Muzhinji, kupora muviri kunoreva kusava nesimba kweimwe kana zvimwe zvikamu zvemuviri. Hemiplegia uye hemiparesis ndiwo mazwi anoshandiswa kurondedzera kusimba kune rumwe rutivi rwemuviri.
Kana uine chirwere chekurapa chakaita kuti chikamu chemuviri wako chive chakakosha, iwe unogona kunge uine chirwere chekushaya muviri, paresis, hemiparesis kana hemiplegia Hemiplegia uye hemiparesis ndiyo mazwi anoshandiswa kurondedzera utera hunobata rumwe rutivi rwemuviri.
Somuenzaniso, hemiplegia inogona kukanganisa gumbo uye ruoko kune rumwe rutivi rwemuviri.
Hemiplegia uye kupora muviri zvinoreva kuti nhengo dzakagadzikana iyo muviri inenge isina simba, asi hemparesis uye paresis zvinoreva kuti nhengo dzakaputika dzomuviri dzinenge dzisina simba, uye kuti pane mamwe magetsi anoramba akasimba muruoko rwakakosha kana gumbo.
Overview
Chikonzero chemuenzaniso uyu wekushaya simba chinowanzokonzera hafu yemuviri ndechokuti uropi hwomunhu nemutsara wepelinha mumwe nomumwe ane 2 zvakafanana kuoneka 'halves' kurudyi uye kuruboshwe. Chimwe nechimwe chezvikamu izvi chinodzora kufamba kwechikamu chimwechete chemuviri.
Uropi hwemunhu huine nzvimbo yemotokari inonzi motokari inotungamirira kufamba. Rutivi rworuboshwe uye rworudyi rwebumbiro remakumbo rimwe nerimwe rine motokari inodzora rutivi rwakasiyana rwemuviri. Saizvozvowo, rwonzi rwomukona rine nzvimbo inonzi corticobulbar tract iyo inodzora kufamba kwenyama, nerutivi rworuboshwe runodzora rumwe rutivi rwemuviri uye rutivi rworudyi ruchidzora rumwe.
Nokudaro, kukuvadzwa kune rumwe rutivi rweuropi kana musipinha unogadzira kuruboshwe rwehemiplegia, uye nekukuvadza kuno rumwe rutivi kunobudisa hemiplegia yakarurama.
Kune kusiyana kwakasiyana-siyana kwehemiplegia. Ivo vanosarudzwa se:
- Kusarura - kuchengetedza zvimwe kutonga kwemisungo
- Kukwana - kusakwanisa kutamisa chero musungo
- Kusingaperi - kutonga kwemashure hakudzoki
- Yenguva pfupi - mamwe masimba ekudzoka anodzoka
- Chikafu - misungo inenge iine flabby uye inogona kupera
- Kupisa - misungo yakaoma uye inogona kupera
Zvinokonzera
Kutenderera kwemasumbu kunodzorwa nemirairo inotumirwa mumuviri neuropi uye musipinha. Apo uropi kana kukanganisa kwemumumvu kunoitika, zviratidzo hazvikwanise kutungamirira mishonga kuti iende, zvichiguma nekuora mitezo. Kazhinji zviitiko zve hemiplegia zvinoitika semugumisiro wesitiroko.
Zvimwe zvinokonzera hemiplegia zvinosanganisira zvinotevera:
- Mutsipa wenzara unokuvadza
- Uturu hwebongo
- Cerebral palsy
- Broken neck
- Multiple sclerosis
- Zvirwere zvinodzivirira
- Bhero yakaora mwoyo
- Polio
- Muscular Dystrophy
- Spina bifida
- Brachial plexus kukuvara
Kuziva
Kuongorora kwehemiplegia kunosanganisira zviitiko zvekufungidzira zvinotevera uye kuongororwa:
- X-ray
- CT scan
- MRI
- Myelography
- Electromyography (EMG)
- Kuzara ropa kuverenga
Matambudziko
Secondary conditions ye hemiplegia matambudziko iwe unogona kuonekwa semubairo wehutera. Dzimwe nguva, zvinetso izvi hazvionekwi pakarepo, uye zvinogona kukura mwedzi mushure mekunge iwe uchitanga kuona hemiplegia.
Zvimwe zvezvinetso zve hemiplegia zvinosanganisira:
- Matambudziko emukaka- incontinence uye / kana kuchengetedza urinary
- Matambudziko ekudzivirira maronda
- Pain
- Deep vein thrombosis (DVT)
- Autonomic dysreflexia
- Kuora mwoyo
- Zvirwere zvekuporesa
- Chirwere chemoyo
- Sepsis
- Kushushikana maronda
- Tsvina tsvina
- Muscle atrophy
Mishonga
Dzimwe nguva, simba remusimba rinogona kuvandudzwa pacharo. Hemiplegia inogona kupindura kurapwa. Mimwe mishonga ye hemiplegia inosanganisira:
- Therapy Therapy
Kudzidzira muviri kunobatsira kuchengeta manotsi uye kushanduka. Kunyatsogadzirirwa kurapwa kwemaitiro kunodzivirira muscle atrophy uye kupera. Kurapa kwepanyama kunobatsira kudzivirira zvinetso zve hemiplegia uye hemiparesis - zvakadai sechirwere chepfungwa, chirwere cheshuga, zvirwere zvinomanikidzwa, zvirwere zvinokanganisa zvirwere, zvirwere zvekuvhenekera. - Occupational Therapy
Uyu ndiwo mhando yerapi inotarisa pakudzidza maitiro ekutarisira mabasa anoshanda uye mabasa ezuva nezuva, sekuzvitarisira.
- Mobility Aids
Kubatsira kunosanganisira mabhuku uye magetsi nemagetsi uye scooters pamwe nesimbi, makumbo uye kufamba. Aya mazano anogona kukubatsira kutungamira hupenyu hwekuzvimirira, hunoshanda kunyange uine hemiparesis kana hemiplegia. - Assistive Technology
Kushandisa kwemazwi-akashandiswa, makombiyuta, terefoni uye magetsi matsva zviri kuwanikwa zviripo uye zvinobatsira kushandisa. - Adaptive Equipment
Kushandiswa kwezvinhu zvakagadzirwa zvakagadzirirwa zvekutyaira, kudya midziyo, utano hwehutano uye hutano hunogona kubatsira mumazuva anoita mabasa ezuva.
Shoko Rinobva
Hemiplegia uye hemiparesis mamiriro ezvinhu akaoma kugadzirisa, asi kune matanho aungatora kuti uite ne hemiplegia kana hemiparesis nyore. Neurological zvirwere zvinokonzera hemiplegia ne hemiparesis hazvisi zvisiri zvisizvo, uye pane zvinhu zvinogona kukubatsira kuburikidza nekudzoka kwako pamwe nemari inogona kupa rubatsiro mukukubatsira iwe nehutano hwehupenyu.
> Sources:
> Neuromuscular Electrical Stimulation for Motor Restoration muHemiplegia, Knutson JS, Fu MJ, Sheffler LR, Chae J, Phys Med Rehabil Clin N Am. 2015 Nov; 26 (4): 729-45