ʻO Quadriparesis

Anter

• ʻO Quadriparesis vs. quadriplegia
• He aha nā hōʻailona?
• Nā kumu maʻamau
• Nā maʻi ʻino
• Toxins / lāʻau
• Nā kūlana pili
• Nā kūlana olakino ʻē aʻe
• Ka hōʻeha / trauma i ka iwi kuamoʻo
• Pehea e hōʻoia ʻia ai
• Nā koho lapaʻau
• He aha ke kuanaʻike?

Hōʻike Overview

ʻO Quadriparesis kahi ʻano i hōʻike ʻia e ka nāwaliwali i nā lālā ʻehā (nā lima a me nā wāwae ʻelua). Kapa ʻia ia ʻo tetraparesis. Kūlohelohe a paʻa paha ka nāwaliwali.

ʻOkoʻa ʻo Quadriparesis mai ka quadriplegia. I ka quadriparesis, loaʻa i kekahi kanaka kekahi hiki ke neʻe a ʻike i ko lākou mau lālā. I ka quadriplegia, ua lilo loa ke kanaka i ka hiki ke neʻe i ko lākou mau lālā.

Hiki ke kumu ʻia ʻo Quadriparesis e:

• he maʻi, e like me ka polio
• kahi maʻi neuromuscular, e like me ka mustrular dystrophy
• hōʻino i ka ʻōnaehana hopohopo ma muli o kahi ʻeha a i ʻole kahi ʻano olakino ʻē aʻe

Inā loaʻa iā ʻoe ka quadriparesis, pili kāu hoʻolālā hoʻomalu a me kāu kuana i ke kumu kumu.

ʻO Quadriparesis vs. quadriplegia

ʻO Quadriparesis a me quadriplegia nā kūlana ʻelua e ka nalowale ʻana o ka hana i nā lālā ʻehā. ʻO kaʻokoʻa nui i ka nui o ka hana i nalowale.

ʻO ke kanaka me ka quadriparesis ʻike i ka nāwaliwali a me ka nalo hapa ʻana o ka hana o nā lālā. ʻO ke kanaka me ka quadriplegia ʻike i ka palal, a i ʻole ka nalowale ʻana o ka manaʻo a me ka kaohi o ko lākou mau lālā.

He aha nā hōʻailona?

Hoʻololi nā ʻōuli o ka quadriparesis mai kekahi kanaka a i kekahi kanaka e pili ana i nā aʻa e hoʻopili ʻia.

ʻO ka hōʻailona nui o ka quadriparesis ka nāwaliwali i nā lālā ʻehā. E loaʻa i kahi kanaka me ka quadriparesis ka paʻakikī e kaohi i nā mākala i nā ʻāpana o ke kino i hoʻopilikia ʻia. Hiki paha iā lākou ke neʻe i hoʻokahi lālā ma mua o kekahi.

Hiki i nā ʻōuli ʻē aʻe ke:

• nā mākala maloʻo e nele i ka paʻa (flaccid quadriparesis)
• ʻano paʻakikī ʻole a paʻa paha o nā mākala (spastic quadriplegia)
• ka nele o ka hoʻokele kaʻa
• hiki ʻole ke hele wāwae
• lilo o ka mana o ka ʻaʻa
• nā reflexes kaumaha

Kuhi ʻia ʻo Quadriparesis he hōʻailona o kahi kūlana ʻē aʻe. E pili ana nā ʻōuli ʻē aʻe i ke kumu kumu o kāu quadriparesis.

Nā kumu maʻamau

Kū ʻo Quadriparesis ke hoʻopilikia ʻia nā ʻalolo nāna e hoʻouna i nā hōʻailona mai kou lolo ma ka ʻiwi o ka iwi i kou mau lālā.

Nui nā kumu e hiki ai kēia. Hānau ʻia kekahi poʻe me kahi ʻano e hoʻopili i ko lākou ʻōnaehana ʻōnaehana. Hoʻolālā kekahi i ka quadriparesis ma muli o kahi ulia a i ʻole kahi ʻano olakino e hoʻopōʻino ai i nā aʻa a i ʻole nā ​​iwi kuamoo.

Nā maʻi ʻino

Hiki i nā virus a me nā bacteria ke hoʻouka i nā aʻa o ke aʻa a i ʻole ke kumu o ka hoʻowahāwahā ʻana i loko o ke kino e hopena ai i nā aʻa.

ʻO nā laʻana o nā maʻi i hiki ke kumu i ka quadriparesis:

• poliomyelitis
• enterovirus
• flavivirus
• Maʻi Lyme
• diphtheria
• fever dengue
• HIV
• hepatitis C
• ʻO Virus Epstein-Barr
• Virus Nile Komohana

Toxins / lāʻau

Hiki ke hōʻino ʻia ke aʻalolo ma muli o kahi toxin a lāʻau make paha, a i ʻole he hopena i kekahi mau lāʻau. ʻO nā laʻana me:

• ʻawa ʻona a i ʻole hōʻino ʻino mau
• lāʻau make kaumaha
• ʻāpala nahesa
• ʻūlū scorpion
• maʻi kīnā
• botulism
• kekahi mau chemotherapy

Nā kūlana pili

Hānau ʻia kekahi poʻe me kahi ʻano e hoʻopili i ko lākou mau mākala a hana i nā quadriparesis, e like me:

• lolo lolo
• dystrophy muscular

Nā kūlana olakino ʻē aʻe

Hiki iā Quadriparesis ke lilo i mea paʻakikī no kekahi ʻano olakino e pili ana, e like me:

• ʻO Guillain-Barré Syndrome
• līʻau paʻa
• myasthenia gravis
• ʻO Lambert-Eaton maʻi
• paraneoplastic syndromes o ka ʻōnaehana ʻōnaehana
• ketoacidosis diabetes
• nā haunaele electrolyte, e like me hyperkalemia (potassium kiʻekiʻe), hypokalemia (low potassium), a me hypophosphatemia (low phosphate)
• neuropathy vasculitic

Ka hōʻeha / trauma i ka iwi kuamoʻo

Kū paha ʻo Quadriparesis ma hope o ka hōʻeha a hōʻeha paha i nā ʻōiwi o ke kuamoʻo. Hiki ke hana i kēlā mau hōʻino mai:

• nā ulia kaʻa
• kī pū ʻana
• pahee a hāʻule
• ʻeha haʻuki
• paheʻe a herniated disk
• ʻoki kino o ka iwi kuamoʻo

Pehea e hōʻoia ʻia ai

Hiki i ke kauka ke hōʻoia i ka quadriparesis ma ka loiloi ʻana i kāu mau hōʻailona a me ka hana ʻana i kahi hoʻokolohua kino. Pono kāu kauka e ʻike i ke kumu o kāu quadriparesis i mea e ʻike ai pehea e mālama pono ai.

E ʻae ʻia ʻoe i kahi loea neuromuscular no ka hoʻāʻo hou. E loiloi ka loea i kāu moʻolelo olakino olakino a ʻohana a loiloi i kāu mau hōʻailona āpau. Hiki iā lākou ke hana i nā hoʻokolohua e loiloi i kou mākala a me kāu hana nerve. Pili pū paha kēia mau hoʻāʻo:

• MRI scan o ka lolo a me ka iwi kuamoʻo, e ʻike ai inā he tumo kou a i ʻole herniated disk
• electromyography (EMG), kahi hoʻāʻo hana nerve e heluhelu ana i ka hana uila mai nā mākala (EMG hiki ke kōkua i kāu kauka e hoʻokaʻawale ma waena o ka hiki i nā maʻi muscle a me nā aʻa.)
• nā haʻawina conduction nerve e ʻike i ke ʻano o ka pane ʻana o nā ʻalolo a me nā mākala i nā puʻupuʻu uila liʻiliʻi
• lumbar puncture (spinal tap) e hōʻiliʻili a kālailai i kou wai cerebrospinal (CSF)
• nā biopsies o nā mākala a me nā aʻa, ke lawe ʻia kahi mea liʻiliʻi o ka mākala a i ʻole ke aʻalolo no ka hoʻāʻo hou ʻana i ka hale hana
• nā hoʻāʻo ʻana i ke koko e nānā no nā hemahema o ka wikamina, ka maʻi kō, a me nā kaulike electrolyte

Nā koho lapaʻau

Aia kāu papa hana lapaʻau no ka quadriparesis i ke kumu kumu. ʻO kahi laʻana, hiki ke mālama ʻia i nā kūlana autoimmune a i ʻole nā ​​kumulāʻau me nā lāʻau immunosuppressive. Hiki ke mālama ʻia kahi kaulike electrolyte me nā lāʻau e hoʻohuli i ke kaulike ʻole.

Hiki i nā mālama ʻē aʻe ke:

• ʻoki kino
• nā mea hoʻomaha hoʻomaha nāʻiʻo
• lāʻau lapaʻau ʻeha
• hoʻōla kino
• ʻoihana hana
• hoʻomaʻamaʻa kūʻē

Koi paha kāu kauka i nā ʻano kōkua like ʻole o ka neʻe (e like me kahi noho huila a scooter) a i ʻole nā ​​mea kōkua e kōkua iā ʻoe e hoʻokele i kāu mau ʻōuli.

He aha ke kuanaʻike?

E hilinaʻi ka maka holoʻokoʻa i kāu kūlana i lalo a i ʻole ka nui o kāu ʻeha.

Hiki ke hoʻohuli ʻia i ka quadriparesis i kekahi mau ʻano. ʻO kahi laʻana, ʻo quadriparesis i hoʻokumu ʻia e hyperkalemia e hoʻi wikiwiki me ka lāʻau. ʻO Quadriparesis i hoʻokumu ʻia e kahi pāheʻe i huki ʻia e hoʻohuli ʻia paha ma hope o ke kaha ʻana. ʻO nā poʻe ʻē aʻe me ka quadriparesis ʻaʻole e loaʻa hou ka neʻe a me ka ikaika i nā lālā.

E noi i kāu kauka no ka ʻike hou aku e pili ana i kāu ʻike kikoʻī a me kou nānā lōʻihi. Inā manaʻo ʻia kou quadriparesis paʻa, e nīnau e pili ana i nā kōkua neʻe, ʻenehana kōkua, a me nā loli nohona e hiki ke kōkua i ka hoʻomaikaʻi i kou ola.