Quadriparesis

Umxholo

• I-Quadriparesis vs. iquadriplegia
• Ziintoni iimpawu?
• Izizathu eziqhelekileyo
• Usulelo
• Ityhefu / iziyobisi
• Iimeko zokuzalwa
• Ezinye iimeko zonyango
• Ukonzakala / ukwenzakala emqolo
• Kufunyaniswa njani
• Izinketho zonyango
• Yintoni imbonakalo?

Ushwankathelo

I-Quadriparesis yimeko ebonakaliswa bubuthathaka kuwo omane amalungu (zombini iingalo kunye nemilenze yomibini). Ikwabizwa ngokuba yi-tetraparesis. Ubuthathaka bunokuba bobethutyana okanye obungapheliyo.

I-Quadriparesis yahlukile kwi-quadriplegia. Kwi-quadriparesis, umntu usenamandla okuhamba kwaye ave imilenze yakhe. Kwi-quadriplegia, umntu uphulukene ngokupheleleyo namandla okuhambisa imilenze.

I-Quadriparesis inokubangelwa:

• usulelo, njengepoliyo
• isifo se-neuromuscular, njenge-muscular dystrophy
• ukonakala kwenkqubo luvo ngenxa yokwenzakala okanye enye imeko yonyango

Ukuba une-quadriparesis, isicwangciso sakho sonyango kunye nembonakalo iya kuxhomekeka kwisizathu esisisiseko.

I-Quadriparesis vs. iquadriplegia

I-Quadriparesis kunye ne-quadriplegia yomibini le miqathango ibonakaliswa kukuphulukana nomsebenzi kuwo omane amalungu omzimba. Umahluko ophambili kukuba ulahlekile kangakanani umsebenzi.

Umntu onamava e-quadriparesis ubuthathaka kunye nelahleko yenxalenye yokusebenza kwamalungu. Umntu onamava e-quadriplegia ukukhubazeka, okanye ilahleko epheleleyo yovakalelo kunye nolawulo lwamalungu abo.

Ziintoni iimpawu?

Iimpawu ze-quadriparesis ziyahluka ukusuka komnye umntu ukuya komnye kuxhomekeke ekubeni yeyiphi na imithambo echaphazelekayo.

Olona phawu luphambili lwe-quadriparesis bubuthathaka kuwo omane amalungu omzimba. Umntu one-quadriparesis uya kuba nobunzima ekulawuleni izihlunu kumalungu omzimba achaphazelekayo. Banokukwazi ukuhambisa elinye ilungu ngaphezulu kwelinye.

Ezinye iimpawu zingabandakanya:

• izihlunu eziqhwalelayo ezingenako ukuqina (i-flaccid quadriparesis)
• ukuqina okungaqhelekanga okanye ukuqina kwezihlunu (spastic quadriplegia)
• ukunqongophala kolawulo lweemoto
• ukungakwazi ukuhamba
• ukulahleka kolawulo lwesinyi
• Iingcinga zokudakumba

I-Quadriparesis ithathwa njengeempawu zenye imeko. Ezinye iimpawu ziya kuxhomekeka kwisizathu esisisiseko se-quadriparesis yakho.

Izizathu eziqhelekileyo

I-Quadriparesis yenzeka xa imithambo-luvo ethumela imiqondiso esuka kwingqondo yakho ecaleni komqolo ukuya kwimisipha kumalungu omzimba wakho iphazamiseka.

Zininzi izizathu zokuba oku kunokwenzeka. Abanye abantu bazalwa benesimo esichaphazela iisistim zemithambo-luvo. Abanye bahlakulela i-quadriparesis ngenxa yengozi okanye enye imeko yonyango eyonakalisa imithambo okanye intambo yomqolo.

Usulelo

Iintsholongwane kunye neebhaktiriya zinokuhlasela izicwili zemithambo-luvo okanye zibangele ukudumba emzimbeni okubangela ukonakala kwimithambo-luvo.

Imizekelo yosulelo enokubangela i-quadriparesis ibandakanya:

• nepoliyo
• enterovirus
• flavivirus
• Isifo seLyme
• Udibaniso
• umkhuhlane wedengue
• Intsholongwane kaGawulayo
• hepatitis C
• Intsholongwane ka-Epstein-Barr
• Intsholongwane yeNayile

Ityhefu / iziyobisi

Umonakalo wemithambo unokwenzeka kwakhona ngenxa yetyhefu okanye ityhefu, okanye njengempembelelo ecaleni kumayeza athile. Imizekelo ibandakanya:

• ukutyhefa utywala okanye ukusebenzisa gwenxa utywala
• ityhefu enzima yesinyithi
• inyoka yenyoka
• Nonomadudwane
• ukukhubazeka kwamakhalane
• ibhotile
• unyango oluthile lwe-chemotherapy

Iimeko zokuzalwa

Abanye abantu bazalwa benesimo esichaphazela izihlunu zabo kwaye sibangele i-quadriparesis, enje:

• umvakalelo yokitazo
• Izihlunu zemisipha

Ezinye iimeko zonyango

I-Quadriparesis inokuba yingxaki yenye imeko yezonyango, kubandakanya:

• Isifo seGuillain-Barré
• itshixiwe-ngaphakathi syndrome
• imysthenia gravis
• Isifo seLambert-Eaton
• paraneoplastic syndromes yenkqubo yemithambo-luvo
• ketoacidosis seswekile
• Ukuphazamiseka kwe-electrolyte, njenge-hyperkalemia (i-potassium ephezulu), i-hypokalemia (i-potassium ephantsi), kunye ne-hypophosphatemia (iphosphate ephantsi)
• i-vasculitic neuropathy

Ukonzakala / ukwenzakala emqolo

I-Quadriparesis inokwenzeka emva kokonzakala okanye ukonzakala komonakalo kwintambo yomqolo. Lo monakalo unokubakho ukusuka:

• iingozi zeemoto
• ukudubula umpu
• zityibilika zize ziwe
• ukulimala kwezemidlalo
• ityibilika okanye idiski ye-herniated
• utyando lomqolo

Kufunyaniswa njani

Ugqirha unokuchonga i-quadriparesis ngokujonga kwakhona iimpawu zakho kunye nokwenza uvavanyo lomzimba. Ugqirha wakho kuya kufuneka afumanise ukuba yintoni ebangela i-quadriparesis yakho ukuze wazi indlela yokuyinyanga ngokufanelekileyo.

Unokuthunyelwa kwingcali ye-neuromuscular ukuze uphinde uvavanywe. Ingcali iya kuphonononga imbali yakho yezonyango kunye neyosapho kwaye ivavanye zonke iimpawu zakho. Banokuqhuba iimvavanyo zokuvavanya ukusebenza kwemisipha okanye ukusebenza kwentliziyo. Olu vavanyo lunokubandakanya:

• Ukuskena iMRI kwengqondo kunye nomqolo, ukubona ukuba unethumba okanye idiski ye-herniated
• i-electromyography (EMG), uvavanyo lomsebenzi we-nerve ofunda umsebenzi wombane kwiimisipha (i-EMG inokunceda ugqirha wakho ukuba ahlule phakathi kwemisipha kunye nokuphazamiseka kwemithambo-luvo.)
• Izifundo zokuqhutywa kwemithambo-luvo ukubona ukuba iintlungu kunye nemithambo-luvo yakho iphendula njani kwimibhobho emincinci yombane
• i-lumbar puncture (impompo yomqolo) ukuqokelela kunye nokuhlalutya i-cerebrospinal fluid yakho (CSF)
• umsipha okanye i-nerve biopsies, xa isampulu encinci yemisipha okanye ye-nerve isuswe ukuvavanywa ngakumbi kwilabhoratri
• kuvavanyo lwegazi ukukhangela ukusilela kweevithamini, isifo seswekile, kunye nokungalingani kwe-electrolyte

Izinketho zonyango

Isicwangciso sonyango lwe-quadriparesis sixhomekeke kwisizathu esingunobangela. Umzekelo, iimeko ezizimeleyo okanye ezokuvuvukala zinokunyangwa ngamachiza omzimba. Ukungalingani kwe-electrolyte kunokunyangwa ngamayeza abuyisa ukungalingani.

Olunye unyango lunokubandakanya:

• utyando
• izihlunu eziphumlayo
• amayeza entlungu
• ulungiso lwenyama
• unyango lomsebenzi
• uqeqesho lokuchasa

Ugqirha wakho unokucebisa ngeendlela ezahlukeneyo zokuhamba (njengesihlalo sabakhubazekile okanye isithuthuthu) okanye ezinye izixhobo zokukunceda ukulawula iimpawu zakho.

Yintoni imbonakalo?

Imbonakalo iyonke iya kuxhomekeka kwimeko yakho engaphantsi okanye kubungakanani bokwenzakala kwakho.

Kungenzeka ukuba i-quadriparesis iguqulwe kwiimeko ezithile. Umzekelo, i-quadriparesis ebangelwa yi-hyperkalemia ihlala ibuyela umva kunyango. I-Quadriparesis ebangelwe yidiski eshibilikileyo inokubuyiselwa umva emva kotyando. Abanye abantu abane-quadriparesis abanakuze baphinde bafumane amandla kunye namandla emilenzeni.

Buza ugqirha wakho ngolwazi oluthe kratya malunga nokuchongwa kwesifo sakho kunye nembono yexesha elide. Ukuba i-quadriparesis yakho ithathwa njengesisigxina, buza malunga noncedo lokuhamba, itekhnoloji yokuncedisa, kunye notshintsho kwindlela yokuphila olunokunceda ukuphucula umgangatho wobomi bakho.