Axillary mitsempha munthu: kapangidwe, ntchito ndi matenda zotheka

Axillary mitsempha ndi cheza ndi zigawo za thunthu kumbuyo kwa brachial plexus. Pansi olowa phewa chimafikira mitsempha opatsa nthambi imene innervates yaing'ono zozungulira minofu atembenuza manja outwards. Komanso axillary mitsempha akudutsa kumbuyo humerus lateral pamaso nagawira mu kutsogolo ndi kumbuyo nthambi kupereka gawo la mnofu deltoid. Nthambi kumbuyo anafotokoza mitsempha cutaneous, amene innervates ndi lateral pamwamba pa khungu pa minofu deltoid. Tiyeni tione mwatsatanetsatane za axillary mitsempha. thunthu lake lapadera.

kuwonongeka kwa mitsempha

Nthawi zambiri, kuwonongeka kwa axillary mitsempha kumachitika mu humerus zikukhudza kapena phewa dislocation. Nthawi zina anakhudzidwa pa idiopathic plexopathy plexus brachial yekha axillary mitsempha. Kodi likuoneka kuwonongeka kwa axillary mitsempha? Tiyeni tione m'nkhani ino.

Waukulu matenda chiwonetsero cha axillary mitsempha psinjika - kuphwanya atigwira phewa chifukwa cha kufooka kwa minofu deltoid. N'kudzandigunda dzanja akuyamba minofu Supraspinous, koma chifukwa wodwala akhoza kusunga mphamvu yochepa kutenga dzanja. Ndipo ngakhale kuti zingakhale ofooka teres zazing'ono minofu, si nthawi zonse zimaoneka mu kuona matenda chifukwa cha kugwira ntchito yachibadwa minofu podkostnoy.

matenda akhoza zotsimikizirika Apeze kufooka kwa minofu deltoid ndi nthenda EMG zizindikiro zokhudza kuzungulira ndi deltoid minofu yaing'ono. SPNV mitsempha axillary pamwamba timva kukhazikitsa minofu (deltoid) umamudziwikitsa kuchedwa angathe kapena yafupika matalikidwe MTD axillary mitsempha.

Neuropathy wa malekezero chapamwamba - pafupipafupi ndithu matenda katswiriyu ndi. Mwina kuonongeka ngati axillary mitsempha ndi mitsempha angapo nthawi imodzi, ndipo chotero zidzakhala zosiyana, ndipo chithunzi matenda a matenda. Kaya zimayambitsa matenda, wodwalayo amayamba kuona ululu, kuchita dzanzi, ululu komanso zizindikiro zina khalidwe.

zifukwa

Nthawi zambiri, odwala anakumana ndi neuropathy wa miyendo chapamwamba, amaona kuti mavuto awo okhudzana ndi kusagona tulo ndi kutopa, sipangakhalenso wobwezeretsedwa ndi zina zoyenera. zifukwa zambiri zingachititse manja polyneuropathy. Ambiri monga:

• Neoplastic Matenda - momwe chotupa sakutanthauza m'dera la phewa ndi armpit. Kutanthauzira akhoza kukhala aliyense.
• Ntchito zimene inasamutsidwa kale (pa malo opaleshoni pa nthawi magazi amathera zimafala bwinobwino, ndipo izi, nayenso, kumathandiza kuti minofu ya manja ndi edema mapangidwe, kuphatikizapo psinjika a mitolo mitsempha, imbaenda neuropathy).
• Long ntchito medicaments ndi wokhutira wa ndi chloroquine ndi phenytoin - zinthu zimenezi zinthu zoipa pa ulusi mitsempha.
• Kuvulala kwa miyendo ndi chitukuko wotsatira wa edema, mitsempha uzitsine - monga Motero, pali neuropathy.
• Ofalitsidwa matenda osiyana, monga TB, fuluwenza, diphtheria, HIV, nsungu, malungo ndi ena.
• Zonse hypothermia - thupi kuchepetsa kutentha ndi zoipa ndi yokhalitsa pamaso pa boma.
• Kupanda magulu akutiakuti a mavitamini m'thupi, nthawi zambiri vitamini B.
• Walitsa - amakhudza thupi zoipa.
• Kuledzera.
• zolimbitsa thupi amaika ndi akatumba amphamvu.
• matenda Endocrine, matenda a shuga komanso.

Kodi izo kumaonekera kuonongeka mitsempha axillary?

zizindikiro

symptomatology akhoza kugawidwa pulayimale ndi mnzake. Pamene mawonetseredwe a zizindikiro zazikulu, munthuyo amamva kupweteka moto, asavulaze iye tsiku lonse, komanso dzanzi chala, manja ndi dzanja wonse. Zizindikiro concomitant limapezeka:

• vuto kusuntha manja;
• kutupa;
• incoordination;
• contractions musanaganizire minofu, khunyu, omangana;
• ndichepe kutentha tilinazo;
• kumva kulasalasa nkhawa.

Kuonongeka axillary mitsempha: Matendawa

Kusankha njira yoyenera chithandizo, n'kofunika kuchita kufufuza zonse zimene wodwalayo, kuti mayesero, kutenga mayesero apadera kupenda bongo ndi mphamvu minofu. Mwa njira malangizo a matenda monga: maginito kumveka tomography, electroneuromyography.

Njirazi angazindikire kuwonongeka kwa mitsempha, kudziwa chifukwa ndi mmene kuvutika conduction. Ngati ndi kotheka, katswiri angatanthauze wodwala kuchita mayesero zina akatsimikizire kudwala ena. Izo zinali kokha pambuyo zotsatira akhoza matenda. nkhani kwambiri ndi zimachititsa chilumbachi wa axillary mitsempha.

neuropathy

Neuropathy axillary mitsempha limodzi ndi chiletso (kulephera) atigwira phewa, magulu ake mmbuyo ndi mtsogolo, m'dera esthesioneurosis, manja a minofu deltoid. Psinjika quadrilateral mipata - mumphangayo syndrome axillary mitsempha (triceps, yaikuluikulu minofu yozungulira humerus). ululu isanafalikire m'dera phewa ndi kumatheka chifukwa cha kasinthasintha ndi phewa atigwira. Zosiyanasiyana kumakhala kwa discogenic sciatica khomo lachiberekero ndi glenohumeral periarthrosis.

neuritis

Neuritis - Disease zotumphukira mitsempha (nkhope, intercostal, occipital, nthambi misempha) ali ndi chikhalidwe yotupa ndi kusonyeza pamodzi ndi kupweteka kwa mitsempha, minofu kufooka innervated munda tilinazo matenda. Ndi kugonjetsedwa kwa angapo matenda mitsempha wotchedwa polyneuritis. The ziyerekezo kwa mitsempha axillary kungathandize kwambiri pano.

mitsempha ntchito, innervation m'dera ndi kudziwa mlingo wa kuwonongeka kwa chithunzi matenda a neuritis. Nthawi zambiri, misempha zotumphukira amapangidwa ndi mitundu yosiyanasiyana ya ulusi mitsempha: autonomic, kwenikweni, galimoto. Kwa mtundu uliwonse wa neuritis amakhala ndi zizindikiro chifukwa cha kugonjetsedwa kwa aliyense wa ulusi:

• trophic ndi zipolowe vegetative chifukwa maonekedwe a zilonda venous, edema, Chimaona misomali, khungu cyanosis, dryness ndi kupatulira wa khungu, depigmentation ndi imfa m'dera tsitsi, thukuta ndi zina zotero;
• tilinazo matenda kuchititsa imfa kapena kuchepetsa zone tilinazo innervation, paresthesias (kumva kulasalasa kutengeka, kumva kulasalasa), dzanzi;
• mkhutu galimoto ntchito zimayambitsa kuchepa kapena imfa ya bongo tendon, paresis (tsankho) kapena ziwalo (amphumphu) kuchepetsa mphamvu innervated minofu ya manja.

Zizindikiro zoyambirira

Kwenikweni, zizindikiro loyamba kuvulala mitsempha ndi dzanzi ndi ululu. Chithunzi matenda a mitundu ina neuritis amasonyeza zizindikiro zapadera zimene imakhudzana ndi malo kuti axillary katundu mitsempha.

Neuritis wa axillary mitsempha yafotokozedwera kulephera youkitsa dzanja pambali, kuwonjezera kuyenda kwa olowa phewa, utachepa tilinazo wachitatu chapamwamba phewa, manja a minofu deltoid.

Wakutali axillary mitsempha zimakhudzira ndi brachial plexus choipa kapena dislocation mutu humeral. Zimenezi zimabweretsa imfa ya osonyeza manja mlingo yopingasa.

Pa Mzere ka khungu posteroexternal chapamwamba padziko phewa kusokonezedwa tilinazo. Nthawi zina pali kuvulala kwa lateral cutaneous mitsempha ya mkono ndi monyanyira mu tilinazo izi timitu-mmbuyo, mbali zozungulira wa mkono ndi. Onse misempha ya m'dera axillary.

Mwamsanga kuyenda kwa mitsempha akhudzidwa wa malekezero chapamwamba, makamaka ulnar, apakatikati ndi zozungulira, zidzakhala zokwanira kufufuza mtima kwa zoyenda ankaikira zala, dzanja ndi forearm. Koma kuyamba ndi kuonetsetsa kuti palibe zopinga kuti kayendedwe ka chikhalidwe makina chifukwa chitukuko cha contractures kapena ankylosis. Pamene wodwala adzachita kayendedwe kofunikira, katswiri ayenera kuonetsetsa chitetezo cha mphamvu ndi buku kayendedwe izi.

magulu minofu

Gulu lotsatira minofu zili m'gulu la galimoto innervation wa axillary (underarm) mitsempha:

The deltoid C5-C6:

• Pa kuchepetsa kumbuyo kwa dzanja anakweza chimakakamiza kumbuyo.
• Pa kuchepetsa gawo pakati pa phewa anatumizidwa ndege yopingasa.
• Pa kuchepetsa kutsogolo kwa nthambi anakweza anakoka patsogolo.

Teres zazing'ono minofu C4-C5, kulimbikitsa kunja kasinthasintha wa paphewa.

mayeso

Kudziwa mphamvu ya minofu deltoid, akhoza kuchitika mayeso zotsatirazi: wodwala akukhala kapena akukweza dzanja lake mlingo yopingasa, ndi dokotala pa nthawi chimatsutsana gululi, palpating minofu chidule.

Ndi kugonjetsedwa kwa axillary mitsempha, zotsatirazi akupezeka:

• Kutanganidwa tilinazo phewa padziko (verhnenaruzhnogo).
• Axillary mitsempha ziwalo, manja a minofu deltoid.

Zizindikiro amalumikizana ndi kutambasuka kwa manja wodwala zambiri zosakwana wathanzi. Ndipo ngati inu mutayang'ana pa mbali wodwala, zikuoneka kugawanika kulumikizana ndi mipata mu kutambasuka mapewa.