Contracture - ndi chiyani ichi? Contracture minofu: matenda, mankhwala

Contracture - chikhalidwe chimene zochepa olowa kuyenda. Izo zimayambitsa chodabwitsa pathological cicatricial chidule cha minofu zofewa ozungulira olowa: minofu, khungu ndi subcutaneous minofu.

minofu contracture

Pamene minofu chidule anati nthenda kamvekedwe kapena minofu regidnost, Mitsemphayi, ndi tendons. Ngati ndondomeko izi m'kati, pali minofu fibrosis, mwachitsanzo minofu minofu angathe kuchepetsa, n'kukhala fibrous, umene ulibe nchito imeneyi. M'mawu ena, olowa simungathe kwathunthu unakhota kapena limbitsani chifukwa chakuti mitolo minofu ndi zosagwirizana ndi mapeto kumasuka ndi kulola mafupa a lolumikizana kwa mmodzi wa limati kwambiri zokhudza thupi.

Nthawi zambiri, minofu contracture akufotokozera chifukwa zoopsa, matenda yotupa, ntchito. Izi ndi zoona makamaka mu milandu amenewa kwa nthawi yaitali nthambi akhudzidwa anali anakonza malo n'kupuma. Chifukwa cha tonus pathological minofu ndi mitsempha chizindikiro ikhoza kupangidwa contracture.

Mu zina, contracture (chithunzi chosonyeza boma lili m'nkhani) akufotokozera mu kuvulala minofu ndi kuchira awo chosakwanira, chifukwa mu zonyamula kunja ntchito zawo m'minofu zonse sangathe. ululu zina pofuna kukwaniritsa zolinga ndi ndondomeko matenda, monga soreness mu mafupa kapena minofu mulimonse chifukwa anthu asagwiritse kuyenda.

mitundu

Zizindikiro ndi amachititsa kusintha kandalama zimfundo ndi zimakhala ozungulira ndi osiyanasiyana, kotero m'malo ovuta m'kagulu contracture. Konsekonse anazindikira dongosolo magawano - potengera zomwe zimayambitsa atangochimwa chitukuko.

• Kapangidwe (chabe) contracture. Vutolo limachitika chifukwa cha kusintha structural mu zimakhala m'deralo (tendons, mafupa, minofu, Mitsemphayi, fascia kapena khungu). Kuyambika kusowa magazi Gross kuyan'anila kapena kulephera kuyenda yaitali mafupa.
• Neurogenic (yogwira) contracture. Izo zimayambitsa mavuto yaitali minofu zina, chifukwa pachilonda-osauka kusintha osachiritsika mu kapisozi a olowa ndi akatumba.

Izi mitundu iwiri ndi inextricably zogwirizana ndipo anaima pa ndondomeko. Iwo yodziwika ndi zipolowe pathological mu dongosolo akulu.

Komanso, contracture mwina onse nazo ndiponso titadziwa. Kuthi nayenso lophatikizana ndi ubwamunalo linagawanika mu neurogenic ndi posttraumatic.

Matenda zambiri zimakhudza mfundo zazing'ono. Mwachitsanzo, contracture angathe kufa wathunthu wa sayenda zimfundo ndi chala kwa miyezi ingapo. Njirayi imatchedwa immobilization. Wa zinthu zokhudza mfundo zazikulu ali ndi utoto contracture a m'chiuno ndi phewa contracture.

palmar fibromatosis

Contracture ya zala, kapena Dupuytren a - ambiri ndipo pa yomweyo mawonekedwe yoopsa matenda. Akutukuka malo pachikhatho zambiri kolakwika kwa calluses. Pang'onopang'ono akusokoneza kayendedwe zachibadwa za zala. Thickening wa minofu connective panthawi ina kumakhaladi kwambiri moti zala alibe luso limbitsani ndi kukhala ngati malo wopanikiza. Nthawi zambiri, matenda amakhudza chala ndi chala chaching'ono. N'chifukwa chiyani kusiyana contracture dzanja, lero silidziŵika. Pali umboni kuti chikhalidwe nthawi zambiri amapezeka mu amuna wazaka zapakati achikulire. Akulu munthu, ndi apamwamba chiopsezo matenda. Komanso, contracture dzanja ndi ambiri mwa anthu ndi shuga, khunyu. Komanso, pali kutengera za kumtundu. Kuti, ngati munthu achibale anali contracture dzanja, ndiye Mwina wa matenda ali kwambiri.

Zochizira wa contracture Dupuytren a kuiona ndiwofatsa. Pa siteji koyamba, kuti suspend pofuna kukwaniritsa kudwala kuthandiza kutikita ndi physiotherapy. Koma ndi malire amphamvu wa sayenda ya zala ntchito kukonzekera mwapadera enzyme (mwachitsanzo, jekeseni mankhwala "Lidaza"), pofuna kuthandiza kufewetsa minofu. Ena zipatala ntchito njira mankhwala mantha yoweyula, zomwe zimathandiza kuti iyende bwino ndithu. Contracture zala mu mawonekedwe aakulu amafuna opaleshoni.

kudwala Zoyambitsa

Contracture - ichi ndi vuto zambiri za kuvulala olowa monga sprains, contusions, fractures, gunshot mabala, kutupa, matenda mantha dongosolo ndi ena.

othamanga ndi anthu pangozi, amene zikugwira ntchito yakalavulagaga thupi, monga mu nkhani iyi, ndi chiopsezo cha kuwonongeka kwa mafupa, mafupa ndi minofu kuchuluka. Anthu ogwira ntchito makampani mankhwala, kodi predisposed kuti maonekedwe a lamoto contractures. Ife oimba vayolini amaimba piyano ndi oimba ena contracture ya zala kumachitika, monga nthawi yaitali zolimbitsa zala kumva kuthamanga amphamvu.

Chabe, contracture amayamba ndi obstructions mu malo, komanso tendons ndi Minofu, fascia ndi khungu. Anthu ndi contractures yogwira palibe kutsekeka makina mu olowa kapena zimakhala ozungulira. M'malo mwake, pali kuphwanya kapena kuletsa ntchito galimoto. Pankhaniyi, yaitali zimandilimbikitsa mavuto anati mu magulu minofu payekha. Posasangalala bwino pakati minofu-muzikangana, chifukwa zimfundo "mphero". Izi limagwirira chitukuko cha contractions yogwira. Pa siteji koyamba aliko ali wosakhazikika ndi amenable malangizo osavuta. Yogwira contracture kutha pambuyo yachibadwa ntchito galimoto. Koma m'kupita kwa nthawi, iwo anakhala zambiri zosagwira.

Palinso mitundu wosanganiza, pamene muzu kayendedwe malire ndi m'malo ovuta kudziwa. Izi zimachitika mu chochitika kuona loyamba la wodwalayo zizindikiro monga kuwonongeka makina, ndiponso kuwonongeka kwa wamanjenje dongosolo.

siteji

• Neurogenic. Wongokhala anavulala nthambi amakwiya kulimbikira malemeredwe foci mu CNS. malo kutumiza zikhumbo kwa periphery, potero kupanga nthenda kamvekedwe. Pa kusintha yomweyo amuzolengedwa kukhala mu zimakhala nthambi.

• Myogenic. Chifukwa kusintha amuzolengedwa ndi kusintha neurogenic anachita zimachitika minofu minofu (manja ndi alibe).

• Miodesmogennaya. Kulemera ndi buku la nthambi kwambiri yafupika minofu kukhala kusintha osachiritsika. Pali minofu hypertrophy, zomwe akuchita, akufotokozera mu manja.

• Atrogennaya. Pali thickening ndi makwinya ya kapisozi limodzi articular chichereŵechereŵe sakhala wolimba ndiponso zotanuka. Kupezeka mabala, solder kapisozi ndi chichereŵechereŵe. Shrinkage amapezeka fascias, kukula kwapakati pa-akulu connective minofu mwina m'malo minofu kuti. minofu zofewa ndi fupa ali soldered. Akutukuka lachitatu fixation mfundo, kuteteza kayendedwe ka olowa.

zosokonezeka zotheka

Contracture - ndi kudwala kwambiri, ndipo ngati sanalandire chithandizo, akhoza kuyamba mavuto monga stiffness ndipo ngakhale ankylosis (wathunthu kulephera kuyenda kwa zimakhala osachiritsika olowa). matenda zambiri komanso chimakwirira zimfundo pafupi. Mwachitsanzo, kuphwanya kugwira ntchito za masiku onse a kumwendo olowa mu ndondomeko pathological nawo kenako kusiya, bondo, m'chiuno olowa (m'chiuno olowa contracture akufotokozera), lumbar, ndiyeno thoracic ndi msana khomo lachiberekero.

chapamwamba nthambi kudwala si zochepa oopsa. Choncho, chigongono contracture amachepetsa magwiridwe manja. Izi zimapangitsa kuti zovuta kudziletsa chisamaliro pa mlingo banja ndi ntchito ya pulayimale.

diagnostics

diagnostics kuyambirira zikuphatikizapo kafukufuku mtima ndipo anayendera. Komanso dotolo kupeza ngati panali milandu ya matenda achibale. Pambuyo katswiri adzaona ngati nthambi watha kuchita zochita ndi digiri zomwe wa mapindikidwe. Palpation wa zinkakhala m'dera adzalola kuti mupeze malo chopweteka kwambiri. Monga ulamuliro, mwai ngati kulola ndi matenda zolondola, ndipo palibe kufunika kwa maphunziro. Nthawi zina, mungafunike x-ray kuti molondola kudziwa malo m'dera nthenda.

Contracture: chithandizo

Musanayambe chithandizo, muyenera kwathunthu kuchotsa chifukwa zomwe zinayambitsa chitukuko cha matenda. Koma, mwatsoka, izi sizingatheke. Tsopano tiyeni tikambirane za njira za ntchito ndiyotani pakuchotsa matenda.

chithandizo ndiwofatsa

Nthawi zambiri, pamene kutumikiridwa contracture mankhwala ndiwofatsa, umalimbana kubwezeretsa yachibadwa nthambi kayendedwe matalikidwe. Pamafunikanso:

• mankhwala (nonsteroid odana inflammatories, mahomoni, analgesics, relaxants minofu);

• achire anatseka misewu - olowa M'mimbamo kutumikiridwa mankhwala kuthetsa zotsatira;

• Buku mankhwala ndi kutikita;

• hydrotherapy;

• physiotherapy (electrophoresis, UHF);

• njira mafupa (zotanuka Chikoka kupindika, orthoses);

• samatha (kutambasuka);

• chosaiwalika amatulutsa.

alowererepo opaleshoni

Cholinga chachikulu cha miyeso pamwamba kuchotsa zizindikiro za kutupa, kuchotsa edema, kubwezeretsa kwa sayenda olowa. Komabe, njira izi zotani ndondomeko ya ntchito kwa minofu. Ndipo anali minofu - waukulu "injini" zimfundo ndi. Choncho, nthawi zina, ngati wapezeka contracture, opaleshoni - ndi chinthu chofunika.

Opaleshoni chithandizo zikuphatikizapo:

• excision zipsera ndi khungu kumezetsanitsa;

• fasciotomy;

• tenotomy;

• fibrotomiyu;

• capsulotomy;

• arthrolysis;

• arthroplasty;

• osteotomy.

Nthawi zina, palibe alowererepo opaleshoni ndi chofunika kwambiri. Koma kwa minofu imeneyi ndondomeko zoopsa. Mothandizidwa ndi opaleshoni akhoza kuchotsa mawotchi zimayambitsa contractures, koma kamvekedwe wa pathological ndi ululu sachoka ayi. Kubwezeretsa ntchito bwinobwino minofu Mulimonsemo m'pofunika, chifukwa ndi kuchotsa kokha ikhale makina pang'ono kusiyiratu contracture, ndi kayendedwe zachibadwa za olowa si kubwezeretsedwa mu zonse.

njira achilengedwe ochizira

Contracture - ndi kudwala kuchitiridwa systemically. njira Natural kuthandiza kuti musamenyane zizindikiro ndi kuthetsa zimene zimayambitsa matenda. Ngati anayamba contractures, chithandizo zikuphatikizapo:

• kinesitherapy mphamvu;

• mpheto, mechanotherapy thupi mankhwala;

• balneotherapy, matope osambira;

• fizioterpiyu;

• phytotherapy;

• moyenera zakudya.

Pomaliza

Kuteteza zosayembekezereka wa contracture Nkofunika kuteteza chitukuko cha kutupa mu thupi, kotero matenda onse ayenera kulandira chithandizo m'njira yake. Nthawi zonse n'kofunika kuti aziona zinthu za thupi lake ngati chigongono olowa kwa nthawi yaitali zisungidwe malo wopindidwa, ndiye maondo ayenera kukhala pa mlingo woyenerera, malo abwino kwa zala - wopindidwa, mulingo woyenera malo a mwendo ndi anaweramuka.

Ngati inu kuchitika kwa mosavuta, ngati fupa kapena olowa ntchafu, ndipo amafuna immobilization yaitali, musataye mtima. Chiopsezo minofu chidule akhoza kuchepetsa, malinga yogwira ntchito minofu chidzatha kuchokera tsiku loyamba. Ngati inu munali ndi fupa wovulala chiwalo, sonyezani mukhoza kuchita dzanja labwino kapena phazi. njira regenerative pambuyo ntchito akulu kuposa minofu Ntchito minofu anakhudzidwa ndi m'dera vuto. Komanso, ndondomeko kusinthika adzakhala kutchulidwa kwambiri ngati phunziro minofu lalikulu. Dzisamalire ndi kukhala wathanzi!