Ua ʻoniʻoni paha ʻoe i ka hope o kāu keiki liʻiliʻi i kou ʻauʻau ʻana a i ʻole e pāʻani ana me ia? Ua ʻike anei ʻoe ua puka mai kona manamana wāwae nui a ua pālahalaha maikaʻi kona mau manamana lima ʻē aʻe? Manaʻo paha ʻoe he mea kūlike wale nō kēia. Akā, he hōʻailona koʻikoʻi loa ia a nā kauka e hoʻohana ai e nānā i ka ulu ʻana o ka lolo a me ka ʻōnaehana nerve o kahi pēpē. I kēia lā, e kamaʻilio mākou e pili ana i kēia mea kupaianaha.
He aha ka hōʻailona Babinski?
I ka ʻōlelo maʻalahi, he pane ka Hōʻailona Babinski. I ka pololei, he reflex involuntary . ʻO ia hoʻi, ʻaʻole ia he mea a mākou e kāohi ai me ka ʻike. E noʻonoʻo e pili ana, inā nānā koke mai kekahi iā mākou, e pani mākou i ko mākou mau maka, ʻeā? ʻAʻole ia he mea a mākou e hana ai me ka ʻike. Pēlā nō kēia.
Ke hamo mālie ke kauka i ke kapuwaʻi o ka wāwae o ka pēpē, mai ke kuʻekuʻe wāwae a i ka manamana wāwae nui, me kahi mea ʻōniʻoniʻo (e like me ke kaula o ka hāmare reflex), kūlou ka manamana wāwae nui o ka pēpē i luna, ʻoiai e hohola ana nā manamana wāwae ʻē aʻe e like me ka peʻahi. ʻO ia ka mea a mākou e kapa nei ʻo ka hōʻailona Babinski. Ua kapa ʻia kēia hoʻāʻo ʻo ka Plantar Reflex Test .
Ua ʻike mua ʻia kēia i ka makahiki 1896 e kekahi loea lolo i kapa ʻia ʻo Joseph Babinski. ʻO ia ke kumu i kapa ʻia ai ma muli ona.
No ke aha i loaʻa ai i nā pēpē liʻiliʻi kēia reflex Babinski?
I kēia manawa ke noʻonoʻo nei paha ʻoe, "No ke aha no nā pēpē liʻiliʻi wale nō kēia?" He mea hoihoi loa ke kumu.
Aia kekahi ala nui o ke aʻalolo e holo ana mai ko kākou lolo a iho i ke kaulahao kuamoʻo, e lawe ana i nā leka e kāohi ana i nā neʻe ʻana o ke kino. Ma nā ʻōlelo lapaʻau, ua kapa ʻia kēia ʻo ke ala corticospinal (CST) . E noʻonoʻo e like me ke alaloa mai Colombo a i Galle. ʻO kēia ala ka mea e lawe koke ana i nā leka mai ka lolo e like me "e peahi i kou lima" a "e hāpai i kou wāwae" i nā wahi kūpono.
I ka wā e hānau ʻia ai nā pēpē, ʻaʻole i hoʻomohala piha ʻia kēia "Corticospinal Tract", ko kākou "alanui nui". Ua like ia me ke alanui i kāpeti hou ʻia, ʻaʻole i pau ka hana. No laila, ʻokoʻa iki ke ʻano o ka hele ʻana o nā leka mai ka lolo. ʻO ia ma muli o ka palupalu o ka ʻōnaehana nerve , i ka wā e hoʻoulu ʻia ai ke kapuaʻi o ka wāwae, piʻi aʻe nā manamana wāwae i luna e pane ana i ka leka mai ka lolo.
ʻAʻole kēia e hōʻike ana he hewa kekahi mea me ka ʻōnaehana nerve o ka pēpē. He mea maʻamau loa ia no kēlā makahiki. ʻO ia hoʻi ke ulu nei ka ʻōnaehana nerve o ka pēpē.
He aha ka ʻokoʻa ma waena o ka Babinski Reflex a me ka Plantar Grasp Reflex?
I ka ulu ʻana o ke pēpē, ulu maikaʻi ka "Corticospinal Tract" a mākou i kamaʻilio ai. Me he mea lā ua pau nā hana a pau ma ko mākou "alanui". A laila nalowale kēlā reflex Babinski, a hele mai kekahi reflex ma kona wahi. Kāhea mākou iā ia ʻo ka Plantar Grasp Reflex .
ʻO ka mea e hana ʻia, inā ʻoe e kau i kou manamana lima ma ka ʻaoʻao o ka wāwae o kāu pēpē ma lalo o ko lākou mau manamana wāwae, e kulou lākou i ko lākou mau manamana lima i lalo a hoʻohālike e hopu i kou manamana lima. ʻO kēia ka pane a mākou ma hope o ka piha ʻana o 2 mau makahiki a hiki i ka wā makua. Hōʻike kēia ua ulu maikaʻi kā mākou ʻōnaehana nerve.
ʻO ka ʻokoʻa ma waena o nā mea ʻelua ua like ia me ka hoʻohuli ʻana i ke kukui a me ke pio ʻana:
- ʻO Babinski Reflex: Neʻe i luna nā manamana lima (e like me ke hoʻohuli ʻana i kahi kuapo).
- ʻO ka Plantar Grasp Reflex: Kūlou nā manamana wāwae i lalo (e like me ke kinai ʻana i ke kuapo).
E nānā kākou i kēia pakuhi e wehewehe hou aku i kēia ʻokoʻa.
| ʻAno | ʻO ke kiʻi ʻana o Babinski | ʻO ka Reflex Plantar Grisp |
|---|---|---|
| Neʻe ʻana o ka manamana lima | Piʻi aʻe ka manamana wāwae nui. Hohola aʻela nā manamana wāwae ʻē aʻe. | Kūlou nā manamana lima a pau i lalo , e hana ana me he mea lā e hopu ana i kahi mea. |
| Makahiki o ka ʻike maʻamau | Mai ka hānau ʻana a hiki i kahi o 2 mau makahiki. | Ma hope o 2 mau makahiki, no ke ola. |
| He aha ke ʻano o kēia? | Ke ulu nei ka ʻōnaehana nerve (ʻoi aku ka CST). (He mea maʻamau kēia i kēia makahiki) | Ua ulu maikaʻi ka ʻōnaehana nerve (maʻamau i kēia makahiki). |
Āhea e nalo ai kēia reflex Babinski?
ʻO ka maʻamau, nalowale loa kēia pane Babinski i ka wā e hiki ai i kahi pēpē ma kahi o 2 mau makahiki . Akā, ʻaʻole i loaʻa i nā pēpē āpau i ka wā e hiki ai iā lākou ke ʻelua mau makahiki. Ua nalowale kekahi mau pēpē i ka wā e hiki ai iā lākou ma kahi o hoʻokahi makahiki, a hoʻomaka ka pane paʻa plantar a mākou i kamaʻilio ai (kūlou nā manamana wāwae i lalo). Hiki ke ʻokoʻa iki kēia mai kēlā pēpē a i kēia pēpē.
ʻO ka mea nui loa: He aha inā loaʻa kēia hōʻailona i kahi pākeke a i ʻole keiki ma luna o 2 mau makahiki?
ʻO kēia ka mea nui loa e pono ai kākou a pau e makaʻala.
I ka nānā ʻana i ke kapuwaʻi o kahi keiki ma luna o 2 mau makahiki a i ʻole kekahi pākeke, inā ʻike ʻoe i ka hōʻailona Babinski, ʻo ia hoʻi ka wā e hāpai ʻia ai ka manamana wāwae nui a hohola ʻia nā manamana wāwae ʻē aʻe, he ʻano maʻamau ʻole ia.
Hōʻike kēia he hiki ke loaʻa kekahi pōʻino, pilikia, a maʻi paha i loko o ka ʻōnaehana nerve waena (CNS) o ke kanaka, ʻo ia hoʻi, ka lolo a i ʻole ke kaula spinal . ʻO ke kikoʻī, aia paha kekahi pōʻino i ke ala nerve i kapa ʻia ʻo Corticospinal Tract a mākou i kamaʻilio ai ma mua.
| ʻO kekahi mau kūlana olakino e hiki ai ke hana i ka hōʻailona o Babinski i nā pākeke | |
|---|---|
| Hahau | Ka pōʻino i hana ʻia e ka nele o ke koko i ka lolo. |
| ʻEha o ke kaula kuamoʻo | Ka hōʻino ʻia ʻana o nā aʻalolo o ke kuamoʻo ma muli o kahi ulia. |
| Sclerosis lehulehu | He kūlana ia e hōʻino ai ka ʻōnaehana pale ponoʻī o ke kino i nā aʻalolo. |
| ʻŌpū lolo | Ka ulu ʻana o nā pūnaewele maʻamau ʻole i loko o ka lolo. |
| ʻO ka maʻi meningitis | He maʻi o nā membrane e uhi ana i ka lolo a me ke kaula kuamoʻo. |
| ALS (Amyotrophic Lateral Sclerosis - ALS) | He kūlana ia e hoʻonāwaliwali mālie ai nā aʻalolo e kaohi ana i nā ʻiʻo. |
No laila, inā ʻoe a i ʻole kekahi āu i ʻike ai ma luna o 2 mau makahiki i loaʻa i kekahi o kēia mau hōʻailona, mai hoʻowahāwahā iā lākou. ʻO ka mea maikaʻi loa e hana ai, ʻo ia ke ʻike koke i ke kauka kūpono a loaʻa i nā ʻōlelo aʻoaʻo lapaʻau a me nā hoʻokolohua e pono ai.
Pehea e hana ai ke kauka i kēia hoʻokolohua?
Ua ʻike paha ʻoe i kēia hoʻāʻo i hana ʻia e ke kauka ke lawe ʻoe i kāu pēpē i ke keʻena lapaʻau e nānā i ko lākou ulu ʻana. He hoʻāʻo maʻalahi loa ia, ʻaʻohe ʻeha e hiki ke hana ʻia i loko o kekahi mau kekona.
1. ʻO ka mea mua, wehe ke kauka i nā kāmaʻa a me nā socks o ka pēpē a hoʻomoe i ka pēpē me ka ʻoluʻolu.
2. A laila, me ka hoʻohana ʻana i kahi mea kani ʻōniʻoniʻo, e like me ka mea hoʻohaʻahaʻa alelo a i ʻole ka ʻaoʻao ʻōniʻoniʻo o ka hāmare reflex, e hoʻoneʻe mālie i ke kuʻekuʻe wāwae o ke pēpē i luna a i lalo ma ke kapuwaʻi o ka wāwae i ke kumu o ka manamana wāwae nui.
3. I kēlā manawa, e nānā pono ke kauka i nā manamana wāwae o ke pēpē. E nānā ʻo ia inā e kuhikuhi ana ka manamana wāwae nui i luna (dorsiflexed) a inā e pālahalaha ana nā manamana wāwae ʻē aʻe.
Hiki i ka hopena o kēia hoʻāʻo ke "maikaʻi" a i ʻole "maikaʻi ʻole".
- Hōʻailona Babinski Maikaʻi: ʻO ke ʻano kēia ua hāpai ʻia ka manamana wāwae nui a ua hohola ʻia nā manamana lima ʻē aʻe. He mea maʻamau kēia no nā pēpē ma lalo o 2 mau makahiki . Akā he mea ʻē ia no ka poʻe ma luna o 2 mau makahiki.
- ʻO ka Reflex Plantar maikaʻi ʻole: ʻO ke ʻano kēia ua kūlou nā manamana wāwae i lalo (plantar grip), a i ʻole ʻaʻohe pane. He pane maʻamau kēia no nā keiki ma luna o 2 mau makahiki a me nā pākeke .
No laila, mai kahaha inā ʻike hewa ʻoe i kēia hopena i ka wā e ʻauʻau ana a pāʻani paha me kāu pēpē. He ʻāpana ia o ke kaʻina hana kupaianaha o ka lolo a me ka ʻōnaehana nerve o kāu pēpē e hana pū ana a ulu ana. Hiki i kēia hoʻāʻo maʻalahi ke haʻi i nā kauka i nā mea he nui e pili ana i ke olakino o kāu pēpē.
Leka Lawe-Home
- ʻO ka reflex Babinski, ʻo ia hoʻi ka neʻe ʻana o ka manamana wāwae nui i luna ke hamo ʻia ke kapuwaʻi o ka wāwae, he ʻano maʻamau a olakino hoʻi ia no nā pēpē ma lalo o 2 mau makahiki .
- Hōʻike kēia e ulu pono ana ka ʻōnaehana nerve waena o ka pēpē (ka lolo a me ke kaula kuamoʻo).
- I ka manawa pinepine, i ka wā e 2 ai ka makahiki o ke pēpē, nalo aku kēia pane a pani ʻia e ka pane plantar grasp.
- Inā ʻike ʻia kēia hōʻailona Babinski i kahi keiki ma luna o 2 mau makahiki a i ʻole he kanaka makua , he hōʻailona paha ia o kahi pilikia ma ka lolo a i ʻole ke kaula kuamoʻo.
- I loko o ia kūlana, he mea nui e hopohopo ʻole, akā e ʻike koke i kāu kauka a ʻimi i ka ʻōlelo aʻo.
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