Whakaarohia, kua pāngia tētahi e mōhiotia ana e koe i tētahi aituā, kātahi ka kore e taea e rātou te neke, te pā rānei ki ō rātou waewae. He tino whakamataku, he tino ohorere hoki tēnei, kāore? Koinei te āhua e ngaro ai te mahi a ngā waewae e rua, me te puku o raro i ētahi wā, koinei te mea e kiia nei e tātou ko te Paraplegia i roto i te rongoā. Ahakoa e kitea ana tēnei hei tohu, i ētahi wā ka puta hei mate. Nō reira, i tēnei rā, me kōrero tātou mō ngā mea katoa i roto i tētahi huarahi māmā e taea ai e koe te mārama.
He aha rawa te Paraplegia?
Ki te kī ngāwari, ko te Paraplegia te kore e taea te whakahaere i ngā uaua o ō waewae, arā, te pararutiki. Ko te tino take o tēnei ko te kino o tō tātou pūnaha io, inā koa ko te taura tuaiwi e rere ana i roto i te tuaiwi. He rite tēnei taura tuaiwi ki te 'taura matua' e kawe ana i ngā karere mai i tō tātou roro ki ngā wāhanga o raro o te tinana, inā koa ko ngā waewae. Ina pakaru tēnei taura, kāore ngā karere mai i te roro e tae atu ki ngā waewae. Koinā te wā ka ngaro te mahi a ngā waewae.
I runga i te āhua o te putanga mai o tēnei kino, e rua ngā momo matua o te paraplegia ka kitea.
| Momo Whara | Whakaahuatanga |
|---|---|
| Whara Katoa | I tēnei āhuatanga, kua tino pakaru te taurakira. Ko te tikanga, kāore he mea i raro i te pūwāhi pakaru e taea te pā, te neke rānei. Waihoki, kāore he mana whakahaere mō te mahi a te whekau me te pūhā. |
| Whara Kore i te Katoa | I konei, kua pakaru tetahi wāhanga o te taurakira. Nō reira, tera pea ka toe ētahi kare ā-roto, ētahi nekehanga rānei ki ngā wāhi kei raro i te whara. Heoi, kāore e taea te mahi i ēnei mea mena he kaha te tangata pērā i mua i te aituā. |
Waihoki, e rua ngā momo matua e ahu mai ana i te mahi a ngā uaua i tēnei āhuatanga:
- Parapara ngoikore: I tēnei, kāore he ora o ngā uaua, he ngoikore hoki. Kāore he tonu.
- Paraparapara spastic: I tēnei āhua, ka mimiti haere ngā uaua, ā, kāore e taea te whakahaere. Tērā pea ka pakari, ka wiriwiri pea ngā waewae.
He aha te rerekētanga o ngā tohu i runga i te wāhi i puta ai te whara o te tuara?
He mea tino nui tēnei. Ko ngā pānga o te paraplegia e whakawhirinaki ana ki te taumata o te taurakira kua pakaru. Kua wehea tō tātou tuaiwi kia maha ngā wāhanga. Ko ēnei ko te wāhanga kaki, te wāhanga uma, me ngā wāhanga hope me te sacral. Ko te paraplegia te nuinga o te wā ka puta mai i te kino o ngā tuaiwi thoracic (T), lumbar (L), sacral (S) rānei.
Tirohia te ripanga i raro nei kia kite ai i te rerekētanga o te pānga i runga i te taumata o te kino.
| Te Wāhi o te Whara | Pānga |
|---|---|
| Ngā io o te uma i waenga i te T1 - T6 | Ka puta te pararutiki katoa. Ka ngaro te mahi a ngā uaua o ngā waewae, o ngā hope, me te puku. Kāore he kare ā-roto. Ka ngaro te mana whakahaere o te puku me te pūhā. I tēnei taumata o te kino, ka uaua pea te maremare me te manawa hōhonu. |
| Ngā io o te uma i waenga i te T7 - T12 | Ka puta he āhua parapara katoa e rite ana ki te mea i runga ake nei, engari kāore ngā uaua o te uma e pāngia. Nō reira, ka iti ake ngā uauatanga manawa. |
| Ngā io lumbar i waenga i te L1 - L2 | I konei anō hoki, kua pararutiki ngā waewae. Engari kāore ngā uaua o te uma me te puku e pāngia. Me whakamahi i te tūru wīra mō te kawe waka. Tērā pea ka ngaro te mana whakahaere o te whekau me te pūhā. |
| Ngā io lumbar me sacral i waenganui i te L3 - S5 | Ko te kino ki te tuara o raro he nui ake te tūponotanga kāore i oti. I tēnei taumata o te kino, ka taea pea e koe te hikoi me te āwhina o ngā whītiki, te taputapu hikoi rānei. Heoi anō, tera pea he raruraru āu ki te whakahaere i te puku me te pūhā. |
He aha ngā tino take o te paraplegia?
Ko te tino take o tēnei mate ko ngā whara ki te taurakira . He maha ngā huarahi e puta ai ēnei whara.
- Ngā aituā motuka: He mea tino noa ngā aituā wira-toru, ngā aituā pahi, me ngā aituā motopaika i Sri Lanka.
- Te hinganga: Ina koa mai i ngā teitei (ngā rākau, ngā whare). Waihoki, nā te osteoporosis i roto i te kaumātua, ahakoa te hinganga noa ka pā kino ki te tuaiwi.
- Ngā whara i puta mai i ngā patu koi: Ngā mea pēnei i te werohanga, i te patunga pū rānei.
- Ngā aituā hākinakina: I roto i ngā hākinakina pānga nui pēnei i te whutupōro.
Ko te mea nui, ki te whakapae koe kei whara tō tuara, kaua e ngana ki te neke, ki te hapai rānei i te tangata mō tetahi take. Ka nui ake te kino o tēnā. Waea atu ki te waka tūroro tonu (1990).
Haunga ēnei aituā, ka taea hoki te paraplegia e ētahi atu mate hauora:
- Ngā pukupuku tuaiwi: Te pēhanga o te taurakira nā te mate pukupuku, nā ngā pukupuku pai rānei.
- Ngā Mate Pukupuku: Te horapa o te mate ki te taurakira, ki ngā kiriuhi rānei e karapoti ana i te taurakira.
- Ischemia: He pakaru, he aukati rānei o tētahi oko toto e tuku toto ana ki te taurakira.
- Ngā āhuatanga whānau: Ngā hapa whānau o te hanganga tuaiwi, pērā i te spina bifida.
- Ētahi atu āhuatanga hauora: Ngā mate pūnaha ārai mate pēnei i te sclerosis maha, te myelitis whakawhiti, me te mate Guillain-Barré.
- Mate huka: Te kino o ngā io i puta mai i te mate huka kāore i te whakahaeretia.
- Ngā āhuatanga tuku iho: Ngā mate ira pēnei i te paraplegia spastic tuku iho.
Me aha tātou i roto i tētahi āhuatanga ohorere?
Koinei te wāhanga me maumahara koe. He āhuatanga ohorere hauora te paraplegia e hiahia ana kia rongoatia tonutia.
Ki te pāngia tetahi e te aituā, ā, ka mea ia, "Kāore e taea e au te rongo i ōku waewae," ki te kite rānei koe i tētahi mea pēnei, waea atu ki te 1990 tonu ka tikina he waka tūroro. Kaua rawa e ngana ki te hiki, ki te neke, ki te noho rānei i te tangata. Taria kia tae mai ngā tohunga kua whakangungua, kātahi ka kawe tika i te tūroro ki te hōhipera. Ko tāu anake e taea ko te tango i te tūroro i te wāhi tūroro mēnā kāore he tūponotanga ohorere, pērā i te ahi, i te pahūtanga rānei. Ki te kore, waiho rātou ki te wāhi e noho ana rātou. Mā ngā tākuta o te Wāhanga Maimoatanga Ohotata (ETU) i te hōhipera e mahi i ngā mea e tika ana.
He aha te rerekētanga i waenga i te Paraplegia, te Tetraplegia me te Hemiplegia?
Ahakoa he rite te tangi o ēnei kupu, e toru ō rātou tikanga. He mea nui kia mōhio ki tēnei rerekētanga.
| Āhua | Rohe e Pāngia ana |
|---|---|
| Pararutiki | Te ngaronga o ngā waewae e rua (me te puku o raro pea). |
| Tetraplegia (te Quadriplegia rānei) | Ngā ringa e rua me ngā waewae e rua , arā, te ngaronga o ngā peka e whā. Ka puta tēnei ina pakaru te taurakira i te taumata kaki. |
| Te ngoikore o te tinana | Te ngaronga o te māramatanga i te taha kotahi o te tinana (maui, matau rānei). Ko te tikanga o tēnei ko te ngaronga o te māramatanga i te taha kotahi o te ringa, te waewae, me te mata. I te nuinga o te wā ka puta tēnei i te kino o te roro, pērā i te whiu. |
Mō te maimoatanga, ka whakawhirinaki katoa ki te pūtake o te mate Paraplegia me te whānuitanga o te kino. I ētahi wā, ka taea te whakatutuki i ētahi whakapainga mā te pokanga, te whakaora tinana, me te whakaora. Heoi, he pumau ētahi kino. Heoi, ko tō tākuta te tangata pai rawa atu hei tohutohu i a koe mō te mahere maimoatanga tino tika me ngā mahi e whai ake nei.
He wheako whakarerekētanga ora te pararutiki. Heoi, mā te tohutohu hauora tika, te whakaora, me te kaha hinengaro, he tokomaha ngā tāngata o te ao kua urutau ki tēnei mate, ā, kua ora motuhake, kua ora harikoa.
Karere Tangohia ki te Kāinga
- Ko te paraplegia te ngaronga o te mahi a ngā waewae e rua. Ko te tino take o tēnei ko te pakaru o te taurakira.
- Ki te whakapae koe kei whara te tuaiwi i tētahi aituā, kaua e nekehia te tūroro ahakoa he aha te take. Waea atu tonu ki te waka tūroro.
- Ka puta te paraplegia i ngā aituā me ngā momo mate hauora. Nō reira, he mea nui kia toro atu ki te tākuta mō tētahi paraplegia.
- He rerekē ngā kōwhiringa maimoatanga me ngā kōwhiringa whakaora i runga i te take me te whānuitanga o te kino. Ko tō tākuta te tangata pai hei kōrero atu mō tēnei.
- Ahakoa he tino uaua tēnei āhua, mā te tautoko tika me te whakaora anō, ka taea te urutau ki tēnei āhua me te ora i te oranga angitu.
👩🏽⚕️ Ngā pātai tāpiri (FAQs)
💬 He aha te momo mate o te Paraplegia?
Ehara tēnei i te ngoikore noa iho o ō waewae! He tino pōuri te 'Paraplegia', ka pararutiki katoa ngā waewae e rua i raro i te hope, ahakoa mō te wā roa, mō te wā poto rānei, ā, ka kore e taea e koe te neke i ō waewae, te rongo rānei i tetahi mea. I roto i tēnei mate, ehara i te mea ka ngaro noa te mana whakahaere o ō waewae, engari ka ngaro hoki te mana whakahaere o ō whekau me tō pūkahukahu (te kore e taea te pupuri i te pūkahukahu me te pūkahukahu).
💬 He aha ngā tino take o te paraplegia (paraplegia)?
Ehara i te roro te tino take o tēnei, engari he 'whara nui o te taurakira'! 1) Ka puta tēnei ina whati/makukū rawa te wāhanga waenga o te taurakira (Thoracic/Lumbar Spinal Cord) nā te aituā motuka, te hinganga mai i te rākau, te pūhia rānei (Trauma). 2) Ina pēhia te io e te 'matepukupuku' e tipu ana i roto i te taurakira (Spinal Tumors). 3) Ngā mate neurodegenerative (Multiple Sclerosis) me te, 4) Ka taea hoki e te whiu taurakira te whakararu i te mahi a te waewae.
💬 He aha ngā tūponotanga kino e pā ana ki te hunga e pāngia ana e te paraplegia? Me pēhea te tiaki i a rātou?
Ko te mōrearea nui rawa atu ko te kore e mamae ō rātou waewae (ahakoa ka wera rātou i te wai wera). Nō reira, ina noho tonu rātou i te tūranga kotahi, ka pirau te kiri o ō rātou papa tae noa ki te kitea te wheua, ka puta he 'mate moenga/mate pēhanga', ā, ka mate pea te tūroro i ngā huakita e horapa ana mai i a rātou (sepsis) (me huri i a rātou i ia 2 hāora). Ko tētahi atu mōrearea ko ngā mate mimi kino (UTI) e haere tahi mai ana me ngā catheter mimi!
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