ʻ .wili mākala
ʻO nā twitches Muscle nā neʻe maikaʻi o kahi wahi liʻiliʻi o nā mākala.
Hoʻokumu ʻia ka twitching Muscle e nā kuʻikuʻi mākala liʻiliʻi ma ia wahi, a i ʻole twitching hiki ʻole ke kaohi ʻia o kahi pūʻulu puʻupuʻu e lawelawe ʻia e ka mole nerve nerve hoʻokahi.
Liʻiliʻi nā twitches Muscle a ʻike pinepine ʻole ʻia. Kūleʻa a maʻamau kekahi. ʻO nā hōʻailona ʻē aʻe o kahi maʻi ʻōnaehana.
Nā kumu e komo pū paha:
- Nā maʻi Autoimmune, e like me ka maʻi ʻo Isaac.
- ʻO ka lāʻau lapaʻau (caffeine, amphetamines, a i ʻole nā stimulants ʻē aʻe).
- Ka nele o ka hiamoe.
- Ka hopena ʻaoʻao lāʻau (e like me mai diuretics, corticosteroids, a i ʻole estrogens).
- Hoʻomaʻamaʻa (ʻike ʻia ka twitch ma hope o ka hoʻoikaika kino).
- Ka nele o nā meaola i ka papaʻai (hemahema).
- Kaumaha.
- ʻO nā kūlana olakino e kumu ai i nā maʻi metabolic, e like me ka potassium haʻahaʻa, nā maʻi kidney, a me uremia.
- ʻAʻole i hoʻokumu ʻia nā twitches e ka maʻi a i ʻole nā maʻi (twignches benign), e loli pinepine ana i nā lihilihi, keiki bipi, a i ʻole manamana nui. Kūleʻa a maʻalahi kēia mau twitches, a hoʻonāukiuki pinepine ʻia e ke koʻikoʻi a hopohopo paha. Hiki i kēia mau twitches ke hele mai a hele aku, a ʻaʻole mau i mau no kekahi mau lā.
ʻO nā kūlana ʻōnaehana hopohopo e hiki ai ke hoʻoulu i nā mākala:
- ʻO Amyotrophic lateral sclerosis (ALS), ʻo kekahi manawa i kapa ʻia ʻo Lou Gehrig maʻi a i ʻole ka maʻi neurone motor
- Neuropathy a i ʻole ʻino i ke aʻalolo e alakaʻi ai i kahi mākala
- Hoʻoiho muscular musinal
- Nā nāwaliwali nāwaliwali (myopathy)
ʻO nā ʻōuli o kahi maʻi ʻōnaehana e like me:
- Lilo o, a i ʻole hoʻololi i ka manaʻo
- Lilo o ka nui o nā mākala (ʻōpala)
- Nawaliwali
ʻAʻole pono ka lāʻau no ka twitching muscle benign i ka hapanui o nā hihia. I nā hihia ʻē aʻe, mālama ʻana i kahi kumu olakino kumu e hoʻomaikaʻi ai i nā ʻōuli.
Kāhea i kāu mea mālama ola inā loaʻa iā ʻoe kahi wā lōʻihi a i ʻole hoʻomau i nā twitches a i ʻole inā kū ka twitching me ka nāwaliwali a i ʻole ka nalo ʻana o nāʻiʻo.
E lawe kāu mea hāʻawi i ka mōʻaukala olakino a hana i kahi hoʻokolohua kino.
E komo pū paha nā nīnau mōʻaukala olakino:
- I ka manawa hea ʻoe i ʻike mua ai i ka twitching?
- Pehea kona lōʻihi?
- Ehia mau manawa e ʻike ai ʻoe i ka twitching?
- He aha nā mākala e hoʻopili ʻia?
- Aia mau ma ka wahi like?
- Hāpai ʻoe?
- He aha nā hōʻailona ʻē aʻe āu?
Kaukaʻi ʻia i nā kumu i manaʻo ʻia, a hiki ke hoʻopili ʻia:
- Nānā ke koko e nānā i nā pilikia me nā electrolytes, ka hana tiroid a me ka kemika o ke koko
- CT scan o ka iwikuamoʻo a me ka lolo
- Electromyogram (EMG)
- Nā haʻawina conduction nerve
- MRI scan o ka iwi kuamoo a me ka lolo
ʻAno kamepiula; Nā hāmeʻa o kaʻiʻo
- Nā mākala mua hohonu
- Nā mākala mua ma mua
- Tendons a me nā mākala
- Nā mākala wāwae lalo
ʻO Deluca GC, ʻo Griggs RC. Hele i ka mea maʻi me ka maʻi neurologic. I: Goldman L, Schafer AI, eds. ʻO ka lāʻau lapaʻau Goldman-Cecil. 26th ed. Piladelapia, PA: Elsevier; 2020: chap 368.
Halelu JE, Halelu ME. ʻO ka hana kuʻuna o nā mākala iwi. I: Hall JE, Hall ME, nā ʻaoʻao. ʻO Guyton a me Hall Textbook of Medical Physiology. 14th ed. Piladelapia, PA: Elsevier; 2021: chap 6.
ʻO Weissenborn K, Lockwood AH. Nā encephalopathies hoʻowalewale a me nā metabolic. I: Daroff RB, Jankovic J, Mazziotta JC, Pomeroy SL, eds. ʻO Bradley's Neurology i ka hana lapaʻau. ʻEpekema 7 Piladelapia, PA: Elsevier; 2016: chap 84.