Wake wakhafula isisu somntwana wakho ngenkathi ugeza noma udlala naye? Wake waphawula ukuthi uzwane lwakhe olukhulu luyaphuma kanti eminye iminwe yakhe isakazeka kahle? Ungase ucabange ukuthi lokhu kumane kuyingozi nje. Kodwa empeleni kuyisibonakaliso esibaluleke kakhulu odokotela abasisebenzisayo ukuhlola ukukhula kobuchopho bomntwana kanye nesimiso sezinzwa. Namuhla, sizokhuluma ngale nto emangalisayo.
Iyini iBabinski Sign?
Kalula nje, i-Babinski Sign iyimpendulo. Uma sikhuluma iqiniso, i-reflex engahlosiwe . Okusho ukuthi, akuyona into esiyilawula ngamabomu. Cabanga ngakho, uma othile esibheka ngokuzumayo, singavala amehlo ethu, akunjalo? Akuyona into esiyenzayo ngamabomu. Lokhu kuyafana.
Uma udokotela ehlikihla kancane iphansi lonyawo lomntwana, kusukela esithendeni kuya ozwaneni olukhulu, ngento ebukhali (njengesiphatho sesando esishintshashintshayo), uzwane olukhulu lomntwana luyagoba luye phezulu, kuyilapho ezinye izinzwane zisakazeka njengefeni. Yilokho esikubiza ngokuthi uphawu lweBabinski. Lokhu kuhlolwa kubizwa ngokuthi iPlantar Reflex Test .
Lokhu kwaqala ukutholwa ngo-1896 ngudokotela wezinzwa ogama lakhe linguJoseph Babinski. Yingakho kwaqanjwa ngaye.
Kungani izingane ezincane zine-reflex ye-Babinski?
Manje mhlawumbe uyazibuza, "Kungani lokhu kungokwabantwana abancane kuphela?" Isizathu siyathakazelisa kakhulu.
Kukhona indlela enkulu yezinzwa egijima isuka ebuchosheni bethu iye emgogodleni, iphethe imiyalezo elawula ukunyakaza komzimba. Ngokwezokwelapha, lokhu kubizwa ngokuthi i-corticospinal tract (CST) . Cabanga ngayo njengomgwaqo omkhulu osuka eColombo uye eGalle. Le ndlela yiyo ethwala ngokushesha imiyalezo evela ebuchosheni efana nokuthi "phakamisa isandla sakho" nokuthi "phakamisa umlenze wakho" uye ezindaweni ezifanele.
Lapho kuzalwa izingane, le "Corticospinal Tract", 'umgwaqo wethu omkhulu', ayikathuthuki ngokugcwele. Kufana nomgwaqo osanda kukhaphethi, umsebenzi awukaqedwa. Ngakho-ke indlela imiyalezo evela ebuchosheni ehamba ngayo ihlukile kancane. Lokho kungenxa yokungavuthwa kwesimiso sezinzwa , lapho iphansi lonyawo lishukunyiswa, izinzwane ziyaphakama ngenxa yomyalezo ovela ebuchosheni.
Lokhu akusho ukuthi kukhona okungahambi kahle ngohlelo lwezinzwa lomntwana. Kujwayelekile ngokuphelele kuleyo minyaka. Kusho nje ukuthi uhlelo lwezinzwa lomntwana luyakhula.
Uyini umehluko phakathi kwe-Babinski Reflex ne-Plantar Grasp Reflex?
Njengoba umntwana ekhula, i-"Corticospinal Tract" esikhulume ngayo ikhula kahle. Kufana nokuthi wonke umsebenzi 'emgwaqweni omkhulu' wethu usuphelile. Ngemuva kwalokho leyo Babinski reflex iyanyamalala, bese kufika enye reflex esikhundleni sayo. Siyibiza ngokuthi i-Plantar Grasp Reflex .
Okwenzekayo ukuthi uma ubeka umunwe wakho phansi konyawo lomntwana wakho ngaphansi kwezinzwane zakhe, uzogoba iminwe yakhe phansi bese enza sengathi ubamba umunwe wakho. Lena impendulo esiyitholayo ngemva kweminyaka emibili ubudala nasebudaleni. Lokhu kubonisa ukuthi isimiso sethu sezinzwa sithuthukile kahle.
Umehluko phakathi kwalokhu okubili ufana nokuvula nokuvala isibani:
- I-Babinski Reflex: Iminwe iya phezulu (njengokuvula iswishi).
- I-Plantar Grasp Reflex: Izinzwane zigoba phansi (njengokuvala iswishi).
Ake sibheke leli shadi ukuze sichaze kabanzi lo mehluko.
| Isici | I-Babinski Reflex | I-Plantar Grasp Reflex |
|---|---|---|
| Ukunyakaza kweminwe | Uzwane olukhulu luya phezulu . Ezinye izinzwane ziyasabalala. | Yonke iminwe igobile , yenza sengathi ibamba okuthile. |
| Ubudala bokubona okuvamile | Kusukela ekuzalweni kuya eminyakeni engaba ngu-2. | Ngemva kweminyaka emibili, impilo yonke. |
| Kusho ukuthini lokhu? | Isimiso sezinzwa (ikakhulukazi i-CST) sisakhula . (Lokhu kuvamile kule minyaka) | Uhlelo lwezinzwa luthuthuke kahle (lujwayelekile kule minyaka). |
Le reflex yeBabinski iphela nini?
Ngokuvamile, le mpendulo kaBabinski iyanyamalala ngokuphelele lapho ingane ineminyaka engaba ngu -2 ubudala . Kodwa akuzona zonke izingane eziba nayo lapho zineminyaka emibili ubudala. Ezinye izingane ziyayilahlekelwa lapho sezinonyaka owodwa ubudala, futhi impendulo yokubamba ye-plantar esikhulume ngayo (izinzwane zigoba phansi) iqala ukuvela. Lokhu kungahluka kancane kuye ngengane.
Okubaluleke kakhulu: Kuthiwani uma umuntu omdala noma ingane engaphezu kweminyaka emibili ubudala inalesi sibonakaliso?
Lena yinto ebaluleke kakhulu sonke okudingeka siyiqaphele.
Uma uhlola iphansi lengane engaphezu kweminyaka emibili noma yimuphi umuntu omdala, uma ubona uphawu lweBabinski, okuyilapho uzwane olukhulu luphakanyiswa khona kanti ezinye izinzwane zisakazeke, kuyisimo esingavamile .
Lokhu kusikisela ukuthi kungase kube nomonakalo, inkinga, noma isifo ohlelweni lwezinzwa lomuntu (i-CNS), okungukuthi, ubuchopho noma umgogodla . Ngokukhethekile, kungase kube nomonakalo endleleni yezinzwa ebizwa ngokuthi i-Corticospinal Tract esikhulume ngayo ngaphambili.
| Ezinye izimo zezokwelapha ezingabangela uphawu lukaBabinski kubantu abadala | |
|---|---|
| Isifo sohlangothi | Umonakalo obangelwa ukungasebenzi kahle kwegazi ebuchosheni. |
| Ukulimala Kwentambo Yomgogodla | Ukulimala kwemizwa yomgogodla ngenxa yengozi. |
| I-Multiple Sclerosis | Kuyisimo lapho amasosha omzimba elimaza khona imizwa. |
| Isimila Sobuchopho | Ukukhula okungavamile kwamangqamuzana ebuchosheni. |
| I-Meningitis | Ukutheleleka kwezicubu ezimboze ubuchopho nomgogodla. |
| I-ALS (i-Amyotrophic Lateral Sclerosis - i-ALS) | Kuyisimo lapho imizwa elawula imisipha incipha kancane kancane. |
Ngakho-ke, uma wena noma umuntu omaziyo oneminyaka engaphezu kwemibili enezinye zalezi zimpawu, ungazinaki. Into engcono kakhulu ongayenza ukubona udokotela ofanelekayo ngokushesha bese uthola iseluleko sezokwelapha kanye nokuhlolwa okudingekayo.
Udokotela ulwenza kanjani lolu vivinyo?
Cishe uke wakubona lokhu kuhlolwa kwenziwa udokotela uma uyisa ingane yakho emtholampilo ukuze ihlole ukukhula kwayo. Kuwukuhlolwa okulula kakhulu, okungenabuhlungu okungenziwa ngemizuzwana embalwa.
1. Okokuqala, udokotela ukhumula izicathulo namasokisi engane bese enza ingane ilale phansi ngokukhululeka.
2. Bese usebenzisa ithuluzi elibuthuntu, isibonelo isicindezeli solimi noma uhlangothi olubuthuntu lwesando esishintshashintshayo, hambisa kancane isithende somntwana phezulu naphansi phansi konyawo uye phansi kozwane olukhulu.
3. Ngaleso sikhathi, udokotela uzobheka ngokucophelela izinzwane zengane. Uzohlola ukuthi uzwane olukhulu lubheke phezulu yini (lugobile) nokuthi ezinye izinzwane ziyasabalala yini.
Umphumela walokhu kuhlolwa ungaba `olungile` noma `ongalungile`.
- Isibonakaliso se-Babinski Esiqondile: Lokhu kusho ukuthi uzwane olukhulu luyaphakanyiswa kanti eminye iminwe isakazeke phakathi. Lokhu kuvamile ezinganeni ezingaphansi kweminyaka emi-2 ubudala . Kodwa akuvamile kulabo abaneminyaka engaphezu kwemi-2 ubudala.
- I-Negative Plantar Reflex: Lokhu kusho ukuthi izinzwane zigobile phansi (plantar grasp), noma akukho mpendulo. Lena impendulo evamile ezinganeni ezingaphezu kweminyaka emibili ubudala kanye nabantu abadala .
Ngakho-ke, ungamangali uma ubona lokhu kusabela ngengozi ngenkathi ugeza noma udlala nengane yakho. Kuyingxenye yenqubo emangalisayo yobuchopho nesimiso sezinzwa sengane yakho esisebenzisana futhi sikhula. Lokhu kuhlolwa okulula kungatshela odokotela okuningi ngempilo yengane yakho.
Umlayezo Wokuya Nawe Ekhaya
- I-Babinski reflex, okuyi-movement yonyawo olukhulu lapho kuhlikihlwa iphansi lonyawo, iyisici esijwayelekile nesinempilo sabantwana abangaphansi kweminyaka emibili ubudala .
- Lokhu kubonisa ukuthi uhlelo lwezinzwa oluphakathi lomntwana (ubuchopho nomgogodla) lukhula kahle.
- Ngokuvamile, lapho umntwana eneminyaka emibili ubudala, le mpendulo iyanyamalala bese ithathelwa indawo yimpendulo yokubamba ye-plantar.
- Uma lesi sibonakaliso sikaBabinski sibonakala enganeni engaphezu kweminyaka emibili noma umuntu omdala , kungaba uphawu lwenkinga ebuchosheni noma emgogodleni.
- Esimweni esinjalo, kubalulekile ukungesabi, kodwa ukubona udokotela wakho ngokushesha bese ucela iseluleko.
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