Ke piʻi aʻe nei nā manamana wāwae o kāu keiki liʻiliʻi ke hamo ʻoe i ko lākou mau kapuaʻi wāwae? ʻO ia paha ka hōʻailona Babinski!

E nā Māmā a me nā Pāpā, ua ʻike anei ʻoukou i ka wā e hamo mālie ai ʻoukou i ka hope o kāu pēpē, piʻi aʻe kona manamana wāwae nui a pālahalaha aʻe kona mau manamana wāwae ʻē aʻe? ʻAʻole anei he mea kupaianaha? ʻO kēia ka mea a nā kauka e kapa nei he hōʻailona Babinski. He mea maʻamau kēia no nā pēpē ʻōpio. Akā, he mea nui e ʻike pono i ke ʻano o ia mea. E kamaʻilio kākou e pili ana i kēia me nā kikoʻī a me ka maʻalahi i kēia lā.

He aha ka hōʻailona Babinski?

I ka ʻōlelo maʻalahi, ʻo ka hōʻailona Babinski kahi pane e kū mai ana i ka wā e ʻoniʻoni ʻia ai ke kapuwaʻi o kāu pēpē a i ʻole e holo ana kekahi mea i luna o ke kapuwaʻi o ko lākou wāwae. E ʻōwili ka manamana wāwae nui o ke pēpē i luna a e pālahalaha nā manamana wāwae ʻē aʻe e like me ka peʻahi. ʻAʻole anei he mea kupaianaha kēlā?

I kēia manawa, e nānā kākou i ke ʻano o ka "reflex". ʻO ka reflex kahi pane ʻiʻo a ko mākou kino e hana aunoa ai, me ka ʻole o ko mākou noʻonoʻo ʻana, i kahi stimulus. E noʻonoʻo, inā hoʻopā koke kekahi i kou mau maka me kahi mea, e pani koke ʻoe i kou mau maka, ʻeā? He mea like ia. Ma ka hōʻailona Babinski, ʻo ka stimulus ka hamo ʻana i ka ʻūhā o ka wāwae. He mau mea kēia e hana aunoa ʻia, ʻaʻole nā ​​​​mea a mākou e hana ai me ka ʻike.

ʻO ka hōʻailona Babinski kahi hoʻāʻo i hana ʻia e ʻike ai pehea e hana ai ka ʻōnaehana nerve o kahi pēpē, i kapa ʻia ʻo plantar reflex . ʻO ka hoʻāʻo plantar reflex kekahi o nā hoʻokolohua neurological he nui a ke kauka o kāu pēpē e hana ai e nānā i ka hana o ka lolo o kāu pēpē, nā aʻalolo, a me ke kaula spinal.

Hoʻāʻo ʻia ka plantar reflex ma ke kaomi ʻana i ke kapuwaʻi o ka wāwae. E kaomi mālie ke kauka mai ke kuʻekuʻe wāwae o ke pēpē, a i ka manamana wāwae liʻiliʻi, a laila mai laila a i ka manamana wāwae nui. Inā hāpai ʻia ka manamana wāwae nui a hohola ʻia nā manamana wāwae ʻē aʻe, ʻōlelo mākou aia kahi "hōʻailona Babinski."

ʻO ka mea nui , he mea maʻamau kēia hōʻailona Babinski i nā keiki ʻōpio, ʻoiai hoʻi ka poʻe ma lalo o ʻelua makahiki. Eia nō naʻe, inā loaʻa kēia hōʻailona i nā keiki ma luna o ʻelua makahiki a i ʻole i nā pākeke, ʻo ia hoʻi he hōʻino paha i kā lākou ʻōnaehana nerve motor, ʻo ia hoʻi, ma ka lolo a i ʻole ke kaula spinal.

Ua ʻike mua ʻia kēia hōʻailona i ka makahiki 1896 e ke kauka neurologist ʻo Joseph Babinski. ʻO ia ke kumu i kapa ʻia ai ma muli ona. I kekahi manawa ua kapa ʻia ʻo ia ʻo "extensor plantar reflex."

No ke aha i ʻike ʻia ai kēia hōʻailona Babinski?

I mea e maopopo ai ke kumu o kēia, pono kākou e ʻike iki e pili ana i kā kākou ʻōnaehana nerve. Aia kekahi ala kūikawā o nā olonā nerve e holo ana mai ko kākou lolo a iho i lalo i ko kākou kaula spinal. Ua kapa ʻia kēia heUa kapa ʻia ʻo ia ʻo Corticospinal Tract (CST). ʻO kēia ka mea e kōkua iā mākou e neʻe, ʻo ia hoʻi, e hoʻoneʻe i ko mākou mau lālā. I ka pololei, he ala koʻikoʻi kēia e lawe ana i nā kauoha neʻe mai ka lolo a iho i ke kaula spinal.

Nānā nā kauka i ke olakino o kēia ala corticospinal (CST) ma ka hoʻāʻo ʻana i ka plantar reflex a me ka ʻimi ʻana i ka hōʻailona Babinski. Ke kau ʻia ke kaomi ma ke kapuaʻi o ka wāwae o kahi pēpē, lawe nā olonā nerve i kēlā ʻike ma kēia ala i ke kaula spinal a me ka lolo. A laila pane ka lolo ma ka haʻi ʻana i ka wāwae e neʻe.

ʻAʻole i piha ka ʻōpū corticospinal (CST) o nā pēpē ʻōpio, ʻo ia hoʻi, ʻaʻole i ulu piha. Ua like ia me ka manawa e pono ai no kahi mea kanu liʻiliʻi e ulu a lilo i lāʻau nui. Ma muli o kēia ʻōpū ʻole i ʻike ai nā pēpē ʻōpio i ka hōʻailona Babinski. Akā i ka wā e ulu ai nā keiki, ulu a ulu pū kēia ʻōpū corticospinal (CST). A laila, ma kahi o ʻelua makahiki, nalowale kēia hōʻailona Babinski.

No laila he aha kēia plantar grasp reflex?

ʻO ka reflex e pani ana i ka hōʻailona Babinski ma hope o ʻelua makahiki ua kapa ʻia ʻo Plantar Grasp Reflex . Inā ʻoe e kau i kou manamana lima ma lalo o nā manamana wāwae o kāu pēpē, e ʻōwili koke ʻo ia i kona mau manamana wāwae a puni kou manamana lima, me he mea lā e hopu ana iā ia. Noho kēia reflex me mākou a hiki i ka wā makua. ʻO kēia ka pane maʻamau i ka Plantar Reflex i nā poʻe ma luna o ʻelua makahiki. Hōʻike kēia i ke kauka e hana pono ana kāu ʻōnaehana motor.

ʻO ka ʻokoʻa nui ma waena o ka hōʻailona Babinski a me ka Plantar Grasp Reflex ʻo ia ke kuhikuhi e neʻe ai nā manamana wāwae. Ua like ia me ka hoʻohuli ʻana i ke kukui a me ke pio ʻana:

• Hōʻailona Babinski: Neʻe nā manamana lima i luna a i waho, me he mea lā e hoʻā ana ʻoe i ke kukui.
• ʻO ka Plantar Grisp Reflex: Kūlou nā manamana wāwae i lalo. E like me ke kinai ʻana i ke kuapo kukui.

Maopopo iā ʻoe ka ʻokoʻa? I luna i kekahi hihia, i lalo i kekahi.

I ka manawa hea e nalowale ai ka hōʻailona Babinski?

ʻO ka maʻamau, nalowale ka hōʻailona Babinski i ka wā e piha ai kāu keiki i ʻelua makahiki. Eia naʻe, ʻaʻole i loaʻa i nā pēpē āpau i ka wā e piha ai lākou i ʻelua makahiki. Hiki i kekahi mau pēpē ke nalowale i kēia reflex ma mua, ʻoiai i loko o ka makahiki mua.

Hiki i nā pākeke ke loaʻa ka hōʻailona Babinski? He aha inā loaʻa iā lākou?

ʻAe, inā loaʻa i kahi pākeke a keiki paha ma luna o ʻelua mau makahiki ka hōʻailona Babinski, hōʻike ia i kahi pilikia me kā lākou Central Nervous System (CNS)., ʻo ia hoʻi, ua hōʻino ʻia kekahi mau ʻāpana o ka lolo a i ʻole ke kaula kuamoʻo e kaohi ana i ka neʻe ʻana.

Eia kekahi o nā kūlana o ka ʻōnaehana nerve waena (CNS) hiki ke ʻike ʻia ka reflex Babinski ma hope o nā makahiki ʻelua:

• ALS ( Amyotrophic Lateral Sclerosis ) - He maʻi kēia e hoʻonāwaliwali mālie ai nā ʻiʻo.
• ʻŌpū lolo
• Meningitis - ʻO ke ʻano kēia o ka mumū o nā membrane e uhi ana i ka lolo.
• Multiple Sclerosis - He maʻi e hōʻino ai i nā ʻūpā aʻalolo.
• ʻO nā kūlana neurodegenerative, e like me ka maʻi Alzheimer , he mau kūlana ia e hōʻino mālie ai ka ʻōnaehana nerve.
• ʻEha o ke kaula kuamoʻo.
• Hahau ʻana .

Hiki i kēia mau kūlana ke hoʻoulu i ka hōʻailona Babinski i loko o kahi kanaka makua.

Pehea e hana ʻia ai ka hoʻāʻo Plantar Reflex?

He hoʻāʻo wikiwiki a ʻeha ʻole ka hoʻāʻo plantar reflex e nānā i ke alo o ka hōʻailona Babinski. Hiki ke hana ʻia e kahi pediatrician a neurologist paha i ka wā hānau, i ka wā o kahi kipa olakino, a i ʻole i ka wā o kahi hoʻokolokolo neurological o nā pākeke i manaʻo ʻia he pilikia ka ʻōnaehana nerve waena (CNS).

Penei ka hana ʻana o kēia hoʻāʻo:

1. ʻO ka mea mua, e noi aku ke kauka iā ʻoe a i ʻole kāu keiki e wehe i kou mau kāmaʻa a me nā soka a noho a moe paha.

2. A laila, me ka hoʻohana ʻana i kahi mea kani palupalu - no ka laʻana, kahi mea hoʻohaʻahaʻa alelo a i ʻole ka hāmare reflex - e neʻe mālie ʻia ke kapuwaʻi o ka wāwae, me kahi neʻe hamo, i luna mai ke kuʻekuʻe wāwae a i ke kumu o ka manamana wāwae nui.

3. I ka hana ʻana pēlā, e nānā ke kauka e ʻike inā e piʻi aʻe ka manamana wāwae nui (dorsiflexion) a inā ua hohola ʻia nā manamana wāwae ʻē aʻe.

Inā he emi ma lalo o ʻelima mau manamana wāwae kou a i ʻole kāu keiki, a inā he hopena ʻē aʻe ma ke kapuwaʻi o ka wāwae, aia kekahi mau ala ʻē aʻe e nānā ai i ka reflex Babinski.

Pono e hana ʻia kēia neʻe ʻana o ka reflex i ka wā e neʻe ai ke kauka i ka mea kani ma ke kapuwaʻi o ka wāwae. Hiki i ka hopena ke "maikaʻi" a i ʻole "maikaʻi ʻole".

He aha ka hōʻailona "maikaʻi" ʻo Babinski?

ʻO ka hōʻailona "maikaʻi" ʻo Babinski ʻo ia hoʻi, i ka wā o ka hoʻāʻo plantar reflex, ua hāpai ʻia kou manamana wāwae nui a ua hohola ʻia kou mau manamana wāwae ʻē aʻe.

E hoʻomanaʻo, he mea maʻamau ka hōʻailona "maikaʻi" ʻo Babinski no nā keiki ma lalo o ʻelua makahiki.Akā inā "maikaʻi" ia i nā keiki ma luna o ʻelua mau makahiki a i ʻole nā ​​​​mākua, he mea ʻē ia. He hōʻailona paha ia o kahi maʻi o ka ʻōnaehana nerve waena (CNS).

He aha ka reflex plantar "maikaʻi ʻole"?

ʻO ka reflex plantar "maikaʻi ʻole" ʻo ia hoʻi ʻaʻole i pane kou mau manamana wāwae i ka hoʻāʻo reflex plantar, a i ʻole ua kūlou kou mau manamana wāwae i lalo ma kahi o ka piʻi ʻana i luna (plantar grasp reflex).

Pono ka hoʻāʻo plantar reflex "maikaʻi ʻole" e maʻamau ma hope o ʻelua makahiki. Hiki i kekahi mau keiki ke nalowale i ka reflex Babinski ma mua o ʻelua makahiki a loaʻa i kahi reflex plantar grasp.

I kekahi manawa ʻaʻohe neʻe iki. Hōʻike paha kēia he nāwaliwali ke ʻano o ka hoʻouna ʻana o ke kaula iwi kuamoʻo o kāu keiki i nā leka i nā ʻāpana like ʻole o ke kino.

ʻO ka mea hope loa, nā mea e hoʻomanaʻo ai

He nui nā reflexes hou a kāu keiki liʻiliʻi. Ke aʻo pū nei paha ʻoe e pili ana iā lākou. E ʻike mua paha ʻoe i ka hōʻailona Babinski ma ka ulia pōpilikia, malia paha i ka wā e ʻauʻau ana i kāu pēpē a hamo i ko lākou mau wāwae, a i ʻole i ka wā e ʻoniʻoni ana iā lākou e ʻakaʻaka ai lākou. E kahaha ʻoe i ke ʻano o ka neʻe ʻana o ko lākou mau manamana wāwae ke hamo ʻoe i ko lākou mau wāwae. A laila, he mea kupaianaha ke ʻano o ka hana pū ʻana o ka lolo a me nā ʻiʻo o kāu pēpē e hana i kēia neʻe ʻana.

Kōkua kēia reflex hiki ke hoʻāʻo ʻia i nā kauka e hoʻomaopopo pehea e kamaʻilio ai ka lolo a me ke kaula iwi kuamoʻo o kāu pēpē. Nalo kēia reflex i loko o ko lākou mau makahiki ʻelua mua.

Inā ʻike koke ʻoe ua loaʻa i kāu keiki kēia hōʻailona Babinski ma hope o ʻelua makahiki, mai hopohopo. E haʻi i ke kauka o kāu keiki e pili ana i ia mea. Hiki iā lākou ke kōkua iā ʻoe i ka mea e hana ai ma hope, inā pono.

Manaʻolana wau he kōkua kēia ʻike iā ʻoe. E hoʻomanaʻo mau, inā he kānalua a nīnau paha kāu, ʻoi aku ka maikaʻi o ka ʻimi ʻana i ke aʻo lapaʻau.

ʻO ka hōʻailona Babinski, plantar reflex, nā reflexes pēpē, ʻōnaehana nerve, ka ulu ʻana o ka lolo, ke olakino o ke keiki, nā hoʻokolohua neurological