I-Paraplegia ebangelwa izilonda eziphambene ngaphezu kokukhuliswa komlomo wesibeletho ibizwa ngokuthi i-high paraplegia.Futhi i-paraplegia ebangelwa ukulimala komgogodla ngaphansi kwe-vertebra yesithathu yethoracic i-paraplegia yazo zombili izitho ezingezansi.
Esigabeni esibucayi sokulimala komgogodla, ukulahlekelwa ukuzwa, ukunyakaza, kanye ne-reflex yazo zombili izitho ngaphansi kwezinga lokulimala, kanye nokulahlekelwa umsebenzi wesinye kanye ne-anal sphincter kukhona ukushaqeka komgogodla.Imithi yanamuhla yasentshonalanga ayinakho ukwelashwa okufanelekile kwalesi sifo ngaphandle kokwelashwa kokuhlinzwa esigabeni esibucayi sokulimala komgogodla.
Izimbangela Ezivamile Nezimpawu Ze-Paraplegia
Eminyakeni yamuva nje, ukulimala komgogodla kuye kwanda ngokushesha.Izizathu ziwukuthi okokuqala, ngenxa yentuthuko ephezulu yemboni yezokwakha, ziningi izingozi ezihlobene nomsebenzi;okwesibili, inani elikhulu labashayeli abasha basemgwaqweni, futhi izingozi zomgwaqo ziyanda;okwesithathu, imidlalo yokuncintisana enzima iphinde ikhulise izehlakalo zokulimala komgogodla.Ezinye izimbangela zihlanganisa izifo, izimila, izifo eziwohlokayo nokunye.
Ukulimala komgogodla kungaholela ekulahlekelweni okuphelele noma okungaphelele kokuhamba nokuzwa ngaphansi kwezinga lokulimala.Ngesikhathi esifanayo, kunezinkinga eziningi ezithinta kakhulu ukuzinakekela kweziguli kanye nemisebenzi yezenhlalo.
Izinkinga Ezivamile Ze-Paraplegia
1. Izilonda zokucindezela: Ngokuvamile kwenzeka ezingxenyeni zamathambo, njengendawo ye-lumbosacral nesithende.I-Sepsis ebangelwa ukutheleleka kwezilonda zengcindezi ingenye yezimbangela eziyinhloko zokufa.
2. Ukutheleleka kwepheshana lokuphefumula: Kulula ukubangela izifo eziphezulu zokuphefumula ngaleyo ndlela kubangele inyumoniya, njll.
3. Uhlelo lwe-Urinary: Ukutheleleka kwe-Urinary tract kanye ne-urinary calculi, njll.
4. Uhlelo lwenhliziyo nemithambo yegazi: I-Postural hypotension kanye ne-venous thrombosis.
5. Uhlelo lwamathambo: I-Osteoporosis.
Inhloso Yokuvuselela I-Paraplegia
1. Ukuvimbela izinkinga ezingase zibe khona.
2. Vimbela ukuqina kwamalunga kanye ne-ligament contracture.
3. Thatha ukunwetshwa kwemisipha okuhlosiwe ukuze uqinisekise ukuqedwa kwemisebenzi yokuzinakekela.
4. Yenza ukuqeqeshwa kwekhono lokuzinakekela.
5. Sebenzisa ezinye izindlela ukusiza iziguli ukubuyisela ikhono lokuhamba.
Ukuvuselelwa kwangaphambi kwesikhathi (isikhathi sokulala).
(1) Gcina ukuma okuvamile ukuze uvimbele izilonda zokucindezela.Kungasetshenziswa umbhede obolile noma umcamelo womoya, uphendule iziguli bese uzimbambatha emhlane njalo emahoreni ama-2.
(2) Qinisa ukuqeqeshwa kokuphefumula ukuvimbela izifo zamaphaphu.Ukuthepha isifuba kanye nokukhipha amanzi ngemuva kungasetshenziswa.
(3) Ukuvikelwa okuhlangene nokuqeqeshwa ukuvimbela isivumelwano nokugcina amandla emisipha asele.
(4) Ukuqeqeshwa kwesinye kanye ne-rectum.Lapho uhlala ku-catheter, naka ukubopha nokubeka njalo ukuze uqiniseke ukuthi esinyeni sinomchamo ongu-300-400 ml ukusiza ukubuyiswa komsebenzi wokufinyela okuzenzakalelayo.
(5) I-Psychotherapy.Ukucindezeleka okukhulu, ukucindezeleka, nokucasuka.Ukubekezela nokucophelela kufanele kube nezimpendulo ezikhuthazayo.
Ukwelashwa Kokuvuselela Esikhathini Sokubuyisela
(1) Ukuqeqesha ukuzivumelanisa nokuma kuqondile: kuthatha cishe isonto elilodwa, futhi ubude besikhathi buhlobene nezinga lokulimala.
(2) Amandla emisipha nokuqeqeshwa kokwelula kwamalunga.Ukuvuselela ugesi okusebenzayo kungasetshenziselwa ukuqeqeshwa kwamandla emisipha.Ukwelula amalunga nemisipha kuyimfuneko ngesikhathi sokuvuselela.
(3) Ukuqeqeshwa kokuhlala nokulinganisela: Ukuhlala okulungile okulungile kuyisisekelo sokudlulisa, isihlalo sabakhubazekile, nokuqeqeshwa kokuhamba.
(4) Ukuqeqesha okudluliswayo: Ukusuka embhedeni ukuya esihlalweni esinamasondo.
(5) Ukuqeqeshwa kwe-Gait nokuqeqeshwa ngesihlalo sabakhubazekile.
Isikhathi sokuthumela: Oct-26-2020