So woahu oduruyɛfo bi de rɔba akutu ketewaa bi abɔ wo kotodwe pɛn? Sɛ wobɔ wo kotodwe a, mpɛn pii no wo nan no san puw kɔ soro, ɛnte saa? Eyi yɛ yɛn nipadua mu ahobammɔ a ɛba ara kwa. Nanso ɛtɔ mmere bi a, yenya mmuae kakraa bi pɛ anaasɛ yenya bi koraa. Ɛno na yɛrebɛka ho asɛm nnɛ.
Dɛn ne Hyporeflexia?
Sɛ yɛbɛka no tiawa a, Hyporeflexia yɛ yɛn ntini ahorow no reflex response a ɛso tew. Ɛtɔ da bi a, saa mmuae yi betumi ayera koraa, a yɛfrɛ no areflexia.
Susuw ho saa kwan yi so: Reflexes yɛ nhyehyɛe a ɛyɛ adwuma ankasa a wo nipadua wɔ sɛ ɛbɔ wo ho ban fi biribi a ebetumi apira wo ho. Saa mmuae yi nam ɔkwan titiriw bi a ɛde ntini mu nkrasɛm mena so na ɛba. Yɛfrɛ eyi sɛ ‘reflex arc’. Ɛwɔ afã atitiriw abiɛsa:
1. Nkate fã: Ntini a ɛde nsɛm a ɛfa ɔsɛe anaa nkanyan ho kɔ.
2. Ɔfã a ɛwɔ mfinimfini: Ɛno ne yɛn akyi berɛmo.
3. Motor part: Ntini a ɛde nkrasɛm kɔ ntini ahorow no mu de di ahyɛde ahorow a wonya fi akyi berɛmo no mu ho dwuma.
Sɛ nneɛma asɛe wɔ akwantu yi mu wɔ baabi, sɛ́ ɛyɛ nkate ntini, akyi berɛmo, anaa ntini a ɛma nipadua no yɛ adwuma no a, saa mmuae no mma yiye. Ɛno ne bere a Hyporeflexia ba. Mpɛn pii no, eyi yɛ sɛnkyerɛnne a ɛkyerɛ sɛ ɔhaw bi wɔ ntini ahorow no mu, na ɛnyɛ yare a ɛda nsow.
Eyi fã foforo nso wɔ hɔ a wɔfrɛ no hyperreflexia. Ɛyɛ bere a ntini no yɛ n’ade boro so no.
Mpɛn pii no, obi a ɔwɔ hyporeflexia no nnya ɔhaw kɛse biara. Nanso, wɔ ntini ho ɔyaresafo fam no, eyi yɛ sɛnkyerɛnne a ɛho hia yiye a ɛbɛma wɔahu yare no.
Ɔkwan bɛn so na oduruyɛfo hu eyi?
Sɛ oduruyɛfo bi hwehwɛ wo ntini mu (ntini mu nhwehwɛmu) a, wɔbɛyɛ ‘Deep Tendon Reflex’ (DTR) nhwehwɛmu de ahwɛ sɛ hyporeflexia anaa. Eyinom mu nea agye din sen biara ne hama sɔhwɛ a yɛn nyinaa nim.
Sɛnea wɔyɛ kotodwe mu nhwehwɛmu no
Sɛ oduruyɛfo no de rɔba akuturuku bɔ wo kotodwe a, wɔtwe patellar tendon ne asen ntini a ɛbata ho no. Saa bere no, nkrasɛm a ɛne "ntini a wɔtwe" no fa nkate mu ntini ahorow so kɔ akyi berɛmo no mu ntɛmntɛm yiye.
Akyi berɛmo no yɛ saa asɛm no ho biribi ntɛm ara, na ɛde nkrasɛm bi san fa ntini a ɛma nipadua no yɛ adwuma no mu kɔ saa ntini no mu ma ɛtwetwe. Saa twetwe no ne nea ɛma wo nan no huruw kɔ soro ara kwa.
Sɛ wowɔ hyporeflexia a, ebia wo nan no bɛtu ntɛmntɛm , anaasɛ ɛrenhinhim koraa .
Ɛho hia yiye sɛ wobɛma wo ho adwo wo sɛnea wubetumi wɔ sɔhwɛ yi mu. Sɛ wode w’adwene si eyi so dodo anaasɛ wo ho yeraw wo a, nea ebefi mu aba no betumi ayɛ nea ɛnteɛ. Ɛno nti na ɛtɔ da bi a oduruyɛfo no bebisa wo biribi foforo ho asɛm na watwetwe w’adwene denam eyi a ɔbɛbɔ so.
Wɔ kotodwe no akyi no, wobetumi asɔ mmuae ahorow ahwɛ wɔ mmeae afoforo pii.
| Nhwehwɛmubea | Nkyerɛmu |
|---|---|
| Abatwɛ | Wɔ nsateaa no akyi. |
| Nsa a wɔde hyɛ mu | Nsa no mu baabi a nsa no kotow. |
| Wrist ne ankle | Ɛdefa saa nkwaa yi ho no. |
| Afono | Chin ntini ahorow. |
Dɛn na ebetumi de eyi aba?
Hyporeflexia betumi afi ɔsɛe a ɛwɔ baabiara wɔ ‘reflex arc’ a yɛadi kan aka ho asɛm no so aba. Ntini mu nyarewa atitiriw ne tebea horow pii wɔ hɔ a ebetumi aka eyi:
- Peripheral Neuropathies: Eyi kyerɛ ntini a efi yɛn amemene ne yɛn akyi berɛmo mu no sɛe. Ɛtaa ma nsa ne anan ho yɛ mmerɛw, ɛyɛ yaw, na ntini a ɛyɛ mmerɛw .
- Guillain-Barre Ayaresa a Wɔde Yɛ Adwuma:Eyi yɛ yare a ɛntaa nsi koraa a nipadua no tumi ko tia nyarewa. Nea ɛkɔ so wɔ ha ne sɛ yɛn ankasa nipadua mu tumi a ɛko tia nyarewa no tow hyɛ yɛn ankasa ntini so. Saa tebea yi sɛe ‘akataso’ (myelin) a atwa ntini no ho ahyia no na ebetumi akɔ so ntɛmntɛm yiye wɔ nna kakraa bi pɛ mu.
- CIDP (Chronic Inflammatory Demyelinating Polyneuropathy): Eyi te sɛ Guillain-Barre, nanso ɛba nkakrankakra wɔ bere tenten mu.
- Akyi berɛmo mu Opira: Saa tebea yi betumi aba bere a akyi berɛmo anaa akyi berɛmo asɛe kɛse, te sɛ kar akwanhyia anaa asehwe mu. Ɛwom sɛ ebia hyporeflexia wɔ hɔ mfiase no de, nanso bere kɔ so no, hyperreflexia betumi aba, a ɛno mu no, mmuae no kɔ soro sen opira no dodow.
- ALS (Amyotrophic Lateral Sclerosis): Eyi nso yɛ ntini mu yare a ɛkɔ so nya nkɔso. Nanso, wɔ eyi mu no, nea wɔtaa hu ne mmuae a ɛkɔ soro (Hyperreflexia) sen sɛ ɛbɛtew.
- Lambert-Eaton Myasthenic Syndrome (LEMS): Eyi nso yɛ tebea a ɛntaa nsi. Ɛka nkitahodi a ɛda ntini ne ntini ahorow ntam.
Ɔkwan bɛn so na wɔsa hyporeflexia?
Ayaresa biara nni hɔ a wɔde sa eyi tẽẽ. Efisɛ eyi nyɛ yare, na mmom ɛyɛ yare foforo a ɛhyɛ ase ho sɛnkyerɛnne. Enti, nea nnuruyɛfo yɛ ne sɛ wobehu nea ɛde eyi ba ankasa na wɔasa yare a ɛda adi no.
Sɛ nhwɛso no, wɔde nnuru titiriw a wɔde bɔ nkurɔfo ho ban (IVIg) a ɛde n’ani si nipadua no mu tumi a ɛko tia nyarewa anaa plasma nsakrae ayaresa ahorow so sa Guillain-Barre yare no.
Bere bɛn na ɛsɛ sɛ mekɔ oduruyɛfo nkyɛn?
Eyi yɛ asɛmmisa a ɛho hia paa. Kae sɛ nnipa binom adwene a wɔde yɛ ade no yɛ mmerɛw kakra fi awosu mu. Sɛ ɔhaw foforo biara nni hɔ a, ɛnyɛ ɔhaw kɛse.
Nanso, sɛ wowɔ sɛnkyerɛnne afoforo a ɛwɔ ase ha no ka mmuae a ɛyɛ mmerɛw yi ho a, akyinnye biara nni ho sɛ ɛsɛ sɛ wokɔ wo duruyɛfo nkyɛn .
| Sɛ wowɔ hyporeflexia ka saa sɛnkyerɛnne ahorow yi ho a, kɔ oduruyɛfo nkyɛn ntɛm ara. | |
|---|---|
| Ntini mu mmerɛwyɛ | Sɛ wote nka sɛ wo nsa anaa wo nan ahoɔden so retew a ntease biara nnim a. |
| Ntini a wɔsɛe no (Atrophy) . | Sɛ wote nka sɛ wo ntini mu ahoɔden retew na woreyɛ teateaa a. |
| Kari pɛ a ɛyera wɔ nipadua no mu | Sɛ wote nka sɛ worehwere wo kari pɛ bere a wonam anaa wugyina hɔ a. |
| Ntini a ɛyɛ mmerɛw anaasɛ nkate a ɛso tew | Sɛ wo nsa anaa wo nan ho ayɛ wo yaw anaasɛ wo ho nyɛ wo den a. |
W’abusua oduruyɛfo bɛhwɛ wo, na sɛ ɛho hia a, ɔde wo bɛkɔ ntini ho ɔyaresafo nkyɛn akɔyɛ nhwehwɛmu foforo.
Nkrasɛm a Wɔde Kɔ Fie
- Hyporeflexia nyɛ yare, na mmom ɛyɛ sɛnkyerɛnne a ɛkyerɛ sɛ ntini no nyɛ adwuma yiye.
- Mpɛn pii no, wohu eyi bere a oduruyɛfo bi reyɛ ntini mu nhwehwɛmu (te sɛ kotodwe a wɔbɔ) no.
- Ebia ɛbɛyɛ nea ɛfata sɛ nnipa binom benya mmuae a ɛyɛ mmerɛw a wonni sɛnkyerɛnne foforo biara.
- Nanso, sɛ tebea yi de sɛnkyerɛnne afoforo te sɛ ntini a ɛyɛ mmerɛw, akisikuru, anaa nea ɛnkari pɛ ka ho a, hwɛ hu sɛ wobɛhwehwɛ aduruyɛfo afotu.
- Ayaresa no gyina tebea a ɛde eyi bae no so.
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