Ese nawe utakaza uburinganire bwawe iyo ugenda n'amaguru? Reka tuvuge ku ikizamini cya Romberg!

Ese hari igihe wumva urimo gutakaza uburinganire bwawe iyo uhagaze cyangwa ugenda? Ese wumva uzumva umeze nk'ugiye kugwa? Niba ari uko bimeze, uyu munsi tugiye kuvuga ku kizamini cyoroshye gishobora kugufasha kumenya impamvu. Iki cyitwa Romberg Test. Ntugahangayike, si ikizamini kigoye.

Ese uzi icyo ikizamini cya Romberg ari cyo?

Mu magambo make, ikizamini cya Romberg ni ikizamini kigufi cy’umubiri gisuzuma ibibazo byo kuringaniza umubiri, cyane cyane ibifitanye isano n’uburyo wumva ufite ubushobozi bwo kumenya ibintu . Noneho, ushobora kuba wibaza icyo kumenya ibintu ari cyo. Reka nanjye mbisobanure. Ni ubushobozi bwo kumva uko umubiri wawe uhagaze, aho uhagaze. Mu by’ukuri, nubwo amaso yawe yafunze, ushobora kumva aho amaboko yawe ari, aho ibirenge byawe biri, nibyo bireba.

Ikizamini cya Romberg gisuzuma cyane cyane niba inzira y'inkingi y'umugongo , igice cy'ubwonko bwawe n'umugongo ugenzura uburyo bwo kumenya ibintu, ikora neza.

Ikizamini gikorwa gutya: Uzasabwa guhagarara amaguru yawe afatanye, amaboko yawe ari ku mpande cyangwa apfunyitse mu gituza. Uzabanza ukomeze gufungura amaso yawe, hanyuma uyafunge. Muganga wawe azakwitegereza muri iki gihe kandi arebe ibimenyetso byose by'uko uhindagurika cyangwa utakaje uburinganire.

Iki kizamini cyitiriwe Moritz Romberg, inzobere mu by’imitsi yo mu Burayi yo mu kinyejana cya 19 watangije ubu buryo bwa mbere, cyane cyane mu gusuzuma indwara zikomeye za syphilis yo mu cyiciro cya gatatu n’iya nyuma.

Ni gute mu by'ukuri twakomeza kuringaniza umubiri wacu?

Kuringaniza ni ubushobozi bwo kugumana uburemere bw'umubiri buringaniye, guhagarara ugororotse, no kugenda buhoro buhoro. Tekereza nawe, ni uku kuringaniza gutuma tudagwa iyo tugenda, twiruka, cyangwa se iyo duhagaze gusa.

Imibiri yacu ikomeza kuringaniza iyi gahunda binyuze mu buryo bugoye bwitwa sensorimotor control systems. Muri zo harimo:

• Uburyo bwo kumva buturuka ku kureba: Dukurikije ibyo tubona, ubwonko bwacu bushobora gusobanukirwa uko turi n'uko ibidukikije bidukikije bimeze.
• Kumenya aho umubiri wacu uherereye: Nkuko byavuzwe mbere, twumva aho ibice by'umubiri wacu biherereye n'uko bigenda.
• Sisitemu y'amatwi mu gutwi kw'imbere: Ibi nibyo biha ubwonko amakuru ajyanye n'ingendo zacu, kuringaniza, n'aho duherereye. Iyo ugize isereri, hari ikintu gishobora kuba kitagenda neza muri iyi sisitemu.
• Ubwonko bukusanya kandi bugasobanukirwa neza ibikubiye mu bwenge.
• Bityo, gutanga ingufu z'amaso n'imitsi.

Dushobora kugira imvune, indwara zimwe na zimwe, ibibazo byo kutabona neza, imiti imwe n'imwe, kandi uko tugenda dusaza, kimwe cyangwa byinshi muri ibi bintu bishobora gucika intege. Ni bwo havuka ibibazo byo kuringaniza imiterere y'umubiri.

Ikizamini cya Romberg gifasha kumenya niba ibibazo byawe byo kuringaniza imiterere y'umubiri biterwa n'ikibazo cyo kumenya neza imiterere y'umubiri.

Uku kumenya ibintu uko biri ni iki?

Reka tuvuge byinshi kuri proprioception. Ubu ni ubushobozi bw'umubiri wacu bwo kumva imikorere yawo n'aho uherereye mu kirere (ibidukikije bidukikije).

Inzira ya lemniscus yo mu mutwe (DCML) , cyangwa inkingi y'umutwe , ni inzira y'ibyumviro mu mitsi yacu yo hagati - ni ukuvuga ubwonko n'umugongo. Ni muri iyi nzira tubonamo ibyiyumvo bito byo gukorakoraho, guhindagura, n'aho imitsi iherereye mu ruhu rwacu, imitsi n'ingingo.

Uko twagenda kose, uburyo bwo kumva ibintu mu ruhu rwacu, mu mitsi yacu, no mu ngingo zacu bwohereza impulses mu bwonko binyuze muri uru rugingo rw'inyuma. Aya makuru, hamwe n'ibyo tubona n'amakuru yerekeye kuringaniza no kugenda biva mu gice cy'imbere cy'ugutwi, amenyesha ubwonko aho imibiri yacu iherereye n'uko imeze.

Ikizamini cya Romberg gikubiyemo gukuraho ubufasha bwo kureba iyo amaso afunze. Ibi bishobora gukoreshwa mu kureba uburyo proprioception ikora neza kugira ngo ikomeze kuringaniza. Ibi bishobora gufasha kumenya niba hari indwara y'imitsi igira ingaruka ku proprioception.

Ni ryari ikizamini cya Romberg gikenewe?

Ubusanzwe abaganga bakora iki kizamini cya Romberg:

• Ku bafite ibibazo byo kuringaniza imiterere, isereri, no kugwa kenshi.
• Ibi kandi bikorwa nk'igice cy'ibizamini bisanzwe by'imitsi .

Iki kizamini ni ingirakamaro cyane mu gusuzuma no gusuzuma indwara zitandukanye z'imitsi. Dore ingero nke:

• Indwara ya Parkinson
• Friedreich's ataxia
• Kubura Vitamine B12
• Silifi yo mu cyiciro cya gatatu/icya nyuma
• Umuvuduko usanzwe wa hydrocephalus (NPH) ku bageze mu za bukuru bagwa kenshi
• Indwara ya Wernicke
• Indwara ya Ménière
• Indwara ya Brown-Sequard
• Indwara y'umugozi wo inyuma

Ariko ibuka ko ibibazo byo kuringaniza imiterere y'umubiri bishobora guterwa n'izindi ndwara zijyanye n'amaso yawe n'imiterere y'umubiri wawe.

Ni nde ukora ikizamini cya Romberg?

Ikizamini cya Romberg gishobora gukorwa mu mutekano n'umuganga uwo ari we wese ubizi neza. Ariko, kubera ko ari ikizamini cy'imitsi, akenshi gikorwa n'abaganga b'indwara zo mu bwonko .

Ikizamini cya Romberg gikorwa gute neza?

Iki ni ikizamini cy'umubiri. Muganga wawe azaguha amabwiriza kandi arebe uko ubikora. Dore intambwe:

1. Uzabwirwa gukuramo inkweto zawe uhagarare hamwe amaguru yawe.

2. Bavuga ko ugomba kumanura amaboko yawe ku mpande zawe, cyangwa kuyanyuza mu gituza cyawe.

3. Ubwa mbere, ugomba guhagarara ugororotse utanyeganyega mu gihe cy'amasegonda 30 amaso yawe afunguye . Muganga azasuzuma imikorere y'umubiri wawe n'uburyo uhagaze.

4. Hanyuma, ugomba guhagarara mu mwanya umwe ugafunga amaso yawe . Ugomba kuguma umeze utyo mu gihe cy'amasegonda 30 cyangwa umunota umwe. Muganga azongera gusuzuma ingendo zawe n'uburyo uringaniye.

Hari verisiyo zitandukanye zahinduwe z'ikizamini cya Romberg. Zikoreshwa mu gusuzuma uburinganire mu bihe bitandukanye. Ingero ebyiri ni izi:

• Ikizamini cya Romberg cyakaswe (SRT): Iki kizamini gikoreshwa mu gusuzuma ko abantu bakize indwara yo kudakora neza kw'imitsi (urugero: indwara ibaho mu basoza amaguru). Bitandukanye n'ikizamini gisanzwe cya Romberg, iki kizamini gishyira ibirenge mu murongo, agatsinsino k'ikirenge kimwe kagakora ku mano y'ikindi.
• Ikizamini cyo gupima imiterere y'amaguru rimwe (SLST): Iki gikoreshwa mu gusuzuma uburyo imiterere y'umuntu ihagaze neza mu bageze mu za bukuru n'abafite indwara ya Parkinson . Gikubiyemo gupima igihe umuntu ashobora guhagarara ku kuguru kumwe amaso ye afunguye. Ikizamini kirangira mu munota umwe. Buri kuguru gupimwa inshuro eshatu.

Ni iki wakwitega mu gihe cy'ikizamini?

Ikizamini cya Romberg ni ikizamini cyihuse kandi cyoroshye. Iyo ubikoze, nta muntu uzagufata cyangwa ngo agufashe kuringaniza.

Ariko ntugire ikibazo! Muganga wawe cyangwa umuntu ugupimisha azaba yicaye iruhande rwawe akwitegereza neza. Nibakubona ugiye kugwa, bazagufata vuba kandi bakurinde kugwa. Nanone, agace gakikije aho ikizamini cyakoreweho karakuwemo ibintu byose bishobora gutuma umuntu agwa.

Ese ibi bisaba imyiteguro yihariye?

Oya. Nta kintu kidasanzwe ugomba gukora mbere yo gukora ikizamini cya Romberg.

Ese hari ingaruka zishobora guterwa n'iki kizamini?

Iyo iki kizamini gikozwe mu buryo bwizewe na muganga wabyigiye cyangwa inzobere mu by'ubuzima, nta ngaruka cyangwa ingorane bizwi bihari.

Bitwara igihe kingana iki kugira ngo umuntu amenye ibisubizo by'ikizamini?

Iyo umaze kurangiza ikizamini, muganga ashobora kukubwira niba ikizamini cyawe cya Romberg cyaragaragaje ko gifite isura nziza cyangwa kitagaragaza ko gifite isura mbi.

Ariko ibuka ikintu kimwe. Ikizamini cya Romberg cyonyine ntikishobora kukubwira neza icyateye ikibazo cyo kuringaniza imiterere yawe cyangwa ikibazo kiri mu gice cy'imbere cy'umugongo wawe. Muganga wawe azakenera gukora ibindi bipimo kugira ngo amenye impamvu nyayo.

Gupima Romberg byagaragaje iki?

Ikizamini cya Romberg ni igihe utakaza uburinganire nyuma yo gufunga amaso. Ni ukuvuga niba umubiri wawe uzunguruka cyane, niba ushyize ukuguru imbere mu cyerekezo ugiye kugwamo, cyangwa niba koko waguye.

Niba ikizamini cyawe cya Romberg cyaragaragaye ko ari icyawe, muganga wawe azagutegeka ko hakorwa ibindi bipimo kugira ngo amenye icyatumye igice cy’inyuma cy’umubiri wawe kidakora neza. Ikizamini cya Romberg cyaragaragaye ko ari icyawe gishobora guterwa n’indwara zitandukanye.

Iyo ikizamini cya Romberg cyagaragaje ko nta virusi gihari, bivuze iki?

Ikizamini cya Romberg kirimo negative ni igihe ushobora kuguma uhamye nta kuzungazunga gukomeye mu gihe cy'ikizamini.

Ibi bivuze ko ibimenyetso bifitanye isano n'imikorere y'umubiri wawe cyangwa uburyo umubiri ufatwa n'umuntu bishobora kuba bidafitanye isano itaziguye n'ibibazo byo kuringaniza imiterere y'umubiri, cyangwa bishobora kuba biterwa n'indi mpamvu idashobora kumenyekana n'ikizamini cya Romberg.

Ni ryari wagombye kujya kwa muganga niba ufite ikibazo mu bijyanye n'imirire yawe?

Ibibazo byo kuringaniza umubiri bishobora guteza akaga kandi bishobora gutera kugwa. Niba ufite kimwe muri ibi bimenyetso, menya neza ko wagiye kwa muganga:

• Kudahagarara neza
• Kuzungera
• Ubusa bwo mu mutwe - (Sinhala: Kumva ufite ubusa bwo mu mutwe, kumva ushaka guta ubwenge)
• Kureba nabi
• Gutakaza uburimbane bwawe no kugabanuka
• Kumva nta cyo witayeho
• Kumva nk'aho icyumba kirimo kuzunguruka, igihe gito
• Ukumva nk'aho uri kugenda kandi uzi neza ko ukiri
• Kumva nk'aho uri kugwa

Reka twige bike kuri ibi: Ikizamini cya Romberg cyo Guhindura Imibare ni iki?

Iki ni ikizamini cya Modified Romberg combination.Hari igihe ikoreshwa n'abashinzwe iyubahirizwa ry'amategeko kugira ngo bamenye niba umushoferi yasinze, ariko iki si ikizamini cyemewe n'Ikigo cy'Igihugu gishinzwe umutekano w'imodoka zo mu muhanda (NHTSA) .

Mu gihe ubikora, umupolisi azakubwira gukomeza amaguru yawe, ugasubiza umutwe inyuma gato, hanyuma ugafunga amaso yawe. Hanyuma, nyuma y'amasegonda 30, uzasabwa kuvuga "hagarara" igihe cyose ubyifuza.

Hanyuma, ubutumwa bwo kujyana mu rugo:

Gutakaza uburinganire bwawe no kumva umeze nk'uzuzuzu bishobora gutera ubwoba. Niba wumva udakomeye cyangwa udafite uburinganire mu gihe uhagaze cyangwa ugenda, nyamuneka gana muganga. Bashobora gukora ibizamini nka Romberg Test kugira ngo bagufashe kubona impamvu y'ibibazo byawe byo kuringaniza uburinganire. Wibuke ko gusuzuma neza ari yo ntambwe ya mbere yo kuvurwa neza.

Ikizamini cya Romberg , kuringaniza, kumenya neza ibintu, uturemangingo tw'imitsi, isereri, kugwa, indwara z'imitsi