I-Hypokinesia: incazelo, izimbangela kanye nokwelashwa

I-Hypokinesia ukuphazamiseka kokuhamba, okuhambelana nokwehla kwezimoto ezingxenyeni ezithile zomzimba noma ezithweni. Umuntu one-hypokinesis akakwazi ukwenza ukunyakaza okuthile kwemisipha. I-Hypokinesia yehlukile kune-akinesia noma i-dyskinesia, ehambelana nokuphazamiseka kokunyakaza kwemisipha nokunyakaza kwemisipha okungavamile, ngokulandelana. IBradykinesia ihlanganisa lezi zinto ezimbili: i-hypokinesia ne-akinesia.

I-ventricular hypokinesia ukwehla kokuhamba kokunyakaza kwama-ventricles enhliziyo. Ngakho-ke kuxhumene nokwehluleka kwenhliziyo.

Ukwehluleka kwenhliziyo okungapheli (CHF) ukwehla kokusebenza kahle kwama-ventricles enhliziyo (amakamelo azungezwe yimisipha yenhliziyo, i-myocardium, ebhekele ukupompa igazi). Ngakho-ke lokhu kuyi-hypokinesia yama-ventricles enhliziyo. Ama-ventricles (kwesobunxele nangakwesokudla) anomthwalo wokujikeleza igazi elinomoya-mpilo emzimbeni negazi elinemithambo emaphashini. Ngokusobala, ukwehluleka kwenhliziyo kuboniswa ukwehluleka kwenhliziyo ukupompa igazi elanele ukuze liphefumule zonke izitho zomzimba. Izimpawu ngakho-ke ukukhathala nokuphefumula okusheshayo ngokuzikhandla. Lezi zimpawu zingahluka futhi zehle noma zikhuphuke ngamandla ngokuya ngobukhulu be-ventricular hypokinesia.

Ukwehluleka kwenhliziyo kuyinkinga enkulu yezifo ezithile zenhliziyo nemithambo yokuphefumula, ezithinta kakhulu abantu abaneminyaka engaphezu kwengama-75.

Umphakathi usengcupheni

Ngokuphindaphindiwe ngenxa yokuguga okujwayelekile kwabantu, sithola ukwehluleka kwenhliziyo kaningi ezigulini esezikhulile futhi ngoba ukuphazamiseka kwenhliziyo nokuphefumula lapho kuvela khona lesi sifo kuphathwa kangcono. Isibonelo, ama-infarction e-myocardial abangela ukufa okumbalwa esikhathini esifushane, kepha ama-sequelae awo aholela ezimweni ezintsha ze-CHF.

Ukusekelwa nokwelashwa

Ukunakekelwa kwezempilo kungenzeka ngenhlanzeko engcono yokuphila, incwadi kadokotela yokweseka imisipha yenhliziyo nokunciphisa umfutho wegazi ophakeme. Imvamisa kuyindlela yokwelashwa okufanele ilandelwe impilo yonke, uma ukuxilongwa sekutholakele.

I-Hypokinesia iyisibonakaliso sesifo sikaParkinson, isifo esingenayo i-neurodegenerative esibonakala ngokucekelwa phansi okuqhubekayo kwama-neuron ebuchosheni. Lesi sifo sibonakaliswa yizimpawu ezintathu zesici:

• ukuqina;
• ukuthuthumela;
• nokuphazamiseka nokwehla kokunyakaza.

Isifo sikaParkinson yisona sizathu esivame kakhulu se-Parkinson's syndrome, esichazwa yinhlangano ye-bradykinesia (yehlisa ijubane ekwenzeni ukunyakaza nokwehla kwejubane) okungahle kuhlotshaniswe nokwehla kwe-amplitude (hypokinesia) kanye nokuntuleka kokuqalisa (akinesia).

Bungase buvele ubunzima obuningana empilweni yansuku zonke: ubunzima ekwenzeni izinto ezilula, ukushukuma komzimba okuqondile, ukunyakaza okuhlelekile nokuphindaphindwayo. Umuntu one-hypokinesis angathola ukungakwazi ukuhambisa ukunyakaza okuthile, kanye / noma umuzwa omkhulu wokukhathala, ukuvinjelwa, futhi kwesinye isikhathi ukuthula. Kungaba nobunzima ekubhaleni nasekukhulumeni okungakhubazekile.

Ukwelashwa

Izindlela eziningana zokwelashwa zingabhekwa njengokunciphisa ukuqhubeka kwesifo nokuqeda izimpawu. Ikakhulu, izinto ezilandelayo zingasetshenziswa ukunciphisa imiphumela emibi:

• ukugcina umsebenzi womzimba ngokulinganisela;
• ukuphumula (i-yoga, ukuzindla);
• ukuvuselelwa, sibonga ongoti abehlukene (ama-physiotherapists, abelaphi basemsebenzini, abelaphi bokukhuluma);
• ukuthatha imithi efana ne-L-dopa, i-dopamine agonists noma i-anticholinergics;
• ukulandelwa kwengqondo, uma kwenzeka uzizwa ungakhululekile noma uhoxa.

Njengesifo sikaParkinson, kunezimo ze-hypokinesia kubantu abane-dementia ye-vascular. Kungabangelwa yisifo sohlangothi esikhulu noma isifo senhliziyo esiningi, isibonelo.

Ukuwohloka komqondo ngemithambo kufaka phakathi wonke ama-syndromes okuwohloka komqondo anokungakwazi ukusebenza kahle kwemithambo yegazi. Lokhu kuncipha kungukuwohloka komqondo kwesibili okuvame kakhulu ngemuva kwesifo i-Alzheimer's, okungukuthi cishe u-10-20% wokuwohloka komqondo.

Sithola izimpawu ezifanayo nezindlela zokwelapha njengasesifo sikaParkinson.

I-Hypokinesia ye-ventricles

Ukuncipha kwe-amplitude yokunyakaza kwe-ventricle yesokunxele nakho kuhlukaniswa njenge-hypokinesia. Izindawo ze-hypokinesia ngesikhathi se-echocardiography zibonisa ukuthi i-myocardial infarction eyingozi noma eyedlule (i-postinfarction cardiosclerosis), ischemia ye-myocardial, ukuqina kwezindonga ze-myocardial. Ukwephulwa kwenkontileka yendawo yezingxenye ze-ventricle yesokunxele ezigulini ezinesifo senhliziyo kuhlolwa esikalini samaphuzu amahlanu:

1. Ukufinyela okuvamile.
2. I-hypokinesia emaphakathi.
3. I-hypokinesia enzima.
4. I-Akinesia (ukuntuleka kokunyakaza).
5. I-Dyskinesia (ingxenye ye-myocardium ayihambi ngendlela efanele, kodwa ngokuphambene).

I-Hypokinesia ye-ventricle efanele itholakala ezigulini ezine-acute pulmonary embolism (PE). Ucwaningo luye lwabonisa ukuthi ukuba khona kwe-hypokinesia ye-ventricle efanele ezigulini ezine-PE ebukhali kwandisa kabili ingozi yokufa phakathi nenyanga ezayo. Leli qiniso lenza kube nokwenzeka ukuhlonza iziguli ezisengozini enkulu ezibonakala zizinzile.

Ukwelashwa kwe-hypokinesia

Indlela yokwelapha i-hypokinesia incike ekuguleni okuyisisekelo, uphawu lwaso ukwehla komsebenzi wemoto. Ezigabeni zokuqala zesifo sikaParkinson, izidakamizwa ze-dopaminergic ziboniswa. Udokotela kufanele anikeze imithi futhi ahlulele ukusebenza kwayo. Ngokuqhubeka kwesifo kanye nokungasebenzi kokwelashwa okulondolozayo, ukwelashwa kokuhlinzwa (i-neurostimulation noma ukuhlinzwa okulimazayo) kungadingeka.