Ziwalo za Duchenne-Erb: Zoyambitsa ndi Chithandizo

chitukuko cha mankhwala mosalekeza. Tsiku lililonse, asayansi kuyambitsa mankhwala atsopano kupereka njira bwino ntchito akuchititsa. Ngakhale patsogolo kwambiri m'dera lino, choipa kubadwa vuto akadali zogwirizana. Kuopsa kwambiri yosabala ndi kudwala ndiponso zotsatirapo zake. Chitsanzo chabwino ndi matenda a ubongo, imene mwana akhoza kulowa mu njira ya yobereka, ndi brachial plexus choipa. Ngati kusintha anamuona pa Kapangidwe ka vertebrae khomo lachiberekero ziwalo anapezeka ndi Duchenne-Erb. The chikuchititsa mavuto a matenda ndi njira mankhwala ayankhidwa pansipa.

Kufotokoza mwa chidule za matenda

matenda zotumphukira wa ubongo imene akufotokozera chifukwa cha kuwonongeka kwa brachial plexus manjenje amatchedwa Duchenne-Erb. Nthawi zambiri yoyamba choipa kubadwa. Choncho, kudwala mChipangano obstetric ziwalo. Komabe, ichi si chinthu chokhacho chomwe chimayambitsa vuto limeneli.

Iwo amakhala ndi minofu kufooka ku malekezero chapamwamba, kuletsa kuyenda mu phewa ndi mawondo mafupa. N'zothekanso kuphwanya tilinazo, koma anapitiriza motility maburashi. Obstetric manjenje Duchenne-Erb Ndikovuta kuthana, ngati tigwiritsa ntchito chiwembu ambiri mankhwala. Chithandizo nthawi zonse anasankha payekha. wodwala wina pambuyo kumupima dokotala n'kukulemberani mankhwala kudya, ena - physiotherapy. Nthawi kwambiri makamaka opaleshoni. The Mapa apeze zimadalira kuopsa kwa kudwala ndi chokwanira cha mankhwala ake.

Chiyambi m'mbiri ndi ena ziwerengero

Ziwalo za Duchenne-Erb dzina lake polemekeza Madokotala aubongo awiri. Choyamba kufotokoza mwatsatanetsatane etiology matenda ndi chipatala. French dokotala G. Duchesne kwa zaka zingapo kuphunzira boma la achinyamata amene akudwala pambuyo kubadwa kovuta. Mu 1872, iye mwachidule zimene timaphunzira n'kupereka nkhani ya zizindikiro za ziwalo makanda. Kufanana kuphunzira matenda nawo dokotala wina ku Germany W. Erb. Iye anali wokhoza kufotokoza chithunzi anatomical wa chitukuko cha matenda ndi pathogenesis cha ndondomekoyi akuluakulu.

Malinga ndi kafukufuku, obstetric ziwalo za Duchenne-Erb igwera mu gulu la pathologies osowa. Panopa, monga matenda zikutsimikiziridwa makanda zikwizikwi. Ngakhale bwino nthawi zonse njira obstetric, matenda akhala vuto apakhungu a mankhwala amakono.

Zimayambitsa ziwalo mu akhanda

Ziwalo za Duchenne-Erb mu akhanda akufotokozera motsutsa likhale plexus zoopsa brachial. Mu ndondomeko ya kubala, ndi azamba ali kuchita zochita zosiyanasiyana kuthandiza mwana kuti abadwe. Tikumbukenso kuti mwina zinthu zoterozo yekha vuto la mwadzidzidzi. Pa mwai izi ndi zotheka:

• mwakayakaya makwerero minofu ;
• anatambasula za plexus brachial, mitsempha mitolo yopuma;
• zazing'ono magazi mu dera lomwe linakhudzidwa.

Ngati mwana wosabadwayo ndi chachikulu, ndi magawo ake sizikugwirizana kukula kwa ngalande kubadwa, ngozi za kuwonongeka kwa phewa olowa ukuwonjezeka kangapo. Kuthandiza mwana wanu kuti abadwe, anamwino amakakamizidwa kugwiritsa ntchito zipangizo zapadera. Pa magulu lakuthwa Ulusi brachial plexus mitsempha yopuma.

Zimayambitsa ziwalo akuluakulu

Mu ana okulirapo komanso akuluakulu, chitukuko cha kudwala ndi amaonera zoopsazo. Mwa izi kuwonongeka makina monga:

• samatha dzanja;
• khosi choipa;
• brachial plexus choipa mu woyendera nthambi;
• anatambasula.

Nthawi zina brachial plexus avulala chifukwa ngozi ya galimoto. yosowa kwambiri Erb-Duchenne ziwalo akuluakulu auka kwa chotupa poizoni kapena matenda. Kukula kwa ndondomeko pathological bwino zimayamba ndi TB matenda osefukira zovuta mawonekedwe, malungo ndi matenda a malungo.

Kodi zizindikiro amasonyeza matenda?

Ndi kukula otchedwa flaccid ziwalo anati imfa ya ntchito angapo a minofu (kukongola, deltoid, phewa). Popereka zizindikiro za kuwonongeka zimadalira chikhalidwe cha ulusi, kuvutika zimachitika conduction.

ana ambiri manjenje Duchenne-Erb kuonekera m'masiku oyambirira a moyo. Mwana amakhala nkhawa ndipo nthawi kulira. Chifukwa cha matenda ndi ululu mu nthambi. Komanso pa choipa brachial plexus zingasonyeze zizindikiro zotsatirazi:

• zonse ndi pang'ono anatsegula dzanja pa chigongono;
• utachepa minofu kamvekedwe;
• yafupika mpweya;
• dzanja nsinga ndi nkhonya ndi chala choyamba;
• wotumbululuka khungu.

Ngakhale kupanda ntchito ya dzanja zilonda, ana kawirikawiri amakhala otsika magalimoto buku. Komabe, ngati makanda anagona kuphwa pa m'manja mwa nthambi akhudzidwa adzakhala pang'ono kugwa.

Masiteji pathological ndondomeko otaya

Ziwalo za Duchenne-Erb anayamba mu magawo angapo.

Pachimake gawo kumatenga kwa maola angapo kwa masiku 2-3. Panthawi imeneyi, pali kuchepa kwa ntchito ya manja, amavutika kupinda mkono pa chigongono kwa ndondomekoyi.

Ndiye pakubwera gawo kuchira. Ndi mankhwalawa ya kuwukonza ntchito otaika zingatenge zaka zingapo. Chifukwa, mu kuwonongeka kwa mitsempha CHIKWANGWANI ndi edema Mwamsanga, ndi magazi abwezeretsedwa kwathunthu.

Atafa siteji ya zotsatira yotsalira kuti odalirika. Choncho, n'kofunika pamene wolakwayo zimayesetsa chithandizo. Pa siteji, zovuta zilizonse yotsalira ya zikunena achire ali makamaka operewera. Wodwala anakhudzidwa nthambi pang'onopang'ono hypertrophy, pamene anavulala kwambiri zikuwoneka mwana. Tsamba ndi mbali mtima mozondoka, m'mphepete likupita kutali msana. M'kupita kwa nthawi, kusintha zimenezi zimachititsa kupindika msana - kupindika msana.

Kodi matenda?

Zitsanzo za Duchenne-Erb kafukufuku manjenje akadali riveting chidwi asayansi padziko lonse. Koma masiku ano, matenda a ndondomeko pathological sayambitsa mavuto alionse. Pamene zizindikiro loyamba la dokotala wake Apite atabadwa kwa kukambirana ndi katswiriyu ndi zamafupa. Odwala wamkulu, mankhwala a matenda nawo ntchito akatswiri amenewa. Kuika katswiriyu matenda ayenera kuphunzira mbiri ya mtima, kuchititsa mayeso thupi. Pite ku tinafotokoza mwatsatanetsatane kwambiri monga:

• electroneuromyography;
• Kujambula;
• kompyuta myelography;
• dinanometriyu;
• reovasography;
• Ultrasound mosamala olowa phewa.

Childs, mawonetseredwe kunja matenda yokwanira kutsimikizira matenda. mfundo zonse chofunika kuti adalowa khadi kuchipatala wodwalayo. dokotala amapangitsa kapepala kupanga matenda, "Erb-Duchenne ziwalo." ICD-10 ankatuma matenda R14.0 code.

Komabe, kudziwa chikhalidwe cha kuwonongeka maphunziro awa chofunika. Aliyense wa njira matenda amanyamula ntchito zina ndipo akhoza m'malo ndi wina. Kuchokera pa zotsatira mayeso, dokotala anu mwina mankhwala mankhwala, komanso kupereka Mapa m'tsogolo.

mankhwala

ziwalo chithandizo akuyamba ndi njira ndiwofatsa. Mu gawo pachimake Sizotheka kudziwa mlingo wa kuwonongeka kwa ulusi chifukwa amphamvu minofu edema. Choncho, popanga munthu opaleshoni amaonedwa kukhala zosayenera.

Kodi mankhwala ntchito polimbana kudwala ichi, chapamwamba manjenje Duchenne-Erb?

1. Nonsteroidal odana ndi yotupa mankhwala: "Ibuprofen", "Amidopyrine".
2. Mankhwala kusintha magazi, "Pentoxifylline," "papaverine".
3. Anticholinesterase mankhwala patsogolo zilakolako mitsempha, "Neuromidin", "galantamine", "Neostigmine".
4. Yokonzekera normalization wa kagayidwe "Aktovegin", "Meksidol" vitamini maofesi.

Ndi kusintha kwa wodwala mankhwala mlingo ndi mlingo kamwedwe zosiyanasiyana.

Thupi ndondomeko mankhwala

Kulimbana ndondomeko matenda zikutanthauza otchedwa mankhwala malo. Pa nthambi wodwala ndi superimposed basi amene akhoza kuchotsedwa yekha pa nthawi ya njira za ukhondo.

Kukhalabe minofu kamvekedwe mapulogalamu, zinthu monga:

• kutikita nthambi akhudzidwa (kuyambira sabata yachiwiri);
• magetsi minofu kukondoweza ;
• physiotherapy ndi masewera olimbitsa chabe;
• kutema mphini;
• paraffin osambira;
• ozokerite.

Ubwino wa mankhwala ndiwofatsa zimatheka ngati tsankho chiwonongeko cha ulusi brachial plexus. Iye akhadikhira miyezi itatu, kenako chitani wounikira zotsatira zake. Ngati mfundo wodwala sizimawoneka yogwira kayendedwe ka m'zigongono, funso lokhudza ntchito.

alowererepo opaleshoni

Mfundo yaikulu ya opaleshoni yafupika kubwezeretsa kukhulupirika ulusi kuonongeka. Pakuti ichi khalidwe mitsempha thunthu pulasitiki. Panopa ndi ntchito kokha kuti akhoza kuthandiza odwala ndi matenda a "ziwalo za Duchenne-Erb." Mankhwalawa ikuchitika mu chaka choyamba cha moyo wa wodwala pang'ono, amapereka zotsatira zabwino. opaleshoni sikuchotsa zizindikiro za ndondomeko pathological. Iwo amalola kuti abwezeretse njira imene zikhumbo mitsempha ikuyenda. Kenako wasonyeza chithandizo ndiwofatsa ntchito mankhwala thupi, kutikita.

Mapa tsogolo

Iwo ayenera kumvetsa kuti mankhwala a ziwalo obstetric - ndi yaitali ndi kalavulagaga ntchito imene ikusowa chipiriro. malangizo onse dokotala ayenera kutsata ndendende kuti apeze zabwino. Ambiri mwa njira ndi anatambasula miyezi, makamaka mankhwala thupi ndi kutikita.

The ziwalo amakhala Duchenne-Erb: kulumala kapena kuchira? Mwatsoka, kupereka yankho lachindunji la funso zimenezi sizingatheke. Izi zidalira pa zinthu monga:

• choopsa zoipa;
• Timeliness ndi adequacy mankhwala;
• chilakolako kuchita kuwapempha dokotala onse.

Ngati zotupa tsankho la plexus brachial angayembekezere 100% kuchira. Osachepera akuti ziwerengero. Pamene mwayi wathunthu kudzipatula, mwatsoka, n'chochepa kwambiri.

zodzitetezera

Kodi n'zotheka kuteteza ziwalo za Duchenne-Erb? Photos wa ana aang'ono amene anali kulimbana ndi matenda, kwenikweni inu kuganiza za nkhani imeneyi.

Ndipotu, kupewa matenda ndi wosavuta. Amatanthauza chithandizo chokwanira kuti akalandire chithandizo, kusankha olondola njira yoperekera. Ngakhale pa siteji muyenera kusamalira Achiwembu chawo boma, yesani kudya bwino ndi kuchita kuchita masewera. mkazi wathanzi amakhala kubereka popanda pathologies. Kuwonjezera pa chisankho cha bungwe kuchipatala pomwe mayi woyembekezera wasankha kulankhula, ayenera kulankhula mosamala. Muyenera kuwerenga ndemanga za azamba, ndi ndondomeko yoperekera mu chipatala izi. Mukhozanso kukaonana ndi abwenzi amene kale anatha kuyesa udindo wa mayi. Ali ndi pakati kwambiri mwachindunji zofunika kumvera malangizo a gynecologist, musati kunyalanyaza malangizo ake.