Plexopathy brachial akira theo gun: Matšoao le Phekolo

Ka maatla a - ke unit trust anatomical tšoauoa ka boholo le leholo le le rarahaneng la mohaho. Ho e teng ka underside le lehlakoreng e ka holimo ea clavicle ena. Mahetla simoloha ka lesapo la mokokotlo 'me o tsoela pele ho fihlela feletseng hotel kaya tlaase. sebopeho sena se kamehla o ile a pepesa ho mefuta e fapaneng ya dithulaganyo pathological. Har'a bona, lebisa tlhokomelo e khethehileng lokela ho lefshoa plexopathy. ke eng lefu lena, preconditions efe kapa efe bakeng sa ntshetsopele le ho na le maikutlo a - likarabo tsa lipotso tsena tse hlahisoang sehloohong kajeno.

bolwetse Tlhaloso

Plexopathy brachial akira theo gun - lefu la hlabang tlhaho, eo ho eona ho senya mehaho e ea methapo ea kutlo. lefu lena bo tebile haholo, hobane e ka etsa hore litokelo tsa bokooa. khopolo ena e akarelletsa se feela ho lahleheloa ke matla a ho sebetsa. bakuli Plexopathy butle-butle ba felloa ke matla a ho phetha mekhatlo mantlha letsoho. Hangata ba sitoa le ho sebeletsa ho bona ka bobona, ka hona, li hloka tlhokomelo kamehla.

Ke haholo-holo ho le thata le mamello ho tloaela maemo a ka a macha, ha tshebetso pathological fetela le ho letsoho le tseo a ileng a etsa mokhatlo motheo. Hlaphoheloa hloka nako e ngata le ho etsa boiteko. Bohloko boemong bo sa thabiseng e Amplified nako le nako u leka ho tsosa leoto, kapa nka mo ho lehlakoreng. Le matla le matšoao a eketsa bosiu.

The Classification International ea Mafu, o ka fumana tlhaloso e qaqileng ea hore na karolo e plexopathy brachial akira theo gun. ICD bo10 hlaoloa hlahloba bolwetse joalo tlas'a G55.0 khoutu ya.

Lisosa tsa sehlooho tsa ruruha

The brachial akira theo gun le bopilwe ka makala anterior tsa methapo e ka tlaase ea molala le thoracic lesapo la mokokotlo methapo ea kutlo. From ntlha anatomical maikutlo, e le boemong bo botle ba tlokotsing haholo. Sebakeng se haufi le lehetleng fetela le ya plurality ea methapo ea mali, 'me e teng ka ho toba ka tlas'a karolo e ka holimo ea matšoafo ka.

Tsena 'me ba bangata le mabaka a mang fumana sesosa sa lefu lena:

1. Mo ntša kotsi le ho senya phetha molao feela. Sena se ka ba le liphello life tsa koloi kotsi kapa le leqeba la thipa. Ka bana ba banyenyane, plexopathy brachial akira theo gun hangata ka lebaka la ho sithabela tsoalo.
2. "Rucksack shoele litho." Ponahalo ea matšoao a lefu lena le etsa hore ke nako e telele-apere mokotla lehetleng ngoe.
3. Scalene mesifa lefu. boemo ena pathological tšoauoa ka senya methapo ea mali le methapo costoclavicular lekhalo.
4. Nang kotsi le se bolaeang neoplasms. A mohlala khale e nkoa e le tlhōrōng ea kankere ea matšoafo le letona. Tsa hlaha ka akira theo gun brachial le diaphragm Dome, hlahala bonahatsa bofokoli ba matsoho le shoohlo hae.
5. Tse fapa-fapaneng mafu a sa 'mele (Personeydzha-Turner lefu).

Hase kamehla ho plexopathy ka khetholla 'ngoe predisposing efe kapa efe lebaka. Ka ba bang ba bakuli ba le lefu lena hlaha ka lebaka ha totobala. Tabeng ena re bua ka mofuta o idiopathic lefu lena.

Matšoao pele

The setshwantsho ea tleleniki ea thulaganyou e pathological tšoauoa ka ho fetola mekhahlelo e 'meli. mohato Neuralgia e tsamaea le bohloko matsohong a sa tšoaneng e matla. Ka mor'a ho tluoa tabeng ea shoeleng litho. mohato ona e tšoauoa ka tsoelo-pele ea bofokoli ka letsohong ho fihlela immobility feletseng.

Bohloko plexopathy na le botho ba wavy. Ntlha ea pele, le mamello ha a ikutloe boemong bo sa thabiseng. Ka mor'a matsatsi a 'maloa a ka tsoha ho tloha bohloko mamelleha. Boemong bo sa thabiseng e ka tlwaelo a feteletsoang ke motsamao oa la letsoho le hlooho, ka mor'a phetoho boemong mele.

Eng hape e na le plexopathy matšoao a brachial akira theo gun? Setšoantšong tlelenike itšetlehile ka sesosa oa ho hloka taolo le. Ka mohlala, ha ho lefu scalene mesifa lefu tsamaea le boikutlo ba ho ba shoohlo molaleng le likotlo ho. Le matla a matšoao a eketsa ka mor'a nako.

Ka tse fapa-fapaneng mafu a sa 'mele ke liponahatso tse sa tšoaneng tsa lefu o monyenyane. Khahlanong le semelo sa lefu la Personeydzha Turner plexopathy tsoela tsa tlhaselo. Pele, ho na le bohloko e matla ho letsoho la hae, e leng eketsa le sisinyehang ka eona. Joale e ntan'o ba boemong bo sa thabiseng kokobela, empa ka nako e tšoanang na le bofokoli ba mesifa ka senyepa mahetla. Mokuli a ka ka bolokolohi susumelletsa letsoho la hae ka letsohong le litsoeng manonyello, empa ke ke ha khoneha hore a tsohe. litlhaselo tse joalo li phetoa ka periodicity fapaneng.

tlhophiso ea mafu

Plexopathy brachial akira theo gun le ka ba le liforomo tse 'maloa:

1. The deltoid mesifa shoele litho (lefu Erb ya), eo ho eona letsoho la li ke ke tsa lipompo tsa ho lehlakoreng.
2. Shoele litho tsa biceps e, forearm tsamaea le felloa ke tsamaiso e litsoeng kopanetsoeng.
3. Shoele litho tsa supraspinatus le mesifa infraspinatus etsa hore ho le thata ho ba chenchana ka mahetla. Re bua ka mokhatlo oo, le ha motho a e ile a botsa ho otlolla khutlela hae 'me a otlolla mahetleng ho ea.

Maemong a haholo-holo ka lintho tse tebileng moo tshebetso pathological fetela le ho methapo kaofela ha brachial akira theo gun, ho ntshetsa pele e shoele litho ka ho feletseng letsoho la. Tabeng ena, ea leoto le mamello ea lahleheloang nahanela.

mekhoa ea phumano

Ha matšoao a pele plexopathy hloka ho batla thuso ho tswa ho ngaka. Ho phekola bolwetse ena amehang neurologists. Haeba u belaella boloetse plexopathy brachial akira theo gun bongaka e qala ka phuputso e entsoeng ba le mamello le ho ithuta histori ea eona. Ebe fallela mekhoa ea liletsa tsa lipatlisiso.

Ho fetisisa boitsebiso bo rutang bo khetholloang electroneuromyography. U sebelisa mokhoa ona, ngaka ea ka ho hlahloba boemo ba ea e mong le methapo ea kutlo, tsoang ho tswa brachial akira theo gun. Ho phaella moo e behiloeng CT, MRI, 'me oa ultrasound ea sebakeng se amehileng. lithuto tsena ho etsa hore ho be bonolo ho hlahloba isa tekanyong ea tshebetso pathological. The tepelletse maikutlong differential o etsoang tsoa le e mafu a tse latelang: polyneuritis, radicular neuritis, sciatica cervical lesapo la mokokotlo, ramatiki ea lenonyello la mahetla.

kalafo mekhoa e tloaetsoeng

Ka qalong ea phekolo ka lefu outpatient motheo oa. Ea lithethefatsi, e leng lithethefatsi tse latelang:

• Analgesics thehiloeng dipyrone (bakeng sa ho tlosa sensations thabiseng).
• Anticholinesterases (bakeng sa mesifa bofokoli le shoele litho). Mohlala, "Neostigmine" kapa "galantamine".
• lithethefatsi le mehahong vithamine Nootropic (ho ntlafatsa metabolism ka lisele tse).

phekolo ea lithethefatsi e bontšoa bakeng sa 'nete hore a hlobaetsang le maloetse. Ea physiotherapy ba kgothaletswa bakeng sa bakuli ba le phumano ya "sa foleng plexopathy akira theo gun brachial." The kalafo tabeng ena e akarelletsa ho sebelisoa ha dikopo seretse, mekhoa ea phekolo e sililoa, le UHF electrophoresis.

tshebedisano kenella

Haeba tsoelo-pele ea lefu lena le bakoa ke ho sithabela kapa hlahala, le bontša ho buuoa. Nakong ea ho kenella ea ngaka e buoang e le lokolla ho "clamped" methapo ea kutlo likhoele potolohileng lisele. Posttraumatic plexopathy brachial akira theo gun Karabo ea ka ba hantle hore kalafo haeba nako le mamello hore u kōpe thuso. Ka mor'a ho buuoa, hloka nako ho hlaphoheloa telele, e leng se bohlale ho hlokomoloha.

mehato e thibelang

Plexopathy brachial akira theo gun mora tsela ea phekolo e ka ba teng hape. Ho thibela ho boipheto lefu lena, re ke ke ra hlokomoloha mehato e thibelang.

Lingaka li khothalletsa ho sesa. Litlelase ka letamo dumella ho boloka 'mele ea ka sebopeho se molemo, thibela ketsahalo ya ho ruruha ka manonyeletso. Ho phaella moo, ho sesa le phello e ntle ka feto-fetoha maikutlong motho eo.

E boetse e na le thuso ea ho kopanela lipapaling tse ling. Lekaneng ho ikoetlisa e na le phello e ntle ho bophelo bo botle ba batho a le lilemo li le teng. Ka mohlala, e bonolo 'meleng phekolo boitlhakiso li ka eketsa kopanetsoeng tsamaiso, thibela ossification. ho ikoetlisa phekolo matlafatsa boitshireletso ba mmele, ho eketsa ho hanyetsa ea 'mele ea ho mahlahana a tse fapa-fapaneng a tšoaetsanoang.