Paraplegia - chii ichi?

Paraplegia - ndiko kuoma kushatiriswa zvokurwara, kunotevera. Kana sei nemakumbo vari kumusoro, pasi. Zvichienderana ichi yoga paraplegia pamusoro, pasi.

Vhuṱanzi

The chirwere chinobata panguva zvose rezasi (repamusoro) richiripo. Kazhinji nokuda zvinetso zviri musana. The inonyanya chikonzero, maererano nenhamba - kubonderana kwemotokari. Ndoda, asi achiri kuwanikwa paraplegia repasi wamativi, rokumusoro, vakakuvadza musana zvirwere tambo, nomuzongoza.

Pane kupesana kupinda mhando mbiri:

• paraplegia anokonzerwa musana kukuvadzwa mune yepazasi chikamu;
• tetraplegia, kushatiriswa kukuvara yokumusoro nomuzongoza.

Pakupedzisira ina maoko nemakumbo vari mitezo. Upper kwadzo iripo zvakare, asi zvikuru hazviwanzoitiki. To rinogona kukonzera namamota, petechial hemorrhages.

Paraplegia - iri pathological dzakawanda sei vanoshandisa mawiricheya. Zvinoonekwa neziso zvikanganiso - kwete chete vachifambidzana chirwere. Vawana uye nenhaka spastic paraplegia Conjugate pamwe vakawanda zvirwere yomunyika mugadziriro nhengo.

zvikonzero

The chirwere chinokurwadzai kukuvadza:

• musana;
• bhiza muswe muzongoza;
• tsinga midzi.

boka pangozi - Varume vane makore makore 15-45, kureva, vanhu kazhinji kuwira dzimwe senga tsaona. Uyezve, pane nhaka paraplegia kukonzerwa masero okutodza.

symptomatology

Paraplegia - chirwere pamwe anotevera zviratidzo:

• mufambo zvirwere;
• marwadzo;
• kufema matambudziko;
• atadze kushanda zvakanaka dzokubereka, Urinary gadziriro;
• sphincter dysfunction;
• autonomic, kutsinga dzinouya impairments.

Nezvinetso mufambo

Paraplegia - ndiwo chirwere umo kufamba dzinenge kana zvachose hazviiti. Kureva kuti kuoma zvikuru wavanozvisunga muviri kunobva pakuti ari zvinokuvadza. Mune zvimwe zviitiko, nechirwere paraplegia yunifomu apo kupararira kunoitika symmetrically panyaya nomuzongoza. Possible kwemashifiti vachivavhiringidza. It zvinoenderana kana musana chikamu chaiva pasi nokurohwa.

Kana kukuvara Neural kwokubatana nokuwa, zvichiguma kufamba anogona kunomboitika kwatangwa, uye kunyange chisimba. Muscle matauriro kunova yakakwirira, izvo vakawanda vanogona kuti flexors. Kana munhu akaedza kutwasanudza pabazi, ichi kunoita kuti Kushatiswa zvinhu. Rokumusoro, nechepazasi paraplegia kunoratidzwa spasticity. Kana sei etsinga midzi, zvichida tsandanyama hypotonia. Muchiitiko chino, akaonekwa flaccid paraplegia.

kutsinga dzinouya dysfunction

Kana akuvara ganda utetsa anetseka. Panguva iyoyowo vanotambura:

• kukwanisa kunzwisisa kurwadziwa;
• pfungwa kubata;
• tembiricha manyawi.

The aikanganiswa yose akavhuniwa. Avo kazhinji vanhu hwakanaka vanofunga kuti chinokurwadzai rokumusoro, yakaderera paraplegia, sainzi inowanzodeedzwa paresthesia. Kana hunoratidza kurasikirwa manyawi, munhu anogona kukuvara nyore kana kupiswa, uye havana kunyange cherechedzai kuti zvakaitika. Kana utetsa akarasika zvachose, yakakwirira ndingangokuvara dzvinyiriro maronda, sezvo aine kutyora trophic zvirwere.

Muviri utetsa zvinobvumira vanhu utano kunzwisisa chii woiisa anopindura ari muchadenga, akanga sei kufurirwa zvikuru dzakakurudzira paari kukuru sei fura simba. In zvinetso anokonzerwa paraplegia, kunzwa akaputsika, saka vanhu vane hwakaderera muzvidimbu maronda vanogona kunzwisisa nzvimbo anogara, asi kana iwe zvitarire. Kushandisa maoko, unofanira kutarisa kwavari. Panguva iyoyo vari kuomerwa BALANCInG, uyewo abdominal akarova ne rutivi rwomuviri. Varwere nechirwere paraplegia, chokunyunyuta pamusoro dzungu, kutya dzakakwirira.

Marwadzo paraplegia

Sezvo acquisitions uye spastic paraplegia Adolph Strümpell akasiyana kuramba marwadzo syndrome. Kana kukuvara, zvinoita sokuti pakarepo, asi inochengeterwa upenyu. Pain zvingaitika munzvimbo idzo muviri apo utetsa haina kuputswa, asi wavanozvisunga mapazi uye vakafirwa nehanya.

Musana kukuvara zvinoreva kuti manzwiro vari kushanda zvakanaka, uye uropi anogamuchira kunaka mashoko asingaiti anoenderana chokwadi. Vamwe channel date vari kuvharidzirwa zvachose.

Marwadzo chirwere chinobata zvikuru vanhu, hunokonzera kuora mwoyo, akazoita mararamiro, chinokurwadzai kugara mupfungwa, kufunganya. Mune dzimwe chirwere sokuti, ipapo haazombotaurwi uye anodzoka, pane vamwe zviri zvachose. Kazhinji zvinobvira kuisa kurwadziwa kwokupedzisira nechirwere - somuenzaniso, kuziva zvinetso ganda, ura, dundira. Mune zvimwe zviitiko, marwadzo ari kukonzerwa kuneta, kushushikana, uye kunyange zviitiko. Medicine anoziva nguva dzakawanda apo simba marwadzo kukanganiswa kuchinja tembiricha muimba.

autonomic dysfunction

Spastic paraplegia kunoratidzwa muna:

• hyperreflexia;
• dysreflexia;
• kumanikidzwa RINOFAMBIRA;
• nomusoro;
• iratidzike seiri kubuda;
• chills;
• Goosebumps.

The zvikonzero:

• chirwere;
• deformation of dundira;
• ganda nematambudziko;
• Mamota;
• catheterization.

Possible kutyora chafariz pakuenzanisa muviri, akaparirwa nokuda zvisiri kushanda coronary nhumbi. Ziya mamirire nzvimbo iri pazasi yakuvara.

mabatiro

Chii angatarisirwa kana paraplegia akaonekwa? Treatment mazuva ano, zvinosuwisa, sezvo vakadaro, haako. Kana makuvaro yave ndawana, zvakakodzera kuisa kwekushereketa kuchaitwa chakasimba migumisiro. Kazhinji, murwere ushande, kubvisa mitswe, ongorora zvinonyatsorehwa ezvinhu muviri, kudzidza musana zvinoratidza kutambudzwa zvakakanganisika uye tsika dzavo.

Zvadaro anotanga padariro vapore. Panguva iyoyo, vanachiremba kubatsira varwere kudzorera kushanda muviri sezvinobvira. Tichishandisa tsandanyama iri pazasi yakuvara iri inputted residual kuzvidzora mabasa. Nokuti nzvimbo muviri pamusoro lesion vanofungidzirwa residual simba nekugona. Zvinobatsira kuwana Zvakanyanya Kunaka Panguva Yepamuviri muviri, matanho zvainanga kurovedza kwevanhu kuti kushumira pachavo. Chokwadi, migumisiro kunyange inonyatsobudirira vapore rinoratidza chete munguva yemberi iri kure.

Zvimwe zvokukura kurapwa

Kana kekutanga pashure zvinokuvadza murwere anorwara ne kufema chirwere, vachafanira kuronga kufefetedza. Kwapera nguva, kusika postural abudise, kudzidzisa munhu kukosora. Shandisa kushandiswa nzira akagadzirirwa varwere paraplegia. Mune ramangwana, tichava kuzviita nguva dzose.

Chimwe zvinobudirira chidobi - munhu physiotherapy. nzira iri rakagadzirirwa zvenguvo murwere yaizotamira zvakare. Kunosanganisira tichishanda njodzi yacho. The chikuru basa chiremba - kudzivirira tsandanyama marwadzo, zvichitungamirira akaderedza mufambo. Uyezve, vanoshanda achisimbisa tsandanyama.

Treatment rakanyatsojeka yokungoitawo, inobva nezvaanogona murwere uye pakupedzisira achipfeka kutaridza rakasiyana-siyana mabasa. Start:

• Kudzidza kuzvidzora vachisimudza kubva pamubhedha;
• kuitwa postures ari pawiricheya;
• abate zvakanakanaka nokugara panzvimbo;
• gadzai pachako;
• pawiricheya kuzvidzora.

Kana paraplegia kupiwa urema. vanhu ava zvinoda kugara kutarisirwa uye rutsigiro, uye zvinoenderana nokureba kwoupenyu. Kana kurapwa, zvokurapa akacherechedza nokungwarira, ipapo vanhu vachakwanisa kurarama refu zvakakwana. Asi chinetso wokutanga Utsanana zvisikwa kukonzera vakawanda matambudziko, noutachiona uye kuzvimba zvomukati uye hurongwa, matambudziko trophic anogona kukonzera sepsis. Kamwe utachiona inova generalized, uye mikana rufu.

ukama chirwere

Adolph Strümpell paraplegia - chirwere zvokuti rinoreva:

• mberi;
• refu.

Kana varo musana pyramidal nzira kukanganiswa kumativi ose. chirwere ichi kunokonzerwa nemagene preconditions: nhaka. Kazhinji, nhaka spastic subspecies kunoitika recessive nenzira, asi pane mukana uye simba. Zvirwere kunoitika zvakakomba. Asi wakachena paraplegia kazhinji pachishandiswa hukuru Gene. Zvinofungidzirwa kuti pane zvimwe majini kanganisika kuti pave nekukurukurirana mhuri zvokurwara. It chinorehwa kuti nemhaka majini izvi zvinofanira zera chirwere uchatanga kukudziridza.

Kana paraplegia Adolph Strümpell pyramidal divi nzira panoda pamusoro nguva. Panguva iyoyowo kuchinja kuitika mune Masvinga Gaulle. Iye chirwere chepfungwa cortex. The chirwere heterogeneous. Adolph Strümpell muzvinyorwa ake akarondedzera mhuri spastic subtype kwechirwere chacho, izvo tsika haawanzopiwi ndee. Zvikuru kuchengetwa spastic paraparesis, umo njodzi nzvimbo - maoko nemakumbo rezasi. Muzviitiko izvi, spasticity chinokurira pamusoro paresis. Nhasi sayenzi chinokonzera chirwere ari wechitanhatu kusango cerebral cortex, inova kutanga extrapyramidal fibers.

chirwere kunoita

kazhinji paraplegia Family rinotanga chaizvo chinyararire. Nguva yokutanga munhu anoti makumbo ake kuneta nokukurumidza uye zvakasimba, pakupedzisira anonzwa kuti Kutama mapazi sezvo kana zvakasimba. Muscle matauriro ari kuwedzera, zvichiguma mudzira dzepanguva masangano. Kazhinji hapana Babinski.

Kuchiita chirwere anoratidza clonuses tsoka, mabvi. Next rokuongorora zvimwe zvinetso richiripo flexion. Tonus ari kukura chaizvo zvakasimba, tsandanyama opedzisira, asi rutivi rwomuviri sezvo vakadaro achiri asina. Muvanhu, gait kuchinja, inova "spastic". Akaremara majoini, kuchinja hurukuro dzavo, saka makatsamwisa rokudzivirira hunenge.

Kazhinji, varwere akaponesa cutaneous hunenge, pelvic nhengo ishande. IQ haachinji, vanhu vanogona batanidza kufamba dzavo uye asingauyi zvigadzirise utetsa zvirwere. Asi pashure imwe nguva mune imwe kunaka kwacho kwaisanganisira rokumusoro maoko nemakumbo. It hariwaniki 100% nyaya, asi mukana wokuti kukura iyi. Mumaoko kukura tsandanyama matauriro, mudzira hunenge vari kuderedzwa, kakawanda zviratidzo pseudobulbar.

The dambudziko hakuuyi oga

nguva apo neapo kana spastic paraplegia sokuti woga, pasina kupiwa pamwe nezvimwe zvirwere. Kazhinji vanotambura dzimwe zvinorwisana gadziriro. Kakawanda paraplegia anokonzerwa kuvabereki background, rokuongorora chinopfuudzwa sezvo nhaka ataxia. Pane kubatana paraplegia uye chinonzi amyotrophic syndromes. Asi nhasi, vanachiremba havazivi phenotypic chirwere pachinhu chimwe muitiro kana atsamwiswa zvavo yoga Gene.

Kazhinji paraplegia achiperekedzwa atrophy of tsinga anokonzera zvaakaratidzwa, simba pamusoro zvokunze ziso tsandanyama, nystagmus uye dysarthria. Mune zvokurwara kuti ngadzirambe mupfungwa kuchinja, pfari, hyperkinesis, chinangwa tremor.

Zvokurwara uye zera

Hakuna mashoko chaiwo kuti zera spastic paraplegia kunokanganisa munhu ane nhoroondo yemhuri nayo. zveBhaibheri yaiitwa pavarwere panguva nhoroondo yemhuri chavanopinda, izvo akabvumira vanachiremba kumisa chaizvo, kunyange kana totaura hama, chirwere achiri kuonekwa panguva mazera akasiyana, hakuna kufanana. Vamwe vakatanga zviratidzo vakaona pakarepo pashure pokuberekwa, mune dzimwe pathologies vari avhareji vakwegura zera.

Kana totaura yakaisvonaka paraplegia, nepo zvimwe nhamba vanogona kutaura: boka pangozi - makore 10-20. The chirwere anononoka chaizvo, asi ndichiri kunzwa mberi kwake. Kazhinji, varwere kurarama kwenguva refu, kunyange akakwegura. Pane nyaya simuka kutsamwisa zviratidzo uye noutachiona zvirwere.

flaccid paraplegia

Kutyora kusonganirana lesion kuti Tutsinga tunofambisa mashoko utwu anokonzera kufamba. The chikonzero chingava:

• kunotevera;
• poriyo;
• bundu;
• polyneuritis;
• plexitis.

Flaccid paraplegia vanowanzotevedzera kuderedza, zvishoma nezvishoma, rakadzikama attenuation hunenge. Zvikurukuru kukanganisa nemarunda, asi nokufamba kwenguva muitiro richikura. Tsandanyama kudukupiswa kukura, magetsi excitability ari mapopoma. Nzira yakarurama kwazvo Detective chirwere - Electromyogram.

Kana flaccid paraplegia zvichiita atony. Kazhinji, budiriro iyi kunoratidza atsamwira pamusoro musana ranyura zvachose (kana zvachose). Pelvic nhengo vanorasikirwa kunyatsoshanda, hazvibviri kutama muviri wake pazasi njodzi yacho. Asi pane imwe nzira. Kana zvokurwara pakarepo asina preconditions, zvichida, chikonzero diaschisis apo Tutsinga tunofambisa mashoko utwu kwechinguva vanoguma ushande.