Ua ʻike anei ʻoe i ke kauka e paʻi ana i kou kuli me kahi hāmare laholio liʻiliʻi? Ke paʻi ʻoe i kou kuli, lele hou kou wāwae i luna, ʻeā? He pane pale aunoa kēia i loko o ko mākou kino. Akā i kekahi manawa, loaʻa iā mākou ka pane liʻiliʻi a ʻaʻohe pane iki. ʻO ia ka mea a mākou e kamaʻilio ai i kēia lā.
He aha ka Hyporeflexia?
I ka ʻōlelo maʻalahi, ʻo Hyporeflexia ka emi ʻana o ka pane reflex o ko mākou mau ʻiʻo. I kekahi manawa hiki ke nalowale loa kēia pane, a mākou e kapa nei he areflexia.
E noʻonoʻo penei: ʻO nā reflexes kahi ʻōnaehana hana ponoʻī a kou kino e pale aku ai iā ʻoe mai kahi mea e hiki ke hōʻeha iā ʻoe. Hana ʻia kēia pane ma o kahi ala kūikawā e hoʻouna ai i nā leka aʻalolo. Kāhea mākou i kēia ʻo 'reflex arc'. He ʻekolu ona ʻāpana nui:
1. ʻĀpana ʻike: Nā aʻalolo e lawe ana i ka ʻike e pili ana i ka pōʻino a i ʻole ka hoʻoulu ʻana.
2. ʻĀpana waena: ʻO ia ko kākou iwi kuamoʻo.
3. ʻĀpana neʻe: Nā aʻalolo e lawe i nā leka i nā ʻiʻo e hoʻokō i nā kauoha i loaʻa mai ke kaula kuamoʻo.
Inā he pōʻino ma kekahi wahi ma kēia huakaʻi, inā paha i nā aʻalolo sensory, ke kaula spinal, a i ʻole nā aʻalolo motor, ʻaʻole kūpono kēlā pane. ʻO ia ka manawa e kū mai ai ʻo Hyporeflexia. He hōʻailona maʻamau kēia he pilikia me ka ʻōnaehana nerve, ʻaʻole he maʻi ʻokoʻa.
Aia kekahi ʻaoʻao ʻē aʻe o kēia, i kapa ʻia ʻo hyperreflexia. ʻO ia ka wā e pane nui ai nā ʻiʻo.
ʻO ka hapa nui o ka manawa, ʻaʻole ʻike ka mea me ka hyporeflexia i kekahi ʻeha nui. Eia nō naʻe, no ke kauka neurologist, he hōʻailona koʻikoʻi loa kēia e ʻike ai.
Pehea e ʻike ai ke kauka i kēia?
Ke nānā ke kauka i kou ʻōnaehana nerve (hoʻokolohua neurological), e hana lākou i kahi hoʻāʻo 'Deep Tendon Reflex' (DTR) e nānā no ka hyporeflexia. ʻO ka mea kaulana loa o kēia ka hoʻāʻo hāmare, a mākou a pau i ʻike ai.
Pehea e hana ʻia ai ka hoʻokolokolo kuli
Ke kuʻi ke kauka i kou kuli me ka hāmare laholio, e huki ʻia ke aʻalolo patellar a me ka ʻiʻo ʻūhā i hoʻopili ʻia iā ia. I kēlā manawa, hele wikiwiki loa ka leka "muscle pulled" i ke kaula spinal ma o nā neurons sensory.
Pane koke ke kaula iwi kuamoʻo i kēlā, e hoʻouna ana i kahi leka ma o nā neurons motor i kēlā ʻiʻo e ʻūlū. ʻO kēlā ʻūlū ke kumu e lele koke ai kou wāwae i luna.
Inā loaʻa iā ʻoe ka hyporeflexia, hiki i kou wāwae ke neʻe nāwaliwali loa , a ʻaʻole loa paha .
He mea nui loa ia e noho mālie ʻoe i ka wā o kēia hoʻokolohua. Inā nui kou manaʻo ma kēia a i ʻole ʻoe e hopohopo, hiki ke hewa nā hopena. ʻO ia ke kumu i kekahi manawa e nīnau aku ai ke kauka iā ʻoe e pili ana i kahi mea ʻē aʻe a hoʻohuli iā ʻoe ma ke kaomi ʻana ma kēia.
Ma waho aʻe o ke kuli, hiki ke hoʻāʻo ʻia nā pane ma nā wahi ʻē aʻe.
| Wahi nānā | Wehewehena |
|---|---|
| Kuʻekuʻe | Ma ke kua o ke kuʻekuʻe lima. |
| Kulou lima | ʻO loko o ka lima kahi e kūlou ai ka lima. |
| Pūlima a me ka kuʻekuʻe wāwae | Ma ka pili ʻana me kēia mau hono. |
| ʻUwae | Nā ʻiʻo ʻauwae. |
He aha paha ke kumu o kēia?
Hiki ke hana ʻia ka Hyporeflexia e ka hōʻino ʻia ma nā wahi āpau ma ke 'reflex arc' a mākou i kūkākūkā ai ma mua. Aia kekahi mau maʻi neurological nui a me nā kūlana e hiki ke hoʻopilikia i kēia:
- ʻO nā Neuropathies Peripheral: Pili kēia i ka hōʻino ʻana i nā aʻalolo e holo ana mai ko mākou lolo a me ke kaula spinal. Hoʻoulu pinepine ia i ka mae ʻole, ka ʻeha, a me ka nāwaliwali o nā ʻiʻo ma nā lima a me nā wāwae.
- ʻO ka maʻi Guillain-Barre:He maʻi autoimmune kakaikahi loa kēia. ʻO ka mea e hana ʻia ma ʻaneʻi, ʻo ia ka hoʻouka ʻana o kā mākou ʻōnaehana pale ponoʻī i ko mākou mau aʻalolo ponoʻī. Hoʻopau kēia ʻano i ka 'uhi' (myelin) a puni nā aʻalolo a hiki ke holomua koke i loko o kekahi mau lā wale nō.
- CIDP (Chronic Inflammatory Demyelinating Polyneuropathy): Ua like kēia me Guillain-Barre, akā lohi iki ia i kahi manawa lōʻihi.
- Nā ʻeha o ke kaula kuamoʻo: Hiki ke hana ʻia kēia ʻano ke hōʻino nui ʻia ke kaula kuamoʻo a i ʻole ke kaula kuamoʻo, e like me kahi ulia kaʻa a hāʻule paha. ʻOiai hiki ke loaʻa ka hyporeflexia i ka wā mua, i ka hala ʻana o ka manawa, hiki ke ulu ka hyperreflexia, kahi e hoʻonui ʻia ai ka pane ma lalo o ka pae o ka ʻeha.
- ALS (Amyotrophic Lateral Sclerosis): He maʻi neurological holomua nō hoʻi kēia. Eia nō naʻe, i kēia hihia, ʻo ka mea i ʻike pinepine ʻia he piʻi ʻana o nā pane (Hyperreflexia) ma mua o ka emi ʻana.
- ʻO Lambert-Eaton Myasthenic Syndrome (LEMS): He ʻano laha ʻole kēia. Hoʻopilikia ia i ka pilina ma waena o nā aʻalolo a me nā ʻiʻo.
Pehea e mālama ʻia ai ka hyporeflexia?
ʻAʻohe lāʻau lapaʻau pololei no kēia. No ka mea, ʻaʻole kēia he maʻi, akā he hōʻailona o kahi maʻi ʻē aʻe. No laila, ʻo ka mea a nā kauka e hana ai, ʻo ia ke ʻike pono i ke kumu o kēia a mālama i ka maʻi kumu.
No ka laʻana, ua mālama ʻia ka maʻi Guillain-Barre me nā lāʻau pale kūikawā (IVIg) e pili ana i ka ʻōnaehana pale a i ʻole nā lāʻau lapaʻau hoʻololi plasma.
Āhea wau e ʻike ai i ke kauka?
He nīnau koʻikoʻi loa kēia. E hoʻomanaʻo, he nāwaliwali iki nā reflexes o kekahi poʻe. Inā ʻaʻohe ʻeha ʻē aʻe, ʻaʻole ia he pilikia nui.
Eia nō naʻe, inā he mau hōʻailona ʻē aʻe kāu ma lalo nei me kēia pane nāwaliwali, pono ʻoe e ʻike i kāu kauka .
| Inā loaʻa iā ʻoe ka hyporeflexia me kēia mau hōʻailona, e ʻike koke i ke kauka. | |
|---|---|
| Nāwaliwali o nā ʻiʻo | Inā manaʻo ʻoe e emi ana ka ikaika o kou lima a wāwae paha me ke kumu ʻole. |
| Ka hoʻopau ʻana o nā ʻiʻo (Atrophy) | Inā manaʻo ʻoe e nalowale ana kou nui o nā ʻiʻo a wīwī. |
| Ka nalowale o ke kaulike i loko o ke kino | Inā manaʻo ʻoe e nalowale ana kou kaulike i ka wā e hele ana a kū paha. |
| Ka mae a i ʻole ka emi ʻana o ka manaʻo | Inā he ʻeha a nalowale paha ka ʻike ma kou mau lima a mau wāwae paha. |
E nānā kāu kauka ʻohana iā ʻoe a, inā pono, e kuhikuhi iā ʻoe i kahi neurologist no ka hoʻāʻo hou aku.
Leka Lawe-Home
- ʻAʻole maʻi ka Hyporeflexia, akā he hōʻailona e hōʻike ana i ka pane maikaʻi ʻole o nā ʻiʻo.
- ʻIke pinepine ʻia kēia i ka wā o ka hoʻokolokolo neurological (e like me ke kuʻi ʻana i ke kuli) i hana ʻia e ke kauka.
- He mea maʻamau paha i kekahi poʻe ke loaʻa kahi pane nāwaliwali me ka ʻole o nā hōʻailona ʻē aʻe.
- Eia nō naʻe, inā hele pū kēia ʻano me nā hōʻailona ʻē aʻe e like me ka nāwaliwali o nā ʻiʻo, ka ʻeha ʻana o ka ʻiʻo, a i ʻole ka nalowale o ke kaulike, e ʻimi pono i ke kōkua lapaʻau.
- Hoʻopili ʻia ka lāʻau lapaʻau i ke kūlana kumu i hoʻokumu ai i kēia.
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