Hōʻike ʻia ʻo Quadriplegia e ke komo ʻana o nā lālā ʻehā (ʻelua mau lālā luna a me ʻelua mau lālā lalo). Ua wehewehe ʻia e ka lolo o nā lima a me nā wāwae i hana ʻia e nā ʻeha i loko o ke kuamoʻo. Hiki i ka sequelae ke lilo i mea nui a emiʻole paha ma muli o kahi o ka pōʻino vertebral.

He mea ia e pili ana i ka pōʻino kaʻa i hiki ke holo a ʻāpana paha, transitory a i ʻole definitive. Hoʻopili pinepine ʻia kēia pilikia kaʻa me nā maʻi sensory a i ʻole nā ​​leo leo.

ʻO Quadriplegia kahi maʻi lolo o nā lālā lalo a me luna. Hōʻike ʻia kēia me ka nele o nā neʻe ʻana ma muli o nā ʻeha ma nā pae muscular a / a i ʻole ka pae o ka ʻōnaehana nerve e ʻae ai i kā lākou hana. (1)

Hōʻike ʻia ka spinal cord e kahi pūnaewele o nā aʻalolo kamaʻilio. ʻAe kēia i ka lawe ʻana i ka ʻike mai ka lolo a i nā lālā. ʻO ka pōʻino o kēia "pūnaewele kamaʻilio" no laila ke alakaʻi nei i ka haʻihaʻi i ka lawe ʻana i ka ʻike. No ka mea ʻo ka ʻike i hoʻouna ʻia he kaʻa a maʻalahi hoʻi, ʻaʻole alakaʻi wale kēia mau ʻeha i nā pilikia kaʻa (e hoʻolohi i ka neʻe ʻana o nā ʻiʻo, ka ʻole o ka neʻe ʻana o nā ʻiʻo, a me nā mea ʻē aʻe) akā nā maʻi maʻamau. Hiki i kēia pūnaewele hoʻonaʻauao ke hoʻomalu i ke kiʻekiʻe o ka ʻōnaehana urinary, ka ʻōpū a i ʻole ka ʻōnaehana genito-sexual, hiki i kēia mau aloha i ke kiʻekiʻe o ka spinal cord ke alakaʻi i ka incontinence, transit disorders, disorders construction, etc. (2)

Hōʻailona pū ʻia ʻo Quadriplegia e nā maʻi cervical. Ke alakaʻi nei kēia i ka lolo o nā ʻiʻo hanu (bdominal a me intercostal) hiki ke alakaʻi i ka palupalu hanu a i ʻole ka hāʻule ʻana o ka hanu. (2)

ʻO ke kumu o quadriplegia he mau ʻeha i loko o ke kuamoʻo.

Hoʻokumu ʻia ka spine me kahi 'canal'. Aia ma loko o kēia awāwa e kū ai ke kuamoʻo. He ʻāpana kēia o ka ʻōpū o ke kikowaena o ke kino a he kuleana koʻikoʻi i ka lawe ʻana i ka ʻike mai ka lolo i nā lālā a pau o ke kino. Hiki i kēia ʻike ke muscular, sensory a i ʻole hormonal. Ke ʻike ʻia kahi ʻeha ma kēia ʻāpana o ke kino, ʻaʻole hiki ke hana hou nā hale aʻalolo kokoke. Ma kēia ʻano, lilo nā ʻiʻo a me nā ʻiʻo i mālama ʻia e kēia mau aʻalolo hemahema. (1)

Hiki i kēia mau ʻeha i loko o ke kuamoʻo ke hopena mai ka ʻeha e like me ka wā o nā ulia alanui. (1)

ʻO nā ulia i pili i nā haʻuki ke kumu o quadriplegia. ʻO kēia ka hihia i kekahi mau hāʻule, i ka wā luʻu i ka wai hohonu, etc. (2)

Ma kahi ʻano ʻē aʻe, hiki i kekahi mau pathologies a me nā maʻi ke hoʻomohala i kahi quadriplegia lalo. ʻO kēia ka hihia me nā maʻi maʻi ʻino a maikaʻi paha e hoʻopiʻi i ke kuamoʻo.

ʻO nā maʻi spinal cord, e like me:

- spondylolisthesis: ka maʻi o hoʻokahi a ʻoi aʻe paha intervertebral disc (s);

- epiduritis: ka maʻi o ka ʻiʻo epidural (nā ʻiʻo e hoʻopuni ana i ka momona);

– ʻO ka maʻi o Pott: ka maʻi intervertebral i hoʻokumu ʻia e ka Koch's bacillus (bacteria kumu maʻi maʻi maʻi);

- nā malformations pili i ka maikaʻi ʻole o ke kahe o ka cerebrospinal fluid (syringomyelia);

- ʻo ka myelitis (ka ʻeha o ka spinal cord) e like me ka maʻi sclerosis he kumu hoʻi ia o ka ulu ʻana o quadriplegia. (1,2)

ʻO ka mea hope loa, ʻo nā maʻi kaʻa kaʻa, e like me ka hematoma epidural ma muli o ka mālama ʻana me nā anticoagulants a i ʻole ka ʻike ʻia ʻana ma hope o ka ʻoki ʻana i ka lumbar, ma ke kaomi ʻana i ka momona, ke kumu o ka ulu ʻana o ka lolo o nā lālā ʻehā. (1)

ʻO nā mea pilikia e pili ana i ka trauma spinal cord a me ka hoʻomohala ʻana o quadriplegia, ka mea maʻamau, nā ulia kaʻa a me nā pōʻino pili i ka haʻuki.

Ma ka ʻaoʻao ʻē aʻe, ʻo ka poʻe e loaʻa ana i nā maʻi o ke ʻano: spondylolisthesis, epiduritis a i ʻole kahi maʻi e Koch's bacillus i loko o ka iwi kuamoʻo, nā kumuhana me ka myelitis, nā pilikia vascular a i ʻole nā ​​malformations e kaupalena ana i ka holo maikaʻi o ka wai cerebrospinal. quadriplegia.

Pono e hana koke i ka maʻi. ʻO ke kiʻi lolo a iwi iwi paha (MRI = Magnetic Resonance Imaging) ʻo ia ka hoʻokolokolo mua i kauoha ʻia e hana ʻia.

Hana ʻia ka ʻimi ʻana i nā ʻōnaehana muscular a me nā nūnū e ka lumbar puncture. ʻAe kēia i ka hōʻiliʻili ʻana i ka wai cerebrospinal i mea e nānā ai. A i ʻole ka electromyogram (EMG), e nānā ana i ka hele ʻana o ka ʻike nerve ma waena o nā aʻalolo a me nā ʻiʻo. (1)

ʻO ka mālama ʻana i ka quadriplegia e hilinaʻi nui ʻia i ke kumu kumu o ka maʻi lolo.

ʻAʻole lawa ka lāʻau lapaʻau pinepine. ʻO kēia maʻi lolo o nā lālā ʻehā e pono ai ka hoʻoponopono ʻana i ka ʻiʻo a i ʻole ka hana neurosurgical. (1)

Pono pinepine ʻia ke kōkua pilikino no ke kanaka me ka quadriplegia. (2)

Ma muli o ka nui o nā kūlana kīnā, no laila ʻokoʻa ka mālama ma muli o ke kūlana hilinaʻi o ke kanaka. A laila koi ʻia ke kauka lapaʻau hana e mālama i ka hoʻoponopono ʻana o ke kumuhana. (4)