Ke manaʻo nei ʻoe i kekahi manawa e nalowale ana kou kaulike a i ʻole e luliluli ana ʻoe ke kū ʻoe i luna a hele paha? A i ʻole he pilikia kēia no kekahi kanaka ʻelemakule i loko o kou home? Nui nā kumu no ka nalowale ʻana o ke kaulike. No laila, i kēia lā e kamaʻilio mākou e pili ana i kahi hoʻokolohua maʻalahi loa, akā koʻikoʻi loa a nā kauka e hoʻohana ai e ʻike i ke kumu. ʻO ia ka hoʻāʻo Romberg, a i ʻole 'Romberg Test'.
He aha ka hoʻāʻo Romberg ma ka ʻōlelo maʻalahi?
I ka ʻōlelo maʻalahi, ʻo ka Romberg Test kahi hoʻāʻo kino maʻalahi loa e nānā ai inā he pilikia kou me ke kaulike o kou kino, a inā pili ke kumu i kahi mea i kapa ʻia ʻo proprioception.
I kēia manawa, ke noʻonoʻo nei paha ʻoe i ke ʻano o ka 'proprioception'. He mea maʻalahi loa ia. ʻO ke ala ia e ʻike ai ko mākou lolo i ke kūlana o ko mākou kino, nā neʻe a mākou e hana ai . E noʻonoʻo wale, ʻoiai inā ʻoe e pani i kou mau maka, hiki nō iā ʻoe ke ʻike i kahi o kou lima, kahi o kou wāwae. ʻO ia ka mea a mākou e kapa nei he 'proprioception'.
Hoʻokele ʻia kēia hiki e kahi ala aʻalolo kūikawā i loko o ko kākou lolo a me ke kaula kuamoʻo. Kāhea mākou i kēia ʻo ke 'ala kolamu dorsal'. No laila, ʻo ka 'Hoʻāʻo Romberg' ke nānā nui nei inā e hana pono ana kēia ala aʻalolo.
He maʻalahi loa kēia hoʻāʻo. ʻO kāu wale nō e hana ai, ʻo ke kū me kou mau wāwae i hui pū ʻia a me kou mau lima i pelu ʻia ma kou ʻaoʻao a i ʻole ma kou umauma. ʻO ka mea mua, pono ʻoe e wehe i kou mau maka, a laila e pani iā lākou. I loko o kēia manawa, e nānā pono ke kauka iā ʻoe a nānā inā e wiliwili ana kou kino a nalowale paha kona kaulike.
Pehea mākou e mālama ai i ke kaulike i loko o ko mākou kino?
He mea kupaianaha loa ke kaulike o ko kākou kino. Hoʻomalu ʻia ia e ka hui pū ʻana o kekahi mau ʻōnaehana. Ua like ia me ka hana hui pū ʻana. ʻEkolu mau ʻōnaehana nui e kōkua i kēia.
- ʻIke: ʻO nā mea a mākou e ʻike ai me ko mākou mau maka. Hoʻouna ko mākou mau maka i ka ʻike i ka lolo e pili ana i ke ʻano o ko mākou kūlana e pili ana i nā mea a puni mākou.
- ʻO ka Proprioception: E like me kaʻu i ʻōlelo ai ma mua, ʻo ia nā hōʻailona i loaʻa i ko mākou lolo e pili ana i kahi o ko mākou mau lālā, nā hono, a me nā ʻiʻo. Hoʻomaopopo ko mākou mau wāwae inā he pālahalaha a he pōhaku paha ka honua.
- ʻŌnaehana Vestibular: Aia kēia ma ko kākou pepeiao i loko. Kōkua kēia ʻōnaehana i ka hoʻomalu ʻana i ke kaulike o ko kākou kino ke hoʻohuli kākou i ko kākou mau poʻo, hele, a lele.
No laila, ʻo ka mea e hana ʻia ma ka `Romberg Test` ʻo ia ka wā e pani ai ʻoe i kou mau maka, ua wehe ʻia kekahi o nā kumu nui ʻekolu e kāohi ana i ke kaulike (ʻike). A laila pono ke kino e hilinaʻi wale i nā ʻōnaehana ʻelua ʻē aʻe (proprioception a me ka ʻōnaehana vestibular). Inā nalowale ke kaulike i kou pani ʻana i kou mau maka, hōʻike pinepine ia he nāwaliwali kekahi i kāu ʻōnaehana `proprioception`, ʻo ia hoʻi, ma kēlā ala nerve `dorsal column`.
I nā kūlana hea e hana ai ke kauka i ka hoʻāʻo Romberg?
ʻO ka maʻamau, ke hele ʻoe e ʻike i ke kauka, ʻōlelo ʻoe he:
- Manaʻo mau i ka puni
- Manaʻo wau ʻaʻohe oʻu kaulike i koʻu hele ʻana.
- Kokoke mau e hāʻule a hāʻule paha
I nā hihia e like me kēia, e hana maoli ke kauka i ka `Romberg Test`. Hana ʻia kēia ma ke ʻano he ʻāpana o ka hoʻokolokolo kino maʻamau e pili ana i ka ʻōnaehana nerve.
Kōkua kēia hoʻāʻo i ka ʻike ʻana a me ka hōʻoia ʻana i nā ʻano maʻi neurological like ʻole. Eia kekahi laʻana:
- ka maʻi o Parkinson
- ʻO ka ataxia o Friedreich
- Ka nele o ka wikamina B12
- ʻO ka syphilis tertiary (ke kahua hope loa o ka syphilis)
- ʻO ke ʻano ʻo 'Normal Pressure Hydrocephalus (NPH)' he kūlana ia e hiki ke loaʻa i nā poʻe ʻelemakule e hāʻule pinepine ana.
- ʻO ka maʻi Wernicke
- ka maʻi o Meniere
- A me kekahi mau maʻi ʻē aʻe e pili ana i ka ʻōnaehana nerve.
Pehea e hana ai i kēia hoʻāʻo? He maʻalahi loa ia!
He hoʻāʻo maʻalahi loa kēia e hiki ke hana ʻia i loko o kekahi mau minuke.
1. ʻO ka mea mua, noi lākou iā ʻoe e wehe i kou mau kāmaʻa.
2. A laila pono ʻoe e kū pololei me kou mau wāwae e hui pū ana.
3. Hiki iā ʻoe ke hoʻopaʻa i kou mau lima i lalo ma kou ʻaoʻao a i ʻole e kau iā lākou ma kou umauma.
4. I kēia manawa, e wehe i kou mau maka a e hoʻāʻo e neʻe ʻole no kahi o 30 kekona. I loko o kēia manawa, e nānā ana ke kauka iā ʻoe.
5. A laila, e pani i kou mau maka e like me ʻoe. I kēia manawa, pono ʻoe e noho pēlā no kahi o 30 kekona a i ʻole hoʻokahi minuke. I kēia manawa, e nānā pono ke kauka i kou kaulike.
Mai hopohopo, eia koke ke kauka e hopu iā ʻoe inā hāʻule ʻoe. Eia kekahi, ma mua o ka hana ʻana i kēia hoʻāʻo, wehe mākou i nā mea a puni kou kua e hiki ai ke hāʻule. No laila he hoʻāʻo palekana loa kēia.
He aha nā hopena? He aha nā mea maikaʻi a me nā mea maikaʻi ʻole?
Ke pau ka hoʻāʻo ʻana, hiki i ke kauka ke haʻi iā ʻoe i nā hopena. ʻElua ʻano o kēia mau hopena. E nānā kākou i kēia papa e hoʻomaopopo pono ai.
| Hopena | Manaʻo maʻalahi |
|---|---|
| Hoʻāʻo Romberg maikaʻi | ʻO ke ʻano kēia, ke wehe ʻia kou mau maka, ua maikaʻi, akā i kou pani ʻana i kou mau maka, nalowale kou kaulike . Hoʻomaka kou kino e neʻe a hāʻule. Hōʻike kēia e pili ana paha ke kumu o kou pilikia kaulike i ka proprioception , ʻo ia hoʻi he pilikia paha me ke ala o ke aʻalolo kolamu dorsal. |
| Hoʻāʻo Romberg maikaʻi ʻole | ʻO ke ʻano kēia hiki iā ʻoe ke mālama i kou kaulike me kou mau maka e hāmama ana a pani ʻia, e like me kāu hiki me kou mau maka e pani ʻia ana . He mea maʻamau ka neʻe iki ʻana, akā ʻaʻole ʻoe e hāʻule. ʻO ke ʻano kēia, hiki ke hoʻokumu ʻia kou pilikia kaulike e kekahi mea ʻē aʻe ma mua o ka proprioception, e like me ka pilikia me kou pepeiao o loko (ʻōnaehana vestibular). |
ʻO ka mea nui, ʻaʻole e haʻi pololei ka hoʻāʻo Romberg maikaʻi iā ʻoe i ke ʻano o ka pilikia . Hāʻawi wale ia iā ʻoe i kahi manaʻo maʻamau o kahi o ka pilikia. A laila e kauoha ke kauka i nā hoʻokolohua hou aʻe (e laʻa me ka MRI scan, nā hoʻokolohua koko) e ʻike i ke kumu pololei.
Pono anei au e ʻike i ke kauka?
ʻAe, ʻoiaʻiʻo nō. ʻAʻole pono e hoʻowahāwahā ʻia nā pilikia kaulike. Hiki i ka hāʻule ʻana ke alakaʻi i nā ʻeha koʻikoʻi. Inā loaʻa iā ʻoe kekahi o nā hōʻailona ma lalo nei, e ʻike pono i kāu kauka .
| Nā hōʻailona e pono ai ke kuhikuhi iā ʻoe e ʻike i kāu kauka |
|---|
| - Ke kūpaʻa ʻole, kahi manaʻo o ka kūpaʻa ʻole |
| - Pōʻino |
| - Māmā ke poʻo, me he mea lā e lana ana ʻoe |
| - ʻIke pōwehiwehi |
| - Ka nalowale ʻana o ke kaulike a me ka hāʻule ʻana a i ʻole ka hāʻule ʻana |
| - Manaʻo e like me nā mea a puni ʻoe e wili ana |
| - Manaʻo e like me ʻoe e neʻe ana ʻoiai ʻoe e kū mālie ana |
Leka Lawe-Home
- He hoʻāʻo maʻalahi loa, palekana, a wikiwiki hoʻi ka Romberg Test e nānā ai i nā pilikia kaulike i loko o kou kino.
- ʻImi nui kēia i nā mea ʻē aʻe i loko o ka ʻōnaehana i kapa ʻia ʻo 'proprioception', ka mea e hoʻouna i ka ʻike i ka lolo e pili ana i ke kūlana o kou kino.
- ʻO ke ʻano o ka hoʻāʻo "maikaʻi" ʻo ia hoʻi ka nalowale ʻana o ke kaulike o ka mea maʻi ke pani ʻia nā maka. Hōʻike kēia i kahi pilikia me ka ʻōnaehana nerve.
- Inā loaʻa iā ʻoe nā pilikia e like me ka poniuniu, ka paʻakikī i ka hele wāwae, ka poniuniu, a i ʻole ka hāʻule ʻana, mai hoʻowahāwahā iā ia a e ʻike pono i ke kauka no ka ʻōlelo aʻo .
- ʻO kahi hoʻāʻo maʻalahi e like me kēia hiki ke lilo i ka hana mua a koʻikoʻi loa i ka ʻike ʻana i ke kumu o kāu pilikia a me ka loaʻa ʻana o ka lāʻau kūpono.
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