Kodi nthawi zina mumamva ngati mukutaya mphamvu kapena mukugwedezeka mukayimirira kapena kuyenda? Kapena kodi munthu wokalamba m'nyumba mwanu ali ndi vutoli? Pakhoza kukhala zifukwa zambiri zotaya mphamvu. Kotero lero tikambirana za mayeso osavuta koma ofunikira kwambiri omwe madokotala amagwiritsa ntchito kuti adziwe chomwe chimayambitsa. Umenewo ndi mayeso a Romberg, kapena `Romberg Test`.
Kodi mayeso a Romberg ndi chiyani mwachidule?
Mwachidule, mayeso a Romberg ndi mayeso osavuta kwambiri omwe amafufuza ngati muli ndi vuto ndi momwe thupi lanu lilili, komanso ngati chifukwa chake chikugwirizana ndi chinthu chotchedwa proprioception.
Tsopano mwina mukudabwa kuti 'proprioception' ndi chiyani. Ndi yosavuta kwambiri. Ndi momwe ubongo wathu umamvera malo a thupi lathu, mayendedwe omwe timachita . Tangoganizani, ngakhale mutatseka maso anu, mutha kumvabe komwe kuli dzanja lanu, komwe kuli mwendo wanu. Ndicho chimene timachitcha 'proprioception'.
Luso limeneli limayendetsedwa ndi njira yapadera ya mitsempha mu ubongo wathu ndi msana. Timatcha njira iyi kuti `njira ya dorsal column`. Chifukwa chake `Romberg Test` imayang'ana makamaka ngati njira iyi ya mitsempha ikugwira ntchito bwino.
Kuyesa kumeneku n'kosavuta kwambiri. Chomwe muyenera kuchita ndikungoyimirira ndi miyendo yanu pamodzi ndi manja anu atakulungidwa m'mbali mwanu kapena pachifuwa panu. Choyamba, muyenera kutsegula maso anu, kenako kutseka. Panthawiyi, dokotala adzakuyang'anirani mosamala ndikuwona ngati thupi lanu likugwedezeka kapena likutaya mphamvu zake.
Kodi timasunga bwanji thanzi lathu?
Kukhazikika kwa thupi lathu ndi chinthu chodabwitsa kwambiri. Kumayendetsedwa ndi kuphatikiza kwa machitidwe angapo. Zili ngati mgwirizano. Machitidwe atatu akuluakulu amathandizira izi.
- Masomphenya: Zimene timaona ndi maso athu. Maso amatumiza uthenga ku ubongo wokhudza momwe tilili poyerekeza ndi zinthu zotizungulira.
- Kuzindikira Munthu Wanu: Monga ndanenera kale, ndi zizindikiro zomwe ubongo wathu umalandira zokhudza komwe miyendo, mafupa, ndi minofu zili. Mapazi athu amamva ngakhale ngati nthaka ndi yathyathyathya kapena yamiyala.
- Dongosolo la Vestibular: Lili mkati mwa khutu lathu lamkati. Dongosololi limathandiza kulamulira bwino thupi lathu tikamatembenuza mitu yathu, kuyenda, ndi kulumpha.
Kotero chomwe chimachitika mu `Romberg Test` n'chakuti mukatseka maso anu, chimodzi mwa zinthu zitatu zazikulu zomwe zimawongolera bwino maso (kuona) chimachotsedwa. Kenako thupi liyenera kudalira kokha machitidwe ena awiri (proprioception ndi vestibular system). Ngati mutataya bwino maso anu mukatseka maso anu, nthawi zambiri zimasonyeza kuti pali kufooka kwina mu 'proprioception' system yanu, kutanthauza, mu 'dorsal column' nerve pathway.
Kodi dokotala amachita mayeso a Romberg pazochitika ziti?
Kawirikawiri, mukapita kwa dokotala, mumanena kuti muli ndi:
- Kumva chizungulire nthawi zonse
- Ndikumva ngati ndilibe mphamvu zokwanira ndikamayenda.
- Nthawi zonse atsala pang'ono kugwa kapena kugwa
Pazochitika ngati izi, dokotala adzachita mayeso a `Romberg Test`. Izi zimachitikanso ngati gawo la kafukufuku wokhudzana ndi mitsempha.
Kuyezetsa kumeneku kumathandiza kuzindikira ndi kutsimikizira matenda osiyanasiyana a mitsempha. Mwachitsanzo:
- Matenda a Parkinson
- Friedreich's ataxia
- Kusowa kwa Vitamini B12
- Chimfine chapamwamba (gawo lomaliza la chimfine)
- `Normal Pressure Hydrocephalus (NPH)` ndi vuto lomwe lingachitike kwa okalamba omwe amagwa pafupipafupi.
- Matenda a Wernicke
- Matenda a Meniere
- Ndi matenda ena ambiri okhudzana ndi dongosolo la mitsempha.
Kodi mayeso awa angachitike bwanji? N'zosavuta kwambiri!
Iyi ndi mayeso osavuta kwambiri omwe angatengedwe mu mphindi zochepa.
1. Choyamba, amakupemphani kuti muvule nsapato zanu.
2. Kenako muyenera kuyimirira molunjika ndi miyendo yanu pamodzi.
3. Mutha kuyika manja anu pansi m'mbali mwanu kapena kuwadutsa pachifuwa chanu.
4. Tsopano tsegulani maso anu ndipo yesani kusasuntha kwa masekondi pafupifupi 30. Panthawiyi, dokotala adzakuyang'anani.
5. Kenako, tsekani maso anu momwe mulili. Tsopano muyenera kukhala choncho kwa masekondi pafupifupi 30 kapena mphindi imodzi. Panthawiyi, dokotala adzayang'aniranso mosamala momwe mulili.
Musadandaule, dokotala adzakhala pomwepo kuti akugwireni ngati mutagwa. Komanso, tisanachite mayesowa, timachotsa chilichonse chomwe chingakupangitseni kugwa. Chifukwa chake mayesowa ndi otetezeka kwambiri.
Kodi zotsatira zake ndi ziti? Kodi zabwino ndi zoyipa ndi ziti?
Mayeso akangotha, dokotala akhoza kukuuzani zotsatira zake. Pali mitundu iwiri ya zotsatira zake. Tiyeni tiwone tebulo ili kuti timvetse bwino.
| Zotsatira | Tanthauzo losavuta |
|---|---|
| Mayeso Abwino a Romberg | Izi zikutanthauza kuti mukatsegula maso anu, palibe vuto, koma mukangotseka maso anu, mumataya mphamvu yanu yokwanira . Thupi lanu limayamba kugwedezeka ndikugwa. Izi zikutanthauza kuti chomwe chimayambitsa vuto lanu lokwanira bwino chingakhale chokhudzana ndi proprioception , zomwe zikutanthauza kuti pakhoza kukhala vuto ndi njira ya mitsempha ya dorsal column. |
| Mayeso Olakwika a Romberg | Izi zikutanthauza kuti mutha kukhala ndi thanzi labwino ndi maso anu otseguka komanso otsekedwa, monga momwe mungathere ndi maso anu otsekedwa . Kugwedezeka pang'ono ndikwabwinobwino, koma simudzagwa. Izi zikutanthauza kuti vuto lanu la thanzi labwino lingayambitsidwe ndi china chake chosiyana ndi kuzindikira kwapadera, monga vuto la khutu lanu lamkati (vestibular system). |
Chofunika kwambiri n'chakuti mayeso a Romberg omwe ali ndi kachilomboka asakuuzeni vuto lenileni . Amangokupatsani lingaliro lomveka bwino la komwe vutolo lili. Kenako dokotala adzalamula mayeso ena (monga MRI scan, magazi) kuti adziwe chomwe chimayambitsa vutoli.
Kodi ndiyenera kupita kwa dokotala?
Inde, ndithudi. Mavuto a thanzi labwino sayenera kunyalanyazidwa. Kugwa kungayambitse kuvulala kwakukulu. Ngati muli ndi zizindikiro zilizonse pansipa, onetsetsani kuti mwaonana ndi dokotala wanu.
| Zizindikiro zomwe ziyenera kukupangitsani kupita kwa dokotala wanu |
|---|
| - Kusakhazikika, kumva ngati wosakhazikika |
| - Chizungulire |
| - Mutu wopepuka, kumva ngati ukuyandama |
| - Maso osawoneka bwino |
| - Kutaya mphamvu ndi kugwa kapena kugwa |
| - Kumva ngati zinthu zikuzungulirani zikuzungulira |
| - Kumva ngati mukuyenda mutaima chilili |
Uthenga Wopita Nawo Kunyumba
- Mayeso a Romberg ndi mayeso osavuta, otetezeka, komanso achangu kuti muwone ngati pali mavuto m'thupi lanu.
- Izi makamaka zimayang'ana zolakwika zilizonse mu dongosolo lotchedwa `proprioception`, lomwe limatumiza chidziwitso ku ubongo chokhudza malo a thupi lanu.
- Kuyezetsa kwa ``positive`` kumatanthauza kuti wodwalayo amataya mphamvu maso ake akatsekedwa. Izi zikusonyeza vuto la mitsempha.
- Ngati muli ndi mavuto monga chizungulire, kuvutika kuyenda, chizungulire, kapena kugwa, musanyalanyaze ndipo onetsetsani kuti mwaonana ndi dokotala kuti akupatseni malangizo .
- Kuyesa kosavuta ngati kumeneku kungakhale sitepe yoyamba komanso yofunika kwambiri pakupeza chomwe chimayambitsa vuto lanu ndikupeza chithandizo choyenera.
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