Yu dɔn ɛva si dɔktɔ tap yu ni saful wan wit smɔl rɔba malet? Dɔn yu leg go jɔs jok ɔtomɛtik wan, nɔto so? Dis na nɔmal tin. Bɔt sɔmtɛm dis jɔk, ɔ dis riakshɔn (riflɛks), kin apin tu kwik ɛn strɔng. Na dat wi kin kɔl Hyperreflexia na mɛrɛsin. Ivin if dis nem kin tan lɛk siriɔs sik, natin nɔ de fɔ fred. Tide, wi go tɔk bɔt dis simpul wan, di we we yu go ɔndastand.
Lɛ wi si fɔs, wetin na dis riflɛks?
Fɔ tɔk am simpul wan, riflɛks na sɔntin we kin apin ɔtomɛtik wan, we wi nɔ kin kɔntrol. Dis na ɔtomɛtik tin dɛn we wi bɔdi gɛt fɔ protɛkt wi. Tink bɔt am, we sɔntin lɛk insɛkt flay go to yu yay, yu yay kin lɔk ɔtomɛtik wan, nɔto so? I nɔto sɔntin we yu de du wit ɔl yu at. Na sɔntin we di bɔdi de du fɔ protɛkt insɛf frɔm di damej we kin apin. Di sem riflɛks na di rizin we mek wi kin pul wi an bak kwik kwik wan we wi tɔch sɔntin we wam. Dɛn tin ya rili impɔtant fɔ mek wi kɔntinyu fɔ liv.
So, Hyperreflexia na we dɛn ɔtomɛtik riakshɔn ya kin apin tumɔs, ɔ tu strɔng. I nɔmal fɔ mek yu leg jɔk smɔl we yu tap yu ni wit hama. Bɔt if yu leg de jɔk fast pas aw yu go ɛkspɛkt, lɛk se dɛn de kam fɔ trowe am fɔ go bifo, dat kin bi Hyperreflexia.
Wetin mek dis kin apin? Wetin na di tin dɛm wae kin mek pɔrsin gɛt hyperreflexia?
Bɔku rizin dɛn de fɔ dis. Sɔm gɛt fɔ du wit di nervous system, sɔm nɔ gɛt fɔ du wit am.
Prɔblɛm dɛn na di nervɔs sistɛm (Upper Motor Neuron Lesions) .
di men εn di mכst kכmכn tin we de mek dis na di damej we di nεv sεl dεm (mכtal nyuron dεm) we de kכri mεsej frכm wi bren to di spεnal kכd. We wi de tɔk bɔt mɛrɛsin, dɛn kɔl dis Upper Motor Neuron (UMN) lesion . Fɔ tɔk di kɔrɛkt tin, na wi bren na di men say we de kɔntrol aw di bɔdi de muv ɛn aw i de biev. di mεsej dεm we de kכmכt frכm dis bren de go to di mכsul dεm tru di spεnal kכd. We damej ɔ tin de ambɔg sɔmsay na di rod we de kɛr dɛn mɛsej ya, di kɔntrol fɔ di riakshɔn dɛn kin ambɔg. Dɔn di riakshɔn dɛn kin tu strɔng.
We UMN damej de apin, sɔm ɔda simptom dɛn kin apin wit Hyperreflexia. Dɛn kɔl dɛn tin ya Ɔpa Mɔtal Nyurɔn Sindrom. Dɛn sayn ya na:
- Di mɔsul dɛn we wik
- di mכsul dεm stiff (Spasticity) - sכm mכsul dεm de tayt εn kכntrikshכn wan wan.
- Klɔn - Ritmik, we nɔ de kɔntrol di mɔsul dɛn we de kɔntrakt.
di mεdikal kכndishכn dεm we de kam biεn kin mek dis kayn UMN damej εn haypa rεflεksi.
| Kɔndishɔn | Wan shɔt introdukshɔn |
|---|---|
| Spinal kɔd injuri | Spinal kɔd injuri bikɔs ɔf aksidɛnt. |
| Mɔltipɛl Sklɛrosis (MS) . | Na sik we de pwɛl di prɔtɛktiv kɔva we de rawnd di nerve cells. |
| Traumatik bren injuri | Bren damej bikɔs ɔf wan bad bad injuri na in ed. |
| ALS (Amyotrofik Latɛral Sklɛrosis) . | Na sik we di motoka nyuron dɛn kin pwɛl smɔl smɔl. |
| Dis sik we dɛn kɔl Parkinson | Na sik we de afɛkt di nerve cells na di bren. |
| Infεkshכn na di bren (Encephalitis) . | Bren infεkshכn we vayrus כ baktri dεm kin kכz. |
| Vitamin B12 we nɔ de | If yu nɔ gɛt vaytamɛn B12 we impɔtant fɔ di bɔdi fɔ lɔng tɛm, dat kin pwɛl di nervɔs sistɛm. |
Ɔda tin dɛn we kin mek pɔsin nɔ gɛt natin fɔ du wit di nervɔs sistɛm
- Anxiety Disorders: If yu gɛt anxiety ɔr panic disorder, yu bɔdi de na stet fɔ ‘fayt-ɔr-flay’. Dis kin mek yu mɔsul ɛn riflɛs dɛn kin fil bad pasmak. Dis kin mek bak yu gɛt hyperreflexia. Bɔt, i nɔ kin de sote go ɛn i kin kam ɛn go. I kin mɔs bi wae yu de fil wɔri ɔr strɛs.
- Hyperthyroidism: We di tayroyd gland na wi nɛk de wok pasmak, di bɔdi kin mek di tayroyd ɔmon we pasmak. Dis ɔmon de mek ɔl di sɛl dɛn na wi bɔdi wok kwik kwik wan, ivin di nɛv sɛl dɛn. Dis kin mek bak di riakshɔn dɛn kwik kwik wan. If yu trit yu fayn fayn wan, di sik we dɛn kɔl Hyperreflexia kin dɔnawe wit am kpatakpata.
Aw yu go fɛn dis, Dɔktɔ?
Dɔktɔ go tɛst yu fɔ hyperreflexia as pat pan nyurolɔjik ɛgzam. Dis na di tɛst we wi ɔl no usay dɛn kin tap yu ni wit smɔl rɔba malet. Dɛn kɔl dis Dip Tɛndon Riflɛks (DTR) ɛgzamin .
I rili impɔtant fɔ mek yu kɔntinyu fɔ gɛt kol at ɛn rilaks as yu ebul we yu de du dis tɛst. If yu de tink bɔt am ɔ yu de tɛns, di rizɔlt kin rɔng. Na dat mek sɔntɛnde di dɔktɔ go tɔk to yu bɔt ɔda tin bifo i du dis, fɔ mek yu nɔ pe atɛnshɔn.
Apat frɔm di ni, di dɔktɔ kin tɛst di riflɛks dɛn na bɔku ɔda say dɛn.
- Bak na di ɛlb
- Insay di kruk na di an
- Wrist ɛn anklɛ
Yu tink se Hyperreflexia ɛn Autonomic Hyperreflexia na tu difrɛn tin dɛn?
Yɛs. Pan ɔl we dɛn tu nem ya fiba smɔl, dɛn tu tin ya difrɛn atɔl . I rili impɔtant fɔ ɔndastand dis difrɛns kɔrɛkt wan.
Autonomic Hyperreflexia (dεn kin kכl am bak Autonomic Dysreflexia) na wan mεdikal imejensi we rili siriɔs, we kin mek pɔsin in layf de pan denja. dεn kin si am mכst pan di sik pipul dεm we gεt כp spεnal kכd injuri (abov di T6 tכraks vεrbra). na we di כtonom nεv sεstem de riak pasmak we de mek di bכdi prεshכn go כp wan wan εn bad bad wan. Di men sayn na we yu ed de at wantɛm wantɛm. Dis na kɔndishɔn we yu nid fɔ go na di Imejɛnsi Dipatmɛnt (ETU).
bכt di haypa rεfleksia we wi de tכk bכt na dis atikul na jכs aksεlεrat riakshɔn na di jכyn dεm. Na sayn fɔ wan sik, nɔto sɔntin we de mek pɔsin in layf de pan denja da tɛm de.
Wetin na di tritmɛnt dɛm fɔ dis?
Di tritmɛnt dipen ɔl pan di ɔndalayn kɔndishɔn we mek i kam. Di gol na fɔ trit da rut de.
- Insay nyurolɔjik kɔndishɔn dɛn we nɔ kin mɛn lɛk MS ɛn ALS, dɛn kin yuz tritmɛnt fɔ mɛn di sik. Pan ɔl we hyperreflexia kin de sote go, sɔm mɛrɛsin ɔr fisiotɛrapi kin ridyus di kayn sik wae de kam pan pɔrsin.
- Kɔndishɔn lɛk haypa tayroyd ɛn wɔri kin kɔntrol ɔltogɛda wit mɛrɛsin. We dɛn trit di kɔndishɔn, di hyperreflexia symptom sɛf go dɔn.
Ustɛm a fɔ go to dɔktɔ?
E kin tranga fɔ no if yu gɛt hyperreflexia fɔ yusɛf. Bɔku tɛm, dɛn kin no am we dɔktɔ de chɛk yu.
Bɔt if yu gɛt dɛn sik ya, go mɔs go to yu famili dɔktɔ.
- If yu fil se yu mɔsul dɛn wik.
- If yu fil stiffness (spasticity) na yu limb dɛm.
- If di limb dεm shek we dεn nכ ebul fכ kכntrכl (clonus).
- If yu fil fɔ wɔri ɛn strɛs pan ivin di smɔl smɔl tin dɛm, dis kin bi bikɔs ɔf Wɔri wɔri ɔr Hyperthyroidism.
Yu dɔktɔ go du di tɛst dɛn we yu nid, no wetin mek i apin, ɛn if nid de, i go sɛn yu to dɔktɔ we de mɛn yu nyuro.
Mɛsej we dɛn kin kɛr go na os
- haypa rεflεks na we di bכdi in כtomatכk riakshכn dεm (rεflεks) de apin tu kwik εn strכng.
- di men tin we de mek dis de apin na di damej we di UMN de du, we de kכri mεsej frכm di bren to di spεnal kכd. Bɔt ɔda tin dɛn kin de we kin mek pɔsin wɔri, lɛk fɔ wɔri ɛn fɔ gɛt bɔku tayroyd.
- Dɛn kin no dis wit DTR ɛgzam, we dɔktɔ kin du wit smɔl rɔba malet.
- Hyperreflexia ɛn Autonomic Hyperreflexia na tu kɔmplit difrɛn kɔndishɔn dɛn. Autonomic Hyperreflexia na wan denja sik wae nid fɔ gɛt mɛrɛsin kwik kwik wan.
- If yu si ɛni chenj na yu mɔsul dɛn we de wok, yu wik, yu stif, ɔ yu nɔ ebul fɔ kɔntrol yu, go to yu dɔktɔ we yu nɔ go te.
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