Contracture - menene wannan? Contracture tsoka: ganewar asali, magani

Contracture - wani yanayin a cikin abin da wata iyaka hadin gwiwa motsi. Ana sa sabon abu na pathological cicatricial ƙanƙancewa na taushi nama kewaye da hadin gwiwa: tsokoki, fata da kuma subcutaneous nama.

tsoka contracture

Lokacin da tsoka ƙanƙancewa lura mahaukaci sautin ko regidnost tsokoki, da jijiyoyin, da kuma tendons. Idan wannan tsari progresses, akwai wata tsoka fibrosis, watau tsoka nama iya raguwa, tuba a cikin wani fibrous, wanda ya rasa wannan aiki. A wasu kalmomin, da hadin gwiwa iya ba da cikakken lanƙwasa, ko daidaita saboda gaskiyar cewa tsoka daure ba alaka da karshen shakata da kuma ba da damar ƙasusuwan hadin gwiwa dauki daya daga cikin matsananci physiological jihohi.

Mafi sau da yawa, tsoka contracture tasowa saboda rauni, kumburi cututtuka, ake gudanar. Wannan Gaskiya ne, a kuma waɗannan lokuta idan na dogon lokaci da abin ya shafa reshe da aka gyarawa a da keken matsayi. A sakamakon wata pathological tonus na tsoka da jijiya sakonni bambanta kafa contracture.

A wasu lokuta, da contracture (photo nuna a jihar yana a cikin labarin) tasowa a cikin rauni daga cikin tsokoki da su bai cika dawo, sakamakon gudanar da ayyuka a cikakken tsokoki ba su iya. M zafi kara exacerbates cutar tsari, kamar yadda soreness a gidajen abinci, ko tsokoki ta wata hanya hanyar adam ƙuntata motsi.

iri

Alamun kuma Yanã tsarin canje-canje a cikin gidajen abinci da kuma kewaye kyallen takarda ne bambancin, don haka wajen wuya ga rarraba contracture. Fāɗin duniya gane division tsarin - dangane da nan da nan Sanadin su ci gaba.

• Tsarin (m) contracture. Yana taso a sakamakon tsarin canje-canje a cikin gida kyallen takarda (tendons, gidajen abinci, tsokoki, da jijiyoyin, fascia ko fata). Tasowa a lokacin da jinin samar wa babban take hakki ko shafe tsawon immobility na gidajen abinci.
• Neurogenic (aiki) contracture. Ana sa da shafe tsawon tashin hankali na wasu tsokoki, sakamakon tabo-tasowa degenerative canje-canje a cikin kwantena na hadin gwiwa da kuma tsokoki.

Wadannan nau'o'i guda biyu ne inextricably nasaba da suke da matakai na wannan tsari. Suna halin pathological cuta a cikin murdede tsarin.

Bugu da kari, da contracture iya samun duka biyu samu da kuma m. An samo a cikin bi da bi, subdivided cikin neurogenic da posttraumatic.

Wannan cuta fi rinjayar da kananan gidajen abinci. Alal misali, contracture iya ci gaba a cikin wani cikakken asarar motsi yatsa gidajen abinci domin watanni da dama. Shi ne ake kira immobilization. Na yanayin shafi da manyan gidajen abinci suna alama contracture na hip da kafada contracture.

palmar fibromatosis

Contracture na yatsunsu, ko Dupuytren ta - ya fi na kowa, kuma a lokaci guda m nau'i na cutar. Developing shafukan a kan dabino ne sau da yawa kuskure domin calluses. A hankali lalace al'ada yunkuri na yatsunsu. Mai kauri daga cikin connective nama a wani matsayi shi ya zama haka mai girma cewa yatsunsu ba su da ikon daidaita up da kuma zama a cikin irin wannan cramped matsayi. Mafi sau da yawa, da rashin lafiya rinjayar da zobe yatsa da kuma kadan yatsa. Ga abin da dalilai da aka tasowa contracture hannu, a yau shi ne ba a sani. Akwai shaida da cewa irin wannan yanayin mafi sau da yawa yakan faru a tsakiyar-shekaru da kuma dattawa. Da mazan wani mutum ne, da hakan hadarin da wannan cuta. Bugu da kari, da contracture na hannunka ne fiye da na kowa a cikin mutane tare da ciwon sukari, seizures. Har ila yau, akwai wani kayyade predisposition. Wannan ne, idan wani daga cikin iyalinka ya mai contracture na hannunka, sa'an nan yiwuwar cutar ƙwarai karu.

Domin lura da Dupuytren ta contracture dauko wani ra'ayin mazan jiya m. A can farko, to rataya kara ci gaba da na Pathology don taimaka tausa da physiotherapy. Amma tare da wani karfi rage mata da motsi na da yatsunsu amfani na musamman enzyme shirye-shirye (misali, allura miyagun ƙwayoyi "Lidaza"), don taimaka laushi da nama. Wasu kananan dakunan shan magani amfani da hanyar na buga kalaman far, wanda ba ka damar cimma kyawawan sakamako mai kyau. Contracture na yatsunsu a cikin mai tsanani nau'i na bukatar tiyata.

Pathology Sanadin

Contracture - wannan shi ne mafi m wahala na hadin gwiwa raunin kamar sprains, contusions, samu karaya, harbin bindiga da raunuka, kumburi, juyayi tsarin cututtuka da sauransu.

'yan wasa da kuma mutane a hadarin, wanda ya tsunduma a nauyi jiki aiki, kamar yadda a cikin wannan hali, an ƙãra hadarin lalacewar da gidajen abinci, ƙasũsuwa da tsokoki. Mutanen da suka yi aiki a cikin sinadaran masana'antu, suna predisposed zuwa bayyanar kuna contractures. Mun violinists, pianists da sauran masu kida contracture na yatsunsu iya faruwa, kamar yadda a lokacin shafe tsawon motsa jiki yatsunsu jin karfi matsa lamba.

M, contracture ne ya sa ta obstructions a gidajen abinci, kazalika a tendons, tsokoki, da fascia da kuma fata. Mutane da aiki contractures ba inji mai shãmakacẽwa a cikin hadin gwiwa, ko kuma a cikin kewaye kyallen takarda. A maimakon haka, akwai wani take hakkin ko ƙuntatawa na mota aiki. A wannan yanayin, wani dogon tonic tashin hankali ya lura a cikin mutum tsoka kungiyoyin. Gaji da damuwa da daidaituwa tsakanin tsokoki-antagonists, a sakamakon gidajen abinci "sandan". Wannan shi ne ginshikai na cin gaban aiki contractions. A can farko na zama su ne m, kuma amenable don gwada da sauki gyara. Active contracture bace bayan da al'ada motor aiki. Amma a kan lokaci, su zama mafi resistant.

Akwai kuma gauraye siffofin, a lokacin da tushen motsi iyaka ne wajen wuya a ƙayyade. Wannan ya faru a cikin taron cewa na farko da jarrabawa na haƙuri yana da cututtuka kamar inji lalacewa, da kuma lalacewar da juyayi tsarin.

mataki

• Neurogenic. Rashin aiki ji rauni reshe tsokani m zumudi foci a CNS. Wadannan cibiyoyin aika hasken dake fitowa zuwa periphery, game da shi, kafa mahaukaci sautin. A daidai wannan biochemical canje-canje ci gaba a cikin reshe tsokoki.

• Myogenic. Saboda biochemical canje-canje da kuma neurogenic dauki canje-canje faruwa a tsoka nama (atrophy da degeneration).

• Miodesmogennaya. Weight da juz'i na wani reshe da cika fuska rage a cikin tsokoki ci gaba degenerative canje-canje. Akwai tsoka hypertrophy, wanda aka ci gaba, shi tasowa a cikin atrophy.

• Atrogennaya. Akwai aka thickening da wrinkling na hadin gwiwa kwantena, articular guringuntsi zama kasa m kuma na roba. Bayyana scars, solder kwantena da guringuntsi. Shrinkage auku fascias, girma ciki-murdede connective nama da kuma jera sauya tsoka. Haduwar jijiyoci mai taushi da kuma kashi ake soldered. Developing uku kam aya, da hana motsi na hadin gwiwa.

zai yiwu rikitarwa

Contracture - mai tsanani Pathology, kuma idan ya bar untreated, na iya ci gaba da rikitarwa kamar sagè ko ankylosis (cikakken immobility na degenerative hadin gwiwa kyallen takarda). rashin lafiya sau da yawa ma rufe m gidajen abinci. Alal misali, a take hakkin da al'ada aiki na mahadin idon sawun a pathological aiwatar da hannu ƙarshe daina, da gwiwa, da hip hadin gwiwa (hip hadin gwiwa contracture tasowa), lumbar, sa'an nan da thoracic da mahaifa kashin baya.

babba reshe Pathology ba kasa hatsari. Saboda haka, gwiwar hannu contracture rage aiki na hannu. Wannan ya sa shi wuya a kai-kula a gidan matakin da firamare aiki.

bincikowa da

Na farko bincikowa da ya hada da haƙuri binciken da kuma dubawa. Har ila yau likita gano ko akwai lokuta da cutar a kusa da dangi. Bayan gwani zai ƙayyade ko da reshe ne iya yin ayyuka da kuma abin da mataki na nakasawa. Palpation na shafa yankin zai ba da damar samun mafi m yankunan. Matsayin mai mulkin, irin jan damar da wani cikakken ganewar asali, kuma babu wani bukatar ƙarin karatu. A wasu lokuta, za ka iya bukatar x-haskoki domin a daidai ƙayyade wurin da mahaukaci yankin.

Contracture: magani

Kafin ka fara jiyya, dole ne ka gaba daya cire hanyar wanda ya haddasa ci gaban da cutar. Amma, abin takaici, wannan ba ko da yaushe zai yiwu. Next, bari mu magana game da hanyoyin da ake amfani da shi don yin kawar da cutar.

ra'ayin mazan jiya magani

Kullum, a lokacin da gudanar contracture ra'ayin mazan jiya far, da nufin maido da al'ada reshe motsi mawadãta. Yana hada da:

• miyagun ƙwayoyi far (nonsteroid anti-inflammatories, hormones, analgesics, tsoka relaxants).

• warkewa kawancen - da hadin gwiwa rami gudanar da kwayoyi da cewa warware sakamako.

• manual far da kuma tausa.

• hydrotherapy.

• physiotherapy (electrophoresis, UHF).

• Orthopedic hanyoyin (na roba Pull, karkatarwa, orthoses).

• gogayya (tsawo).

• landmark simintin gyare-gyaren.

m baki

Babban maƙasudin na sama matakan ne don kawar da cututtuka na kumburi, kau na edema, maido da hadin gwiwa motsi. Duk da haka, wadannan hanyoyin ba su unsa a kan aiwatar da aiki na tsokoki. Kuma shi ya tsokoki - babban "engine" na gidajen abinci. Saboda haka, a wasu lokuta, idan gano contracture, da aiki - shi ne mai larura.

M magani hada da:

• excision scars da kuma fata grafting.

• fasciotomy.

• gyara nakasa.

• fibrotomiyu.

• capsulotomy.

• arthrolysis.

• arthroplasty.

• osteotomy.

A wasu lokuta, babu m baki ne ba makawa. Amma domin wannan nama traumatic tsari. Da taimakon tiyata iya rabu da inji haddasawa contractures, amma sautin na pathological da zafi ba zai tafi. Restoration of al'ada tsoka aiki a wani hali da shi wajibi ne, domin ta cire kawai inji cikas partially vuya contracture, da kuma al'ada yunkuri na hadin gwiwa da aka ba a mayar a cike.

Halitta hanyoyin da za a bi da

Contracture - a Pathology da za a bi systemically. Halitta hanyoyin taimaka wa ba, ku yaki cututtuka da kuma kawar da Sanadin cutar. Idan ɓullo da contractures, magani ya hada da:

• kinesitherapy ikon;

• magudi, mechanotherapy, motsa jiki far.

• balneotherapy, laka baho.

• fizioterpiyu.

• phytotherapy.

• daidaita cin abincin nasu.

ƙarshe

Don hana abin da ya faru na contracture da muhimmanci a hana ci gaban kumburi a jikinsa, don haka duk cututtuka ya kamata a bi a dace hanya. Yana da kullum dole wajen saka idanu da halin da ake ciki na jikinsa: idan gwiwar hannu hadin gwiwa na dogon lokaci ya kamata a kiyaye a cikin wani lankwasa matsayi, sa'an nan tanƙwara shi ya zama a wata dama kwana, da mafi kyau matsayi ga yatsunsu - lankwasa, mafi kyau duka matsayi na kafa da aka mike.

Idan ka faru da irin wannan matsala, kamar karye kashi ko wani gurde hadin gwiwa, da kuma bukatar shafe tsawon immobilization, kada ka yi baƙin. A hadarin tsoka ƙanƙancewa za a iya rage girmanta, bayar da cewa aiki tsoka aiki za a yi daga ranar farko. Idan ka yi wani kashi karaya da wani reshe, motsa jiki da za ka iya yi da kyau hannu ko ƙafa. Regenerative matakai bayan murdede aiki fiye da Work tsokoki shafi tsokoki da kuma a cikin matsalar yankin. Bugu da ƙari, cikin farfadowa tsari zai zama mafi pronounced idan nazarin manyan tsokoki. Ki kula da kanki da kuma zauna lafiya!