ʻO Bradykinesia kahi maʻi kaʻa i hōʻike ʻia e ka lohi o nā neʻe ʻana, pili pinepine me ka akinesia, ʻo ia hoʻi he kakaikahi o kēia mau neʻe. He ʻano maʻamau kēia kaʻa kaʻa no ka maʻi o Parkinson, akā pili paha i nā maʻi neurological a psychiatric ʻē aʻe.

Definition

ʻO Bradykinesia kahi maʻi kaʻa kaʻa i wehewehe ʻia he lohi i ka hoʻokō ʻana i nā neʻe me ka nalowale ʻole o ka ikaika o ka ʻiʻo. Hoʻopili pinepine ʻia kēia lohi ʻana me ka paʻakikī i ka hoʻomaka ʻana i ka neʻe ʻana a hiki i ka hiki ʻole ke hiki, i kapa ʻia ʻo akinesia. Hiki iā ia ke pili i nā ʻano hana kaʻa a pau o nā lālā (ma ka hele wāwae a i ʻole ke alo (nā hiʻohiʻona maka, ka ʻōlelo, a pēlā aku).

Nā kumu

ʻO ka hōʻailona nui o ka maʻi o Parkinson, ʻike ʻia ka bradykinesia ma nā kūlana neurological ʻē aʻe i hui pū ʻia ma lalo o ka huaʻōlelo parkinsonian syndrome. I loko o kēia mau pathologies, aia ka degeneration a i ʻole ka pōʻino i nā hale cerebral e hoʻokumu ana i ka mea i kapa ʻia ʻo ka ʻōnaehana extra-pyramidal a me ka dysfunction o nā neurons dopamine i komo i ka hoʻoponopono o ka neʻe.

ʻO nā pilikia i nā hana cerebral e alakaʻi ana i ka lohi ʻana o ka psychomotor, a i ʻole nā ​​kūlana stupor kahi i hoʻokuʻu ʻia ai nā hana kaʻa āpau, ʻike pū ʻia i nā kūlana psychiatric like ʻole.

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ʻO ka hōʻailona o ka bradykinesia ma muli o ka nānā kino. ʻO nā hoʻokolohua like ʻole, i hoʻopaʻa ʻia a ʻaʻole paha, e hoʻohālikelike i ka lohi o ka neʻe.

ʻO kekahi mau unahi i kūkulu ʻia no ka loiloi ʻana i nā maʻi kaʻa i ka maʻi o Parkinson e hāʻawi i kahi ana o ke ʻano o ka bradykinesia:

• ʻO ka pālākiō MDS-UPDRS (kaulike Unified Parkinson's Disease Rating Scale hoʻololi ʻia e ʻAhahui ʻAi ʻAi Neʻe, he hui naʻauao kūikawā i ka neʻe ʻana) hoʻohana maʻamau. Hoʻohana ʻia ia e loiloi i ka wikiwiki o ka hoʻokō ʻana i nā hana like ʻole, e like me ka neʻe pinepine ʻana o nā lima (nā neʻe ʻē aʻe, ka paʻi ʻana o nā manamana lima, a me nā mea ʻē aʻe), ka agility o nā wāwae, ala aʻe mai kahi noho, etc. 
• Hoʻohana pū mākou i kahi polokalamu kamepiula i kapa ʻia ʻo Brain Test (bradykinesia akinesia incoordination hoao), ka mea e ana i ka wikiwiki o ka paʻi ʻana ma kahi kī.

Ma ke kumu hoʻokolohua hou aʻe, hiki iā mākou ke hoʻohana i nā mea ʻike neʻe a i ʻole nā ​​ʻōnaehana hoʻonaʻauao 3D. Nā Actimeters - nā mea e hoʻopaʻa ai i ka neʻe ʻana, ma ke ʻano o ka wati a i ʻole ke kūpeʻe lima - hiki ke hoʻohana ʻia e loiloi i ka lohi o ka neʻe ʻana i nā kūlana o kēlā me kēia lā.

Pili ka poʻe

ʻO kēia ka poʻe nui me ka maʻi Parkinson, akā ʻo nā maʻi neurological a me nā maʻi psychiatric pū kekahi me ka bradykinesia, e like me:

• supranuclear paralysis,
• atrophy multisystem,
• striatum-ʻeleʻele degeneration,
• ka degeneration cortico-basal,
• Lewy maʻi kino,
• ʻO ka maʻi parkinsonian i hoʻoulu ʻia e ka lawe ʻana i nā neuroleptics,
• catatonia,
• ke Kuhina,
• bipolar kāna hana,
• kekahi mau ʻano o ka schizophrenia…

Nā mea pilikino

ʻO ka makahiki ka mea nui o ka pilikia o ka neuronal dysfunction, akā ʻo nā mea kūlohelohe (ka ʻike ʻana i nā mea ʻona e like me nā pesticides, lawe ʻana i nā lāʻau psychotropic, etc.) a me ka genetic susceptibility hiki ke pāʻani i ke ʻano o ka bradykinesia.

ʻO ka pinepine, hoʻomaka ka bradykinesia a me ka akinesia, e pili ana i nā hana o kēlā me kēia lā. Hōʻike ka poʻe i loaʻa i kēia mau maʻi i nā ʻano like me nā mea i ʻike ʻia ma lalo o ka straitjacket kemika. ʻO ke kaulahao a hoʻonohonoho ʻana i kāna mau neʻe ʻana e lilo i mea ʻeha. ʻO ka naʻau a i ʻole ka luhi ka mea paʻakikī i kā lākou hoʻokō.

Mākaukau lima lima

Ke maʻalahi nei nā hana e pili ana i ka haʻiʻōlelo a ua lohi nā hana maʻalahi e like me ka ʻai ʻana i nā meaʻai.

Hoʻopilikia ʻia nā neʻe pololei a / a i ʻole: paʻakikī ke pihi i ke kapa, ke nakinaki i kou kāmaʻa, ke kahi ʻana, ka palaki ʻana i kou mau niho… ʻO ke kākau ʻana ma nā wāwae lele (micrograph) kekahi hopena o kēia mau maʻi. .

E hele

Hesitations i ka hoʻomaka o ka hele ana pinepine. Hoʻohana ka poʻe i hoʻopilikia ʻia i kahi ala liʻiliʻi, lohi a hoʻopaʻa ʻia e ka hehi ʻana. Nalo aku ke kowali aunoa o na lima.

Mākaukau kaʻa maka

Paʻa ka maka, hoʻonele ʻia nā hiʻohiʻona o ka maka, me ka piʻi ʻana o ka ʻōpuʻu ʻana o nā maka. ʻO ka lohi ʻana i ka ʻai ʻana hiki ke hopena i ka nui o ka kohu. Hoʻopaneʻe ke kamaʻilio ʻana, me ka leo i kekahi manawa he monotonous a haʻahaʻa. 

ʻO ka lāʻau lapaʻau

Hiki i ka mālama ʻana i nā pathologies pili ke hoʻomaikaʻi i nā mākau kaʻa. ʻO L-Dopa, kahi precursor o dopamine i hoʻokumu i ka pōhaku kihi o ka mālama ʻana i ka maʻi o Parkinson.

ʻO ka hoʻoulu ʻana o ka lolo hohonu, hoʻohana ʻia e hōʻemi i nā hōʻailona neurological i ka maʻi o Parkinson, he hopena maikaʻi nō hoʻi i ka bradykinesia a me ka akinesia.

Hoʻonohonoho hou

ʻAʻole hoʻoponopono ka hoʻoponopono ʻana i nā maʻi neurological akā pono i ka hōʻemi ʻana i ko lākou hopena. ʻO ka mea pōʻino, ʻaʻole e aʻo ʻia kona hopena.

Hiki i nā hoʻolālā hoʻokele kaʻa like ʻole:

• He mea pono ke kūkulu ʻana i nā ʻiʻo. ʻO ka mea nui, aia ka hoʻomaikaʻi ʻana i ka hele wāwae ma hope o ka hoʻoikaika ʻana i nā ʻiʻo wāwae.
• Hoʻokumu pū ʻia ka hoʻoponopono hou ʻana ma luna o nā hoʻolālā cognitive: pili ia i ke aʻo ʻana e kālele i kou manaʻo i nā neʻe (e noʻonoʻo ana i ka hele ʻana i nā kapuaʻi nui i ka wā e hele ana, e koli nui ana i kou mau lima, a pēlā aku).
• Hoʻololi ʻia mai kahi ala i hoʻohana mua ʻia e hoʻoponopono i nā maʻi ʻōlelo, ka protocol LSVT BIG patented ((ʻO Lee Silverman Voice Treatment NUI) he polokalamu hoʻoikaika kino e hilinaʻi ana i ka hana pinepine o nā neʻe amplitude nui. Hoʻopau ia i nā hopena o ka bradykinesia.

I ka poʻe me nā maʻi neurological, hiki i ka hoʻomau o nā hana kino ke hoʻopaneʻe i nā hōʻike o bradykinesia a hoʻemi i kona hopena.