Tangata axillary karere: hanganga, mahi me te mate ka taea

karere axillary me radiation he wāhanga o te kātua muri o te plexus brachial. I raro i te tahi pokohiwi whakawhānui karere foaki manga e innervates he uaua iti porohita ki te takahuri ringa waho. Atu karere axillary haere i muri i te peke lateral i mua i wehewehe ki mua, me te peka muri tuku wahi o te ua pakihiwi. Ki nga manga muri pā ana karere waihakihaki, e innervates te mata lateral o te kiri i runga i te ua pakihiwi. Kia whai whakaaro ano tatou i roto i te kōrero atu i te io axillary. tona anatomy ahurei.

kino io

Nuinga o ngā wā, kino ki te karere axillary puta i roto i te peke whati raruraru pokohiwi ranei. I roto i ētahi wā pāngia i roto i idiopathic plexus brachial plexopathy axillary anake karere. He aha fakamanamanai kino ki te io axillary? E hi'opoa tatou i roto i tenei tuhinga.

Ko te faaiteraa haumanu matua o te kōpeketanga karere axillary - he takahi o kāhakitanga pokohiwi no o te ngoikore o te ua pakihiwi. tīmata körere ringa uaua Supraspinous, engari no te mea kia pupuri i te manawanui he iti kaha ki te tango i te ringa. A ahakoa kia reira teres ngoikore uaua iti, e kore e kitea tonu reira i roto i te whakamātautau haumanu rite ki te hua o te mahi noa o uaua podkostnoy.

Ka taea te whakapumautia te tātaritanga anake i tāutu i te ngoikore o te ua pakihiwi me te rerekē tohu EMG e pā ana ki te uaua tawhio me pakihiwi iti. SPNV karere i roto i te uaua axillary mata pūkete whakatinanatanga (pakihiwi) kaimahi ki te tāutu i roa pea iti tīwera MTD axillary io ranei.

Neuropathy o te pito runga - rawa mate auau i roto i te toketā neave. kia kia pakaru te reira rite te io axillary me te torutoru raru i kotahi, a reira kia rerekē ka, me te pikitia haumanu o te mate. Ahakoa o nga take o te mate, ka tīmata te manawanui ki te ite mamae, te kōpā, hūhi me te tahi atu tohu āhuatanga.

take

E mea pinepine, e fehangahangai tūroro ki neuropathy o nga waewae o runga, ite ratou e kua pā ratou mau fifi ki te kore o te moe, me te rohirohi, e taea te faaho'ihia mai e te okiokinga e tika ana. Ka taea e maha take meinga ringa polyneuropathy. ngā te tino noa:

• Diseases Neoplastic - ai e kore te tika kei te puku i roto i te rohe o te pokohiwi me te kēkē. Ka taea e localization e tetahi.
• Operations e kua whakawhitia mua (i runga i te pae o te pokanga i runga i te wā mutu te toto ki te porotītiti tikanga, me tenei, i roto i tahuri, whai wāhi ki te uaua atrophy me edema hanganga, tae atu kōpeketanga o nga paihere karere, e tika ana ki te neuropathy).
• whakamahi medicaments roa ki te ihirangi o te chloroquine me phenytoin - mahi tōraro enei matū i runga i te muka io.
• Wharanga ki nga wahi me te whanaketanga o te edema, karere timonga muri - rite te tupu, i reira he neuropathy.
• mate kawea rerekē, pērā i te mate kohi, rewharewha, diphtheria, HIV, herpes, te malaria me te tahi atu.
• Ko te tino kino, me te roa-tonu aroaro i roto i tenei āhua tinana pāmahana whakaiti - auau hauhauaitu.
• Te kore o ngā rōpū motuhake o huaora i te tinana, maha B. huaora
• Irradiation - pānga te tinana tōraro.
• Haurangi.
• mahi nui me uaua kaha.
• disorders endocrine, mate huka me.

Pehea faaite te reira pakaru iho karere axillary?

tohu

Ka taea te wehea te tohutanga ki tuatahi, me te hoa. A, no te te faaiteraa o te tohu matua, mana'o te tangata he mamae tahunga, vavahi-ia ra katoa roa, me te kōpā o maihao, ringa, me te ringa rite te katoa. A, no te tohu te rere puta:

• uaua i roto i te neke ringa;
• huamo;
• incoordination;
• contractions tumu te uaua, haehae, cramps;
• whakaiti pāmahana tūtohutanga;
• mania hūhi.

karere axillary tūkinotia: Diagnosis

Hei whiriwhiri i te tikanga tika o te maimoatanga, he mea nui ki te whakahaere i te whakamātautau ki tonu o te manawanui, ki te hanga whakamātautau, tango whakamātautau motuhake ki te arotake i reflexes me uaua kaha. Na roto i te tikanga mauhaa o te tātaritanga ngā: te kōwarotanga autō tomography, electroneuromyography.

Ka taea e ēnei tikanga kitea kino karere, whakatau i te take, me te whānuitanga o abnormalities kawenga. Ki te tika, kia tirohia te tohunga te manawanui ki te whakahaere whakamātautau atu ki te whakahaere tikanga i roto i te tahi atu māuiuitanga. I reira i muri noa e taea te pāngia nga hua. nui o ngā mōhiohio te mātauranga mahere whenua o te karere axillary.

neuropathy

karere Neuropathy axillary tahi e te kāhakitanga rāhuitanga (ngoikore) pokohiwi, hoki me puta ana nekehanga, esthesioneurosis rohe, atrophy o te ua pakihiwi. tatau Kōpeketanga tapawhā - kauhanga syndrome axillary karere (tengi, uaua a tawhio nui, me te iti, peke). paetata te mamae kei roto i te rohe pokohiwi, me te e whakarei e te hurihanga, me te peke kāhakitanga. kia noho pārōnaki i discogenic waha sciatica me periarthrosis glenohumeral.

neuritis

Neuritis - mate piringa karere (kanohi, intercostal, kōpako, ka raru ko e alangá mo) he he āhua inflammatory, me te faaite haere te mamae karere, uaua ngoikore innervated mara tūtohutanga te whakararuraru,. Ki te hinga o te maha mate karere i huaina polyneuritis. Ko te ngä o te karere axillary e whai wāhi nui i konei.

karere mahi, wāhi innervation me te whakatau i te tohu o te kino ki te pikitia haumanu o neuritis. I roto i te nuinga o te wā, kei te hanga nga raru piringa ake o ngā momo o muka karere: autonomic, tairongo, nekeneke. Hoki momo o te neuritis tetahi āhuatanga e tohu meinga e te hinga o ia o nga muka:

• arataukai me whakararuraru vegetative meinga te ahua o tuwhenua venous, edema, whao pakarukaru, cyanosis kiri, maroke me te thinning o te kiri, depigmentation me te mate makawe rohe, sweating me pera i runga i;
• disorders tūtohutanga meinga mate whakaiti o te rohe tūtohutanga innervation ranei, paresthesias (mania sensation, mania), te kōpā;
• waimaero mahi pūkaha ai te hekenga mate o reflexes iohere ranei, paresis (wāhanga) ranei pāpāngia (oti) whakaiti o te kaha innervated atrophy uaua.

Ko te tohu tuatahi

Fele, te tohu tuatahi o te karere whara he kōpā me te mamae. Ko te pikitia haumanu o etahi momo o neuritis whakaatu tohu motuhake e kua e pā ana ki te wāhi e nga kai io axillary.

whakahuatia Neuritis o te karere axillary e i roto i te ngoikore ki te whakaara i te ringa ki te taha, te whakanui ake i te nekeneke o te tahi pokohiwi, heke haere te tūtohutanga o te toru o runga o te pokohiwi, atrophy o te ua pakihiwi.

pāngia taratahi karere axillary te ki wharanga plexus brachial raruraru o te matenga humeral ranei. arata'i tenei ki te mate o te whakaatu o ringa ki te taumata whakapae.

I runga i te Unuhia iti o te kiri mata o runga posteroexternal o te pokohiwi ohorere tūtohutanga. I roto i ētahi wā i reira he mate ki te karere waihakihaki lateral o te kikowhiti me kōtītiti i roto i tenei tūtohutanga ki topically-hoki, taha toropā o te kikowhiti. Katoa nga raru o te rohe axillary.

Hei whakatere hohoro ki te raru pāngia o te topito o runga, rawa te ulnar, tau waenga, me te toropā, ka waiho reira ranea ki te titiro i te manawanui mo te nekehanga angamaheni o te maihao, ringa, me te kikowhiti. Ko ki te tīmata, ko te ki te kia tino i reira e kore tutukitanga ki te kaupapa o te āhua aunoa tika ki te whanaketanga o contractures ankylosis ranei. A, no te e mahi i te manawanui ki nga nekehanga e tika ana, ka hiahia ki te whakarite i te haumaru o te kaha, me te rōrahi o enei nekehanga te mātanga.

rōpū uaua

ngā te rōpū i muri o uaua e i roto i te innervation pūkaha o te axillary (tuku whakararo) karere:

Ko te pakihiwi C5-C6:

• I roto i te whakaiti o te hoki o te ringa whakaarahia e faaho'i mai.
• I roto i whakaiti o te wahi waenganui o te pokohiwi i whakaritea ki te waka rererangi whakapae.
• I roto i te whakaiti o te mua o te e alangá whakaarahia unuhia atu.

Teres uaua iti C4-C5, whakatairanga waho huringa o te pokohiwi.

whakamātautau

Hei whakatau i te kaha o te ua pakihiwi, e taea te kawea i roto i te whakamātautau e whai ake nei: Kei te noho i te manawanui whakaara ake tu tona ringa ki te taumata whakapae, me te tākuta i te wa whakakeke tenei kaupapa, palpating te hukihuki uaua ranei.

Ki te hinga o te karere axillary, puta te whai ake:

• mata tūtohutanga pokohiwi oto (verhnenaruzhnogo).
• pāpāngia karere axillary, atrophy o te ua pakihiwi.

Tohumate dovetail Ko e te toronga o nga ringa manawanui o nui iti iho i te hauora. A ki te titiro koutou ki te taha o te manawanui, e puta ai dovetail wahia me ngā āputa i roto i te toronga pokohiwi.