Ukunyaniseka
Isishwankathelo soNyango
I-Spasticity luphawu lweemeko ezahlukeneyo ze-neurologic ngenxa yokulahleka kokuthintelwa kwee-motor neurons. Iklinikhi ibonisa ukudibanisa okuguquguqukayo kokukhubazeka, ukunyuka kwe-tendon reflex umsebenzi (i-hyperreflexia ene-brisk reflexes kunye ne-Babinski sign positive) kunye ne-hypertonia (ngokuchasene nokuqina okubonwa njengento ephawulekayo ye-parkinsonism). I-Clonus (idla ngokubakho kwi-ankle) inokubakho kwaye ibonise njengento ezenzekelayo, enesingqisho, i-muscular contractions kunye nokuphumla.
I-Pathophysiologically, i-reflex elula inokudlala indima ephambili ekungalinganini phakathi kwezinto ezixhamlayo kunye ne-inhibitory kwi-α motor neurons.
Izizathu eziqhelekileyo ze-spasticity ziquka izilonda ezikhulayo okanye ezifunyenweyo ze-pyramidal tract kwingqondo kunye / okanye intambo yomgogodla kwimeko ye-cerebral palsy, i-stroke, i-multiple sclerosis, i-trauma, kunye nabanye.
Jonga inkcazo epheleleyo
I-spasticity ngunobangela oqhelekileyo nobalulekileyo wokunciphisa umgangatho wobomi kunye nokuzimela. Ukuwa yenye yezona ziphumo zibalulekileyo (kwakhona bona: ukuphazamiseka kokuhamba).
Ukuphononongwa kunye nokulawulwa kwe-spasticity kufuneka kugxininise kuqala ekungabandakanyi izizathu zeempawu. Emva kokulungiswa kwezizathu zeempawu, ulawulo luhlala luxhasa kodwa lunokubandakanya umzimba kunye nomsebenzi. Ii-arhente ezithile ezinokuphucula ziquka i-GABA receptor agonists, umzekelo, i-baclofen okanye i-benzodiazepines, umz. i-clonazepam, okanye i-ryanodine receptor anatagonists, umz.
2026 Ihlaziywe okokugqibela yiBhodi yabaHleli beWebhusayithi
Uhlaziyo luka-2016 luxhaswe ngu:
USusanne A. Schneider, MD
Umcebisi weNeurologist
Isibhedlele seYunivesithi yaseLMU eMuenchen
IMunich, eJamani
