Ingabe ngezinye izikhathi uzizwa sengathi ulahlekelwa ibhalansi yakho noma uyanyakaza lapho usukuma noma uhamba? Noma ingabe umuntu osekhulile ekhaya lakho unale nkinga? Empeleni kungaba nezizathu eziningi zokulahlekelwa ibhalansi. Ngakho-ke namuhla sizokhuluma ngokuhlolwa okulula kakhulu, kodwa okubaluleke kakhulu odokotela abakusebenzisayo ukuthola ukuthi iyini imbangela. Leso ukuhlolwa kweRomberg, noma 'iRomberg Test'.
Kuyini ukuhlolwa kweRomberg ngamagama alula?
Kalula nje, i-Romberg Test iwukuhlolwa okulula kakhulu ngokomzimba okuhlola ukuthi unenkinga yini ngokulinganisela komzimba wakho, nokuthi imbangela ihlobene yini nokuthile okubizwa ngokuthi i-proprioception.
Manje ungase uzibuze ukuthi kuyini 'i-proprioception'. Kulula kakhulu. Yindlela ubuchopho bethu obuzwa ngayo indawo yomzimba wethu, ukunyakaza esikwenzayo . Cabanga nje, noma uvala amehlo akho, usengakwazi ukuzwa ukuthi isandla sakho sikuphi, ukuthi umlenze wakho ukuphi. Yilokho esikubiza ngokuthi 'i-proprioception'.
Leli khono lilawulwa yindlela ekhethekile yezinzwa ebuchosheni bethu nasemgogodleni. Lokhu sikubiza ngokuthi 'indlela yekholomu ye-dorsal'. Ngakho-ke 'i-Romberg Test' ihlola kakhulu ukuthi le ndlela yezinzwa isebenza kahle yini.
Lolu vivinyo lulula kakhulu. Okumele ukwenze nje ukuma imilenze yakho ihlangene nezingalo zakho zigoqwe emaceleni noma esifubeni sakho. Okokuqala, udinga ukuvula amehlo akho, bese uwavala. Phakathi nalesi sikhathi, udokotela uzokubuka eduze futhi abheke ukuthi umzimba wakho uyaxega noma ulahlekelwa yibhalansi yawo.
Singayilondoloza kanjani ibhalansi emizimbeni yethu?
Ukulinganisela komzimba wethu kuyinto emangalisayo kakhulu. Kulawulwa yinhlanganisela yezinhlelo eziningana. Kufana nokusebenza ngokubambisana. Izinhlelo ezintathu eziyinhloko zinegalelo kulokhu.
- Umbono: Lokho esikubonayo ngamehlo ethu. Amehlo ethu athumela ulwazi ebuchosheni mayelana nendlela esimi ngayo maqondana nezinto ezisizungezile.
- Ukuqonda Izinto Ezifanele: Njengoba ngishilo ekuqaleni, yizibonakaliso ubuchopho bethu ezitholayo mayelana nokuthi izitho zethu zomzimba, amalunga, kanye nemisipha zikuphi. Izinyawo zethu zizwa ngisho nokuthi umhlabathi uyisicaba noma unamatshe.
- Uhlelo Lwe-Vestibular: Lokhu kutholakala endlebeni yethu yangaphakathi. Lolu hlelo lusiza ukulawula ibhalansi yemizimba yethu lapho siphendula amakhanda ethu, sihamba, futhi sigxuma.
Ngakho-ke okwenzekayo ku-'Romberg Test' ukuthi uma uvala amehlo akho, esinye sezici ezintathu eziyinhloko ezilawula ibhalansi (ukubona) siyasuswa. Umzimba kufanele uthembele kuphela kwezinye izinhlelo ezimbili (i-proprioception kanye nesistimu ye-vestibular). Uma ulahlekelwa ibhalansi lapho uvala amehlo akho, kuvame ukukhombisa ukuthi kukhona ubuthakathaka ohlelweni lwakho 'lwe-proprioception', okungukuthi, kuleyo ndlela yemizwa 'yekholomu ye-dorsal'.
Kukuziphi izimo lapho udokotela enza khona iRomberg Test?
Ngokuvamile, uma uya kudokotela, uthi unalokhu okulandelayo:
- Ukuzizwa unesiyezi njalo
- Ngizizwa sengathi anginawo amandla okulinganisela uma ngihamba.
- Njalo uzowa noma uwe
Ezimweni ezinjengalezi, udokotela nakanjani uzokwenza i-'Romberg Test.' Lokhu kwenziwa njengengxenye yokuhlolwa okujwayelekile komzimba okuhlobene nesimiso sezinzwa.
Lokhu kuhlolwa kusiza ekuxilongeni nasekuqinisekiseni izimo ezahlukahlukene zezinzwa. Isibonelo:
- Isifo sikaParkinson
- I-Friedreich's ataxia
- Ukuntuleka kwe-Vitamin B12
- I-syphilis ephezulu (isigaba sokugcina se-syphilis)
- `Ingcindezi Ejwayelekile I-Hydrocephalus (NPH)` yisimo esingaba khona kubantu asebekhulile abawa njalo.
- Isifo sikaWernicke
- Isifo sikaMeniere
- Nezinye izifo eziningi ezihlobene nesimiso sezinzwa.
Ungakwenza kanjani lokhu kuhlolwa? Kulula kakhulu!
Lolu uvivinyo olulula kakhulu olungenziwa ngemizuzu embalwa.
1. Okokuqala, bakucela ukuthi ukhumule izicathulo zakho.
2. Ngemuva kwalokho udinga ukuma uqonde imilenze yakho ihlangene.
3. Ungagcina izingalo zakho ziphansi eceleni noma uzihlanganise esifubeni sakho.
4. Manje vula amehlo akho bese uzama ukunganyakazi cishe imizuzwana engama-30. Phakathi nalesi sikhathi, udokotela uzobe ekubhekile.
5. Okulandelayo, vala amehlo akho njengoba unjalo. Manje kufanele uhlale kanjalo cishe imizuzwana engama-30 noma umzuzu. Ngalesi sikhathi, udokotela uzophinde aqaphe ngokucophelela ukuthi ibhalansi yakho injani.
Ungakhathazeki, udokotela uzobe elapho ukuze akubambe uma uwa. Futhi, ngaphambi kokwenza lokhu kuhlolwa, sisusa noma yini ezungeze umhlane wakho engabangela ukuwa. Ngakho-ke lokhu kuhlolwa kuphephile kakhulu.
Iyini imiphumela? Yimiphi emihle nemibi?
Uma nje ukuhlolwa sekuqediwe, udokotela angakutshela imiphumela. Kunezinhlobo ezimbili zale miphumela. Ake sibheke leli thebula ukuze siliqonde kahle.
| Umphumela | Incazelo elula |
|---|---|
| Ukuhlolwa Okuhle kweRomberg | Lokhu kusho ukuthi uma amehlo akho evulekile, kulungile, kodwa ngokushesha nje lapho uvala amehlo akho, ulahlekelwa ibhalansi yakho . Umzimba wakho uqala ukunyakazisa nokuwa. Lokhu kubonisa ukuthi imbangela yenkinga yakho yebhalansi ingase ihlobane nokuqonda okuqondile , okusho ukuthi kungase kube nenkinga ngendlela yezinzwa zekholomu yangemuva. |
| Ukuhlolwa Okubi kweRomberg | Lokhu kusho ukuthi ungagcina ibhalansi yakho ngamehlo akho evulekile futhi evaliwe, njengoba nje ungenza ngamehlo akho evaliwe . Ukushukuma okuncane kuvamile, kodwa ngeke uwe. Lokhu kusho ukuthi inkinga yakho yokulinganisela ingase ibangelwe yinto engeyona i-proprioception, njengenkinga ngendlebe yakho yangaphakathi (uhlelo lwe-vestibular). |
Into ebalulekile ukuthi ukuhlolwa kweRomberg okuhle akukutsheli kahle ukuthi inkinga iyini . Kukunikeza umbono oqondile wokuthi inkinga ikuphi. Udokotela uzobe eseyalela ukuhlolwa okwengeziwe (isib. i-MRI scan, ukuhlolwa kwegazi) ukuthola imbangela eqondile.
Ingabe kufanele ngibone udokotela?
Yebo, impela. Izinkinga zokulinganisela akufanele neze zinganakwa. Ukuwa kungaholela ekulimaleni okukhulu. Uma unezinye zezimpawu ezingezansi, qiniseka ukuthi ubona udokotela wakho.
| Izimpawu okufanele zikushukumisele ukuthi ubonane nodokotela wakho |
|---|
| - Ukungazinzi, umuzwa wokungazinzi |
| - Isiyezi |
| - Ubuhlanya, uzizwa sengathi uyantanta |
| - Umbono ofiphele |
| - Ukulahlekelwa ibhalansi nokuwa noma ukuwa |
| - Ukuzizwa sengathi izinto ezikuzungezile ziyajikeleza |
| - Ukuzizwa sengathi uyanyakaza ngenkathi umile |
Umlayezo Wokuya Nawe Ekhaya
- Isivivinyo seRomberg siyindlela elula kakhulu, ephephile, futhi esheshayo yokuhlola izinkinga zokulinganisela emzimbeni wakho.
- Lokhu kubheka kakhulu noma yikuphi ukukhubazeka ohlelweni olubizwa ngokuthi 'i-proprioception', oluthumela ulwazi ebuchosheni mayelana nesimo somzimba wakho.
- Ukuhlolwa "okubonisa ukuthi uphilile" kusho ukuthi isiguli silahlekelwa ibhalansi lapho amehlo evaliwe. Lokhu kubonisa inkinga ohlelweni lwezinzwa.
- Uma unezinkinga ezifana nokuzungeza, ubunzima bokuhamba, isiyezi, noma ukuwa, ungakuzibi futhi nakanjani bonana nodokotela ukuze akunike iseluleko .
- Ukuhlolwa okulula okufana nalokhu kungaba yisinyathelo sokuqala nesibaluleke kakhulu ekutholeni imbangela yenkinga yakho nokuthola ukwelashwa okufanele.
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