Hypokinesia: tsananguro, zvinokonzera uye kurapwa

Hypokinesia idambudziko rekufamba, rinoenderana nekudzikira kwemota mune dzimwe nzvimbo dzemuviri kana nhengo. Munhu ane hypokinesis haakwanisi kuita mamwe mafambisirwo emhasuru. Hypokinesia yakasiyana neakinesia kana dyskinesia, iyo inoenderana nehutachiona hwekufamba kwemhasuru uye kusagadzikana kwemhasuru kufamba, zvichiteerana. Bradykinesia inobatanidza zvinhu zviviri: hypokinesia uye akinesia.

Ventricular hypokinesia kuderera kwehuwandu hwekufamba kwemoyo ventricles. Naizvozvo inobatanidzwa nekukundikana kwemoyo.

Chronic heart failure (CHF) ndiko kuderera kwekushanda kwema ventricles emwoyo (makamuri akakomberedzwa nemhasuru yemwoyo, myocardium, iyo inokonzera kupomba ropa). Saka iyi ndiyo hypokinesia yemwoyo ventricles. Iwo ma ventricles (kuruboshwe nekurudyi) ane basa rekutenderera ropa rine mweya weokisijeni mumuviri uye neropa re venous mumapapu. Pachokwadi, kutadza kwemoyo kunoratidzwa nekusakwanisa kwemoyo kupomba ropa rakakwana kuti riite okisijeni nhengo dzese dzemuviri. Zviratidzo naizvozvo kuneta uye kukurumidza kupfupika kwekufema pakushanda nesimba. Zviratidzo izvi zvinogona kusiyana uye kuderera kana kuwedzera musimba zvichienderana nekuoma kwe ventricular hypokinesia.

Kukundikana kwemoyo idambudziko rakakura rezvimwe zvirwere zvemoyo uye zvekufema, izvo zvinonyanya kubata vanhu vanopfuura makore makumi manomwe nemashanu.

Veruzhinji vari panjodzi

Kunyanya uye kazhinji nekuda kwekuchembera kwehuwandu hwevanhu, tinowana kutadza kwemoyo kazhinji muvarwere vakura zvakare nekuti kushushikana kwemoyo nekufema kwekwakabva chirwere ichi kunorapwa zviri nani. Semuenzaniso, myocardial infarction inokonzeresa kufa kushoma munguva pfupi, asi sequelae yavo iri kutungamira kuzviitiko zvitsva zveCHF.

Kutsigira uye kurapwa

Kurapwa kunogoneka nehutsanana hwehupenyu, kupihwa nemishonga kuitira kutsigira tsandanyama yemoyo uye kuderedza arterial hypertension. Kazhinji kazhinji kurapa kunofanira kuteverwa kwehupenyu hwose, kana chirwere chacho chave chatemwa.

Hypokinesia chiratidzo chechirwere cheParkinson, chirwere chetsinga chinoratidzwa nekuparara kunofambira mberi kwemaneuroni muuropi. Chirwere ichi chinoratidzwa nezviratidzo zvitatu hunhu:

• kuomarara;
• kudengenyeka;
• uye kukanganisa uye kuderera kwekufamba.

Chirwere cheParkinson ndicho chinonyanya kukonzera chirwere cheParkinson, chinotsanangurwa nekubatana kwebradykinesia (kuderera mukuita kwekufamba uye kuderera kwekukurumidza) zvinogona kubatanidzwa nekuderedza amplitude (hypokinesia) uye kushayikwa kwekutanga (akinesia).

Matambudziko akati wandei muhupenyu hwezuva nezuva anogona kubva amuka: matambudziko mukuita zviito zviri nyore, majeti chaiwo, kufamba kwakarongeka uye kudzokorora. Munhu ane hypokinesis anogona kusangana nekusakwanisa kufambisa mamwe mafambiro, uye / kana kunzwa kukuru kwekuneta, kuvharika, uye dzimwe nguva kunyarara. Zvinetso mukunyora uye kusagona kutaura zvinogona kuitikawo.

Mishonga

Nzira dzinoverengeka dzekurapa dzinogona kutariswa kuderedza kufambira mberi kwechirwere uye kubvisa zviratidzo. Kunyanya, zvinotevera zvinhu zvinogona kushandiswa kudzikamisa zvinokuvadza:

• kuchengetedza basa remuviri rine mwero;
• kuzorora (yoga, kufungisisa);
• rehabilitation, nokuda kwenyanzvi dzakasiyana-siyana (physiotherapists, occupational therapists, kutaura varapi);
• kutora mishonga yakadai seL-dopa, dopamine agonists kana anticholinergics;
• psychology kutevera, pachiitiko chekunzwa kusagadzikana kana kurega.

Sezvakaita nechirwere cheParkinson, kune zviitiko zve hypokinesia muvanhu vane vascular dementia. Inogona kukonzerwa nekurohwa kukuru kana kurwiswa kwemoyo kwakawanda, semuenzaniso.

Vascular dementia inosanganisira ese dementia syndromes ane zvakafanana vascular insufficiency. Kuderera uku ndiko kwechipiri kwedementia kwakajairika mushure mechirwere cheAlzheimer, kureva chikamu che10-20% chedementias.

Isu tinowana zviratidzo zvakafanana uye nzira dzekurapa senge chirwere cheParkinson.

Hypokinesia ye ventricles

Kuderera kweamplitude yekufamba kwe ventricle yekuruboshwe inorondedzerwa se hypokinesia. Nzvimbo dze hypokinesia panguva ye echocardiography inoratidza kana yakanyanyisa kana yapfuura myocardial infarction (postinfarction cardiosclerosis), myocardial ischemia, kuwedzera kwemasvingo emyocardial. Kutyora kwechibvumirano chemukati chezvikamu zveruboshwe ventricle muvarwere vane coronary heart disease inoongororwa pachiyero chezvishanu:

1. Normal contraction.
2. Moderate hypokinesia.
3. Yakanyanya hypokinesia.
4. Akinesia (kushaya kufamba).
5. Dyskinesia (chikamu chemyocardium hachifambi nenzira yakarurama, asi nenzira yakasiyana).

Hypokinesia ye ventricle yakarurama inowanikwa kune varwere vane acute pulmonary embolism (PE). Zvidzidzo zvakaratidza kuti kuvapo kwe hypokinesia ye ventricle yakarurama muvarwere vane acute PE inowedzera kaviri njodzi yekufa mukati memwedzi unotevera. Izvi zvinoita kuti zvikwanise kuziva varwere vane njodzi huru vanoita sevakagadzikana.

Kurapa kwe hypokinesia

Nzira yekurapa hypokinesia inobva pane chirwere chinokonzera, chiratidzo chekuderera kwekuita kwemotokari. Muchikamu chekutanga chechirwere cheParkinson, dopaminergic zvinodhaka zvinoratidzwa. Chiremba anofanira kupa mishonga uye kutonga kushanda kwavo. Nekufambira mberi kwechirwere uye kusashanda kwehutano hwekuchengetedza, kurapwa kwekuvhiya (neurostimulation kana kuvhiyiwa kunoparadza) kunogona kudiwa.