Muscle atrophy refers to rhabdomyodystrophy, muscle volume is smaller than that of normal people, and muscle fibers become thinner or even disappear. Hypertrophy of neuromuscular diseases. The nutritional status of muscle is closely related to the nervous system besides the pathological changes of muscle tissue itself. Spinal cord diseases often lead to muscular dystrophy and muscular atrophy.
Classification of muscular atrophy
1. Classification according to pathogenesis
(1) Muscle atrophy caused by general malnutrition, disuse and endocrine abnormality.
(2) Muscle atrophy caused by heredity, poisoning, abnormal metabolism, infection and allergic reaction. This classification is of little clinical significance, because the cause is difficult to be clear at the moment.
2. According to the distribution of muscle atrophy:
(1) diffuse muscular atrophy; (2) Muscle atrophy of head and face;
(3) Muscle atrophy of head and upper limbs or proximal limbs; (4) Muscle atrophy at the distal end of upper and lower limbs;
(5) localized muscular atrophy
3. According to the classification of primary lesions leading to muscle atrophy.
(1) Neurogenic muscular atrophy (2) Myogenic muscular atrophy (3) Abandoned muscular atrophy. Neurogenic muscular atrophy mainly refers to the pathological changes of motor neurons such as spinal cord anterior horn cells and peripheral nerves, and belongs to primary neurogenic muscular atrophy. These three factors are interrelated. Although muscle atrophy also appears in upper motor neuron disease, some people classify it as late secondary and disuse atrophy. Myogenic muscular atrophy refers to the pathological changes of muscle itself. Disuse muscular atrophy can still lead to systemic wasting disease.
Health care measures for patients with muscular atrophy
Patients with muscular atrophy stay in bed for a long time due to muscular atrophy and myasthenia, and are prone to pneumonia and bedsore. In addition, most patients have symptoms of bulbar palsy, which poses a great threat to patients' lives. In addition to asking a doctor for treatment, self-treatment is very important for patients with muscular atrophy.
1, keep optimistic and happy. Strong long-term or repeated emotional changes such as mental stress, anxiety, irritability, pessimism, etc. It can make the process of excitation and inhibition of cerebral cortex unbalanced, aggravate muscle jumping and develop into muscle atrophy.
2. Reasonable distribution of diet structure. Patients with muscular atrophy need high-protein and high-energy dietary supplements to provide substances necessary for the reconstruction of nerve cells and skeletal muscle cells, thus enhancing muscle strength and growing muscles. At the beginning, we should take foods rich in high protein, vitamins, phospholipids and trace elements, actively cooperate with medicated diets, such as yam, coix seed, lotus plumule, dried tangerine peel, radix Pseudostellariae, lily, etc., and abstain from spicy food and alcohol and tobacco.
Patients with advanced protein are rich in nutrition and energy. Hey? Why don't you tell me what you are doing? せ Zeke? Eight? What happened?
3. combine work and rest. Avoid compulsive exercise, because compulsive exercise is not conducive to the recovery of skeletal muscle function and the regeneration and repair of muscle cells due to skeletal muscle fatigue.
4. Prevent colds and gastroenteritis. Patients with muscular atrophy have low autoimmune function or some kind of immune deficiency. Once they catch a cold, their condition will be aggravated, the course of disease will be prolonged, muscle weakness and jumping muscles will be aggravated, especially patients with bulbar palsy are prone to pulmonary infection. If not prevented in time, the prognosis will be poor and even life-threatening.
5, gastroenteritis can lead to intestinal bacterial dysfunction, especially viral gastroenteritis has different degrees of damage to spinal cord anterior horn cells, which makes muscle jumping worse, muscle strength decreased, and the condition is repeated or aggravated. Maintaining normal digestive function of patients with muscular atrophy is the basis of rehabilitation.
Treatment of muscular atrophy with traditional Chinese medicine
In modern medicine, polyneuritis, syringomyelia, muscular atrophy, myasthenia, lateral sclerosis, motor neuron disease, periodic paralysis, muscular dystrophy, hysterical paralysis and sequelae of central nervous system infection manifested as paralysis all belong to the category of "flaccidity syndrome", which is a disease of limb muscle relaxation, weakness and disuse.
Flaccidity syndrome refers to a kind of disease with flaccidity and weakness of bones and muscles, emaciation of muscles, numbness of skin and hands and feet. Clinically, patients with soft feet who can't voluntary movement are more common, so they are called "Ruanjun".
Motor neuron disease, systemic dystrophy, disuse and endocrine abnormalities, as well as muscle degeneration and muscle structural abnormalities caused by various reasons such as heredity, poisoning, metabolic abnormalities, infection and allergic reactions. Can cause muscle weakness and muscle atrophy.
Nursing care of muscular atrophy
Flaccidity syndrome is a disease of weakness and disuse of limbs. Regulating limb qi and blood and restoring limb functional activities are the keys to nursing flaccidity syndrome. Physical activity function training can be active or passive, and it can be different from traditional sports training and life homework training in content. If the limbs are emaciated and shriveled and unable to move, you can adopt passive training in the lying position in bed stage and change your posture at any time to prevent "deformity".
Then do active training, such as sitting, standing and walking. According to the illness, you can choose the corresponding guidance, massage, qigong and traditional physical exercise methods such as Wuqinxi and Baduanjin. Life-work method is practical and easy to learn. People with upper limb disabilities should write, throw, catch, play the piano, weave, dial abacus and so on. If the lower limbs are limited, post training methods such as riding a tricycle and sewing should be adopted.