Contracture - yintoni na le nto? Contracture zihlunu: ukuxilongwa, unyango

Contracture - yimeko apho ngokudibeneyo ukuhamba kakuhle. Ibangela lo mkhuba zophendlo lwezifo cicatricial yindibanisela inyama ithambile ezingqonge joint: izihlunu, isikhumba kunye izicwili ongama.

contracture imisipha

Xa izihlunu nokuncipha waphawula ilizwi engaqhelekanga okanye izihlunu regidnost, nemisipha, kunye nemisipha. Ukuba le nkqubo iqhubeka, kukho abanesigulo kwezihlunu, okt izihlunu izicwili ekwaziyo ukuncitshiswa, iguqulwe ibe ezinezikhondo, ethe yalahleka lo msebenzi. Ngamanye amazwi, le edibeneyo awukwazi begoba ngokupheleleyo okanye ukuqondisa ngenxa yokuba ezithungwini izihlunu ukuba bazalana ekupheleni nelokuphumla uvumele amathambo welungu ukuthatha enye ithi nokomzimba kakhulu.

Amaninzi, izihlunu contracture kuphuhlisa ngenxa lokuthuthuzela amaxhoba, izifo ukudumba, imisebenzi. Oku kuyinyaniso ngakumbi kwezo meko xa ixesha elide umlenze abachaphazelekayo ndakutywina kwindawo emileyo. Ngenxa yokuba ufe zophendlo lwezifo zihlunu nemithambo iimpawu axhomekeka kwakheka contracture.

Kwezinye iimeko, le contracture (photo ebonisa urhulumente analo kweli nqaku) senzeka yokwenzakala kwemisipha lokuhlangulwa ayiphelelanga, nto leyo yenze imisebenzi yabo izihlunu ezipheleleyo abakwazi ukuba. ubuhlungu obukhulu kuwuvule ngakumbi inkqubo sifo, njengoko efakwe kwi amalungu okanye izihlunu phofu ukuba abantu zinqanda intshukumo.

iintlobo

Iimpawu kunye ibangela utshintsho kumaziko amalungu nezihlunu elijikelezileyo ezahlukeneyo, ngoko kunokuba nzima lokuhlela contracture. Jikelele eyaziwayo inkqubo division - ngokusekelwe oonobangela olukhawulezileyo kuphuhliso lwabo.

• Ulwakhiwo (passive) contracture. Oku kuvela njengesiphumo utshintsho kumaziko ancedisana yasekuhlaleni (imisipha, amalunga, imisipha, nemisipha, ifascia okanye kwesikhumba). Phuhlisa xa unikezelo igazi ukuya kwisambuku ukwaphulwa okanye nokungakwazi elide amalungu.
• Neurogenic contracture (iyasebenza). Yenza ukungakhululeki elide zezihlunu ezithile, nto leyo utshintsho sisiba mandundu: kukuqulungana-abasaphuhlayo leli philisi welungu kunye nezihlunu.

Ezi ntlobo zimbini zizinto ezingenakwahlulwa kwaye amanqanaba inkqubo efanayo. Bona luphawulwa ukuphazamiseka zophendlo lwezifo kwinkqubo dystrophy.

Ukongeza, le contracture ukuze zombini ezifunyenwe kwaye isegazini. Ezifunyenwe ke, nohlulwe neurogenic kunye posttraumatic.

Esi sifo ngokuqhelekileyo luchaphazela amalungu amancinane. Hi xikombiso, le contracture unakho zokuphuhlisa ilahleko ngokupheleleyo nokushukumisa amalungu ngomnwe kangangeenyanga eziliqela. Ibizwa ngokuba immobilization. Yeemeko ezichaphazela amalungu ezinkulu ziyagxininiswa contracture kasikrobana negxalaba contracture.

palmar fibromatosis

Contracture neminwe, okanye Dupuytren kaThixo - indlela eziqheleke kakhulu ngexesha kwangalaa eyingozi kwesi sifo. Ukuphuhlisa sites wesundu idla ngokuphosakeleyo calluses. Ngcembe ephazamisa movement neminwe. Ukuqina inyama nokuqina kwinqanaba elithile kuba bukhulu kangangokuba iminwe zingenazo ubuchule yimani nkqo, ahlale kwindawo emxinwa enjalo. Amaninzi, isigulo ichaphazela ring emnweni kunye Ucikicane. Ziziphi izizathu liphuhlisa contracture ngesandla, namhlanje, akwaziwa. Kukho ubungqina bokuba imeko enjalo kaninzi kwenzeka kumadoda eliqina kunye nangaphezulu. I omdala umntu, kungona umngcipheko wokuba nesi sifo. Ukongeza, le contracture isandla ixhaphake kakhulu kubantu abanesifo seswekile, ukuxhuzula. Kwakhona, kukho yofuzo. Oko kukuthi, ukuba umntu ukusuka ntsapho kwakukho contracture isandla, ngoko amathuba sifo linyuke kakhulu.

Kuba unyango lwe contracture Dupuytren ukuba amkele indlela endala. Ngelo isanda, ukumisa uphuhliso ngakumbi ngezifo ukunceda massage kunye ukuyifundisa. Kodwa mda ngamandla nokushukumisa iminwe usebenzisa ucwangciso olukhethekileyo enzyme (umzekelo, inaliti iziyobisi "Lidaza"), ukunceda athambise kwithishyu. Ezinye iikliniki ukusebenzisa indlela unyango okubulala, nto leyo evumela ukuba kuzuzwe iziphumo kuhle. Contracture neminwe ngendlela eqatha ifuna uqhaqho.

Kubanga zokugula

Contracture - lo bunzima rhoqo yokwenzakala ngokudibeneyo ezifana komsipha, contusions, kwizaphuko, amanxeba, nangokurhala, izifo luvo kunye nabanye.

kwabadlali kunye nabantu abasemngciphekweni, abo benza umsebenzi physical enzima, njengokuba kulo mzekelo, nengozi eyonyukileyo umonakalo amalungu, amathambo kunye nemisipha. Abantu abasebenza kushishino kwemichiza, ukuba kubuphepha inkangeleko contractures komtshiso oko. Thina violinists, pianists kunye nezinye iimvumi contracture neminwe Inokwenzeka, njengoko ngexesha iminwe umthambo elide va xi olomeleleyo.

Zezenzi, contracture ibangwa kwizithinteli kwamalunga, ngokunjalo kwi imisipha, izihlunu, ifascia nolusu. Abantu contractures esebenzayo kungekho isithintelo lomatshini entlanganweni okanye emzimbeni ezingqongileyo. Endaweni yoko, kukho ukugxojwa okanye isithintelo umsebenzi motor. Kulo mzekelo, ukungaqondani elide tonic waphawula kumaqela kwezihlunu ngamnye. Iphazamisa ukulingana phakathi izihlunu-bachasene, ngenxa yokuba amalungu "nesinqumka". Le ke indlela yophuhliso kwamathumbu esebenzayo. Ngelo lokuqala yobukho yokuba nkenenkene kwaye efanele nokulungiswa elula kakhulu. contracture Active shwaka emva eziqhelekileyo umsebenzi motor. Kodwa ngokuhamba kwexesha, baba ziyamelana ngakumbi.

Kukho iindlela engumxube, xa umda intshukumo unobangela njengengcambu kunokuba kunzima ukuyiqonda. Oku kwenzeka kwimeko apho uviwo lokuqala isigulane uneempawu ezifana umonakalo, kwaye umonakalo kwi-luvo.

isigaba

• Neurogenic. Umphathi elimele omzimba Uxhokonxwa gqolo excitation nakujoliso olutsha kwi CNS. La maziko ukuthumela amaza kwimida, ngaloo ndlela kusenziwa ilizwi engaqhelekanga. Xa utshintsho ezifanayo zengqo- kubakho kwizihlunu zomzimba.

• Myogenic. Ngenxa yokuba utshintsho kwemichiza kunye notshintsho asabela neurogenic kwenzeka esiqwini kwezihlunu (yoma kunye yamehlo).

• Miodesmogennaya. Ubunzima kunye nomthamo lomzimba kakhulu reduced izihlunu ukuphuhlisa utshintsho sisiba mandundu. Kukho izihlunu hypertrophy, apho inkqubela, uqala kwi yoma.

• Atrogennaya. na ukudumba Kukho kunye nemibimbi leli philisi joint, intlala articular iyaqina yaye elastic. Imbonakalo namanxeba, solder philisi kunye intlala. Shrinkage kwenzeka fascias, ukukhula izicwili intra-dystrophy nokuqina kwaye inxenye ithatha indawo esihlunwini. kwizihlunu ezithambileyo kunye bone ukuba soldered. Ukuphuhlisa indawo nitrogen wesithathu, nokuthintela intshukumo welungu.

iingxaki kunokwenzeka

Contracture - a ngezifo kakhulu, yaye ukuba ekhohlo lunganyangwa, ukuze aphuhlise iingxaki ezifana ukuqina kunye ankylosis (nokungakwazi ngokupheleleyo izicwili sisiba mandundu joint). ukugula rhoqo kukwabandakanya amalungu ezikufutshane. Umzekelo, waphula umthetho eqhelekileyo yokusebenza entlanganweni amaqatha kwinkqubo zophendlo lwezifo ababandakanyekayo ekugqibeleni sime, kwedolo, joint hip (contracture nyonga uvela), empontshwa, kwaye ke thoracic kunye umqolo wesibeleko.

nemilenze pathology ayikho ngaphantsi yingozi. Ngoko ke, ngengqiniba contracture kunciphisa ukusebenza kwesandla. Oku kwenza kube nzima ukuba self-care kwinqanaba nendlu kunye nomsebenzi sabaqalayo.

ekuxilongweni

uxilongo lokuqala kuquka uphando nomonde zihlolwe. Kwakhona ugqirha ufumanise ukuba ingaba kukho iimeko zesi sifo nezizalwane. Emva specialist uya kugqiba enoba kwesebe uyakwazi ukwenza iintshukumo ze ilingene deformation. Ngokucofa kummandla ochaphazelekayo uya kuvumela ukufumana kwiindawo ezininzi ezibuhlungu. Njengomgaqo, zazo ezinjalo avumele ukuxilongwa, yaye akukho mfuneko yokuba izifundo ezongezelelweyo. Kwezinye iimeko, kusenokufuneka-x-reyi ukuze kuqinisekiswe ngendawo ekuyo kwindawo engaqhelekanga ngokuchanekileyo.

Contracture: unyango

Phambi kokuba uqale unyango, kufuneka asuse ngokupheleleyo unobangela leyo eyavusa uphuhliso sifo. Kodwa ke, ngelishwa, oku akusoloko kusenzeka. Okulandelayo, makhe sithethe iindlela ezisetyenziswa xa ukubatshabalalisa sifo.

unyango elondoloza

Ngokuqhelekileyo, xa elawulwa contracture unyango endala, ezijolise abuyisele eliqhelekileyo intshukumo lomzimba awo. Oku kuquka:

• unyango ngamachiza (nonsteroid anti-ukudumba, iihomoni, analgesics, relaxants kwezihlunu);

• ukuvimba therapeutic - ilunga kwisisu iziyobisi ezilawulwa ukuba ukusombulula ukusebenza;

• unyango manual nokuphulula;

• yonyango ngamanzi;

• ukuyifundisa (electrophoresis, UHF);

• iindlela bamathambo (kume ilastiki, twist, ezibamba);

• ibambelele (ulwandiso);

• abumbe umaki.

ukungenelela kuhlinzwa

Eyona njongo iphambili yale manyathelo ngasentla ukuphelisa iimpawu ukudumba, ukususwa nokudumba, kubuyiselwa ukuhamba ngokudibeneyo. Nangona kunjalo, le ndlela ezingabandakanyi kwinkqubo nokusebenza izihlunu. Ke kaloku izihlunu - i "injini" engundoqo namalungu. Ngoko ke, kwezinye iimeko, ukuba uchonge contracture, umsebenzi - kuba yimfuneko.

unyango Steel kubandakanya:

• amanxeba Ukusikwa nesikhumba yokumilisela;

• fasciotomy;

• tenotomy;

• fibrotomiyu;

• capsulotomy;

• arthrolysis;

• arthroplasty;

• osteotomy.

Kwezinye iimeko, akukho ungenelelo ngotyando buyafuneka. Kodwa kule inyama nkqubo esibuhlungu. Ngoncedo kotyando get uyakwazi ukususa i mechanical oonobangela contractures, kodwa umoya okanye ubunzulu zophendlo lwezifo kunye neentlungu akayi kumka. Ukubuyiselwa kwemisipha eqhelekileyo kuyo nayiphi na imeko ukuba kuyimfuneko, ngenxa yokuba ngokususa kuphela eziyimiqobo ngomatshini kancinci shwaka contracture, kunye nentshukumo eqhelekileyo welungu ayifakwanga abuyiselwe ngokupheleleyo.

iindlela okunyanga

Contracture - a ngezifo lokuphathwa ngokucwangcisekileyo. iindlela Natural zinceda kulwa iimpawu kuphelisa yonke into ebangela esi sifo. Xa kuphuhliswa contractures, unyango iquka:

• amandla kinesitherapy;

• ukuxhaphaza, mechanotherapy, umzimba;

• balneotherapy, emachibini zodaka;

• fizioterpiyu;

• phytotherapy;

• ukutya okunempilo.

isiphelo

Ukuthintela kukuvela contracture kubalulekile ukuba iyaluthintela uphuhliso ukudumba emzimbeni, ngoko ke zonke izifo kufuneka ziphathwe ngendlela efanelekileyo. Kusoloko kuyimfuneko ukuba esweni imeko yomzimba wakhe; ukuba joint engqinibeni ixesha elide kufuneka igcinwe kwindawo kruthu, ngoko ugoba kufuneka ibe esinekona sasekunene, ukuma ilungileyo iminwe - kruthu, indawo eyiyo yomlenze ke ayinakolulwa.

Ukuba kwenzeka ukuba loo inkathazo, njenge ithambo eyaphukileyo okanye joint ingaphambuki endleleni, kwaye ufuna immobilization elide, ungaphelelwa lithemba. Umngcipheko imisipha ngeendlela olungathintelwa okanye lucuthwe, ukuba lo msebenzi kwezihlunu esebenzayo ziya kwenziwa ukususela ngomhla wokuqala. Ukuba waba ithambo okanye isixa salo, umthambo uyakwazi ukwenza ngesandla elungileyo okanye ngonyawo. iinkqubo okungenisa emva kokuba umsebenzi dystrophy izihlunu izihlunu Work ochaphazelekayo ngaphezu kunye nakummandla ingxaki. Ngaphezu koko, inkqubo ngokutsha uya ucaca ngakumbi xa izihlunu ezinkulu isifundo. Thatha nokuzikhathalela wena uze uhlale usempilweni!