Othishanhloko abayi-10 Bokuvuselelwa Kwe-Cerebral Infarction

Iyini I-Cerebral Infarction?

I-cerebral infarction yisifo esingelaphekiukugula okuphezulu, ukufa, ukukhubazeka, izinga lokuphinda, kanye nezinkinga eziningi.I-infarction ivela kaningi ezigulini eziningi.Iziguli eziningi zihlushwa ama-infarction avamile, futhi ukubuya ngakunye kuzoholela esimweni esibi kakhulu sazo.Ngaphezu kwalokho, ukuphindela emuva kungase kubeke ukuphila engozini ngezinye izikhathi.

Ezigulini ezine-cerebral infarction,Ukwelashwa nokuvimbela ngokwesayensi nokufanelekile yizinyathelo eziphumelela kakhulu zokuthuthukisa izinga lempilo yeziguli nokunciphisa izinga eliphezulu lokuphindaphinda.

I-cerebral infarction yisifo esibangelwa izimbangela eziningi.Ngaphezu kokudla, ukuvivinya umzimba, kanye nobuhlengikazi besayensi, imithi ingavimbela futhi yelaphe i-thrombosis kanye ne-arteriosclerosis.Futhi kungumuthi ongavimbela ngempumelelo ukuphindeka ngenkathi uthuthukisa izimpawu.

Izimiso Eziyishumi Zokuvuselelwa Kwe-Cerebral Infarction

1. Yazi izinkomba zokuhlunyeleliswa

Iziguli ze-cerebral infarction ezinezimpawu ezibalulekile ezingazinzile kanye nokwehluleka kwezitho, ezifana ne-cerebral edema, i-pulmonary edema, ukwehluleka kwenhliziyo, i-myocardial infarction, ukuphuma kwegazi emathunjini, inkinga ye-hypertension, ukushisa okukhulu, njll, kufanele zelashwe ngemithi yangaphakathi nokuhlinzwa kuqala.Futhi ukuvuselelwa kufanele kuqale ngemva kokuba iziguli zinengqondo ecacile futhi zisesimweni esizinzile.

2 Qala ukuvuselela ngokushesha ngangokunokwenzeka

Qala ukuhlunyeleliswa ngokushesha ngemva kwamahora angu-24 – 48 lapho izimo zeziguli zizinzile.Ukuvuselelwa kusenesikhathi kunenzuzo ekusebenzeni izibikezelo zezitho ezikhubazekile, futhi ukusetshenziswa kwemodi yokulawulwa kwezempilo ye-stroke kuhle ekuvuseleleni iziguli kusenesikhathi.

3. Ukuvuselelwa komtholampilo

Sebenzisana ne-neurology, neurosurgery, imithi ephuthumayo kanye nabanye odokotela "e-Stroke Unit", "I-Neurological Intensive Care Unit" kanye "noMnyango Wezimo Eziphuthumayo" ukuze uxazulule izinkinga zomtholampilo zesiguli futhi ukhuthaze ukuvuselelwa komsebenzi wezinzwa zeziguli.

4. Ukuvuselelwa kokuvimbela

Ukugcizelela ukuthi ukuvimbela nokuvuselelwa kwangaphambilini kufanele kwenziwe kanyekanye, nokwamukela ngokujulile ithiyori yeleveli engu-6 ye-Brunnstrom.Ukwengeza, kungcono ukwazi ukuthi ukuvimbela "ukungasebenzisi" kanye "nokusebenzisa kabi" kubaluleke kakhulu kunokusebenzisa "ukwelashwa kokuhlunyeleliswa" ngemuva "kokungasebenzisi" kanye "nokusebenzisa kabi".Isibonelo, kulula kakhulu futhi kusebenza kakhulu ukuvimbela ama-spasms kunokukhulula.

5. Ukuvuselelwa okusebenzayo

Ukugcizelela ukuthi ukunyakaza ngokuzithandela kuwukuphela kwenhloso yokuvuselela i-hemiplegic, futhi yamukele ngokujulile ithiyori kanye nokusebenza kwe-Bobath.Ukuqeqeshwa okusebenzayo kufanele kuphendukele ekuqeqeshweni kokungenzi lutho kusenesikhathi.

Kubalulekile ukuqaphela ukuthi umjikelezo ojwayelekile wokuvuselela ezemidlalo ukunyakaza okwenziwayo - ukunyakaza okuphoqelekile (okuhlanganisa ukusabela okuhambisanayo kanye nokunyakaza kwe-synergy) - ukunyakaza okuphansi kokuzithandela - ukunyakaza kokuzithandela - ukunyakaza okuphikiswa ngokuzithandela.

6 Yamukela izindlela nezindlela zokuhlunyeleliswa ezigabeni ezahlukene

Khetha izindlela ezifanele ezifana ne-Brunnstrom, i-Bobath, i-Rood, i-PNF, i-MRP, ne-BFRO ngokwezikhathi ezihlukene ezifana nokukhubazeka okuthambile, i-spasm, ne-sequelae.

7 Izinqubo Zokuvuselela Eziqinisiwe

Umphumela wokuvuselela uncike esikhathini futhi uncike kumthamo.

8 Ukuvuselelwa okuphelele

Ukulimala okuningi (izinzwa-motor, ukukhuluma-ukuxhumana, ukuqonda-ukubona, i-emotion-psychology, i-sympathetic-parasympathetic, ukugwinya, ukuxoshwa, njll.) kufanele kucatshangelwe ngokugcwele.

Isibonelo, isiguli sohlangothi sivame ukuba nokuphazamiseka kwengqondo okukhulu, ngakho-ke kubalulekile ukwazi ukuthi noma ngabe sicindezelekile futhi sikhathazekile, njengoba lesi sifo sizothinta kakhulu inqubo yokubuyisela kanye nomphumela.

9 Ukuvuselelwa sekukonke

Ukuvuselela akuwona nje umqondo ongokomzimba, kodwa futhi nekhono lokubuyisela esimweni esihlanganisa ukuthuthukiswa kwekhono lokuphila kanye nekhono lokuhlalisana kwabantu.

10 Ukuvuselelwa kwesikhathi eside

I-plasticity yobuchopho ihlala impilo yonke ukuze idinga ukuqeqeshwa kwe-rehab yesikhathi eside.Ngakho-ke, ukuhlunyeleliswa komphakathi kuyadingeka ukuze kuzuzwe umgomo "wezinsizakalo zokuvuselela wonke umuntu".