Gait Disorders

Zvirongwa zvakasiyana-siyana zvekugadzirisa matambudziko ekufamba netsoka zvakagadzirwa: zvinogona kupatsanurwa zvichienderana nehuwandu hwekuoma kwetsinga dzemuviri - nhanho yepasi, yepakati, uye yepamusoro; nzvimbo yemaronda emuviri (semuenzaniso cerebellar, frontal lobe nezvimwewo); nechikonzero ( semuenzaniso chirwere chetsinga dzeropa, degenerative parkinsonism, spinocerebellar ataxias) uye pakupedzisira nezviratidzo zvayo zvekiriniki (kureva ataxia, parkinsonism, dyskinesia). Kukanganisika kwekufamba netsoka kunogonawo kupatsanurwa sekugara kwenguva refu (kunoonekwa pese panofamba murwere) kana nguva nenguva, senge festination uye freezing.

Kuvhiringidzika kwakawanda kwegait kunogona kuongororwa uye kurongeka mushure mekuwana nhoroondo yakanaka uye kuita ongororo yakadzama yemuviri uye yetsinga kusanganisira kutarisa kufamba. Kune vazhinji, kuongororwa kunogona kujeka nekuda kwemaitiro chaiwo ekutsika, senge yakafara base uye akasiyana-siyana nhanho kureba uye kumhanya muataxic gait, inononoka, diki nhanho dzekudhudhudzira nekudzikira kweruoko kuzungunuka mu parkinsonian gait uye izvo nekuda kwe spasticity, kushaya simba uye kurasikirwa kwekunzwa. Zvisinei, mune zvimwe chikonzero chacho hachina kujeka uye chinoratidzika sechinotora zvikamu zvemarudzi akawanda ematambudziko uye mavambo e-anatomic (multifactorial gait disorders) kana kuti inoshamisa muhutano, uye kuongororwa hakuna kujeka. Mamwe eaya ane zvinoshamisa maficha anogona kunge ari etiology inoshanda. 

Kuongorora kwakadzama neambulatory gait monitoring devices, gait mats kana mune sophisticated gait laboratory zvinoruramiswa kuita chirwere mune dzimwe nguva, vasati vavhiyiwa kuti vabatsire kunyora kana kuziva kukanganisa, kunyora zvisinganzwisisiki kuchinja kwekufamba kwenguva uye nemigumisiro yekurapa, kunyange zvazvo ichinyanya kushandiswa sechombo chekutsvakurudza. Zvishandiso zvinopfeka zviri kuwedzera kufarira kuongorora gait nyaya uye kudonha. Kuziva uye kudonha kwengozi yekuongorora zvikamu zvakakosha zvekuongororwa kwemurwere ane gait kusagadzikana kusanganisira mukati uye kunze kwengozi zvinhu. 

Kurapa kwekuvhiringidza kwekufamba kunoenderana nechikonzero chinokonzera. Zvakakosha kuongorora rondedzero yemishonga yemurwere kuti uve nechokwadi chekuti dambudziko harisi kukonzeresa zvinodhaka, senge drug-induced parkinsonism ine chekuita neantipsychotics. Kurapa kunofanirwa kusanganisira kupindira kwekuita kuderedza njodzi yekudonha iyo inogona kusanganisira yekurapa (ye spasticity, dystonia, parkinsonism, kana chorea), kuvhiya uye kupindira kwekurapa kwemuviri kunowanzo kupihwa panguva imwe chete.

2026 Yakapedzisira kuongororwa neBhodhi reVanyori veWebhusaiti

Yakanyorwa naNir Gildi, MD
Mutungamiriri, Movement Disorder Unit
MD Unit, Dhipatimendi reNeurology
Tel Aviv, Israel

2019 Updates Inopihwa na:
Stewart Factor, DO
Mutungamiriri Movement Disorders Chirongwa, Emory University Chikoro cheMishonga
Atlanta, GA, USA

Brandon Barton, MD
Mubatsiri Purofesa, Rush University Medical Center
Chicago, IL USA