Mgbu dị n'okpuru Ọdụm kwesịrị ekwesị: ọdịdị, akpata, nyocha

Ihe mgbu n'okpuru ogwe aka nke aka bụ ihe mkpesa na-agwọ ọrịa. O nwere ike ịbụ ihe na-adịghị njọ (ịmịkọrọ akwara), ma nwee ike igosi ụdị ọrịa dị egwu maka ndụ na ahụike (sarcoma nke ọkpụkpụ), n'ihi ya, ihe ọ bụla mgbu n'okpuru Sistema kwesịrị ekwesị kwesịrị nlebara anya ma choo nlekọta ahụike ruru eru.

Nkwụsị aka: anatomical structure

Ogwe osisi ahụ bụ akụkụ nke ogwe ahụ, nke dị n'okpuru ebe eriri dị larịị nke a na-esite n'akụkụ ọnụ ala nke scapula, nke nwere eriri nke kwekọrọ na ntụgharị nke ókèala scapula; n'elu - eriri nke na - agba n'etiti etiti nke asaa nke vertebra cervical na spinal-acromial nkwonkwo, n'èzí - ókèala dị n'azụ nke muscle deltoid na ọdụm axillary. N'etiti etiti scapular ahụ bụ scapula - ọkpụkpụ atọ nke dị n'akụkụ ala elu nke eriri dị n'etiti ọgịrịji nke asaa na nke abụọ. E nwere ụdị dị iche iche nke scapula: edo, ogologo, warara, mkpụmkpụ, n'obosara. N'ihe nke ọbara na-enye ebe a na-ekpochapu, alaka nke ikuku subclavian, nke jikọrọ alaka nke axilry aorta, na-ekere òkè. A na-emegharị ọbara na veins nke otu aha ahụ, alaka nke brachial plexus na-enye ụkwara akwara na mpaghara ahụ.

Ụdị ihe mgbu n'okpuru ogwe aka nri:

• nsogbu ime obodo (somatic). A na-enwe mmetụta mgbe nile n'akụkụ akụkụ ahụ metụtara ma ọ bụ dị nso ya, na-ejikọta na usoro nke na-emetụta ọkpụkpụ mgbu nke ọkpụkpụ, nkwonkwo, ligaments, tendon, uru. Nhazi: mbufụt bụ spasm ahụ. Ọtụtụ mgbe nwere àgwà a kwụsịrị. Ọ nwere ike ịda mbà n'obi, ọ na-ewute, nnukwu. "Nwepu" mgbe ọ na-agbanwezi anụ ahụ / anụ ahụ mebiri emebi, jiri ọgwụ analgesics mee ihe n'ụzọ zuru ezu;
• Ihe mgbu gosipụtara. Ọ na-agbasa n'ime ókè nke dermatome (ngalaba akpụkpọ anụ), nke na-ejikọta na nhụba nke nsogbu nke akụkụ ahụ ma ọ bụ akụkụ nke vertebral. A na-akpata ya site na ọrịa nke pancreas, tract digestive, akụrụ, obi. O nwere ike ịdị omimi, na-egbuke egbuke, na-ejikọta ya na njigide nke mmegharị na njirija (nsogbu uche);

• na-egbuke egbuke. Na-eme n'azụ ọnya nke akwara / mgbọrọgwụ, a na-eji oké ike, distal mpụga site na mpaghara dermatome kwekọrọ. Ọ bụ nke na-adịghị ahụkebe - ọ na-ejikọta ya na nkwụsị nke usoro ahụ ụjọ. Ọ na-ejikọta ya na ihe ndị na-akpata vegetation / ọgba tum tum, na-ebelata ọbara ọgbụgba, na-agbanyeghị analgesics;
• ihe mgbu dysfunctional. Ọ na-adabere na mgbanwe na ọnọdụ arụmọrụ nke etiti sistemụ nrụọrụ na-achịkwa mgbu. Ihe na-eche echiche banyere ihe omume: psychological, social, emotional.

Ihe mgbu n'okpuru ogwe aka aja ziri ezi - gini ka ọ ga - abụ?

Mgbu na azụ n'azụ Sistem ziri ezi bụ mgbaàmà na-enweghị mgbagha nke ọrịa iri na abụọ. Ọ dị iche na mpaghara, ịcha, compressive, ịpị, nnukwu na-adịghị ala ala. O nwere ike igosi ọrịa nke usoro / akụkụ n'ime mpaghara scapular (akpụkpọ ahụ, akwara, ụbụrụ, ọkpụkpụ thoracic, irighiri mpaghara intercostal, eriri ọkụ / arịrịọ) na ọrịa dị n'ime akụkụ (imeju, eriri afọ, akụrụ, gallbladder).

1. Mgbu dị n'okpuru Sistem na-egbochi ọrịa nke scapula nke ụlọ obibi, ọnyá, àgwà mkparịta ụka:

   • mmekorita mmepe. Aplasia congenital (underdevelopment / absence) nke scapula ziri ezi dị oke obere, na-emekarị ka ọ dịrị na njikọta mkpụrụ ndụ ndị ọzọ nke usoro ihe mgbu: purotaid scapula na elu scapula. A ghaghi ichota oghere scabilid a na-achoputa nke a na-achoputa ya, nke na-akpata mmerụ, myopathy, ahuhu ahu;
   • mmebi / mgbawa nke scaa. Mwepụ nke scapula ziri ezi na-enweta ihe na-eme ka a na-atụgharị ya n'ahụ, ma ọ bụ ike mgbatị nke ogwe aka ahụ, ọkpụkpụ scapula ahụ, na-amịpụ n'èzí, nke na-eme ka mwepụ nke uru ndị na-adakwasị ókè ala nke ogwe aka na ezi na azụ. Mfe na nkwonkwo nke ubu dị oke mma n'ihi ihe mgbu n'akụkụ aka nri nke azụ. Na 45-50% nke ikpe, mmerụ ahụ nke scapula ziri ezi na-esonyere trauma na akwara na arịa;

   • exostosis. Ọ na-egosipụta onwe ya dị ka ihe na-eme ka a mara ya na mmeghari nke aka aka nri aka, mmetụta nke ịdị arọ, oké ihe mgbu n'okpuru scapula;
   • osteomyelitis scapula. Ọ na - amalite mgbe mmerụ ahụ meghere na njide aka nri (ọnyá ụbụrụ), tinyere ihe mgbaàmà nke ịṅụbiga mmanya ókè, ihe ngosi mpaghara (arụ ọrụ nke scapula, ihe mgbu na aka nri). Ịgagharị usoro purulent na akụkụ nke azụ azụ na-eduga n'ọkpụkpụ muscle miri emi na ụba mgbu;
   • ụfụ nke scapula. Mmetụta (reticulosarcoma, chondrosarcoma) na benign (chondroma, osteoma, osteoblastoklastoma, osteochondroma) bụ ajọ njọ, na-akpata nhụjuanya na-adịgide adịgide n'okpuru oghere scaa.

2. Ihe mgbu n'okpuru ogwe aka nke aka - ọrịa nke akụkụ anụ ahụ:

   • ala na-egbuke egbuke pyelonephritis. N'ọnọdụ nke abụọ nke oria a, mgbanwe nke anụ ahụ akụrụ ghọọ sclerotic, na-eme ka ọdịdị nke oge mgbu na-eme ka ahụ dị elu ma ọ bụ ala ala. Na usoro aka nri, ihe mgbu ahụ na-akwaga n'okpuru oghere scaa. Ihe ngosi nkuzi: ọgbụgbọ, okpomọkụ dị ala, mmerụ mgbu. Nnukwu mgbu nwere ike igosi na ọnụnọ nke purulent infiltrate n'ime akụrụ;
   • cholecystitis na-adịghị ala ala. Ọ na-egosiputa onwe ya site na nhụsianya mgbu na ịchọta mpaghara na mpaghara nke scapula ziri ezi site na azụ, na-etinye n'ime epigastrium. Mmegide na-eme na nkwonkwo, na-enweghị mmekpa ahụ pụrụ iche. A jikọtara ya na yellowing nke akpụkpọ ahụ, agbọ agbọ, ọgbụgbọ, ọnọdụ ikpo ọkụ;

   • nyocha nke bile ducts. Ụdị hypotonic DZHVP bụ nke a na-eji ngwa ngwa na-enwe ihe mgbu na hypochondrium kwesịrị ekwesị, nke a na-egosipụta n'okpuru scapula na aka aka nri, na-ewusi ike mgbe a na-emegharị ya, mmụọ miri emi. Ebumnuche kachasị dị na ihe mgbu na-akpata na-akpata ihe mgbu n'okpuru ogwe scaaman kwesịrị ekwesị na dyskinesia bụ nnukwu ihe ize ndụ nke ịmepụta cholelithiasis, nnukwu cholecystitis, gastroduodenitis;
   • kọlọtọ hepatic. Na-eme ka mgbu na-egbuke egbuke, na-egbuke egbuke aka nri aka nri, aka aka na n'olu. Ọ bụrụ na colic na-adịru 4-5 awa, mmetụta uche na-egbu mgbu gbasara na mpaghara dum abdominal, na-esite na vomiting na ọgbụ mmiri;

   • cholelithiasis. Akwụsịghị arụ ọrụ gallbladder egosipụtara site na nnukwu ihe mgbu n'okpuru ogwe aka, na-egosi n'olu, agba, ubu, ọ naghị adịkarị - n'ime obi (cholecystocoronary syndrome);
   • pancreatitis. Na nnukwu ogbo, a na-ejikọ ọrịa ahụ na shingles nke na-agbasa ọbụna n'okpuru mgbada abụọ ahụ. Mfịfụ nke isi pancreas na-akpata ihe mgbu, tinye uche n'okpuru ogwe aka dị mma ma chee na ọ bụ "ụlọ". N'ikpeazụ, ihe mgbu ahụ na-adịgide adịgide, anaghị akwụsị mgbe ọ gbanwere ọnọdụ ahụ, ọ naghị enweta ụkwara na ụkwara, inhaling, tensing;

   • cirrhosis nke imeju. Ihe omimi nke cirrhosis (okpomọkụ jumps, jaundice, pruritus, ascites) na "mmalite" nke cirrhosis bụ ihe mgbu n'okpuru mgbatị scaa na mbenata imeju;
   • aka elekota aka. Na 20-25% nke ikpe ọ bụ asymptomatic na nke mbụ, na-egosi onwe ya nanị na-enwe ihe mgbu oge oge n'okpuru Sistema ziri ezi. Ihe kwesiri ikpuchi anya: iku ume ngwa ngwa, oke ozo n'abali, enweghi ihe nzaghachi nye ogwugwu antipyretic, okpomọkụ di n'elu ogo 38 maka ato ato;

   • subdiaphragmatic abanye. Ihe mere e ji guzobe purulent ihe dị n'ime oghere dị n'etiti diaphragm na akụkụ ndị agbata obi bụ ọrịa nke ahụ na-ahụ maka nje bacteria. E nwere ihe mgbu n'okpuru ogwe osisi mara mma, na-arịwanye elu nke ukwuu mgbe ọ na-anwa ime ka ume dị ọkụ, obere mmụba nke okpomọkụ.

3. Ọrịa nke usoro ahụ mgbu:

   • osteochondrosis nke spine cervical. Ọ bụ ihe na-eme ka ọ dị njọ, nke dị iche iche nwere ihe kachasị mkpa n'iwepụta ihe mgbu: mgbachi / enweghi ike nke akụkụ vertebral, ikuku na-eme ka a na-agbaghasị ya, stenosis nke ọwara mmiri, arthrosis nke nkwonkwo ụkwụ. A na - eji ihe mgbochi dị iche iche na - enwe ihe mgbu na - ịchọta ebe dị azụ, na - enye n'okpuru ogwe aka dị mma, na nkochi, n'úkwù. N'ọtụtụ ọnọdụ, osteochondrosis na-ejikọta mkpịsị aka nke aka nri na isi ọwụwa;
   • scoliosis. Mgbagha nke atọ nke eriri (thoracic, cervical, lumbar), na-eme ka ihe mgbu na-egbu mgbu n'okpuru ogwe aka ziri ezi, n'azụ, n'ubu, ike ọgwụgwụ, arụ ọrụ na eriri afọ, afo, ngụgụ, akwara obi;

   • a ọrịa nke a na-eme ihe na-egosi na ọ na-eme ka mmadụ ghara ịkọ ihe. Na - ejikọta nsogbu dịgasị iche iche na ogwe aka / akụrụ, akwara, akwara, n'ihi arụmọrụ na - enweghị mmezi, ọrụ muscle siri ike ma ọ bụ mgbatị usoro nke ọkpọ ụkwụ, na - enye ihe ngbu na - enye n'okpuru ogwe aka ziri ezi;
   • bursitis. Usoro mkpali nke mgbochi nke synovial membrane nke aka aka nri aka na-akpata mgbu dị n'okpuru Sistema ziri ezi;
   • ụkwara nta nke scapula;
   • shingles. Mgbu nke na-ere ọkụ n'okpuru ogwe aka nke aka ya na nkwonkwo na-eme ka ganglionitis - mbufụt nke ndị na-anabata nerve dị nso-vertebral. Nnukwu ogbo nke oria a bu na enweghi ihe ozo di iche iche, nke bu ihe nchoputa ya. Ọdịdị nke ọkụ ọkụ nke herpes na oghere intercostal na-akọwa onyinyo ahụ ma na-eje ozi dị ka ihe ngọpụ maka ịkọ ọgwụgwọ antiviral.

   • ọrịa mgbu. Isi Iyi - isi ihe na-ebute, na-akpụ aka na tendon, fasciae, akwara. Ihe na-akpali akpali bụ mpaghara nke hypersensitivity, nrụgide nke na-akpata ọnyá mgbu na-egbu mgbu na flinch ("nrịbama ịrị elu"), ihe mgbu na ọnọdụ doro anya (ihe mgbu dị nhụsịrị), na-enweghị nsogbu. Ebe kachasị ewu ewu bụ akwara nke isi / n'olu, n'akụkụ aka nri nke azụ / ubu, nke na-akpata ọdịdị isi ọwụwa, lumbago n'olu na n'okpuru aka ekpe aka nri, na-egbuke ụkwụ, ụkwụ, ma ọ bụ. Ihe na-eche echiche: microtrauma nke uru ahụ, ogologo oge nke anụ ahụ, mmebi nke nkwụsịtụ, ihe mgbagwoju anya.

4. Nsogbu ndị na-adịghị na ọrịa:

   • intercostal neuralgia. Nkwụsị nke mgbọrọgwụ akwara na nkedo nke disks intervertebral n'akụkụ aka nri na-amalite megide mgbakwasị nke mkparịta ụka mgbe nile nke ngwụsị akwara n'akụkụ ebe ọpụpụ ha - na "okirikiri", nke dị iche iche na-akpụpụta (anụ ahụ, hernia, osteophytes). Dika mmebi nke disks intervertebral na-aga n'ihu, lumen na "okpu" na-agbakwụnye, ọbara nke na-ebute akwara na-adọrọ njọ, edema na mgbu na-apụta n'okpuru ogwe aka ziri ezi;
   • vegetative-vascular dystonia. Na mmepe nke nsogbu uche, nkwenye na-ezighi ezi nke usoro nchegbu autonomic na mmetụta nke ọnọdụ nrụgide na-arụ ọrụ dị mkpa, nke na-eduga n'ịgbaghasị ọrụ nke ọtụtụ usoro na akụkụ nke ahụ. VSD ụlọọgwụ na-adabere na nlekọta nke ọdịda vegetative. Vagotonia na-enwe mmetụta nke "ịdị jụụ" na enweghi ikuku, dizziness, ọgbụgbọ, nhụjuanya na-enweghị mmerụ na azụ, na-ekpochapụ n'okpuru ogwe aka ziri ezi.

Nhazi site na ihe mgbu

Mgbu na-egbu mgbu site na azụ azụ

Na-egosi nephritis, pyelonephritis ma ọ bụ cholecystitis na-adịghị ala ala. Mgbu na-egbu mgbu na scapula bụ ihe na-emekarị maka arụmọrụ dị njọ na ịchọta mpaghara n'ime akụkụ ahụ dị n'akụkụ aka nri. Neoplasms nke anụ ọkụkụ ziri ezi, akụrụ aka, pancreas na-egosipụta site na aka mgbochi aka na-egbuke egbuke n'okpuru mgbada.

Mgbu ntanetị n'okpuru Ogwe

Ihe mgbaàmà nke cholelithiasis, nnukwu cholecystitis, colic hepatic. Na 30-35% nke ikpe, nnukwu ihe mgbu n'okpuru scapula "na - ekwupụta" onwe ya nke gallbladder, nke na - esite n'inweta nri, oriri a na - achịkwaghị achịkwa nke oriri na - edozi ahụ, ihe karịrị mmetụta uche. Na mgbakwunye na ihe mgbu, ndị ọrịa na-eme mkpesa banyere ịba ụra, ụra nke ụra nke ọma, ike ọgwụgwụ, ike ọgwụgwụ, mgbakasị.

Ịtọ ihe mgbu n'okpuru ogwe n'aka nri

Ihe mgbu dị mkpụmkpụ, ọ bụghị ejikọta ọrịa ọrịa na-arịa ọrịa nke usoro / akụkụ. N'ọtụtụ ọnọdụ, ihe mgbu na-egosi ọrịa nchịkwa na osteochondrosis nke ọkpụkpụ thoracic / cervical, nke a na-akpali site n'ịgba ahụ ike, ntụgharị dị nkè nke akpati ma ọ bụ ọnọdụ ihu na-adịghị mma. Mgbe ụfọdụ, ihe mgbu na-agafe agafe bụ akara mbụ nke cholecystitis, mmalite nke colic hepatic, ma ọ bụ spasms nke mgbidi nke bile ducts.

Ntaghachi ihe mgbu n'okpuru Sistema ziri ezi

Ha "na-ekwu" banyere oge ikpeazụ nke subdiaphragmatic abscess, ọnụnọ nke purulent infiltrate na akụrụ, renal colic. N'okwu a, mgbu ahụ na-arịwanye elu mgbe ọ na-esite n'ike mmụọ nsọ, gosipụtara n'ubu na n'olu.

Na -eme ihe mgbu na scapula ruo n'aka nri

Ejikọtara ya na spasms nke uru nke ubu ubu ma ọ bụ ihe nrụpụta ihe nke okpukpu ogwu. Osteochondrosis nke mpaghara mpaghara bụ nke na-eweta ihe mgbu, na-enwewanye ike na njigide mgbe nile, na-agbanwe ọnọdụ nke ahụ. Maka ọrịa ndị ọzọ niile, ihe mgbu na-adọkpụ na-egbuke egbuke, na-ewepụ ụbụrụ nke ụbụrụ ziri ezi, akụrụ, imeju, pancreas isi.

Ọkụ na-ere ọkụ n'akụkụ ogwe aka ahụ ruo n'aka nri

Mgbu nke na-ere ọkụ nwere ike igosi nkwụsị nke mgbọrọgwụ akwara ma ọ bụ ọnọdụ dị ize ndụ chọrọ nlezianya ahụike ozugbo - ọrịa oyi n'akụkụ aka nri, angina.

Na-enwe ihe mgbu na scapula ruo n'aka nri

Ihe ngosi nke njirimara nke dyskinesia (nsogbu nke moto) nke bile ducts bu hypertensive. Mgbu ahụ na-amalite nwayọọ nwayọọ na hypochondrium kwesịrị ekwesị, na-enye n'okpuru ogwe aka nri, na aka nri.

Aching n'okpuru ubu aka nri n'azụ

Ihe akaebe nke usoro na-adịghị ala ala nke na-aga n'ihu n'ime akụkụ ndị dị anya. Ihe na-egbuke egbuke bụ ihe àmà doro anya nke mmetụ na pancreas, eriri afọ, akụrụ, imeju, nke a na-agaghị eleghara anya, ebe ọ nwere ike "zoo" ọrịa ndị na-ekesa ọrịa, nke na-egosi na ọ bụ ihe nhụjuanya na nke mbụ.

Ihe nwere ike ịkpatara mgbu mgbu oge:

• usoro tumato n'akụkụ aka nri nke LO;
• ala ala pyelonephritis / cholecystitis;
• cholelithiasis, osteochondrosis;
• latent pneumonia / pleurisy na anụ ezi;
• ịba ọcha n'anya / cirrhosis;
• ọrịa na-adịghị ala ala, pancreatitis.

Ihe mere enwere ihe ngbu n'okpuru ogwe aka ziri ezi

Mgbu na-egbu mgbu na akụkụ aka nri na-abụkarị n'ihi mgbagharị nke diski ahụ, mkpali na-aga n'ihu nke nkwụsị akwara. Mgbatị bụ nke mbụ nke hernia, bụ nke na-eme ka oge na-aga ịmalite ịmị ya, nke "na-enye" ​​ihe mgbu ka njọ.

Mgbaàmà nchegbu nke chọrọ nlekọta mberede

N'agbanyeghị ọtụtụ ihe na-akpata ihe ngbu na aka nri aka nri, e nwere ihe ịrịba ama dị ize ndụ ndị na-eyi ndụ egwu: nsogbu na-arịwanye elu, na-akpalite "afọ ukwu," hyperemia (aka ogo 40), aka nke aka, na-agbọpu "isi", cyanosis of skin , mkpụmkpụ nke ume, nkwụsị mberede na mgbatị / ọbara mgbali, na-agwụ.

Usoro nyocha

Site na ihe mgbu n'okpuru Sistem ziri ezi, nnyocha nyocha nke ọma na-eme ka o kwe omume ịkewapụ ndị ọrịa na nhụjuanya na-enweghị atụ. "Mgbaàmà nke iyi egwu," na-enye ohere ikwere na ọrịa ndị na-egbu ndụ: mmụba na-arịwanye elu na ihe mgbu, nrụgide nke mmegharị, ahụ mkpọnwụ, ọrịa uche, oncology na anamnesis, gbanwee ule ọbara / urine. Ezigbo etiology a na-atụghị anya nke ihe mgbu na ọdịdị ya kpọmkwem, nke nwere ike igosi ọnụnọ nke ọdịda mgbochi, usoro na-efe efe, ụbụrụ / ọrịa mkpịsị akwara, ọrịa ndị na-akpata ụbụrụ nke anụ ahụ - oge maka ịgakwuru ndị ọkachamara pụrụ iche (ọkachamara gastroenterologist, neurologist, cardiologist, traumatologist).

Algorithm maka nchọpụta dị iche iche nke ihe mgbu n'okpuru ogwe aka dị mma:

• ememenis nke ihe omimi, ihe ebumnuche ebumnuche nke ụdị ihe mgbu;
• mmụba nke eriri, ọbara mgbali;
• nkedo nke mpaghara nke interscapular, azụ;
• na-eme nnyocha ugbochi;
• njirimara nke ihe ngosi nke ihe mgbu;
• Mwepu nke nnukwu ọnọdụ na-etinye ndụ egwu nke onye ọrịa;
• nkwenye / mwepu nke ụbụrụ psychogenic nke mgbu ahụ;
• ihe omumu ndi ozo: ultrasound, MRI, CT cardiac, cardiogram, X-ray nke ogwu na thorax, FGD, bronchoscopy, ule / ọbara ule.

A ghaghị mesoo mgbu ahụ n'okpuru Sistem kwesịrị ekwesị naanị site na dọkịta bụ onye, ​​dabere na nyocha ahụ, na-ahọrọ usoro ọgwụgwọ kachasị mma maka ọrịa na-akpata na ihe mgbu na mpaghara ahụ. Usoro ọgwụgwọ nwere ike ịgụnye ịwa ahụ na usoro ịwa ahụ, ịhịa aka n'ahụ, okpomọkụ, reflexology na physiotherapy.