Yu dɔn ɛva si dɔktɔ de tap yu ni wit smɔl rɔba malet? We yu tap yu ni, yu leg kin spring bak ɔp, nɔto so? Dis na ɔtomɛtik difɛns rispɔns na wi bɔdi. Bɔt sɔntɛnde, wi nɔ kin gɛt bɛtɛ ansa ɔ wi nɔ kin gɛt ɛni ansa atɔl. Na dat wi go tok abaut tide.
Wetin na Hyporeflexia?
Fɔ tɔk am simpul wan, Hyporeflexia na we di rεflεks rεspכns na wi mכsul dεm de dכn. Sɔmtɛm dis ansa kin lɔs kpatakpata, we wi kin kɔl areflexia.
Tink bɔt dis we: Riflɛks na ɔtomɛtik sistɛm we yu bɔdi gɛt fɔ protɛkt yu frɔm sɔntin we go ambɔg yu. dis rispכns de apin tru wan spεshal rod we de sεnd mεsej dεm na di nεv. Wi kin kɔl dis di ‘rɛflɛks ark’. I gɛt tri men pat dɛn:
1. Sεns pat: Nεv dεm we de kכri infכmeshכn bכt damej כ stimulashכn.
2. Sεntral pat: Na wi spεnal kכd dat.
3. di mכtal pat: di nεv dεm we de kכri mεsej to di mכsul dεm fכ kכmכt di kכmand dεm we dεn gεt frכm di spεnal kכd.
If damej de sɔmsay along dis joyn, ilɛksɛf na di sɛns nεv dɛm, di spaynal kɔd, ɔ di mכtal nεv dɛm, da rεspכns de nכ de apin fayn fayn wan. Na da tɛm de Hyporeflexia kin apin. Dis kin bi sayn fɔ sho se prɔblɛm de wit di nervɔs sistɛm, nɔto wan ɔda sik.
Wan ɔda say de fɔ dis, we dɛn kɔl hyperreflexia. Na we di mɔsul dɛn de riak pasmak.
Bɔrku tɛm, pɔrsin wae gɛt hyporeflexia nɔr kin gɛt ɛni big diskɔmfɔt. Bɔt fɔ nyurolɔjis, dis na sayn we rili impɔtant fɔ no if i gɛt di sik.
Aw dɔktɔ kin no dis?
We dɔktɔ egzamin yu nervɔs sistɛm (nyurolɔjik ɛgzam), dɛn go du ‘Deep Tendon Reflex’ (DTR) tɛst fɔ chɛk fɔ hayporeflexia. Di wan we pipul dɛn sabi pas ɔl na di hama tɛst, we wi ɔl no.
Aw dɛn kin du di ɛgzam fɔ di ni
We di dɔktɔ tap yu ni wit rɔba malet, di patɛl tɛndon ɛn di shɔl mɔsul we tay pan am kin pul. na da tεm de, di mεsej we "mכsul pul" de travul rili kwik to di spεnal kכd tru di sεns nyuron dεm.
di spεnal kכd de ansa dat wantεm wantεm, i de sεnd mεsej bak tru di mכtal nyuron dεm to da mכsul de fכ kכntrakt. Na da kɔntrakshɔn de de mek yu leg jomp ɔp ɔtomɛtik wan.
If yu gɛt hayporeflexia, yu leg kin muv rili wik , ɔ nɔ kin muv atɔl .
I rili impɔtant fɔ mek yu rilaks as yu ebul fɔ du dis tɛst. If yu tu pe atɛnshɔn pan dis ɔr yu de tɛns, de rizɔlt kin nɔr kɔrɛkt. Na dat mek sɔntɛnde di dɔktɔ go aks yu bɔt ɔda tin ɛn distɛkt yu bay we i tap pan dis.
Apat frɔm di ni, dɛn kin tɛst di ansa dɛn na bɔku ɔda say dɛn.
| Checkpoint na di say we dɛn de chɛk | Tɔk bɔt |
|---|---|
| Ɛlbo | Along di bak pat na di elbow. |
| Fɔ fleks di an | Di insay pat na di an usay di an de bɛn. |
| Wrist ɛn anklɛ | In kɔnekshɔn wit dɛn jɔyn ya. |
| Chin | Chin mɔsul dɛn. |
Wetin go dɔn de mek dis apin?
hayporeflexia kin kכz fכ damej enisay along di ‘rεflεks ark’ we wi bin dכn tכk bכt. Bɔku big big nyurolɔjik sik ɛn kɔndishɔn dɛn de we kin afɛkt dis:
- Peripheral Neuropathies: Dis kin min fɔ pwɛl di nerve dɛm we de rɔn frɔm wi bren ɛn spɛshal kɔd. Bɔku tɛm, i kin mek di an ɛn fut nɔ gɛt bɛtɛ trɛnk, i kin fil pen, ɛn di mɔsul dɛn kin wik .
- Di sik we dɛn kɔl Guillain-Barre Syndrome:Dis na wan sik we nɔ kin apin ɔltɛm we pɔsin kin gɛt insɛf. Wetin kin apin ya na dat wi yon imyun sistɛm kin atak wi yon nerv dɛm. dis kכndyushכn de pwεl di ‘kכva' (maylin) we de rawnd di nεv dεm εn i kin go bifo kwik kwik wan insay jכs fכ de.
- CIDP (Chronic Inflammatory Demyelinating Polyneuropathy): Dis kin tan lɛk Guillain-Barre, bɔt i kin apin sloslo fɔ lɔng tɛm.
- Spinal Kɔd Injuri: Dis sik kin apin we di spayna ɔ spɛshal kɔd dɔn pwɛl bad bad wan, lɛk we motoka aksidɛnt ɔ fɔdɔm. pan tap we di hayporeflexia kin de fכs, as tεm de go, di hayporeflexia kin divεlכp, we di rεspכns kin inkrεs dכn di lεvεl fכ di injuri.
- ALS (Amyotrophic Lateral Sclerosis): Dis na sik bak we de go bifo pan nyurolɔjik. כltu, insay dis kes, wetin dεn kin si bכku tεm na di inkrεs pan di rεspכns dεm (Hyperreflexia) pas fכ dכn.
- Lambert-Eaton Myasthenic Syndrome (LEMS): Dis na sik bak we nɔ kin apin so ɔltɛm. I kin afɛkt di kɔnekshɔn bitwin di nɛf ɛn di mɔsul dɛn.
Aw dɛn kin trit hayporeflexia?
No dairekt tritmɛnt nɔ de fɔ dis. Bikɔs dis nɔto sik, bɔt na sayn fɔ ɔda sik we de ɔnda am. So, wetin dɔktɔ dɛn kin du na fɔ no klia wan wetin de mek dis sik ɛn trit di sik we de ɔnda am.
Fɔ ɛgzampul, dɛn kin trit Guillain-Barre syndrome wit spɛshal vaysin (IVIg) we de tɔch di imyun sistɛm ɔ plasma ɛkshɛnj tritmɛnt.
Ustɛm a fɔ go to dɔktɔ?
Dis na kwɛstyɔn we rili impɔtant. Mɛmba se, natin nɔ de fɔ mek sɔm pipul dɛn fil lɛk se dɛn nɔ kin ebul fɔ du sɔntin, kin wik smɔl. If no ɔda tin nɔ de we kin mek pɔsin nɔ fil fayn, i nɔto big prɔblɛm.
Bɔt if yu gɛt ɔda sayn dɛn we de dɔŋ ya wit dis wik rispɔns, yu fɔ rili go to yu dɔktɔ .
| If yu gɛt hyporeflexia wit dɛn sik ya, go to dɔktɔ wantɛm wantɛm. | |
|---|---|
| Di mɔsul dɛn we wik | If yu fil se yu an ɔ yu leg trɛnk de go dɔŋ fɔ natin. |
| Mɔsul dɛn we de west (Atrophy) . | If yu fil se yu de lɔs mɔsul mas ɛn de tan. |
| Lɔs fɔ balans na di bɔdi | If yu fil lɛk se yu de lɔs yu balans we yu de waka ɔ tinap. |
| Yu nɔ de fil fayn ɔ yu nɔ de fil fayn | If yu gɛt numbness ɔ yu nɔ de fil fayn na yu an ɔ yu fut. |
Yu famili dɔktɔ go chɛk yu ɛn if nid de, i go sɛn yu to dɔktɔ we de mɛn yu nyuro fɔ mek dɛn du yu ɔda tɛst.
Mɛsej we dɛn kin kɛr go na os
- Hyporeflexia nɔto sik, bɔt na sayn we de sho se di mɔsul dɛn nɔ de ansa fayn.
- Dɛn kin no dis we dɛn de du nyurolɔjik ɛgzam (lɛk fɔ tap di ni) we dɔktɔ de du.
- E kin bi nɔrmal fɔ sɔm pipul dɛm fɔ gɛt wik rispɔns wae nɔr gɛt ɛni ɔda sayn.
- Bɔt if dis sik gɛt ɔda sayn dɛn lɛk we yu mɔsul dɛn wik, yu nɔ de fil fayn, ɔ yu nɔ de balans, mek shɔ se yu go to dɔktɔ.
- Di tritmɛnt dipen pan di ɔndalayn kɔndishɔn we mek dis apin.
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