I-Quadriparesis

-Delile

• I-Quadriparesis vs. i-quadriplegia
• Ziyini izimpawu?
• Izimbangela ezivamile
• Izifo
• Ubuthi / izidakamizwa
• Izimo zokuzalwa
• Ezinye izimo zezokwelapha
• Ukulimala / ukuhlukumezeka umgogodla
• Kutholakala kanjani
• Izinketho zokwelashwa
• Uyini umbono?

Ukubuka konke

I-Quadriparesis yisimo esivezwa ubuthakathaka kuzo zonke izitho ezine (zombili izingalo nemilenze yomibili). Kubizwa nangokuthi yi-tetraparesis. Ubuthakathaka bungaba obesikhashana noma baphakade.

I-Quadriparesis yehlukile kune-quadriplegia. Ku-quadriparesis, umuntu usenekhono elithile lokunyakaza futhi ezwe izitho zakhe zomzimba. Ku-quadriplegia, umuntu ulahlekelwe ngokuphelele amandla okuhambisa izitho zomzimba.

I-Quadriparesis ingabangelwa:

• ukutheleleka, njenge-polio
• isifo se-neuromuscular, njenge-muscular dystrophy
• ukulimala kwesistimu yezinzwa ngenxa yokulimala noma esinye isimo sezokwelapha

Uma une-quadriparesis, uhlelo lwakho lokwelashwa nokubukeka kwakho kuzoya ngesizathu esiyimbangela.

I-Quadriparesis vs. i-quadriplegia

I-Quadriparesis ne-quadriplegia zombili lezi zimo ezibonakala ngokulahleka komsebenzi kuzo zonke izitho ezine. Umehluko omkhulu ukuthi ulahlekelwe kangakanani umsebenzi.

Umuntu one-quadriparesis uhlangabezana nobuthakathaka nokulahleka okuncane kokusebenza kwezitho. Umuntu one-quadriplegia uthola ukukhubazeka, noma ukulahlekelwa ngokuphelele ukuzwa nokulawulwa kwezitho zakhe.

Ziyini izimpawu?

Izimpawu ze-quadriparesis ziyahlukahluka kuye ngomuntu kuye ngokuthi yiziphi izinzwa ezithintekayo.

Uphawu olukhulu lwe-quadriparesis ubuthakathaka kuzo zonke izitho ezine. Umuntu one-quadriparesis uzoba nobunzima bokulawula imisipha ezingxenyeni zomzimba ezithintekile. Bangakwazi ukuhambisa isitho esisodwa ngaphezu kwesinye.

Ezinye izimpawu zingafaka:

• imisipha exegayo engenakho ukuqina (i-flaccid quadriparesis)
• ukuqina okungajwayelekile noma ukuqina kwemisipha (i-spastic quadriplegia)
• ukuntuleka kokulawulwa kwezimoto
• ukungakwazi ukuhamba
• ukulahlekelwa ukulawula isinye
• ingqondo ecindezelekile

I-Quadriparesis ngokuvamile ibhekwa njengophawu lwesinye isimo. Ezinye izimpawu zizoya ngesizathu esiyimbangela ye-quadriparesis yakho.

Izimbangela ezivamile

I-Quadriparesis yenzeka lapho izinzwa ezithumela amasiginali kusuka ebuchosheni bakho kanye nomgogodla kuya ezicutshini ezithweni zakho ziphazamiseka.

Kunezizathu eziningi zokuthi kungani lokhu kungenzeka. Abanye abantu bazalwa benesimo esithinta isistimu yabo yezinzwa. Abanye baba ne-quadriparesis ngenxa yengozi noma esinye isimo sezempilo esilimaza izinzwa noma umgogodla.

Izifo

Amagciwane namagciwane angahlasela izicubu zezinzwa noma abangele ukuvuvukala emzimbeni okuholela ekulimaleni kwezinzwa.

Izibonelo zezifo ezingadala i-quadriparesis zifaka:

• uvendle
• enterovirus
• i-flavivirus
• Isifo seLyme
• udiphtheria
• umkhuhlane wodenga
• I-HIV
• i-hepatitis C
• Igciwane le-Epstein-Barr
• Igciwane le-West Nile

Ubuthi / izidakamizwa

Ukulimala kwemithambo yegazi nakho kungenzeka ngenxa yetyhefu noma ubuthi, noma njengomphumela wecala emithini ethile. Izibonelo zifaka:

• ukuphuza utshwala noma ukuphuza ngokweqile
• ubuthi bensimbi esindayo
• ubuthi benyoka
• ufezela
• ukukhubazeka komkhaza
• i-botulism
• izindlela ezithile zokwelapha ngamakhemikhali

Izimo zokuzalwa

Abanye abantu bazalwa benesimo esithinta imisipha yabo futhi sibangele i-quadriparesis, efana nale:

• ukukhubazeka kobuchopho
• ukuqina kwemisipha

Ezinye izimo zezokwelapha

I-Quadriparesis nayo ingaba inkinga yesinye isimo sezempilo esiyisisekelo, kufaka phakathi:

• Isifo se-Guillain-Barré
• i-syndrome ekhiyiwe
• myasthenia gravis
• Isifo seLambert-Eaton
• ama-paraneoplastic syndromes wesistimu yezinzwa
• ketoacidosis sikashukela
• ukuphazamiseka kwe-electrolyte, njenge-hyperkalemia (i-potassium ephezulu), i-hypokalemia (i-potassium ephansi), ne-hypophosphatemia (i-phosphate ephansi)
• i-vasculitic neuropathy

Ukulimala / ukuhlukumezeka umgogodla

I-Quadriparesis kungenzeka ngemuva kokulimala noma ukuhlukumezeka kulimaza intambo yomgogodla. Umonakalo onjalo ungavela ku:

• izingozi zemoto
• ukudubula izibhamu
• kushelela kuwele
• ukulimala kwezemidlalo
• ishelelisiwe noma i-herniated disk
• ukuhlinzwa komgogodla

Kutholakala kanjani

Udokotela angaxilonga i-quadriparesis ngokubukeza izimpawu zakho nokwenza ukuhlolwa komzimba. Udokotela wakho uzodinga ukuthola ukuthi yini ebangela i-quadriparesis yakho ukuze wazi ukuthi ungayiphatha kanjani kahle.

Ungathunyelwa kuchwepheshe we-neuromuscular ukuze uqhubeke nokuhlolwa. Uchwepheshe uzobuyekeza umlando wakho wezempilo nowezempilo futhi ahlole zonke izimpawu zakho. Bangase futhi benze izivivinyo zokuhlola umsebenzi wakho wemisipha noma we-nerve. Lezi zivivinyo zingafaka:

• Ukuskena kwe-MRI kobuchopho nomgogodla, ukubona ukuthi unesimila noma i-herniated disk
• i-electromyography (EMG), isivivinyo somsebenzi wezinzwa ofunda umsebenzi kagesi kusuka emisipheni (i-EMG ingasiza udokotela wakho ukuhlukanisa phakathi kwemisipha nokuphazamiseka kwemizwa.)
• Izifundo zokuqhuba izinzwa ukubona ukuthi izinzwa nemisipha yakho iphendula kahle kanjani emithanjeni kagesi emincane
• ukubhoboza i-lumbar (umpompi womgogodla) ukuqoqa nokuhlaziya i-cerebrospinal fluid yakho (CSF)
• imisipha noma i-nerve biopsies, lapho isampula elincane lemisipha noma le-nerve lisuswa ukuze liqhubeke nokuhlolwa elabhorethri
• ukuhlolwa kwegazi ukubheka ukuntuleka kwamavithamini, isifo sikashukela, kanye nokungalingani kwe-electrolyte

Izinketho zokwelashwa

Uhlelo lwakho lokwelashwa lwe-quadriparesis luncike embangela eyimbangela. Isibonelo, izimo ezizimele noma ezivuthayo zingaphathwa ngemithi yokuzivikela emzimbeni. Ukungalingani kwe-electrolyte kungelashwa ngemithi eguqula ukungalingani.

Ezinye izindlela zokwelashwa zingafaka:

• ukuhlinzwa
• ukuphumula kwemisipha
• imithi yezinhlungu
• ukwelashwa ngokomzimba
• ukwelashwa emsebenzini
• ukumelana nokuqeqeshwa

Udokotela wakho angancoma izinsiza ezahlukahlukene zokuhamba (njengesihlalo sabakhubazekile noma isithuthuthu) noma amanye amadivayisi okusiza ukukusiza ukuphatha izimpawu zakho.

Uyini umbono?

Umbono jikelele uzoncika esimweni sakho esingaphansi noma ekulimaleni kwakho.

Kungenzeka ukuthi i-quadriparesis iguqulwe ezimweni ezithile. Isibonelo, i-quadriparesis ebangelwa yi-hyperkalemia ivame ukubuyiselwa emuva ngokushesha ngokwelashwa. I-Quadriparesis ebangelwe yidiski eshibhile ingahlehliswa ngemuva kokuhlinzwa. Abanye abantu abane-quadriparesis kungenzeka bangaphinde bathole ukuhamba namandla emilenzeni.

Buza udokotela wakho ukuthola eminye imininingwane mayelana nokuxilongwa kwakho okuthile kanye nombono wesikhathi eside. Uma i-quadriparesis yakho ibhekwa njengonomphela, buza ngezinsiza zokuhamba, ubuchwepheshe bokusiza, nezinguquko zendlela yokuphila ezingasiza ekuthuthukiseni ikhwalithi yempilo yakho.