Umbhali: Peter Berry
Umhla Wokudalwa: 11 Eyekhala 2021
Hlaziya Umhla: 15 Eyenkanga 2024
Anonim
Interpretation of Reflex Tests | Clinical Physio
Ividiyo: Interpretation of Reflex Tests | Clinical Physio

Umxholo

Yintoni i-hyporeflexia?

I-Hyporeflexia ibhekisa kwimeko apho izihlunu zakho zingaphenduli kangako kwisistim. Ukuba izihlunu zakho aziphenduli kwaphela kukhuthazo, oku kwaziwa njenge-areflexia. Izihlunu zakho zinokuba buthathaka kangangokuba ungakwazi ukwenza imisebenzi yemihla ngemihla. Oku kuchasene ne-hyperreflexia, apho kukho isixa esigqithisileyo sokuphendula kwemisipha.

Ngelixa i-hyporeflexia inokwenzeka ngokuzimeleyo, ihlala inxulunyaniswa nesinye isizathu esingunobangela. Oku kuthetha ukuxilongwa, unyango, kunye nesiphumo ziyahluka kakhulu.

Zithini iimpawu zehyporeflexia?

Iimpawu zehyporeflexia nazo zinokwenzeka ngokuthe chu. Kwiimeko ezinjalo, unokufumana ilahleko ethe chu yempendulo yemisipha. Ekuqaleni, usenokuzishukumisa iimpawu njengokuba zingenangqondo.

Imisebenzi yemihla ngemihla inokuba nzima ngakumbi, njenge:

  • izinto zokubamba
  • ukuqhuba
  • ukugcina ukuma kakuhle
  • ukuhamba

Kwiimeko ezinzima kakhulu, i-hyporeflexia inokubangela ukulahleka ngokupheleleyo kokusetyenziswa kwemisipha.


Yintoni ebangela i-hyporeflexia?

Hyporeflexia ikhula njengesiphumo somonakalo kwii-motor neurons. Ezi neurons zithumela imiyalezo phakathi kwengqondo yakho kunye nentambo yomqolo. Ngokudibeneyo, bathumela imiyalezo kuwo wonke umzimba wakho ukulawula iintshukumo zemisipha.

Le meko inokunxulumana nenye yezi zinto zilandelayo:

I-Amyotrophic lateral sclerosis (ALS)

Ngokuqhelekileyo saziwa ngokuba sisifo sikaLou Gehrig, i-ALS sisifo semithambo-luvo esiqhubela phambili nesitshabalalisa iiseli zengqondo nezomqolo. Ixesha elingaphezulu, oku kunokubangela ubuthathaka bemisipha kuwo wonke umzimba. Ezinye iimpawu ze-ALS zibandakanya intetho edibeneyo, ukulahleka kwememori, kunye nobunzima bokuphefumla.

Isifo seGuillain-Barré (GBS)

Olu lolunye uhlobo lwesimo esiwohlokayo esichaphazela inkqubo yakho yeemvakalelo. Nge-GBS, umzimba wakho uhlasela izicubu ezinempilo, eziphazamisa ukubonakaliswa kwengqondo kwimisipha yakho. Ukongeza kwimisipha ebuthathaka, i-GBS inokubangela iingxaki zokuphefumla kunye noxinzelelo lwegazi.

Isifo esinganyangekiyo sokudumba okuchasene ne-polyneuropathy (CIDP)

Esi siphazamiso siphawulwa ngumonakalo kwimithambo yoluvo kwingqondo yakho. I-CIDP ingaqala ngeempawu ezinje ngokugungqa emaphethelweni okanye ukuphazamiseka kwimisipha yakho.


Ekugqibeleni, i-CIDP ibangela ilahleko ebonakalayo yokuqaqamba kwemisipha. Le yimeko yexesha elide enokubangela ukwanda kweempawu ngaphandle konyango.

IHypothyroidism

Ikwabizwa ngokuba yi-thyroid engasebenziyo okanye "esezantsi", le meko inokukhokelela ekukhathaleni, izihlunu ezibuthathaka, kunye nokushisa okungaphezulu kokuqhelekileyo komzimba. I-Hypothyroidism ikhula xa idlala lengqula lakho lingavelisi iihomoni ezaneleyo zokugcina imisebenzi yomzimba esisiseko.

Ukulimala kwentambo yomqolo

Ukonzakala okuthile kwithambo lomqolo kunokubangela ukonakala kwemithambo-luvo, enokubangela izihlunu ezibuthathaka.

Ukubetha

Ukubetha kunokukhokelela kwi-hypotonia, okanye ithoni yemisipha esezantsi kwamanye amalungu. I-Hypotonia ihlala ixeshana kubantu abaninzi abafumana i-stroke, kodwa kwezinye zihlala zizinzileyo.

Iziphumo ebezingalindelekanga zonyango

Abantu abathatha izihlunu zokuphumla banokufumana i-hyporeflexia njengeziphumo ebezingalindelekanga zexeshana.

Ichongwa njani i-hyporeflexia?

Ngenxa yokuba i-hyporeflexia inokunxulumana neemeko ezahlukeneyo, kunokuba nzima ukufumanisa isifo ekuqaleni. Uya kudinga ukubona ugqirha wakho ngokwasemzimbeni. Okwangoku, baya kukubuza ukuba uqale nini ukuphulukana nokuphendula kwezihlunu, kwaye kudala kwenzeka ntoni. Kuya kufuneka uxelele ugqirha wakho ngazo naziphi na ezinye iimpawu ohlangabezana nazo.


Ekuqeshweni kwakho, ugqirha wakho uya kusebenzisa ihammer yokubona indlela izihlunu zakho eziphendula ngayo.

Ukwenza uxilongo oluchanekileyo, ugqirha wakho unokuyalela ukudityaniswa kwezi mvavanyo zilandelayo:

  • i-biopsy yemisipha yakho okanye imithambo-luvo
  • umsebenzi wegazi
  • i-electromyography (EMG)
  • Ukuskena iMRI
  • Uvavanyo lwe-nerve conduction velocity (NCV)
  • impompo yomqolo
  • iimvavanyo zomchamo

Ngenxa yokuba zininzi izizathu ezinokubangela i-hyporeflexia, akukho luvavanyo olunye olunokunceda ugqirha wakho ukuba awuchaze.

Ngaba i-hyporeflexia ingabangela iingxaki?

Ngempendulo ephantsi yemisipha, usengozini yeengozi ezinzulu. Ukuwa kwimisipha yomlenze obuthathaka, umzekelo, kunokukhokelela ekonzakaleni kwentloko nakumathambo. Ukungakwazi ukuqhuba kungakhokelela kwiingozi zezithuthi.

Zombini i-ALS kunye ne-GBS zinokukhokelela ekukhubazekeni. Nge-ALS, ukukhubazeka kunokubakho ngokuthe ngcembe. Uhlaselo olubi lwe-GBS lunokubangela ukukhubazeka okwethutyana.

Ngamanye amaxesha, kwiimeko zoxinzelelo lomqolo, i-hyporeflexia inokujika ibe yi-hyperreflexia.

Inyangwa njani i-hyporeflexia?

Unyango lwe-hyporeflexia lujolise ekuphuculeni ukuphendula kwemisipha. Ukusuka kwindawo yezonyango, zimbini iindlela ezinokunceda: amayeza kunye nonyango lomzimba.

Amayeza

Iindidi zamayeza azokucetyiswa ngugqirha wakho zinokuxhomekeka kwisizathu esisisiseko sehyporeflexia. Umzekelo, ukuba unayo i-GBS okanye i-CIDP, ugqirha wakho unokumisela i-steroids. Oku kunceda ukunciphisa ukudumba okubangelwa ngumzimba ohlasela izicwili zawo ezisempilweni.

I-Hypothyroidism inyangwa ngehomoni yokutshintsha i-thyroid ukuphucula iimpawu zakho.

Ulungiso lwenyama

Ingcali yezomzimba inokukukhokela kuqeqesho lwemisipha kunye nokomeleza iindlela. Ukongeza, ugqirha wakho unokucebisa unyango lomsebenzi. Oku kukunceda ufunde ukuhamba ngokuzimeleyo kwaye kunokugcina ukhuselekile. I-Physiotherapy inokunceda kumandla emisipha.

Unokuthetha nogqirha wakho malunga nendlela yokuzilolonga ngokukhuselekileyo ukuphucula izakhono zemoto (njengokuhamba nokubaleka) kunye namandla omzimba jikelele. Ukuba wenza umthambo, qiniseka ukuba unomhlobo wokuzilolonga njengokhuseleko.

Iyintoni imbonakalo yehyporeflexia?

Ukuxela kwakho kwangaphambili kuxhomekeke kwizizathu ezibangela imeko yakho. Xa kufunyaniswa kuselithuba, imbonakalo yehyporeflexia inethemba kunyango kunye nonyango. Kwimeko yezifo ezinxulumene nemithambo-luvo, ugqirha wakho uya kusebenza nawe ekuncedeni ukunciphisa ukuqhubela phambili kwesifo. Oku kunokuba luncedo ekucothweni kweempawu ezinokubangela ukukhubazeka.

Ukuba uqaphela nayiphi na iyantlukwano ekuphenduleni kwemisipha, yenza idinga nogqirha wakho. Okukhona ezi ntlobo zeemeko zifunyenwe, kokukhona imeko yexesha elide ibangcono.

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