I-Trigger ikhomba kwiimisipha. Ukuzihlaziya kwamaphuzu okubangela

Mhlawumbi, abantu abaninzi bafumana indawo ezincinci ezixinzelelekileyo kumzimba okanye izihlobo zabo emzimbeni. Uninzi lubajonga njengetyuwa yesitya, amayeza aseburhulumenteni abaziwa ngokuba ngamaphuzu okuqala. Ezi ndawo zengingqi kunye ne-hypersensitivity kwiisisipha ze-muscle zibangela iintlungu kwiindawo ezahlukahlukeneyo zomzimba, zihlala zihlala kumgama omkhulu.

Ingcamango kaJ. J. Trevel no D. Simmons

Ingcamango enjalo njengengqungquthela yokuqala yenziwa ngabagqirha baseMerika J. Trevel kunye noD. Simons kwiminyaka engamashumi asixhenxe ekhulwini lokugqibela. Ngombulelo uphando lwabo, amaphuzu athile achazwe, achaphazela ukuba kunokwenzeka njani ukukhulula intlungu kwiindawo zomzimba ezikude ngokwaneleyo kubo. Ngokomzekelo, impembelelo kwindawo ebuhlungu enentanyeni okanye emagxeni, ikuvumela ukuba ususe intloko okanye intlungu kwindawo yomxube okanye isandla. Kwakhona, ngokusebenza kwimimandla yokuqala (le elinye igama lale ngongoma), enye inokuchaphazela imeko yenkqubo ye-musculoskelet kunye nezitho zangaphakathi.

Yiyiphi inqaku lokuqala

Ngokweenkcazo ze-Trevel kunye ne-Simons, ezi ngongoma ziindawo ezingenakucinganiswa nokuxhatshazwa kwemisipha yangaphakathi. Zifumaneka kwiimisipha zamathambo kunye ne-fascia ezinxulumene nazo. Iingqinamba ze-Trigger zibonakala ngathi zincinci, zintlungu ezibuhlungu ze-compaction. Baya kufaka kuwo onke amathishu adibeneyo omzimba, kodwa bahlala behlala kwiimisipha ezinkulu ezenza imisipha. Ngoko, ngokuqhelekileyo unako ukufumana iingongoma zogqabini kwiisiphako zebhande lomthwalo kunye nentamo (imisipha iphakamisa ihlombe, i-trapezoid, i-ladder, i-rotator ye-neck), izihlunu zokuhlafuna, kunye nezihlunu ze-pelvis kunye nezitho ezingaphantsi. Ukongezelela, ezo ngongoma ziwumthombo weentlungu ezibonakalisiweyo. Ngokomzekelo, inqaku elincinci kwinqanaba eliphezulu le-trapezius muscle inokukhupha intlungu kwindawo yomsila, umhlathi kunye netempile. Kwakhona ingozi yalezi zifundo kukuba nangona okwangoku bangabangeli intlungu ebuhlungu, ngoko ngexesha elifanelekileyo ukungasebenzi kwemisipha apho bafumane khona kuya kuqhubela phambili.

Izizathu

Nangona uphando oluqhutywe, namhlanje akukho mpendulo engaqondakaliyo kwimiba yintoni ebangela ukuba kubangelwe imvelaphi yeengongoma. Ngokuqhelekileyo, amaphuzu e-myofascial trigger ayenziwa kwiimisipha ezinokuxhatshazwa okanye ukunyamezela okuqhubekayo kunye nokuqhubekayo. Ngokuqhelekileyo oku kubangelwa isikhundla somzimba kwisithuba - amahlombe aphakanyisiwe, aphindiwe abuye ahlawule, abuye ahlasele, athathwe ngokugqithiseleyo kumqolo ongaphantsi. Oku kunokubangela ukuba i- mechanical strain in two muscle kunye namaqela e-muscle, ekhokelela ekuhlaleni kwabo, kwaye ngenxa yoko, ukuphulwa kwe-circulation. Kwakhona ukudala ingongoma inokubunjwa ngenxa yezilonda zomgudu (ngokucinywa kwecandelo lezimoto) okanye kwi-pathology yelungu langaphakathi, xa izidumbu ezijikelezileyo zixubusha. Esinye isizathu sokuba ukubonakala kwezi ngongoma kunokuba yi-microtraumas eziphambili okanye eziphindaphindiweyo zezihlunu.

Nangona kunjalo, njengoko kuboniswe ngedatha yophando, zonke ezi zinto zikhokelela ekubunjweni kweengongoma zokuqala. Ukuze bakwazi ukudlula kwisigaba esisebenzayo, kwaye i- myofascial syndrome echazwe kwiklinikhi yabonakala, kuyimfuneko yokuqala. Ngokuqhelekileyo, le nxaxheba idlalwe yi-hypothermia, isebenze kwisimo esingenasiphelo, ingqondo yengqondo.

Iqela leengozi

Kwinqanaba lomngcipheko wemvelaphi yeengcambu kunye neentlungu ze-myoskeletal, kunokwenzeka ukubandakanya abantu, ngokubaluleka komsebenzi wabo, baphoqelelwe ukuba bahlale behlala ixesha elide. Ezi zibandakanya abaqhubi bezithuthi, abasebenzi beeofisi, abagcini bezinwele, oogqirha, njl. Njalo, umngcipheko wokwakheka kwamaphuzu okubangela umntu unomsebenzi onokukhubazeka kwimoto kunye naluphi na ukhubazeko lwentlalo kunye nokuzimela. Oku kungenxa yokugula okungapheliyo kwamaqela ahlukeneyo omzimba.

Iintlobo zeengongoma zokuqala

Kukho iintlobo ezimbini. Iingongoma eziqhelekileyo ezisemgangathweni ye-latent ziyi-spasms ze-muscle, ezifumaneka kuphela kwi-palpation. Inani elikhulu lamaphuzu alandelayo angatholakala kwikhulile. Ingongoma yokuqala ingasebenza kwakhona. Ubonakaliswe yintlungu ebuhlungu, ekhutshwe ngokululaza indawo ye-spasmodic. Kukho imbonakalo engaphantsi kaninzi. Njengomthetho, banokubonwa kubantu abaphakathi-abaphakathi (kubasetyhini bafunyenwe ngamaxesha aphindwe kabili ngaphezu kwamadoda). Ngaphantsi kwefuthe lezinto ezinokubangela ukuba iindawo ezifihlakeleyo zingadlulela kwisigaba esisebenzayo, kodwa unyango olwaneleyo lunokubuyisela iphuzu elisebenzayo kwiimeko ezisemgangathweni. Zombini eziphambili kunye neengqungquthela zokubangela ukuba zibe ngumthombo wokuthintela ukunyakaza, ukuxhamla, ukungabikho kobuthakathaka kunye nokuguqulwa kwamacandelo ama-muscle achaphazelekayo.

Izigaba zesifo

Okwangoku, kuyaqhelekileyo ukuhlukanisa izigaba ezintathu zokuphuhliswa kwesifo.

1. Isigaba esilungileyo. Ifana neentlungu eziqhubekayo kwiindawo apho iingongoma ezikhuselekileyo zikhona kwaye kwintlungu ebonakalayo.
2. Isigaba seSubacute. Kule nqanaba, i-syndrome yeentlungu zenzeka ngexesha lokunyakaza kunye nokuzikhandla komzimba, kodwa akuphumli.
3. Isigaba esingapheliyo. Kulo mviwo, kuphela amaphuzu aphilileyo afunyenweyo, ngelixa kunentlungu encinci kunye nokungasebenzi kummandla weempawu ezifunyenweyo.

Iimpawu

I-Symptomatology kunye neendawo zokuqala ze-myofascial zingaba zihluke kakhulu, kwaye zingaphelelanga kuphela kwiintlungu zesifo. Ukukhubazeka kwe-muscular kunokubonakaliswa ngokunyaniseka, ubuthathaka obunamahlunu, ukuvuvukala, ukungcola, ukungahambi kakuhle, ukunyameka. Ingqungquthela yokukhomba yona ichazwa njengento ebuhlungu, isisindo esilingana nobukhulu ukusuka kumitha ambalwa ukuya kwisentimitha. Ukuyicinezela kukubangela intlungu ebuhlungu, enamandla kakhulu kwindawo yokuxhatshazwa kwintsimbi (inxalenye eyona nzima kakhulu).

I-point-activating point point is not painful, kodwa inokubangela ukuba ubonakaliswe (ubuhlungu) buhlungu kwiindawo ezikude kude nayo, ukudala umzekelo obuhlungu - isicwangciso sobunzima beendawo. Ndiyabulela kwiminyaka emininzi yophando, i-map-charts eyenziwe, ngenxa yokuba kunokwenzeka ukuba unokwenza umthombo onyanisekileyo weentlungu ezibonakalisiweyo.

Ubuhlungu obubonakalisiweyo obangelwa ngamaphuzu okubangela ukuba kaninzi zivakalelwa njengezisigxina, ezinzulu, ezinqamlekileyo kunye neziqhenqa, kodwa kwezinye iimeko zinokuba nzima kakhulu, zitshisa, zibethe. Ngenxa yokuba ummandla we-spasmy muscle unokuqhawula ukuphela kwesigulane esidlula kuyo, intlungu ebonakalayo ihamba kunye nokuncipha kobuzwe kunye nokunyuka. Ubunzima beentlungu buyahlukahluka ukusuka kwincinci ukuya kwiindawo ezinzulu, kwaye ziyakwazi ukugcinwa kokubili kunye nokuzikhandla komzimba. Kufuneka kuqatshelwe ukuba ukusabalalisa nokuqina kwentlungu kuxhomekeke kwisilinganisi sokucaphukiswa kwesicatshulwa, kwaye kungekhona ubukhulu bomsila apho ukhona khona. Ezinye izinto ezibangela iingongoma zingenza iziganeko ezifana nokuvuvukala kweembrane, ukubethelwa, ukuphazamiseka okubonakalayo, ukuphazamiseka kwesithuba, ukuphazamiseka kwezinto ezibonakalayo.

Uvavanyo kunye nokuxilongwa

Ukufumana unyango olusebenzayo lwalesi sifo, kubalulekile ukuchonga ngokuchanekileyo imbangela yentlungu kwisigulane kwaye unqume indawo ekhoyo yendawo yokuqala. Ngaloo ugqirha akufanele nje abonakalise indawo apho i-syndrome yeentlungu zibonakaliswa, kodwa uyayithelekisa kunye neendawo ezibonisa intlungu. Ukwenza oku, kaninzi usebenzisa iimephu, ezifumaneka phantse zonke iincwadi ezinikezelwe kwesi sihloko.

Ngethuba loviwo lwe-palpation, oyingcali inquma ukuqina kwe-muscle xa kuthelekiswa nommandla apho kubakho ukukhankanywa kobukho bendawo. Kule meko, iminwe iqala ukuhamba ngaphaya kwefiber muscle, ibona i-deformation, indawo ze-spasmodic kunye namaqela omzimba. Xa itywina ifunyenwe, idlulisela umunwe kunye nayo, fumana indawo yokuxubusha okuphezulu, ucinezele ukuba kubangelwa ubuhlungu obukhulu. Inyaniso yokuba le nto iya kuba yindawo yokuqala iya kubonisa iimpawu ezilandelayo:

• Uxinzelelo kwinqanaba lubangele intlungu, kwaye ayikwazi ukuvela ngokukhawuleza, kodwa kungaphantsi kwemizuzwana eyishumi;
• Ngqongqo ngokuxinzelelo kule ngongoma, unako ukugcina "impendulo exubileyo" - imisipha ephazamisayo kwaye isoloko ibonakala ngokubonakalayo;
• Esinye isibonakaliso sesicatshulwa sogxininiso sisigxina esibizwa ngokuba ngumguli, apho, ekuphenduleni ingcinezelo, isigulane sizama ukususa ngokukhawuleza okanye ukukrazula;
• Ngethuba lokunyuka kwengcinezelo kwinqanaba, yonke imimandla yeprogram yeentlungu iboniswa isigulane njengomntu omnye.

Iingongoma ze-Trigger - unyango

Kuza kube namhlanje, iyeza zisebenzisa iindlela ezininzi zokuphatha amaphuzu okuqala, ngelixa iziyobisi azikho konke zikhokelela kuzo. Kuboniswe ukuba ii-NSAID kunye ne-analgesics ziyakwazi kuphela ukukhulula i-syndrome yesifo, kwaye izihlunu ze-muscle zinefuthe elifanayo ngenxa yokupheliswa kancinci kwe-spasm.

Indlela ephumelelayo kunye nekhadikhadi yokuphatha amaphuzu okuqala ayigcini. Ukuziphatha kwabo kuyenzeka kuphela xa kuqikelelwe ngqo indawo yokuhlala. Ukuze wenze i-blockade, ukubetha inaliti kunye nenaliti ye-site compaction elandelwa ngumjovo we-anesthetic.

Ukuzibulala kunye nokusebenzisa unyango

Nangona i-blockade inika impembelelo ngokukhawuleza, iindlela eziqhelekileyo zokuphatha le ngxaki zisebenzisa unyango, ubuchule bokubhala kunye nokuxutywa kwamaphuzu okuqala. Kwaye ukuba i-gymnastics yezigulane eziyinkimbinkimbi emva kokubonisana nogqirha inokuyenza yedwa, ngoko-ke ukuxilwa kufuneka kuqhutywe kuphela ngumqeqeshi oqeqeshiwe.

Ukuba sithetha malunga nokusilalisa, ngoko ke uncedo oluphambili ngamaphuzu okubangela unokunikwa ngoncedo lwenkqubela yokunyathela ngamanyathelo. Ukwenza oku, i-masseur, emva kokufumanisa le ngongoma, iqala uxinzelelo olunomoya kuye, uqhubeke ude umguli enesifo esincinci kwindawo ebonakalisiweyo, ehambelana ne-2 kwinqanaba leshumi. Olu xinzelelo lugcinwa imizuzwana engu-10-15. Ngeli xesha, intlungu kufuneka iyancipha okanye ilahleke ngokupheleleyo. Emva koko, ukunyanzela kwakhona kuyomeleza, kwaye emva kokubonakala kabuhlungu kwakhona kubambe imizuzwana eyi-15. Ezi ntshukumo ziyaqhubeka kude kube ngumzuzwana xa ubunzima buya kubonakala. Ngokuqhelekileyo oku kukho ukunyanzela oku-3. Emva kokungacwangcisi kwinqanaba le-trigger, i-compress efudumele yomhlaba isetyenziselwa imizuzu emihlanu, ilandelwa ukululalwa kwe-muscle.

Nangona kubonakala kulula ukwenza le nkqubo, akufanele ufumane unyango. Ukuqhuba zonke iimviwo kunye nokunyanzeliswa kwezonyango kufuneka kube yingcali eqeqeshekileyo, ngaphandle koko kukho umngcipheko omkhulu ukuba imeko ayiyi kulungiswa nje kuphela, kodwa ibuye ibenze kakhulu.