Wali olabye omusawo ng’akukuba okugulu n’akapiira akatono? Bw’okuba okugulu, okugulu kwo kutera okuddamu okusituka waggulu, nedda? Kino kiddamu kya otomatiki eky’okwekuuma mu mubiri gwaffe. Naye oluusi, tufuna kuddibwamu kitono nnyo oba tetufuna kuddibwamu n’akatono. Ekyo kyetugenda okwogerako leero.
Hyporeflexia kye ki?
Mu ngeri ennyangu, Hyporeflexia kwe kukendeera mu kuddamu kw’ebinywa byaffe (reflex response). Oluusi okuddamu kuno kuyinza okubula ddala, kye tuyita areflexia.
Lowooza ku kino: Reflexes nkola ya otomatiki omubiri gwo gye gulina okukukuuma okuva ku kintu ekiyinza okukutuusaako obulabe. Okuddamu kuno kubaawo nga kuyita mu kkubo ery’enjawulo eriweereza obubaka bw’obusimu. Kino tukiyita ‘reflex arc’. Kirina ebitundu ebikulu bisatu:
1. Ekitundu ky’obusimu: Obusimu obutambuza amawulire agakwata ku kwonooneka oba okusikirizibwa.
2. Ekitundu ekiri wakati: Ogwo gwe mugongo gwaffe.
3. Ekitundu ky’omubiri: Obusimu obutambuza obubaka eri ebinywa okutuukiriza ebiragiro ebifunibwa okuva mu mugongo.
Singa wabaawo okwonooneka awalala mu lugendo luno, ka kibeere ku busimu obuwulira, omugongo oba obusimu obukola emirimu, okuddamu okwo tekubaawo bulungi. Wano we wabaawo obulwadde bwa Hyporeflexia. Kino kitera okuba kabonero akalaga nti waliwo obuzibu mu nkola y’obusimu, so si bulwadde obw’enjawulo.
Waliwo oludda olulala ku kino, oluyitibwa hyperreflexia. Ebinywa bwe bisukkiridde okukola.
Ebiseera ebisinga, omuntu alina obulwadde bwa hyporeflexia tafuna buzibu bwonna bunene. Wabula eri omusawo w’obusimu, kano kabonero kakulu nnyo okuzuula obulwadde.
Kino omusawo akizuula atya?
Omusawo bw’anaakebera obusimu bwo (okukebera obusimu), ajja kukola ekigezo kya ‘Deep Tendon Reflex’ (DTR) okukebera oba olina obulwadde bwa hyporeflexia. Ku zino ekisinga okumanyika kwe kugezesa ennyondo, ffenna kye tumanyi.
Engeri okukebera okugulu gye kukolebwamu
Omusawo bw’akuba okugulu kwo n’akapiira, omusuwa gw’ekisambi n’ekinywa ky’ekisambi ekigukwatako bisikibwa. Mu kiseera ekyo, obubaka "muscle pulled" butambula mangu nnyo okutuuka ku mugongo nga buyita mu busimu obuyitibwa sensory neurons.
Omugongo guddamu amangu ago ekyo, ne gusindika obubaka okuddayo okuyita mu busimu obukola emirimu (motor neurons) okutuuka ku kinywa ekyo okukonziba. Okukonziba okwo kwe kuleetera okugulu kwo okubuuka waggulu mu ngeri ey’otoma.
Bw’oba olina obulwadde bwa hyporeflexia, okugulu kwo kuyinza okutambula nga munafu nnyo , oba obutatambula n’akatono .
Kikulu nnyo okusigala ng’owummudde nga bwe kisoboka mu kiseera ky’okugezesebwa kuno. Bw’oba osukkiridde okussa essira ku kino oba ng’olina okusika omuguwa, ebivaamu biyinza obutaba bituufu. Y’ensonga lwaki oluusi omusawo ajja kukubuuza ku kintu ekirala n’akuwugula ng’akuba ku kino.
Ng’oggyeeko okugulu, eby’okuddamu bisobola okugezesebwa mu bifo ebirala ebiwerako.
| Ekifo ekikeberebwamu | Okunnyonnyola |
|---|---|
| Enkokola | Okumpi n’emabega w’enkokola. |
| Okufukamira kw’omukono | Munda mu mukono we gufukamira. |
| Engalo n’enkizi | Mu bikwatagana n’ennyondo zino. |
| Ekirevu | Ebinywa by’akalevu. |
Kiki ekiyinza okuba nga kye kivaako kino?
Hyporeflexia esobola okuva ku kwonooneka wonna ku ‘reflex arc’ gye twayogeddeko emabegako. Waliwo endwadde n’embeera z’obusimu enkulu eziwerako eziyinza okukosa kino:
- Peripheral Neuropathies: Kino kitegeeza okwonooneka kw’obusimu obukulukuta okuva ku bwongo bwaffe n’omugongo. Kitera okuvaako okuzimba, okulumwa, n’okunafuwa kw’ebinywa mu ngalo n’ebigere.
- Obulwadde bwa Guillain-Barre:Buno bulwadde bwa autoimmune obutatera kulabika nnyo. Ekibaawo wano nti abaserikale baffe bennyini balumba obusimu bwaffe. Embeera eno esaanyaawo ‘ekibikka’ (myelin) okwetoloola obusimu era esobola okugenda mu maaso amangu ennyo mu nnaku ntono zokka.
- CIDP (Chronic Inflammatory Demyelinating Polyneuropathy): Kino kifaananako ne Guillain-Barre, naye kibaawo mpola okumala ebbanga eddene.
- Obuvune bw’omugongo: Embeera eno eyinza okubaawo ng’omugongo oba omugongo gwonoonese nnyo, gamba ng’akabenje k’emmotoka oba okugwa. Wadde nga hyporeflexia eyinza okubaawo mu kusooka, okumala ekiseera, hyperreflexia eyinza okukula, nga mu kino okuddamu kweyongera wansi w’eddaala ly’obuvune.
- ALS (Amyotrophic Lateral Sclerosis): Buno era bulwadde bwa busimu obugenda bweyongera. Naye mu mbeera eno, ekitera okulabibwa kwe kweyongera mu by’okuddamu (Hyperreflexia) okusinga okukendeera.
- Lambert-Eaton Myasthenic Syndrome (LEMS): Eno nayo mbeera etali ya bulijjo. Kikosa akakwate akaliwo wakati w’obusimu n’ebinywa.
Obulwadde bwa hyporeflexia bujjanjabwa butya?
Tewali bujjanjabi butereevu ku kino. Kubanga buno si bulwadde, wabula kabonero ka bulwadde obulala obusirikitu. N’olwekyo abasawo kye bakola kwe kuzuula ekituufu ekivaako kino n’okujjanjaba obulwadde obusibukako.
Okugeza obulwadde bwa Guillain-Barre syndrome bujjanjabwa n’eddagala ery’enjawulo erigema (IVIg) erigenderera abaserikale b’omubiri oba obujjanjabi obw’okuwanyisiganya plasma.
Ddi lwe nnina okulaba omusawo?
Kino kibuuzo kikulu nnyo. Jjukira nti mu butonde abantu abamu omubiri (reflexes) binafu katono. Bwe waba tewali bizibu birala, si kizibu kinene.
Naye, bw’oba olina obubonero obulala wansi wamu n’okuddamu kuno okunafu, olina okulaba omusawo wo ddala .
| Bw’oba olina obulwadde bwa hyporeflexia wamu n’obubonero buno, laba omusawo mu bwangu. | |
|---|---|
| Obunafu bw’ebinywa | Bw’owulira ng’amaanyi g’omukono oba amagulu go gakendeera awatali nsonga. |
| Okukendeera kw’ebinywa (Atrophy) . | Bw’oba owulira ng’okendeeza ku binywa n’ofuuka omugonvu. |
| Okufiirwa bbalansi mu mubiri | Bw’oba owulira ng’ofiiriddwa bbalansi ng’otambula oba ng’oyimiridde. |
| Okuzirika oba okukendeera mu kuwulira | Bw’oba olina okuziyira oba okubulwa okuwulira mu ngalo oba ebigere. |
Omusawo w’amaka go ajja kukukebera era bwe kiba kyetaagisa akusindikire omusawo w’obusimu okwongera okukeberebwa.
Obubaka Obutwala Awaka
- Hyporeflexia si bulwadde, wabula kabonero akalaga nti ebinywa tebikola bulungi.
- Kino kitera okuzuulibwa mu kukeberebwa kw’obusimu (nga okukuba ku kugulu) okukolebwa omusawo.
- Kiyinza okuba ekya bulijjo abantu abamu okubeera n’okuddamu okunafu nga tebalina bubonero bulala.
- Wabula embeera eno bw’eba ewerekerwako obubonero obulala ng’okunafuwa kw’ebinywa, okuzirika oba okubulwa bbalansi, kakasa nti ogenda mu basawo amagezi.
- Obujjanjabi businziira ku mbeera eyaliwo eyavaako kino.
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