Plexopathy brachial plexus: Iimpawu and Treatment

Eqhinga - iyunithi yokwakheka esibonakala yobukhulu enkulu nokuntsonkotha ngesakhiwo. Le ukwakweli elingaphantsi kunye icala eliphezulu clavicle. Gxalaba asuka emqolo yaye iqhubeka de mda kwekhwapha asezantsi. Le nesakhiwo rhoqo badibana nezinto ezininzi iinkqubo zophendlo lwezifo. Phakathi kwabo, ingqalelo ekhethekileyo kufuneka ihlawulwe plexopathy. Yintoni na le sifo, nayiphi na imiqathango ukulungiselela uphuhliso kwaye iimbono - iimpendulo zale mibuzo thaca kwinqaku yanamhlanje.

zokugula Inkcazelo

Plexopathy plexus brachial - sisifo indalo kwiintetho ezikralayo, apho kukho umonakalo izakhiwo luvo. Esi sifo kakhulu kakhulu, kuba oko kunokukhokelela amalungelo yokukhubazeka. Le nto ibandakanya kungekuphela nje Ukungakwazi ukusebenza. izigulane Plexopathy kancane ukukwazi ukwenza iintshukumo ngesandla esisiseko. Kaninzi ziyakwazi ukukhonza ngokwabo, ngoko ke, ifuna unyango rhoqo.

It unomonde ngakumbi kunzima ukumelana neemeko ezintsha, xa inkqubo zophendlo lwezifo kudlulela esandleni athe wenza intshukumo esisiseko. Indawo yoBuyiselo-kufuna ixesha nomgudu. Iintlungu ukuzilimaza ziyanyuswa zonke ixesha uzama ekukhuliseni isixa salo, okanye kumthatha aye naye ecaleni. Ngobunzulu okanye amandla iimpawu kwandisa ebusuku.

I-International Classification of Diseases, unako ukufumana inkcazelo eneenkcukacha eyenza umgaqo plexus plexopathy brachial. ICD uhlaziyo 10 kuqwalaselwa ngezifo ezifana phantsi ikhowudi G55.0.

Eyona eziphambili ezibangela ukudumba

Le plexus brachial iqulethe kwamasebe Icipande kwimithambo- asezantsi entanyeni nemithambo thoracic lialio. Ngokwemeko-yokwakheka lwembono, oko kwindawo basemngciphekweni kakhulu. Kummandla emagxeni udlulisela ezininzi imithambo yegazi, kwaye ibekwe ngqo ngaphantsi nakumphezulu kwemiphunga.

Ezi kunye nezinye izinto ukukhangela unobangela sifo:

1. Ukwenzakala kunye umonakalo. Lo isenokuba kwesiphumo kwingozi yemoto okanye ndihlatywe inxeba. Xa abantwana abaselula, plexus plexopathy brachial kudla ngenxa yokuzalwa trauma.
2. "Rucksack ukukhubazeka." Imbonakalo kweempawu zesi sifo esibangelwa elide-enxibe ibhegi phezu kwegxalaba elinye.
3. syndrome kwezihlunu Scalene. Le meko yezifo luphawulwa umonakalo imithambo yegazi kunye luvo umsantsa costoclavicular.
4. neoplasms ebubonisayo ebulalayo. Umzekelo classic kucingelwa ukuba phezulu umhlaza wemiphunga ekunene. Zihluma kule plexus brachial kunye udaka uvalo, ithumba wabonakalisa ubuthathaka izandla kunye imilenze yakhe.
5. zezigulo ezahlukeneyo omzimba (Personeydzha-Turner syndrome).

Hayi zisoloko plexopathy uyakwazi ukubona umntu predisposing into. Kwezinye izigulane esi sifo luphuhlisa ngaphandle kwesizathu. Kule meko sithetha malunga nendlela idiopathic zesi sifo.

I Iimpawu zokuqala

Lo mfanekiso kwezonyango yenkqubo zophendlo lwezifo luphawulwa ngokutshintsha izigaba ezibini. Isigaba Neuralgia sikhatshwa intlungu esandleni ngegalelo lazo. Emva kokuba kufike unedumbe. Esi sigaba luphawulwa kuphuhliso ubuthathaka esandleni de nokungakwazi epheleleyo.

Ubuhlungu plexopathy inophawu siziinduli. Okokuqala, isigulana angacingi ubuhlungu. Kwiintsuku ezimbalwa unako kuvuka ukusuka intlungu nodandatheko. Kuyaphela idla mandundu ukuhamba ingalo kunye nentloko, emva kokuba utshintsho omzimba.

Yintoni enye uneempawu plexopathy plexus brachial? Lo mfanekiso kwezonyango kuxhomekeke ingcambu unobangela sifo. Ngokomzekelo, xa umsipha syndrome scalene isifo sikhatshwe imvakalelo antsi entanyeni kunye umva entanyeni. Xa amandla iimpawu kwandisa ngokuhamba kwexesha.

E ezahlukeneyo izifo omzimba ke iziphiwo ezahlukeneyo kwesi sifo kancinane. Ngokuchasene yangasemva syndrome Personeydzha Turner plexopathy inkqubo ukuhlasela. Okokuqala, kukho intlungu esomelela ingalo yakhe, nto leyo eyandisa ngentshukumo. Ke ukuqaleka kudambe, kodwa kwangaxeshanye kukho lububuthathaka izihlunu kwi umbhinqo emagxeni. Esi sigulane asikwazi ngokukhululekileyo ukuhambisa ingalo yakhe esihlahleni kunye engqinibeni amalunga, kodwa akunakwenzeka ukuba kuvuka. kuhlaselwa aphindaphindwe kunye periodicity ezahlukeneyo.

nokubekwa kwezifo

Plexopathy plexus brachial kunokuba ngeendlela ezininzi:

1. Le deltoid kwemisipha ukukhubazeka (Erb kaThixo syndrome), apho ingalo ayikwazi ngumbhobho ecaleni.
2. Ukushwabana izo-, inyuke iye sikhatshwe ilahleko ukushukumiseka kwi joint ingqiniba.
3. Ukushwabana supraspinatus kunye nezihlunu infraspinatus kwenza kube nzima ukuba ukujikeleza egxalabeni. Sithetha ngalo intshukumo, xa umntu ucelwa ukuba ukuqondisa umva yakhe ukuqondisa kwamagxa akhe.

Kwiimeko kuyingozi kakhulu apho inkqubo zophendlo lwezifo kunabela kuzo zonke luvo zonke plexus brachial, nokuphuhlisa ukukhubazeka ngokupheleleyo ingalo. Kulo mzekelo, lo mlenze isigulane ulahlekelwa uvakalelo.

iindlela isifo

Xa iimpawu yokuqala plexopathy kufuneka afune uncedo evela kugqirha. Unyango yale ngezifo ababandakanyekayo neurologists. Ukuba urhanela isifo plexopathy brachial plexus Ugonyo luqala uphando kumguli ukufunda imbali yayo. Ngoku yisa ku iindlela negalelo zophando.

electroneuromyography Uninzi ulwazi Lubonakala. Esebenzisa le nkqubo, ugqirha nako ukuphichotha ubume luvo nganye, ezivela plexus brachial. Ukongezelela wamisa CT, MRI, kunye ultrasound kummandla ochaphazelekayo. Ezi zifundo zenza kube lula ukuba ukuvavanya ubungakanani inkqubo yezifo. Uxilongo umahluko lwenziwa ezi zifo zilandelayo: polyneuritis, neuritis radicular, ngomqolo sciatica wesibeleko, samathambo kwegxalaba.

unyango elondoloza

Xa lokuqala unyango kwi ngesifo ezingalaliswayo basis. Amachiza, amachiza zilandelayo:

• Analgesics dipyrone based (ngenxa yokubulala mizwa ekhathazayo).
• Anticholinesterases (kubuthathaka kwezihlunu nokukhubazeka). Umzekelo, "Neostigmine" okanye "galantamine".
• iziyobisi kunye izakhiwo vitamin Nootropic (ukuphucula yokucolwa zomzimba).

Unyango ngamachiza iboniswa ikhosi nokoyika sifo. Ukuyifundisa ziyacetyiswa ukuba izigulane unesifo "plexus ezingapheliyo plexopathy brachial." Unyango kule meko kubandakanya ukusetyenziswa kwezicelo zodaka, unyango yokuthanjiswa, kunye electrophoresis UHF.

ukungenelela operative

Ukuba uphuhliso sifo kubangelwa trauma okanye ithumba, ebonisa ukusebenza. Ngexesha ungenelelo ngoncedo ugqirha ukhupha i "ska" luvo emzimbeni ezingqongileyo. Posttraumatic plexus plexopathy brachial iphendula kakuhle kunyango ukuba ixesha umguli ukucela uncedo. Emva kotyando, ifuna ixesha ekuphulukenwe elide, nto leyo kucetyiswa ukuba ngoyaba.

amanyathelo othintelo

Plexopathy plexus brachial emva kwikhondo unyango kungenzeka kwakhona. Ukuthintela ukuphinda esi sifo, asinakukwazi sityeshele amanyathelo othintelo.

Oogqirha bacebisa ukuba idade. Iiklasi echibini ivumela ukugcina umzimba kwimilo elungileyo, ukuthintela ukwenzeka of ukudumba kwamalunga. Ukongeza, siqubha nempembelelo entle kweemvakalelo yomntu.

Kwakhona luncedo ukuba benze eminye imidlalo. umsebenzi Sanele nokungqubana nempembelelo entle kwimpilo yoluntu na ubudala. Umzekelo, imisebenzi elula emzimbeni unyango nga landisa ukuba abantu bangazinzi joint, ukunqanda kwamathambo. umthambo therapeutic komeleza inkqubo yomzimba yokuzikhusela, kwandisa ukuxhathisa komzimba-arhente ezahlukeneyo esosulelayo.