Ho fokola ha mesifa

Ho fokola ha mesifa ke ho senya (ho fokotsa) kapa ho lahleheloa ke lisele tsa mesifa.

Ho na le mefuta e meraro ea ho felloa ke matla ha mesifa: physiologic, pathologic le neurogenic.

Physiologic atrophy e bakoa ke ho se sebelise mesifa ka ho lekana. Mofuta ona oa atrophy o ka khutlisoa ka boikoetliso le phepo e ntle. Batho ba anngoeng haholo ke ba:

• Ho lula fatše, mathata a bophelo bo botle a thibelang motsamao, kapa ho fokotsa maemo a ts'ebetso
• Ba robetse liphateng
• Ha e khone ho tsamaisa maoto le matsoho ka lebaka la stroke kapa lefu le leng la boko
• Li sebakeng se hlokang matla a khoheli, joalo ka nakong ea lifofane tsa sepakapakeng

Pathologic atrophy e bonoa ke botsofali, tlala, le mafu a kang Cushing disease (ka lebaka la ho noa meriana e mengata haholo e bitsoang corticosteroids).

Neurogenic atrophy ke mofuta o matla ka ho fetisisa oa ho felloa ke matla ha mesifa. E ka ba ho tsoa kotsi, kapa lefu la methapo e hokelang mesifa. Mofuta ona oa ho fokola ha mesifa o atisa ho hlaha ka tšohanyetso ho feta ho felloa ke matla ha 'mele.

Mehlala ea maloetse a amang methapo e laolang mesifa:

• Amyotrophic lateral sclerosis (ALS, kapa lefu la Lou Gehrig)
• Tšenyo ea methapo e le 'ngoe, e kang carpal tunnel syndrome
• Lefu la Guillain-Barre
• Tšenyo ea methapo e bakoang ke kotsi, lefu la tsoekere, chefo kapa joala
• Pholio (polio)
• Mokokotlo oa mokokotlo

Le ha batho ba ka ikamahanya le ho felloa ke matla ha mesifa, esita le ho fokola ha mesifa hanyane ho ka baka tahlehelo ea motsamao kapa matla.

Lisosa tse ling tsa ho felloa ke matla ha mesifa li ka kenyelletsa:

• Chesa
• Phekolo ea nako e telele ea corticosteroid
• Khaello ea phepo e nepahetseng
• Ho senyeha ha mesifa le maloetse a mang a mesifa
• Osteoarthritis
• Ramatiki ea ramatiki

Lenaneo la boikoetliso le ka thusa ho phekola ho fokola ha mesifa. Boikoetliso bo ka kenyelletsa tse etsoang ka letamong la ho sesa ho fokotsa mosebetsi oa mesifa le mefuta e meng ea ntlafatso. Mofani oa hao oa tlhokomelo ea bophelo a ka u joetsa haholoanyane ka sena.

Batho ba sa khoneng ho tsamaisa lenonyeletso le le leng kapa a 'maloa ba ka ikoetlisa ba sebelisa li-brace kapa splint.

Bitsa mofani oa hau bakeng sa kopano haeba u na le tahlehelo e sa hlalosoang kapa ea nako e telele ea mesifa. Hangata o ka bona sena ha o bapisa letsoho le leng, letsoho kapa leoto le leng.

Mofani oa hau o tla etsa tlhahlobo ea 'mele' me a botse nalane le matšoao a hau a bongaka, ho kenyeletsoa:

• Ho fokola ha mesifa ho qalile neng?
• Na e ntse e mpefala?
• U na le matšoao afe a mang?

Mofani o tla sheba matsoho le maoto mme a lekanye boholo ba mesifa. Sena se ka thusa ho tseba hore na ke methapo efe e amehileng.

Liteko tse ka etsoang li kenyelletsa:

• Liteko tsa mali
• Lisebelisoa tsa CT
• Electromyography (EMG)
• MRI e hlahloba
• Ho tsuba ha mesifa kapa methapo
• Lithuto tsa ho khanna methapo
• Li-X-ray

Kalafo e ka kenyelletsa kalafo ea 'mele, kalafo ea ultrasound mme, maemong a mang, ho buuoa ho lokisa tumellano.

Ho senyeha ha mesifa; Ho senya; Atrophy ea mesifa

• Mesifa e sebetsang le e sa sebetseng
• Ho fokola ha mesifa

Ball JW, Dains JE, Flynn JA, Solomon BS, Stewart RW. Tsamaiso ea mesifa. Ka: Ball JW, Dains JE, Flynn JA, Solomon BS, Stewart RW, li-eds. Tataiso ea Seidel ea Tlhahlobo ea 'Mele. La 9th. St Louis, MO: Elsevier; 2019: khaolo ea 22.

Selcen D. Maloetse a mesifa. Ka: Goldman L, Schafer AI, li-eds. Phekolo ea Goldman-Cecil. La 26th. Philadelphia, PA: Elsevier; 2020: khaolo ea 393.