E noʻonoʻo, ua loaʻa kekahi āu i ʻike ai i kahi ulia, a laila ʻaʻole hiki iā lākou ke neʻe a hoʻopā paha i ko lākou mau wāwae. He mea weliweli maoli kēia a he mea hoʻohoka hoʻi, ʻeā? ʻO kēia ke ʻano e nalowale ai ka hana o nā wāwae ʻelua a me ka ʻōpū haʻahaʻa i kekahi manawa, ʻo ia ka mea a mākou e kapa nei he Paraplegia i ka lāʻau lapaʻau. ʻOiai ua ʻike pinepine ʻia kēia ma ke ʻano he hōʻailona, hiki ke hana ʻia i kekahi manawa ma ke ʻano he maʻi. No laila i kēia lā, e kamaʻilio kākou e pili ana i nā mea āpau ma ke ʻano maʻalahi hiki iā ʻoe ke hoʻomaopopo.
He aha maoli ka Paraplegia?
I ka ʻōlelo maʻalahi, ʻo Paraplegia ka hiki ʻole ke kāohi i nā ʻiʻo o kou mau wāwae, ʻo ia hoʻi, ka paralysis. ʻO ke kumu nui o kēia, ʻo ia ka hōʻino ʻia o kā mākou ʻōnaehana nerve, ʻoiai ke kaula spinal e holo ana ma o ka iwi kuamoʻo. Ua like kēia kaula spinal me ke 'uea nui' e lawe ana i nā leka mai ko mākou lolo i nā ʻāpana haʻahaʻa o ke kino, ʻoiai nā wāwae. Ke hōʻino ʻia kēia kaula, ʻaʻole hiki nā leka mai ka lolo i nā wāwae. ʻO ia ka manawa e nalowale ai ka hana a nā wāwae.
Ma muli o ke ʻano o kēia hōʻino ʻana, hiki iā mākou ke ʻike i ʻelua ʻano nui o ka paraplegia.
| ʻAno o ka ʻeha | Wehewehena |
|---|---|
| ʻEha piha | I kēia hihia, ua hōʻino loa ʻia ke kaula kuamoʻo. ʻO ke ʻano kēia, ʻaʻohe mea ma lalo o ke kiko o ka hōʻino e hiki ke hoʻopā ʻia a hoʻoneʻe ʻia. Eia kekahi, ʻaʻohe mana ma luna o ka hana o ka ʻōpū a me ka ʻōpū mimi. |
| ʻEha piha ʻole | Maanei, ua hōʻino hapa ʻia ke kaula iwi kuamoʻo. No laila, aia paha kekahi manaʻo a neʻe paha i koe ma nā wahi ma lalo o ka hōʻino. Eia naʻe, ʻaʻole hiki ke hana ʻia kēia mau mea inā ikaika ke kanaka e like me ia ma mua o ka ulia. |
Eia kekahi, ʻelua mau ʻano nui e pili ana i ke ʻano o ka hana ʻana o nā ʻiʻo i kēia kūlana:
- Paraplegia palupalu: Ma kēia, ua make loa nā ʻiʻo a palupalu. ʻAʻohe tonus.
- ʻO ka paraplegia spastic: Ma kēia ʻano, ʻūmiʻi nā ʻiʻo me ke kāohi ʻole. Hiki ke ʻoʻoleʻa a wili nā wāwae.
Pehea e ʻokoʻa ai nā hōʻailona ma muli o kahi i loaʻa ai ka ʻeha hope?
He mea nui loa kēia. Pili nā hopena o ka paraplegia i ka pae o ke kaula spinal i hōʻino ʻia. Ua māhele ʻia ko kākou iwi kuamoʻo i kekahi mau ʻāpana. ʻO kēia ka ʻāpana cervical, ka ʻāpana thoracic, a me nā ʻāpana lumbar a me sacral. ʻO ka maʻamau, hana ʻia ka paraplegia e ka hōʻino ʻana i ka thoracic (T), lumbar (L), a i ʻole sacral (S) vertebrae.
E nānā i ka papa ma lalo nei e ʻike pehea e loli ai ka hopena ma muli o ka nui o ka pōʻino.
| Kahi o ka ʻeha | Hopena |
|---|---|
| Nā aʻalolo thoracic ma waena o T1 - T6 | Loaʻa ka paraplegia piha. Nalowale ka hana a nā ʻiʻo o nā wāwae, nā pūhaka, a me ka ʻōpū. ʻAʻohe manaʻo. Nalowale ka mana o ka ʻōpū a me ka mimi. Ma kēia pae o ka hōʻino, hiki ke paʻakikī ke ʻū a me ka hanu hohonu. |
| ʻO nā aʻalolo thoracic ma waena o T7 - T12 | Hiki mai kahi maʻi paraplegia piha e like me ka mea i luna, akā ʻaʻole i hoʻopilikia ʻia nā ʻiʻo o ka umauma. No laila, ua emi nā pilikia hanu. |
| Nā aʻalolo lumbar ma waena o L1 - L2 | Maanei hoʻi, ua lolo nā wāwae. Akā, ʻaʻole i hoʻopilikia ʻia nā ʻiʻo o ka umauma a me ka ʻōpū. Pono ka noho huila no ka halihali ʻana. Hiki ke nalowale hoʻi ka mana o ka ʻōpū a me ka ʻōpū mimi. |
| ʻO nā aʻalolo lumbar a me sacral ma waena o L3 - S5 | ʻOi aku ka nui o ka hōʻino ʻana i ke kua haʻahaʻa i ka piha ʻole. Ma kēia pae o ka hōʻino ʻana, hiki paha iā ʻoe ke hele me ke kōkua o nā pale lima a i ʻole ka mea hele wāwae . Eia nō naʻe, loaʻa paha iā ʻoe kekahi mau pilikia me ka kaohi ʻana i ka ʻōpū a me ka mimi. |
He aha nā kumu nui o ka paraplegia?
ʻO ke kumu nui a me ke kumu maʻamau o kēia ʻano, ʻo ia nā ʻeha i ke kaula kuamoʻo . Hiki ke loaʻa kēia mau ʻeha ma nā ʻano like ʻole.
- Nā ulia kaʻa: He mea maʻamau loa nā ulia huila ʻekolu, nā ulia kaʻa, a me nā ulia mokokaikala ma Sri Lanka.
- Hāʻule: ʻOi aku hoʻi mai nā kiʻekiʻe (nā kumulāʻau, nā hale). Eia kekahi, ma muli o ka osteoporosis i ka poʻe ʻelemakule, ʻoiai ka hāʻule wale ʻana hiki ke hōʻeha i ka iwi kuamoʻo.
- Nā ʻeha i hana ʻia e nā mea ʻoi: Nā mea e like me ke koi ʻana a i ʻole nā ʻeha pū.
- Nā ulia haʻuki: Ma nā haʻuki hopena kiʻekiʻe e like me ka rugby.
ʻO ka mea nui loa, inā manaʻo ʻoe he ʻeha kou kua, mai hoʻāʻo e hoʻoneʻe a hāpai paha i ke kanaka no kekahi kumu. E hōʻeha hou aku kēlā. E kāhea koke aku i kahi ambulance (1990).
Ma waho aʻe o kēia mau pōpilikia, hiki ke hana ʻia ka paraplegia e nā pilikia olakino ʻē aʻe:
- Nā ʻōpū iwi kuamoʻo: Ka ʻūmiʻi ʻana o ke kaula iwi kuamoʻo ma muli o ke kanesa a i ʻole nā ʻōpū maikaʻi ʻole.
- Nā maʻi: Ka laha ʻana o ka maʻi i ke kaula kuamoʻo a i ʻole nā membran e hoʻopuni ana iā ia.
- Ischemia: Ka haki ʻana a i ʻole ka pale ʻana o kahi kīʻaha koko e hoʻolako ana i ke koko i ke kaula spinal.
- Nā kūlana hānau ʻole: Nā kīnā hānau o ke ʻano o ka iwi kuamoʻo, e like me ka spina bifida.
- Nā kūlana olakino ʻē aʻe: Nā maʻi Autoimmune e like me ka sclerosis maha, transverse myelitis, a me Guillain-Barré syndrome.
- ʻO ka maʻi diabetes mellitus: ʻO ka hōʻino ʻana o nā aʻalolo i hoʻokumu ʻia e ka maʻi diabetes i kāohi ʻole ʻia.
- Nā kūlana hoʻoilina: Nā maʻi genetic e like me ka paraplegia spastic hereditary.
He aha kā mākou e hana ai i ka wā pilikia?
ʻO kēia ka ʻāpana āu e pono ai e hoʻomanaʻo. He pilikia olakino ka paraplegia e pono ai ka mālama koke ʻana.
Inā loaʻa kekahi i kahi ulia a ʻōlelo ʻo ia, "ʻAʻole hiki iaʻu ke manaʻo i koʻu mau wāwae," a inā ʻike ʻoe i kahi mea e like me ia, e kāhea koke iā 1990 a kiʻi i kahi kaʻa kaʻa. Mai ho'āʻo e hāpai, hoʻoneʻe, a hoʻonoho paha i ke kanaka iā ʻoe iho. E kali a hiki i ka hōʻea ʻana mai o nā loea i aʻo ʻia a lawe pono i ka mea maʻi i ka haukapila. ʻO ka mea wale nō āu e hiki ai ke hana, ʻo ia ke lawe i ka mea maʻi mai kahi mai ke kahua ke ʻole he pōʻino koke, e like me ke ahi a i ʻole ka pahū. A i ʻole, e waiho iā lākou ma kahi a lākou e noho ai. Na nā kauka ma ka Emergency Treatment Unit (ETU) ma ka haukapila e hana i nā mea e pono ai.
He aha ka ʻokoʻa ma waena o ka Paraplegia, Tetraplegia a me Hemiplegia?
ʻOiai ke kani like nei kēia mau huaʻōlelo, he ʻekolu ko lākou manaʻo. He mea nui e ʻike i kēia ʻokoʻa.
| Kūlana | Wahi i hoʻopilikia ʻia |
|---|---|
| Paraplegia | ʻO ka nalowale ʻana o nā wāwae ʻelua (a me ka ʻōpū lalo paha). |
| ʻO Tetraplegia (a i ʻole Quadriplegia) | ʻO nā lima ʻelua a me nā wāwae ʻelua , ʻo ia hoʻi, ka nalowale ʻana o nā lālā ʻehā. Hana ʻia kēia ke hōʻino ʻia ke kaula iwi kuamoʻo ma ka pae ʻāʻī. |
| Hemiplegia | Ka nalowale ʻana o ka ʻike ma kekahi ʻaoʻao o ke kino (hema a ʻākau paha). ʻO ke ʻano kēia o ka nalowale ʻana o ka ʻike ma kekahi ʻaoʻao o ka lima, ka wāwae, a me ka maka. ʻO ka maʻamau, hiki mai kēia ma muli o ka hōʻino ʻana o ka lolo, e like me ka hahau ʻana. |
I ka wā e pili ana i ka mālama ʻana, hilinaʻi nui ia i ke kumu o ke kūlana Paraplegia a me ka nui o ka pōʻino. I kekahi manawa, hiki ke hoʻokō ʻia kekahi hoʻomaikaʻi ʻana ma o ke ʻoki ʻana, ka physiotherapy, a me ka hoʻoponopono hou ʻana. Eia nō naʻe, he mau loa kekahi pōʻino. Eia nō naʻe, ʻo kāu kauka ka mea nāna e aʻo maikaʻi loa iā ʻoe i ka hoʻolālā lapaʻau kūpono loa a me nā hana aʻe.
He ʻike hoʻololi ola ka Paraplegia. Eia nō naʻe, me ka ʻōlelo aʻoaʻo lapaʻau kūpono, ka hoʻōla hou ʻana, a me ka ikaika noʻonoʻo, nui ka poʻe ma ka honua i hoʻomaʻamaʻa i kēia kūlana a ola i nā ola kūʻokoʻa a hauʻoli.
Leka Lawe-Home
- ʻO ka paraplegia ka nalowale o ka hana ma nā wāwae ʻelua. ʻO ke kumu nui o kēia ka hōʻino ʻana i ke kaula iwi kuamoʻo.
- Inā kānalua ʻoe i kahi ʻeha o ke kuamoʻo mai kahi ulia, mai hoʻoneʻe i ka mea maʻi no kekahi kumu. E kāhea koke aku i kahi ambulance.
- Hiki ke hana ʻia ka paraplegia e nā ulia a me nā ʻano maʻi like ʻole. No laila, he mea nui e ʻike i ke kauka e pili ana i kekahi paraplegia.
- ʻOkoʻa nā koho lapaʻau a me nā koho hoʻōla ma muli o ke kumu a me ka nui o ka pōʻino. ʻO kāu kauka ke kanaka maikaʻi loa e kūkākūkā pū me ia e pili ana i kēia.
- ʻOiai he kūlana paʻakikī loa kēia, me ke kākoʻo kūpono a me ka hoʻoponopono hou ʻana, hiki ke hoʻololi i kēia kūlana a ola i kahi ola holomua.
👩🏽⚕️ Nā nīnau hou aku (FAQs)
💬 He aha ke ʻano o ka Paraplegia?
ʻAʻole kēia he ʻano mae wale nō i kou mau wāwae! He ʻano kaumaha loa ka 'Paraplegia' kahi e lilo ai nā wāwae ʻelua ma lalo o ka pūhaka, no ka manawa mau loa a no kekahi manawa paha, i ka 100% paralysis (Complete paralysis), e waiho ana iā ʻoe ʻaʻole hiki ke hoʻoneʻe i kou mau wāwae a i ʻole e manaʻo i kekahi mea. I loko o kēia maʻi, ʻaʻole ʻoe e nalowale wale i ka mana o kou mau wāwae, akā e nalowale pū kekahi i ka mana o kou ʻōpū a me ka ʻōpū mimi (Bowel and bladder incontinence).
💬 He aha nā kumu nui o ka paraplegia (paraplegia)?
ʻAʻole ka lolo ke kumu nui o kēia, akā, he 'ʻeha koʻikoʻi o ke kaula kuamoʻo'! 1) Hana ʻia kēia i ka wā e haki loa ai/ʻūlū ʻia ai ka ʻāpana waena o ke kaula kuamoʻo (Thoracic/Lumbar Spinal Cord) ma muli o kahi ulia kaʻa, hāʻule ʻana mai kahi lāʻau, a i ʻole ka pana ʻia ʻana (Trauma). 2) Ke kaomi ʻia ke aʻalolo e ulu ana i loko o ke kaula kuamoʻo (Spinal Tumors). 3) Nā maʻi neurodegenerative (Multiple Sclerosis) a, 4) Hiki i ka hahau ʻana o ka spinal ke kumu i ka nalowale ʻana o ka hana o ka wāwae.
💬 He aha nā pōʻino weliweli e kū nei i ka poʻe me ka paraplegia? Pehea e hiki ai ke mālama ʻia lākou?
ʻO ka pōʻino nui loa, ʻaʻole lākou e ʻeha i ko lākou mau wāwae (ʻoiai inā e wela lākou i ka wai wela). No laila, ke noho lākou ma ke kūlana like, e pala ka ʻili ma ko lākou mau puʻupuʻu a hiki i ka ʻike ʻia ʻana o ka iwi, e alakaʻi ana i nā 'bedsores/pressure ulcers' a hiki i ka mea maʻi ke make mai nā germs e laha mai ana mai iā lākou (sepsis) (pono e hoʻohuli iā lākou i kēlā me kēia 2 hola). ʻO kekahi pōʻino, ʻo ia nā maʻi ʻino o ke ala mimi (UTIs) e hele mai me nā catheters mimi!
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