Ukunyamekela kwezigulane emva kwesifo. Ukubuyiselwa emva kokuhlaselwa

Enye yeemeko ezinzima kakhulu kwi-neurology iyingozi. Yintoni, yintoni imiphumo yayo kunye nendlela yokunceda izigulane eziye zabuhlungu?

Yintoni i-stroke?

I-Stroke ngoku iqondwa njengengxaki ephawulekayo yokusabalalisa i-cerebral, eqhubekela phambili ngenxa ye-thrombosis okanye ukunciphisa imitya ye-cerebral.

Kukho iintlobo ezimbini eziphambili zesifo-isifo esiqhekezayo kunye nesichemicic.

Isibetho esingaqhelekanga sibonakaliswa ngumonakalo kwiingxube zeengqondo. Ikhula ngokukhawuleza. Ngokuqhelekileyo, imbangela yokuphuhliswa kwayo yingozi. Kubonakala ngokuqala ngokukhawuleza, ukulahlekelwa ngokukhawuleza kokuqonda. Isixa semonakalo kwisisu seengqondo sixhomekeke kubukhulu begazi (ngokukhawuleza ukuphuma kwegazi kuphelile, kulungele ukuhlaselwa).

I-Ischemic stroke, kwakhona, ikhula ngokuthe ngcembe, malunga nemvelaphi ye-atherosclerosis yemitya ye-cerebral kunye nesifo senhliziyo yesichemicic. Ihamba ngokugqithiseleyo kunokuba ifom.

Ixesha lokubuyiselwa emva kokuqhwala kunzima kumguli. Ukuba awunamniki unonophelo olufanelekileyo, umngcipheko wokungonakali okungahlawulwanga kuyo yonke imisebenzi yomzimba wesigulane uphezulu.

Ukubuyiselwa emva kokuhlaselwa

Njengoko uyazi, kungakhathaliseki ukuba kunzima kangakanani ukunyamezela, ukunyamekela kakuhle isigulane kukho ukubuyisela ngokugcwele ubomi bomguli kunye nokubuyela kwayo kummandla woluntu.

Okubaluleke kakhulu kweli xesha kukugcinwa kwemithetho ethile, imigaqo kunye nemimiselo yokuthetha nesigulane.

Okokuqala, kufuneka kukhunjulwe ingqalelo ukuba yintoni isifo esiye senziwa ngabantu kwaye yiyiphi inxalenye yengqondo eyonakalisiwe, kuba iklinikhi yezilonda ze-hemispheres ezahlukileyo ziyahlukana.

Kufuneka kukhunjulwe ukuba yonke imisebenzi kunye nokuzivocavoca kufuneka kwenziwe ngokuqhubekayo, ngokwendlela isicwangciso esenziwe. Kuphela ke kuya kunakekela abagulayo emva kokuba uhlangothi lube luphelele kwaye luvumele ixhoba ukuba libuyele ezinyaweni zayo ngokukhawuleza.

Kufuneka ihlale ikhunjulwa ukuba unyango lwe-stroke aluyilo olunye usuku kwaye aluyiyo iveki inkqubo; Unyango oluqhubekayo nolungileyo luya kusebenza kwaye lukhokelela ekubuyiseni okufanelekileyo.

Ukusetyenziswa kweziyobisi

Ukunyangwa kweziyobisi emva kokuphazamiseka kutyunjwe kakade kwiinkathalo ezinzulu. Ukuchaneka nokuchaneka kokulawulwa kwamanyathelo kwenza ukuba kunokwenzeka ukurhoxisa isigulane kwi-coma kwaye kunciphise indawo yesilonda xa kunesihlungu esichukumisayo (kunye ne-stroke ischemic - ukubuyisela ukusabalalisa kwe-cerebral).

Emva kokudluliselwa kwesigulane kwisebe, unikezelwa unyango lwezonyango, oluvumela ukudibanisa iziphumo eziphunyeziweyo. Ukunyamekela kufuneka kuthathwe ukuba kuqinisekiswe ukuba isigulane sithatha onke amayeza anikezelwe kuye. Ukuba akakwazi ukuzithatha, ufanele ukumnceda kule (ngamanye amaxesha uncedise intloko yakhe, ncedise ukugwinya, uyichitha i-tablet kwi powdery state).

Unyango emva kokubetha ekhaya kuqala emva kokukhutshwa. Uncedo kwixhoba kufuneka lifane nesibhedlele (inkxaso isigulane, uyifake, sisebenzise amanzi). Akunakufaneka ukuba ungavumeli isiguli ukuba siphumelele iyeza.

Ukunikezelwa kwamandla

Le nto yinto ebaluleke kakhulu kwixesha xa kukho ukulungiswa okusebenzayo emva kokuphazamiseka.

Kufuneka kukhunjulwe ukuba ngenxa yezifo eziphuhlisiwe, ezininzi izigulane zilahlekelwa amandla okuzimela. Kufuneka bazincede ngokunyanisekileyo ekudleni (kumanyathelo okuqala okugcina iplate kunye nekhapuni, ukuthintela ukukhwa kwezigulane). Kamva, xa sele esenokuzama ukuzisebenzela ngokwakhe, kuyimfuneko ukubeka esweni indlela isigulane esidla ngayo kwaye, ukuba kuyimfuneko, uyamnceda.

Izigulane emva kwesibalo sidinga ukutya okunempilo. Ukutya komntu kufuneka kugcwaliswe imifuno neziqhamo, inyama. Ngaloo ndlela kuphela ukubuyiswa kweyona ndawo echaphazelekayo yengqondo.

Ukususela ekusebenziseni kwansuku zonke, zonke iimveliso ezinyukisayo uxinzelelo lwegazi, kunye ne-acute, ukutshaya, kufuneka zifakwe ngaphandle. Musa ukugulisa izigulane ngeemveliso ezininzi, ekubeni umngcipheko wokungena kwiphepha lokuphefumula liphezulu.

Ukuthintela izifo ezithathelwanayo

Njengoko kuyaziwa, izigulane ezihamba phambili zihlelwe zizinzima kwaye zisengozini yokuphuhlisa izifo ezithathelwanayo. Kwizigulane ezinjalo, iindawo zokulala zivame ukubonakala - indawo zendawo zokuvuvukala kunye ne-necrosis. Ngokukodwa kwimeko xa isigulane ixesha elide sisendaweni enye. Ngenxa yalokhu, ukuguqulwa kwegazi kunye ne-lymph kwenzeka kwiindawo ze-bony protuberances, ezikhokelela ekuhlaleni, ukusuleleka kunye ne-necrosis.

Ukunyamekela izigulane emva kokuphazamiseka kule meko kufuneka kuqulethe ukucima ukucoceka kwansuku zonke (ukuba kunokwenzeka - usebenzisa ibhafu okanye ishafu). Umbhede wesigulane unconywa ukuba utshintshwe rhoqo ngangokunokwenzeka, ungavumeli ukwakha imibimbi kuyo. Emva kwesidlo ngasinye, kuyinqweneleka ukuwugubha ukuze ususe iimvumba eziwileyo.

Enye inkxalabo eqhelekileyo kwizigulane ezigqithiseleyo yi-pneumonia. Ukuthintela ukuphuhliswa kwayo, kucetyiswa ukuba ugweme i-hypothermia yezigulane (kunye nokugqithisa). Uphulo lwangaphakathi lwegumbi luboniswa, kucoca ngokucokisekileyo. Ngenjongo yokuthintela, unokucela ugqirha ukuba unikwe imithi ye-antibiotics okanye yomlomo.

Ukubuyiselwa kwemisebenzi yemoto

Eli qela lamanyathelo lonyulwe xa kwenzeka ukuba kukho izifo ezihambayo.

Ukunyamekela izigulane emva kokuphazamiseka okunzima ngokuphulwa kwemisebenzi yemilenze, kubandakanya uncedo ekuphuhlisweni kwezandla kunye neenyawo ezilimele, ukubuyiswa kwenani elipheleleyo lokunyakaza okusebenzayo.

Kwinqanaba lokuqala lomguli, bafundiswa ukugcina izinto. Ngokuhamba kwexesha, kunokwenzeka ukuba usebenze ngezakhono eziphambili zezithuthi (ukuhluma iintsimbi okanye izitshixo, ukuvula ukuvala).

Akusoloko kunokwenzeka ukubuyisela ukuhamba ngokupheleleyo. Nangona kunjalo, zonke iinzame kufuneka zenzelwe ukubuyisela isigulane kuluntu.

Ukuba iziphumo ezingezantsi zachaphazeleka, ukubuyiswa emva kokuqhaqhaqeka kuqala ngamanyathelo okuqeqesha. Kungcono ukuchitha ulala embhedeni.

Qalisa ukuqeqeshwa ngamanyathelo athile. Emva kwexesha, xa isigulane sikwazi "ukulala embhedeni", ukuba ayikwazi ukuhlala, simncede ukuba aphakamise, kwaye uqeqesho oluqhubekayo uhlala ehleli.

Intetho yokwakhiwa kwakhona

Ngokuqhelekileyo, izigulane ezine-stroke zinenkinga yokuthetha. Ziyakwazi ukuba zingabalulekanga (ukuphulaphula okanye ukugwinya iileta), kwaye ukucima ngokupheleleyo isigulane senkulumo (kuze kubekho ukupapashwa kwezandi zomntu ngamnye).

Ngakolunye uhlangothi, isigulane asikwazi ukuba yintoni ekuthethwa kuyo, ebhaliweyo kwiphepha lephepha. Kule meko, kukho i-aphasia ye-senssia, ukuba ihlangabezane nento ebenzima kakhulu kunokuba kukho ukukhubazeka kwentetho.

Ukubuyiselwa emva kokuphazamiseka kunye nokulahlekelwa kwentetho kuqale ngokuthetha nesigulane. Ukuba isiguli siyayiqonda into ayitsheliweyo, unokuzama ukuziphendulela okanye ukuvelisa amagama afanayo. Nangona kunjalo, xa uvavanyo lwe-aphasia luphuhliswa, isigulane kufuneka sifundiswe yonke into ngokutsha-ukuchazela iileta ze-alfabeti, ukubonisa indlela ebhaliweyo ngayo.

Ngokuhamba kwexesha, intetho emva kokubethelwa kuya kuhamba ngokukhawuleza. Into ephambili ayiyikuyeka ukuzama nokunyamezela kude kube sekupheleni.

Izifo zengqondo

Ngelishwa, abantu abaninzi abaye bahlaselwa sisifo sengozi basengozini yokuphuhlisa le ngxaki. Emva koko, nasiphi na isifo sokunyamezela komntu, kodwa apha kukho phantse ukuvalwa komntu ovela kuluntu. Ngokuchasene nale mvelaphi, izigulane ezininzi eziyazi imeko yazo zivalelwe ngokwabo, zikhuselekile kwiintsapho ezifuna ukubanceda.

Zonke ezi zichaphazela kakubi unyango oluqhubekayo kwaye zikhokelela ekulibazisekeni ekunyangeni okupheleleyo.

Kule meko, ukubuyiselwa emva kokubetha kufuneka kudibaniswe nokuthetha okusebenzayo nesigulane. Kubalulekile ukumxelela ngenye into into evuyisayo, uncede ukuphazamisa. Kuphela ke umntu uyayeka ukuvalelwa kuye, ebona ukuba umntu uyamfuna. Ukuphucula isimo sakhe sengqondo, kunomdla ebomini.

Ungazami ukuphakamisa isimo sengqondo somgulane - kukho umngcipheko wexinzelelo olusemva kweyeza. Kulula kakhulu ukubonisa isigulane sokuba uyanyamekelwa, uyathandwa, kwaye emva koko umntu uza kubuyiselwa emva kokuxabana.

Iingxaki zeentsholongwane

Imivimbo emininzi ihamba kunye nokuphulwa kobuthathaka kwizitho ezichaphazelekayo. Ngamanye amaxesha kukho ukunciphisa ubunzima beentlungu; I-Anesthesia (ukuphelisa ukuphazamiseka kwengqondo) kunye ne-paresthesia (ukuvakalelwa kwe-chills okanye i-chills) ingaqatshelwa kangangoko.

Kule meko, ukulungiswa emva kokuphazamiseka kungabalulekanga, kwaye ukuphulwa okubonakalayo kubalulekile ukuhlala ubomi bakho bonke. Ukuze ukwandise uvakalelo, i-physiotherapy iphakanyiswa - isibane "se Bioptron", iindandatho eziphazamisayo. Kwezinye iimeko kwakukho ukubuyiswa kobubele (ukuba isilonda engqondweni ayizange ikhulu).

Ngamanye amaxesha, iingcamango zentsholongwane zingabonakala (umzekelo, ingcamango yokubamba ekhoyo kwiintsana ngaphambi kweenyanga ezi-4-5, akufanele ibonakale kumntu omdala). Ukuba uqaphela ukuba isandla sesigulane emva kokuba uhlangothi luqala ukuphazamiseka xa uluchukumisa, kufuneka ulinde ixesha elithile (i-reflex ingase iphele emva kokuba unyango) okanye uthintane ne-neurologist. Ngamanye amaxesha le ngcamango ingahlala ixesha lokuphila.

Ukuqeqeshwa ngokomzimba

Ukubuyisela umsebenzi we-muscle ngokukhawuleza emva kokuba ixesha elidlulileyo lidlulileyo kwaye isiguli sele sasiqalisile ukuvuka size sihlale phantsi ngokuzimeleyo, kuqhutywe imithi ekhethekileyo emva kokuphazamiseka.

I-Physiotherapy ibandakanya i-gymnastics (iguquguquka kwaye iwandise iingalo nemilenze, ifudumise iminwe, izama ukukhenkcela okanye ukunyathela imibala encinci) kunye nokuxuba.

Isenzo esikhethekileyo sisilungisa sokubuyisela. Kunconywa ukuqhuba imihla ngemihla, ukuqala kwipheriphery of the leg and rising to the trunk. Ikuvumela ukuba ubuyisele ukujikeleza kwegazi kwilungu elichaphazelekayo, ubuyisele ithoni ye-muscle yangaphambili.

Kukulungele ukwenza ukuzilolonga kunye nesigulane eselwandle. Amanzi anceda ukunciphisa umthwalo ochaphazela izitho ezichaphazelekayo, okubangelwa ukubuyiswa kwemoto emva kokuphazamiseka kwenzeka ngokukhawuleza.

Emva kokwenza iimvavanyo, sincoma ukuhlamba okuphumayo kunye ne-hypnotherapy.

Unyango kumaziko okuvuselela

Naluphi na unyango olungcono kwizibhedlele, nakwinkathalo yasekhaya, izigulane zilungele ukufumana emva kokuphazamiseka kwiindawo ezizodwa.

Uninzi lweengxaki ze-neurologists zincoma ngokukhawuleza emva kokukhupha esibhedlele ukuze zithumele isigulane kwiziko lokubuyisela. Emva kokuphazamiseka, inyanga yokuqala ibaluleke kakhulu, kuba kulo xesha liyakwazi ukubuyisela umsebenzi wesigulane kunye neliphi unyango olukhethiweyo.

Kukhona apho iingcali ezifanelekileyo kwiindawo zokuvuselela zihlanganisene, ngubani oza kunceda ukwenza inkqubo yonyango ngokufanelekileyo nokufezekisa umphumo ophezulu kunyango.

Inhlanganisela efanelekileyo yenkxaso yezokwelapha, umzimba kunye ne-physiotherapy ikuvumela ukuba ufake isigulane kwiinyawo zayo ngexesha elifutshane kakhulu.

Ukunyamekela izigulane emva kokuphazamiseka kula maziko kuqhutywe ngehora. Isigulane ngasinye sinikezelwa ngumongikazi omnyamekelayo aze ahlolisise impilo yakhe.

Ulungelelwano lwezentlalo kunye noluntu

Ngelishwa, ngokuphindaphindiweyo emva kokubetha, izakhono zomntu zilahlekile. Le meko inokukhutshwa ngokuzama ukuqhubela phambili umsebenzi womsebenzi wesigulane. Ukuba ayikwazi ukubuyiswa, umntu unikezelwa iqela lokukhubazeka (ngokuqhelekileyo lesithathu). Oku kusebenza kwizakhono ezizodwa (umzekelo, akukhuthazwa ukuba ubuyele emsebenzini kumagqirha-ngakumbi i-neurosurgeons, i-turners, i-jewelers). Ngethuba elifanayo, ukukwazi ukusebenza kunye kunye nokuzinzela inkonzo kungagcinwa.

Ukuba izakhono zabasebenzi jikelele zilahlekile, isigulane sinokufaka isicelo kwiqela 2.

Ukuba ulahlekelwa amandla okuzenzela umntu, kufuneka uqhotyoshele umongikazi. Kule meko, ukuvuselelwa emva kokuhlaselwa kwesifo kuqhubeka ubomi. Ukongezelela, i-1 iqela lokukhubazeka lisekwe (oko kukuthi, kubonwa ukuba umntu akafanekanga ukuba abe khona kuluntu kwaye ufuna umncedisi).

Kuphi ukunyanga isigulane emva kwesifo?

Kubantu abaninzi, ukunyamezela isigulane esithotywe yinto enzima kakhulu. Akuyena wonke umntu olungele ukunyamekela umntu ogula kakhulu, ngenxa yokuba le ndlela yonke ixesha lakho elikhululekile lilahlekile. Abantu abaninzi abahlala bebhalelwe embhedeni bashintsha impawu yabo (ngokuqhelekileyo - ngokubhetele ngakumbi). Ngenxa yoko, akukho mntu ufuna ukujongana nesigulane (nangona sisona sihlobo esilandelayo). Kule meko, indlela engcono kakhulu ukuthumela isigulane kwisikhungo sokuvuselela emva kokuhlaselwa. Nangona kunjalo, akuyena wonke umntu onokukwazi ukufumana iinkonzo zamaziko anjalo. Kule meko, isisombululo kuphela ukubuyisela isigulane ekhaya.

Abanye abantu abangenakuxhatshazwa bathumela isigulane kwiinkedama, benqabe. Nangona kunjalo, kufuneka kukhunjulwe ukuba kulezi ziko isigulane sinokunyamekelwa ngoncedo olungaphantsi, ngenxa yoko kwenzeka kwiimeko ezininzi.