Paraplegia inokonzerwa nemaronda akachinjika pamusoro pekuwedzera kwekervical inonzi high paraplegia.Uye paraplegia inokonzerwa nekukuvadzwa kwepelinha pasi pechitatu che thoracic vertebra ndiyo paraplegia yemakumbo maviri ezasi.
Muchikamu chakaoma chekukuvara kwepelinha, kurasikirwa kwekunzwa, kufamba, uye reflex yemakumbo ose ari pasi pezinga rekukuvara, pamwe nekurasikirwa kwebasa rechirwere uye anal sphincter ndeyekuvhunduka kwemusana.Mushonga wemazuva ano wekuMadokero hauna kurapwa kwakakodzera kwechirwere ichi kunze kwekuvhiya kurapwa muchikamu chakaoma chekukuvara kwemusana.
Zvinowanzoitika uye Zviratidzo zveParaplegia
Mumakore achangopfuura, kukuvadzwa kwepelinha kwakakura nokukurumidza.Zvikonzero ndezvekuti chekutanga, nekuda kwekusimudzirwa kwepamusoro kweindasitiri yekuvaka, kune njodzi dzakawanda dzine chekuita nebasa;chechipiri, nhamba huru yevatyairi vatsva vari mumugwagwa, uye njodzi dzemotokari dziri kuwedzera;chechitatu, mitambo yakaoma yemakwikwi inowedzerawo chiitiko chekukuvara kwepelinha.Zvimwe zvinokonzeresa zvinosanganisira kutapuriranwa, mapundu, zvirwere zvinopera uye zvichingodaro.
Kukuvara kwepelinha kunogona kutungamirira pakurasikirwa kwakakwana kana kusakwana kwekufamba uye kunzwa pasi pezinga rekukuvara.Panguva imwe cheteyo, kune zvakawanda zvinonetsa zvinokanganisa zvakanyanya kuzvitarisira kwevarwere uye zviitiko zvemagariro.
Zvinetso Zvinowanzoitika zveParaplegia
1. Pressure ulcer: Inowanzoitika pamapfupa emapfupa, akadai selumbosacral nzvimbo uye chitsitsinho.Sepsis inokonzerwa nekumanikidzwa kwechirwere chechirwere ndechimwe chezvikonzero zvikuru zvekufa.
2. Chirwere chekufema: Zviri nyore kukonzeresa hutachiona hwepamusoro hwekufema nokudaro zvichikonzera mabayo, nezvimwewo.
3. Urinary system: Urinary tract infection uye urinary calculi, nezvimwewo.
4. Cardiovascular system: Postural hypotension uye venous thrombosis.
5. Skeletal system: Osteoporosis.
Chinangwa cheParaplegia Rehabilitation
1. Kudzivirira zvinogona kuitika.
2. Kudzivirira kuoma kwemajoini uye chibvumirano che ligament.
3. Tora zvakanangwa tsandanyama kutambanudza kuti uve nechokwadi chekupedzwa kwemabasa ekuzvitarisira.
4. Ita kudzidzira kugona kuzvitarisira.
5. Shandisa dzimwe nzira dzekubatsira varwere kufamba kukwanisa kudzorera.
Early (bedridden period) kugadzirisa
(1) Chengetedza chimiro chenguva dzose kudzivirira maronda ekumanikidza.Decompression bed kana air cushion inogona kushandiswa, shandura varwere nekupuruzira misana yavo maawa maviri ega ega.
(2) Simbisa kudzidziswa kwekufema kudzivirira hutachiona hwemapapu.Chest tapping uye postural drainage inogona kushandiswa.
(3) Kudzivirirwa kwakabatana uye kudzidziswa kudzivirira chibvumirano uye kuchengetedza yakasara tsandanyama simba.
(4) Dundira uye rectum kudzidziswa.Paunenge uchigara mukati me catheter, teerera kune clamping uye nekuisa nguva nenguva kuti bladder ine 300-400 ml weti kuti ifambise kudzoreredzwa kweautonomic contraction function.
(5) Psychotherapy.Kuora mwoyo kwakanyanya, kuora mwoyo, uye kushatirwa.Kushivirira uye kungwarira kunofanirwa nemhinduro dzinokurudzira.
Rehabilitation Treatment in Recovery Period
(1) Kurongeka kwakamira kuchinjika kudzidziswa: zvinotora inenge vhiki imwe, uye nguva yacho inoenderana nedanho rekukuvara.
(2) Simba retsandanyama uye kurovedza kutambanudza majoini.Inoshanda magetsi stimulation inogona kushandiswa kudzidziswa simba remhasuru.Kutambanudza majoini uye tsandanyama kunofanirwa panguva yekuvandudza.
(3) Kugara uye kuenzanisa kudzidziswa: Kururamisa kwakazvimirira kugara ndiyo misimboti yekufambisa, wiricheya, uye kudzidziswa kufamba.
(4) Kutamisa kudzidziswa: Kubva pamubhedha kuenda pawiricheya.
(5) Gait kudzidziswa uye kudzidziswa kwewiricheya.
Nguva yekutumira: Oct-26-2020