He aha ka hōʻailona Hoffman a he aha ke ʻano?

Anter

• Pehea e hana ai i kēia hōʻike?
• He aha ke ʻano o ka hopena maikaʻi?
• He aha ka hana inā loaʻa iaʻu kahi hopena maikaʻi?
• He aha ke ʻano o ka hopena maikaʻi ʻole?
• He aha ka hana inā loaʻa iaʻu kahi hopena maikaʻi ʻole?
• Pehea ka ʻokoʻa o ka hōʻailona Hoffman mai ka hōʻailona Babinski?
• Ke laina lalo

He aha ka hōʻailona Hoffman?

ʻO ka Hoffman hōʻailona e pili ana i nā hopena o ka hōʻike Hoffman. Hoʻohana ʻia kēia hoʻokolohua e hoʻoholo ai inā manamana a manamana nui paha kāu i ka pane ʻana i kekahi mau mea hoʻonāukiuki.

ʻO ke ala e hana ai kou mau manamana lima a i ʻole nā ​​manamana nui he hōʻailona paha ia o kahi ʻano e pili ana i kāu ʻōnaehana waena. Hoʻopili kēia i nā ala nerve corticospinal, e kōkua ai i ka kaohi ʻana i nā neʻe i kou kino kiʻekiʻe.

ʻOiai paha e hana ʻia ma ke ʻano he mahele o ka hoʻokolohua kino maʻamau, ʻaʻole hana ʻia ia ke ʻole ke kumu a kāu kauka e kānalua ai i kahi ʻano kumu.

ʻAʻole nā ​​kauka āpau e noʻonoʻo i ka hōʻike Hoffman i mea pono diagnostic ponoʻī nona iho, no ka mea hiki i kāu pane i ka hoʻāʻo ke hoʻopili ʻia e nā kumu ʻē aʻe. Ke hoʻohana ʻia ia, maʻa mau ia me nā hōʻike diagnostics ʻē aʻe. ʻAe kēia i kāu kauka e kiʻi i kahi ʻike ākea o nā hōʻailona mai nā ʻōuli āu e hōʻike ai.

E hoʻomau i ka heluhelu ʻana e aʻo hou aʻe e pili ana i ke kaʻina hoʻokolohua a me nā mea e pono ai ʻoe e hana inā loaʻa iā ʻoe kahi hopena maikaʻi a maikaʻi ʻole paha.

Pehea e hana ai i kēia hōʻike?

E hana i ka hōʻike Hoffman, e hana kāu kauka i kēia mau mea:

1. E noi iā ʻoe e kau i kou lima a hoʻomaha iā ia i hemo nā manamana.
2. E hoʻopaʻa pololei i kou manamana lima ma ka hui luna me hoʻokahi lima.
3. E kau i kekahi o ko lākou mau manamana lima ma luna o ke kui ma kou manamana waena.
4. E paʻi i ka manamana lima waena ma ka neʻe wikiwiki ʻana i ko lākou manamana lima i lalo i mea e launa ai kāu kui a me ke kui o kāu kauka.

Ke hana nei kāu kauka i kēia neʻe lele, koi ʻia ka piko o kou manamana lima e wīwī a hoʻomaha. ʻO kēia ke kumu e hoʻonui ai nā mākala lima lima i kou lima, a laila hiki ke hoʻolilo i ka manamana lima a me ka manamana lima i ka hana ʻole.

Hiki paha i kāu kauka ke hana hou i kēia mau ʻanuʻu i mau manawa i hiki iā lākou ke hōʻoia i ka pane ʻana o kou lima i ke ala like i kēlā me kēia manawa. E hana paha lākou i ka hoʻāʻo ma kou lima ʻē aʻe e ʻike inā aia ka hōʻailona ma nā ʻaoʻao ʻelua o kou kino.

Inā ua loaʻa iā ʻoe nā hoʻokolohua diagnostics ʻē aʻe, hana wale kāu kauka i hoʻokahi manawa ka hōʻoia. ʻO kēia ka hihia maʻamau inā hana ʻia e hōʻoia i kahi kuhi a i ʻole ma ke ʻano he mahele o nā hoʻokolohua no kekahi kūlana.

He aha ke ʻano o ka hopena maikaʻi?

Loaʻa kahi hopena maikaʻi ke hoʻololi koke ʻia kou manamana lima a me kou manamana nui ma hope pono o ka paʻi ʻana o ka manamana waena. E manaʻo ia me he mea lā ke hoʻāʻo nei lākou e neʻe i kekahi i kekahi. Ua kapa ʻia kēia neʻe reflexive e ke kūʻē.

I kekahi mau hihia, hana maoli kou kino i kēia ala i ka hoʻokolohua Hoffman, a ʻaʻohe ou mau kumu kūloko e kū ai i kēia reflex.

E hōʻike paha kahi hōʻailona Hoffman maikaʻi he maʻi neurological a pilikino paha ʻoe e pili ana i nā ʻāʻī o ka ʻeha o ka iwi āpau a i ʻole ka lolo. Inā maikaʻi ka hōʻailona ma ka lima hoʻokahi wale nō, loaʻa iā ʻoe kahi kūlana e hoʻopili wale i kekahi ʻaoʻao o kou kino.

Aia kekahi o kēia mau ʻano:

• hopohopo
• hyperthyroidism, i ka wā e loaʻa iā ʻoe ka nui o ka homone stimulate (TSH) i kou koko
• ke kuamoʻo o ka iwi kuamoʻo (myelopathy cervique), ke hana ʻia ke kaomi ʻia ma kou iwi kuʻikuʻi ma muli o ka osteoarthritis, nā ʻeha o ke kua, nā tumors, a me nā kūlana ʻē aʻe e pili ana i kou iwi kuamoʻo
• mau sclerosis (MS), kahi kūlana nerve e hana ʻia ke hōʻeha a hōʻino kāu ʻōnaehana pale i ka myelin o kou kino, ka meaola e insulate i kou mau ʻalolo.

He aha ka hana inā loaʻa iaʻu kahi hopena maikaʻi?

Inā manaʻo kāu kauka he neurological a hopohopo paha ke kumu e loaʻa iā ʻoe kahi hōʻailona Hoffman maikaʻi, e ʻōlelo paha lākou i nā hoʻokolohua hou aʻe.

Hoʻopili paha kēia:

• hoʻāʻo koko
• kahi kuʻi kuʻi (lumbar puncture) e hoʻāʻo i kāu wai cerebrospinal
• nā hoʻokolohua kiʻi, e like me ka scan MRI, e nānā no nā hōʻino neurological i kou kuamoʻo a i ʻole ka lolo
• nā hoʻāʻo hoʻonāukiuki, kahi e hoʻohana ai i nā haʻalulu uila liʻiliʻi e hoʻāʻo ai i ka hopena o kāu aʻa i ka hoʻonāukiuki

Hiki i kēia mau hoʻāʻo ke kōkua iā diagnose MS a me nā kūlana ʻē aʻe i hiki ke kumu i kahi hōʻailona Hoffman maikaʻi.

ʻO kahi laʻana, hiki i nā hoʻokolohua koko ke kōkua i kāu kauka e ʻike inā loaʻa ka hemahema o ka thyroid stimulate hormone (TSH) a me ka nui o nā thyroid (T3, T4) i loko o kou koko, i hiki ai ke hōʻike i ka hyperthyroidism.

Hiki i nā hoʻokolohua kiʻi ke ʻike i nā mea ʻē aʻe ʻē aʻe i kou iwikuamoʻo, e like me ka hoʻopili ʻana o ka iwi kuamoo a i ʻole osteoarthritis.

Hiki i ke kāpili ʻōiwi ke kōkua i ke kuhi ʻana i nā ʻano he nui me ka MS, me nā maʻi a me ke kanesa.

ʻO nā ʻōuli ʻē aʻe i hōʻailona paha o kekahi o kēia mau ʻano e komo pū me:

• ʻōlohelohe
• ʻoʻoleʻa
• ʻūpā
• luhi
• ʻike hihi ʻole
• ʻeha ma kou kua, ʻāʻī, a me nā maka
• pilikia i ka hoʻohana ʻana i nā lima ʻelua a ʻelua paha
• pilikia urino
• paʻakikī i ka ale ʻana
• ka pohō kaumaha

He aha ke ʻano o ka hopena maikaʻi ʻole?

Kū kekahi hopena maikaʻi ʻole ke pane ʻole kou manamana lima a me kou manamana nui i ka flick a kāu kauka.

He aha ka hana inā loaʻa iaʻu kahi hopena maikaʻi ʻole?

E unuhi paha kāu kauka i kahi hopena maikaʻi ʻole ma ke ʻano maʻamau a ʻaʻole paha ʻoe e koi iā ʻoe e kiʻi hou i nā hoʻokolohua. Inā loaʻa iā ʻoe kahi hopena maikaʻi ʻole me nā ʻōuli ʻē aʻe a me nā hōʻailona e hōʻike ana he maʻi kou e like me MS, e ʻōlelo paha kāu kauka i nā hoʻokolohua hou aʻe ma mua o ka hana ʻana i kahi hōʻailona.

Pehea ka ʻokoʻa o ka hōʻailona Hoffman mai ka hōʻailona Babinski?

Hoʻohana ʻia ka hoʻokolohua Hoffman e nānā i ka hana o ka neuron kaʻa luna e pili ana i ka pane ʻana o kou mau manamana lima a me nā manamana nui i ka stimulus, akā hoʻohana ʻia ka hōʻike Babinski e nānā i ka hana o ka neuron motor kiʻekiʻe e pili ana i ka pane ʻana o nā manamana wāwae i ka hahau ʻana i ka lalo o kou wāwae.

ʻOiai hana pinepine ʻia nā hoʻāʻo ʻelua, hiki i nā hopena ke manaʻo i nā mea like ʻole e pili ana i kou kino, lolo, a me nā ʻōnaehana.

Hiki paha i ka hōʻailona Hoffman ke kuhikuhi i kahi kūlana e pili ana i ka maʻi o ka iwi maha, akā hiki paha ke hana inā ʻaʻohe ou ʻano kulo.

ʻO ka hōʻailona Babinski ka mea maʻamau i nā pēpē, akā pono e hele pū me ka oʻo ʻana o nā neurons kaʻa kiʻekiʻe e 2 mau makahiki.

ʻO kahi hōʻike Hoffman maikaʻi a i ʻole hōʻike Babinski paha e hōʻike i kahi kūlana e pili ana i kāu ʻōnaehana neuron motor kiʻekiʻe, e like me ka amyotrophic lateral sclerosis (ALS).

Ke laina lalo

ʻAʻole pono kahi hōʻailona Hoffman maikaʻi i kumu no ka hopohopo. Akā hiki i kāu kauka ke ʻōlelo hou aʻe i nā hoʻokolohua inā loaʻa iā ʻoe kahi hōʻailona maikaʻi a loaʻa i nā ʻōuli ʻē aʻe o nā kūlana e like me MS, ALS, hyperthyroidism, a i ʻole ka compression spinal. ʻO nā hopena āpau, e hele ke kauka iā ʻoe ma kāu mau koho a kōkua iā ʻoe e hoʻoholo i kāu mau hana hou.