{"id":1139,"date":"2019-07-30T08:04:00","date_gmt":"2019-07-30T08:04:00","guid":{"rendered":"https:\/\/orto.lv\/?post_type=aktualitates&p=1139"},"modified":"2023-03-27T08:05:08","modified_gmt":"2023-03-27T08:05:08","slug":"kada-starpiba-saites-vai-cipslas-461","status":"publish","type":"aktualitates","link":"https:\/\/orto.lv\/ru\/jaunumi\/kada-starpiba-saites-vai-cipslas-461\/","title":{"rendered":"K\u0101da starp\u012bba \u2013 saites vai c\u012bpslas?"},"content":{"rendered":"

Kad j\u016btam s\u0101pes loc\u012btav\u0101s, m\u0113dzam zino\u0161i un nev\u0113r\u012bgi teikt: \u201cKaut kas noticis ar sait\u0113m vai c\u012bpsl\u0101m \u2013 varb\u016bt pl\u012bsu\u0161as, varb\u016bt iekaisu\u0161as.\u201d. Paties\u012bb\u0101 t\u0101s ir \u010detras da\u017e\u0101das diagnozes. Turkl\u0101t saites un c\u012bpslas nav viens un tas pats. Ar\u012b glu\u017ei uzskat\u0101mi \u2013 vienas boj\u0101jums neatst\u0101s \u012bpa\u0161as sekas uz kust\u012bb\u0101m, savuk\u0101rt otras \u2013 atsevi\u0161\u0137as kust\u012bbas padar\u012bs neiesp\u0113jamas. Lai lietprat\u012bg\u0101k izprastu at\u0161\u0137ir\u012bbas, pied\u0101v\u0101jam nelielu Andreja Finogejeva ORTO Kl\u012bnikas traumatologa, ortop\u0113da konsult\u0113tu ieskatu \u0161o saistaudu pasaul\u0113.<\/strong><\/p>\n\n\n\n

C\u012bpslas un saites veic da\u017e\u0101dus uzdevumus<\/strong><\/p>\n\n\n\n

Saites ir elast\u012bgas, un t\u0101s loc\u012btavu viet\u0101 savieno divus pret\u0113jus kaulus, stabiliz\u0113jot loc\u012btavu un nodro\u0161inot, lai kust\u012bbas meh\u0101nika rit\u0113tu pareizi.<\/p>\n\n\n\n

C\u012bpslas ir musku\u013cu stiprin\u0101juma vietas pie kauliem. C\u012bpslas ar\u012b ir  elast\u012bgas, bet to galvenais uzdevums ir kustin\u0101t kaulu, kad kustas muskulis.<\/p>\n\n\n\n

Ar gribas pal\u012bdz\u012bbu m\u0113s varam kontrol\u0113t c\u012bpslu darb\u012bbu, bet nevaram ietekm\u0113t to k\u0101 kustas, saraujas vai atsl\u0101bst saites.<\/p>\n\n\n\n

Kad pl\u012bst, kad – iekaist<\/strong><\/p>\n\n\n\n

Saites pl\u012bst bie\u017e\u0101k, nek\u0101 c\u012bpslas. Savuk\u0101rt iekaisumi vair\u0101k rakstur\u012bgi c\u012bpsl\u0101m, ne – sait\u0113m. Sai\u0161u un c\u012bpslu pl\u012bsumi un c\u012bpslu iekaisumi saist\u0101mi ar fizisku slodzi, p\u0101rslodzi un neiesild\u012b\u0161anos pirms sporta. Gadiem ejot, sait\u0113m un c\u012bpsl\u0101m main\u0101s strukt\u016bra un t\u0101s paliek viegl\u0101k ievainojamas ar\u012b nelielu fizisku aktivit\u0101\u0161u laik\u0101, piem\u0113ram, pace\u013cot k\u0101du smag\u0101ku priek\u0161metu.<\/p>\n\n\n\n

Iekaisums ir rezult\u0101ts p\u0101rslodzei. Pl\u012bsums \u2013 sp\u0113c\u012bg\u0101kai un sp\u0113jai iedarb\u012bbai vai kust\u012bbai. <\/p>\n\n\n\n

Ar ko at\u0161\u0137iras sai\u0161u un c\u012bpslu pl\u012bsumi?<\/strong><\/p>\n\n\n\n

Saj\u016btas un s\u0101kotn\u0113jie simptomi, kas rodas pl\u012bstot saitei vai c\u012bpslai, ir l\u012bdz\u012bgi: asas s\u0101pes notikuma br\u012bd\u012b, kust\u012bbu ierobe\u017eojumi,  piet\u016bkums un zem\u0101das asinsizpl\u016bdums, kas rada s\u0101pes v\u0113l da\u017eas tuv\u0101k\u0101s ned\u0113\u013cas. Tom\u0113r at\u0161\u0137irsies t\u0101l\u0101k\u0101 notikumu sec\u012bba. Ja pl\u012bsusi saite, vairum\u0101 gad\u012bjumu nepat\u012bkam\u0101s saj\u016btas un s\u0101pes p\u0113c da\u017e\u0101m ned\u0113\u013c\u0101m norims un loc\u012btava atkal b\u016bs tik pat kust\u012bga k\u0101 iepriek\u0161. Apk\u0101rt\u0113j\u0101m sait\u0113m rakstur\u012bgi uz\u0146emties kompensatoru lomu un izl\u012bdzin\u0101t notiku\u0161\u0101 sekas.<\/p>\n\n\n\n

Vairums pl\u012bsu\u0161u sai\u0161u, ja vien t\u0101s ikdien\u0101 nerada diskomfortu, nav j\u0101oper\u0113. Boj\u0101t\u0101s saites funkciju var kompens\u0113t ar c\u012bpsl\u0101m un musku\u013ciem. Bet ir saites, kuru funkcijas ir p\u0101r\u0101k pla\u0161as un citas saites un musku\u013ci parasti nesp\u0113j kompens\u0113t visu nepiecie\u0161amo, piem\u0113ram, krustenisk\u0101s saites. T\u0101d\u0113\u013c t\u0101s oper\u0113 bie\u017e\u0101k par cit\u0101m \u2013 \u012bpa\u0161i sportistiem, kuriem b\u016btiski ce\u013ca loc\u012btavas nodarbin\u0101t pilnv\u0113rt\u012bgi.<\/p>\n\n\n\n

Pl\u012bsu\u0161as c\u012bpslas uzdevumus neuz\u0146emas citas c\u012bpslas vai strukt\u016bras. T\u0101d\u0113\u013c, paejot pirmaj\u0101m p\u0113ctaumas ned\u0113\u013c\u0101m, s\u0101pes mazin\u0101s, bet veikt iepriek\u0161 ierasto kust\u012bbu amplit\u016bdu nav iesp\u0113jams. Pl\u012bsu\u0161as c\u012bpslas bie\u017ei vien ir j\u0101oper\u0113, lai nov\u0113rstu s\u0101pes un atjaunotu kust\u012bbu amplit\u016bdu. Turkl\u0101t nereti tas j\u0101dara pietekami \u0101tri, neatliekot uz v\u0113l\u0101ku laiku, jo c\u012bpslu p\u0113c vair\u0101kiem m\u0113ne\u0161iem var b\u016bt neiesp\u0113jami piestiprin\u0101t atpaka\u013c.<\/p>\n\n\n\n

Ne\u0101rst\u0113ti iekaisumi var rad\u012bt pl\u012bsumus<\/strong><\/p>\n\n\n\n

Sai\u0161u un c\u012bpslu iekaisums rada aptuveni l\u012bdz\u012bgas s\u016bdz\u012bbas: s\u0101pes, s\u0101pju pastiprin\u0101\u0161anos slodzes laik\u0101, nereti piet\u016bkumu. \u0160\u0137ietami nevain\u012bgi, bet vair\u0101kk\u0101rt atst\u0101ti bez iev\u0113r\u012bbas un pak\u013cauti slodzei, iekaisumi var rad\u012bt labv\u0113l\u012bgus apst\u0101k\u013cus audu pl\u012bsumam. T\u0101d\u0113\u013c ar\u012b iekaisumi ir j\u0101\u0101rst\u0113.<\/p>\n\n\n\n

\u0100rst\u0113jot iekaisumus ieteicams lietot pretiekaismuma un prets\u0101pju medikamentus, iev\u0113rot vair\u0101ku ned\u0113\u013cu atslodzi loc\u012btavai un nodarboties ar fizioterapiju, kuras ietvaros ne vien veic fizik\u0101las proced\u016bras s\u0101pju un t\u016bskas mazin\u0101\u0161anai vai kinezioteipo\u0161anu, bet tren\u0113 musku\u013cus, kuri uz\u0146emtos da\u013cu turpm\u0101kas slodzes, atslogojot citas musku\u013cu grupas un c\u012bpslas. Atsevi\u0161\u0137os gad\u012bjumos pal\u012bdzo\u0161a b\u016bs hormonu injekcija, tom\u0113r lemt par t\u0101s lietder\u012bbu un veik\u0161anu j\u0101uztic pieredz\u0113ju\u0161am traumatologam, ortop\u0113dam. Nepareiz\u0101 viet\u0101 vai daudzum\u0101 veikta injekcija var ne vien rad\u012bt sp\u0113c\u012bgas s\u0101pes, bet ar\u012b veicin\u0101t saites vai c\u012bpslas pl\u012bsumu, nevis uzlabot dz\u012b\u0161anas procesu.  <\/p>\n\n\n\n

Da\u013ca sai\u0161u un c\u012bpslu pl\u012bsumu \u0101rst\u0113jami l\u012bdz\u012bgi k\u0101 iekaisumi, tom\u0113r atsevi\u0161\u0137u sai\u0161u un c\u012bpslu pl\u012bsumus j\u0101oper\u0113. Nepiecie\u0161am\u012bbu p\u0113c t\u0101 izv\u0113rt\u0113 traumatologs, ortop\u0113ds.<\/p>\n\n\n\n

Kad iet pie \u0101rsta?<\/strong><\/p>\n\n\n\n

Objekt\u012bvs r\u0101d\u012bt\u0101js, kad ieteicams konsult\u0113ties pie \u0161\u012b traumatologa, ortop\u0113da, ir s\u0101pes loc\u012btav\u0101, kas turpin\u0101s ilg\u0101k par ned\u0113\u013cu. Viz\u012btes laik\u0101 tiks noskaidroti apst\u0101k\u013ci, kuros s\u0101pes s\u0101ku\u0161\u0101s, \u0101rsts iztaust\u012bs loc\u012btavu un, ja nepiecie\u0161ams, noz\u012bmes papildus izmekl\u0113jumus \u2013 ultrasonogr\u0101fiju vai magn\u0113tisko rezonansi, ja t\u0101da b\u016bs nepiecie\u0161ama. J\u0101atceras, ka, piem\u0113ram, ce\u013ca loc\u012btavas saites un c\u012bpslas ultrasonogr\u0101fij\u0101 ir \u013coti gr\u016bti saskat\u0101mas, t\u0101d\u0113\u013c bie\u017ei vien tiek noz\u012bm\u0113ta magn\u0113tisk\u0101 rezonanse. Savuk\u0101rt pleca loc\u012btavas strukt\u016bras ultrasonogr\u0101fij\u0101 ir labi redzamas. Pierakstoties \u0161o izmekl\u0113jumu veik\u0161anai, v\u0113rts patur\u0113t pr\u0101t\u0101, ka j\u0101izv\u0113las radiologs, kur\u0161 specializ\u0113jas muskuloskelet\u0101lu strukt\u016bru anal\u012bz\u0113. \u0100rsts, kur\u0161 radiolo\u0123iski p\u0113ta v\u0113dera dobumu, nav specializ\u0113jies loc\u012btavu boj\u0101jumu diagnostik\u0101.<\/p>\n\n\n\n

Noskaidrojot diagnozi \u2013 s\u0101pju iemelsu loc\u012btav\u0101, traumatologs, ortop\u0113ds noteiks atbilsto\u0161\u0101ko \u0101rst\u0113\u0161anas programmu.<\/p>","protected":false},"excerpt":{"rendered":"

Kad j\u016btam s\u0101pes loc\u012btav\u0101s, m\u0113dzam zino\u0161i un nev\u0113r\u012bgi teikt: \u201cKaut kas noticis ar sait\u0113m vai c\u012bpsl\u0101m \u2013 varb\u016bt pl\u012bsu\u0161as, varb\u016bt iekaisu\u0161as.\u201d. Paties\u012bb\u0101 t\u0101s ir \u010detras da\u017e\u0101das diagnozes. Turkl\u0101t saites un c\u012bpslas nav viens un tas pats. Ar\u012b glu\u017ei uzskat\u0101mi \u2013 vienas boj\u0101jums neatst\u0101s \u012bpa\u0161as sekas uz kust\u012bb\u0101m, savuk\u0101rt otras \u2013 atsevi\u0161\u0137as kust\u012bbas padar\u012bs neiesp\u0113jamas. Lai lietprat\u012bg\u0101k izprastu at\u0161\u0137ir\u012bbas, pied\u0101v\u0101jam nelielu Andreja Finogejeva ORTO Kl\u012bnikas traumatologa, ortop\u0113da konsult\u0113tu ieskatu \u0161o saistaudu pasaul\u0113.<\/p>","protected":false},"featured_media":1140,"template":"","categories":[],"meta_box":[],"_links":{"self":[{"href":"https:\/\/orto.lv\/ru\/wp-json\/wp\/v2\/aktualitates\/1139"}],"collection":[{"href":"https:\/\/orto.lv\/ru\/wp-json\/wp\/v2\/aktualitates"}],"about":[{"href":"https:\/\/orto.lv\/ru\/wp-json\/wp\/v2\/types\/aktualitates"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/orto.lv\/ru\/wp-json\/wp\/v2\/media\/1140"}],"wp:attachment":[{"href":"https:\/\/orto.lv\/ru\/wp-json\/wp\/v2\/media?parent=1139"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/orto.lv\/ru\/wp-json\/wp\/v2\/categories?post=1139"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}