Hipotonia
Hypotonia ʻo ia hoʻi ka hōʻemi ʻana i ke kani o nā mākala.
ʻO Hypotonia ka hōʻailona pinepine o kahi pilikia hoprisome. Hiki i ke ʻano ke hoʻololi i nā keiki a i ʻole nā mākua.
ʻO nā pēpē me kēia pilikia e like me ka palupalu a me he mea lā he "pēpē lāki" ke paʻa. Hoʻomaha lākou me ko lākou kuʻe lima a me ko lākou mau kuli. ʻO nā pēpē me ka leo maʻamau e kūlou i nā kuʻe lima a me nā kuli. He maikaʻi ʻole paha ke kāohi ʻana o ke poʻo. E hāʻule paha ke poʻo i ka ʻaoʻao, i hope a i ʻole i mua.
Hiki ke hāpai i nā pēpē me ka leo maʻamau me nā lima o ka makua i hoʻonoho ʻia ma lalo o nā ʻelima. Holo nā pēpē hypotonic i waena o nā lima.
Hoʻopili ke kani a me ka neʻe i ka lolo, ka iwi kuamoʻo, nā ʻalolo, a me nā mākala. He hōʻailona paha ka Hypotonia o kahi pilikia ma nā wahi āpau ma ke ala e kaohi ai i ka neʻe ʻana o nā mākala. Nā kumu e komo pū paha:
- Poino ka lolo, no ka nele o ka oxygen ma mua a ma hope pono paha o ka hānau ʻana, a i ʻole nā pilikia me ka hoʻokumu ʻana o ka lolo
- Nā maʻi o nā mākala, e like me ka mustrular dystrophy
- Nā maʻi e hoʻopili i nā aʻalolo e hoʻolako i nā mākala
- Nā maʻi e hoʻopili i ka hiki i nā aʻalolo ke hoʻouna i nā leka i nā mākala
- Nā maʻi ʻino
Nā maʻi genetic a chromosomal paha, a i ʻole nā kīnā e hiki ai ke hōʻeha i ka lolo a me ke aʻalolo.
- Down syndrome
- Hoʻoiho muscular musinal
- ʻO Prader-Willi syndrome
- Maʻi ʻo Tay-Sachs
- Trisomy 13
Nā maʻi ʻē aʻe i hiki ke alakaʻi i ke ʻano me nā:
- Achondroplasia
- Hānau ʻia me ka hypothyroidism
- Nā lāʻauʻawa a mea make paha
- ʻO nā ʻeha o ke kuamoʻo e pili ana i ka manawa hānau
E mālama pono i ka hāpai ʻana a me ka hāpai ʻana i kahi kanaka me ka hyponiaonia e hōʻalo ai i kahi ʻeha.
E hoʻopili ka hoʻokolohua kino i kahi hōʻike kikoʻī o ka ʻōnaehana hopohopo a me ka hana muscle.
I ka hapanui o nā hihia, kahi neurologist (loea i ka lolo a me nā maʻi nerve) e kōkua i ka loiloi i ka pilikia. Hiki i nā geneticists ke kōkua i ke kuhi ʻana i kekahi mau maʻi. Inā loaʻa kekahi pilikia olakino ʻē aʻe, he nui nā loea ʻokoʻa e kōkua i ka mālama ʻana i ke keiki.
ʻO nā hoʻokolohua diagnostical e hana ʻia e pili i ka kumu i manaʻo ʻia o ka hyponia. ʻO ka hapa nui o nā kūlana e pili pū ana me ka hyponiaonia kekahi kumu o nā hōʻailona ʻē aʻe e hiki ke kōkua i ke kuhi.
ʻO ka hapa nui o kēia mau maʻi e koi i ka mālama mau a me ke kākoʻo. Koi ʻia ke olakino kino e kōkua i nā keiki e hoʻomaikaʻi i ko lākou ulu ʻana.
Hoʻemi i ke kani o ka mākala; Pēpē Floppy
- Hipotonia
- ʻŌnaehana ʻōnaehana waena a me ka ʻōnaehana ʻōnaehana peripheral
Burnette WB. Hypotonic (floppy) pēpē. I: Daroff RB, Jankovic J, Mazziotta JC, Pomeroy SL, eds. ʻO Bradley's Neurology i ka hana lapaʻau. ʻEpekema 7 Piladelapia, PA: Elsevier; 2016: chap 29.
Johnston MV. Nā Encephalopathies. I: Kliegman RM, St. Geme JW, Blum NJ, Shah SS, Tasker RC, Wilson KM, eds. ʻO Puka Textbook of Pediatrics ʻo Nelson. 21st ed. Piladelapia, PA: Elsevier; 2020: chap 616.
Marcdante KJ, Kliegman RM. Ka nāwaliwali a me ka hyponia. I: Marcdante KJ, Kliegman RM, hua. Nā Pono Nui o Pediatrics. 8th ed. Elsevier; 2019: chap 182.
ʻO Sarnat HB. Ka loiloi a me ka hoʻokolokolo ʻana i nā maʻi neuromuscular. I: Kliegman RM, St. Geme JW, Blum NJ, Shah SS, Tasker RC, Wilson KM, eds. ʻO Puka Textbook of Pediatrics ʻo Nelson. 21st ed. Piladelapia, PA: Elsevier; 2020: chap 625.