ʻAtope Muscle
ʻO ke atrophy Muscle ka ʻōpala (lahilahi) a i ʻole ka nalo ʻana o nāʻiʻo muscle.
ʻEkolu ʻano o ka atrophy muscle: physiologic, pathologic, a me neurogenic.
Hoʻokumu ʻia ke atrophy Physiologic e ka hoʻohana ʻole ʻana i nā mākala. Hiki ke hoʻohuli pinepine ʻia kēia ʻano atrophy me ka hoʻoikaika kino a me ka meaʻai maikaʻi aʻe. ʻO ka poʻe i hoʻopilikia ʻia ka poʻe:
- Noho i nā hana, nā pilikia olakino e kaupalena ana i ka neʻe ʻana, a i ʻole hoʻemi ʻia nā pae hana
- Moe i ka moe
- ʻAʻole hiki ke hoʻoneʻe i ko lākou mau lālā ma muli o ka hahau a i ʻole nā maʻi lolo
- Aia i kahi i nele i ka umekaumaha, e like me i nā wā lele mokulele
ʻIke ʻia ke atrophy Pathologic me ka ʻelemakule, wī, a me nā maʻi e like me ka maʻi Cushing (no ka nui o nā lāʻau i kapa ʻia ʻo corticosteroids).
ʻO ke atrophy Neurogenic ka ʻano ʻoi loa o ka atrophy muscle. Hiki iā ia mai kahi hōʻeha i, a i ʻole maʻi o ke aʻalolo e hoʻopili ana i ka mākala. ʻO kēia ʻano atrophy muscle e hana ʻoi aku ka nui ma mua o ke atrologic physiologic.
Nā laʻana o nā maʻi e hoʻopili ana i nā aʻalolo e kaohi i nā mākala:
- ʻO Amyotrophic lateral sclerosis (ALS, a i ʻole maʻi Lou Gehrig)
- Hoʻopilikia i kahi aʻalolo hoʻokahi, e like me ka carpal tunnel syndrome
- ʻO Guillain-Barre Syndrome
- Hoʻopilikia ke aʻalolo i hōʻeha ʻia e ka ʻeha, diabetes, toxins, a i ʻole ʻalekohola
- Polio (poliomyelitis)
- ʻEha ʻiwi
ʻOiai hiki i nā kānaka ke hoʻololi i ka atrophy muscle, ʻo ka atrophy muscle liʻiliʻi ka mea e nalowale ai ka neʻe ʻana a i ʻole ka ikaika.
Hiki i nā kumu ʻē aʻe o ka atrophy muscle ke komo pū:
- Burns
- Hoʻolālā corticosteroid lōʻihi
- Kaʻai pono ʻole
- ʻO ka dystrophy muscular a me nā maʻi ʻē aʻe o ka mākala
- ʻO Osteoarthritis
- Rheumatoid arthritis
Hiki i kahi papahana hoʻoikaika kino ke kōkua i ka atrophy muscle. Hiki paha i nā hoʻoikaika kino ke hana i nā mea i hana ʻia i loko o ka wai ʻauʻau e hōʻemi i ka ukana o ka mākala, a me nā ʻano hoʻoponopono ʻē aʻe. Hiki i kāu mea mālama ola ke haʻi hou aku iā ʻoe e pili ana i kēia.
Hiki i ka poʻe hiki ʻole ke hoʻoneʻe i hoʻokahi a ʻoi paha i nā hono ke hana i nā haʻuki e hoʻohana ana i nā pale a i ʻole nā splints.
Kāhea i kāu mea hāʻawi aku no kahi manawa inā ʻaʻole ʻoe i wehewehe a i ʻole ka nalowale muscle mau loa. Hiki iā ʻoe ke ʻike pinepine i kēia ke hoʻohālikelike ʻoe i kekahi lima, ka lima, a i ʻole ka wāwae i kekahi.
E hana ka mea hāʻawi i kahi hoʻokolohua kino a nīnau e pili ana i kāu mōʻaukala a me nā ʻōuli, e like me:
- I ka manawa hea i hoʻomaka ai ka atrophy muscle?
- Ke hele nei a ʻinoʻino?
- He aha nā hōʻailona ʻē aʻe āu?
E nānā ka mea hāʻawi i kou mau lima a me kou mau wāwae a ana i ka nui o nā mākala. Hiki i kēia ke kōkua i ka hoʻoholo ʻana i nā aʻalolo e hoʻopili ʻia.
Nā hoʻokolohua e hana ʻia ai paha:
- Nā hoʻāʻo koko
- Nānā CT
- Uila (EMG)
- Nānā MRI
- Musical or nerve biopsy
- Nā haʻawina conduction nerve
- Nā kukuna X
Hiki i ka mālama ʻana ke hoʻopili i ka hoʻōla kino, ka hoʻōla ultrasound a, i kekahi mau manawa, ʻoki e hoʻoponopono i kahi kuʻina.
Hoʻowau wale nā mākala; Luku aku; Atrophy o nā mākala
- ʻO ka mākala hana me ka hana ʻole
- Hoʻoiho muscular
ʻO Ball JW, Nā maʻi JE, Flynn JA, Solomon BS, Stewart RW. ʻŌnaehana Musculoskeletal. I: Ball JW, Dains JE, Flynn JA, Solomon BS, Stewart RW, hua. Ke alakaʻi a Seidel i ka hoʻokolokolo kino. 9th ed. St Louis, MO: Elsevier; 2019: chap 22.
Selcen D. Nā maʻi maʻi. I: Goldman L, Schafer AI, eds. ʻO ka lāʻau lapaʻau Goldman-Cecil. 26th ed. Piladelapia, PA: Elsevier; 2020: chap 393.