I-Bradykinesia isifo sokuphazamiseka kwezimoto esibonakala ngokuncipha kokunyakaza kokuzithandela, ngokuvamile okuhlotshaniswa ne-akinesia, okusho ukungavamile kwalokhu kunyakaza. Lokhu kuncipha kwemoto kuvamile kwesifo sika-Parkinson, kodwa kungase kuhlobane nezinye izimo zemizwa noma zengqondo.

Incazelo

I-Bradykinesia yi-motor disorder echazwa njengokunensa ekusebenzeni kokunyakaza ngaphandle kokulahlekelwa amandla emisipha. Lokhu kwehla kwejubane ngokuvamile kuhlotshaniswa nobunzima bokuqalisa ukunyakaza okungase kufinyelele ekungakwazini ngokuphelele, okubizwa ngokuthi i-akinesia. Ingathinta zonke izinhlobo zezenzo ze-motor zezitho (ikakhulukazi ukuhamba noma ubuso (isimo sobuso, inkulumo, njll.).

Izimbangela

Uphawu oluyinhloko lwesifo sikaParkinson, i-bradykinesia itholakala nakwezinye izimo zemizwa eziqoqwe ngaphansi kwegama elithi parkinsonian syndrome. Kulawa ma-pathologies, kukhona ukuwohloka noma ukulimala kwezakhiwo zobuchopho ezakha lokho okubizwa ngokuthi i-extra-pyramidal system kanye nokungasebenzi kahle kwe-dopamine neurons ehilelekile ekulawuleni ukunyakaza.

Iziphazamiso ekusebenzeni kobuchopho okuholela ekutheni i-psychomotor yehlise ijubane, noma ngisho nezimo zokuquleka lapho wonke umsebenzi wemoto umisiwe, nazo zibonwa ezimeni ezehlukene zengqondo.

kwesifo

Ukuxilongwa kwe-bradykinesia ngokuyinhloko kusekelwe ekuhloleni ngokomzimba. Ukuhlolwa okuhlukahlukene, okunesikhathi noma cha, kungenzeka kubonise ukwehla kokunyakaza.

Izikali eziningana ezenzelwe ukuhlolwa kokuphazamiseka kwezimoto ku-Parkinson's disease zinikeza isilinganiso senkambo ye-bradykinesia:

• Isikali se-MDS-UPRS (isikali I-Unified Parkinson's Rating Scale ilungiswe ngu Inhlangano ye-Movement Disorder, umphakathi ofundile onguchwepheshe bezinkinga zokunyakaza) uvame ukusetshenziswa. Isetshenziselwa ukuhlola isivinini sokwenziwa kwemisebenzi ehlukene, njengokunyakaza okuphindaphindiwe kwezandla (ukushintshashintsha ukunyakaza, ukuthinta iminwe, njll.), ukushesha kwemilenze, ukusukuma esihlalweni, njll. 
• Siphinde sisebenzisa uhlelo lwekhompyutha olubizwa nge-Brain Test (i-bradykinesia akinesia incoordination test), ekala isivinini sokuthayipha kukhibhodi.

Ngokwesisekelo sokuhlola okwengeziwe, singaphinda sisebenzise izinzwa ezinyakazayo noma amasistimu okuhlaziya ukunyakaza kwe-3D. Ama-Actimeters - amadivaysi aqopha ukunyakaza, ngendlela yewashi noma isongo - angasetshenziswa futhi ukuhlola ukwehla kokunyakaza ezimweni zansuku zonke.

Abantu abathintekayo

Laba ngokuyinhloko abantu abanesifo sikaParkinson, kodwa ezinye iziyaluyalu zezinzwa nezingokwengqondo nazo zihambisana ne-bradykinesia, okuhlanganisa:

• ukukhubazeka kwe-supranuclear,
• i-multisystem atrophy,
• i-striatum-black degeneration,
• ukwehla kwe-cortico-basal degeneration,
• Isifo somzimba we-Lewy,
• i-parkinsonian syndrome ebangelwa ukuthatha ama-neuroleptics,
• catatonia,
• Ukudangala,
• i-bipolar disorder,
• izinhlobo ezithile ze-schizophrenia ...

Izici zengozi

Iminyaka yobudala isalokhu iyisici esiyinhloko sengozi yokungasebenzi kahle kwe-neuronal, kodwa izici zemvelo (ukuchayeka ezinto eziyingozi ezifana nezibulala-zinambuzane, ukuphuza izidakamizwa ze-psychotropic, njll.) kanye nokuba sengozini yofuzo nakho kungadlala indima ekubukeni kwe-bradykinesia.

Ngokuvamile, i-bradykinesia ne-akinesia iqala kancane kancane, ithinta kakhulu imisebenzi yansuku zonke. Abantu abaphethwe yilezi zinkinga bachaza imizwa efana naleyo ababhekana nayo ngaphansi kwe-chemical straitjacket. Ukubopha nokuxhumanisa ukunyakaza kwakhe kugcina sekuyinkinga. Umzwelo noma ukukhathala kwenza kube nzima ukubulawa kwabo.

Isandla motor amakhono

Ukushukuma komzimba okuhambisana nenkulumo kuya kuba yivelakancane futhi imisebenzi elula efana nokudla ukudla iyancipha.

Ukunyakaza okunembile kanye / noma okuphindaphindayo kuyathinteka: kuba nzima ukubopha ibhantshi, ukubopha izicathulo zakho, ukushefa, ukuxubha amazinyo ... Ukubhala ngezidladla zempukane (micrograph) kungomunye umphumela walokhu kuphazamiseka. .

Hamba

Ukungabaza ekuqaleni kokuhamba kuvame. Abantu abathintekile bathatha isinyathelo esincane, esihamba kancane futhi esinezimpawu zokunyathela. Ukushwibeka kwezingalo okuzenzakalelayo kuyanyamalala.

Amakhono emoto ebusweni

Ubuso buba yiqhwa, buncishwe isimo sobuso, nokucwayiza kwamehlo okungavamile. Ukugwinya kancane kungabangela amathe amaningi. Ukukhuluma kuyabambezeleka, nezwi kwesinye isikhathi liba yisicefe futhi libe phansi. 

Ukwelashwa

Ukwelashwa kwama-pathologies ahlobene kungathuthukisa amakhono emoto. I-L-Dopa, isandulela se-dopamine eyakha itshe legumbi lokwelapha isifo sika-Parkinson, isebenza ngokukhethekile.

Ukuvuselela ubuchopho obujulile, okusetshenziselwa ukunciphisa izimpawu zemizwa ku-Parkinson's disease, nakho kunomphumela omuhle ku-bradykinesia ne-akinesia.

Ukufundiswa kabusha

Ukuvuselelwa akulungisi ukuphazamiseka kwemizwa kodwa kuyasiza ekwehliseni imiphumela yako. Ngeshwa, imiphumela yayo ivame ukuguga lapho kungabikho ukuqeqeshwa.

Amasu ahlukahlukene okuphatha izimoto angenzeka:

• Ukwakhiwa kwemisipha kungaba yinzuzo. Ikakhulukazi, kukhona ukuthuthukiswa kwemingcele yokuhamba ngemva kokuqinisa imisipha yomlenze.
• Ukubuyisela esimweni esihle futhi kusekelwe kumasu okuqonda: kuhilela ukufunda ukugxila ekunyakazeni (ukugxila ekuthatheni izinyathelo ezinkulu ngenkathi uhamba, ukushwiba izingalo zakho ngokweqile, njll.).
• Ithathelwe endleleni eya kuqala esetshenziselwa ukuvuselela ukuphazamiseka kwenkulumo, umthetho olandelwayo we-LSVT BIG onelungelo lobunikazi (((U-Lee Silverman Voice Treatment BIG) wuhlelo lokuzivocavoca oluncike ekusebenzeni okuphindaphindiwe kokunyakaza okukhulu kwe-amplitude. Iphinde inciphise imiphumela ye-bradykinesia.

Kubantu abanenkinga yezinzwa, ukuqhubeka kwemisebenzi yomzimba kungabambezela ukubonakaliswa kwe-bradykinesia futhi kunciphise imiphumela yayo.