Ukubetha kwezihlunu

I-atrophy yemisipha kukuchitha (ukuncipha) okanye ukulahleka kwezihlunu zemisipha.

Kukho iintlobo ezintathu ze-atrophy ye-muscle: i-physiologic, i-pathologic kunye neurogenic.

I-Physiologic atrophy ibangelwa kukungazisebenzisi ngokwaneleyo izihlunu. Olu hlobo lwe-atrophy lunokubuyiselwa umva ngokuzilolonga kunye nokutya okungcono. Abantu abachaphazeleka kakhulu ngabo:

• Unendawo yokuhlala, iingxaki zempilo ezinqanda umda wokuhamba, okanye ukunciphisa amanqanaba emisebenzi
• Balala ebhedini
• Abakwazi ukuhambisa amalungu abo ngenxa yokubetha okanye esinye isifo sengqondo
• Ngaba bakwindawo engenawo amandla omxhuzulane, njengaxa kukho iinqwelomoya

I-pathologic atrophy ibonakala ngokuguga, indlala, kunye nezifo ezinje ngesifo seCushing (ngenxa yokuthatha amayeza amaninzi abizwa ngokuba yi-corticosteroids).

I-neurogenic atrophy lolona hlobo luqatha lwe-atrophy yemisipha. Inokubakho ngenxa yokwenzakala, okanye isifo se-luvo esidibanisa umsipha. Olu hlobo lwe-atrophy yemisipha ludla ngokuvela ngesiquphe kune-physiologic atrophy.

Imizekelo yezifo ezichaphazela imithambo-luvo elawula izihlunu:

• Amyotrophic lateral sclerosis (ALS, okanye isifo sikaLou Gehrig)
• Ukonakala kwinyama enye, enjenge-carpal tunnel syndrome
• Isifo sikaGuillain-Barre
• Umonakalo wemithambo obangelwa kukwenzakala, isifo seswekile, ityhefu, okanye utywala
• Ipoliyo (ipoliyo)
• Ukulimala kwentambo yomqolo

Nangona abantu bekwazi ukuqhelana ne-atrophy yemisipha, nokuba yincinci ye-atrophy ye-muscle ibangela ukulahleka kokuhamba okanye amandla.

Ezinye izizathu ze-atrophy ye-muscle zingabandakanya:

• Ukutsha
• Unyango lwe-corticosteroid yexesha elide
• Ukungondleki
• Izihlunu zemisipha kunye nezinye izifo zezihlunu
• Osteoarthritis
• Irheumatoid Arthritis

Inkqubo yokuzilolonga inokunceda ukunyanga i-atrophy yemisipha. Ukuzivocavoca kungabandakanya okwenziwe kwindawo yokubhukuda ukunciphisa umthwalo womsebenzi wemisipha, kunye nezinye iintlobo zokubuyisela kwimeko yesiqhelo. Umboneleli wakho wezempilo angakuxelela ngakumbi malunga noku.

Abantu abangakwaziyo ukushukuma ngokudibeneyo okanye nangaphezulu amalungu angenza imithambo besebenzisa izihlangu zezilima okanye izihlwitha.

Tsalela umnxeba umboneleli wakho ukuba uqeshwe ukuba awuchazwanga okanye ulahlekelwe yimisipha ixesha elide. Ungayibona rhoqo le nto xa uthelekisa isandla esinye, ingalo okanye umlenze kwenye.

Umboneleli uya kwenza uvavanyo lomzimba kwaye abuze malunga nembali yakho yonyango kunye neempawu, kubandakanya:

• Yaqala nini i-atrophy yemisipha?
• Ngaba kuya kusiba kubi?
• Zeziphi ezinye iimpawu onazo?

Umboneleli uya kujonga iingalo nemilenze yakho kwaye alinganise ubungakanani bemisipha. Oku kunokukunceda ukufumanisa ukuba zeziphi iimvakalelo ezichaphazelekayo.

Uvavanyo olunokwenziwa luya kubandakanya:

• Uvavanyo lwegazi
• Ukuskena kweCT
• Umbane we-Electromyography (EMG)
• Ukuskena iMRI
• Imisipha okanye i-nerve biopsy
• Izifundo zokuqhuba ngemithambo
• X-reyi

Unyango lunokubandakanya unyango lomzimba, unyango lwe-ultrasound kwaye, kwezinye iimeko, utyando ukulungisa isivumelwano.

Ukuchitheka kwemisipha; Ukulahla; Atrophy kwezihlunu

• Iyasebenza ngokuchasene nokungasebenzi komzimba
• I-atrophy yezihlunu

Ibhola i-JW, iDain JE, uFlynn JA, uSolomon BS, uStewart RW. Inkqubo yemisculoskeletal. Ku: Ibhola i-JW, iDain JE, uFlynn JA, uSolomon BS, uStewart RW, ii-eds. Isikhokelo sikaSeidel kuViwo loMzimba. Umhla we-9. ISt Louis, MO: Elsevier; I-2019: isahluko 22.

USelcen D. Izifo zemisipha. Ku: IGoldman L, iSchafer AI, ii-eds. Amayeza eGoldman-Cecil. Ngomhla wama-26. IPhiladelphia, PA: Elsevier; 2020: isahluko 393.