Ungayichonga njani i-spastic paraparesis kunye nendlela yokunyanga

Umxholo

• Yintoni ebangela iparaparesis
• Iimpawu eziphambili
• Ngaba iparaplegia yinto efanayo neparaparesis?
• Unyango lwenziwa njani

IParaparesis yimeko ebonakaliswa kukungakwazi ukushenxisa amalungu asezantsi, anokwenzeka ngenxa yotshintsho kwimfuza, ukonakala komqolo okanye usulelo lwentsholongwane, okukhokelela kubunzima bokuhamba, iingxaki zomchamo kunye nokuqaqamba kwemisipha.

Iimpawu zinokubonakala nangaliphi na ixesha ebomini, kubanzima ukuhamba ngenxa yokuphelelwa ngamandla kunye nonyamezelo lwemisipha olubonwa. Ukongeza, kunokubakho ukungqubana kwemisipha, ubunzima ngokwakhiwa kunye neengxaki zomchamo.

I-Paraparesis ayinonyango, kodwa unyango lubalulekile ekuphuculeni umgangatho wobomi bomntu kunye nokunciphisa iimpawu, kunye nemisebenzi yomzimba kunye nonyango lomzimba lubonakalisiwe.

Yintoni ebangela iparaparesis

Ukukhubazeka ngokuyinxalenye kwemilenze esezantsi kunokwahlulwa ngokwezizathu zazo kwiindidi ezimbini eziphambili:

• Ifa paraparesis yelifa, Ebonakala ngotshintsho kwimfuzo nakwimfuza ebangela ukonakala okanye ukonakala ngokuthe ngcembe kweendlela zomthambo. Iimpawu zolu hlobo lweparaparesis zinokuvela nangaliphi na ixesha, kodwa zihlala zibonakala phakathi kweminyaka eli-10 ukuya kwengama-40 kwaye zibonakaliswa kukuya buthathaka kunye nokuqina kwemilenze.
• Itropical spastic paraparesis, apho ukukhubazeka okuyingxenye yamalungu asezantsi kwenzeka ngenxa yosulelo yintsholongwane ye-HTLV-1 kwaye iimpawu zihlala zithatha ixesha ukubonakala, ziqatshelwa ngokubanzi phakathi kweminyaka engama-40 ukuya kwengama-50.

Ukongeza kwisizathu semfuza nesosulelayo, iparaparesis inokwenzeka ngenxa yemeko ethile ekhokelela kuxinzelelo lwamalungu omzimba okanye ukulimala komqolo, njengeengozi zemoto, ukuwa kwehashe kunye neediski ze-herniated, umzekelo, ukongeza ekubeni nakho iziphumo ze-multiple sclerosis.

Iimpawu eziphambili

Iimpawu zeparaparesis zinokubonakala nangaliphi na ixesha, ngakumbi ukuba zibangelwa lutshintsho kwimfuzo, kwaye iimpawu zinokubonakala kwangoko kunyaka wokuqala wobomi. Iimpawu ziyaqhubeka kwaye zichaphazela imilenze esezantsi, eyona iphambili yile:

• Ukuqhubela phambili kobuthathaka kunye nokuqina;
• Ukudumba kwezihlunu, kwezinye iimeko;
• Ubunzima bokulinganisela;
• Iingxaki zomchamo;
• Ukungasebenzi kwe-Erection;
• Kunzima ukuhamba;
• Umqolo obuhlungu onokuqaqamba emilenzeni.

Kuxhomekeke kubukhali beempawu, umntu angaziva isidingo sokusebenzisa i-crutch okanye isitulo esinamavili, umzekelo. Ukubonisana nogqirha wamathambo okanye ugqirha oqhelekileyo kubonisiwe xa kuqala ukubonakaliswa kweempawu zeparaparesis, ngale ndlela, kunokwenzeka ukuba uvavanyo lokuqonda luyenziwa kwaye unyango lusekiwe, ukuthintela ukuvela kwesi sifo.

Ngokwesiqhelo, iparaparesis ifunyanwa ngokungafaki izifo ezineempawu ezifanayo, ezinje nge-multiple sclerosis, umzekelo, ukongeza kwimagneti yomfanekiso wobuchopho kunye nentambo yomqolo kunye ne-electromyography, olo luvavanyo olujonga ukwenzakala kwezihlunu kunye nezihlunu. Ukuqhutywa kwempembelelo yombane eyenziwe sisixhobo. Qonda ukuba yenziwa njani i-electromyography.

Kwimeko yeparaparesis yelifa, iimvavanyo zofuzo zinokucelwa ukuba zikhangele ubukho bolu tshintsho, kunye nembali yosapho, ukuze kubonakale ukuba izihlobo ezisondeleyo zinokutshintsha okanye iimpawu zesi sifo.

Ngaba iparaplegia yinto efanayo neparaparesis?

Ngaphandle kokubonisa ukukhubazeka kwamalungu asezantsi, i-paraplegia kunye neparaparesis zahlukile. IParaparesis ihambelana nokungakwazi kokuhambisa amalungu omzimba asezantsi anempawu ezinokubonakala nangaliphi na ixesha ebomini, kuba esi sifo sinokuba lilifa okanye sibangelwe yintsholongwane.

Kwimeko yokukhubazeka kwamalungu omzimba asezantsi aphelele, oko kukuthi, umntu akakwazi ukushukumisa imilenze yakhe nangaliphi na ixesha, exhomekeke kwisitulo esinamavili. Le meko ihlala yenzeka ngenxa yomonzakalo womqolo kunye neziphumo kungekuphela kokungahambi kakuhle kwamalungu asezantsi, kodwa nakwindlela yokungakwazi ukulawula umchamo kunye namathumbu. Qonda ukuba yintoni i-paraplegia.

Unyango lwenziwa njani

IParaparesis ayinyangeki, ke unyango lwenziwa ngenjongo yokuthomalalisa iimpawu, kwaye kuhlala kucetyiswa ngugqirha ukusebenzisa iziyobisi ezikwaziyo ukudambisa iintlungu kunye nokuqaqamba kwemisipha okunokwenzeka, njengeBaclofen, umzekelo. Ukongeza, iiseshoni ze-physiotherapy ziyacetyiswa.

I-Physiotherapy ibalulekile kunyango lweparaparesis, njengoko umthambo owenziweyo unceda ukugcina ukuhamba kwamalungu kunye nokukhuthaza amandla emisipha, ukuhamba kunye nokumelana, ukongeza ekuncedeni ukukhusela inkampu kunye ne-spasms.