Izimpawu ngenhloso yokusikhipha imithi zingase zibe nezivunguvungu ezihlukahlukene ezivusa ukubola kwesisu, ukwehlukaniswa kwemisipha, ama-tendon noma izigulane, ezinqabeni, kungakhathaliseki ukuthi isigaba sokuphulukiswa, ikakhulukazi uma kuqhuma ukuqhuma okuncane, futhi uma ukuphuka kubangela ukuphazamiseka okuhlukahlukene kokusebenza (ukuqina okuhlangene, izivumelwano ze-muscle , ukukhwabanisa kwezicubu), ngezifo zamalunga ezibangelwa ukutheleleka, esigabeni esingapheliyo, amanxeba amancane kanye nezilonda ze-trophic, lapho elungisa isilwane sokuxuba esithombeni s. Ngemva kokusikhipha, ubuhlungu nokuvuvukala kudlula ngokushesha kakhulu, ukubola kwesisindo kumathambo kunciphisa, kanye nokuxoshwa kwamalunga, imisipha iqinisa, ukusebenza kwamalungu kanye nemisipha kuthuthuka kangcono, i-callus ye-bone iqala ukukhula ngokushesha, ukuvela kwe-tissu fusion, okungaholela ekuvumelaneni kwemisipha futhi ukuqina kobunye.
Ukubhubhisa ngemivimbo kanye ne-sprains yemigqa nemisipha
Enye yezinhlobo ezivame kakhulu zokulimala yizingxabano zomzimba futhi zakha cishe 45% yazo zonke izinhlobo zokulimala. Uma kwenzeka lesi sigameko samuva nje, ngenkathi kwenzeka ukwandiswa kwezixhobo zomgogodla, futhi ubuqotho abuzange buphulwe, ukusikwa kufanele kwenziwe ezinsukwini ezimbalwa zokuqala ngemva kokulimala. Uma i-massage yenziwa ekuseni, ingasiza ukunciphisa ubuhlungu, ukusheshisa inqubo yokuvuselelwa kwe-hemorrhage, ukuxuba emagcekeni kanye nezikhwama zamangcwaba, okuholela ekutheni kutholakale ngokushesha umsebenzi wezimoto. Ngaphambi kokusikhipha, kubalulekile ukuthi isiguli singakwazi ukuphumula imisipha ngangokunokwenzeka, lapho kubalulekile ukusetha isilwane esonakele endaweni yokuphila.
Ezinsukwini zakuqala, okubizwa ngokuthi ukuxilisa okuthandwayo kwenziwa, okwenzeka endaweni engaphezu kokulimala, ungakhohlwa ukuthi kuyadingeka ukulungisa kahle ukuhlanganiswa okuhlangene. Ake sithi lapho uhlalisa isisetshenziswa esikhwameni nasesiginini, kuyadingeka ukuba isandla esisodwa silungise unyawo nokunye ukusikhipha imisipha yethanga nomlenze ophansi. Uma kukhona i-longet ye-post ephansi, ke ngesikhathi sokusikhipha kufanele kususwe. Ngesikhathi sokusikhipha, i-stroking isetshenziswa kuqala (ingaba iphakathi noma iphakathi), khona-ke i-trituration (isibonelo, i-spiral), ngokuhambisana nesenzo sokubamba iqhaza ngokuqhubekayo.
Ukuqhuba ukusikhipha umzimba kulandela ukuqondisa kokuphuma kwamanzi, ngevama izikhathi eziphindwe kabili ngosuku imizuzu emihlanu kuya kweyishumi, futhi akufanele kube nobuhlungu endaweni yokulimala.
Kamuva, emva kwezinsuku ezingu-4 kuya kwezingu-5, uma kungekho zenzakalo ezibonakalayo ezisebenzayo (akukho ukuvuvukala kwezicubu, ukushisa okuqinile, ukungabi khona kwendawo ye-hyperesthesia endaweni yokulimala), usuvele uye endaweni yokulimala endaweni yokulimala. Kulesi sigaba, ukusetshenziswa kokugcoba kungenzeka, futhi umphumela kufanele ube lula kuzo zonke izikhombisi-ndlela, uhambisane nokuqhuma okuqhubekayo. Kubuye kudingekile ukugcoba imisipha kanye namaqembu ahlukahlukene emisipha ngokuhlukana. Uma isimo sokusebenza samathambo sivumela, kungenzeka ukuthi sisebenzise ezinye izindlela zokusikhipha umzimba, kanti akufanele zikhohlwe ukuthi lezo zindlela ezifana nokududuza okuphakathi komzimba okusetshenziselwa ukuxubha, kanye ne-effleurage okokuqala ngemuva kokulimala kufanele kukhishwe. Kumele ukwandise kancane kancane ukuqina kwe-massage. Uma kudingekile ukusikhipha ngesisindo eduze kwesibambisene noma lapho welula ama-ligamentous devices of the joints, ukunakekelwa kufanele kuhokhwe kumathenda kanye nezikhwama ezinamapulangwe kanye ne-twist of the joint.
Ezinsukwini zakuqala, iseshini esisodwa noma ngaphezulu ngosuku, esihlala emiaminithi emihlanu kuya kwezingu-10, kuyokwanela, kancane kancane sikhulise isikhathi sibe semaminithi angu-15-20.
Ukushisa kufanele kuhlanganiswe nokuzikhandla ngokomzimba okuhlukahlukene, ngesikhathi noma ngemva kwalo. Kubalulekile ukuqala ngokunyakaza okusebenzayo ukusuka ohlangothini lwalimala, futhi akumele kube khona ukwanda kwezinhlungu. Uma, endaweni yokulimala, ubuhlungu noma ukuvuvukala kwezicubu kuphakama, ukuhlanganiswa okonakalisiwe kufanele kulungiswe ngezinsuku ezimbalwa zokuqala, futhi amalunga asebenzayo kufanele ayenziwe emahlangwini aseduzane nendawo ewonakele. Futhi, ukusebenza kahle kwe-massage kuthuthukiswa ngezinqubo ezishisayo, isibonelo, amanzi afudumele noma amabhuku okugeza. Okokuqala, udinga ukusebenzisa ukushisa, bese uqala ukusikhipha.
Esinye sezifo ezivame ukuholela ekulahlekelweni ikhono lokusebenza isikhathi eside yisifo esihlangene. I-Massage idlala indima ebalulekile ekuthathweni okuyinkimbinkimbi kwezifo ezihlukahlukene ezihlangene. Ikuvumela ukuba unciphise ubuhlungu, ukwandise ijubane lokubuyiswa kwe-effusion ekuhlanganyeleni, kanye nasezikhwameni zesikhwama ngezikhathi ezithile, kuvuselela ukujikeleza kwegazi nokugeleza kwe-lymph emathanjeni nasezikhungweni ze-periarticular. Lapho kusetshenziselwa ukusikhipha umzimba, kunciphisa umfutho wegazi oshukumisayo, okuvame ukuvela ngezifo ezihlukahlukene, ukuqala kwe-muscular atrophy kuvinjelwe, ukuvalwa kwe-synovial fluid kuyathuthukiswa, okwandisa ukuhamba kombuthano ngokuqina, kuphuthumise ukuxubana komzimba, futhi, umsebenzi olahlekile wezingxenye ezimele.
Ukuze uhlaziye iziguli ezinamalungu, kuyadingeka ukuba ube nomqondo ocacile wokuhlelwa kwawo okujwayelekile, imingcele, ukufinyelela esikhwameni esihlangene, nendawo yezikhwama ze-paracentesis, futhi kufanele wazi kahle futhi ukwazi ukubona zonke izimpawu ze-effusion ekhona kumalungu noma ama-twist. Ngezo zonke izimo ezenziwe, umuthi we-massage angakwazi ukugcoba ngokucophelela, ukubuka inqubo eboniswa udokotela. Ngaphambi kokuba uqale ukusikhipha umzimba, umuthi we-massage kufanele abuze isiguli ngesimo sempilo, ubukhona nendawo yobuhlungu noma ezinye izikhalazo. Lonke ulwazi olutholiwe luzosiza ukuthola ukuthi iyiphi indlela okufanele isetshenziselwe ukusikhipha. Futhi, idatha etholakalayo yenza kube lula ukuphetha isiphetho esijwayelekile mayelana nokusebenza kwezinqubo eziqhutshwayo.
Ngezifo zengculazi noma ezithathelwanayo zamajoyina, ukusikhipha umzimba kufanele kwenziwe kuphela esigabeni esithathelwanayo noma esingapheli sesifo. Kodwa-ke, uma kunezici ezisebenzayo ezihlangene, isibonelo, ukuvutha, izinga lokushisa lendawo, ubuhlungu obunzima lapho uzwa ukuhlanganyela okuhlangene, khona-ke kulesi sihloko ukuxilonga kufanele kusetshenziswe ngaphandle kwesayithi. Esigabeni sokuhlukumezeka, ngokuvamile kunomuthi we-muscle hypertonia, ovela ngokucabangela ngokuphendula komonakalo ohlangene, ngakho-ke i-masseur kumele iqale ngokuphumelela ekunciphiseni ithoni ye-muscle. Ngakho-ke, ngokubandakanyeka kwamadolo okuhlanganyela kulokhu, kungenzeka ukubona ukwanda kwezwi kula maqembu ama-muscle alandelayo: inqwaba ebanzi yethanga, i-quadriceps, i-semitendinosus, imisipha ye-semimembranous ne-biceps yethanga, kanye nasendlini ye-gastrocnemius. Ukuhlukunyezwa nakho kungabonakala emgodini we-patellar kanye ne-tendon ehlangene yezintambo eziphathekayo, ezithandekayo nezindlala, futhi kufanele kuqashelwe ukuthi kwezinye izicubu nezintambo ezinamathenda kunenkinga enkulu kunokwenzeka kwabanye. Njengoba i-palpation eqhutshwa ngokucophelela, ukukhula kwemisipha nakho kungabonakala emisipha ye-thoracic ephansi ne-lumbosacral umgogodla. Ukuqeda i-muscle hypertonia, kungcono ukusebenzisa i-vibration enobumnene. Ngenkinga yokukhuphuka kwezicubu ezixhunyiwe ezingaphansi, kungcono ukusikhipha ngesisindo se-reflex-segmental.
Ngokuncipha kwezingxube ezingxenyeni zangemuva, kungenzeka ukuqala ukusikhipha kwemizimba ehambisana namajoyina awonakele. Futhi, uma imisipha ye-hypertonicity ivela ngesikhathi sokusakazeka i-nonspecific polyarthritis, kungenzeka ukuthi ukuhlushwa kwe-muscle ye-muscle kungenzeka, okukhulunywa ikakhulukazi ezimweni ezingapheli. Ezifo zesibindi se-hip, i-hypotrophy ivame ukuqala emithanjeni ye-gluteus, ihlangothini lamadolo - imisipha ye-quadriceps, ukuhlanganiswa kwe-ankle - i-extensors ye-shin nezinyawo; nezifo ze-shoulder-deltoid ehlombe, ama-supraspinatus, ama-subacute nezinsilinga ezincane nxazonke, izihlanganiso zomhlanganiso - izinhlanzi ze-triceps, ukuhlanganiswa kwesibindi - ama-extensors we-forearm, amalunga eminwe - amagundane ayingxubevange. E-muscle hypotrophy, kungcono ukusebenzisa amasu afana nokuxubha, ukuxubha, nokugcoba kahle. Phakathi nale nqubo, imisipha efana ne-myogelosis, ekhonjiswe ukutholakala kwendawo emasimini okunamathiswa kwemisipha ngenkathi ishintshela ekutheni i-fascial stretch noma ithethoni, ingase ivele emisipha eduze kwamalungu.
Ezinsukwini zokuqala zokubuthelwa, ngaso sonke isikhathi uhambe ngokucophelela endaweni ehlangene. Uqala ukugcoba nge-periarticular, bese kuthi-ke izicubu ezithambile, ezihlanganisa ukuhlanganiswa, ukuze kuthuthukiswe ukuhamba kwe-lymph emgodleni ohlangene. Akufanele kukhohliwe ukuthi amalunga afinyelelekile avame ukuphula ukuqina nokuhamba kwesikhumba, okungase kuboniswe ukubonakala kokuqina nokuzwa okubuhlungu lapho isikhumba sihlungwe. Esimweni esinjalo, kufanele usebenzise indlela ye-trituration, eyenziwe ngendlela yokuthungatha, kanti ukunyakaza kufanele kuphuze, ukusikhipha okufuze kwenziwe kwendlalelo ngendlala: okokuqala isikhumba, bese kuthi izicubu ezixhumene nezicucu, bese zihamba phambili. Ukujula okukhethiwe kocingo akufanele kube njalo, futhi isendlalelo esilandelayo sigcwele umthelela omncane.
Ngemuva kokusikhipha kwezicubu ezithambile ezingaphandle kwehlangene, kufanele uqhubekele ukuhlunga i-bag-ligament apparatus. Ukunakekelwa ngokucophelela kufanele kuhokhwe ezindaweni ezinokufinyelela okukhulu kunabo bonke abathintekayo. Uma ngabe i-ankle, khona-ke le ndawo izoba yingxenyeni yangemuva yesigxobo esihlangene, esisezinhlangothini zombili we-tendon yama-Achilles. Ukuze uhlangane ngamadolo - ohlangothini lwangaphakathi ohlangothini lwenduku, ukufika kusuka ebusweni obungaphambili kwesikhwama se-articular kungaba sezingeni elincane kusuka emaceleni ahlukene wethenda ye-muscle quadriceps. Konke lokhu kubonisa ngokucacile ukuthi i-masseur idinga kanjani ukwazi ukufinyelela kumajoyini ahlukahlukene. Ngesikhathi sokuphunga, kuyadingeka nokuba ucabangele indawo yezikhwama zamasongo eduze kwehlangene, ngaphandle kwalokho, kufanele zihlaselwe ngokwehlukana. Izindlela ezifanele kunazo zonke zizoxubha iziyingi kanye nemivimbo ye-longitudinal.
Ukuzivocavoca umzimba kufanele kwenziwe ngendlela yokunyakaza okusebenzayo, isiguli kumele siqale ukunyakaza okusebenzayo endaweni eseduzane yokulimala okuhlangene, ngakho-ke, njengoba izenzakalo ezisebenzayo zihlehlisiwe, kuhlangene nokuxuba.