Siyini Isibonakaliso sikaHoffman futhi Sisho Ukuthini?

-Delile

• Kwenziwa kanjani lokhu kuhlolwa?
• Usho ukuthini umphumela omuhle?
• Kwenzekani uma ngithola imiphumela emihle?
• Usho ukuthini umphumela ongemuhle?
• Kwenzekani uma ngithola imiphumela engemihle?
• Ngabe uphawu lukaHoffman luhluke kanjani kusibonakaliso seBabinski?
• Okubalulekile

Luyini uphawu lukaHoffman?

Uphawu lukaHoffman lubhekisa emiphumeleni yokuhlolwa kukaHoffman. Lokhu kuhlolwa kusetshenziselwa ukunquma ukuthi iminwe yakho noma izithupha ziguquka ngokungaziphenduli ekuphenduleni izimbangela ezithile.

Indlela iminwe yakho noma izithupha ezisabela ngayo kungaba uphawu lwesimo esingaphansi esithinta isistimu yakho yezinzwa ephakathi. Lokhu kufaka izindlela ze-corticospinal nerve, ezisiza ukulawula ukunyakaza emzimbeni wakho ophezulu.

Yize kungenziwa njengengxenye yokuhlolwa komzimba okujwayelekile, imvamisa akwenziwa ngaphandle kokuthi udokotela wakho enesizathu sokusola isimo esingaphansi.

Akubona bonke odokotela ababheka ukuhlolwa kukaHoffman njengethuluzi lokuhlola elithembekile ngokwalo, ngoba impendulo yakho esivivinyweni ingathintwa ezinye izinto. Uma isetshenziswa, ngokuvamile ihambisana nezinye izivivinyo zokuxilonga. Lokhu kuzovumela udokotela wakho ukuthi athole umbono obanzi wezimpawu ezivela ezimpawu ozibikayo.

Qhubeka ufunde ukuze ufunde kabanzi mayelana nenqubo yokuhlola nokuthi yini ongayidinga ukuyenza uma uthola imiphumela emihle noma emibi.

Kwenziwa kanjani lokhu kuhlolwa?

Ukwenza isivivinyo sikaHoffman, udokotela wakho uzokwenza okulandelayo:

1. Cela ukuthi welule isandla sakho usikhulule ukuze iminwe ivuleke.
2. Bamba umunwe wakho ophakathi uqonde ngokuhlangana okuphezulu ngesandla esisodwa.
3. Beka omunye weminwe yabo ngaphezulu kwesipikili kumunwe wakho ophakathi.
4. Flick uzipho ophakathi ngokuhambisa ngokushesha umunwe phansi ukuze uzipho lwakho kanye nesipikili sikadokotela wakho kuthintane.

Lapho udokotela wakho enza lesi siminyaminya, ithiphu yakho yomunwe iphoqeleka ukuba iguqule ngokushesha futhi iphumule. Lokhu kubangela ukuthi imisipha ye-flexor yomunwe esandleni sakho yeluleke, engenza inkomba yakho nomunwe wakho wesithupha uguquke ngokungazibandakanyi.

Udokotela wakho angaphinda lezi zinyathelo kaningi ukuze aqiniseke ukuthi isandla sakho siphendula ngendlela efanayo isikhathi ngasinye. Bangaphinda benze isivivinyo ngakolunye uhlangothi lwakho ukubona ukuthi isibonakaliso sikhona nhlangothi zombili zomzimba wakho.

Uma usuvele unezinye izivivinyo zokuxilonga, udokotela wakho angenza isivivinyo kanye kuphela. Lokhu kuvame ukwenzeka uma kwenziwa ukuqinisekisa ukuxilongwa noma njengengxenye yochungechunge lwezivivinyo zesimo esithile.

Usho ukuthini umphumela omuhle?

Umphumela omuhle uvela lapho umunwe wakho wenkomba nesithupha uguquguquka ngokushesha nangokungazibandakanyi ngemuva nje kokuba umunwe ophakathi usuhluziwe. Kuzozwakala sengathi bazama ukuqhubekela phambili. Le nhlangano eguquguqukayo ibizwa ngokuthi ukuphikisana.

Kwezinye izimo, umzimba wakho uphendula ngale ndlela esivivinyweni sikaHoffman, futhi kungenzeka ukuthi awunazo izimo ezibangela lokhu kubukeka.

Uphawu oluhle lukaHoffman lungakhombisa ukuthi unesimo sezinzwa noma sezinzwa ezithinta izinzwa zomgogodla womlomo wesibeletho noma ubuchopho. Uma isibonakaliso sikhombisa isandla esisodwa kuphela, ungahle ube nesimo esithinta kuphela uhlangothi olulodwa lomzimba wakho.

Ezinye zalezi zimo zifaka:

• ukukhathazeka
• hyperthyroidism, okwenzeka lapho une-hormone eningi kakhulu evuselela i-thyroid (TSH) egazini lakho
• ukucindezelwa komgogodla (i-myelopathy yomlomo wesibeletho), okwenzeka lapho kunengcindezi emthonjeni wakho womgogodla ngenxa ye-osteoarthritis, ukulimala emuva, izicubu, nezinye izimo ezithinta umgogodla nomgogodla wakho
• i-multiple sclerosis (MS), isimo sezinzwa esenzeka lapho amasosha akho omzimba ehlasela futhi alimaze i-myelin yomzimba wakho, isicubu esivimbela izinzwa zakho

Kwenzekani uma ngithola imiphumela emihle?

Uma udokotela wakho ekholelwa ukuthi isimo sezinzwa noma sezinzwa sikubangela ukuba uthole uphawu oluqondile lukaHoffman, bangancoma ukuhlolwa okwengeziwe.

Lokhu kungafaka:

• ukuhlolwa kwegazi
• umpompi womgogodla (ukubhoboza i-lumbar) ukuhlola uketshezi lwakho lwe-cerebrospinal fluid
• ukuhlolwa kwe-imaging, njengokuhlolwa kwe-MRI, ukubheka noma yimuphi umonakalo wezinzwa emgogodleni noma ebuchosheni bakho
• izivivinyo zokuvuselela, ezisebenzisa ukushaqeka okuncane kagesi ukuhlola ukuthi izinzwa zakho zisabela kanjani ekuvuseleleni

Lezi zivivinyo zingasiza ukuxilonga i-MS nezinye izimo ezingadala uphawu oluhle lukaHoffman.

Isibonelo, ukuhlolwa kwegazi kungasiza udokotela wakho ukuthola ukuthi unenkinga yehomoni egqugquzela i-thyroid (TSH) kanye nenani eleqile lamahomoni wegilo (T3, T4) egazini lakho, elingakhombisa i-hyperthyroidism.

Ukuhlola izithombe kungathola okunye okungajwayelekile emgogodleni wakho, njengokucindezelwa kwentambo yomgogodla noma i-osteoarthritis.

Umpompi womgogodla ungasiza ukuxilonga izimo eziningi ngaphezu kwe-MS, kufaka phakathi izifo nomdlavuza.

Ezinye izimpawu ezingaba yisibonakaliso senye yalezi zimo zifaka:

• ukuba ndikindiki
• ukuqina
• isiyezi
• ukukhathala
• ukungaboni kahle
• ubuhlungu emhlane wakho, entanyeni, noma emehlweni
• unenkinga yokusebenzisa isandla esisodwa noma zombili
• ubunzima bokuchama
• ubunzima bokugwinya
• ukulahleka kwesisindo okungavamile

Usho ukuthini umphumela ongemuhle?

Umphumela ongemuhle wenzeka lapho umunwe wakho wenkomba nesithupha sakho ungaphenduli ku-Flick kadokotela wakho.

Kwenzekani uma ngithola imiphumela engemihle?

Udokotela wakho kungenzeka ahumushe umphumela ongemuhle njengokujwayelekile futhi angahle angadingi ukuthi uthole olunye uvivinyo. Uma uthola umphumela omubi naphezu kwezinye izimpawu nezimpawu ezibonisa ukuthi unesimo esifana ne-MS, udokotela wakho cishe uzophakamisa ukuhlolwa okwengeziwe ngaphambi kokuthola ukuxilongwa.

Ngabe uphawu lukaHoffman luhluke kanjani kusibonakaliso seBabinski?

Ukuhlolwa kukaHoffman kusetshenziselwa ukuhlola ukusebenza kwe-motor neuron ephezulu ngokuya ngokuthi iminwe yakho nezithupha zakho zisabela kanjani ekuvuseleleni, kanti ukuhlolwa kweBabinski kusetshenziselwa ukuhlola ukusebenza kwe-motor neuron ephezulu ngokuya ngokuthi izinzwani zakho zisabela kanjani ekuphathweni konyawo lwakho.

Yize izivivinyo ezimbili zivame ukwenziwa ndawonye, ​​imiphumela yazo ingasho izinto ezihlukile ngomzimba wakho, ubuchopho, nohlelo lwezinzwa.

Uphawu lukaHoffman lungakhombisa isimo esithinta intambo yomgogodla womlomo wesibeletho, kodwa kungenzeka noma ngabe awunazo izimo zomgogodla.

Uphawu lweBabinski lujwayelekile ezinganeni, kepha kufanele luphele ngokuvuthwa kwama-motor motor neurons ngeminyaka emi-2 ubudala.

Ukuhlolwa okuhle kwe-Hoffman noma kwe-Babinski kungakhombisa isimo esithinta uhlelo lwakho oluphezulu lwe-motor neuron, njenge-amyotrophic lateral sclerosis (ALS).

Okubalulekile

Uphawu oluqondile lukaHoffman akusona isizathu sokukhathazeka. Kodwa udokotela wakho angaphakamisa ukuhlolwa okwengeziwe uma uthola uphawu oluhle futhi unezinye izimpawu zezimo ezifana ne-MS, ALS, hyperthyroidism, noma ukucindezelwa komgogodla. Noma ngabe yimuphi umphumela, udokotela wakho uzokuhambisa ngezinketho zakho futhi akusize unqume izinyathelo zakho ezilandelayo.