Umlobi: Peter Berry
Usuku Lokudalwa: 11 Ujulayi 2021
Ukuvuselela Usuku: 18 Unovemba 2024
Anonim
Interpretation of Reflex Tests | Clinical Physio
Ividiyo: Interpretation of Reflex Tests | Clinical Physio

-Delile

Kuyini i-hyporeflexia?

I-Hyporeflexia isho isimo lapho imisipha yakho ingasabeli kangako ezintweni ezikhuthazayo. Uma imisipha yakho ingaphenduli nhlobo ekugqugquzelweni, lokhu kwaziwa njenge-areflexia. Imisipha yakho ingaba buthakathaka kangangokuthi awukwazi ukwenza imisebenzi yansuku zonke. Lokhu kuphambene ne-hyperreflexia, lapho kunenani elidlulele lokuphendula kwemisipha.

Ngenkathi i-hyporeflexia ingenzeka ngokuzimela, ivame ukuhlotshaniswa nenye imbangela eyimbangela. Lokhu kusho ukuxilongwa, ukwelashwa, nomphumela kungahluka kakhulu.

Ziyini izimpawu ze-hyporeflexia?

Izimpawu ze-hyporeflexia nazo zingavela kancane kancane. Ezimweni ezinjalo, ungahle uhlangabezane nokulahlekelwa kancane kokuphendula kwemisipha. Ekuqaleni, ungazinyakazisa izimpawu njengokumane nje kube budlabha.

Imisebenzi yansuku zonke ingase ibe nzima ngokwengeziwe, njenge:

  • izinto zokubamba
  • ukushayela
  • ukugcina ukuma okuhle
  • ukuhamba

Ezimweni ezinzima kakhulu, i-hyporeflexia ingadala ukulahleka okuphelele kokusetshenziswa kwemisipha.


Yini ebangela i-hyporeflexia?

I-Hyporeflexia ikhula njengomphumela wokulimala kwama-motor neurons. La ma-neurons athumela imiyalezo phakathi kobuchopho bakho nentambo yomgogodla. Ngokubambisana, bathumela imiyalezo kuwo wonke umzimba wakho ukulawula ukunyakaza kwemisipha.

Lesi simo singahle futhi sihlobane nokukodwa kokulandelayo:

I-Amyotrophic lateral sclerosis (ALS)

Esaziwa kakhulu njengesifo sikaLou Gehrig, i-ALS isifo esiqhubekela phambili sezinzwa esibulala amangqamuzana obuchopho nawomgogodla. Ngokuhamba kwesikhathi, lokhu kungadala ubuthakathaka bemisipha emzimbeni wonke. Ezinye izimpawu ze-ALS zifaka inkulumo engacacile, ukulahleka kwememori, nobunzima bokuphefumula.

Isifo se-Guillain-Barré (GBS)

Lolu olunye uhlobo lwesimo esiwohlokayo esithinta uhlelo lwakho lwezinzwa. Nge-GBS, umzimba wakho uhlasela izicubu ezinempilo, eziphazamisa amasiginali obuchopho emisipheni yakho. Ngaphezu kwemisipha ebuthakathaka, i-GBS ingadala izinkinga zokuphefumula nomfutho wegazi ophezulu.

I-polyneuropathy engapheli yokuvuvukala (CIDP)

Lesi yisifo esibonakala ngokulimala kwemicu yezinzwa ebuchosheni bakho. I-CIDP ingaqala ngezimpawu ezinjengokushayana kwemikhawulo noma ukuba ndikindiki emisipheni yakho.


Ekugcineni, i-CIDP idala ukulahleka okuphawulekayo kwezimo zemisipha. Lesi yisimo sesikhathi eside esingaholela ekwandeni kwezimpawu ngaphandle kokwelashwa.

I-Hypothyroidism

Ebizwa nangokuthi i-thyroid engasebenzi noma "ephansi", lesi simo singaholela ekukhatheni, imisipha ebuthakathaka, kanye nokushisa komzimba okubandayo kunokujwayelekile. I-Hypothyroidism ikhula lapho i-thyroid yakho ingakhiqizi ama-hormone anele ukugcina imisebenzi eyisisekelo yomzimba.

Ukulimala komgogodla

Ukulimala okuthile komgogodla kungadala ukulimala kwezinzwa, okungaholela emisipheni ebuthakathaka.

Unhlangothi

Ukushaywa unhlangothi kungaholela ku-hypotonia, noma ithoni yemisipha ephansi kwezinye izitho. I-Hypotonia ivamise ukuba yesikhashana kubantu abaningi abahlaselwa yisifo sohlangothi, kepha kokunye kuhlala unomphela.

Imiphumela emibi yemithi

Abantu abathatha ama-relaxer emisipha bangathola i-hyporeflexia njengomphumela wecala wesikhashana.

Itholakala kanjani i-hyporeflexia?

Ngoba i-hyporeflexia ingahle ihlobane nezimo ezahlukahlukene ezahlukahlukene, kungaba nzima ukukuthola ekuqaleni. Uzodinga ukubona udokotela wakho ngokomzimba. Kuleli qophelo, bazokubuza futhi ukuthi uqale nini ukulahlekelwa ukuphendula kwemisipha, nokuthi kwenzeka isikhathi esingakanani. Uzodinga futhi ukutshela udokotela wakho nganoma yiziphi ezinye izimpawu ohlangabezana nazo.


Ekuqokweni kwakho, udokotela wakho uzosebenzisa isando se-reflex ukubona ukuthi imisipha yakho iphendula kanjani.

Ukuze wenze ukuxilongwa okunembile, udokotela wakho angaphinde ahlele ukuhlanganiswa kwalezi zivivinyo ezilandelayo:

  • i-biopsy yemisipha yakho noma izinzwa
  • umsebenzi wegazi
  • i-electromyography (EMG)
  • Ukuskena kwe-MRI
  • ukuhlolwa kwe-nerve conduction velocity (NCV)
  • umgogodla
  • ukuhlolwa komchamo

Ngoba kunezimbangela eziningi ezingaba khona ze-hyporeflexia, asikho isivivinyo esisodwa esingasiza udokotela wakho ukuthi asithole.

Ingabe i-hyporeflexia ingadala izinkinga?

Ngempendulo ephansi yemisipha, usengozini yezingozi ezinkulu. Ukuwa okuvela emisipheni yemilenze ebuthakathaka, ngokwesibonelo, kungaholela ekulimaleni kwekhanda nasekuqhekekeni kwamathambo. Ukungakwazi ukushayela kungaholela ezingozini zezimoto.

Kokubili i-ALS ne-GBS kungaholela ekukhubazekeni. Nge-ALS, ukukhubazeka kungenzeka kancane kancane. Ukuhlaselwa kanzima kwe-GBS kungadala ukukhubazeka kwesikhashana.

Kwesinye isikhathi, ezimeni zokuhlukumezeka komgogodla, i-hyporeflexia ingaphenduka i-hyperreflexia.

Yelashwa kanjani i-hyporeflexia?

Ukwelashwa kwe-hyporeflexia kuhlose ukuthuthukisa ukusabela kwemisipha. Ngokombono wezokwelapha, kunezindlela ezimbili ezingasiza: imithi nokwelashwa ngokomzimba.

Imithi

Izinhlobo zemithi udokotela wakho azokuncoma zingaxhomeka kumbangela oyinhloko we-hyporeflexia. Isibonelo, uma une-GBS noma i-CIDP, udokotela wakho angakunikeza ama-steroids. Lokhu kusiza ukunciphisa ukuvuvukala okubangelwa umzimba ohlasela izicubu zawo ezinempilo.

I-Hypothyroidism iphathwa ngamahomoni abuyisela i-thyroid ukuthuthukisa izimpawu zakho jikelele.

Ukwelashwa ngokomzimba

Umelaphi angakuqondisa ekuqeqeshweni kwemisipha nasekuqiniseni imikhuba. Ngokwengeziwe, udokotela wakho angancoma ukwelashwa okusebenzayo. Lokhu kukusiza ufunde ukuthi ungahamba kanjani ngokuzimela futhi kungakugcina uphephile. I-Physiotherapy ingasiza emandleni emisipha futhi.

Ungase futhi ukhulume nodokotela wakho mayelana nokuthi ungazivocavoca kanjani umzimba ngokuphepha ukuze uthuthukise amakhono amakhulu emoto (njengokuhamba nokugijima) namandla omzimba jikelele. Uma uzivocavoca umzimba, qiniseka ukuthi unomngane wokuzivocavoca njengendlela yokuvikela.

Uyini umbono we-hyporeflexia?

Ukubikezelwa kwakho konke kuncike kwizimbangela zesimo sakho. Lapho kutholakala kusenesikhathi, umbono we-hyporeflexia unethemba ngezindlela zokwelashwa. Endabeni yezifo zemizwa ezihlobene, udokotela wakho uzosebenzisana nawe ukusiza ukunciphisa ukukhula kwesifo. Lokhu kungasiza ukwehlisa ijubane izimpawu ezingakhubaza.

Uma ubona noma yikuphi umehluko ekuphenduleni kwemisipha, yenza i-aphoyintimenti nodokotela wakho. Ngokushesha lapho kutholakala lezi zinhlobo zezimo, kungcono umbono wesikhathi eside.

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