Ka kakaretso, ho holofala ho bolela ho fokola ha karolo e le 'ngoe kapa tse ling tsa' mele. Hemiplegia le hemiparesis ke mantsoe a sebelisetsoang ho hlalosa bofokoli ka lehlakoreng le leng la 'mele.
Haeba u e-na le bothata ba bongaka bo entseng hore karolo ea 'mele oa hao e fokolise, u ka ba le lefu la paralyse, paresis, hemiparesis kapa hemiplegia Hemiplegia le hemiparesis ke mantsoe a sebelisetsoang ho hlalosa bofokoli bo amang karolo e' ngoe ea 'mele.
Ka mohlala, hemiplegia e ka ama leoto le letsoho lehlakoreng le leng la 'mele.
Hemiplegia le ho holofala ho bolela hore likarolo tse amehang ke 'mele o fokolang ka ho feletseng, ha hemparesis le paresis li bolela hore likarolo tse amehang tsa' mele li fokola haholo, le hore ho na le matla a mang a motlakase a setseng letsohong kapa leoto le fokolang.
Kakaretso
Lebaka la mokhoa ona oa bofokoli oo hangata o amang karolo ea halofo ea 'mele ke hore boko ba motho le mokokotlo oa mokokotlo ka mong le e mong li na le' li-halves 'tse hlahang ka lehlakoreng le letona le le letšehali. E 'ngoe le e' ngoe ea halves ena e laola tsela ea lehlakoreng le le leng feela la 'mele.
Boko ba motho bo na le sebaka se tsamaeang le motlakase se bitsoang mochine oa motlakase o laolang ho tsamaea. Lehlakoreng le letšehali le le letona la cerebral cortex ka mong le e mong le na le mochine oa motlakase o laolang karolo e fapaneng ea 'mele. Ka mokhoa o ts'oanang, mokokotlo oa mokokotlo o na le sebaka se bitsoang "corticobulbar" e tsamaisang mehato ea 'mele, lehlakoreng le letšehali le laola karolo e le' ngoe ea 'mele le lehlakoreng le letona le laola le leng.
Ka lebaka leo, ho lematsoa ka lehlakoreng le leng la boko kapa mokokotlo o hlahisa hemiplegia e ka morao, ha o ntse a lematsa ka lehlakoreng le leng o hlahisa hemiplegia e nepahetseng.
Ho na le mefuta e sa tšoaneng ea hemiplegia. Li khetholloa e le:
- Karolo e itseng - ho boloka boitsoaro ba mesifa
- Ho feletse - ho sitoa ho tsamaisa mesifa leha e le efe
- Ho laola ha mesifa - ha ho khutle
- Nakoana - taolo ea mesifa e khutla
- Ho fosahala - mesifa e fetoha flabby 'me e ka' na ea senyeha
- Mafuba - mesifa e thata ebile e ka senya
Lisosa
Ho sisinyeha ha mesifa ho laoloa ke matšoao a romelloang 'meleng ka boko le mokokotlo oa mokokotlo. Ha boko kapa tšenyo ea mokokotlo e hlaha, lipontšo ha li khone ho tsamaisa mesifa hore e tsamaee, e leng se fellang ka ho holofala. Maemo a mangata a hemiplegia a hlaha ka lebaka la ho otloa ke stroke.
Lisosa tse ling tsa hemiplegia li kenyeletsa tse latelang:
- Mokokotlo oa mokokotlo oa kotsi
- Matšoafo a boko
- Cerebral palsy
- Molala o robehileng
- Multiple sclerosis
- Etsa likokoana-hloko tse itekanetseng
- Ho kula ha Bell
- Polio
- Muscular Dystrophy
- Spina bifida
- Kotsi ea Brachial plexus
Tsejoa
Tlhahlobo ea hemiplegia e kenyeletsa liteko tse latelang tsa ho nka litšoantšo le mekhoa ea ho hlahloba:
- X-ray
- CT scan
- MRI
- Myelography
- Electromyography (EMG)
- Palo e feletseng ea mali
Mathata
Maemo a bobeli a hemiplegia ke mathata ao u ka bang le 'ona ka lebaka la bofokoli. Ka linako tse ling, mathata ana ha a bonahale hang-hang, 'me a ka' na a hlaha likhoeli ka mor'a hore u lemohe hemiplegia pele.
Tse ling tsa mathata a hemiplegia li kenyelletsa:
- Mathata a senya- incontinence le / kapa ho boloka moriana
- Mathata a ho laola 'mele
- Bohloko
- Tšoaetso e tebileng ea moriana (DVT)
- Autonomic dysreflexia
- Ho tepella maikutlong
- Mathata a ho hema
- Boloetse ba pelo
- Sepsis
- Maqeba a khatello
- Bofetoheli ba mesifa
- Ho ferekana ha mesifa
Litlhare
Ka linako tse ling, matla a mesifa a ka ntlafatsa a le mong. Hemiplegia e ka arabela kalafo. Meriana e meng ea phekolo ea hemiplegia e kenyelletsa:
- Phekolo ea 'mele
Ho ikoetlisa hoa thusa ho boloka manonyeletso le ho fetoha. Mekhoa ea phekolo e entsoeng ka hloko e thibela mesifa ea atrophy le spasticity. Phekolo ea 'mele e boetse e thusa ho thibela mathata a hemiplegia le hemiparesis - a kang lefu la pelo, lefu la tsoekere, lisosa tsa khatello, mafu a thibelang lefu la tšoaetso, mafu a meriana. - Therapy The Occupational Therapy
Ena ke mofuta oa phekolo o lebisitseng ho ithuta ho hlokomela mesebetsi e sebetsang le mesebetsi ea letsatsi le letsatsi, e kang ho itlhokomela.
- Mobility Aids
Lithuso tse tsamaeang ka maoto li kenyeletsa likoloi tsa likooa tsa motlakase le tsa motlakase le likoloi hammoho le li-braces, li-canes le li-walkers. Lithuso tsena li ka u thusa ho phela bophelo bo ikemetseng, bo mafolofolo le haeba u na le hemiparesis kapa hemiplegia. - Theknoloji ea ho thusa
Tšebeliso ea lisebelisoa tse sebelisitsoeng ka lentsoe, lik'homphieutha, lithelefono le lisebelisoa tsa lebone li ntse li fumaneha haholoanyane ebile li ka sebelisoa. - Lisebelisoa tse atlehang
Tšebeliso ea lisebelisoa tse khethehileng tse entsoeng bakeng sa ho khanna, lisebelisoa tsa ho ja, thuso ea bophelo bo botle le botle li ka thusa mesebetsing ea letsatsi le letsatsi.
Lentsoe le Tsoang ho
Hemiplegia le hemiparesis ke maemo a thata ho ikamahanya le maemo, empa ho na le mehato eo u ka e nkang ho etsa hore ho be bonolo ho phela le hemiplegia kapa hemiparesis. Matšoao a kelello a bakang hemiplegia le hemiparesis a tloaelehile, 'me ho na le mehloli e ka u thusang ka ho hlaphoheloa hammoho le lisebelisoa tse ka u thusang ho u thusa ka likarolo tsa bophelo.
> Mehloli:
> Khothatso ea motlakase ea motlakase oa ho tsosolosa motlakase ho Hemiplegia, Knutson JS, Fu MJ, Sheffler LR, Chae J, Phys Med Rehabil Clin N N. 2015 Nov; 26 (4): 729-45