Incoordination: Mhando dzinokosha uye marudzi ataxia

Ataxia - kutyorwa kufambisa kufamba, ndiro imwe inonyanyoshandiswa nazvo motility zvirwere. Neuromuscular, majini kwakatemwa chirwere. kuchengetedza Zvizere simba maoko nemakumbo, asi kufamba chaiko muna chirwere ichi vari kururama, vachinyara, nokuputswa kwavari kusachinja-chinja uye akaramba, mwero kana achifamba uye akamira.

Govera incoordination: kunofambira mberi (kusaenzana chete apo akamira) uye simba (discoordination pasi zvemasanga anodudzira).

Kutyora zviri Kufambisa mune zvokurapa zviri rakakamurwa mifananidzo:

1. Sensitive kana zadnestolbovy mhando ataxia. Unomuka mu maronda:

- peripheral tsinga;

- the thalamus;

- musana tsinga;

- posterior mbiru pamusoro musana.

Kutsinga dzinouya ataxia zvakasikwa - ndiwo rudzi murombo Kufambisa rwokufamba gait. Cho ichi mhando ndiyo kushaya manyawi ataxia rutsigiro. Varwere havanzwi kufamba ayo, uye havanzwi Rutsoka dzakaoma hukawanika. Izvi zvinoitika nokuda kutyora musculo-articular wanda.

2. Cerebellar ataxia mhando. It unovapo maererano kuchikuvadza vamwe cerebellar nehurongwa. Cerebellar mhando Kufambisa nemafambiro rakakamurwa kaviri:

- kukumikidza ataxia - kurasikirwa cerebellar hemispheres (rokurwadzisa iine zvakasiyana-siyana yokuzvidira kufamba okumusoro nemakumbo). Dynamic koordinatornyh nyonganyonga akaratidza hypermetric (disproportion, kunyanya masangano); kurima, chinangwa tremor (achidedera mapazi pakupera sangano chinangwa); kutaura chirwere (discoordination kutaura motokari).

- munhu kunofambira mberi-locomotor ataxia - koshesa kubatanidzwa zvakananga cerebellar vermis (gait uye nemishonga wakaputsika ainyanya). Varwere famba ichidzedzereka, uye nokuda mumwe nomumwe rutsoka danho vari vakaronga kwazvo. In Muzviitiko zvakaipisisa, vamwe varwere achawira mberi akamiswa (pamwe pokukundwa pamberi cerebellum) kana shure (ari kumashure cerebellar maronda), zvakaoma kuchengeta musoro wake.

Cerebellar ataxia anowanzodanwa kuonekwa kudhaka, multiple sclerosis, encephalitis, zvirwere vascular yezvakaita cerebellum, uyewo namamota.

3. vestibular ataxia mhando. Chinokonzera nyonganyonga iri vestibular ino hworatidza pacharo muchimiro incoordination nemafambiro. Inozivikanwa nokuda hurongwa dzungu, achiperekedzwa kurutsa uye svoto. Kana kushandura nzvimbo muviri, uyewo pakarepo kwebasa musoro mamirire zviratidzo chete kwakawedzera.

4. Cortical mhando ataxia. Incoordination iyi nyaya iri kukonzerwa zvinetso zviri cortex mashandiro Anterior frontal akafukidza. Of madhipatimendi aya kuitisa makwara zvakananga mumasero cortex ari cerebellum, somugumisiro kukundwa kwavo kutyora gait. Varwere ikoko shakiness kutsiga gait. Kana achifamba muviri chassis anozendama shure, tsoka anoiswa pamusoro chete yakarurama mutsetse, dzimwe nguva anozivikanwa kufamba "putira ane 'tsoka. Kukurirwa kwakaita madhipatimendi izvi zvinogona astasia (kutadza kumira) uye abasia (kutadza kufamba), zvose pamwe sanganisika kugona kuita mapato.

Chimwe chitsamba ataxia kunokonzerwa nhaka zvirwere. Incoordination ndiyo huru kunotoda chiratidzo muna zvirwere zvakadai rwapedyo Friedreich kuti ataxia, ataxia, nhaka cerebellar refill Mari, Louis-Bar urwere, uye olivopontocerebellar degeneration.

ataxia kurapwa kazhinji kwakavakirwa kungobva kwokutanga kurapa, runotikurudzira chirwere. Kwakapararira nhasi physiotherapy uye masaja.