatikizepo:
- Kujambula mipiringidzo
- Mizere
- Anakwezera mipando ya chimbudzi
- Benchi mu kabati
- Zosamalidwa zopanda zomangira zimaphatikiza mu bafa
- Mabotolo a mano
- Zingwe zamagetsi
Mawu Ochokera
Hemiparesis ndiwowonekera kwambiri wa matenda a ubongo. Nthawi zambiri kumakhudza mkono, mwendo kapena onse awiri, hemiparesis zimapangitsa kuti zikhale zovuta kukhala ndi nthawi yeniyeni yowonetsera zochita za tsiku ndi tsiku, ndipo ndi chimodzi mwa zifukwa zomwe zimayambitsa zolemala. Stroke ndi chifukwa chofala kwambiri cha hemiparesis, ndipo chifukwa chake kupewera mliri ndi gawo lofunika kwambiri la moyo wathanzi umene aliyense ayenera kudziwa.
> Zotsatira:
> Kukonzekera kwa Magalimoto Pambuyo pa Kukwapulidwa: Kukonzekera Kwambiri Kwambiri Pogwiritsa Ntchito Njira Zothandizira Kukhalanso Kwambiri Kwambiri, Hatem SM, Saussez G, Della Faille M, Prist V, Zhang X, Dispa D, Bleyenheuft Y, Front Hum Neurosci. 2016 Sep 13; 10: 442