Stroke Effects
Kana uine chirwere chepuroketi, zvinokonzerwa nemarwadzo ako zvinogona kutsungirira kwenguva yakareba mushure mekunge chirwere chako chekutanga chichigadzikana uye mushure mekunge mawana chirwere chakakodzera chekurohwa.
Maitiro ako ekugara kwenguva refu, nenzira dzakawanda, yakafanana neyako yekutanga zviratidzo. Izvo zvinowanzoitika uye zvinogara kwenguva refu zvinokonzerwa nerostro zvakafanana ndezvokuti zvinowanzobatanidza chikamu chakafanana chemuviri kana zvimwe zvakafanana.
Semuenzaniso, ruoko rwako rungave rwusina simba, chiso chako chinogona kubviswa, kutaura kungave kwakagadziriswa, kana kuratidzwa kungave kwakashata. Izvi ndezvokuti kutanga kwezviratidzo zvekurohwa kunofananidzwa nenharaunda yeuropi inokuvadzwa nesitiroko, sekuita zvinogara zvichisara.
Zvisinei, mamwe emigumisiro yekurohwa inogona kutora mwedzi, kana kunyange makore, kukura. Izvozvo zvinowanzovhiringidza zvekurohwa zvinorondedzerwa pasi apa.
> Cherechedzai nzvimbo dzeuropi dzinogona kuve dzakagadziriswa nemuroyo.
Kushaya simba
Kazhinji yenguva, utera hunokonzerwa nekurohwa kunobata rumwe rutivi rwomuviri. Kushaya simba kwerumwe rutivi rwemuviri kunonzi hemiparesis, asi kupera muviri kwakakwana kune rumwe rutivi rwemuviri kunonzi hemiplegia.
Hemiparesis kana hemiplegia mushure mekurohwa kunogona kuchinja chiso, ruoko, kana gumbo kana kusanganiswa kwevatatu. Kazhinji, muparadzi wechirwere anotsungirira kushaya simba kwenguva refu iyo isinganyanyi kuoma kudarika kushayiwa simba kwaakamboita apo chirwere chacho chakanga chiri mukutanga, kunyanya kana kurapwa kwechirwere kwakatangwa nokukurumidza.
Hemiparesis uye hemiplegia inokonzerwa nesitiroko inokuvadza rumwe rutivi rweuropi mune imwe kana kuti kune dzimwe nzvimbo dzinodzora motokari basa.
A cortical stroke , stroke , substortical stroke , kana chirwere chepfungwa chinogona kukonzera hemiplegia kana hemiparesis.
Kuenzanisa Matambudziko kana Chizivo
Vazhinji varosi vanorwara vanoramba vachifunga zvakanyanya, kunyange panguva uye mushure mekurohwa chirwere. Izvi zvinogona kuratidza munzira dzakasiyana-siyana, uye dzinogona kuuya uye dzichienda, asi dhizinesi rinowanzosimbiswa kwemwedzi mitanhatu mushure mekurohwa uye hazviwanzoenderera mberi kuwedzera kuwedzera.
Vamwe vanopukunyuka chirwere vanobva vanyanyisa, vamwe vanonzwa vachinetseka, vamwe vane ruzivo rwemusoro uye vamwe vane manzwiro ekuti imba yacho iri kubuda.
Chirwere munzvimbo ipi zvayo yeuropi inogona kukonzera manzwiro ekuzvinzwa kwakadzikama, asi kushungurudzika kunosanganisira brainstor or cerebellum kunowanzoita kuti muve nechinetso chekuzora uye kushungurudzika kuchengeta kuenzanisa nekubatana.
Kurapa kwepanyama ndiyo nzira yakanakisisa yekurwisana nekushaya simba kwehutano mushure mekurohwa, uye kune huwandu hwekuchengeteka kwepamusha-kwedzimiro yaunogona kuita iwe pachako kuti uwedzere pfungwa yako yekuenzanisa uye kuderedza dambudziko rako.
Chiratidzo Kuchinja
Pane zvakasiyana-siyana zvekuona kuchinja kunogona kuitika kubva kune chirwere, kusanganisira kaviri maonero (diplopia) maziso ekurasikirwa kwenyika (hemianopsia) , kuputika kwemaziso (nystagmus), uye kurasikirwa kwemaonero. Izvi ndizvo zvinonyanya kuonekwa zvinoonekwa mushure mekurohwa, kunyange zvazvo vamwe vanoparara murwere vanorasikirwa nepfungwa mukati mekuona nzvimbo, asi vamwe vanopona murwere vanokanganisa kukwanisa kuona ruvara .
Kuvhiringidzika mune zvakaratidzwa mushure mekurohwa kunogona kuva utano hwakakomba, kukanganisa kutyaira uye kunyange nekuchengeteka kumba.
Matambudziko Ekutaura uye Kutaurirana
Aphasia
Aphasia inotsanangura kunetseka kutaura kana kunzwisisa mazwi nekuda kwechirwere kana kukuvara kweuropi. Apo chirwere chinosanganisira chikamu chinonyanya kumira chechirebral cortex (kazhinji kuruboshwe rworuboshwe) unopona murwere angave nedambudziko rokuumba mazwi (Broca's aphasia) kana kushungurudza mazwi anzwisiso uye mutauro (Wernicke's aphasia.) Kazhinji, munhu anopona chirwere ane Broca's aphasia kana Wernicke's aphasia, uye inowanzosangana nemhando dzose dzeAsiasia, somuenzaniso, kana chirwere ichi chikuru.
Dysarthria
Dysarthria inetso iyo munhu anenge apona musimba asingagoni kutaura zvakananga nekuda kwekushaya simba uye kuderedza kubatana kwemaziso uye mumuromo mushure mushure mekurohwa.
Vakapukunyuka padoroke vane dysarthria havakwanisi kuva nemaharasia, sezvo aya ari maviri akasiyana zvakasiyana-siyana matambudziko ematauriro. Vakawanda vanorwara nechirwere vane dysarthria vanogona kunzwisisa mutauro uye vanogona kushandisa mazwi akakodzera, asi vane dambudziko kuita kuti mazwi avo anzwisiswe nekuda kwematambudziko asina simba kana kuti masimba ekubatanidza matambudziko.
Kuziva Njere
Kugadziriswa kwemafungiro mushure mekurohwa kunosanganisira kuyeuka kwemagetsi, kusangana nekugadzirisa zvinetso, nekuoma kunzwisisa kunzwisisa.
Kuoma kwekugadzirisa kwemafungiro pashure pokunge chirwere chinoparadzaniswa zvakanyanya kubva kune mumwe munhu akapona chirwere kune imwe. Kazhinji, chirwere chikuru chinokonzera kukanganiswa kwakanyanya kwepfungwa kune chirwere chiduku.
Chimwe chinhu chinokonzera kukanganisa kwekufungisisa mushure mekurohwa kwechirwere ndechekuti muparadzi wepuroke aiva nematambudziko ekufungisisa vasati vasvika.
Munhu akanga ane chirwere chemangwana chekare kana kuti akanga asingazivikanwi nechikonzero chero chipi nechipi asati aita chirwere chiri pangozi yakakura yekutambura kubva pakukanganisa kwakanyanya kwekuziva shure kwekurohwa.
Vamwe vanopona nechirwere vane chirwere chakakomba chema-dementi-sechiratidzo kana mushure mekurohwa, asi iyo ndiyo inowanzoguma yekuvakwa kwekukuvadza kubva kune zvikwata zvakasiyana, pane kungova kamwe chete.
Zvakawanda Matambudziko / Kusateerera Rimwe Rutivi rweMutumbi
Kuregererwa kweimwe rutivi rwezvakatipoteredza uye kukwanisa kuderedzwa kwekuona rumwe rutivi rwemuviri kunonzi kurega kutadza . Izvi zvinokonzerwa nekurohwa kwekodzero yakakosha yekodeti.
Hemispatial kusava nehanya kunokonzera mupukunyuka wepuroke kuti ave nechinetso kuwirirana nemumwe rutivi rwezvakatipoteredza uye dzimwe nguva kunyange kuziva rumwe rutivi rwemuviri wake. Kakawanda, vakapona vasara vanove vasina hanya nehana havazivi zvachose kuti vane chirwere.
Maitiro ekuchinja
Mushure mekurohwa, maitiro matsva angasanganisira kusava nekudzivirira, izvo zvinoreva kuti vanhu vanogona kuzvibata zvisina kunaka kana semwana mushure mekurohwa. Zvimwe zvinoshandiswa mukuzvibata zvinosanganisira kusava nekunzwira tsitsi , kurasikirwa nekunakidzwa , godo risina hanya , uye kutsamwa.
Kushungurudzika Kwepfungwa
Vanhu vazhinji vanonzwa kusuruvara uye kuora mwoyo mushure mekurohwa. Ichi chigumisiro chekuchinja kwemuviri muuropi iyo inopindirana nesitiroko.
Asi kune dzimwe humwe humwe humwe humwe humwe humwe humwe humwe humwe hunochinja hunoitika mumamiriro ezvinhu mutsva uyo anopona musikana anofanira kutarisana nawo, zvakadai sekusuwa uye kungst pamusoro pekuremara kunokonzerwa nekurohwa. Kunyange zvazvo kuora mwoyo ndiyo inonyanya kufarira mafungiro mushure mekurohwa, vamwe vanopona chirwere vanoonawo kufunganya, kutsamwa, kana kuora mwoyo.
Pain
Vanenge makumi matanhatu kusvika ku70 kubva muzana kubva kune avo vanopwanyiwa nesitiroko vanonzwa kurwadziwa kwekutanga kutsva mushure mekurohwa. Post painstroke pain zvinogona kusanganisira kurwadziwa kwemasumbu, kurwadziwa kwepiso, maziso, kuchema kwepamusoro, uye kurwadziwa kwemutsipa. Kurapa kwepasipo kurwadziwa kunosanganisira kupora, kuporesa muviri, nemishonga. Post stroke misoro inoda kunyatsotarisirwa kubva kuna chiremba wenyu, asi vanogona kuvandudza nekurapa kwakakodzera.
Kuneta uye Matambudziko Okurara
Vakawanda vanorwara nechirwere vanonzwa zvimwe zvekutya. Izvi zvinogona kuratidza sokurara zvakanyanya kana kuti kuneta nekushaya kukwanisa kuwana zororo zvakakwana.
Pamwe nhoroondo yakabatana, kurara kwehope dzakadai sekumuka pakati peusiku, kuva nekutambudzika kurara hope, dambudziko kuramba wakarara, uye kurara zvishoma nezvishoma zuva iroro rose zvakajairika mushure mekurohwa. Zvinetso izvi zvinowedzera kuwedzera kuneta shure kwekurohwa.
Kusiyana nedzimwe dzakawanda zvinokonzerwa nemigumisiro yakashata, kuvhiringidzika kwekurara hakusi netsika yekuvandudza ivo pachavo. Kana iwe ukabatwa nehope matambudziko mushure mekurohwa, unofanirwa kukurukura zviratidzo zvako nechiremba wako.
Kugadzirisa Matambudziko
Inenge hafu yevakasara varosi vanoona mamwe matambudziko nekucheka uye kumedza kudya.
Kutaura uye kukanganisa kuongorora kunogona kujekesa kumedza matambudziko mushure mekurohwa . Kunyange zvazvo zvingasaita sedambudziko guru, kumedza matambudziko, chaizvoizvo, kune ngozi zvikuru. Kuvhiringidza kunokonzerwa nekurohwa-kunokonzera musimba utera kunogona kukonzera chirwere chakakomba, zvakadai sekutsvaga pneumonia kana kunyange kutengesa kupisa zvinetso zvekufema.
Trouble With Urination
Mushure mekurohwa, vazhinji vanopona muronda vanonzwa kusagadzikana, kuri kuitika kana iwe usingadi. Vamwe vanopukunyuka chirwere vanoonawo chigamba chekuchengetedza, izvo kusakwanisa kurinha kana uchida. Zvose izvi zvinetso hazvisi nyore uye zvinonyadzisa, asi zvinogona kutarisirwa nemishonga.
Muscle Atrophy
Mushure mekurohwa, masimba asina simba anogona kunge asina simba zvokuti haugoni kuzvishandisa zvachose. Kana mishonga isisashandiswi kwenguva yakareba, inogona kuderera, ichiita zviduku, kurasikirwa chaiyo yemaviri nemutinhi. Zvinosuruvarisa, kusvibiswa kwemafupa kunokonzera kukura kweutsi hweutera.
Zvakaoma kupora kubva pamusana, asi nzira yekuvandudza inogona kubatsira kuvandudza mamiriro ezvinhu uye nekukurumidza kuvaka musumbu. Zviri nani kudzivirira musero inrophy kuburikidza ne-pre-emptive post stroke rehabilitation nzira dzinosanganisa mitsipa dzisina kusimba vasati dzanyura.
Tsvina Tsvina
Dzimwe nguva uturu hwakasvibira hunooma uye hunoomesa mushure mekurohwa, zvichida kunyange kuzvidzora pachavo. Tsvina yekusavaraidza inowanzova inorwadza, nekurwadziwa kunotenderera kumativi ematumbo uye kusanganisira misidyo yepamusoro zvakare. Tsvina yekunyengedza uye kusagadzikana kunokonzera kuderedzwa kwemotokari yekudzivirira kwematomu anenge atoora.
Tsvina yekunyengera inogona kudzivirirwa nekushanda post post stroke rehabilitation. Kana musimba spasticity inokura mushure mekurohwa, kune huwandu hwehutano hwakanaka hunogona kushandiswa kudzora zviratidzo, asi mishonga haigadziri zvakakwana kupararira.
Kugumburwa
Mushure mekurohwa kwekoriki, vazhinji vanenge 30 kusvika ku50 kubva muzana yevakasara vanorwara nechisimba vanowira. Izvi ndezvokuti kana chirwere chinonzi cerebral cortex chichikuvadzwa mushure mekurohwa kwechirwere, iyi nzvimbo yeruropi inogona kutanga kubudisa basa rakawandisa remagetsi, zvichiita kubatwa.
Dzimwe nguva, kubatwa nekudzivirira chikamu chikamu chepurogiramu yekuchengetedza chirwere chepamusoro kana pane ngozi yakawanda yekugumburwa kwemashure . Vamwe vanorwara nechisimba vanowanzopera makore mushure mekurohwa kwechirwere mumamiriro ezvinhu ehutachiona hunosuruvarisa, zvakadai sekuvhiyiwa kana chirwere chikuru. Kurwadziwa kwepasipo-kupera kunogona kutarisirwa nemishonga.
Shoko Rinobva
Migumisiro yekurohwa yakazara. Zvakakosha kuziva kuti, asi dzimwe sitiroko dzakadai se hemiplegia uye kurasikirwa kwezviratidzo zvinotarisirwa, zvimwe zvinokonzera kushungurudzika zvakadai sekurwadziwa, dutu, uye kushungurudza kunetseka kunofanirwawo kukubatsira kuti urarame hupenyu huri nani iwe unogona kubva paunenge uchitora kubva pamakumbo ako .
> Sources:
> Mohd Zulkifly MF, Ghazali SE, Che Din N, Singh DK, Subramaniam P. Ongororo Yezvinhu Zvinokuvadza Zvokushaya Njere muStroke Survivors. Scientific World Journal . 2016; 2016: 3456943.
> Oh H, Seo W. Kuongorora Kwakakwana kweCentral-Stroke Pain. Pain Management Nursing . 2015; 16 (5): 804-18.