Plexopathy brachial plexus: Izimpawu kanye Ukwelashwa

Thola - kuyinto iyunithi yokwakheka libhekene usayizi esikhulu nokuba yinkimbinkimbi isakhiwo. Itholakala kwi underside kanye ohlangothini engenhla clavicle. Ehlombe avela yomgogodla futhi uyaqhubeka kuze umkhawulo ikhwapha aphansi. Lesi sakhiwo njalo nabantu abacabanga kanjalo ezihlukahlukene izinqubo sokugembula. Phakathi kwabo, ukunakekela okukhethekile kufanele ikhokhwe plexopathy. Siyini ngempela lesi sifo, iyiphi preconditions sokuthuthukisa has ukubukwa - izimpendulo zale mibuzo ethulwa sihloko lanamuhla.

zokugula incazelo

Plexopathy plexus brachial - isifo of nature ukuvuvukala, lapho kukhona ukulimala izakhiwo sezinzwa. Lesi sifo kuyingozi ngempela, ngoba kungaholela amalungelo ukukhubazeka. Lo mqondo ayihlanganisi kuphela ekulahlekelweni kwamandla ukusebenza. iziguli Plexopathy kancane kancane balahlekelwa amandla okwenza ngesandla eziyisisekelo ukunyakaza. Ngokuvamile abakwazi ukukhonza ngisho nabo ngokwabo, ngakho-ke, zidinga ukunakekelwa njalo.

Kuyinto nesineke kunzima ikakhulukazi ukuzivumelanisa nezimo ezintsha, lapho inqubo sokugembula kudlulela isandla ngalo yenza ukunyakaza eziyisisekelo. Yokutakula kudinga isikhathi esiningi nomzamo omkhulu. Ubuhlungu ukungakhululeki is iyakhula njalo uzama ukukhulisa esitho, noma ungamthatha ohlangothini. I ukuziyisa phambili izimpawu ukwandisa ebusuku.

I-International Ukwahlukanisa Diseases, ungathola incazelo eningiliziwe kuyini nokuthi plexus plexopathy brachial. ICD wokubuyekeza 10th ucabangela zokugula okunjalo ngaphansi ikhodi G55.0.

Ziyini izimbangela eziyinhloko zalokhu ukuvuvukala

I plexus brachial siqukethe amagatsha anterior we izinzwa engezansi entanyeni thoracic emsipheni umgogodla. Kusukela iphuzu yokwakheka buka, kuba esimweni esibucayi kakhulu. Eduze ehlombe ubabonisa sebuningini emithanjeni yegazi nasemasosheni itholakala ngokuqondile ngaphansi engxenyeni engenhla wamaphaphu.

Lezi kanye nezinye eziningi izici ezinquma imbangela isifo:

1. Ukulimala futhi umonakalo lokukhanda. Lokhu kungase kube umphumela engozini yemoto noma a lokugwazwa. Ezinganeni, plexopathy plexus brachial ngokuvamile kuba ngenxa yokuzalwa ukuhlukumezeka.
2. "Rucksack ukukhubazeka." Ukubukeka izimpawu zesifo kubangelwa eside egqoke isikhwama ku ihlombe elilodwa.
3. Scalene imisipha syndrome. Lesi simo sokugembula libhekene ukulimala imithambo yegazi nezinzwa igebe costoclavicular.
4. neoplasms Benign nesibulalayo. Isibonelo zakudala ubhekwa phezulu kwesokudla umdlavuza wamaphaphu. Amila kule plexus brachial futhi Dome diaphragm, isimila wabonakaliswa ubuthakathaka izandla nokudungeka wakhe.
5. kwempilo mzimba (Personeydzha-Turner syndrome).

Hhayi njalo plexopathy singakwazi ukubona ukuthi iyiphi enye ungalokothi uphuze isici. Kwezinye iziguli lesi sifo eba ngaphandle kwesizathu. Kulokhu sikhuluma ifomu idiopathic lesi sifo.

Izimpawu zokuqala

Isithombe basemtholampilo inqubo sokugembula libhekene ngokushintsha izigaba ezimbili. Neuralgia isigaba kuhambisana ubuhlungu esandleni okushiyashiyanayo ngamandla. Ngemva kuziwa kofé uhlangothi. Lesi sigaba libhekene ukuthuthukiswa lobuthakathaka esandleni kuze baxhashazwe ephelele.

Ubuhlungu plexopathy has a uhlamvu mihlobiso. Okokuqala, isiguli engazizwa ukungakhululeki. Ezinsukwini ezimbalwa nje angakwazi uvuke kusukela ubuhlungu babulawa. Ukungakhululeki ngokuvamile ukucasulwa ukunyakaza ngengalo ikhanda, ngemva ushintsho isikhundla umzimba.

Yini enye ine plexopathy brachial izimpawu plexus? Isithombe emitholampilo incike imbangela sifo. Ngokwesibonelo, lapho lesi sifo scalene imisipha isifo ephelezelwa umuzwa ndikindiki entanyeni isiphundu. Nge ukuziyisa phambili izimpawu ngokwanda ngokuhamba kwesikhathi.

Ngezinye ezihlukahlukene izinkinga zesimiso sokuzivikela somzimba zenzo ziwukubonakaliswa ezahlukene zesifo kancane. Against isizinda syndrome Personeydzha Turner plexopathy ukuqhutshwa kuhlasela. Okokuqala, kukhona ubuhlungu eqinile engalweni, okwandisa nge ukunyakaza. Khona-ke ukungakhululeki luyaphela, kodwa ngesikhathi esifanayo kukhona ubuthakathaka izicubu ibhande ehlombe. Isiguli kungaba ngokukhululekile ukuhambisa ingalo yakhe ngaleso esihlakaleni futhi indololwane amalunga omzimba, kodwa akunakwenzeka ukuba avuke. ukuhlaselwa okunjalo aphindaphindwe nge PERIODICITY ezahlukene.

Ukwahlukaniswa izifo

Plexopathy plexus brachial ungaba ngezindlela ezihlukahlukene:

1. I ukukhubazeka deltoid kwemisipha (ERB Syndrome), lapho ingalo ayikwazi ngomtshingo eceleni.
2. Ukukhubazeka we biceps, ugalo lomkhono ephelezelwa ukulahlekelwa ukuhamba emalungeni indololwane.
3. Ukukhubazeka we supraspinatus futhi imisipha infraspinatus kukwenza kungenzeki ukuba Ukujikeleza ehlombe. Sikhuluma ukuhamba, lapho umuntu ucele qondanisa emuva zakhe bese uyaqondisa kwamahlombe akhe.

Ezimweni sina ngokukhethekile lapho inqubo sokugembula ufinyelela kuzo zonke izinzwa we plexus brachial, ukwakha ukukhubazeka okuphelele ingalo. Kulokhu, esitho nesineke ilahlekelwa ukuzwela.

izindlela ukuxilongwa

Lapho izimpawu zokuqala plexopathy kudingeka afune usizo lukadokotela. Ukwelapha lokhu zokugula abathintekayo neurologists. Uma usola isifo plexopathy brachial plexus Sifo iqala ucwaningo isiguli kanye ukutadisha umlando walo. Khona-ke ukuthuthela izindlela wezinsimbi zophenyo.

Iningi ulwazi electroneuromyography ebonakala. Ukusebenzisa le nqubo, udokotela bakwazi ukuhlola isimo emsipheni ngamunye, okuvela kusukela plexus brachial. Ngaphezu kwalokho esimisiwe CT, i-MRI, kanye ultrasound ukusuka endaweni yenhlekelele. Lezizifundo enze kube nokwenzeka ukuba bahlole sezingeni inqubo sokugembula. Imiphumela yaloku kuhlola okungenhla umehluko Kwenziwa lezi zifo ezilandelayo: polyneuritis, neuritis radicular, sciatica nomgogodla wesibeletho, isifo sokuqaqamba kwamalunga we ngokuhlanganyela ehlombe.

ukwelashwa ngoludala

Ngesikhathi sokuqala ukwelashwa ku-isifo esigulini esingalalisiwe esibhedlela. Imithi, izidakamizwa ezilandelayo:

• Analgesics dipyrone based (zokususa emizweni ezingemnandi).
• Anticholinesterases (ngoba buthakathaka kwezicubu ukukhubazeka). Ngokwesibonelo, "Neostigmine" noma "galantamine".
• izidakamizwa kanye vitamin izakhiwo Nootropic (ukuthuthukisa umzimba emzimbeni).

ukwelashwa kuboniswa i-course okukhulu isifo. Physiotherapy anconywe iziguli kwathiwa unesifo "ezingamahlalakhona plexopathy plexus brachial." Le nqubo yokwelapha kulesi simo kuhilela ukusetshenziswa izicelo ngodaka, massage zokwelapha, kanye electrophoresis UHF.

kokungenela op

Uma ukuthuthukiswa isifo esibangelwa ukuhlukumezeka noma isimila, okubonisa ukusebenza. Phakathi ukungenela udokotela ohlinzayo kudedela "aboshezelwa" yezinzwa kwezicubu ezizungezile. Posttraumatic plexopathy plexus brachial iyaphendula kahle ekwelashweni uma isikhathi nesineke ukuze sicele usizo. Ngemva kokuhlinzwa, zidinga isikhathi yokutakula ubude, akutuseki indiva.

izinyathelo

Plexopathy plexus brachial emva Yiqiniso lokwelapha lungaba olungasayikuphinde lube khona. Ukuvimbela ekuphindeni lesi sifo, asikwazi sidebeselele izinyathelo.

Odokotela batusa ukubhukuda. Amakilasi echibini ivumela ukugcina umzimba isesimweni esihle, ukuvimbela okuvela kuyo ukuvuvukala kwamalunga. Ngaphezu kwalokho, ebhukuda nethonya elihle kwemizwa ngokomzwelo lomuntu.

Kuyasiza ukuba benze eminye nemidlalo. umsebenzi ngalokwenetisako ngokomzimba kuba nomphumela omuhle empilweni yomuntu ngasiphi yobudala. Ngokwesibonelo, elula sokuvivinya umzimba Imisebanzi yenyuse ngokuhlanganyela, ukuvimbela Ukuqina sekuyenzeka. umsebenzi zokwelapha kuqinisa amasosha omzimba, kwandisa ukumelana lomzimba ejenti ezihlukahlukene ezithathelwanayo.