Khawucinge nje, umntu omaziyo ufumene ingozi, aze angakwazi ukushukuma okanye ukuva imilenze yakhe. Oku kuyoyikisa kwaye kuyoyikisa ngokwenene, akunjalo? Le yimeko apho imilenze yomibini kunye nesisu ngamanye amaxesha silahlekelwa ngumsebenzi waso, nto leyo esiyibiza ngokuba yiParaplegia kwezonyango. Nangona oku kudla ngokubonwa njengophawu, ngamanye amaxesha kunokubakho njengesifo. Ngoko ke namhlanje, masithethe ngayo yonke into ngendlela elula onokuyiqonda.
Yintoni kanye kanye iParaplegia?
Ngamafutshane, iParaplegia kukungakwazi ukulawula izihlunu emilenzeni yakho, oko kukuthi, ukukhubazeka. Eyona nto ibangela oku kukonakala kwenkqubo yethu yemithambo-luvo, ingakumbi umqolo odlula emgogodleni. Lo mqolo ufana 'nentambo ephambili' ethwala imiyalezo esuka engqondweni yethu iye kwiindawo ezisezantsi zomzimba, ingakumbi emilenzeni. Xa le ntambo yonakele, imiyalezo evela engqondweni ayifikeleli emilenzeni. Kulapho imilenze ilahlekelwa khona ngumsebenzi wayo.
Ngokuxhomekeke kwindlela owenzeka ngayo lo monakalo, singabona iintlobo ezimbini eziphambili ze-paraplegia.
| Uhlobo Lokwenzakala | Inkcazo |
|---|---|
| Ukulimala Okupheleleyo | Kwimeko enjalo, umqolo wonakele ngokupheleleyo. Oku kuthetha ukuba akukho nto ingaphantsi komda womonakalo enokuviwa okanye ishukunyiswe. Kwakhona, akukho lawulo lokusebenza kwamathumbu kunye nesinyi. |
| Ukulimala okungaphelelanga | Apha, umqolo wonakaliswe kancinci. Ngenxa yoko, kunokubakho imvakalelo okanye intshukumo ethile eshiyekileyo kwiindawo ezingaphantsi komonakalo. Nangona kunjalo, ezi zinto azinakwenziwa ukuba umntu unamandla njengangaphambili kwengozi. |
Kwakhona, kukho iintlobo ezimbini eziphambili ezisekelwe kwindlela izihlunu ezisebenza ngayo kule meko:
- I-Flaccid paraplegia: Kule nto, izihlunu azinabomi kwaye azinamsebenzi. Akukho tonus.
- I-Spastic paraplegia: Kule meko, izihlunu ziyafinyela ngokungalawulekiyo. Imilenze isenokuba lukhuni kwaye ixhuzule.
Iimpawu zahluka njani ngokuxhomekeke kwindawo apho kwenzeke khona ukwenzakala komqolo?
Eli linqaku elibaluleke kakhulu. Iziphumo ze-paraplegia zixhomekeke kwinqanaba lomqolo owonakeleyo. Umqolo wethu wahlulwe waba ziinxalenye ezininzi. Ezi ziyinxalenye yomlomo wesibeleko, inxalenye yesifuba, kunye nenxalenye ye-lumbar kunye ne-sacral. I-Paraplegia idla ngokubangelwa kukonakala kwe-thoracic (T), lumbar (L), okanye sacral (S) vertebrae.
Jonga itheyibhile engezantsi ukuze ubone indlela isiphumo esahluka ngayo ngokuxhomekeke kwinqanaba lomonakalo.
| Indawo Yokwenzakala | Isiphumo |
|---|---|
| Imithambo-luvo yesifuba phakathi kwe-T1 - T6 | Ukukhubazeka ngokupheleleyo kwenzeka. Izihlunu zemilenze, izinqe, kunye nesisu ziyaphelelwa ngumsebenzi wazo. Akukho mvakalelo. Kukho ukungasebenzi kakuhle kwamathumbu kunye nesinyi. Kule nqanaba lomonakalo, ukukhwehlela kunye nokuphefumla nzulu kunokuba nzima. |
| Imithambo-luvo yesifuba phakathi kwe-T7 - T12 | Imeko epheleleyo ye-paraplegia efana nale ingasentla iyenzeka, kodwa izihlunu zesifuba azichaphazeleki. Ngenxa yoko, ubunzima bokuphefumla buncinci. |
| Imithambo-luvo yeLumbar phakathi kweL1 - L2 | Nalapha, imilenze iyafa. Kodwa izihlunu zesifuba nesisu azichaphazeleki. Kufuneka isitulo esinamavili ukuze kuthuthwe. Kusenokubakho nokulahlekelwa kulawulo lwamathumbu kunye nesinyi. |
| Imithambo-luvo yeLumbar kunye nesacral phakathi kweL3 - S5 | Umonakalo owenzeka emqolo ongezantsi unokwenzeka ukuba ungaphelelanga. Kule nqanaba lomonakalo, unokukwazi ukuhamba ngoncedo lwee-braces okanye i-walker . Nangona kunjalo, usenokuba neengxaki ezithile ngokulawula amathumbu kunye nesinyi. |
Zithini izizathu eziphambili ze-paraplegia?
Eyona nto iphambili neyona ixhaphakileyo yale meko kukwenzakala komqolo . Ezi zingozi zinokwenzeka ngeendlela ezahlukeneyo.
- Iingozi zeemoto: Iingozi zeemoto ezinamavili amathathu, iingozi zeebhasi, kunye neengozi zeebhayisekile zixhaphake kakhulu eSri Lanka.
- Ukuwa: Ingakumbi ukusuka phezulu (imithi, izakhiwo). Kwakhona, ngenxa ye-osteoporosis kubantu abadala, nokuba ukuwa nje kunokubangela umonakalo womqolo.
- Ukulimala okubangelwa zizixhobo ezibukhali: Izinto ezinje ngokuhlatywa okanye amanxeba okudutyulwa.
- Iingozi zemidlalo: Kwimidlalo enefuthe elikhulu efana neragbi.
Eyona nto ibalulekileyo kukuba, ukuba ukrokrela ukuba kukho ukwenzakala emqolo, ungazami ukumshukumisa okanye ukumphakamisa umntu nangasiphi na isizathu. Oko kuya kubangela umonakalo ongakumbi. Fowunela i-ambulensi ngoko nangoko (1990).
Ukongeza kwezi ngozi, i-paraplegia inokubangelwa nazezinye iimeko zonyango:
- Iithumba zomqolo: Ukucinezelwa komqolo ngenxa yomhlaza okanye iithumba ezingengobungozi.
- Usulelo: Ukusasazeka kosulelo kwintambo yomqolo okanye kwiinwebu ezijikelezileyo.
- I-Ischemia: Ukuqhekeka okanye ukuvaleka komthambo wegazi ohambisa igazi kumqolo.
- Iimeko zokuzalwa: Iziphene zokuzalwa kwisakhiwo somqolo, ezifana ne-spina bifida.
- Ezinye iimeko zonyango: Izifo ezichaphazela umzimba njenge-multiple sclerosis, i-transverse myelitis, kunye ne-Guillain-Barré syndrome.
- Isifo seswekile: Ukonakala kwemithambo-luvo okubangelwa sisifo seswekile esingalawulekiyo.
- Iimeko zofuzo: Izifo zemfuza ezifana ne-hereditary spastic paraplegia.
Yintoni esifanele siyenze xa kukho imeko engxamisekileyo?
Le yinxalenye ekufuneka uyikhumbule. I-Paraplegia yimeko engxamisekileyo yezonyango efuna unyango olukhawulezileyo.
Ukuba umntu ufumene ingozi aze athi, "Andiyiva imilenze yam," okanye ukuba ubona into efana naleyo, fowunela u-1990 ngoko nangoko uze ufumane i-ambulensi. Ungaze uzame ukumphakamisa, ukumshukumisa, okanye ukumhlalisa umntu ngokwakho. Linda de kufike iingcali eziqeqeshiweyo kwaye umthuthe ngokufanelekileyo umse esibhedlele. Into onokuyenza kukususa isigulana kwindawo yesiganeko ngaphandle kokuba kukho ingozi ekhawulezileyo, njengomlilo okanye ukuqhuma. Ngaphandle koko, mshiye apho akhoyo. Oogqirha kwiYunithi yoNyango oluNgxamisekileyo (ETU) esibhedlele baya kwenza oko kufunekayo.
Yintoni umahluko phakathi kweParaplegia, Tetraplegia kunye neHemiplegia?
Nangona la magama evakala efana, aneentsingiselo ezintathu. Kubalulekile ukwazi lo mahluko.
| Imeko | Indawo echaphazelekayo |
|---|---|
| I-Paraplegia | Ukulahlekelwa yimilenze yomibini (mhlawumbi nesisu esisezantsi). |
| I-Tetraplegia (okanye i-Quadriplegia) | Zombini iingalo kunye nemilenze yomibini , oko kukuthi, ukulahleka kwamalungu omane. Oku kwenzeka xa umthambo womqolo wonakele kwinqanaba lentamo. |
| I-Hemiplegia | Ukulahlekelwa zingqondo kwelinye icala lomzimba (ekhohlo okanye ekunene). Oku kuthetha ukulahlekelwa zingqondo kwelinye icala lengalo, umlenze, nobuso. Oku kudla ngokubangelwa kukonakala kwengqondo, okufana nestroke. |
Xa kufikwa kunyango, kuxhomekeke ngokupheleleyo kwisizathu semeko yeParaplegia kunye nobungakanani bomonakalo. Ngamanye amaxesha, uphuculo oluthile lunokufezekiswa ngotyando, i-physiotherapy, kunye nokuvuselelwa. Nangona kunjalo, umonakalo othile uhlala uhleli. Nangona kunjalo, ugqirha wakho ngulowo uza kukucebisa ngesicwangciso sonyango esifanelekileyo kunye namanyathelo alandelayo.
I-Paraplegia ngamava atshintsha ubomi. Nangona kunjalo, ngengcebiso efanelekileyo yezonyango, ukuvuselelwa kwengqondo, kunye namandla engqondo, kukho abantu abaninzi ehlabathini abaye baziqhelanisa nale meko kwaye baphila ubomi bokuzimela nobonwabisayo.
Umyalezo Wokuya Ekhaya
- I-Paraplegia kukulahlekelwa ngumsebenzi kwimilenze yomibini. Eyona nto ibangela oku kukonakala komqolo.
- Ukuba ukrokrela ukuba umqolo wakho wenzeke ingozi, musa ukumshukumisa umguli nangasiphi na isizathu. Fowunela i-ambulensi ngokukhawuleza.
- I-Paraplegia inokubangelwa ziingozi kunye neemeko ezahlukeneyo zonyango. Ngoko ke, kubalulekile ukubona ugqirha malunga nayo nayiphi na i-paraplegia.
- Iindlela zonyango kunye neendlela zokubuyisela impilo ziyahluka ngokuxhomekeke kwisizathu kunye nobungakanani bomonakalo. Ugqirha wakho ngumntu ofanelekileyo onokubonisana naye malunga noku.
- Nangona le yimeko enzima kakhulu, ngenkxaso efanelekileyo kunye nokuvuselelwa, kunokwenzeka ukuziqhelanisa nale meko kwaye uphile ubomi obuphumelelayo.
👩🏽⚕️ Imibuzo eyongezelelweyo (Ii-FAQ)
💬 Luhlobo luni lwesifo seParaplegia?
Oku akupheleli nje ekubeni ndindisholo nje emilenzeni yakho! 'I-Paraplegia' yimeko ebuhlungu kakhulu apho imilenze yomibini engaphantsi kwesinqe, nokuba ingunaphakade okanye okwethutyana, iba yi-100% defeated (i-Complete paralysis), ikushiya ungakwazi ukuhambisa imilenze yakho okanye uzive nantoni na. Kwesi sifo, awuphulukani nolawulo lwemilenze yakho kuphela, kodwa ukwaphulukana nolawulo lwamathumbu akho kunye nesinyi (ukungakwazi ukuzibamba kwamathumbu kunye nesinyi).
💬 Zithini izizathu eziphambili ze-paraplegia (paraplegia)?
Eyona nto ibangela oku ayikobuchopho, kodwa 'kukwenzakala okukhulu komqolo'! 1) Oku kwenzeka xa inxalenye ephakathi yomqolo (iThoracic/Lumbar Spinal Cord) yaphukile/yatyumkile ngokupheleleyo ngenxa yengozi yemoto, ukuwa emthini, okanye ukudutyulwa (iTrauma). 2) Xa 'umhlaza' okhula ngaphakathi komqolo (iSpinal Tumors) ucinezela imithambo-luvo. 3) Izifo ze-Neurodegenerative (iMultiple Sclerosis) kunye, 4) I-Spine stroke nayo inokubangela ukungasebenzi kakuhle komlenze.
💬 Zeziphi iingozi eziyingozi ezijongene nabantu abane-paraplegia? Banganyanyekelwa njani?
Eyona ngozi inkulu kukuba abaziva ntlungu emilenzeni yabo (nokuba batshiswe ngamanzi ashushu). Ngoko ke, xa behlala kwindawo efanayo, ulusu olusezinqeni zabo luyabola de ithambo libonakale, nto leyo ekhokelela 'kwizilonda zebhedi/izilonda zoxinzelelo' kwaye isigulana sinokufa ngenxa yeentsholongwane ezisasazeka kuzo (i-sepsis) (kufuneka sizijike rhoqo emva kweeyure ezi-2). Enye ingozi kusulelo olukhulu lwendlela yomchamo (ii-UTI) oluza nee-catheter zomchamo!
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