Quadriparesis

Zamkati

• Quadriparesis motsutsana ndi quadriplegia
• Zizindikiro zake ndi ziti?
• Zomwe zimayambitsa
• Matenda
• Poizoni / mankhwala osokoneza bongo
• Mikhalidwe yobadwa nayo
• Matenda ena
• Kuvulala / kuvulala msana
• Momwe amadziwika
• Njira zothandizira
• Maganizo ake ndi otani?

Chidule

Quadriparesis ndimavuto ofala m'miyendo yonse inayi (mikono yonse ndi miyendo yonse). Amatchulidwanso kuti tetraparesis. Kufooka kungakhale kwakanthawi kapena kosatha.

Quadriparesis ndi yosiyana ndi quadriplegia. Mu quadriparesis, munthu akadali ndi kuthekera kosuntha ndikumva miyendo yawo. Mu quadriplegia, munthu watha kwathunthu kusuntha ziwalo zake.

Quadriparesis ingayambidwe ndi:

• matenda, monga poliyo
• matenda a neuromuscular, monga kupindika kwa minofu
• kuwonongeka kwa dongosolo lamanjenje chifukwa chovulala kapena matenda ena

Ngati muli ndi quadriparesis, dongosolo lanu la chithandizo ndi malingaliro anu zimadalira pazomwe zimayambitsa.

Quadriparesis motsutsana ndi quadriplegia

Quadriparesis ndi quadriplegia zonsezi ndizodziwika ndi kutayika kwa magwiridwe amiyendo yonse inayi. Kusiyanitsa kwakukulu ndikuti ntchito yatayika bwanji.

Munthu yemwe ali ndi quadriparesis amakhala ndi zofooka komanso kuchepa kwa magwiridwe antchito a miyendo. Munthu yemwe ali ndi quadriplegia amakhala ndi ziwalo, kapena kutayika kwathunthu kwamphamvu ndi ziwalo zawo.

Zizindikiro zake ndi ziti?

Zizindikiro za quadriparesis zimasiyana malinga ndi munthu kutengera mitsempha yomwe imakhudzidwa.

Chizindikiro chachikulu cha quadriparesis ndikofooka m'miyendo yonse inayi. Munthu amene ali ndi quadriparesis azivutika kuwongolera minofu yomwe imakhudzidwa ndi ziwalozo. Amatha kusuntha chiwalo china kuposa china.

Zizindikiro zina zitha kuphatikiza:

• Minofu yolumala yomwe imasowa kolimba (flaccid quadriparesis)
• kuuma kwachilendo kapena kulimba kwa minofu (spastic quadriplegia)
• kusowa kwa magalimoto
• kulephera kuyenda
• kutaya chikhodzodzo
• malingaliro okhumudwa

Quadriparesis amadziwika kuti ndi chizindikiro cha vuto lina. Zizindikiro zina zimadalira chomwe chimayambitsa quadriparesis yanu.

Zomwe zimayambitsa

Quadriparesis imachitika pamene mitsempha yomwe imatumiza uthenga kuchokera kuubongo wanu kumbuyo kwa msana mpaka minofu yamiyendo yanu yasokonezeka.

Pali zifukwa zambiri izi zingachitike. Anthu ena amabadwa ali ndi vuto lomwe limakhudza ubongo wawo. Ena amakhala ndi quadriparesis chifukwa changozi kapena matenda ena omwe amawononga mitsempha kapena msana.

Matenda

Mavairasi ndi mabakiteriya amatha kuwononga minyewa yam'mimba kapena kuyambitsa kutupa m'thupi komwe kumawononga mitsempha.

Zitsanzo za matenda omwe angayambitse quadriparesis ndi awa:

• poliomyelitis
• enterovirus
• flavivirus
• Matenda a Lyme
• diphtheria
• malungo a dengue
• HIV
• chiwindi C
• Vuto la Epstein-Barr
• Kachilombo ka West Nile

Poizoni / mankhwala osokoneza bongo

Kuwonongeka kwa mitsempha kumatha kuchitika chifukwa cha poizoni kapena poyizoni, kapena ngati zotsatira zoyipa zamankhwala ena. Zitsanzo ndi izi:

• kumwa mowa kapena kumwa mowa mopitirira muyeso
• heavy poyizoni
• Njoka ya njoka
• chinkhanira
• nkhupakupa ziwalo
• botulism
• mankhwala ena a chemotherapy

Mikhalidwe yobadwa nayo

Anthu ena amabadwa ali ndi vuto lomwe limakhudza minofu yawo ndipo limayambitsa quadriparesis, monga:

• Nthenda ya ubongo
• kupweteka kwa minofu

Matenda ena

Quadriparesis amathanso kukhala vuto lazovuta zina zachipatala, kuphatikizapo:

• Matenda a Guillain-Barré
• matenda otsekedwa
• myasthenia gravis
• Matenda a Lambert-Eaton
• paraneoplastic syndromes amanjenje
• matenda ashuga ketoacidosis
• Kusokonezeka kwa electrolyte, monga hyperkalemia (potaziyamu), hypokalemia (potaziyamu wochepa), ndi hypophosphatemia (low phosphate)
• vasculitic neuropathy

Kuvulala / kuvulala msana

Quadriparesis imatha kuchitika kuvulala kapena kuvulala kumawononga msana. Kuwonongeka koteroko kumatha kuchitika kuchokera:

• Ngozi zamagalimoto
• kuwombera mfuti
• kuterera ndikugwa
• kuvulala kwamasewera
• disk yotayika kapena herniated
• opaleshoni ya msana

Momwe amadziwika

Dokotala amatha kudziwa za quadriparesis powunikiranso zomwe mwapeza ndikuwunika. Dokotala wanu adzafunika kudziwa chomwe chikuyambitsa quadriparesis yanu kuti mudziwe momwe mungachitire bwino.

Mutha kutumizidwa kwa katswiri wama neuromuscular kuti mukapimenso. Katswiri adzawunika mbiri yakuchipatala ndi banja lanu ndikuwunika zizindikilo zanu. Akhozanso kuyesa mayeso kuti awone momwe thupi lanu limagwirira ntchito kapena mitsempha. Mayesowa atha kuphatikiza:

• Kujambula kwa MRI kwa ubongo ndi msana, kuti muwone ngati muli ndi chotupa kapena herniated disk
• electromyography (EMG), kuyesa kwa mitsempha komwe kumawerenga zamagetsi kuchokera ku minofu (EMG itha kuthandiza dokotala wanu kusiyanitsa pakati pamavuto amitsempha ndi mitsempha.)
• maphunziro a mitsempha kuti muwone momwe mitsempha yanu ndi minofu yanu imayankhira pamagetsi ang'onoang'ono amagetsi
• kuboola lumbar (mpopi wamtsempha) kuti musonkhanitse ndikusanthula cerebrospinal fluid (CSF) yanu
• minofu kapena mitsempha ya mitsempha, pamene kachilombo kakang'ono kamene kamachotsedwa kuti ayesedwe mu labotale
• kuyezetsa magazi kuti ayang'ane kuperewera kwama vitamini, matenda ashuga, komanso kusalinganika kwamagetsi

Njira zothandizira

Dongosolo lanu la chithandizo cha quadriparesis limadalira chifukwa choyambitsa. Mwachitsanzo, autoimmune kapena yotupa imathandizidwa ndimankhwala osokoneza bongo. Kusalinganika kwama electrolyte kumatha kuchiritsidwa ndi mankhwala omwe amasintha kusamvana kwake.

Mankhwala ena atha kukhala:

• opaleshoni
• zopumulira minofu
• mankhwala opweteka
• chithandizo chamankhwala
• chithandizo pantchito
• kukana maphunziro

Dokotala wanu angakulimbikitseni zothandizira zosiyanasiyana zoyendera (monga njinga ya olumala kapena njinga yamoto) kapena zida zina zokuthandizani kuthana ndi zizindikilo zanu.

Maganizo ake ndi otani?

Maganizo onse atengera momwe mukumvera kapena kuvulala kwanu.

Ndizotheka kuti quadriparesis isinthidwe m'malo ena. Mwachitsanzo, quadriparesis yoyambitsidwa ndi hyperkalemia nthawi zambiri imasinthidwa mwachangu ndi mankhwala. Quadriparesis yoyambitsidwa ndi disk yomwe idatayika imatha kusinthidwa pambuyo pochitidwa opaleshoni. Anthu ena omwe ali ndi quadriparesis sangathenso kuyenda komanso kulimbitsa thupi.

Funsani dokotala wanu kuti mumve zambiri za matenda anu komanso momwe mungawonere nthawi yayitali. Ngati quadriparesis yanu imadziwika kuti ndi yamuyaya, funsani za zothandizira kuyenda, ukadaulo wothandizira, komanso kusintha kwa moyo wanu komwe kungakuthandizeni kukhala ndi moyo wabwino.