I-Paraplegia ebangelwa izilonda ezinqamlezayo ngaphezu kokwandiswa komlomo wesibeleko kuthiwa yi-high paraplegia.Kwaye i-paraplegia ebangelwa ukulimala kwentambo yomgogodla ngaphantsi kwe-vertebra yesithathu ye-thoracic yi-paraplegia yemilenze yomibini ephantsi.
Kwinqanaba elibukhali lokulimala kwentambo yomgogodla, ukulahleka kwemvakalelo, ukunyakaza, kunye ne-reflex yemilenze yomibini ngaphantsi kwinqanaba lokulimala, kunye nokulahlekelwa komsebenzi we-bladder kunye ne-anal sphincter yi-spinal shock.Iyeza lanamhlanje lasentshona alinalo unyango olufanelekileyo lwesi sifo ngaphandle konyango lotyando kwinqanaba elibukhali lokulimala kwentambo yomgogodla.
Izizathu eziqhelekileyo kunye neempawu zeParaplegia
Kwiminyaka yakutshanje, ukulimala kwentambo yomgogodla kuye kwakhula ngokukhawuleza.Izizathu kukuba okokuqala, ngenxa yophuhliso oluphezulu lweshishini lokwakha, kukho iingozi ezininzi ezinxulumene nomsebenzi;okwesibini, inani elikhulu labaqhubi abatsha basendleleni, kwaye iingozi zendlela ziyanda;okwesithathu, imidlalo ekhuphisanayo enzima iphinda ikhulise iziganeko zokulimala kwentambo yomgogodla.Ezinye oonobangela ziquka usulelo, amathumba, izifo eziwohlokayo njalo njalo.
Ukulimala kwentambo yomgogodla kunokukhokelela ekulahlekelweni okupheleleyo okanye okungaphelelanga kokuhamba kunye nokuvakalelwa ngaphantsi kwinqanaba lokulimala.Kwangaxeshanye, kukho iingxaki ezininzi ezichaphazela kakhulu ukuzikhathalela kwezigulane kunye nemisebenzi yentlalontle.
Iingxaki eziqhelekileyo zeParaplegia
1. Isilonda soxinzelelo: Ngokuqhelekileyo kwenzeka kwiiprotrusions zamathambo, ezifana nommandla we-lumbosacral kunye nesithende.I-Sepsis ebangelwa luxinzelelo lwezilonda zesilonda ngomnye woonobangela abaphambili bokusweleka.
2. Usulelo lwendlela yokuphefumla: Kulula ukubangela ukusuleleka kwendlela yokuphefumula ephezulu ngaloo ndlela kubangele inyumoniya, njl.
3. Inkqubo ye-Urinary: Usulelo lwe-Urinary tract kunye ne-urinary calculi, njl.
4. Inkqubo ye-cardiovascular: I-postural hypotension kunye ne-venous thrombosis.
5. Inkqubo yamathambo: I-Osteoporosis.
Injongo yeParaplegia Rehabilitation
1. Ukuthintelwa kweengxaki ezinokwenzeka.
2. Ukuthintela ukuqina ngokubambisana kunye ne-ligament contracture.
3. Thatha i-muscle ejoliswe kuyo yolulela ukuqinisekisa ukugqitywa kwemisebenzi yokuzinyamekela.
4. Ukuqhuba uqeqesho lwesakhono sokuzinyamekela.
5. Sebenzisa ezinye iindlela zokunceda izigulane zihambe ukubuyisela amandla.
Kwangethuba (ixesha lokulala) ukubuyisela kwisimo sangaphambili
(1) Gcina ukuma okuqhelekileyo ukukhusela izilonda zoxinzelelo.Ibhedi yoxinzelelo okanye i-air cushion ingasetyenziselwa, ukuguqula izigulane kwaye ubambe umqolo wabo rhoqo kwiiyure ze-2.
(2) Ukuqinisa uqeqesho lokuphefumula ukukhusela ukusuleleka kwimiphunga.Ukubethelwa kwesifuba kunye nokukhutshwa kwamanzi ngasemva kungasetyenziswa.
(3) Ukukhuselwa ngokudibeneyo kunye noqeqesho lokuthintela isivumelwano kunye nokugcina amandla emisipha eseleyo.
(4) Ukuqeqeshwa kwesinyi kunye ne-rectum.Xa uhlala kwi-catheter, nikela ingqalelo kwi-clamping kunye nokubeka rhoqo ukuqinisekisa ukuba i-bladder ine-300-400 ml yomchamo ukuququzelela ukubuyiswa komsebenzi we-autonomic contraction function.
(5) I-Psychotherapy.Ukudakumba okugqithisileyo, ukudakumba, nokucaphuka.Umonde kunye nobuchule kufuneka kunye neempendulo ezikhuthazayo.
Unyango lokuBuyiselwa kwisimo sesiqhelo kwiXesha lokuBuyisa
(1) Uqeqesho lokulungelelanisa ukuma ngokuthe tye: kuthatha malunga neveki enye, kwaye ubude bunxulumene nenqanaba lokulimala.
(2) Amandla e-muscle kunye noqeqesho lokwelula ngokudibeneyo.Ukuvuselela umbane okusebenzayo kungasetyenziselwa uqeqesho lwamandla emisipha.Ukolula amalunga kunye nezihlunu kuyimfuneko ngexesha lokubuyisela.
(3) Uqeqesho lokuhlala kunye nokulinganisa: Ukuhlala okuchanekileyo okuzimeleyo kusisiseko sokudluliselwa, isitulo esinamavili, kunye noqeqesho lokuhamba.
(4) Uqeqesho lokutshintshela: Ukusuka ebhedini ukuya kwisitulo esinamavili.
(5) Uqeqesho lweGait kunye noqeqesho lwesitulo esinamavili.
Ixesha lokuposa: Oct-26-2020