Contracture - chii ichi? Contracture kuti tsandanyama: nechirwere, kurapwa

Contracture - chimiro umo mashoma pamwe mufambo. Zvinoita Chiitiko pakati pathological cicatricial marwadzo ari nyoro zvinyama yakapoteredza vagari: tsandanyama, ganda uye subcutaneous tishu.

tsandanyama contracture

Kana tsandanyama marwadzo vakachengeta zvemamiriro matauriro kana regidnost tsandanyama, mapfupa, uye nemarunda. Kana iyi mberi, pane mhasuru fibrosis, kureva tsandanyama rinenge vanokwanisa rutapudzo, vatendeuka kuva fibrous, iyo hachisisina basa iri. Nemamwe mashoko, vagari hadzikwanisi vanobwembura kana ruramisa nokuti kuti tsandanyama mwanda havasi chokuita mugumo kufaranuka uye kubvumira mapfupa muhudyu kutora rimwe zvakanyanyisa vasiri inoti.

Kakawanda, tsandanyama contracture hwapedyo nokuda kunotevera, anogumbura zvirwere, kushandiswa. Izvi ndezvechokwadi kunyanya avo zviitiko apo nguva refu njodzi muzvidimbu rwakanga rwakakura mune mira chinzvimbo. Somugumisiro munhu pathological tonus kuti tsandanyama uye tsinga anonongedzera zvinosiyana kuumbwa contracture.

Mune zvimwe zviitiko, contracture (Photo unoratidza mamiriro ane munyaya) ikabuda zvozoguma zvakuvadza tsandanyama uye avo kukwana kupora, zvichiguma vaite mabasa avo azere tsandanyama havagoni. Kurwadziwa mberi exacerbates hosha kwacho, sezvo soreness majoini kana tsandanyama zvakadaro chikonzero munhu kuita kufamba.

mhando

Zviratidzo uye kunokonzera STRUCTURAL kuchinja mapfundo akapoteredza munyama vari siyana, saka pane zvakaoma patsanura contracture. Kwose kuzivikanwa nokupesana mamiriro - kwakavakirwa yepakarepo zvinokonzera pakukura kwavo.

• Structure (nyararisa) contracture. It chinovapo somugumisiro STRUCTURAL kuchinja dzeko munyama (nemarunda, majoini, tsandanyama, mapfupa, fascia kana ganda). Anovandudza kana ropa wedzerai zvakakomba kutyorwa kana refu kutadza kufamba mapfundo.
• Neurogenic (active) contracture. Chinokonzera refu Makakatanwa mamwe tsandanyama, zvichiita vanga-kusimukira chinopedza zvachinja Kamudzira iri muhudyu uye tsandanyama.

nezvemarudzi maviri Ava zvakabatana chaizvo uye tiri nzendo chete muitiro. Vari ne pathological zvirwere munyika tsandanyama ino.

Mukuwedzera, contracture angava vose vawana uye chokuziva. Kuwanwa zvaizoitawo rakamuka-kamuka neurogenic uye posttraumatic.

chirwere ichi anowanzodanwa kunokanganisa diki mapfundo. Somuenzaniso, contracture anogona kuva kurasikirwa zvakakwana mufambo nomunwe mapfundo kwemwedzi inoverengeka. Inonzi immobilization. Mamiriro ezvinhu kukanganisa guru majoini inosimbiswa contracture pamusoro pamagaro nepfudzi contracture.

Palms fibromatosis

Contracture of minwe, kana Dupuytren kwakaita - rakajairika uye panguva imwe chete ngozi chimiro chirwere. Kukudziridza nzvimbo pamusoro emichindwe kazhinji kururama kuti calluses. Zvishoma nezvishoma kukanganiswa kunowanzoitika kwebasa minwe. Thickening of connective zvinyama dzimwe nguva zvinova kwazvo kuti minwe havana kukwanisa kutwasanudza uye kuramba yakadaro wakatetepa chinzvimbo. Kakawanda, chirwere chinobata rin'i nomunwe uye munwe shoma. Zvikonzero zvipi zviri kukura contracture ruoko, nhasi haina kuzivikanwa. Pane uchapupu hwakadaro mamiriro kazhinji unowanikwa repakati nevarume vakuru. Vakwegura munhu, dzakanga pangozi chirwere ichi. Uyewo, contracture ruoko zvikuru nevakawanda vanhu vane chirwere cheshuga, pfari. Uyewo, pane majini kubatwa. Kuti, kana mumwe kubva mhuri yaiva contracture ruoko, ipapo ndingangokuvara chirwere inowedzerwa kwazvo.

Nokuti kurapa kuti Dupuytren kwakaita contracture kupfeka kuchinja nzira. Panguva kutanga kwekupwanyiwa, kumbomira pakuzadzisa ari zvokurwara kubatsira masaja uye physiotherapy. Asi ane simba kukamurwa ari kufamba ari minwe uchishandisa inokosha enzayemu kugadzirira (semuenzaniso, jekiseni zvinodhaka "Lidaza"), kubatsira kunyevenutsa tishu. Mamwe makiriniki vanoshandisa nzira nehana chinozunguzirwa kurapa, izvo zvinoita kuti vaite basa rakanaka zvakanaka. Contracture of minwe ari kwazvo chimiro kunoda kuvhiyiwa.

zvokurwara Zvinokonzera

Contracture - ichi ndicho chinonyanya kakawanda kuomesa rwakashodoka kukuvara dzakadai sprains, contusions, mitswe, vapfurwa maronda, kuzvimba, zvirwere tsinga uye nevamwe.

vatambi uye vanhu pangozi, vari mubasa rinorema remaoko, sezvo iyi, mikana yakawanda kuvadza mapfundo, mapfupa uye tsandanyama. Vanhu vanoshanda vari makemikari indasitiri, vari mavari chimiro pakutsva contractures. Isu violinists, pianists nevamwe vaimbi contracture pakati minwe zvingaitika, sezvo panguva kwenguva refu muviri minwe kunzwa kumanikidzwa simba.

Pusa, contracture kunokonzerwa zvakavhara majoini, uyewo vari nemarunda, tsandanyama, fascia uye ganda. Vanhu vane basa contractures hapana zvokuimba mhingaidzo ari pamwe kana iri dzakapoteredza munyama. Asi, pane kutyora kana akavarambidza kuti motokari basa. Muchiitiko chino, refu tonic makakatanwa aona muzvikwata tsandanyama nomumwe. Anetseka nengaidzo pakati tsandanyama-mhandu, somugumisiro majoini "achikanganisa". Ndiwo mashandiro kuti kukura vanoshingaira sunga. Panguva kutanga kwekupwanyiwa kuvapo vane kusagadzikana uye amenable kuti husina kururamiswa. Active contracture inonyangarika pashure inowanzotorwa motokari basa. Asi nokufamba kwenguva, vanenge vava nemishonga.

Kunewo vakavhengana siyana, kana chinokonzera kufamba muganhu iri nani zvakaoma kuziva. Izvi zvinoitika muna chiitiko kuti kuongorora murwere wokutanga une zviratidzo zvakafanana zvokuimba zvakakanganisika, uye kukuvara tsinga.

siteji

• Neurogenic. Basa wakuvara chinokurwadzai Kuramba excitation foci muna CNS. nzvimbo idzi tuma nomunhu kuna arikunze, nokudaro zvichiumba mwero matauriro. Panguva nokukanganisika kuchinja munguva gumbo munyama.

• Myogenic. Nekuti nokukanganisika kuchinja uye neurogenic maitiro kuchinja rwakavapo tsandanyama rinenge (atrophy uye degeneration).

• Miodesmogennaya. Weight uye bhuku rimwe gumbo zvinoshamisa kuderedzwa mune tsandanyama kuva chinopedza kuchinja. Pane tsandanyama hypertrophy, riri kufambira mberi, inokudziridza kupinda atrophy.

• Atrogennaya. Pane ari thickening uye kuunyana mekamudzira aka, articular shwashwa kunova zvishoma yakasimba uye kwakavharwa nenyama. Kuoneka mavanga, solder Kamudzira uye shwashwa. Shrinkage kunoitika fascias, kukura intra-tsandanyama connective zvinyama pamwe unotsiva tsandanyama. Soft zvinyama uye mapfupa vari soldered. Kuumba wechitatu Kuda kutamba pfungwa kutadzisa kufamba pejoinhi.

zvinogoneka yematambudziko

Contracture - zvakakomba zvokurwara, uye kana akasiya untreated, anogona kuva nemamwe matambudziko akadai kuomarara uye kunyange ankylosis (kwakakwana kutadza kufamba pamusoro chinopedza kwemajoini munyama). chirwere kazhinji anofukidza pedyo mapfundo. Somuenzaniso, muna kutyora dzose kushanda ari neketani muhudyu mune pathological muitiro kwaisanganisira pakupedzisira kumisa, ibvi, pamagaro vadyi (hudyu kwemajoini contracture hwapedyo), lumbar, uye ipapo thoracal uye remuromo nomuzongoza.

yokumusoro muzvidimbu zvokurwara haidereri ngozi. Saka, gokora contracture akazoita functionality choruoko. Izvi zvinoita nyore kuzvidzora-care panguva mhuri pamwero uye zvokutanga basa.

Diagnostics

Rokutanga Diagnostics zvinosanganisira murwere kuongorora uye kuongorora. Uyewo chiremba tione kana kwaiva zviitiko hosha iri pedyo nehama. Pashure nyanzvi achasarudza kana pabazi anokwanisa kuita zviito uye chii mwero deformation. Palpation pakati njodzi yacho kuchaita kuwana zvinorwadza zvikuru munzvimbo. Kazhinji, manipulations akadaro kubvumira kuongororwa zvakarurama, uye hapana chikonzero okuwedzera zvidzidzo. Mune zvimwe zviitiko, ungada x-mwaranzi kuti zvakarurama kuona nzvimbo mwero nzvimbo.

Contracture: kurapwa

Usati watanga kurapwa, unofanira zvachose kubvisa chikonzero iyo akaparirwa kukura chirwere. Asi zvinosuwisa, ichi hazvibviri nguva dzose. Next, ngatimbotaura nezvenzira inoshandiswa ndichipfeka kubvisa chirwere.

kuchinja mabatiro

Kazhinji, kana dzakabatwa contracture kuchinja kurapa, zvainanga kudzorera chakaipa richiripo kufamba amplitude. Zvinosanganisira:

• mushonga kurapa (nonsteroid Anti-inflammatories, mahormone, analgesics, tsandanyama relaxants);

• kuchirapa blockade - vagari mhango raitongwa mishonga kuti kugadzirisa kushanda;

• Chinyorwa kurapa uye masaja;

• hydrotherapy;

• physiotherapy (electrophoresis, UHF);

• Vachibatsira nzira (kwakavharwa nenyama muedzo, monyorora, orthoses);

• traction (ekisitenjeni);

• nhangaruvazhe Unobudisa.

kuvhiya kupindira

Chinangwa chikuru chemusha pamusoro matanho ari kubvisa zviratidzo kuzvimba, kubviswa edema, kudzorerwa kwemajoini mufambo. Zvisinei, nzira iyi regai richizoita nedanho nokushanda kwenhengo dzemuviri. Uye raiva tsandanyama - mukuru "injini" pakati mapfundo. Naizvozvo, dzimwe nguva, kana kuona contracture, kuvhiyiwa - Zvinokosha.

Kuvhiya kurapwa kunosanganisira:

• excision mavanga uye ganda kusonanidzwa;

• fasciotomy;

• tenotomy;

• fibrotomiyu;

• capsulotomy;

• arthrolysis;

• arthroplasty;

• osteotomy.

Mune zvimwe zviitiko, hapana kuvhiya kupindira hunokosha. Asi ichi zvinyama zvinorwadza muitiro. Achibatsirwa pakuvhiya anogona kubvisa zviri zvemaziso kukonzera contractures, asi mataurire pathological uye kurwadziwa haangaregi kure. Kudzorerwa kwomuzvarirwo tsandanyama basa chero zvazvingava zvakakodzera, nokuti nokubvisa chete zvokuimba chipingamupinyi zvishomanana anonyangarika contracture, uye zvinoitika kwebasa joinhi asina kudzosera zvakazara.

Natural nzira yokurapa

Contracture - a zvokurwara kubatwa systemically. Natural nzira anobatsira kwete kurwisa zviratidzo uye kubvisa zvinokonzera chirwere. Kana dzakabudirira contractures, kurapwa kunosanganisira:

• kinesitherapy simba;

• kumonyanisa mechanotherapy, kurovedza muviri kurapa;

• balneotherapy, madhaka mabhati;

• fizioterpiyu;

• phytotherapy;

• zvokudya zvinovaka muviri.

mhedziso

Kudzivisa panowanikwa contracture kunokosha kudzivirira kukura kuzvimba pamuviri, saka zvirwere zvose zvinofanira kubatwa nenguva nenzira. Nguva dzose zvakakodzera kuongorora mamiriro ezvinhu muviri wake kana kugokora vadyi kwenguva refu kunofanira kuchengetwa musana chinzvimbo, ipapo mukotamise zvinofanira kuruoko rworudyi yorusvingo, yakanakisisa chinzvimbo minwe - hwakakungwa, ari Zvakanyanya Kunaka Panguva Yepamuviri nzvimbo gumbo riri anombotwasanudza.

Kana zvikaitika kuti dambudziko rakadaro, kufanana bvupa kana dislocated vadyi, uye kunoda kwenguva refu immobilization, usaora mwoyo. Ngozi tsandanyama marwadzo zvinogona kushoma, chero kuti yezviri basa tsandanyama kuchaitwa kubvira pazuva rokutanga. Kudai waiva pfupa pakakuvara rimwe gumbo, kushandisa unogona kuita ruoko rakanaka kana rutsoka. Rokuzvivandudza rakaita kuti irambe pezvakaitwa pashure tsandanyama basa pane Work tsandanyama sei tsandanyama uye dambudziko munharaunda. Uyezve, pakuberekwa kutsva muitiro huchava raidudzwa kana chidzidzo guru netsandanyama. Zvichengetedze uye vaine utano!