Ingabe nawe ulahlekelwa yibhalansi yakho lapho uhamba? Ake sixoxe ngokuhlolwa kweRomberg!

Ingabe ngezinye izikhathi uzizwa sengathi ulahlekelwa ibhalansi yakho uma umi noma uhamba? Ingabe uzizwa unesizungu noma sengathi usuzowa? Uma kunjalo, namuhla sizokhuluma ngokuhlolwa okulula okungakusiza ukuthola ukuthi kungani. Lokhu kubizwa ngokuthi iRomberg Test. Ungakhathazeki, akulona ukuhlolwa okunzima.

Uyazi ukuthi iyini iRomberg Test?

Kalula nje, i-Romberg Test iyisivivinyo esifushane somzimba esihlola izinkinga zokulinganisela, ikakhulukazi lezo ezihlobene nomuzwa wakho wokuqonda izinto . O, manje cishe uyazibuza ukuthi kuyini ukuqonda izinto. Ake ngichaze nalokho futhi. Yikhono lokuzwa ukunyakaza komzimba wakho, indawo yakho. Ukuze ngibe neqiniso, ngisho noma amehlo akho evaliwe, ungazwa ukuthi izandla zakho zikuphi, ukuthi izinyawo zakho zikuphi, yilokho okushiwoyo.

Isivivinyo iRomberg sihlola ikakhulukazi ukuthi indlela yekholomu yomgogodla , ingxenye yobuchopho bakho nomgogodla elawula ukuqonda kwento ethile, isebenza kahle yini.

Ukuhlolwa kwenziwa kanje: Uzocelwa ukuthi ume imilenze yakho ihlangene nezingalo zakho ziseceleni noma zigoqwe esifubeni sakho. Kuzodingeka uqale ugcine amehlo akho evulekile, bese uwavala. Udokotela wakho uzokuqapha phakathi nalesi sikhathi futhi aqaphele noma yiziphi izimpawu zokuntengantenga noma ukulahlekelwa yibhalansi.

Lokhu kuhlolwa kuqanjwe ngoMoritz Romberg, isazi sezinzwa saseYurophu sekhulu le-19 esaqala ukwethula le ndlela, ikakhulukazi ukuxilonga amacala abucayi e-tertiary/late syphilis.

Singayilondoloza kanjani ngempela ibhalansi emizimbeni yethu?

Ibhalansi yikhono lokugcina isisindo somzimba silinganisele, ukuma siqonde, nokuhamba kancane kancane. Cabanga ngakho, kungenxa yalokhu kulinganisela ukuthi asiwi lapho sihamba, sigijima, noma ngisho sima nje.

Imizimba yethu igcina lokhu kulinganisela ngezinhlelo eziyinkimbinkimbi ezibizwa ngokuthi izinhlelo zokulawula izinzwa. Lokhu kufaka phakathi:

• Ukufakwa kwezinzwa okuvela embonweni: Ngokusekelwe kulokho esikubonayo, ubuchopho bethu bungaqonda ukuthi sinjani nokuthi injani indawo ezungezile.
• Ukuqonda Izinto Eziyimfihlo: Njengoba kushiwo ngaphambili, sizwa indawo kanye nokunyakaza kwezitho zomzimba wethu.
• Uhlelo lwe-Vestibular endlebeni yangaphakathi: Yilokhu okunikeza ubuchopho ulwazi mayelana nokunyakaza kwethu, ibhalansi, kanye nokuma kwendawo. Uma uzwa isiyezi, kukhona okungahambanga kahle ngalolu hlelo.
• Lokhu kufakwa kwezinzwa kuqoqwa kahle futhi kuqondwe ubuchopho.
• Ngakho-ke, ukunikeza amandla okukhipha amandla emehlweni nasemisipheni.

Singabhekana nokulimala, izifo ezithile, izinkinga zokubona, imithi ethile, futhi njengoba sikhula, enye noma ngaphezulu yalezi zinto ingaba buthaka. Yilapho kuvela khona izinkinga zokulinganisela.

Ukuhlolwa kweRomberg kusiza ekunqumeni ukuthi izinkinga zakho zebhalansi zibangelwa yini inkinga nge-proprioception.

Iyini le ndlela yokuqonda izinto?

Ake sixoxe kabanzi nge-proprioception. Lokhu kuyikhono lomzimba wethu lokuzwa ukunyakaza kwawo kanye nendawo yawo esikhaleni (indawo esizungezile).

Indlela ye-dorsal column-medial lemniscus (DCML) , noma nje i-dorsal column , iyindlela yokuzwa ohlelweni lwethu lwezinzwa oluphakathi —okungukuthi, ubuchopho kanye nomgogodla. Kungale ndlela lapho sibona khona imizwa ecashile yokuthinta, ukudlidliza, kanye nokuma okuvela ezinzwa esikhumbeni sethu, emisipheni, nasemalungeni.

Kungakhathaliseki ukuthi sinyakaza kanjani, ama-sensor receptors esikhumbeni sethu, emisipheni, nasemalungeni ethu athumela imizwa ebuchosheni ngaleli kholamu yomgogodla. Lolu lwazi, oluhlanganiswe nokufakwa okubonakalayo kanye nolwazi mayelana nokulinganisela kanye nokunyakaza okuvela ohlelweni lwe-vestibular endlebeni yangaphakathi, lutshela ubuchopho ukuthi imizimba yethu ikuphi nokuthi injani.

Ukuhlolwa kweRomberg kuhilela ukususa usizo lokubona lapho amehlo evaliwe. Lokhu kungasetshenziswa ukubona ukuthi i-proprioception isebenza kahle kangakanani ukugcina ibhalansi. Lokhu kungasiza ekuboneni ukuba khona kwesimo sezinzwa esithinta i-proprioception.

Kunini lapho kudingeka khona ukuhlolwa kweRomberg?

Odokotela bavame ukwenza lolu vivinyo lweRomberg:

• Kulabo abanezinkinga zokulinganisela, isiyezi, kanye nokuwa njalo.
• Lokhu kwenziwa futhi njengengxenye yokuhlolwa okuvamile kwezinzwa .

Lokhu kuhlolwa kuwusizo kakhulu ekuxilongeni nasekuhloleni izimo ezahlukahlukene zezinzwa. Nazi izibonelo ezimbalwa:

• Isifo sikaParkinson
• I-Friedreich's ataxia
• Ukuntuleka kwe-Vitamin B12
• I-syphilis yesigaba sesithathu/sekwephuzile
• I-hydrocephalus evamile yokucindezela (i-NPH) kubantu asebekhulile abawa njalo
• Isifo sikaWernicke
• Isifo sikaMénière
• I-Brown-Sequard syndrome
• I-Posterior cord syndrome

Kodwa khumbula, izinkinga zokulinganisela zingabangelwa nezinye izimo ezihlobene nokubona kwakho kanye nesistimu yakho ye-vestibular.

Ubani owenza iRomberg Test?

Ukuhlolwa kweRomberg kungenziwa ngokuphephile yinoma yimuphi umhlinzeki wezempilo ojwayelene nakho. Kodwa-ke, ngenxa yokuthi kuwukuhlolwa kwezinzwa, kuvame ukwenziwa odokotela bezinzwa .

Ukuhlolwa kweRomberg kwenziwa kanjani ngempela?

Lokhu ukuhlolwa komzimba. Udokotela wakho uzokunikeza imiyalelo futhi akubuke ukuthi uyakwenza. Nazi izinyathelo:

1. Uzotshelwa ukuthi ukhumule izicathulo zakho ume uhlanganise imilenze yakho.

2. Bathi gcina izingalo zakho phansi eceleni kwakho, noma uzihlanganise esifubeni sakho.

3. Okokuqala, udinga ukuma uqonde ngaphandle kokunyakaza cishe imizuzwana engama-30 amehlo akho evulekile . Udokotela uzohlola ukunyakaza komzimba wakho kanye nokulinganisela.

4. Ngemuva kwalokho, kufanele ume endaweni efanayo bese uvala amehlo akho . Kufanele uhlale kanje cishe imizuzwana engama-30 noma umzuzu. Udokotela uzophinde ahlole ukunyakaza kwakho kanye nokulinganisela kwakho.

Kunezinhlobo ezahlukene eziguquliwe zeRomberg Test. Zisetshenziselwa ukuhlola ibhalansi ezimweni ezahlukene. Izibonelo ezimbili yilezi:

• Ukuhlolwa kweRomberg okubukhali (i-SRT): Lokhu kusetshenziselwa ukuhlola i-ataxia (ukungasebenzi kahle kokuxhumana) kubantu abalulama ekuguleni kokucindezeleka (isb., isimo esenzeka kubabhukudi). Ngokungafani nokuhlolwa kweRomberg okuvamile, lokhu kubeka izinyawo emgqeni, lapho isithende sonyawo olulodwa sithinta izinzwane zolunye.
• Ukuhlolwa Kokuma Komlenze Owodwa (SLST): Lokhu kusetshenziselwa ukuhlola ukuqina kwesimo somzimba kubantu asebekhulile kanye nalabo abanesifo sikaParkinson . Kuhilela ukuhlola ukuthi umuntu angama isikhathi esingakanani ngomlenze owodwa amehlo akhe evulekile. Ukuhlolwa kuqedwa ngomzuzu owodwa. Umlenze ngamunye uhlolwa kathathu.

Yini ongayilindela ngesikhathi sokuhlolwa?

Isivivinyo saseRomberg siyindlela esheshayo nelula kakhulu. Uma wenza lokhu, akekho ozokubamba noma akusize ulinganisele.

Kodwa ungakhathazeki! Udokotela wakho noma umuntu owenza ukuhlolwa uzobe ehleli eduze kwakho futhi ekubhekisise. Uma bekubona usuzowa, bazokubamba ngokushesha futhi bakuvimbele ukuthi ungawi. Futhi, indawo ezungeze indawo yokuhlola isusiwe noma yiziphi izinto ezingabangela ukuwa.

Ingabe lokhu kudinga ukulungiswa okukhethekile?

Cha. Awudingi ukwenza noma yini ekhethekile ngaphambi kokwenza iRomberg Test.

Ingabe zikhona izingozi ngalolu vivinyo?

Uma lokhu kuhlolwa kwenziwa ngendlela ephephile ngudokotela oqeqeshiwe noma uchwepheshe wezempilo, azikho izingozi noma izinkinga ezaziwayo.

Kuthatha isikhathi esingakanani ukwazi imiphumela yokuhlolwa?

Uma usuqedile ukuhlolwa, udokotela angakutshela ukuthi ukuhlolwa kwakho kweRomberg kuqondile noma cha.

Kodwa khumbula into eyodwa. Ukuhlolwa kweRomberg kuphela akukwazi ukukutshela kahle ukuthi yini ebangela inkinga yakho yokulinganisela noma ukuthi yini engalungile ngomgogodla wakho. Udokotela wakho kuzodingeka enze ezinye izivivinyo ukuze athole imbangela eqondile.

Kusho ukuthini ukuba nokuhlolwa kweRomberg okuhle?

Ukuhlolwa okuhle kweRomberg kwenzeka lapho ulahlekelwa ibhalansi yakho ngemva kokuvala amehlo akho. Okusho ukuthi, uma umzimba wakho ushukuma kakhulu, uma ubeka umlenze phambili lapho uzowa khona, noma uma uwa ngempela.

Uma ukuhlolwa kwakho kweRomberg kukhomba ukuthi unegciwane, udokotela wakho uzoyala ukuhlolwa okwengeziwe ukuthola ukuthi yini ebangela ukuthi ikholomu yakho yomgogodla ingasebenzi kahle. Ukuhlolwa kweRomberg okukhomba ukuthi unegciwane kungabangelwa yizimo ezahlukene zezokwelapha.

Kusho ukuthini uma ukuhlolwa kweRomberg kungenayo imiphumela?

Ukuhlolwa kweRomberg okungekuhle yilapho ungahlala uzinzile ngaphandle kokushukunyiswa okukhulu ngesikhathi sokuhlolwa.

Lokhu kusho ukuthi izimpawu ezihlobene nohlelo lwakho lwe-vestibular noma i-proprioception kungenzeka zingahlobene ngqo nezinkinga zokulinganisela, noma zingase zibe ngenxa yesinye isizathu esingenakutholakala ngokuhlolwa kweRomberg.

Kufanele ubonane nini nodokotela uma unenkinga ngebhalansi yakho?

Izinkinga zokulinganisela zingaba yingozi futhi zingaholela ekuweni. Uma unezinye zalezi zimpawu, qiniseka ukuthi ubona udokotela:

• Ukungazinzi
• Isiyezi
• Ukuba nekhanda elikhanyayo - (IsiSinhala: Ukuzizwa unekhanda elikhanyayo, ukuzizwa sengathi ulahlekelwa ingqondo)
• Umbono ofiphele
• Ukulahlekelwa ibhalansi yakho nokuwa
• Ukuzizwa udidekile
• Ukuzizwa sengathi igumbi liyajikeleza, isikhashana
• Ukuzizwa sengathi uyahamba uma wazi ukuthi usamile
• Ukuzizwa sengathi uyawa

Ake sifunde kancane ngalokhu: Kuyini i-Modified Romberg Balance Test?

Lesi isivivinyo sebhalansi esiguquliwe seRomberg.Ngezinye izikhathi isetshenziswa yizikhulu zomthetho ukuthola ukuthi umshayeli uke waphuza utshwala yini, kodwa lokhu akulona ukuhlolwa kwasensimini okuvunyelwe yi -National Highway Traffic Safety Administration (NHTSA) .

Uma wenza lokhu, iphoyisa lizokutshela ukuthi ugcine imilenze yakho ihlangene, ugobe ikhanda lakho emuva kancane, bese uvala amehlo akho. Ngemuva kwemizuzwana engama-30, uzocelwa ukuthi uthi "yeka" noma nini lapho uzizwa uthanda.

Ekugcineni, umyalezo okufanele uwuthathe uye ekhaya:

Ukulahlekelwa ibhalansi yakho nokuzizwa unesizungu kungaba yinto eyesabekayo. Uma uzizwa ungazinzile noma ungazinzile ngenkathi umi noma uhamba, sicela ubonane nodokotela. Bangenza izivivinyo ezifana neRomberg Test ukukusiza ukuthola imbangela yezinkinga zakho zebhalansi. Khumbula, ukuxilongwa okufanele kuyisinyathelo sokuqala sokwelashwa okufanele.

Ukuhlolwa kweRomberg , ibhalansi, ukuqonda okuqondile, isimiso sezinzwa, isiyezi, ukuwa, izifo zezinzwa