Paraplegia - ndi chiyani ichi?

Paraplegia - ndi ziwalo chikwiyire ndi kudwala, zoopsa. Ngati anakhudzidwa miyendo ali pamwamba, pansi. Kuchokera pa lakutali paraplegia pamwamba, pansi.

zambiri

matendawa amakhudza imodzi onse m'munsi (kumtunda) nthambi. Nthawi zambiri amayamba ndi matenda a chingwe msana. Chifukwa ambiri, malinga ndi ziwerengero - galimoto n'zimene. Anaiwononga, koma anapeza paraplegia wa malekezero a m'munsi, chapamwamba, chikwiyire matenda msana, msana.

Pali kusiyana mu mitundu iwiri:

• paraplegia chifukwa cha kuvulala msana mu mmunsi;
• tetraplegia, chikwiyire ndi kuvulala kwa msana chapamwamba.

Pa miyendo inayi yapitayi ali ziwalo. Upper akutali Palinso, koma ali osowa kwambiri. Kuti zingayambitse zotupa, petechial magazi.

Paraplegia - ndi pathological, ambiri anakhudzidwa amene ntchito yoyenda. Looneka diso kupunduka - osati m'munsili matenda. Yotengedwa ndi cholowa chonsechi paraplegia conjugate ndi chiwerengero chachikulu cha matenda a kachitidwe mkati mwa chamoyo.

zifukwa

Matendawa amakwiya kuwonongeka:

• msana;
• kavalo mchira msana;
• mizu mitsempha.

chiopsezo gulu - amuna zaka 15-45, ndiye, anthu amagwa ngozi zina zamayendedwe. Komanso, pali cholowa paraplegia amayamba ndi majini.

symptomatology

Paraplegia - ndi matenda limodzi ndi zizindikiro zotsatirazi:

• matenda gulu;
• kupweteka;
• kuvutika kupuma;
• wonongeka ubereki, kachitidwe mkodzo;
• sphincter kukanika;
• autonomic, impairments imalandira.

Mavuto ndi kayendedwe

Paraplegia - ndi matenda amene kayendedwe ali pafupifupi kapena kwathunthu zosatheka. Ndiko kuti, mmene ziwalo kuponya thupi zimadalira mmene zoipa. Nthawi zina, anapezeka ndi paraplegia yunifolomu pamene kafalitsidwe amapezeka symmetrically ndi ulemu kwa msana. N'zotheka osasamba chisokonezo. Izo zimatengera ngati msana gawo anali pansi nkhonya ya.

Mu nkhani ya choipa kugwirizana ubongo kugwa, chifukwa mu gulu zina zimachitika lachibadwa, ngakhalenso wachiwawa. Minofu kamvekedwe amakhala apamwamba, ndiwo ambiri atengeke flexors lapansi. Ngati munthu ayesera kuwongola mwendo, izi zimathandiza munthu kuwonongeka kwa zinthu. Chapamwamba, m'munsi paraplegia amakhala ndi spasticity. Ngati bwanji mizu mitsempha, mwina minofu hypotonia. Pankhaniyi, matenda flaccid paraplegia.

kukanika imalandira

Pamene anavulala khungu tilinazo kusokonezedwa. Pa nthawi yomweyo kuwawa;

• kutha kuzindikira kuwawa;
• lingaliro la kukhudza;
• kutentha zotengeka.

The tilinazo lonse wosweka. Anthu anonso anthu athanzi amaona kuti amakwiya chapamwamba, m'munsi paraplegia, sayansi zambiri chimatchedwa paresthesia. Ngati izo zimanyezimiritsa n'kuchotsedwa pa kutengeka, munthu akhoza mungavulale kapena kutenthedwa, ndipo analibe ngakhale zindikirani kuti izo zinachitika. Ngati tilinazo atayika kwathunthu, mwina mkulu wa zilonda kuthamanga, monga limodzi ndi kuphwanya matenda trophic.

Thupi tilinazo amalola wathanzi anthu kumvetsa zimene pamalo ali mu mlengalenga, mochuluka bwanji kuthamanga anali amagwiritsa ntchito pa iye zinthu zazikulu kukameta ubweya mphamvu. Matenda chifukwa cha paraplegia, kumverera wosweka, choncho anthu ndi zotupa m'munsi nthambi mukhoza kumvetsa malo iwo amakhala, koma ngati inu muyang'ana pa iwo. Kugwiritsa ntchito manja, muyenera kuyang'ana pa iwo. Pa nthawi yomweyo iwo kuvutika akusamala, komanso m'mimba chidwi ndi ziwalo. Odwala matenda ndi paraplegia, amadandaula chizungulire, kuopa misanje.

Ululu paraplegia

Monga kugula ndi chonsechi paraplegia Adolph Strümpell osiyana kulimbikira ululu syndrome. Ngati yovulala, zikuoneka yomweyo, koma awasungira kwa moyo. Ululu kumachitika mu mbali zina za thupi pamene tilinazo si wosweka, koma zone kuponya ndipo ataya tilinazo.

Msana choipa zikutanthauza kuti misempha ali bwino ntchito, ndi ubongo amalandira molakwika zomwe si zizigwirizana zenizeni. Ena njira deta amatsekeka kwathunthu.

Ululu matenda ndimaziko anthu, zimayambitsa matendawa, kuchepetsa ubwino wa moyo, amakwiya zonse maganizo, nkhawa. Mu ena syndrome Zikuoneka Mwamsanga ndiyeno abwelela, pa ena ndi okhazikika. Nthawi zambiri n'zotheka kuika ululu wa matenda chomaliza - mwachitsanzo, kudziwa mavuto a khungu, intestine, chikhodzodzo. Nthawi zina ululu kumayambika ndi kutopa, nkhawa, ndi ngakhale nazo. Medicine amadziwa nthawi zambiri pamene mphamvu ya ululu mukopedwe kusintha kutentha mu chipinda.

autonomic kukanika

Chonsechi paraplegia akuwonetseredwa mu:

• hyperreflexia;
• dysreflexia;
• kuthamanga kukakhala;
• mutu;
• thukuta;
• kuzizira;
• Goosebumps.

The zifukwa:

• matenda;
• mapindikidwe a chikhodzodzo;
• mavuto khungu;
• zotupa;
• catheterization.

N'zotheka kuphwanya matenthedwe muyezo wa thupi, amayamba ndi kugwira ntchito pachithunzichi wa ziwiya inatsekeratu. Thukuta m'madera khalidwe ili pansipa pabala.

chithandizo

Kodi tingayembekezere ngati paraplegia anapezeka? Chithandizo la masiku awa, mwatsoka, zimenezi kulibe. Kamodzi choipa wakhala analandira m'pofunika amalera pa Kupha zotsatira pachimake. Monga ulamuliro, wodwalayo ntchito, kuthetsa fractures, kupenda mkhalidwe wonse wa thupi, kuphunzira chingwe msana kuwulula lonse kuwonongeka ndi khalidwe lawo.

Kenako akuyamba siteji ya konzanso. Pa nthawi imeneyo, madokotala kuthandiza odwala kubwezeretsa ntchito za thupi ngati n'kotheka. Ndi minofu ili pansipa m'dera anavulala ndi inputted kulamulira ntchito yotsalira. Pakuti malo a thupi pamwamba chotupa cha Akuti yotsalira mphamvu zogonjetsera mavutowo. Kumathandiza kupeza Zochita mulingo woyenera, njira umalimbana maphunziro anthu pa kutumikira okha. Kumene, zotsatira ngakhale konzanso yabwino kwambiri amaonetsera m'tsogolo.

masiteji zina mankhwala

Ngati nthawi yoyamba pambuyo zifukwa wodwala akudwala matenda okhudzana ndi kupuma, adzayenera kukonza mpweya wabwino. Patapita nthawi, kulenga postural ngalande, kuphunzitsa munthu kutsokomola. Ikani njira yapadera zithandize odwala paraplegia. M'tsogolo, ife tiyenera kuchita izo zonse.

njira ina ogwira - ndi physiotherapy. njira lakonzedwa kuti mfundo wodwala akhoza kusamukanso. Kumafuna ntchito ndi zinkakhala m'dera. Ntchito yaikulu ya dotoloyo - kuteteza minofu chidule, zikubweretsa yafupika kuyenda. Komanso, ntchito kulimbikitsa minofu.

Chithandizo ndi chizolowezi ndithu, zochokera mphamvu ya mtima ndipo kenako adzatenge ya osiyanasiyana onse a ntchito. Yambani:

• Kuphunzira kudziletsa zochotsa ku kama;
• kukhazikitsidwa kugwedeza mu chikuku;
• kugwira bwino mu malo wakhala;
• akhazike nokha;
• chikuku kulamulira.

Pamene paraplegia anapatsidwa chilema. Anthu amenewa amafunika chisamaliro zonse ndi chithandizo, ndipo zimadalira kutalika kwa moyo. Ngati chamankhwala, zachipatala anati mosamala, ndiye anthu adzakhala ndi moyo motalika kokwanira. Koma vuto loyamba ukhondo chikhalidwe kuyambitsa mavuto ambiri, matenda ndi kutukusira kwa ziwalo ndi kachitidwe, mavuto trophic zomwe zingachititse sepsis. Pamene matenda amakhala zowombetsa mkota, ndi kuchulukitsa chiopsezo cha imfa.

matenda ubale

Adolph Strümpell paraplegia - ndi matenda ngati omwe amatanthauza kuti:

• mwapang'onopang'ono;
• aakulu.

Pamene pyramidal ake msana njira anakhudzidwa mbali zonse. matenda amayamba ndi preconditions majini: tinatengera. Nthawi zambiri, cholowa chonsechi subspecies kumachitika m'njira recessive, koma pali mwayi ndi lalikulu. Matenda amapezeka kwambiri. Koma paraplegia koyera zambiri kudzera mwa losokonekera lalikulu. Amakhulupirira kuti pali nthenda majini zimene zimachititsa kuti banja kudwala. Iwo adafotokoza kuti chifukwa cha chibadwa awa ayenera kukhala zaka zomwe matenda kuyamba kukhazikitsa.

Pamene paraplegia Adolph Strümpell pyramidal mbali njira buluzi pa nthawi. Pa nthawi yomweyo kusintha zimachitika Magulu Gaulle. Iye akuvutika kwa kotekisi ubongo. matenda ndi sakanikira. Adolph Strümpell m'mabuku ake anafotokoza banja chonsechi subtype matenda, chimene mchitidwe sikawirikawiri lokhazikika. Kwambiri zambiri anati chonsechi paraparesis, imene zinkakhala m'dera - nthambi m'munsi. Mu milandu, spasticity chimaposa pa paresis. Science lero chifukwa cha matenda m'munda chimodzi wa kotekisi oziziritsa, ndilo chiyambi cha ulusi extrapyramidal.

kupitilira matenda

Banja paraplegia zambiri akuyamba mwakachetechete kwambiri. Nthawi yoyamba munthuyo anena kuti miyendo yake asatope msanga ndipo kwambiri, kenako akuona kuti kusuntha miyendo ngati zolimba. Minofu kamvekedwe zikuchulukirachulukira, chifukwa m'magulu tendon reflex. Nthawi zambiri pali Babinski.

Kukula kwa matendawa limasonyeza clonuses mapazi, mawondo. Kenako oterewa matenda ena nthambi flexion. Tonus ikukula kwambiri kwambiri, minofu kufooketsa, koma ziwalo monga komabe alibe. Anthu, kusintha gait, kumakhaladi "chonsechi". zimfundo opunduka, kusintha maphunziro awo, motero chikwiyire bongo zozitetezera.

Nthawi zambiri, odwala opulumutsidwa bongo cutaneous, ziwalo m'chiuno akhoza kugwira. IQ sasintha, anthu akhoza ntchito kayendedwe ndipo alibe kukonza matenda tilinazo. Koma patapita kanthawi mu ndondomeko zoipa nawo nthambi chapamwamba. Zilibe zimachitika 100% milandu, koma mosavuta chitukuko izi. M'manja mwa kukula minofu kamvekedwe, bongo tendon ndi kuchepetsedwa, zizindikiro kawirikawiri pseudobulbar.

Vuto samabwera nokha

Nthawi zina kwambiri pamene chonsechi paraplegia limapezeka palokha, popanda limodzi ndi matenda ena. Kawirikawiri akudwala machitidwe ena mkati. Nthawi zambiri paraplegia chifukwa cha maziko chibadwa, matenda opatsirana monga ataxia cholowa. Pali kugwirizana paraplegia ndi syndromes amyotrophic. Koma lero, madokotala sakudziwa matenda phenotypic poyerekezera ndi ndondomeko limodzi kapena kukunenerani jini awo osiyana.

Nthawi zambiri paraplegia limodzi ndi manja a misempha udindo masomphenya, kufooka kwa minofu kunja diso, nystagmus ndi dysarthria. Mu kudwala kusintha atathana maganizo, khunyu, hyperkinesis cholinga kugwedeza.

Kudwala ndi zaka

Palibe mfundo yeniyeni kuti pa msinkhu womwe chonsechi paraplegia amachititsa munthu amene ali ndi mbiri banja la izo. maphunziro anali kuchitidwa pakati pa anthu odwala pa nkhani ya amayanjana banja, amene analola madokotala kukhazikitsa ndendende, ngakhale pankhani achibale, matenda ukadali tikuonera pa mibadwo yosiyana, palibe kufanana. Zizindikiro zina woyamba anaona yomweyo pambuyo pa kubadwa, mu pathologies ena pa zaka pafupifupi achikulire.

Pankhani paraplegia wangwiro padziko ziwerengero ena anganene kuti: chiopsezo gulu - zaka 10-20. Matendawa wochedwa, komabe ankaona akupita patsogolo. Nthawi zambiri, odwala moyo kwa nthawi yaitali, ngakhale wokalamba. Pali milandu adzauka kuti tifulumizane zizindikiro ndi matenda matenda.

flaccid paraplegia

Violation kugwirizana ndi chotupa cha manyuroni udindo kuyenda. chifukwa zingakhale:

• zoopsa;
• poliyo;
• kutupa;
• polyneuritis;
• plexitis.

paraplegia flaccid amakonda m'mbuyo, pang'onopang'ono wokhala attenuation bongo. Makamaka bwanji tendons, koma pa nthawi ndondomeko ya likukula. Minofu kuchepa mu kukula, ndi excitability magetsi a mathithiwa. The njira yolondola kwambiri kupeza matenda - electromyogram.

Pamene flaccid paraplegia zotheka atony. Nthawi zambiri, chitukuko izi zikusonyeza chophukacho wa chingwe msana ndi pafupifupi kwathunthu (kapena Mulungu). ziwalo m'chiuno kutaya dzuwa, sikutheka kusuntha thupi lake m'munsimu zinkakhala m'dera. Koma pali njira ina. Ngati kudwala mwadzidzidzi analibe preconditions, mwina chifukwa diaschisis pamene manyuroni mongoyembekezera Kusiya ntchito.