Ungayibona kanjani i-spastic paraparesis nendlela yokwelapha

-Delile

• Yini ebangela i-paraparesis
• Izimpawu eziyinhloko
• Ingabe i-paraplegia yinto efanayo ne-paraparesis?
• Yelashwa kanjani

IParaparesis yisimo esivezwa ukungakwazi ukunyakazisa kancane imilenze engezansi, engenzeka ngenxa yezinguquko zofuzo, ukulimala komgogodla noma ukutheleleka ngegciwane, okuholela ekutheni kube nzima ukuhamba, izinkinga zomchamo nokuqaqamba kwemisipha.

Izimpawu zingavela noma kunini empilweni, kube nobunzima ekuhambeni ngenxa yokuphelelwa amandla nokubekezelela kwemisipha. Ngaphezu kwalokho, kungahle kube nokuqaqamba kwemisipha, ubunzima ngokwakhiwa nezinkinga zomchamo.

I-Paraparesis ayinakho ukwelashwa, kepha ukwelashwa kubalulekile ukuthuthukisa ikhwalithi yempilo yomuntu nokunciphisa izimpawu, futhi kuboniswa nemisebenzi yomzimba nokwelashwa komzimba.

Yini ebangela i-paraparesis

Ukukhubazeka okuyingxenye yezitho ezingezansi kungenziwa ngezigaba zazo kube yizinhlobo ezimbili eziyinhloko:

• Ifa le-spastic paraparesis, ebonakala ngezinguquko zofuzo nezofuzo ezidala ukulimala noma ukonakala okuqhubekayo kwezindlela zemizwa. Izimpawu zalolu hlobo lwe-paraparesis zingavela nganoma yisiphi isikhathi, kepha zivame ukuvela phakathi kweminyaka yobudala eyi-10 nengama-40 futhi zibonakala ngokuwohloka okuqhubekayo nokuqina kwemilenze.
• I-tropical paraparesis eshisayo, lapho ukukhubazeka okuyingxenye yezitho ezingezansi kwenzeka ngenxa yokutheleleka ngegciwane le-HTLV-1 futhi izimpawu zivame ukuthatha isikhathi ukuvela, zivame ukuqashelwa phakathi kweminyaka engama-40 nengama-50.

Ngaphezu kwesizathu sofuzo nesifo esithathelwanayo, i-paraparesis nayo ingavela ngenxa yesimo esithile esiholela ekucindezelweni kaningi kwezitho noma ukulimala komgogodla, njengezingozi zemoto, ukuwa kwamahhashi nama-disc herniated, ngokwesibonelo, ngaphezu kokukwazi umphumela we-multiple sclerosis.

Izimpawu eziyinhloko

Izimpawu ze-paraparesis zingavela nganoma yisiphi isikhathi, ikakhulukazi uma zibangelwa ukuguqulwa kofuzo, futhi izimpawu zingavela ekuqaleni konyaka wokuqala wokuphila. Izimpawu ziyaqhubeka futhi zithinta izitho ezingezansi, eziyinhloko:

• Ukuqhubeka nobuthakathaka bemisipha nokuqina;
• Ukudumba kwemisipha, kwezinye izimo;
• Ukulinganisela ubunzima;
• Izinkinga zomchamo;
• Ukungasebenzi kahle kokulungiswa;
• Kunzima ukuhamba;
• Ubuhlungu beqolo obungaphuma buye emilenzeni.

Ngokuya ngobukhulu bezimpawu, umuntu angazizwa isidingo sokusebenzisa induku noma isihlalo esinamasondo, isibonelo. Ukubonisana nodokotela wamathambo noma udokotela ojwayelekile kukhonjiswa lapho kuvela izimpawu zokuqala ze-paraparesis, ngale ndlela, kungenzeka ukuthi kwenziwa ukuhlolwa kokuxilongwa bese kwenziwa ukwelashwa, kuvimbela ukuvela kwesifo.

Imvamisa, i-paraparesis itholakala ngokungafaki izifo ezinezimpawu ezifanayo, njenge-multiple sclerosis, ngokwesibonelo, ngaphezu kwemifanekiso yamagnetic resonance yobuchopho nomgogodla kanye ne-electromyography, okuwukuhlolwa okuhlola ukulimala kwemisipha nemisipha. ukuqhutshwa komfutho kagesi owenziwe yimishini. Qonda ukuthi kwenziwa kanjani i-electromyography.

Endabeni yefa paraparesis, ukuhlolwa kwezofuzo kungacelwa ukuthi kubhekwe ukuthi kukhona yini ukuguquka kwezakhi zofuzo, kanye nomlando womndeni, ukuze kubonakale ukuthi izihlobo eziseduze zinokushintshwa noma izimpawu zesifo.

Ingabe i-paraplegia yinto efanayo ne-paraparesis?

Yize kukhombisa ukukhubazeka kwezitho ezingezansi, i-paraplegia ne-paraparesis kwehlukile. I-Paraparesis ihambelana nokwehluleka ngokwengxenye ukunyakazisa izitho ezingezansi ezinezimpawu zazo ezingabonakala noma kunini empilweni, ngoba lesi sifo singaba ngefa noma sibangelwe yigciwane.

Endabeni yokukhubazeka, ukukhubazeka kwezitho ezingezansi kuphelele, okungukuthi, umuntu akakwazi ukuhambisa imilenze yakhe nganoma yisiphi isikhathi, ancike esihlalweni sabakhubazekile. Lesi simo sivame ukwenzeka ngenxa yokulimala kwentambo yomgogodla kanye nemiphumela hhayi kuphela ngokungahambi kokuhamba kwezitho ezingezansi, kepha nokwehluleka ukulawula umchamo namathumbu. Qonda ukuthi yini i-paraplegia.

Yelashwa kanjani

IParaparesis ayinawo umuthi, ngakho-ke ukwelashwa kwenziwa ngenhloso yokuqeda izimpawu, futhi kuvame ukuthi kunconywe ngudokotela ukusebenzisa izidakamizwa ezikwaziyo ukudambisa izinhlungu nokuqaqamba kwemisipha okungenzeka, njengeBaclofen, ngokwesibonelo. Ngaphezu kwalokho, izikhathi ze-physiotherapy ziyanconywa.

I-Physiotherapy ibalulekile ekwelapheni i-paraparesis, njengoba izivivinyo zenziwa zisiza ukugcina ukuhamba kwezitho zomzimba futhi zikhuthaze amandla emisipha, ukuhamba nokumelana, ngaphezu kokusiza ukuvikela amajaqamba nokuqaqamba komzimba.