Dokotala akakumenya bondo ndi nyundo, mwendo wako sukwera mmwamba? (Hyporeflexia)

Kodi mudawonapo dokotala akugogoda bondo lanu ndi nyundo yaying'ono ya rabara? Mukagogoda bondo lanu, mwendo wanu nthawi zambiri umabwerera mmwamba, sichoncho? Iyi ndi njira yodzitetezera yokha m'thupi lathu. Koma nthawi zina, timalandira yankho lochepa kwambiri kapena sitilandira yankho lililonse. Ndicho chimene tikambirane lero.

Kodi Hyporeflexia ndi chiyani?

Mwachidule, Hyporeflexia ndi kuchepa kwa reflex reaction ya minofu yathu. Nthawi zina yankho ili limatha kutayika kwathunthu, lomwe timalitcha areflexia.

Taganizirani izi motere: Ma Reflex ndi dongosolo lodziyimira lokha lomwe thupi lanu limakhala nalo kuti likutetezeni ku chinthu chomwe chingakuvulazeni. Yankho ili limachitika kudzera munjira yapadera yomwe imatumiza mauthenga a mitsempha. Timatcha izi kuti 'reflex arc'. Ili ndi magawo atatu akuluakulu:

1. Gawo la kumva: Mitsempha yomwe imanyamula chidziwitso chokhudza kuwonongeka kapena kusonkhezeredwa.

2. Gawo lapakati: Limenelo ndi msana wathu.

3. Gawo la minofu: Mitsempha yomwe imanyamula mauthenga ku minofu kuti ikwaniritse malamulo olandiridwa kuchokera ku msana.

Ngati pali kuwonongeka kwinakwake paulendowu, kaya ndi mitsempha ya kumva, chingwe cha msana, kapena mitsempha yoyendetsa, yankho limenelo silimachitika bwino. Pamenepo ndi pamene Hyporeflexia imachitika. Izi nthawi zambiri zimakhala chizindikiro chakuti pali vuto ndi dongosolo la mitsempha, osati matenda enaake.

Nthawi zambiri, munthu amene ali ndi vuto la hyporeflexia samva kupweteka kulikonse. Komabe, kwa dokotala wa mitsempha, ichi ndi chizindikiro chofunikira kwambiri chodziwira matendawa.

Kodi dokotala amazindikira bwanji izi?

Dokotala akamayesa dongosolo lanu la mitsempha (mayeso a mitsempha), adzachita mayeso a 'Deep Tendon Reflex' (DTR) kuti aone ngati pali hyporeflexia. Yodziwika kwambiri mwa izi ndi mayeso a hammer, omwe tonse timawadziwa.

Momwe kuyezetsa bondo kumachitikira

Dokotala akakumenyani bondo ndi nyundo ya rabara, tendon ya patellar ndi minofu ya ntchafu yolumikizidwa nayo zimakokedwa. Panthawiyo, uthenga wakuti "minofu yokokedwa" umapita mofulumira kwambiri ku msana kudzera mu ma neuron ozindikira.

Msana umayankha nthawi yomweyo, ndikutumiza uthenga kudzera mu ma neuron kupita ku minofuyo kuti ichepetse. Kupindika kumeneko ndiko kumapangitsa kuti mwendo wanu ulumphe mmwamba.

Ngati muli ndi hyporeflexia, mwendo wanu ukhoza kusuntha mofooka kwambiri , kapena kusasuntha konse .

Kuwonjezera pa bondo, mayankho amatha kuyesedwa m'malo ena angapo.

Kodi n’chiyani chingayambitse izi?

Hyporeflexia ikhoza kuchitika chifukwa cha kuwonongeka kulikonse komwe kunachitika mu 'reflex arc' yomwe takambirana kale. Pali matenda akuluakulu amitsempha ndi matenda ena omwe angakhudze izi:

• Matenda a Peripheral Neuropathies: Izi zikutanthauza kuwonongeka kwa mitsempha yomwe imachokera mu ubongo ndi msana. Nthawi zambiri zimayambitsa dzanzi, kupweteka, komanso kufooka kwa minofu m'manja ndi m'mapazi.

• Matenda a Guillain-Barre:Imeneyi ndi matenda osowa kwambiri okhudza chitetezo chamthupi. Chomwe chimachitika apa ndi chakuti chitetezo chathu chamthupi chimaukira mitsempha yathu. Matendawa amawononga 'chophimba' (myelin) chozungulira mitsempha ndipo amatha kukula mofulumira kwambiri m'masiku ochepa chabe.

• CIDP (Chronic Inflammatory Demyelinating Polyneuropathy): Izi zikufanana ndi Guillain-Barre, koma zimachitika pang'onopang'ono kwa nthawi yayitali.

• Kuvulala kwa Msana: Vutoli limatha kuchitika pamene msana kapena msana wawonongeka kwambiri, monga ngozi ya galimoto kapena kugwa. Ngakhale kuti hyporeflexia ikhoza kukhalapo poyamba, pakapita nthawi, hyperreflexia ikhoza kuyamba, momwe yankho limachulukira pansi pa mulingo wa kuvulalako.

• ALS (Amyotrophic Lateral Sclerosis): Iyi ndi matenda amitsempha omwe amakula pang'onopang'ono. Komabe, pankhaniyi, chomwe chimawoneka nthawi zambiri ndi kuwonjezeka kwa mayankho (Hyperreflexia) m'malo mochepa.

• Lambert-Eaton Myasthenic Syndrome (LEMS): Ilinso ndi vuto losowa kwambiri. Limakhudza kulumikizana kwa mitsempha ndi minofu.

Kodi hyporeflexia imachiritsidwa bwanji?

Palibe chithandizo chachindunji cha izi. Chifukwa ichi si matenda, koma chizindikiro cha matenda ena oyambitsa matendawa. Chifukwa chake, zomwe madokotala amachita ndikupeza chomwe chimayambitsa izi ndikuchiza matenda oyambitsa matendawa.

Mwachitsanzo, matenda a Guillain-Barre amachiritsidwa ndi katemera wapadera (IVIg) womwe umalimbana ndi chitetezo cha mthupi kapena mankhwala osinthira plasma.

Kodi ndiyenera kupita kwa dokotala liti?

Funso ili ndi lofunika kwambiri. Kumbukirani kuti, mphamvu ya anthu ena yogwira ntchito mwachibadwa imakhala yofooka pang'ono. Ngati palibe mavuto ena, si vuto lalikulu.

Komabe, ngati muli ndi zizindikiro zina pansipa pamodzi ndi yankho lofooka ili, muyenera kuwona dokotala wanu .

Dokotala wa banja lanu adzakuyesani ndipo, ngati pakufunika, adzakutumizani kwa katswiri wa mitsempha kuti akakuyezeninso.