Ho tsitsinyeha ha mesifa

Ho sotha ha mesifa ke metsamao e metle ea sebaka se senyenyane sa mesifa.

Ho tsitsinyeha ha mesifa ho bakoa ke ho tsitsinyeha ha mesifa e nyane sebakeng seo, kapa ho tsitsinyeha ho sa laoleheng ha sehlopha sa mesifa se fuoang ke fiber e le 'ngoe ea methapo ea kutlo.

Ho sotha ha mesifa ho fokola 'me hangata ha ho tsejoe. Tse ling li tloaelehile ebile li tloaelehile. Tse ling ke matšoao a lefu la methapo.

Lisosa li ka kenyelletsa:

• Mathata a ho itšireletsa mafung, a kang lefu la Isaac.
• Ho sebelisa lithethefatsi hampe (caffeine, amphetamine kapa tse ling tse susumetsang).
• Ho hloka boroko.
• Litlamorao tsa lithethefatsi (joalo ka li-diuretics, corticosteroids, kapa estrogens).
• Ho ikoetlisa (ho tsitsinyeha ho bonoa kamora ho ikoetlisa).
• Ho haella ha limatlafatsi lijong (khaello).
• Khatello ea maikutlo.
• Maemo a bongaka a bakang mathata a metabolism, ho kenyelletsa potasiamo e tlase, lefu la liphio le uremia.
• Lits'oants'o tse sa bakoeng ke maloetse kapa mathata (likhahla tse mpe), hangata li ama mahlo a mahlo, namane kapa monoana o motona. Lits'oants'o tsena li tloaelehile ebile li atile haholo, 'me hangata li bakoa ke khatello ea maikutlo kapa khatello ea maikutlo. Lits'oants'o tsena li ka tla, 'me hangata ha li tšoarelle nako e fetang matsatsi a' maloa.

Maemo a tsamaiso ea methapo a ka bakang ho sisinyeha ha mesifa a kenyelletsa:

• Amyotrophic lateral sclerosis (ALS), eo ka linako tse ling e bitsoang lefu la Lou Gehrig kapa lefu la motor neurone
• Neuropathy kapa tšenyo ea methapo e lebisang mesifa
• Mokokotlo oa mesifa ea mesifa
• Matšoao a fokolang (myopathy)

Matšoao a lefu la tsamaiso ea methapo a kenyelletsa:

• Ho lahleheloa ke maikutlo, kapa ho fetoha
• Ho lahleheloa ke boholo ba mesifa (ho senya)
• Bofokoli

Ha ho hlokahale kalafo bakeng sa ho sisinyeha ha mesifa e nang le bothata maemong a mangata. Maemong a mang, ho phekola sesosa sa bongaka ho ka ntlafatsa matšoao.

Bitsa mofani oa hao oa tlhokomelo ea bophelo haeba u e-na le litšitiso tsa mesifa tsa nako e telele kapa tse phehellang kapa haeba ho tsitsipana ho etsahala ka bofokoli kapa tahlehelo ea mesifa.

Mofani oa hau o tla nka nalane ea bongaka mme a etse tlhahlobo ea 'mele.

Lipotso tsa nalane ea bongaka li ka kenyelletsa:

• U qalile ho bona ho tsitsinyeha neng?
• E nka nako e kae?
• U hlaheloa ke makhetlo a makae?
• Ke mesifa efe e amehang?
• Na e lula sebakeng se le seng kamehla?
• U imme?
• U na le matšoao afe a mang?

Liteko li ipapisitse le lebaka le belaelloang, mme li ka kenyelletsa:

• Liteko tsa mali ho batla mathata ka li-electrolyte, ts'ebetso ea qoqotho le chemistry ea mali
• CT scan ea mokokotlo kapa boko
• Motlakase (EMG)
• Lithuto tsa ho khanna methapo
• Tlhatlhobo ea MRI ea mokokotlo kapa ea boko

Ho khahla mesifa; Fasciculations tsa mesifa

• Mesifa e tebileng ea ka pele
• Mesifa ea ka ntle e kantle
• Ditendon le mesifa
• Mesifa ea maoto a ka tlase

Deluca GC, Griggs RC. Atamela mokuli ea nang le lefu la methapo. Ka: Goldman L, Schafer AI, li-eds. Phekolo ea Goldman-Cecil. La 26th. Philadelphia, PA: Elsevier; 2020: khaolo ea 368.

Holo ea JE, Holo ME. Khutsufatso ea mesifa ea masapo. Ka: Holo ea JE, Holo ea ME, li-eds. Buka ea Guyton le Hall ea Physiology ea Bongaka. La bo14 la ed. Philadelphia, PA: Elsevier; 2021: khaolo ea 6.

Weissenborn K, Lockwood AH. Encephalopathies e chefo le ea metabolism. Ka: Daroff RB, Jankovic J, Mazziotta JC, Pomeroy SL, bahlophisi. Neurology ea Bradley ho Tloaelo ea Bongaka. La 7th. Philadelphia, PA: Elsevier; 2016: khaolo ea 84.