Axillary umntu luvo: isakhiwo, umsebenzi kunye nezifo kunokwenzeka

luvo Axillary nemitha ezi amacandelo buti elingasemva plexus brachial. Phantsi kwegxalaba ithanda nemithambo onika isebe innervates umsipha encinane setyhula ukuze uphendule iingalo ngaphandle. luvo Further axillary udlula emva ihumerus osecaleni phambi kokuba ngokwahlula ukuya ngaphambili isebe diff ukunika yinxalenye esihlunwini deltoid. Angawamasebe angasemva ubalisa luvo cutaneous, leyo innervates umphezulu osecaleni ulusu phezu esihlunwini deltoid. Makhe sihlolisise ngokweenkcukacha ngakumbi nemithambo axillary. nokwakheka yakhe ekhethekileyo.

umonakalo luvo

Kaninzi, umonakalo luvo axillary yenzeka ihumerus eziintsalu okanye igxalaba dislocation. Kwezinye iimeko ezichaphazelekayo ngexesha idiopathic plexus plexopathy brachial kuphela axillary luvo. Yintoni esongela umonakalo luvo axillary? Makhe sihlolisise kweli nqaku.

Nokubonakaliswa engundoqo kwezonyango luvo ucinezelo axillary - ephula lwamagxa nokuxhwilwa ngenxa yobuthathaka esihlunwini deltoid. iqala iimpompo ngesandla kwezihlunu Supraspinous, kodwa ngenxa yokuba isigulane inokuthi iyigcine nokungakwazi ukuthatha ngesandla. Kwaye nangona kusenokuba teres umsipha minor, akusoloko kubonakala kwi kuxilonga ngenxa kwindlela eqhelekileyo yokusebenza izihlunu podkostnoy.

Uxilongo kuqinisekiswa kuphela ngokuthi bachaze owona ubuthathaka esihlunwini deltoid kunye nezalathisi EMG ezingaqhelekanga ezinxulumene kumjikelo kunye deltoid kwizihlunu ezincinane. SPNV luvo kwiirekhodi ukuphunyezwa axillary umphezulu kwezihlunu (deltoid) isebenza ukuchonga ukulibaziseka okunokwenzeka okanye lincitshiswe awo MTD axillary luvo.

Peripheral ye ekupheleni eliphezulu - kakhulu sisifo rhoqo kwi emine. Kusenokwenzeka nokuba yonakele njenge luvo axillary kunye imithambo ezimbalwa kwangoko, yaye ke ngoko kuya kuba ezahlukeneyo, kunye nomfanekiso kwezonyango sifo. Kungakhathaliseki ukuba oonobangela esi sifo, umguli uqalisa ukuba uzive iintlungu, imilenze, ubuhlungu kunye nezinye iimpawu isici.

izizathu

Ngokufuthi, izigulane sijamelene neuropathy ye imilenze aphezulu, bavakalelwa kukuba iingxaki zabo ezinxulumene nokungalali nokudinwa, leyo livuselelwe kukho ezinye efanelekileyo. yezizathu ezininzi kunokubangela izandla polyneuropathy. Avamise kakhulu ziquka:

• Izifo Neoplastic - apho nethumba akukho mfuneko ibekwe kwindawo egxalabeni kunye kwekhwapha. Kwasendaweni lingaba naliphi.
• Imisebenzi ukuba ziye zidluliselwe ngaphambili (kwisayithi yotyando ngokuhamba kwexesha igazi liyayeka ukuba ajikeleze ngokuqhelekileyo, yaye oku, yena, inegalelo yoma kwezihlunu kunye nokudumba Ukwakheka, kuquka ucinezelo ye ezithungwini-luvo, nto leyo ekhokelela peripheral).
• ukusebenzisa imithi Long ezinomthamo of chloroquine kunye phenytoin - ezi izinto benza kakubi kwi-luvo.
• Ukwenzakala ukuba imilenze kunye nophuhliso koko nokudumba, nemithambo uwathandabuze - ngenxa yoko, kukho neuropathy.
• izifo ayenalo ezahlukeneyo, ezifana nesifo sephepha, umkhuhlane, isifo somqala omhlophe,-HIV, i-herpes, imalariya kunye nezinye.
• Rhoqo emzimbeni - umzimba lobushushu unciphiso luyingozi kakhulu ixesha elide ubukho kule meko.
• Ukunqongophala amaqela athile iivithamini emzimbeni, ngokufuthi vitamin B.
• Zokukhanya - kuchaphazela kakubi umzimba.
• Ukunxila.
• umzimba kakhulu kunye nezihlunu ezomeleleyo.
• ukuphazamiseka Ezingokuqandusela, isifo seswekile ngokunjalo.

Indlela ngokwayo kuziveza yonakele luvo axillary?

iimpawu

Le symptomatology lungahlulwa-hlulwa zibe zamabanga kunye neqabane. Xa uphiwa ukubonakalalisa iimpawu eziphambili, umntu uziva nobuhlungu otshisayo, yanto kuye imini yonke, kwakunye antsi yeminwe, izandla kwisihlahla xa iyonke. Xa iimpawu ehambisana livela:

• ubunzima ezihambayo iingalo;
• ayanda;
• incoordination;
• zokurhwaqela mbulo imisipha, unditsho, amahlaba;
• ukunciphisa ubushushu uvakalelo;
• ukuluma ubuhlungu.

Yonakele nemithambo axillary: Diagnosis

Ukuze ukhethe indlela ekunene unyango, kubalulekile ukuqhuba uviwo epheleleyo umguli, ukuba enze iimvavanyo, ukuhlolwa ezikhethekileyo ukuvavanya ingqondo kunye namandla kwezihlunu. Ngeendlela instrumental loxilongo ziquka: livakale magnetic Itomography, electroneuromyography.

Ezi ndlela uyakwazi ukubona umonakalo luvo, ukukhangela unobangela kunye nobungakanani ezingaqhelekanga Uhanjiso. Ukuba kuyimfuneko, ingcali sinokudlulisela isigulane ukuqhuba iimvavanyo ezongezelelweyo ukuze kuthintelwe naziphi ezinye ngezifo. Yaba kuphela emva kokuba unesifo iziphumo. ulwazi kakhulu isimo se yaba axillary.

peripheral

Peripheral axillary-luvo kunye isithintelo (ukungakwazi) egxalabeni ukuthwala, iintshukumo zakhe emva naphambili, esthesioneurosis indawo, yoma kwemisipha deltoid. Ucinezelo imingxunyana Ikwadrilatherali - itonela syndrome axillary luvo (esineendidi, izihlunu ezinkulu nezincinane ngeenxa zonke, ihumerus). Le ntlungu yenzelwe kwindawo emagxeni kwaye kwandiswa ukujikeleza negxalaba nemithathu. Ukwahlula kufuneka achithe ukusuka wesibeleko sciatica discogenic kunye periarthrosis glenohumeral.

neuritis

Neuritis - Isifo peripheral luvo (yobuso, intercostal, Occipital, imithambo-luvo lomzimba) ukuba kukho uhlobo yokukrala nokubonakalisa ecaleni intlungu luvo, ubuthathaka izihlunu innervated ubuntununtunu entsimini disorder. Emva kokoyiswa nesifo-luvo ezininzi ekuthiwa polyneuritis. I ezayo i-luvo axillary lidlala indima ebalulekileyo apha.

umsebenzi luvo, indawo innervation nokugqiba iqondo umonakalo umfanekiso bezonyango belo neuritis. Kwiimeko ezininzi, ezi-luvo neuropathy enziwa iintlobo ezahlukeneyo ze luvo: yawo, yovakalelo, motor. Kuba naluphi na uhlobo neuritis luphawulwa iimpawu ezibangelwa ngokoyiswa ngamnye imicu:

• trophic neziphazamiso kwezityalo ukuba imbonakalo izilonda lwemithambo, nokudumba, izikhonkwane nkum isikhumba cyanosis, kome kunye ukuxozwa ulusu, ibala kunye nelahleko iinwele lwasekuhlaleni, ebila njalo-njalo;
• iingxaki zovakalelo lwenze okanye ukuncitshiswa kummandla uvakalelo innervation, paresthesias (ukuntlontlozela koluvo, ukuntlontlozela), ube;
• umsebenzi motor othile ebangela ukwehla okanye ilahleko ikhaliphe imicu, paresis (partial) okanye ukushwabana (ngokupheleleyo) ukuncipha kwamandla innervated yoma kwezihlunu.

Iimpawu zokuqala

Ngokusisiseko, Iimpawu zokuqala luvo nenxeba ndindisholo kunye neentlungu. Lo mfanekiso kwezonyango ezinye iintlobo neuritis ubonisa iimpawu ezithile sizibandakanya ndawo ezo zinto zithengwayo luvo axillary.

Neuritis ye-luvo axillary okuvakaliswa ekungakwazini ukunyusa ingalo kwicala, ukwanda nokushukumisa kwegxalaba, sinciphise Uvakalelo wesithathu ongentla emagxeni, yoma kwemisipha deltoid.

luvo Asihlali axillary banazo nenkxwaleko plexus brachial okanye dislocation yentloko humeral. Oku kukhokelela ekubeni ngokulahleka ngokuphakamisa izandla ukuya kwinqanaba tye.

On zinomtya encinane ulusu posteroexternal umgangatho ophezulu we emagxeni kuphazanyiswa uvakalelo. Kwezinye iimeko kukho ukulimala luvo osisi cutaneous ye zengalo kunye izitenxo kule uvakalelo ngokwemixholo-emva, kwicala iphiramidi le yengalo. Zonke imithambo-luvo zommandla axillary.

Ukuze ngokukhawuleza uzulazule luvo abachaphazelekayo kweqondo eliphezulu, ingakumbi ulnar, median ziqu, kuya kwanela ukuba bahlole isiguli isiphakamiso awayedla kweminwe, isandla kunye yengalo. Kodwa ke ukuba uqale kukuba ukuqinisekisa ukuba akukho miqobo yintshukumo eziluhlobo ngoomatshini ngenxa kuphuhliso contractures okanye ankylosis. Xa isigulane liya enze iintshukumo kuyimfuneko, ingcali kuya kufuneka ukuba kuqinisekiswe ukhuseleko amandla kunye nomthamo ezi ntshukumo.

amaqela kwemisipha

Iqela elilandelayo izihlunu iqukiwe motor innervation le axillary (ikhwapha) luvo:

Le deltoid C5-B6:

• Ngexesha kunciphiso emva ingalo notsalo umva.
• Ngexesha ukuncitshiswa inxalenye phakathi igxalaba eyabelwe-moya tye.
• Ngexesha kunciphiso phambi kwesebe waphakamisa banduluka phambili.

Teres umsipha minor C4-C5, ukukhuthaza ngaphandle njengokujikeleza emagxeni.

test

Ukuze ubone amandla esihlunwini deltoid, kufuneka kwenziwe uvavanyo ilandelayo: isigulane ehleli okanye emi uphakamisa isandla sakhe kwinqanaba tyaba, yaye ugqirha ngexesha uyabachasa le intshukumo, palpating ucutheko kwezihlunu.

Ngenxa ekubulaleni luvo axillary, kulandelayo kwenzeka:

• Zabagula ubuzaza nomlenze umphezulu (verhnenaruzhnogo).
• ukukhubazeka luvo Axillary, yoma kwemisipha deltoid.

Uphawu dovetail kukuba ukwandiswa izandla ngomonde ngaphantsi kakhulu esempilweni. Kwaye ukuba ujonge kwicala yesigulane, kuya kuvela dovetail yahlula kunye izikhewu ulwandiso emagxeni.