Kua kite koe i tētahi tākuta e pato mārire ana i tō turi ki tētahi hama rapa iti? Kātahi ka oho aunoa tō waewae, tika? He mea noa tēnei. Engari i ētahi wā ka tere rawa, ka kaha rawa hoki te oho o tēnei oho, o tēnei tauhohenga rānei (whakaata). Koinei te mea e kiia nei e mātou ko te Hyperreflexia i roto i te rongoā. Ahakoa te ahua o tēnei ingoa he mate kino, kāore he mea e wehi ai. I tēnei rā, ka kōrerohia e mātou tēnei mea kia māmā noa iho, kia mārama ai koe.
Kia titiro tuatahi tātou, he aha tēnei whakaata?
He whakarāpopototanga noa iho, ko te whakaoho he mea e puta aunoa ana, kāore he mana whakahaere. He tikanga aunoa ēnei a ō tātou tinana hei tiaki i a tātou. Whakaarohia, ina rere mai tētahi mea pēnei i te pepeke ki tō kanohi, ka kati aunoa ō kanohi, tika? Ehara i te mea e mahia ana e koe me te mōhio. He mea e mahia ana e te tinana hei tiaki i a ia anō mai i ngā kino pea. Ko te whakaoho kotahi anō te take e tere ai te hutia o tō tātou ringa ina pā tātou ki tētahi mea wera. He mea nui ēnei mō tō tātou oranga.
Nō reira, ko te Hyperreflexia he wā e nui rawa ana, e kaha rawa ana rānei aua tauhohenga aunoa. He mea noa te nekeneke o tō waewae ina patupatua tō turi ki te hama. Engari ki te tere ake te nekeneke o tō waewae i tō whakaaro, me te mea kei te tata whiua ki mua, he Hyperreflexia pea tēnā.
He aha tēnei ka puta ai? He aha ngā take o te hyperreflexia?
He maha ngā take mō tēnei. Ko ētahi e pā ana ki te pūnaha io, ko ētahi kāore.
Ngā raruraru o te pūnaha io (Ngā whara o te neuron motuka o runga)
Ko te tino take, ko te tino take o tēnei ko te kino o ngā pūtau io (ngā neuron nekeneke) e kawe ana i ngā karere mai i tō tātou roro ki te taurakira. I roto i ngā kupu hauora, ka kiia tēnei he whara Neuron Nekeneke o Runga (UMN) . Hei whakamārama, ko tō tātou roro te pokapū matua e whakahaere ana i ngā nekehanga me ngā tauhohenga o te tinana. Ko ngā karere e puta mai ana i tēnei roro ka haere ki ngā uaua mā te taurakira. Ina he kino, he ārai rānei i tētahi wāhi i te ara e kawe ana i ēnei karere, ka whakararuraruhia te whakahaere o ngā tauhohenga. Kātahi ka kaha rawa ngā tauhohenga.
Ina pāngia te UMN, ka puta pea ētahi atu tohu me te Hyperreflexia. Ka kiia ēnei ko te Upper Motor Neuron Syndrome. Ko ēnei tohu ko:
- Ngāwari o te uaua
- Te pakari o ngā uaua (Spasticity) - Te whakawhāiti me te whakawhāiti ohorere o ētahi uaua.
- Clonus - Ngā whakahekenga uaua ā-rhythmic, kāore e taea te whakahaere.
Ka taea e ngā āhuatanga hauora e whai ake nei te whakararu i tēnei momo kino UMN me te hyperreflexia.
| Āhua | He kupu whakataki poto |
|---|---|
| Te whara o te taurakira | Te whara o te taurakira nā te aituā. |
| Te Mate Pukupuku Maha (MS) | He mate e pakaru ai te uhi tiaki e karapoti ana i ngā pūtau io. |
| Te whara o te roro | Te pakaru o te roro nā te whara nui o te upoko. |
| ALS (Amyotrophic Lateral Sclerosis) | He mate e whakangaromia haeretia ai ngā neuron nekeneke. |
| Te mate a Parkinson | He mate e pā ana ki ngā pūtau io o te roro. |
| Mate roro (Encephalitis) | Te mate roro i puta mai i ngā huaketo, i ngā huakita rānei. |
| Te korenga o te huaora B12 | Ka taea e te korenga o te huaora B12 mō te wā roa, he mea nui hoki mō te tinana, te kino ki te pūnaha io. |
Ētahi atu take kāore e pā ana ki te pūnaha io
- Ngā Mate Manukanuka: Mena kei a koe te mate manukanuka, te mate mataku rānei, kei roto tō tinana i te āhua 'whawhai, rere rānei'. Ka taea e tēnei te whakararuraru rawa i ō uaua me ō urupare. Ka taea hoki e tēnei te arahi ki te hyperreflexia. Heoi, ehara i te mea pumau, ka haere mai, ka haere. He nui ake te kitea ina manukanuka, ina ahotea rānei koe.
- Te Hiperutirotiro: Ina kaha rawa te mahi a te repe tairoiro i roto i tō tātou kaki, ka nui rawa te homoni tairoiro ka puta i te tinana. Ka tere ake te mahi a ia pūtau o roto i tō tātou tinana, tae atu ki ngā pūtau io, nā tēnei hoki ka tere ake ngā tauhohenga. Mēnā ka tika te maimoatanga, ka ngaro katoa te āhua o te Hiperutirotiro.
Me pēhea e kitea ai tēnei e koe, e Tākuta?
Ka whakamātauhia koe e te tākuta mō te hyperreflexia hei wāhanga o te whakamātautau io. Koinei te whakamātautau e mōhiotia ana e tātou katoa, arā, ka patohia tō turi ki te hama rapa iti. Ka kiia tēnei ko te whakamātautau Deep Tendon Reflex (DTR) .
He mea tino nui kia noho marino, kia noho marino hoki koe i te wā e taea ana tēnei whakamātautau. Mena kei te whakaaroaro koe mō tēnei mea, kei te āwangawanga rānei, tera pea he hē ngā hua. Koia te take ka kōrero te tākuta ki a koe mō tētahi atu mea i mua i te mahi i tēnei, hei whakararuraru i a koe.
Haunga te turi, ka whakamatautau pea te tākuta i ngā whakaata i ētahi atu wāhi.
- Te tuara o te tuke
- I roto i te piko o te ringaringa
- Ringaringa me te pona
He rerekē te Hyperreflexia me te Autonomic Hyperreflexia?
Āe. Ahakoa he āhua ōrite ēnei ingoa e rua, he tino rerekē ēnei āhuatanga e rua. He mea tino nui kia mārama pai ki tēnei rerekētanga.
Ko te Autonomic Hyperreflexia (e mōhiotia ana ko te Autonomic Dysreflexia) he āhuatanga ohorere hauora tino kino, he mea morearea pea ki te ora. Ko te nuinga o te wā ka kitea i roto i ngā tūroro he whara te taurakira o runga (i runga ake i te tuarā thoracic T6). He tauhohenga nui rawa atu o te pūnaha io autonomic e hua ai te pikinga ohorere me te kaha o te toto toto. Ko te tohu matua ko te ānini ohorere, te mamae nui. He āhuatanga tēnei e hiahia ana kia haere ki te Tari Ohorere (ETU).
Engari ko te hyperreflexia e kōrerohia ana i tēnei tuhinga he tauhohenga tere noa iho i roto i ngā hononga. He tohu tēnei nō tētahi mate, ehara i te mea e morearea ana ki te ora i taua wā tonu.
He aha ngā maimoatanga mō tēnei?
Ko te maimoatanga e whakawhirinaki ana ki te mate taketake i puta ai. Ko te whāinga he rongoā i taua take matua.
- I roto i ngā āhuatanga io kore e taea te rongoā pērā i te MS me te ALS, ka whakamahia te maimoatanga hei whakahaere i te mate. Ahakoa he pumau te hyperreflexia, ka taea e ētahi rongoā, te whakaora tinana rānei te whakaiti i te kaha o ngā tohu.
- Ka taea te whakahaere katoa i ngā āhuatanga pēnei i te Hyperthyroidism me te manukanuka mā te rongoā. Ina rongoatia te āhuatanga, ka ngaro atu hoki te tohu Hyperreflexia.
Āhea ahau me toro atu ki te tākuta?
He uaua pea te mōhio mēnā he hyperreflexia tōu ake. I te nuinga o te wā ka kitea tēnei mate ina tirohia koe e te tākuta.
Heoi, ki te mea kei a koe ngā tohu e whai ake nei, me toro atu ki tō tākuta whānau.
- Ki te mea kei te ngoikore ō uaua.
- Mena ka rongo koe i te pakari (te koretake) o ō waewae.
- Ki te wiriwiri ngā peka me ngā waewae, kāore e taea te whakahaere (clonus).
- Ki te mea kei te manukanuka koe, kei te ahotea hoki mō ngā mea iti noa iho, tera pea nā te manukanuka, te mate toto nui rānei.
Ka whakahaerehia e tō tākuta ngā whakamātautau e tika ana, ka whakatauhia te take, ā, ki te tika, ka tukuna koe ki tētahi tākuta roro.
Karere Tangohia ki te Kāinga
- Ko te hyperreflexia ko te tere rawa, te kaha rawa hoki o ngā tauhohenga aunoa a te tinana (ngā uruparenga).
- Ko te tino take o tēnei ko te pakaru o te UMN, e kawe ana i ngā karere mai i te roro ki te taurakira. Heoi anō, tera pea ētahi atu take, pērā i te manukanuka me te hyperthyroidism.
- Ka taea te tautuhi i tēnei mā te whakamātautau DTR, ka mahia e te tākuta me te hama rapa iti.
- He rerekē rawa ngā āhuatanga e rua o te Hyperreflexia me te Autonomic Hyperreflexia. He āhuatanga morearea te Autonomic Hyperreflexia e hiahia ana kia rongoatia wawetia.
- Mena ka pāngia koe e ētahi panoni ki te mahi a ō uaua, te ngoikore, te pakari, te kikiki rānei kāore e taea te whakahaere, me toro atu ki tō tākuta i mua i te wā.
💬 Comments (0)
Kaore ano kia tukuna he korero. Tāpirihia to korero ki konei mo te wa tuatahi.
Tāpirihia to korero