Малыш отсиживает ноги. Пятничный вопрос не про ГВ
Коллеги, вы всё знаете. Почему дети так легко отсиживают ноги и как этому можно помочь? Помню себя в детстве: стоило немного не так посидеть, и сразу немели ноги — по икрам и ступням бежала щекотка, потом это начинало жечь. Позже, годам к десяти и после, ноги уже просто болели. Мама гладила и говорила, что это они так растут.
Так вот, малышу 2,5 года. Недавно стал показывать, что его в ступню кусает оса. Я думала, это он ни с того ни с сего вспомнил лето. Жалела его и гладила. Потом стал показывать настойчивей. Один раз попросил помыть водой, как будто там какая-то крошка мешала (это притом, что он у меня не брезгливый и с каждой песчинкой не побежит мыться). Тут до меня дошло, что у него ступни колет, когда он сидит. Вспомнила про себя маленькую.
Внимание, вопрос: что бы вы в такой ситуации подумали и сделали? Если важно, мальчик очень сильный, активный, прыгучий, весёлый. Быстрого роста вверх нет.
Ребенок с мячом (фото: Fotolia)
Многие детки жалуются, что ножки как бы «затекают», млеют. С чем это связано?
Детишки очень быстро вытягиваются, и неприятные ощущения в руках и ногах могут быть связаны с интенсивным ростом. Онемение и боли чаще возникают ночью, и могут быть достаточно сильными. Чтобы облегчить страдания малыша, можно дать ему обезболивающее на основе парацетамола или ибупрофена и сделать теплую ванну.
Обратите внимание, нет ли еще каких-либо симптомов. Если одновременно с появлением «мурашек» вы замечаете двигательные нарушения (например, ребенок начинает спотыкаться, изменяется походка), беспокоят головные боли, вялость, обратитесь к неврологу. Специалист проверит, правильно ли работают все отделы нервной системы крохи, и, если нужно, назначит дополнительное обследование.
Онемение ног и рук
Кроме того, могут быть периодические приступы онемения и покалывания в силу наличия определенных проблем со здоровьем, такими как неврозы или приступ мигрени. Также эпизоды онемения могут быть во время приступов страха, обусловленных ожиданием событий, угрожающих жизни, и в таких случаях онемение обусловлено поверхностным дыханием и затрагивает, чаще всего, пальцы рук и область рта.
Онемение рук проявляется ощущением потери чувствительности в руках, часто такое состояние пациенты называют «заснувшими» руками. Онемение может сопровождаться ощущениями покалывания иголкой. Нередко такое онемение возникает после сна с руками под головой. Онемение кистей рук обычно вызвано наличием туннельного синдрома, при котором происходит компрессия срединного нерва. Чаще всего, запястный туннельный синдром обусловлен компрессией нерва в запястном канале. Кроме того, онемение рук может быть обусловлено травмами, переохлаждением или такими системными заболеваниями, как сахарный диабет. Если онемение рук сопровождается одышкой тошнотой, сердцебиением, то это может признаком острых, угрожающих жизни состояний и требует экстренной медицинской помощи.
Онемение в ногах является потерей чувствительности или ощущений в ногах, в результате нарушения связи между периферическими нервами и центральной нервной системы. Обычно онемение ног связано с нарушением кровообращения в нижних конечностях. Наиболее часто такое онемение возникает при сидении, скрестив ноги, в течение длительного периода времени. В таких случаях подъем, и ходьба могут через некоторый промежуток времени избавиться от онемения. Но онемение в ногах может быть и признаком серьезных повреждений нервных волокон вследствие механических факторов (грыжа диска, радикулопатия) или повреждения нервов вследствие соматических заболеваний.
Причины
Онемение может быть признаком широкого спектра заболеваний или состояний, при которых есть ограничение притока крови или повреждение нервов.
Временное онемение может быть связано с любой деятельностью, которая вызывает длительное давление на нерв (нервы), например, сидение со скрещенными ногами или езда на велосипеде на большие расстояния. Онемение может также возникать вследствие умеренной или серьезной ортопедической или сосудистой патологии, а также состояний и заболеваний, которые приводят к повреждению нервной системы. В некоторых случаях, онемение является симптомом опасного для жизни состояния, которое требует экстренной медицинской помощи.
Сердечно-сосудистые причины онемения
Онемение может быть вызвано нарушением (отсутствием) притока крови к определенной области из-за таких состояний, как:
- Артериовенозные мальформации
- Болезнь Бюргера
- Тромбоз глубоких вен (тромб в ногах может оторваться, что может приводить к легочной эмболии в легких, инфаркту, инсульту)
- Отморожения
- Заболевания периферических артерий (атеросклероз сосудов, при котором происходит сужение артериального русла).
- Синдром Рейно, при котором происходит стойкий спазм периферических сосудов и нарушается кровообращение в дистальных отделах конечностей. Спазм сосудов, как правило, провоцируется холодом или иногда стрессом.
Ортопедические причины онемения
Онемение может также возникать из-за наличия незначительных или серьезных ортопедических заболеваний, которые приводят к повреждению нервов:
- Хлыстовая травма шеи
- Переломы костей
- Синдром запястного канала
- Дегенеративные заболевания межпозвонкового диска
- Грыжа межпозвоночного диска
- Компрессия ущемление нерва
- Остеопороз
Неврологические причины онемения
Онемение в результате компрессии нерва или повреждение нервов может быть связано с такими заболеваниями, как:
- Алкоголизм
- Опухоли головного мозга
- Диабетическая нейропатия
- Энцефалит
- Отравление тяжелыми металлами, такими как отравление свинцом
- Гипотиреоз
- Рассеянный склероз
- Периферическая нейропатия
- Травма спинного мозга или опухоли
- Инсульт
- Системная красная волчанка
- Миелит
- Миелопатия
- Недостаток витамин В12
Онемения во время беременности
Беременные женщины сталкиваются со многими изменениями в организме, и онемение является одним из них. У некоторых беременных женщин развивается запястный туннельный синдром и, как полагают, это связано с задержкой воды в теле при беременности.
По мере развития плода происходит накопление жидкости в организме, ткани набухают, в том числе и в области запястья, возникает компрессия срединного нерва и развивается синдром запястного канала. Симптомы запястного туннельного синдрома более выражены в утренние часы, так как происходит накопление жидкости в организме в ночные часы. Как правило, синдром запястного канала беременных излечивается самостоятельно после родоразрешения.
Онемение у детей
Существует много причин, из-за которых дети могут испытывать онемение в различных частях тела. Нарушения питания, нехватка витаминов и минералов могут быть причиной онемения в нижних конечностях, это особенно характерно для нехватки для витаминов группы B. Спортивные травмы также могут быть причиной онемения. Поэтому, в детском возрасте необходимо внимание родителей к жалобам детей на онемение, которое длится более нескольких минут и может быть признаком повреждения связок, сухожилий или костных переломов. Нередко тревога в детском возрасте может быть источником онемения губ и лица.
Симптомы
Онемение обычно возникает вследствие нарушения кровообращения в определенной области или повреждения нерва. Нарушения чувствительности (онемение) может быть также результатом инфекции, воспаления, травмы и других патологических процессов. В большинстве случаев онемение связано с не опасными для жизни заболеваниями, но оно также может быть признаком инсульта или опухоли.
Онемение в конечностях часто ассоциировано с болевыми проявлениями или может сопровождаться другими нарушениями чувствительности, такими как жжение, покалывание. При инсультах также отмечаются двигательные нарушения и нарушения речи. В зависимости от причины, онемение может исчезнуть быстро, например онемение в руке, которое возникает когда человек спит, положив голову на руку, исчезает после нескольких движений рукой. Хроническое онемение ноги или руки в течение длительного периода времени, обычно указывает на определенный уровень повреждения нервов, например, вследствие сахарного диабета или рассеянного склероза. Хроническое онемение пальцев может быть связано с ущемлением нерва, как это имеет место при запястном туннельном синдроме. В любом случае, онемение, которое длится более нескольких минут, заслуживают внимания и обращения за медицинской помощью. А если у человека возникают онемение в области паха и нарушения функции мочевого пузыря и кишечника или есть признаки паралича, спутанности сознания, нарушения речи, то в таких случаях необходимо обращаться за экстренной медицинской помощью.
Симптомы, которые могут сопровождать онемение:
- Тревога
- Чувство жжения
- Частое мочеиспускание
- Увеличение онемение или покалывания во время ходьбы
- Зуд
- Боль в пояснице
- Мышечные спазмы
- Боль в шее
- Боль в других частях тела
- Ощущения покалывания иголкой
- Сыпь
- Повышенная чувствительность к прикосновениям
Ряд симптомов, сопровождающих онемение, может быть признаком серьезных состояний и это необходимо учитывать врачу, так как нередко требуется экстренная медицинская помощь и проведение необходимых лечебных манипуляций.
Это следующие симптомы:
- Заторможенность или кратковременная потеря сознания
- Затрудненное дыхание
- Трудности при ходьбе
- Головокружение
- Потеря контроля над произвольным мочеиспусканием или дефекацией
- Нарушения зрения
- Онемение в области головы, шеи спины
- Паралич
- Нарушения речи (дизартрия)
- Слабость
Диагностика и лечение
Врач на основании истории заболевания, изучения симптомов и физикального обследования назначает план обследования, который включает как инструментальные, так и лабораторные методы обследования.
Для лечения онемения, прежде всего, необходимо выяснить причину этого симптома. Если онемение связано с нарушением кровообращения, диабетом или рассеянным склерозом проводится лечение основного заболевания, как с помощью консервативных методов лечения, так и оперативным методом (например, при сосудистых заболеваниях). При ортопедических проблемах, например грыжи диска, остеохондроз лечение также может быть также как консервативным, так и оперативным (например, когда необходимо провести декомпрессию нервного корешка).
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