Contracture - ihe bụ nke a? Contracture nke muscle: nchoputa, ọgwụgwọ

Contracture - a ọnọdụ nke a mmachi nkwonkwo agagharị. Ọ na-akpata onu nke enweghị nchịkwa cicatricial mkpi nke adụ anụ ahụ gbara ya gburugburu na nkwonkwo: uru ahụ, akpụkpọ subcutaneous anụ ahụ.

muscle contracture

Mgbe muscle mkpi hụrụ ndiiche ụda ma ọ bụ regidnost mọzụlụ, ụdọ, na akwara. Ọ bụrụ na usoro a na-aga n'ihu, e nwere a muscle fibrosis, ie muscle anụ ahụ ike nke na Mbelata, converted n'ime a fibrous, nke furu efu ọrụ a. Ndị ọzọ okwu, na nkwonkwo nwere ike n'ụzọ zuru ezu gbagọrọ agbagọ ma ọ bụ na-agbatịnụ n'ihi na eziokwu na muscle n'ùkwù n'ùkwù na-adịghị metụtara ọgwụgwụ iji zuru ike na-ekwe ka ọkpụkpụ nke nkwonkwo na-otu nke oké n'ahụ na-ekwu.

Ọtụtụ mgbe, muscle contracture amalite n'ihi trauma, mkpali oria, arụmọrụ. Nke a bụ eziokwu karịsịa n'ebe ndị ahụ mgbe ogologo oge otụk N'ịdị e ofu na a anyịnya ọnọdụ. Dị ka a N'ihi nke a enweghị nchịkwa tonus nke muscle na akwara n'ókè iche iche kpụrụ contracture.

Mgbe ụfọdụ, ndị contracture (foto na-egosi a na steeti nwere n'isiokwu) amalite na ihe ọjọọ nke uru ahụ na ha na-ezughị ezu na mgbake, dapụtara na-ebu ha na ọrụ na zuru uru na-enweghị ike. Ufiop mgbu n'ihu njọ ọrịa usoro, dị ka soreness na nkwonkwo ma ọ bụ uru na agbanyeghị na-akpata mmadụ igbochi ije.

ụdị

Mgbaàmà na-akpata bughi mgbanwe nkwonkwo na gburugburu anụ ahụ bụ iche iche, ya mere, kama siri ike were contracture. Ala ghọtara nkewa usoro - dabeere na ozugbo-akpata ha na mmepe.

• Structure (n'ezinụlọ) contracture. Ọ na-ebilite n'ihi nke bughi mgbanwe obodo anụ ahụ (akwara, njikọ, akwara, ụdọ, fascia ma ọ bụ akpụkpọ). Amalite mgbe inweta ọbara n'imebi ma ọ bụ ruo ogologo oge ịnọrọ nkwonkwo.
• Neurogenic (ifịk) contracture. Ọ na-akpata ruo ogologo oge erughị ala nke ụfọdụ uru, dapụtara na onya-emepe emepe degenerative mgbanwe Capsule nke nkwonkwo na akwara.

Abụọ ndị a na ụdị na-nwere njikọ chiri na bụ nkebi nke otu usoro. Ha na-ji enweghị nchịkwa ọrịa na muscular usoro.

Ke adianade do, contracture nwere ma enwetara na ebum pụta ụwa. Enwetara n'aka, subdivided n'ime neurogenic na posttraumatic.

Ọrịa a kasị emetụta obere nkwonkwo. Ka ihe atụ, contracture nwere ike ịzụlite na a zuru ezu na ọnwụ nke agagharị nke mkpịsị aka nkwonkwo ọtụtụ ọnwa. Ọ na-akpọ Immobilization. Nke ọnọdụ na-emetụta ndị nnukwu nkwonkwo ha pụta ìhè contracture nke hip na ubu contracture.

palmar fibromatosis

Contracture nke mkpịsị aka, ma ọ bụ Dupuytren si - kasị nkịtị na n'otu oge ahụ dị ize ndụ ụdị ọrịa ahụ. Emepe emepe na saịtị na n'ọbụ aka bụ mgbe emeghe maka calluses. Nke nta nke nta na akwusila nkịtị ije nke mkpịsị aka. Ndim nke connective anụ ahụ na ụfọdụ ebe ọ na-aghọ nnọọ ukwuu nke na mkpịsị aka na-adịghị ike na-agbatịnụ na-anọgide na ndị dị otú ahụ a mfafaha itie. Ọtụtụ mgbe, ndị ọrịa na-emetụta mgbanaka mkpịsị aka na Mkpịsị aka nta. Olee ihe na-emepe emepe contracture n'aka, taa, a na-amaghị. E nwere ihe gosiri na ihe dị otú a ọnọdụ kasị-abụkarị na n'etiti-agadi na ndị okenye. The okenye na mmadụ bụ onye, na elu n'ihe ize ndụ nke ọrịa a. Ke adianade do, contracture n'aka bụ ihe nkịtị na ndị mmadụ na-arịa ọrịa shuga, ọdụdọ. Ọzọkwa, e nwere mkpụrụ ndụ ihe nketa pụrụ ịrịa. Ya bụ, ma ọ bụrụ na otu onye si ezinụlọ a contracture n'aka, mgbe ahụ, ihe gbasara nke puru nke ọrịa na-ukwuu ụba.

Maka ọgwụgwọ nke Dupuytren si contracture ịmụta a mgbanwe obibia. Mgbe mbụ ogbo, kwụsịtụ n'ihu mmepe nke daa ọrịa aka ịhịa aka n'ahụ na physiotherapy. Ma na a siri ike mmachi nke na agagharị nke mkpịsị aka site na iji a pụrụ iche enzyme preparations (eg, ọgwụ ọgwụ ọjọọ, "Lidaza"), na-enyere nro na anụ ahụ. Ụfọdụ clinics iji usoro nke ujo efegharị efegharị ọgwụ, nke-enye gị ohere nweta mara ezigbo mma na-arụpụta. Contracture nke mkpịsị aka a oké ụdị achọ ịwa ahụ.

daa ọrịa akpatara

Contracture - nke a bụ ihe ndị kasị ugboro ugboro sikwuoro nke nkwonkwo unan dị ka sprains, contusions, fractures, gunshot ọnyá, mbufụt, ụjọ usoro ọrịa na ndị ọzọ.

na-eme egwuregwu na ndị mmadụ nọ n'ihe ize ndụ, bụ ndị na-arụ dị arọ na-arụ ọrụ, dị ka na nke a, ihe ize ndụ nke mmebi nke nkwonkwo, ọkpụkpụ na akwara. Ndị mmadụ na-na-arụ ọrụ na chemical ụlọ ọrụ, na-predisposed ka ọdịdị nke apa ọkụ contractures. Anyị akpọ violin, pianists na ndị ọzọ na egwú contracture nke mkpịsị aka nwere ike ime, dị ka n'oge ruo ogologo oge omumu mkpịsị aka na-eche ike nsogbu.

N'ezinụlọ, contracture e mere site obstructions na nkwonkwo, nakwa dị ka na akwara, mọzụlụ, fascia na akpụkpọ. Ndị na-arụsi ọrụ ike contractures dịghị n'ibu ihe mgbochi na nkwonkwo ma ọ bụ na gburugburu anụ ahụ. Kama, e nwere a mebiri ma ọ bụ mmachi nke moto ọrụ. Na nke a, a ogologo tonic erughị ala hụrụ onye muscle iche iche. Nsogbu n'obi itule n'etiti uru-akụ ọkpọ, dị ka a n'ihi nke nkwonkwo "nkpirikpi". Nke a bụ usoro mmepe nke nọ n'ọrụ contractions. Mgbe mbụ ogbo nke ịdị adị ha ejighị n'aka na amenable ka dịtụ mfe mgbazi. Active contracture akwụsị mgbe nkịtị moto ọrụ. Ma ka oge na-, ha na-aghọ ndị ọzọ na-eguzogide ọgwụ.

E nwekwara mbuaha iche-iche, mgbe ndị na-akpata ije ịgba bụ kama ike ikpebi. Nke a mere na ihe omume ahụ na mbụ nnyocha nke onye ọrịa nwere mgbaàmà ka n'ibu mmebi, na mmebi nke ụjọ usoro.

ogbo

• Neurogenic. Emegaghị merụrụ ahụ N'ịdị akpalite persistent excitation foci na CNS. Ndị a emmepe eziga gboo ka mpụta, si otú akpụ ndiiche ụda. N'otu Biochemical mgbanwe ịzụlite na N'ịdị arọ.

• Myogenic. N'ihi Biochemical mgbanwe na neurogenic mmeghachi omume mgbanwe ime na muscle anụ ahụ (atrophy na mbelata).

• Miodesmogennaya. Ibu na olu nke a N'ịdị n'ụzọ dị ịrịba ama belata na uru ịzụlite degenerative mgbanwe. E muscle hypertrophy, nke a na-enwe ọganihu, ọ na-amalite n'ime atrophy.

• Atrogennaya. E nwere na ndim na wrinkling nke nkwonkwo, articular cartilage na-aghọ obere ike na-agbanwe. Ò scars, solder Capsule na cartilage. Shrinkage emee fascias, na-eto intra-muscular connective anụ ahụ na obere na-anọchi nke muscle. Soft anụ ahụ na ọkpụkpụ na-soldered. Emepe emepe atọ fixation uche, na-egbochi ije nke nkwonkwo.

kwere omume nsogbu

Contracture - a siri daa ọrịa, na ọ bụrụ na ekpe untreated, nwere ike ịzụlite nsogbu ndị dị otú ahụ dị ka isi na ọbụna ankylosis (zuru ezu ịnọrọ nke degenerative nkwonkwo anụ ahụ). ọrịa na-na-na-ekpuchi n'akụkụ nkwonkwo. Ihe atụ, na mebiri nke kwesịrị ịrụ ọrụ nke ụkwụ na nkwonkwo na-enweghị nchịkwa na usoro aka-emecha kwụsị, ikpere, na hip nkwonkwo (hip nkwonkwo contracture amalite), lumbar, mgbe ahụ, thoracic na cervical spain.

elu N'ịdị daa ọrịa abụghị obere ize ndụ. Ya mere, ikiaka contracture ebelata arụmọrụ nke aka. Nke a na-eme ka o sie ike onwe-elekọta na ezinụlọ larịị ma ndị mbụ na-arụ ọrụ.

nchọpụta nsogbu

Preliminary nchọpụta nsogbu na-agụnye inwe ndidi nnyocha e mere na nnyocha. Ọzọkwa dọkịta ịchọpụta ma e nwere ọnọdụ ụfọdụ nke ọrịa na nso ikwu. Mgbe ọkachamara ga-chọpụta ma N'ịdị nwee ike ịrụ na-eme na ihe ogo deformation. Palpation nke emetụtara ebe ga-ekwe ka ga-ahụ kasị egbu mgbu ebe. Dị ka a na-achị, dị manipulations ekwe ezi nchoputa, na ọ dịghị mkpa maka ndị ọzọ ọmụmụ. Mgbe ụfọdụ, i nwere ike mkpa x-ụzarị iji n'ụzọ ziri ezi chọpụta na ọnọdụ nke ndiiche ebe.

Contracture: ọgwụgwọ

Tupu ị malite ọgwụgwọ, ị ga-kpamkpam wepu ihe kpatara nke triggered mmepe nke ọrịa. Ma, dị mwute ikwu, nke a abụghị mgbe niile kwere omume. Ọzọ, ka okwu banyere ụzọ na-eji maka igbu ndị ọrịa.

mgbanwe ọgwụgwọ

N'ozuzu, mgbe ndinọ contracture mgbanwe ọgwụ, iji na-eweghachiri nkịtị N'ịdị ije njupụta. Ọ na-agụnye:

• usoro ọgwụ (nonsteroid mgbochi inflammatories, homonụ, analgesics, muscle relaxants);

• ọgwụgwọ mgbochi - nkwonkwo oghere ndinọ ọgwụ ọjọọ na idozi mmetụta;

• ntuziaka ọgwụ na ịhịa aka n'ahụ;

• hydrotherapy;

• physiotherapy (electrophoresis, UHF);

• Orthopedic ụzọ (agbanwe esiri, nje ọgụ, orthoses);

• traction (ndọtị);

• ịrịba ama nkedo.

ịwa aka

Ebumnobi bụ isi nke n'elu jikoro bụ iwepụ mgbaàmà nke mbufụt, mwepụ nke edema, mweghachi nke nkwonkwo agagharị. Otú ọ dị, ndị a ụzọ na-adịghị etinye na usoro nke na ịrụ ọrụ nke uru ahụ. Ma ọ bu akwara - isi "engine" nke nkwonkwo. Ya mere, mgbe ụfọdụ, ma ọ bụrụ na ahụrụ contracture, ọrụ - ọ bụ a mkpa.

Ịwa ahụ ọgwụgwọ na-agụnye:

• excision scars na akpụkpọ grafting;

• fasciotomy;

• mpaghara ukwu anụ;

• fibrotomiyu;

• capsulotomy;

• arthrolysis;

• arthroplasty;

• osteotomy.

Mgbe ụfọdụ, ọ dịghị ịwa ahụ aka dị oké mkpa. Ma n'ihi na nke a anụ ahụ traumatic usoro. Site n'enyemaka nke ịwa ahụ nwere ike tufuo n'ibu akpata contractures, ma ụda olu nke enweghị nchịkwa na ihe mgbu agaghị pụọ. Mweghachi nke nkịtị muscle ọrụ ọ bụla ikpe na ọ dị mkpa, n'ihi na site na iwepu naanị a n'ibu mgbochi ikpe kpamkpam contracture, na nkịtị ije nke nkwonkwo na-adịghị weghachiri eweghachi na zuru.

Natural ụzọ na-emeso

Contracture - a daa ọrịa na-emeso systemically. Natural ụzọ aka na-alụ ọgụ ihe mgbaàmà na iwepụ ndị na-akpata ọrịa ahụ. Ọ bụrụ na mepụtara contractures, ọgwụgwọ na-agụnye:

• kinesitherapy ike;

• mkpachapụ, mechanotherapy, mmega ọgwụ;

• balneotherapy, apịtị baths;

• fizioterpiyu;

• phytotherapy;

• a kwesịrị isi nri.

ọgwụgwụ

Iji gbochie omume nke contracture dị mkpa iji gbochie mmepe nke mbufụt ke idem, otú ọrịa nile a ga-emeso na a-adọ ha n'ụzọ. Ọ bụ mgbe ọ dị mkpa inyocha na ịchọpụtakwa ọnọdụ nke ahụ ya: ma ọ bụrụ na n'ikpere aka nkwonkwo ruo ogologo oge ga-nọ na a kpebisiri ọnọdụ, mgbe egburu ya kwesịrị ịbụ na a nri n'akuku, ndị kasị mma ọnọdụ maka mkpịsị aka - kpebisiri, ezigbo ọnọdụ nke ụkwụ na-ịgbatị.

Ọ bụrụ na ị na-eme dị otú ahụ nsogbu, dị ka a gbajiri ọkpụkpụ ma ọ bụ a Ekwochapụrụ nkwonkwo, ma na-achọ ruo ogologo oge Immobilization, enwela obi nkoropụ. Ihe ize ndụ nke muscle mkpi nwere ike ebelata, nyere na-arụsi ọrụ ike muscle ga-arụ ọrụ malite n'ụbọchị mbụ. Ọ bụrụ na ị nwere a ọkpụkpụ mgbaji ọkpụkpụ nke a N'ịdị, egosipụta i nwere ike igosi ezi aka ma ọ bụ ụkwụ. Regenerative Filiks mgbe muscular ọrụ karịa Work uru emetụta uru na nsogbu ebe. Ọzọkwa, imu usoro ga-abụ ihe akpọ ma ọ bụrụ na ọmụmụ nnukwu uru. -Elekọta onwe gị na-anọ mma!