Izifo

Umvakalelo yokitazo

Esinye sezifo eziphambili ezibangela ukukhubazeka kweemoto kubantwana.

Ibonakaliswe ikakhulu kukuphazamiseka kwemoto, okunokuthi kukhatshwe kukukhubazeka kwengqondo, ukuxhuzula, kunye nokunye.

Ukuxilongwa kwangoko nonyango lubalulekile.

Amazinga okusinda kubantwana abachaphazeleke kakhulu asezantsi kakhulu kunabantu abasempilweni.

I-Cerebral Palsy, okanye i-CP, yi-non-progressive brain injury syndrome eyenzeka ngexesha lokukhula kobuchopho kwangoko ukusuka ngaphambi kokuzalwa ukuya kwinyanga enye emva kokuzalwa kwiintsana. Ibonakala njengokonakala kwemoto esembindini kunye nokungahambi kakuhle kwangasemva, okunokuthi kukhatshwe bukukhubazeka kwengqondo, ukuxhuzula, ukuphazamiseka kweemvakalelo, ukuphazamiseka kolwimi, kunye nokuziphatha okungaqhelekanga, kusebenza njengenye yezifo eziphambili ezikhokelela kukukhubazeka kwemoto ebantwaneni.

Qhagamshelana nathi

I-Etiology

Izizathu ze-CP zinzima, kubandakanywa izinto zofuzo kunye nezinto ezifunyenweyo. Le yokugqibela ibandakanya izinto eziphambi kokuzalwa, ngexesha lokubeleka, kunye nakwixesha lokuzala, kunye nezinye iimeko ezingenazo izizathu ezicacileyo. Okwangoku, izinto ezine ezibalulekileyo ezinxulumene ne-CP kukuzalwa kwangaphambi kwexesha okanye ubunzima bokuzalwa obuphantsi, i-perinatal asphyxia okanye i-hypoxic-ischemic encephalopathy, i-neonatal hyperbilirubinemia, kunye nosulelo lwe-intrauterine. Ukongezelela, ukwenzeka kweCP kunxulumene nezinto zofuzo.

Izinto zangaphambi kokuzalwa

Umgangatho we-Ebryo ekukhawulweni
Ukutshaya kwabazali, ukusebenzisa kakubi utywala, okanye ukusebenzisa iziyobisi ngaphambi nangexesha lokukhulelwa kunokuchaphazela umgangatho we-embryo.

Iimeko zempilo kamama

Izinto ezifana nosulelo, ityhefu, okanye ukuvezwa kwimitha ngexesha lokukhulelwa kwangethuba kunokubangela ukukhula okungafanelekanga kweeseli zobuchopho.

Imiba yokuzala

Ukuzalwa kwangaphambi kwexesha

Ingakhokelela kwiimeko ezahlukeneyo ze-pathological, okwenza abantwana bachaphazeleke ngakumbi kwi-CP.

Ukwenzakala ekuzalweni

Iimeko ezifana nokuhanjiswa ngokukhawuleza, ukutsalwa kwevacuum, kunye nokuhanjiswa kweforceps kunokubangela ukopha kwe-intracranial.

I-Hypoxia

Izinto ezifana nokusebenza ixesha elide, intambo ye-nuchal, i-meconium aspiration, okanye i-placental dysfunction inokukhokelela kwi-fetal brain hypoxia.

Hyperbilirubinemia

Izizathu ezininzi zinokubangela i-jaundice enzima kwiintsana ezisanda kuzalwa, ezinokukhokelela kwi-kernicterus.

Iimpawu zexesha lokuzala

Usulelo olwahlukeneyo, iimeko ezinzima zokubeleka, ukwenzakala kwengqondo, kunye nokopha kwe-intracranial ngenxa yokuphazamiseka ukopha komntwana osakhulayo kunokubangela i-CP.

Imiba yemfuza

Ezinye iimeko ze-CP zinokuba nembali yentsapho yezifo ezizuzwe njengelifa. Ukuba kukho iimeko zokuxhuzula, i-CP, okanye ukukhubazeka kwengqondo kwizalamane ezisondeleyo, amathuba okuba ne-CP ayanda.

Ukubonakaliswa kweklinikhi

Ukubonakaliswa kweklinikhi ye-CP kuyahluka phakathi kwabantu, ngokukodwa kubandakanywa:

Ukukhubazeka kwemoto okufana nethoni yezihlunu ezingaqhelekanga, ukuxhuzula kwezihlunu, okanye ukuqina.

Imiba enolawulo lwesimo, okwenza kube nzima ukugcina ibhalansi kunye nokulawula ukuma.

Ubunzima bolungelelaniso, obukhokelela kulungelelwaniso lwemoto olulambathayo, olunokuthi luchaphazele iintshukumo ezilungileyo zezandla.

Imisebenzi yemoto encinci ebandakanya imisebenzi efana nokuhamba, ukukhasa, kunye nokuhlala.

Ukuphazamiseka kwentetho nolwimi; ezinye izigulane zinokudibana nemiba ekuthetheni nasekuphuhliseni ulwimi.

Ukuphazamiseka kwengqondo; nangona uninzi lwezigulane ze-CP zinengqondo eqhelekileyo, ezinye zinokuba nemiba yokuqonda.

Uviwo

Uvavanyo lwe-Neurological: Ibandakanya ukuvavanya ithoni ye-muscle, ulawulo lweemoto, kunye nokusebenza kwengqondo.

Izifundo zokucinga: I-Brain MRI okanye i-CT scans inceda ukufumanisa izakhiwo zobuchopho ezingaqhelekanga.

I-Electroencephalogram (EEG): Ukuvavanya umsebenzi wombane wengqondo.

Uvavanyo lwegazi: Khupha izifo zemetabolism kunye nosulelo njengezinto ezinokuba ngunobangela.

Uxilongo

Oogqirha baxilonga i-CP ngokuyintloko ngokusekelwe kwimbali yonyango, iimpawu, kunye nokuhlolwa komzimba. Ukongeza, banokucela izifundo zokucinga ezifana ne-CT okanye i-MRI yokuqonda nakuphi na ukungahambi kakuhle kwengqondo, okubambe ukubaluleka ekumiseleni izizathu ze-CP kunye nokuqikelela kwangaphambili. Uncedo lwe-EEG ekuqondeni ukuba kukho ukuxhuzula, ukunika isikhokelo kunyango. Iikhrayitheriya zokuxilongwa kwe-CP ziquka:

Izinto ezibangela unobangela ezenzeka ngaphambi kokuzalwa, ekuzalweni, okanye ngexesha lokuzala.

Ukukhubazeka okuphakathi kubonakala ebuntwaneni ngaphandle kokuqhubela phambili kwikhosi yesifo.

Ukukhutshwa kwezifo eziqhubekayo (ezifana nokuphazamiseka kwe-genetic metabolic, i-tumors) ebangela ukukhubazeka okuphakathi.

Ukukhutshwa kokulibaziseka kwexeshana lophuhliso lwemoto kubantwana abaqhelekileyo.