Mea Kākau: Peter Berry
Lā O Ka Hana: 11 Iulai 2021
HōʻAno Hou I Ka Lā: 18 Nowemapa 2024
Anonim
Interpretation of Reflex Tests | Clinical Physio
Wikiō: Interpretation of Reflex Tests | Clinical Physio

Anter

He aha ka hyporeflexia?

ʻO Hyporeflexia e pili ana i kahi kūlana i hoʻolohe ʻole ai kou mau mākala i nā stimuli. Inā ʻaʻole pane iki kāu mau mākala i nā stimuli, ʻike ʻia kēia ʻo areflexia. Nawaliwali loa paha kou mauʻiʻo i hiki ʻole iā ʻoe ke hana i nā hana o kēlā me kēia lā. ʻO kēia ka ʻaoʻao o hyperreflexia, kahi i nui ai ka nui o ka muscular pane.

ʻOiai kū kūʻokoʻa ka hyporeflexia, pili pinepine ia me kekahi kumu kumu ʻē aʻe. ʻO ke kumu o kēia ka diagnostics, lapaʻau, a me ka hopena hiki ke loli nui.

He aha nā hōʻailona o hyporeflexia?

Hiki ke hele mālie nā ʻōuli o hyporeflexia. I nā hihia pēlā, ʻike paha ʻoe i ka lilo lohi o ka pane ʻana o nā mākala. I ka mua, lūlū paha ʻoe i nā ʻōuli me he clumsy wale lā.

E lilo paha i mea paʻakikī nā hana o kēlā me kēia lā, e like me:

  • paʻa mea
  • kalaiwa ʻana
  • mālama i ke kūlana maikaʻi
  • hele wāwae

I nā hihia koʻikoʻi loa, hiki i ka hyporeflexia ke kumu o ka nalowale o ka hoʻohana ʻana i nā mākala.


He aha ke kumu o ka hyporeflexia?

Hoʻolālā ʻo Hyporeflexia ma muli o ka hōʻino ʻana i nā neurons kaʻa. Hoʻouna kēia mau neurons i nā leka ma waena o kou lolo a me ka iwi kuamoo. Hoʻohui like, hoʻouna lākou i nā leka i ke koena o kou kino e kaohi i nā neʻe o nā mākala.

Pili paha kēia ʻano i kekahi o kēia mau mea:

ʻO Amyotrophic lateral sclerosis (ALS)

ʻO ka mea i ʻike pinepine ʻia ma ka maʻi ʻo Lou Gehrig, ʻo ALS kahi maʻi neurological holomua e luku ana i ka lolo a me nā iwi kuamoʻo. I ka hala ʻana o ka manawa, hiki i kēia ke kumu i ka nāwaliwali o nā mākala ma loko o ke kino. ʻO nā ʻōuli ʻē aʻe o ALS e pili pū me ka ʻōlelo slurred, ka nalo ʻana o ka hoʻomanaʻo, a me nā pilikia hanu.

ʻO Guillain-Barré Syndrome (GBS)

ʻO kēia kekahi ʻano o ke kūlana degenerative e hoʻopili i kāu ʻōnaehana ʻōnaehana. Me GBS, hōʻeha kou kino i nā kino olakino maʻamau, nāna e hoʻopōʻino i nā hōʻailona o ka lolo i kou mau mākala. Ma waho aʻe o nā mākala nāwaliwali, hiki i ka GBS ke hana i nā pilikia hanu a me ke koko kiʻekiʻe.

ʻO ka polyneuropathy hoʻonāukiuki hoʻohaʻahaʻa maʻi (CIDP)

Kaha ʻia kēia maʻi e ka hōʻino ʻia o nā olonā nerve i kou lolo. Hiki i ka CIDP ke hoʻomaka me nā ʻōuli e like me ka ʻūlū ʻana a i ʻole ka helu ʻana i kou mau mākala.


ʻO ka hope, CIDP ke kumu o ka lilo nui o nā reflexes muscle. He kūlana lōʻihi kēia e hiki ai ke alakaʻi i nā ʻōuli ʻino me ka ʻole o ka lāʻau.

Hypothyroidism

Kāhea ʻia hoʻi he thyroid underactive a "haʻahaʻa" paha, hiki i kēia ʻano ke alakaʻi i ka luhi, nā nāwaliwali nāwaliwali, a me ke anuanu o ke kino anuanu. Hoʻolālā ka hypothyroidism ke hana ʻole kāu thyroid i ka nui o nā hormoni e mālama ai i nā hana o ke kino.

Nā hōʻeha iwi kuamoʻo

Hiki i kekahi mau ʻeha o ke kuamoʻo ke hōʻeha i nā aʻa, kahi e alakaʻi ai i nā mākala nāwaliwali.

Hahau

Hiki i nā hahau ke alakaʻi i ka hyponia, a i ʻole ke kani haʻahaʻa o nā mākala i kekahi mau lālā. Noho pinepine ʻo Hypotonia i ka hapa nui o ka poʻe i ʻike i ka hahau, akā i kekahi mau mea paʻa.

Nā hopena ʻaoʻao o ka lāʻau

ʻO ka poʻe e lawe i nā mea hoʻomaha i nāʻiʻo e ʻike i ka hyporeflexia ma ke ʻano he hopena manawa pōkole.

Pehea e ʻike ʻia ai ka hyporeflexia?

Ma muli o ka pili o ka hyporeflexia i nā ʻano ʻano like ʻole, he paʻakikī paha ke kuhi mua. Pono ʻoe e ʻike i kāu kauka no ke kino. I kēia manawa, e nīnau lākou iā ʻoe ke hoʻomaka ʻoe e nalo i ka pane o nā mākala, a pehea ka lōʻihi o ka hana ʻana. Pono ʻoe e haʻi i kāu kauka e pili ana i nā ʻōuli ʻē aʻe āu e ʻike nei.


I kāu koho ʻana, e hoʻohana paha kāu kauka i ka hāmare reflex e ʻike pehea i ka pane ʻana o nā mākala.

I mea e ʻike ai i ka ʻike pololei, kauoha paha kāu kauka i kahi hui o nā hōʻike aʻe:

  • kahi biopsy o kou mau mākala a i ʻole nā ​​ʻalolo
  • hana koko
  • uila (EMG)
  • MRI hoʻoili
  • hoʻokolohua holo māmā nerve (NCV) hōʻike
  • kāʻei kua
  • hoʻāʻo mimi

Ma muli o ka nui o nā kumu kumu no ka hyporeflexia, ʻaʻohe hoʻokahi hōʻike e hiki ke kōkua i kāu kauka e hōʻoia iā ia.

Hiki i ka hyporeflexia ke kumu i nā pilikia?

Me ka pane haʻahaʻa o nā mākala, makaʻu ʻoe i nā ulia pōpilikia koʻikoʻi. Hāʻule mai nā mākala wāwae nāwaliwali, no ka laʻana, hiki ke alakaʻi i nā poʻo poʻo a me nā iwi o ka iwi. ʻAʻole hiki ke hoʻokele ke alakaʻi i nā ulia kaʻa.

Hiki i nā ALS a me ka GBS ke alakaʻi i ka maʻi lōlō. Me ALS, hiki wawe ka maʻi lōlō. Hiki i kahi GBS hoʻouka kaua koʻikoʻi ke kumu i ka lōlō manawa.

I kekahi manawa, i nā hihia o ka ʻehaʻeha, hiki i ka hyporeflexia ke lilo i hyperreflexia.

Pehea e mālama ai i ka hyporeflexia?

Mālama ka mālama ʻana no hyporeflexia i ka hoʻomaikaʻi ʻana i ka hopena o nā mākala. Mai kahi kūlana olakino, aia ʻelua mau ʻano hana e kōkua ai: nā lāʻau a me ka lāʻau hoʻoikaika kino.

Nā Lapaʻau

ʻO nā ʻano lāʻau a kāu kauka e koi ai e hilinaʻi paha i ke kumu kumu o hyporeflexia. ʻO kahi laʻana, inā loaʻa iā GBS a i ʻole CIDP, hiki i kāu kauka ke kuhikuhi i nā steroid. Kōkua kēia i ka hoʻoliʻiliʻi i ka lī ma muli o ke kino e hoʻouka nei i kāna mau pono ponoʻī.

Mālama ʻia ʻo Hypothyroidism me nā homone pani thyroid e hoʻomaikaʻi ai i kāu mau hōʻailona holoʻokoʻa.

Hoʻoikaika kino

Hiki i kahi mea hoʻoponopono kino ke alakaʻi iā ʻoe ma o ka hoʻomaʻamaʻa ʻana i nā mākala a me ka hoʻoikaika ʻana i nā hana. Hoʻohui ʻia, hiki i kāu kauka ke koi aku i ka hana ʻoihana. Kōkua kēia iā ʻoe e aʻo pehea e neʻe ai i kahi kūʻokoʻa a hiki iā ʻoe ke palekana. Hiki ke kōkua i ka physiotherapy i ka ikaika o ka mākala.

Hiki iā ʻoe ke kamaʻilio pū me kāu kauka e pili ana i ka hana me ka palekana e hoʻomaikaʻi ai i nā mākau kaʻa nui (e like me ka hele wāwae a me ka holo ʻana) a me ka ikaika o nā mākala āpau. Inā hana ʻoe i ka hoʻoikaika kino, e ʻike pono he hoa hana ʻoe ma ke ʻano he palekana.

He aha ka nānā no hyporeflexia?

Aia kāu wānana holoʻokoʻa i nā kumu kumu o kou ʻano. Ke ʻike mua ʻia, lana ka maka no ka hyporeflexia me nā lāʻau lapaʻau a me nā hoʻoponopono. I ke kumu o nā maʻi neurological e pili ana, e hana pū kāu kauka me ʻoe e kōkua i ka hōʻemi ʻana i ka holomua o ka maʻi. Hiki i kēia ke kōkua i ka hoʻolōʻihi i nā hōʻailona hōʻino.

Inā ʻike ʻoe i kekahi ʻokoʻa i ka hopena o nā mākala, e hoʻopaʻa i kāu manawa me kāu kauka. ʻO ka ma mua o kēia ʻano o nā kūlana i ʻike ʻia, ʻoi aku ka maikaʻi o ka nānā lōʻihi.

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