Singakhuluma nge-quadriplegia?

Cabanga nje, ngemva kwengozi engazelelwe, othile ukhubazekile kusukela entanyeni kuye phansi, engakwazi ukunyakaza noma ukuzwa lutho... Zombili izingalo, zombili imilenze, wonke umzimba ukhubazekile. Lesi yisimo esibi kakhulu esisibiza ngokuthi i-Quadriplegia kwezokwelapha. Nakuba leli gama lingase lesabe kakhulu ukulizwa, kungaba kubaluleke kakhulu kuwe nakubathandekayo bakho ukuba nithole ulwazi olufanele ngalokhu. Ngakho-ke, ake sixoxe ngalokhu ngokuningiliziwe, kalula kakhulu.

Kalula nje, iyini i-Quadriplegia?

I-quadriplegia yisimo sokukhubazeka. Uma sikhuluma iqiniso, ukulahlekelwa ngokuphelele ukulawula umzimba kusukela entanyeni kuye ezansi, okungukuthi, izingalo zombili kanye nemilenze yomibili. Lesi simo sibangelwa ukulimala komgogodla, indlela eyinhloko ethwala imiyalezo esuka ebuchosheni bethu iye kuwo wonke umzimba.

Kukhona elinye igama lalokhu, okuyiTetraplegia . Womabili la magama asho into efanayo. I-Quadri isho "ezine" ngesiLatini, i-Tetra isho "ezine" ngesiGreki. I-Plegia isho "ukukhubazeka". Ngakho-ke noma ngabe kunamagama amabili, isimo siyafana.

Lesi simo se-Quadriplegia singabonakala ngezindlela ezimbili eziyinhloko:

1. I-Qualle Quadriplegia: Lokhu kwenzeka lapho umonakalo emgogodleni uvimba ngokuphelele imiyalezo ebuchosheni. Kufana nokuvala iswishi enkulu endlini. Ngemuva kwalokho, akukho ukunyakaza, umuzwa, noma ukulawula ezingxenyeni ezikhubazekile.

2. I-Quadriplegia Engaphelele: Lokhu kwenzeka lapho umonakalo womgogodla ungawumisi ngokuphelele imiyalezo. Eminye yemiyalezo kuphela ephazanyiswa. Njengentambo ekhululekile kuswishi enkulu. Lokhu kungabangela ukuthuthumela kwezitho, ukuzwa okuthile, noma ukulawula ukusebenza kwamathumbu kanye nesinye.

Ihlukaniswe futhi ngezinhlobo ezimbili kuye ngokuthi imisipha ekhubazekile isebenza kanjani:

• I-Flaccid Quadriplegia: Kulokhu, imisipha iba namandla ngokuphelele, igobe futhi ingabi nampilo .
• I-Spastic Quadriplegia: Kulesi simo, imisipha iyanyakaza futhi iqine ngokungalawuleki. Lokhu kusho ukuthi imisipha iyafinyela ngokuzenzakalelayo, yize ingenakuyilawula ngendlela efanele.

Umphumela uhluka kanjani kuye ngokuthi umgogodla wonakele kuphi?

Ingxenye yentamo yomgogodla wethu ibizwa ngokuthi i-Cervical Spine (C-Spine). Kunezinhlungu zomgogodla eziyi-7 kanye nezinhlungu zomgogodla eziyi-8 eziphuma kuzo. Umphumela esigulini uyahlukahluka kakhulu kuye ngobude bokulimala. Uma ukulimala kwenzeka phezulu komgogodla, kulapho umphumela uba mubi kakhulu.

Yiziphi izimbangela eziyinhloko ze-quadriplegia?

Isizathu esiyinhloko salokhu ukulimala komgogodla okubuhlungu (SCI). Ngisho nasezweni lakithi, sizwa ngezinto ezinjalo ngaso sonke isikhathi.

• Izingozi zezimoto: Ikakhulukazi ukungabophi amabhande esihlalo, izingozi zamasondo amathathu, kanye nezingozi ezihilela ukuphonswa emotweni.
• Ukuwa: Ukuwa usuka phezulu, ukuwa esihlahleni, ukushelela (ikakhulukazi kwasebekhulile, abasengozini enkulu ngenxa yokuncipha kwamathambo).
• Izenzo zobudlova: ukudubula, ukugwaza, ukuhlasela okunzima.
• Izingozi zemidlalo: Izingozi ezenzeka ngesikhathi semidlalo efana ne-rugby, ibhola likanobhutshuzwayo, kanye nokuntywila.

Ngaphezu kwalezi zingozi, i-quadriplegia ingabangelwa nezinye izimo zezokwelapha:

• Izimila ezikhula emgogodleni noma eduze kwawo.
• Ukutheleleka ngaphakathi komgogodla.
• Ukuvaleka kwemithambo yegazi ehlinzeka ngomgogodla.
• Izinkinga lapho kuzalwa (isib. i-Cerebral Palsy, i-Spine Bifida).
• Izifo ezizenzakalelayo njenge-Guillain-Barré Syndrome, i-Multiple Sclerosis, i-Transverse Myelitis.

Yini okufanele uyenze uma usola ukuthi othile ulimele emhlane?

Nakhu okudingeka ukwenze:

1. Shayela isevisi ye-ambulensi ka-1990 ngokushesha.

2. Gcina isiguli singanyakazi kuze kufike abasebenzi bezokwelapha abaqeqeshiwe.

3. Kuphela uma isiguli sisengozini yokufa ngokushesha, njengomlilo, lapho kufanele sithuthelwe endaweni ephephile, ngokucophelela okukhulu, ngaphandle kokugoba intamo nomhlane. Kodwa lokhu kufanele kwenziwe kuphela uma kungekho enye indlela.

Uma usulethwe esibhedlela, into yokuqala odokotela abayenzayo ukuzama ukuvimba umonakalo ukuthi ungabi mubi kakhulu. Lokhu kungafaka phakathi ukubeka amakhola entanyeni kanye nokuvimbela isiguli ukuba singanyakazi ebhodini elikhethekile. Uma kudingeka, kungase kudingeke ukuhlinzwa ngokushesha ukuze kuncishiswe ingcindezi emgogodleni noma kumiswe amathambo aphukile. Konke lokhu kunqunywa udokotela wakho.

Yini esingayenza ukuze sivimbele isimo esibi kangaka?

Imbangela eyinhloko ye-quadriplegia yizingozi, futhi ukulandela izinyathelo zokuphepha kunganciphisa kakhulu le ngozi.

• Gqoka imishini yokuphepha: Gqoka ibhande lesihlalo noma nini lapho usemotweni. Gqoka isigqoko esihle uma ugibela ibhayisikili noma isithuthuthu.
• Zivikele ekuweni: Thatha izinyathelo zokuvimbela ukushelela endlini yokugezela, ikakhulukazi uma kunabantu asebekhulile ekhaya. Faka izibambo zokubopha. Sebenzisa amabhande okuphepha lapho usebenza ezindaweni eziphakeme.
• Qaphela lapho ugxumela emanzini: Ungagxumeli emanzini intamo yakho iphezulu ezindaweni ongazazi noma emanzini angajulile. Lokhu kungabangela umonakalo omkhulu emgogodleni.
• Gwema izidakamizwa notshwala: Ingozi yezingozi iphezulu kakhulu uma zisetshenziswa.

Kuyini i-Transient Quadriplegia?

Ngezinye izikhathi, ikakhulukazi kubadlali, ukulimala komgogodla kungabangela ukukhubazeka kwesikhashana kwamalungu. Lokhu kubizwa ngokuthi "i-Transient Quadriplegia". Ngaleso sikhathi, amalungu aba ndikindiki futhi angabi ndikindiki, futhi amalungu angakwazi ukunyakaza. Lokhu kuvame ukuxazululeka zingakapheli imizuzu eyi-10-15, kodwa ngezinye izikhathi kungathatha izinsuku ezimbili. Uma lokhu kwenzeka, kubhekwa njengesimo esiphuthumayo futhi kubalulekile ukudlulisela isiguli eMnyangweni Wezimo Eziphuthumayo (ETU) wesibhedlela ngokushesha.