Kutikita segmental: mitundu, zimayambitsa, zipangizo, luso. The kutikita tingachipeze powerenga amakhala ndi segmental ndi

Thupi kuipidwa Mipikisano zinchito dongosolo. N'chifukwa chake kusintha pathological mmodzi wa matupi ake zingakhudze thanzi lathu lonse. Pofuna kuchotsa kusintha, pali reflex-segmental kutikita. Nthawi zina pa njirayi ndi ziyerekezo ululu m'madera a thupi, amene achotsedwa ku limba akhudzidwa. malo awa akutchedwa gawo. Iwo zingaoneke monga kuchuluka tilinazo ndi ululu, ndipo Komano, imfa ya ululu tilinazo zimakhala.

Kodi amatchedwa ndi reflex-segmental mutafikisidwa?

Dziwani kuti mtundu uwu wa mpheto ali nawo m'dera la mankhwala regenerative, agwilitse malo apadera. The kutikita tingachipeze powerenga amakhala ndi segmental chiyani? Ndi yosavuta ndi sakhala ogwira. Komanso, segmental kutikita zikuphatikizapo chakale, kuwonjezera pa izo ndi kugwirizana mfundo ndi periosteal. Komanso pa zotsatira lamavutoli pa thupi anthu pogwiritsa ntchito njira yapadera. Ndi kutikita madokotala amagwiritsa ntchito zipangizo zonse zofunikira mwamphamvu yapamwamba.

Maziko a njirayi ndi zotsatira pa dongosolo autonomic mantha wodwala. Pankhaniyi, segmental kutikita silingakhoze kokha kulimbana bwinobwino ndi zosiyanasiyana matenda aakulu. Iye alinso ndi njira muyeso kuteteza zosayembekezereka kusintha pathological mu zimakhala ndi.

Reflex-segmental kutikita - mtundu sizachilendo kwa njira zimenezi. Pamene wanyamula zotsatira thupi mabacteria reflex ili padziko khungu, amene olumikizidwa kwa ziwalo mkati. Pakuti angapo segmental kutikita kusintha chikhalidwe cha thupi. Izi kumachepetsa ululu, bwino magazi, akuziyambitsa ndi endocrine ndi machitidwe autonomic, ndi kubwerera ku ntchito yachibadwa ziwalo zonse za mkati.

Segmental Kapangidwe ka thupi la munthu

Mu magawo oyambirira a chitukuko, thupi lapangidwa ndi metameres chomwecho. Iwo zigawo, omwe amaperekedwa ndi mitsempha msana, outputted ndi yofunika khungu. mabacteria amatchedwa dermatomes. Izi mbali khungu ndi mawonekedwe a n'kupanga kapena malamba, kuphimba kumbuyo kwa midline thupi, anakafika ku midline imeneyi kutsogolo. Mbali ina ya chiphaso yekha sacral dermatomes. Pankhaniyi, kugwirizana pakati pa misempha msana ndi dermatoned zonse.

Onse thupi lagawidwa zigawo, amene akufanana ndi linanena bungwe la misempha. Ife kusiyanitsa pakati:

- 5 sacral;
- 5 lumbar;
- 12 makanda;
- 8 khosi.

Pamaso pa njira pathological mu makamaka mkati limba perfusion wakhala kuphwanya gawo izo. ubwenzi akulankhula za umodzi wa kugwira ntchito kwa mbali imeneyi. Choncho, matenda a msana pafupi tilinazo wa khungu, komanso ake kusintha zina pathological akukhulupirira kuti msana zimachitika kutupa. M'dera chachikulu cha kutikita segmental ndi cholecystitis - dera m'mimba. Mu nkhani iyi, motsindika bwino nusu chapamwamba. A segmental kutikita khomo lachiberekero-thoracic msana anachita pa chifuwa osteochondrosis.

njira zimenezi ndi zotchulidwa pa konzanso pambuyo matenda, ndi zolinga mankhwala. Pankhaniyi, segmental kutikita akhoza kuletsa chitukuko cha matenda m'thupi.

diagnostics kuyambirira

Segmental kutikita imagwiridwa kuti tipeze kusintha reflex mu khungu ndi kulimbikitsa iwo. Limagwirira cha zochita pa ndondomeko otere kutha utithandize magazi mu gawo makamaka.

Nanga mwatsimikiza mtima ndi malo ofanana? Izi zimachitika pamene ntchito njira makamaka:

1. masseur amayikanikiza zala zake pa khungu, pamene akuyembekezera maonekedwe a ululu.
2. Katswiri likuthandiza khungu, anasonkhanitsa mu crease lapansi. Ngati bulges aliyense mkati anaonekera opweteka kapena akhala akupereka kusuntha pang'ono, kungakhale chizindikiro cha kusintha reflex mu gawo lino.
3. masseurs opangidwa anatambasula wa khungu. Maonekedwe mu izi kapena kuti dera kupweteka kulankhula za kusintha mu connective minofu reflex.

Choncho, kutikita segmental imagwiridwa pokhapokha ziwembu zonse ndi mabacteria wodwala matenda ndi kudziwika m'madera vuto zimakhala ndi.

Komanso, kudziwika kusintha reflex, mungathe:

- mosavuta ndipo popanda kukakamizidwa yocheza yosamveka nsonga singano pa khungu. M'dera la hyperalgesia (padzakhala ululu) ndi kukhudza adzakhala anazindikira monga koopsa ndi lakuthwa.
- awakande mtima. Kumverera m'chigawo cha kusintha reflex adzakhala kwina.
- mopepuka kukhudza khungu, kugwiritsa ntchito kumapeto lakuthwa la singano. hyperalgesia zone pansi kukhudzana ngati angamvetsere ululu.

Komanso, matenda ena a ziwalo anaulula:

- zithunzi anayendera khungu, kumene kungakhale zofewa kapena akhakula kutupa ndi ofunika;
- pamene anayeza ntchito elastomer;
- pa percussion mfundo imeneyi pamene kusiyana mavuto nsalu anatsimikiza pambuyo mndandanda wa zikoti kuwala ndi waufupi pa khungu palmar padziko Ndiuze.

zikuonetsa kuti

ndi zimayambitsa kutikita segmental chiyani? Mtundu uwu wa zimakhudza thupi la wodwalayo akulimbikitsidwa kugwiritsa ntchito kwa zikuonetsa mofanana tingachipeze powerenga.

Komabe, chizoloŵezi uyu wa reflex pa imakhudzira nsalu kukuchitika zambiri kuchuluka kwa ntchito. Choncho, kudwala kapena chifukwa segmental kutikita:

- matenda zinchito kapena aakulu a ziwalo;
- monyanyira mu ntchito kwa kachitidwe autonomic ndi endocrine;
- zinchito ndi aakulu enaake ophwanya matenda zimfundo ndi msana;
- magazi matenda.

contraindications

Kutikita segmental LISAKHALE ntchito pamene:

- aakulu yotupa ndi pachimake njira, kuthetsa kuti pakufunikira alowererepo opaleshoni;
- matenda opatsirana a chikhalidwe ambiri amene anatsagana ndi kutentha;
- opatsirana pogonana matenda;
- kuvulala kwambiri ndi fractures a dongosolo locomotor;
- khansa.

Zosiyanasiyana segmental kutikita

Zotsatira ndondomeko pa dongosolo autonomic mantha wodwalayo m'madera ena a minofu akhoza ikuchitika ntchito njira zosiyanasiyana kukhudzana. Pa nkhani imeneyi, izi mitundu ya kutikita segmental:

1. periosteal. kutikita Izi ikuchitika powapatsa mwachindunji zimakhudza thupi mfundo chopweteka pa khungu amene reflex mogwirizana ndi chiwalo makamaka thupi la munthu. Periosteal kutikita amathandiza patsogolo magazi ndi kufulumizitsa kagayidwe. Ndi bwino kuti pathologies a ziwalo, komanso mavuto ndi dongosolo chigoba ndi dongosolo minofu ndi mafupa.

2. Segmental. kutikita Izi zachitika ntchito njira yapadera zotsatira thupi ndipo ndi njira kuthetsa kusintha reflex mu zimakhala ndi. Cholinga chachikulu cha njirayi ndi kuchepetsa kungasokoneze wa chododometsa pathological zikuchitika mu thupi la munthu.

3. Shiatsu. kutikita uyu anabwera kwa ife ku Japan. Ndondomeko ikuchitika mwa kuthamanga chala pa mfundo kutema mphini. Shiatsu ndi abwino kwa kubwezeretsa mphamvu muyezo wa wodwalayo ndi thanzi wake wonse. Japanese kutikita ali ndi zotsatira achire. Mothandizidwa ndi mitundu osiyanasiyana kupewa matenda a m'maganizo ndi kumapangitsa chitetezo cha mthupi. Chotero ndondomeko pansi pa mphamvu ya munthu aliyense. Pambuyo kukanikiza pakati pa thupi, amene akukumana kusapeza, n'zotheka kuthetsa mavuto osiyanasiyana thanzi ndi chidwi ndi nthawi yochepa. Ndi mtundu uwu wa munthu segmental kutikita angathe kupweteka dzino, kuthana ndi kutopa, kuthamanga kwa magazi m'munsi ndipo tichotse maganizo omangika akuwuka mu m'munsi mmbuyo ndi mapewa.

4. mgwirizano. kutikita chinalengedwa 1929 ndi Elizabeth Dicke - mlangizi mu mankhwala thupi. Pa nthawi ya mwambo umenewo ndi kukoka ziyangoyango zala 3 ndi 4 zimakhudza molekezera mitsempha yomwe ili mu minofu connective.

Chifukwa, wabwinobwino magazi ziwalo ndipo zimakhala, kuwonjezera liwiro la kusinthika ndi amamuyambitsa timabala inathetsedwa TsNSpatsienta kukwiya.

5. Point. kutikita Izi ndi zotsatira thupi mfundo yogwira khungu, yomwe ikuchitika ndi zala. Kudzera mabacteria amenewa kuli ndi ubwino pa CNS. Choyamba, a dokotala ayenera kupeza vuto wodwalayo. Kenako, kumatsimikizira mfundo yogwira kuti imakhudzana ndi thupi mtima, ndi kuchita njira akupera, stroking, kugwedera, ndi kuthamanga entrainment. Poyamba atagwira acupressure amayambitsa kupweteka, lomwe kenako kusiyiratu. A ndondomeko ofanana akulimbikitsidwa matenda a kaimidwe ndi arthrosis, osteochondrosis, komanso intervertebral chophukacho.

Phwando reflex-segmental kutikita

Monga tanenera kale pamwambapa, ndondomeko zomwe zimakhudza dongosolo anthu mantha kudzera nsalu za khungu lake, ndi mtundu wa tingachipeze powerenga. N'chifukwa chake segmental njira kutikita kwakukulukulu muoneke kulili padzuwa ochiritsira. Ambiri mwa iwo akusisita ndi kugwedera, kusinja ndi stroking. Zonsezi - makina segmental kutikita, omwe ndi ofunika kufufuza mwatsatanetsatane.

Pa nthawi ya kuvomereza zimenezi, monga kuthyolako, kapena "Saw", katswiri amaika chala chachikulu ndi mkombaphala ya manja ake mbali ya msana wodwala m'njira kuti pakati pawo panali wodzigudubuza wa khungu. Kudzera reflex-segmental kutikita, izo amachita kumaliza mwaulesi ndi manja ake mbali zosiyana.

Njira ya chiwiri - pobowola. Pa anachitapo akatswiri ayenera kukhala pa dzanja lamanzere la wodwalayo. Pa nthawi yomweyo dzanja lake lamanja madokotala amaika wodwala m'dera la sacrum ndi, msana akumugwira zala. Kenako anapanga zoyenda zozungulira ndi zala zanu pa 1-4 akutsindika pa mkulu.

Kunyamula segmental kutikita wa lumbar-sacral anachita kayendedwe kuchokera pansi kupyola msana. Kenako, ntchito chala kusintha. Kutikita dokotala anachita zoyenda zozungulira ndi likundikanikizira wanu pamene kutsimikizira pa ena onse. The katswiri mukhoza kuima ndi kumanja kwa wodwala. Koma nthawi yomweyo malangizo a kutikita sayenera kusinthidwa. Movement wa manja Pankhaniyi ikuchitika pansi pamwamba.

Njira winawo stroking. Iwo ikuchitika tingati munthu amaganiza pa thupi wodwala, kapena awiri osakwatira chimanjamanja. Katswiri amachita phwando pakati pa chifuwa. Komanso akupitiriza segmental msana kutikita. Njira imeneyi imagwiridwa ndi thandizo ya kanjedza, amene kuthamanga mphamvu pang'onopang'ono kuchuluka.

Kulandira zikwapu kungakhale planar segmental. Iwo anachita ntchito manja onse awiri, maburashi yomwe imakonzedwa mu kufanana ndi kulangiza kwa msana khomo lachiberekero, ndipo akuyamba pang'ono m'munsimu zone vuto m'deralo. Zikoti amenewa anachita segmental kutikita, komanso chifuwa ndi miyendo.

The njira zotsatirazi amatchedwa "kutsetsereka kwa inu." Taganizirani mitundu itatu ya njira imeneyi:

1. Katswiri umabala segmental kutikita msana, kuwayika manja ake mbali ya iye. Pankhaniyi, pakati pa chala chachikulu ndi zala zanga zonse ayenera kukhala khungu khola. Zinali iye poyera minofu. katswiri ili pamwamba apita pansi pamwamba ndiye lamanja, ndiye chakumbali ya msana.

2. Mu njira yachiwiri, "paokha kutsetsereka" masseur dzanja chimodzimodzi monga mmene zinalili poyamba. Only mu khola ili wa khungu zikuphatikizapo malo atatu vertebrae. Kudera limeneli ayenera anasamuka pansi kwa lumbar msana m'khosi.
3. kupanga khola la khungu, mkono masseur munthu wayamba kupita chitsogolo, ndipo chachiwiri - kumbuyo. Malangizo a mmene akadali yemweyo - kuchokera pansi mmwamba.

Mochenjera yotsatira ndi "kutsetsereka pa ndekha." Njira imeneyi ndi yofanana ndi m'mbuyomo kupatulapo malangizo mmene.

Pamene akuchita njira imeneyi masseur ndi ili pafupi mutu wodwalayo kumaliza kuyenda, kupereka mochuluka katundu pa index chala.

Njira yotsatira kuchita zotsatira segmental pa thupi la munthu wotchedwa "pulagi". Katswiri anachita segmental kutikita lumbosacral dera. manja ake pa yomweyo kusuntha kuchokera pansi apo, kufika mpaka 7 linkawonongeka khomo lachiberekero. Anachita chotero phwando ziyangoyango za index ndi zala pakati. Mu nkhani iyi, manja Katswiri anayikidwa pa mbali ya ndime msana. kayendedwe chala pa kuphedwa kwa njirayi ayenera kusuntha zinthu zolemera za.

Njira ina zotsatira segmental pa thupi mtima akutchedwa "Choka". Pa phwando ili ndi madokotala ndi dzanja lake lamanja clasps thupi wodwalayo m'dera la thako bwino. Pankhaniyi m'manja mwa dzanja lamanzere zimagwiridwa mwauzimu zoyenda kuchokera pamwamba mpaka pansi kwa msana, ndi bwino - zosiyana.

Njira lotsatira amatchedwa "Kuyendetsa". Iwo anachita chala kumanja, dzanja lamanzere magalimoto burdening kapena ziyangoyango ena zala. Kumapeto kwa ndondomeko yofuna mphamvu ayenera musawachitire pamene kuwayika manja pamodzi msana.

Wina kutikita njira segmental ndi "Tambasula". Pamene tikugwira dzanja lake katswiri chimakwirira manja ake pa mndandanda wa masentimita anayi kapena asanu padera. Atapita ku gulu pang'onopang'ono wa anatambasula wa zimakhala kupita burashi ndi mmbuyo ndi mtsogolo. Ndiye kusintha malo manja, ndi phwando akubwerezedwa kachiwiri.

Pa kutikita segmental ntchito njira yapadera atadziŵa okololopatochnuyu m'deralo. The katswiri ayenera kuima kumbali ya dzanja lamanja la wodwala ndi kuyika mkono wake pa dzanja lake lamanzere. Pambuyo pake, mndandanda wa akusisita zazing'ono. magulu otere zimagwiridwa ndi thandizo la zala zinayi dzanja lake lamanja (kenanso). Chikuonetseratu akuyamba ku minofu wodziika za mmbuyo ndipo itha ndi m'mphepete akunja wa tsamba. trituration Komanso akupitiriza. Kuchita izi, ntchito pachala chake chamanthu kudzanja lamanja, chimene chimatichititsa m'mphepete lamkati la tsamba, kufika pa mlingo wa phewa. Itha kusinja kutikita ndi trituration chapamwamba dera la trapezius minofu (kuti occiput). Pambuyo katswiri amasuntha mu dera la scapula bwino. Kumapeto kwa gawo ili la kutikita ndi ankatembenukira pang'ono m'munsi. Anasamukira m'dera subscapular.

Pamene segmental kutikita ndi ntchito njira amatchedwa "m'chiuno concussion." Pankhaniyi, katswiri ntchito ndi manja awiri. Wakonza iwo mu iliac Crest m'dera mafupa a chiuno. Kenako, pogwiritsa ntchito yochepa lateral kayendedwe vibrational manja amalimbikitsidwa msana. magulu awa a mafupa a chiuno ndi kupangidwa concussion.

The segmental kutikita kumeneko ndi kulandira pachifuwa Tambasula. Zikuyamba ndi zikoti tingachipeze powerenga ndi umapezeka m'madera malo intercostal. Kenako, wodwalayo amatenga mpweya kwambiri, imene madokotala ayenera mphamvu compress pachifuwa cha wodwalayo. Malangizo manja waluso pa kukhazikitsa njira imeneyi ndi zosiyana. Monga inu kutulutsa, iwo Wopanda kuti sternum, ndipo pa mpweya - kwa msana. Mkhalidwe waukulu wodwala - samachititsa mpweya wanu. Kuti zimenezi zitheke, a masseur ndi bwino kupereka "Puma" lamulo ndi "kutulutsa." M'pofunikanso kuti njira zofanana mwangwiro imayendetsa kupuma wodwalayo.

Pa kwambiri yomangika m'madera a minofu ndi minofu ya khosi Ndi bwino kuchita wachiphamaso mphete schiptseobrazny phwando. Pankhaniyi, njira ntchito kwathunthu lifanane ndi zimene ukukonda kutikita zachikhalidwe.

ayamikira General

Senmentarny kutikita amafuna malamulo:

1. Aliyense wa njira ayenera ikuchitika pang'onopang'ono, rhythmically ndipo popanda kayendedwe iliyonse mwadzidzidzi.
2. Mu yokongola njira ya segmental kutikita tiyenera kuziganizira panopa siteji ya wodwala matenda ndondomeko.
3. Pa ndondomeko ndikoletsedwa ntchito lubricants, monga iwo kuchepetsa tilinazo, zimakhala ndi.
4. Kuphedwa kwa ndondomeko zichitike pokhapokha kulingalira Maphunziro Akakhalidwe Kazolengedwa ndi thunthu la munthu.
5. ake nthawi segmental kutikita sayenera zosakwana maminiti makumi awiri.
6. Musanayambe zikugwira wodwala azidziwitsidwa za zotengeka ndi zomwe zitiyembekezara iye mkati ndi pambuyo gawoli.
7. Mavuto koyamba ayenera idzachitika m'madera amene kugona pafupi ndi zigawo bwanji.
8. Achita masseur mkati mwa zokambirana ayenera kuwonjezera malangizo kuchokera ofunika zigawo zozama za minofu.
9. Moyenera imachitika segmental kutikita amachititsa kwanyengo ndi redness a khungu, kumverera yosangalala ndi mosatekeseka, komanso relieves ululu.

The ndondomeko ya madyerero

Pamene segmental kutikita ndipofunika kutsatira dongosolo linalake, komanso kukhudzana.

The ndondomeko ya njira zimenezi:
- kumbuyo kutikita;
- kutikita madera yovuta kwambiri cha mafupa a chiuno ndi miyendo, mutu ndi maselo gruzhnoy, komanso mutu;
- minofu kutikita atagona zigawo pamwamba;
- kutikita cha mabacteria zakuya;
- kutikita ku periphery kwa ndime msana pa muzu linanena bungwe la wamanjenje dongosolo.

mfundo zosangalatsa

Ofufuza anapeza kuti mwa kuchita kutikita phazi, mukhoza kuchotsa matenda ambiri. Ndipotu iwo, popanda kukokomeza aliyense wotchedwa mapu anatomical m'thupi la munthu. Kuti mapazi ndi mfundo reflex a machitidwe onse, ndipo ziwalo.

Komanso, akatswiri amakhulupirira kuti thanzi la munthu n'zothandiza ndi nkhope kutikita. Pajatu anaperekanso mfundo zonse ndi kugwirizana ndi ziwalo mkati. Choncho, kutikita masaya facilitates ntchito ya m'mapapo.

Zofewa kukhudza khungu, ngakhale nyama kusangalala. Choncho, zinsomba angatani m'madzi mitu yawo ndi kulola munthu kusisita nokha kwa maola angapo.