Наверное, каждый человек в своей жизни, так или иначе, испытывал ощущение, при котором сводит ногу. Судорога настолько сильна, что нельзя пошевелить ногой. Конечно же, это неприятное ощущение, которое может овладеть человеком в любую минуту, и, как правило, в самый неподходящий момент. Существует масса мифов, которые как бы помогают, когда сводит ногу. Например, нужно ущипнуть конечность, есть бананы и т.д. Это, прежде всего, безобидные шутки, однако в ситуации, когда судороги мешают нормально жить человеку не до смеха.
Если говорить о причинах, которые вызывают судороги, то их достаточно много. Сводить ногу может от заболеваний щитовидной железы, недостатка минеральных веществ в организме, дефицита кальция. Это только несколько причин. Сюда можно отнести заболевания сердца, проблемы с обменом веществ в мышцах, плоскостопие. Не следует паниковать, если у вас сводит ногу, поскольку чаще всего причиной этому являются более безобидные отклонения. Например, повышенное потоотделение, при котором организм в большом количестве теряет калий, кальций и натрий. При недостатке жидкости в организме возникает дисбаланс электролитов – минеральные вещества, с помощью которых электрические заряды поступают к мышцам и под их воздействием сокращаются. Нужно пить больше жидкости, но не газированной сладкой воды, а обычной или минеральной.
Ну а теперь поговорим о более серьезных причинах, по которым судороги мучают человека. Так называемые судороги периферического характера – повышенная возбужденность нервных клеток. Процесс довольно таки прост. Нейроны начинают, переходить в возбужденное состояние, при этом мышцы сокращаются практически без какого-либо воздействия. Причиной, по которой наблюдается повышенная возбудимость нервных клеток, является недостаток кальция в организме человека, недостаток кислорода и глюкозы для работы мозга, и недостаток хлорида натрия. На основе этих трех факторов можно объяснить большинство случаев, при которых сводит ногу.
При частых физических нагрузках (бег, секс, ходьба) мышцам недостаточно кислорода и глюкозы, а с потом организм теряет хлорид натрия. Работает сразу же два недостатка. Наверняка каждый человек, посещавший бассейн, во время плавания сталкивался с судорогами. Это банальная нехватка кислорода и глюкозы. Более того, когда плывешь, мышцы дрожат, таким образом, выполняя двойную работу. В том случае, если сводит ногу на суше — это одно дело, но когда судорога атакует в воде — это гораздо опасней для жизни человека. Хорошо если вы находитесь в бассейне, а что если вы осуществляете заплыв на речке? Бывает, что ночью или утром ноги «затекают», вследствие чего, возникает судорога. Недостаточное кровообращение вызывает эту реакцию. Если человек страдает сахарным диабетом, вполне возможны судороги. Дело в том, что запаса глюкозы у диабетиков нет, а кровь с большим количеством сахара переносит кислород не вовремя. Бывают еще судороги центрального происхождения. Самой развитой формой является эпилептический припадок. Человек моментально падает из-за сокращения всех мышц и на протяжении одной минуты происходят судороги всего тела. После этого больной, страдающий эпилепсией, просыпается и абсолютно ничего не помнит.
Как видите, если у вас сводит ногу, причина может быть разной. Однако в любом случае нужно знать, каким образом себе помочь. Облегчить схватки можно, встав босыми ногами на холодный пол. Вытяните ногу лежа, но носок тяните на себя. Если боли при судороге вас изводят, то можно принять любой обезболивающий препарат, вплоть до аспирина. Это средство улучшает циркуляцию в сосудах конечностей. Забудьте о курении и не употребляйте много кофе и черного чая. Не пейте мочегонные средства. Не забывайте о правильном питании, ведь нашему организму необходимы минеральные вещества и витамины. Кушайте бананы, изюм, курагу и картошку. Эти продукты богаты калием. Больше употребляйте молочных продуктов, которые обеспечат ваш организм кальцием, ведь его недостаток вызывает судороги ног. Народная медицина предлагает несколько проверенных способов избавления от судорог. Смазывайте ступни ног лимонным соком, насыпайте в носки горчицу, занимайтесь физкультурой, особенно помогает бег трусцой.
Сводит мышцы ног с одинаковой частотой как у мужчин, так и у женщин. Иногда судороги практически не ощущаются, а иногда заставляют просыпаться от боли. Почему сводит стопы ног? Причины этого явления могут быть разными – от банального недостатка витаминов до серьезных внутренних заболеваний. От правильно установленной причины судорог будет зависеть и метод их лечения.
Почему сводит ноги: самые распространенные причины
Спазмы в ногах представляют собой непроизвольные болезненные сокращения. Чаще всего они происходят в икроножных мышцах, но иногда у человека сводит пальцы, стопы, или даже мышцы бедра. Приступ длится от нескольких секунд до одной минуты, и чем он продолжительнее, тем больше нарастает боль.
Вот самые вероятные причины, почему сводит ноги судорогой по ночам:
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Недостаток витаминов группы В или магния. Особенно часто дефицит магния наблюдается у женщин, которые ждут ребенка. Это одна из самых безобидных причин, поскольку гиповитаминоз легко устраняется коррекцией питания.
Заболевания внутренних органов ни в коем случае нельзя игнорировать. Все они подлежат обязательному лечению. Но если здоровье в порядке, а спазмы продолжают беспокоить, возможно, причины кроются в неправильном образе жизни.
Вопрос, почему сводит ступни ног, нередко волнует женщин, которые привыкли носить обувь на высоком каблуке. Когда узкие, неудобные туфли на шпильке сдавливают стопы и пальцы, кровообращение в ногах нарушается. Также может беспокоить чувство онемения или покалывания.
Часто сводит ноги и у тех, кто проводит на ногах большую часть дня. Кроме ночных спазмов, таких людей может беспокоить чувство тяжести в ногах по вечерам, возникновение мозолей и «шишек».
Как лечить судороги ног
Для эффективного лечения спазмов необходимо правильно установить их причину. Разобравшись, почему ночью сводит ноги судорогой, можно понять, как действовать дальше.
Если человек действительно болен сахарным диабетом, страдает от болей сердце, состоит на учете у эндокринолога из-за проблем с щитовидкой – нужно не изолированно пытаться избавиться от судорог, а обратиться к компетентному специалисту. Необходимо понять, что в этих случаях спазмы в ногах выступают лишь как симптомы основного заболевания. Как только будет подобрана грамотная терапия, судороги прекратятся.
Беременным женщинам, которые жалуются на судороги в икрах во сне, нужно обратиться к своему врачу, ведущему беременность, и обсудить с ним целесообразность увеличения в рационе доли продуктов, богатых магнием.
Тем, кто занимается фитнесом или силовыми нагрузками дома или в тренажерном зале, после занятий нужно обязательно делать растяжку. Она снимет напряжение со всех мышечных групп, сделает их более гибкими. Кроме того, качественно выполненная растяжка уменьшает мышечные боли, нередко возникающие после тренировки.
Сведение ног судорогой по ночам будет возникать реже, если после тяжелого трудового дня применять следующие средства:
- Расслабляющая ванночка с морской солью. В теплой воде растворить 3-4 ст. л. морской соли, по желанию добавить несколько капель эфирного масла. Продолжительность процедуры – 10-15 минут.
- Ванночка с пищевой содой. В 5 л. теплой воды растворить 1 ст. л. соды, погрузить ноги не более чем на 10 минут. Дополнительный бонус – сода окажет на кожу ступней смягчающее воздействие.
- Ванночка с лечебными травами. Нужно добавить в воду отвар ромашки, календулы или пижмы.
- Необходимо помнить, что беременным запрещены горячие ванночки для ног. Также эти методы не подойдут при наличии аллергии на морскую соль, соду или травы.
Также необходимо пить больше свежей питьевой воды без сахара и без газа, прекратить или максимально уменьшить употребление кофе, завязать с курением и алкоголем: кофе, спиртное и сигареты способствуют сильному обезвоживанию организма.
Как можно помочь себе, если ночью внезапно возник болезненный приступ? Нужно взять ногу за носок, и осторожно, но с силой потянуть на себя. После этого легко помассировать икры, и полежать немного с приподнятыми кверху ногами. От массажа кровообращение усилится. Если есть возможность, можно немного походить по комнате босиком. Широко известен совет уколоть сведенную ногу чем-то острым – например, булавкой.
Профилактика спазмов в ногах – общие рекомендации
Любую болезнь гораздо легче предупредить, чем лечить. Чтобы вопрос, почему сводит ноги по ночам, не возникал, необходимо наладить в конечностях хорошее кровообращение. Для этого нужно выполнять следующие рекомендации:
- Всегда приобретать только качественную обувь с удобной колодкой. Распространенная причина, почему порой сводит мышцы на ногах, – неудобные, тесные ботинки. Обувь – не та статья расходов, на которой нужно экономить. Правильно выбранная пара прослужит не один сезон, а ногам будет очень комфортно. Особенно это касается людей, вынужденных в течение дня много передвигаться пешком.
- Если человек занят на стоячей работе, ему следует несколько минут в день уделять простой гимнастике. Несложные упражнения разгонят кровь в нижних конечностях.
- Ноги всегда должны быть в тепле, в холодное время года не стоит пренебрегать ношением утепленных колготок или носков.
- Питание должно быть полноценным, с достаточным количеством зелени, овощей и фруктов.
- Если Вы курите, откажитесь от этого занятия и совсем скоро заметите, как Вас покинут тяжесть, спазмы в ногах и другие неприятные ощущения. Узнайте, как бросить курить быстро и легко здесь.
- Также людям, у которых наблюдается склонность к спазмам, не рекомендуется купаться в открытых водоемах, когда вода слишком холодная. Если на большой глубине ногу неожиданно сведет, это может привести к беде. Поэтому перед купанием стоит немного разогреться и размяться.
Если спазмы в ногах учащаются, к ним присоединяются другие тревожные симптомы – боли во внутренних органах, отеки, общее ухудшение самочувствия, – необходимо посетить врача и пройти обследование.
Как помочь детям
Многих подителей волнует вопрос, почему сводит мышцы на детских ногах, и что делать в такой ситуации, как помочь ребенку? Обычно у ребенка сводит ноги по следующим причинам:
- недостаток кальция, калия и магния;
- быстрый рост;
- большая нагрузка на икроножные мышцы в течение дня;
- низкая температура в комнате во время сна.
Что делать, как справиться с судорожным припадком? В зависимости от причины и лечение будет разным.
- Если ноги сводит судорогой во сне, убедитесь, что ребенку тепло. Если он замерз, укройте его одеялом потеплее. Чтобы снять неприятные ощущения в икре, помассируйте ее или попросите малыша встать и походить по комнате, восстанавливая кровообращение, а сами тем временем отрегулируйте температуру в комнате.
- Бывает, что у детей сводит ноги по утрам, утром в комнате особенно холодно, поэтому запросто может свести замерзшие мышцы. Решение то же: теплое одеяло наготове, массаж и разминка.
- Порой ребёнка настигает судорога ног во время плавания. Это явление не зависит от возраста пловца и его профессионализма. Чтобы этого избежать, разрешайте чаду плавать в умеренно прохладной, не ледяной воде, и научите его делать разогревающие упражнения перед заплывом.
Если у ребенка регулярно сводит пальцы ног, появляются судороги то в левой ноге, то в правом бедре, словом, в разных местах, – это повод обратиться к врачу. Он разберется, отчего это происходит, и что делать, чтобы предотвратить появление судороги, сводящей ноги.
Наш организм часто подает нам сигналы, что нужно изменить образ жизни. Однако мы порой стремимся «заглушить» эти знаки и боремся с симптомами, вместо того чтобы найти и устранить причину. Прислушивайтесь к своему телу, заботьтесь о нем и будьте здоровы!
Почему возникают судороги?
Есть довольно широкий перечень этиологических факторов, при воздействии которых могут развиваться судорожные сокращения мышц. Одной из самых распространенных причин является дисбаланс микроэлементов. Так, при недостаточном количестве магния, калия или кальция, а также при других изменениях электролитного состава крови нарушается регулирование мышечной активности и передача нервных импульсов, что в свою очередь провоцирует судорожные сокращения отдельных мышечных волокон. Недостаток микроэлементов, как правило, возникает в следующих случаях:
- прием некоторых лекарств, особенно сорбентов, антацидных и мочегонных препаратов;
- избыточная секреция кортизола, что наблюдается при стрессах и приводит к ухудшению всасывания кальция в желудочно-кишечном тракте;
- недостаток микроэлементов наблюдается при беременности, поскольку в данный период женскому организму требуется их большее количество;
- злоупотребление белковой пищей, что провоцирует дефицит кальция;
- чрезмерные физические нагрузки, при которых наблюдается усиленное выделение пота, так как при этом организм теряет калий;
- недостаток витамина D, что в свою очередь провоцирует недостаточное усвоение кальция.
Другие причины судорог нижних конечностей включают следующее:
- варикоз ног;
- хроническое нарушение кровообращения;
- патологии щитовидной железы;
- сахарный диабет;
- плоскостопие;
- сводит ноги также при полиневритах (как правило, такие судороги возникают в ночное время; поражение нервов провоцируется вирусами, обменными нарушениями, интоксикациями, гиповитаминозом);
- переохлаждение;
- радикулиты;
- травмы и мышечное перенапряжение, длительное пребывание на ногах;
- хроническая почечная недостаточность;
- период активного роста у детей;
- дегенеративно-дистрофические поражения позвоночника;
- ношение обуви на высоких каблуках;
- неправильное питание;
- неправильная терапия простудных заболеваний, что в дальнейшем приводит к нарушению в работе почек или сердца.
Если часто беспокоят судороги нижних конечностей, следует обратиться к врачу для выяснения этиологии данного нарушения. Мышцы ног могут спазмировать на фоне некоторых инфекционных заболеваний, при интоксикациях и различных отравлениях, при неврозах, а также черепно-мозговых травмах. Этиологическое значение имеет нарушение обмена веществ, особенно АТФ. При недостаточном синтезе указанного соединения нарушается метаболизм в мышечных волокнах, что снижает их способность к сокращениям.
Кроме этого, судороги могут возникать на фоне сильных стрессов, когда под воздействием высокой концентрации адреналина ускоряется дыхание и снижается уровень углекислого газа, а это провоцирует судорожное сокращение мышечных волокон. В жаркий период причиной появления судорог является обезвоживание. Судорогами сводит нижние конечности при сосудистых патологиях, которые развиваются на фоне гиподинамии, наследственной слабости сосудистых стенок, а также при гормональных сдвигах (например, вследствие приема пероральных контрацептивов). Еще одна причина судорог ног – хроническая нехватка сна.
Важно отметить, что могут наблюдаться хореоатетоидные сокращение мышц, которые напоминают судороги. Они в основном являются следствием патологий ЦНС и наблюдаются у больного постоянно, усиливаются при изменениях эмоционального или физического состояния. Они сочетают появление гримас на лице и червеобразные движения руки, иногда – ноги. Кроме этого, могут быть фасцикуляции. Они напоминают судороги, однако не вызывают боли или определенного дискомфорта, возникают редко и представляют собой ритмичные и быстрые сокращения отдельных поверхностных мышечных волокон. Причиной этого, как правило, является чрезмерное возбуждение двигательных нейронов.
Ногу свело судорогой. Как это проявляется?
Во время судороги внезапно возникают самопроизвольные сокращения мышц, которые сопровождаются довольно интенсивной болью. В икроножных мышцах могут возникать судорожные сокращения трех типов:
- Клонические – для них характерны кратковременные поочередные напряжения и расслабления мышечных волокон, которые идут друг за другом. При этом могут возникать стереотипные неконтролируемые движения конечностью с разной амплитудой.
- Тонические – такой тип судорог характеризуется более длительным спазмом мышц. Вследствие такого сокращения мышечные волокна «застывают» в одной позе.
- Тонико-клонические – являются смешанным типом
Что делать при судорогах в икроножных мышцах
При судорогах нижних конечностей сначала следует определить их этиологию, поскольку от причин их появления зависят дальнейшие действия. Важно вовремя распознать судороги на фоне эпилепсии. Такие спазмы мышц имеют определенные особенности. Так, сначала они носят клонический характер, а за несколько секунд переходят в тонические сокращения с продолжительностью 10 секунд или больше. После этого спазм исчезает. Второй признак, который говорит об эпилептической природе судорог – это аура перед приступом (это может быть определенный запах или вкус, яркий свет или громкие звуки).
Если судороги возникают на фоне эпилепсии, парциальный судорожный приступ может переходить в генерализованную форму, когда человек теряет сознание. При этом может останавливаться дыхание, выходить пена изо рта или возникать самовольное мочеиспускание. После такого приступа больной чувствует усталость и беспокойство. При парциальных спазмах больного нужно посадить на пол, чтобы предупредить травмирование при генерализации приступа. При судорогах другой природы следует выполнить следующие действия:
- ногу приподнять для улучшения оттока крови и устранения венозного застоя;
- встать на холодный пол и походить;
- для рефлекторного воздействия на мышцы следует уколоть или ущипнуть спазмированные мышцы;
- можно большой палец на ноге потянуть на себя;
- для лучшего снабжения мышц кислородом и улучшения микроциркуляции следует провести легкий массаж икры.
После снятия приступа нужно обратиться к врачу для диагностики, а в случае необходимости пройти необходимое лечение. Иногда установить этиологию судорог в икрах не удается, поэтому проводят симптоматическую и патогенетическую терапию. Эпилептические судороги нужно лечить с помощью бензодиазепинов, производных гаммааминомасляной кислоты, вазодилататоров, противосудорожных лекарств и микроэлементов. Поскольку икроножные судороги в основном возникают при дисбалансе минеральных соединений, терапия предусматривает прием различных витаминно-минеральных комплексов, Аспаркама, Кальцемина, Магне В6 и Мидокалма. Если после приступов сильно болит нога, можно принять обезболивающее средство.
Пациентам также рекомендуют обратить внимание на свое питание. Нужно в рацион включить бобовые и морепродукты, сухофрукты и зелень, рыбу и кисломолочные продукты. Важно также следить за своим весом, нормировать режим труда и отдыха, выполнять упражнения для икроножных мышц, а также пролечить хронические патологии, которые способствуют развитию мышечных спазмов.
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