So woabɔ wo ba ketewa no ase pɛn bere a woreguare anaa wo ne no redi agoru no? So woahyɛ no nsow pɛn sɛ ne nansoaa kɛse no pue na ne nsateaa afoforo no trɛw fɛfɛɛfɛ? Ebia wubesusuw sɛ eyi yɛ biribi a ɛbae ara kwa. Nanso nokwarem no ɛyɛ sɛnkyerɛnne a ɛho hia yiye a nnuruyɛfo de hwɛ sɛnea akokoaa amemene ne ne ntini ahorow nyin. Ɛnnɛ, yɛrebɛka saa ade a ɛyɛ nwonwa yi ho asɛm.
Dɛn ne Babinski Nsɛnkyerɛnne no?
Sɛ yɛbɛka no tiawa a, Babinski Nsɛnkyerɛnne no yɛ mmuae. Sɛ yɛbɛka no pɛpɛɛpɛ a, ade a ɛma obi yɛ ade a ɛnyɛ nea ɔpɛ . Ɛne sɛ, ɛnyɛ biribi a yɛde adwempa di so. Susuw ho hwɛ, sɛ obi hwɛ yɛn mpofirim a, anka yɛbɛto yɛn ani, ɛnte saa? Ɛnyɛ biribi a yɛde adwempa yɛ. Eyi te saa ara.
Sɛ oduruyɛfo de biribi a ɛyɛ mmerɛw (te sɛ reflex hama nsa) petepete akokoaa nan ase brɛoo, fi ne nan ase kosi ne nansoaa kɛse no so a, akokoaa no nansoaa kɛse no kotow kɔ soro, bere a nansoaa afoforo no trɛw te sɛ fan. Ɛno ne nea yɛfrɛ no Babinski sɛnkyerɛnne no. Wɔfrɛ sɔhwɛ yi Plantar Reflex Test .
Ntini ho ɔbenfo bi a wɔfrɛ no Joseph Babinski na odii kan huu eyi wɔ 1896 mu. Ɛno nti na wɔde ne din ato so no.
Dɛn nti na nkokoaa nkumaa wɔ Babinski reflex yi?
Seesei ebia woresusuw ho sɛ, "Dɛn nti na eyi yɛ nkokoaa nkumaa nkutoo dea?" Nea enti a ɛte saa no yɛ anigye yiye.
Ntini kwan titiriw bi wɔ hɔ a efi yɛn amemene no mu sian kɔ akyi berɛmo no mu, na ɛde nkrasɛm ahorow a ɛhwɛ nipadua no kankan so kɔ. Wɔ aduruyɛ mu no, wɔfrɛ eyi sɛ corticospinal tract (CST) . Fa no sɛ ɔkwan kɛse a efi Colombo kɔ Galle no. Saa kwan yi ne nea ɛde nkrasɛm fi amemene no mu te sɛ "wosow wo nsa" ne "ma wo nan so" kɔ mmeae a ɛfata ntɛmntɛm.
Sɛ wɔwo nkokoaa a, saa ``Corticospinal Tract'' yi, yɛn 'kwan kɛse' no nnya nnyinii koraa. Ɛte sɛ ɔkwan foforo a wɔde kapet ayɛ, adwuma no nnya nwiee. Enti ɔkwan a nkrasɛm a efi amemene no mu no fa so tu kwan no yɛ soronko kakra. That’s because of the immaturity of the nervous system , sɛ wɔkanyan nan no ase a, nansoaa no kɔ soro de bua nkrasɛm a efi amemene no mu no.
Eyi nkyerɛ sɛ biribi asɛe wɔ akokoaa no ntini mu. Ɛyɛ ade a ɛfata koraa ma saa mfe no. Nea ɛkyerɛ ara ne sɛ akokoaa no ntini ahorow no reyɛ kɛse.
Nsonsonoe bɛn na ɛwɔ Babinski Reflex ne Plantar Grasp Reflex ntam?
Bere a akokoaa no nyin no, ``Corticospinal Tract'' a yɛkaa ho asɛm no nyin yiye. Ɛte sɛ nea wɔawie adwuma a wɔyɛ wɔ yɛn ‘kwan kɛse’ no nyinaa. Afei saa Babinski reflex no yera, na reflex foforo ba n’ananmu. Yɛfrɛ no Plantar Grasp Reflex .
Nea ɛba ne sɛ, sɛ wode wo nsateaa to wo ba no nan ase wɔ wɔn nansoaa ase a, wɔbɛbɔ wɔn nsateaa akɔ fam na wɔayɛ wɔn ho sɛ wɔrekyere wo nsateaa. Eyi ne mmuae a yenya wɔ mfe 2 akyi ne mpanyin afe so. Eyi ma yehu sɛ yɛn ntini ahorow no anyin yiye.
Nsonsonoe a ɛda abien no ntam no te sɛ nea woresɔ kanea bi na woadum:
- Babinski Reflex: Nsateaa no kɔ soro (te sɛ nea wodan switch).
- Plantar Grasp Reflex: Nansoaa no kotow kɔ fam (te sɛ nea wodum switch).
Momma yɛnhwɛ saa nhyehyɛe yi na yɛakyerɛkyerɛ nsonsonoe yi mu bio.
| Su a ɛwɔ hɔ | Babinski Nsusuwii a Wɔde Yɛ Adwuma | Plantar Grasp Reflex a Ɛwɔ Hɔ |
|---|---|---|
| Nsateaa a wɔde keka ne ho | Nansoaa kɛse no kɔ soro . Nsateaa afoforo no trɛwee. | Wɔakotow nsateaa nyinaa ase , ayɛ wɔn ade te sɛ nea wɔrekura biribi mu. |
| Mfe a obi adi a ɔde hwɛ ade sɛnea ɛsɛ | Efi awo mu kosi bɛyɛ mfe 2. | Mfe 2 akyi no, nkwa nna nyinaa. |
| Dɛn na eyi kyerɛ? | Ntini a ɛma nipadua no yɛ adwuma (titiriw CST) no da so ara renya nkɔso . (Ɛyɛ nea ɛfata wɔ mfe yi mu) . | Ntini a ɛma nipadua no yɛ adwuma no anyin yiye (ɛyɛ nea ɛfata wɔ mfe yi mu). |
Bere bɛn na Babinski reflex yi kɔ?
Mpɛn pii no, saa Babinski mmuae yi yera koraa bere a akokoaa adi bɛyɛ mfe 2 no . Nanso ɛnyɛ nkokoaa nyinaa na wonya bi bere a wɔadi mfe abien no. Nkokoaa binom hwere bere a wɔadi bɛyɛ afe biako no, na sɛnea yɛkaa wɔn nan ase nsa a yɛkaa ho asɛm no (nsateaa no kotow kɔ fam) no fi ase da adi. Eyi betumi ayɛ soronko kakra wɔ akokoaa biara mu.
Nea ɛho hia sen biara: Na sɛ ɔpanyin anaa abofra a wadi boro mfe 2 wɔ saa sɛnkyerɛnne yi nso ɛ?
Eyi ne ade a ɛho hia sen biara a ɛsɛ sɛ yɛn nyinaa hu.
Sɛ worehwehwɛ abofra a wadi boro mfe 2 anaa ɔpanyin biara nan ase a, sɛ wuhu Babinski sɛnkyerɛnne no, a ɛyɛ bere a wɔama nansoaa kɛse no so na wɔatrɛw nansoaa afoforo no mu a, ɛyɛ tebea a ɛnteɛ .
Eyi kyerɛ sɛ ebia ɔsɛe, ɔhaw, anaa yare bi wɔ onipa no ntini a ɛwɔ nipadua no mu (CNS), kyerɛ sɛ, amemene anaa n’akyi berɛmo mu . Ne titiriw no, ebia ntini kwan a wɔfrɛ no Corticospinal Tract a yɛadi kan aka ho asɛm no asɛe kakra.
| Ayaresa mu tebea horow bi a ebetumi ama wɔanya Babinski sɛnkyerɛnne wɔ mpanyimfo mu | |
|---|---|
| Nnwodwoɔ | Ɔsɛe a mogya a ɛnkɔ amemene no mu a entumi nyɛ adwuma yiye de ba. |
| Akyi berɛmo mu Opira | Ntini a ɛwɔ akyi berɛmo mu a ɛsɛe esiane akwanhyia nti. |
| Multiple Sclerosis a Ɛyɛ Nnipa a Wɔte Ase | Ɛyɛ tebea a nipadua no ankasa tumi a ɛko tia nyarewa no sɛe ntini ahorow no. |
| Amemene mu Akisikuru | Nkwammoaa nyin a ɛnteɛ wɔ amemene no mu. |
| Meningitis a ɛma obi ho yɛ hyew | Nyarewa a ɛba ntini a ɛkata amemene ne akyi berɛmo so no mu. |
| ALS (Amyotrophic Lateral Sclerosis (Nneɛma a Ɛyɛ Fɛ a Ɛma Ntini Mu - ALS) . | Ɛyɛ tebea a ntini ahorow a ɛhwɛ ntini ahorow so no brɛ nkakrankakra. |
Enti, sɛ wo anaa obi a wunim no a wadi boro mfe 2 wɔ saa sɛnkyerɛnne ahorow yi bi a, mmu w’ani ngu so. Ade a eye sen biara a ɛsɛ sɛ woyɛ ne sɛ wobɛkɔ oduruyɛfo a ɔfata nkyɛn ntɛm ara na woanya aduruyɛ mu afotu ne nhwehwɛmu a ɛho hia.
Ɔkwan bɛn so na oduruyɛfo no yɛ nhwehwɛmu yi?
Ebia woahu sɛ oduruyɛfo no yɛ nhwehwɛmu yi bere a wode wo ba no kɔ ayaresabea kɔhwɛ sɛnea onyin no. Ɛyɛ sɔhwɛ a ɛyɛ mmerɛw yiye a ɛnyɛ yaw a wobetumi ayɛ wɔ sikɔne kakraa bi mu.
1. Nea edi kan no, oduruyɛfo no yi akokoaa no mpaboa ne ne sɔks na ɔma akokoaa no da fam yiye.
2. Afei, fa adwinnade a ɛnyɛ den, sɛ nhwɛso no, tɛkrɛma a wɔde hyɛ obi ase anaasɛ reflex hama no fã a ɛyɛ mmerɛw no di dwuma, fa akokoaa no nan ase brɛoo kɔ soro ne fam wɔ nan ase kɔ nansoaa kɛse no ase.
3. Saa bere no, oduruyɛfo no de ahwɛyiye bɛhwɛ akokoaa no nansoaa. Ɔbɛhwɛ sɛ nansoaa kɛse no rekyerɛ soro (dorsiflexed) ne sɛ nansoaa afoforo no retrɛw anaa.
Nea efi sɔhwɛ yi mu ba no betumi ayɛ `positive` anaa `negative`.
- Positive Babinski Sign: Eyi kyerɛ sɛ wɔama nansoaa kɛse no so na nsateaa afoforo no atrɛw. Eyi yɛ ade a ɛfata ma nkokoaa a wonnii mfe 2 . Nanso ɛnyɛ ne kwan so ma wɔn a wɔadi boro mfe 2 no.
- Negative Plantar Reflex: Eyi kyerɛ sɛ nansoaa no abɔ fam (plantar grasp), anaasɛ ɛnyɛ mmuae biara. Eyi yɛ mmuae a ɛfata ma mmofra a wɔadi boro mfe 2 ne mpanyimfo .
Enti, sɛ wohyɛ saa adeyɛ yi nsow wɔ akwanhyia mu bere a woreguare anaa wo ne wo ba redi agoru no a, mma ɛnyɛ wo nwonwa. Ɛyɛ adeyɛ a ɛyɛ nwonwa a ɛma wo ba no amemene ne ne ntini ahorow bom yɛ adwuma na enyin no fã. Saa sɔhwɛ a ɛnyɛ den yi betumi ama nnuruyɛfo ahu wo ba no akwahosan ho nsɛm pii.
Nkrasɛm a Wɔde Kɔ Fie
- Babinski reflex a ɛyɛ nansoaa kɛse no a ɛkɔ soro bere a wɔde petepete nan ase no yɛ nkokoaa a wonnii mfe 2 su a ɛfata koraa na ɛyɛ papa .
- Eyi kyerɛ sɛ akokoaa no ntini a ɛwɔ mfinimfini (amemene ne n’akyi berɛmo) no renyin yiye.
- Mpɛn pii no, bere a akokoaa adi mfe 2 no, saa mmuae yi yera na wɔde anammɔn a wɔde kyekyere ade no si ananmu.
- Sɛ wohu Babinski sɛnkyerɛnne yi wɔ abofra a wadi boro mfe 2 anaa ɔpanyin mu a , ebetumi ayɛ ɔhaw bi a ɛwɔ amemene anaa akyi berɛmo mu ho sɛnkyerɛnne.
- Wɔ tebea a ɛte saa mu no, ɛho hia sɛ wommɔ hu, na mmom wobɛkɔ wo duruyɛfo nkyɛn ntɛm ara na woakɔhwehwɛ afotu.
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