Ke ʻoni nei kou mau ʻiʻo i kahi mele? E kamaʻilio kākou e pili ana iā Clonus!

Ua manaʻo paha ʻoe e like me nā ʻiʻo o kou wāwae, ʻoi aku hoʻi ma ke kuʻekuʻe wāwae, e neʻe mau ana i ka manawa like? Malia paha ua nānā ke kauka i kou wāwae a ʻike ʻo ia e neʻe ana ia ke kūlou ʻoe i luna. ʻO kēia ka mea a mākou e kapa nei he "clonus" i ka lāʻau lapaʻau. Mai hopohopo ke lohe ʻoe i kēia. ʻAʻole kēia he maʻi, akā hiki ke lilo i hōʻailona he hewa kekahi mea me ko mākou kino, ʻoi aku hoʻi ka ʻōnaehana nerve. No laila, e kamaʻilio kākou e pili ana i kēia i kēia lā me ka maʻalahi a me ka maopopo.

He aha maoli ʻo Clonus?

I ka ʻōlelo maʻalahi, he reflex maʻamau ʻole ka clonus. ʻO ka reflex kahi mea e hana koke ʻia, me ka ʻole o kā mākou kaohi. E noʻonoʻo e like me ka wā e huki koke ai mākou i ko mākou lima i ka wā e pā ai kahi mea wela i ko mākou lima. He reflex ia. Kōkua kēia i ka pale ʻana i ko mākou kino mai ka pōʻino.

Ke hana ke kauka i kahi hoʻokolohua neurological, hoʻāʻo lākou i kēia mau reflexes. Ua ʻike paha ʻoe iā lākou e kuʻi ana i ke kuli me ka mallet rubber. A laila lele ka wāwae i mua e like me ka reflex maʻamau.

ʻO Clonus kahi kūlana kahi e huki koke ʻia ai kahi ʻiʻo, e hoʻoulu ai iā ia e ʻoniʻoni ma ke ʻano rhythmic. Ua like ia me ke kuʻi ʻana i ka pahu. ʻIke pinepine ʻia kēia ma ka hui kuʻekuʻe wāwae. Inā kūlou ikaika ke kauka i kou wāwae i luna, e lele ka wāwae o ke kanaka me clonus i luna a i lalo. I kekahi manawa e pau kēia ma kāna iho, a i ʻole e hoʻomau ia i ka ʻoniʻoni a hiki i ka wehe ʻana o ke kauka i ke kaomi ma ka wāwae.

ʻAʻole hiki ke loaʻa kēia kūlana ma ka kuʻekuʻe wāwae wale nō, akā ma nā wahi ʻē aʻe.

• Nā kuli
• Nā pulima lima
• Manamana lima
• ʻAuwae

ʻO Clonus kahi ʻāpana o kahi maʻi i kapa ʻia ʻo hyperreflexia . ʻO ke ʻano kēia, ua hoʻāla nui ʻia nā reflexes, wikiwiki, a ʻoi aku ka ikaika ma mua o ka maʻamau. Hōʻike kēia he pilikia i loko o kā mākou ʻōnaehana nerve waena , ʻo ia hoʻi, i loko o ka lolo a i ʻole ke kaula spinal.

He aha ka ʻokoʻa ma waena o clonus a me myoclonus?

He mea huikau paha kēia mau inoa ʻelua i kekahi poʻe no ka mea ua like iki lāua. Akā, aia kahi ʻokoʻa nui ma waena o nā mea ʻelua. E nānā kākou iā ia ma kahi papa.

I kekahi mau kūlana neurological, hiki ke ʻike pū ʻia nā mea ʻelua.

He aha ke kumu o ka clonus?

ʻO ke kumu nui o ka clonus he ʻeha neuron motor luna . He huaʻōlelo paʻakikī paha kēia, akā ʻo ia hoʻi, ua hōʻino ʻia nā pūnaewele neuron motor luna e lawe ana i nā leka mai ko mākou lolo i ko mākou mau ʻiʻo ma o ke kaula spinal. ʻO kēia hōʻino ke kumu o ka lilo ʻana o nā leka mai ka lolo i waho o ke kaohi, e hoʻoulu ai i nā reflexes overactive.

Aia kekahi mau kūlana e hiki ai ke hana i kēia ʻano hōʻino:

• Hahau: Hoʻopilikia ʻia ke kahe koko i ka lolo.
• Puʻupuʻu lolo: Ka maʻi ʻaʻai a i ʻole ka ulu maʻamau ʻana o ka lolo.
• ʻEha lolo traumatic: Poino i ke poʻo mai kahi ulia.
• Nā maʻi lolo: Nā maʻi lolo e like me ka meningitis a i ʻole ka encephalitis.
• ʻEha o ke kaula kuamoʻo: Nā ʻeha koʻikoʻi i ka iwi kuamoʻo.
• ʻO ka lolo lolo: He kūlana i hōʻino ʻia e ka lolo i ka wā kamaliʻi.
• Sclerosis lehulehu (MS): He maʻi e hōʻino ai i ka uhi a puni nā aʻalolo.
• ALS (Amyotrophic Lateral Sclerosis): He maʻi e hoʻonāwaliwali mālie ai i nā aʻalolo neʻe.
• ʻO ka maʻi Serotonin:Hiki i kekahi mau lāʻau lapaʻau ke hoʻonui nui i nā pae serotonin i loko o ke kino. He kūlana weliweli paha kēia.

Inā manaʻo kekahi kauka he clonus kou, e paipai lākou i kekahi mau hoʻokolohua e ʻike i ke kumu.

• Nā hoʻāʻo koko
• ʻO ke kiʻi MRI o ka lolo a me ke kaula spinal
• Nā haʻawina hoʻoili aʻalolo
• ʻŌkuʻi iwi kuamoʻo / ʻŌkuʻi lumbar

Pehea e mālama ʻia ai?

Hoʻōla ʻia ʻo Clonus ma muli o ke kūlana kumu i hoʻokumu ai. ʻO ka mea nui ka mālama ʻana i ke kumu . No ka laʻana, inā he maʻi ia, hāʻawi ʻia nā antibiotics. I ka manawa like, hāʻawi ʻia ka lāʻau lapaʻau e hōʻemi i ke koʻikoʻi o nā hōʻailona clonus.

Nā lāʻau lapaʻau e kāohi ai i ka clonus

• ʻUmi anu: Ua hōʻike ʻia nā noiʻi e hiki i ka hoʻopili ʻana i kahi mea e like me ka ʻeke hau i wahī ʻia i loko o ke kāwele i ka ʻiʻo i hoʻopilikia ʻia ke kāohi i ka spasm no kekahi manawa. Eia nō naʻe, he mea nui e kamaʻilio me kāu kauka ma mua o ka hana ʻana i kēia.
• Nā lāʻau lapaʻau: Hoʻohana ʻia nā mea hoʻomaha ʻiʻo, e like me ka baclofen a me ka tizanidine, no kēia kumu.
• Nā inikini Botulinum toxin (Botox®): Hāʻawi pololei ʻia kēia inikini i loko o ka ʻiʻo i hoʻopilikia ʻia. Hoʻonāwaliwali ia i ka ʻiʻo no kekahi manawa a hoʻōki i ka ʻūlū ʻana. ʻO ka maʻamau, mau ka hopena ma kahi o ʻekolu mahina.

Āhea wau e ʻike ai i ke kauka?

Hiki ke paʻakikī ke ʻike maopopo inā he clonus kou a ʻaʻole paha. Pono e hōʻoia ʻia e ke kauka.

Eia nō naʻe, inā loaʻa iā ʻoe nā hōʻailona ma lalo nei, pono ʻoe e ʻike i ke kauka.

• Inā ʻoe e manaʻo i ka ʻoʻoleʻa o nā ʻiʻo (spasticity) .
• Inā ʻoe e manaʻo i ka nāwaliwali i kou mau ʻiʻo.
• Inā he loli ke ʻano hele wāwae a paʻakikī paha ka hele wāwae.
• Inā manaʻo ʻoe e neʻe ana nā ʻiʻo ma kekahi ʻāpana o kou kino me ka hiki ʻole ke kāohi.

Hiki i kēia ke lilo i mau hōʻailona mua o kahi pilikia me ka ʻōnaehana nerve. No laila, he mea nui loa e ʻike mua i ke kauka e ʻike i ke kumu. Inā loaʻa kēia ʻano haʻalulu ma hope o kahi ulia a i ʻole me nā hōʻailona o ka lolo (paʻakikī i ka ʻōlelo ʻana, ke kūlou ʻana o kekahi ʻaoʻao o ka maka), he mea nui loa e hele koke i ka Emergency Department (ETU) o ka haukapila .