Ngati inu kapena munthu wina yemwe mumadziwa kuti wadwalapo, mungadziwe kuti njira yothetsera kuchipatala ingakhale yaitali komanso nthawi zambiri imakhumudwitsa. Kukonzekera kumayamba mwamsanga, nthawi zambiri panthawi yoyamba kuchipatala, ndipo kungaphatikizepo kuyamwitsa kwaukhondo, mankhwala, ntchito, kulankhula ndi ntchito.
Kuphatikiza pa chizolowezi chokonzekera, anthu ena amatha kusintha, mtundu wa singano wochiritsira njira yowonjezera yomwe imagwiritsidwa ntchito m'zipatala zachi China .
Malingana ndi deta yochokera ku National Health Interview Survey ya 2002, 46 peresenti ya opulumuka ku stroke ku United States amagwiritsira ntchito mankhwala othandizira komanso osagwiritsidwa ntchito, ndi opaleshoni yokha ndiyo ntchito yokhayo yomwe imagwiritsidwa ntchito nthaŵi zambiri pa opulumuka pa ziwalo.
Pa mankhwala ochizira opaleshoni , adokotala amapanga singano zabwino m'maganizo apadera pa thupi. Mankhwalawa amatchedwa kuchepetsa kupweteka , kupititsa patsogolo umoyo wa moyo ndi chisamaliro cha maganizo, ndipo mwinamwake kuthandizidwa ndi ntchito za tsiku ndi tsiku monga kuyenda kapena kudzidalira.
Kuchulukanso m'mimba ndi Stroke Recovery
Ngakhale kuti kafukufuku wina akusonyeza kuti kupachikidwa m'mimba kungapindulitse anthu amene ali ndi matenda a stroke, sipanakhalepo mayesero okwanira, omwe amachititsa kuti tizilombo toyambitsa matenda tifike pamapeto.
Kafukufuku wofukufuku wolembedwa mu Cochrane Database of Reviewed Reviews mu 2016 anayeza maphunziro okwana 31 (ndi okwanira 2257 omwe akugwira nawo ntchito) pakuchitapo kanthu kuti akonzedwe.
Malinga ndi olemba a maphunzirowa, kuchitapo kanthu kwa mankhwala kungakhale ndi zotsatira zowonjezera kudalira, kuzungulira kwapakati pa mitsempha, komanso kuwonongeka kwa ubongo kwa anthu omwe ali ndi zilonda. Olembawo adawachenjeza kuti zambiri mwazofukufukuzo sizinali zofunikira kapena kukula, zomwe zimapangitsa kuti zikhale zovuta kufotokozera.
Mu kafukufuku wofukufuku wolembedwa mu Acupuncture Medicine mu 2015, asayansi anafufuza mayesero a chipatala omwe anafalitsidwa kale omwe akuyerekeza kuyerekezera njira zothandizira odwala ndi kukonzanso njira yokha kukonzanso anthu omwe anali miyezi itatu kapena yocheperapo. Potsirizira pake, olembawo akunena kuti kuchitapo kanthu ndi kukonzanso kungakhale kopindulitsa pokhapokha kukonzanso kokha.
Zotsatira za kafukufuku wowerengeka zikusonyeza kuti kuchitapo kanthu kwapadera kungakhale ndi phindu lenileni panthawi yokonzanso miyeso:
Kuwongolera Mavuto Pambuyo Kulimbana
Pambuyo pa kupwetekedwa, anthu ena amakumana ndi vuto lomeza (matenda otchedwa dysphagia ) omwe amachititsa kuti kudya ndi kumwa kumve zovuta ndipo zingabweretse mavuto. Kwa kafukufuku wofalitsidwa mu Cochrane Database ya Zofufuza Zakale mu 2012, ochita kafukufuku anaphatikiza maphunziro 33 omwe anafalitsidwa kale (omwe alipo 6779 omwe akugwira nawo ntchito) poyerekeza mankhwala osiyanasiyana a dysphagia mwa anthu omwe anadwala sitiroko mkati mwa miyezi isanu ndi umodzi yolembetsa mu phunziroli. Muwongosoledwe wawo, olemba lipoti adapeza umboni wakuti kugwira ntchito kwapadera kunachepetsa dysphagia.
Kuthamanga
Pambuyo pa kupwetekedwa, anthu ena ali ndi kuuma kwa mitsempha komanso kupanikizika mwadzidzidzi (kumatchedwa spasticity), zomwe zingapangitse zovuta kuchita tsiku ndi tsiku.
Lipoti losindikizidwa mu Archives of Physical Medicine ndi Rehabilitation mu 2017 linalongosola njira 22 zomwe zatulutsidwa kale pa ntchito yogwiritsira ntchito magetsi pamaganizo okhudzidwa ndi zilonda. Olembawo apeza kuti kupangika kwa magetsi mkati mwa miyezi isanu ndi umodzi pambuyo pa kupwetekedwa pamodzi ndi chisamaliro chodziwika kungathandize kuchepetsa kupambanitsa kumapazi apamwamba ndi apansi.
Lipoti lapitalo (lofalitsidwa mu Journal of Alternative and Complementary Medicine ), komabe, linatsimikizira kuti kupangidwira kwabwino kwa kupatsirana mwadzidzidzi pambuyo pa kupweteka kunali kosatsimikizika chifukwa cha ubwino wochepa wa kafukufuku wopezekapo. Olemba amalimbikitsa maphunziro apamwamba, opangidwa bwino.
Zotsatira Zotsatira ndi Zochitika Zoipa
Pogwiritsira ntchito mankhwala opatsirana pogwiritsira ntchito ziwalo zowonongeka, nkofunikira kugwira ntchito ndi munthu wodziwa bwino ntchito yachipatala yemwe ali ndi chidziwitso chothandizira kuchipatala. Osabala, kugwiritsa ntchito osagwiritsa ntchito singano zisoti ziyenera kugwiritsidwa ntchito.
Ngakhale kuti zoopsazo zimakhala zochepa ngati kugwiritsidwa ntchito mthupi kumachitidwa ndi munthu wodalirika, wogwiritsidwa ntchito mwalamulo, zotsatira zake zingakhale monga kupweteka, kupweteka, kutupa, kuvulaza, kapena kutaya magazi pa malo a singano, kufooka, kuvulaza thupi, hematoma , hemiplegia, ndi matenda.
Komabe, kufufuza kafukufuku pa zochitika zoopsa pambuyo pa kupachikidwa pamtunduwu kunaphatikizapo pneumothorax, kutaya mtima, kuvulala kwa mtima, ndi kuwonongeka kwa mpweya.
Ngati muli ndi matenda a m'magazi, akutenga magazi omwe ali ngati warfarin, ali ndi pacemaker, ali ndi pakati, kapena ali ndi chitetezo cha m'thupi, mwina simungakhale woyenera kuti muphedwe.
Mtsinje
Kukonzekera kwazengereza ndi njira yayitali komanso yovuta kwambiri, yomwe ingakupangitseni kumva kuti simukukhutira ndi momwe mukukhalira ndikusowa chithandizo chowonjezera cha chithandizo. Ngakhale kuti palibe umboni wokwanira wochokera ku mayesero akuluakulu a zachipatala kuti atsimikize kuti kugwira ntchito kwabwino, kwa anthu ena, kungathandize kusintha umoyo wa moyo ndipo zimakhala ndi zotsatira zabwino pazinthu monga kumeza kapena kusokoneza.
Ngati mukuganiza kuti mukuyesera kuchitapo kanthu, ndikofunikira kuti mufunse dokotala wanu poyamba. Iye angakuthandizeni kudziwa kuti ngati muli nawo monga gawo la mankhwala anu othandizira kuti mukhale opindulitsa komanso otetezeka.
> Zotsatira:
> Cai Y, Zhang CS, Liu S, et al. Kupanga Magetsi Pogwiritsa Ntchito Pulojekiti Momwe Akudziwira: Kukonzekera Mwadongosolo ndi Meta-Analysis. Arch Phys Med Rehabil. Dec 2017; 98 (12): 2578-2589.e4.
> Geeganage C, Beavan J, Ellender S, PM PM. Njira zothandizira dysphagia komanso zakudya zothandizira pa matenda opatsirana komanso okhwima. Cochrane Database Rev. Rev. 2012 Oct 17; 10: CD000323.
> Vados L, Ferreira A, Zhao S, Vercelino R, Wang S. Mphamvu yochiritsa thupi limodzi ndi kukonzanso mankhwala opweteka kwambiri. Acupunct Med. 2015 Jun; 33 (3): 180-7.
> Yang A, Wu HM, Tang JL, Xu L, Yang M, Liu GJ. Kupangidwanso kuti adzikonzekeretsedwe. Msonkhano wa Cochrane Rev. 2016 Aug 26; (8): CD004131.
> Zolinga: Zomwe zili pa tsambali zimapangidwira cholinga cha maphunziro okha ndipo sizilowetsamo malangizo, matenda kapena chithandizo ndi dokotala wololedwa. Sichikutanthauza kubisa zonse zomwe zingatheke, kuyanjana kwa mankhwala, zochitika kapena zotsatirapo zoipa. Muyenera kupeza chithandizo chamankhwala mwamsanga pa nkhani iliyonse yathanzi ndikufunsani dokotala musanagwiritse ntchito mankhwala osakaniza kapena kusintha kwa regimen yanu.