Uyabakhathalela iziguli emva unhlangothi. Stroke nokuvuselelwa

Esinye sezimo ezinzima kakhulu Neurology kuyinto unhlangothi. Kuyini, iziphi yaso, ungabasiza kanjani ezigulini eziye owaba nawo?

Kuyini wayeshaywe unhlangothi?

Ngaphansi unhlangothi manje eqaphela acute unhlangothi, kubangelwa thrombosis noma ukuvaleka imithambo palsy.

Kukhona izinhlobo ezimbili eziyinhloko unhlangothi - ischemic futhi oluhambisana.

Oluhambisana unhlangothi libhekene ukopha izicubu ingqondo. Utfutfukisa babazi. Imbangela ezivame kakhulu yentuthuko salo nomfutho wegazi ophezulu. It libhekene kuqala acute, ukulahlekelwa okusheshayo ukwazi. Umthamo izilonda kwezicubu ubuchopho incike kokopha kakhulu (lokho uzoyeka ukopha ngokushesha, onalesi sifo kahle).

unhlangothi Ischemic, yena, eba kancane kancane, sinombono atherosclerosis imithambo cerebral nesifo senhliziyo nemithambo yayo. Inzuzo ngaphezulu kahle kuka ifomu oluhambisana.

Isikhathi ukuvuselelwa ngemva kokushaywa unhlangothi kuyinto ngempela ezisindayo isiguli. Lapho ukwehluleka ukunikela ngosizo olufanele kuye zisengozini enkulu yokuba lesi ukwephulwa engelapheki zomzimba imisebenzi sesiguli.

Ukuvuselelwa emva unhlangothi

Njengoba wazi, noma yini lo mvimbo ezinzima, lapho usizo ihlelwe kahle isiguli kukhona kungenzeka umuntu alulame ngokugcwele kusukela izimpawu ezibalulekile nesineke yakhe ukubuyela ezingeni emphakathini.

Into ebaluleke kakhulu kulesi sikhathi - ukugcinwa imithetho ethile, izimiso nezindinganiso ezamukelwayo, ukuxhumana isiguli.

Into yokuqala okufanele siyikhumbule ngalokho unhlangothi ithuthukiswe abantu futhi iyiphi ingxenye ulimele, ngoba izilonda basemtholampilo ama- ezahlukene ihluke nomunye.

Kufanele kukhunjulwe ukuthi zonke imisebenti kufanele kwenziwe ukulandelana, ngokuvumelana uhlelo iyawakha. Kungaleso sikhathi kuphela lapho ubuhlengikazi emva unhlangothi kuyinto eziphelele kakhulu ukuvumela isisulu ngokushesha ngangokunokwenzeka uthole balulame.

Ngaso sonke isikhathi khumbula ukuthi ukwelashwa unhlangothi - inqubo hhayi ngosuku olulodwa-noma ngesonto; ukwelashwa enenkani efanele kuphela zizosebenza futhi kuyoholela yokutakula efanele.

imithi

ukwelashwa izidakamizwa ngemva kokushaywa unhlangothi inikezwa kakade egunjini labagula kakhulu. Precision nokunemba nokushintsha kokudla nokufakwa ivumela isiguli ukuba bahoxe equlekile futhi ukuthi ubeke umkhawulo ndawo eyayithintekile behamba ngazo oluhambisana unhlangothi (stroke ischemic - ukubuyisela cerebral ukugeleza kwegazi).

Emva ukudluliselwa isiguli umnyango wabelwe yokwelapha yesondlo, okuvumela ukuba bahlanganise the impumelelo. Kufanele ngeso lokhozi ukuqinisekisa ukuthi isiguli ethola yonke kwemithi enqunyiwe kuye. Uma Awukwazi ukwenza ngokwakho, udinga ingamsiza kulo msebenzi (ngezinye izikhathi ukusekela ikhanda, ukusiza ukugwinya ithebhulethi sichotshozwe powder).

Ukwelashwa ngemva kokushaywa unhlangothi iqala ekhaya emva osenyameni. Siza isisulu kufanele kufane esibhedlela (ukusiza iziguli, ungatshekisa ke, ukusebenzisa amanzi). Kunoma ikuphi asikwazi ukuvumela isiguli aphuthelwe imithi eyanele.

ukudla

Lokhu isici ingenye ezibaluleke kakhulu esikhathini lapho kukhona nokuvuselelwa asebenzayo emva unhlangothi.

Khumbula ukuthi ngenxa yezifo esungulwe, iziguli eziningi kakhulu balahlekelwe ikhono self-feed. Kufanele ngenkuthalo bayawasiza ukudla (kusaqalwa ukulondoloza ipuleti ngesipuni, ukuvimbela iziguli kokuziklinya). Kamuva, lapho yona ngokwayo izozama ukuzinakekela, kumelwe siqinisekise ukuthi isiguli adle, futhi uma kudingekile, ukuze amsize.

iziguli Stroke kudingeka nokudla okufanele okunempilo. yokudla komuntu kufanele uchichime izithelo nemifino, inyama. Kungaleso sikhathi kuphela lapho uhlinzeke yokutakula eziphumelela kakhulu ezindaweni ezithintekile zobuchopho.

Kusukela ukusetshenziswa nsuku zonke ukuba ngakususi konke ukudla umfutho wegazi, kanye abukhali, ngabhema. Akufanele ukondla iziguli imikhiqizo ngobuningi, njengoba ingozi eliphezulu wokuwa kwabo phakathi ipheshana zokuphefumula.

Ukuvimbela Izifo ezithelelanayo

Njengoba yaziwa, iziguli esembhedeni ihlukaniswa njengoba ezinzima futhi basengozini sokuthuthukisa kwezifo ezithathelwanayo. Lezi ziguli kaningi avele bedsores - izindawo endawo ukuvuvukala necrosis. Ikakhulukazi esimweni lapho isiguli isikhathi eside endaweni eyodwa. Ngenxa yalokhu, emkhakheni ithambo ziboya kwenzeka ukucinana lymph kwegazi, okuholela maceration, ukutheleleka necrosis.

Ukunakekela iziguli ngemva kokushaywa unhlangothi kulesi simo kuzomele sifake ukusulwa yokuhlanzeka nsuku zonke (uma kunokwenzeka - ukusetshenziswa kubhavu noma eshaweni). embhedeni isiguli Kunconywa ukushintsha kaningi ngangokunokwenzeka, ukuvimbela ukwakheka imibimbi kuwo. Ngemva kokudla kuyinto efiselekayo Shake up, ukususa imvuthu liwile.

Enye inkinga lalivamile ezigulini esembhedeni kuyinto nenyumoniya. Ukuvimbela ukuthuthukiswa yayo, kutuswa ukuba ugweme iziguli hypothermia (kanye okweqile). Ukubonisa ukupholisa gqwa egumbini, a wekulihlanta. Ukuze uvimbele kungenzeka ukuba ibuzwe kudokotela a abanike imithi elwa namagciwane komjovo noma ngomlomo.

Yokutakula motor umsebenzi

Leli qembu imisebenzi sabelwe kunjalo, lapho kukhona labo noma ezinye imoto iziyaluyalu.

Ukunakekela iziguli ngemva kokushaywa unhlangothi, nzima kahle kwemilenze noma, zihlanganisa usizo ekuthuthukisweni kwe-ingalo ethintekile nasemlenzeni, yokutakula ephelele ukunyakaza asebenzayo.

Ezigabeni zokuqala isiguli wafundisa ukugcina izinto. Ngokuhamba kwesikhathi, ungasebenza ngezinhlelo emihle motor amakhono (mmangalelwa zemali noma okhiye, ukuvulwa izingidi).

Akukhona njalo ukwazi ukubuyisa ukunyakaza egcwele. Naphezu kwakho konke lokhu, yonke imizamo kufanele kugxile ukubuya lesiguli umphakathi.

Uma bahlatshwa umxhwele nemilenze ephansi, ukusimama ngemva kokushaywa unhlangothi iqala ukuqeqeshwa izinyathelo. Kungcono usisebenzisa elele embhedeni.

Qala ukuzivocavoca akwazi izinyathelo. Ngokuhamba kwesikhathi, lapho isiguli kuvela "isinyathelo embhedeni," uma engakwazi nokuhlala ke lamsiza, ne ukuqeqeshwa okwengeziwe ayihlala a awulutho kuNkulunkulu.

inkulumo yokutakula

Kaningi in iziguli unhlangothi, waphawula inkulumo sifo. Kungenzeka ezincane (ukukhanya izinhlamvu ukufefeza noma ukungenisa), kanti isiguli ilahlekelwa ngokuphelele inkulumo (baze ihlaba umkhosi umsindo ethile).

Ngakolunye uhlangothi, isiguli kungenzeka ukuqaphela ukuthi utshelwa ukuthi kulotshiwe ku-ephepheni. Kulokhu, kukhona aphasia sezinzwa, esingalapheki ukubhekana ebudisi khulu ukwedlula ngenkulumo abanokukhubazeka.

Kutholwa yisifo sohlangothi, ephelezelwa ukulahlekelwa inkulumo, kufanele uqale nge ingxoxo isiguli. Uma isiguli uyaqaphela ukuthi utshelwa ukuthi angase bebelokhu bezama ukuphendula, noma umane ukudlala futhi lona lelo zwi. Nokho, lapho yasungulwa aphasia sezinzwa, isiguli kufanele ufundiswe lonke futhi - ukuchaza izinhlamvu zamagama, ukukhombisa zilotshiwe kanjani.

Ngokuhamba kwesikhathi, sizoqala ngemuva unhlangothi ukuba alulame kancane kancane. Into esemqoka - ungawulahli yemizamo futhi bephikelela kuze kube sekupheleni.

iziyaluyalu psycho-ngokomzwelo

Ngeshwa, abantu abaningi abaye ngaba nesifo sohlangothi basengozini sokuthuthukiswa lezi ukuxakeka. Yebo, noma imuphi izifo kubantu - ukucindezeleka, futhi kukhona ukuvala shaqa pheze ephelele emphakathini wesintu. Ngenxa yalokhu, iziguli eziningi eyaziyo ukuthi sinjani isimo sabo, vula ku ngokwabo, efuna ukuze avikeleke emimoyeni kubo ukusiza izihlobo.

Konke lokhu kubathinta kabi ekwelapheni kanye kuholela alibale alulame ngokugcwele.

Kulokhu, emumva unhlangothi kufanele kuhlanganiswe zokuxhumana esebenzayo kanye nesineke. Ngezikhathi umtshele into ezihlekisayo, ukusiza sokuphumula. Kuphela uma umuntu eyeka ukuba onkom 'idla yodwa, njengoba omunye iyalidinga. Okuthuthukisiwe kwemizwelo yakhe, kukhona isithakazelo sokuphila.

Ungazami ukuphakamisa isimo imithi nesineke - kukhona ingozi ezinzima ukucindezeleka postmedikamentoznoy. Kulula kakhulu ukukhombisa isiguli ukuthi anakekelane, umthande, bese owodwa ngemuva unhlangothi uzolulama ngokushesha.

iziyaluyalu zezinzwa

imivimbo eminingi ahambisana ukuzwela ukwephula nemilenze abathintekayo. Ngezinye izikhathi kukhona nje nokwehlisa ubuhlungu embundwini; izinzwa kunalokho mancane amathuba okuthi imakwe (ukuzwela egcwele ukoniwa) kanye paresthesia (lokujabulela ukuluma noma hlala).

Kulokhu nokuvuselelwa emva unhlangothi zingase zingabi usizo, kodwa ukwephulwa manifest kuyodingeka uphile ukuphila kwakhe konke. Ukuze andise ukuzwela Kunconywa Physiotherapy - Isibani "BIOPTRON" ishayela imisinga. Kwezinye izimo, ukuzwela waphawula we yokuthola (uma lesion ebuchosheni kwakungelona ebanzi).

Ngezinye izikhathi kungase kube ukubukeka ikhaliphe sokugembula (isib, ukuziqonda reflex elikhona usana izinyanga 4-5, akufanele avele omdala). Uma uqaphela ukuthi ingalo lesiguli ngemva kokushaywa unhlangothi waqala zizincane kakhulu uma uthinta ke, kufanele noma ulinde isikhashana (okungenani uswidi reflex inganyamalala) noma uthintane isazi sezinzwa. Kwesinye isikhathi lokhu reflex angahlala impilo.

umsebenzi zokwelapha

Ukubuyisela ukunyakaza kwemisipha ngokushesha ngemuva esigabeni acute isidlulile, kanti isiguli useqalile bebodwa avuke ahlale phansi, kufanele kube umzimba ezikhethekile emva unhlangothi.

umzimba zokwelapha kuhlanganisa umzimba (flexion nokwandiswa imilenze nezingalo, iminwe efudumele, uzama sifake noma alo yamatshe ezincane) futhi massage.

A nomphumela okhethekile ukunciphisa massage. Kunconywa ukuba afeze zonke izinsuku, kusukela azungeze esitho futhi oqeda esifubeni. It ikuvumela ukuba ubuyisele kwegazi esitho ethintekile, emuva esidlule ithoni kwemisipha.

Okuhle kunakho konke, kanye nesineke ukuze afeze izivivinyo echibini. Amanzi kusiza ukuphungula umthwalo esitho ethintekile, okuholela motor nokuvuselelwa emva unhlangothi kwenzeka ngokushesha okungaka.

Ngemva kokuziphatha izivivinyo ezisikiselwe eziphumulele obhavu kanye ngokuluthwa.

Ukwelashwa e zezikhungo zokuhlumelelisa

Whatever sizakala ukwelashwa ezibhedlela futhi ekhaya - iziguli ukunakekelwa alulame engcono ngemuva kokuxinwa yisifo sohlangothi ngo izikhungo ezikhethekile.

neurologists abaningi batusa ngokushesha emva osenyameni evela esibhedlela ukuthumela isiguli isikhungo nokuvuselelwa. Ngemva unhlangothi kubalulekile ngenyanga yokuqala, njengoba kwaboniswa yokubuyisela umsebenzi isiguli lapho ekhethwa kahle ukwelashwa.

Kwaba kukhona ukuthi ebutha ochwepheshe best emkhakheni nokuvuselelwa, ukusiza ukubhala uhlelo okuhle ekwelashweni ukufeza umphumela engcono ukwelashwa.

Inhlanganisela efanele usizo lwezokwelapha, Physiotherapy umzimba futhi likuvumela ogulayo ngezinyawo zakhe Ngokuphazima kweso.

Labonesi emva unhlangothi izikhungo ezifana ubusuku nemini. Ngayinye nesineke umhlengikazi ophethe, ukubanakekela futhi ethungatha isimo sempilo yakhe.

lithathelwe Professional nezenhlalo

Ngeshwa, kaningi ngemva unhlangothi abantu balahlekelwa amakhono. Lesi simo kungenziwa kunqamule uzama kabusha kufundiswe umsebenzi nesineke. Uma-ke ngeke ibuyiselwe, umuntu inikezwe iqembu ukukhubazeka (imvamisa emalunga lamatsatfu). Lokhu kusebenza amakhono akhethekile (isibonelo, it is hhayi Kunconywa ukuba phindela odokotela - ikakhulukazi neurosurgeons, Turners, Jewelers). Kulokhu, ikhono ukusebenza futhi jikelele Ukuzinakekela zigcinwe.

Uma obschetrudovye elahlekile amakhono, isiguli ungase ufanelekele iqembu 2.

Nge ekulahlekelweni ikhono self-service kumuntu Kudingeka unamathele umhlengikazi. Kulokhu nokuvuselelwa emva unhlangothi kuqhubeka njalo ukuphila. Ngaphezu kwalokho, 1 isethi yokukhubazeka (isb. E. Kukholakala ukuthi umuntu akuyona kufaneleka khona emphakathini, futhi udinga umsizi).

Lapho ukuze kwelashwe iziguli ngemva kokushaywa unhlangothi?

Kubantu abaningi, ukunakekelwa nesineke, ngaba nesifo sohlangothi - umsebenzi onzima kakhulu. Akuwona wonke umuntu ukulungele ukuthatha ukunakekela umuntu ogulayo, ngoba ngale ndlela elahlekile zonke ngesikhathi sakhe sokuphumula. Abantu abaningi abakhuluphele ngisembhedeni ubunjalo ukushintsha (ngokuvamile - yokubi). Ngenxa yalokhu, akekho ofuna ukubhekana isiguli (ngisho noma eyisihlobo esiseduze). Kulokhu, indlela engcono kakhulu iwukuba ukuthumela isiguli isikhungo nokuvuselelwa ngemva kokushaywa unhlangothi. Nokho, hhayi wonke umuntu angakwazi ukukhokhela amasevisi afana nezikhungo. Kulokhu ukuphela kwesixazululo ukubuyisela nesineke ekhaya.

Abanye abantu imithwalo yakhe kakhulu ukuthumela isiguli esikoleni ofunda uhlala kuso, walahla kuye. Nokho kumelwe kukhunjulwe ukuthi kulezi izikole isiguli ongawamukeli ukunakekelwa eyayidingeka kakhulu, yingakho ezimweni eziningi, kuba ayivumelekile.