Ke manaʻo nei anei kou mau ʻiʻo e mae wale ana? E aʻo hou kākou e pili ana i ka Muscle Atrophy!

Ua manaʻo paha ʻoe ua nalowale kekahi o ko lākou mau ʻiʻo i kou mau lima a i ʻole kou mau wāwae, a i ʻole ʻaʻohe ou ikaika hou e like me ka wā ma mua? Manaʻo paha ʻoe ua liʻiliʻi kekahi lima ma mua o kekahi. ʻO kekahi o nā kumu o kēia mau hōʻailona, ​​ʻo ia ka nalowale ʻana o nā ʻiʻo, kahi kūlana i kapa ʻia ʻo ka atrophy o ka ʻiʻo . I kēia lā, e kamaʻilio mākou e pili ana i kēia ma ke ʻano maʻalahi e hiki ai iā ʻoe ke hoʻomaopopo.

He aha kēia atrophy o nā ʻiʻo?

I ka ʻōlelo maʻalahi, ʻo Muscle Atrophy ka lahilahi a i ʻole ka nalowale ʻana o kou mau ʻiʻo. ʻO ka hopena kēia i ka nalowale ʻana o ka nui a me ka ikaika o kou mau ʻiʻo. ʻOiai ke nānā ʻoe iā lākou mai waho mai, hiki ke ʻike ʻia ua emi a me ka atrophy. Nui nā kumu no kēia. Hiki ke hana ʻia e ka ʻai ʻole, ka ʻelemakule, ka genetics, ka nele o ka hana kino, a i ʻole kekahi mau maʻi .

ʻElua ʻano nui o ka atrophy muscle:

1. Disuse Atrophy (a i ʻole Physiologic Atrophy): Hana ʻia kēia ke hoʻohana pono ʻole ʻoe i kou mau ʻiʻo. E noʻonoʻo e like me kahi mea a mākou e hoʻohana ʻole ai, e pau wale ana ia i ka hala ʻana o ka manawa.

2. Neurogenic Atrophy: Hana ʻia kēia ma muli o kahi pilikia me ka ʻōnaehana nerve, a i ʻole kahi maʻi e pili ana i nā aʻalolo.

He aha nā hōʻailona inā loaʻa (Muscle Atrophy)?

Inā loaʻa iā ʻoe kēia maʻi, hiki ke ʻokoʻa iki nā hōʻailona ma muli o ke kumu. Eia nō naʻe, ʻo ka hōʻailona nui ka emi ʻana o ka nui o nā ʻiʻo. ʻO ia hoʻi, ua emi nā ʻiʻo.

Hiki nō hoʻi iā ʻoe ke ʻike i nā mea e like me kēia:

• ʻIke ʻia aku he ʻuʻuku kekahi lima a wāwae paha ma mua o kekahi.
• Ka nāwaliwali o kekahi lima a i ʻole kekahi wāwae.
• He manaʻo ʻūlū a ʻūlili paha ma nā lima a me nā wāwae.
• Ka paʻakikī i ka hele wāwae a me ke kaulike ʻana.
• Ka paʻakikī i ka moni ʻana a me ka ʻōlelo ʻana (hiki ke hana inā pili nā ʻiʻo ma ka maka a i ʻole ka puʻu)
• Ka hoʻonāwaliwali ʻana o nā ʻiʻo o ka maka.
• I kekahi manawa, e ʻike paha ʻoe i ka nalowale mālie o ka hoʻomanaʻo (pili paha kēia i kahi hōʻailona o kahi maʻi ʻē aʻe).

Pehea ka manaʻo o kēia maʻi (Muscle Atrophy)?

I kēia manawa, ke noʻonoʻo nei paha ʻoe pehea ka manaʻo o kēia i kou kino. Inā ua mae nā ʻiʻo o kou mau lima a me kou mau wāwae, hiki iā ʻoe ke manaʻo he mae wale, ʻūlū, a nāwaliwali paha . Inā pilikia nā ʻiʻo ma kou maka a i ʻole ka puʻu, hiki i kou mau ʻiʻo maka ke manaʻo he nāwaliwali, a paʻakikī paha iā ʻoe ke ʻōlelo a moni paha.

He aha ke kumu o kēia? No ke aha lā kēia e hana nei?

ʻOkoʻa nā kumu o ka atrophy o nā ʻiʻo ma muli o ke ʻano o ka atrophy i loaʻa iā ʻoe. E nānā kākou i nā kumu o kēlā me kēia ʻano.

1. Hoʻopau i ka hoʻohana ʻana i ka Atrophy:

Hana ʻia kēia no ka mea ʻaʻole mākou e hoʻohana pono i ko mākou mau ʻiʻo. E noʻonoʻo, he aha ka mea e hana ai inā ʻoe e noho ma kahi moe no nā lā he nui? Manaʻo iki kou mau lima a me kou mau wāwae he mae wale, ʻeā? Pēlā nō ia. Ke hoʻōki mākou i ka hoʻohana ʻana i ko mākou mau ʻiʻo, manaʻo ko mākou kino, 'Auē, he mea ʻole kēia i kēia manawa, no ke aha e hoʻonele ai i ka ikehu e mālama ai i kēia mau mea?' A laila hoʻomaka ke kino e wāwahi iki i kēlā mau ʻiʻo. ʻO ia ka manawa e emi ai ko lākou nui a me ka ikaika.

Hiki i kēia 'Disuse Atrophy' ke hoʻopilikia iā ʻoe ma nā kūlana aʻe:

• Inā ʻoe e noho ana i kahi nohona noho ʻole , ʻo ia hoʻi, hoʻolilo ʻoe i ka hapa nui o kou lā e noho ana i lalo a ʻaʻole e neʻe a puni.
• Inā ʻaʻole ʻoe i lawa ka meaʻai . ʻO ke ʻano kēia, ʻaʻole i loaʻa i kou kino nā meaola e pono ai.
• Inā ʻaʻole ʻoe e hoʻoikaika kino i ka lawa ʻana.
• Inā he hana pākaukau kāu, e noʻonoʻo i ka liʻiliʻi o ka hoʻoikaika kino ʻana o nā ʻiʻo o kou mau wāwae ke noho ʻoe ma kahi noho i ka lā a pau.
• Inā ua kauoha ʻia ʻoe e hoʻomaha i ka moena (no ka laʻana, ma hope o kahi ʻoki ʻana a i ʻole ma muli o kahi maʻi).
• Inā he maʻi hoʻoilina kou, no ka laʻana , ʻo Muscular Dystrophy a i ʻole ka maʻi Charcot-Marie-Tooth .
• Inā ʻaʻole hiki iā ʻoe ke hoʻoneʻe i kou mau lālā , hiki ke ma muli o ka hahau ʻana a i ʻole kekahi ʻano ʻē aʻe e like me dermatomyositis .
• Hiki paha ke kumu o ka hoʻopau ʻana o nā ʻiʻo (`Sarcopenia`) e kū mai ana me ka ʻelemakule . I ko kākou ʻelemakule ʻana, nalowale maoli kekahi mau ʻiʻo, ʻo ia ke ʻano o kēia.

2. ʻAtrophy Neurogenic:

ʻO kēia ʻano atrophy e kū mai ana i ka wā e hōʻino ʻia ai nā aʻalolo e pili ana i kou mau ʻiʻo, a i ʻole inā he maʻi e pili ana i kēlā mau aʻalolo. E noʻonoʻo e pili ana, hana ko mākou mau ʻiʻo ma muli o nā leka e puka mai ana mai nā aʻalolo. Ke hōʻino ʻia kēlā mau aʻalolo, ʻaʻole hele pono nā hōʻailona e pono ai nā ʻiʻo. A laila ʻaʻole hiki i nā ʻiʻo ke ʻaelike. Inā ʻaʻole e ʻaelike nā ʻiʻo, manaʻo ke kino, 'He mea ʻole kēia hou.' A laila hoʻomaka nā ʻiʻo e haki, e like me ma mua, lilo lākou i mea liʻiliʻi a nāwaliwali.

ʻO kekahi o nā maʻi a me nā kūlana e hoʻopilikia ai i kēia mau aʻalolo:

• He maʻi i kapa ʻia ʻo (Amyotrophic Lateral Sclerosis - ALS) .
• He kūlana i kapa ʻia ʻo Guillain-Barre syndrome .
• (Carpal Tunnel Syndrome) (Hoʻokumu pinepine ʻia kēia e kahi aʻalolo i ʻoki ʻia ma ka pulima).
• (Polio) A i ʻole polio.
• ʻEha o ke kaula kuamoʻo.
• ʻO ka maʻi i kapa ʻia ʻo Multiple Sclerosis (MS) .

ʻEhia ka lōʻihi o ka hala ʻana o ka maʻi ʻūlū?

He mea kēia e ʻokoʻa ana mai kēlā kanaka a kēia kanaka. E ʻokoʻa ana kēia manawa ma muli o kou mau makahiki, ke ʻano o kou kino, a me ke kumu o ka atrophy.

ʻO ka maʻamau, hiki ke hoʻomaka ka atrophy disuse ma hope o ʻelua a ʻekolu mau pule o ka hoʻohana ʻole ʻana i kou mau ʻiʻo. E noʻonoʻo inā ua haki kou wāwae, ʻaʻole anei e lahilahi iki kēlā wāwae ma hope o kekahi mau lā i loko o kahi hoʻolei? Pēlā nō ia.

Hiki i ka atrophy neurogenic ke holomua wikiwiki aʻe, ma muli o ke kūlana o kou olakino.

Pehea e ʻike ai ke kauka i kēia (Muscle Atrophy)?

Inā loaʻa iā ʻoe kēia mau hōʻailona, ​​e hana mua ke kauka i kahi hoʻokolokolo kino, e nīnau e pili ana i kāu mau hōʻailona, ​​a nānā paha i kou mau lima a me kou mau wāwae a ana i ka nui o kou mau ʻiʻo.

Eia kekahi, hiki i ke kauka ke hana i nā hoʻokolohua e like me kēia e aʻo hou ai:

• Nā hoʻāʻo koko.
• ʻO ka biopsy ʻiʻo a i ʻole ke aʻalolo ( lawe ʻia kahi ʻāpana liʻiliʻi a nānā ʻia).
• Hoʻāʻo Electromyography (EMG) (ke ana kēia i ka hana uila o nā ʻiʻo).
• Nā haʻawina hoʻoili aʻalolo ( nānā kēia i ka wikiwiki o ka hele ʻana o nā hōʻailona ma o nā aʻalolo).
• Nā kukuna X.
• CT scan ('Computed Tomography - CT scan').
• ʻIke MRI (Magnetic Resonance Imaging - MRI scan).

Hiki ke hoʻohuli ʻia kēia hoʻopau ʻana o nā ʻiʻo?

He pilikia kēia no nā kānaka he nui.

Hiki ke hoʻohuli ʻia ka atrophy disuse i kekahi manawa me ka hoʻoikaika kino a me ka ʻai olakino. Hiki i kāu kauka ke kuhikuhi iā ʻoe e hoʻomaka e hana i nā mea e like me ka ʻauʻau. ʻOi aku ka maʻalahi o ka hoʻoikaika kino ʻana i ka wai no ka mea ʻaʻole i kaumaha nui nā ʻiʻo.

Eia nō naʻe, he mea paʻakikī ke hoʻohuli loa i ka atrophy neurogenic. ʻO kēia no ka mea he mau loa ka hōʻino ʻana i nā aʻalolo.

He aha ka lāʻau lapaʻau no kēia?

ʻO ke ʻano o ka mālama ʻana no ka atrophy uaua e pili ana i ke ʻano.

No ka Atrophy Disuse:

• ʻO ka hoʻoikaika kino mau a me ka ʻai ʻana i nā mea momona nā mea nui loa.
• Hiki i kāu kauka ke ʻōlelo aku i ka hoʻoikaika kino a i ʻole kahi hoʻolālā hoʻoikaika kino kūikawā.
• ʻOiai inā ʻaʻole hiki iā ʻoe ke hoʻoneʻe i kekahi mau hono, aia kekahi mau hoʻomaʻamaʻa hiki iā ʻoe ke hana me ka splint a i ʻole ke kākoʻo .
• Hiki paha i kāu kauka ke kuhikuhi iā ʻoe i kahi meaʻai meaʻai e kōkua iā ʻoe e hoʻomohala i kahi hoʻolālā ʻai olakino. Hiki paha iā lākou ke ʻōlelo aku i nā mea hoʻohui meaʻai .

No ka Atrophy Neurogenic:

• I kekahi manawaʻO ka hoʻoulu uila kahi ʻano hoʻōla kino kūikawā a kāu mea hoʻōla kino e hoʻohana ai. Ma kēia, kau kāu mea hoʻōla kino i nā electrodes ma kou ʻili ma kahi o kou mau ʻiʻo. Hoʻouna kēia mau electrodes i nā impulses uila liʻiliʻi i kou mau aʻalolo a me nā ʻiʻo. Hoʻāʻo kēia e hana i kou mau ʻiʻo e ʻaelike, a i ʻole e ʻaelike. Hiki i kēia ke kōkua i ka mālama ʻana i ka nui a me ka ikaika o nā ʻiʻo.
• Hiki i ke kauka kino ke ʻōlelo aku i ka lāʻau ultrasound, kahi e hoʻohana ai i nā nalu kani e hoʻoikaika i ka ho'ōla ʻana o nā ʻiʻo.
• Inā atrophy kou mau ʻiʻo a ke kumu o ka contracture (ʻo ia hoʻi, paʻakikī nā ʻiʻo a hiki ʻole ke kīkoʻo), hiki i kāu kauka ke hana i ke ʻoki e hoʻoponopono iā ia.

ʻEhia ka lōʻihi e hoʻōla ai mai kēia maʻi?

ʻO ka manawa e pono ai e kūkulu hou i nā ʻiʻo ma hope o ka atrophy ʻiʻo e pili ana i ke ʻano o ka atrophy āu i loaʻa ai a me ke koʻikoʻi o ia mea.

ʻO ka maʻamau, hiki ke hoʻihoʻi ʻia ka atrophy disuse, akā ʻaʻole ia e hana i ka pō hoʻokahi. Hiki iā ʻoe ke hoʻōla mai ia mea ma o ka hoʻoikaika kino mau ʻana a me ka ʻai ʻana i kahi meaʻai olakino . E hoʻomaka ʻoe e ʻoluʻolu i loko o kekahi mau mahina, akā hiki ke lōʻihi ka manawa e hoʻihoʻi hou ai i kou ikaika.

ʻO ka mea nui loa, ʻo ia ka hahai ʻana i nā ʻōlelo a ke kauka a me ke komo ʻana i ka lāʻau lapaʻau me ka hoihoi a me ka hoʻolaʻa. ʻOiai inā he mea paʻakikī iki, mai haʻalele!

He aha ka ʻokoʻa ma waena o ka atrophy uaua a me ka hypertrophy uaua?

He ʻokoʻa loa kēia mau mea ʻelua.

• ʻO ka atrophy o nā uaua ka nalowale ʻana o ka nui o nā uaua.
• ʻO ka hypertrophy o nā ʻiʻo ka hoʻonui ʻia ʻana o ka nui o nā ʻiʻo. ʻO kēia ka wā e nui a mānoanoa ai paha nā olonā ʻiʻo. Hiki mai ka hypertrophy o nā ʻiʻo ke hoʻonui ʻia ka nui o nā hunaola ʻiʻo. Hiki iā ʻoe ke ʻike i kēia ma o nā ʻano hoʻoikaika kino e like me ka hoʻomaʻamaʻa ikaika a i ʻole ka hoʻomaʻamaʻa wā kiʻekiʻe (HIIT) .

ʻO ka mea hope loa, nā mea e hoʻomanaʻo ai (Leka Lawe-Home)

ʻAe, no laila e hoʻomanaʻo aku mākou iā ʻoe i kekahi mau mea a mākou i kamaʻilio ai a mākou e manaʻo nei he mea nui iā ʻoe.

• Inā manaʻo ʻoe he liʻiliʻi a nāwaliwali paha nā ʻāpana o kou kino , e ʻike pono i ke kauka.
• He mea maʻamau ke kaumaha ke loaʻa iā ʻoe kahi hōʻailona o ka Muscular Atrophy. Akā e hoʻomanaʻo, ʻo ka atrophy disuse, ʻoiai i ka wā e pili ana i ka nalowale o nā ʻiʻo, hiki ke hoʻohuli ʻia.
• E kuhikuhi aku kāu kauka i kahi hoʻolālā lapaʻau kūpono iā ʻoe.ʻO ka mea nui loa, ʻo ia ka hahai pono ʻana i kēlā hoʻolālā.
• I kekahi manawa hiki ke manaʻo ʻia he hana luhi ka hoʻoikaika kino a me ka ʻai ʻana. Akā , mai hōʻalo. He mea nui ia e kūkulu hou i kou nui a me kou ikaika.

No laila, e mālama i kou kino, a inā ʻike ʻoe i kekahi mau loli, e ʻimi koke i ke kōkua lapaʻau. ʻO ka noho olakino ka mea nui loa!

ʻEha nā ʻiʻo, nalowale nā ​​ʻiʻo, nāwaliwali o nā ʻiʻo, nā maʻi neurological, hoʻoikaika kino, meaʻai, hoʻōla ʻana o nā ʻiʻo