Koj puas tau pom ib tug kws kho mob siv ib rab mallet roj hmab me me los ntaus koj lub hauv caug? Thaum koj ntaus koj lub hauv caug, koj txhais ceg feem ntau yuav rov qab sawv, puas yog? Qhov no yog ib qho kev tiv thaiv tsis siv neeg hauv peb lub cev. Tab sis qee zaum, peb tau txais me ntsis lossis tsis muaj kev teb li. Qhov ntawd yog qhov peb yuav tham txog hnub no.
Hyporeflexia yog dab tsi?
Hais yooj yim xwb, Hyporeflexia yog qhov txo qis ntawm peb cov leeg nqaij teb. Qee zaum qhov kev teb no tuaj yeem ploj mus tag, uas peb hu ua areflexia.
Xav txog nws li no: Reflexes yog ib lub cev tsis siv neeg uas koj lub cev muaj los tiv thaiv koj ntawm qee yam uas yuav ua rau koj raug mob. Qhov kev teb no tshwm sim los ntawm txoj kev tshwj xeeb uas xa cov lus ntawm cov hlab ntsha. Peb hu qhov no ua 'reflex arc'. Nws muaj peb ntu tseem ceeb:
1. Qhov chaw hnov lus: Cov hlab ntsha uas nqa cov ntaub ntawv hais txog kev puas tsuaj lossis kev txhawb nqa.
2. Nruab Nrab: Qhov ntawd yog peb tus txha caj qaum.
3. Qhov chaw ua haujlwm: Cov hlab ntsha uas nqa cov lus mus rau cov leeg kom ua tiav cov lus txib uas tau txais los ntawm cov hlab ntsha qaum.
Yog tias muaj kev puas tsuaj nyob rau qhov twg ntawm txoj kev no, txawm tias nws yog rau cov hlab ntsha sensory, cov hlab ntsha spinal, lossis cov hlab ntsha motor, qhov kev teb ntawd tsis tshwm sim zoo. Thaum ntawd yog thaum Hyporeflexia tshwm sim. Qhov no feem ntau yog ib qho cim qhia tias muaj teeb meem nrog lub paj hlwb, tsis yog ib yam kab mob sib cais.
Muaj lwm sab ntawm qhov no, hu ua hyperreflexia. Yog thaum cov leeg ua haujlwm ntau dhau.
Feem ntau, ib tug neeg uas muaj tus kab mob hyporeflexia tsis hnov mob hnyav. Txawm li cas los xij, rau tus kws kho mob hlwb, qhov no yog ib qho cim tseem ceeb heev rau kev kuaj mob.
Tus kws kho mob yuav kuaj pom qhov no li cas?
Thaum tus kws kho mob kuaj xyuas koj lub paj hlwb (kev kuaj mob hlwb), lawv yuav ua qhov kev kuaj 'Deep Tendon Reflex' (DTR) los xyuas seb puas muaj hyporeflexia. Qhov nto moo tshaj plaws ntawm cov no yog kev kuaj hammer, uas peb txhua tus paub.
Yuav ua li cas thiaj kuaj tau lub hauv caug
Thaum tus kws kho mob siv rab mallet roj hmab ntaus koj lub hauv caug, cov leeg nqaij ntawm lub pob tw thiab cov leeg nqaij ntawm lub duav uas txuas nrog nws yuav raug rub tawm. Lub sijhawm ntawd, cov lus "cov leeg nqaij raug rub tawm" mus sai heev rau ntawm cov hlab ntsha ntawm tus txha caj qaum los ntawm cov neurons uas hnov mob.
Cov hlab ntsha hauv lub paj hlwb tam sim ntawd teb rau qhov ntawd, xa cov lus rov qab los ntawm cov neurons mus rau cov leeg nqaij ntawd kom lawv sib zog. Qhov kev sib zog ntawd yog qhov ua rau koj ceg dhia mus rau saum ntuj.
Yog tias koj muaj tus mob hyporeflexia, koj ob txhais ceg yuav txav tsis muaj zog heev , lossis tsis txav li .
Nws yog ib qho tseem ceeb heev uas koj yuav tsum so kom txaus thaum lub sijhawm kuaj no. Yog tias koj tsom ntsoov rau qhov no lossis ntxhov siab dhau, cov txiaj ntsig yuav tsis raug. Yog vim li ntawd qee zaum tus kws kho mob yuav nug koj txog lwm yam thiab cuam tshuam koj los ntawm kev kov qhov no.
Ntxiv rau lub hauv caug, cov lus teb tuaj yeem kuaj tau hauv ntau qhov chaw.
| Chaw Tshawb Xyuas | Kev piav qhia |
|---|---|
| Lub luj tshib | Nrog rau sab nraum qab ntawm lub luj tshib. |
| Kev khoov tes | Sab hauv ntawm tes qhov uas tes khoov. |
| Dab teg thiab pob luj taws | Nyob rau hauv kev sib txuas nrog cov pob qij txha no. |
| Lub puab tsaig | Cov leeg nqaij ntawm lub puab tsaig. |
Dab tsi ua rau qhov no?
Qhov ua rau Hyporeflexia tuaj yeem tshwm sim los ntawm kev puas tsuaj nyob rau txhua qhov chaw ntawm 'reflex arc' uas peb tau tham ua ntej. Muaj ntau yam kab mob loj thiab mob hlwb uas tuaj yeem cuam tshuam rau qhov no:
- Kab mob Peripheral Neuropathies: Qhov no yog hais txog kev puas tsuaj rau cov hlab ntsha uas khiav ntawm peb lub hlwb thiab cov hlab ntsha caj qaum. Nws feem ntau ua rau loog, mob, thiab cov leeg tsis muaj zog hauv tes thiab taw.
- Guillain-Barre Syndrome:Qhov no yog ib yam kab mob autoimmune uas tsis tshua muaj. Qhov uas tshwm sim ntawm no yog tias peb lub cev tiv thaiv kab mob tawm tsam peb cov hlab ntsha. Tus mob no rhuav tshem cov 'npog' (myelin) nyob ib puag ncig cov hlab ntsha thiab tuaj yeem loj hlob sai heev hauv ob peb hnub xwb.
- CIDP (Chronic Inflammatory Demyelinating Polyneuropathy): Qhov no zoo ib yam li Guillain-Barre, tab sis nws tshwm sim qeeb qeeb dhau lub sijhawm ntev.
- Kev Raug Mob Ntawm Qaum Qaum: Qhov mob no tuaj yeem tshwm sim thaum lub qaum lossis qaum raug puas tsuaj loj heev, xws li thaum muaj xwm txheej tsheb sib tsoo lossis ntog. Txawm hais tias hyporeflexia yuav tshwm sim thaum xub thawj, dhau sijhawm, hyperreflexia yuav tshwm sim, uas qhov kev teb tau nce ntxiv qis dua qib ntawm qhov raug mob.
- ALS (Amyotrophic Lateral Sclerosis): Qhov no kuj yog ib qho kab mob ntawm lub paj hlwb uas nce zuj zus. Txawm li cas los xij, hauv qhov no, qhov uas feem ntau pom yog kev nce ntxiv ntawm cov lus teb (Hyperreflexia) es tsis yog kev txo qis.
- Lambert-Eaton Myasthenic Syndrome (LEMS): Qhov no kuj yog ib qho mob tsis tshua muaj. Nws cuam tshuam rau kev sib txuas ntawm cov hlab ntsha thiab cov leeg.
Yuav kho tus mob hyporeflexia li cas?
Tsis muaj kev kho mob ncaj qha rau qhov no. Vim tias qhov no tsis yog kab mob, tab sis yog ib qho tsos mob ntawm lwm yam kab mob uas tseem ceeb. Yog li ntawd, cov kws kho mob ua yog nrhiav seb dab tsi ua rau qhov no thiab kho cov kab mob uas tseem ceeb.
Piv txwv li, Guillain-Barre syndrome raug kho nrog cov tshuaj tiv thaiv tshwj xeeb (IVIg) uas tsom mus rau lub cev tiv thaiv kab mob lossis kev kho mob pauv plasma.
Kuv yuav tsum mus ntsib kws kho mob thaum twg?
Qhov no yog ib lo lus nug tseem ceeb heev. Nco ntsoov tias, qee tus neeg lub siab xav tsis zoo li qub. Yog tias tsis muaj lwm yam kev tsis xis nyob, nws tsis yog teeb meem loj.
Txawm li cas los xij, yog tias koj muaj lwm cov tsos mob hauv qab no nrog rau qhov kev teb tsis muaj zog no, koj yuav tsum mus ntsib koj tus kws kho mob .
| Yog koj muaj hyporeflexia nrog rau cov tsos mob no, mus ntsib kws kho mob tam sim ntawd. | |
|---|---|
| Cov leeg tsis muaj zog | Yog koj xav tias koj txhais caj npab lossis ceg lub zog txo qis yam tsis muaj laj thawj. |
| Cov leeg nqaij qaug zog (Atrophy) | Yog koj xav tias koj cov leeg nqaij poob qis thiab ua nyias. |
| Kev poob ntawm qhov sib npaug hauv lub cev | Yog koj xav tias koj poob koj qhov sib npaug thaum taug kev lossis sawv ntsug. |
| Kev tsis muaj zog lossis kev xav txo qis | Yog tias koj tsis hnov mob lossis tsis hnov mob hauv koj txhais tes lossis ko taw. |
Koj tus kws kho mob hauv tsev neeg yuav kuaj koj thiab, yog tias tsim nyog, xa koj mus rau tus kws kho mob hlwb kom kuaj ntxiv.
Cov Lus Qhia Txog Kev Coj Mus Tsev
- Hyporeflexia tsis yog ib yam kab mob, tab sis yog ib qho tsos mob uas qhia tias cov leeg nqaij tsis teb zoo.
- Qhov no feem ntau pom thaum lub sijhawm kuaj mob neurological (xws li kov lub hauv caug) uas tus kws kho mob ua.
- Tej zaum yuav yog ib qho ib txwm muaj rau qee tus neeg uas muaj kev teb tsis muaj zog yam tsis muaj lwm yam tsos mob.
- Txawm li cas los xij, yog tias qhov mob no nrog rau lwm cov tsos mob xws li cov leeg tsis muaj zog, loog, lossis tsis muaj kev sib npaug, nco ntsoov nrhiav kev pab kho mob.
- Kev kho mob nyob ntawm seb qhov mob twg ua rau muaj qhov no.
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Tsis muaj lus teb tau muab tso tawm. Ntxiv koj cov lus tawm ntawm no thawj zaug.
Ntxiv koj cov lus