Kutarisira Spasticity yeKukuvara Kwemuzongoza? Chinangwa, Sarudzo dzeKurapa & Mhedzisiro

Kutarisira spasticity yekukuvara kwemuzongoza kunosanganisira kurapwa kwakasiyana-siyana kudzora kuoma kwemhasuru uye kusazvidira contractions izvo zvinowanzoitika mushure mekukuvara kwemuzongoza. Mamiriro aya anokanganisa vanhu vazhinji vane kukuvara kwemuzongoza, zvichikonzera kuti mhasuru dzive dzakasimba, dzakaoma, kana kuti dzijambe zvisingatarisirwi.

Kutarisira spasticity hakungove nyaradzo chete - ndeyekukubatsira kuchengetedza kufamba, kudzivirira matambudziko, uye kuvandudza hupenyu hwako. Mashoko akanaka ndewekuti kune kurapwa kwakawanda kunoshanda, kubva kumishonga kuenda ku physiotherapy kusvika kune maitiro epamberi.

Chii chinonzi spasticity mukukuvara kwemuzongoza?

Spasticity imamiriro apo mhasuru dzako dzinova dzakanyanya kuoma, dzakasimba, kana kuti dzinoita zvisina kufanira mushure mekukuvara kwemuzongoza. Izvi zvinoitika nekuti kukuvara kunokanganisa kutaurirana kwakajairika pakati peuropi hwako nemhasuru, zvichikonzera kuti mhasuru dzinyanye kuita kune stimuli.

Funga nezvazvo semutsara wefoni wakaputsika - uropi hwako hahugone kutumira mameseji ekuti

Kunze kwematambudziko emuviri, spasticity isina kurapwa inogona kukanganisa zvikuru upenyu hwenyu hwezuva nezuva. Inogona kukanganisa kugona kwenyu kubva pamubhedha kuenda kuchigaro chevashandi, kuita mabasa ekuzvichengeta, kana kunyange kurara zvakanaka usiku hwese.

Hezvino zvikonzero zvikuru nei vanachiremba vachikurudzira manejimendi e spasticity:

• Kudzivirira joint contractures uye kupfupika kwemhasuru
• Kuderedza kurwadziwa uye kusagadzikana kubva kumaspasm emhasuru
• Kuvandudza kufamba uye kuchinjisa zvigaro zvevashandi
• Kuvandudza mhando yekurara nekuderedza spasm yeusiku
• Kuchengetedza hutano hweganda uye kudzivirira maronda ekumanikidza
• Kutsigira kuzvimirira mumabasa ezuva nezuva
• Kuderedza mutoro wevatariri uye zvinodiwa zve rubatsiro

Kupindira kwekutanga kazhinji kunotungamira kumigumisiro iri nani, saka kugadzirisa spasticity munguva pfupi mushure mekuvharwa kunogona kubatsira kudzivirira matambudziko akakomba mumugwagwa.

Ndezvipi zvingasarudzwa zvekutarisira spasticity?

Spasticity management inowanzo sanganisira kusanganiswa kwemaitiro akagadzirirwa zvaunoda uye zviratidzo. Kurapa kazhinji kunotanga nezvisarudzo zvisingapindi uye kunofambira mberi kune zvakanyanya kuoma kana zvichidiwa.

Kurapa kwekutanga kunowanzoitika kunosanganisira physical therapy, kurovedza muviri, uye mishonga yemuromo. Maitiro aya anowanzo kupa zororo rakakura re mild kusvika moderate spasticity vachikubatsira kuchengetedza kusimba kwemhasuru nesimba.

Heino kuparara kwemhando huru dzekurapa:

Kurapa kusina kupinda:

• Physical therapy uye range-of-motion exercises
• Occupational therapy yeunyanzvi hwekurarama hwezuva nezuva
• Kushisa uye kutonhora therapy applications
• Electrical stimulation techniques
• Kugadzirisa uye splinting devices
• Aquatic therapy mumvura inodziya

Mishonga yemuromo:

• Baclofen - mushonga unonyanya kunyorerwa wekuzorodza mhasuru
• Tizanidine - inobatsira kuderedza toni yemhasuru uye spasms
• Diazepam - inopa kuzorodzwa kwemhasuru uye sedation
• Gabapentin - pakutanga yezvirwere, inoderedzawo spasticity
• Dantrolene - inoshanda zvakananga pamaseru emhasuru

Kupindira kwepamusoro:

• Botulinum toxin injections ye localized spasticity
• Intrathecal baclofen pump yezviitiko zvakakomba
• Nerve blocks uye chemical neurolysis
• Maitiro ekuvhiya senge selective dorsal rhizotomy
• Kuvhiya kwemabhonzo ekuvhiya kwezvibvumirano zvakakomba

Chikwata chako chehutano chichashanda newe kuti uwane musanganiswa wakarurama wekurapa zvichienderana nezviratidzo zvako, zvinangwa, uye zvaunoda muhupenyu.

Maitiro ekugadzirira kurapwa kwe spasticity management?

Kugadzirira kurapwa kwe spasticity kunotanga nekunzwisisa maitiro ako chaiwo uye zvinokonzera. Chengeta diary iri nyore uchicherechedza kana spasms zvichiitika, kuoma kwavo, uye chii chingave chakakonzera - ruzivo urwu runobatsira chiremba wako kusarudza kurapwa kunoshanda zvakanyanya.

Kugadzirira kwako kuchatsamira pane iyo nzira yekurapa chiremba wako anokurudzira. Kune mishonga, iwe uchada kukurukura mishonga yako yazvino, allergies, uye chero matambudziko eitsvo kana chiropa anogona kukanganisa kugadzirisa zvinodhaka.

Hezvino maitiro ekugadzirira mhando dzakasiyana dzekurapa:

Kune kurapwa nemishonga:

• Nyora mishonga yese yazvino uye zvinowedzera
• Cherechedza chero zviitiko zvekare kumazorodza mhasuru
• Kurukura kufambisa uye kufunga kwebasa
• Gadzirira kugadzirisa zvishoma nezvishoma
• Ronga zvinogona kukonzera mhedzisiro senge kurara

Kune botulinum toxin injections:

• Dzivisa mishonga inotetepa ropa kana zvichibvira
• Regedza kutora maantibayoti anogona kukanganisa
• Gadzirira kutakura zuva remaitiro
• Ronga chiitiko chidiki kwemaawa makumi maviri nemana-48

Kune bhomba re baclofen rinopinzwa mumusana:

• Pedzisa ongororo yakazara yezvokurapa
• Pinda muchiedzo chekuyedza kuti usimbise kushanda
• Ronga nguva yakareba yekupora
• Dzidza nezvezvinodiwa zvekuchengetedza pombi

Chikwata chako chehutano chichapa mirairo yakatarwa zvichienderana nekurapa kwawakasarudza, saka usazeza kubvunza mibvunzo nezvekuti zvekutarisira.

Ungatarisa sei mhedzisiro yako yekutarisira spasticity?

Kutarisa manejimendi ako e spasticity kunosanganisira kutevera kuderedzwa kwekuoma kwemhasuru uye kuvandudzwa mukushanda kwako kwezuva nezuva. Chiremba wako achashandisa zviyero zvakajairika kuyera shanduko, asi ruzivo rwako pachako uye kuvandudzwa kwemhando yehupenyu zvakakosha zvakanyanya.

Iyo Modified Ashworth Scale inowanzo shandiswa kuyera toni yemhasuru kubva pa0 (hapana kuwedzera mutoni) kusvika pa4 (nhengo yakaoma). Zvisinei, kuyerwa uku kwekiriniki hakubati zvese - kugona kwako kurara zviri nani, kutamisa zviri nyore, kana kuita mabasa ezuva nezuva kazhinji kunopa ruzivo rwakakosha.

Hezvino zvaunotarisira iwe nechikwata chako chehutano:

Zviyero zvekiriniki:

• Muscle tone uchishandisa zviyero zvakajairika
• Renji rekufamba mumajoini akakanganiswa
• Kakawanda uye kusimba kwemaspasms
• Kukurumidza kufamba uye chiyero (kana zvichibvira)
• Marwadzo pamwero we0-10

Kuvandudzwa kunoshanda:

• Kureruka kwekutamisa uye kuisa
• Kuzvimiririra mumabasa ezuva nezuva
• Kurara kwemhando uye nguva
• Wheelchair kufamba uye kufamba
• Kutora chikamu munharaunda uye mafungiro

Chengeta log iri nyore yezviratidzo zvako uye kuvandudzwa - izvi zvinobatsira chiremba wako kugadzirisa kurapwa uye inovimbisa kuti uri kuwana mhedzisiro yakanakisa kubva kuronga kwako manejimendi e spasticity.

Ndeipi nhanho yakanakisa yekutarisira spasticity?

Nzira yakanaka yekurapa spasticity inosiyana zvakanyanya uye inoenderana nezvinangwa zvako, mararamiro, uye zvaunoda kuita. Vamwe vanhu vanobatsirwa nekuchengeta spasticity yakapfava nekuti inopa toni yetsandanyama inobatsira pakufamba kana kufamba, asi vamwe vanoda kurapwa kwakanyanya.

Nzira yako yakanaka yekurapa inofanirwa kukubvumira kuti uite mabasa ako ezuva nezuva zvakanaka uchideredza marwadzo uye kudzivirira matambudziko. Izvi zvinogona kureva kuderedza spasticity zvakakwana kuti urare husiku hwese uye kufambisa wega, pane kuibvisa zvachose.

Heano zvinhu zvakakosha zvinosarudza nzira yako yakanaka yekurapa:

• Zvinangwa zvako zvekufamba uye nhanho yako yazvino yekushanda
• Kuvapo kwemarwadzo kana kusagadzikana kubva kumaspasms
• Kukanganisa kurara uye mabasa ezuva nezuva
• Njodzi yekuvandudza contractures kana pressure sores
• Kuyera pakati pekuderedzwa kwe spasticity uye kusimba kwetsandanyama
• Mhedzisiro kubva kumishonga kana kurapwa

Rangarira kuti kurapa spasticity inzira inoenderera mberi. Zvaunoda zvinogona kuchinja nekufamba kwenguva sezvo muviri wako uchigadzirisa kukuvadzwa kwemuzongoza, saka kuongororwa nguva dzose nechikwata chako chehutano kunobatsira kuona kuti kurapwa kwako kunoramba kwakakodzera.

Ndezvipi zvinhu zvine njodzi zve spasticity yakakomba?

Zvimwe zvinhu zvinogona kuwedzera mukana wako wekuvandudza spasticity yakakomba mushure mekuvharika kwemuzongoza. Kunzwisisa izvi zvinhu zvine njodzi kunobatsira iwe nechikwata chako chehutano kugadzirira matambudziko anogona kuitika uye kuita nzira dzekudzivirira kare.

Nzvimbo uye kuzara kwekukuvara kwako kwemuzongoza kunoita basa guru pakuona kuoma kwe spasticity. Kukuvara kwakakwirira kumusoro kwemuzongoza kana kukuvara kusingazere kunosiya mamwe ma nerve connections akabatana kazhinji kunoguma ne spasticity yakajeka.

Heano zvinhu zvine njodzi zvikuru zvekuziva nezvazvo:

Zvikonzero zvine chekuita nekukuvara:

• Kukuvara kwemuzongoza kusina kukwana uko kunochengetedza kunzwa
• Kukuvara kwemutsipa kana chifuva
• Kukuvara kunokonzerwa nekukuvara kwete chirwere
• Kuvapo kwekuputika kana hutachiona huri kuenderera mberi
• Kuvandudzwa kwe post-traumatic syringomyelia

Matambudziko emishonga:

• Hutachiona hweguro kana matambudziko eguro
• Maronda ekumanikidza kana kuputsika kweganda
• Kuvharika kwematumbo kana kuvharika
• Hutachiona hwekufema kana pneumonia
• Deep vein thrombosis kana magwamba eropa

Mararamiro uye zvinhu zvakatipoteredza:

• Kusatambanudza zvakakwana kana maekisesa ekufamba
• Kuiswa zvisina kunaka kana kusafamba kwenguva yakareba
• Kupisa kwakanyanya kana shanduko yemamiriro ekunze
• Mazinga akakwira ekuoma kana kushushikana kwemanzwiro
• Mishonga yakati wandei inogona kuwedzera spasticity

Zvizhinji zvezvinhu izvi zvinogona kutariswa kana kudzivirirwa nekuchengetwa kwakakodzera uye kutarisisa, ndosaka kupindira kwekutanga uye manejimendi akazara ekukuvara kwemuzongoza zvakakosha.

Zviri nani kuva nemazinga epamusoro kana epasi e spasticity?

Hapana mazinga epamusoro kana epasi e spasticity akakwana - chinangwa ndechekuwana chiyero chakakodzera zvinodiwa zvako uye zvinangwa zvekushanda. Imwe dhigirii ye spasticity inogona kubatsira, ichipa toni yetsandanyama inobatsira nekutenderera, kuwanda kwemapfupa, uye mamwe mabasa ekushanda.

Kubviswa kwakakwana kwe spasticity hakusi nguva dzose nzira yakanakisa nekuti inogona kutungamira kusimba kwemhasuru uye flaccidity inoita kuti kutamiswa, kuisa, uye mamwe mabasa ave akaoma. Chinhu chikuru ndechekucheka spasticity zvakakwana kudzivirira matambudziko uchichengetedza toni yetsandanyama inobatsira.

Hezvino maitiro ayo mazinga akasiyana e spasticity anogona kukukanganisa:

Zvakanakira spasticity yakapfava:

• Inochengetedza simba remhasuru uye kuwanda kwemapfupa
• Inovandudza kutenderera kweropa uye inoderedza kuzvimba
• Inopa kugadzikana pakuchinja nzvimbo nekumira
• Inogona kubatsira kufamba mukukuvara kusina kukwana
• Inoderedza njodzi yeropa

Matambudziko ane spasticity yakakomba:

• Inokanganisa mabasa ezuva nezuva uye kurara
• Inokonzera kurwadziwa nekusagadzikana
• Inotungamira kumakontrakta emajoini uye kusagadzikana
• Inowedzera njodzi yekuwa uye kunetseka kwekuchengeteka
• Inogadzira njodzi yekuvadzwa nekuda kwekuisa nzvimbo isina kujairika

Nyaya dzisina spasticity (flaccidity):

• Inowedzera njodzi yekuderera kwemhasuru uye kusava nesimba
• Inoita kuti kuchinja nzvimbo uye kuisa nzvimbo kuve kwakaoma
• Inoderedza kutenderera kweropa uye inowedzera kuzvimba
• Inogona kuwedzera kurasikirwa kwemapfupa
• Inogona kuomesa manejimendi ematumbo nebladders

Chikwata chako chehutano chichakubatsira kuwana nhanho yakanaka inowedzera basa rako uchideredza matambudziko nekusagadzikana.

Ndezvipi zvipingamupinyi zvinogona kuitika zve spasticity isina kurapwa?

Spasticity isina kurapwa inogona kutungamira kumatambudziko akakomba enguva refu ayo anova akaoma kuita kuti adzoke nekufamba kwenguva. Chipingamupinyi chinonyanya kunetsa ndiko kukura kwemakontrakta emajoini anogara achigadzirwa, uko majoini ako anova akagadziriswa munzvimbo dzakakotama kana dzakamonana.

Matambudziko aya haaitiki husiku humwe - anokura zvishoma nezvishoma sezvo mhasuru dzichiramba dziri munzvimbo dzakapfupikiswa kwenguva yakareba. Kuziva nekukurumidza uye kurapwa kunogona kudzivirira matambudziko mazhinji aya, ndosaka kuongorora nguva dzose kwakakosha.

Heano matambudziko makuru aunofanira kuziva nezvawo:

Matambudziko emusculoskeletal:

• Joint contractures inogumira renji rekufamba zvachose
• Kupfupika kwemhasuru uye kuwedzera kuoma
• Kurasikirwa kwemapfupa nekuda kwekuderedzwa kwehuremu
• Scoliosis kana spinal curvature deformities
• Hip dislocation kubva mukusagadzikana kwemhasuru kwakanyanya

Matambudziko ekushanda:

• Kurasikirwa nekuzvimirira mumabasa ezuva nezuva
• Kutambudzika nekuchinjisa vhiri uye kufamba
• Matambudziko nekuchengetwa kwemunhu uye kuchena
• Kuwedzera mutoro wevatariri uye zvinodiwa zvebasa
• Kuderera kutora chikamu mumabasa emagariro uye ekuzvivaraidza

Matambudziko ekurapa:

• Maronda ekumanikidza kubva pakugadzirisa zvisina kujairika
• Kurwadziwa kusingaperi uye kusagadzikana
• Kukanganiswa kwehope uye kuneta
• Matambudziko ekufema kubva kumhasuru dzemuchipfuva spasticity
• Zvirwere zvegumbo kubva ku bladder spasticity

Mashoko akanaka ndewekuti mazhinji ematambudziko aya anogona kudzivirirwa nekugadzirisa kwakakodzera spasticity uye kutarisirwa kwekurapa nguva dzose. Kupindira kwekutanga kwakakosha kuchengetedza hutano hwako hwenguva refu uye kuzvimirira.

Ndezvipi zvinogona kuitika zvekupfuurisa kurapa spasticity?

Kupfuurisa kurapa spasticity kunogona kugadzira matambudziko ayo, kunyanya kana mishonga ichishandiswa pamadosi akakwirira kana kana spasticity ichideredzwa zvakanyanya. Nyaya inowanzoitika ndeyekushaya simba kwemhasuru kwakanyanya kunoita kuti mabasa ezuva nezuva ave akaoma kupfuura zvaaive ne mild spasticity.

Kuwana chiyero chakakodzera kunoda kutarisa zvakanyanya uye kugadzirisa nguva dzose. Chikwata chako chehutano chichashanda newe kuti uone kurapwa kushoma kunobudirira kunowana zvinangwa zvako pasina kukonzera mhedzisiro isingadiwi.

Heano matambudziko makuru ekupfuurisa kurapwa:

Matambudziko ane chekuita nemishonga:

• Kunyanya kurara uye kuneta
• Kukanganiswa kwezivo uye kuvhiringidzika
• Kushaya simba kwemhasuru uye kuderedzwa kwesimba
• Matambudziko echiropa kana itsvo kubva mukushandiswa kwenguva refu
• Kuvimba uye zviratidzo zvekubvisa
• Kudyidzana nemimwe mishonga

Matambudziko ekushanda:

• Kuoma kwakaoma nekufambisa nekufamba
• Njodzi huru yekuwa kubva mukushaya simba remhasuru
• Kuderera kwekubatsira nekuchengetwa kwemunhu
• Kurasikirwa kwemhasuru dzakanaka dzekutenderera
• Kuzvimba kwakawedzera mumaoko nemakumbo

Matambudziko ane chekuita nemaitiro:

• Kutapukirwa panzvimbo dzekujova kana pombi
• Kushanda zvisina kunaka kwemidziyo ine baclofen pumps
• Kukuvadzwa kwetsinga kubva mukujova kunodzokororwa
• Matambudziko ekuvhiya kubva mumaitiro anopinda
• Kuitika kwezvinhu zvinokonzerwa nemishonga kana zvinhu

Kugara uchienda kunzvimbo dzekutevera kunobatsira chikwata chako chehutano kuti chiongorore matambudziko aya uye chigadzirise chirongwa chako chekurapa sezvinodiwa kuti uchengetedze chiyero chakanakisa.

Ndingatarisira riini chiremba wekugadzirisa spasticity?

Unofanirwa kuona chiremba wekugadzirisa spasticity kana kuoma kwemhasuru kana spasms zvikavhiringidza mabasa ako ezuva nezuva, kukonzera kurwadziwa, kana kukutadzisa kurara zvakanaka. Usamirira kusvikira spasticity yava yakanyanya - kupindira kwekutanga kazhinji kunotungamira kumigumisiro iri nani uye kunodzivirira matambudziko.

Kana iwe uri kutogamuchira kurapwa, zviratidzo zvakati wandei zvinoratidza kuti unoda kutariswa kwekurapa nekukurumidza. Izvi zvinosanganisira kuwedzera kamwe kamwe kwe spasticity, kurwadziwa kutsva kana kwakanyanya, kana zviratidzo zveutachiona kana uine zvishandiso zvekurapa zvakaita sebaclofen pumps.

Hezvino kana iwe uchifanira kubata mupi wako wehutano:

Kuongororwa kwekutanga kunodiwa:

• Muscle spasms inovhiringidza kufambisa kana mabasa ezuva nezuva
• Spasticity inokonzera kurwadziwa kana kusagadzikana
• Kurara kunovhiringidzwa nemhasuru spasms
• Unoona majoini achioma kana kuoma kufamba
• Kuiswa kunova kwakaoma nekuda kwekuoma kwemhasuru

Kutariswa kwekurapa nekukurumidza kunodiwa:

• Kuwedzera kwakanyanya kwe spasticity
• Kutanga kutsva kwemarwadzo akanyanya pamwe chete nemaspasms
• Zviratidzo zvehutachiona (fivha, kutsvuka, kuzvimba)
• Migumisiro yakanyanya kubva kumishonga
• Kutadza kufema kubva kumhasuru dzechipfuva spasticity
• Kutadza kufambisa majoini aive nekuchinjika

Misa yenguva dzose yekutevera ye:

• Kugadzirisa mishonga uye kuongorora
• Kuongorora kushanda kwemishonga
• Kuongorora matambudziko kana migumisiro
• Kukurukura nzira itsva dzekurapa
• Kuchengetedza nguva dzose zvekushandisa zvekurapa

Rangarira kuti manejimendi e spasticity inzira inoenderera mberi inoda kuongorora nguva dzose uye kugadzirisa kuti uve nechokwadi chekuti uri kuwana mhedzisiro yakanaka.

Mibvunzo inowanzo bvunzwa nezve manejimendi e spasticity

Q.1 Ko manejimendi e spasticity anoshanda kune ese marudzi ekukuvara kwemuzongoza here?

Manejimendi e spasticity anogona kushanda kune mazhinji marudzi ekukuvara kwemuzongoza, kunyangwe kurapwa kwakatarwa uye mhedzisiro zvichisiyana zvichienderana nekukuvara kwako uye kuzara. Vanhu vane kukuvara kusina kukwana vanowanzoita sarudzo dzakawanda dzekurapa nekuti vanochengeta dzimwe hukama hwetsinga.

Kukuvara kwakakwana kunogona kuva nemaitiro akasiyana e spasticity anopindura zviri nani kune mamwe marapwa. Chikwata chako chehutano chichagadzira nzira yakagadzirirwa zvinoenderana nezvinhu zvako zvekukuvara uye zvinangwa zvekushanda.

Q.2 Ko spasticity yakakwirira inogara ichikonzera kuremara zvachose here?

Spasticity yakakwirira haikonzere kuremara zvachose, kunyanya kana ichigadziriswa zvakanaka nemishonga yakakodzera. Kunyangwe spasticity yakanyanya isina kurapwa inogona kutungamira kumatambudziko akaita sejoint contractures, kupindira kwekutanga kunogona kudzivirira matambudziko aya.

Vanhu vazhinji vane spasticity yakakwira pakutanga vanochengetedza basa rakanaka nekuzvimirira kuburikidza nehurongwa hwakazara hwekutarisira hunosanganisira mishonga, kurapa, uye shanduko dzemaitiro ehupenyu.

Mubvunzo 3. Kurapa spasticity kungabatsira here nebasa rebladder nemukati?

Hongu, kurapa spasticity dzimwe nguva kunogona kuvandudza basa rebladder nemukati, kunyanya kana spasticity ichikanganisa tsandanyama dzinoitika mumaitiro aya. Kuderedza spasticity mumusana wepelvic uye tsandanyama dzemudumbu zvinogona kubatsira nekufamba kwemukati uye kubuda kwebladder.

Zvisinei, bladder uye bowel dysfunction mukukuvara kwemuzongoza kazhinji kunoda kurapwa kwakakosha kupfuura kurapa spasticity, saka kurukurai nyaya idzi zvakasiyana nechikwata chenyu chehutano.

Mubvunzo 4. Zvinotora nguva yakareba sei kuona mhedzisiro kubva mukurapa spasticity?

Nguva yekuti uone mhedzisiro inosiyana zvakanyanya zvichienderana nerudzi rwekurapa. Mishonga yemuromo inowanzoita mhedzisiro mukati memazuva mashoma kusvika kumavhiki, nepo majekiseni ebotulinum toxin angatora 1-2 mavhiki kuti asvike pakushanda zvizere.

Physical therapy uye zvirongwa zvekutambanudza zvinowanzoita mavhiki akati wandei kusvika kumwedzi yebasa rinoramba riripo usati waona kuvandudzwa kukuru. Chikwata chako chehutano chichaisa zvaunotarisira zvine musoro zvichibva pane nzira yako yekurapa yakasarudzwa.

Mubvunzo 5. Kune dzimwe nzira dzemuzvarirwo dzemishonga yekurapa spasticity here?

Hongu, nzira dzakawanda dzemuzvarirwo dzinogona kuwedzera kana dzimwe nguva kutsiva mishonga ye mild kusvika pakati nepakati spasticity. Izvi zvinosanganisira maekisesaizi ekutambanudza nguva dzose, kurapa kupisa, massage, aquatic therapy, uye nzira dzekuderedza kushushikana senge kufungisisa kana kudzidziswa kuzorora.

Nepo nzira idzi dzemuzvarirwo dzichigona kubatsira zvikuru, dzinowanzoita zvakanyanya kana dzichibatanidzwa nemamwe marapirwo pane kushandiswa dzoga, kunyanya kune moderate kusvika severe spasticity. Nguva dzose kurukurai dzimwe nzira dzemuzvarirwo nechikwata chenyu chehutano musati ma shandura kurapwa kwenyu.