Rukungiso anonongedza mune tsandanyama. Rukungiso pfungwa masaja

Zvichida, vazhinji pana kana pedo vadiwa vavo pamusoro pomuviri duku inorwadza nzvimbo tsandanyama seal. Most tenda deposition kwavo munyu, mukuru mushonga sezvo vanozivikanwa se rukungiso points. Nzvimbo iyi compaction nokuwedzerwa aikanganiswa mune tsandanyama rinenge kunokonzera marwadzo munzvimbo dzakasiyana-siyana dzomuviri, kazhinji riri pane imwe yakawanda kure navo.

J. dzidziso. Travel uye D. Simmons

Akadaro chinhu sechinhu chikungiso pfungwa, wakatangwa kuvarapi American John D. Travel uye Simons kare manonwe remakore rapfuura.. Kuburikidza kwavo tsvakurudzo ivo akatsanangurwa zvimwe pfungwa, uchiita kuti anogona marwadzo muzvinhu muviri, zvakakwana kure navo. Somuenzaniso, kunanga kukanganisika anorwadza pfungwa, riri munzvimbo mutsipa kana pamafudzi mashizha, saka anobatsira nemusoro kana kurwadziwa kugokora kana chiningoningo. Uyewo, kuita pamusoro rukungiso pfungwa (ndiro rimwe zita pfungwa idzi), unogona kuchinja mamiriro enyika zvetsandanyama nemapfupa emuviri uye nhengo dzomukati.

Chii chikungiso pfungwa

By tsanangudzo, Travel uye Simmons, Dots izvi dzinomirira zvikamu hyperexcitability pamwe veko tsandanyama makakatanwa. Ivo dziri muna skeletal tsandanyama uye fascia chokuita navo. Rukungiso pfungwa kuonekwa sezvo diki, inorwadza vane palpation chisimbiso. Vanogona aumbwa ose zvinyoronyoro nyama dzomuviri, asi kazhinji vemunyika huru skeletal tsandanyama kuti mabasa kunofambira mberi mabasa. Saka, unogona vanowanzoona chikungiso pfungwa iri tsandanyama iri pamapfudzi bhanhire uye mutsipa (levator scapulae tsandanyama, ari trapezius, stairwells, rotators mutsipa), kutsenga tsandanyama, uye tsandanyama ari chiuno uye ezasi migumo. Uyezve, akadai ndiwo panobva kunooneka marwadzo. Somuenzaniso, chikungiso pana pamusoro trapezius tsandanyama kungakonzera marwadzo seri nzeve, uye temberi shaya. Uyewo, njodzi zvivako izvi ndechokuti kunyange kana panguva havafaniri kuti akaratidza marwadzo pamusoro nguva vaizongoguma vakure dysfunction tsandanyama mavakanga dziri.

zvinokonzera

Pasinei zvidzidzo, nhasi hapana mhinduro chete kuti zvinhu zvipi zvakananga zvinokonzera rukungiso pfungwa. Kazhinji, myofascial rukungiso pfungwa dziri achiumbwa tsandanyama kuti vari kuona kana overvoltage refu uye mutoro zvachose. Kakawanda izvi imhaka nzvimbo muviri muchadenga - vanomutswa mapfudzi, hunched shure uye akakotamisa zvakanyanyisa zvakasimba muchipfuva, simba vakafugama nechemuchiuno. Anotonzi anoparira segwapa zvokuimba mupfungwa ari munhu tsandanyama kana mapoka tsandanyama, iyo inotungamira spasm dzavo uye, naizvozvo, kuti murombo kutenderera. Uyewo, chikungiso pfungwa anogona vanowanika nokuda maronda ari nomuzongoza (pa blockade injini chidimbu) kana womukati nhengo zvokurwara apo yakapoteredza tsandanyama dzepanguva epfungwa. Chimwe chinokonzera izvozvo pfungwa kunogona kuva chakasimba kana yokudzokorora. microtrauma tsandanyama.

Zvisinei, sezvo kutsvakurudza zvakabudiswa kuratidza, zvose izvi zvinoita kuti paumbwe Isimba rakadini rinogona kubudiswa rukungiso pfungwa. Zvokuti dzapinda chinoshingaira kutotanga, uye akazviratidza akaora delineated myofascial urwere, anoda triggering chinhu. Kazhinji basa iri reDare hypothermia, basa iri zvakanaka chinzvimbo, psycho-mupfungwa chinhu.

boka nengozi

Pangozi panowanikwa chikungiso pfungwa uye marwadzo mioskeletnyh vanosanganisira vanhu avo yezvakaita basa kuti tirambe kunofambira mberi, kazhinji zvakanaka nzvimbo kwenguva yakareba. Izvi zvinosanganisira vatyairi motokari, vashandi hofisi nevezvimwewo, vanachiremba vanovhiya, uye vamwe. Uyewo refu pangozi paumbwe rukungiso pfungwa vaya mufambo impairments, uye chero kutyora gait uye mamiriro. overpotential iri chokuita chisingaperi akasiyana tsandanyama.

Mhando rukungiso pfungwa

Pane mhando mbiri vavo. Rakajairika Isimba rakadini rinogona kubudiswa rukungiso pfungwa - spastic tsandanyama nzvimbo aonekwa chete palpation. Vakawanda Isimba rakadini rinogona kubudiswa pfungwa dzinogona kuwanikwa vakwegura. Chikungiso Pfungwa kungava tichishingaira. It kunoratidzwa kurwadziwa, spasm runogonesa kuti tensile mugove. Pane kuratidzwa dzakadaro kakawanda. Kazhinji, vanogona kuonekwa nevanhu repakati (vakadzi zvaitika 2,5 nguva kakawanda kupfuura vanhu). Nokupesvedzera wakatsamwiswa zvinhu Isimba rakadini rinogona kubudiswa pfungwa anogona kufamba munzvimbo chinoshingaira kutotanga, asi zvakakwana kurapa anogona kudzoka kushingaira pfungwa iri Isimba rakadini rinogona kubudiswa ezvinhu. vanoshingaira uye Isimba rakadini rinogona kubudiswa rukungiso pfungwa Vose vanogona kuva tsime muganhu kufamba spasm, simba uye tsandanyama mapoka kukanganiswa deformation.

chokutambudzika chirwere

Nhasi rakakamurwa muzvikamu zvitatu chirwere kukura.

1. The chenjera danho. Dzinoratidzwa kuramba kurwadziwa mukati dzine basa rukungiso pfungwa uye anotaurwa marwadzo munharaunda.
2. Subacute danho. Panguva iyi, marwadzo kunoitika apo kufamba uye kurovedza muviri, asi ndisipo mamwe.
3. Chisingaperi danho. On ongororo yakaratidza chete Isimba rakadini rinogona kubudiswa pfungwa, apo pane zvishoma kusanzwa uye dysfunction ari zvisimbiso vasabatwa wongoramba.

zviratidzo

Zviratidzo myofascial pokutangira muzano kunogona siyana chaizvo uye hakungoitwi chete kurwadziwa. Muscle dysfunction vangapikisa kuomarara, tsandanyama simba, kuzvimba, dzungu, havachanyatsogoni gait, mamiriro. Actual rukungiso nguva kunotsanangurwa sechisimbiso chinorwadza, tambo kukura kubva shoma millimeters kuti sendimita. Kupfuurira nayo chinokurwadzai rakapinza marwadzo kuti ane mukuru kuchinyanya panguva nzvimbo kunonyanyisa kuramba palpation (kupfuura zvakasimba mugove).

Active rukungiso pfungwa haisi chete kunorwadza, asi kunogona kukonzera akaratidza (zvichiratidza) marwadzo munharaunda kure zvakakwana kubva, pova muenzaniso kurwadziwa - hwokufananidzira Zano nzvimbo kurwadziwa. pepa mepu, kuburikidza paunogona kuona kwechokwadi yairatidza marwadzo dzakaitwa akavonga nemakore akawanda tsvakurudzo.

Akaratidza marwadzo anokonzerwa rukungiso pfungwa, kazhinji sokuti nguva dzose, yakadzika, anobuda, uye kufunga, asi mune zvimwe zviitiko vanogona kuva kwazvo, nokutsva, zvinokubaya. Nokuti anogona kuti spastic tsandanyama mugove dzvinya achipfuura etsinga nekuguma, akataura marwadzo angaperekedzwa kuti kuderera nehanya uye chiveve. Marwadzo kuchinyanya kunogona dzinosiyana nounyoro kuti zvikuru, apo rinogona kuchengetwa zvose panguva yokuzorora uye panguva yechiitwa. Zvinofanira kucherechedzwa kuti kuitika uye kusimba marwadzo kunoenderana dhigirii kuzvinetsa pamusoro chikungiso pfungwa, uye kwete pamusoro ukuru tsandanyama, apo riri. Vamwe chikungiso pfungwa anogona kukonzera uye mananara akadai kuzvimba mucous membranes, lacrimation, ziso nenyonganiso, spatial maonero, vestibular zvirwere.

Kuongorora uye kuongorora chirwere

For zvinobudirira kurapwa chirwere ichi zvakakosha nemazvo chakonzera marwadzo ari murwere uye kuona chaiyo nzvimbo chikungiso pfungwa. Kuti aite izvi, chiremba harifaniri chete kuzivisa munharaunda apo marwadzo pachena pacharo, asiwo kuenzanisa pamwe mamirire mapoka akaratidza kurwadziwa. Kuti aite izvi kakawanda vanoshandisa makadhi kuti vane anenge ose mabhuku nezvenyaya iyi.

Panguva palpation nyanzvi ndakatsunga zvinonyatsorehwa elasticity tsandanyama achienzaniswa ine zvinonzi vanofungidzirwa kuti chikungiso pfungwa. Muchiitiko chino, minwe kutanga kuitika mhiri tsandanyama faibha, tikacherechedza deformation zvikamu uye spastic tsandanyama tambo. Kana chisimbiso unowanikwa nekutarisa swiping munwe wako pamwe nayo, kuwana kunonyanyisa chisimbiso chikamu, nekudzvanya iro rinoita zvikuru marwadzo. Chokwadi chokuti ichi chichava chikungiso pfungwa kuchaita kuratidza zvinotevera zviri:

• nguva nevezera chinokonzera marwadzo airatidza, apo zvinogona kuitika pakarepo, asi mukati masekonzi gumi;
• zvakananga nokutsikirira pfungwa inogona kuchengetwa "convulsive Achipindura" - tsandanyama twitches pedyo uye kazhinji zviri kuoneka kunyange nemaziso;
• Chimwe chinoratidza chikungiso pfungwa - vanonzi murwere rudzi, sezvamakaropafadzwa mukupindura kudzvanya murwere anoedza kutama zvikuru kana gasps;
• nokuwedzera kuita panguva nguva dzose muenzaniso nzvimbo kurwadziwa panoonekwa murwere yose.

Rukungiso pfungwa - kurapwa

To musi, mushonga anoshandisa nzira dzakawanda kurapa rukungiso pfungwa, mishonga haina zvose mavari kutungamirira. Zvinonzi kwakaratidza kuti NSAID analgesics vanokwanisa chete zvishomanana kubvisa marwadzo, tsandanyama relaxants uye zvimwechetezvo kubudikidza aoma nokubvisa spasm.

Nzira inobudirira zvikuru kurapa uye zvikuru kukonzera pfungwa vaiona blockade. Implementation wavo zvinogoneka chete kana kuziva chairo localization yacho zvokurwara. Nokuti kuita blockade vakatakura puncturing tsono chisimbiso mugove, zvichiteverwa kwokubatsira ari rufimbi.

Massage uye mumuviri kurapa

Pasinei chokwadi kuti blockade anopa anenge nguva imwe Chaizvoizvo, vakawanda nzira Mabatirwo zvokurwara ichi vari mumuviri kurapa, masaja Chinyorwa nzira uye rukungiso pfungwa. Uye kana murwere ari kunzwisisa zviri kuchirapa muviri mushure mekubvunza chiremba anogona kuita pachavo, ipapo masaja inofanira chete kuva vakakodzera.

Kana isu kutaura pamusoro masaja, rubatsiro inonyatsobudirira pamwe rukungiso pfungwa inogona senzira nezvishoma compression. Kuti aite izvi, ari chiremba, kuwana pfungwa inotanga chechetere kudzvanya nayo, achipfuurira kusvikira ake murefu munyoro soreness ari airatidza nzvimbo, iyo unoenderana 2 pamwero. wokudhinda uyu akaramba kuti 10-15 seconds. Panguva ino, kurwadziwa kunofanira yekudyidzana wakaderedzwa kana zvachose. Pashure paizvozvo, chewaini zvakare kuwedzera, uye pashure nechitarisiko kusagadzikana kuchengeta zvakare masekondi 15. Zviito izvi mberi kusvikira nhambo apo maitiro marwadzo zvachose. Kazhinji zvakakwana vawane 3 venhau. Pashure inactivation kwakadaro rukungiso pfungwa kwemaminitsi 5 kudziya nyoro tsonyera parinoshandiswa, zvichiteverwa kungotarisa tsandanyama ndichisveerera.

Pasinei pachena nyore nzira, hazvina zvakakodzera kuzvinzwira medicate. Tiite zvose miedzo uye dzokurapwa evanhu zvinofanira vanokodzera, zvimwe refu chaizvo nengozi kuti mamiriro ezvinhu asina chete hakuiti kuvandudza, asi zvikuru kuipa.