Cудороги – непроизвольные сокращения мышц, сопровождающиеся сильной болью. Часто возникают в ногах ночью, могут быть длительными или кратковременными. Во время спазма происходит перенапряжение мышечных волокон, затрудняется кровоснабжение, замедляется насыщение тканей кислородом. Пораженная ткань сильно болит, поэтому больной нуждается в незамедлительном оказании срочной медицинской помощи.
Виды судорог
Различают следующие типы спазмов, возникающие в мышечных волокнах нижних конечностей:
- Клонические. Толчкообразные, развиваются быстро. Между приступами имеется небольшой временной интервал.
- Тонические. Отличаются продолжительностью напряжения мышц.
- Генерализованные. Сопровождаются поражением головного мозга, нарушением сознания.
- Парциальные (локальные, затрагивающие отдельные части тела).
- Одно- или двухсторонние.
- Первичные. Появляются в ситуации, когда происходит резкое нарушение кровообращения.
- Вторичные. Являются следствием заболеваний внутренних органов, нервной системы, могут быть результатом того, что в организме не хватает питательных веществ или присутствует нарушение гормонального фона.
Причины возникновения и симптомы судорог
Возникают судороги нижних конечностей по причине:
- напряженности;
- нарушения кровообращения бедра, голени или ступни;
- влияния низкой температуры и холода;
- переживания сильного стресса.
Спровоцировать недуг способны:
- резкие перепады температур;
- растяжения мышц ввиду неловкого движения, при смене позы;
- заболевания позвоночника, нарушение деятельности спинного мозга;
- дефицит или избыток минеральных веществ, витаминов;
- варикозное расширение вен;
- длительное отсутствие физической активности;
- ношение неудобной обуви, постоянное хождение на каблуках;
- сильная мышечная усталость ввиду продолжительных спортивных тренировок,
- длительного интенсивного движения, бега;
- обезвоживание;
- болезни ЦНС;
- злокачественные образования, опухоли мозга (спинного и головного);
- инфекционные заболевания;
- нехватка воздуха (вызывает кислородное голодание, приводящее к
- неконтролируемым сокращениям мышечных волокон);
- плоскостопие;
- гестозы (спазмирования мышц у беременных);
- сбои в работе эндокринной системы (дефицит или избыточное продуцирование гормонов);
- интоксикации организма, последствия приема медикаментов, отравления ядовитыми веществами;
- избыточная масса тела;
- беременность.
У маленьких детей спазмы становятся следствием высокой температуры тела. Аномалия также беспокоит людей, злоупотребляющих курением, чрезмерным употреблением кофе.
Появление ночных судорог часто связывают с:
- ростом и развитием (проявляются в детском возрасте от 4 до 7 лет);
- периодом полового созревания у подростков;
- интенсивными физическими нагрузками (характерно для спортсменов);
- старением и изнашиванием организма (возникают у пожилых людей).
Характерные симптомы патологии:
- острая, постоянно нарастающая боль, ногу сильно тянет;
- укорочение и уплотнение икроножной мышцы;
- непроизвольное сгибание стопы;
- нарушение мозговой деятельности;
- учащение сердцебиения.
Часто патологии сопутствуют энурез, самопроизвольная дефекация.
Наиболее подвержены риску возникновения судорог люди преклонного возраста (старше 60 лет).
Что делать, если свело ногу: первая помощь
Первая быстрая помощь при судорогах в ногах заключается в том, чтобы сделать несколько упражнений на растяжение и расслабление мышц (самостоятельно или при содействии других людей):
- Больному придают лежачее положение. Надавливают на пальцы на ногах таким образом, чтобы они выпрямились в сторону туловища пострадавшего.
- Пациент может сесть, взяться за носки руками, сильно потянуть их на себя.
- Судорога проходит, если иглой или любым острым предметом сильно уколоть спазмированную мышцу.
- Снять напряжение поможет массаж. Сначала совершаются легкие поглаживания, затем интенсивные разминающие действия. Для наибольшего эффекта советуют использовать разогревающую мазь. Начинать выполнять движения нужно, двигаясь от колена на икры, затем к пальцам конечности, или сразу переходя на бедро.
- Лечь на живот, выпрямить ноги и потянуть носок на себя.
Чтобы устранить спазм, также рекомендуют стать на холодный пол босыми ногами.После того, как приступ был купирован, надо предоставить мышцам полный покой.
Если снять спазм самостоятельно не удалось, необходимо безотлагательно вызвать скорую помощь.
Диагностика судорожного синдрома
В ситуации, когда подобные приступы становятся частыми и возникают регулярно, следует обязательно обратиться за помощью к врачу-флебологу, который подскажет, как избавиться от судорог ног, и направит на прохождение полноценного диагностического обследования с целью установить причину патологии. Дополнительно может понадобиться консультация невролога.
Для установления диагноза пациенту назначается:
- УЗИ сосудов ног;
- исследование биохимического состава крови;
- обследование спинного мозга и позвоночника;
- электромиографии, позволяющая определить область распространения нервных импульсов;
- электроэнцефалографии (устанавливает степень активности головного мозга).
Исходя из выявленных патологий, может потребоваться использование иных диагностических методик.
Лечение судорог в ногах
Чтобы эффективно избавиться от спазмов, следует воздействовать на первопричину, которая привела к их появлению.
С этой целью назначается прием лекарств, ЛФК, диетическое питание. Применяются также и методы нетрадиционной медицины.
Медикаменты
Лекарственные средства, помогающие справиться с судорожным синдромом, назначаются как в таблетках, так и в виде препаратов для местного применения.
Для перорального приема
Людям, страдающим от судорожных проявлений, показано использование следующих медикаментов:
- «Детралекс»: убирает болезненность, воздействует на источник недуга;
- «Диосмин»: укрепляет сосудистые мембраны, борется с варикозом;
- «Венофлебин»: лечит тромбозы, венозную недостаточность;
- «Венарус»: тонизирует стенки сосудов, нормализует кровообращение;
- «Троксерутин»: борется с ночными судорогами;
- «Троксевазин»: прописывается при наличии венозных патологий;
- «Вольтарен»: успокаивает, снижает интенсивность приступов;
- «Дифенин»: расслабляет мышцы, купирует болезненные проявления.
Необходимость лечения данными лекарственными средствами, их дозировку и схему того, как следует их применять, устанавливает исключительно лечащий врач.
Самостоятельный выбор медикаментов и их употребление чревато для больного серьезными осложнениями, усугублением состояния его здоровья.
Для местного применения
Обладают согревающим эффектом, оказывают локальное обезболивающее воздействие:
Выпускаются лекарства в виде мазей и гелей, предназначены для наружного использования. Наносят их дважды в день, массируют больное место до полного впитывания медикамента.
Народные средства
Что делать, если сводит ноги судорогой – знают народные целители. В качестве дополнения к лекарственной терапии советуют применять средства нетрадиционной медицины:
- Мед. Его принимают по 1 ст. ложке в день до еды.
- Фитосбор: цветки красного клевера и календулы, ревень, донник желтый. Столовая ложка смеси заваривается кипятком, настаивается. Из отвара делаются примочки. Лечение длится несколько недель.
- Пижма: 100 г цветов растения заливается полулитром спирта, выдерживается в течение недели. Средством натирают больные ноги ежедневно перед сном.
В домашних условиях также рекомендуют:
- пить ромашковый чай: он обладает успокаивающим эффектом;
- смазывать ноги горчичным маслом: это приводит в норму работу мышц.
Комплекс упражнений
Гимнастику можно выполнять как для снятия спазмов, так и в качестве профилактического мероприятия против судорог в ногах.
Из основных приемов рекомендуют осуществлять:
- Разогревание: ноги поглаживают легкими движениями ладоней, активизируя кровообращение. Возможно применение эфирных масел розмарина и лаванды.;
- Растяжение мышц: стать напротив стены на расстоянии полуметра, вытянуть руки и накланяться вперед до получения опоры.
Чтобы добиться положительного результата и избавиться от недуга навсегда, занятия следует проводить постоянно. Их продолжительность должна быть не менее четверти часа ежедневно.
Диета при судорогах в ногах
Спазмы конечностей могут возникнуть вследствие неправильного питания. Ввиду этого больному нужна специальная диета. Она подразумевает употребление продуктов, насыщенных кальцием, калием, фосфором, витамином D, содержащихся в:
- молочных изделиях;
- овощах и фруктах;
- крупах;
- морепродуктах (рыбе, морской капусте, креветках).
то делать, если судороги повторяются регулярно?
Если судороги повторяются через короткие промежутки времени, а ранее назначенное лечение не помогает, можно сделать вывод, что первоначальный диагноз был поставлен неверно. В этом случае необходимо срочно обратиться к врачу с целью проведения дополнительных лабораторных исследований. Пациентам показано прохождение таких процедур, как:
- магнитно-резонансная и компьютерная томография (дает возможность увидеть все структуры тела, выявить имеющиеся патологии сустава, нервные защемления);
- исследование биохимического состава крови (устанавливает количественный состав гормонов, минеральных веществ, ферментов).
Профилактика судорог
Чтобы избежать появления мышечных спазмов, следует своевременно принимать предупредительные меры. К ним относятся:
- регулярные занятия гимнастикой;
- ношение удобной обуви, одежды из натуральных материалов, хорошо пропускающих воздух;
- равномерное распределение нагрузки на ноги;
- совершение пробежек на свежем воздухе, лучше в утреннее или вечернее время;
- растирания конечностей эфирными маслами (для этого советуют использовать имбирь или ромашку);
- ванночки для ног c горчицей или контрастный душ;
- контроль за рационом: необходимо включать в него только натуральные продукты, насыщенные витаминами, полезными микроэлементами (включая магний, кальций, калий), исключить алкоголь, курение;
- принимать ванны с растительными компонентами (имбирем и содой);
- соблюдение питьевого режима: употребление большого количества воды ежедневно;
- следить за весом, предупреждать ожирение;
- надевать на ночь носки из шерсти: это препятствует развитию спазмов.
Спазмы снижают работоспособность мышц, нарушают их кровоснабжение, сопровождаются острой болезненностью, истощают и изматывают организм, приводят к нарушению мозговой деятельности. Их появление требует незамедлительного оказания больному медицинской помощи.
Судороги не являются автономным заболеванием, а возникают как следствие какой-либо болезни. Есть много вариантов того, как можно бороться с судорогой в ногах. Но чтобы не допустить их появления, нужно своевременно проходить профилактические обследования и осмотры у врачей, не пускать на самотек ранее установленные болезни, вести здоровый и активный образ жизни.
Судороги — мышечные сокращения непроизвольного характера. Обычно они сопровождаются болезненностью. Если свело ногу, причиной тому могут быть различные факторы. Выделяют внешние и внутренние причины. В первом случае для избавления от судорог используют такие способы, как упражнения, приемы воздействия на сведенную мышцу и средства из народной медицины. Если судорожный синдром является симптомом серьезных заболеваний, то требуется медикаментозное лечение.
Выделяют несколько видов судорог:
- токсические — резкие и быстрые сокращения мышц наподобие нервного тика, которые являются следствием перенапряжения;
- тонические — судороги с затвердеванием мышц и с сильной болью;
- генерализованные — резкий тонус и сокращение всех мышечных волокон в теле, из-за которого человек может потерять сознание, требуется срочная госпитализация.
Наглядный пример судороги икр на ноге
Судорожное состояние может затрагивать мышцы ног, пальцев ног, обе ступни, мышечные группы выше колена. Наиболее опасными являются генерализованные судороги.
Судорожный синдром может возникать в любом возрасте. Для успешной борьбы с ним необходимо выявить истинную причину. Она может крыться в нарушении электролитного или биохимического состава крови, обуславливаться дефицитом калия, кальция, магния, витаминов A, D, E и группы B. Важные для мышечной структуры микроэлементы и витамины вымываются из-за различных факторов:
- 1. Стрессовые ситуации. Они стимулируют выработку кортизола, который негативно сказывается на всасывании кальция в желудочно-кишечном тракте и активизирует его выведение почками.
- 2. Прием медикаментов. Адсорбирующие, мочегонные средства способны снизить усвоение кальция, магния и калия.
- 3. Беременность. Неконтролируемые мышечные сокращения характерны для беременных женщин из-за недостатка витаминов и микроэлементов, особенно на поздних сроках вынашивания ребенка. Это также обуславливается тем, что плод сдавливает кровеносные сосуды, подходящие к ногам, из-за чего и нарушается их кровоснабжение.
- 4. Нехватка глюкозы. Она в организме человека выделяется из углеводов. Если рацион содержит малое количество углеводов, то дефицит глюкозы восполняется за счет расщепления жиров. Этот процесс проходит с накоплением в больших количествах в крови кетонов, которые способствуют выведению кальция из мочи.
- 5. Чрезмерное потоотделение. Калий вымывается вместе с потом, потому его нехватка может наблюдаться в жаркое время года или после активных занятий спортом.
- 6. Недостаточное проведение времени под солнечными лучами. Это провоцирует нехватку витамина D, который необходим для усвоения клетками кальция.
Судорожный синдром может быть симптомом различных заболеваний и состояний:
- чрезмерные физические нагрузки;
- радикулит;
- болезни щитовидной железы;
- варикозное расширение вен ног;
- сахарный диабет;
- нарушение кровообращения в нижних конечностях;
- растяжение мышц в паховой области;
- плоскостопие;
- хронические почечные заболевания;
- мышечные повреждения;
- переохлаждения.
Этиологию возникновения судорог могут подсказать время и место появления судорожного синдрома. Если свело ногу в холодном бассейне или воде, то это говорит о переохлаждении. Когда человек испытывает в течение дня непривычные для него физические нагрузки, то в вечернее время у него болят ноги, а в ночное — сильно сводят икроножные и бедренные мышцы.
Ночные судороги возникают и при проблемах с кровообращением, поскольку в течение дня жизненно важные органы активно работают, а в ночное время замедляются естественные процессы. Если подобные явления редкие, то лечить судороги не нужно.
Данные статистики фиксируют, что судороги икроножных мышц появлялись в течение жизни у каждого второго человека. Это неприятное проявление спазматического сокращения мускулатуры чаще отмечается у пожилых людей. Однако острый болевой синдром в совокупности с «окаменением» мышц знаком и молодому поколению, а последнее время он все чаще диагностируется даже у детей.
Устранить симптоматику приступа несложно, если знать причины, по которым сводит ноги судорогой, а также несколько простых правил, которые помогут сделать это максимально быстро.
Специфика проявлений и классификация
Судорога икроножной мышцы возникает внезапно и характеризуется резким сокращением всех пучков мышц, располагающихся в ней.
Различают два вида судорожных сокращений:
- Клонические – периодические сокращения, которые чередуются с полным расслаблением;
- Тонические – длительные проявления судорожного симптома.
Судороги икроножных мышц длятся от 5 секунд до 10 минут. Чем дольше длится приступ, тем болезненнее будут ощущения после того, как он пройдет.
В момент длительного приступа нарушается кровообращение, а молочная кислота в большом количестве задерживается в мышцах.
Все спазматические проявления мышц делят на 3 группы:
- Мышечные спазмы. Возникают из-за неправильных мышечных импульсов. Длятся порядка 15 минут и фиксируются в области бедер или в голени.
- Судороги пальцев ног. Проявление спазмов обусловлено патологическими изменениями обменных процессов или хроническими заболеваниями. Возможны проявления у людей, которые носят неудобную обувь или длительное время проводят стоя.
- Спазмы на ступнях. Диагностируются у пациентов с плоскостопием или неврологическими заболеваниями.
Любые судороги в ногах могут быть как следствием перенапряжения, так и предвестником тяжелой патологии внутренних органов. Поэтому, если судорожный синдром проявляется часто и длится долго, нужно обязательно пройти детальное обследование, чтобы выяснить первопричину и начать ее лечение.
Почему появляются судороги
Чаще всего судороги икроножных мышц появляются в ночное время. Проявление симптоматики связано со снижением кровообращения во время сна, поэтому усваивание важных для мускулатуры питательных веществ замедляется. Частые судороги беспокоят людей, у которых нехватка кальция, калия и магния в организме, поэтому для облегчения состояния нужно включать в рацион продукты питания, богатые этими микроэлементами.
К тому же молочная кислота плохо выводится из мягких тканей во время сна в плохо проветриваемом помещении, где ощущается нехватка кислорода, что способствует появлению судорог.
Однако судороги, которые сковывают икроножную мышцу, могут появляться и днем, причем у абсолютно здоровых людей.
Выделяют следующие причины, почему сводит ногу судорогой:
- Чрезмерное и длительное напряженное состояние мышц ног;
- Длительное пребывание конечностей в статичном положении;
- Холод;
- Эмоциональное напряжение и стрессы;
- Обезвоживание из-за недостаточного употребления жидкости;
- Увеличение физических нагрузок;
- Несбалансированное питание, курение, злоупотребление алкоголем, бесконтрольный прием лекарственных препаратов;
- Беременность во 2 и 3 триместре;
- Неправильно подобранная, плохого качества обувь.
Регулярные спазмы в ногах причины имеют сугубо патологические, связанные с такими заболеваниями:
- Болезни неврологии;
- Нарушение водного баланса в организме;
- Патологии кровообращения;
- Остеохондроз;
- Заболевания сердца и сосудов;
- Варикоз;
- Язвенная болезнь;
- Патологии эндокринной системы;
- Травмирование ног.
Если мышечный спазм проявляется часто, нельзя самостоятельно ставить себе диагноз и начинать лечение, так как только врач на основе описанной клинической картины и результатов анализов сможет назначить соответствующее лечение.
Многие пациенты жалуются на спазматические сокращения мышц в пальцах ног. Данная ситуация может быть обусловлена плохим кровообращением или проблемами в работе связочного аппарата, сухожилий.
Основными причинами появления судорог на пальцах ног считают следующие:
- Сахарный диабет;
- Плоскостопие поперечного вида;
- Чрезмерная нагрузка на пальцы ног;
- Плохой углеводный обмен;
- Курение.
Неправильный образ жизни, который состоит в неравномерном распределении физических нагрузок, постоянной нехватке жизненно важных элементов (калия, кальция, магния), а также витамина Д, длительные стрессы, являются главными провокаторами возникновения судорожных сокращений мышц.
Первые действия
При судорогах в ногах первая помощь необходима, так как человек испытывает сильную боль и не может двигаться. К тому же, учитывая внезапность приступов, подготовиться к ним невозможно. Люди испытывают панический страх, растерянность, панику.
Что делать, если появилась судорога в ногах?
- Сделайте несколько глубоких вдохов, чтобы успокоиться;
- Ущипните место, которое свело судорогой;
- Медленно сгибайте и разгибайте сведенную ногу в коленном суставе;
- Можно сделать интенсивный массаж, похлопывая и пощипывая ногу;
- Лягте и поднимите ноги вверх, желательно под углом в 60 градусов;
- Полежите несколько минут, подложив под ноги валик из одеяла или подушки.
Ни в коем случае нельзя поддаваться панике. Стараясь глубоко дышать, перевернитесь на спину и плывите к берегу.
В данном случае непроизвольное сокращение мышц произошло из-за переохлаждения. Поэтому, чтобы снять боль в икроножной мышце, ее нужно согреть. Для этого используют согревающие мази или обычный спирт. Обязательно нужно сделать интенсивный массаж и одеться.
Пользоваться данным способом нельзя людям, у которых диагностированы заболевания тромбов или варикозное расширение вен.
Особое неудобство вызывают спазмы мышц ночью, поэтому важно знать, что делать при судорогах в ногах в этом случае.
- Постарайтесь встать, поставив ноги всей ступней на пол;
- Если боль резкая и встать не получается, начните интенсивно растирать ноги, пощипывая их;
- После того, как спазм прошел, лягте на постель, обеспечив ногам приподнятое положение, положив под них валик из одеяла или подушку.
Если ноги часто сводит судорогой, это сигнал организма о надвигающейся или развивающейся патологии. Первая помощь при судорогах снимает только проявления симптомов, но не лечит основное заболевание, их вызвавшее.
Не детские проблемы
Проявление спазматических сокращений у детей всегда пугающе как для самих малышей, так и для их родителей. Поэтому взрослые должны четко знать, что делать при возникновении судороги в ноге у ребенка.
Спазмам подвержены в основном дети до трех лет. К группе риска относятся следующие категории малышей:
- Дети, родившиеся недоношенными с массой тела менее 1,5 кг;
- Новорожденные, у которых зафиксированы кровоизлияния разной локализации;
- Малыши, рожденные с внутриутробной инфекцией;
- Дети с повреждениями ЦНС.
При судорогах у ребенка, проявившихся впервые, нужно обязательно госпитализировать малыша или в ближайшее время пройти детальное обследование. Ведь спазматические сокращения могут проявляться вследствие приобретенных заболеваний:
- Болезни инфекционного характера;
- Интоксикация организма;
- Заболевания и травмы головного мозга: кровоизлияния, опухоли и кистообразные изменения;
- Патологии нервной системы;
- Сбой в функционировании кровообращения;
- Во время припадков эпилепсии;
- Генетическая предрасположенность.
Первая помощь при судорогах у детей заключается в четких и последовательных действиях:
- Вызвать скорую помощь;
- Положить малыша на ровную и жесткую поверхность так, чтобы он не мог упасть, подложив под голову подушку или скатанное одеяло;
- Обеспечить безопасность ребенка, убрав все колющие предметы, способные ранить малыша;
- Обеспечить доступ свежего воздуха в помещении;
- Снять или расстегнуть давящие элементы одежды, обеспечив свободное дыхание;
- Аккуратно, но интенсивно массировать ножки, начиная с кончиков пальчиков и заканчивая всей икроножной мышцей;
- Категорически запрещено вливать ребёнку воду силой, сжимать или разжимать челюсти.
При правильном и комплексном лечении, начатом своевременно, проблема судорожных спазмов у детей пройдет. Однако родители должны знать, что частые и длительные приступы приводят к кислородному дефициту, которые вызовет серьезные последствия для здоровья и умственного развития малышей.
Эффективность народных средств
Ногу может свести в самое неподходящее время, поэтому важно не только оказать себе первую помощь при судорогах, но и суметь вовремя предотвратить их появление.
Рассмотрим несколько рецептов, доказавших свою эффективность, которые можно приготовить в домашних условиях.
1 ст. л. яблочного уксуса;
30 г скипидара;
1 желток куриного яйца.
Компоненты хорошо перемешать и смазывать область ног, которую сводит судорогой, на ночь.
60 г лапчатки гусиной;
1 литр кипятка.
Траву залить кипятком и томить на медленном огне около 5 минут. Процедить и принимать полученный настой небольшими дозами на протяжении всего дня. Это средство позволит избавиться от сильной боли и спазмов мышц в ногах.
Если пальцы ног сводит судорогой, их нужно протирать лимонным соком или втирать на ночь горчицу.
Если ноги свело и под руками есть обычный магнит, его достаточно приложить на икру. Спазм пройдет через 1-2 минуты.
Профилактические меры
Людям, которые столкнулись с регулярными спазмами мышц, нужно понимать, что единой терапевтической схемы избавления от недуга не существует. Только после выявления причин, спровоцировавших судороги, от них можно избавиться навсегда.
Диагностику заболевание может провести только врач после детального обследования. Поэтому, если ноги после судорог очень болят или спазматические симптомы преследуют постоянно, не стоит откладывать визит к врачу.
Чтобы предотвратить появление столь неприятных симптомов, нужно придерживаться следующих рекомендаций:
- Ежедневно делать контрастные ванночки для ног;
- Сбалансировать питание, ограничив употребление крепких напитков, кофе и чая;
- Выпивать не менее 1,5 литров воды ежедневно;
- Делать массаж стоп на ночь;
- Носить удобную и качественную обувь;
- Пополнять рацион продуктами питания, содержащими калий, кальций и магний;
- Принимать в профилактических целях синтетические витаминные комплексы.
Выполнение этих простых правил позволит вам избавиться от судорог в ногах навсегда.
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