Created at:1/13/2025
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Ko te whakahaere spasticity mō te whara o te wāhi hiku e whai ana i ngā momo rongoā hei whakahaere i te mārō o ngā uaua me ngā kōtuitui kore e hiahiatia e puta ana i muri i te whara o te wāhi hiku. E pā ana tēnei āhuatanga ki te nuinga o ngā tāngata e whai whara ana i te wāhi hiku, e pā ana ki te mārō, te pakari, te ohorere rānei o ngā uaua.
Ko te whakahaere i te spasticity ehara i te mea mō te whakamarie anake - e pā ana ki te āwhina i a koe ki te pupuri i te nekeneke, te ārai i ngā raruraru, me te whakapai ake i tō kounga o te oranga. Ko te rongo pai he maha ngā rongoā whai hua e noho ana, mai i ngā rongoā ki te rongoā tinana ki ngā tikanga matatau.
Ko te Spasticity he āhuatanga ka mārō, ka pakari rānei ō uaua, ka kōtuitui rānei i muri i te whara o te wāhi hiku. Ka puta tēnei nā te mea ka raru te whara i te whakawhitiwhiti kōrero noa i waenga i tō roro me ō uaua, e pā ana ki te nui rawa o te urupare o ngā uaua ki ngā whakaohooho.
Whakaarohia me te mea he rārangi waea kua pakaru - e kore e taea e tō roro te tuku tika i ngā karere
I tua atu i ngā raruraru tinana, ka pā kaha te spasticity kāore i rongoatia ki tō oranga o ia rā. Ka raru pea tō kaha ki te nuku mai i te moenga ki te tūru wīra, ki te mahi i ngā mahi tiaki whaiaro, ki te moe marie rānei i te pō.
Koinei ngā take nui e tūtohu ana ngā tākuta ki te whakahaere i te spasticity:
Ko te wawaotanga wawe ka hua te pai ake o ngā hua, nō reira ko te aro ki te spasticity i muri tata i te wharanga ka āwhina i te ārai i ngā raruraru nui ake i te ara.
Ko te whakahaere spasticity te tikanga ka uru ki te huinga o ngā huarahi i hangaia ki ō hiahia me ō tohu motuhake. Ko te maimoatanga te tikanga ka tīmata ki ngā kōwhiringa kāore i te pākaha, ka haere ki ngā wawaotanga matatau ake ki te hiahiatia.
Ko ngā maimoatanga rārangi tuatahi tino noa ko te rongoā tinana, ngā mahi totoro, me ngā rongoā waha. Ko ēnei huarahi te tikanga ka whai hua nui mō te spasticity ngawari ki te āhua, i te wā e āwhina ana i a koe ki te pupuri i te ngāwari me te kaha o ngā uaua.
Anei te wehenga o ngā kāwai maimoatanga matua:
Ka mahi tō rōpū hauora ki a koe ki te kimi i te huinga tika o ngā rongoā i runga i ō tohu motuhake, ō whāinga, me ō hiahia oranga.
Ko te whakarite mō te rongoā spasticity ka tīmata mā te māramatanga ki ō tauira me ō whakaoho motuhake. Puritia he rārangi ngāwari e tuhi ana i te wā e puta ana ngā kōpiko, te kaha o aua kōpiko, me te mea pea i whakaoho i a rātou - mā tēnei mōhiohio e āwhina tō tākuta ki te whiriwhiri i te rongoā tino whai hua.
Ka whakawhirinaki tō whakarite ki te huarahi rongoā e tūtohu ana tō tākuta. Mō ngā rongoā, me kōrero koe mō ō rongoā o nāianei, ngā mate pāwera, me ētahi raruraru tākihi, ate rānei ka pā ki te tukatuka rongoā.
Anei me pēhea te whakarite mō ngā momo rongoā rerekē:
Ka whakawhiwhia koe e tō rōpū hauora ki ngā tohutohu motuhake i runga i te rongoā i whiriwhiria e koe, no reira kaua e whakaroa ki te pātai pātai mō ngā mea e tūmanakohia ana.
Ko te aroturuki i tō whakahaere spasticity e whai pānga ana ki te aroturuki i te whakahekenga o te mārō o te uaua me te whakapai ake i ō mahi o ia rā. Ka whakamahia e tō tākuta ngā tauine paerewa hei ine i ngā huringa, engari he mea nui anō tō wheako whaiaro me te whakapai ake i te kounga o te oranga.
Ko te Modified Ashworth Scale e whakamahia ana hei whakatau i te oro o te uaua mai i te 0 (kāore he pikinga o te oro) ki te 4 (wāwāhi). Heoi, kāore tēnei ine haumanu e hopu i ngā mea katoa - ko tō kaha ki te moe pai ake, te whakawhiti māmā ake, te mahi rānei i ngā mahi o ia rā e whakarato ana i te māramatanga whai hua ake.
Anei ngā mea e aroturukihia ana e koe me tō rōpū hauora:
Puritia he rākau ngāwari o ō tohumate me ngā whakapainga - mā tēnei e āwhina tō tākuta ki te whakatika i ngā rongoā me te whakarite kei te whiwhi koe i ngā hua pai rawa atu mai i tō mahere whakahaere spasticity.
Ko te taumata pai rawa atu o te whakahaere i te spasticity he tino takitahi, ā, kei runga i ō whāinga motuhake, te oranga, me ngā hiahia mahi. E whai hua ana ētahi tāngata ki te pupuri i te spasticity ngawari nā te mea e whakarato ana i te reo uaua e āwhina ana i ngā whakawhiti tū, i te hīkoi rānei, i te wā e hiahia ana ētahi atu ki te rongoā kaha ake.
Ko tō taumata whakahaere pai rawa atu me āhei koe ki te mahi i āu mahi o ia rā e tino nui ana me te whakamarie i te wā e whakaiti ana i te mamae me te aukati i ngā raruraru. Ko te tikanga pea ko te whakaiti i te spasticity kia nui ai te moe i te pō, me te whakawhiti motuhake, kaua ki te whakakore rawa atu.
Anei ngā mea nui e whakatau ana i tō taumata whakahaere pai:
Kia mahara he mahi tonu te whakahaere i te spasticity. Ka huri pea ō hiahia i te wā e urutau ana tō tinana ki te whara o te taurakira, nō reira ka āwhina te arotake auau me tō rōpū hauora ki te whakarite kia tika tonu tō rongoā.
He maha ngā āhuatanga ka whakanui i tō tūponotanga ki te whakawhanake i te spasticity kaha i muri i te whara o te taurakira. Ko te māramatanga ki ēnei āhuatanga tūpono ka āwhina i a koe me tō rōpū hauora ki te whakarite mō ngā raruraru ka puta, me te whakatinana i ngā rautaki ārai i te wā wawe.
Ko te wāhi me te oti o tō whara taurakira te mea nui e whakatau ana i te kaha o te spasticity. Ko ngā whara i te wāhi tiketike o te taurakira, i ngā whara rānei kāore i oti e waiho ana ētahi hononga io e tū ana, ka puta i te nuinga o te wā he spasticity kaha ake.
Anei ngā āhuatanga tūpono nui hei mōhio:
He maha ngā āhuatanga tūpono ka taea te whakahaere, te ārai rānei mā te atawhai tika me te aro nui, koinei te take he mea nui te wawaotanga wawe me te whakahaere whānui i ngā whara o te taurakira.
Kāore te tino tiketike, te tino iti rānei o ngā taumata spasticity e pai ana - ko te whāinga ko te kimi i te taurite tika mō ō hiahia takitahi me ō whāinga mahi. He pānga pai pea te spasticity, e whakarato ana i te reo uaua e āwhina ana i te tohanga toto, te kiato o te wheua, me ētahi mahi mahi.
Kāore i te pai te whakakore katoa i te spasticity i ngā wā katoa, nā te mea ka puta te ngoikore o te uaua me te flaccidity e uaua ai te whakawhiti, te tūnga, me ētahi atu mahi. Ko te kī ko te whakaiti i te spasticity kia kore ai e puta ngā raruraru i te wā e mau ana te reo uaua whai hua.
Anei me pēhea te pānga o ngā taumata spasticity rerekē ki a koe:
Ka āwhina tō rōpū hauora i a koe ki te kimi i te taumata pai rawa atu e whakanui ana i tō mahi i te wā e whakaiti ana i ngā raruraru me te hōhā.
Ka taea e te spasticity kāore i rongoatia te arahi ki ngā raruraru nui mō te wā roa e uaua haere ana te whakahoki i te wā. Ko te raruraru tino mō te āwangawanga ko te whanaketanga o ngā kirimoko tahi tūturu, i te wā e tū ana ō tahi i ngā tūnga piko, koropiko rānei.
Kāore ēnei raruraru e puta i te pō - ka whanake haere rātou i te wā e noho poto ana ngā uaua mō ngā wā roa. Ka taea e te mōhio wawe me te rongoā te ārai i te nuinga o ēnei raruraru, koinei te take he mea nui te aroturuki auau.
Koinei ngā raruraru matua me mōhio koe:
Ko te rongo pai ko te nuinga o ēnei raruraru ka taea te ārai mā te whakahaere tika i te spasticity me te manaaki rongoā auau. Ko te wawaotanga wawe te mea nui ki te pupuri i tō hauora me tō mana motuhake i te wā roa.
Ko te rongoā nui rawa atu i te spasticity ka taea te hanga i ōna ake raruraru, ina koa ka whakamahia ngā rongoā i ngā horopeta nui, i te wā rānei ka whakaitihia te spasticity i te kaha rawa. Ko te raruraru tino noa ko te ngoikore o te uaua nui rawa atu e uaua ai ngā mahi o ia rā atu i te wā i te spasticity ngawari.
Ko te kimi i te taurite tika e hiahia ana ki te aroturuki tupato me ngā whakatikatika auau. Ka mahi tō rōpū hauora ki a koe ki te tautuhi i te rongoā whai hua iti rawa e tutuki ai ō whāinga me te kore e pā mai ngā pānga taha e kore e hiahiatia.
Koinei ngā raruraru matua o te rongoā nui rawa atu:
Ka āwhina ngā tūpono whai muri i te rōpū hauora ki te aroturuki i ēnei raruraru me te whakatika i tō mahere maimoatanga i te mea e tika ana kia mau tonu te taurite pai rawa atu.
Me kite koe i te tākuta mō te whakahaere i te spasticity mēnā ka raru te mārō o te uaua, te kōpiko rānei i āu mahi o ia rā, ka pā te mamae, ka aukati rānei i a koe ki te moe pai. Kaua e tatari kia kaha rawa te spasticity - ko te wawaotanga wawe ka pai ake ngā hua me te ārai i ngā raruraru.
Mēnā kei te whiwhi maimoatanga kē koe, ko ētahi tohu whakatūpato e tohu ana me hiahia koe ki te āwhina hauora tonu. Kei roto i ēnei ko te pōraru ohorere o te spasticity, te mamae hou, te mamae nui rānei, ngā tohu rānei o te mate mēnā he taputapu hauora āu pēnei i ngā papu baclofen.
Anei te wā e tika ana kia whakapā atu koe ki tō kaiwhakarato hauora:
Kia mahara ko te whakahaere spasticity he tukanga tonu e hiahia ana ki te aroturuki me te whakatikatika i ngā wā katoa kia mōhio ai koe kei te whiwhi koe i ngā hua pai rawa atu.
Ka whai hua te whakahaere spasticity mō te nuinga o ngā momo wharanga o te taurakira, ahakoa te rerekē o ngā rongoā me ngā hua i runga i tō taumata wharanga me te oti. He maha ngā kōwhiringa rongoā e wātea ana ki ngā tāngata whai wharanga kāore i oti, nā te mea kei te mau tonu ētahi hononga io.
He rerekē pea ngā tauira spasticity o ngā wharanga oti, ā, he pai ake te urupare ki ētahi rongoā. Ka whakawhanake tō rōpū hauora i tētahi huarahi whaiaro i runga i ō āhuatanga wharanga me ō whāinga mahi.
Kāore te spasticity nui e pā tonu ki te hauātanga tūturu, ina koa ka whakahaere tika ana me ngā rongoā tika. Ahakoa ka taea e te spasticity nui kāore i rongoatia te arahi ki ngā raruraru pēnei i ngā kirimoko hononga, ka taea e te wawaotanga wawe te ārai i ēnei raruraru.
He maha ngā tāngata he nui te spasticity i te tīmatanga e mau ana i te pai o te mahi me te mana motuhake mā roto i ngā hōtaka whakahaere whānui e uru ana ki ngā rongoā, te rongoā, me ngā whakarerekētanga o te oranga.
Āe, ka taea e te whakahaere spasticity te whakapai ake i te mahi o te pūpū me te kōpū i ētahi wā, ina koa ka pā te spasticity ki ngā uaua e uru ana ki ēnei tukanga. Ko te whakaiti i te spasticity i roto i te papa pelvic me ngā uaua puku ka āwhina i ngā nekehanga kōpū me te whakawātea i te pūpū.
Heoi, ko te korenga o te mahi o te pūpū me te kōpū i roto i te wharanga o te taurakira e hiahia ana ki te rongoā motuhake i tua atu i te whakahaere spasticity, no reira kōrerohia ēnei take ki tō rōpū hauora.
He rerekē te wā e kite ai i ngā hua i runga i te momo rongoā. Ko ngā rongoā waha te nuinga ka whakaatu i ngā pānga i roto i ngā rā torutoru ki ngā wiki, i te wā e roa ana te werohanga botulinum toxin ki te 1-2 wiki kia eke ki te tino whai hua.
Ko te rongoā tinana me ngā hōtaka totoro e hiahia ana ki te maha o ngā wiki ki ngā marama o te mahi rite tonu i mua i te kite i ngā whakapainga nui. Ka whakatakoto tō rōpū hauora i ngā tūmanako tūturu i runga i tō huarahi rongoā i whiriwhiria.
Āe, he maha ngā huarahi tūturu ka taea te whakakī, i ētahi wā ka whakakapi i ngā rongoā mō te spasticity ngawari ki te āhua. Kei roto i ēnei ko ngā mahi totoro i ngā wā katoa, te rongoā wera, te mirimiri, te rongoā wai, me ngā tikanga whakaiti i te ahotea pēnei i te whakaaroaro, te whakangā rānei.
Ahakoa ka taea e ēnei tikanga tūturu te āwhina nui, he maha ngā wā ka whai hua rawa ina honoa ki ētahi atu rongoā, kaua e whakamahia anake, ina koa mō te spasticity āhua ki te kaha. Kōrerohia ngā huarahi tūturu ki tō rōpū hauora i mua i te whakarereke i tō mahere rongoā.