Hypokinesia: wehewehe, kumu a me nā mālama

ʻO Hypokinesia kahi maʻi neʻe, kūlike i kahi motika e hoʻemi ana i kekahi mau ʻāpana o ke kino a i ʻole nā ​​meaola. He hiki ʻole i kekahi kanaka me ka hypokinesis ke hana i kekahi neʻe i nā mākala. ʻOkoʻa ka hypokinesia mai ka akinesia a i ʻole ka dyskinesia, i kūlike i ka maʻi neʻe a me ka neʻe ʻana o nā mākala maʻamau. Hoʻohui ʻo Bradykinesia i nā mea ʻelua: hypokinesia a me akinesia.

ʻO Ventricular hypokinesia kahi hoʻemi i ka pae o ka neʻe o ka ventricle puʻuwai. No laila pili ia i ka holo pono ʻole o ka naʻau.

ʻO ka hōʻemi puʻuwai puʻuwai (CHF) kahi hoʻemi i ka pono o nā puʻuwai puʻuwai (nā keʻena e hoʻopuni ʻia e ka puʻuwai puʻuwai, ka myocardium, nona ke kuleana no ka paila ʻana i ke koko). No laila he hypokinesia kēia o ka ventricle naʻau. ʻO nā ventricle (hema a me ka ʻākau) ke kuleana no ka hoʻopuni ʻana i ke koko oxygenated i loko o ke kino a me ke koko venous i loko o nā akemāmā. Concretely, hōʻike ʻia ka maikaʻi ʻole o ka puʻuwai e ka hiki ʻole o ka puʻuwai ke pauma i lawa ke koko e oxygenate i nā kino a pau o ke kino. No laila nā luhi ka luhi a me ka wikiwiki o ka hanu ma ka hoʻoikaika ʻana. Hiki ke loli a hoʻemi a hoʻonui paha ka nui o kēia mau ʻōuli i ka nui o ka hypokinesia ventricular.

ʻO ka maikaʻi ʻole o ka puʻuwai kahi pilikia koʻikoʻi o kekahi maʻi maʻi maʻi a me nā maʻi hanu, kahi e pili nui i ka poʻe ma mua o 75 mau makahiki.

Lehulehu i ka makaʻu

ʻO ka pinepine a pinepine hoʻi ma muli o ka ʻelemakule maʻamau o ka heluna kānaka, ʻike pinepine mākou i ka puʻuwai o ka puʻuwai ma nā mea ʻelemākule no ka mea ʻoi aku ka maikaʻi o ka mālama ʻana i nā maʻi puʻuwai a me nā hanu ma ke kumu o kēia maʻi. ʻO kahi laʻana, ʻo nā infarctions myocardial ka mea e hōʻemi ai i ka make i ka wā pōkole, akā ke alakaʻi nei kā lākou hopena i nā hihia hou o CHF.

Kākoʻo a me ka mālama ʻana

Hiki ke mālama ʻia i ke olakino e kahi hoʻomaʻemaʻe maikaʻi aʻe o ke ola, kahi kuhikuhi o nā lāʻau i mea e kākoʻo ai i ka puʻuwai puʻuwai a hoʻēmi i ka hanu kiʻekiʻe. He maʻa mau ia e ukali ʻia no ke ola, ke hoʻoholo ʻia ke kuhi.

ʻO Hypokinesia kahi hōʻailona o ka maʻi o Parkinson, kahi maʻi neurodegenerative i hōʻike ʻia e ka luku holomua o nā neurons i ka lolo. Hōʻike ʻia kēia maʻi e nā hōʻailona ʻekolu:

• ʻoʻoleʻa;
• haʻalulu;
• a me nā haunaele a hoʻemi i ka neʻe.

ʻO ka maʻi ʻo Parkinson ke kumu maʻamau o ka maʻi o Parkinson, i ho'ākāka ʻia e ka hui ʻana o bradykinesia (lohi i ka hoʻokō ʻana i kahi neʻe a me ka hōʻemi ʻana o ka wikiwiki) i pili pū me ka hoʻoliʻiliʻi o ka amplitude (hypokinesia) a me ka nele o ka hoʻomaka (akinesia).

Hiki i kekahi mau pilikia i ke ola o kēlā me kēia lā ke kū aʻe: nā pilikia i ka hana ʻana i nā hana maʻalahi, nā ʻōiwi kikoʻī, nā neʻeneʻe a me nā neʻe hou ʻana. Hiki i ke kanaka me ka hypokinesis ke ʻike i ka hiki ʻole ke neʻe i kekahi neʻe ʻana, a me / a i ʻole ka manaʻo nui o ka luhi, paʻa, a me kekahi manawa me ka hāmau. Hiki paha nā paʻakikī i ke kākau ʻana a me ka ʻōlelo hōʻino.

Nā hōʻailona

Hiki ke noʻonoʻo ʻia he mau alanui therapeutic e kaohi i ka holomua o ka maʻi a hoʻomaha i nā ʻōuli. Ma kahi kikoʻī, hiki ke hoʻohana ʻia nā mea e hiki mai ana e kaohi i nā hopena ʻino:

• mālama i ka hoʻoikaika kino hoʻoikaika kino;
• hoʻomaha (yoga, noʻonoʻo);
• rehabilitation, mahalo i nā loea like ʻole (physiotherapists, therapists o ka hana, therapists ʻōlelo);
• lawe i nā lāʻau e like me L-dopa, agonists dopamine a i ʻole anticholinergics;
• ukali ʻaʻano psychological, i ka hanana o ka hōʻoluʻolu a i ʻole ke haʻalele ʻana.

E like me ka maʻi o Parkinson, aia kekahi mau hihia o ka hypokinesia i ka poʻe me ka dementia vascular. Hiki ke kumu ʻia e ka hahau nui a i ʻole ka puʻuwai puʻuwai he nui, e laʻa.

Loaʻa i ka dementia vascular nā syndrome dementia āpau e loaʻa ana i ka lawa ʻole o ka maʻi maʻamau. ʻO kēia degeneration ka lua o ka dementia maʻamau ma hope o ka maʻi o Alzheimer, ʻo ia hoʻi ma kahi o 10-20% o dementias.

ʻIke mākou i nā hōʻailona like a me nā ala therapeutic e like me ka maʻi ʻo Parkinson.

Hypokinesia o ka ventricles

ʻO ka emi ʻana o ka amplitude o ka neʻe ʻana o ka ventricle hema i kapa ʻia ʻo hypokinesia. ʻO nā ʻāpana o ka hypokinesia i ka wā echocardiography e hōʻike ana i ka infarction myocardial acute a i ʻole i hala (postinfarction cardiosclerosis), myocardial ischemia, mānoanoa o nā paia myocardial. ʻO nā hewa o ka contractility kūloko o nā ʻāpana o ka ventricle hema i nā poʻe maʻi me ka maʻi naʻau coronary e loiloi ʻia ma kahi pālākiō ʻelima:

1. Hoʻopaʻa maʻamau.
2. ʻO ka hypokinesia haʻahaʻa.
3. ʻO ka hypokinesia koʻikoʻi.
4. ʻO Akinesia (ka neʻe ʻole).
5. ʻO Dyskinesia (kahi ʻāpana o ka myocardium ʻaʻole e neʻe i ka ʻaoʻao kūpono, akā ma ka ʻaoʻao ʻē aʻe).

ʻIke ʻia ka Hypokinesia o ka ventricle akau i nā maʻi me ka pulmonary embolism (PE). Ua hōʻike nā haʻawina i ka loaʻa ʻana o ka hypokinesia o ka ventricle akau i nā poʻe maʻi me ka PE koʻikoʻi e pālua i ka pilikia o ka make i loko o ka mahina e hiki mai ana. ʻO kēia ʻoiaʻiʻo e hiki ke ʻike i nā maʻi kiʻekiʻe i ʻike ʻia he kūpaʻa.

Lapaʻau ʻana i ka hypokinesia

ʻO ke ʻano o ka mālama ʻana i ka hypokinesia e pili ana i ka maʻi kumu, kahi hōʻailona o ka emi ʻana o ka hana kaʻa. I ka hoʻomaka mua o ka maʻi o Parkinson, hōʻike ʻia nā lāʻau dopaminergic. Pono ke kauka e kuhikuhi i nā lāʻau lapaʻau a hoʻoholo i ko lākou pono. Me ka piʻi ʻana o ka maʻi a me ka maikaʻi ʻole o ka conservative therapy, hiki ke koi ʻia ka lāʻau lapaʻau (neurostimulation a i ʻole ka hoʻopau luku).