Nthendayi yamakono ndi imodzi mwa malo olemera kwambiri mu ubongo
Kukwapula kwapereta kumayambitsa zizindikiro zomwe zingagawidwe m'magulu anayi. Mmene ndalama zimagwirira ntchito ndi imodzi mwa zinthu zofunika kwambiri mu ubongo, zomwe zimagwirizanitsa ndikugwirizana pakati pa zigawo zina za ubongo. Ichi ndi chifukwa chake matenda osokoneza bongo ali ndi mphamvu yaikulu, ngakhale kuti stroke ndi yaing'ono kwambiri. Mukati ndi kuzungulira phokoso losavuta, ubongo wathu umapanga lingaliro lathu la dziko molingana ndi zomwe timamva, kumva ndi kuziwona.
Mwachidule
Sitiroko ndizochitika zamankhwala zomwe zimakhudza mitsempha yopita ku ubongo. Ndilo vuto lalikulu la imfa ndi kulemala ku United States. Sitiroko imapezeka pamene chombo cha magazi chomwe chimanyamula oksijeni ndi zakudya ku ubongo chimatsekedwa ndi chovala kapena kupasuka. Izi zikachitika, mbali imodzi ya ubongo silingapeze magazi ndi mpweya umene umasowa, kotero maselo a ubongo okhudzidwa amawonongeka kapena kufa .
Zizindikiro
Onani
Pali zochitika zosiyanasiyana zosiyana ndi zomwe zimachitika chifukwa cha kupwetekedwa , ndipo zambiri mwazo zimaphatikizapo pulotal lobe pamlingo winawake.
- Homonimous quadrantanopsia: Pali mitsempha yomwe imanyamula chidziwitso kuchokera kumalo otsika a masomphenya athu ndikuyendayenda mumtundu wa lobes kupita ku occipital lobe. Mitsempha imeneyi imatha kuwonongeka ndi kupweteka kwapakati, zomwe zimapangitsa masomphenya kumapeto kwa mbali yotsutsana ndi kukwapulidwa.
- Kusokonezeka kwapakati pa malo: Kuvuta kutanthauzira zowonetsera zochitika pa malo athu, monga kutalika, kuzama, ndi kukula kwa zinthu zingakhale chifukwa cha kupwetekedwa kwa phokoso.
- Kulumikizana kwa Diso Lamanja: Kuvuta kumabweretsa dzanja kumalo kumene munthu akuyang'ana. Chitsanzo ndi wopulumuka pa stroke yemwe amayang'ana chinthu chomwe chiri pa tebulo ndi cholinga chochinyamula icho, koma dzanja lake limatsutsana ndi cholinga chake ndipo sangathe kuligwira.
- Kulephera kuwona zozungulira za munthu, ngakhale kukhala ndi kayendedwe ka maso. Izi zimalepheretsa wopulumuka kuwonongeka kuti awone zinthu, anthu, ndi zinthu zina zooneka zomwe zili pambali pa masomphenya (pambali.)
Sensory
- Kutaya mwadzidzidzi: Phalatali lobe ndipamene kalotex yamagetsi imapezeka. Kaloti yamakono imaphatikizapo kumverera kwathu, monga kukhudzidwa, kutentha ndi kutseguka, kumvetsetsa izi. Kukwapula mu kotekisi kumayambitsa kupweteka kapena kusakhoza kuzindikira malo kapena mtundu wa chisokonezo m'thupi.
- Astereognosis
Zosavomerezeka za Kudzikonda Kwakukha
- Chidziwitso: Anthu omwe ali ndi matenda osokoneza bongo m'chinenero chosavuta kumva cha ubongo amakhala ndi chizoloŵezi chosanyalanyaza mbali yina ya thupi lawo. Chosowacho chingakhale chowopsya kwambiri. Mwachitsanzo, opulumuka ku matendawa omwe atsala ndi hemiplegia (kufooka kwa mbali imodzi) pambuyo pobaya matenda okhudza magalimoto ndi zigawo zovuta za ubongo akhoza kukhala ndi mphamvu. Osati kokha amene amapulumuka miyoyo yawo amatha kunyalanyaza kuti mbali imodzi ya thupi lawo ili ndi ziwalo zonse, koma sangathe ngakhale kuzindikira ziwalo zawo za thupi pambali ya thupi lawo. Chifukwa chake, izi zingayambitse opulumuka odwala matendawa omwe amatha kutengeka mbali imodzi ya thupi. Anthu omwe amavutika ndi kutaya thupi sangathe kumeta kapena kuvala milomo kumbali yomwe imakhudzidwa ndi kupwetekedwa.
- Finger agnosia: Finger agnosis ndi kulephera kutchula zala, zomwe zimakhala ndi vuto lopweteka kwambiri. Mwachitsanzo, wopulumuka wodwala sitiroko sangathe kunena kuti chala chake ndicho chala chachikulu.
- Kusokonezeka kwa kumanzere: Anthu ambiri omwe ali ndi matenda osokoneza bongo amasonyeza kuti sangathe kusiyanitsa kumanja kuchokera kumanzere.
- Kuvuta ndi kuwerenga, kulembera, ndi masamu: Malusowa ndi ovuta kwambiri ndipo amatha kukhala ovuta pamene phokoso lopambana kwambiri (mbali yotsutsana ndi dzanja lanu) likukhudzidwa ndi stroke.
Zotsatira Zina
Zina mwa zotsatira zina za kupwetekedwa kwa phalapesi zimakhala zovuta kwambiri.
Maluso apadziko lapansi ndi luso lomwe limatithandiza kumvetsetsa momwe zinthu zilili m'danga lachitatu.
- Kusalankhula
- Kusasamala
- Kudya
- Ideomotor apraxia
- Ntchito yomanga apraxia
- Apraxia yotsegula maso
Tsamba:
> Zilonda Zopweteka Zopweteka Zimapangitsa Magalimoto Odziwika Ophiphiritsira Mphamvu: Kusanthula Mwatsatanetsatane wa Umboni, McInnes K, Friesen C, Boe S, Arch Phys Med Rehabil. 2016 Mar; 97 (3): 478-489
Kusinthidwa ndi Heidi Moawad MD