Kodi munayamba mwakoka mimba ya mwana wanu mukamasambira kapena kusewera naye? Kodi munayamba mwaonapo kuti chala chake chachikulu chakuphazi chikutuluka ndipo zala zake zina zikufalikira bwino? Mungaganize kuti izi ndi zamwayi chabe. Koma kwenikweni ndi chizindikiro chofunikira kwambiri chomwe madokotala amagwiritsa ntchito poyesa kukula kwa ubongo ndi mitsempha ya mwana. Lero, tikambirana za chinthu chodabwitsa ichi.
Kodi chizindikiro cha Babinski ndi chiyani?
Mwachidule, Chizindikiro cha Babinski ndi yankho. Kunena zoona, ndi reflex yosafuna . Ndiko kuti, si chinthu chomwe timachilamulira mwadala. Taganizirani, ngati wina mwadzidzidzi atiyang'ana, tingatseke maso athu, sichoncho? Si chinthu chomwe timachita mwadala. Izi ndi zomwezo.
Dokotala akamakanda pang'onopang'ono phazi la mwana, kuyambira chidendene mpaka chala chachikulu, ndi chinthu chopanda kanthu (monga chogwirira cha nyundo yosinthika), chala chachikulu cha mwana chimawerama mmwamba, pomwe zala zina zimatambasuka ngati fan. Ndicho chimene timatcha chizindikiro cha Babinski. Mayeso awa amatchedwa Plantar Reflex Test .
Izi zinapezeka koyamba mu 1896 ndi katswiri wa za mitsempha dzina lake Joseph Babinski. Ichi ndichifukwa chake zinatchedwa dzina lake.
Nchifukwa chiyani makanda aang'ono ali ndi Babinski reflex iyi?
Tsopano mwina mukudabwa kuti, "N'chifukwa chiyani izi ndi za makanda ang'onoang'ono okha?" Chifukwa chake n'chosangalatsa kwambiri.
Pali njira yaikulu ya mitsempha yomwe imachokera muubongo wathu kupita ku msana, yonyamula mauthenga omwe amalamulira mayendedwe a thupi. M'mawu azachipatala, iyi imatchedwa corticospinal tract (CST) . Taganizirani ngati msewu waukulu wochokera ku Colombo kupita ku Galle. Njira iyi ndi yomwe imanyamula mauthenga ochokera ku ubongo mwachangu monga "gwedezani dzanja lanu" ndi "kwezani mwendo wanu" kupita kumalo oyenera.
Makanda akabadwa, "Corticospinal Tract" iyi, 'msewu wathu waukulu', sunakulitsidwe mokwanira. Uli ngati msewu watsopano wopangidwa ndi kapeti, ntchitoyo siimatha. Chifukwa chake momwe mauthenga ochokera ku ubongo amayendera ndi osiyana pang'ono. Izi zili choncho chifukwa cha kusakhwima kwa dongosolo la mitsempha , pamene phazi la phazi likukhudzidwa, zala zala zimakwera mmwamba poyankha uthenga wochokera ku ubongo.
Izi sizikutanthauza kuti pali vuto ndi mitsempha ya mwana. Ndi zachilendo kwa msinkhu umenewo. Zimangotanthauza kuti mitsempha ya mwana ikukula.
Kodi pali kusiyana kotani pakati pa Babinski Reflex ndi Plantar Grasp Reflex?
Pamene mwana akukula, "Corticospinal Tract" yomwe tinakambirana ikukula bwino. Zili ngati ntchito yonse pa 'msewu waukulu' wathu yatha. Kenako Babinski reflex imeneyo imatha, ndipo reflex ina imabwera m'malo mwake. Timaitcha Plantar Grasp Reflex .
Chomwe chimachitika n'chakuti ngati muyika chala chanu pansi pa phazi la mwana wanu pansi pa zala zake, adzapinda zala zake pansi n'kuyerekeza kuti akugwira chala chanu. Umu ndi momwe timachitira tikafika zaka ziwiri mpaka kufika paukulu. Izi zikusonyeza kuti dongosolo lathu la mitsempha lakula bwino.
Kusiyana pakati pa ziwirizi kuli ngati kuyatsa ndi kuzimitsa switch ya magetsi:
- Babinski Reflex: Zala zimakwera mmwamba (monga momwe zimayatsira switch).
- Plantar Grasp Reflex: Zala za mapazi zimawerama pansi (monga kuzimitsa switch).
Tiyeni tiwone tchati ichi kuti tifotokoze bwino kusiyana kumeneku.
| Khalidwe | Babinski Reflex | Plantar Grasp Reflex |
|---|---|---|
| Kusuntha kwa zala | Chala chachikulu cha phazi chikukwera mmwamba . Zala zina za phazi zikufalikira. | Zala zonse zawerama , ngati kuti zikugwira chinachake. |
| Zaka za maso abwinobwino | Kuyambira kubadwa mpaka zaka ziwiri. | Pambuyo pa zaka ziwiri, moyo wonse. |
| Kodi izi zikutanthauza chiyani? | Dongosolo la mitsempha (makamaka CST) likupitirirabe kukula . (Izi ndizabwinobwino pa msinkhu uwu) | Dongosolo la mitsempha limakhala bwino (bwinobwino pa msinkhu uwu). |
Kodi Babinski reflex iyi imatha liti?
Kawirikawiri, yankho la Babinski limeneli limasowa kwathunthu mwana akafika zaka ziwiri . Koma si ana onse omwe amakhala nalo akafika zaka ziwiri. Ana ena amataya pamene ali ndi chaka chimodzi, ndipo yankho la plantar grapple lomwe takambirana (zala zala zimawerama pansi) limayamba kuwoneka. Izi zimatha kusiyana pang'ono kuchokera kwa mwana kupita kwa mwana.
Chofunika kwambiri: Nanga bwanji ngati munthu wamkulu kapena mwana wazaka zoposa ziwiri ali ndi chizindikiro ichi?
Ichi ndi chinthu chofunikira kwambiri chomwe tonse tiyenera kudziwa.
Mukayang'ana chidendene cha mwana wazaka zoposa 2 kapena wamkulu aliyense, ngati muwona chizindikiro cha Babinski, chomwe chimachitika pamene chala chachikulu cha phazi chakwezedwa ndipo zala zina zala zatambasuka, ndi vuto lachilendo .
Izi zikusonyeza kuti pakhoza kukhala kuwonongeka, vuto, kapena matenda mu dongosolo la mitsempha la munthu (CNS), kutanthauza ubongo kapena msana . Makamaka, pakhoza kukhala kuwonongeka kwina kwa njira ya mitsempha yotchedwa Corticospinal Tract yomwe tidakambirana kale.
| Matenda ena omwe angayambitse chizindikiro cha Babinski mwa akuluakulu | |
|---|---|
| Stroke | Kuwonongeka komwe kumachitika chifukwa cha kusayenda bwino kwa magazi kupita ku ubongo. |
| Kuvulala kwa Msana | Kuwonongeka kwa mitsempha ya msana chifukwa cha ngozi. |
| Matenda a Multiple Sclerosis | Ndi vuto lomwe chitetezo cha mthupi chimawononga mitsempha. |
| Chotupa cha Ubongo | Kukula kwa maselo muubongo kosazolowereka. |
| Matenda a meninjitisi | Matenda a nembanemba zomwe zimaphimba ubongo ndi msana. |
| ALS (Amyotrophic Lateral Sclerosis - ALS) | Ndi vuto lomwe mitsempha yomwe imalamulira minofu imafooka pang'onopang'ono. |
Choncho, ngati inu kapena munthu amene mumamudziwa wazaka zoposa ziwiri ali ndi zizindikiro izi, musanyalanyaze. Chinthu chabwino kwambiri choti muchite ndikuonana ndi dokotala woyenerera nthawi yomweyo ndikupeza upangiri ndi mayeso ofunikira azachipatala.
Kodi dokotala amachita bwanji mayesowa?
Mwina mwawonapo mayeso awa akuchitidwa ndi dokotala mukapita ndi mwana wanu kuchipatala kuti akaone kukula kwake. Ndi mayeso osavuta komanso osapweteka omwe amachitika mumasekondi ochepa.
1. Choyamba, dokotala amachotsa nsapato ndi masokosi a mwana ndikumugonetsa pansi momasuka.
2. Kenako, pogwiritsa ntchito chida chopanda kanthu, mwachitsanzo choletsa lilime kapena mbali yopanda kanthu ya nyundo yosinthika, sunthani pang'onopang'ono chidendene cha mwana mmwamba ndi pansi pansi pa phazi kupita pansi pa chala chachikulu chala.
3. Pa nthawi imeneyo, dokotala adzayang'ana mosamala zala za mwana. Adzayang'ana ngati chala chachikulu cha bere chikuonekera mmwamba (dorsiflexed) komanso ngati zala zina zikufalikira.
Zotsatira za mayesowa zitha kukhala `zabwino` kapena `zabwino`.
- Chizindikiro Chabwino cha Babinski: Izi zikutanthauza kuti chala chachikulu cha m'manja chakwezedwa ndipo zala zina zafalikira. Izi ndi zachilendo kwa makanda osakwana zaka ziwiri . Koma si zachilendo kwa iwo omwe ali ndi zaka zoposa ziwiri.
- Negative Plantar Reflex: Izi zikutanthauza kuti zala za miyendo zawerama pansi (plantar grasp), kapena palibe yankho. Iyi ndi yankho lachibadwa kwa ana opitirira zaka ziwiri ndi akuluakulu .
Choncho, musadabwe ngati mwangozi mwaona izi mukamasamba kapena kusewera ndi mwana wanu. Ndi gawo la njira yabwino kwambiri yogwirira ntchito limodzi ndikukula kwa ubongo wa mwana wanu. Kuyesa kosavuta kumeneku kungauze madokotala zambiri zokhudza thanzi la mwana wanu.
Uthenga Wopita Nawo Kunyumba
- Babinski reflex, yomwe ndi kusuntha kwa chala chachikulu cha phazi mmwamba pamene phazi lakhudzidwa, ndi khalidwe labwinobwino komanso labwinobwino la ana osakwana zaka ziwiri .
- Izi zikusonyeza kuti dongosolo lapakati la mitsempha ya mwana (ubongo ndi msana) likukula bwino.
- Kawirikawiri, mwana akafika zaka ziwiri, yankho limeneli limatha ndipo limalowedwa m'malo ndi yankho la plantar grapp.
- Ngati chizindikiro cha Babinski ichi chikuwoneka mwa mwana wazaka zoposa ziwiri kapena wamkulu , chikhoza kukhala chizindikiro cha vuto mu ubongo kapena msana.
- Mu mkhalidwe wotere, ndikofunikira kuti musachite mantha, koma kuti mukaonane ndi dokotala nthawi yomweyo ndikupempha upangiri.
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