Plexopathy brachial plexus: Zviratidzo neMarapirwo

Zvireruke - chinhu anatomical chikwata dzinoratidzwa Mikuru uye kunzwisisa yechivako chacho. Riri pamusoro underside uye yokumusoro divi clavicle. Pafudzi rinobva muna musana uye mberi kusvikira hapwa ezasi muganhu. Chivako ichi vachisangana nevanhu dzakasiyana-siyana pathological kwendangariro. Pakati pavo, vainyatsotarisirwa inofanira kubhadharwa plexopathy. Chii chirwere ichi, chero preconditions nokuti kukura uye ane maonero - mhinduro dzemibvunzo iyi dzinotaurwa yanhasi nyaya.

zvokurwara Description

Plexopathy brachial plexus - chirwere anogumbura hunhu, umo kuvadza huta hurongwa. chirwere ichi rakanyatsojeka chakakomba, nokuti zvinogona kuremadza kodzero. Pfungwa iyi inosanganisira kwete chete nokurasikirwa kugona kushanda. Varwere Plexopathy zvishoma nezvishoma havachakwanisi kuita zvinhu fambisa maoko. Kazhinji havatombobvumi kushumira pachavo, saka, zvinoda kugara.

It anoshivirira zvakaoma kunyanya kuchinja mamiriro ezvinhu matsva, kana pathological muitiro kunosvika kune ruoko rwaakanga anoita inokosha kufamba. Recovery kunoda nguva uye kushanda nesimba. Marwadzo kusagadzikana iri yakakura nguva dzose ukaedza mutsai muzvidimbu kana mutorei kurutivi. Kuwanda zviratidzo dzichiwedzera usiku.

The International kupatsanura pakati Diseases, unogona kuwana rondedzero yakatodzama chii chinoumba plexopathy brachial plexus. ICD 10th dzokororo kufunga zvokurwara yakadaro pasi G55.0 yekubvuma.

The kukonzera kuzvimba

The brachial plexus inoumbwa Anterior matavi dzapasi tsinga kwemitsipa uye thoracal musana tsinga. Zvinobva anatomical nemaonero, zviri mune pangozi chaizvo chinzvimbo. Pedyo pamapfudzi rinokoka muzvizhinji midziyo ropa, uye riri zvakananga pasi rokumusoro chikamu yemapapu.

Izvi uye vazhinji nezvimwewo kuona mhaka chirwere:

1. Kukuvara uye zvokuimba kukuvara. Izvi zvingabva mumotokari tsaona kana ronda uchibaya. In vana vaduku, plexopathy brachial plexus kazhinji ndiyo nemhaka yokuberekwa mupfungwa.
2. "Rucksack dzomuviri." Kuonekwa zviratidzo chirwere kwakakonzerwa-refu kupfeka saga rimwe pamafudzi.
3. Scalene tsandanyama syndrome. Izvi pathological ezvinhu hwokuratidza kukuvara tsinga uye tsinga costoclavicular pakakoromoka.
4. Benign uye nyanyisa neoplasms. A muenzaniso chaiwo anonzi kuva pamusoro rworudyi kenza yemapapu. Pokumera ari brachial plexus uye diaphragm mazibota, bundu akaratidza simba maoko uye wake chiveve.
5. Various zvirwere zvirwere (Personeydzha-Turner urwere).

Kwete nguva dzose plexopathy anogona kuziva munhu predisposing chinhu. Mune vamwe varwere hosha hwapedyo pasina chikonzero. Muchiitiko ichi tinotaura pamusoro idiopathic chimiro chirwere.

Zviratidzo zvokutanga

The kunotoda mufananidzo pathological muitiro inozivikanwa kuchinja maitikiro maviri. Neuralgia danho iri pamwe marwadzo muruoko kunosiyana zvikuru. Mushure totaura mitezo. danho iri kunoratidzwa kukura simba muruoko kusvikira yakakwana kutadza kufamba.

Marwadzo plexopathy ane Wavy hunhu. Chokutanga, murwere haafungi kusanzwa. Mumazuva mashomanana anogona kumuka kubva sabvumika marwadzo. Kusagadzikana Kazhinji kuwedzerwa kwebasa ruoko uye musoro, pashure kuchinja muviri chinzvimbo.

Chiizve ane plexopathy brachial plexus zviratidzo? The kunotoda mufananidzo kunobva chinokonzera chirwere. Somuenzaniso, apo ari chirwere scalene tsandanyama chirwere pamwe nokunzwa chiveve ari pamutsipa uye makotsi. With kusimba zviratidzo dzichiwedzera pamusoro nguva.

At siyana zvirwere zvinetso zviri kuratidzwa siyana pamusoro chirwere zvishoma. Against pakanyorwa chirwere Personeydzha Turner plexopathy unobuda kurwisa. Chokutanga, pane kurwadziwa kwakasimba rwake, izvo kunowedzera kufamba. Ipapo kusanzwa dzaserera, asi panguva imwe chete pane kwekuneta tsandanyama iri pamapfudzi nebhanhire. Murwere anogona takasununguka kufamba rwake panguva chiningoningo uye kugokora majoini, asi hazvibviri kumukazve. Kurwisa kwakadaro inodzokororwa zvakasiyana periodicity.

kupatsanura zvirwere

Plexopathy brachial plexus vanogona dzakawanda:

1. The deltoid tsandanyama dzomuviri (Erb kuti chirwere), umo ruoko haigoni nyere kurutivi.
2. Kuoma biceps, honokono kubatana kutadza kufamba mu kugokora rwakashodoka.
3. Kuoma supraspinatus uye infraspinatus tsandanyama haikwani kuti pamapfudzi kutenderera. Tiri kutaura sangano, kana munhu akakumbira kutwasanudza musana wake uye ruramisa pamafudzi ake.

In kunyanya zvakakomba zviitiko apo pathological muitiro kunosvika vose tsinga dzose brachial plexus, kuva rutivi rwomuviri yakazara ruoko. Panyaya iyi, murwere muzvidimbu anorasikirwa nehanya.

nzira nechirwere

Kana zviratidzo zvokutanga plexopathy anofanira kutsvaka rubatsiro kubva chiremba. The Mabatirwo zvokurwara ichi chaisanganisira neurologists. Kana uchifungidzira chirwere plexopathy brachial plexus chirwere chinotanga ongororo yakaitwa murwere uye kudzidza nezvenhoroondo yacho. Zvadaro kufamba kusvika paku nzira kuongorora.

Most zvakwo zvizere electroneuromyography. Tichishandisa nzira iyi, chiremba anogona kuongorora mamiriro nomumwe tsinga, anobva kubva brachial plexus. Uyezve vakagadzwa CT, MRI, uye Ultrasound pakati njodzi yacho. Zvidzidzo izvi kuti tikwanise kuongorora kukura kwakaita pathological muitiro. The differential chirwere rinoitwa pamwe anotevera zvirwere: polyneuritis, radicular neuritis, Sciatica remuromo nomuzongoza, hosha yemajoini pamusoro pamafudzi rwakashodoka.

kuchinja mabatiro

Panguva kutanga kwekupwanyiwa mishonga riri outpatient hwaro chirwere. Zvinodhaka, zvinodhaka zvinotevera:

• Analgesics inobva dipyrone (chokubvisa zvisingafadzi nezvekufadza).
• Anticholinesterases (nokuti tsandanyama simba uye kuoma nhengo dzomuviri). Somuenzaniso, "Neostigmine" kana "galantamine".
• Nootropic zvinodhaka uye vhitamini zvivako (kuvandudza muviri ari munyama).

Drug kurapa inoratidzwa kuti rikwanise mukurwara. Physiotherapy vari pachii varwere chirwere kuti "chirwere plexopathy brachial plexus." The kunorapwa iyi kunosanganisira kushandisa madhaka zvikumbiro, masaja mishonga, uye UHF electrophoresis.

kushanda kupindira

Kana kukura chirwere kukonzerwa kunotevera kana bundu, achiratidza kuvhiyiwa. Munguva kupindira chiremba anosunungura kuti "clamped" tsinga fibers akapoteredza munyama. Posttraumatic plexopathy brachial plexus anopindura zvakanaka kurapwa kana murwere nguva kukumbira rubatsiro. Pashure pokuvhiyiwa, zvinoda refu kupora nguva, izvo hakukurudzirwi kufuratira.

matanho

Plexopathy brachial plexus pashure nzira yokurapa kungaitwa zvakare. Kudzivisa dzokororo kwechirwere chacho, hatigoni kuregeredza matanho.

Doctors vanokurudzira kushambira. Makirasi mudziva anobvumira kuti kuchengeta muviri zvakanaka chimiro, kudzivisa panowanikwa kuzvimba majoini. Mukuwedzera, kushambira kunobatsirawo pamusoro mupfungwa manzwiro ari munhu.

Chinhu chinobatsira kuita zvimwe mitambo. Yakakwana kurovedza muviri kunobatsirawo utano hwevanhu chero zera. Somuenzaniso, zviri nyore chaiko kurapa kurovedza anogona kuwedzera kwemajoini mufambo, kudzivirira Ossificação em. Kuchirapa muviri hunosimbisa zvirwere, anowedzera kurwisa muviri kuti siyana zvinokonzera zvirwere.