Упражнения при геморрое входят в план комплексной терапии наряду с лекарственным препаратами, полезным питанием, коррекцией образа жизни. Целью назначения гимнастики при геморрое является укрепление сосудистых стенок, повышение тонуса вен, избавление от запора благодаря усилению моторики кишечника, предотвращение обострений и осложнений. Комплекс упражнений для профилактики геморроя назначается в период его ремиссии. Их регулярное выполнение замедляет прогрессирование болезни.
Гимнастические упражнения: эффективность и необходимость
Один из многочисленных факторов риска развития геморроидальных узлов – низкая двигательная активность. Гиподинамия вызывает венозный застой в малом тазу, в ректальных кавернозных сплетениях. Снижение тонуса кишечной стенки способствует появлению запора. Постоянное натуживание при дефекации вызывает еще большее расширение и выпирание отдельных участков ректальных вен и образование шишек — внешних и внутренних. Чем больше времени человек проводит сидя или стоя, тем больше усугубляется патология.
При геморрое терапия начинается с увеличения двигательной нагрузки. Регулярные упражнения по укреплению брюшного пресса, бедер, ягодиц приводит к оттоку венозной крови из сосудов нижних конечностей, малого таза, включая геморройные шишки: как внутренние, так и наружные. На начальных стадиях болезни улучшается кровообращение, уменьшается боль, дискомфорт, исчезают другие клинические проявления болезни. Правильно подобранный лечебный комплекс помогает полностью избавиться от всех патологических симптомов, добиться облегчения общего состояния, улучшения качества жизни.
При обостренном геморрое занятия физкультурой купируют негативные проявления болезни, снимают отек, уменьшают боль и воспаление в целом. Поэтому гимнастика при отсутствии кровотечения или выпадения внутренних варикозных шишек полностью не противопоказана. Но нужно ориентироваться на самочувствие.
Разрешенные и запрещенные упражнения при геморроидальных узлах и анальных трещинах
Основное правило для уменьшения застойных явлений — двигательная активность. Самый легкий вариант — пешеходные прогулки. Ежедневно рекомендуется много ходить. При любых видах имеющейся геморроидальной болезни полезны кардионагрузки, укрепляющие сердце и сосуды. При повседневном выполнении они способны вылечивать болезнь в начальной фазе, предотвращать осложнения. Другие целебные и профилактические занятия:
Также показана гимнастика. Некоторые упражнения улучшают деятельность системы пищеварения и кровоснабжение органов малого таза. Известные авторские комплексы антигеморроидальной зарядки:
Определенные разновидности нагрузок могут вызвать ухудшение или осложнение болезни. Эти статические элементы, вызывающие значительное напряжение мышц, расширение и застой в венах малого таза, противопоказаны. К запрещенным спортивным элементам относятся:
- приседания;
- поднятие тяжестей и спортивных снарядов (штанги, гантели);
- качание пресса с помощью резких наклонов туловища вперед-назад, в стороны;
- интенсивные махи ногами.
Нельзя глубоко приседать – это может вызвать ухудшение, геморрой начнет кровоточить.
Есть определенные виды спорта, которые разрешены в период полной ремиссии геморроя:
- езда верхом;
- поездки на велосипеде;
- гребля.
Острый геморрой лечить таким образом нельзя. К противопоказаниям относятся также экстремальный спорт, боевые искусства.
Правила выполнения занятий ЛФК
Лечебная физкультура значительно облегчает состояние даже на этапах, когда наступили глубокие изменения в ректальных венах. Добиться этого можно при одном обязательном условии: регулярное и технически правильное выполнение упражнений. Индивидуальный комплекс посоветует врач с учетом степени увеличения и состояния геморроидальных узлов, сопутствующих заболеваний, возраста и общего самочувствия.
Для занятий необходима удобная свободная одежда и обувь. Перед выполнением зарядки рекомендуется освободить кишечник и при необходимости обезболить. Для этой цели подходит ванночка или примочки, можно воспользоваться ректальной свечой, кремом с анестетиком.
Гимнастика проводится дважды в день продолжительностью не менее 15-20 минут. Каждое движение повторяется не менее 5 раз. В дальнейшем увеличивают интенсивность усилий, количество повторов доводят до 10-15.
Задержка дыхания приводит к повышению внутрибрюшного давления, что способствует запору. Поэтому в первую очередь выполняют дыхательные упражнения. Затем показаны физические напряжения с постепенным повышением их интенсивности на каждом занятии. Все элементы делаются плавно, без рывков и резких движений. При первых признаках дискомфорта тренировка прекращается. По поводу продолжения занятий нужно посоветоваться с проктологом.
Комплекс от геморроя по Кегелю
Пациентам с подтвержденным геморроем рекомендуются упражнения по Кегелю. Их цель – лечение, предупреждение рецидивов и осложнений. Зарядка разработана в 1952 году немецким гинекологом Альфредом Кегелем (1894-1981 гг.), проработавшим всю жизнь в Америке. Комплекс предназначался для женщин, которые предъявляли жалобы на самопроизвольное мочеиспускание в поздних сроках беременности и непосредственно после родов. Ставилась задача:
- предотвращения недержания мочи;
- исключение опущения органов малого таза;
- быстрого сокращения матки.
В дальнейшем выяснилось, что упражнения хорошо помогают в случае варикозно расширенных узлов:
- усиливают мускулатуру малого таза, передней брюшной стенки, ягодичную;
- повышают тонус кишечника и его перистальтику;
- улучшают состояние внутренних органов у всех, кто регулярно выполняет весь комплекс.
У мужчин наблюдается положительная динамика при геморрое, простатите, нарушениях эрекции, преждевременной эякуляции, поскольку механизм развития этих патологий взаимосвязан. При варикозно расширенных ректальных узлах гимнастика по Кегелю:
- укрепляет мышцы прямой кишки и дна малого таза;
- улучшает состояние сосудистых стенок;
- уменьшает размеры самих шишек;
- предупреждает их дальнейшее выпячивание в просвет кишки.
По механизму действия упражнения напоминают попытки:
- удерживания газов в кишечнике путем сокращения мышц ануса;
- прерывания процесса мочеиспускания.
В начале оздоровительного курса зарядку делают лежа, чтобы не вовлекать в процесс другие группы мышц, а тренировать целенаправленно нужные. Когда необходимый комплекс будет освоен, его выполняют, сидя на стуле.
Упражнения несложные, но важно делать их без спешки, следуя рекомендациям, медленно и плавно, по 10 раз. В дальнейшем зарядку усложняют, кратность мышечных усилий доводят до 50-300 раз, постепенно увеличивая интенсивность и частоту. Лечиться можно в домашних условиях. Положительная сторона: удобство выполнения в любом месте (работа, автомобиль, транспорт) и в любое время. Положительная динамика после регулярных занятий наблюдается у пациентов обоего пола. Противопоказанием являются выпадающие геморройные шишки.
Гимнастика Кегеля основана на 3-х базовых компонентах:
Напряжение заднепроходных мышц с втягиванием ануса. Оно аналогично попытке удержать газовыделение из кишечника. Упражнение выполняется, лежа на спине, но можно делать сидя или стоя.
Плавное сжатие промежностных мышц, как для прерывания мочеиспускания. Фиксировать каждое напряжение мышц примерно на 5 секунд.
- Сокращения: сочетать напряжение и расслабление прямокишечных мышц поочередно, как указано выше, постепенно увеличивая скорость.
- Выталкивание: натуживаться как при дефекации или родах.
Курс рассчитан на 2-3 недели с перерывом в 10 дней, после чего следует его повторить.
Йога в терапии геморроя
Йога — древняя индийская практика. В техническом плане представляет сложности, поэтому оздоровление проводится под контролем инструктора. Ежедневное выполнение асан (специальных поз) помогает достичь необходимого усиления кровообращения в малом тазу и прямой кишке, снижения венозного застоя в этих органах. Человек непосвященный сможет делать простейшие упражнения, поскольку для йоги нужна хорошая физическая подготовка. Каждая асана требует максимальной точности. От этого зависят изменения, которые будут происходить в организме.
Новичкам подходят упражнения в положении стоя. Позы сидя требуют большей нагрузки, умения, опыта. Их лучше выполнять с инструктором. Асаны, при которых человек сидит, слишком сложные технически. Они несут большую нагрузку, при неправильном дыхании или положении частей тела во время занятия геморрой может обостриться.
Некоторые асаны, полезные при имеющихся венозных узлах:
- Тадасана (гора). Подниматься на носках, максимально вытягивая тело с поднятыми руками ладонями внутрь; большие пальцы стоп сведены вместе, пятки — врозь. Мышцы ног напрягают, распрямляют колени, с силой втягивая ягодицы и живот. Через полминуты все мышцы расслабляют. Повторять 12 раз.
- Тирьяка Тадасана (дерево, гнущееся от ветра). В предыдущей позе выполняют наклоны вправо — влево, фиксируясь на 3 секунды в каждом положении. В движениях участвует только верхняя часть туловища, нижняя половина неподвижна.
- Муладхара Бандха (корневой замок). Принимается Тадасана, ноги располагают на ширине плеч. При каждом выдохе сильно втягивать мышцы ануса, фиксируя их на 3-5 секунд, на вдохе — расслаблять их. Делается 10 раз.
- Кати Чакрасана (вращение талии). Ноги ставят на ширине плеч; рука направляется вперед, вторая согнута, прикасается к плечу. В сторону вытянутой руки, которая отводится назад, выполняются повороты. Мускулатура нижней половины тела не участвует в движении. Число подходов — 12.
Метод Норбекова
Мирзакарим Норбеков (1957 г.р.) — узбекский специалист по нетрадиционной медицине. Занимаясь альтернативной наукой, разработал «Систему Норбекова» — методики по излечению ранее неизлечимых болезней. Известны ряд его публикаций и несколько популярных книг на эту тему. Они основаны на парапсихологии, не имеют под собой научных обоснований, не подтверждены клиническими исследованиями.
Автор описывает варианты гимнастики для различных органов. Приводит список упражнений для восстановления повреждений в позвоночнике. Зарядка для пояснично-крестцового отдела улучшает кровоснабжение органов малого таза, повышает тонус ректального сфинктера. Это уменьшает симптомы болезни. Упражнения имеют терапевтическую и профилактическую направленность. Они объединяют элементы, входящие в антигеморройную зарядку (ножницы, кошка, березка), с методикой, напоминающей гимнастику Кегеля. Среди них есть те, которые выполняются стоя:
- Плавные движения бедрами вкруговую. Вращения совершаются сначала в одну, затем в другую сторону.
- Ноги поставить вместе. Поднимая одну руку вверх, совершать наклон вперед. Руки чередовать.
- Ходьба с высоким подниманием колен, ноги ставить крест-накрест.
Гимнастика Бубновского
Бубновский Сергей Михайлович (1955 г.р.) — основатель собственной методики ЛФК при травмах позвоночника. Много лет занимался спортивной медициной. Создал гимнастическую аппаратуру для лечения патологии опорно-двигательного аппарата. Разработал технику диафрагмального дыхания, «триаду Бубновского» — сочетание силовых упражнений, аэробики и растяжки. Методика по Бубновскому включает больше 20 упражнений, направленных:
- на улучшение кровообращения;
- на предотвращение застойных явлений;
- на повышение перистальтики толстой кишки.
Среди них — наиболее известные:
Каждому пациенту после проведенного дообследования подбирается индивидуальный комплекс в зависимости от общего самочувствия. Делать их лучше в физкультурном зале, в присутствии инструктора, который пошагово проконтролирует правильность выполнения.
Китайская методика
Китайский метод цигун состоит из упражнений, влияющих непосредственно на варикозный узел и весь организм в целом. Она основана на учении древних китайских монахов, согласно которому здоровье человека зависит от энергии Ци, сосредоточенной в 12 каналах (меридианах). Изменения циркуляции этой энергии вызывает патологию отдельных органов и целых систем. Мудрецы Китая считали ректальные вены особо опасной зоной из-за развития застоя крови в них.
Цигун — альтернативный метод лечения, насчитывающий несколько тысяч лет. Эту практику и сегодня успешно используют в Китае, а также в других странах мира. Большую роль играют:
- регулярность тренировок;
- исключение некоторых продуктов;
- отказ от вредных привычек.
Отдельные движения из назначенного комплекса полезно делать 2-3 раза в день. Китайцы рекомендуют проводить зарядку:
- в проветриваемом помещении, где есть доступ кислороду, в котором обитает энергия Ци;
- с хорошим настроением;
- натощак.
Комплекс состоит из следующих элементов:
- попеременные напряжения и расслабления прямокишечного сфинктера;
- различные варианты ножниц;
- кошку;
- повороты и наклоны в сторону.
Важно правильно глубоко дышать. Полезно сочетать с точечным массажем, оказывающим целительное действие.
Методика Штурлез
Американский проктолог Руди Штурлеза разработал методику, включающую рекомендации, касающихся диеты, нормализации стула, исключения высоких нагрузок. Она полезна на первых стадиях геморроя, когда еще эффективны безлекарственные методы лечения с применением правильного питания, модификацией образа жизни. Рекомендуется регулярная ежедневная гимнастика, включающая такие упражнения, как мостик, березка.
Упражнения при запорах
Запор — один из основных факторов риска при формировании геморроя. Частое натуживание расширяет вены малого таза, приводит к застою крови в них, образованию и выпячиванию шишек в просвет кишки. Твердый кал травмирует их поверхность, вызывает образование трещин в кишечной стенке, воспаление и кровоточивость. Эти патологические изменения проявляются болью при дефекации, дискомфортом, ощущением инородного тела в заднем проходе. Возможна и другая симптоматика.
Любой комплекс, назначенный для терапии геморроя, выполняется через 1 час после еды. Сразу после приема пищи происходит перераспределение крови: она приливает к желудку. Орган усиленно переваривает пищу. Если в это время начать физические нагрузки, произойдет перераспределение кровенаполнения сосудов: поток крови будет направлен к усиленно работающему сердцу и мышцам. Это нарушит выработку пищеварительных ферментов, приведет к вздутию живота, спастическим сокращениям желудка и кишечника, запору.
Дозированные физические нагрузки помогут нормализовать стул и избавиться от проявлений запора. Этому способствуют аэробные занятия: прогулки, катание на велосипеде, бег трусцой. Они доступны каждому, не требуют особенной подготовки, чрезмерных усилий и затрат. Особенно полезны прогулки перед сном в спокойном темпе в течение 20 минут.
Лечение запора сводится к укреплению брюшного пресса. Зарядка для нормализации функций кишечника включают всем известные упражнения. Каждое из них имеет свои разновидности, кратность повторов — 50 раз. Удобно их делать на спине, для этого не нужна особая физическая подготовка. Необязательно объединять в одном занятии все сразу. Можно выполнять отдельные составляющие из рекомендованного комплекса, не вызывающие негативных ощущений и чрезмерного напряжения. Позже подключаются остальные.
Самое лучшее упражнение – велосипед. Выполняется лежа на спине. Его можно делать в кровати утром сразу после сна.
Еще одно простое, но эффективное упражнение: в положении на спине прижать колени к груди. Сводить и разводить их 10-15 раз.
- обычные — разведение в стороны и скрещивание поднятых под углом 450 прямых ног;
- вертикальные — поочередное поднятие одной ноги с одновременным опусканием к полу второй;
- стригущие — поднятые на высоту больше 450 ноги широко разводить и поочередно скрещивать.
Березка — одновременно обе ноги поднимаются перпендикулярно полу, затем при поддержке рук отрывается от пола таз.
Утюг — прямые ноги медленно приподнимают примерно на 450 по отношению к полу, фиксируя в этом положении на 30-50 секунд.
Неполный мостик — лежа на спине с опущенными вдоль туловища и ногами, согнутыми в коленях, нужно медленно поднять таз на максимально возможную высоту, одновременно сильно сжимая ягодицы. Поза в мостике фиксируется в течение 30-40 секунд. Упражнение повторяется 10-12 раз.
Кошка — медленно поочередно прогибать спину вверх и плавно выгибать вниз, находясь в положении на четвереньках.
Шаг на месте — колени нужно поднимаются без резких движений выше бедер, в усложненном варианте — опускаемую ногу перекрещивать с упорной.
Все гимнастические элементы, несмотря на свою простоту, должны с осторожностью выполняться при имеющейся патологии позвоночника. Лучше посоветоваться с проктологом — врач подберет оптимальный комплекс с учетом сопутствующей патологии.
Профилактические упражнения при геморроидальной болезни
В основе упражнений, которые препятствуют развитию варикозных узлов, лежит тренировка определенных мышечных групп:
- малого таза;
- промежностных;
- ягодичных;
- передней брюшной стенки.
Среди них необходимо выбирать те, которые не доставляют неприятных ощущений или боли в процессе их выполнения. Начальные нагрузки должны быть небольшими. В дальнейшем число разнообразных движений и количество повторов увеличивают, но выполняют их плавно, без резких рывков и задержки дыхания — это повышает давление в сосудах малого таза и вызывает застойные явления. Важно делать гимнастику регулярно. Подходят все вышеперечисленные упражнения. Заниматься профилактикой нужно постоянно. Для этого нужно не только периодически проводить курсы антигеморройной гимнастики, но и вести активный образ жизни.
Основные причины геморроя
Ведущими факторами, которые способствуют появлению геморроидальных узлов, являются малоподвижный образ жизни и хронические запоры.
Когда человек большую часть времени дня проводит в сидячем положении, в сосудах малого таза, в том числе и прямой кишки, возникает застой крови. Вследствие венозной недостаточности переполненные кровью кавернозные тельца расширяются и деформируются. Таким образом, происходит формирование геморроидальных узлов.
Также важную роль в появлении геморроя играют дистрофические изменения продольной мышцы ректального канала, которая удерживает геморройный узел внутри прямой кишки. Вследствие этих изменений мышечные волокна теряют эластичность и тонус, за счёт чего шишки начинают провисать через анальное кольцо.
Помимо этого, при длительном сидении теряется тонус тазового дна, что также негативно отражается на состоянии сосудов заднего прохода.
Второй фактор-провокатор геморроя – хронический запор, который приводит к повышению давления в геморроидальных венах и, соответственно, нарушению оттока крови из тканей аноректальной области. Кроме того, твёрдый кал травмирует уже сформированные узлы, вызывая их кровоточивость и воспаление.
Как запор влияет на геморрой, мы разобрались, но что приводит к нарушению работы кишечника? В основе возникновения запоров лежит ослабление перистальтики, снижение тонуса мышц заднего прохода и тазового дна, то есть те патологические процессы, которые являются следствием малоподвижного образа жизни.
Как помогут упражнения при геморрое?
Геморрой – это заболевание, лечение которого требует комплексного подхода. Основными составляющими такой терапии являются следующие:
- коррекция образа жизни, в частности повышение двигательной активности;
- сбалансированное питание;
- медикаментозная терапия;
- соблюдение гигиены аноректальной области.
Повысить двигательную активность можно с помощью пеших прогулок, плавания, лёгких пробежек и других разрешённых видов спорта. Наибольшую пользу при лечении геморроя принесет ЛФК (лечебная физкультура).
Лечебная гимнастика при геморрое позволяет выполнить следующие задачи:
- подтянуть тонус мышц тазового дна;
- повысить эластичность и укрепить продольную мышцу ректального канала;
- устранить застой крови в сосудах аноректальной области;
- улучшить микроциркуляцию в тканях проблемной зоны;
- нормализовать перистальтику кишечника;
- купировать запор;
- помогает продлить ремиссию;
- предотвратить обострение геморроидального процесса;
- замедлить прогрессирование заболевания.
Какие упражнения можно делать при геморрое, а какие нельзя?
Самым полезным видом спорта при геморрое является ходьба. Специалисты утверждают, что нужно делать не менее 10-ти тысяч шагов в день. Такой нагрузки будет достаточно, чтобы не болеть геморроем, и поддерживать подтянутую форму тела.
Также массу пользы принесут кардиотренировки – плавание, медленный бег или спортивная ходьба. Кроме того, эти виды спорта подходят как для женщин, так и для мужчин.
В качестве лечения и для профилактики геморроя сегодня успешно применяется гимнастика. Гимнастические противогеморроидальные комплексы состоят из упражнений, которые направлены на улучшение работы кишечника и нормализацию кровотока в сосудах заднего прохода.
Существует множество различных видов зарядки против геморроя, но наибольшее количество положительных отзывов от пациентов и специалистов получили следующие:
- гимнастика для лечения геморроя по Кегелю;
- комплекс упражнений по Норбекову;
- йога.
Нужно понимать, что при геморрое не все упражнения можно делать, поскольку существуют те, которые могут усугубить течение болезни. Категорически запрещено выполнять те упражнения, которые приводят к чрезмерному напряжению мышц брюшного пресса, так как это повысит давление в геморройных узлах. Поэтому для больных геморроем противопоказаны следующие виды упражнений:
- поднятие штанги, гири, гантелей и других тяжелоатлетических снарядов;
- широкие и резкие махи ногами;
- глубокие приседания;
- качание брюшного пресса и другие.
Кроме того, следует отметить виды спорта, которыми нельзя заниматься в период обострения геморроя, а именно:
- велоспорт;
- гребля на байдарках;
- конный спорт и другие.
Пересиленные (что имела ввиду автор?) спортивные занятия допустимые только в период стойкой ремиссии.
Как правильно делать упражнения при геморрое?
Выполнение упражнений против геморроя в домашних условиях требует соблюдения некоторых правил, среди которых следующие:
- упражнения выполняют, предварительно опорожнив кишечник;
- для упражнений лёжа на полу надо использовать гимнастический коврик;
- зарядку следует делать в удобной одежде из натуральных тканей, которая не будет сковывать движения;
- чтобы избежать появления болей во время занятия гимнастикой, рекомендуется смазать задний проход мазью или ввести в него ректальную свечу с анестетиком;
- если во время выполнения упражнений вас, всё-таки, беспокоит боль в заднем проходе, то от подобных упражнений лучше отказаться и обратиться за консультацией к лечащему доктору;
- начинают противогеморройный гимнастический комплекс с лёгких упражнений, постепенно повышая их интенсивность;
- все упражнения делаются медленно и аккуратно с ровным дыханием;
- во время обострения геморроя при отсутствии выраженных болей занятия можно продолжать.
Самые эффективные упражнения при геморрое
К вашему вниманию самые действенные противогеморройные упражнения, а также наглядное видео по данной теме.
Гимнастика для профилактики и лечения геморроя
Упражнение №1 – горизонтальные ножницы ногами. Для выполнения этого упражнения нужно прилечь на пол и немного приподнять обе ноги вверх, чтобы между ними и полом образовался угол 45°, после чего начать медленно разводить и сводить ноги накрест. Повторите упражнение 50 раз.
Упражнение №2 – вертикальные ножницы ногами. Лёжа на полу, как в прошлом упражнении, сводите и разводите ноги вперёд и назад только мне непонятно как это делать? :). Сделайте упражнение 50 раз.
Упражнение №3 – широкие ножницы. Лёжа на полу, поднимите ноги высоко вверх и разведите их широко в стороны, после чего сведите. Необходимо сделать такое упражнение не менее 25-ти раз.
Упражнение №4 – утюжок. В том же положении задержите ноги над полом на 30 секунд, после чего опустите их. Выполните несколько раз это упражнение. С каждым повторением увеличивайте время фиксирования ног над полом.
Упражнение №5 – кошечка. Встаньте в коленно-локтевую позу медленно округлите позвоночник, после чего прогнитесь в поясничном отделе. Рекомендуемое количество повторений – 90 раз.
Упражнение №6 – прогиб. Лёжа на полу, оторвите таз от пола и задержитесь в такой позе несколько секунд, сильно сжав ягодицы. Выполните упражнение 40 раз.
Упражнение №7 – березка. Займите предыдущее положение тела и поднимите нижние конечности максимально вверх, поддерживая туловище руками. Простойте в этой позе сколько сможете.
Упражнение №8 – ходьба на ягодицах. Сидя на полу с ровными ногами, переместите одну ягодицу немного вперёд, потом другую. Выполняйте такие шаги на протяжении 10-ти минут.
Упражнение №9 – марш на месте. Маршируйте на месте, высоко поднимая колени, в течение 5 минут.
Этот комплекс гимнастических упражнений не имеет противопоказаний и подходит для пациентов любого возраста и уровня физической подготовки.
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