Среди большого числа разнообразных заболеваний встречаются и патологические функциональные состояния, которые, не являясь болезнью, все-таки нарушают нормальное самочувствие человека. Характерным примером служит миоклония или клонические судороги икроножных мышц.
Это симптом, характеризующийс я болезненным спазмом различных мышечных групп. Наиболее типична миоклония стоп или голеней. Такие спастические сокращения подсознательно ассоциируются с названием известной рок-группы «Ногу свело».
Клонические судороги кратковременны. Помимо них, могут быть и тонические непроизвольные сокращения поперечнополосат ой скелетной мускулатуры, которые более сильные и продолжительные и могут длиться более трех минут.
Причины судорог в ногах
Причины, по которым развиваются судороги мышц ног, кроются в нарушениях электролитного баланса мышечных клеток, неадекватности кровоснабжения мягких тканей или неврологических проблемах. Эти три группы причин могут встречаться как изолированно, так и в различных сочетаниях, сопровождая врожденные аномалии или приобретенные заболевания. При этом не столь важно, каков возраст пациента, так как механизмы развития миоклонии практически идентичны для детей, взрослых и пожилых людей.
Нарушения водно-электролит ного баланса
Электролитные нарушения – наиболее большая группа состояний, приводящих к судорогам ног. В норме мышечное сокращение возможно при создании разности потенциалов между клеткой и внеклеточным пространством, который определяется током ионов натрия, калия, кальция, магния и хлора в разных направлениях. При любых патологиях, приводящих к дисбалансу этих веществ, мышечное сокращение нарушается. При этом наиболее важен дефицит натрия и кальция, приводящий к мышечному спазму. Вот перечень некоторых состояний, приводящих к судорогам в ногах.
При обезвоживании
(от второй степени и выше) происходит сгущение крови, падение концентрации натрия в плазме, и развиваются судороги ног. Причины и механизм развития миоклонии от кровотечений аналогичны обезвоживанию, судороги развиваются при резком падении объема циркулирующей крови, например, при обильных кровотечениях (см. маточные кровотечения — причины).
При неадекватной терапии мочегонными средствами
особенно, петлевыми диуретиками (фуросемидом, лазиксом, торасемидом, буметанидом, этакриновой кислотой) и ингибиторами карбоангидразы (диакарбом), которые преимущественно выводят натрий и магний. Снижение концентрации этих ионов повышает возбудимость нервных окончаний, что приводит к судорогам. Это очень характерное состояние для пожилых пациентов и худеющих с применением диуретиков. Для них часты судороги в ногах ночью и мышечные подергивания, которые провоцируются даже обычной переменой положения конечности.
При неадекватной регидратационной терапии
и переливаниях плазмы резкий скачок онкотического давления приводит к электролитным нарушениям и судороге.
Беременность
часто сопровождается дефицитом кальция, который расходуется на нужды растущего плода, и может сопровождаться миоклонией стоп или голеней.
Цирроз печени
при котором нарушается баланс между альбуминами и глобулинами плазмы и жидкость накапливается в тканях, брюшной, плевральной полости и околосердечной сумке, также может стать причиной судорог. Подробнее о циррозе печени.
Гемодиализ
при хронической почечной недостаточности также часто осложняется миоклонией.
Ишемия тканей
Тканевая гипоксия приводит к накоплению недоокисленных продуктов обмена, таких, как молочная кислота и медиаторы воспаления. Ишемия ткани проявляется спастическим сокращением мышцы и болевым синдромом. Этот механизм может развиваться при недостаточном кровотоке в области стопы или голени или при обменных нарушениях, снижающих поступление глюкозы в ткани (см. церебральная ишемия у новорожденных).
Варикозная болезнь нижних конечностей
наиболее типичная патология, при которой судороги отдельных мышц ноги возникают после длительной ходьбы или статической нагрузки (см. лечение варикоза в домашних условиях). Эта беда преследует парикмахеров, продавцов. преподавателей, а также беременных, у которых повышенное внутриборюшное давление провоцирует развитие или обострение варикозной болезни. Помимо спастики и болей у пациентов могут возникать отеки и тяжесть в ногах, на которых появляется усиленный венозный рисунок и даже узлы, где кровь застаивается, что может стать причиной вторичного воспаления вены (флебита) или даже тромбоза.
Поражение мелких артерий
это удел пациентов с сахарным диабетом и курильщиков, которых преследует облитерирующий эндартериит, называемый также перемежающей хромотой. При этом на первое место выступают расстройства притока артериальной крови, к которым при диабете добавляется еще и нарушение тканевой утилизации глюкозы и состояния гипогликемии при голодании или неадекватно высоких дозах инсулина. Характерными признаками становятся боли при ходьбе, невозможность пешего передвижения на большие расстояния, бледность и похолодание ног, трофические нарушения кожи в виде хронических язв и эрозий. Для диабета характерны даже некротические процессы, которые называются диабетической стопой. Облитерирующий эндартериит и диабетическая стопа – наиболее частые причины ампутации нижних конечностей.
Поперечное плоскостопие
и другие аналогичные аномалии стопы, приводящие к нарушениям распределения нагрузки на связочно-суставной и мышечный аппарат ноги, также могут стать поводом для судорожных сокращений мышц стопы или голени. Здесь играют роль как ухудшающиеся условия кровотока, так и сдавление мелких нервных стволов. Интересно, что подобная ситуация может возникнуть у любителей модельной узкой обуви или поклонниц высоких каблуков, когда чрезмерная нагрузка падет на пальцы ног.
Болезнь Рейно
Синдром или болезнь Рейно, при которой страдает капиллярный кровоток, также приводит к кислородному голоданию мышц и, как следствие, может возникнуть миоклонус. Для двух этих патологий характерно легкое ознобление конечностей, непереносимость холодного воздуха или воды, при контакте с которыми конечности бледнеют или даже синеют и могут отреагировать мышечным спазмом.
Неврологические патологии
При интоксикациях различного происхождения
инфекционных патологиях (менингококковых , стафилококковых) , отравлениях метиловым спиртом, цианидами, фосфидами, синильной кислотой, стрихнином, грибами (строчками) могут возникать такие нарушения нервно-мышечной передачи, которые приводят к спастике мускулатуры ног. К редким причинам того же механизма действия стоит отнести укусы скорпионов, южноамериканских муравьев, пауков вида черная вдова и осьминогов, уколы скатов и морских ежей. В наших широтах более реально съесть омежник водный, похожий на петрушку, быть укушенным лесным муравьем. У детей, получающих витамин Д, в случае передозировки также может возникнуть спастика в ногах, как результат чрезмерных потерь кальция тканями.
При спастическом типе паралича
на фоне нарушений мозгового кровообращения в острый период также могут развиться тонические судороги в ногах. Здесь симптоматика дополняется предвестниками в виде головной боли, мелькания мушек в глазах. В момент инсульта может наблюдаться потеря или затуманенность сознания, асимметрия носогубных складок и отклонение языка от средней линии (см. признаки инсульта у женщин).
Гипертермия у детей
(высокая температура) с высокой судорожной готовностью коры головного мозга также может приводить к судорогам в ногах.
При остеохондрозе поясничного
или крестцового отделов позвоночника, развитии межпозвонковых грыж за счет сдавления двигательных корешков спинного мозга также часто сводит судорогой ноги.
Другие причины судорог в ногах
При травмах суставов или переломах ног мышечная спастика – это защитный механизм, который позволяет ограничить подвижность травмированного участка. Однако, мышечный спазм в ответ на болевую импульсацию – основная причина переломов трубчатых костей при падениях с высоты.
Гипопаратиреоз или понижение выработки гормонов околощитовидных желез на фоне их лучевого поражения, травмы или оперативного удаления также может проявляться судорогами ног. Но при этом судороги затрагивают также лицо и верхние конечности, а также наблюдается выпадение и сухость волос, слабость и утомляемость, склонность к депрессиям, бронхоспазму.
Почему ночью сводит ноги судорогой?
В ночные часы мышечная активность снижена, однако, при сне в душном помещении в тканях ног может накапливаться молочная кислота, которая вызывает спазм и боль. Также после существенной нагрузки на ноги днем у лиц с сосудистыми проблемами венозный отток от конечностей недостаточен, а приток артериальной крови замедлен, что и провоцирует ишемию тканей и спасические явления в мышцах стопы и голени.
Причины судорог мышц ног у здоровых людей
Совершенно здоровые люди также могут быть подвержены судорогам в икроножных мышцах. Причины такого явления кроются в сильном или длительном мышечном напряжении, они возникают при длительном вынужденном положении. Это могут быть как бытовые, так и профессиональные нагрузки, например:
- Балерины или цирковые артисты нередко сталкиваются с подобной проблемой. Такие изменения связаны с тем, что в момент перенапряжения повышается импульсация из нервно-мышечных веретен и вторично перевозбуждается альфа-мотонейрон пирамидных путей, который и вызывает мышечный спазм.
- Профессиональные спортсмены или легкоатлеты и лыжники любители, которым доводилось тренироваться при низких температурах воздуха, также подвержены рискам развития судороги ног.
Судороги икроножных мышц — не безобидное явление, а наиболее частая причина смерти на воде.
- Часто о таком явлении рассказывают своим воспитанникам тренеры по плаванию на самых ранних этапах обучения. Судорога происходит при существенной нагрузке на данную группу мышц во время плавания. Также она сильно зависит от температуры воды (чем холоднее, тем быстрее происходит судорога).
Еще один фактор – это степень натренированност и икроножных мышц. У нетренированных людей мышечный спазм может наступить в течение нескольких минут. Можно смело утверждать, что данное явление – часто основная причина смертельных случаев среди купающихся. Молодые, здоровые и уверенные в своих силах люди — это и есть основная группа риска. Многие из них никогда до трагического момента не испытывали вышеописанного явления. Поэтому первые испытываемые чувства, когда судорогой сводит икры ног:
- сильная боль
- неспособность пошевелить ногой
- паника и страх
Есть очень простой способ спастись в такой ситуации. Необходимо помнить в тот момент, что разблокировать икроножную мышцу можно, сильно притянув носок этой ноги к голени. В этом случае ступня работает, как рычаг, растягивая мышцы и принудительно приводя их в рабочее состояние.
Итак, правильный алгоритм действий будет такой:
- вдохнуть как можно больше воздуха,
- погрузиться с головой под воду и прижать колени к животу,
- обхватить обеими ладонями большие пальцы сведённой ноги и очень сильно потянуть к голени.
Что делать, если ноги сводит судорогой
Если такая проблема, как судорога ног, повторяется, стоит обратиться к врачу и пройти обследование. Основные направления это исключение:
- электролитных расстройств
- эндокринных нарушений
- сосудистых заболеваний
- неврологических патологий
При классической миоклонии, когда нет генерализованных судорожных припадков и потерь сознания, стоит обратить внимание на уровень потребления жидкостей.
- В жару или при чрезмерно сухом воздухе стоит увеличить питьевую нагрузку за счет минеральной воды.
- При потерях жидкости с рвотой или поносом, стоит проводить регидратацию Регидроном, Гидровитом или аналогичными растворами из расчета 200 мл на каждый стул или рвоту.
- Важно не принимать бесконтрольно различные лекарственные средства, особенно, мочегонные.
- У детей, принимающих витамин Д, должен проводиться строгий контроль за дозировками и их своевременная коррекция.
- У лиц, склонных к судорогам на фоне повышения температуры, ее следует вовремя и адекватно сбивать.
- Беременным следует принимать профилактические дозы препаратов кальция.
Неотложная помощь при судороге
Чтобы прервать судорожное сокращение мышц ноги, можно провести следующие простые мероприятия.
- Осторожно растянуть мышцы голени и стопы: встать на носочки, пройтись. Также можно руками разогнуть стопу в положении лежа.
- Массаж мышц позволяет их расслабить. Наиболее эффективны потряхивания конечности и поглаживания с осторожными разминаниями мышц.
- Миоклонию наиболее часто лечат с применением препаратов магния (магнерота, Солгар Цитрат магния, Натурал Калм, Магний диаспорал) магнеВ6 (Магнистад, Магнелис В6) и миорелаксантов (мидокалма, толперизон, сирдо лута, баклофена).
Судороги в ногах, причины и лечение которых требуют индивидуального подхода, – это внезапное непроизвольное сжатие ножных мышц, не поддающихся расслаблению в течение нескольких минут. Сокращения происходят, как правило, ночью и носят приступообразный характер, вызывая болевой синдром: в момент спазма мышца ощущает резкий недостаток кислорода.
Если судороги ног повторяются часто, разобраться с причинами и назначить лечение поможет специалист:
Недуг встречается у людей любого пола и возраста, так как процесс развития судорог практически идентичен для любого человека.
Он возникает в следующем порядке:
- Возникновение нервного импульса в мозге и его передвижение по нерву к мышце.
- Распространение импульса на клетки, богатые ионами кальция.
- Вывод калия во внутриклеточное пространство.
- Спазм мышцы.
Типы спазмов при судорогах в ногах
Спазмы подразделяются на несколько типов.
По охвату:
- Одной группы мышц.
- Одной из сторон тела.
- Всего тела.
По длительности:
- Миоклоническая судорога – подергивание мышечного волокна, похожее на нервный тик. Быстро и безболезненно проходит. Является результатом перенапряжения.
- Клоническая судорога – ритмично повторяющееся мышечное сокращение всего тела или его части. Более длительна, связана с нарушениями работы коры головного мозга.
Судороги в ногах. Причины, как и лечение, могут быть разными. Важно знать, как оказать первую помощь при этом.
Мышечные судороги в икрах
Во время сна мышцы человека расслабляются, но из-за ряда причин в икроножных мышцах возникают сокращения, причиняющие боль. Мышца становится твердой, движения ограничены.
Через несколько минут спазм проходит, и человек не чувствует дискомфорта.
Судороги пальцев ног
Этот спазм может охватывать:
При отсутствии каких-либо заболеваний, спазмы могут появляться у людей, носящих неудобную обувь, либо длительное время проводящие на ногах.
Судороги ступней
Плоскостопие и ношение неудобной, особенно узкой обуви могут привести к появлению судорог в ступнях. Еще одной причиной может являться дефицит витаминов и микроэлементов, обеспечивающих нормальную работу мышц.
Причины судорог в ногах у детей
Центральная нервная система ребенка недостаточно развита по сравнению с взрослыми, поэтому риск появления судорог в ногах у детей выше.
Кроме этого существует ряд других причин их возникновения:
- Недостаток железа, кальция, магния, глюкозы.
- Реакция на прививку (например, АКДС. Ставят от дифтерии, коклюша и столбняка).
- Перепады температуры тела при ОРВИ.
- Обезвоживание организма.
- Длительное неудобное положение конечности.
- Перенапряжение.
При появлении судорог у ребенка, следует обратиться к педиатру для исключения вероятности эпилепсии и назначения соответствующего лечения.
Причины судорог в ногах у взрослых
Причины возникновения судорог у взрослых разнообразны. Они поражают людей от 20-60 лет, ведь это самый работоспособный возраст. Нередко им приходится перетруждаться не только в физическом плане, но и психологическом.
Основные предпосылки для развития судорог:
- Сильная физическая нагрузка в течение дня.
- Стресс.
- Отеки и тяжесть в ногах.
- Диеты.
- Злоупотребление протеинами.
- Недостаток железа, кальция, магния.
- Ожирение и избыточный вес.
- Ношение неудобной обуви.
- Длительное неудобное положение конечности.
Причины судорог в ногах у беременных
Судороги в ногах, причины и лечение которых очень беспокоят беременных женщин, являются следствием сильной нагрузки на организм. Они не наносят вреда, но предупреждают о нарушениях в работе внутренних органов. Чаще всего сводит ноги во время дневного отдыха и по ночам.
Основные причины следующие:
- Ухудшение кровообращения в ногах.
- Длительная ходьба или нахождение в сидячем положении.
- Эмоциональное перенапряжение.
- Дефицит витамина В, калия, кальция, магния, связанные с растущими потребностями плода.
При появлении судорог во время беременности, следует обратиться к врачу женской консультации. Промедление может негативно сказаться на здоровье малыша.
Причины судорог в ногах у пожилых людей:
Пожилые люди жалуются на судороги чаще, чем взрослые.
Это связано с возрастными изменениями, а также нарушением кровообращения в ногах, вызванных:
- Дефицитом калия, кальция, магния.
- Ослабеванием мышц из-за отсутствия физических нагрузок.
- Нарушением в суставных хрящах.
Также спровоцировать появление судорог может применение некоторых лекарственных препаратов:
- Мочегонные: «Фуросемид», «Индап», «Бритомар».
- Снижающие холестерин в крови: «Вазилип», «Липостат», «Тевастор».
Именно поэтому не рекомендуется заниматься самолечением: только лечащий врач сможет назначить наиболее подходящий препарат, основываясь на истории болезни пациента.
Заболевания, приводящие к судорогам в ногах
Если судороги в ногах возникают часто и, кажется, беспричинно, следует всерьез задуматься о своем здоровье: они могут сигнализировать о начале заболеваний или сбоев в организме. Необходимо выяснить их причину и начать лечение.
Список возможных заболеваний, провоцирующих возникновение судорог:
- Нарушения внутриутробного развития.
- Травмы и защемления при родах.
- Наследственная предрасположенность.
- Детские болезни: краснуха, корь, оспа.
- Плоскостопие.
- Задержка психического развития.
- Эпилепсия.
- Атеросклероз.
- Тромбоз.
- Эмболия.
- Сахарный диабет.
- Черепно-мозговые травмы.
- Травмы позвоночника.
- Травма нервов конечности.
- Инсульт.
- Отравление алкогольными и лекарственными средствами.
- Рак поджелудочной железы.
- Варикозное расширение вен.
- Заболевание эндокринной системы.
- Кислородное голодание.
- Опухоль мозга.
- Цирроз печени.
Следует обратить внимание на симптомы, наличие которых свидетельствует о близости эпилептического припадка:
- Помутнение сознания.
- Потемнение в глазах.
- Звуковые галлюцинации.
Ночные судороги
Ночью все процессы в организме человека замедляются, даже венозный отток крови, что уносит вредные вещества, начинает работать в автономном режиме. В результате мышца кровоснабжается хуже. Спазм появляется при засыпании или после пробуждения. Человек может чувствовать легкое покалывание, подергивание конечности или резкую боль, похожую на защемление.
Проходят судороги в течение нескольких минут, но неприятные ощущения могут длиться дольше. В связи с тем, что судороги обычно проявляются в ночное время, большинство людей страдают ещё и от бессонницы. Если спазмы появляются несколько раз в неделю без видимой причины, следует немедленно обратиться к специалисту.
Первая помощь при судороге
При возникновении судороги в первую очередь не стоит паниковать и постараться расслабить сведенную мышцу. Если спазм охватил икроножную мышцу, следует слегка её ущипнуть. Затем интенсивно растереть спиртом зону, охваченную судорогой, чтобы усилить к ней приток крови.
При спазме пальцев ног их следует слегка потянуть на себя, сгибать и разгибать. Если же судорогой свело всю стопу, нужно снять обувь и походить босиком по полу, либо просто помассировать её. После этого следует лечь на спину и подложить под ноги подушку, чтобы они находились выше уровня таза. Это необходимо для нормализации кровообращения.
Медикаментозное лечение частых судорог
При регулярном возникновении судорог в ногах, лечащий врач может рекомендовать препараты в зависимости от первопричины спазма.
Они следующие:
- Витаминные комплексы.
- Успокоительные.
- Препараты для разжигания крови.
- Сосудистые лекарства.
- Мази и гели.
Венотонизирующие и противосудорожные препараты
Судороги в ногах, причины и лечение которых следует установить флебологу, можно значительно снизить приемом венотонизирующих или противосудорожных препаратов. Первые улучшают состояние сосудов ног, а вторые оказывают положительное влияние на состояние нервной системы.
Состав | Особенности применения | |||||||||||
«Флебодиа 600» | Повышает тонус вен, снижает растяжение и проницаемость стенок венозных сосудов. | «Венотурон» | Восстанавливает проходимость сосудов, укрепляет их стенки. | «Гливенол» | Улучшает состояние и тонус сосудов, устраняет застои крови в ногах | «Детралекс» | Улучшает тонус вен, уменьшает растяжимость вен, улучшает микроциркуляцию крови в ногах. | «Ангионорм» | Уменьшает боль и отечность ног, оказывает укрепляющее действие. | Проти- восудо-рожные |
Вальпроевая кислота, натрия вальпроат, глицерин, натрия сахарин, титана диоксид. | По 1 таб. 2-3 раза в сутки, во время или после еды, запивая стаканом воды. |
Калий, магний, крахмал кукурузный и картофельный, повидон, тальк. | По 2 таб. 3 раза в день внутрь. | |||||||||||
Карбамазипин, натрия крахмала гликолат, повидон, магния стеарат, дистилл-ированная вода. | По 1 таб. 2 раза в день, запивая стаканом воды. | |||||||||||
Алпразолам, микро-кристаллическая целлюлоза, лактоза, крахмал, бензоат натрия, стеарат магния. | Начальная дозировка препарата составляет 250-500 мкг три раза в день. Точная дозировка рассчитывается лечащим врачом. | |||||||||||
Фенитонин, стеарат кальция, картофельный крахмал, гидрокарбонат натрия, тальк. | По 200-500 мг в сутки. Точная дозировка рассчитывается лечащим врачом. |
Питание для людей, склонных к судорогам
Немаловажную роль в борьбе с судорогами играет правильное питание. Рекомендуется включить в меню продукты, содержащие кальций, калий, магний и витамин D.
Судороги в ногах ночью причина и лечение, столь неприятной ситуации, детально рассмотрим в статье ниже. Не стоит игнорировать мышечные спазмы икр. Во-первых они доставляют неудобства и нарушают сон. А во-вторых, являются первыми »тревожными звонками» некоторых патологий. Большинство из нас, хотя бы раз в жизни, испытывали крайне неприятное ощущение, когда сводит ноги. Такой симптом сопровождается резкой болью в мышцах конечности. Его никак нельзя контролировать и чаще всего приступ случается по ночам. В медицинской терминологии процесс называются синдром крампи. Наука и медицина ищет точные причины возникновения до сих пор.
Почему сводит судорогой икроножные мышцы
Крампи (болезненный спазм) явление достаточно распространенным. Сопровождается ишемической болью от резкого сокращения мышц и такого же резкого снижения кровотока в артериях.
Нервный импульс — связь с мышцами и нервными окончаниями . Если импульс не проходит с командой расслабиться, сократившееся мышца некоторое время остается сжатая, окаменевшая, пока сигнал не активируется.
В ногах образуются спазмы клонического типа в поперечнополосатой ткани.
Почему ночью? Сон, покой снижает кровообращение, так как мышцы отдыхают и не участвуют в данном процессе, а кровь в связи различными причинами (загустение, варикоз, тромбоз) не может беспрепятственно перемещаться по венам. Да еще и мышца не эластична, не дает свободного кровообращения. И на это все накладываются другие факторы, ниже о них подробнее.
Причин, которые провоцируют ночной спазм, достаточно много. Их можно разделить по этиологическому признаку.
- Нарушение электролитного обмена (калий, кальций, магний), она является самой распространенной.
- Связанные с общими и хроническими заболеваниями.
- При приеме лекарственных препаратов.
- Физиологические.
- Неврологические.
К тому же стоит различать судороги, возникающие при патологиях нервной системы и миогенные (триггерные точки).
Чтобы разобраться почему сводит судорогой мышцы голени ночью, нужно остановиться на каждом пункте более подробно.
Нарушение обмена электролитов
Основной причиной ночных крампи, служит недостаток калия, кальция, магния. Эти элементы играют важную роль в передаче нервного импульса мышцам, и напрямую отвечают за сокращение, при снижении их концентрации в крови возникает спазм.
Металлы легко выводятся с мочой, потом, долгой диареей. Поэтому их контроль очень важен.
Макроэлемент
Норма ммоль/л
Нехватка кальция редко приводит к спазмам. Назначать его себе без рекомендации врача, может привести к неприятным последствиям — кальцификации. А вот хелатная форма магния может решить эту задачу, если другие патологии не обнаружились.
К судорогам может приводить и недостаточность витамина Д (которые не дает усваиваться кальцию), а также группа В (играют важную роль в регулировании работы нервной системы).
Соматические заболевания
- Практически в 90 % случаев ночные крампи наблюдаются у больных с циррозом печени. При данном недуге наблюдаются серьезные нарушения баланса электролитов, а также снижение объема циркулирующей крови.
- Спазм икроножной мышцы одной ноги может провоцироваться варикозным расширением вен. Варикоз значительно снижает кровообращение, поэтому даже на ранних стадиях заболевания после длительных прогулок наблюдаются судорожные сокращения.
- Патологии почек влияют на обменный процессы, чрезмерное выведение микроэлементов с мочой. Особенно заболевания мочевыделительной системы влияют на развития гипокалиемии.
- Сахарный диабет влияет на микроциркуляцию нижних конечностей, а также на гомеостаз из-за эндокринных нарушений.
- Гипертоники снижая АД регулярно пьют мочегонные.
- Гипотериоз. Недостаток кальция зависит от работы щитовидной железы.
- Анемия.
Прием медикаментов
Крампи могут возникать на фоне длительного приема препаратов, влияющих на количество электролитов в крови и ускоренная их экскреция. Судороги ног могут возникать при употреблении следующих групп лекарств:
- Статины.
- Стероиды.
- Диуретики.
- Бета-блокаторы.
- Иммунодепрессанты.
- Препараты лития.
- Морфий.
- Средства для лечения ВИЧ (антиретровирусная терапия).
Особенно часто побочные эффекты наблюдаются из-за длительного приема, при превышении дозировок. Гормональные контрацептивы могут провоцировать снижение усвоения кальция, поэтому бесконтрольное употребление данных препаратов приводит к гипокальциемии, что приводит к возникновению крампи.
Физиологические причины
Судороги мышц ног по ночам, лечение которых во много зависит от факторов появления, в большинстве случаев связаны с образом жизни. Причем спазм наблюдается не только у людей со сниженной двигательной активность (крампи провоцирует повышение нагрузки на фоне адинамии), но и у спортсменов из — за чрезмерного перенапряжения.
- Долгое сидячее положение.
- Плоскостопие.
- Вредные привычки (алкоголь, курение).
- Жесткие диеты.
- Спазм может провоцироваться излишним употреблением поваренной соли (нарушается натри —калиевый баланс).
- Обезвоживанием (складывается из различных факторов — потливость, рвота, диарея).
Причины судорог ног у беременных
Почему сводит судорогой икроножные мышцы у беременных объясняется снижением магния, плюс значительное влияние оказывает дегидратация (обезвоживание, токсикоз). Организм будущей матери нуждается в повышенном потреблении витаминов и минералов в таблетированной форме, по назначению гинеколога, в период, когда на еду смотреть не хочется. Несоблюдение назначений врача, скудный рацион часто приводят к дефициту необходимых нутриентов.
Нередко спазм возникает на фоне дебюта варикозной болезни, которая часто развивается во время беременности с повышением веса, а также нагрузки на ноги.
Неврологические заболевания
Согласно статистике у больных с болезнью Паркинсона судороги развиваются в 97 процентах случаев. Для многих заболеваний нервной системы мышечные спазмы являются ранними и единственными признаками начала недуга, когда нет ярких клинических проявлений.
Причины судорог мышц ног по ночам, лечение которых должно соответствовать этиологии, часто кроется в высокой возбудимости нервной системы. Именно из-за чрезмерной активности ЦНС при невропатиях происходит спонтанные судорожные сокращения.
К патологиям, которые могут приводить к развитию крампи, относят.
- Болезнь Паркинсона.
- Склероз.
- Миодистрофия.
- Радикулопатии.
- Нейропатии – особенно часто спазм присоединяется при туннельных синдромах.
- Синдром ригидного человека — сопровождается напряжением мускулов и их судорожными сокращениями. Для недуга характерно не только поражения икр ног, но и спазм спинных, брюшных и лицевых мускулов.
Отдельно стоит рассмотреть радикулопатии, как причины возникновения спазма икроножных мышц. Особенно часто судороги возникают при грыжах поясничного отдела. Усилению проявления недуга способствует длительное перенапряжение, нерациональное распределение нагрузки, что приводит к мышечному истощению.
Как проявляется спазм икроножной мышцы
Неприятные ощущения чаще всего возникают ночью, приводя к нарушению сна. При дневном отдыхе судороги практически не возникают. Кстати, спазм может затрагивать не только мускулы икр, но и мелкие мышцы стоп. Нередко после приступа, нога остается в согнутом состоянии (подошвенное сгибание). Которое, все таки, проходит после растяжки или массажа.
В мускулах может длительное время наблюдаться болезненность, повышенная чувствительность. Крампи наблюдается односторонние, без каких — либо предвестников. При осмотре ноги, во время приступа, четко выделяется плотных мышечный тяж.
Диагностика
Основу при выявлении сильного спазма икроножной мышцы составляет определение причин. Обследование должно быть тщательным, с подробным выяснением анамнеза, физической нагрузки, наличие заболеваний.
В список рекомендуемых исследований входят:
- Анализ крови на общее содержание кальция, калия, магния, фосфора (на электролиты).
- Общий анализ крови и мочи.
- Биохимия с определением печеночных ферментов (АЛТ, АСТ), креатинфосфокиназы (определяется повреждение мускулов), глюкозу, гемоглобин, мочевину.
- Кровь на содержание витаминов Д и В.
- Анализ на содержание гормонов щитовидной и паращитовидных желез.
- Допплерография сосудов нижней конечности (при подозрении на варикозное расширение вен).
В качестве дополнительных обследований возможно назначение МРТ головного или спинного мозга, электронейрография (определение проводимости возбуждения).
Как помочь — что делать при спазме икроножных мышц
Судорога всегда сопровождается резкой болью, которая длиться достаточно продолжительное время. В некоторых источниках в качестве быстрого устранения крампи советуют использовать иголку или булавку – нужно кольнуть в напряженную мышцу, особенно при попадании в триггерную точку. Но такой метод не отличается безопасностью, да и искать в потемках во время сильной боли острый предмет достаточно проблематично.
Зато эффективно способ с иголкой работает при судорожном сокращении во время плавания, помогая быстро вернуться в строй. Один минус — укол не продезинфицированной иглой может привести к заражению, но плавцы прикалывают булавку к плавкам, что бы вовремя оказать себе помощь.
Есть опыт народного средства спать с гаечным ключом в ногах вместо котенка. Холодное тело металла не дает проявится судорогам в ночи. Многим помогает.
Лучшим решением для снятия судорог является массаж и растяжка особенно перед сном. Для снятия напряжения следует хорошо потянуть мышцу, совершая пассивные движения.
Как снять спазм икроножной мышцы
При появлении судорог следует взять за носок выпрямленную ногу, осторожно тяня на себя (лежа или сидя). Упражнение стоит проводить плавно, без резких движений, стараясь соблюдать правило растяжки – туловище должно следовать вдоль ноги, наклоняясь к стопе.
Прочтите книгу: «6 правил эффективной и безопасной растяжки» СКАЧАТЬ
После снятия крампи нужно провести поглаживающие массажные движения, в направлении от стопы вверх. Это поможет снять отек, восстановить кровообращение.
После того как болезненные ощущения пропали желательно положить ногу на возвышение (валик, подушку).
Судороги в ногах ночью — лечение
Причины спазма отличаются большим разнообразием, поэтому терапия и предупреждение крампи сводятся к устранению факторов возникновения. Рекомендуется изменить образ жизни — регулярно проводить физические упражнения, стать более активным. Следует помнить — все нагрузки должны наращиваться постепенно, чтобы не провоцировать появление спазмирования от перенапряжения.
- Налаживание режима сна — нужно отправляться в постель тогда, когда есть желание спать. Обязательно проветривать комнату перед отходом ко сну, также обстановка должны быть максимально для вас комфортной. Следует исключить употребление психостимулирующих веществ на ночь (алкоголь, кофе).
- Рациональная диета — желательно добавить в рацион продукты богатые кальцием и калием. Введите рыбу жирных сортов для восполнения дефицита фосфора, витамина Д, отличная замена рыбий жир в капсулах.
- Расслабляющие ножные теплые ванны на ночь с легким массажем.
- Также рекомендуется ежедневно проводить самомассаж и упражнения на растяжку обязательно.
В видео показаны классные упражнения, 4— е самое эффективное, я его делаю каждый день.
Исследования показали, что использование этих техник значительно снижает эпизоды крампи. Проводить комплекс нужно всего 3 минуты, в которые входят повторение занятий на растяжение 3 раза с перерывами по 10 секунд. Желательно вовлекать не только мышцы икры, но и мускулы задней части бедра.
Для предотвращения спазма икроножных мышц во сне следует использовать упражнения для растяжки 3 раза в день (по 10 секунд с 4 — х кратным повторением и отдыхом 5 секунд).
Судороги ног по ночам: причины, лечение, таблетки — все данные факторы тесно связаны между собой. В первую очередь для медикаментозного лечения назначают препараты кальция, калия, магния. Обычно достаточно помогает. Но есть мнение, что Са совсем пить в добавках не стоит, его хватает в организме, он просто не усваивается, а откладывается в виде солей везде. Витамин К2 (МК7) подтвердил свою значимость в длительных исследованиях по усвоению Са.
Применяют симптоматическое лечение неврологических заболеваний, а также коррекцию соматических заболеваний, лечение в этом случае назначают строго индивидуально, исходя их результатов обследования.
При крампи неизвестной этиологии, особенно которые протекают часто, с сильными болями, мучительно, медикаментозно используют хинин, препараты миорелаксантов (баклофен), противосудорожные, противоэпилептические лекарственные средства.
Упражнения при судорогах мышц ног по ночам
Причины, лечение – несомненно важные пункты для устранения спазма. Но лучше всего проведение своевременной профилактики, которая способствует устранению важного фактора в появления крампи – низкая активность.
- В положении стоя, медленно подниматься на носки, старательно вытягиваясь вверх. Затем опуститься. Повтор – 5 раз.
- Перекат на пятке – он похоже на предыдущие задание, но после подъема нужно перекатиться на пятку.
- Имитация ходьбы – стопы не отрывать от пола, лишь поднимая пятки проводить движение, похожее на шаги на месте.
- Ножницы и велосипед – всеми известная гимнастика еще со школьных времен. Важно выполнять их не торопясь, вытягивая носок.
Хоть спазм икроножных мышц по ночам, причины и лечение которого мы подробно рассмотрели в нашей статье, явление неприятное, но не имеет серьезных осложнений или неблагоприятного прогноза.
Крампи способны значительно снизить качество сна, приводя к хроническому недосыпанию. Обязательно, нужно провести диагностику для выяснения факторов, которые провоцируют появление неприятных ощущений, так как они могут являться ранними симптомами серьезных заболеваний.
В заключение моя история
Меня мучили ночные судороги в икроножных мышцах в детстве лет в 14, я даже не говорила родителям, справлялась сама. Обхватывала сильно руками напряженную голень и крепко сжимала, пока не пройдет. Продолжительность была не долгая, может 30 секунд. Затем во время первой беременности и кормлению грудью, мне было 20 лет, несколько раз судороги повторялись, но они были на одной ноге.
Вот прошло много лет и мне уже 50, и вспомнились ощущения спазма днем, во время сна, да еще на обеих ногах поочередно. Проснулась от сильнейшей боли в икроножной мышце правой ноги. Он длился, мне казалось, вечно, минуты 3. Я не могла разогнуть ногу, что бы потянуть за носок. Позвала мужа, что бы принес, что ни будь из морозилки (попалась смородина). Приложила к икре и потихоньку смогла встать на ноги и сделать растяжку, чтобы восстановить кровообращение. Отпустило, я с облегчением вздохнула и расслабилась. Прилегла на кровать, как вдруг второй приступ на другой ноге повторилась адская боль. Уже по той же методике с ледяной смородиной и растяжкой, спазм отпустил. Прошел уже год, забыть его не могу.
Спровоцировало ситуацию большая потеря калия, кальция, магния в длительную командировку в жару. Пила мало (что бы в туалет реже ходить), потела много, плюс варикоз присутствует. Сейчас для профилактики, делаю регулярно растяжку икр. И обязательно, два раза в год пропиваю Магний В6 (летом в жару и весной).
На этом статью закончу, оставляйте комментарии, подписывайтесь на обновление статей.
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