Wakamboona chiremba achikurova ibvi zvinyoro nyoro nesando diki yerabha here? Gumbo rako rinozobva rasvetuka-svetuka, handiti? Izvi zvakajairika. Asi dzimwe nguva kusvetuka uku, kana kuti kuita uku (reflex), kunoitika nekukurumidza uye nesimba. Ndizvo zvatinodaidza kuti Hyperreflexia mukurapa. Kunyangwe zita iri ringanzwika sechirwere chakakomba, hapana chekutya. Nhasi, tichataura nezvazvo zviri nyore, nenzira yaunogona kunzwisisa.
Ngatitangei tione, chii chinonzi reflex iyi?
Zvichitaurwa zviri nyore, reflex chinhu chinongoerekana chaitika, tisingazvidzore. Aya ndiwo maitiro emuviri wedu ekutidzivirira. Funga nezvazvo, kana chimwe chinhu chakaita sechipembenene chikabhururuka chichienda kuziso rako, maziso ako anovhara otomatiki, handiti? Hachisi chinhu chaunoita uchiziva. Chinhu chinoitwa nemuviri kuti uzvidzivirire kubva mukukuvadzwa kunogona kuitika. Reflex imwecheteyo ndiyo inoita kuti tikurumidze kudzosa ruoko rwedu kumashure patinobata chimwe chinhu chinopisa. Izvi zvakakosha kuti tirarame.
Saka, Hyperreflexia inguva apo maitiro iwayo ega anoitika zvakanyanya, kana kuti zvakanyanya. Zvakajairika kuti gumbo rako rigwinhe zvishoma paunorova ibvi rako nesando. Asi kana gumbo rako rikakurumidza kugwinhwa kupfuura zvaungatarisira, sekunge rava kuda kukandirwa mberi, izvozvo zvinogona kunge zviri Hyperreflexia.
Sei izvi zvichiitika? Ndezvipi zvinokonzera hyperreflexia?
Pane zvikonzero zvakawanda zveizvi. Zvimwe zvine chekuita netsinga, zvimwe hazvina chekuita nazvo.
Matambudziko etsinga (Maronda eUpper Motor Neuron)
Chikonzero chikuru uye chinowanzo konzera izvi kukuvara kwemasero etsinga (motor neurons) anotakura mashoko kubva kuuropi hwedu kuenda kumusana. Mukurapa, izvi zvinonzi Upper Motor Neuron (UMN) lesion . Kutaura chokwadi, uropi hwedu ndiyo nzvimbo huru inodzora mafambiro emuviri uye maitiro. Mashoko anobva muuropi uhwu anoenda kutsandanyama kuburikidza nemusana. Kana paine kukuvara kana kuvharika pane imwe nzira inotakura mashoko aya, kutonga kwemaitiro kunokanganisa. Zvadaro maitiro acho anova akasimba zvakanyanya.
Kana UMN ikakuvara, zvimwe zviratidzo zvinogona kuitika pamwe chete neHyperreflexia. Izvi zvinonzi Upper Motor Neuron Syndrome. Zviratidzo izvi ndeizvi:
- Kushaya simba kwetsandanyama
- Kuoma kwetsandanyama (Spasticity) - Kuoma kwetsandanyama dzimwe kamwe kamwe uye kusimba.
- Clonus - Kusunga tsandanyama kusingadzoreki uye kusingadzoreki.
Matambudziko anotevera ehutano anogona kukonzera rudzi urwu rwekukuvara kweUMN uye hyperreflexia.
| Mamiriro | Sumo pfupi |
|---|---|
| Kukuvara kwemusana | Kukuvara kwemusana nekuda kwetsaona. |
| Multiple Sclerosis (MS) | Chirwere chinokuvadza chinodzivirira chakakomberedza masero etsinga. |
| Kukuvara kwehuropi kunorwadza | Kukuvara kwehuropi nekuda kwekukuvara kwakanyanya kwemusoro. |
| ALS (Amyotrophic Lateral Sclerosis) | Chirwere umo ma neuron ekufambisa anoparadzwa zvishoma nezvishoma. |
| Chirwere cheParkinson | Chirwere chinokanganisa masero etsinga dzeuropi. |
| Utachiona hwehuropi (Encephalitis) | Utachiona hwehuropi hunokonzerwa nemavhairasi kana mabhakitiriya. |
| Kushaikwa kweVitamini B12 | Kushaikwa kwenguva refu kwevhitamini B12, iyo inokosha mumuviri, kunogona kukanganisa tsinga. |
Zvimwe zvikonzero zvisingabatanidzwi nehurongwa hwetsinga
- Matambudziko Ekuzvidya Mwoyo: Kana uine kuzvidya mwoyo kana kuti panic disorder, muviri wako unenge uri mumamiriro ekuti 'kurwa kana kuti kutiza'. Izvi zvinogona kukonzera tsandanyama dzako nemaitiro emuviri kuti zvive zvakanyanya kunzwa. Izvi zvinogonawo kukonzera hyperreflexia. Zvisinei, haisi yekusingaperi uye inouya uye inoenda. Inowanzoitika kana uchinzwa kuzvidya mwoyo kana kushushikana.
- Hyperthyroidism: Kana thyroid gland iri mumutsipa wedu ikashanda zvakanyanya, muviri unoburitsa thyroid hormone yakawandisa. Iyi hormone inokurumidza kushanda kwesero rega rega mumuviri wedu, kusanganisira masero etsinga. Izvi zvinokurumidzisawo kuita kwemaitiro. Nekurapwa kwakakodzera, mamiriro eHyperreflexia anonyangarika zvachose.
Unoona sei izvi, Chiremba?
Chiremba achakuyedza hyperreflexia sechikamu chekuongororwa kwetsinga. Iyi ndiyo bvunzo yatinoziva tese pavanobaya ibvi rako nenyundo diki yerabha. Izvi zvinonzi bvunzo yeDeep Tendon Reflex (DTR) .
Zvakakosha kuti ugare wakadzikama uye wakasununguka sezvinobvira panguva yekuongororwa uku. Kana uchifunga nezvazvo kana kuti uchinetseka, mhedzisiro yacho inogona kunge isiriyo. Ndosaka chiremba dzimwe nguva achizotaura newe nezvechimwe chinhu asati aita izvi, kuti akukanganise.
Pamusoro pebvi, chiremba anogona kuyedza maekisesaizi munzvimbo dzakasiyana siyana.
- Kumashure kwegokora
- Mukati meruoko
- Ruoko negumbo
Ko Hyperreflexia neAutonomic Hyperreflexia zvinhu zvakasiyana here?
Ehe. Kunyangwe mazita maviri aya akafanana zvishoma, mamiriro ezvinhu maviri aya akasiyana zvachose . Zvakakosha kunzwisisa musiyano uyu nemazvo.
Autonomic Hyperreflexia (inozivikanwawo seAutonomic Dysreflexia) chirwere chekurapa chakakomba zvikuru, chinogona kuisa hupenyu panjodzi. Chinowanzoonekwa muvarwere vane kukuvara kwemusana wepamusoro (pamusoro peT6 thoracic vertebra). Kubatwa zvakanyanya kwe autonomic nervous system kunokonzera kuwedzera kweropa kamwe kamwe uye kwakanyanya. Chiratidzo chikuru musoro unongoerekana wanyanya. Ichi chirwere chinoda kuenda kuEmergency Department (ETU).
Asi hyperreflexia yatiri kutaura nezvayo munyaya ino ingori kukurumidza kuitika mumajoini. Ichi chiratidzo chechirwere, kwete chimwe chinhu chinotyisidzira hupenyu panguva iyoyo.
Ndezvipi zvinorapwa izvi?
Kurapwa kunoenderana zvachose nechirwere chakakonzera chirwere ichi. Chinangwa ndechekurapa chikonzero chacho chikuru.
- Muzvirwere zvetsinga zvisingarapiki zvakaita seMS neALS, kurapwa kunoshandiswa kudzora chirwere ichi. Kunyange hazvo hyperreflexia ichigara iripo, mimwe mishonga kana physiotherapy inogona kuderedza kuoma kwezviratidzo.
- Matambudziko akadai sehyperthyroidism uye kuzvidya mwoyo anogona kudzorwa zvizere nemishonga. Kana chirwere ichi chikarapwa, chiratidzo chehyperreflexia chinoperawo.
Ndinofanira kuona chiremba rini?
Zvinogona kuoma kuziva kana uine hyperreflexia wega. Inowanzoonekwa kana chiremba akakuongorora.
Zvisinei, kana uine zviratidzo zvinotevera, edza kuona chiremba wemhuri yako.
- Kana uchinzwa kusasimba kwemhasuru dzako.
- Kana uchinzwa kuomarara (spasticity) mumakumbo ako.
- Kana nhengo dzikazununguka zvisingadzoreki (clonus).
- Kana uchinzwa kuzvidya mwoyo uye kunetseka kunyangwe nezvinhu zvidiki, izvi zvinogona kunge zvichikonzerwa neAnxiety kana Hyperthyroidism.
Chiremba wako achaita bvunzo dzinodiwa, oona chikonzero chacho, uye, kana zvichidikanwa, okutumira kuna chiremba wetsinga.
Mharidzo Yekuenda Nayo Kumba
- Hyperreflexia inguva apo maitiro emuviri (reflexes) anoitika nekukurumidza uye nesimba.
- Chikonzero chikuru cheizvi kukuvara kweUMN, iyo inotakura mashoko kubva kuuropi kuenda kumusana. Zvisinei, panogona kunge paine zvimwe zvikonzero, zvakaita sekuzvidya mwoyo uye hyperthyroidism.
- Izvi zvinogona kuonekwa nekuongorora kweDTR, uko chiremba anoita nesando diki yerabha.
- Hyperreflexia neAutonomic Hyperreflexia zvirwere zviviri zvakasiyana zvachose. Autonomic Hyperreflexia chirwere chine njodzi chinoda kurapwa nekukurumidza.
- Kana ukaona shanduko mukushanda kwemhasuru dzako, kushaya simba, kuomarara, kana kugwinha kusingadzoreki, bvunza chiremba wako nekukurumidza.
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