Wake wambona udokotela eshaya idolo lakho ngesando esincane serabha? Uma ushaya idolo lakho, umlenze wakho uvame ukuvuka, akunjalo? Lokhu kuyindlela yokuzivikela ezenzakalelayo emzimbeni wethu. Kodwa ngezinye izikhathi, sithola impendulo encane kakhulu noma asitholi nhlobo impendulo. Yilokho esizokhuluma ngakho namuhla.
Kuyini i-Hyporeflexia?
Kalula nje, i-Hyporeflexia iwukwehla kwempendulo ye-reflex yemisipha yethu. Ngezinye izikhathi le mpendulo ingalahleka ngokuphelele, esiyibiza ngokuthi i-areflexia.
Cabanga ngale ndlela: Ama-Reflexes ayisimiso esizenzakalelayo umzimba wakho onaso ukuze akuvikele entweni engakulimaza. Lokhu kusabela kwenzeka ngendlela ekhethekile ethumela imiyalezo yezinzwa. Lokhu sikubiza ngokuthi 'i-reflex arc'. Inezingxenye ezintathu eziyinhloko:
1. Ingxenye yezinzwa: Imizwa ephethe ulwazi mayelana nomonakalo noma ukushukunyiswa.
2. Ingxenye ephakathi: Leyo yintambo yethu yomgogodla.
3. Ingxenye yokunyakaza komzimba: Imizwa ethwala imiyalezo emisipheni ukuze ifeze imiyalo etholwe emgogodleni.
Uma kukhona umonakalo endaweni ethile kulolu hambo, kungaba yizinzwa, umgogodla, noma izinzwa zomzimba, leyo mpendulo ayiveli kahle. Yilapho-ke i-Hyporeflexia ivela khona. Lokhu kuvame ukuba uphawu lokuthi kunenkinga ngesimiso sezinzwa, hhayi isifo esihlukile.
Kukhona olunye uhlangothi lwalokhu, olubizwa ngokuthi i-hyperreflexia. Yilapho imisipha isabela ngokweqile.
Esikhathini esiningi, umuntu one-hyporeflexia akazizwa ekhululekile kakhulu. Kodwa-ke, kudokotela wezinzwa, lokhu kuyisibonakaliso esibaluleke kakhulu okufanele sixilongwe.
Udokotela ukubona kanjani lokhu?
Uma udokotela ehlola uhlelo lwakho lwezinzwa (ukuhlolwa kwemizwa), uzokwenza isivivinyo 'se-Deep Tendon Reflex' (DTR) ukuze ahlole i-hyporeflexia. Esidume kakhulu kulezi isivivinyo se-hammer, esisaziyo sonke.
Indlela ukuhlolwa kwedolo okwenziwa ngayo
Uma udokotela eshaya idolo lakho ngesando senjoloba, i-patellar tendon kanye nomsipha wethanga onamathele kuyo kuyadonswa. Ngaleso sikhathi, umyalezo othi "imisipha idonswe" uhamba ngokushesha kakhulu uye emgogodleni ngama-neuron ezinzwa.
Umgogodla usabela ngokushesha kulokho, uthumela umlayezo emuva ngama-neuron e-motor uye kulowo msipha ukuze unciphe. Lokho kuncipha yikho okubangela ukuba umlenze wakho ugxume ngokuzenzakalelayo.
Uma une-hyporeflexia, umlenze wakho ungase unganyakazi kahle , noma unganyakazi nhlobo .
Kubaluleke kakhulu ukuthi uhlale ukhululekile ngangokunokwenzeka phakathi nalolu vivinyo. Uma ugxile kakhulu kulokhu noma ucindezelekile, imiphumela ingaba enganembile. Yingakho ngezinye izikhathi udokotela ezokubuza ngenye into futhi akuphazamise ngokuthinta lokhu.
Ngaphezu kwedolo, izimpendulo zingahlolwa kwezinye izindawo eziningana.
| Indawo yokuhlola | Incazelo |
|---|---|
| Indololwane | Ngasemuva kwendololwane. |
| Ukugoba kwesandla | Ingaphakathi lesandla lapho isandla sigoba khona. |
| Isihlakala neqakala | Ngokuphathelene nalezi zihlanganisi. |
| Isilevu | Imisipha yesilevu. |
Yini engabangela lokhu?
I-Hyporeflexia ingabangelwa umonakalo noma yikuphi 'engxenyeni ye-reflex' esikhulume ngayo ekuqaleni. Kunezifo eziningana ezinkulu zezinzwa kanye nezimo ezingathinta lokhu:
- I-Peripheral Neuropathies: Lokhu kubhekisela ekulimaleni kwemizwa egijima ebuchosheni bethu nasemgogodleni. Ngokuvamile kubangela ukungazweli, ubuhlungu, kanye nobuthakathaka bemisipha ezandleni nasezinyaweni.
- I-Guillain-Barre Syndrome: IzimpawuLesi yisifo esingavamile kakhulu sokuzivikela komzimba. Okwenzekayo lapha ukuthi amasosha ethu omzimba ahlasela imizwa yethu. Lesi simo sibhubhisa 'isimbozo' (i-myelin) esizungeze imizwa futhi singathuthuka ngokushesha okukhulu ezinsukwini ezimbalwa nje.
- I-CIDP (I-Chronic Inflammatory Demyelinating Polyneuropathy): Lokhu kufana ne-Guillain-Barre, kodwa kwenzeka kancane kancane esikhathini eside.
- Ukulimala Kwentambo Yomgogodla: Lesi simo singase senzeke lapho umgogodla noma intambo yomgogodla yonakele kakhulu, njengasengozini yemoto noma ekuweni. Nakuba i-hyporeflexia ingaba khona ekuqaleni, ngokuhamba kwesikhathi, i-hyperreflexia ingavela, lapho impendulo ikhuphuka ngaphansi kwezinga lokulimala.
- I-ALS (Amyotrophic Lateral Sclerosis): Lesi futhi yisifo sezinzwa esiqhubekayo. Kodwa-ke, kulokhu, okuvame ukubonakala ukwanda kwezimpendulo (i-Hyperreflexia) kunokuncipha.
- I-Lambert-Eaton Myasthenic Syndrome (LEMS): Lesi futhi yisimo esingavamile. Sithinta ukuxhumana phakathi kwezinzwa nemisipha.
Iphathwa kanjani i-hyporeflexia?
Akukho ukwelashwa okuqondile kwalokhu. Ngoba lokhu akusona isifo, kodwa kuwuphawu lwesinye isifo esiyisisekelo. Ngakho-ke, odokotela abakwenzayo ukuthola ukuthi yini ngempela ebangela lokhu nokwelapha isifo esiyisisekelo.
Isibonelo, i-Guillain-Barre syndrome iphathwa ngemithi yokugoma ekhethekile (i-IVIg) ehlose amasosha omzimba noma ukwelashwa kokushintshana kwe-plasma.
Kufanele ngimbone nini udokotela?
Lona umbuzo obaluleke kakhulu. Khumbula, ukusabela kwabanye abantu ngokwemvelo kubuthakathaka kancane. Uma kungekho okunye ukungakhululeki, akuyona inkinga enkulu.
Kodwa-ke, uma unezinye izimpawu ezingezansi kanye nale mpendulo ebuthakathaka, kufanele nakanjani ubone udokotela wakho .
| Uma une-hyporeflexia kanye nalezi zimpawu, bona udokotela ngokushesha. | |
|---|---|
| Ubuthakathaka bemisipha | Uma uzizwa sengathi amandla engalo noma emilenze yakho ayancipha ngaphandle kwesizathu. |
| Ukulahlekelwa yimisipha (Atrophy) | Uma uzizwa sengathi ulahlekelwa yimisipha futhi uba mncane. |
| Ukulahlekelwa yibhalansi emzimbeni | Uma uzizwa sengathi ulahlekelwa yibhalansi yakho lapho uhamba noma umi. |
| Ubuthuntu noma umuzwa onciphile | Uma une-ndindisholo noma ulahlekelwe umuzwa ezandleni noma ezinyaweni zakho. |
Udokotela wakho womndeni uzokuxilonga futhi, uma kudingeka, akuthumele kudokotela wezinzwa ukuze ahlolwe okwengeziwe.
Umlayezo Wokuya Nawe Ekhaya
- I-Hyporeflexia akuyona isifo, kodwa uphawu olubonisa ukusabela kabi kwemisipha.
- Lokhu kuvame ukutholakala ngesikhathi sokuhlolwa kwezinzwa (njengokuthinta idolo) okwenziwa udokotela.
- Kungase kube yinto evamile kwabanye abantu ukuba nempendulo ebuthakathaka ngaphandle kwezinye izimpawu.
- Kodwa-ke, uma lesi simo sihambisana nezinye izimpawu ezifana nobuthakathaka bemisipha, ukungazweli, noma ukulahlekelwa ibhalansi, qiniseka ukuthi ufuna iseluleko sikadokotela.
- Ukwelashwa kuncike esimweni esiyisisekelo esibangele lokhu.
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