{"id":80998,"date":"2018-05-07T10:41:31","date_gmt":"2018-05-07T10:41:31","guid":{"rendered":"http:\/\/humanitasnet-new.local\/enciclopedia\/kvadiplegija\/"},"modified":"2018-05-07T10:41:31","modified_gmt":"2018-05-07T10:41:31","slug":"kvadiplegija","status":"publish","type":"enciclopedia","link":"https:\/\/humanitas-net.humweb.webiz.team\/sr\/wiki\/kvadiplegija\/","title":{"rendered":"Kvadiplegija"},"content":{"rendered":"<p>Tetraplegija, poznata kao i kvadriplegija, predstavlja paralizu izazvanu bole\u0161\u0107u (kao \u0161to je transverzalni mijelitis ili polio) ili trauma (saobra\u0107ajni udes, pad ili sportska povreda) koja rezultuje apsolutnim gubitkom pokreta u sva \u010detiri ekstremiteta kao i trupu. Naj\u010de\u0161\u0107e paraliza podrazumeva odsustvo pokreta, ali i ispad senzibiliteta.<\/p>\n<p>&nbsp;<\/p>\n<p>Poreme\u0107aj senzibiliteta mo\u017ee podrazumevati ose\u0107aj utrnulosti, sni\u017een senzibilitet ili prisustvo bola.<\/p>\n<p>&nbsp;<\/p>\n<p>U najve\u0107em broju slu\u010dajeva kvadriplegija je uzrokovana o\u0161te\u0107enjem mo\u017edanog tkiva ili ki\u010dmene mo\u017edine.\u00a0 Kod o\u0161te\u0107enja ki\u010dmene mo\u017edine, lezija je lokalizovana\u00a0 u cervikalnoj regiji (gornjim partijama ki\u010dme) izme\u0111u prvog i sedmog cervikalnog pr\u0161ljena.<\/p>\n<p>&nbsp;<\/p>\n<p>Nastali stepen poreme\u0107aja (naj\u010de\u0161\u0107e parcijalni ili totalni gubitak funkcije gornjih i donjih esktremiteta) zavisi od lokalizacije povrede u ki\u010dmenom stubu kao i obima povrede.<\/p>\n<p>&nbsp;<\/p>\n<p>\u010cesto je mi\u0161i\u0107na funkcija gornjeg ekstremiteta o\u010duvana u celosti uz odsustvo nervne kontrole prstiju. Opisani poreme\u0107aj u zavisnosti je od stepena o\u0161te\u0107enja ki\u010dmene mo\u017edine.<\/p>\n<p>Kvadriplegija mo\u017ee prouzrokovati nastanak razli\u010ditih komplikacija kao \u0161to su prisustvo bola, krvni ugru\u0161ci, ulkusi, mi\u0161i\u0107ni gr\u010devi, utrnulost odre\u0111ene regije tela, disrefleksija autonomnog sistema, poreme\u0107aji disanja i gubitak funkcije mokra\u0107ne be\u0161ike i crevnih pokreta (peristaltike).<\/p>\n<p>&nbsp;<\/p>\n<p>Od izuzetne va\u017enosti je \u0161to raniji terapeutski pristup gubitku funkcije i senzibiliteta ekstremiteta kao i prevencija daljih potencijalnih o\u0161te\u0107enja.<\/p>\n<h2 id=\"\"><\/h2>\n<h2 id=\"koja-oboljenja-su-najcesce-udruzena-sa-kvadriplegijom\">Koja oboljenja su naj\u010de\u0161\u0107e udru\u017eena sa kvadriplegijom?<\/h2>\n<p>&nbsp;<\/p>\n<p>Poreme\u0107aji koji mogu biti udru\u017eeni sa kvadriplegijom su slede\u0107i:<\/p>\n<p>&nbsp;<\/p>\n<ul>\n<li>Bes<\/li>\n<li>Multipla skleroza<\/li>\n<li>Poliomijelitis<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<p>Najbitnije je imati na umu da gore prikazana lista nije definitivna, te je neophodno konsultovati ordiniraju\u0107eg lekara u slu\u010daju perzistiranja tegoba.<\/p>\n<h2 id=\"\"><\/h2>\n<h2 id=\"koji-su-potencijalni-terapeutski-pristupi-u-lecenju-kvadriplegije\">Koji su potencijalni terapeutski pristupi u le\u010denju kvadriplegije?<\/h2>\n<p>&nbsp;<\/p>\n<p>&nbsp;<\/p>\n<p>Najoptimalniji terapeutski pristup osobama obolelima od kvadriplegije zavisi od specifi\u010dnih potreba samog pacijenta kao i prirode i stepena individualnog\u00a0 o\u0161te\u0107enja.<\/p>\n<p>Neodlo\u017eni tretman kvadriplegije sastoji se od le\u010denja povreda ki\u010dmene mo\u017edine kao i drugih uzro\u010dnih stanja.<\/p>\n<p>&nbsp;<\/p>\n<p>&nbsp;<\/p>\n<p>Specijalna terapeutska pomagala mogu biti kori\u0161\u0107ena u cilju ubrzanja i odr\u017eavanja sr\u010dane frekvencije kao i potpori respiratornim pokretima upotrebom fleksibilnog tubusa (plasiranog preko usne duplje). Krajnji cilj jeste prevencija te\u017eih komplikacija kao i uspostavljanje svakodnevnih \u017eivotnih aktivnosti u individualnom opsegu.<\/p>\n<p>&nbsp;<\/p>\n<p>Operativni pristup mo\u017ee biti neophodan u cilju smanjivanja pritiska ko\u0161tanih fragmenata ili drugih elemenata. Naj\u010de\u0161\u0107e mogu adekvatno stabilizovati ki\u010dmeni stub, iako ne postoji operativna procedura koja bi u potpunosti reparisala o\u0161te\u0107ene nervne strukture ki\u010dmene mo\u017edine.<\/p>\n<p>&nbsp;<\/p>\n<p>Kod odre\u0111enih pacijenata ipak mo\u017ee do\u0107i do regeneracije odre\u0111enih segmenata, naro\u010dito u neposrednom periodu nakon povrede.<\/p>\n<p>&nbsp;<\/p>\n<p>Cilj adekvatnog tretmana jeste umanjenje gubitka funkcionalne sposobnosti kao i senzitivnosti ekstremiteta i drugih organa.<\/p>\n<p>&nbsp;<\/p>\n<p>S toga je kod o\u0161te\u0107enja ki\u010dmenih pr\u0161ljenova iznad nivoa C4 neophodno le\u010denje primenom respiratorne potpore. To je usled \u010dinjenice da je dijafragma inervisana spinalnim nervima koji su lokalizovani na prelazu gornjeg nivoa vratne regije.<\/p>\n<p>&nbsp;<\/p>\n<h2 id=\"kada-je-najoptimalnije-konsultovati-se-sa-odgovarajucim-lekarom-radi-lecenja-kvadriplegije\">Kada je najoptimalnije konsultovati se sa odgovaraju\u0107im lekarom radi le\u010denja kvadriplegije ?<\/h2>\n<p>&nbsp;<\/p>\n<p>Kod pacijenata sa kvadiplegijom, redovne medicinske konsultacije neophodne su u cilju klini\u010dke procene zdravstvenog stanja individue. U slu\u010daju iznenadnog gubitka motorike ekstremiteta, neophodna je promptna reakcija hitne medicinske slu\u017ebe.<\/p>\n<p>&nbsp;<\/p>\n<p>&nbsp;<\/p>\n","protected":false},"featured_media":0,"parent":0,"template":"","Example":[1791],"class_list":["post-80998","enciclopedia","type-enciclopedia","status-publish","hentry","enciclopedia_category-simptomi"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v24.3 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Kvadiplegija - Humanitas.net<\/title>\n<meta name=\"robots\" content=\"noindex, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<meta property=\"og:locale\" content=\"sr_RS\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Kvadiplegija - Humanitas.net\" \/>\n<meta property=\"og:description\" content=\"Tetraplegija, poznata kao i kvadriplegija, predstavlja paralizu izazvanu bole\u0161\u0107u (kao \u0161to je transverzalni mijelitis ili polio) ili trauma (saobra\u0107ajni udes, pad ili sportska povreda) koja rezultuje apsolutnim gubitkom pokreta u sva \u010detiri ekstremiteta kao i trupu. 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