Hypokinesia: tanthauzo, zoyambitsa ndi chithandizo

Hypokinesia ndi vuto lakusuntha, lolingana ndi kutsika kwamagalimoto m'malo ena amthupi kapena ziwalo. Munthu yemwe ali ndi hypokinesis amalephera kuchita kusuntha kwa minofu. Hypokinesia ndiyosiyana ndi akinesia kapena dyskinesia, yomwe imafanana ndi kusuntha kwaminyewa yaminyewa komanso kuyenda kosafunikira kwamtundu uliwonse. Bradykinesia amaphatikiza zinthu ziwirizi: hypokinesia ndi akinesia.

Ventricular hypokinesia ndikuchepa kwamayendedwe amitsempha yamtima. Chifukwa chake chimalumikizidwa ndi kulephera kwa mtima.

Kulephera kwa mtima (CHF) ndikuchepa kwa magwiridwe antchito amtima (zipinda zakuzunguliridwa ndi minofu yamtima, myocardium, yomwe imayambitsa kupopa magazi). Ichi ndiye hypokinesia yamitsempha yamtima. Ma ventricles (kumanzere ndi kumanja) ndi omwe amayendetsa magazi omwe ali ndi mpweya m'thupi komanso magazi am'mapapo m'mapapo. Mwachidziwikire, kulephera kwa mtima kumawonetsedwa ndi kulephera kwa mtima kupopera magazi okwanira kupangira ziwalo zonse za thupi. Zizindikiro zake ndiye kutopa komanso kupuma movutikira poyesetsa. Zizindikirozi zimatha kusiyanasiyana ndikuchepa kapena kuwonjezeka mwamphamvu kutengera kukula kwa ventricular hypokinesia.

Kulephera kwa mtima ndi vuto lalikulu la matenda amtima ndi kupuma, omwe amakhudza kwambiri anthu azaka zopitilira 75.

Anthu ali pachiwopsezo

Kawirikawiri chifukwa cha ukalamba wa anthu, timapeza kulephera kwa mtima pafupipafupi kwa okalamba komanso chifukwa cha matenda amtima komanso kupuma komwe amayambitsa matendawa amachiritsidwa bwino. Mwachitsanzo, infarction ya myocardial imayambitsa kufa kwakanthawi kochepa, koma sequelae yawo ikubweretsa milandu yatsopano ya CHF.

Thandizo ndi chithandizo

Chithandizo chamankhwala chimakhala chotheka ndi ukhondo wabwino wamoyo, mankhwala akuchipatala kuti athandizire minofu ya mtima ndikuchepetsa kuthamanga kwa magazi. Kawirikawiri ndi mankhwala omwe amayenera kutsatiridwa kwa moyo wonse, akangodziwa.

Hypokinesia ndi chizindikiro cha matenda a Parkinson, matenda opatsirana pogonana omwe amadziwika ndi kuwonongeka pang'ono kwa ma neuron muubongo. Matendawa akuwonetsedwa ndi zizindikilo zitatu:

• kuuma;
• kunjenjemera;
• ndi chisokonezo ndikuchepetsa kuyenda.

Matenda a Parkinson ndi omwe amayambitsa matenda a Parkinson, omwe amafotokozedwa ndi bungwe la bradykinesia (lomwe limachepetsa kuthamanga ndi kutsika kwa liwiro) lomwe limatha kuphatikizidwa ndi kuchepa kwa matalikidwe (hypokinesia) komanso kusowa koyambira (akinesia).

Zovuta zingapo pamoyo watsiku ndi tsiku zitha kuchitika: zovuta pakuchita zinthu zosavuta, kulimbitsa thupi molondola, mayendedwe olumikizidwa komanso obwerezabwereza. Munthu yemwe ali ndi hypokinesis atha kulephera kusuntha mayendedwe ena, komanso / kapena kumva kutopa, kutsekeka, komanso nthawi zina kukhala chete. Zovuta pakulemba komanso kusalankhula zitha kukhalanso.

Kuchiza

Njira zingapo zochiritsira zitha kuganiziridwa kuti zichepetse kukula kwa matendawa ndikuchotsa zizindikilozo. Makamaka, zinthu zotsatirazi zitha kugwiritsidwa ntchito kuchepetsa zovuta:

• kukhalabe ndi masewera olimbitsa thupi;
• kumasuka (yoga, kusinkhasinkha);
• kukonzanso, chifukwa cha akatswiri osiyanasiyana (ma physiotherapists, othandizira pantchito, othandizira kulankhula);
• kumwa mankhwala monga L-dopa, dopamine agonists kapena anticholinergics;
• kutsata m'maganizo, ngati mukumva kuti mulibe nkhawa kapena mutasiya.

Monga matenda a Parkinson, pali matenda a hypokinesia mwa anthu omwe ali ndi vuto la matenda amisala. Zitha kuyambitsidwa ndi sitiroko yayikulu kapena matenda amtima angapo, mwachitsanzo.

Matenda a dementia amaphatikizapo ma dementia syndromes onse omwe ali ndi vuto losafanana. Kuchepa uku ndiko kudwala kwachiwiri komwe kumachitika pambuyo pa matenda a Alzheimer's, mwachitsanzo pafupifupi 10-20% ya matenda amisala.

Timapeza zofananira ndi njira zochiritsira monga matenda a Parkinson.

Hypokinesia wa ventricles

Kuchepa kwa matalikidwe a kayendedwe ka ventricle yakumanzere kumatchedwanso hypokinesia. Magawo a hypokinesia panthawi ya echocardiography amawonetsa kukhala pachimake kapena kupitilira myocardial infarction (postinfarction cardiosclerosis), ischemia ya myocardial, makulidwe a myocardial makoma. Kuphwanya kwa mgwirizano wam'deralo kwa zigawo za ventricle yakumanzere kwa odwala omwe ali ndi matenda amtima amawunikidwa pamlingo wa mfundo zisanu:

1. Kukomoka kwabwinobwino.
2. Hypokinesia yapakati.
3. Hypokinesia kwambiri.
4. Akinesia (kusowa kuyenda).
5. Dyskinesia (gawo la myocardium silikuyenda bwino, koma mosiyana).

Hypokinesia ya ventricle yoyenera imapezeka mwa odwala omwe ali ndi chifuwa chachikulu cha pulmonary embolism (PE). Kafukufuku wasonyeza kuti kukhalapo kwa hypokinesia ya ventricle yoyenera kwa odwala omwe ali ndi PE pachimake kumawonjezera chiopsezo cha imfa mkati mwa mwezi wotsatira. Izi zimapangitsa kuti zitheke kuzindikira odwala omwe ali pachiwopsezo chachikulu omwe akuwoneka kuti ali okhazikika.

Chithandizo cha hypokinesia

Momwe mungathandizire hypokinesia zimadalira matenda omwe amayambitsa, chizindikiro chake ndi kuchepa kwa ntchito zamagalimoto. Kumayambiriro kwa matenda a Parkinson, mankhwala a dopaminergic amasonyezedwa. Dokotala ayenera kupereka mankhwala ndikuwunika momwe amathandizira. Ndi kupitirira kwa matendawa komanso kusagwira ntchito kwa chithandizo chodziletsa, chithandizo cha opaleshoni (neurostimulation kapena opaleshoni yowononga) chingafunikire.