Kuyini wayeshaywe unhlangothi? Izimpawu kanye nokwelashwa ukukhubazeka

Kuyini wayeshaywe unhlangothi? Lesi isimo womuntu, lapho kuba ngokuphelele elingenalo motor amakhono ngenxa yokuntuleka amandla bemisipha. Lesi simo sibangelwa izilonda yezinzwa: isiguli akakwazi ukuhambisa ngokuzimela futhi iba sincike kubantu ababezizungezile.

Ngokuvamile, nerve ukukhubazeka is phetho izinqubo ongemuhle emzimbeni, kodwa ezinye izinhlobo ingaba njengesihluthulelo isifo ezimele: palsy, ufe uhlangothi, isifo i-Parkinson, uvendle nesifo palsy ERB sika Bell sika-cerebral palsy.

izindlela ukuxilongwa

Ukuxilongwa yisifo esibangwa lesion ka yezinzwa, ehlanganisa:

• luhlolo ngumuntu wezinzwa;
• X-ray;
• Ngekhompyutha tomography futhi resonance kazibuthe;
• myography;
• neurosonography;
• kokuhlola reflex we ephansi emikhawulweni amakhono (Achilles, plantar, bamane bacabange ukuphendula reception Endrashika).

Kuyimiphumela yesimo baxhashazwe

Kuyini wayeshaywe unhlangothi? Indlela abanakekela iziguli abasesimweni isimo baxhashazwe? Isikhathi eside embhedeni ukuphumula, kubangelwa Ukuphumula, Uphatha kabi impilo kogulayo. Lapho kule sikhundla lisalele mkhulu kunezinhliziyo izinsuku 4, isiguli ukwehla ezicutshini ithoni, kukhona izinkinga kanye blood pressure, encishisiwe ukuhamba ngokuhlanganyela. Endleleni, emzimbeni kabusha umzimba, ukwanda glucose siyenzeka egazini, kahle nitric-calcium ibhalansi.

Ngenxa ukukhubazeka kanye recumbency, odalwe lolu isimo umzimba kuyanda izinga ithambo thinning, kwengozi pheshana urinary ukutheleleka, urinary incontinence sibonisa kwenzeke isiyezi nokuquleka, ikakhulukazi uma kushintshwa isikhundla komzimba kanye ematfuba abukhali ekhanda. Inqubo ukuphefumula wamaphaphu ivolumu isetshenziswa kwegazi ngokwengxenye ephazamisekile, okuyinto kamuva ubhekene thrombosis.

Azonakekela kogulayo

Isiguli abadinga ngalesi sikhathi e ukunakekelwa okukhethekile, kufanele siqaphele ukuthi ukuqina emalungeni akufanele sokunquma baxhashazwe Imininingwane. Ngisho nokukhubazeka kudingeka ukuhambisa, ukwenza izindlela ezihlukahlukene zokuvivinya umzimba ngenxa amakhono abo. Ngakho-ke, kusukela ekuqaleni embhedeni ukuphumula ingxenye kunesidingo ukunakekelwa izinga kufanele kube umzimba nokutadisha emalungeni. Uma isiguli singakwazi ukwenza ke yena, kufanele asize. Breathing izivivinyo okuhloswe ngaso ukubandakanywa zonke izingxenye emaphashini, baphola ukukhubazeka.

Kuyini ukukhubazeka ebusweni

palsy Ngiphephile okwandile Bell sika, elibangela esenzeke yilezi:

• izifo ezithathelwanayo (idiphtheria, ubhubhane parotitis);
• ukulimala kuhlasimulise;
• hypothermia;
• zomdlavuza;
• ukugeleza kwegazi kuliphazamise nomfutho wegazi ophezulu kanye isifo sokuqina kwemithambo yegazi;
• imiphumela abezindaba otitis;
• izinqubo ukuvuvukala ebuchosheni.

ukukhubazeka kobuso okhula ngokushesha kakhulu futhi kungaba ukuzibonakalisa ngasiphi yobudala, kodwa ngokuvamile kakhulu kuthinta abantu abaye wangenela engu-60 mlando. Thembeke izizathu lesi sifo engakaze wafunda; thina kuphela ukwazi ukuthi lo mshini ivela khona kubangelwa ukuvuvukala emsipheni ebusweni ukuthi kwenzeka ngenxa igciwane lohlobo noma ukwehluleka mzimba.

Symptomatology yokufa uhlangothi ebusweni

Izimpawu isimo esiyingozi yilesi:

• ubuhlungu ngemuva kwendlebe, ngokuvamile ezenzeka ngobusuku bangaphambi izimpawu ukuba buthakathaka kwezicubu endaweni ebusweni;
• yokuntuleka sobuso ohlangothini ethintekile kanye ngokweqile imisipha ngakolunye uhlangothi ebusweni. Ngakho, uma uzama smile emlonyeni lesiguli angahluleli ngendlela eqondile eya ohlangothini enempilo;
• muskulaturnaya ubuthakathaka angakhula indaba amahora;
• nokuvulwa kakhulu ZaseLaki optic. Umuntu ogulayo akakwazi ukuvala iso zikhubazekile;
• ndikindiki endaweni ebusweni;
• ukwephulwa of amathe futhi lacrimation.

ukwelashwa ukukhubazeka ebusweni

Kuyini ukukhubazeka ebusweni, futhi iziphi izinyathelo kunconywa ukuthatha ukwelapha ke? Amaqhinga ekwelapheni ukukhubazeka ebusweni is okhethiweyo kuncike degree of ukulimala kwenzwa futhi ngokuvamile ukwelapha wezokwelapha.

Ezigabeni zokuqala zesifo isiguli ebekiwe glucocorticoids, kuyinto ngawo kungenzeka ukunciphisa ububi besimo sokuguquka nobude ukukhubazeka asalile. Aqokwe izidakamizwa elwa namagciwane, "Valacyclovir", "Acyclovir" "Famciclovir."

Isetshenziswa engcwaba amehlo lesiguli izinyembezi zemvelo noma isixazululo isotonic, futhi bandaging. Ngemuva kweviki elilodwa ukwelashwa babelwa Vitamin izakhiwo kanye kusho ngokuthuthukisa emsipheni conduction.

Okhunye okukhambisana ukusebenzisa lezo zinqubo:

• Physiotherapy;
• ukutshopa;
• intamo massage;
• ukwelashwa laser;
• ultrasound;
• UHF ensimini kagesi.

Ezimweni ezimbi kakhulu, phakathi nenqubo yokuhlinzwa, okuyinto okumelwe zenzeke kungakapheli izinyanga 3 emva ukuthola lesi sifo. Kungenjalo zokugula ungahlala kuze kube phakade. Ngesikhathi kokuhlinzwa eyenziwa decompression ezincane, phakathi kwesikhathi lapho ithambo isuswe usibekela emsipheni ebusweni. Kuyadingeka ukuba uvule ulwelwesi kwemizwa. Khona-ke udokotela sinquma umzimba ethize izicubu ezithile ebusweni, ngenxa okuyinto ehluleka alulame ngokugcwele ezimweni eziningi.

Ingozi yokushoda esitho motor amakhono

ukukhubazeka kuwumphumela umgogodla intambo izilonda. Lapho ifomu ephelele ebucayini ubuqotho isitho. Izinga yokulimala kwakhe okuthinta ngayo imisipha ukwehluleka sendawo ethile yomzimba.

Spinal intambo ukulimala ezingeni 4, 5 no-6 amathambo wesibeletho okuholela quadriplegia - ukukhubazeka we yomine imilenze, kodwa nangesineke kungase ukugoba futhi baphakamise izandla. Lapho endaweni lesion ku 6th futhi 7th amathambo wesibeletho sisuswe imilenze izandla owayekhubazekile esihlakaleni amalunga omzimba; isiguli kuphela ukuhambisa kwehlombe lakho futhi nje izandla okuncane nyakazisa.

Uma umonakalo kwenzeka ngesikhathi futhi ngaphezu 4th vertebra wesibeletho, ikhubazeke ukuphefumula, okuyinto ezimweni eziningi uphela ekufeni.

Paraplegia libizwa ukukhubazeka kokubili imilenze kwenzeka ngenxa cross-umgogodla cord yokulimala endaweni ye lumbar futhi amathambo thoracic.

Ngezindaba zonke zamacala, umgogodla cord yokulimala libhekene kokunikezwa kwe-nozwela babephephile ezindaweni ezithintekile.

Symptomatology esitho ukukhubazeka

esitho immobilization kuboniswa izimpawu ezilandelayo:

• ukunciphisa ngokwengxenye ngamandla imisipha, labona spastic (whooping) ukukhubazeka;
• yokuntuleka ubuhlungu lokutfutfukako;
• urinary futhi incontinence fecal;
• enganele ukugeleza kwegazi ezingalweni nasemilenzeni ethintekile.

Kubangela ukukhubazeka yezingalo nemilenze

Izimbangela ukuntuleka motor nemilenze yilezi:

• yesifo azalwa naso;
• isimila ekwakhekeni, phusha emgogodleni;
• ukuvuvukala nomgogodla.

Ukudlala indima nezingozi.

Indlela ukubuyisela nemilenze okhubazekile?

ukukhubazeka nemilenze ukwelashwa ngenxa yesehlakalo, ukuqinisekisa ukusebenza izinhlelo kwegazi futhi zokuphefumula ezibalulekile emzimbeni. Kungasetjenziswa ukupholisa lokukhanda. Isiguli ezinqunyiwe isikhathi eside embhedeni ukuphumula.

Isici esibalulekile endleleni eya zokutakula umzimba futhi ezihlukahlukene izinqubo nokuvuselelwa. Ngokuhamba yokuzijwayeza ukuze igazi eligciniwe ukuze imisipha esitho ikhubazeke ethintekile eliqhutshwa ngendlela yekwentiwa. uchungechunge ezithile umzimba nazo olwenziwa adingwa yimisipha enempilo. Uma kuba sobala ukuthi ukukhubazeka imisipha wanyamalala, kudingeka enze ekhethekile motor umzimba.

occupational therapy liyasetshenziswa - iqoqo nokuvuselelwa izinyathelo ezihlose yokutakula zokuphila kwansuku zonke futhi imisebenzi womuntu evamile, kucatshangelwa izingqinamba ngokomzimba samanje.

A indima ebalulekile enqubeni ukwelashwa, yisikhathi ngokwanele eside, ukudlala ukwesekwa ngokwengqondo umuntu owayekhubazekile azizwa bakhiphe elezinga eliphansi. Umzabalazo ne izakhiwo abasafufusa Kwenziwa ngokusebenzisa kwengqondo nezindlela ukucabanga ngezinto ezinhle.

Sinzima isifo esithinta izinzwa: i-cerebral palsy

Cerebral Palsy odokotela - kuhle kwesifo esingelapheki esidluliselwa, okuyinto Isici ukuntula kwayo intuthuko, okusho ukuqhubeka. Ziyini izimbangela eziyinhloko zalokhu ka-cerebral palsy namuhla:

• hypoxia ingane ngokushesha emva kokuzalwa noma ngesikhathi ukuhlala esibelethweni. Ezimweni eziningi, imbangela ukukhubazeka kuyinto zokugula ezenzeka phakathi sokukhulelwa (isifo ehlukile ekuseni ukugula, kahle esinomhlapho kwegazi), futhi kuholele ukuthuthukiswa ongaphelele ezindaweni ubuchopho obhekene ibhalansi komzimba reflex yayo izindlela. Ngenxa yokuthi esikhathini idatha skeleton ngokungalungile basakaza imisipha ithoni kubangela ukuthuthukiswa sokugembula motor amakhono;
• ukulimala ngesikhathi sokubeletha. Kungase kube ngenxa isakhiwo ukhalo parturient, ababuthakathaka umsebenzi zabasebenzi ngokushesha ngidlula ukulethwa isikhathi eside, emva kwesikhathi eside ukulethwa anhydrous isikhathi malposition;
• isifo hemolytic ngayo lapho usana, lapho umntwana ubuchopho zobuchopho kwenzeka ubuthi. Kungase kubangelwe esingamahlalakhona hepatic ku-fetus noma ukungavumelani wakhe iqembu igazi noma RH nomzali;
• izifo noma okukhulu abesifazane ngesikhathi sokukhulelwa (isifo senhliziyo, rubella, ukukhuluphala, isifo sokulahlekelwa igazi, isifo sikashukela, umfutho wegazi ophakeme). Libuye eyingozi ingane yizici ethola umama lemithi yesikhathi esizayo, ikakhulukazi zinhlungu futhi imiphumela emibi: ukucindezeleka, ukuhlukumezeka ngokomzimba, ukuba umlutha wotshwala, ukungakhululeki ezingokwengqondo, ukusetshenziswa kwezidakamizwa,
• inkambo engalungile yokukhulelwa, ngenxa ubuthi, kokuphazamiseka izinsongo, ukungavumelani immunological esiphakathi kukamama nosana lwakhe;
• Izinkinga ngesikhathi sokubeletha, ingqondo nemibandela ukuvela ukulimala asphyxia futhi ikhanda mechanical - izici yesibili abangela umonakalo ebuchosheni.

Ifomu olunzima kunalo lonke ake cerebral palsy quadriplegia spastic kubhekwe, kuvamile ababelethwa kungakafiki isikhathi. Isigamu yalezi zingane azalelwa kwesikhathi, kanyekanye waphawula ukusonteka yomzimba, ukuquleka, elinganiselwe ukuhamba esitho, strabismus, yoma optic, ukulahlekelwa kukuzwa, microcephaly (angahlangani kobuchopho). Ingane kwathiwa unesifo "cerebral palsy" akakwazi ukuzinakekela wenze umsebenzi abanye elula kukho konke ukuphila.

Cerebral Palsy odokotela ngefomu hemiplegic libhekene kokunikezwa kwe-nemilenze ngakolunye uhlangothi lwale emzimbeni. Hand uma ehlupheka ngokwezinga elikhulu ukwedlula foot.

Dyskinetic, noma hyperkinetic, ifomu livezwa anda imisipha ithoni, ukulahlekelwa kukuzwa, ukukhubazeka. Intelligence akukatjhuguluki: ingane ekwazi ukuya esikoleni futhi inyuvesi.

isifo Ataxic wabonakaliswa ukuthuthukiswa retardation engqondo, retardation engqondo.

ukukhubazeka kwezinsana: Izimpawu

Izimpawu ze-cerebral palsy yilezi:

• Ukubambezeleka ukubonakaliswa motor umsebenzi (ematfuba, egoba imilenze nezingalo).
• Qedela baxhashazwe nemilenze.
• Ukudlikizela nokuquleka.
• I-lag ekuthuthukiseni yokukhuluma.
• Kubi ikhanda nokugcinwa.

ukwelashwa cerebral palsy

Ukukhubazeka, izimpawu okuyizinto isizathu enkulu yezikhalazo wezinzwa yezingane ngenjongo i ukusazi ngokunembile isifo esikuphethe futhi ukwelashwa okufanelekile, ngeke welaphe ngokuphelele, kodwa ungakwazi ukwenza ngcono izinga lempilo ingane egulayo. Eminyakeni yokuqala yokuphila abazenzi izinyathelo zokulungisa ukunciphisa amajaqamba, imisipha ithoni, ukuthuthukisa motor ikhono emalungeni. Lezi zenzo kuncishiswe ingozi sengozini lwamathambo, ukuthuthukisa ikhono ingane ukulondoloza umbono onokulinganisela, ukwenza ukunyakaza evamile izitho zomzimba bathole amakhono aphansi self-service.

Ingane kwathiwa unesifo "cerebral palsy" kufanele ubhaliswe wezinzwa, udokotela wezingane wezinyawo, inkulumo Umeluleki, ukuvuselelwa onguchwepheshe bese kudokotela wezifo zengqondo. Kuyinto tekubukana Ochwepheshe kudingekile eyonquma lithathelwe walo omkhulu ekuphileni.

Ukukhubazeka izingane selashwe inhlanganisela izindlela eziningana. Lokhu reception kwemithi, Physiotherapy njalo, ukwelashwa op, ukwelashwa sanatoriums.