Izibonakaliso ngenjongo yokubilisa i-massage zingaba kunye nemivimbo ehlukahlukeneyo eyenza ukuphazamiseka kwegazi, ukunqumla izihlunu, iintambo okanye iigaments, kwiziqhekeza, kungakhathaliseki ukuba isigaba sokuphilisa, ingakumbi xa kuqhutywe i-fusion ephosakeleyo, kunye nokuba ukuphuka kwezinto kuphazamise iintlobo ezahlukeneyo zomsebenzi (ukuqina okuhlangeneyo, izivumelwano ze-muscle , ukunqunyulwa kwezicubu), kunye nezifo zamalungu adibeneyo obangelwa ukusuleleka, kwisigaba esingapheliyo, amanxeba kunye nezilonda ze-trophic, xa ulungiselela isilungu sokuxuba kwi-prosthetic . Emva kokuxilisa, intlungu kunye nokuvuvukala kudlula ngokukhawuleza, ukubola kwegazi kuyancipha, kunye nokuxutywa kwamalungu, izihlunu ziqinisa, umsebenzi wokudibanisa kunye nezihlunu zikhula ngcono, i-bone callus iqala ukukhula ngokukhawuleza, ukuvela kwe-fusion tissue fusion, engakhokelela ekudibaneni izihlunu kunye ukuqina kobambiswano.
Ukuhlambalaza ngemivimbo kunye neentlobo zegigaments kunye nezihlunu
Enye yezona ntlobo eziqhelekileyo zomonakalo yizinto eziqhekekileyo zelungu kwaye zenza malunga ne-45% yazo zonke iintlobo zokulimala. Ukuba kwenzeka ukutshatyalaliswa kwangoku nje, ngelixa kwandiswa kuphela i-device-ligament apparatus, kwaye ingqibelelo ayizange iphulwe, ukucoca umzimba kufuneka kwenziwe kwimihla embalwa yokuqala emva kokulimala. Ukuba i-massage yenziwa ekuqaleni, inokukunceda ukunciphisa intlungu, ukukhawuleza inkqubo yokuhlengahlengiswa kwemfucuza, ukuchithwa kwamalungu kunye neengxowa zesikhwama, okubangela ukuphucula ngokukhawuleza komsebenzi wemoto. Ngaphambi kokuba uhlaziye, kubalulekile ukuba isigulane sikwazi ukukhulula izihlunu kangangoko kunokwenzeka, apho kuyimfuneko ukuseka isalathisi esonakalisiweyo kwisimo somzimba.
Ngeentsuku zokuqala, ukubizwa ngokuba yi-massage yokutshatyalaliswa kwenzelwa, okwenzeka kwindawo engaphezu kwenzakalo, ungakulibali ukuba kuyimfuneko ukulungisa kakuhle ukudibanisa kakuhle. Masithi xa senza i-massage ye-device-bag-ligamentary device kwi-ankle, kuyimfuneko ukuba esinye isandla silungise unyawo kunye nokunye ukuhlalisa izihlunu zomlenze kunye nomlenze ophantsi. Ukuba kukho i-longet longet, emva koko kuhlalisa kufuneka kususwe. Ngethuba lokuxilisa, ukuxubha kuqala kusetyenziswa (kuyakuba yimizuzu emfutshane okanye ephakathi), ngoko i-trituration (umzekelo, ukuqhuma), ngokubambisana ne-stroking esebenza ngokuqhubekayo.
Ukuqhuba i-massage kulandela ulwalathiso lwe-outflow, ngokuphindaphinda kabini ngosuku ngemini emi-5 ukuya kwe-10, kwaye akufuneki kubekho intlungu kwindawo yokulimala.
Kamva, emva kweentsuku ezi-4 ukuya kwezi-5, ukuba akukho ziqhamo ezibonakalayo ezibonakalayo (akukho ukuvuvukala kwezicubu, ukushisa okuzinzile, ukungabikho kwendawo ye-hyperesthesia kwindawo yokulimala), usenokuya kwi-massage endaweni yokulimala. Kule nqanaba, ukusetyenziswa kokuxoka kunokwenzeka, kwaye umphumo kufuneka ube lula kuzo zonke iinqununu, uhamba kunye nokuqhuma okuqhubekayo. Kwakhona kunyanzelekile ukuba uhlaziye izihlunu kunye namaqela ahlukeneyo omzimba ngokwahlukileyo. Ukuba imeko esebenzayo yezicubu ivumela, ngoko ke kunokwenzeka ukusebenzisa ezinye iindlela zokucoca umzimba, ngelixa akufanele lilibale ukuba ezo zixhobo ezifana nokutshukunyiswa okuphakathi kwendlela yokucubungula, kunye nokusetyenziswa komsebenzi ngexesha lokuqala emva kokulimala kungabandakanywa. Kufuneka ukhulise kancane kancane ubukhulu bokusila. Ukuba kuyimfuneko ukuhlambalaza ngesiqunto kufuphi nomxube okanye xa ulula izixhobo zeligamental of the joints, ingqalelo kufuneka ihlawulwe kwi-tendon kunye neengxowa ze-mucous kunye ne-twist of joint.
Ngeentsuku zokuqala, enye okanye ezininzi iiseshoni ngosuku, ezihlala emizuzu emi-5 ukuya kwe-10, ziya kukwanela, ngokunyuka kwandisa ixesha ukuya kwemizuzu eyi-15-20.
Ukuzihlaziya kufuneka kudibaniswe kunye nokusebenza okusemzimbeni, ngexesha okanye emva kwayo. Kubalulekile ukuqala ngokunyakaza okusebenzayo ukusuka kwicala lokulimala, kwaye akufanele kubekho ukwanda kwintlungu. Ukuba, endaweni yomonakalo, intlungu okanye ukuvuvukala kwezicubu zivela, ukudibanisa okonakalisiweyo kufuneka kulungiswe iintsuku ezimbalwa zokuqala, kunye namalungu afanelekileyo kufuneka ayenziwe ngamalungu angasondelene nommandla owonakele. Kwakhona, ukusebenza kwe-massage kuphuculwe yinkqubo ye-thermal, umzekelo, amanzi ashushu okanye iibhafu zomoya. Okokuqala, kufuneka ufake isicelo sokushisa, uze uqalise ukusila.
Esinye sezifo eziqhelekileyo ezikhokelela ekulahlekelweni kwamandla okusebenza ixesha elide zizifo ezidibeneyo. Ukubamba i-Massage kudlala indima ekhokelayo kwiinkqubo eziyinkimbinkimbi zezifo ezahlukahlukeneyo. Ikuvumela ukuba unciphise intlungu, ukwandisa isantya sokubuyiswa kwe-effusion kwidibanti, kunye neengxowa zengqungquthela zengqungquthela, ivuselela ukujikeleza kwegazi kunye nokuhamba kwe-lymph kumalungu kunye namaxesha athile. Xa kusetshenziselwa i-massage, kukho ukuhla kwe-reflex muscle hypertension, edlalwa rhoqo ngezifo ezahlukahlukeneyo, ukuqala kwe-muscular atrophy kuyathintela, ukukhutshwa kwe-synovial fluid kuphuculwe, okwandisa ukuhamba komxhasi kunye nokuqina, ukukhawuleza ukukhawuleza kwe-metabolism, kunye, umsebenzi olahlekileyo weamalungu awonakele.
Ukuxutywa kwezigulane ezineelungu, kuyimfuneko ukuba ube nombono ocacileyo woqwalaselo oluqhelekileyo, imida, ukufikelela kwisikhwama sokubambisana, kunye neendawo ze-paracentesis zeengxowa zeengxowa, kwaye kufuneka uqaphele ngokucacileyo kwaye ukwazi ukuqonda yonke impawu ye-effusion ekhoyo kumalungu okanye kwiintlobo zawo. Kuzo zonke iimeko eziqhubekileyo, u-massage we-massage unokukwazi ukuhlaziya ngokufanelekileyo, ukujonga ubugcisa obuboniswa ngugqirha. Ngaphambi kokuba uqalise ukusilalisa, u-massage we-massage kufanele acele isigulane malunga nesimo sempilo, ubukho kunye nendawo yentlungu okanye ezinye izikhalazo. Zonke iinkcukacha ezifunyenweyo ziya kunceda ukufumana iindlela ezazisetyenziselwa ukuhlalisa. Kwakhona, idatha efunyenweyo yenza ukuba kube lula ukufikelela kwisigqibo esipheleleyo malunga nokusebenza kweenkqubo eziqhutywa.
Izifo zesifo se-rheumatic okanye esithathelwanayo, ama-massage makwenziwe kuphela kwisigaba sokugula okanye esingasigxina sesifo. Ukuba kunjalo, nangona kunjalo kukho iziganeko ezichaphazelekayo kwidibene ezichaphazelekayo, umzekelo, ukuvuvukala, ubushushu obuphezulu bendawo, ubuhlungu obukhulu xa uvakalelwa ngokubambisana, ngoko-ke ukuhlalisa kufuneka kusetyenziswe ngaphandle kwesiza. Kwinqanaba lokuxhatshazwa, kukho imfucu ye-hypertonia, eyenzeka ngokucinga ngokukhawuleza ngokuphendula umonakalo odibeneyo, ngoko-masseur kufuneka kuqala okokufezekisa ukwehla kwetoni ye-muscle. Ngaloo ndlela, ngokubandakanyeka kwamadolo ehlangeneyo kwinkqubo, kunokwenzeka ukugcina ukwanda kwetoni kula maqela asemasipha: i-fascia ebanzi yeca, i-quadriceps, i-semitendinosus, iisimmbranous kunye ne-biceps imisipha yomlenze, kunye ne-gastrocnemius muscle. Ingxabano ingabonwa kwakhona kwi-ligament ye-patellar kunye ne-tendon edibeneyo ye-tendon, i-tender and semitendinous muscles, kwaye kufuneka kuphawulwe ukuba kwezinye izihlunu kunye nezikhonkwane zeetononi kunokubambisana okunamandla kunokwenzeka kwabanye. Ngokunyanzeliswa ngenyameko, ukukhula kwemisipha kuya kubonakala kwiimisipha ze-thoracic kunye ne-lumbosacral. Ukuphelisa i-hypertonia ye-muscle, kuyona ndlela ingcono ukusebenzisa ukunyanzeliswa kwamandla. Ngenxa yokunyuka kwengxube yezinto ezincinci ezixubileyo, kukulungele ukuhlalisa ngokusebenzisa isicatshulwa-segmental technique.
Ngobuthathaka bokuxhatshazwa kwezicubu endaweni yangasemva, kunokwenzeka ukuba uqale ukusilalisa izihlunu ezinxulumene namajoyina awonakele. Kwakhona, xa i-hypertonicity ye-muscle yenzeka ngexesha le-non-proecific polyarthritis, i-hypotrophy ekhethiweyo ikhethiweyo, ebizwa ngokugqithiseleyo kwiimeko ezingapheliyo. Kwizifo zengxube ye-hip, i-hypotrophy ivame ukuqala kwimisipha ye-gluteus, i-knee joint - i-quadriceps muscle, i-joint joint-the extensors of shin neenyawo; kunye nezifo ze-shoulder-deltoid, i-supraspinatus, i-subacute kunye neentlobo ezincinci ezijikelezayo, izihlanganiso ze-elbow - triceps, i-joint joint-extensors ye-forearm, izixube zamanwe Kwi-muscle hypotrophy, kuyona ndlela ingcono ukusebenzisa iindlela ezifana nokuxubha, ukuxubha, kunye nokuxolela. Ngethuba le nkqubo, iimisipha ezinjenge-myogelosis, ebonakalayo kwiindawo zokuqhotyosheliswa kwezihlunu ngexesha lokutshintshela kwinqanaba le-fastic okanye kwi-tendon, lingavela kwiimisipha ecaleni kwamalungu.
Kwiintsuku zokuqala zokubutha, qho qhobela ngokukhawuleza kwindawo echaphazelekayo. Uqala ukuhlamba kunye nexesha, kwaye emva koko zifake izicubu ezincinci, zifake i-joint, ukuze kuphuculwe ukujikeleza kwe-lymph kwisigxina. Akufanele lilibaleke ukuba amanxeba angeneleleko ahlala ephuka kwi-elasticity and movement of the skin, enokuthi ibonakaliswe ngokubonakala kwe-thickening kunye neentlungu xa ulusu lukhutshwe. Kwimeko enjalo, kufuneka usebenzise indlela ye-trituration, eyenziwa ngohlobo lwe-shading, ngelixa ukunyakaza kufuneka kuphucuduke, ukuxilonga kufuneka kwenziwe kwinqanaba lokulala: okokuqala ulusu, ngoko ke izicubu ezinxibelelanayo, kunye ne-fascia. Ubunzulu obukhethiweyo boluhlu alufanelekanga, kwaye uluhlu olulandelayo luhluthwa ngempembelelo encinane.
Emva kokuxutywa kwezicubu ezithambileyo ezingaphandle kwendibano, kufuneka uqhube ukuhlalisa i-bag-ligament apparatus. Ingqwalasela enokunyamekela kufuneka ihlawulwe kwiindawo ezinokufikelela okukhulu kunxibelelwano oluchaphazelekayo. Ukuba i-ankle, ke le ndawo iya kuba yindawo yangasemva kwesikhwama sokubambisana, esecaleni lamacala omabini e-Achilles. Kuba idolo elihlangeneyo - icala eliphakathi komda wefolda, ukufikelela kwi-front front of the articular knee bag kungaba kwicandelo elincinci ukusuka kumacala ahlukeneyo kwethenda ye-quadriceps muscle. Konke oku kubonisa ngokucacileyo ukuba imasseur kufuneka ikwazi njani ukufikelela kumalungu amaninzi. Ngexesha lokuxilisa, kuyafuneka kwakhona ukuba uqwalasele indawo yesikhwama se-mucous kufuphi ne-joint, ngaphandle koko, kufuneka ixutywe ngokwahlukileyo. Iindlela ezifanelekileyo kakhulu ziza kubhalwa iisetyhula kunye nemivimbo emide.
Ukuzivocavoca kufanele kwenziwe ngohlobo lweentshukumo ezisebenzayo, isigulane kufuneka siqale ukunyakaza okusebenzayo ukusuka kwindawo esondeleyo yomonakalo odibeneyo, ngoko ke, njengoko iziganeko ezisebenzayo zixhaswe, kunye nokudibana.