Ukuvalelwa kwintlungu kumqolo osezantsi kunye nesisu esezantsi kubonakala kunye nokuqhagamshelana kokuqhagamshelana kweziphetho zesifo (i-receptors) zezitho zangaphakathi ngenxa yezicubu, izigulana, iinkqubo zokuvuvukala, ukukhubazeka kobunzima, ukubambelela. Ubunzima buya kugxininiswa kwindawo yecandelo elichaphazelekayo okanye lisasaze ngaphaya kwendlela yokujonga ngayo i-anatomical. Xa isisu kunye nokunciphisa umva, akunakulungi ukubeka i-diagnostic ngokwayo. Ukusebenzisa ama-neurologists uthi: ukuba umva ubonakalisa, umzimba wonke ubandakanyeka kwinkqubo, ngoko ke ukuba unesifo sokukhathazeka, kufuneka uqhagamshelane nogqirha ngokukhawuleza, uhlolwe kwaye uthathe inkqubo yokonyango.
I-anatomy yommandla wesisu
I-Topographically, isisu esisezantsi sidibanisa isayithi ukusuka kwintonga kwintetho ye-pubic, imida ukuya ngakwesobunxele nakwesokunene yiminyango ye-inguinal kunye namathambo e-iliac.
Amalungu kwisisu esezantsi:
- ngaphezu kwe-pubis: i-vestile, isisu; kumadoda - i-deferens, i-vesin vesicles, i-prostate gland;
- kwi-groin: inxalenye ye-ureters, i-inguinal canals; kwabasetyhini - ii-ovaries;
- kwindawo yomnatha: umathumbu omncinci, ikholoni ehambayo;
- kwi-sigmoid yesobunxele kunye nokuhla kwe-colon; ngakwesokudla-i-cecum ne-appendix kunye nekolon ekhuphukayo.
Intlungu enzima kwimbuyiselo engaphantsi ibonisa i-peritonitis, i-perforation yodonga lwesisu, intlungu okanye i-gallbladder, isithintelo somathumbu. Ukufudumala intlungu kwisisu esisezantsi kufana ne-coal ye-renal kunye ne-kidney pathologies. Kunqabile kakhulu, ububele buyabonwa kunye ne-myocardial infarction. Ukunciphisa i-aneurysm ye-aorta kunye nokuvalwa kwamathambo emathumbu emathumbu kubangela ukuba i-syndrome ibuhlungu kakhulu kwaye ibuhlungu kakhulu.
Isisu esisezantsi kunye nomqolo ophantsi - ungathini na?
Intlungu ye-back is uphawu lweenkqubo ezininzi zeentsholongwane. Iyakwazi ukuhlukana ngokubanzi ngamandla kunye nomlingisi (ukugubha, ukusila, ukutshisa, ukudweba, ubukhali) kwaye kubonakale ngenxa yezizathu ezahlukahlukeneyo.
Izifo ze-Urologic:
- i-glomerulonephritis (umonakalo kwiinkongo zengqondo). Isibilini kunye nesisu esiswini sisoloko sigqithwe, inkqubo iyaqhubeka kwimizi zombini kunye, ihamba nexinzelelo lwegazi kunye nokuvuvukala;
- amaqhosha. Zizibonakalisa ziintlungu ezilinganayo kwisisu nangaphantsi. Njengoko i-cyst ikhula, ixubisa iinjongo, ibangele i-atrophy kunye nokungaphumeleli kwezintso;
- i-pyelonephritis (ukuvuvukala kwe-pelal pelvis). I-syndrome yesifo idibaniswe nokunyuka kokushisa komzimba, ukuphulwa komvuthano, intloko, ukuphazamiseka kwengqondo;
- i-paranephritis (ukuvuvukala kwezicubu zomzimba). Iyakhupha isezantsi kwesisu kwaye ibuhlungu umqolo osezantsi, kukho intlungu kwandiso / ukuhamba kwe-joint hip;
- ukubola kwemiphunga / izifo zentlungu. Ukudibanisa kwisisu esiswini esiswini esibi kakhulu kunye ne-metastasis emgodleni kubangela intlungu kwisisu, emuva, okhalweni. Ukuba i-tumor ivela kwingxenyana engezantsi yomgudu, iintlungu zenzelwa kwingingqi ye-pelvic.
- zeentso zamatye. Amancinci athile, ajikeleziweyo amancinci amancinci (ukuya kuma-millimitha ama-5) aphuma ngokuzimela, amatye amakhulu anemigodi ebukhali isuswa ngokusebenzayo. Ngethuba lokudlula kwi-ureter, i-colic ye-renal iyenzeka, ibonakaliswe yintlungu enzima, inokufaniswa kumandla okwehlukana kwabasebenzi.
Izifo zesistim ye-musculoskelet system:
- osteoporosis. Uphawu oluphawulekayo luphawu lokutshintsha kwesakhiwo sekhola yomgudu, obangela intlungu kwi-back back and esiswini;
- osteochondrosis. Ubuhlungu kwisisu, ukunika indawo engqinileyo, zixhomekeke kwimvelaphi yokungasebenzi kwe-genitourinary system kunye nokunciphisa ubunzulu bezitho ezingaphantsi;
- arthritis. Ukukhathazeka okuncinane kwisisu esezantsi kunye nomva ophantsi, obunomlinganiso we-paroxysmal nokugqithisa isiguli ekuseni;
- I-pathology ye-joint hip: ifunyenwe (coxarthrosis), izifo ezibangelwa ngumntwana (congyital (dysplasia) zesakhiwo se-anatomiki, iifractic fractions;
- ukuvuvukala kwemisipha yangemuva, i-hernia ye-disvertebral diss, i-traverse injection, radiculitis. Ubuhlungu kwi-back back and lower abdomen, "ukudubula", ukurhoxisa kwi-groin, perineum, imilenze. Kukho ukwehla kwentlupheko yesikhumba, kungaphantsi kaninzi - ukukhubazeka kweziphelo ezingaphantsi.
Izifo ezithathelwana ngesondo
I-ZPPP idonsa isisu esezantsi ize ibuyele. Iintlungu eziqhubekayo zivakalelwa kwindawo engumngcipheko, ngaphezu kwe-pubis, zinikelwa emathangeni angaphakathi. Iqondo lokuxhomekeka kwabo lixhomekeke kwinqanaba lokuvuvukala, linxulumene nokunyuka kwindleko yokutshatyalaliswa kwesisu / urethra. I-cystitis / urethritis ethile ihamba kunye nokutshisa kwi-bladder kunye ne-urethra ngexesha lokuchama. Xa ukuvuvukala kudlulela kwizitho zangasese, izintso kunye nokugqithisa, intlungu kwisisu esisezantsi yanda kakhulu ngenxa yokusuleleka kwi-pelvic plexus (plexitis) kunye ne-fiber ejikeleze isibeleko (i-perimetritis).
Iingxaki zeengqondo:
- ukungapheli, ukungakhathazeki;
- uxinzelelo lwengqondo olude;
- ukuphindaphinda ukuxinezeleka / uxinzelelo.
Isisu esisezantsi kunye nabancinci abasetyhini abasemva - izizathu
Ubuhlungu kwi-back back and lower abdom in women is diagnosed often over men. I-75-80% yeentlungu zesisu zihambelana ngqo nokungaqhelekanga komzimba, ukukhulelwa, umjikelezo wesini:
- endometritis. Intlungu isisigxina, iyakhula ukwanda kwithuba lokuya esikhathini, kwiimeko ezingama-50% zihamba kunye nokuhlanjululwa nokuhlanza;
- i-pelvioperitonitis (ukuvuvukala kwesembozo se-serous ye-pelvis). Intlungu ebuhlungu kwisisu esezantsi, unikezela emqolo ongaphantsi, odibeneyo nomkhuhlane, isitofu se-liquo, isiconguezelo;
- i-cyst ovarian. Kubonakaliswa yintlungu ebuhlungu kwisisu esisiswini, ukuhlanza, isisongulu, isifo somkhuhlane;
- abaxhamli be-ovary. Ukuhlamba emva kokugqithwa kwintolli kunye neqanda kwenzeka emva kwesondo / ukunyanzelisa umzimba. Iimpawu: ukuhlanza, isicathulo, ubuhlungu obubuhlungu, ubuthathaka, ukungazi;
- ukukhulelwa kwe-ectopic. Isimo esinobungozi, esichaphazelekayo kunye nokuphuka kwebhubhu ye-fallopian. Kuhamba kunye nentlungu kwisisu esisezantsi, esanda ngokunyakaza;
- ukugqithiswa kwemilenze ye-cyst / ukubola kwe-ovary. Ukubonisa intlungu eqhubekayo engaphantsi nangaphantsi kweesisu ngokubhekisele kwiqondo lokushisa eliphezulu (kufika kuma-degrees angama-39), isicupunu, ukuhlanza;
- ukuya esikhathini. Intlungu iyanqabana ngenxa yecala lokukhupha i-uterine kunye nokuphuculwa komngcingo wesibeleko.
Isisu esisezantsi kunye nomtya osezantsi kumntu obangela
Ubuhlungu kwisithuba esisezantsi kunye nesisu esiswini kumaxesha amaninzi kubonisa izifo zendlela yokuzala - izitho zesisu kunye ne-prostate gland, kaninzi kangako - malunga nezifo eziqhelekileyo (i-appendicitis, i-urethritis, i-renal colic, i-sigmoid esiswini sesisu):
- prostatitis. I-syndrome ye-Pain nge-prostatitis ifumaneka kwindawo yokubonakalisa i-prostate gland - perineum, iyakwandisa kwi-rectum kunye ne-vestium, iqhubise ingozi yokusebenza komsebenzi wayo (i-stool liquo, ukuchama okubuhlungu). Ukubandezeleka kwindawo eselungileyo kuyisimo esifanelekayo - sihlala siqhubeka kuze kube yilapho iprotrath ingathathi ubukhulu bayo bokuqala. Inkcazo yenkqubo ikhokelela ekusebenziseni i-erectile, ukungaphili, ukuxinezeleka, ukunciphisa ukusebenza kakuhle, ukunyuka kwangaphambili;
- i-vesiculitis (ukuvuvukala kwimizimba yesisu). Ikhula njengengxaki ye-urethritis, i-prostatitis, i-epidemiditis. Ubuhlungu bujolise kwisisu esisezantsi, inqeni, indawo ye-suprapubic, ukufumana ubungqongqo kunye nesigqabi esipheleleyo, kunye nokunyuka kwezocansi, ukukhulelwa, ukunyuswa kwamaxesha amaninzi. Inkambo engapheliyo ye-vesiculitis ibangela ukungasebenzi kwezesondo kunye nokungabikho komntwana.
Ukuba isisu esezantsi kunye nehla ephantsi libuhlungu, kufuneka udibane nogqirha uze uhlolisise uviwo olupheleleyo, kuquka i-ultrasound yeenxalenye ze-pelvic, i-ray ye-lumbosacral umgudu, i-endoscopy ye-bladder kunye nesondlo sesisu. Xa kukho intlungu ebuhlungu, engenakho ukulungiswa kwimizila ye-analgesics, kuyimfuneko ukubiza ngokukhawuleza i-ambulensi.