Kusagadzikana kwemisumbu, kana hypertonia, kunoitika kana kune huturu hwakanyanya hutsika uye maoko kana makumbo akaoma uye zvakaoma kufamba. Utsi hwemashoko hunotsanangurwa nezviratidzo zvinofamba kubva kubva muuropi zvichienda kumitsipa zvichiita kuti mishonga dzizive pavanoda kubvumirana.
Apo nzvimbo dziri muuropi kana musana wemupemhi unobatsira kutarisa zviratidzo izvi zvakakuvadzwa, kusagadzikana kwemisimba kunoitika.
Hypertonia inogona kuitika nekuda kwezvikonzero zvakawanda, kusanganisira kushungurudzika, chirwere chepfungwa, chirwere chepfungwa, chirwere chePasinson, multiple sclerosis, neurodevelopmental zvisiri izvo (zvakadai seperebral palsy ) kana kuti zvinotyisa zvinokanganisa uropi.
Nzira yekuti Muscle Rididity inobata Varwere veStroke
Kugadzikana kwemisungo kunowanzopedza kufamba kwemajoini, zvichiita kuti zvive nyore kuti zvikwama zvifambe zvakanaka.
Inogona kukanganisa zvikamu zvakasiyana zvemuviri. Kana ikakanganisa makumbo, hutano hwemunhu hunova hwakaoma uye hunokonzera matambudziko kuchengeta pfungwa yekuenzanisa, zvichikonzera kuwira.
Mhosva dzakakura dzinogona kuita kuti mapepa aiswe panzvimbo, kana kuti "mazaya," anozivikanwa sekubatana kwekubatana.
Hypertonia dzimwe nguva inonzi inonzi spasticity, zvisinei, kupisa ndeye rudzi rwehutano hwe hypertonia uko kusvibiswa kwemisumbu kunowedzera nekufamba. Varwere vane tsvina vanowanzove vakanyanyisa kupindura mafungiro.
Mukugadzikana, rumwe rudzi rwe hypertonia, mishonga ine chiyero chakafanana chekuoma, kusingagumi nehuwandu hwekufamba.
Kubwinya kunowanzoitika mune zvirwere zvinosanganisira basal ganglia nzvimbo yeuropi, zvakadai saPasinson chirwere.
Dzidzira
Apo kusagadzikana kwemisumbu kunoita kuti zvive nyore, kufamba muviri kunogona kubatsira vanhu vane hypertonia kuchengetedza kufamba kwakanyanya sezvinobvira nekuvandudza hupenyu hwehupenyu.
Kurapa kwekugadzirisa uye kurapa kwepanyama kunongedza maitiro akawanda ekufambisa maitiro uye kushanda zvakasimba kutenderera kunogona kubatsira kuvandudza hypertonia.
Occupational therapy inogona kubatsirawo varwere kudzoka nekuchengetedza mabasa ehupenyu hwezuva nezuva uye hupenyu hwehupenyu.
Mishonga
Mishonga yemumuromo, majekiseni ekudzivirira, uye kurapwa kwepanyama kunorayirwa kubatsira kubatsira kuderedza zviratidzo zve hypertonia uye kuvandudza kushanda uye kusagadzikana kushanda.
Tsvina yekuzorodza zvinodhaka zvakadai sa diazepam, dantrolene, uye baclofen zvinogona kupiwa semurapa wemuromo, kunyange zvazvo baclofen inogonawo kupiwa sejisi mujerebrospinal fluid kuburikidza nepombi.
Botulinum toxin, kana Botox, inoshandiswawo kubvisa hypertonia munharaunda dzakasiyana-siyana nokuti migumisiro yayo inowanikwa uye haigunisi muviri wose.
Kugutsikana Kwemagetsi Nokuda Kwekugara
Kwemakore anoverengeka, neuromuscular magetsi ekusimudzira (NMES) yakashandiswa kurapa varwere vakagadzikana vane musimba kuoma. Kurapa kunosanganisira kushandiswa kwechigadzirwa chinoshandisa electrodes kutumira kushandiswa kwemagetsi paganda pamusoro pemapoka emasumbu akasarudzwa. I-NMES, chirongwa chekurapa chakagadzirirwa kushandiswa kwemusha, chinokonzera musuru kuti zvibvumirane sechimiro chekuita muviri kana kuti kurapa kwepanyama.
A 2015 meta-tsvakurudzo yezvidzidzo makumi maviri nemakumi maviri nemashanu zvakawana NMES kurapwa kwakaderedzwa kusagadzikana uye kuwedzera kwemafambiro akaenzaniswa neboka rinodzora. Vanyori vekudzidza vakagumisa kurapwa kunofanira kuiswa pamwe nemamwe maitiro ekubatsira varwere vane kugadzikana kwemisimba.
Sources:
NINDS Hypertonia Information Page. National Institute of Neurological Disorders uye Stroke website.
Stein C, Fritsch CG, Robinson C, Sbruzzi G, Plentz RD. Migumisiro yekugadzirisa magetsi mumasumbu ekuputika Mushure mekurohwa: Kuongorora kwakarongeka uye Meta-Kuongorora kweRandomized Controled Trials. Stroke . 2015 Aug; 46 (8): 2197-205. doi: 10.1161 / STROKEAHA.115.009633. Epub 2015 Jul 14. Ongororo.