Kuyini Ukuphathwa Kwe-Spasticity Ngenxa Yokulimala Komgogodla? Inhloso, Izinketho Zokwelapha Nemiphumela

Ukuphathwa kwe-spasticity ngenxa yokulimala komgogodla kuhilela ukwelashwa okuhlukahlukene ukulawula ukuqina kwemisipha kanye nokuncipha okungazelelwe okuvame ukuthuthuka ngemva kokulimala komgogodla. Lesi simo sithinta abantu abaningi abanolimala emgogodleni, okubangela ukuthi imisipha iqine, ibe lukhuni, noma iqhaqhazele ngokungalindelekile.

Ukuphatha i-spasticity akukhona nje ukuthuthukisa induduzo - kumayelana nokukusiza ukuthi ugcine ukuhamba, uvimbele izinkinga, futhi uthuthukise izinga lakho lempilo. Izindaba ezinhle ukuthi kukhona ukwelashwa okuningi okuphumelelayo, kusukela emithini kuya ekwelashweni ngokomzimba kuya ezinqubweni ezithuthukisiwe.

Iyini i-spasticity ekulimaleni komgogodla?

I-Spasticity yisimo lapho imisipha yakho iba lukhuni ngokungavamile, iqine, noma inciphe ngokungazelelwe ngemva kokulimala komgogodla. Lokhu kwenzeka ngoba ukulimala kuphazamisa ukuxhumana okuvamile phakathi kobuchopho bakho nemisipha, okubangela ukuthi imisipha isabele ngokweqile ekukhuthazeni.

Kucabange njengomugqa wefoni owaphukile - ubuchopho bakho abukwazi ukuthumela kahle imiyalezo ethi

Ngaphandle kwezinkinga zomzimba, i-spasticity engelashwanga ingathinta kakhulu impilo yakho yansuku zonke. Ingaliphazamisa ikhono lakho lokusuka embhedeni liye esihlalweni esinamasondo, ukwenza imisebenzi yokuzinakekela, noma nokulala kamnandi ebusuku.

Nazi izizathu eziyinhloko ezenza odokotela batusa ukuphathwa kwe-spasticity:

• Ukuvimbela ukuqina kwamalunga nokufinyezwa kwemisipha
• Ukunciphisa ubuhlungu nokungakhululeki okuvela kuma-spasms emisipha
• Ukuthuthukisa ukuhamba nokudluliselwa esihlalweni esinamasondo
• Ukuthuthukisa ikhwalithi yokulala ngokunciphisa ama-spasms ebusuku
• Ukugcina ubuqotho besikhumba nokuvimbela izilonda zokucindezela
• Ukusekela ukuzimela emisebenzini yansuku zonke
• Ukunciphisa umthwalo wabanakekeli nezidingo zosizo

Ukwelashwa ngokushesha kuvame ukuholela emiphumeleni engcono, ngakho ukubhekana ne-spasticity ngokushesha ngemuva kokulimala kungasiza ekuvikeleni izinkinga ezingathi sína ngokuhamba kwesikhathi.

Ziyini izinketho zokwelashwa zokuphathwa kwe-spasticity?

Ukuphathwa kwe-spasticity ngokuvamile kuhilela inhlanganisela yezindlela ezenzelwe izidingo zakho ezithile nezimpawu. Ukwelashwa kuvame ukuqala ngezinketho ezingahlaseli futhi kuqhubekele ekuphazanyisweni okuthuthukisiwe uma kudingeka.

Ukwelashwa okuvamile kakhulu komugqa wokuqala kufaka phakathi ukwelashwa ngokomzimba, ukuzivocavoca ukwelula, kanye nemithi yomlomo. Lezi zindlela zivame ukuhlinzeka ngokuphumula okukhulu kwe-spasticity elula kuya kwelivamile ngenkathi zikusiza ukuthi ugcine ukuguquguquka kwemisipha namandla.

Nakhu ukuhlukaniswa kwezigaba eziyinhloko zokwelashwa:

Ukwelashwa okungahlaseli:

• Ukwelashwa ngokomzimba nokuzivocavoca okuhambayo
• Ukwelashwa komsebenzi wamakhono okuphila kwansuku zonke
• Ukushisa nokusebenzisa ukwelashwa okubandayo
• Izindlela zokuvuselela ngogesi
• Izisetshenziswa zokubeka nokubamba
• Ukwelashwa kwamanzi emanzini afudumele

Imithi yomlomo:

• I-Baclofen - umuthi osetshenziswa kakhulu wokukhulula imisipha
• I-Tizanidine - isiza ukunciphisa ithoni yemisipha kanye nokuhlehla kwemisipha
• I-Diazepam - inikeza ukuphumula kwemisipha kanye nokuthulisa
• I-Gabapentin - ekuqaleni yayenzelwe ukuquleka, futhi inciphisa ukuhlehla kwemisipha
• I-Dantrolene - isebenza ngokuqondile emicu yemisipha

Ukwelashwa okuthuthukile:

• Ukujovwa kwe-Botulinum toxin ngokuqina kwemisipha okuthile
• Ipompo ye-intrathecal baclofen ezimweni ezinzima
• Ukuvinjwa kwemizwa kanye ne-neurolysis yamakhemikhali
• Izinqubo zokuhlinzwa ezinjenge-selective dorsal rhizotomy
• Ukuhlinzwa kwamathambo ngenxa yezinkinga ezinzima

Iqembu lakho lezempilo lizosebenza nawe ukuthola inhlanganisela efanele yokwelapha esekelwe ezimpawini zakho ezithile, imigomo, nezidingo zokuphila.

Ungalungela kanjani ukwelashwa kokuphathwa kokuqina kwemisipha?

Ukulungiselela ukwelashwa kokuqina kwemisipha kuqala ngokuqonda amaphethini akho athile kanye nezinto ezibangela. Gcina idayari elula uqaphela ukuthi ukuhlehla kwenzeka nini, ukuthi kunzima kangakanani, nokuthi yini engase ibangele - lolu lwazi lusiza udokotela wakho ukuthi akhethe ukwelashwa okuphumelela kakhulu.

Ukulungiselela kwakho kuzoncika ekutheni iyiphi indlela yokwelapha udokotela wakho ayincomayo. Ngemithi, uzodinga ukuxoxa ngemithi yakho yamanje, izinto ozwelayo kuzo, nanoma yiziphi izinkinga zezinso noma zesibindi ezingase zithinte ukucutshungulwa kwemithi.

Nansi indlela yokulungiselela izinhlobo ezahlukene zokwelapha:

Ukwelashwa ngemithi:

• Bhala yonke imithi yamanje kanye nezithasiselo
• Qaphela noma yiziphi izindlela zokuphendula zangaphambilini emithini yokukhulula imisipha
• Xoxa ngokushayela kanye nokucatshangelwa komsebenzi
• Lungiselela ukulungiswa kwemithamo kancane kancane
• Hlela imiphumela engaba khona engemihle efana nokozela

Ukwelashwa ngemijovo ye-botulinum toxin:

• Gwema imithi yokunciphisa igazi uma kungenzeka
• Yeka ukuthatha ama-antibiotics angase aphazamise
• Lungiselela ezokuthutha ngosuku lwenqubo
• Hlela umsebenzi olinganiselwe amahora angu-24-48

Ngenxa ye-intrathecal baclofen pump:

• Qedela ukuhlolwa okubanzi kwezokwelapha
• Yenza ukuhlolwa kwesilingo ukuqinisekisa ukusebenza kahle
• Lungiselela isikhathi sokululama eside
• Funda ngezidingo zokugcinwa kwe-pump

Ithimba lakho lokunakekelwa kwezempilo lizohlinzeka ngemiyalelo ethile ngokusekelwe ekwelashweni okukhethile, ngakho-ke unganqikazi ukubuza imibuzo mayelana nokuthi yini ongayilindela.

Ungawaqapha kanjani imiphumela yakho yokuphatha i-spasticity?

Ukuqapha ukuphathwa kwakho kwe-spasticity kuhilela ukulandelela kokubili ukuncipha kokuqina kwemisipha nokuthuthuka ekusebenzeni kwakho kwansuku zonke. Udokotela wakho uzosebenzisa izikali ezijwayelekile ukukala izinguquko, kodwa okuhlangenwe nakho kwakho komuntu siqu nokuthuthukiswa kwekhwalithi yempilo kubaluleke kakhulu.

I-Modified Ashworth Scale ivame ukusetshenziselwa ukukala ithoni yemisipha kusuka ku-0 (akukho ukwanda kwethoni) kuya ku-4 (umlenze oqinile). Kodwa-ke, lokhu kulinganisa komtholampilo akuthathi konke - ikhono lakho lokulala kangcono, ukudlulisela kalula, noma ukwenza imisebenzi yansuku zonke ngokuvamile kunikeza ukuqonda okunenjongo enkulu.

Nakhu okuzoqashwa nguwe nethimba lakho lokunakekelwa kwezempilo:

Izilinganiso zomtholampilo:

• Ithoni yemisipha isebenzisa izikali ezijwayelekile
• Ububanzi bokunyakaza emalungeni athintekile
• Ukuvama nobukhulu be-spasms
• Isivinini sokuhamba nokulinganisela (uma kusebenza)
• Amazinga obuhlungu esikalini esingu-0-10

Ukuthuthukiswa okusebenzayo:

• Ubulula bokudluliselwa nokubekwa
• Ukuzimela emisebenzini yansuku zonke
• Ikhwalithi yokulala nobude bayo
• Ukuhamba ngesihlalo esinamasondo nokuzulazula
• Ukuhlanganyela komphakathi nemizwa

Gcina ilogi elula yezimpawu zakho nokuthuthuka - lokhu kusiza udokotela wakho ukuthi alungise ukwelashwa futhi kuqinisekisa ukuthi uthola imiphumela engcono kakhulu ohlelweni lwakho lokuphatha i-spasticity.

Yini izinga elingcono kakhulu lokuphathwa kwe-spasticity?

Izinga elingcono kakhulu lokuphathwa kwe-spasticity linqunywa ngumuntu ngamunye futhi lincike emigomweni yakho ethile, indlela yokuphila, nezidingo zokusebenza. Abanye abantu bayazuza ekugcineni i-spasticity encane ngoba inikeza ithoni yemisipha esiza ekudluliseleni ukuma noma ukuhamba, kanti abanye badinga ukwelashwa okunonya.

Izinga lakho elingcono kakhulu lokuphatha kufanele likuvumele ukuthi wenze imisebenzi yakho yansuku zonke ebaluleke kakhulu ngokunethezeka ngenkathi unciphisa ubuhlungu futhi uvimbela izinkinga. Lokhu kungasho ukunciphisa i-spasticity ngokwanele ukuze ulale ebusuku futhi udlulisele ngokuzimela, kunokuyiqeda ngokuphelele.

Nazi izinto ezibalulekile ezinquma izinga lakho eliphelele lokuphatha:

• Imigomo yakho yokuhamba kanye nezinga lamanje lokusebenza
• Ukuba khona kobuhlungu noma ukungakhululeki okuvela kuma-spasms
• Umgomo wokulala nemisebenzi yansuku zonke
• Ingozi yokuthuthukisa ama-contractures noma izilonda zokucindezela
• Ukulinganisela phakathi kokuncishiswa kwe-spasticity nobuthakathaka bemisipha
• Imiphumela emibi evela emithini noma ekwelashweni

Khumbula ukuthi ukuphathwa kwe-spasticity kuyinqubo eqhubekayo. Izidingo zakho zingashintsha ngokuhamba kwesikhathi njengoba umzimba wakho uzivumela ekulimaleni komgogodla, ngakho ukuhlola njalo nethimba lakho lezempilo kusiza ukuqinisekisa ukuthi ukwelashwa kwakho kuhlala kufanelekile.

Ziyini izici eziyingozi ze-spasticity enkulu?

Izici eziningana zingakhuphula amathuba akho okuthuthukisa i-spasticity enkulu ngemuva kokulimala komgogodla. Ukuqonda lezi zici eziyingozi kukusiza wena nethimba lakho lezempilo ukuthi nilungiselele izinkinga ezingaba khona futhi nisebenzise amasu okuvimbela kusenesikhathi.

Indawo nokuqeda ukulimala komgogodla wakho kudlala indima enkulu ekunqumeni ubukhulu be-spasticity. Ukulimala okuphezulu emgogodleni noma ukulimala okungaphelele okushiya ezinye izixhumanisi zemizwa zivame ukuholela ku-spasticity ekhanyayo.

Nazi izici eziyingozi okufanele uziqaphele:

Izici ezihlobene nokulimala:

• Ukulimala komgogodla okungaphelele okugcina umuzwa
• Ukulimala ezingeni le-cervical noma le-thoracic
• Ukulimala okubangelwa ukuhlukumezeka kunokuba kube yisifo
• Ukuba khona kokuvuvukala noma ukutheleleka okuqhubekayo
• Ukuthuthukiswa kwe-syringomyelia ngemva kokuhlukumezeka

Izinkinga zezokwelapha:

• Ukutheleleka kwendlela yokuchama noma izinkinga zesinye
• Izilonda zokucindezela noma ukulimala kwesikhumba
• Ukuqina kwamathumbu noma ukuqunjelwa
• Ukutheleleka ngamaphaphu noma umkhuhlane wamaphaphu
• I-Deep vein thrombosis noma amahlule egazi

Ukuphila kanye nezinto ezithinta imvelo:

• Ukungeluli okwanele noma ukuzivocavoca kokunyakaza
• Ukubeka kabi noma ukunganyakazi isikhathi eside
• Amazinga okushisa aphezulu kakhulu noma izinguquko zesimo sezulu
• Amazinga okucindezeleka aphezulu noma ukucindezeleka ngokomzwelo
• Imithi ethile engenza i-spasticity ibe yimbi kakhulu

Eziningi zalezi zinto eziyingozi zingalawulwa noma zivinjwe ngokunakekela okufanele, yingakho ukungenelela kwasekuqaleni kanye nokuphathwa okuphelele kokulimala komgogodla kubaluleke kangaka.

Ingabe kungcono ukuba namazinga aphezulu noma aphansi e-spasticity?

Akukho kokubili amazinga aphezulu kakhulu noma aphansi kakhulu e-spasticity alungile - umgomo ukuthola ibhalansi efanele yezidingo zakho zomuntu ngamunye kanye nemigomo yokusebenza. Enye i-spasticity ingaba usizo ngempela, inikeze ithoni yemisipha esiza ngokusabalalisa igazi, ukuminyana kwamathambo, nemisebenzi ethile yokusebenza.

Ukuqedwa okuphelele kwe-spasticity akusona ngaso sonke isikhathi indlela engcono ngoba kungaholela ebuthakathakeni bemisipha kanye ne-flaccidity okwenza ukudluliswa, ukubeka, neminye imisebenzi ibe nzima. Okubalulekile ukunciphisa i-spasticity ngokwanele ukuvimbela izinkinga ngenkathi kugcinwa ithoni yemisipha ewusizo.

Nansi indlela amazinga ahlukene e-spasticity angakuthinta ngayo:

Izinzuzo ze-spasticity emnene:

• Igcina ubukhulu bemisipha kanye nobukhulu bamathambo
• Ithuthukisa ukujikeleza kwegazi futhi inciphise ukuvuvukala
• Inikeza ukuzinza ekudluliseni nasekumeni
• Ingasiza ekuhambeni ekulimaleni okungaphelele
• Inciphisa ingozi yamaqhubu egazi

Izinkinga nge-spasticity enkulu:

• Iphazamisa imisebenzi yansuku zonke nokulala
• Ibanga ubuhlungu nokungakhululeki
• Iholela ekuqineni kwamalunga nokukhubazeka
• Yandisa ingozi yokuwa nezinkinga zokuphepha
• Idala izingozi zokulimala ngenxa yokuma okungajwayelekile

Izinkinga ngaphandle kwe-spasticity (flaccidity):

• Yandisa ingozi yokuncipha kwemisipha nobuthakathaka
• Kwenza ukudluliswa nokuma kube nzima kakhulu
• Inciphisa ukujikeleza kwegazi futhi yandise ukuvuvukala
• Ingase yenze ukulahleka kobukhulu bamathambo kube kubi kakhulu
• Ingase yenze ukuphathwa kwamathumbu nomchamo kube nzima

Iqembu lakho lezempilo lizokusiza ukuthi uthole izinga elingcono kakhulu elithuthukisa umsebenzi wakho ngenkathi kuncishiswa izinkinga nokungakhululeki.

Ziyini izinkinga ezingase zibe khona ze-spasticity engelashwanga?

I-spasticity engelashwanga ingaholela ezinkingeni ezingathi sína zesikhathi eside eziqala ukuba nzima ukuzilungisa ngokuhamba kwesikhathi. Inkinga ekhathazayo kakhulu ukuthuthukiswa kokuqina kwamalunga unomphela, lapho amalunga akho eba aqinile ezindaweni ezigobile noma eziphukile.

Lezi zinkinga azweli ngobusuku obubodwa - zithuthuka kancane kancane njengoba imisipha ihlala ezindaweni ezincishisiwe isikhathi eside. Ukubona nokwelashwa kwasekuqaleni kungavimbela iningi lalezi zinkinga, yingakho ukuqapha njalo kubaluleke kangaka.

Nawa ama-complications amakhulu okufanele uwaqaphele:

Izinkinga ze-Musculoskeletal:

• Ukuqina kwamalunga okukhawulela uhla lokunyakaza unomphela
• Ukufinyezwa kwemisipha nokwanda kokuqina
• Ukulahleka kobukhulu bamathambo ngenxa yokuncishiswa kokuthwala isisindo
• I-Scoliosis noma ukukhubazeka kokugoba komgogodla
• Ukuphuma kwesinqe ngenxa yokungalingani kwemisipha okukhulu

Izinkinga ezingokomsebenzi:

• Ukulahlekelwa ukuzimela emisebenzini yansuku zonke
• Ubunzima bokushintsha isihlalo esinamasondo nokuhamba
• Izinkinga zokuzinakekela kanye nenhlanzeko
• Ukwanda komthwalo wabanakekeli nezidingo zosizo
• Ukuncipha kokubamba iqhaza emisebenzini yomphakathi nokuzijabulisa

Izinkinga zezokwelapha:

• Izilonda zokucindezela ezivela ekubekweni okungajwayelekile
• Ubuhlungu obungapheli nokungakhululeki
• Ukuphazamiseka kokulala nokukhathala
• Izinkinga zokuphefumula ezivela ekushwabeni kwemisipha yesifuba
• Ukutheleleka emgudwini womchamo okuvela ekushwabeni kwesitho somchamo

Izindaba ezinhle ukuthi iningi lalezi zinkinga lingavinjelwa ngokuphathwa okufanele kokushwabana kanye nokunakekelwa kwezokwelapha njalo. Ukungenelela ngokushesha kuyisihluthulelo sokugcina impilo yakho yesikhathi eside nokuzimela.

Ziyini izinkinga ezingaba khona zokwelapha ngokweqile ukushwabana?

Ukwelapha ngokweqile ukushwabana kungadala izinkinga zalo, ikakhulukazi lapho imithi isetshenziswa ngemithamo ephezulu noma lapho ukushwabana kuncishiswa ngendlela enobudlova kakhulu. Inkinga evame kakhulu ukuba buthakathaka kwemisipha okwenza imisebenzi yansuku zonke ibe nzima kakhulu kunalokho eyayinjalo ngokushwabana okuncane.

Ukuthola ibhalansi efanele kudinga ukuqapha ngokucophelela nokulungiswa njalo. Ithimba lakho lezempilo lizosebenza nawe ukukhomba ukwelashwa okuncane okusebenzayo okufeza imigomo yakho ngaphandle kokubangela imiphumela engemihle engathandeki.

Nawa ama-complications amakhulu okwelashwa ngokweqile:

Izinkinga ezihlobene nemithi:

• Ukozela ngokweqile nokukhathala
• Ukuwohloka kwengqondo nokudideka
• Ubuthakathaka bemisipha nokuncipha kwamandla
• Izinkinga zesibindi noma izinso ezivela ekusetshenzisweni kwesikhathi eside
• Ukuncika nezimpawu zokuhoxisa
• Ukusebenzisana neminye imithi

Izinkinga ezingokomsebenzi:

• Ubunzima obukhulu ekuthuthweni nasekuhambeni
• Ingozi enkulu yokuwa ngenxa yobuthakathaka bemisipha
• Ukuncipha kwamandla okusiza ekunakekelweni komuntu siqu
• Ukulahlekelwa yithoni yemisipha enenzuzo yokujikeleza kwegazi
• Ukuvuvukala okukhulu ezingalweni nasemilenzeni

Izinkinga ezihlobene nenqubo:

• Ukutheleleka ezindaweni zokujova noma zamaphampu
• Ukungasebenzi kahle kwemishini ngamaphampu e-baclofen
• Umonakalo wemizwa ngenxa yokujova okuphindaphindiwe
• Izinkinga zokuhlinzwa ezivela ezinqubweni ezinzima
• Ukungezwani komzimba nemithi noma izinto

Ukuqokwa okulandelayo njalo kusiza ithimba lakho lezempilo ukuthi liqaphele lezi zinkinga futhi lilungise uhlelo lwakho lokwelapha njengoba kudingeka ukuze kugcinwe ibhalansi engcono kakhulu.

Kufanele ngibone nini udokotela ngokuphathwa kwe-spasticity?

Kufanele ubone udokotela ngokuphathwa kwe-spasticity uma ukuqina kwemisipha noma ama-spasm ephazamisa imisebenzi yakho yansuku zonke, kubangele ubuhlungu, noma kukuvimbela ukuthi ungalali kahle. Ungalindi kuze kube yilapho i-spasticity iba nzima - ukungenelela ngokushesha kuvame ukuholela emiphumeleni engcono futhi kuvimbele izinkinga.

Uma usuvele uthola ukwelashwa, izimpawu ezithile zokuxwayisa zibonisa ukuthi udinga ukunakekelwa kwezempilo ngokushesha. Lokhu kufaka phakathi ukwanda okungazelelwe kwe-spasticity, ubuhlungu obusha noma obukhulu, noma izimpawu zokutheleleka uma unezinto zokwelapha ezifana namaphampu e-baclofen.

Nakhu lapho kufanele uxhumane khona nomhlinzeki wakho wezempilo:

Ukuhlolwa kokuqala okudingekayo:

• Ama-spasm emisipha aphazamisa ukuthuthwa noma imisebenzi yansuku zonke
• I-Spasticity ibangela ubuhlungu noma ukungakhululeki
• Ukuqwasha kuphazanyiswa ama-spasm emisipha
• Uqaphela amalunga eqina noma kunzima ukuwahambisa
• Ukubeka kuba nzima ngenxa yokuqina kwemisipha

Ukunakekelwa kwezempilo okuphuthumayo okudingekayo:

• Ukwanda okungazelelwe nokukhulu kwe-spasticity
• Ukuqala okusha kobuhlungu obukhulu obunamaspasms
• Izimpawu zokutheleleka (umkhuhlane, ububomvu, ukuvuvukala)
• Imiphumela emibi kakhulu evela emithini
• Ubunzima bokuphefumula obubangelwa yi-spasticity yemisipha yesifuba
• Ukungakwazi ukuhambisa amalunga ayevame ukuba nokuguquguquka okuthile

Ukuqokwa okuvamile kokulandela ukuze:

• Ukulungiswa kwemithi nokuqapha
• Ukuhlolwa kokusebenza kahle kokwelashwa
• Ukuhlolwa kwezinkinga noma imiphumela emibi
• Ukuxoxisana ngezinketho zokwelashwa ezintsha
• Ukugcinwa okuvamile kwemishini yezokwelapha

Khumbula ukuthi ukuphathwa kwe-spasticity kuyinqubo eqhubekayo edinga ukuqapha njalo nokulungiswa ukuze kuqinisekiswe ukuthi uthola imiphumela engcono kakhulu.

Imibuzo evame ukubuzwa mayelana nokuphathwa kwe-spasticity

Q.1 Ingabe ukuphathwa kwe-spasticity kuyasebenza kuzo zonke izinhlobo zokulimala komgogodla?

Ukuphathwa kwe-spasticity kungasebenza ezinhlotsheni eziningi zokulimala komgogodla, nakuba ukwelashwa nemiphumela ethile kuhluka kuye ngokuthi izinga lokulimala kwakho nokuphelela kwakho. Abantu abalimala ngokungaphelele bavame ukuba nezinketho eziningi zokwelashwa ezitholakalayo ngoba bagcina ezinye izixhumanisi zemizwa.

Ukulimala okuphelele kungase kube namaphethini ahlukene e-spasticity aphendula kangcono ekwelashweni okuthile. Ithimba lakho lezempilo lizothuthukisa indlela yomuntu siqu esekelwe ezintweni ezithile zokulimala kwakho kanye nemigomo yokusebenza.

Q.2 Ingabe i-spasticity ephezulu ngaso sonke isikhathi ibangela ukukhubazeka unomphela?

I-spasticity ephezulu ayibangeli ngokuzenzakalelayo ukukhubazeka unomphela, ikakhulukazi uma iphathwa kahle ngokwelashwa okufanele. Ngenkathi i-spasticity engalashwanga engathí sina ingaholela ezinkingeni ezinjengokuqina kwamalunga, ukungenelela kwasekuqaleni kuvame ukuvimbela lezi zinkinga.

Abantu abaningi abanokuqina kwasekuqaleni bagcina ukusebenza kahle nokuzimela ngohlelo olubanzi lokuphatha oluhlanganisa imithi, ukwelashwa, nokuguqulwa kwendlela yokuphila.

Q.3 Ingabe ukuphathwa kokuqina kungasiza ekusebenzeni kwesitho somchamo nesisu?

Yebo, ukuphathwa kokuqina ngezinye izikhathi kungathuthukisa ukusebenza kwesitho somchamo nesisu, ikakhulukazi uma ukuqina kuthinta imisipha ehilelekile kulezi zinqubo. Ukunciphisa ukuqina emgqeni we-pelvic kanye nemisipha yesisu kungasiza ekuhambeni kwamathumbu nasekukhishweni komchamo.

Kodwa-ke, ukungasebenzi kahle kwesitho somchamo nesisu ekulimaleni komgogodla kuvame ukudinga ukwelashwa okukhethekile ngaphandle kokuphathwa kokuqina, ngakho-ke xoxa ngalezi zinkinga ngokuhlukile nethimba lakho lezempilo.

Q.4 Kuthatha isikhathi esingakanani ukubona imiphumela evela ekwelashweni kokuqina?

Isikhathi sokubona imiphumela siyahluka kakhulu ngokuya ngohlobo lokwelashwa. Imithi yomlomo ngokuvamile ibonisa imiphumela phakathi nezinsuku ezimbalwa kuya emavikini, kuyilapho imijovo ye-botulinum toxin ingase ithathe amasonto angu-1-2 ukufinyelela ekusebenzeni okugcwele.

Ukwelashwa ngokomzimba nezinhlelo zokwelula ngokuvamile zidinga amasonto amaningana kuya ezinyangeni zomsebenzi oqhubekayo ngaphambi kokuthi uqaphele ukuthuthuka okukhulu. Ithimba lakho lezempilo lizobeka okulindelekile okungokoqobo ngokusekelwe endleleni yakho yokwelapha ekhethiwe.

Q.5 Ingabe zikhona ezinye izindlela zemvelo zemithi yokuphatha ukuqina?

Yebo, izindlela eziningana zemvelo zingagcwalisa noma ngezinye izikhathi zithathe indawo yemithi yokuqina okuncane kuya kokulingene. Lokhu kufaka phakathi ukuzivocavoca njalo, ukwelashwa ngokushisa, ukubhucungwa, ukwelashwa ngamanzi, kanye nezindlela zokunciphisa ukucindezeleka njengokuzindla noma ukuqeqeshwa kokuphumula.

Ngenkathi lezi zindlela zemvelo zingasiza kakhulu, zivame ukusebenza kahle kakhulu uma zihlanganiswe nezinye izindlela zokwelapha kunokuthi zisetshenziswe zodwa, ikakhulukazi ekuqineni okulingene kuya kokukhulu. Njalo xoxa ngezindlela zemvelo nethimba lakho lezempilo ngaphambi kokwenza izinguquko ohlelweni lwakho lokwelashwa.