Iyo muganga akukubise ivi n'inyundo, ukuguru kwawe ntigutera hejuru? (Hyporeflexia)

Wigeze ubona umuganga akubita ivi ryawe akoresheje inyundo ntoya? Iyo ukubita ivi ryawe, ukuguru kwawe akenshi kugaruka hejuru, sibyo? Iki ni igisubizo cy’ubwirinzi mu mubiri wacu. Ariko rimwe na rimwe, tubona igisubizo gito cyane cyangwa nta na kimwe tubonye. Ibyo nibyo tugiye kuvugaho uyu munsi.

Hyporeflexia ni iki?

Muri make, Hyporeflexia ni ukugabanuka k'uburyo imitsi yacu ikora. Hari igihe iki gisubizo gishobora gutakaza burundu, ari cyo twita areflexia.

Tekereza kuri ubu buryo: Reflexes ni sisitemu yikora umubiri wawe ugomba kugira ngo ukurinde ikintu gishobora kukugirira nabi. Iyi nyishu ibaho binyuze mu nzira yihariye yohereza ubutumwa bw'imitsi. Ibi tubyita 'reflex arc'. Ifite ibice bitatu by'ingenzi:

1. Igice cy'amatwi: Imitsi itwara amakuru yerekeye ibyangiritse cyangwa gukangura.

2. Igice cyo hagati: Uwo ni umugongo wacu.

3. Igice cy'imitsi: Imitsi ijyana ubutumwa ku mitsi kugira ngo ishyire mu bikorwa amabwiriza yatanzwe n'umugongo.

Iyo hari icyangiritse ahantu runaka muri uru rugendo, byaba ku mitsi yumva, uruti rw'umugongo, cyangwa imitsi itwara imizigo, icyo gisubizo ntikibaho neza. Icyo gihe ni bwo habayeho Hyporeflexia. Ibi akenshi biba ikimenyetso cy'uko hari ikibazo mu mitsi, atari indwara yihariye.

Hari urundi ruhande rw'ibi, rwitwa hyperreflexia. Ni igihe imitsi ikora cyane.

Akenshi, umuntu ufite hyporeflexia ntababara cyane. Ariko, ku muganga w’indwara z’imitsi, iki ni ikimenyetso cy’ingenzi cyane cyo gusuzuma.

Ni gute umuganga abimenya?

Iyo umuganga asuzumye uturemangingo tw’imitsi yawe (ikizamini cy’imitsi), azakora ikizamini cya 'Deep Tendon Reflex' (DTR) kugira ngo arebe niba nta gipimo cy’imitsi ikora. Ikizwi cyane muri ibi ni ikizamini cya hammer, twese tuzi.

Uburyo isuzuma ry'ivi rikorwa

Iyo muganga akugonze ku ivi akoresheje inyundo ya rubber, umutsi wa patellar n'imitsi yo mu itako bifatanye na wo birakururwa. Muri ako kanya, ubutumwa "imitsi ikururwa" bugera ku ruti rw'umugongo vuba cyane binyuze mu mitsi ikoresha ibyuma by'imyakura.

Uruti rw'umugongo ruhita rusubiza ibyo, rwohereza ubutumwa bunyuze mu mitsi y'ubwonko ijya kuri iyo mitsi kugira ngo irangire. Uko gucika intege ni ko gutuma ukuguru kwawe gusimbuka mu kirere.

Niba ufite hyporeflexia, ukuguru kwawe gushobora kugenda nabi cyane , cyangwa kutagenda na gato .

Ni ingenzi cyane ko uhora utuje uko bishoboka kose muri iki kizamini. Niba wibanda cyane kuri ibi cyangwa ukagira ubwoba, ibisubizo bishobora kuba atari byo. Niyo mpamvu rimwe na rimwe muganga azakubaza ikindi kintu akagutera kurangara akakigukoraho.

Uretse ivi, ibisubizo bishobora kugeragezwa ahandi hantu henshi.

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Ni iki gishobora kuba gitera ibi?

Hyporeflexia ishobora guterwa no kwangirika ahantu hose kuri 'reflex arc' twavuze mbere. Hari indwara nyinshi zikomeye zo mu bwonko n'izindi ndwara zishobora kugira ingaruka kuri ibi:

• Indwara z'imitsi yo mu bwonko: Ibi bivuga kwangirika kw'imitsi ituruka mu bwonko bwacu no mu ruti rw'umugongo. Akenshi bitera ibinya, ububabare, ndetse n'intege nke z'imitsi mu biganza no mu birenge.

• Indwara ya Guillain-Barre:Iyi ni indwara idakunze kugaragara cyane iterwa n’ubwiyongere bw’umubiri. Ikibaho hano ni uko ubudahangarwa bw’umubiri bwacu bwite bwibasiye imitsi yacu. Iyi ndwara yangiza 'igipfundikizo' (myelin) gikikije imitsi kandi ishobora kwiyongera vuba cyane mu minsi mike gusa.

• CIDP (Chronic Inflammatory Demyelinating Polyneuropathy): Ibi bisa na Guillain-Barre, ariko bibaho buhoro buhoro mu gihe kirekire.

• Ibikomere byo mu mugongo: Iyi ndwara ishobora kubaho iyo umugongo cyangwa uruti rw'umugongo byangiritse cyane, nko mu mpanuka y'imodoka cyangwa kugwa. Nubwo hyporeflexia ishobora kugaragara mu ntangiriro, uko igihe kigenda gihita, hyperreflexia ishobora kuvuka, aho igisubizo cyiyongera munsi y'urwego rw'imvune.

• ALS (Amyotrophic Lateral Sclerosis): Iyi nayo ni indwara ikomeza kwiyongera mu mitsi. Ariko, muri iki gihe, ikintu gikunze kugaragara ni ukwiyongera kw'ibisubizo (Hyperreflexia) aho kugabanuka.

• Lambert-Eaton Myasthenic Syndrome (LEMS): Iyi nayo ni indwara idasanzwe. Igira ingaruka ku mibanire iri hagati y'imitsi n'imitsi.

Hyporeflexia ivurwa ite?

Nta buryo bwo kuvura ibi. Kuko iyi atari indwara, ahubwo ni ikimenyetso cy'indi ndwara yihishe inyuma. Bityo rero, icyo abaganga bakora ni ukumenya neza icyabiteye no kuvura indwara yihishe inyuma.

Urugero, indwara ya Guillain-Barre ivurwa hakoreshejwe inkingo zihariye (IVIg) zigamije ubudahangarwa bw'umubiri cyangwa uburyo bwo kuvura indwara ziterwa n'amaraso.

Ni ryari ngomba kujya kwa muganga?

Iki ni ikibazo cy'ingenzi cyane. Wibuke ko hari abantu bamwe na bamwe bafite intege nke mu buryo busanzwe. Iyo nta bindi bibazo bibaho, ntabwo ari ikibazo gikomeye.

Ariko, niba ufite ibindi bimenyetso biri hepfo hamwe n'iki kibazo gito, ugomba kujya kwa muganga wawe .

Umuganga w'umuryango wawe azagusuzuma, kandi nibiba ngombwa, akwohereze ku muganga w'indwara zo mu bwonko kugira ngo akore isuzuma rirambuye.