Bradykinesia ke lefu la motsamao oa maoto le khetholloang ke ho lieha ha metsamao ea boithaopo, eo hangata e amahanngoang le akinesia, ke ho bolela ho fokola ha metsamao ena. Ho theoha hona ha koloi ho tloaelehile ho lefu la Parkinson, empa ho ka amana le maemo a mang a methapo ea kutlo kapa a kelello.

Tlhaloso

Bradykinesia ke lefu la motsamao o hlalosoang e le ho lieha ha ho etsoa ha metsamao ntle le tahlehelo ea matla a mesifa. Ho fokotseha hona hangata ho amahanngoa le bothata ba ho qala motsamao o ka fihlang ho se khoneng ho felletseng, ho bitsoang akinesia. E ka ama mefuta eohle ea liketso tsa motlakase tsa maoto le matsoho (haholo-holo ho tsamaea kapa sefahleho (ponahalo ea sefahleho, puo, joalo-joalo).

Lisosa

Letšoao le ka sehloohong la lefu la Parkinson, bradykinesia le boetse le fumanoa maemong a mang a methapo ea kutlo a arotsoe tlas'a lentsoe parkinsonian syndrome. Ho li-pathologies tsena, ho na le ho senyeha kapa ho senyeha ha likarolo tsa boko tse etsang seo ho thoeng ke extra-pyramidal system le ho se sebetse ha dopamine neurons e amehang taolong ea motsamao.

Litšitiso mesebetsing ea boko e lebisang ho theohe ha psychomotor, kapa esita le maemo a stupor moo ts'ebetso eohle ea koloi e emisitsoeng, le eona e bonoa maemong a fapaneng a kelello.

Diagnostic

Tlhahlobo ea bradykinesia e thehiloe haholo-holo tlhahlobo ea 'mele. Liteko tse fapa-fapaneng, tse behiloeng nako kapa che, li ka 'na tsa hanyetsa ho fokotseha ha motsamao.

Litekanyo tse 'maloa tse ntlafalitsoeng bakeng sa tlhahlobo ea mathata a makoloi a lefu la Parkinson li fana ka tekanyo ea nako ea bradykinesia:

• Sekala sa MDS-UPRS (sekala Sekala sa Tekanyetso ea Maloetse a Unified Parkinson fetotsoe ke Mokhatlo oa Movement Disorder, mokhatlo o rutehileng o sebetsanang le mathata a ho sisinyeha) hangata o sebelisoa. E sebelisetsoa ho lekola lebelo la ts'ebetso ea mesebetsi e fapaneng, joalo ka ho sisinyeha ha matsoho khafetsa (ho fapanyetsana ho sisinyeha, ho tlanya menoana, joalo-joalo), ho potlaka ha maoto, ho tsoha setulong, joalo-joalo. 
• Re boetse re sebelisa sesebelisoa sa komporo se bitsoang Brain Test (bradykinesia akinesia incoordination teko), e lekanyang lebelo la ho thaepa keyboard.

Motheong oa liteko, re ka boela ra sebelisa lisensara tsa motsamao kapa litsamaiso tsa tlhahlobo ea motsamao oa 3D. Li-actimeters - lisebelisoa tse rekotang ho sisinyeha, ka mokhoa oa oache kapa serethe - li ka boela tsa sebelisoa ho lekola ho lieha ho tsamaea ha maemo a letsatsi le letsatsi.

Batho ba amehang

Bana ke haholo-holo batho ba nang le lefu la Parkinson, empa mafu a mang a methapo ea kutlo le a kelello a boetse a tsamaea le bradykinesia, ho kenyelletsa:

• supra-nuclear paralysis,
• Multisystem atrophy,
• ho fokotseha ha striatum-black degeneration,
• ho fokotseha ha cortico-basal,
• Lewy 'mele oa lefu,
• parkinsonian syndrome e bakoang ke ho nka li-neuroleptics,
• cattonia,
• ho sithabela maikutlo,
• lefu la ho ferekanya kelello,
• mefuta e meng ea schizophrenia ...

Lintho tse kotsi

Lilemo e ntse e le eona ntho e ka sehloohong ea kotsi bakeng sa ho se sebetse ha neuronal, empa mabaka a tikoloho (ho pepesehela lintho tse chefo tse kang chefo e bolaeang likokoanyana, ho noa lithethefatsi tsa psychotropic, joalo-joalo) hammoho le ts'oaetso ea liphatsa tsa lefutso le tsona li ka phetha karolo ea ponahalo ea bradykinesia.

Hangata, bradykinesia le akinesia li kena butle-butle, li ntse li ama mesebetsi ea letsatsi le letsatsi. Batho ba nang le bothata bona ba hlalosa maikutlo a tšoanang le a ba bang le khatello ea lik'hemik'hale. Ho tlama le ho hokahanya metsamao ea hae ho qetella ho fetoha teko. Maikutlo kapa mokhathala le ho feta li thatafatsa ho bolaoa ha bona.

Tsebo ea letsoho la letsoho

Boitšisinyo bo tsamaisanang le puo bo ntse bo fokotseha 'me mesebetsi e bonolo e kang ho ja lijo e ea fokotseha.

Metsamao e nepahetseng le / kapa e pheta-phetoang ea ameha: ho ba thata ho konopela baki, ho fasa lieta, ho kuta, ho hlatsoa meno ... .

Tsamaea

Ho tsilatsila ha ho qala ho tsamaea ho etsahala khafetsa. Batho ba amehileng ba nka mohato o monyenyane, o liehang le o nang le matšoao a ho hatakeloa. Ho thekesela ha matsoho hoa nyamela.

Tsebo ea maoto ea sefahleho

Sefahleho se fetoha leqhoa, se hloke ponahalo ea sefahleho, ka ho panya ha mahlo ho ntseng ho eketseha ka seoelo. Ho metsa butle ho ka fella ka mathe a feteletseng. Ho bua hoa lieha, 'me ka linako tse ling lentsoe le fetoha le monate le le tlaase. 

Phekolo ea bongaka

Kalafo ea li-pathologies tse amanang le eona e ka ntlafatsa tsebo ea likoloi. L-Dopa, selelekela sa dopamine e etsang motheo oa kalafo ea lefu la Parkinson, e sebetsa haholo.

Tšusumetso e tebileng ea boko, hape e sebelisetsoang ho fokotsa matšoao a methapo ea lefu la Parkinson, e boetse e na le phello e ntle ho bradykinesia le akinesia.

Re-thuto

Ho tsosolosa ha ho lokise mafu a methapo empa ho molemo ho fokotsa liphello tsa bona. Ka bomalimabe, liphello tsa eona li atisa ho fela ha ho se koetliso.

Maano a fapaneng a taolo ea makoloi a ka khoneha:

• Ho haha ​​mesifa ho ka ba molemo. Ka ho khetheha, ho na le ntlafatso ea mekhoa ea ho tsamaea ka mor'a ho matlafatsa mesifa ea maoto.
• Tsosoloso e boetse e theiloe holim'a maano a kelello: ho kenyelletsa ho ithuta ho tsepamisa maikutlo a hau metsamaong (ho tsepamisa maikutlo ho nka mehato e meholo ha u ntse u tsamaea, ho tsoka matsoho ka mokhoa o fetelletseng, joalo-joalo).
• E nkiloe ho tloha mokhoeng oa pele o neng o sebelisoa ho tsosolosa mathata a puo, protocol e nang le patente ea LSVT BIG ((Lee Silverman Voice Treatment BIG) ke lenaneo la boikoetliso le itšetlehileng ka tloaelo e pheta-phetoang ea metsamao e meholo ea amplitude. E boetse e fokotsa liphello tsa bradykinesia.

Ho batho ba nang le mathata a methapo, ho tsoela pele ha mesebetsi ea 'mele ho ka liehisa lipontšo tsa bradykinesia le ho fokotsa liphello tsa eona.