Quadriparesis

Zvemukati

• Quadriparesis vs. quadriplegia
• Ndezvipi zviratidzo?
• Zvinowanzoitika
• Zvirwere
• Uturu / zvinodhaka
• Congenital mamiriro
• Zvimwe zvehutano mamiriro
• Kukuvadza / kushungurudzika kumusana
• Inoonekwa sei
• Kurapa nzira
• Ndeapi maonero?

Mhedziso

Quadriparesis chiitiko chinoratidzwa nekushomeka mumakumbo ese mana (maoko nemaoko maviri). Inotumidzwawo kuti tetraparesis. Kuneta kwacho kungave kwechinguva kana kwechigarire.

Quadriparesis yakasiyana nequadriplegia. Muquadriparesis, munhu achiri nekwaniso yekufamba uye kunzwa mitezo. Muquadriplegia, munhu akarasikirwa zvachose kugona kufambisa tsoka.

Quadriparesis inogona kukonzerwa ne:

• chirwere, seporiyo
• chirwere cheeuromuscular, kunge muscular dystrophy
• kukuvara kweiyo nervous system nekuda kwekukuvara kana imwe mamiriro ehutano

Kana iwe uine quadriparesis, chirongwa chako chekurapa uye maonero anoenderana nechikonzero chiri kukonzera.

Quadriparesis vs. quadriplegia

Quadriparesis uye quadriplegia mamiriro ese ari maviri anoonekwa nekurasikirwa nebasa mukati memakumbo mana. Musiyano mukuru ndewekuti yakawanda sei basa rakarasika.

Munhu ane quadriparesis anowana kushaya simba uye kurasikirwa zvishoma kwekushanda kwemitezo. Munhu ane quadriplegia anowana kuora mitezo, kana kurasikirwa zvachose kwekunzwa uye kudzora kwemaoko avo.

Ndezvipi zviratidzo?

Zviratidzo zvequadriparesis zvinosiyana kubva pamunhu kusvika pamunhu zvichienderana nekuti itsinga dzipi dzinokanganiswa.

Chiratidzo chikuru chequadriparesis kushaya simba mumakumbo ese mana. Munhu ane quadriparesis anozotadza kudzora tsandanyama munhengo dzemuviri dzakabatwa. Ivo vanogona kukwanisa kufambisa imwe nhengo kupfuura imwe.

Zvimwe zviratidzo zvinogona kusanganisira:

• mhasuru mhasuru inoshaya kusimba (flaccid quadriparesis)
• kuomarara kusingawanzo kana kuomarara kwemhasuru (spastic quadriplegia)
• kushaya kwekutonga mota
• kutadza kufamba
• kurasikirwa kwedundira kudzora
• akaora mwoyo mafungiro

Quadriparesis inowanzoonekwa sechiratidzo cheimwe mamiriro. Zvimwe zviratidzo zvinoenderana nechikonzero chinokonzeresa yako quadriparesis.

Zvinowanzoitika

Quadriparesis inoitika kana tsinga dzinotumira masaini kubva kuuropi hwako pamwe nemuzongoza kusvika kumhasuru mumakumbo ako dzakavhiringidzika.

Kune zvikonzero zvakawanda nei izvi zvichigona kuitika. Vamwe vanhu vanozvarwa vaine hunhu hunokanganisa hurongwa hwavo hwemitsipa. Vamwe vanogadzira quadriparesis nekuda kwetsaona kana chimwe chirwere chinokuvadza tsinga kana musana.

Zvirwere

Mavairasi uye mabhakitiriya anokwanisa kurwisa tsinga tsinga kana kukonzera kuzvimba mumuviri zvinokonzeresa kukuvara kwemitsipa.

Mienzaniso yezvirwere zvinogona kukonzera quadriparesis inosanganisira:

• poliomyelitis
• enterovirus
• flavivirus
• Chirwere cheLyme
• diphtheria
• dengue fever
• HIV
• hepatitis C
• Epstein-Barr hutachiona
• Utachiona hweWest Nile

Uturu / zvinodhaka

Kukuvara kwemutsipa kunogona zvakare kuitika semhedzisiro yehupfu kana chepfu, kana senge mhedzisiro kune imwe mishonga. Mienzaniso inosanganisira:

• kunwa doro kana kushandisa doro zvisina mwero
• heavy metal poisoning
• uturu hwenyoka
• chinyavada chinoruma
• chishambwe kuora mitezo
• botulism
• mamwe makemikari ekurapa

Congenital mamiriro

Vamwe vanhu vanozvarwa vaine mamiriro anobata mhasuru yavo uye anokonzeresa quadriparesis, senge:

• cerebral palsy
• tsandanyama dystrophy

Zvimwe zvehutano mamiriro

Quadriparesis inogona zvakare kuve kusangana kweimwe mamiriro ekurapa, kusanganisira:

• Guillain-Barré chirwere
• Yakavharwa-muhurwere
• myasthenia gravis
• Chirwere cheLambert-Eaton
• paraneoplastic syndromes yenzira yetsinga
• chirwere cheshuga ketoacidosis
• kukanganisika kwemagetsi, senge hyperkalemia (yakakwira potasium), hypokalemia (pasi potasium), uye hypophosphatemia (yakaderera phosphate)
• vasculitic neuropathy

Kukuvadza / kushungurudzika kumusana

Quadriparesis inogona kuitika mushure mekukuvara kana kukuvara kunokanganisa musana wesipinha. Kukuvara kwakadai kunogona kuitika kubva ku:

• tsaona dzemotokari
• kupfura pfuti
• kutsvedza uye kudonha
• kukuvara kwemitambo
• yakatsvedza kana herniated disk
• kuvhiyiwa kwemuzongoza

Inoonekwa sei

Chiremba anogona kuongorora quadriparesis nekuongorora zviratidzo zvako uye kuita bvunzo dzepanyama. Chiremba wako anozoda kuziva kuti chii chiri kukonzeresa quadriparesis yako kuti uzive maitiro ekuirapa nemazvo.

Iwe unogona kuendeswa kune nyanzvi neuromuscular kuti uwedzere kuedzwa. Nyanzvi ichaongorora nhoroondo yako yehutano neyekurapa yemhuri uye kuongorora zviratidzo zvako zvese. Ivo vanogona zvakare kuitisa bvunzo kuongorora yako mhasuru kana tsinga basa. Iyi bvunzo inogona kusanganisira:

• MRI scan yehuropi uye musana, kuti uone kana iwe uine bundu kana herniated disk
• electromyography (EMG), iyo yebasa basa bvunzo iyo inoverenga mashandiro emagetsi kubva mumhasuru (EMG inogona kubatsira chiremba wako kusiyanisa pakati peanogona mhasuru uye tsinga kusagadzikana.)
• nerve conduction zvidzidzo kuti uone kuti tsinga nemhasuru zvinopindura sei kune zvidiki zvemagetsi
• lumbar puncture (spinal tap) kuunganidza uye kuongorora yako cerebrospinal fluid (CSF)
• mhasuru kana tsinga biopsies, apo sampuro diki yemhasuru kana tsinga inobviswa kuti kuenderere mberi kuedzwa murabhoritari
• kuongororwa kweropa kutsvaga kushomeka kwevhitamini, chirwere cheshuga, uye kusaenzana kwemagetsi

Kurapa nzira

Yako yekurapa chirongwa chequadriparesis zvinoenderana nechikonzero chiri kukonzera. Semuenzaniso, autoimmune kana kuzvimba mamiriro anogona kurapwa nemishonga yekuzvidzivirira. Kusagadzikana kwe electrolyte kunogona kurapwa nemishonga inodzosera kusaenzana.

Mimwe mishonga inogona kusanganisira:

• kuvhiya
• tsandanyama relaxants
• mishonga inorwadza
• kurapa kwepanyama
• kurapwa kurapa
• kuramba kudzidziswa

Chiremba wako anogona kukurudzira akasiyana mafambiro ekubatsira (kunge wiricheya kana scooter) kana zvimwe zvinobatsira zvekubatsira iwe kugadzirisa zviratidzo zvako.

Ndeapi maonero?

Maonero akazara anoenderana nemamiriro ako epasi kana padanho rekukuvara kwako.

Izvo zvinogoneka kuti quadriparesis ishandurwe mune mamwe mamiriro. Semuenzaniso, quadriparesis inokonzerwa ne hyperkalemia inowanzo dzoreka nekukurumidza nemushonga. Quadriparesis inokonzerwa nedhipatimendi rakadzedzereka inogona kudzoserwa mushure mekuvhiyiwa. Vamwe vanhu vane quadriparesis vangangotangazve kufamba uye simba mumakumbo.

Kumbira chiremba wako kuti uwane rumwe ruzivo nezve yako chaiyo kuongororwa uye kwenguva refu maonero. Kana yako quadriparesis ichinzi isingaperi, bvunza nezvekufambisa zvinobatsira, tekinoroji yekubatsira, uye shanduko yemararamiro inogona kubatsira kusimudzira hupenyu hwako.