Ngaba wakha wambona ugqirha ebetha idolo lakho kancinci ngesando esincinci serabha? Umlenze wakho uya kugxumagxuma ngokuzenzekelayo, akunjalo? Oku kuqhelekile. Kodwa ngamanye amaxesha oku kugxumagxuma, okanye oku kusabela (reflex), kwenzeka ngokukhawuleza nangokunamandla. Yiloo nto siyibiza ngokuba yiHyperreflexia kwezonyango. Nangona eli gama lisenokuvakala ngathi sisifo esinzulu, akukho nto yokoyika. Namhlanje, siza kuthetha ngale nto ngokulula, ngendlela onokuyiqonda.
Masiqale sibone, yintoni le reflex?
Ngamafutshane, i-reflex yinto eyenzeka ngokuzenzekelayo, ngaphandle kolawulo lwethu. Ezi ziindlela ezizenzekelayo ekufuneka imizimba yethu isikhusele. Cinga ngako, xa into efana nesinambuzane ibhabha isiya elisweni lakho, amehlo akho ayavaleka ngokuzenzekelayo, akunjalo? Asinto oyenzayo ngabom. Yinto eyenziwa ngumzimba ukuzikhusela kumonakalo onokubakho. I-reflex efanayo yiyo loo nto sikhawuleza sitsale isandla sethu emva xa sichukumisa into eshushu. Ezi zibalulekile ukuze siphile.
Ngoko ke, i-Hyperreflexia kuxa ezo mpendulo zenzeka kakhulu, okanye ngamandla kakhulu. Kuqhelekile ukuba umlenze wakho uxhuzule kancinci xa ubethe idolo lakho ngesando. Kodwa ukuba umlenze wakho uxhuzula ngokukhawuleza kunokuba ubulindele, ngokungathi uza kuphoswa phambili, oko kusenokuba yi-Hyperreflexia.
Kutheni oku kusenzeka? Zithini izizathu ze-hyperreflexia?
Kukho izizathu ezahlukeneyo zoku. Ezinye zinxulumene nenkqubo yemithambo-luvo, ezinye azinxulumene.
Iingxaki zenkqubo yemithambo-luvo (Izilonda ze-Upper Motor Neuron)
Eyona nto iphambili neyona ixhaphakileyo yoku kukonakala kweeseli zemithambo-luvo (ii-motor neurons) ezithwala imiyalezo esuka kwingqondo yethu ukuya kwi-spinal cord. Ngokwezonyango, oku kubizwa ngokuba yi-Upper Motor Neuron (UMN) lesion . Ngokuchanekileyo, ingqondo yethu yindawo ephambili elawula iintshukumo zomzimba kunye neempendulo. Imiyalezo evela kule ngqondo iya kwimisipha nge-spinal cord. Xa kukho umonakalo okanye ukuvaleka kwenye indawo endleleni ethwala le miyalezo, ulawulo lweempendulo luyaphazamiseka. Emva koko iimpendulo ziba namandla kakhulu.
Xa kwenzeka umonakalo kwi-UMN, ezinye iimpawu ezininzi zinokwenzeka kunye ne-Hyperreflexia. Ezi zibizwa ngokuba yi-Upper Motor Neuron Syndrome. Ezi mpawu zezi:
- Ubuthathaka bemisipha
- Ukuqina kwemisipha (Ukuxinezeleka) - Ukuqina nokuxinana kweminye imisipha ngequbuliso.
- I-Clonus - Ukuxinana kwemisipha okungalawulekiyo nokune-rhythmic.
Ezi meko zilandelayo zonyango zingabangela olu hlobo lomonakalo we-UMN kunye ne-hyperreflexia.
| Imeko | Intshayelelo emfutshane |
|---|---|
| Ukulimala komqolo | Ukulimala komqolo ngenxa yengozi. |
| I-Multiple Sclerosis (MS) | Isifo esonakalisa isigqubuthelo esikhuselayo esijikeleze iiseli zemithambo-luvo. |
| Ukulimala kwengqondo okubuhlungu | Ukonakala kwengqondo ngenxa yokwenzakala okukhulu entloko. |
| I-ALS (i-Amyotrophic Lateral Sclerosis) | Isifo apho ii-neurons ze-motor zitshatyalaliswa kancinci kancinci. |
| Isifo sikaParkinson | Isifo esichaphazela iiseli zemithambo-luvo yobuchopho. |
| Usulelo lobuchopho (i-Encephalitis) | Usulelo lobuchopho olubangelwa ziintsholongwane okanye iibhaktheriya. |
| Ukunqongophala kweVithamin B12 | Ukunqongophala kwexesha elide kwevithamini B12, ebalulekileyo emzimbeni, kungonakalisa inkqubo yemithambo-luvo. |
Ezinye izizathu ezingahambelaniyo nenkqubo yemithambo-luvo
- Iingxaki Zokuxhalaba: Ukuba unesifo sokuxhalaba okanye sokuphazamiseka kwengqondo, umzimba wakho ukwimeko 'yokulwa okanye ukubaleka'. Oku kunokubangela ukuba izihlunu zakho kunye neempendulo zakho zibe novakalelo olugqithisileyo. Oku kunokubangela ne-hyperreflexia. Nangona kunjalo, ayihlali ihleli kwaye iyafika ihambe. Iqheleke kakhulu xa uziva uxhalabile okanye uxinezelekile.
- I-Hyperthyroidism: Xa i-thyroid gland entanyeni yethu isebenza kakhulu, umzimba uvelisa i-hormone ye-thyroid engaphezulu. Le hormone ikhawulezisa umsebenzi weseli nganye emzimbeni wethu, kuquka neeseli zemithambo-luvo. Oku kukwakhawulezisa ukusabela. Ngonyango olufanelekileyo, imeko ye-Hyperreflexia iyanyamalala ngokupheleleyo.
Uyifumana njani le nto, Gqirha?
Ugqirha uza kukuvavanya i-hyperreflexia njengenxalenye yovavanyo lwe-neurological. Olu luvavanyo esilwaziyo sonke apho babetha khona idolo lakho ngesando esincinci serabha. Oku kubizwa ngokuba luvavanyo lwe-Deep Tendon Reflex (DTR) .
Kubaluleke kakhulu ukuba uhlale uzolile kwaye uphumle kangangoko unako ngeli xesha lovavanyo. Ukuba ucinga ngako okanye uxinezeleka, iziphumo zisenokuba azichanekanga. Yiyo loo nto ugqirha ngamanye amaxesha ethetha nawe ngenye into ngaphambi kokuba enze oku, ukuze akuphazamise.
Ukongeza edolweni, ugqirha unokuvavanya i-reflexes kwezinye iindawo ezininzi.
- Umva wengqiniba
- Ngaphakathi kwesikhonkwane sesandla
- Isandla kunye neqatha
Ngaba i-Hyperreflexia kunye ne-Autonomic Hyperreflexia zizinto ezahlukeneyo?
Ewe. Nangona la magama mabini efana kancinci, la magama mabini ahluke ngokupheleleyo . Kubaluleke kakhulu ukuqonda lo mahluko ngokuchanekileyo.
I-Autonomic Hyperreflexia (ekwaziwa ngokuba yi-Autonomic Dysreflexia) yimeko engxamisekileyo yezonyango enzulu kakhulu, enokuba yingozi ebomini. Ixhaphake kakhulu kwizigulane ezineengozi zomqolo ophezulu (ngaphezulu kwe-T6 thoracic vertebra). Kukusabela kakhulu kwenkqubo ye-autonomic nervous system ebangela ukunyuka okukhawulezileyo nokukhulu koxinzelelo lwegazi. Uphawu oluphambili yintloko ebuhlungu ngequbuliso. Le yimeko efuna uhambo oluya kwiSebe leNgxamiseko (ETU).
Kodwa i-hyperreflexia esithetha ngayo kweli nqaku yimpendulo ekhawulezileyo emalungeni. Luphawu lwesifo, asinto esongela ubomi ngelo xesha.
Zithini iindlela zonyango zoku?
Unyango luxhomekeke ngokupheleleyo kwimeko yezonyango ebangele oko. Injongo kukunyangela unobangela.
- Kwiimeko ze-neurological ezinganyangekiyo ezifana ne-MS kunye ne-ALS, unyango lusetyenziselwa ukulawula esi sifo. Nangona i-hyperreflexia isisigxina, amanye amayeza okanye i-physiotherapy inokunciphisa ubukhali beempawu.
- Iimeko ezifana ne-hyperthyroidism kunye nexhala zinokulawulwa ngokupheleleyo ngamayeza. Xa imeko inyangwa, uphawu lwe-hyperreflexia luyanyamalala.
Ndifanele ndimbone nini ugqirha?
Kunokuba nzima ukwazi ukuba unayo na i-hyperreflexia ngokwakho. Idla ngokuchongwa xa ugqirha ekuxilonga.
Nangona kunjalo, ukuba uneempawu ezilandelayo, qiniseka ukuba ubonana nogqirha wakho wosapho.
- Ukuba uziva ubuthathaka kwimisipha yakho.
- Ukuba uziva ukuqina (ukuqaqamba) kwamalungu akho.
- Ukuba amalungu ashukuma ngokungalawulekiyo (clonus).
- Ukuba uziva uxhalabile kwaye uxinezelekile nakwezona zinto zincinci, oku kusenokuba kubangelwa yi-Anxiety okanye i-Hyperthyroidism.
Ugqirha wakho uza kwenza uvavanyo olufunekayo, afumanise unobangela, aze, ukuba kuyimfuneko, akuthumelele kwingcali yezifo zengqondo.
Umyalezo Wokuya Ekhaya
- I-Hyperreflexia kuxa ii-reaction zomzimba (reflexes) zenzeka ngokukhawuleza nangokunamandla.
- Eyona nto ibangela oku kukonakala kwi-UMN, ethwala imiyalezo esuka engqondweni ukuya kumqolo. Nangona kunjalo, kunokubakho ezinye izizathu, ezifana nokuxhalaba kunye ne-hyperthyroidism.
- Oku kunokuchongwa ngovavanyo lwe-DTR, oluqhutywa ngugqirha ngesando esincinci serabha.
- I-Hyperreflexia kunye ne-Autonomic Hyperreflexia ziimeko ezimbini ezahlukeneyo ngokupheleleyo. I-Autonomic Hyperreflexia yimeko eyingozi efuna unyango olungxamisekileyo.
- Ukuba ufumana naluphi na utshintsho ekusebenzeni kwezihlunu zakho, ubuthathaka, ukuqina, okanye ukuxhuzula okungalawulekiyo, qhagamshelana nogqirha wakho ngaphandle kokulibazisa.
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