Ngaba wakha wamkrwempa umntwana wakho emazantsi xa uhlamba okanye udlala naye? Ngaba wakha waphawula ukuba uzwane lwakhe olukhulu luyaphuma kwaye eminye iminwe yakhe isasazeka kakuhle? Usenokucinga ukuba oku kuyenzeka ngengozi nje. Kodwa eneneni luphawu olubaluleke kakhulu olusetyenziswa ngoogqirha ukujonga ukukhula kwengqondo yomntwana kunye nenkqubo yemithambo-luvo. Namhlanje, siza kuthetha ngale nto imangalisayo.
Yintoni iBabinski Sign?
Kalula nje, uphawu lweBabinski luyimpendulo. Ngokuchanekileyo, yindlela yokuziqhelanisa enganyanzelekanga . Oko kukuthi, asiyonto esiyilawulayo ngabom. Cinga ngayo, ukuba umntu usijonga ngequbuliso, singavala amehlo ethu, akunjalo? Asiyonto esiyenzayo ngabom. Oku kuyafana.
Xa ugqirha ehlikihla kancinci intlango yonyawo lomntwana, ukusuka esithendeni ukuya kunyawo olukhulu, ngento ecacileyo (njengesiphatho sesando esijikelezayo), unyawo olukhulu lomntwana luyagoba luye phezulu, ngelixa ezinye iinzwane zisasazeka njengefeni. Yiloo nto siyibiza ngokuba luphawu lweBabinski. Olu vavanyo lubizwa ngokuba luvavanyo lwePlantar Reflex .
Oku kwaqala ukufunyanwa ngo-1896 yingcali yezifo zengqondo egama linguJoseph Babinski. Yiyo loo nto ibizwa ngegama lakhe.
Kutheni iintsana ezincinci zine-reflex yeBabinski?
Ngoku mhlawumbi uyazibuza, "Kutheni oku kulungiselelwe iintsana ezincinci kuphela?" Isizathu sinomdla kakhulu.
Kukho indlela enkulu yemithambo-luvo ephuma kwingqondo yethu iye kumqolo, ithwele imiyalezo elawula iintshukumo zomzimba. Ngokwezonyango, oku kubizwa ngokuba yi-corticospinal tract (CST) . Cinga ngayo njengohola wendlela ukusuka eColombo ukuya eGalle. Le ndlela yiyo ethwala imiyalezo esuka kwingqondo ngokukhawuleza efana nokuthi "shukumisa isandla sakho" kunye "phakamisa umlenze wakho" uye kwiindawo ezifanelekileyo.
Xa abantwana bezalwa, le "Corticospinal Tract", "indlela yethu enkulu", ayikaphuhliswa ngokupheleleyo. Ifana nendlela entsha ekhaphethiweyo, umsebenzi awukagqitywa. Ngoko ke indlela imiyalezo evela kwingqondo ehamba ngayo yahlukile kancinci. Oko kungenxa yokungavuthwa kwenkqubo yemithambo-luvo , xa intende yonyawo ivuselelwa, iinzwane ziyaphakama ngenxa yomyalezo ovela kwingqondo.
Oku akuthethi ukuba kukho into engalunganga kwinkqubo yemithambo-luvo yomntwana. Kuyinto eqhelekileyo ngokupheleleyo kuloo minyaka. Kuthetha nje ukuba inkqubo yemithambo-luvo yomntwana iyakhula.
Yintoni umahluko phakathi kweBabinski Reflex kunye nePlantar Grasp Reflex?
Njengoko umntwana ekhula, i-"Corticospinal Tract" esithethe ngayo ikhula kakuhle. Kufana nokuba wonke umsebenzi 'kwindlela yethu enkulu' ugqityiwe. Emva koko loo Babinski reflex iyanyamalala, kuze kufike enye reflex endaweni yayo. Siyibiza ngokuba yiPlantar Grasp Reflex .
Okwenzekayo kukuba ukuba ubeka umnwe wakho ezantsi konyawo lomntwana wakho ngaphantsi kweenyawo zakhe, uza kugoba iminwe yakhe aze enze ngathi ubambe umnwe wakho. Le yindlela esisabela ngayo emva kweminyaka emi-2 ubudala nasebudaleni. Oku kubonisa ukuba inkqubo yethu yemithambo-luvo iphuhlile kakuhle.
Umahluko phakathi kwezi zimbini ufana nokuvula nokucima isibane:
- I-Babinski Reflex: Iminwe iyaphakama (njengokuvula iswitshi).
- I-Plantar Grasp Reflex: Iinzwane zigoba phantsi (njengokucima iswitshi).
Makhe sijonge le tshathi ukuze sichaze ngakumbi lo mahluko.
| Uphawu | I-Babinski Reflex | I-Plantar Grasp Reflex |
|---|---|---|
| Intshukumo yeminwe | Ubhontsi omkhulu uyaphakama . Ezinye iinzwane ziyasasazeka. | Yonke iminwe igobile , isenza ngathi ibamba into ethile. |
| Ubudala bokubona okuqhelekileyo | Ukususela ekuzalweni ukuya kwiminyaka emibini. | Emva kweminyaka emi-2, ubomi bonke. |
| Ithetha ntoni le nto? | Inkqubo yemithambo-luvo (ingakumbi i-CST) isakhula . (Oku kuqhelekile kule minyaka) | Inkqubo yemithambo-luvo iphuhliswe kakuhle (iqhelekile kule minyaka). |
Iphela nini le Babinski reflex?
Ngokwesiqhelo, le mpendulo kaBabinski iyanyamalala ngokupheleleyo xa umntwana eneminyaka eyi-2 ubudala . Kodwa ayizizo zonke iintsana ezinayo xa zineminyaka emibini ubudala. Ezinye iintsana ziyayilahlekelwa xa zineminyaka eyi-1 ubudala, kwaye impendulo yokubamba ye-plantar esithethe ngayo (iinzwane zigobile ezantsi) iqala ukubonakala. Oku kunokwahluka kancinci kumntwana ngamnye.
Okubaluleke kakhulu: Kuthekani ukuba umntu omdala okanye umntwana oneminyaka engaphezu kwemi-2 ubudala unalo mqondiso?
Le yeyona nto ibalulekileyo sonke ekufuneka siyiqaphele.
Xa uhlola intlama yomntwana oneminyaka engaphezu kwemi-2 ubudala okanye nawuphi na umntu omdala, ukuba ubona uphawu lweBabinski, oluthi xa uzwane olukhulu luphakanyiswa kwaye ezinye iinzwane zisasazeke, yimeko engaqhelekanga leyo.
Oku kuthetha ukuba kunokubakho umonakalo, ingxaki, okanye isifo kwinkqubo yemithambo-luvo yomntu (CNS), oko kukuthi, ingqondo okanye umqolo . Ngokukodwa, kunokubakho umonakalo kwindlela yemithambo-luvo ebizwa ngokuba yiCorticospinal Tract esithethe ngayo ngaphambili.
| Ezinye zeemeko zempilo ezinokubangela uphawu lukaBabinski kubantu abadala | |
|---|---|
| Istroke | Umonakalo obangelwa kukuphazamiseka kokunikezelwa kwegazi engqondweni. |
| Ukulimala koMgogodla | Ukonakala kwemithambo-luvo yomqolo ngenxa yengozi. |
| Isifo sokugubhuka | Yimeko apho inkqubo yomzimba yokuzikhusela yonakalisa imithambo-luvo. |
| Ithumba lobuchopho | Ukukhula okungaqhelekanga kweeseli engqondweni. |
| I-Meningitis | Usulelo lwee-membrane ezigubungela ingqondo kunye nomqolo. |
| I-ALS (i-Amyotrophic Lateral Sclerosis - i-ALS) | Yimeko apho imithambo-luvo elawula izihlunu iyancipha kancinci kancinci. |
Ngoko ke, ukuba wena okanye umntu omaziyo oneminyaka engaphezu kwemi-2 ubudala unezinye zezi mpawu, musa ukuzityeshela. Eyona nto ingcono onokuyenza kukubona ugqirha ofanelekileyo ngoko nangoko uze ufumane iingcebiso zonyango kunye novavanyo olufunekayo.
Ugqirha ulwenza njani olu vavanyo?
Mhlawumbi ukhe walubona olu vavanyo lusenziwa ngugqirha xa usisa umntwana wakho ekliniki ukuze ajonge ukukhula kwakhe. Luvavanyo olulula kakhulu, olungenabuhlungu olunokwenziwa kwimizuzwana embalwa.
1. Okokuqala, ugqirha ukhulula izihlangu zomntwana kunye neekawusi aze alale phantsi ngokukhululeka.
2. Emva koko, usebenzisa isixhobo esibuthuntu, umzekelo isixhobo sokucinezela ulwimi okanye icala elibuthuntu lesando esijikelezayo, shukumisa isithende somntwana kancinci phezulu nasezantsi ezantsi konyawo ukuya ezantsi konyawo olukhulu.
3. Ngelo xesha, ugqirha uza kujonga ngononophelo iinzwane zomntwana. Uza kujonga ukuba unyawo olukhulu lujonge phezulu na (lugobile) kwaye ezinye iinzwane ziyasasazeka na.
Iziphumo zolu vavanyo zinokuba `zilungile` okanye `zingalunganga`.
- Uphawu lweBabinski oluthi Positive: Oku kuthetha ukuba uzwane olukhulu luphakanyisiwe kwaye eminye iminwe isasazeke. Oku kuqhelekile kwiintsana ezingaphantsi kweminyaka emi-2 ubudala . Kodwa akuvamile kwabo bangaphezulu kweminyaka emi-2 ubudala.
- I-Negative Plantar Reflex: Oku kuthetha ukuba iinzwane zigobile ezantsi (plantar grasp), okanye akukho mpendulo. Le yimpendulo eqhelekileyo kubantwana abangaphezu kweminyaka emi-2 ubudala nakubantu abadala .
Ngoko ke, ungamangaliswa kukuba ubona le mpendulo ngengozi xa uhlamba okanye udlala nomntwana wakho. Yinxalenye yenkqubo emangalisayo yengqondo yomntwana wakho kunye nenkqubo yemithambo-luvo esebenza kunye kwaye ikhula. Olu vavanyo lulula lunokuxelela oogqirha okuninzi ngempilo yomntwana wakho.
Umyalezo Wokuya Ekhaya
- I-Babinski reflex, eyindlela yokunyusa unyawo olukhulu xa kukhuhlwa unyawo, luphawu oluqhelekileyo nolusempilweni kwiintsana ezingaphantsi kweminyaka emi-2 ubudala .
- Oku kubonisa ukuba inkqubo yemithambo-luvo yomntwana (ingqondo kunye nomqolo) ikhula kakuhle.
- Amaxesha amaninzi, xa umntwana eneminyaka emi-2 ubudala, le mpendulo iyanyamalala ize ithathelwe indawo yimpendulo yokubamba yeplantar.
- Ukuba olu phawu lweBabinski lubonakala kumntwana oneminyaka engaphezu kwemi-2 ubudala okanye kumntu omdala , lusenokuba luphawu lwengxaki engqondweni okanye emgogodleni.
- Kwimeko enjalo, kubalulekile ukuba ungoyiki, kodwa kufuneka ubone ugqirha wakho ngoko nangoko uze ucele ingcebiso.
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