Myofascial syndrome inorwadza mamiriro ezvinhu anowanzoitika mukurapa. Vakawanda vanorwara vane chirwere ichi vane vakadzi vepakati-vakadzi. Mukuona kwekuti kunzvimbo yekusagadzikana kunzwisisika uye zvinyorwa zvavo zvingave zvakasiyana, hazviwanzoitiki nguva dzose kuti ugadzirise chirwere chakakodzera panguva imwe chete.
Myofascial syndrome - chii ichocho?
Myofascial pain syndrome inobatanidza nekuvhiringidzika kwemapuranga emasisita uye membrane yakafukidza misungo (fascia), pasi pesimba rezvinhu zvakasiyana-siyana. Ichi chirwere hachina kuonekwa sechirwere chakasiyana, uye maererano nehurongwa hwemarudzi ose hwezvirwere ndeweboka rezvirwere zve periarticular soft tissues. Kazhinji, apo kunyunyuta kunowanikwa mu myofascial syndrome, chirwere chinonzi " myalgia ".
Kakawanda, chirwere chepfungwa chinenge chichiongororwa chinowanikwa mumakumbo emumakumbo (musana, musango, cervical, thoracic, nezvimwewo), asi zvinogonawo kukanganisa mishonga yemakumbo, chiso, mimba. Ihwo hunoshamisa ndehupo hwezvinhu zvinokonzera, izvo zviduku zvinyorwa zvinorwadza muhupamhi hwemashuga emasumbu, izvo zvinopesana nehurukuro inowedzera, kunyange kana mamwe musimba akasununguka. Zvisimbiso izvi zvinonzwisiswa nekunzwa kuongorora.
Trigger pfungwa dzinogona kunge dziri mumamiriro ekushanda uye dzinopera zvakasimba kana dzakamanikidzwa, kana kuti pasipo, zvichikonzera kurwadziwa kunorwadza chete nematambudziko ehutundu hwose. Kushandura kunokonzera kudzivirira kupfurikidza kutambanudza kwemaviri emasumbu ane hutachiona uye kunokanganisa kushandiswa kwechibvumirano chacho kwechinguva kwechiitiko chezvinhu zvisingaiti zvinokanganisa nerve fibers.
Myofascial syndrome - zvinokonzera
Pasinei nekuwana myofascial syndrome, cervical, lumbar, chiso kana zvimwe, chirwere chinongova neurological munyama, nokuti mishonga yose mumuviri wedu inotungamirirwa ne-central central nerve system. Zviratidzo zvinoshandiswa zvinoparadzirwa kubva muuropi zvichienda kumisimba uye kune rumwe rutivi, izvo zvinobatsira nguva dzose kugadzirisa kuderedza nekuzorodzwa kwemasikironi.
Kana pane zvimwe zvinetso mumabasa emagetsi emagetsi anokonzerwa nemhando dzakasiyana-siyana dzechirwere, izvo zvinoshandiswa zvinopesana kana zvisingagoni kuitwa zvakajairika. Nokudaro, mamwe masvikiro anorega kuteerera uropi, kutora kwenguva yakareba mune imwe nzvimbo, pasinei nekuda kwevanhu uye zvido zvemuviri wake. Nokuda kwenguva refu yakasununguka, inofanirwa motokari mabasa haisi kuitwa, uye nekuedza kwenguva refu (spasm) kurwadziwa syndrome kunoitika.
Zvikonzero zvinogona kuva zviitiko zvinotevera zvinokonzera munhu kutora chikamu chakamanikidzwa chemuviri kana kuti paanomesa uye achikuvadza nerve fibers:
- osteochondrosis yemukona uye zvinetso zvayo;
- dystrophic kana kuvhiringidzika kuchinjwa majoints;
- zvikanganiso zvemupenya, mapfupa emapfupa ( scoliosis , flat feet , kupfupisa kwemakumbo, asymmetry yemapfupa emapfupa, nezvimwewo);
- edematous syndrome mune dzimwe zvirwere;
- zvirwere zvenhengo dzomukati zviri mumatope, mimba, mapfupi maduku;
- rheumatic diseases;
- kudhakwa kwechirwere chemuviri;
- miitiro yemagetsi pamatambudziko (semuenzaniso, nekuda kwekukuvara, kushanda muviri), nezvimwewo.
Mukuwedzera, tinogona kuona huwandu hwehutano hunokonzera kuti mukana wekuvandudza myofascial syndrome uwedzere:
- kupfekedza shangu dzisina kunaka, kufambisa nguo nezvimwe zvinhu;
- kusava nekufamba;
- overweight ;
- kukanganisa kunetseka;
- basa rakaoma rekunyama, kudzidziswa kwakasimba;
- hypothermia;
- kukanganisa kwemaitiro, nezvimwewo.
Myofascial syndrome ye lumbosacral musana
Kana paine myofascial syndrome yemunharaunda yechiparari uye sacrum, mhaka yacho inowanzowedzera kutakura mitoro (somuenzaniso, kusimudza zvisikwa, jerks) uye nguva refu yakasimba (kushanda kwenguva refu pamakombiyuta, kutyaira seri kwegumbo). Mukuwedzera, zvinhu zvinokonzera kukonzera zvinogona kukonzera hernias, osteomyelitis, zvirwere zvekudya kwemakumbo, zvirwere zvekenza nemasitasisita munzvimbo ino.
Myofascial syndrome ye cervical spine
Myofascial cervical syndrome inoratidzika nekuumbwa kwemakumbo emakumbo mumutsipa mumutsipa uye pamucheto wemutsara we trapezius uri munharaunda yepamusoro yemutsipa uye mumusoro wekumusoro. Muchiitiko ichi, kupisa kunogona kuitika muchikamu chechipipital uye nzvimbo yechipfuva yemusoro, uye nekupfuurira kwehutachiona, zvinokonzerwa nezvinomera zvinowedzera.
Myofascial thoracic syndrome
Nechitarisiko chemapundu anorwadza mumisumbu yemisumbu ye anterior thorax, mudiki pectoral muscle, myofascial spine syndrome munharaunda inonzi thoracic inogona kuonekwa. Inogona kukonzerwa zvose nezvirwere zvemupaka, zvinowanikwa munharaunda ino, uye zvirwere zvezvikamu zvemukoko we thoracic, kusanganisira kusanganisira subclavia marwadzo, anopa kumapfudzi nemaoko.
Myofascial facial syndrome
Apo myofascial facial pain syndrome inowanikwa, zvinokonzera zviratidzo zvinogona kuwanikwa munzvimbo yekucheka misumbu, mumumisumbu mishonga yenguva yekubatana kwema temporomandibular, maitiro e pterygoid epa sphenoid bone. Zvirwere zvinokonzerwa nemisumbu munyaya ino zvinowanzonzerwa nekugara kwenguva yakaipa maitiro ekukuvadza: chigarire chinotsigisa, chikafu chinopinda mumamiriro ezvinhu anonetsa, kuwedzera kwejaya riri pasi kune rumwe rutivi kana mberi.
Myofascial pelvic syndrome
Madzimai, kune kazhinji myofascial pelvic pasi syndrome uye zvinogona kukuvara kumashure anotevera: pear-shaped, obturator yechipfuva, musisimusi unokwidza anus, zvisingatauri mutsara. Zvinokonzera zvinogona kuve zvakakuvara zvakasiyana-siyana zvemukoko wepilvic, kuputika kwemupenya, hurefu hwakasiyana hwemakumbo ekupedzisira, hypothermia, akapfeka zvipfeko zvakaoma.
Myofascial syndrome - zviratidzo
Kuonekwa kukuru kwechirwere ichi chiri mubvunzo kunorwadza musangano revasikana rakagadzikana, iro rinokuvadza, rinomutsa unhu husingapfuuri zororo, izvo zvinowedzera nemitoro uye kushandiswa kwezvinhu zvinokonzera. Paunobata zviduku, hutambudzi hunova hwekurwa, hunorwadza. Inofanirwa nekuvapo kwemazamu ehutano hwakaratidzwa, umo kune kuwedzerwa, kurwadziwa kunorwadza kunonzwa. Mukuwedzera, zvirwere zvinosuruvarisa zvirwere zvinogona kuita zvinotevera:
- kukanganisa kwekunzwa kweganda;
- kuputika kana kubwinya kweganda pamusoro pemisumbu yakakanganiswa;
- manzwiro oku "kukamba";
- kugadziriswa kwemafambiro munzvimbo yakakanganiswa;
- kunetseka.
Myofascial syndrome - kurapwa
Myofascial syndrome inoratidzwa neurologist, ichifunga nezvekunyunyuta kwemurwere uye pamberi pezvinotevera:
- kuvapo kwezvisimbiso zvinorwadza muhupamhu hwemisumbu;
- kuvapo kwekupa marwadzo, kutsamwiswa nekufambisa zvinokonzera;
- yakagadzikana kusangana pakati pemarwadzo emisumbu uye kunyanya kuderera, kutyisa kunetseka, hypothermia.
Paunenge uchitarisa chirwere, kutanga kune zvose, zvakakosha kuti urege kubvisa zvirwere zvekuvhiringidza uye kukonzera midzi uye chirwere chepamuviri (apo pane kusafungirwa kwe vertebrogenic myofascial syndrome). Zvakakosha kuziva kuti iyo hardware kana maitiro e laboratori mune chirwere ichi zvinoratidzira kushungurudzika kwepabonde mumasumbu, pamwe nekuwedzera.
Myofascial syndrome - kurapa
Varwere vakaonekwa kuti vane myofascial pain syndrome vanowana kurapwa kwakakwana, kusanganisira mishonga uye isiri yemishonga nzira. Non-medicamentous nde:
- Kugadziriswa kwegadziriro ndeye nzira isingagoneki iyo inogadziriswa pamigumisiro inowanzoita, inowanzoenderana nekugadzirisa zvironga, kuitira kuti kuwedzere kuwedzerwa ropa uye kugadzirisa kusununguka kwemashuga emasumbu;
- physiotherapeutic nzira: ultrasound therapy, electrostimulation, thermomagnetotherapy, electrophoresis, cryoanalgesia, etc ;;
- kushambadza uye bhuku rekushandisa;
- Itai maitiro ekurapa - kusimbisa mishonga yemasumbu, kuwedzera kushandiswa kweropa mukati mavo, kururamisa kusakanganisika kwekutsvaga.
Kurapa myofascial syndrome, zvakakosha kufunga nezvechikonzero chekukurudzirwa kwacho panguva yerapi. mune zvakafanana nekubviswa kwekunetseka kwezvinhu zvinopinda mukati uye chirwere chepfungwa. Mukuwedzera, varwere vanopiwa mazano pamusoro pechigaro chakanaka patafura, sangano rinonzwisisika rebasa rekushanda, tsika dzekuita basa.
Myofascial syndrome - zvinodhaka
Kana myofascial syndrome ichionekwa, kurapwa pamusha kunosanganisira kutora mishonga yekudzivirira marwadzo (emunharaunda uye maitiro). Aya ndiwo mazano kubva kumapoka anotevera:
- muscle relaxants (No-shpa, Sirdalud, Baclofen, Midokalm);
- kwete-steroidal anti-inflammatory drugs (Nimesil, Diclofeknak, Ibuprofen).
Mukuwedzera, nemarwadzo akawandisa pamusana pekupedzisira, zvibvumirano neNovocaine kana Lidocaine zvinogona kurongerwa. Kana pane mafungiro epfungwa anokanganisa, zvinyorwa zvinorayirwa (Valerian, Barbovan, Novopassit). Kuti uvandudze utsi hwematumbu, vitamini B uye magnesium inowanzorongerwa.
Myofascial syndrome - massage
Basa rinokosha mukurapa kwechirwere ichi chinopihwa kumusambo wekutema, izvo zvinobvumira kushandura mishonga yemagetsi mumasukisi, kubvisa kusagadzikana kwemasumbu, kuwedzera simba rekufamba. Manual therapy of myofascial pain syndromes inogona kuitwa chete nevadzidzi vane ruzivo. Munguva yekugadzirisa, marwadzo ekurwadziwa anonyatsoshanda.
Kubudirira kwakanaka kunopa maitiro akadaro sekugadzirisa sekuzorora kwemasometric musimba, kutenderera kwakanaka-kuchenjera kutambanudza kwemafupa emasumbu mune imwe nzira yakarongeka. Murwere anotora nzvimbo dzakasiyana panguva yekufamba-akagara, avete parutivi rwake, pamusana wake, nezvimwe. Muchiitiko ichi, kune nguva shomanana yokugadzirisa mishonga yemisumbu pamwe nekuwedzera kuwedzera mumakwikwi ekutambisa nekuzorora.