Mgbu dị n'okpuru ụdọ aka ekpe n'ihu na n'azụ: akpata ma soro ihe mgbaàmà

A na-akpata ihe mgbu nke na-eme n'akụkụ aka ekpe n'okpuru ọnyà dị iche iche na-akpata ọrịa dị iche iche na ọnyá nke abdominal and thoracic organs. Ọrụ kachasị mkpa nke nchoputa bụ mkpebi nke kpọmkwem ọnọdụ nke ọrịa mgbu, nke na pasent 80 nke ikpe na-enye onye ọ bụla ohere ịchọta ọnụnọ nke ọrịa na akụkụ ahụ. Onu ogugu nke abia na-ejiko ngalaba ato: iliac, sub-ribbed and sideral. A na-akpọkarị ihe mgbu nke gosipụtara na ihe ndị a na ọgwụ na-agwọ ọrịa dịka "ihe mgbu n'okpuru ụdọ aka ekpe."

Kedu ihe dị n'okpuru ụdọ aka ekpe nke mmadụ?

Akụkụ aka ekpe bụ hypochondrium bụ mpaghara dị n'akụkụ aka ekpe nke etiti abdoma n'okpuru obere ọgịrịga abụọ. Lee: obere eriri afọ, splin, akụkụ nke afọ, pancreas, eriri afọ ukwu, diaphragm, akụrụ na ureter. Mgbu bụ nchikota nke ihe na-akpata ahụike na nke na-eme ka ọbara nwee ike ịdaba n'akụkụ ụfọdụ nke ahụ. Nke mbụ bụ nsogbu nke trophic (usoro na-eme ka nchebe ọrụ / cellulose), nke abụọ bụ nsị nke anụ ahụ n'ihi mbufụt, nke na-eduga na mmebi nke ndị na-anabata nerve, nke atọ - emebi akwara / tissues n'ihi arụmọrụ mpụga, nke anọ - mgbanwe na membranes mucous n'ihi mmetụta nke pathogenic microorganisms.

Mgbu dị n'okpuru ụdọ aka ekpe - àgwà:

• akwa mgbu. Mgbu mberede mberede na akụkụ aka ekpe n'okpuru ọgịrịga bụ oge maka oku mberede maka ụgbọ ala. Ọ na-egosi nkwụsịtụ (nkwụsị) nke loops nke obere eriri afọ, mgbidi nke afọ, na mgbada azụ ma ọ bụ azụ. Ọ bụrụ na ịlụ ọgụ ahụ na-eme ka a na-asụ ude, nke a na-egosi mbibi dị ize ndụ nke akụkụ ahụ nke na-etinye ndụ egwu;
• nsogbu mgbu. Mgbochi, mgbu dị oke ala n'okpuru onu na-egosi usoro mkpesa ngwa ngwa. Vomiting na-emetụta ya bụ ngosipụta doro anya nke ọnyá afọ. Ihe mgbu na-egbu mgbu n'akụkụ 40% nke okwu na-egosi ọrịa obi na-egbu egbu na angina pectoris;

• ihe ojoo. Mgbu na-egbuke egbuke na ịta ahụhụ na akwọ aka ekpe na-egosi ọrịa ndị na-adịghị ala ala nke trastrointestinal tract: cholecystitis, gastritis, pancreatitis.

Kedu ihe pụrụ imerụ n'okpuru ụdọ aka ekpe?

Mgbu dị n'okpuru ọgịrịga bụ ihe mgbaàmà na-enweghị nkwekọ, ya mere, ọ dị mkpa iburu n'uche ihe niile na-apụtaghị ìhè na ọrịa ahụ: mmepe, ọdịdị, ike, oge, ọnọdụ nke mmelite / nkwụsị, oke ụba.

1. Ihe mgbu n'okpuru ụdọ aka ekpe - ọrịa nke afo:

   • gastritis. Mmetụta na-adọrọ adọrọ na ụbụrụ mucosa gastric na-eduga ná nsogbu ya na mbufụt, na-eme ka mgbu na-egbu mgbu n'akụkụ aka ekpe n'okpuru ụdọ ahụ n'ihu, na-esote ya site na nrekasi obi na vomiting. Ihe mgbaàmà nke mgbagwoju anya nke gastritis: belching, ọkụ veggastria, ọnyá na-adịghị mma, ọnụ na-adịghị mma na mpaghara epigastric, afọ ọsịsa / afọ ntachi, adịghị ike n'ozuzu, sweating, mgbakasị, belata uche na ngwụsị (elu / ala);

   • ọnyá afọ. Ngosipụta nke ọnyá afọ peptic na-adabere n'ogologo oge ahụ na ike. Site n'ọrịa afọ ọnyá, n'ụzọ dị iche na ọnyá afọ duodenal, ihe mgbu dị n'okpuru ọgịrịga ahụ gosipụtara mgbe o risịrị nri, ọ bụghị n'arịa efu. A jikọtara ya na vomiting mgbe o risịrị nri, ọnwụ ọnwụ, "acidic" eructation, burnburn;
   • neoplasms. Ihe nrịba ama nke usoro ogwu bu ihe na-adigide n 'onu ogugu nke aka ekpe, obughi ihe oriri. Na nke mbụ, ọrịa cancer afọ na-enye m ihe mgbaàmà dị oke nta ma gosipụta onwe ya dịka "obere ihe ịrịba ama" - dyspepsia (mmetụta nke nrụgide, nhazi, nrekasi obi), imechi ihe anụ ahụ, ọnwụ, ọnwụ nke agụụ, ngwa ngwa ngwa ngwa. N'ọgwụgwụ ikpeazụ ọkpụkpụ na mgbapụta "kọfị kọfị" esonyere;

   • ihe nkedo nke afo ọnya. A na-ahụ ya site na e guzobere oghere na mgbidi ime afo, nke na-akpata nnukwu "dagger" dị n'okpuru ọgịrịga, ike siri ike, ọnwụ nke nsụhọ.

2. Mgbu dị n'okpuru ụdọ aka ekpe - usoro mmụta nke azụ mmiri:

   • enwekwu oke nke splenengaly. Mgbu dị n'akụkụ na-esi na mmụba na spleen na overgrowth nke capsule - a na-emekarị ihe mgbaàmà n'ime mononucleosis. Na mgbakwunye na ihe mgbu ahụ dị n'okpuru ọgịrịga ahụ, ọrịa ahụ bụ adịghị ike n'ozuzu, adịghị ike okpomọkụ, isi ọwụwa, dizziness, oké sweating, nkwonkwo na nkwonkwo ahuhu, ọnya lymph node, imeju mmụba, ọrịa herpesvirus na mpaghara elu / elu ọnụ;
   • ngbapu nke ugbo. Isi ihe kpatara ọnọdụ ahụ bụ mmetụta anụ ahụ na-eto eto, nke na-eduga na mgbu dị egwu n'akụkụ na cyanosis nke akpụkpọ ahụ n'akụkụ otu, nke sitere na nchịkọta ọbara na mpaghara a;

3. Mgbu dị n'okpuru ụdọ aka ekpe - nsogbu na diaphragm

   Ọ bụrụ na ọ na-afụ ụfụ n'okpuru ọgịrịga ahụ, ihe kpatara ya nwere ike ijikọta ya na nhazi nke hernia. Ọkpụkpọ ahụ, nke na-eje ozi dị ka ngere n'etiti eriri akpụkpọ anụ na akwara afọ, nwere oghere maka ụzọ nke esophagus. Mgbe nchịkwa akara nke anụ ahụ na-emeghe ahụ na-ebelata, ọ na-agbasawanye, nke na-eme ka o kwe omume maka eriri gastric dị elu karịa ikuku na-abanye n'ime oghere thoracic. A na-enwe ọgwụ mgbochi diaphragmatic site na nhụjuanya na-egbu mgbu mgbe nile, n'akụkụ aka ekpe, nrekasi obi, ọgbụgbọ. Mgbe emebisị afo, enwere ihe mgbu na-egbu egbu ma na-egbuke egbuke n'okpuru aka ekpe.

4. Uche obi:

   • ọrịa na-edozi ahụ. Ndabere bụ ịdaba nke ọbara nye obi ike n'ihi ọrịa ọrịa akwara ọbara. Ischemia na-ejikọta ya na ọgbụgbọ, ụba nke obi, mkpụmkpụ ume, ike dị n'ime obi, ihe mgbu na-egbu mgbu n'okpuru ọgịrịga;
   • cardiomyopathy. Otu ìgwè nke ọrịa nke obi ike, nke ihe owuwu ahụ gbanwere na ọrụ ya na-emebi. A naghị ejikọta ọrịa mmụta na ọbara mgbali elu, ngwa valve, arịa. Ọkpụkpụ dị n'okpuru ọgịrịga na-egosipụtakarị mgbe ọ bụla na-arụ ọrụ ahụ. A jikọtara ya na ike ngwa ngwa, adịghị ike, ụba obi ya.

5. Ọrịa Rheumatic nke spine:

   • emebi ihe jikọrọ nkwonkwo nke nkwonkwo na muscular dystrophy, n'ihi nkwụsị nke akwara nke abdominal press;
   • costochondritis. Mbufụt nke cartilages na ejikọta sternum na ọgịrịga ahụ, na-eme ka mgbu ma ọ bụ ihe mgbu dị n'akụkụ n'akụkụ akwara, nke na-eme n'oge ume miri emi. Ihe di mkpa: chondria ribiti nwere ike ichota mgbagwoju anya site na mgbachi obi n'ihi ihe mgbaàmà yiri nke a. Ihe dị iche bụ na ihe mgbu site na chondritis na-abawanye na palpation, site na nkụchi obi - adịghị abawanye;

   • pinyere akwara. Hernia / deformation nke disversion, nke osteoporosis, spondylitis nwere ike ime ka ọnyá / ọnyá na ọnyá thoracic, nke a na-egosipụta site na ọkụ, ihe mgbu n'akụkụ, nkwụsị ma ọ bụ ụkọ;
   • ọnyá nke ọgịrịga / ribs n'akụkụ aka ekpe. Ogbugbu na-esiwanye ike site na mkpali nke ahụ dị elu na ume miri emi, "epupụta" mgbe o nwesịrị ọgwụ mgbu;
   • sarcoma na ọgịrịga. Ụbụrụ kachasị mma nke ọrịa Ewing sarcoma ezinụlọ bụ usoro ọjọọ nke na-emepụta ọkpụkpụ na anụ ndị gbara ya gburugburu. Ụdị ụbụrụ a na-ahụkarị site na ụlọ ọgwụ siri ike, mgbasa ngwa ngwa ngwa nke metastases, oke pasent nke nlọghachi azụ. Ihe ize ndụ nke ọrịa ahụ dị njọ site na eziokwu ahụ bụ na ọgịrịga dị n'akụkụ akụkụ dị mkpa - ogwe nke Central Nervous System, ngụgụ, na obi.

6. Ọrịa

   Nsogbu dị ukwuu n'akụkụ dị n'okpuru ọnya ahụ nwere ike ime ihe kpatara ya. Mmetụta nke cartilaginous, bony, anụ ahụ dị nro na-eme n'oge mpụga anụ ahụ (mmetụta, ọdịda). Nhụjuanya nwere ike ịdịgasị iche iche - site na obere ọnyá dị iche iche ka ọkpụkpụ / mgbawa na ụra, nke nwere ike ibute nkwụsị nke akụkụ ahụ.

7. Neuralgia

   Mmekọrịta imechi Intercostal na-eme mgbe ndị na-anabata intercostal na-afụ ụfụ / iwe. A na-eji ihe dịgasị iche iche egosipụta ihe mgbu ahụ: paroxysmal, dull, piercing, nnukwu, ọkụ. N'ịbụ onye ụba dị elu, reddening nke akpụkpọ ahụ, na-ejikọta ahụ ike, na-ebuwanye ibu megide ụzụ nke mmegharị mberede, ụkwara, nsị, na-adanye n'ime mpaghara lumbar na n'okpuru scapula.

8. Ọrịa nke arịrịọ:

   • pleurisy (aka ekpe). Usoro mmebi ahụ, nke a na-ahụ n'ime akpụkpọ anụ ahụ, na ntinye nke fibrin (protein dị arọ dị arọ) dị n'elu ya na-acha ọkụ, na nchịkọta nke mmiri n'ime oghere ezuruzu - na ụdị ihe ngosi. Mmetụta ihe mgbu dị n'okpuru ụdọ na-ejikọta na ụkwara, iku ume, na-adabere na ntụgharị ihu. Ihe mgbaàmà dị na mgbagwoju anya: oke dị n'akụkụ aka ekpe nke sternum, ụkwara akọrọ, mkpụmkpụ nke iku ume, ụba nke ụbụrụ ara, pallor nke ụkwụ / ihu, sweating, fever, breatlow breathing;
   • ka oyi baa (n'aka ekpe). Ịmịfu nke anụ ahụ dị na lobe nke ụbụrụ aka ekpe na-eme ka ọkpụkpụ ahụ (60-65% nke ikpe) ma ọ bụ "oke" (35-40%) mgbu na hypochondrium. Pneumonia "na-amalite" na ụkwara akọrọ, izugbe n'ozuzu, ọnyá na akpịrị, adịghị ike. Ụlọ ọgwụ na-agbasawanye ọrịa ahụ gụnyere ọrịa na ụkwara na ọtụtụ purulent sputum.

9. Ọrịa nke pancreas:

   • pancreatitis. Ihe ngosi nke nnukwu pancreatitis bụ oké ihe mgbu n'akụkụ aka ekpe na mpaghara mpaghara. Na pancreatitis, enwere mgbe niile na-egosi na ọ na-egbu mgbu, nke na-esite na vomiting "isi mmiri" na-adụkọta nke bile nke na-adịghị eweta ahụ efe. Ọganihu na mmebi isi nke akụkụ ahụ na-eme ka jaundice mejupụtara, tinyere nkọwa nke ihe mkpuchi, agba ọchịchịrị nke mmamịrị, yellowing nke anụ ahụ. Ihe na-adịghị ala ala bụ ihe mgbarụ na-egbu mgbu nke dị n'okpuru ọnyà, ọnọdụ oge ụfọdụ, ọgbụgbọ, obi ilu na ọnụ;
   • ọrịa kansa pancreatic. Ọ naghị enye ihe mgbaàmà ọ bụla ọzọ, ma e wezụga n'ihi ihe mgbu dị ogologo ma dị ogologo n'okpuru ụdọ na n'etiti etiti afọ, ya mere, a na-ahụkarị neoplasm dị njọ nanị na njedebe ikpeazụ.

Ọ na-afụ ụfụ n'okpuru ọgịrịga ahụ na ala

Mgbu dị n'akụkụ dị n'okpuru bụ ihe mgbaàmà kachasị anya nke igbochi mgbawa. Mmetụta obi ojoo na-ebute na mberede, "na nha anya" - ha adịghị aga n'ihu tupu ha ebute ma ghara ịdabere na nri oriri. Mwakpo ndị na-agba egwu na-emegharị ugboro 15-20 ọ bụla, ọganihu nke ọrịa ahụ na-eduga ná nkwụsị nke nnukwu mgbu, nke bụ ihe mgbaàmà na-adịghị mma, ebe ọ bụ na ọ na-egosi nkwụsị nke ọrụ ahụike nke eriri afọ.

Ọ na-afụ ụfụ n'okpuru ọgịrịga n'azụ

Mmetụta ụfụ na-ebute n'azụ ọgịrịga, na-egosi na ọnụnọ nke pathologies nke akụrụ aka ekpe:

• urolithiasis. A na-eji ya emepụta ihe na akụkụ nke usoro urinary. A na-egbu ọrịa ahụ, na-enwe ihe mgbu na-egbuke egbuke dị n'akụkụ, na-enyeghachi, nke a na-agbakwunyere ugboro ugboro mgbe ọ gbasịrị ike, ogologo njem, ụgbọ elu na-agba ọsọ. Mgbochi nke ureter site na nkume a gbapụrụ agbawa na-egosipụta onwe ya site na mgbu nke spasmodic na mpaghara lumbar, na-agbọ agbọ, ọbara na mmamịrị, ma na-akpọ maka ọgbụgbọ. Nsogbu mgbu dị egwu n'akụkụ na n'ihu na-egosi ọganihu nke nghazi ahụ dịka ureter;
• pyelonephritis. Mbufụt nke akụrụ, na-emepe emepe megide nzụlite nke ọrịa nje. Mmetụta ihe mgbu dị nro, nwere ike ịdị ike ma ọ bụ dị nwayọọ, na-eso na nsị ịṅụbiga mmanya ókè, mmụba nke okpomọkụ ruo ogo 40, ịme agbọ, ọgbụgbọ. Ejiri ihe mgbu na-egbuke egbuke na-egbuke egbuke pyelonephritis ekpe-aka ekpe, ihe mgbu na-egbu mgbu, nsogbu na adịghị ike.

Mgbu na-ekpe aka na hypochondrium nwere ike ịpụta n'azụ ya na nchịkwa nke myocardial, nke ọrịa syndrome "na-awagharị" na-ahụkarị, na-egbuke aka n'aka ekpe, olu, n'okpuru scapula, n'akụkụ aka ekpe. Ihe mgbaàmà ndị ọzọ: ụfụ, ụbụrụ, mkpụmkpụ ume, ọgbụ mmiri.

Mgbu dị n'okpuru ọgịrịga, ọ bụghị metụtara ọrịa

Ọdịdị dị n'akụkụ nwere ike igosipụta oge mgbe ọ na-arụsi ọrụ ike - nke a na-eme mgbe ahụ adịghị njikere maka ibu ndị na-ebufe, nke na-ebuwanye ibu na-ebute ọbara: arịa dị iche iche, gụnyere eriri ụkwụ dị ọcha, na-abawanye na dayameta, na-eme ka ihe mgbu na-eme ka ọ bụrụ ihe aka nri, na-enye aka n'akpa aka ekpe. Mgbe ụfọdụ, mmetụta uche na-egbu mgbu na-ebili na njide dị egwu nke ogwe / mmegharị - ọ bụ site na kọntaktị nke akụkụ aka ekpe nke nwere akụkụ ahụ.

Nchoputa na ọgwụgwọ

Ihe mgbu n'okpuru ụdọ aka ekpe bụ ihe mgbaàmà dị ize ndụ, ya mere, usoro ọgwụgwọ onwe onye ọ bụla anaghị ekwe omume, ebe ọ bụ na ha nwere ike ibute nsogbu ma mee ka foto ahụ dịkwuo njọ. Levopodbedrennaya lokalizatsiya syndrome syndrome chọrọ ka a ghaghị ịkọ na ọkachamara ọkachamara - ọkachamara n'ọrịa, ọkà mmụta ọgwụ, ọkachamara ọrịa ọrịa na-efe efe, gastroenterologist, dọkịta na-awa ahụ. Ọtụtụ ndị ọrịa na-enwe mgbu n'okpuru ọkpụkpụ chọrọ mkpa nlezianya ngwa ngwa, mgbe mgbe na ụlọ ọgwụ na-emesị. Ọ bụrụ na a na-akpọ mmetụta ihe mgbu, akpọla n'ime minit 25-30 - nke a bụ ihe kpatara ọgwụgwọ ozugbo na ụlọ ọgwụ.