He aha te Waitohu a Hoffman me te aha te tikanga?
Toka Te Manawa
- Pehea ai tenei whakamatautau?
- He aha te tikanga o te hua pai?
- Ka aha mena ka puta he hua pai ki ahau?
- He aha te tikanga o te hua kino?
- Ka aha mena ka puta he hua kino ki ahau?
- He aha te rereketanga o te tohu Hoffman mai i te tohu Babinski?
- Ko te raina o raro
He aha te tohu Hoffman?
Ko te tohu Hoffman e pa ana ki nga hua o te whakamatautau Hoffman. Whakamahia ai tenei whakamatautau hei whakatau mena ka porehu noa o matimati me o koromatua ranei ki te whakautu ki etahi keu.
Ko te ahua o te maihao o te koromatua ranei ki te urupare he tohu pea mo te ahuatanga e pa ana ki to punaha io. Kei roto hoki i nga ara nerve nerve, ka awhina i te nekehanga o to tinana o runga.
Ahakoa ka mahia pea hei waahanga o te whakamātautau a-tinana, kaore e oti ana mena ka whai take to taakuta ki te whakapae i te ahua tuuturu.
Kaore nga taakuta katoa e whakaaro ko te whakamatautau i a Hoffman he taonga taatai pono naana ano, na te mea ko to urupare ki te whakamatautau ka pa ki etahi atu take. Ka whakamahia ana, he tikanga kei te taha o etahi atu whakamatautau taatai. Ma tenei ka taea e to taakuta te tirotiro whanui mo nga tohu mai i nga tohu e whakapaea ana e koe.
Kia mau ki te panui kia mohio ai koe mo nga tikanga whakamatautau me nga mea me mahi pea mena ka puta he hua pai he kino ranei.
Pehea ai tenei whakamatautau?
Hei mahi i te whakamātautau Hoffman, ka whai ake to taakuta:
- Tonoa atu koe kia totoro tou ringa ka whakangawari kia wewete nga maihao.
- Kia mau ki to maihao o waenganui ki te taha o runga me te ringa kotahi.
- Whakanohia tetahi o o maihao ki runga ake o te titi i to maihao waenganui.
- Patohia te maikuku o waenganui ma te neke tere i to raatau maihao ki raro kia piri ai to whao me to whao o to taakuta.
Ka mahia ana e to taakuta tenei nekehanga kopikopiko, ka tohaina to pito o to maihao kia tere whakawhiti me te waatea. Ma tenei ka toro atu nga uaua o te maihao o to ringaringa ki te toronga, ma reira ka ngoikore te ringa o te maihao, o te koromatua.
Ka taea pea e to taakuta te whakahoki ano i enei kaupae kia maha nga wa kia mohio ai ratau kia rite te whakautu o to ringa i ia wa. Ma ratou ano e mahi te whakamatautau i tetahi atu o o ringa hei kite mena kei te kitea nga tohu i nga taha e rua o to tinana.
Mena kua puta ke koe i etahi atu whakamatautau taatai, akene kia kotahi noa te whakamatautau a to taakuta. Koinei tonu te take mena ka oti ana te whakatuturutanga i tetahi tohu taapiri, hei waahanga ranei mo nga waahanga whakamatautau mo tetahi ahuatanga ake.
He aha te tikanga o te hua pai?
Ka puta he hua pai ka tere ana to maihao matimati me to koromatua ki muri i te paatohia o te maihao o waenganui. Ka penei te ahua kei te ngana ratou ki te anga whakamua ki a raatau ano. Ko te kaupapa whakahee tenei e kiia nei he whakahee.
I etahi wa, ka peera tonu to tinana i tenei ara ki te whakamatautau Hoffman, a kaore pea koe e whai ahua whakararu i puta ai tenei awangawanga.
Ko te tohu pai a Hoffman tera pea e tohu ana koe kei te mate koe i te punaha neurological, i te io ranei e pa ana ki nga io o te tuaiwi o te puku, o te roro ranei. Mena he pai te tohu ki tetahi o nga ringa anake, akene he mate koe ka pa ki tetahi taha o to tinana.
Ko etahi o enei tikanga ko:
- manukanuka
- hyperthyroidism, ka tupu ka nui rawa to himoni whakaohooho-thyroid (TSH) i roto i o toto
- te kokopi o te tuaiwi (myelopathy puku), ka pa ana ka pa ana te pehanga ki runga i to tuaiwi tuauri na te osteoarthritis, whara o muri, pukupuku, me era atu ahuatanga e pa ana ki to tuaiwi me to tuaiwi.
- sclerosis maha (MS), he mate pukupuku ka pa mai i te wa e whakaeke ana to punaha aukati ki te myelin o to tinana, te kiko e whakaohooho ana i ou uaua
Ka aha mena ka puta he hua pai ki ahau?
Mena e whakapono ana to taakuta na te mate pukupuku o te mate pukupuku, na te mate pukupuku ranei koe i whiwhi ai koe ki te haina Hoffman pai, ka taunaki pea kia whakamatauhia he whakamatautau.
Kei roto hoki ko:
- whakamātautau toto
- he tapahi tuaiwi (weronga lumbar) hei whakamatautau i to wai o te cerebrospinal
- nga whakamatautau atahanga, penei i te tirotiro MRI, hei rapu i nga kino o te koiora i to tuaiwi i to roro ranei
- nga whakamatautau whakaohooho, e whakamahi ana i nga ru hiko iti hei whakamatautau i te ahua o te urupare o o neura ki te whakaohooho
Ka taea e enei whakamatautau te awhina i te taatai MS me etahi atu tikanga ka puta he tohu pai ki a Hoffman.
Hei tauira, ka taea e nga whakamatautau toto te awhina i to taakuta ki te mohio mena he ngoikore koe o te taiaki whakaohooho taimana (TSH) me te nui o te homo taakaro (T3, T4) kei roto i o toto, e tohu ana i te hyperthyroidism
Ko nga whakamatautau atahanga ka kitea etahi atu rereke i roto i to tuaiwi, penei i te taatai o te tuaiwi osteoarthritis ranei.
Ma te tapahi tuaiwi e awhina te taatai i nga ahuatanga maha i tua atu o te MS, tae atu ki nga mate me nga mate pukupuku.
Ko etahi atu tohu tohu hei tohu mo tetahi o enei tikanga:
- koretake
- pakari
- whanoke
- rohirohi
- tirohanga korekore
- te mamae o to tua, kaki, o kanohi ranei
- te raru o te whakamahi i tetahi o nga ringa ranei e rua
- te uaua ki te mimi
- te uaua ki te horomia
- te ngaronga taumaha rerekē
He aha te tikanga o te hua kino?
Ka puta he hua kino ka kore to matimati tohu me to koromatua e whakautu ki te piunga o to taakuta.
Ka aha mena ka puta he hua kino ki ahau?
Ka whakamaoritia pea e to taakuta te hua kino he tikanga noa pea kaore pea koe e hiahia kia whai whakamatautau ano koe. Mena kua whai hua kino koe ahakoa etahi atu tohu me nga tohu tohu kei a koe te ahua penei i te MS, ka tohu pea to taakuta i etahi atu whakamatautau i mua i to whakatau mate.
He aha te rereketanga o te tohu Hoffman mai i te tohu Babinski?
Ko te whakamatautau Hoffman e whakamahia ana hei aromatawai i nga mahi neuron nekeneke o runga i runga i te whakautu o ou maihao me nga koromatua ki te whakaihiihi, engari ko te whakamatautau Babinski e whakamahia ana hei aromatawai i te mahi o te motuka o te motuka o runga e pa ana ki te whakautu o ou maihao ki te pupuhi i raro o to waewae.
Ahakoa ko nga whakamatautau e rua i te nuinga o te wa e mahi ngatahi ana, ko nga hua ka rereke nga mea e pa ana ki to tinana, roro, me te punaha io.
Ko te tohu Hoffman tera pea ka tohu i tetahi ahuatanga ka pa ki te taura tuaiwi, engari ka tupu ahakoa kaore o raru i te tuukino.
Ko te tohu Babinski he mea noa i roto i nga kohungahunga, engari me haere ke me te pakeke o nga neurons nekeneke o runga kia 2 nga tau.
Ko te whakamatautau Hoffman pai, ko te whakamatautau Babinski ranei, ka tohu he ahuatanga ka pa ki to punaha neuron motuka o runga, penei i te amyotrophic lateral sclerosis (ALS).
Ko te raina o raro
Ko te tohu Hoffman pai ehara i te mea tino awangawanga. Engari ka whakaarohia e to taakuta etahi atu whakamatautau ka pa ana ki a koe he tohu pai me etahi atu tohu tohu penei i te MS, ALS, hyperthyroidism, te pehanga o te tuaiwi ranei. Ahakoa he aha te hua, ma te taakuta koe e tirotiro i o whiringa ka awhina i a koe ki te whakatau i nga huarahi ka whai ake.