Spasticity: he aha ia, kumu, hōʻailona a pehea ka lāʻau

Anter

• Nā kumu o ka spasticity
• Nā hōʻailona nui
• Pehea e hana ai i ka lāʻau
• 1. Nā hoʻoponopono
• 2. ʻOihana hoʻomaʻamaʻa kino
• 3. Nā noi o botox

ʻO ka spasticity kahi ʻano i hōʻike ʻia e ka hoʻonui kūpikipiki ʻole o ka hōʻemi ʻana o nā mākala, i hiki ke hōʻike ʻia i loko o nā mākala, kahi mea e paʻakikī ai i ke kanaka e hana i nā hana o kēlā me kēia lā, e like me ke kamaʻilio ʻana, ka neʻe ʻana a me ka ʻai ʻana.

Kū kēia kēia ma muli o kekahi mau hōʻino i ka ʻāpana o ka lolo a i ʻole ka iwi kuamoo e kāohi ana i nā neʻe manawaleʻa manawaleʻa, a ma muli paha o ka hahau a i ʻole ka hopena o ka maʻi lolo. Eia nō naʻe, kaukaʻi ʻia i ka maʻi o ka lolo, ʻoluʻolu paha ka spasticity, e hoʻopili ana i kahi o nā mākala, a i ʻole e ʻoi aku ka nui a alakaʻi i ka palapū ma kekahi ʻaoʻao o ke kino.

ʻO ka spasticity kahi maʻi mau, ʻo ia hoʻi, ʻaʻole hiki ke hoʻōla ʻia, akā hiki ke hōʻemi i nā hōʻailona ma o ka physiotherapy, ka hoʻohana ʻana i nā lāʻau i hōʻike ʻia e ka neurologist, e like me nā relant muscle, a i ʻole ma o nā noi kūloko o botox. 

Nā kumu o ka spasticity

Hiki i ka spasticity ke ala aʻe i kahi kanaka me ka lolo lolo, no ka mea ʻo ka hōʻino o ka lolo e hana ʻia i kēia mau hihia e hoʻopili i ka leo o nā mākala, ʻo ia ka ikaika e neʻe ai ka mākala, hoʻopilikia i nā neʻe o nā lima a me nā wāwae, no ka laʻana.

ʻO ka poʻe i ʻeha i kahi ʻeha traumatic ʻeha, ma muli o kahi ulia, hiki ke hoʻomohala i ka spasticity, i ʻike ʻia ma muli o nā hōʻeha i ka lolo a i ʻole cerebellum, a ʻo kēia ka mea i hiki ʻole i nā hopena nerve ke hoʻouna i kahi leka no ka neʻe ʻana o nā mākala.

ʻO ka spasticity ka mea maʻamau i nā poʻe me nā sclerosis he nui, ʻoiai ʻo kēia maʻi autoimmune ka mea e hōʻino ai i ka ʻōnaehana hopohopo e pili ana i ka neʻe ʻana o nā mākala. E nānā he aha nā sclerosis he nui, nā ʻōuli a me nā lāʻau.

Eia kekahi, ʻo nā kumu ʻē aʻe i hiki ke kumu i ka spasticity ka encephalitis, meningitis nui, hahau, amyotrophic lateral sclerosis, phenylketonuria a me adrenoleukodystrophy, ʻo ia hoʻi ka maʻi ʻo Lorenzo.

Nā hōʻailona nui

Pili nā ʻōuli o ka spasticity i ke koʻikoʻi o nā leona i ka lolo a i ʻole ka iwi kuamoʻo, akā hiki iā lākou ke hōʻike.

• Ka hōʻemi ʻole ʻana o nā mākala;
• Ka paʻakikī e kūlou ʻana i nā wāwae a i ʻole nā ​​lima;
• ʻEha ma nā mākala i hoʻopili ʻia;
• Keʻaʻeʻe ʻole o nā wāwae;
• Nā deformities hui pū;
• ʻ .keke mākala.

Ma muli o ka loli ʻana o nā mākala, loaʻa paha i ke kanaka me ka spasticity kahi kūlana kūpono ʻole, me nā lima i pelu ʻia, nā wāwae a me nā wāwae i kīloi ʻia a kuli ʻia ke poʻo i kekahi ʻaoʻao.

ʻO nā ʻōuli o ka spasticity i hōʻike ʻia e ke kanaka he mea nui ia no ke kauka e hiki ai ke nānā i ke koʻikoʻi o ka loli a, no laila, hōʻike i ka lāʻau kūpono kūpono loa. No laila, loiloi ʻia ke koʻikoʻi e like me ka pālākiō helu Ashworth ma:

• Papa 0: ʻaʻole hōʻike ka mea maʻi i ka hōʻemi ʻana o nā mākala;
• Papa 1: hoʻohaʻahaʻa mākala palupalu;
• Papa 2: hoʻonui i ka hoʻoneʻe ʻana o nā mākala, me kekahi kūpaʻa i ka neʻe ʻana
• Papa 3: ka hoʻonui nui ʻana i ka noʻonoʻo Muscle, me ka paʻakikī i ka lena ʻana i nā lālā;
• Papa 4: ʻoʻoleʻa kaʻiʻo a me ka hiki ʻole o ka neʻe.

No laila, e like me ke koʻikoʻi, hiki ke hoʻomaka i ka lapaʻau kūpono loa, i mea e emi ai ke kēkelē o ka spasticity ma luna o ka manawa a hāpai ka maikaʻi o ke ola o kēlā kanaka.

Pehea e hana ai i ka lāʻau

Pono e alakaʻi ʻia ka lapaʻau no ka spasticity e kahi neurologist, no ka mea, he mea pono e loiloi i ke kumu neurological e hoʻoulu nei i ka pilikia, a me ke koʻikoʻi o ka loli. Nā koho ʻē aʻe:

1. Nā hoʻoponopono

Hoʻohana ʻia nā lāʻau spasticity, e like me ka baclofen a i ʻole diazepam, i kōkua i nā mākala e hoʻomaha a hoʻomaha i nā hōʻailona ʻeha, no ka laʻana. ʻO nā lāʻau ʻē aʻe i hiki ke kuhikuhi ʻia ʻo benzodiazepines, clonidine a i ʻole tizanidine, kahi e hōʻemi ai i ka lawe ʻana o nā stimuli a hoʻoikaika i ka hoʻomaha ʻana o nā mākala.

2. ʻOihana hoʻomaʻamaʻa kino

No ka hoʻomaikaʻi ʻana i nā ʻōuli o ka spasticity koi ʻia nō hoʻi e hana i ke olakino kino e mālama i ka amplitude o nā hono a pale i nā pilikia ʻē aʻe, e like me ka paʻa o ka ami, no ka hoʻohana ʻole o ka ami i hoʻopili ʻia. Physiotherapy i ka spasticity hiki ke hana ʻia me ka hoʻohana ʻana o:

• Cryotherapy: ke noi ʻana i ke anuanu i nā mākala e hoʻopili ʻia e hoʻoliʻiliʻi no ka hōʻailona reflex i kumu e ʻaelike ai ka mākala;
• Noi wela: ʻae i ka hoʻomaha iki ʻana o ka mākala, hoʻoliʻiliʻi i ka ʻeha;
• Kinesiotherapy: ʻano hana e aʻo ai i ke kanaka e noho me ka spasticity, ma o ka hoʻoikaika kino ʻana a i ʻole ka hoʻohana ʻana i nā orthoses;
• Hoʻoikaika uila: hoʻonāukiuki me nā uila uila liʻiliʻi e kōkua i ka kaohi ʻana i ka hōʻemi ʻana o nā mākala.

Pono e hana i nā hana Physiotherapy ma kahi o ʻelua mau manawa o ka pule me kahi physiotherapist a hiki iā ʻoe ke hana i nā hana i aʻo ʻia i kēlā me kēia lā ma ka home. Mālama kēia hana i mea e hōʻemi ai i nā ʻōuli o ka spasticity a hoʻoikaika i ka hana o nā hana o kēlā me kēia lā.

3. Nā noi o botox

Nā ʻaukā o botox, i kapa ʻia he botulinum toxin, hiki ke hoʻohana ʻia e hōʻemi i ka ʻāʻī o ka mākala a kōkua i ka neʻe ʻana o ka hui, e kōkua ana i ke kanaka e hana i nā hana o kēlā me kēia lā a me nā kauila physiotherapy.

Pono e hōʻike ʻia kēia mau injection e ke kauka a hana ma ka hōʻemi ʻana i nā kuʻikuʻi musele hoʻoikaika ʻole, eia naʻe he manawa hoʻoholo ko kā lākou hana, ma waena o 4 mau mahina a 1 makahiki, ʻoi aku ka maʻamau o ka hana ʻana i kahi mahele lāʻau hou o kēia mea ma hope o 6 mau mahina o ka noi mua. ʻ botox hiki ke kuhikuhi ʻia e mālama i ka spasticity i nā keiki. E ʻike hou i nā noi botox ʻē aʻe.