Plexopathy brachial plexus: Zizindikiro ndi Chithandizo

Popezera mpata - ndi ankapoperamo anatomical yodziwika ndi chachikulu ndi kuvuta kukonza. Malowa ali pamtunda pa underside ndi mbali chapamwamba clavicle lapansi. Phewa zimachokera ku msana ndipo akupitiriza mpaka malire armpit m'munsi. nyumba imeneyi nthawi zonse poyera zosiyanasiyana njira pathological. Pakati pawo, mwapadera ziperekedwe plexopathy. Kodi matenda, preconditions aliyense chitukuko ndipo ali maganizo - mayankho a mafunso awa zili m'nkhani lero.

kudwala Kufotokozera

Plexopathy brachial plexus - matenda a kutupa chikhalidwe, mmene muli kuwonongeka kwa nyumba wamanjenje. matenda ndi lalikulu kwambiri, chifukwa kungachititse kuti ufulu chilema. Lingaliro Izi zikuphatikizapo osati imfa ya kuchita. odwala Plexopathy pang'onopang'ono kutaya mphamvu ya kuchita kayendedwe zofunika dzanja. Nthawi zambiri mukhoza satumikira okha Choncho, amafuna kusamaliridwa nthawi zonse.

Ndi kovuta mtima kuti azolowere zinthu zatsopano, pamene ndondomeko pathological imafika ku dzanja chimene amachita kayendedwe zofunika. Kuchira kumafuna nthawi ndi khama. Ululu kusapeza ndi nakweza nthawi iliyonse mumayesa kuukitsa nthambi, kapena apite naye pambali. Mphamvu ya zizindikiro kuwonjezera pa usiku.

Gulu mayiko a Matenda, mungapeze nkhani zimene tingachite plexopathy brachial plexus. ICD 10 younikanso kuganizira kudwala ngati pansi G55.0 code.

The chikuchititsa mavuto a kutupa

The brachial plexus tichipeza nthambi zapambuyo wa misempha m'munsi mwa khosi ndi thoracic msana mitsempha. Kuyambira mfundo anatomical amazionera, ndi ovutikawo kwambiri. Pafupi ndi phewa akupereka kuchuluka kwa mitsempha ya magazi, ndipo lili mwachindunji pansi kumtunda phapo.

Awa ndi ambiri zinthu zina kudziwa chifukwa cha matenda:

1. Ngozi ndiponso kuwonongeka makina. Izi zikhoza kukhala chifukwa cha galimoto ngozi kapena chilonda kubaya. Ana, plexopathy brachial plexus zambiri chifukwa cha zoopsa kubadwa.
2. "Rucksack ziwalo." Maonekedwe a zizindikiro za matenda chifukwa cha kuleza atavala thumba pa phewa limodzi.
3. Scalene minofu syndrome. chikhalidwe ichi pathological yodziwika ndi kuwonongeka kwa mitsempha ndi mitsempha costoclavicular kusiyana.
4. Chosaopsa ndi zilonda neoplasms. Chitsanzo chachikulu tingachipeze powerenga ankaona kuti pamwamba pa khansa ya m'mapapo bwino. Zinamera mu plexus brachial ndi zakulera mzikiti, chotupa akuwonetseredwa kufooka kwa manja ndi dzanzi ake.
5. Various matenda m'thupi (Personeydzha-Turner syndrome).

Osati nthawi zonse pa plexopathy akhoza kudziwa wina zinanso iliyonse chinthu. Odwala ena matenda akufotokozera popanda chifukwa chenicheni. Pankhaniyi tikulankhula za mtundu idiopathic matendawa.

Zizindikiro zoyambirira

Chithunzi matenda a ndondomeko pathological yodziwika ndi kusintha magawo awiri. gawo Neuralgia limodzi ndi ululu mu dzanja la kusinthasintha kwambiri. Pambuyo pakubwera manjenje. imeneyi amakhala ndi chitukuko cha kufooka mu dzanja mpaka kulephera kuyenda wathunthu.

Ululu plexopathy ali ndi khalidwe wavy. Choyamba, wodwala safuna kumva nkhawa. Patangotha masiku ochepa akhoza kudzuka ku ululu mumamva. Kusapeza nthawi kukula ndi kayendedwe ka mkono ndi mutu, pambuyo kusintha malo thupi.

Kodi aliyense ali plexopathy zizindikiro brachial plexus? Chithunzi matenda zimadalira chimayambitsa matenda a. Mwachitsanzo, pamene vuto scalene minofu matenda limodzi ndi kumverera kwa dzanzi mu khosi ndi kumbuyo kwa khosi. Ndi mphamvu ya zizindikiro kuonjezera pa nthawi.

Pa zosiyanasiyana matenda m'thupi ndi mawonetseredwe zosiyanasiyana za matenda pang'ono. Against maziko a matendawa Personeydzha Turner plexopathy chimaposa kuukira. Choyamba, pali ululu amphamvu mkono wake, amene kumawonjezera ndi kayendedwe. Ndiye kusapeza umatsika, koma pa nthawi yomweyo pali kufooka kwa minofu lamba phewa. Wodwala momasuka kusuntha dzanja lake pa dzanja ndipo chigongono mafupa, koma sikutheka adzauka. zoopsa zotere abwerezedwa ndi periodicity osiyana.

gulu la matenda

Plexopathy brachial plexus akhoza kukhala njira zosiyanasiyana:

1. The deltoid minofu ziwalo (syndrome Erb a), zimene dzanja sangathe chiwombedwa pambali.
2. Ziwalo za kukongola ndi mkono limodzi ndi kufa kuyenda mu chigongono olowa.
3. Ziwalo za supraspinatus ndi minofu infraspinatus kukhala kosatheka kuti kasinthasintha phewa. Tikuyankhula zokhudza kayendedwe ka, pamene munthu anafunsa kuwongola nsana wake ndi kuwongoka mapewa ake.

Nthawi makamaka kwambiri pamene ndondomeko pathological chimafikira kwa misempha yonse ya brachial plexus, kukhala ziwalo wathunthu wa mkono. Pankhaniyi, nthambi mtima wotaya tilinazo.

njira matenda

Pamene zizindikiro woyamba plexopathy ayenera kupempha thandizo kwa dokotala. Mankhwalawa kudwala izi nawo Madokotala aubongo. Ngati mukukayikira matenda plexopathy brachial plexus Matendawa amayamba ndi kafukufuku wa wodwalayo komanso kuphunzira za mbiri yake. Pite ku njira malangizo a kufufuza.

Kwambiri nkhani yodziwika electroneuromyography. Ntchito njirayi, dokotala akhoza kuonanso bwino udindo wa aliyense mitsempha, wochokera ku brachial plexus. Komanso yoikidwiratu CT, Kujambula, ndi ultrasound za m'dera. Maphunziro awa n'zotheka kuti aone mmene ndondomeko pathological. Matenda masiyanidwe ikuchitika ndi matenda otsatirawa: polyneuritis, radicular neuritis, sciatica khomo lachiberekero msana, nyamakazi ya olowa phewa.

chithandizo ndiwofatsa

Pa siteji yoyamba ya mankhwala pa matenda outpatient maziko. Mankhwala, mankhwala zotsatirazi:

• Analgesics zochokera dipyrone (kochotsa zomverera zosasangalatsa).
• Anticholinesterases (kwa minofu kufooka ndi ziwalo). Mwachitsanzo, "Neostigmine" kapena "galantamine".
• mankhwala ndi maofesi vitamini Nootropic (kusintha kagayidwe mu zimakhala).

mankhwala akusonyeza kuti njira pachimake matenda. Physiotherapy ali akulimbikitsidwa odwala ndi matenda a "aakulu plexopathy plexus brachial." Mankhwalawa mu nkhani iyi ikukhudza ntchito ofunsira matope, mankhwala kutikita, ndi UHF electrophoresis.

ntchito alowererepo

Ngati chitukuko cha matenda amayamba ndi kupwetekedwa kapena chotupa, kusonyeza ntchito. Pa phukusi la dokotala wa akumasula "clamped" mitsempha ulusi ozungulira zimakhala. Posttraumatic plexopathy brachial plexus amayankha bwino mankhwala ngati nthawi mtima kupempha thandizo. Pambuyo pa opaleshoni, imafunika nthawi yaitali ndinachira, omwe si bwino kunyalanyaza.

zodzitetezera

Plexopathy brachial plexus patapita Inde mankhwala kumachitika kachiwiri. Popewa zisadzachitikenso matendawa, sitingathe kunyalanyaza zodzitetezera.

Madokotala amalangiza kusambira. Makalasi mu dziwe zimathandiza kuti thupi mu mawonekedwe abwino, kuteteza zosayembekezereka kutupa mu malo. Komanso, kusambira ndi ubwino pa maganizo maganizo a munthu.

Ndi zothandiza kuchita masewera ena. Mokwanira zolimbitsa thupi kuli ndi ubwino pa thanzi la munthu ku m'badwo uliwonse. Mwachitsanzo, yosavuta thupi mankhwala Zochita angadwale olowa zoyendayenda, kuteteza ossification. zolimbitsa thupi achire kumalimbitsa chitetezo cha m'thupi, kumawonjezera kukaniza thupi wothandizila osiyanasiyana opatsirana.