Contracture - Iyini? Contracture kwemisipha: uphethwe, ukuphathwa

Contracture - isimo lapho elinganiselwe ukuhamba ngokuhlanganyela. Kubangela lo mkhuba sokugembula cicatricial ukusikwa izicubu ezithambile ezizungezile joint: imisipha, isikhumba nezicubu ongama.

imisipha contracture

Lapho imisipha waphawula ithoni angaphilile noma imisipha regidnost, nemisipha, futhi imisipha. Uma le nqubo iqhubeka, kukhona cystic imisipha, okusho kwemisipha izicubu uyakwazi ukunciphisa, iguqulwe ibe lunemicu okuyinto ilahlekelwe lo msebenzi. Ngamanye amazwi, joint abakwazi bend ngokugcwele noma qinisa ngenxa yokuthi ukuthi izinyanda imisipha njengoba ungahlobene nalo muntu kuze kube sekupheleni ukuze uphumule futhi uvumele amathambo ngokuhlanganyela ukuthatha omunye kakhulu uthi bokuphila.

Ngokuvamile, imisipha contracture eba ngenxa ukuhlukumezeka, Izifo ukuvuvukala, imisebenzi. Lokhu kuyiqiniso ikakhulu kulezo zimo lapho isikhathi eside esitho ethintekile zase zihleliwe esimweni umile. Ngenxa yalokho we tonus sokugembula kwemisipha futhi izinzwa amasignali ziyahlukahluka kwakhiwa contracture.

Kwezinye izimo, le contracture (isithombe ukubonisa isimo has esihlokweni) eba ukulimala kwemisipha ekusimameni akuphelele, okuholela sife imisebenzi yayo emisipheni ngokugcwele abakwazi. ubuhlungu obukhulu kwandzisa inqubo isifo, njengoba soreness emalungeni noma imisipha kunjalo imbangela womuntu ukhawule ukunyakaza.

izinhlobo

Izimpawu kanye ebangela izinguquko ezihlelekile emalungeni nezicubu ezizungezile zahlukahlukene, ngakho kunalokho nzima ukuze uhlukanise contracture. Emhlabeni neyaziwayo division uhlelo - esekelwe izimbangela ngokushesha yentuthuko yabo.

• Ukwakheka (yokwenziwa) contracture. It kuvela ngenxa izinguquko ezihlelekile emisipheni wendawo (imisipha, amalunga, imisipha, nemisipha, fascia noma isikhumba). Utfutfukisa lapho igazi eligciniwe ukuze athola inzuzo ukwephula noma baxhashazwe eside amalunga omzimba.
• Neurogenic (umsebenzi) contracture. It kubangela izingxabano eside imisipha ethile, okuholela izinguquko isibanda-ukuhlakulela esiwohlozayo kule capsule we ngokuhlanganyela kanye nemisipha.

Lezi zinhlobo ezimbili kukhona atehlukaniseki futhi kukhona izigaba inqubo efanayo. Basuke izimpawu iziyaluyalu sokugembula ohlelweni kwemisipha.

Ngaphezu kwalokho, contracture angase abe kokubili abeyizuzile futhi isegazini. Ngazuza yena, selihlukene laba neurogenic futhi posttraumatic.

Lesi sifo ngokuvamile kuthinta emalungeni encane. Ngokwesibonelo, contracture angagcina ukulahlekelwa ephelele ukuhamba emalungeni umunwe ezinyangeni ezimbalwa. Ibizwa ngokuthi immobilization. Isiphi isimo ezithinta emalungeni ezinkulu zigqanyisiwe contracture we-hip nesiphanga contracture.

Palmar fibromatosis

Contracture neminwe, noma Dupuytren sika - okuvame kakhulu kanti ngesikhathi esifanayo uhlobo oluvame kakhulu lesi sifo. Ukuthuthukisa izindawo entendeni ngokuvamile iphutha for calluses. Kancane kancane kwaphazamisa ukunyakaza evamile neminwe. Ukuba ugqinsi ezicutshini esikhathini esithile kuba okukhulu kangangokuthi iminwe akudingeki ikhono ukuqondisa up bese bahlale esimweni enyinyekile ezinjalo. Ngokuvamile, ukugula kuthinta iringi umunwe futhi umunwe kancane. Kungaziphi izizathu ethuthuka contracture uhlangothi, namuhla akwaziwa. Kunobufakazi bokuthi isimo esinjalo avame kwenzeka e amadoda asebeqinile nasebekhulile kunalokho. Omdala umuntu, nengozi isuke inkulu yalesi sifo. Ngaphezu kwalokho, contracture esandleni landile abantu abanesifo sikashukela, nokuquleka. Futhi, kukhona yofuzo. Lokho, uma othile ovela emndenini kwaba contracture esandleni ke ematfuba isifo luyanda kakhulu.

Ngoba impatho ka contracture Dupuytren sika sisebenzise indlela olandelanayo. Ngesikhathi besanda kuqala, ukumisa ukuqhubeka zokugula ukusiza massage and Physiotherapy. Kodwa nge komkhawulo enamandla ukuhamba kwe-iminwe usebenzisa enzyme amalungiselelo akhethekile (isib, umjovo izidakamizwa "Lidaza"), ukusiza ukuthambisa izicubu. Eminye imitholampilo zisebenzisa indlela yokwelapha shock wave, okuvumela ukuba kuzuzwe imiphumela kuhle. Contracture neminwe ifomu ezinzima kudinga ukuhlinzwa.

zokugula Izimbangela

Contracture - lena inkinga evame kakhulu ukulimala ngokuhlanganyela ezifana Ukwenyela, contusions, waphuka, okudutshulwa, ukuvuvukala, kwemizwa uhlelo izifo kanye nabanye.

umsubathi engozini, abenza okhandlayo esindayo, njengoba kulokhu, babe sengozini enkulu yokufa ukulimala emalungeni, amathambo nemisipha. Ngokuvamile, abantu abasebenza embonini zamakhemikhali, beyizidlova ukubukeka ezishile contractures. Thina violinists, bopiyano nezinye abaculi contracture neminwe kungenzeka, njengoba ngesikhathi isikhathi eside umsebenzi iminwe ucindezelwa eqinile.

Yokwenziwa, contracture kubangelwa obstructions emalungeni, kanye kule imisipha, nemisipha, fascia nesikhumba. Abantu ne contractures asebenzayo kungekho isimiso mechanical emalungeni noma izicubu ezizungezile. Kunalokho, kukhona ukwephulwa noma izivimbelo motor umsebenzi. Kulokhu, a ukungezwani tonic eside ebonwe amaqembu kwemisipha ngamunye. Iphazamisa nokulingana phakathi imisipha-abamelene, ngenxa emalungeni "nhlonhlo". Lona indlela yentuthuko Kufinyeta asebenzayo. Ngesikhathi besanda kuqala khona zingabantu engazinzile amenable ukusolwa elula. contracture Active zinyamalale emva evamile umsebenzi motor. Kodwa ngokuhamba kwesikhathi, ziba livikela kakhulu.

Kukhona futhi izinhlobo okuxubile, lapho Imbangela ukunyakaza umkhawulo kunalokho kunzima ukunquma. Lokhu kwenzeka uma kwenzeka ukuthi luhlolo lokuqala nesineke inezimpawu efana umonakalo mechanical, futhi ukulimala isimiso sezinzwa.

esigabeni

• Neurogenic. Ukungasebenzi abalimala esitho kuphakamisa eziphikelelayo excitation foci ku CNS. Lezi zikhungo ukuthumela amaza kagesi sibe azungeze, kanjalo ukwakha ithoni ongaphilile. Ngezinye noshintsho olufanayo kwamakhemikhali ukuthuthukisa kwezicubu zomzimba.

• Myogenic. Ngenxa izinguquko kwamakhemikhali kanye neurogenic ukuphendula izinguquko zenzeka kwemisipha izicubu (yoma futhi ukonakala).

• Miodesmogennaya. Isisindo kanye ivolumu somzimba sanciphisa kangcono bemisipha ukuthuthukisa izinguquko esiwohlozayo. Kukhona imisipha hypertrophy, okuyinto uyathuthuka, sibangelwa ku yoma.

• Atrogennaya. Kukhona ukuqina kanye imibimbi ka egobolondweni lelunga, uqwanga articular iba ngokuqinile ngaphansi futhi nokunwebeka. Vela izibazi, solder capsule bese uqwanga. Ukuncipha kwenzeka fascias, ezikhulayo izicubu naphakathi-kwemisipha zezinzwa futhi ngokwengxenye ubuyisela kwemisipha. izicubu zomzimba ezithambile bone kuthiwa soldered. Ukuthuthukisa lwesithathu nenkanuko edlulele iphuzu, ekuvimbeleni ukuhamba ngokuhlanganyela.

yezinkinga kungenzeka

Contracture - a zokugula sina, futhi uma iyekwa ingelashwa, angagcina yezinkinga ezifana ukuqina ngisho ankylosis (baxhashazwe ephelele kwezicubu esiwohlozayo ngokuhlanganyela). ukugula kaningi futhi ihlanganisa emalungeni eduze. Ngokwesibonelo, ephula ukusebenza evamile joint iqakala enqubeni sokugembula abathintekayo ekugcineni uwuyeke, idolo, joint hip (hip contracture ngokuhlanganyela eba), lumbar, bese thoracic nomgogodla wesibeletho.

engenhla esitho zokugula akuyona kancane kuyingozi. Ngakho, indololwane contracture kunciphisa ukusebenza isandla. Lokhu kwenza kube nzima Ukuzinakekela ezingeni lasemakhaya futhi umsebenzi aphansi.

ukuhlola

ukuhlola olwandulelayo kuhlanganisa inhlolovo isiguli kanye nokuhlolwa. Futhi udokotela ukuthola ukuthi zikhona amacala sifo eziseduze. Ngemva Uchwepheshe eyonquma ukuthi esitho uyakwazi ukwenza izenzo nalokho degree of ukusonteka. Palpation ukusuka endaweni yenhlekelele kuzovumela ukuthola izindawo ezibuhlungu kakhulu. Njengomthetho, manipulations enjalo uvumela uhlelo ukusazi ngokunembile isifo esikuphethe, futhi akukho isidingo izifundo ezengeziwe. Kwezinye izimo, kungase kudingeke x-ray ukuze ukunquma ngokunembile indawo endaweni ongaphilile.

Contracture: ukwelashwa

Ngaphambi kokuba uqale ukwelashwa, kumele ukhiphe ngokuphelele imbangela eyavusa ukuthuthukiswa lesi sifo. Kodwa, ngeshwa, lokhu akwenzeki ngaso sonke isikhathi. Ngokulandelayo, ake sixoxe izindlela ezisetshenziswa ukususa lesi sifo.

ukwelashwa ngoludala

Ngokuvamile, lapho zaphathwa contracture yokwelapha ngoludala, okuhloswe ngaso ekubuyiseleni evamile esitho ukunyakaza kwawo namandla awo. Kuhlanganisa:

• yokwelapha izidakamizwa (nonsteroid ukuvuvukala, amahomoni, analgesics, imisipha relaxants);

• ukuvinjelwa zokwelapha - ngalo ingaphakathi ngokuhlanganyela izidakamizwa iqondiswa ukuthi ukuxazulula umphumela;

• ukwelashwa mathupha futhi massage;

• hydrotherapy;

• Physiotherapy (electrophoresis, UHF);

• izindlela ezikhethekile (silingo nokunwebeka, zisonteke orthoses);

• traction (isandiso);

• ukhonkolo eyingqopha.

kokungenela kuhlinzwa

Injongo eyinhloko yawo ezingenhla ukushabalalisa izimpawu ukuvuvukala, ukususwa edema, nokubuyiselwa ukuhamba ngokuhlanganyela. Nokho, lezi zindlela engahileli e inqubo ukusebenza kwemisipha. Futhi kwaba imisipha - the "injini" eyinhloko emalungeni. Ngakho-ke, kwezinye izimo, uma sitholakale contracture, ukusebenza - ke kuyimfuneko.

ukwelashwa Steel kuhlanganisa:

• excision izibazi kanye isikhumba ngokuxhunyelelwa;

• fasciotomy;

• tenotomy;

• fibrotomiyu;

• capsulotomy;

• arthrolysis;

• arthroplasty;

• osteotomy.

Kwezinye izimo, akukho kokungenela kuhlinzwa lubaluleke. Kodwa kule izicubu inqubo esibuhlungu. Ngosizo zokuhlinza zingenziwa ukubabulala mechanical izimbangela contractures, kodwa ithoni sokugembula kanye ubuhlungu ngeke iphele. Ukubuyiselwa umsebenzi evamile imisipha noma kunjalo kubalulekile, ngoba ngokususa kuphela isithiyo mechanical kancane ubalekela contracture nokuqhubekela ejwayelekile isihlanganisi awabuyiswanga ngokugcwele.

izindlela yemvelo yokwelapha

Contracture - a zokugula ukuze baphathwe systemically. izindlela zemvelo ukusiza hhayi ukulwa izimpawu kanye izimbangela zesifo. Uma athuthukile contractures, ukwelashwa kuhlanganisa:

• amandla kinesitherapy;

• zokukhwabanisa, mechanotherapy, umsebenzi ukwelashwa;

• balneotherapy, zokugeza odakeni;

• fizioterpiyu;

• Phytotherapy;

• ukudla ukudla okunomsoco.

isiphetho

Ukuvimbela okuvela contracture kubalulekile ukuvimbela ukuthuthukiswa ukuvuvukala emzimbeni, ngakho zonke izifo kufanele aphathwe ngendlela esifike ngesikhathi. Kuyinto njalo kunesidingo ukuqapha isimo lomzimba wakhe: uma ilunga indololwane isikhathi eside kufanele igcinwe esimeni izimisele ke bend kufanele kube engela kwesokudla, usesimweni esingcono kakhulu ukuze iminwe - bent, indawo eyiyo umlenze is waqonda.

Uma kwenzeke enkingeni, njengabo lapho eqondisa ithambo eliphukile noma ngokuhlanganyela dislocated, futhi kudinga immobilization isikhathi eside, ungalilahli ithemba. Ingozi imisipha kungenziwa balulaza, inqobo nje uma asebenzayo umsebenzi imisipha kuzokwenziwa kusukela osukwini lokuqala. Ukube ubungakhetha ukwa ithambo ngethambo, ukuzivocavoca wena ongenza isandla okuhle noma unyawo. izinqubo okuzivuselela ngemuva komsebenzi kwemisipha kuka imisipha imisipha Umsebenzi abathintekayo kanye endaweni inkinga. Ngaphezu kwalokho, inqubo ukuvuselelwa kuyoba evelele uma cwaningo imisipha emikhulu. Zinakekele futhi uhlale unempilo!