Trigger ukhomba emisipheni. Trigger iphuzu massage

Mhlawumbe, abaningi babekuthola noma eduze abathandekayo isidumbu izindawo ezincane buhlungu imisipha lwezimpawu. Eziningi zikholelwa sebethule yabo nosawoti, umuthi olusemthethweni njengoba bebizwa kanjalo njengoba inhlamvu amaphuzu. Lawa masayithi compaction zendawo ukuzwela anda kwemisipha izicubu kubangela ubuhlungu ezingxenyeni ezihlukahlukene zomzimba, ngokuvamile sise ibanga elithileko kusuka kubo.

J. Theory. Izikhangibavakashi no D. Simmons

Into enjengale iphuzu inhlamvu, laqanjwa odokotela American John. D. Ukuvakasha Simons emuva ngeminyaka yoma ekhulwini elidlule leminyaka. Ngokwenza ucwaningo zabo baye bachazwa iphuzu elithile, ngokwenza ukuthi kungaqeda ubuhlungu ezindaweni zomzimba, ngokwanele kude nabo. Ngokwesibonelo, ukukhomba nomthelela iphuzu ubuhlungu, okuyinto etholakala entanyeni noma emahlombe izindwani, ngaleyo ndlela ekunciphiseni ikhanda noma ubuhlungu indololwane noma esihlakaleni. Futhi, wenza Yesengezo amaphuzu (lokhu elinye igama la maphuzu), bekwazi ukuthonya isimo the system zemisipha kanye izitho zangaphakathi.

Liyini iphuzu inhlamvu

Ngu definition, Ukuvakasha Simmons, Lamacashati amele izingxenye hyperexcitability wendawo imisipha ukungezwani. Basuke ise imisipha lwamathambo futhi fascia ahlobene nawo. Trigger amaphuzu avele amancane, ubuhlungu nge palpation uphawu. Abakwazi elasungulwa zonke izicubu ezithambile yomzimba, kodwa ngokuvamile isebenze imisipha ezinkulu lwamathambo ukuthi imisebenzi static. Ngakho, ungakwazi ngokuvamile ukuthola amaphuzu inhlamvu e imisipha kwebhande ehlombe nasentanyeni (levator scapulae imisipha, lo trapezius, ezitebhisini, rotators intamo), imisipha ukuhlafuna futhi izicubu ukhalo futhi emikhawulweni aphansi. Ngaphezu kwalokho, izinkulumo ezinjengalezi kukhona umthombo ubuhlungu kubonakala. Ngokwesibonelo, iphuzu inhlamvu phezulu imisipha trapezius kungaba avuse ubuhlungu ngemuva kwendlebe, kanye emhlathini ethempelini. Futhi, ingozi zalezi zakhiwo ukuthi ngisho noma okwamanje abazi zibangele ubuhlungu uzwakalise ngokuhamba kwesikhathi nakanjani ethuthuka ukungasebenzi kwemisipha ukuthi zikuphi.

izimbangela

Naphezu izifundo, namuhla akukho impendulo eyodwa ngokuthi yiziphi izici izimbangela ngqo of inhlamvu amaphuzu. Njengomthetho, myofascial inhlamvu amaphuzu akhiwa imisipha ukuthi uhlangabezana noma overvoltage isikhathi eside futhi umthwalo unomphela. Ngokuvamile lokhu kungenxa yokuma umzimba emkhathini - ephakanyiswe emahlombe, owayesekhokhoba emuva bese ngihlaliswa isifuba esicinene ngokweqile, ukugoba eqinile okhalweni. Lokhu nakanjani abangele imakwe ukucindezeleka mechanical bemisipha ngabanye noma amaqembu kwemisipha, okuholela spasm zabo, futhi ngenxa yalokho, ukuze kahle kwegazi. Futhi, kungenzeka iphuzu inhlamvu elakhiwe ngenxa izilonda yomgogodla (at motor ukuvinjelwa ingxenye) noma yangaphakathi isitho zokugula uma izungezwe imisipha reflex uhlobo. Enye imbangela amaphuzu kangaka kungaba acute noma okuphindayo imisipha microtrauma.

Nokho, njengoba ukuhlola kwathola ukuthi ucwaningo ukukhombisa, zonke lezi izici eziholela kumiswa esicashile inhlamvu amaphuzu. Kangangokuthi ziye bathuthela isigaba asebenzayo, futhi sibonakala emtholampilo okuchaza myofascial syndrome, lidinga isici nokucupha. Ngokuvamile lokhu indima eyadlalwa hypothermia, umsebenzi esesikhundleni ungakhululekile, isici psycho-ngokomzwelo.

iqembu ingozi

Ngezinye ingozi elivela kuzo amaphuzu asibambe ubuhlungu mioskeletnyh ukufaka abantu by uhlobo umsebenzi ukugcina i-static, isikhundla ngokuvamile ungakhululekile isikhathi eside. Lezi zihlanganisa nabashayeli izimoto, izisebenzi zasemahhovisi ezingamaphesenti, abalungisa izinwele, odokotela abahlinzayo, nabanye. Libuye ingozi eliphezulu kumiswa inhlamvu amaphuzu yilezo engabe esakwazi ukuhamba kahle, futhi yikuphi ukwephula Gait nokuma komzimba. Lokhu overpotential lihlotshaniswa ezingamahlalakhona amaqembu ehlukene kwemisipha.

Izinhlobo inhlamvu amaphuzu

Kukhona futhi izinhlobo ezimbili zezinkantolo kubo. Okuvame kakhulu esicashile inhlamvu amaphuzu - imisipha izindawo spastic ukuthi kutholwa kuphela palpation. Inani elikhulu amaphuzu esicashile ingatholakala asebekhulile. Iphuzu inhlamvu kungenzeka asebenzayo. It libhekene ubuhlungu acute, spasm sithuthukisa ingxenye eqine. Kukhona ezinjalo ngokuvamile. Njengomthetho, bona kungabonakala nasemkhakheni abantu maphakathi-abaneminyaka (abesifazane zivele izikhathi 2.5 kanengi ukudlula amadoda). Ngaphansi kwethonya izici letsintsa amaphuzu esicashile Ungahambisa ibe isigaba asebenzayo, kodwa ukwelashwa ezanele ungabuyela iphuzu okusebenzayo isimo esicashile. Bobabili asebenzayo futhi esicashile inhlamvu amaphuzu kungaba umthombo umkhawulo ukunyakaza spasm, ubuthakathaka kanye imisipha amaqembu ehlaselwe ukusonteka.

isigaba lesi sifo

Namuhla uhlukaniswe izigaba ezintathu ukuthuthukiswa isifo.

1. Isigaba oyingozi. Libhekene eziphikelelayo sebuhlungwini obunzima ezindaweni lapho asebenzayo inhlamvu amaphuzu futhi wabhekisela ubuhlungu endaweni.
2. isigaba Subacute. Kulesi sigaba, ubuhlungu kwenzeka uma ukuhamba futhi umsebenzi ngokomzimba, kodwa noma ngingekho lonke.
3. isigaba Okungalapheki. On luhlolo wembula iphuzu esicashile kuphela, kuyilapho kukhona ukungakhululeki kancane futhi ukungasebenzi kwekhono lwezimpawu ukuthola indawo.

izimpawu

Izimpawu e myofascial okuqala kungaba zahlukahlukene kakhulu futhi akugcini kuphela ubuhlungu. Imisipha ukungasebenzi bangase balwisane ukuqina, ukuba buthakathaka kwezicubu, ukuvuvukala, isiyezi, Gait kahle, indlela omi ngayo. Okwangempela inhlamvu iphuzu kuchazwa njengendlela uphawu ubuhlungu, usayizi intambo kusuka kwangu ambalwa noma ingaba isentimitha nje. Ukucindezela ke kuphakamisa ubuhlungu obuhlabayo ukuthi has umfutho enkulu endaweni ukumelana esiphezulu palpation (ingxenye okuqinile kakhulu).

Active inhlamvu iphuzu akuyona kuphela kubuhlungu, kodwa ungakwazi futhi babangela kubonakala (imbuthuma) ubuhlungu ezindaweni kude ngokwanele kulo, ukwakha iphethini zobuhlungu - isikimu ejwayelekile ye indawo ubuhlungu. ibalazwe uhlaka, lapho ungakwazi ukunquma umthombo izinhlungu kubonakala kweqiniso benziwa sibonga kweminyaka eminingi yocwaningo.

ubuhlungu kubonakala kubangelwa inhlamvu amaphuzu, nginomuzwa njengoba njalo, ezijulile, okuncane, bese blunt, kodwa kwezinye izimo baba kungaba kukhulu kakhulu, evutha, ezikuhlabayo. Ngenxa yokuthi i-spastic imisipha ingxenye kungase cindezela edabula phakathi kwesiphetho kwenzwa okubhekiselwe ubuhlungu kungase kuhambisane ukwehla ukuzwela nokudungeka. Ubuhlungu umfutho ingase futhi ziyahlukahluka kusuka imnene obukhulu, ngenkathi kungabonakala nasemkhakheni kokubili uphumule futhi lapho uvivinya umzimba. Kufanele kuqashelwe ukuthi izigameko kanye ukushuba ubuhlungu kuncike degree yokucasuka of inhlamvu iphuzu, hhayi ubukhulu imisipha, lapho itholakala. Ezinye amaphuzu inhlamvu kungabangela futhi ezinjengokungcoliswa ukuvuvukala nolwelwesi lwamafinyila, lacrimation, ukuphazamiseka visual, bezibona kwendawo, iziyaluyalu vestibular.

Screening futhi Sifo

Ukuze ukwelashwa okuphumelelayo yalesi sifo kubalulekile ayichaze imbangela ubuhlungu nesineke futhi ukucacisa indawo esiqondile inhlamvu iphuzu. Ukuze wenze lokhu, lo dokotela akufanele embule kuphela endaweni lapho ubuhlungu kuzibonakalisa, kodwa futhi ukuba ukuqhathanise bands nobuntu ubuhlungu kubonakala. Ukuze wenze lokhu ngokuvamile ukusebenzisa amakhadi ukuthi babe cishe zonke izincwadi ezikhuluma ngale ndaba.

Phakathi palpation Uchwepheshe kunqunywa kuyaqina jikelele we imisipha njengoba kuqhathaniswa endaweni lapho asola ukuthi inhlamvu iphuzu. Kulokhu, iminwe okokuqala anqamule le fibre imisipha, siphawula izigaba ukusonteka futhi spastic imisipha imicu. Lapho uphawu kutholakala ngokuswayipha umunwe wakho kanye ke, thola esiphezulu uphawu kwesigaba, ngokuchofoza elibangela ubuhlungu kakhulu. Iqiniso lokuthi lokhu kuzoba iphuzu inhlamvu izobonisa izici ezilandelayo:

• iphuzu ingcindezi kubangela ubuhlungu kubonakala, ngenkathi kungenzeka ngokushesha, kodwa ngemizuzwana eziyishumi;
• ngqo ngokucindezela phezu iphuzu kungabonakala nasemkhakheni "Ukusabela convulsive" - imisipha twitches ngakwesokunene futhi ngokuvamile kuba lubonakale ngisho zibukeke;
• Esinye isici inhlamvu iphuzu - uhlanga okubizwa ngokuthi isiguli, lapho ephendula ngokucindezela isiguli ezama ukuba aqhele ngokucijile noma imangele;
• ngokwandisa ingcindezi endaweni ngasikhathi sinye kwazo zonke iphethini endaweni ubuhlungu ziqondakala nesineke iyonke.

Trigger amaphuzu - ukwelashwa

Kuze kube manje, imithi isebenzisa izindlela eziningana kokuphatha inhlamvu amaphuzu, izidakamizwa ezingekho nhlobo kuzo ehola. It is wafakazela ukuthi analgesics NSAID bayakwazi kuphela kancane ukususa ubuhlungu, kwemisipha relaxants kanye nomphumela ofanayo nge kancane kokukhipha spasm.

Indlela ephumelela kunazo sokwelashwa kakhulu kuvuse amaphuzu ukuvinjelwa kubhekwe. ukuqaliswa yabo kungenzeka kuphela uma izama kwasendaweni okunembile kwezindikimba egunjini lokuhlolwa kwezifo. Ukuze ofeza ukuvinjelwa eyenziwa puncturing inaliti ukubekwa uphawu ingxenye, kulandele nokuphathwa imithi ebulala izinzwa.

Umlayezo futhi ukuze athole ukwelashwa komzimba

Naphezu kweqiniso lokuthi ukuvinjelwa kuqalisa cishe leso sikhathi, izindlela ezivame kakhulu ekwelapheni lesi zokugula kukhona ukwelashwa ngokomzimba, massage amasu manual inhlamvu amaphuzu. Futhi uma isiguli sifuna isakhiwo umzimba zokwelapha ngemva kokukhuluma nodokotela ongenza bebodwa, bese massage kufanele kuphela afaneleke.

Uma sikhuluma massage, usizo ngempumelelo kakhulu inhlamvu amaphuzu anganikeza yokukhalaza kokucindezelwa kancane kancane. Ukuze wenze lokhu, lo owelapha, ukuthola iphuzu iqala lungisani ngokucindezela ke, Ngokuqhubeka kuze soreness nesineke omnene endaweni kubonakala, okuhambelana 2 ngezinga elingelikhulu. Lokhu cindezela kugcinwe imizuzwana 10-15. Phakathi nalesi sikhathi, ubuhlungu kufanele kakhulu ziyancipha noma zinyamalale ngokuphelele. Ngemva kwalokho, cindezela futhi ukwandisa, futhi ngemva ukubukeka kabi futhi ubambe amasekhondi angu-15. Lezi zenzo uqhubeke kuze kube ngomzuzu lapho ubuhlungu isici zinyamalale. Ngokuvamile kwanele ukuze uthole 3 cindezela. Ngemva inactivation ka ezifana inhlamvu iphuzu imizuzu 5 cindezela ezimanzi efudumele sisetshenziswa, kulandelwa imisipha yokwenziwa ngilulekela.

Naphezu lula okusobala inqubo, akudingekile ukuzithiba medicate. Feza lonke uvivinyo zokukhwabanisa zokwelapha kumele abanolwazi, kungenjalo ingozi eliphezulu kakhulu ukuthi isimo akuzange nje akusho ngcono, kodwa futhi zimbi kakhulu.