He aha ka hypokinesia a pehea e pili ai i ke kino?

Anter

• He aha nā hōʻailona?
• Nā ʻōuli o ke kaʻa
• Nā hōʻailona kaʻa ʻole
• He aha nā kumu i loaʻa ai ka hypokinesia?
• He aha nā koho lapaʻau e loaʻa ai?
• Hiki i ka hypokinesia ke alakaʻi i nā ʻano neʻe ʻē aʻe?
• He aha ke kuanaʻike?

He aha ka hypokinesia?

ʻO ka hypokinesia kahi ʻano o ka maʻi neʻe. ʻO ia hoʻi ka manaʻo o kāu neʻe ʻana i kahi "hoʻoliʻiliʻi amplitude" a ʻaʻole nui e like me kāu e manaʻo ai.

Pili ka Hypokinesia i ka akinesia, ʻo ia hoʻi ka hele ʻole o ka neʻe, a me ka bradykinesia, ʻo ia hoʻi ka lohi o ka neʻe. Hoʻohui pū ʻia nā huaʻōlelo ʻekolu a kuhikuhi ʻia ma lalo o ka huaʻōlelo bradykinesia. Hoʻohālikelike pinepine ʻia kēia mau maʻi neʻe me ka maʻi o Parkinson.

ʻO Hypokinesia ka ʻaoʻao flip o ka manawa hyperkinesia. Hana ʻia ka hypokinesia ke liʻiliʻi ʻoe i ka neʻe ʻana, a loaʻa ka hyperkinesia i ka wā he nui nā neʻe manawaleʻa.

He aha nā hōʻailona?

ʻIke pinepine ʻia ʻo Hypokinesia me akinesia a me bradykinesia. Me ka pilikia kaohi kaʻa, hiki i kēia hui ʻana o nā pilikia ke hele pū me nā ʻōuli kaʻa ʻole. ʻO kēia mau hui pū ʻana o nā hōʻailona e pili mau me ka maʻi ʻo Parkinson.

Nā ʻōuli o ke kaʻa

Hiki i nā neʻe maʻamau ke hōʻike i nā ʻāpana like ʻole o kou kino i nā ʻano like ʻole.

Loaʻa i kekahi mau mea hiki:

• nānā non-expressive i kou helehelena (hypomimia)
• hoʻēmi i ka ʻimoʻimo ʻana
• haka pono ʻole i kou mau maka
• ʻōlelo palupalu (hypophonia) me ka nalo ʻana o ka inflection (aprosody)
• drooling no ka mea hooki ʻoe i kou ale ale ʻana
• kūlou ka poʻohiwi lohi a hāpai ka lima
• haʻalulu ʻaʻano ʻole (haʻalulu)
• liʻiliʻi, lohi i ka kākau lima ʻana (micrographia)
• hoʻēmi i ke kani o ka lima ke hele
• lohi, neʻe liʻiliʻi i ka wehe ʻana a pani ʻana i kou mau lima a i ʻole ke kī ʻana i kou mau manamana lima
• ʻeleʻele dexterity no ka ʻā ʻana, ka palu ʻana i nā niho, a i ʻole ke kau ʻana i nā mea hoʻonani
• lohi, neʻe liʻiliʻi i ka wā e hehi ana i kou mau wāwae a i ʻole ke kī ʻana i kou manamana wāwae
• kulana alo-alo
• lohi, hele wāwae
• pilikia i ka hoʻomaka ʻana a i ʻole ka hau i ka wā o ka neʻe
• piʻi i ka pilikia mai kahi noho, hele i waho o kāu kaʻa, a huli i kahi moe

Nā hōʻailona kaʻa ʻole

ʻO nā hōʻailona noʻonoʻo a me ke kino ʻaʻole i hoʻokumu ʻia e hypokinesia e hele pinepine i ka lima me ka hypokinesia a me ka maʻi ʻo Parkinson.

Pākuʻi ʻia kēia mau mea:

• ka nalowale ʻana o ka hiki i ka hana nunui a me ka noʻonoʻo
• lohi o ka manaʻo
• ka hoʻomaka ʻana o ka dementia
• kaumaha
• hopohopo
• psychosis a i ʻole nā ​​ʻano psychiatric ʻē aʻe
• haunaele hiamoe
• luhi
• ke koko haʻahaʻa i ke kū ʻana
• kōpaʻa
• ʻeha ʻaʻole wehewehe ʻia
• nalo ʻaʻala
• ka hana erectile
• numbness a i ʻole ka manaʻo o "nā kui a me nā nila"

He aha nā kumu i loaʻa ai ka hypokinesia?

ʻIke pinepine ʻia ʻo Hypokinesia i ka maʻi o Parkinson a i ʻole nā ​​syndrome e like me Parkinson. Akā hiki ke lilo i hōʻailona o nā ʻano ʻē aʻe:

Schizophrenia a me nā kūlana noʻonoʻo ʻē aʻe pinepine me nā pilikia hana kaʻa e like me hypokinesia. Kūpono paha kēia mau neʻe neʻe no ka mea ʻaʻole "kamaʻilio" pololei nā ʻāpana like ʻole o ka lolo i kekahi i kekahi.

Dementia me nā kino Lewy he ʻano dementia. Hiki i nā ʻōuli ke komo pū me nā hiʻohina ʻike, nā pilikia ʻike, nā neʻe ʻana o ka neʻe e like me hypokinesia, ka hāʻule pinepine ʻana, maʻule, nā hoʻopunipuni, nā maʻi hiamoe, a me ke kaumaha.

Hoʻopiʻi ʻōnaehana lehulehu kahi hui o nā ʻōnaehana nūnū e hoʻokumu i ka hypokinesia, incoordination, hoʻololi i ka ʻōlelo, ʻoʻoleʻa, nāwaliwali, hana ʻole o erectile, nā pilikia urinary, a me ka poni ke kū aʻe.

ʻO ka palsy supranuclear holomua he maʻi me nā ʻōuli kaʻa like me Parkinson's. ʻO ke kūlana o ke kūlana he hiki ʻole ke neʻe i kou mau maka i luna a i lalo; pilikia paha ʻoe i ka wehe ʻana o kou mau lihilihi. Hiki paha iā ʻoe ke pilikia me ka ʻōlelo a me ka ale ʻana, a noʻonoʻo lohi paha ʻoe.

Hahau i ka hypokinesia a i ʻole kahi maʻi neʻe ʻē aʻe. Ke hiki mai ia, ʻoi aku ka maikaʻi o ka hypokinesia post-stroke ma hope o 6 a 12 mau mahina.

ʻO ka hoʻohaʻahaʻa ganglionic basal Cortical he maʻi ʻano like ʻo Parkinson. Hiki paha iā ʻoe ke ʻoʻoleʻa ma kekahi ʻaoʻao o kou kino, ka ʻehaʻeha o nā mākala, a me nā pilikia ʻōlelo. I kekahi manawa e neʻe kou lima a wāwae paha me ka ʻole o "haʻi" iā ia.

He aha nā koho lapaʻau e loaʻa ai?

Nui kāu mau koho no ka hoʻoluʻu ʻana i nā ʻōuli a me ka hoʻomaikaʻi ʻana i kou ola inā loaʻa iā hypokinesia a i ʻole kahi maʻi neʻe e pili ana i ka maʻi ʻo Parkinson. Hiki i kahi hoʻolālā lapaʻau maʻamau ke hoʻopili i ka lāʻau lapaʻau, hoʻonāukiuki i ka lolo hohonu, a me ka hoʻōla kino.

Eia nō naʻe, ʻaʻole loaʻa kahi lāʻau a lāʻau paha i loaʻa i kēia manawa i hiki ke hoʻolohi a kū i ka holomua o ka maʻi.

ʻO ka hapa nui o nā lāʻau e mālama i nā hōʻailona kaʻa o Parkinson e hoʻonui i nā kiʻekiʻe o ka dopamine i kou lolo. Hoʻohana ʻia nā ʻano lāʻau ʻē aʻe a me nā lāʻau e mālama i nā hōʻailona kaʻa ʻole.

ʻO nā koho maʻamau e:

ʻO Levodopa ua hoʻohuli ʻia i dopamine i kou lolo a ʻo ia ka lāʻau lapaʻau kūpono loa no ka hypokinesia e pili ana i ka maʻi o Parkinson. Hoʻohui mau ʻia carbidopa (Lodosyn), he lāʻau lapaʻau ia e pale ai i ka haki ʻana o ka levodopa i loko o ke kino a ʻoi aku ka nui i ka lolo.

ʻO nā agonists Dopamine kekahi ʻano lāʻau lapaʻau e hoʻonui i kāu pae dopamine. Hiki iā lākou ke hui pū ʻia me ka levodopa. Hoʻopili kēia mau lāʻau i bromocriptine (Parlodel), pergolide (Permax), pramipexole (Mirapex), a me ropinirole (Requip).

Nā mea hoʻopuka Monoamine oxidase (MAO) -B e hoʻolohi i ka haki o ka dopamine i ka lolo. ʻAe lākou i ka dopamine o kou kino e hana hou. Hoʻopili kēia mau lāʻau i ka selegiline (Eldepryl) a me ka rasagiline (Azilect).

Nā mea kūpale ʻo Catechol-O-methyltransferase (COMT) e hoʻolohi i ka haki o ka levodopa i ke kino, e ʻae ana i ka nui o ka levodopa e kiʻi i ka lolo. Hoʻopili kēia mau lāʻau i entacapone (Comtan) a me tolcapone (Tasmar).

Nā lāʻau Anticholinergic hoʻemi i ka lolo kemikala acetylcholine a kōkua i ka hoʻihoʻi kaulike ma waena o acetylcholine a me dopamine. Hoʻopili kēia mau lāʻau i ka trihexyphenidyl (Artane) a me ka benztropine (Cogentin).

ʻO Amantadine Hana ʻo (Symmetrel) i nā ʻano ʻelua. Hoʻonui ia i ka hana dopamine i kou lolo. Hoʻopili ia i ka ʻōnaehana glutamate i kou lolo, e hoʻemi ana i ka neʻe ʻana o ke kino i kaohi ʻole ʻia.

Hoʻonāukiuki i ka lolo hohonu (DBS) he koho ʻoki kēia inā ʻaʻole holo pono nā lāʻau ʻē aʻe nāu. ʻOi aku ka maikaʻi e hōʻemi i ka ʻoʻoleʻa, lohi, a haʻalulu.

E hele ʻoe a me kāu kauka ma luna o nā hōʻailona neʻe ʻole ʻē aʻe i loaʻa iā ʻoe, e like me nā pilikia pili i ka naʻau, ka luhi, a me nā pilikia hiamoe. Hiki iā ʻoe ke noʻonoʻo me kahi papa hana e hoʻopili ai i nā lāʻau a me nā lāʻau ʻē aʻe e hōʻoluʻolu i kēlā mau hōʻailona.

Hiki paha i kāu kauka ke koi aku i ka hoʻōla kino, ka hoʻomaʻamaʻa hana, ka hoʻohana ʻana i nā hāmeʻa kōkua, a i ʻole ka ʻōlelo aʻoaʻo.

Hiki i ka hypokinesia ke alakaʻi i nā ʻano neʻe ʻē aʻe?

ʻIke ʻia kekahi mau ʻano o nā hoʻoneʻe neʻe me nā neʻe liʻiliʻi o hypokinesia. ʻIke pinepine ʻia kēia mau hiʻohiʻona kaʻa ʻokoʻa i loko o kekahi me ka maʻi maʻi Parkinson a i ʻole kekahi o nā syndrome like me Parkinson.

ʻO nā laʻana me:

Akinesia: Inā loaʻa iā ʻoe ka akinesia, loaʻa iā ʻoe ka paʻakikī me a i ʻole hiki ʻole ke hoʻomaka i ka neʻe. Hoʻomaka pinepine ka paʻakikī o kou mākala i nā wāwae a me ka ʻāʻī. Inā pili ka akinesia i kou mauʻiʻo i ke alo, hiki iā ʻoe ke hoʻomālamalama i kahi maka e like me ka mask.

Bradykinesia: Inā loaʻa iā ʻoe ka bradykinesia, e lohi kāu neʻe ʻana. I ka hala ʻana o ka manawa, hoʻomaka paha ʻoe e "hoʻopaʻa" i waenakonu o kahi neʻe a lawe paha iā ʻoe i kekona kekona e hele hou.

ʻO Dysarthria: Inā loaʻa iā ʻoe ka disarthria, nāwaliwali nā mākala āu e hoʻohana ai a i ʻole e paʻakikī paha ʻoe e kaohi iā lākou. Lohi a lohi paha kāu kamaʻilio a paʻakikī paha i kekahi poʻe e hoʻomaopopo iā ʻoe.

ʻO Dyskinesia: Inā loaʻa iā ʻoe ka dyskinesia, loaʻa iā ʻoe nā neʻe ʻole i kāohi ʻia. Hiki paha iā ia ke hoʻopili i kahi ʻāpana o ke kino - e like me kou lima, ka wāwae, a poʻo kou poʻo - a i ʻole he mea paha e hoʻopili ai i nā mākala ma kou kino. ʻO Dyskinesia paha ke nānā aku e like me ka fidgeting, wriggling, swaying, a i ʻole ke poʻo ʻana o ke poʻo.

Dystonia: Inā loaʻa iā ʻoe ka dystonia, loaʻa iā ʻoe nā ʻehaʻeha, lōʻihi o nā mākala lōʻihi e hoʻonāukiuki i nā neʻe a me nā kū ʻole o ke kino. Hoʻomaka ka hoʻomaka ʻana o nā ʻōuli ma kahi o ke kino akā pāhola paha i nā wahi ʻē aʻe.

ʻOʻoleʻa: Inā he ʻoʻoleʻa ʻoe, ʻoi aku ka ʻoʻoleʻa o kekahi o kāu mau lālā a i ʻole nā ​​ʻāpana kino ʻē aʻe. ʻO ia kahi hiʻohiʻona Telltale o ka maʻi ʻo Parkinson.

Kūpono postural: Inā loaʻa ʻole ka post postability, loaʻa iā ʻoe ka pilikia me ke kaulike a me ka hoʻohui ʻana. Hiki i kēia ke hōʻano ʻole iā ʻoe ke kū a hele wāwae paha.

He aha ke kuanaʻike?

ʻAʻohe mea ola no hypokinesia. ʻO Parkinson hoʻi kahi maʻi holomua, ʻo ia hoʻi eʻoi aku ana ka maikaʻi o ka hala ʻana o ka manawa. Akā ʻaʻole hiki iā ʻoe ke wānana i nā hōʻailona e loaʻa iā ʻoe a iā ʻoe ke loaʻa iā lākou. Hiki ke hoʻomaha ʻia nā ʻōuli he nui e nā lāʻau a me nā lāʻau ʻē aʻe.

ʻOkoʻa ka ʻike o kēlā me kēia kanaka me ka hypokinesia a me ka maʻi ʻo Parkinson. ʻO kāu kauka kāu kumu waiwai ʻoi loa no ka ʻike e pili ana i kāu kuanaʻike pilikino.