Myofascial syndrome ndi vuto lopweteka lomwe nthawi zambiri limachitika m'zipatala. Odwala ambiri omwe ali ndi matendawa ndi akazi achikulire. Poona kuti kumudzi komweko kumakhala kovuta komanso malo omwe amachokera akhoza kukhala osiyana, sikungatheke kukhazikitsa matenda oyenera nthawi yomweyo.
Myofascial syndrome - ndi chiyani?
Myofascial pain syndrome ikuphatikizapo kusokonezeka kwa zipangizo zam'mimba ndi ziwalo zomwe zimapangitsa minofu (fascia), mothandizidwa ndi zinthu zosiyanasiyana. Matendawa saganiziridwa kuti ndi matenda osiyana, ndipo malinga ndi matenda a mayiko osiyanasiyana padziko lonse lapansi ndi a gulu la mavitamini ochepa omwe amawoneka bwino. Kawirikawiri, pamene madandaulo amachitika myofascial syndrome, matendawa ndi " myalgia ".
Kawirikawiri, zovuta zomwe zimagwiritsidwa ntchito panthawiyi zimapezeka m'matumbo (msana, chiberekero, thoracic, ndi zina zotero), koma zimakhudzanso minofu, nkhope, mimba. Chidziwitso chake ndi kukhalapo kwa zizindikiro zazing'ono, zomwe zimakhala zowawa kwambiri m'mimba ya minofu, yomwe imasiyana mosiyana, ngakhale pamene minofu yonse ili momasuka. Zisindikizo izi zimazindikiridwa ndi kuunika kwa palpation.
Zotsatira zazing'ono zingakhale zogwira ntchito ndipo zimapweteka kwambiri pamene zatsindikizidwa, kapena zosaoneka, zomwe zimayambitsa kupweteka kochepa kokha ndi vuto lonse la minofu. Zomwe zimayambitsa mphamvu zimapewa kutaya minofu yambiri ya minofu ndi kufooketsa mgwirizano wake kwa nthawi yochepa chifukwa cha zinthu zolakwika zomwe zimapangitsa kuti mitsempha ya mitsempha iwonongeke.
Myofascial syndrome - zimayambitsa
Mosasamala kanthu kuti malo amtundu wa myofascial syndrome, kondomu, lumbar, nkhope kapena zina, matenda ali ndi chilengedwe, chifukwa minofu yonse m'thupi lathu imayang'aniridwa ndi dongosolo lalikulu la mitsempha. Zizindikiro zojambulidwa zimachokera ku ubongo kupita ku minofu ndi kumbali ina, zomwe zimathandiza kuchepetsa nthawi zonse kuchepetsa ndi kupuma kwa minofu.
Ngati pali mavuto ena m'ntchito ya mitsempha yokhudzana ndi matenda osiyanasiyana, zikhumbo zimakhala zosokonezeka kapena sizikhoza kuchitika mwachizolowezi. Choncho, minofu ina imasiya kumvera ubongo, nthawi yayitali, mosasamala za chifuniro cha munthu ndi zosowa za thupi lake. Chifukwa cha nthawi yaitali, zofunikira zamagalimoto siziyendetsedwa, ndipo matenda opweteka amapitirira nthawi yaitali.
Zifukwa zikhoza kukhala zotsatirazi zomwe zimapangitsa munthu kutenga malo olakwika a thupi kapena momwe amawombera ndi kuwononga ziwalo za mitsempha:
- osteochondrosis wa msana ndi mavuto ake;
- kusintha kwaziwalo kapena zotupa m'magulu;
- zofooka za msana, ziwalo za mafupa ( scoliosis , mapafupi , kuchepetsedwa kwa miyendo, asymmetry ya mafupa, ndi zina zotero);
- matenda opatsirana m'matenda ena;
- Matenda a ziwalo zamkati omwe ali m'mimba mwa thoracic, m'mimba, pang'onopang'ono;
- matenda a rheumatic;
- kumwa mowa mwauchidakwa;
- Zotsatira zake zimatulutsa mitsempha (mwachitsanzo, chifukwa cha kuvulazidwa, kuchitidwa thupi), ndi zina zotero.
Kuonjezera apo, tikhoza kuzindikira zifukwa zingapo zoopsya zomwe zingatheke kuti chiwerengero cha myofascial syndrome chiwonjezere:
- kuvala nsapato zosavuta, kufinya zovala ndi zipangizo;
- kusowa kwa kuyenda;
- kunenepa kwambiri ;
- kukhudzidwa kupsinjika;
- ntchito yolemetsa, kuphunzitsa mwamphamvu;
- chithandizo;
- kuphulika kwa malo , etc.
Msofascial syndrome wa lumbosacral msana
Ngati pali myofascial syndrome m'dera la lumbar ndi sacrum, chifukwa chake nthawi zambiri zimakhala zovuta kwambiri (mwachitsanzo, kukweza zolemera, jerks) ndi kupsinjika kwa nthawi yaitali (ntchito yayitali pa kompyuta, ikuyendetsa gudumu). Kuonjezera apo, zifukwa zomwe zimayambitsa matendawa zimatha kukhala ndi matenda enaake, osteomyelitis, matenda a chiwopsezo cha m'mimba, khansa za khansa ndi metastase m'dera lino.
Msofascial syndrome ya cervical msana
Myofascial cervical syndrome amadziwika ndi mapangidwe amtundu wa mitsempha pamphepete mwa msana komanso m'mphepete mwa mitsempha ya trapezius yomwe ili kumalo otsika kwambiri a khosi ndi kumtunda. Pachifukwa ichi, malowa akhoza kuchitika mu gawo la occipital ndi malo ozungulira a mutu, ndipo pang'onong'ono ya matenda, zovuta za vegetative zowonjezedwa.
Myofascial thoracic syndrome
Ndi maonekedwe a foci opweteka mu minofu ya mitsempha ya anterior thorax, m'thupi laling'ono la pectoral, myofascial spine syndrome m'dera la thoracic lingapezeke. Zingatheke chifukwa cha matenda a msana, omwe amapezeka m'derali, ndi matenda a ziwalo za thoracic, kuphatikizapo ululu wa subclavia, umene umapereka mapewa ndi manja.
Msofascial facial syndrome
Pamene matenda a msofascial facial syndrome amadziwika, zizindikiro zowonongeka zimapezeka m'dera la kutafuna minofu, m'magulu a minofu a dera la temporomandibular, pterygoid mafupa a sphenoid. Mavuto a mitsempha m'mayeserowa amayamba chifukwa cha zizoloŵezi zowonongeka zomwe zimakhalapo nthawi yaitali: chithandizo cha kanjedza, nsagwada kumalumikizika m'madera ovuta, kufalikira kwa nsagwada kumunsi kapena kutsogolo.
Matenda a mtima wa Myofascial
Kwa amayi, nthawi zambiri imakhala ndi matenda a myofascial pelvic pansi ndipo zingathe kuwonongeka kwa minofu yotsatira: peyala yoboola pakati, mitsempha ya mkati, minofu yonyamula minofu, kutuluka minofu ya perineal. Zifukwa zingakhale zovulaza zosiyana ndi dera la msana, kupotoka kwa msana, kutalika kwake kwa m'munsi mwake, hypothermia, kuvala zovala zolimba.
Myofascial syndrome - zizindikiro
Kuwonetsetsa kwakukulu kwa matenda omwe ali m'mutuwu ndiko kupweteka mu gulu la minofu lomwe lakhudzidwa, lomwe liri ndi khalidwe lokoka, lopweteka lomwe silingathe kupumula, lomwe limapanga ndi katundu ndi kuyambitsa zomwe zimayambitsa. Mukakhudza mfundozo, ululu umakhala wovuta, wowawa. Odziwika ndi kukhalapo kwa chigawo cha ululu wokhudzidwa, momwe mukukoka, kupweteka kosautsa kumva. Kuonjezera apo, zizindikiro za matenda a myofascial zikhoza kukhala ndi izi:
- kuphwanya kwa khungu;
- Kufiira kapena khungu lofiira khungu pa minofu yosokonezeka;
- kumverera kwa "kukukwa";
- Kuletsedwa kwa kayendetsedwe ka malo okhudzidwa;
- kupweteka.
Myofascial syndrome - matenda
Myofascial syndrome imapezeka ndi katswiri wa zamaganizo, poganizira zodandaula za wodwalayo ndi pamaso pazifukwa izi:
- kukhalapo kwa zisindikizo zopweteka mu makulidwe a minofu;
- kukhalapo kwa kupweteka, kukwiyitsa ndi kukakamiza zosokoneza;
- kukhazikitsa kugwirizana pakati pa kupweteka kwa minofu ndi kuwonongeka kwa thupi, mantha oopsa, hypothermia.
Pofufuza, choyamba, m'pofunikira kupewa zozizwitsa zokhala ndi zotupa komanso mizu ya kupweteka kwa msana (pamene pali kukayikira kwa vertebrogenic myofascial syndrome). Tiyenera kuzindikira kuti ma hardware kapena ma laboratory mu matendawa amavumbula kusokonezeka kwapadera kwa minofu, ngakhale kuwonjezera.
Myofascial syndrome - mankhwala
Odwala amene amapezeka kuti ali ndi matenda a myofascial amalandira mankhwala osiyanasiyana, kuphatikizapo mankhwala ndi njira zopanda mankhwala. Osati mankhwala ndi awa:
- Kukonza thupi ndi njira yosagwirizana nayo yomwe imayambitsa zotsatirazi, zomwe zimagwirizana ndi zizindikiro zomangira thupi, kuti zithetse magazi ndi kukwaniritsa kumasuka kwa minofu;
- Njira zochizira matenda: ultrasound mankhwala, electrostimulation, thermomagnetotherapy, electrophoresis, cryoanalgesia, etc ;;
- kupaka minofu ndi mankhwala othandizira;
- kugwiritsa ntchito mankhwalawa - kulimbitsa minofu ya minofu, kuyendetsa kusindikiza kwa magazi mwa iwo, kukonza zolakwika zolakwika.
Pochiza matenda a myofascial, ndikofunikira kulingalira zomwe zimayambitsa chitukuko pa nthawi ya mankhwala. mofananamo ndi kuthetsa zovuta zomwe zimachitika kuti ndilowetse ndikudwala. Kuonjezera apo, odwala amapatsidwa uphungu pa malo okwanira pa tebulo, bungwe lothandizira la malo ogwira ntchito, zikhalidwe za zochitika.
Myofascial syndrome - mankhwala
Ngati myofascial syndrome imapezeka, mankhwala akunyumba amafunika kuphatikiza kumwa mankhwala kuti athetse ululu (zowonongeka ndi zowonongeka). Izi ndizokonzekera kuchokera ku magulu otsatirawa:
- minofu yopuma (No-shpa, Sirdalud, Baclofen, Midokalm);
- mankhwala osagwiritsidwa ntchito poletsa mankhwala (Nimesil, Diclofeknak, Ibuprofen).
Kuonjezera apo, ndi ululu waukulu panthawi yopuma, blockages ndi Novocaine kapena Lidocaine akhoza kulamulidwa. Ngati pali zowopsya, zolemba zimaperekedwa (Valerian, Barbovan, Novopassit). Pofuna kuthandizira katemera wa tizilombo, vitamini B ndi magnesium zimatchulidwa nthawi zambiri.
Matenda a myofascial - misala
Chinthu chofunika kwambiri pa chithandizo cha matendawa chimaperekedwa pa kupuma minofu, komwe kumalola kuyambitsa njira zamagetsi mumatenda, kuthetsa vuto la minofu, kuwonjezera kuchuluka kwa kayendetsedwe kake. Mankhwala othandizira ma syndromes a myofascial angathe kuchitidwa ndi akatswiri odziwa bwino ntchito. Pazochitikazo, mfundo zopweteka zimakhudza mwachindunji.
Zotsatira zabwino zimapereka zotsatira zowonjezera monga kusungunuka kwa minofu yotsitsimutsa, njira yowonongeka yowonongeka ya minofu mumtundu winawake. Wodwala amatenga maudindo osiyanasiyana panthawiyi - wakhala, atagona pambali pake, kumbuyo kwake, ndi zina zotero. Pachifukwa ichi, pali kanthawi kochepa kamene kamakhala ndi minofu yambiri ndi kuwonjezeka kwina kwa kutambasula ndi kutulutsa.