Cerebral Palsy - Handizvo zvaunofungidzira.

"Cerebral palsy" ishoko rinovharika pakarepo nevabereki vazhinji vanobatanidzwa. Mukunzwisiswa kwechinyakare kwevabereki vazhinji, "cerebral palsy" inoreva "kusagadzikana kwepfungwa kusingachinjiki uye kusagadzikana kwekufamba kwemuviri." Saka, cerebral palsy inotyisa zvakadaro here? Hapana zvechokwadi here nzira yekuvandudza cerebral palsy?

Nhema 1: Chii chinonzi cerebral palsy?

Cerebral palsy (cerebral palsy) inoreva chirwere chisina kufambira mberi chekukuvara kwehuropi kunokonzerwa nezvinhu zvakasiyana panguva yekuzvara kusvika kumwana mucheche, kusvika mwedzi mumwe mushure mekuzvarwa. Inonyanya kuratidza sekuoma mitezo, kusanganisira pakati pemota kusagadzikana, abnormal tsandanyama toni, abnormal movement postures, uye reflex abnormalities. Pamusoro pezvo, cerebral palsy inowanzo perekedza kumwe kukanganisa kushanda kwehuropi kwakadai sekuremara kwenjere, pfari, kusaona zvakanaka, strabismus, uye nystagmus. Zvinogonawo kusanganisira kurasikirwa nekunzwa, kusagadzikana kwemutauro, kusaziva, uye maitiro asina kunaka.

Zvakakosha kuziva kuti kune vazhinji varwere vecerebral palsy, chiratidzo chikuru ndechekurambidzwa kufamba. Musiyano uyu unokosha panguva yehucheche. Mukati megore rekutanga kana maviri mushure mekuzvarwa, zvakaoma kuona kana kukura kwenjere kwakajairika, zvichiita kuti vabereki vazhinji vapotsa nguva yakakwana yekudzivirira uye kurapwa kwecerebral palsy.

Nhema 2: cerebral palsy inoongororwa sei?

Parizvino, chero kufungidzira kwekufungidzira chete (kusanganisira ultrasound, CT, uye MRI) haigone kusimbisa cerebral palsy. Kuongororwa kunofanirwa kuve kwakavakirwa pazviratidzo zvekiriniki zvekukanganiswa kwemota. Izvi zvinodaro nekuti chero kuongororwa kwekufungidzira kunoratidza mufananidzo weuropi pane imwe nguva, zvichiratidza pane kukuvara kwehuropi; zvisinei, haigoni kufanotaura kana kukuvadzwa uku kuchizotungamirira kukukura kwehuropi uye pakupedzisira kunokonzera cerebral palsy.

Kuongororwa kwecerebral palsy kunonyanya kuenderana nezviratidzo zvekliniki. Kuratidzwa kwekiriniki kunosanganisira kucherechedza zviratidzo zvishanu zvemotokari muvacheche: hunyanzvi hwemotokari, hunyanzvi hwemotokari, kutaura kwemutauro, kukura kwekuziva, uye kugona kutaura. Mishumo yeMRI inowanzotaura zviitiko zvakadai sekubuda ropa muuropi, kupfava kwetishu dzehuropi, uye kusakura zvakanaka, asi izvi hazvisi zviratidzo zvekuongororwa kwecerebral palsy. Kuongororwa kwechokwadi kunoda vanachiremba vane hunyanzvi kuti vasanganise nhoroondo yekurapa kwemwana uye zviratidzo zvekiriniki.

Nhema 3: Ndirini panogona kuonekwa cerebral palsy?

Vana vakawanda vanobuda ropa muuropi pakuberekwa vanokurumidza kunzi vane cerebral palsy. Cerebral palsy (cerebral palsy) zvinoreva mamiriro ezvinhu apo unyanzvi hwemotokari hwemwana hunomira kukura. Zvisinei, uropi hwomunhu inhengo inoshamisa, kunyanya uropi hwomucheche, hunokura nokukurumidza mumakore matatu okutanga aberekwa. Nekutungamira kwekudzoreredza kutungamira, uropi hune humwe hunyanzvi hwekugadzirisa uye muripo.

Naizvozvo, kuongororwa kwechokwadi kwecerebral palsy kunofanira kuitwa chete kana mwana aine makore maviri kana matatu. Kunyange zvazvo vamwe vacheche vangaratidza zviratidzo zvecerebral palsy mushure mezera rekutanga, zviratidzo izvi hazvina kugadziriswa kana kusachinja. Nemamwe mashoko, vacheche vane nhoroondo yekubuda ropa muuropi pakuzvarwa vanoonekwa sevari panjodzi huru yecerebral palsy, nemagiredhi epamusoro ekubuda ropa anoratidza njodzi huru. Nokudaro, vacheche ava vanorondedzerwa sevanhu vane njodzi huru pane kunyatsoonekwa kuti vane cerebral palsy.

Nhema 4: Cerebral palsy haigone kupindira.

Zvinosuruvarisa, kana mwana akaonekwa kuti ane cerebral palsy pazera remakore maviri kana matatu, ruzivo rwezvokurapa rwazvino haugoni kumurapa. Nekudaro, kushandisa mamwe marapirwo anotsigira uye nzira dzekudzorera zvinogona kuderedza kumwe kutambura kunokonzerwa necerebral palsy, kunatsiridza zvakanyanya mashandiro emota, uye kuwedzera hupenyu.

Kuboka re "high-risk" boka, tsvakurudzo inowedzera yakaratidza kuti kupindira kwepakutanga, kunyanya kutanga panguva yakakodzera yekugadzirisa motokari uye proactive brain function modulation kuvhiyiwa, kune kudzorera kwakajeka kwekukuvara kwehuropi muvana vakabatwa.

Kurapa kwakazara kusanganisa kuvhiyiwa kwe stereotactic uye kudzidziswa kwekuvandudza.

Tsvagiridzo yezvino yezvokurapa yakawana uye yakasimbisa kuti kudzidziswa kwekutanga kwakamisikidzwa kunogona kubatsira mukugadzirisa basa rehuropi. Kudzidzira kudzidzisa uye kugadzirisa uropi kunopindirana; kudzidziswa kwakakodzera kunopa kukurudzira kwakanaka kuuropi, kusimudzira mapurasitiki ayo uye kugadzirisa. Sezvo kubatanidzwa kwehuropi kunosimbisa, inokurumidzira nzira yekudzorera, uye kutanga kwekudzidziswa uku kunotanga, zviri nani. Kuvhiyiwa kurapwa, kunyanya uropi hunoita modulation kuvhiyiwa (stereotactic surgery), inogona kugadzirisa nyaya dzemakumbo nemakumbo izvo kudzidziswa kwega kwega hakugone kuvandudza, senge yakakwira tsandanyama toni, tsandanyama spasms, uye kusashanda zvakanaka kwemota.

Vana vazhinji vane spastic cerebral palsy vane miviri inoramba iri mumamiriro ekushushikana kwakanyanya kwenguva yakareba, zvichikonzera kupfupikiswa kwematendo uye majoini makondirakiti uye kuremara. Vanowanzo famba netsoka, uye mumatambudziko akaoma, vanogona kuoma mitezo kana hemiplegia mumakumbo maviri ezasi. Panguva ino, chinangwa chekurapa chinofanira kunge chiri pakurapa kwakazara kusanganisa kuvhiyiwa kwe stereotactic uye kudzoreredza. Kurapwa kwekuvhiya hakungonatsiridza zviratidzo zvekukuvara kwemota chete asiwo kunoisa hwaro hwakanaka hwekudzidziswa kwekuvandudza. Postoperative rehabilitation training inowedzera kusimbisa migumisiro yekuvhiyiwa, inokurudzira kudzorerwa kwemabasa akasiyana-siyana emotokari, uye pakupedzisira inozadzisa chinangwa chekuvandudza kwenguva refu muhutano hwehupenyu.