Mtundu watsopano wamankhwala wotchedwa mirror treatment ukuthandiza odwala omwe akudwala matendawa.
Kodi galasi ndi chiyani?
Mankhwala opangidwa ndi magalasi anayamba kukhazikitsidwa kuti athetse 'ululu wamantha,' vuto limene anthu amamva ululu pamanja kapena mwendo umene wataya. Wina amene akudwala ululu wa phantom amamva ululu pa 'mkono wosochera' kapena 'mwendo wakusowa' ngakhale pamene dzanja kapena mwendo amachotsedwa kapena kutayika, nthawi zambiri chifukwa chovulala.
Pogwiritsa ntchito magalasi, odwala amaika mkono wotsalira pambuyo pa galasi kuti awubisire. Odwala amatha kusuntha mkono wathanzi ndipo chifukwa cha galasi, ubongo 'umanyengerera' kuganiza kuti dzanja lovulala lasuntha. Zochitikazi zawonetsedwa kuti zithandize kuchepetsa zizindikiro zakumva kwa anthu omwe akuvutika ndi ululu wa phantom, ndipo tsopano ochita kafukufuku ayamba kugwiritsa ntchito mankhwala owona magalasi omwe ali opulumuka miyoyo yawo omwe ali ofooka kapena olumala. Mfundo imodzimodziyo imagwiritsidwa ntchito pa galasi lokonzekera kukhwima.
Kodi magalasi amatha bwanji kugwiritsidwa ntchito pafupipafupi?
Omwe amapulumuka miyendo yapachika omwe ali ndi zofooka za manja kapena kupunduka kwa manja akulangizidwa kuti abise dzanja lofooka pansi pa bokosi laling'ono lamphindi lomwe liri ndi chivundikiro chofanana. Ndiye, odwala akufunsidwa kusuntha dzanja lamphamvu ndikuliwona likuyang'ana pagalasi. Izi zimapereka ubongo uthenga wosayenerera umene mkono wofooka ukuyenda.
Ngakhale ophunzira akudziwa zomwe akuchita komanso chifukwa chake akuchita - ubongo uli ndi njira yolembera uthenga wosayenerera ndi 'kuganiza' kuti mkono wofooka uli wamphamvu kuposa momwe ulili. Pakapita nthawi, kutenga nawo mbali pagalasi yamagetsi kungathandize kulimbitsa dzanja lofooka mwachindunji kumalimbikitsa malo oyenera mu ubongo.
Kodi imagwira ntchito?
Njira yaikulu yowonetsera galasi imachokera ku deta ya Cochrane, yomwe ndi deta yaikulu ya odwala omwe ali padziko lonse. Olemba nkhani ya Cochrane pa phunziro la galasi lophatikizapo magalasi kuphatikizapo opulumuka 564 omwe anagwira nawo ntchito pagalasi m'malo osiyanasiyana padziko lonse lapansi. Anthu opulumuka pachilonda omwe adagwira nawo magalasi anali ndi kusintha koyenerera pazochitika za moyo wa tsiku ndi tsiku poyerekeza ndi zotsatira za opulumuka ku matendawa omwe anagwira nawo ntchito zina zowonongeka.
Enanso, kufufuza kwaposachedwapa ku Turkey anayezetsa odwala 30 a zilonda kwa masabata anayi. Gulu limodzi la opulumuka pa matendawa omwe analandira matendawa analandira mankhwala ochiritsira kwa masabata anayi, masiku asanu kapena asanu pa maola awiri ndi awiri tsiku ndi tsiku ndipo gulu lina linalandira mankhwala ochiritsira komanso anali ndi maminiti 30 owonetsera magalasi tsiku lililonse. Magulu onse awiriwa adakula bwino pakutha kwa masabata 4, koma magalasi omwe anali ndi magalasi omwe anali ndi mphamvu zowonjezera bwino, kuchepa kwachidziwitso ndi kupweteka kwapambuyo poyerekeza ndi zifukwa zoyenera. Miyeso yayeso yogwiritsidwa ntchito poyesa kukonza bwino ndi Functional Independence Kuyeza (FIM motor), Zojambula Zowoneka (Anas Scale Scale) (VAS) za kupsinjika kwapweteka, Gawo la mkono wa BRS (BRS) ndi dzanja (BRS) la kupuma kwa motor ndi Fugl - Meyer Assessment (FMA).
Tsogolo la mankhwala owonetsera
Zotsatira zoyambirira izi zogwiritsira ntchito galasi lothandizira kukonzanso ziwalo zikuwoneka zowonjezera. Kuwonjezera pa magalasi kuchipatala chokhazikika pambuyo poti sitiroko ndi yophweka. Palibe zotsatirapo zowonongeka kapena zotsatira zolakwika kuchokera ku kalilole.
Kuwongolera thupi ndi kukonzanso pambuyo poti sitiroko imafuna kugwira ntchito mwakhama komanso kugwira ntchito mwakhama kwa wopulumuka. Ngati mukuchira msanga, onetsetsani kuti mumagwiritsira ntchito mwayi wanu kapena zinthu zanu zonse kuti muthe kupweteka kwa patsiku kuti mutha kuyambiranso kugwiritsa ntchito mphamvu zanu zamaganizo ndi zamaganizo.
Zotsatira:
Zotsatira za Galasi Kulimbana ndi Odwala Pakati pa Stroke Odwala Matenda Ovuta Kwambiri Akumidzi Wachigawo Chinthu Choyamba: Phunziro Lophunzitsidwa Losavuta, Vural SP, Nakipoglu Yuzer GF, Ozcan DS, Ozbudak SD, Ozgirgin N, Archives of Physical Medicine and Rehabilitation, December 2015
Pulogalamu Yopangidwira Ntchito Yopangidwira Ntchito Yopangitsa Magalimoto Pambuyo pa Poststroke Hemiparesis: Kuyesedwa kosalamulirika, Arya KN, Pandian S, Kumar D, Puri V, Journal of Stroke ndi Matenda a Cerebrovascular, August 2015
Kujambula pamagetsi pofuna kukonza galimoto pambuyo pa kupweteka, Thieme H, Mehrholz J, Pohl M, Behrens J, Dohle C., Cochrane Database ya Zosintha Zogwirizana, March 2012