Quadriplegia inoratidzwa nekubatanidzwa kwemakumbo mana ose (maviri epamusoro uye maviri ezasi). Inotsanangurwa nekuoma mitezo kwemaoko nemakumbo zvinokonzerwa nemaronda mumusana. Iyo sequelae inogona kuve yakanyanya kukosha kana kushoma zvichienderana nenzvimbo yekukuvara kwe vertebral.

Icho chiri pamusoro pekukanganiswa kwemotor iyo inogona kuve yakazara kana chidimbu, inopfuura kana definitive. Uku kukanganisa kwemota kunowanzo kuperekedzwa nekusagadzikana kwekunzwa kana kunyange toni kusagadzikana.

Quadriplegia kuremara mitezo yezasi neyepamusoro. Izvi zvinoratidzwa nekusavapo kwekufamba nekuda kwezvironda pamazinga etsandanyama uye / kana pamwero wenheyo system inobvumira kushanda kwavo. (1)

Mutsipa wemuzongoza unoratidzwa ne network ye communicating nerves. Izvi zvinobvumira kufambiswa kwemashoko kubva muuropi kuenda kumakumbo. Kukuvadza kune iyi "communication network" saka inotungamira mukuputsika mukufambiswa kwemashoko. Sezvo ruzivo rwunofambiswa rwuri zvese mota uye zvine hunyoro, maronda aya haangokonzeresa kukanganisa kwemota (kuderera kwekufamba kwemamhasuru, kusavapo kwemafambo emhasuru, nezvimwewo) asiwo kukanganisa kwakanyanya. Iyi nerve network inobvumirawo kumwe kutonga pamwero weurinary system, matumbu kana genito-sexual system, izvi zvidakadaka padanho remuzongoza zvinogona kutungamira mukusagadzikana, kusagadzikana kwekufamba, kusagadzikana erection, nezvimwe. (2)

Quadriplegia inoratidzwawo nekusagadzikana kwekervical. Izvi zvinotungamirira mukuoma mitezo yemhasuru dzekufema (mudumbu uye intercostal) izvo zvinogona kutungamirira kukufema fragility kana kutotadza kufema. (2)

Kwakabva quadriplegia maronda mumusana.

Muzongoza wakaumbwa ne 'canal'. Iri mukati memugero uyu kuti musana unowanikwa. Mwongo uyu chikamu chepakati tsinga uye inoita basa rakakosha pakufambisa ruzivo kubva kuhuropi kuenda kunhengo dzese dzemuviri. Ruzivo urwu runogona kuva muscular, sensory kana kunyange hormonal. Kana chironda chikaonekwa muchikamu ichi chemuviri, tsinga dziri pedyo hadzichagoni kushanda. Mupfungwa iyi, tsandanyama nenhengo dzinodzorwa netsinga dzisina kukwana idzi dzinobva dzatadza kushanda. (1)

Aya maronda emuzongoza anogona kubva mukushungurudzika senge panguva yetsaona dzemumugwagwa. (1)

Njodzi dzine chokuita nemitambo dzinogonawo kuva chikonzero che quadriplegia. Izvi zvinonyanya kuitika panguva yekudonha, panguva yekunyura mumvura yakadzika, nezvimwewo (2)

Mune imwe mamiriro ezvinhu, mamwe ma pathologies uye hutachiona hunokwanisa kugadzira underlying quadriplegia. Izvi ndizvo zvakaita matumbu akashata kana asina kunaka anodzvanya musana.

Spinal cord zvirwere, zvakadai se:

- spondylolisthesis: utachiona hweimwe kana kupfuura intervertebral disc (s);

- epiduritis: kutapukira kwe epidural tissue (zvisungo zvakapoteredza mwongo);

- Chirwere chePott: chirwere che intervertebral chinokonzerwa neKoch's bacillus (bhakitiriya inokonzera tuberculosis);

- kukanganisa kwakabatana nekusafamba zvakanaka kwecerebrospinal fluid (syringomyelia);

- myelitis (kuzvimba kwepinal cord) yakadai semultiple sclerosis zvakare inokonzera kukura kwe quadriplegia. (1,2)

Pakupedzisira, zvirwere zvekufamba kweropa, zvakadai se epidural hematoma inokonzerwa nekurapa ne anticoagulants kana kuonekwa mushure mekuputika kwechiuno, nekudzvinyirira mwongo, kunogona kuva chikonzero chekukura kwekuoma mitezo yemakumbo mana. (1)

Izvo zvinokonzerwa nehutachiona hunokonzerwa nemusana uye kukura kwe quadriplegia, kazhinji, njodzi dzemotokari uye njodzi dzine chokuita nemitambo.

Kune rumwe rutivi, vanhu vanotambura nehutachiona hwemhando: spondylolisthesis, epiduritis kana utachiona neKoch's bacillus muzongoza, vanhu vane myelitis, matambudziko evascular kana kunyange kukanganisa kunokonzera kutenderera kwakanaka kwecerebrospinal fluid, vanonyanya kutarisana nekuvandudzwa kwe quadriplegia.

Kuongororwa kunofanirwa kuitwa nekukurumidza sezvinobvira. Brain kana bone marrow imaging (MRI = Magnetic Resonance Imaging) iri yekutanga kuongororwa kunofanirwa kuitwa.

Kuongorora kwetsandanyama uye nervous systems kunoitwa ne lumbar puncture. Izvi zvinobvumira kuunganidzwa kwecerebrospinal fluid kuitira kuiongorora. Kana iyo electromyogram (EMG), ichiongorora mafambiro eruzivo rwetsinga pakati petsinga nemamhasuru. (1)

Kurapa kwequadriplegia kunoenderana zvakanyanya nechikonzero chekuoma mitezo.

Kurapa kwekurapa kazhinji hakuna kukwana. Uku kuoma mitezo kwemakumbo mana kunoda kuvandudzwa kwetsandanyama kana kupindira neurosurgical. (1)

Rubatsiro rwemunhu pachake runowanzodiwa kumunhu ane quadriplegia. (2)

Sezvo kune mamiriro mazhinji ehurema, kutarisirwa kwakasiyana nekudaro zvichienderana nedanho rekutsamira kwemunhu. Occupational Therapist anogona kuzodiwa kuti atore basa rekugadzirisa nyaya yacho. (4)