Kuoma Duchenne-Erb: Zvinokonzera neMarapirwo

kukura mushonga dzose. Zuva nezuva, masayendisiti wekuvamba zvinodhaka itsva kupa nani nzira kudzidza kwacho. Pasinei zvinokosha mberi munzvimbo iyi, dambudziko kubereka kukuvara richiri kushanda. The ngozi mukuru anotakura kwete zvokurwara uye nemigumisiro yayo. A wakadzama muenzaniso chetsinga rebipolar, izvo mwana anogona kuwana mukufamba pakukurukura, munhu brachial plexus kukuvara. Kana vaichengeta zvachinja nemamiriro remuromo vertebrae, rutivi rwomuviri nechirwere Duchenne-Erb. The kukonzera chirwere uye nzira kurapwa ichakurukurwa pazasi.

tsanangudzo pfupi pamusoro chirwere

Peripheral chirwere tsinga inoita kuti somugumisiro kuvadza brachial plexus mitezo inonzi Duchenne-Erb. Zvinonzi Kazhinji pashure akuvara pakuberekwa. Naizvozvo, kuti zvokurwara anowanzodanwa obstetric dzomuviri. Zvisinei, izvi handizvo chete chikonzero ichi.

It kunoratidzwa tsandanyama simba chokumusoro kuviri, akavarambidza kufamba mu papfudzi uye kugokora majoini. Zvinogonekawo kutyora nehanya, asi wakasara motility brushes. Obstetric mitezo Duchenne-Erb kuti hazviiti kukurira, kana tikashandisa mukuru Zano mushonga. Treatment anogara vakasarudzwa nomumwe. Mumwe murwere mushure kuongororwa chiremba mushonga yaunodya, vamwe - physiotherapy. In yakanyanya kuoma kacho zvinoda kuvhiyiwa. The for kupora kunoenderana kwokuomerwa pamusoro zvokurwara uye kukwana kurapwa kwayo.

Zvaiitika uye nezvedzimwe nhamba

Kuoma Duchenne-Erb akanzi vachikudza neurologists maviri. Kekutanga hunonyatsodonongodza etiology chirwere uye kiriniki. chiremba French G. Duchesne kwemakore kudzidza mamiriro muvarwere vaduku pashure pokuberekwa yakaoma. Muna 1872, akapfupikisa mashoko akapiwa uye akapa rondedzero yakatodzama zviratidzo rutivi rwomuviri ari vacheche. Parallel kuti kudzidza chirwere aisanganisira imwe chiremba kubva Germany W. Erb. Akakwanisa kutsanangura anatomical mufananidzo kukura chirwere uye pathogenesis kuti muitiro uyu nedzevakuru.

Maererano nenhamba, obstetric kuoma Duchenne-Erb muwisira muchikwata che zvisingawanzoitiki pathologies. Pari, zvakadai chirwere akatsinhira ose kuzviuru vachangoberekwa. Pasinei Kugara kuvandudzika pamusoro obstetric nzira, hosha chinoramba dambudziko kukamura uchishandisa mishonga ano.

The zvinokonzera rutivi rwomuviri vachangoberekwa

Kuoma Duchenne-Erb ari achangoberekwa anova pamusoro colour kuti zvinorwadza brachial plexus. Mukuita makurukuriro, kuti obstetrician ane kuita zviito siyana kubatsira mwana kuti aberekwe. Zvinofanira kucherechedzwa kuti mukana wokuzvidzivirira nezviyero dzakadaro chete kana zvashata. Munguva manipulations izvi zvinokwanisika:

• kunotevera pamanera tsandanyama ;
• Munotatamura of brachial plexus, etsinga mwanda hwatsvuka;
• kuduku ropa mu njodzi yacho.

Kana mudumbu iri guru, uye parameters yayo regai kunowirirana kukura yokuberekwa canal, pangozi kuvadza papfudzi pamwe kuwedzera kanoverengeka. Kuti abatsire mwana wako kuti aberekwe, vananyamukuta vanomanikidzwa kushandisa chaiwo midziyo. At yakapinza kufamba ari brachial plexus etsinga fibers hwatsvuka.

The zvinokonzera rutivi rwomuviri nedzevakuru

In vana vakura uye nevakuru, kukura zvokurwara inowanzopiwa nechokuita dambudziko. Pakati izvi zvokuimba kukuvadzwa dzinosanganisira:

• traction ruoko;
• akuvara mutsipa;
• brachial plexus kukuvadzwa mune mapazi;
• Munotatamura.

Dzimwe nguva brachial plexus kukuvara imhaka mutsaona yemotokari. Apo neapo Erb-Duchenne rutivi rwomuviri ari vakuru unovapo kubva chepfu kana rwarisa lesion. Kukura pathological muitiro zvinogona kukonzerwa TB chirwere kuyerera yakaoma chimiro, nefivha uye marariya.

Ndezvipi zviratidzo kunoratidza chirwere?

With kukura dzinonzi flaccid rutivi rwomuviri vakachengeta kurasikirwa kushanda dzinoverengeka tsandanyama (biceps, deltoid, papfudzi). Kwokuomerwa zviratidzo kukuvara kunoenderana yezvakaita fibers, kupomba conduction abnormalities.

Most vachangoberekwa mitezo Duchenne-Erb pachena mumazuva okutanga muupenyu. Mwana anova kunetseka uye nguva dzose ndichichema. The mhaka chirwere riri kurwadziwa zvikuru maoko nemakumbo. Uyewo ari brachial plexus zvinokuvadza zvingaratidza zvinotevera zviratidzo:

• nguva dzose uye zvishoma akazarura ruoko panguva kugokora;
• ungaderedza tsandanyama izwi;
• neb mhepo;
• ruoko grip chibhakera pamwe napagumwe roruoko;
• ganda akacheneruka.

Pasinei kushaya basa hosha ruoko, vana vachiwanzoshaya motokari vhoriyamu. Zvisinei, kana rusvava akarara sandara iri muchanza njodzi muzvidimbu chichaitwa zvishoma droop.

Mumatanho pathological muitiro aibuda

Kuoma Duchenne-Erb yakatanga mumatanho dzakawanda.

Chenjera danho kunotora akawanda maawa mazuva 2-3. Panguva ino, pane kuderera kwebasa maoko, dzikatadza vaikunga ruoko panguva kugokora acho.

Kwozouya yavaipora danho. With kurapwa pamusoro rakasungwa yakarasika mashandiro vanogona kutora makore akawanda. Somugumisiro, mune kukuvara etsinga faibha iri edema anonyangarika, uye kufamba kweropa rukaporeswa.

Pashure anouya padariro residual nemigumisiro hunogara kwoupenyu hwose. Naizvozvo, zvakakosha panguva pakupora vobatanidzwa pakurapwa. Pachikuva, chero residual Migumisiro kuchirapa kupindira ndivo vainyanya isashande. Murwere kukanganiswa muzvidimbu zvishoma nezvishoma hypertrophy, apo zvakakomba makuvaro anotaridzika saibva. The chipande murwere divi iri inverted, pamuuyo kunoita kubva nomuzongoza. Nokufamba kwenguva, kuchinja izvi kungaita kuti curvature of nomuzongoza - scoliosis.

Ko chirwere?

Mienzaniso Duchenne-Erb mitezo tsvakurudzo ichiri riveting pfungwa masayendisiti pasi pose. Nhasi, zvisinei, chirwere kubva pathological muitiro haakonzeri chero matambudziko. Kana zviratidzo wevana vake wokutanga anofanira kutumira mucheche zano chiremba wetsinga uye orthopedist. In varwere mukuru, pakurapa chirwere dzinoitawo nenyanzvi idzi. Kuisa wetsinga Dambudziko kudzidza nezvenhoroondo murwere, kuitisa chaiko bvunzo. Zvadaro kutamira uwane kuongororwa kuti zvinosanganisira:

• electroneuromyography;
• MRI;
• kombiyuta myelography;
• dinanometriyu;
• reovasography;
• Ultrassom kuongorora pamapfudzi rwakashodoka.

Kazhinji, asi kwokunze zvinoratidza chirwere zvakakwana kuzosimbisa chirwere. ruzivo zvose kunodiwa kuti wapinda kadhi murwere zvokurapa. Chiremba anoita katsamba, kuti chirwere, "Erb-Duchenne dzomuviri." ICD-10 vakagadza chirwere R14.0 remitemo.

Zvisinei, kuziva hunhu zvaparadzwa kuitisa zvidzidzo izvi rotsvakwa. Imwe neimwe nzira nechirwere anotakura imwe basa uye haagoni kutsiviwa nechimwe. Zvichienderana izvi pakuongororwa chiremba wako anogona mishonga kurapwa, uyewo kupa for yeramangwana.

zvinodhaka kurapa

rutivi rwomuviri kurapwa kunotanga kuchinja nzira. Mugore chenjera kutotanga haisi nguva zvichiita kuona mwero kuvadza fibers nokuda simba tishu edema. Naizvozvo, maoparesheni vanoonekwa kuti kukodzera.

Chii mishonga inoshandiswa pakurwisa zvokurwara ichi, okumusoro mitezo Duchenne-Erb?

1. Nonsteroidal Anti-anogumbura zvinodhaka: "Ibuprofen", "Amidopyrine".
2. Medicines kuvandudza kuparadzirwa ropa, "Pentoxifylline," "papaverine".
3. Anticholinesterase mishonga hunowedzera etsinga nomunhu, "Neuromidin", "galantamine", "Neostigmine".
4. Achigadzirira normalization kuti muviri "Aktovegin", "Meksidol" vhitamini zvivako.

With kuvandudzika murwere wacho mishonga chipimo chemushonga uye chipimo chemushonga zvaiitwa zvinosiyana.

Physical kurapa nzira

Kurwisa chirwere muitiro chinoreva anonzi kurapwa chinzvimbo. On anorwara gumbo riri seari bhazi iyo inogona kubviswa chete panguva yacho utsanana kurapa.

Kuti tirambe tsandanyama matauriro inoratidza mabasa akadai:

• kwiza njodzi muzvidimbu (kutanga vhiki wechipiri);
• zvemagetsi tsandanyama dzishande ;
• physiotherapy pamwe pusa muviri;
• jekiseni;
• Paraffin mabhati;
• ozokerite.

Mugumisiro kuchinja kurapa runobvira chete kana rushoma kuparadzwa brachial plexus fibers. Akanga akamirira inenge mitatu, uye ipapo mberi kusvika kunyatsoongorora nemigumisiro. Kana panguva ino murwere hariwaniki tichishingaira kwebasa kugokora, mubvunzo pamusoro oparesheni.

kuvhiya kupindira

Musimboti kuvhiyiwa ipfupi kudzorera kutendeka zvaparadzwa fibers. Nokuti ichi mufambiro tsinga hunde epurasitiki. Pari ndiro chete kushanda kuti anogona kubatsira varwere chirwere kuti "kuoma Duchenne-Erb." Marapirwo kuitwa mugore upenyu murwere duku rokutanga, anopa migumisiro yakanakisisa. The oparesheni hakubvisi zviratidzo zvechirwere pathological muitiro. Kunoitawo kuti kudzorera nzira iyo tsinga nomunhu vari kutamira. Naizvozvo kuratidzwa kuchinja kurapwa pachishandiswa panyama marapirwo, masaja.

Kushurudzira remangwana

Zvinofanira kunzwisiswa kuti pakurapa obstetric rutivi rwomuviri - chinhu refu uye painstaking basa kuti kunoda kushivirira. zano yachiremba zvose zvinofanira kutevedzerwa kunyatsoreva kuitira kuti zvakanaka mugumisiro. Vakawanda kurapa yareba kwemwedzi, kunyanya zvatinoona kurapa uye masaja.

Muviri anogona kugumisa Duchenne-Erb: kuremara kana kupora? Zvinosuruvarisa kuti kupa mhinduro chaiwo yomubvunzo uyu hazvibviri. Zvose zvinoenderana zvinhu zvakadai pamusoro:

• kwokuomerwa akatyoka;
• timeliness uye adequacy yokurapa;
• chido tiite zvose chiremba kurumbidzwaka.

Kana rushoma maronda ari brachial plexus anogona kutarisira 100% kupora. Kanenge rinoti nhamba. Kana zvakakwana voga mukana, zvinosuruvarisa riri duku zvikuru.

matanho

Zvinoita kudzivisa kuoma Duchenne-Erb? Photos vana vaduku vakanga kubata nechirwere ichi, chaizvoizvo kuti iwe kufunga nyaya iyi.

Kutaura zvazviri, kudzivirira zvirwere iri nyore. Rinoreva zvakakwana havana hanya, yakarurama kusarudza nzira makurukuriro. Kunyange panguva padanho unofanira kutarisira ehurumende yavo plan, edza kudya zvakanaka uye usarega mitambo. mukadzi Healthy kazhinji kubereka pasina pathologies. Kuwedzera kusarudza tsika yokurapa apo amai vanepamuviri anosarudza kuitika, anofanira akaswedera musoro. Unofanira kuverenga wongororo pamusoro obstetrician, kukurukura kwacho kiriniki iri. Unogonawo kubvunza shamwari kare vakakwanisa kuedza pamusoro basa mai. Panguva pamuviri kupfuura zvakananga kukosha kuteerera zano riri gayinakorojisiti, usarera munzwewo ayo.