Paraplegia - he aha te mea tenei?

Paraplegia - he pāpāngia whakapataritari i te māuiuitanga, whētuki. Ki te pāngia reira e runga wahi, raro. I runga i tenei taratahi paraplegia runga, raro.

mōhiohio whānui

pā te mate wā kotahi te e alangá e rua raro (runga). Kei te nuinga o te wā pōreareatanga reira e disorders o te ua. Ko te take tino noa, kia rite ki te tatauranga - tukinga motokā. He nui iti, engari kitea tonu paraplegia o nga topito o raro, o runga, i whakapataritari filosilivá mate aho, tuaiwi.

He he he wehenga ki e rua momo:

• paraplegia meinga e whara ua i roto i te wahi o raro;
• tetraplegia, whakapataritari i nga wharanga o te tuaiwi o runga.

I nga wahi e wha whakamutunga e pararutiki. tawhiti vai hoki o runga, engari ko te tino onge. Ki reira ka taea e meinga pukupuku, pakaruhanga toto petechial.

Paraplegia - he pathological, te nuinga o te pāngia e whakamahi teketeke. hē kanohi Ari - e kore e haere tahi anake te mate. Riro a tuku haumi paraplegia mate hukihuki ki te maha nui o disorders o ngā pūnaha ā-o te rauropi.

take

Ko te mate whakaoho kino:

• ua;
• hoiho tuaiwi hiku;
• pakiaka io.

rōpū mōrea - tangata 15-45 tau te pakeke, e ko, he maha hinga iwi ki ētahi atu aituā waka. I tua atu, i reira he paraplegia tupu pōreareatanga e āhuatanga ira.

tohutanga

Paraplegia - Ko te mate tahi e te tohu e whai ake nei:

• disorders kaupapa;
• mamae;
• te kupukupu tonu raruraru;
• uri arā, ngā pūnaha mimi;
• sphincter pōrearea;
• autonomic, hauā tairongo.

Raruraru ki te kaupapa

Paraplegia - Ko te mate i roto i nei e tata ranei tino taea nga nekehanga. Ko, te nui o te pāpāngia tinana patu tei runga i te whānuitanga o te whara. I roto i ētahi wā, pāngia ki paraplegia kākahu ina puta whakatö symmetrically ki te faatura ki te tuaiwi. raruraru hikuwaru pea. Tei te reira i runga i ranei ko te wāhanga ua i raro i te patu.

I roto i te take o te whara hinga hononga neural, hua i roto i te kaupapa e taea ētahi wā puta noa, me tutu noa. riro oro uaua teitei, e te hunga tino haria ki te flexors. Ki te tamata te tangata ki te tika i te e alangá, arata'i tenei ki te ino o te āhuatanga. āhuatanga te runga, o raro paraplegia e spasticity. Ki te nga pakiaka io pānga, pea hypotonia uaua. I roto i tenei take, pāngia paraplegia momohe.

pōrearea rongo

A, no te whara ohorere tūtohutanga kiri. I te wa ano mamae:

• te kaha ki te kite te mamae;
• tikanga o te pa;
• sensation pāmahana.

Ko te tūtohutanga a pakaru te katoa. Ko te hunga rerekē mō te iwi hauora ite e whakaoho te runga, paraplegia o raro, kei te nuinga o te wā i huaina pūtaiao paresthesia. Ki te whakaata reira he mate o sensation, ngāwari te tangata e taea kia whara ranei tahuna, a kihai noa kite i tupu i te reira. Ki te ngaro te tūtohutanga e tino, he tūponotanga tiketike o tuwhenua pēhanga, rite tahi e te ofatiraa o disorders arataukai.

tūtohutanga Body taea iwi hauora ki te matau he aha te tūranga noho te reira i roto i te wāhi, te nui te pēhanga i faaitehia te runga ia te nui kutikuti kaha. I roto i te disorders meinga e paraplegia, ongo'i pakaru, kia taea te tangata ki raro pāpaka e alangá mo mahino te tūranga ratou noho, engari ki te titiro koutou ki a ratou. Hei whakamahi i te ringa, e hiahia ana koe ki te titiro ki a ratou. I te wa ano e he ratou uaua whärite, me te puku patua e pāpāngia. Tūroro pāngia ki paraplegia, amuamu o whanoke, te wehi o tiketike.

Mamae i roto i te paraplegia

Ka rite ki hao me paraplegia mate hukihuki Adolph Strümpell rerekē mamae tamau syndrome. Ki te whara, puta tonu reira, engari kei te rongoa mo te ora. kia Pain puta i roto i aua wahi o te tinana i te wahi e kore e te pakaru te tūtohutanga, engari te rohe patu me kua ngaro tūtohutanga.

tikanga whara ua e mahi i te raru tika, a ka e tango te roro mōhiohio mio'i e kore e hāngai ki mooni. E āraia ētahi takere raraunga rawa.

Mamae i roto i te mate nui pā te iwi, ai korekore, te whakaiti i te kounga o te ora, e whakaoho ana auau ahotea, manukanuka. I roto i te puta etahi syndrome, ka riro a ka hoki, i ētahi atu, ko te reira pumau. E mea pinepine te mea e taea ki te hoatu i te mamae o te tātaritanga whakamutunga - hei tauira, ki te tautuhi i te raruraru o te kiri, whēkau, tōngāmimi. I roto i ētahi wā, nā te mamae e te rohirohi, te ahotea, a tae noa wheako. Medicine mohio maha taime i reira te awe te kaha o te mamae te huringa i roto i te pāmahana i roto i te rūma.

pōrearea autonomic

whakakitea paraplegia mate hukihuki te i roto i:

• hyperreflexia;
• dysreflexia;
• ngaahi ongo pēhanga;
• pāhoahoa;
• sweating;
• Chills;
• Hīnawanawa.

Ko nga take matua:

• mate;
• deformation o te tōngāmimi;
• raruraru kiri;
• pukupuku;
• catheterization.

ofatiraa pea o toenga waiariki o te tinana, pōreareatanga e te mahi hē o te oko coronary. Werawera wāhi āhuatanga kei raro te rohe i whati.

maimoatanga

He aha kia taea tūmanakohia ki te i pāngia te paraplegia? Maimoatanga o enei ra, kāore, rite taua, e kore te tīariari. Ina whiwhi te whara, he mea e tika ana ki te arotahi tautooraa i runga i te whakakorenga o ngā pānga whakapeka. Ka rite ki te tikanga, te manawanui whakahaere, faaore piere, arotake i te huru whānui o te tinana, ako te ua whakakitea te tauine o te kino, me ratou huru.

Na ka tīmata te wā o te whakanohonoho. I taua wa, te āwhina tākuta tūroro ki te whakahoki mahi o te tinana rite taea. Āhua uaua kei raro te rohe whara inputted te mahi mana wäriu. Hoki ngā wāhi o te tinana i runga ake i te lesion tata te pūmanawa mana wäriu. E tauturu te reira ki te kitea te mahi tino pai, ngā tukanga e hāngai ana te whakangungu tangata i runga i ki mahi ratou. O te akoranga, nga hua o ara te whakanohonoho whai hua tino whakaatu anake i roto i te heke mai tawhiti.

wāhanga atu o te maimoatanga

Ki te te wā tuatahi i muri i te wharanga he kino ki matehā te manawanui, ka whai ki te whakarite ventilation. I muri i te tahi mau wa, te hanga waikeri postural, whakaakona te tangata ki te mare. Te whakamahi tikanga motuhake whakawhanakehia mō ngā tūroro ki paraplegia. I roto i te heke mai, ka whai ia tatou ki te mahi i te reira wā.

Ko tētahi atu tikanga whai hua - he tua. Kei te hangaia tenei tikanga ki hononga o te manawanui i taea te neke ano. Ko tā te reira i mahi ki te wāhi kua pā. Ko te mahi matua o te tākuta - ki te ārai i uaua hukihuki, ārahi ki nekeneke iti. I tua atu, mahi i runga i te whakapakari i te uaua.

Ko Treatment rawa ngā, e hāngai ana i runga i nga kaha o te manawanui, me te pae hopea riro te huinga o te whānui whānui o ngā mahi. tīmata:

• Ako toronga-whaiaro te moenga i;
• whakatamarikitanga o āraitia te i roto i te wīra;
• mau te toenga i roto i te tūranga noho;
• whakanoho koe;
• mana tūru wīra.

A, no te paraplegia homai hauātanga. rapu utu ēnei iwi tiaki me te tautoko auau, ka tei reira ki runga ki te roa o te ora. Ki te ngā tukanga hauora, fakafaito'o kitea āta, katahi ka taea ki te ora roa nui te iwi. Ko te uaua tuatahi āhua mā arahi ki pōauautanga maha, mate me te mumura o okana me ngā pūnaha ā-roto, ki ngā raruraru arataukai e taea meinga sepsis. Kia riro whānui te mate, ka nui ake te mōrea o te mate.

mate whanaungatanga

Adolph Strümpell paraplegia - ko te mate taua e pā ana ki:

• ahu whakamua;
• mau tonu.

A, no te pāngia tona ara pyramidal filosilivá i runga i ngā taha e rua. meinga tenei mate e preconditions ira: riro. I roto i te nuinga o te wā, tupu momo mate hukihuki puta tikanga ngoikore, engari i reira he he faingamālie me tino. puta tino mate. Ko paraplegia parakore te tikanga tuku e te ira ngoi. Kei te whakapono te reira e reira e etahi ira rerekē e tīmata māuiuitanga utuafare. Kei te te whakaaro te reira e no te mea o enei ira kia te tau i ai te mate ka timata ki te whanake.

A, no te whakaora paraplegia Adolph Strümpell ara taha pyramidal i runga i te wā. I te wa ano rerekētanga puta i roto i tautau Gaulle. mamae ia i uho kaka. He heterogeneous te mate. Adolph Strümpell i roto i ana i tuhituhi ai whakaahuatia te Momoroto mate hukihuki hapu o te mate, i roto i te mahi kei te uaua whakaritea. He nui ake pinepine kitea paraparesis mate hukihuki, i roto i nei te wāhi kua pā - te wahi o raro. I roto i enei take, Predominates spasticity mo paresis. Ko Pūtaiao i tenei ra te take o te mate i roto i te mara ono o te uho haaparuparu, e ko te tīmatanga o muka extrapyramidal.

haereraa i mate

te tikanga tīmata paraplegia Family rawa ata. Ko te wā tuatahi i te tangata ta e whiwhi ngenge ana waewae hohoro a kaha, te mutunga mana'o e te wahi nekehanga me te mea raru. oro uaua Kei te piki haere, hua i roto i ngā nekehanga iohere kahuki. E mea pinepine i reira he Babinski.

Kauneke o te mate whakaatu clonuses waewae, turi. Next tātari atu disorders flexion alangá. Kei te tipu haere Tonus rawa kaha, uaua i tuku, engari pāpāngia rite taua e kore e tonu i. I roto i te tangata, huringa kiwi e, riro te reira i te "mate hukihuki". hononga i hira ake, te huri o ratou fokotu'utu'u, te kupu i whakapataritari reflexes tiaki.

I roto i te nuinga o te wā, whakaorangia te tūroro reflexes waihakihaki, Ka taea e whekau papatoiake mahi. e kore e IQ te huri, ka taea e te iwi ruruku ratou nekehanga, me te e kore e whakatika i te disorders tūtohutanga. Ko etahi wa i roto i te tukanga kino i muri wāhi nga wahi o runga. e kore e tupu te reira i roto i te 100% o te wā, engari ko te tūponotanga ka o tenei whanaketanga ko. I roto i nga ringa o te whakatipu oro uaua, kua heke reflexes iohere, tohu auau o pseudobulbar.

E kore e te raruraru mai anake

wā tino onge ina puta paraplegia mate hukihuki i tahaki, i waho i haere tahi e te tahi atu disorders. mamae te tikanga i te tahi atu pūnaha ā-roto. Tino maha paraplegia meinga e papamuri ira, whakatau tuku rite ataxia tuku. He he he paraplegia hononga me syndromes Amyotrophic. Ko ki tenei ra, e kore e kaiwhakaako mohio mate tohuāhua i roto i te pā ana ki te tukanga kotahi ranei whakapataritari ratou ira motuhake.

E mea pinepine paraplegia haere tahi i atrophy o te raru haepapa mō te whakakitenga, ngoikore o nga uaua waho kanohi, nystagmus me dysarthria. I roto i te māuiuitanga o whakaritea huringa hinengaro, haurangi, hyperkinesis, whakaaro faaati.

Māuiuitanga me te tau

Kahore he kōrero pau rite ki te tau i ai pā paraplegia mate hukihuki te tangata e kua he aamu utuafare o reira. whakahaeretia rangahau i roto i ngā tūroro i te pūkete o te hononga whānau, i whakaaetia tākuta ki whakapumautia ïa, ara ka tae mai te reira ki whanaunga, kua kite tonu i te mate i tau rerekē, i reira he kahore faitatau. kite tonu ētahi o nga tohu tuatahi i muri i te whanautanga, i roto i ētahi atu pathologies i runga i tau toharite pakeke.

A, no te haere mai te reira ki paraplegia parakore, i runga i etahi tatauranga e taea te mea: te rōpū mōrea - te tau o 10-20 tau. Ko te tino puhoi te mate, engari tonu ua tona ahunga whakamua. E mea pinepine, e ora tūroro hoki te wa roa, ara ora ki koroheketanga. He take whakatika ki te whakapataritari tohumate me mate mate.

paraplegia momohe

Tūkinotanga e pā ana ki te lesion o neurons kawenga mō te kaupapa. pea te take:

• whētuki;
• whakamemeke;
• huamo;
• polyneuritis;
• plexitis.

paraplegia momohe ahu ki pōturi, māmālie, reflexes attenuation on. Matua pā te tendons, engari i runga i te wā o te tukanga o te whakawhānui. Uaua iti i roto i te rahi, i te excitability hiko o te wairere. Ko te tikanga tika te nuinga o te kimi i te mate - electromyogram.

A, no te paraplegia momohe taea atony. I roto i te nuinga o te wā, tenei whanaketanga kōrero ko tata rawa (rawa ranei) whaturama o te ua. ngaro whekau papatoiake pai, e kore e taea ki te neke i tona tinana i raro i te wāhi kua pā. Ko reira ko tetahi kōwhiringa. Ki te ohorere i māuiuitanga kahore preconditions, pea, te diaschisis take ina mutu poto neurons ki mahi.