Axillary tsinga munhu: mamiriro, mashandiro uye zvinoita chirwere

Axillary tsinga uye nemwaranzi vari zvinoumba rwemberi hunde yacho brachial plexus. Under pamafudzi vadyi kunosvika tsinga kupa davi innervates duku dzeraundi mhasuru kuti tenderera maoko outwards. Uyezve axillary tsinga inopfuura seri lateral humerus asati kupatsanura kupinda mberi uye neshure bazi vachigovera chikamu deltoid tsandanyama. Namatavi veshure anorondedzera cutaneous tsinga, izvo innervates ari lateral pose ganda pamusoro deltoid tsandanyama. Ngatikurukurei muudzame ari axillary etsinga. ake akasiyana anatomi.

kukuvara tsinga

Kakawanda, kuvadza axillary etsinga rinowanikwa mune musoro humerus kana papfudzi dislocation. Mune zvimwe zviitiko sei panguva idiopathic plexopathy brachial plexus chete axillary tsinga. Chii vanotyisidzira kuvadza axillary etsinga? Ngationgororei munyaya ino.

The chikuru kunotoda nokuratidzwa axillary etsinga compression - kutyorwa pamafudzi kutapa nokuda kwekuneta ari deltoid tsandanyama. Tap ruoko atanga Supraspinous tsandanyama, asi nekuti murwere anogona kuramba munhu kusakwanisa kutora ruoko. Uye kunyange zvingava simba teres kuduku tsandanyama, hazvisi nguva kuoneka kunotoda kuongororwa somugumisiro kunowanzoitika kushanda tsandanyama podkostnoy.

The chirwere chinogona yasimbiswa chete kuziva kusava nesimba deltoid tsandanyama uye kanganisika EMG zviratidzi kuti chokuita duku reraundi uye deltoid tsandanyama. SPNV tsinga iri axillary pamusoro Implementation zvinyorwa tsandanyama (deltoid) anoshanda kuziva zvinogona kunonoka kana kuderedzwa amplitude MTD axillary tsinga.

Neuropathy rokumusoro kumugumo - zvikuru kakawanda chirwere ari wetsinga. Zvinogona kukanganisa somunhu axillary tsinga uye tsinga shoma panguva kamwe, uye naizvozvo uchava akasiyana, uye kurapwa mufananidzo chirwere. Pasinei zvinokonzera hosha, murwere anotanga kunzwa marwadzo, chiveve, kusagadzikana uye zvimwe zviratidzo noruzhinji.

zvikonzero

Kazhinji, varwere tatarisana neuropathy okumusoro maoko nemakumbo, vanofunga kuti zvinetso zvavo zvine chokuita nokusava hope uye kuneta, izvo zvinogona kudzorerwa ne kwakakodzera zororo. zvikonzero zvakawanda zvinogona kukonzera maoko polyneuropathy. Rakajairika dzinosanganisira:

• Neoplastic Zvirwere - sezvamakaropafadzwa bundu haasi hazvo iri munzvimbo yacho pafudzi hapwa. Localization anogona kuva chero.
• Operations kuti vave Kutamiswa kwokutanga (ari nzvimbo kuvhiyiwa pamusoro nguva ropa hunoguma kutenderedza kuitiswa, uye izvi, zvinobatsira kuti tsandanyama atrophy uye edema inotungamirwa, kusanganisira compression yacho etsinga mwanda, iyo inotungamirira neuropathy).
• Long Kushandisa medicaments aine zviri chloroquine uye phenytoin - izvi zvinhu vanoita zvakaipa pamusoro etsinga fibers.
• Kukuvara nemakumbo haizopereri kukura edema, tsinga vaipisa - Somugumisiro, pane neuropathy.
• Siyana anoregereiko zvirwere, zvakadai tibhii, yokuSpain, diphtheria, HIV, herpes, marariya nezvimwe.
• Kugara hypothermia - muviri tembiricha rutapudzo zvinokuvadza zvikuru uye kwenguva refu kuvapo ari mamiriro ichi.
• Kushaikwa mapoka mamwe mavhitamini pamuviri, kazhinji vhitamini B.
• Irradiation - kunokanganisa muviri okusafarira.
• Kudhaka.
• Kunwisa muviri uye simba mutsandanyama.
• Kwemakemikari anobudiswa zvinetso, chirwere cheshuga pamwe.

Sei kuratidza pacharo kukuvaradzwa axillary tsinga?

zviratidzo

The symptomatology inogona rakakamurwa zvepuraimari uye shamwari. Kana kuratidzwa chikuru zviratidzo, munhu anonzwa kurwadziwa unopfuta, ichifamba famba naye zuva rose, uyewo chiveve reminwe, maoko uye chiningoningo yose. Kana concomitant zviratidzo rinowanika:

• dzikatadza zvinofamba maoko;
• bundu;
• incoordination;
• involuntary tsandanyama sunga, kugwinha, chinyamunhari chinorwadza;
• dzikira tembiricha utetsa;
• tingling kusanzwa.

Zvakakuvadza axillary tsinga: kuongorora chirwere

Kusarudza nzira yakarurama kwokurapa, zvinokosha kuitisa zvizere kuzviongorora murwere, kuti miedzo, tora nemiedzo chaiwo kuongorora hunenge uye tsandanyama simba. By paku nzira nechirwere dzinosanganisira: rinobva resonance tomography, electroneuromyography.

Nzira idzi anogona kuona kukuvara tsinga, kuziva chikonzero uye rwakadini conduction abnormalities. Kana zvakakodzera, nyanzvi ringareva murwere kuitisa mimwe miedzo kutonga vamwe zvokurwara. Yakanga chete pashure zvabuda zvinogona chirwere. zvakwo chaizvo ari kwakaita nzvimbo yacho yose axillary etsinga.

neuropathy

Neuropathy axillary tsinga achiperekedzwa mumwe mutemo (kutadza) fudzi kutapa, kufamba ake neshure, esthesioneurosis nharaunda, atrophy pamusoro deltoid tsandanyama. Compression quadrilateral mawindo - tanera chirwere axillary tsinga (triceps, makuru uye duku reraundi tsandanyama, humerus). Kurwadziwa iri mupasi muna fudzi nzvimbo uye dzinowedzerwa kutenderera uye fudzi kutapa. Kusiyanisa vanofanira kupedza kubva discogenic Sciatica remuromo uye glenohumeral periarthrosis.

neuritis

Neuritis - Disease peripheral tsinga (chiso, intercostal, occipital, muzvidimbu tsinga) ane anogumbura hunhu uye kuratidza pamwe kurwadziwa etsinga, tsandanyama simba innervated munda utetsa nyonganyonga. Kukurirwa anoverengeka tsinga chirwere inonzi polyneuritis. The fungidziro of axillary etsinga inoita basa rinokosha pano.

tsinga basa, innervation nzvimbo uye kuona ukuru kuvadza kunotoda mufananidzo neuritis. Kazhinji, ari peripheral tsinga dzine siyana tsinga fibers: autonomic, kutsinga dzinouya, motokari. Nokuti chero mhando neuritis kunoratidzwa zviratidzo anokonzerwa pokukundwa nerimwe fibers:

• trophic uye vegetative nenyonganiso kuti chitarisiko venous maronda, edema, pfava zvipikiri, ganda cyanosis, kuoma uye rive dete ganda, depigmentation uye kurasikirwa bvudzi omunzvimbo, vangadikitira zvichingodaro;
• utetsa zvinetso zvichikonzera kurasikirwa kana zvinoderedza kuti nehanya innervation vematunhu, paresthesias (tingling manyawi, tingling), chiveve;
• havachanyatsogoni gwenya basa rinoita kuderera kana kurasikirwa mudzira hunenge, paresis (kukwana) kana kuoma (rakakwana) rutapudzo simba innervated tsandanyama atrophy.

Zviratidzo zvokutanga

Zvikurukuru, zviratidzo zvinokuvadza tsinga wokutanga chiveve uye kurwadziwa. The kunotoda mufananidzo vamwe mhando neuritis kunoratidza chaizvo zviratidzo dzinoitwa nzvimbo kuti axillary etsinga zvokuyamura.

Neuritis of axillary etsinga runoratidzwa nekusagona kusimudza ruoko kurutivi, kuwedzera mufambo pakati pamafudzi muhudyu, ungaderedza aikanganiswa rokumusoro chetatu pamafudzi, atrophy pamusoro deltoid tsandanyama.

Isolated axillary tsinga iri sei pamwe brachial plexus kukuvadzwa kana dislocation pamusoro humeral musoro. Izvi zvinotungamirira kurasikirwa inoratidza maoko kuna chinjikira padanho.

On chiduku kanyika ganda posteroexternal yokumusoro pose pamafudzi anetseka nehanya. Mune zvimwe zviitiko pane zvinokuvadza kune lateral cutaneous etsinga pamusoro honokono uye hadzina kufambiswa zvakanaka mune aikanganiswa ichi kuti topically-musana, TOUR divi honokono. All manzwiro ose axillary nharaunda.

Nokukurumidza nomugungwa kuti zvakakanganisa utano hwake okumusoro wamativi, kunyanya ulnar, evaMedhia uye TOUR, zvichava zvakakwana kuongorora murwere kuti hwezuva inofamba pakati minwe, ruoko uye honokono. Asi kutanga ndiko kuti chokwadi hapana vhiringidza kufamba zvokuimba hunhu nokuda kukura contractures kana ankylosis. Kana murwere achaita zvakafanira kufamba, nyanzvi achadawo nechokwadi kuchengeteka simba uye bhuku mafambiro izvi.

mhasuro mapoka

Rinotevera boka tsandanyama rwuripowo injini innervation pamusoro axillary (underarm) tsinga:

The deltoid C5-C6:

• Munguva rutapudzo pakati shure amutsa ruoko kuminyuka shure.
• Panguva rutapudzo pakati chikamu fudzi akatumirwa chinjikira ndege.
• Munguva rutapudzo ari pamberi vanomutswa richiripo kudhonzwa mberi.

Teres kuduku tsandanyama C4-C5, kukurudzira chokunze vachishandisa kutenderera pamapfudzi.

bvunzo

Kuti tizive simba deltoid tsandanyama, anogona kuitwa zvinotevera bvunzo: murwere akagara kana akamira anosimudza ruoko rwake chinjikira sandara, uye chiremba panguva ungapikisa sangano iri, palpating kuti tsandanyama marwadzo.

Kukurirwa ari axillary etsinga, zvinotevera kunoitika:

• Kushushikana utetsa fudzi pamusoro (verhnenaruzhnogo).
• Axillary tsinga muviri, atrophy pamusoro deltoid tsandanyama.

Chiratidzo dovetail ndechokuti kuwedzera murwere mumaoko zvishoma zvikuru pane utano. Uye kana iwe kutarira murwere divi, kunenge kutsemura dovetail uye Makwanza iri pamapfudzi chiwedzerwa.