Axillary jijiya mutum: tsarin, aikin da zai yiwu cuta

Axillary jijiya da kuma radiation ne aka gyara na da raya akwati na brachial plexus. A karkashin kafada hadin gwiwa kara jijiya bãyar reshe wanda innervates a kananan madauwari tsoka ga juya makamai waje. Bugu da ari, axillary jijiya ya wuce baya a kaikaice humerus kafin rarraba a cikin gaba da raya reshe samar da wani ɓangare na deltoid tsoka. Don raya rassan da dangantaka cutaneous jijiya, wanda innervates a kaikaice surface na fata kan deltoid tsoka. Bari mu bincika a cikin mafi daki-daki, axillary jijiya. ya na musamman ilmin jikin mutum.

jijiya lalacewa

Mafi sau da yawa, lalacewar da axillary jijiya ya auku a karayar humerus ko kafada sāke wuri. A wasu lokuta abin ya shafa a lokacin idiopathic plexopathy brachial plexus kawai axillary jijiya. Abin da ya razana lalacewar da axillary jijiya? Bari mu bincika a cikin wannan labarin.

Babban asibiti buɗi na axillary jijiya matsawa - wani take hakkin kafada sata saboda wani rauni da deltoid tsoka. Taps hannunka farawa Supraspinous tsoka, amma saboda haƙuri zai iya riƙe wata iyaka ikon yi wani hannunka. Kuma ko da yake shi iya zama mai rauni teres qananan tsoka, shi ne ba ko da yaushe ne bayyanannu a cikin asibiti jarrabawa a sakamakon da al'ada aiki na tsokoki podkostnoy.

A ganewar asali za a iya tabbatar da kawai da Gano da wani rauni daga cikin deltoid tsoka da kuma mahaukaci EMG Manuniya cewa dangantaka da kananan zagaye da deltoid tsokoki. SPNV jijiya a cikin axillary surface aiwatar records tsoka (deltoid) hidima gano hanyoyin da bata lokaci ko rage amplitude MTD axillary jijiya.

Neuropathy daga cikin manya ƙwarai - quite m cuta a cikin wani neurologist. Yana iya lalace a matsayin axillary jijiya da kuma 'yan jijiyoyi a lokaci daya, sabili da haka za a daban-daban, da kuma na asibiti hoto da cutar. Ko da kuwa da Sanadin cutar, da mãsu haƙuri fara jin zafi, numbness, rashin jin daɗi da kuma sauran cututtuka halayyar.

dalilai

Sau da yawa, marasa lafiya fuskanci neuropathy daga cikin manya wata gabar jiki, da suka ji cewa su matsaloli suna da alaka da rashin barci da kuma gajiya, wanda za a iya mayar da ta dace sauran. Mutane da yawa dalilai na iya haifar da polyneuropathy hannuwanku. Mafi na kowa hada da:

• Neoplastic Cututtuka - a cikinsa, da ciwon daji ne ba dole ba ne located a yankin na kafada da hamata. Sarrafawa iya zama wani.
• Ayyuka da aka canjawa wuri a baya (a shafin na tiyata a kan lokaci da jini daina kewaya kullum, kuma wannan, bi da bi, na taimaka wa tsoka atrophy da edema samuwar, ciki har da matsawa na jijiya daure, wadda take kaiwa zuwa neuropathy).
• Long amfani medicaments tare da wani abun ciki na chloroquine da phenytoin - wadannan abubuwa aiki barnatar a jijiya zaruruwa.
• Raunin da wata gabar jiki da kuma m cin gaban edema, jijiya tsunkule - kamar yadda wani sakamako, akwai neuropathy.
• Daban-daban haifa cututtuka, kamar tarin fuka, mura, diphtheria, HIV, herpes, zazzabin cizon sauro da kuma sauran.
• Regular hypothermia - jiki da zazzabi rage shi ne sosai cutarwa da kuma dogon gaban a wannan jiha.
• Rashin takamaiman kungiyoyin na bitamin a cikin jiki, sau da yawa bitamin B.
• Sakawa a iska mai guba - rinjayar da jiki barnatar.
• Buguwa.
• Wuce kima motsa jiki da kuma karfi tsokoki.
• Endocrine cuta, da ciwon sukari da.

Yadda shi bayyana kanta lalace axillary jijiya?

cututtuka

A symptomatology za a iya raba firamare da kuma abokin. Lokacin da buɗi na babban bayyanar cututtuka, da mutum ji mai kona zafi, haunting shi dukan yini, kazalika da numbness na yatsunsu, hannuwanku da wuyan hannu a matsayin dukan. Lokacin da concomitant bayyanar cututtuka bayyana:

• wahala a motsi makãmansu.
• ƙaruwa.
• incoordination.
• involuntary tsoka contractions, convulsions, cramps.
• rage zafin jiki ƙwarai.
• tingling rashin jin daɗi.

Lalace axillary jijiya: ganewar asali

Don zabi da hakkin Hanyar magani, yana da muhimmanci a gudanar da wani cikakken jarrabawa na haƙuri, to yin gwaje-gwaje, kai musamman gwaje-gwaje don kimanta reflexes da tsoka ƙarfi. By instrumental hanyoyin da ganewar asali sun hada da: Magnetic rawa tomography, electroneuromyography.

Wadannan hanyoyin iya gane jijiya lalacewa, gano dalilin da har na madugu munanan. Idan ya cancanta, da gwani iya kaiwa haƙuri da su gudanar da gwaje-gwaje ƙarin ya yi mulkin fitar da wasu Pathology. Shi ne kawai bayan da sakamakon za a iya bincikar lafiya. sosai m da topography na axillary jijiya.

neuropathy

Neuropathy axillary jijiya tare da wani ƙuntatawa (rashin iyawa) kafada sata, da ƙungiyoyi baya da kuma fitar, esthesioneurosis yankin, atrophy na deltoid tsoka. Matsawa quadrilateral takware - rami ciwo axillary jijiya (triceps, ƙanana da manyan zagaye tsokoki, humerus). A zafi da aka sarrafa a cikin kafada yanki da kuma aka inganta da juyawa da kafada sata. Bambantawa su ciyar daga discogenic sciatica mahaifa da glenohumeral periarthrosis.

neuritis

Neuritis - wata cuta daga cikin na gefe jijiya (na fuska, intercostal, occipital, jijiyoyi, wata gabar jiki) da ciwon kumburi hali da kuma bayyana ta zafi tare da jijiya, tsoka rauni innervated yankin, take hakkin ji na ƙwarai. Tare da shan kashi na dama jijiya cuta kira polyneuritis. A tsinkaya daga cikin axillary jijiya taka muhimmiyar rawa a nan.

jijiya aiki, innervation yankin da kuma sanin ko za a mataki na lalacewar da na asibiti hoto na neuritis. A mafi yawan lokuta, da na gefe jijiyoyi suna sanya up iri-iri na jijiya zaruruwa: autonomic, azanci shine, motor. Ga wani irin neuritis ne halin da cututtuka sa da shan kashi na kowane daga cikin zaruruwa:

• trophic da vegetative disturbances sa bayyanar venous ulcers, edema, gaggautsa kusoshi, fata cyanosis, rashin ruwa da kuma thinning na fata, depigmentation da kuma gida gashi hasara, sweating da sauransu.
• ýan cuta haddasa asara ko rage ji na ƙwarai innervation zone, paresthesias (tingling abin mamaki, tingling), numbness.
• illa motor aiki sa wani karu ko asarar agara reflexes, paresis (m), ko kuma inna (cikakken) saukarwa daga ƙarfi innervated tsoka atrophy.

A farko alamun

Amma, da farko alamun jijiya rauni ne numbness da kuma zafi. The asibiti hoto na wasu iri neuritis nuna takamaiman cututtuka cewa suna hade da yankin cewa axillary jijiya kayayyaki.

Neuritis na axillary jijiya da aka bayyana a cikin rashin iyawa tada hannu zuwa gefen, kara da motsi na da kafada hadin gwiwa, rage ji na ƙwarai daga sama na uku da kafada, atrophy na deltoid tsoka.

Ware axillary jijiya an ya shafa tare da brachial plexus rauni ko sāke wuri na humeral kai. Wannan take kaiwa ga asarar wani show hannuwansu zuwa kwance matakin.

A wani kananan tsiri na fata posteroexternal babba surface na kafada gaji da damuwa ƙwarai. A wasu lokuta akwai rauni zuwa a kaikaice cutaneous jijiya na hannu da dantse, da kurakurai a cikin wannan ji na ƙwarai to topically-baya, radial gefe na hannu da dantse. All jijiyoyi da axillary yankin.

Don sauri kewaya da abin ya shafa jijiyoyi daga cikin manya extremities, musamman da ulnar, tsakãtsaki ce da radial, shi zai zama isa ya bincika haƙuri ga wani hali motsi na yatsunsu, hannunka da kuma hannu da dantse. Amma don fara ne don tabbatar da akwai wani cikas ga motsi na wani inji yanayi saboda ci gaban contractures ko ankylosis. Lokacin da haƙuri zai yi da zama dole ƙungiyoyi, wani gwani za bukatar tabbatar da kare lafiya da ƙarfi, kuma girma daga wadannan ƙungiyoyi.

tsoka kungiyoyin

A gaba rukuni na tsokoki ne kunshe a cikin mota innervation na axillary (underarm) jijiya:

A deltoid C5-C6:

• A lokacin da rage daga cikin mayar da tashe hannu na jan baya.
• A lokacin rage daga cikin tsakiyar ɓangare na kafada sanya wa kwance jirgin sama.
• A lokacin da rage daga cikin gaban tashe reshe ja gaba.

Teres qananan tsoka C4-C5, da inganta m juyawa daga cikin kafada.

gwajin

Domin sanin da ƙarfi daga cikin deltoid tsoka, za a iya za'ayi da wadannan gwajin: haƙuri yana zaune ko a tsaye kiwata hannunsa zuwa kwance matakin, da kuma likita a lokacin resists wannan yunkuri, palpating da tsoka ƙanƙancewa.

Tare da shan kashi na axillary jijiya, da wadannan na faruwa:

• Damuwa ƙwarai kafada surface (verhnenaruzhnogo).
• Axillary jijiya inna, atrophy na deltoid tsoka.

Alama dovetail ne cewa tsawo na haƙuri hannun yawa kasa da lafiya. Kuma idan ka dubi haƙuri ta gefen, shi zai bayyana tsaga dovetail kuma gibba a kafada tsawo.