Bradykinesia ndi vuto lagalimoto lomwe limadziwika ndi kuchedwetsa kwamayendedwe odzifunira, omwe nthawi zambiri amalumikizidwa ndi akinesia, ndiko kutanthauza kusapezeka kwa mayendedwe awa. Kuchepa kwa injini kumeneku kumakhala ngati matenda a Parkinson, koma atha kukhala okhudzana ndi zamitsempha kapena zamisala.

Tanthauzo

Bradykinesia ndi vuto lagalimoto lomwe limatanthauzidwa ngati kuchedwetsa koyenda popanda kutaya mphamvu ya minofu. Kuchedwetsa kumeneku nthawi zambiri kumayendera limodzi ndi vuto loyambitsa kuyenda komwe kumatha kufikira kulephera kwathunthu, kotchedwa akinesia. Zitha kukhudza mitundu yonse ya machitidwe amagalimoto a miyendo (makamaka kuyenda kapena nkhope (mawonekedwe a nkhope, mawu, etc.).

Zimayambitsa

Chizindikiro chachikulu cha matenda a Parkinson, bradykinesia amapezekanso mumikhalidwe ina yaubongo yomwe imayikidwa pansi pa mawu akuti parkinsonian syndrome. M'matendawa, pali kuwonongeka kapena kuwonongeka kwa mapangidwe a ubongo omwe amapanga zomwe zimatchedwa extra-pyramidal system ndi kusokonezeka kwa ma dopamine neurons omwe amakhudzidwa ndi kayendetsedwe ka kayendetsedwe kake.

Zosokoneza muubongo zomwe zimapangitsa kuti psychomotor ichepe, kapena ngakhale kukhazikika komwe kumagwira ntchito zonse zamagalimoto kuyimitsidwa, kumawonedwanso m'mikhalidwe yosiyanasiyana yamisala.

matenda

Kuzindikira kwa bradykinesia kumachokera pakuwunika kwa thupi. Mayesero osiyanasiyana, nthawi yake kapena ayi, amatha kuwonetsa kuchepa kwa kayendetsedwe kake.

Mamba angapo opangidwa kuti athe kuyesa kusokonezeka kwa magalimoto mu matenda a Parkinson amapereka mulingo wa bradykinesia:

• MDS-UPDRS sikelo (scale Matenda a Unified Parkinson's Rating Scale zosinthidwa ndi Movement Disorder Society, gulu lophunzira lomwe limagwira ntchito movutikira) ndilofala kwambiri. Amagwiritsidwa ntchito poyesa kuthamanga kwa ntchito zosiyanasiyana, monga kusuntha mobwerezabwereza kwa manja (kusinthana, kugwedeza zala, etc.), mphamvu ya miyendo, kudzuka pampando, ndi zina zotero. 
• Timagwiritsanso ntchito pulogalamu yapakompyuta yotchedwa Brain Test (bradykinesia akinesia incoordination test), yomwe imayesa kuthamanga kwa kulemba pa kiyibodi.

Poyesera kwambiri, titha kugwiritsanso ntchito masensa oyenda kapena makina owunikira a 3D. Ma actimeters - zida zomwe zimalemba mayendedwe, ngati wotchi kapena chibangili - zitha kugwiritsidwanso ntchito kuyesa kuchepetsa kusuntha kwa zochitika za tsiku ndi tsiku.

Anthu okhudzidwa

Awa ndi anthu omwe ali ndi matenda a Parkinson, koma matenda ena a ubongo ndi amisala amatsagananso ndi bradykinesia, kuphatikizapo:

• kulumala kwa zida zanyukiliya,
• Multisystem atrophy,
• kuchepa kwakuda kwa striatum,
• kuchepa kwa cortico-basal,
• Lewy body matenda,
• parkinsonian syndrome chifukwa chotenga neuroleptics,
• cattonia,
• Kuvutika maganizo,
• matenda a bipolar,
• mitundu ina ya schizophrenia ...

Zowopsa

Zaka zimakhalabe chiopsezo chachikulu cha vuto la neuronal, koma zinthu zachilengedwe (kukhudzana ndi poizoni monga mankhwala ophera tizilombo, kumwa mankhwala a psychotropic, etc.) komanso kutengeka kwa majini kungathandizenso maonekedwe a bradykinesia.

Nthawi zambiri, bradykinesia ndi akinesia zimayamba pang'onopang'ono, zomwe zimakhudza kwambiri ntchito za tsiku ndi tsiku. Anthu omwe ali ndi vutoli amafotokoza zomveka zofanana ndi zomwe zimachitikira pansi pa mankhwala osokoneza bongo. Kumangirira ndi kugwirizanitsa mayendedwe ake kumatha kukhala vuto. Kutengeka kapena kutopa kumawonjezera kuphatikizika kwawo.

Luso lamagalimoto amanja

Manja otsatizana ndi mawu akusoŵa ndipo zinthu zosavuta monga kudya chakudya zimachedwa.

Kusuntha kolondola komanso / kapena kubwerezabwereza kumakhudzidwa: zimakhala zovuta kumangirira malaya, kumanga nsapato, kumeta, kutsuka mano ... Kulemba ndi ntchentche (micrograph) ndi zotsatira zina za matendawa. .

Yendani

Kukayika koyambira kuyenda kumachitika pafupipafupi. Anthu okhudzidwa amakhala ndi kagawo kakang'ono, kochedwa komanso kokhazikika popondaponda. Kugwedezeka kwamanja kwa manja kumatha.

Maluso agalimoto yamaso

Nkhopeyo imaundana, imasowa maonekedwe a nkhope, ndi kuphethira kosowa kwa maso. Kumeza pang'onopang'ono kungayambitse malovu ochulukirapo. Kulankhula kumachedwa, ndipo mawu nthawi zina amakhala osamveka komanso otsika. 

Chithandizo cha mankhwala

Chithandizo cha ma pathologies omwe amagwirizana nawo amatha kukulitsa luso lamagalimoto. L-Dopa, kalambulabwalo wa dopamine yemwe amapanga maziko a chithandizo cha matenda a Parkinson, ndiwothandiza kwambiri.

Kukondoweza kwakuya kwaubongo, komwe kumagwiritsidwanso ntchito kuchepetsa zizindikiro za mitsempha mu matenda a Parkinson, kumakhalanso ndi zotsatira zabwino pa bradykinesia ndi akinesia.

Kuphunzitsanso

Kukonzanso sikukonza matenda a ubongo koma kumathandiza kuchepetsa zotsatira zake. Tsoka ilo, zotsatira zake zimatha kutha popanda maphunziro.

Njira zosiyanasiyana zoyendetsera magalimoto ndizotheka:

• Kumanga minofu kungakhale kopindulitsa. Makamaka, pali kusintha kwa magawo oyenda pambuyo polimbitsa minofu ya mwendo.
• Kukonzanso kumatengeranso njira zachidziwitso: kumaphatikizapo kuphunzira kuika maganizo anu pa mayendedwe (kuganizira kwambiri kutenga masitepe akuluakulu pamene mukuyenda, kugwedeza manja anu mokokomeza, ndi zina zotero).
• Kutengera njira yomwe idagwiritsidwa ntchito koyamba kukonzanso vuto lakulankhula, protocol ya LSVT BIG (((Lee Silverman Voice Treatment BIG) ndi pulogalamu yolimbitsa thupi yomwe imadalira machitidwe obwerezabwereza a kayendedwe ka matalikidwe akuluakulu. Komanso kuchepetsa zotsatira za bradykinesia.

Kwa anthu omwe ali ndi vuto la minyewa, kupitiliza kuchita masewera olimbitsa thupi kumatha kuchedwetsa mawonetseredwe a bradykinesia ndikuchepetsa zotsatira zake.