I-Myofascial syndrome yisimo esibuhlungu esivame ukuvela emisebenzini yezokwelapha. Iningi leziguli ezine-syndrome zingabesifazane abaneminyaka ephakathi. Ngokubheka ukuthi ukutholakala kwamandla okungahambi kahle kanye nomthombo wabo kungase kuhluke, akunakwenzeka ngaso sonke isikhathi ukusungula ukuxilongwa okulungile ngesikhathi esisodwa.
I-Myofascial syndrome - iyini?
I-syndrome ye-Myofascial syndrome ihlotshaniswa nokuphazanyiswa kwezixhobo ze-muscular kanye nezinambuzane ezihlanganisa imisipha (fascia), ngaphansi kwethonya lezici ezihlukahlukene. Lesi simo asibhekwa njengesifo esihlukile, futhi ngokusho kokuhlukaniswa kwezifo emhlabeni jikelele kungokwesigaba samathambo wezinthambo ezithambile zesikhashana. Ngokuvamile, lapho izikhalazo zenzeka ku-myofascial syndrome, ukuxilongwa "yi- myalgia ".
Ngokuvamile, lesi simo esibucayi esicatshangelwayo siyabonakala emisipha yezinhlanzi (umgogodla, umlomo wesibeletho, i-thoracic, njll), kodwa kungathinta nemisipha yezinyawo, ubuso, isisu. Ukuqakatheka kwalo ukukhona kwamaphuzu okuqala, okuyizinsipho ezincane ezibuhlungu ekubunjeni kwezicubu zomzimba, ezihlukile ngezwi elikhulayo, ngisho nalapho yonke imisipha ikhululekile. Lezi zimpawu zibonakala ngokuhlolwa kwe-palpation.
Amaphuzu we-Trigger angase asebenze esimweni esisebenzayo futhi aphume ngamandla lapho ecindezelwe, noma esimweni esingahambi kahle, ebangela ubuhlungu obunzima kuphela ngokucindezeleka komzimba wonke. Izinyathelo ezisebenzayo zivimbela ukwelula ngokweqile kwezicubu zomzimba ezithintekayo futhi zinciphisa okwesikhashana isivumelwano saso isikhathi sokuthonya izici ezingezona ezicasula izintambo zesisindo.
I-Myofascial syndrome - izimbangela
Kungakhathaliseki ukuthi i-myofascial syndrome yendawo, indawo yomlomo wesibeletho, i-lumbar, ebusweni noma enye, ukukhubazeka kungokwemvelo, ngoba yonke imisipha emzimbeni wethu ilawulwa yi-system central neyesisindo. Izibonakaliso zokugulisa zihanjiswa kusuka ebuchosheni kuya emisipha nakwezinye izindlela, okusiza ukunciphisa nokuphumula okwenziwe ama-muscle fibers.
Uma kunezinkinga ezithile emisebenzini yesimiso sezinzwa ezihambisana nezici ezihlukahlukene zezinto eziphilayo, izimpendulo ziba yizikhukhula noma azikwazi ukwenza ngendlela evamile. Ngakho-ke, ezinye izihlungulu ziyeka ukulalela ubuchopho, ukuhlala isikhathi eside endaweni eyodwa, kungakhathaliseki ukuthanda komuntu nezidingo zomzimba wakhe. Ngenxa yesimo eside sikhululekile, imisebenzi yezimoto ezidingekile ayenziwanga, futhi kusetshenziswa isifo sobuhlungu eside (spasm) ubuhlungu besifo.
Izizathu zingase kube izifo ezilandelayo ezenza umuntu athathe isikhundla esingalungile somzimba noma ngaphansi kwalokho afakaza futhi awonakele izintambo zezinzwa:
- i-osteochondrosis yomgogodla kanye nezinkinga zayo;
- izinguquko ezinama-dystrophic or inflammatory kumalungu;
- izinkinga zomgogodla, izakhiwo zamathambo (i- scoliosis , izinyawo eziphansi , ukunciphisa izitho, ukulingana kwamathambo we-pelvic, njll);
- i-edematous syndrome kwezinye izifo ezithile;
- izifo zezitho zangaphakathi ezisendaweni ye-thoracic, esiswini, isifuba esincane;
- izifo ze-rheumatic;
- ukuphuza izidakamizwa zomzimba;
- imiphumela yemishini emithanjeni (isb. ngenxa yokulimala, ukuzikhandla ngokomzimba) njll.
Ngaphezu kwalokho, singakwazi ukubona izinkinga eziningana lapho amathuba okuthuthukisa i-myofascial syndrome enyuka:
- sigqoke izicathulo ezingakhululekile, ucindezele izingubo nezesekeli;
- ukuntuleka kokuhamba;
- ukukhuluphala ;
- ukukwazi ukucindezeleka;
- umsebenzi onzima, ukuqeqeshwa okujulile;
- i-hypothermia;
- ukwephulwa kwe- posture , njll.
I-Myofascial syndrome yomgogodla we-lumbosacral
Uma kukhona i-myofascial syndrome yesifunda se-lumbar kanye ne-sacrum, imbangela ivame ukuthwala imithwalo enamandla (isibonelo, ukuphakamisa izisindo, i-jerks) nokucindezeleka kwesikhathi eside (umsebenzi omude kukhompyutha, ukushayela ngemuva kwesondo). Ukwengeza, izici zokucabangela zingase zithathe i-hernias, i-osteomyelitis, izifo zesimiso sokugaya ukudla, izicubu zomdlavuza kanye nama-metastases kule ndawo.
I-Myofascial syndrome yomgogodla wesibeletho
I-Myofascial syndrome syndrome ibonakala ngokubunjwa kwamaphuzu okuqala emisipha yentamo emgodleni nasemaphethelweni emisipha ye-trapezius esesifundeni esilandelayo sentamo nasemuva. Kulesi simo, izimpande zingase zenzeke endaweni ye-occipital kanye nendawo ye-orbital yekhanda, futhi ngokuqhubeka kwe-pathology, izinkinga zemifino zengeziwe.
Isifo se-thoracic syndrome
Njengoba kubonakala sengathi i-foci ebuhlungu emathisini omzimba we-thorax yangaphakathi, ku-muscle omncane we-pectoral, i-myofascial spine syndrome esifundeni se-thoracic ingatholakala. Kungabangelwa kokubili izifo zomgogodla, ezitholakala kule ndawo, nezifo zezingxenye zesigxobo se-thoracic, kufaka phakathi izinhlungu ze-subclavia, ezinikeza amahlombe nezandla.
Isifo sobuso be-Myofascial facial syndrome
Lapho i-myofascial facial pain syndrome itholakele, amaphuzu okutholwa angatholakala endaweni yokuhlunga, emathisini amisipha esifundeni esihlangene se-temporomandibular, izinqubo ze-pterygoid zethambo le-sphenoid. Izinkinga zemisipha kuleli cala zivame ukubangelwa imikhuba yokuziphatha eyingozi ekhona isikhathi eside: ukwesekwa kwesundu, ukuqina komhlathi emimweni ecindezelayo, ukwandisa umhlathi ophansi kuya ohlangothini noma phambili.
I-Myofascial syndrome syndrome
Kulaba besifazane, kuvame ukuba nesifo se-myofascial pelvic floor syndrome esingahle sibe khona umonakalo emisipha elandelayo: i-pear-shaped, obturator yangaphakathi, imisipha ephakamisa i-anus, imisipha yomzimba. Izimbangela zingase zibe ukulimala okuhlukile esifundeni sezintambo, ukuvuthwa komgogodla, ubude obuhlukahlukene bezingcansi eziphansi, i-hypothermia, egqoke izingubo eziqinile.
I-Myofascial syndrome - izimpawu
Ukubonakaliswa okuyinhloko kwesifo esibuzwayo ubuhlungu kuqembu le-muscle elithintekile, elinomlingisi wokudonsa, okhungayo ongadluli ekuphumuleni, okwandisa ngemithwalo nokusebenza kwezimbangela. Uma uthinta amaphuzu okuqala, ubuhlungu buba nzima, buhlungu. Eyaziwa ngokuba khona kwendawo yezinhlungu ezibonakalayo, lapho kukhona ukudonsa, ubuhlungu obunzima obuzwayo. Ngaphezu kwalokho, izimpawu ze-myofascial pain syndrome zingaba nalokhu okulandelayo:
- ukwephula ukuzwela kwesikhumba;
- ukubopha noma ukubomvu kwesikhumba phezu kwemisipha ethintekile;
- umzwelo "wokukhahla";
- ukuvinjelwa kokunyakaza endaweni ethintekile;
- ukuxuba.
I-Myofascial syndrome - ukuxilongwa
I-Myofascial syndrome ibhekwa yi-neurologist, ngokucabangela izikhalazo zesiguli nangaphambi kwalokhu okulandelayo:
- ukutholakala kwezimpawu ezibuhlungu ekubunjeni kwemisipha;
- ubukhona bokupha, ukucasula ngokucindezela izimbangela;
- ukuxhunyaniswa okuphakathi kobuhlungu be-muscle nokudlulela ngokweqile ngokomzimba, ukugqithisa ukwesaba okukhulu, i-hypothermia.
Uma uthola ukuxilongwa, okokuqala, kubalulekile ukukhipha izimo ezivuvukalayo kanye nezimpande zokucindezela kanye nomzimba wokugulisa umgogodla (uma kukhona ukusola kwe-vertebrogenic myofascial syndrome). Kumele uqaphele ukuthi ama-hardware noma ama-laboratory amasu kule syndrome abonisa noma yikuphi ukuphazanyiswa kwezifo ezithinta izicubu zomzimba, ngisho nokucindezela.
I-Myofascial syndrome - ukwelashwa
Iziguli eziye zatholakala ukuthi zinesifo sobuhlungu be-myofascial zithola ukwelashwa okuphelele, kuhlanganise nemithi nemithi engeyona imithi. Okungeyona imithi yilezi:
- Ukwakhiwa kwe-acupuncture kuyindlela engavumelani nayo lapho kusetshenzwa umphumela ezintweni eziqhamukayo, okuvame ukuhambisana namaphuzu okugcoba, ukuze kuthuthukiswe ukuhlinzeka ngegazi futhi kutholakale ukuphumula kwemisipha yomzimba;
- izinqubo ze-physiotherapeutic: ukwelapha kwe-ultrasound, electrostimulation, thermomagnetotherapy, electrophoresis, cryoanalgesia, njll;
- ukusikhipha kanye nokwelashwa kwemithi;
- sebenzisa i-thérapie - ukuqinisa izicubu zomzimba, ukuthuthukisa ukujikeleza kwegazi kuzo, ukulungisa ukuma okungaqondile.
Ukuze uphulukise i-myofascial syndrome, kubalulekile ukucabangela izimbangela zokuthuthukiswa kwayo ngesikhathi sokwelapha. ngokuhambisana nokuqedwa kwezimo ezibuhlungu zokuzibandakanya kanye nesifo esiyisisekelo. Ngaphezu kwalokho, iziguli zinikwa iseluleko ezindaweni ezifanele etafuleni, inhlangano enengqondo yomsebenzi, imigomo yomsebenzi womzimba.
I-Myofascial syndrome - izidakamizwa
Uma i-myofascial syndrome itholakale, ukwelashwa ekhaya kubandakanya ukuphuza imithi ekunciphiseni ubuhlungu (imiphumela yendawo kanye nesistimu). Lezi zilungiselela kusuka kumaqembu alandelayo:
- imisipha yokuphumula (No-shpa, Sirdalud, Baclofen, Midokalm);
- izidakamizwa ezingekho-steroidal anti-inflammatory (Nimesil, Diclofeknak, Ibuprofen).
Ngaphezu kwalokho, ngezihlungu ezinzima ngesikhathi sokugula, amabhulogi neNovocaine noma i-Lidocaine angabekwa. Uma kunezizathu zokucindezela ngokwengqondo, ama-sedative anqunywe (Valerian, Barbovan, Novopassit). Ukuze kuthuthukiswe i-trophism yezicubu, i-vitamin B ne-magnesium zivame ukushiwo.
I-Myofascial syndrome - ukubhuca
Inendima ebalulekile ekwelapheni lesi simo sempilo inikeza inkambo yokusikhipha umzimba, okuvumela ukuba kusebenze izinqubo zamathambo ezinhlobonhlobo, ukuqeda ukucindezeleka kwemisipha, ukwandisa inani lokunyakaza. Ukwelashwa kwamagama ezinhlungu zesifo somzimba kungenziwa kuphela ngabachwepheshe abanolwazi. Phakathi nezinqubo, amaphuzu abuhlungu aphethwe ngqo.
Umphumela omuhle unikeza umphumela onjalo wamandla njengokuphumula kwe-post-isometric yemisipha, ukwelula okulula okuhlakaniphile kwesisindo se-muscle ngendlela ethile. Isiguli sithatha izikhundla ezahlukene ngesikhathi senqubo - uhlezi, ulele eceleni kwakhe, ngemuva kwakhe, njll. Kulesi simo, kukhona ukuphikisana okufutshane okwesikhashana kwezicubu ze-muscle nokunyuka okunye emkhatsini wokulula nokuphumula.