Back Clinical Neurology Support. El Paso, TX. Chiropractor, Dr. Alexander Jimenez akukambirana Clinical neurology. Dr. Jimenez amapereka chidziwitso chapamwamba cha kufufuza mwadongosolo kwa madandaulo wamba komanso ovuta a mitsempha kuphatikizapo mutu, chizungulire, kufooka, dzanzi, ndi ataxia. Cholingacho chidzakhala pa pathophysiology, symptomatology, ndi kasamalidwe ka ululu wokhudzana ndi kupweteka kwa mutu ndi matenda ena a ubongo, ndi mphamvu yosiyanitsa kwambiri ndi ma syndromes opweteka kwambiri.
Zolinga zathu zachipatala ndi zolinga zathu ndikuthandizira thupi lanu kudzichiritsa lokha mwachibadwa mwachangu komanso moyenera. Nthawi zina, zingawoneke ngati njira yayitali; komabe, ndi kudzipereka kwathu kwa inu, ndithudi ndi ulendo wosangalatsa. Kudzipereka kwa inu mwathanzi ndikuti, tisataye kulumikizana kwathu kwakukulu kwa aliyense wa odwala athu paulendowu.
Thupi lanu likakhala lathanzi, mudzafika pamlingo wokwanira wolimbitsa thupi wanu. Tikufuna kukuthandizani kuti mukhale ndi moyo watsopano komanso wabwino. Pazaka makumi awiri zapitazi pamene tikufufuza ndi kuyesa njira ndi odwala masauzande ambiri taphunzira zomwe zimagwira ntchito bwino pakuchepetsa ululu ndikuwonjezera mphamvu zaumunthu. Kuti mupeze mayankho a mafunso aliwonse omwe mungakhale nawo chonde imbani Dr. Jimenez pa 915-850-0900.
El Paso, TX. Chiropractor, Dr. Alexander Jimenez akuyang'ana za khunyu, khunyu ndi njira zothandizira. Kugonjetsa amatanthauzidwa ngati, kusuntha kwachilendo kapena machitidwe kuchokera ku zochitika zachilendo zamagetsi mu ubongo. Kugonjetsa ndi chizindikiro cha khunyu koma si onse amene amakomoka amakhala ndi khunyu. Popeza pali gulu la matenda obwera chifukwa cha khunyu kobwerezabwereza.�khunyu ndi gulu la zovuta zomwe zimagwirizana komanso zodziwika ndi kukomoka kobwerezabwereza. Pali mitundu yosiyanasiyana ya khunyu ndi khunyu. Pali mankhwala a khunyu omwe amaperekedwa kuti athetse kukomoka, ndipo opaleshoni sifunikira kawirikawiri ngati mankhwala alibe mphamvu.
Zitha kuyamba ngati kugwedezeka kwa dera limodzi la thupi, kumbali yotsutsana ndi ntchito ya khunyu, koma imatha kufalikira m'thupi mwa njira ya homuncular (kugwidwa kwa Jacksonian / kuguba)
Amapanga paresthesia kumbali yotsutsana ndi ntchito ya epileptiform ndipo imatha kufalikira mumtundu wa homuncular (march) wofanana ndi mtundu wa galimoto.
Zimaphatikizapo ma cortices oyanjana a frontal, temporal kapena parietal lobes
Zofanana ndi kukomoka pang'ono pang'ono koma pakhoza kukhala chisokonezo chochulukirapo/kuchepa kuzindikira
Limbic Cortex (hippocampus, parahippocampal temporal cortex, retro-splenial-cingulate-subcallosal cortex, orbito-frontal cortex, ndi insula) ndi yomwe imakhudzidwa kwambiri ndi kuvulala kwa metabolic.
Kutentha kokwera chifukwa chakuchita bwino kwa minofu, hypoxia chifukwa chopanda mpweya wokwanira komanso lactic acidosis imatha kuwononga ma neuron.
Imfa imatha chifukwa cha kunjenjemera komanso kulemedwa kwambiri ndi mtima wamtima
Epilepsia Partialis Continua
Chiwopsezo chocheperako ngati chiwopsezo cha khunyu, koma kugwira ntchito kuyenera kuthetsedwa chifukwa kumatha kukhala mawonekedwe a khunyu ngati ataloledwa kwa nthawi yayitali.
Zitha kukhala chifukwa cha neoplasm, ischemia-infarction, stimulant toxicity kapena hyperglycemia.
Chithandizo cha Khunyu
Ngati khunyu ndi chifukwa cha vuto linalake, monga matenda, kusokonezeka kwa madzimadzi ndi electrolyte bwino, exogenous ndi endogenous toxicities, kapena aimpso kulephera, chithandizo cha m`munsi chikhalidwe ayenera kulimbikitsa khunyu ntchito.
Mankhwala ambiri a antiepileptic amathandizira mitundu ingapo ya khunyu � siangwiro ngakhale
Zina ndizothandiza pang'ono (phenytoin, carbamazepine, valproic acid ndi phenobarbital)
Pali omwe ali ndi zotsatira zochepa (gabapentin, lamotrigine ndi topiramate).
Mankhwala ena amangotenga mtundu umodzi wa khunyu (monga ethosuximide chifukwa chosowa khunyu)
magwero
Alexander G. Reeves, A. & Swenson, R. Kusokonezeka kwa Nervous System. Dartmouth, 2004.
Swenson, R. Khunyu. 2010.
El Paso, TX. Chiropractor, Dr. Alexander Jimenez amayang'ana zovuta za chitukuko cha ubwana, pamodzi ndi zizindikiro zawo, zomwe zimayambitsa ndi mankhwala.
oziziritsa ziwalo
Mitundu ya 4
Spastic Cerebral Palsy
~ 80% ya milandu ya CP
Dyskinetic Cerebral Palsy (imaphatikizapo athetoid, choreoathetoid, ndi dystonic cerebral palsies)
Ataxic Cerebral Palsy
Mixed Cerebral Palsy
Satha kulankhula bwinobwino sipekitiramu Matenda
Matenda a Autistic
Matenda a Asperger
Vuto Lachitukuko Lofalikira�Sizinatchulidwe Apo ayi (PDD-NOS)
Childhood Disintegrative Disorder (CDD)
Autism Spectrum Disorder Red Flags
Social Communication
Kugwiritsa ntchito manja pang'ono
Kuchedwa kulankhula kapena kusalankhula
Kumveka kwachilendo kapena kamvekedwe kodabwitsa ka mawu
Kuvuta kuyang'ana maso, manja ndi mawu nthawi imodzi
Chidwi chochuluka pa chinthu china kapena zochitika zomwe zimasokoneza kucheza ndi anthu
Zokonda zomverera zachilendo
Pansi kapena mopitilira muyeso kulowetsa kwa zomverera
Njira Zowunikira ASD (DSM-5)
Kuperewera kwapang'onopang'ono pamakambirano amtundu wa anthu komanso kuyanjana ndi anthu m'malo angapo, monga momwe zikuwonetsedwera ndi zotsatirazi, pakadali pano kapena m'mbiri (zitsanzo ndi zowonetsera, osati zonse; onani mawu):
Kuperewera kwa chiyanjano pakati pa anthu ndi maganizo, kuyambira, mwachitsanzo, kuchokera ku chikhalidwe chachilendo ndi kulephera kwa zokambirana zachizolowezi; kuchepetsa kugawana zomwe amakonda, malingaliro, kapena kukhudza; kulephera kuyambitsa kapena kuyankha pamayanjano ochezera.
Kuperewera kwa machitidwe olankhulana osagwiritsa ntchito mawu omwe amagwiritsidwa ntchito polumikizana ndi anthu, kuyambira, mwachitsanzo, kuchokera kukulankhulana kosagwirizana ndi mawu ndi mawu; ku zovuta za kuyang'ana m'maso ndi thupi kapena kusamvetsetsa ndi kugwiritsa ntchito manja; kusowa kwathunthu kwa mawonekedwe a nkhope ndi kulankhulana kopanda mawu.
Zoperewera pakukulitsa, kusunga, ndi kumvetsetsa maubwenzi, kuyambira, mwachitsanzo, kuchokera ku zovuta kusintha khalidwe kuti ligwirizane ndi zochitika zosiyanasiyana; zovuta pogawana masewera ongoyerekeza kapena kupanga mabwenzi; kusowa chidwi ndi anzawo.
ASD Diagnostic Criteria
Zoletsedwa, zobwerezabwereza zamakhalidwe, zokonda, kapena zochita, monga momwe zikuwonetsedwera ndi ziwiri mwa zotsatirazi, pakadali pano kapena mbiri yakale (zitsanzo ndi zofotokozera, osati zonse; onani mawu):
B. Zizindikiro zosachepera zisanu ndi chimodzi kuchokera ku (1), (2) ndi (3) ziyenera kukhalapo, zosachepera ziwiri kuchokera ku (1) komanso chimodzi mwa (2) ndi (3)
1. Kuwonongeka koyenera pakuyanjana kumawonekera mu magawo awiri mwa awa:
a. kulephera kugwiritsa ntchito bwino kuyang'ana kwa diso ndi diso, maonekedwe a nkhope, maonekedwe a thupi, ndi manja kuti athe kulamulira kuyanjana kwa anthu;
b. kulephera kukulitsa (m'njira yoyenera zaka zamaganizidwe, komanso ngakhale mwayi wokwanira) maubwenzi a anzanu omwe amakhudza kugawana zomwe amakonda, zochita ndi malingaliro;
c. kusowa kuyanjana m'mikhalidwe ya anthu monga momwe zimasonyezedwera ndi kulephera kapena kuyankha mopotoka pamalingaliro a anthu ena; kapena kusowa kusinthasintha kwa khalidwe malinga ndi
chikhalidwe cha anthu; kapena kusakanikirana kofooka kwa chikhalidwe cha anthu, maganizo, ndi machitidwe olankhulana;
d. Kusafuna kugawana zosangalatsa, zokonda, kapena zomwe wakwaniritsa ndi anthu ena (monga kusawonetsa, kubweretsa, kapena kuloza kwa anthu ena zinthu zomwe zingamusangalatse).
2. Kusakhazikika kwabwino mukulankhulana komwe kumawonekera mu gawo limodzi mwa izi:
a. kuchedwa kapena kusowa kwathunthu, kukula kwa chinenero cholankhulidwa chomwe sichimayendera limodzi ndi kuyesa kubwezera pogwiritsa ntchito manja kapena kuyerekezera ngati njira ina yolankhulirana (nthawi zambiri imayambitsa kusowa kwa kulankhulana);
b. kulephera kuyambitsa kapena kulimbikitsa kukambirana (pamlingo uliwonse wa luso la chilankhulo), momwe mumayankhira kuyanjana kwa munthu wina;
c. kugwiritsa ntchito chilankhulo kapena mobwerezabwereza mawu kapena ziganizo motsatizanatsatizana;
d. kusowa kwamasewera osiyanasiyana ongoyerekeza kapena (adakali achichepere) sewero lotsanzira
3. Makhalidwe, zokonda, ndi zochita zoletsedwa, zongobwerezabwereza, komanso zosaoneka bwino zimaonekera mu chimodzi mwa izi:
b. Mwachiwonekere kukakamiza kumamatira kuzinthu zenizeni, zosagwira ntchito kapena miyambo;
c. Mayendedwe osasinthika komanso obwerezabwereza omwe amaphatikizana ndi dzanja kapena chala kukupiza kapena kupindika kapena mayendedwe ovuta a thupi lonse;
d. Kutanganidwa ndi zinthu zina zomwe sizimagwira ntchito pazinthu zosewerera (monga oder, mawonekedwe awo, kapena phokoso kapena kugwedezeka kwawo.
kupanga).
C. Chithunzi chachipatala sichimayenderana ndi mitundu ina yazovuta zachitukuko; kusokonezeka kwachitukuko cha chinenero chomvera (F80.2) ndi mavuto achiwiri a chikhalidwe cha anthu, chisokonezo chogwirizanitsa (F94.1) kapena kusokonezeka kwachinsinsi (F94.2); kuchedwa kwamaganizo (F70-F72) ndi zina zomwe zimagwirizanitsidwa ndi kusokonezeka maganizo kapena khalidwe; schizophrenia (F20.-) yoyambilira modabwitsa; ndi Rett's Syndrome (F84.12).
Asperger's Syndrome Diagnostic Criteria (ICD-10)
A. Kuwonongeka koyenera pakuyanjana ndi anthu, monga kuwonetseredwa ndi osachepera awiri mwa awa:
kuwonongeka kodziwika pakugwiritsa ntchito machitidwe angapo osalankhula monga kuyang'ana diso ndi diso, mawonekedwe a nkhope, mawonekedwe a thupi, ndi manja kuti athe kuwongolera kuyanjana kwa anthu.
kulephera kukhazikitsa maubwenzi a anzanu oyenera pakukula.
Kusafuna kugawana zosangalatsa, zokonda, kapena zomwe wachita ndi anthu ena (monga kusawonetsa, kubweretsa, kapena kuloza zinthu zomwe zingasangalatse ena).
kusowa kuyanjana kwa chikhalidwe kapena maganizo.
B. Makhalidwe, zokonda, ndi zochita zoletsedwa zobwerezabwereza komanso zosaoneka bwino, monga zikuwonetseredwa ndi chimodzi mwa izi:
kuphatikiza kutanganidwa ndi chimodzi kapena zingapo zotsatiridwa komanso zoletsedwa zomwe sizikhala zachilendo kaya mwamphamvu kapena kuyang'ana.
Zizindikiro za Somatic kuphatikiza kusokonezeka kwa kugona, enuresis kapena pafupipafupi mkodzo
*Kuyamba kwa PANS kumatha kuyamba ndi mankhwala opatsirana kupatulapo strep. Zimaphatikizanso kuyambika kwa zoyambitsa zachilengedwe kapena kuwonongeka kwa chitetezo chamthupi
Matenda a Autoimmune a Ana Ogwirizana ndi Streptococcus
(PANDA)
Kukhalapo kwa kutengeka kwakukulu, kukakamizika ndi / kapena tics
Kuyamba kwadzidzidzi kwa zizindikiro kapena kubwereza-kubwereranso kwa kuopsa kwa chizindikiro
Kuyamba kutha msinkhu
Kugwirizana ndi matenda a streptococcal
Kuyanjana ndi zizindikiro zina za neuropsychiatric (kuphatikiza zizindikiro zilizonse za PANS �zotsatira)
Mayeso a PANS/PANDAS
Chikhalidwe cha Swab / Strep
Kuyezetsa magazi kwa mitsempha
Chithunzi cha ASO
Anti-DNase B Titer
Streptozyme
Yesani mankhwala ena opatsirana
MRI imakonda koma PET ingagwiritsidwe ntchito ngati kuli kofunikira
EEG
Zolakwika Zonama
Si ana onse omwe ali ndi strep omwe ali ndi ma lab apamwamba
Only 54% mwa ana omwe ali ndi strep adawonetsa kuwonjezeka kwakukulu kwa ASO.
Only 45% adawonetsa kuwonjezeka kwa anti-DNase B.
Only 63% adawonetsa kuwonjezeka kwa ASO ndi/kapena anti�DNase B.
�Attention Deficit Hyperactivity Disorder.� National Institute of Mental Health, US Department of Health and Human Services, www.nimh.nih.gov/health/topics/attention-deficit-hyperactivity-disorder-adHD/index.shtml.
Autism Navigator, www.autismnavigator.com/.
�Autism Spectrum Disorder (ASD).� Centers for Disease Control and Prevention, Centers for Disease Control and Prevention, 29 May 2018, www.cdc.gov/ncbddd/autism/index.html.
�Chiyambi cha Autism.� Interactive Autism Network, iancommunity.org/introduction-autism.
Shet, Anita, et al. �Kuyankha kwa Immune ku Gulu A Streptococcal C5a Peptidase in Children: Implications for Vaccine Development.� The Journal of Infectious Diseases, vol. 188, pa. 6, 2003, masamba 809�817., doi:10.1086/377700.
El Paso, TX. Chiropractor, Dr. Alexander Jimenez akuyang'ana pa ofooketsa ndi demyelinating matenda a dongosolo lamanjenje, zizindikiro zawo, zimayambitsa ndi mankhwala.
Madera a Ubongo Okhudzidwa ndi Matenda a Alzheimer
Hippocampus
Kutayika kwa kukumbukira posachedwa
Gawo la posterior temporo-parietal association
Kuchepa kwa anomia & Constructional apraxia
Nucleus basalis of Meynert (cholinergic neurons)
Kusintha kwa malingaliro owona
kupitilira
Pamene madera ambiri a cortical akukhudzidwa, wodwalayo amakhala ndi vuto lalikulu lachidziwitso, komabe paresis, kutayika kwa minyewa, kapena kuwonongeka kwa mawonekedwe ndi mawonekedwe.
Avereji ya kupulumuka pambuyo pa matenda ndi ~ 15 mpaka 20 chaka
Imfa nthawi zambiri imachokera ku matenda owonjezera osati chifukwa cha zotsatira za matendawo
magwero
Alexander G. Reeves, A. & Swenson, R. Kusokonezeka kwa Nervous System. Dartmouth, 2004.
Swenson, R. Matenda a Degenerative of the Nervous System. 2010.
Circle of Willis imagwirizanitsa ma carotid ndi basilar system
Mitsempha yolumikizana yakutsogolo ndi yakumbuyo imapereka chikole
Anastomoses pakati pa mitsempha yayikulu yaubongo ndi cerebellar mwa anthu ena
Kulumikizana kwamkati ndi kunja kwa mtsempha wa carotid kudzera mu ophthalmic & maxillary arteries
Gulu la Willis
Amagwirizanitsa dongosolo la vertebrobasilar ndi mkati mwa carotid system
Ngakhale kupereka chithandizo chothandizira kuyendayenda, ndi malo omwe amakhudzidwa kwambiri ndi Berry Aneurysms yomwe ingayambitse matenda a hemorrhagic stroke.
Kuchuluka kwa mapuloteni amyloid m'makoma otengera
Nthawi zambiri odwala> 65 zaka
Zimayambitsa kuchepa (zomwe zimatsogolera ku ischemia) komanso zimatha kuyambitsa kufooka kwa chotengera (kuyambitsa kutaya magazi)
Zogwirizana ndi matenda a Alzheimer's
Kutupa
Matenda a spasmotic
Zowopsa Zowopsa pa Stroke Ya Occlusive
oopsa
Matenda a shuga
Matenda a mtima
Kumanzere kumanzere (Patent foramen ovale, VSD, tetralogy of fallot, etc.)
Fibrillation yoyeserera
Matenda a ma valve / ma valve opangira mtima
Zaka zotsogola
kunenepa
Hyperlipidemia
Makamaka high LDL ndi otsika HDL
Kukhala moyo wosadzikonda
Kusuta fodya/Fodya
Kuchuluka kwa okosijeni
Kuwonjezeka kwa homocysteine
Kuphatikizidwa ndi kutsika kwa folic acid, B6 & B12
Amalumikizana ndi cholesterol ya LDL
Hyperviscocity ndi hypercoagulability zimanena monga momwe zasonyezedwera pa slide yapitayi
Transient Ischemic Attack (TIA)
Zochitika zosinthika kwathunthu za kuchepa kwa neurologic chifukwa cha kuchepa kwa mitsempha nthawi zambiri zomwe sizipitilira mphindi 30 nthawi imodzi.
Nthawi zina zimatha maola 24 kapena kuposerapo
Theka la odwala omwe akudwala sitiroko yathunthu m'mbuyomu anali ndi vuto la ischemic (s)
20-40% ya odwala omwe ali ndi TIA amayamba kudwala sitiroko
Ndikofunikira kuzindikira odwala omwe ali ndi TIAs kuti athe kusamalidwa moyenera ndikuchepetsa ziwopsezo zomwe zingasinthidwe
Mbiri ya Kuperewera Kwakanthawi Kwa Neurologic Mwa Wodwala> 45 y/o
DDx
TIA mwina dx
Migraine
Focal khunyu
BPPV
Menieres
Demyelinating matenda
Nthawi yamakono
Hypoglycemia
Kutupa
Matenda a arteriovenous
Matenda a Mitsempha ya Carotid
Mphuno yothamanga kwambiri ya systolic yomwe imamveka pamwamba pa mitsempha ya carotid ikhoza kusonyeza carotid stenosis.
Kusokonezeka kwapawiri kapena kuwonongeka kwa maso
Ataxia
diplopia
Bilateral kapena unilateral sensory ndi zoperewera zamagalimoto
Syncope
Kufooka pakugawa kwa minyewa yamtundu wamoto mbali imodzi ya mutu ndi contralateral hemiparesis (kuwonongeka kwa ubongo wapakati)
Kuwonongeka kwa sensory cranial nerve & Horner's syndrome kumbali imodzi ya mutu ndi kutaya kwa contralateral ululu ndi kutentha kwa thupi m'thupi (kuwonongeka kwa ubongo)
Zizindikiro Zanthawi Yaitali Zimadalira Malo Okhudzidwa
Monocular visual obscuration (amaurosis fugax) chifukwa cha retinal ischemia
Zosowa za Rehab zimadalira dera la ubongo lomwe linakhudzidwa ndi sitiroko
Mankhwala othandizira
Kuletsa miyendo yogwira ntchito
Zochita zolimbitsa thupi komanso kuyenda
Amalimbikitsa kukonzanso kwa neuroplastic
Zizindikiro zimatha kusintha mkati mwa masiku 5 oyamba chifukwa cha kuchepa kwa edema
Edema imatha kuyambitsa herniation kudzera pa foramen magnum yomwe ingayambitse kupsinjika kwa ubongo ndi kufa � Odwala omwe ali ndi vutoli angafunike craniectomy. (njira yomaliza)
magwero
Alexander G. Reeves, A. & Swenson, R. Kusokonezeka kwa Nervous System. Dartmouth, 2004.
Swenson, R. Cerebrovascular Disorders. 2010
Radiotracer imagwiritsidwa ntchito poyesa kagayidwe ka minofu kuti azindikire kusintha kwachilengedwe kuposa mitundu ina yamaphunziro
Amagwiritsidwa ntchito kuwunika
matenda a Alzheimer
matenda Parkinson
Matenda a Huntington
khunyu
Ngozi ya cerebrovascular
Maphunziro a Electrodiagnostic
Electromyography (EMG)
Maphunziro a Nerve Conduction Velocity (NCV)
Zoyambitsa Maphunziro Otheka
Electromyography (EMG)
Kuzindikira zizindikiro zochokera ku depolarization ya chigoba minofu
Ikhoza kuyezedwa pogwiritsa ntchito:
Maelekitirodi apakhungu
Osagwiritsidwa ntchito pazolinga zowunikira, zambiri pakukonzanso ndi biofeedback
Singano zoyikidwa mwachindunji mkati mwa minofu
Zodziwika bwino pazachipatala / matenda a EMG
Diagnostic singano EMG
Ma depolarizations ojambulidwa angakhale:
Mwadzidzidzi
Zochita zolowetsa
Zotsatira za kukanika kwa minofu mwakufuna
Minofu iyenera kukhala chete pamagetsi popuma, kupatula pa mbale yomaliza ya injini
Wophunzira ayenera kupewa kuyika mu mbale yomaliza ya injini
Osachepera 10 mfundo zosiyanasiyana mu minofu zimayesedwa kuti zimveke bwino
Kayendesedwe
Singano imayikidwa mu minofu
Zochita zojambulidwa
chete magetsi ojambulidwa
Kuthamanga kwa minofu mwaufulu kunalembedwa
chete magetsi ojambulidwa
Kuchulukira kochulukira kwalembedwa
Zitsanzo Zosonkhanitsidwa
minofu
Innervated ndi minyewa yomweyo koma osiyana mitsempha mizu
Innervated ndi womwewo mitsempha muzu koma minyewa yosiyana
Malo osiyana pa nthawi ya mitsempha
Amathandiza kusiyanitsa mlingo wa chotupa
Kuthekera kwa Motor Unit (MUP)
Chiwerengero
Kuchulukana kwa minyewa ya minofu yolumikizidwa ku neuron imodzi yagalimotoyo
Pafupi ndi MUP
Njira yolembera anthu ikhoza kuyesedwanso
Kuchedwa kulembedwa ntchito kungasonyeze kutayika kwa mayunitsi agalimoto mkati mwa minofu
Kulembera anthu koyambirira kumawonedwa mu myopathy, pomwe ma MUPs amakhala ocheperako kwakanthawi kochepa.
Polyphasic MUPS
Kuwonjezeka kwa matalikidwe ndi nthawi kumatha kukhala chifukwa cha kubwezeretsedwanso pambuyo pa kukhumudwa kosatha
Malizitsani Zotheka
Kuchepa kwa magawo angapo motsatana kungapangitse kuti minyewa ipitirire ndipo chifukwa chake palibe kuwerenga kwa MUP, komabe kusintha kwa MUPs kumangowoneka ndi kuwonongeka kwa ma axon, osati myelin.
Kuwonongeka kwa dongosolo lamanjenje lapakati pamwamba pa mulingo wa motor neuron (monga kuvulala kwa khomo lachiberekero kapena sitiroko) kumatha kupangitsa kuti ziwalo zonse ziwonongeke pang'ono pa singano EMG.
Denervated Muscle Fibers
Zazindikirika ngati ma siginecha amagetsi achilendo
Minofu ikayamba kukhudzidwa kwambiri ndi mankhwala imayamba kutulutsa modzidzimutsa depolarization
Mphamvu za fibrillation
Mphamvu za Fibrillation
MUSACHITE mu ulusi wabwinobwino wa minofu
Mafibrillation sangathe kuwonedwa ndi maso koma amapezeka pa EMG
Nthawi zambiri amayamba chifukwa cha matenda a mitsempha, koma amatha kupangidwa ndi matenda aakulu a minofu ngati pali kuwonongeka kwa ma axon amoto
Positive Sharp Waves
OSATI kuchitika mu ulusi womwe umagwira ntchito bwino
Depolarization modzidzimutsa chifukwa cha kuchuluka kwa nembanemba yopumula
Mavuto Osasintha
Kupeza kwa ma fibrillation ndi mafunde akuthwa bwino ndiye chizindikiro chodalirika cha kuwonongeka kwa ma axon amoto ku minofu pambuyo pa sabata imodzi mpaka miyezi 12 chiwonongeko.
Zomwe zimagwiritsidwa ntchito pofufuza za S1 radiculopathy, monga reflex kuchokera ku mitsempha ya tibial kupita ku triceps surae ikhoza kuyesedwa chifukwa cha liwiro ndi matalikidwe.
More quantifiable kuti Achilles reflex kuyezetsa
Imalephera kubwereranso pambuyo pa kuwonongeka kotero kuti sikuthandiza pazochitika za radiculopathy
Zothandiza pakuwunika ma demyelinative peripheral neuropathy
magwero
Alexander G. Reeves, A. & Swenson, R. Kusokonezeka kwa Nervous System. Dartmouth, 2004.
Tsiku, Jo Ann. �Neuroradiology | Johns Hopkins Radiology.� Johns Hopkins Medicine Health Library, 13 Oct. 2016, www.hopkinsmedicine.org/radiology/specialties/ne uroradiology/index.html.
Kugwiritsa ntchito mateti osatsetsereka m'bafa ndi pansi pa shawa, ndikuyika zotchingira pafupi ndi chimbudzi, bafa ndi shawa.
Onetsetsani nsapato zoyenera
Kuyika ma handrail kumbali zonse ziwiri za masitepe
Kuwongolera kuyatsa m'nyumba yonse
Zochita zolimbitsa thupi
Maphunziro a Balance
Kukhazikika kwa mwendo umodzi
Maphunziro a mpira wa Bosu
Kulimbitsa mtima
Zochita zolimbitsa thupi
Concussion Verbiage
Concussion vs. mTBI (kuvulala pang'ono muubongo)
mTBI ndi mawu omwe amagwiritsidwa ntchito nthawi zambiri pazachipatala, koma kukangana ndi mawu odziwika kwambiri m'deralo ndi aphunzitsi amasewera, ndi zina zotero.
Kulephera kukumbukira zinthu zomwe zinachitika pambuyo pa kuvulala
Chifukwa cholephera kupanga zokumbukira zatsopano
Ngakhale kukumbukira kwakanthawi kochepa kumatha kuwonetsa zotsatira zake
Amnesia akhoza kukhala mpaka 4-10 nthawi zambiri zolosera zazizindikiro ndi zofooka zachidziwitso pambuyo pa kugwedezeka kusiyana ndi LOC (osakwana mphindi imodzi)
Bwererani Ku Kukula Kwamasewera
Zoyambira: Palibe Zizindikiro
Monga gawo loyambira la Kubwerera ku Play Progression, wothamanga amayenera kuti atsirize kupuma kwa thupi ndi chidziwitso komanso kuti asakumane ndi zizindikiro zachisokonezo kwa maola osachepera a 48. Kumbukirani, wothamanga ali wamng'ono, mankhwalawa ndi osamala kwambiri.
Khwerero 1: Ntchito Yopepuka ya Aerobic
Cholinga: Kungowonjezera kugunda kwa mtima kwa wothamanga.
Tsatirani maphunziro a mTBI kapena konzekerani kupita kwa akatswiri a TBI
magwero
�A Head for the Future.� DVBIC, 4 Apr. 2017, dvbic.dcoe.mil/aheadforthefuture.
Alexander G. Reeves, A. & Swenson, R. Kusokonezeka kwa Nervous System. Dartmouth, 2004.
�Yang'anirani Othandizira Zaumoyo.� Malo Oyang'anira ndi Kupewa Matenda, Malo Oletsa ndi Kupewa Matenda, 16 Feb. 2015, www.cdc.gov/headsup/providers/.
�Post-Concussion Syndrome.� Mayo Clinic, Mayo Foundation for Medical Education and Research, 28 July 2017, www.mayoclinic.org/diseases-conditions/post- concussion-syndrome/symptoms-causes/syc-20353352.
Arteriovenous malformations ndi kukulitsa aneurysms
Lupus cerebritis
Venus sinus thrombosis
Kusweka kwa khomo lachiberekero kapena kusapangana bwino
Kuthyoka kapena kusuntha
Occipital neuralgia
Mtsempha wamagazi dissection
Chiari malformation
kagayidwe kachakudya
Hypoglycemia
Hypercapnea
Mpweya wa monixide
anoxia
Anemia
Vitamini A kawopsedwe
Glaucoma
Kuchuluka kwa Madzi
Kawirikawiri chifukwa cha kupasuka kwa aneurysm
Mwadzidzidzi ululu waukulu
Nthawi zambiri kusanza
Wodwala akuwoneka kuti akudwala
Nthawi zambiri nuchal rigidity
Onani za CT komanso mwina kuphulika kwa lumbar
meninjaitisi
Wodwala akuwoneka kuti akudwala
malungo
Nuchal rigidity (kupatula okalamba ndi ana aang'ono)
Onani za kupunduka kwa lumbar - diagnostic
Neoplasms
Chosatheka chifukwa cha HA mwa anthu ambiri odwala
Kupweteka kwamutu kochepa komanso kosatchulika
Choyipa kwambiri m'mawa
Zitha kuyambitsidwa ndi kugwedeza mutu mwamphamvu
Ngati zizindikiro zazikulu, khunyu, zizindikiro za neurologic zapakatikati, kapena umboni wowonjezereka wa kupanikizika kwa intracranial pali ulamuliro wathu wa neoplasm.
Subdural Kapena Epidural Hemorrhage
Chifukwa cha matenda oopsa, kuvulala kapena zolakwika mu coagulation
Nthawi zambiri zimachitika pakakhala vuto lalikulu la mutu
Kuyamba kwa zizindikiro kungakhale masabata kapena miyezi chivulazeni
Siyanitsani ndi mutu womwe wafala pambuyo pa kugwedezeka
Post-Concussive HA ikhoza kupitilira kwa milungu kapena miyezi ingapo pambuyo pa kuvulala ndikutsatizana ndi chizungulire kapena vertigo ndi kusintha pang'ono m'maganizo, zomwe zidzatha.
nanfoundation.org/neurologic-disorders/epilepsy/what-is-epilepsy
en.wikipedia.org/wiki/Cortical_homunculus
Church, Archibald. Matenda a Mitsempha ndi Maganizo. WB Saunders Co., 1923.
Diagnostic singano EMG
Polyphasic MUPS
Malizitsani Zotheka
Positive Sharp Waves
Mavuto Osasintha
