I-Myofascial syndrome yimeko ebuhlungu eyenzeka rhoqo kwizonyango. Uninzi lwezigulane ezine-syndrome ziphakathi kwamabhinqa aphakathi. Ngenxa yokuba iindawo zokungahambi kakuhle kunye nomthombo wazo zingafani, akusoloko kunokwenzeka ukuseka ukuxilongwa ngokufanelekileyo ngokukhawuleza.
I-Myofascial syndrome - yintoni na?
I-syndrome ye-pain syndrome ihambelana nokuphazamiseka kwezixhobo ze-muscular kunye neembumba ezifake imisipha (fascia), ngaphantsi kwefuthe lezinto ezahlukeneyo. Le meko ayithathwa njengesifo esahlukileyo, kwaye ngokokuhlelwa kwezifo ngezizwe ngezizwe zivela kwiqela leentsholongwane zezicubu ezincinci. Ngokuqhelekileyo, xa izikhalazo zenzeka kwi-myofascial syndrome, ukuxilongwa "yi- myalgia ".
Ngokuqhelekileyo, into eyenziwa yintlungu ephantsi kwengqwalasela iboniswa kwiimisipha zomzimba (umthambo, umlomo wesibeletho, i-thoracic, njl.), Kodwa inokuchaphazela imisipha yamalungu, ubuso, isisu. Ubunqabileyo balo bubungqina bezinto ezinokubangela, ezincinci ezinamahlunu ezinobunzima beethambo ezixubileyo, ezahlukileyo kwiitoni ezinyuliweyo, nangona zonke iimisipha zikhululekile. Ezi zibonakaliso ziyabonwa ngokuhlolwa kwelanga.
Amaphuzu okuqala angabakho kwisimo esisebenzayo kwaye aphephe ngamandla xa ecinezelwe, okanye kwindawo engabonakaliyo, kubangela intlungu epholileyo kuphela ngoxinzelelo lwe-muscle yonke. Izinto ezishukumisayo ezikhuselekileyo zithintela ukunweba ngokweqile kwezicubu ezinamahlunu ezichaphazelekayo kwaye zenze buthathaka okwesikhashana i-contractual yayo ngexesha elichaphazelayo lezinto ezinobungozi ezikhubaza iimbilini zentliziyo.
I-Myofascial syndrome - ibangela
Kungakhathaliseki ukuba indawo yendawo ye-myofascial syndrome, inzala yomlomo, i-lumbar, ubuso okanye enye, ukukhubazeka kungokwemvelo, kuba zonke izihlunu emzimbeni wethu zilawulwa yinkqubo yesantya ephakathi. Izibonakaliso zokupasa ziyahanjiswa ukusuka ebuchosheni ukuya kwiimisipha kunye nolunye uhlangothi, oluncedisa ukunciphisa nokuchithwa kwee-fibrey muscle.
Ukuba kukho ukuphazamiseka kumsebenzi wesistim seentsholongwane ezinxulumene neemeko ezahlukeneyo zeengxaki, iimpembelelo ziba zixakeke okanye azikwazi ukwenza ngokuqhelekileyo. Ngako oko, ezinye izihlunu ziyeke ukuthobela ingqondo, ukuhlala ixesha elide kwisithuba esinye, kungakhathaliseki ukuthanda komntu kunye neemfuno zomzimba wakhe. Ngenxa yexesha elide likhululekile, imisebenzi yeemoto ayimfuneko ayenziwanga, kwaye kuqhutywe ixesha elide (i-spasm) intlungu yesifo.
Izizathu zingaba zezi zilandelayo zentsholongwane ezibangela ukuba umntu athathe isikhundla esiphosayo sonyango okanye phantsi kwaloo nto atyhidileyo kwaye awonakalise iimbilini ze-nerve:
- i-osteochondrosis yomgudu kunye neengxaki zayo;
- utshintsho oluthile okanye oluvuthayo kumalungu;
- iimpembelelo zomgudu, izakhiwo zethambo (i- scoliosis , iinyawo ezinqabileyo , ukunciphisa izitho, isymmetry yamathambo e-pelvic, njl.);
- izifo ezithintekayo kwizifo ezithile;
- izifo zenyama zangaphakathi ezisecaleni lesisu, esiswini, esincinci;
- izifo ze rheumatic;
- ukuxiliswa komzimba;
- iimpembelelo zombane kwimisipha (umzekelo, ngenxa yokulimala, ukunyanzelisa umzimba, njl.
Ukongeza, siyakwazi ukubona izinto ezinobungozi apho amathuba okuphuhlisa i-myofascial syndrome yanda:
- begqoke izicathulo ezingakhawulezileyo, ukucoca iimpahla kunye nezixhobo;
- ukungabi nokuhamba;
- u bunzima ;
- ukukhusela ukuxinezeleka;
- umsebenzi omzimba onzima, uqeqesho olunzulu;
- i-hypothermia;
- ukuphulwa kwe- posture , njl njl
I-Myofascial syndrome ye-lumbosacral umqolo
Ukuba kukho i-myofascial syndrome yommandla we-lumbar kunye ne-sacrum, isizathu sihlala sisithwala imithwalo enamandla (umzekelo, ukuphakamisa izisindo, i-jerks) kunye noxinzelelo olude lwexesha elide (umsebenzi omde kwikhompyutha, ukuhamba emva kwevili). Ukongezelela, izinto ezinokubangela ukuba i-disnias, i-osteomyelitis, izifo zendlela yokugaya, izicubu zomhlaza kunye ne-metastases kule ndawo.
I-Myofascial syndrome yomkhuhlane wesibeletho
Isifo sesifo se-cervical syndrome sibonakala ngokubunjwa kweengongoma ezisezintanjeni ezisentanyeni kunye nomgca we-trapezius muscle esesigxina esingasemva kwentamo nasemva ngasentla. Kule meko, i-spasms ingenzeka kwinxalenye ye-occipital kunye nommandla we-orbital yentloko, kwaye kunye nokuqhubeka kwentsholongwane, izifo zentsholongwane zongezwa.
Isifo se-thoracic syndrome
Ngokubonakala kweentlobo ezibuhlungu kwiisisu ze-muscle ze-thorax yangaphambili, kwi-muscle encinci ye-pectoral, i-myofascial spine syndrome kwisithili se-thoracic ingafunyanwa. Ingabangelwa zizibilini zomgudu, ezikuloo ndawo, nezifo zezitho zentsimbi, kuquka ukuquka iintlungu ze-subclavia, ezinika amahlombe nezandla.
Isifo sobuso besifo somzimba
Xa i-syndrome yesifo senzwa yesifo somzimba ifunyenwe, iziphumo zitholakala kwindawo yokuhlamba, kwiimisculi ze-muscular ze-temporomandibular esifundeneyo, iinkqubo ze-pterygoid zethambo le-sphenoid. Izidumbu ze-muscular kulo mzekelo zibangelwa yimikhwa yokuziphatha eyingozi enokuhlala ikhona: inkxaso yesundu, ukuxubha kwimihlathi kwiimeko ezixinzelelekileyo, ukwandisa umhlathi ongaphantsi kwicala okanye phambili.
Isifo se-pelvic syndrome
Kubamabhinqa, kukho imfucu ye-pelvic ye-pelvic ephantsi kwimeko ye-myofascial pelvic floor syndrome kunye nomonakalo owenzayo kwiimisipha ezilandelayo: i-pear-shaped, obturator yangaphakathi, i-muscle iphakamisa i-anus, imisipha yomzimba. Izizathu zingabangela ukulimala okwehlukeneyo kwingingqi ye-pelvic, ukujikeleza komgudu, ubude obude beendawo eziphantsi, u-hypothermia, egqoke iimpahla ezinxibileyo.
I-Myofascial syndrome - iimpawu
Ukubonakaliswa okubalulekileyo kwesifo esibuzwayo intlungu kwiqela le-muscle elichaphazelekayo, elinomlinganiselo wokubamba, okhuphayo ongazange uphumle, owandisa ngemithwalo kunye nokusebenza kwezinto ezibangela. Xa uchukumisa iingongoma zokuqala, intlungu iba nzima, ibuhlungu. Efanelwe ngobuninzi bomhlaba weentlungu ezibonakalisiweyo, apho kukho ukutsala, iintlungu ezibuhlungu. Ukongezelela, iimpawu zesifo se-syndrome ziyakwenza oku kulandelayo:
- ukuphulwa komzwelo wesikhumba;
- ukuqhaqha okanye ukubomvu kwesikhumba kwiimisipha ezichaphazelekayo;
- uvakalelo 'lokukhafula';
- umda wokunyuka kweendawo ezichaphazelekayo;
- zixhala.
I-Myofascial syndrome - ukuxilongwa
I-Myofascial syndrome ifunyaniswa yi-neurologist, ngokuqwalasela izikhalazo zesigulane nangaphambi kwezi ndlela ezilandelayo:
- ubukho beempawu ezibuhlungu ekubunjeni kwemizi;
- ubukho bokubandezeleka, ukucaphukisa ngokuchukumisa iziphumo;
- uxhulumano olukhoyo phakathi kobuhlungu besisu kunye nokugqithiseleka komzimba, ukugqithisa ukwethuka, ukuxhomekeka komzimba.
Xa usenza ukuxilongwa, okokuqala, kuyimfuneko ukuba ungabandakanyi iziganeko ezivuthayo kunye neengcambu zokuxinzelela kunye nomzimba wentsholongwane (xa kukho ukusola nge-vertebrogenic myofascial syndrome). Kubalulekile ukuba uqaphele ukuba i-hardware neendlela zebhubhoratri kule syndrome zityhila nayiphi na ingxaki yokuphazamiseka kwiisisipha zomzimba, nangokwenzakala.
I-Myofascial syndrome - unyango
Izigulane eziye zafumanisa ukuba zineentlungu zesifo se-myofascial zithola unyango olunzulu, kuquka amachiza kunye nezindlela ezingekho mveliso. Ukungenzi-machiza kukuba:
- Ukwenziwa kwe-Acupuncture kuyindlela engavumelani nayo apho igalelo lenziwe kwizinto ezibangela ukuba ziqhube, zihlala zihambelana neengongoma ze-acupuncture, ukwenzela ukuphucula ukunikezelwa kwegazi kunye nokuphucula iifayili ze-muscle;
- iinkqubo ze-physiotherapeutic: unyango lwe-ultrasound, i-electrostimulation, i-thermomagnetotherapy, i-electrophoresis, i-cryoanalgesia, njl.;
- ukusilalisa kunye nokunyanga okunyanga;
- ukusebenzisa unyango - ukomeleza izicubu ze-muscle, ukuphucula ukujikeleza kwegazi kuzo, ukuchaneka kokungahambi kakuhle.
Ukunyanga i-myofascial syndrome, kubalulekile ukuqwalasela izizathu zokuphuhliswa kwayo ngexesha leyeza. ngokufanayo nokupheliswa kwezinto ezinzima ukuzibandakanya kunye nesifo esisiseko. Ukongeza, izigulane zinikezelwa iingcebiso kwiindawo ezifanelekileyo etafileni, inhlangano engqiqweni yomsebenzi, imimiselo yomsebenzi wokwenyama.
I-Myofascial syndrome - iziyobisi
Ukuba i-myofascial syndrome ifunyaniswa, unyango ekhaya luquka ukusetyenziswa kwamachiza ekunciphiseni ubuhlungu (ingingqi kunye neenkqubo). Ezi zilungiso ezivela kumaqela alandelayo:
- i-muscle relaxants (No-shpa, Sirdalud, Baclofen, Midokalm);
- izidakamizwa ezingekho-steroidal ezichasayo (Nimesil, Diclofeknak, Ibuprofen).
Ukongezelela, ngeentlungu ezinzulu kwisithuba sokugula, izibhengezo kunye neNovocaine okanye iLidocaine zinokumiselwa. Ukuba kukho izizathu zokuchukumisa ngokwengqondo, ama-sedatives anqunywe (Valerian, Barbovan, Novopassit). Ukuphucula i-trophism yezicubu, i-vitamin B kunye ne-magnesium zihlala zichazwe.
I-Myofascial syndrome - ukuhlalisa umzimba
Inendima ebalulekileyo ekwenzeni le nkalo yesifo kunikwa i-massage, evumela ukuba kusebenze iinkqubo ze-metabolic in tiscues, ukuphelisa ukuxhatshazwa kwemisipha, ukwandisa umthamo wokuhamba. Ukunyangwa kwamanyathelo ezinhlungu zesifo se-myofascial kungenziwa kuphela ngabaqeqeshi abanolwazi. Ngexesha leenkqubo, iingongoma zentlungu zichaphazeleka ngqo.
Umphumo omhle unikezela ngolu hlobo lwefuthe njenge-post-isometric ukuphumla kwezihlunu, isilumko esilumkileyo esilumkileyo se-fibrey muscle kwinqununu ethile. Isigulane sithatha indawo ezahlukileyo ngexesha le nkqubo - ehleli, elele ecaleni, ngasemva kwakhe, njl. Kule meko, kukho ukuphikisana kwexesha elifutshane leethambo zomzimba kunye nokunyuka okongezelelweyo kwi-amplitude yokwelula nokuphumla.