Inzululwazi edumileyo | Isikhokelo sokuBuyiselwa kwisimo sangaphambili kunye noNyango lwaBantwana abaneCerebral Palsy

Kubantwana abane-cerebral palsy, ubomi bunokuba lucelomngeni. Nangona kunjalo, uphando lweklinikhi lubonise ukuba ngokuhlinzwa ngexesha elifanelekileyo, unyango lokubuyisela, kunye nenkxaso yengqondo eqhubekayo evela kubazali, imisebenzi yabo yeemoto inokuphucula, amandla abo okuphila ngokuzimeleyo anokuphuculwa, kwaye banokuphinda badibanise kuluntu kwaye bakhokele ubomi obunelisayo.

Zeziphi izikhokelo zokubuyisela kwisimo sangaphambili kubantwana abane-cerebral palsy? Isikhokelo soBuyiselo kunye noNyango lwaBantwana abaneCerebral Palsy

Sahlula unyango lwabantwana abane-cerebral palsy kwiinqanaba eziliqela ngokusekelwe kwiimpawu zabo. Kwinqanaba ngalinye, siza kuchaza oko abazali bafanele bakwenze.

Inqanaba lokuFumana
0-1 Unyaka:
Ngokuqhelekileyo kuthiwa "abantwana bahlala beqengqeleka kwiinyanga ezintathu, bahlale kwiinyanga ezintandathu, bakhase kwiinyanga ezisixhenxe, kwaye bahambe kwiinyanga ezisibhozo." Ukuba umntwana ekhaya uyaphambuka kakhulu kulo mgca wexesha lophuhliso, abazali kufuneka balumke kwaye baphaphe malunga nokuba nokwenzeka kwe-cerebral palsy. Ngokukodwa ukuba umntwana ubonisa iimpawu ezifana nobuthathaka jikelele, imilenze eqinile, umzimba oqinileyo, ubunzima bokutya, i-startle reflexes, okanye isikhalo esibuthathaka, kubalulekile ukufuna uvavanyo olupheleleyo esibhedlele ngokukhawuleza.

Ngokuqhelekileyo, iinyanga ezintandathu zokuqala zithathwa njengexesha legolide lokubuyisela kwisimo sangaphambili kubantwana abane-cerebral palsy. Ukuba abazali banokuchonga kwaye banyange imeko kwangoko, kukho ithuba elihle lokuba abanye abantwana abane-cerebral palsy baya kufumana iziphumo ezibalulekileyo zokubuyisela kwisimo sangaphambili, ngokufanelekileyo phambi kokuba babe neminyaka enye. Unyango kunyaka wokuqala lujolise ikakhulu kumayeza e-neuroprotective kunye nonyango lokubuyisela kwisimo sangaphambili, oluyimfuneko ekuphuculeni okunentsingiselo iimpawu zomntwana.

Inqanaba lokubuyisela kwisimo sangaphambili
1-2.6 iminyaka:

Ngeli xesha, abantwana abane-cerebral palsy banokufumana ukuxilongwa okuqinisekileyo. Nje ukuba ufunyaniswe, kubalulekile ukuba uqalise unyango ngokukhawuleza, ugxile ikakhulu kuqeqesho lokubuyisela kwisimo sangaphambili. Inyathelo lokuqala kukubanceda bafunde ukugcina ukuma ngendlela echanekileyo. Njengoko umntwana ephuhlisa izakhono ezingcono zokulawula i-trunk kunye nokondla, uqeqesho lokuthetha lunokuqaliswa, ngelixa lilungiselela naluphi na utyando oluyimfuneko lwexesha elizayo.

Amanqaku angundoqo okubuyisela kwisimo sangaphambili

Inqanaba lomsebenzi wemoto ngaphambi kokuhlinzwa kuyahluka phakathi kwabantwana abane-cerebral palsy, oku kuthetha ukuba ubunzima bemeko buhluke, kwaye oku kuchaphazela iziphumo zexesha elide. Ngokomzekelo, abantwana abangakwazi ukuhlala okanye ukuma phambi kokuhlinzwa baya kufumana amanqanaba ahlukeneyo okuphucula ukusebenza xa kuthelekiswa nalabo banokuhlala, ukuma, okanye ukuhamba ngaphambi kwenkqubo.

Ukwahluka kweToni ye-Muscle: Ithoni ephezulu, ithoni ephantsi, ithoni eqhelekileyo

1. Ukubuyisela kwisimo sangaphambili:
Ingqwalasela ephambili yokuvuselelwa kwangaphambili kukunciphisa ithoni ye-muscle kunye nokwelula i-tendon kunye nemigqa. Le ndlela inokuzisa imiphumo yexesha elifutshane, kodwa ayiyicombululi ngokwenene imiba esisiseko yomntwana. Ngokuqhelekileyo, xa ukubuyisela kwisimo sangaphambili kunqunyanyisiwe kangangexesha elithile, iingxaki zikholisa ukuphinda ziphinde, kwaye oku kunokukhokelela ekubeni imeko ibe maxongo, nto leyo ekhokelela kukukhubazeka okumandundu kwemilenze.

2. Ukubambelela kwinkqubo yokubuyisela kwisimo sangaphambili emiselweyo ukuthintela ukwenzeka kokukhubazeka kwemilenze.

3. Landela inkqubo yemihla ngemihla enamaxesha abekiweyo kunye nezixa, uqhubela phambili kancinci kancinci. Ziphephe iindlela ezingahambelaniyo ezikhokelela kumaxesha atshintshanayo omgudu omkhulu kunye nokungahoywa.

Inqanaba Lonyango Loqhaqho
Unyango lotyando lujongene nemiba ethile yomzimba engenakusombululwa ngoqeqesho lokuvuselela yedwa, olufana nokugqithisa kwe-muscle kunye ne-muscle spasms. Kubantwana abane-spastic cerebral palsy, bahlala bekwimeko yoxinzelelo oluphezulu kunye nokuqina ixesha elide, okukhokelela ekunciphiseni kwethenda kunye neekontraka ezidibeneyo. Ngenxa yoko, banokuhamba ngeenzwane zabo kunokuba babeke izithende zabo emhlabeni njengabantu abaqhelekileyo.

Ukongezelela, ngenxa yethoni yemisipha ephezulu, aba bantwana bahlala bengakwazi ukuzilawula. Imiba eqhelekileyo abajongene nayo ibandakanya iikhontrakthi ezidibeneyo, ukukhubazeka, i-muscle atrophy, kunye nokunciphisa. Bahlala bebonisa i-quadriplegia, i-diplegia, okanye i-hemiplegia, ehlala ihamba nokuphazamiseka kwentshukumo. Ngokufanayo, ngenxa yethoni yemisipha egqithisileyo, abantwana abane-spastic cerebral palsy bafumana ukuphazamiseka okuhlukahlukeneyo kwentshukumo, njengokunqumla imilenze yabo ngelixa behamba okanye behamba ngeenzwane zabo. Bahlala bexela ukuba amalungu abo aziva "eqinile" kuneyabantu abaqhelekileyo kwaye anoluhlu oluncinci lwentshukumo.

Ngenxa yethoni yemisipha ephezulu kakhulu, abantwana abanesi sifo badla ngokuba nezihlunu eziqinileyo kumalungu abo. Xa bemile okanye behamba, banokubonisa ukuxinezeleka komzimba jikelele, kunye nemilenze yomibini ephezulu ihlala iguquguquka, okwenza kube nzima kubo ukuba bandise ngokupheleleyo iingalo zabo. Amalungu abo asezantsi ahlala ebonisa ukuhamba okunqumlayo, okubizwa ngokuqhelekileyo ngokuthi "i-scissors gait." Ngeli xesha, ugxininiso lonyango lutshintshela kwindlela ebanzi yokudibanisa utyando kunye nokubuyisela. Ukuvuselelwa kwangaphambili kujoliswe ekubekeni isiseko esomeleleyo sonyango lotyando, ngelixa ukuvuselelwa emva kokuhlinzwa kulungiselelwe ukudibanisa ngakumbi iziphumo zotyando kunye nokukhuthaza ukubuyiswa kwemisebenzi eyahlukeneyo.