Ubuhlungu phantsi kwe-scapula eyiyo: uhlobo, izizathu, ukuxilongwa

Ubuhlungu phantsi kwe-scapula efanelekileyo yisishala esiqhelekileyo kwiyeza zonyango. Inokuba yinto engenakonakalisa nantoni (ukululalisa i-muscle), kwaye ingabonisa ukuba inkunkuma iyingozi kubomi kunye nempilo (i-sarcoma ithambo), ngoko nayiphi na intlungu phantsi kwe-scapula eyiyo ifanelekileyo ingqalelo kwaye ifuna unyango olufanelekileyo.

I-scapula efanelekileyo: isakhiwo se-anatomical

I-scapula iyingxenye ye-trunk, eboshwe ngezantsi ngelayini elingqamlekiweyo eligqitywe kumgca ongezantsi we-scapula, ngomgca omileyo ohambelana nokubonakaliswa komda we-scapula; phezulu - umgca osebenza phakathi kwe-appendi ye-vertebra yesixhenxe yomlomo wesibeleko kunye nomxube we-spinal-acromial, ngaphandle-umda ongaphantsi komgca we-deltoid kunye nomgca we-axillary ophakathi. Kwinqanaba le-scapular esifundeni yi-scapula - ithambo elincinci elincinci elisecaleni kwendiza engaphaya kwe-thorax phakathi kwembombo yesixhenxe neyesibini. Kukho imilo eyahlukeneyo ye-scapula: ifanayo, ende, inqabile, imfutshane, ibanzi. Kwi-blood supply ye-scapular zone, amasebe e-subclavia, ehlangene namasebe e-axillary aorta, athatha inxaxheba. Ukuphuma kwegazi kuqhutyelwa kwimifuno yegama elifanayo, amagatsha e-plexus ye-brachial anikezela iimbasa kwiindawo ezixhamlayo.

Iintlobo zentlungu phantsi kwe-scapula efanelekileyo:

Intlungu phantsi kwe-scapula eyiyo-ingaba yintoni?

Ubuhlungu emva ngaphantsi kwe-scapula elungileyo luphawu olungabonakaliyo lwezifo ezilishumi. Ikwahlukana kunye neendawo zendawo, ukusika, ukunyanzelisa, ukucindezela, ukuphazamiseka nokukhupha. Ingabonisa izifo zeenkqubo / izitho ngaphakathi kwendawo yesalathisi (isikhumba, umsila, umbhobho, umlenze we-thoracic, i-intercostal neerve, ilungelo lempompo / i-pleura) kunye nokungaqhelekanga kwizitho zangaphakathi (isibindi, isisu, isifo esifanelekileyo, i-gallbladder).

  1. Ubuhlungu phantsi kwe-scapula-pathology ye-scapula ye-scapula ye-oncological, infectious,

    • iziphulo zokuphuhlisa. I-aplasia yama-Congenital (ukungaphuhliswanga / ukungabikho) kwe-scapula efanelekileyo yinto engavumelekanga kakhulu, ngokuqhelekileyo ichanekileyo kunye nezinye iimpazamo zofuzo ze-musculoskeal system: i-pterygoid scapula kunye ne-scapula ephezulu. I-stapitalital pterygoid scapula kufuneka ihlukaniswe kunye ne-pterygoid scapula efunyenwe, eyabangela ukulimala, i-myopathy, ukukhubazeka kwesisu;
    • umonakalo / ukuphulwa kwe-scapula eyiyo. Ukutshintshwa kwe-scapula eyiyo kuqhutyelwa ngeempawu ezityumbileyo, phantsi kwempembelelo okanye ukongezwa okomeleleyo kwengalo, i-scapula iyajika, iqhubekele ngaphandle, ephazamisa ukuphuka kwemisipha enamathele kumda we-scapula ofanelekileyo kunye nomgudu. Ukuhamba ngokubambisana kwegxalaba kunciphise kakhulu ngenxa yentlungu ekhohlo kumqolo. Kwi-45-50% yamatyala, ukulimala kwe-scapula elungileyo kuhamba kunye neengxakini kumathambo kunye neempahla;

    • exostosis. Ibonakalisa njengento ephawulekayo yokuhamba kunye nokunyuka kwamalungu ehlombe, ukuvakalelwa, ubunzima bokulinganisela phantsi kwe-scapula;
    • i-osteomyelitis scapula. Ikhula emva kokulimala okuvulekileyo kwinqanaba lehlombe elifanelekileyo (ibhulophu inxeba), ihamba kunye neempawu zokuxhatshazwa, ukubonakaliswa kwendawo (umsebenzi ongenakunzima we-scapula, intlungu ephezulu ngasemva). Ukufuduka kwinkqubo ye-purulent ukuya kwingxenyana yangaphambili ye-scapular iholela kwi-edema ye-muscular ejulile kunye nentlungu eyongeziweyo;
    • izicubu zesalathula esifanelekileyo. I-Malignant (i-reticulosarcoma, i-chondrosarcoma) kunye ne-benign (i-chondroma, i-osteoma, i-osteoblastoklastoma, i-osteochondroma) ibuhlungu, ibangela iintlungu ezingapheliyo phantsi kwe-scapula eyiyo.

  2. Ubuhlungu phantsi kwe-scapula yesifo esifanelekileyo sezitho zangaphakathi:

    • pyelonephritis engapheliyo. Kwisigaba sesibini sesi sifo, utshintsho kwiisilini zezintso luba buhlungu, obangela ukuba kubonakale ubuhlungu bexesha elidityanisiweyo elinikezela kumzimba ophezulu okanye ngaphantsi. Kwinkqubo yokunene, intlungu ihambela ngaphantsi kwe-scapula eyiyo. Ubonakaliso obuthileyo: isicongconi, ubushushu obuncinane, ukuvuthwa okubuhlungu. Intlungu ebuhlungu ingabonisa ubukho be-purulent entiltrate kwizintso;
    • cholecystitis engapheliyo. Ibonakaliswa yintlungu ebuhlungu kunye neendawo ezisemgangathweni kwinqanaba le-scapula elungileyo ukusuka ngasemva, linikezela kwi-epigastrium. Ukuhlaselwa kwenzeka nge-paroxysmally, ngaphandle kokubangela nantoni na ekhethekileyo. Ihlanganiswe nokuphuka kolusu, ukuhlanza, isicathulo, isifo somkhuhlane;

    • i-dyskinesia ye-bile ducts. Uhlobo lwe-DZHVP lwe-hypotonic lubonakaliswa ngokuphucotha kweentlungu kwi-hypochondrium efanelekileyo, ebonakaliswa phantsi kwe-scapula kunye nesigxina sokunene. Ingozi enkulu yokungafumani intlungu phantsi kwe-scapula eyiyo kunye ne-dyskinesia yingozi enkulu yokuphuhlisa i-cholelithiasis, i-cholecystitis ephawulekayo, i-gastroduodenitis;
    • colic hepatic. Kubangelwa ukugqabhuka kakhulu intlungu, ukukhawuleza ukuya kwinqanaba elisekunene, umgca wekunene nentamo. Ukuba i-colic ihlala kwiiyure ezingama-4 ukuya kwimizuzu engama-4, ukuvakalelwa okubuhlungu kwandiswa kwinqanaba lomhlaba wonke, kuhamba kunye nokuhlanza kunye nesisulu;

    • cholelithiasis. Ukungaphumeleli kokusebenza kwe-gallbladder kubonakaliswe yimilenze ephantsi phantsi kwe-scapula eyiyo, kuboniswe entanyeni, emhlathini, emagxeni, ngaphantsi kwexesha elide-kwiindawo zentliziyo (i-cholecystocoronary syndrome);
    • pancreatitis. Kwinqanaba eliqatha, isifo sidibaniswe kunye neengqungquthela ezazisasazeka ngokufanayo phantsi kwee-scapulae zombini. Ukuvuvukala kwentloko ye-pancreas kubangela intlungu, kugxilwe phantsi kwe-scapula eyiyo kwaye uzive ngathi "igumbi". Ngokuqhelekileyo, intlungu isisigxina, ayinakudluli ngexesha lotshintsho kwisimo somzimba, alufumani amandla ngokukhwehlela, ukuxhoma, ukucima;

    • i-cirrhosis yesibindi. Umfanekiso oqhelekileyo wekliniki we-cirrhosis (ukuhamba kweqondo lokushisa, i-jaundice, i-pruritus, i-ascites) "ekuqaleni" kwe-cirrhosis incediswa yintlungu phantsi kwe-scapula eyiyo kunye nokwandiswa kwesibindi;
    • pneumonia. Kwi-20-25% yamatyala ayimfuneko kwisigaba sokuqala, ezibonakalisa kuphela ngeentlungu ezivuthayo phantsi kwe-scapula eyiyo. Yintoni emele iqaphele: ukuphefumula ngokukhawuleza, ukufufuma okugqithiseleyo ebusuku, ukungabi nampendulo kwizidakamizwa ze-antipyretic, ukushisa kunentla kwama-38 degrees iintsuku ezintathu;

    • ikhefu lesibini. Isizathu sokubunjwa kwesiqulatho esingenasiphelo emkhatsini wesangqa kunye namalungu angummelwane sisifo sobulwelwe ngama-bacterial agents. Kukho intlungu phantsi kwe-scapula eyiyo, ukwandisa kakhulu xa uzama ukuthatha umoya ophezulu, ukwanda kancinci kwindlubhiso yomzimba.
  3. Izifo zesistim ye-musculoskelet system:

    • i-osteochondrosis yomlenze wesibeleko. I-cascade ephazamisayo-i-dystrophic, kwizigaba ezahlukahlukeneyo apho izinto ezahlukahlukeneyo zibaluleke kakhulu ekubunjweni kweentlungu: ukukhusela / ukungazinzi kwamagqabeni e-vertebral, i-disnibrated intervertebral disc, i-stenosis ye-canal spinal, i-arthrosis yamalungu e-facet. Zonke iindidi zibonakaliswa ngentlungu yokudonsa kunye neendawo zangasemuva, ukunika phantsi kwesigapula esifanelekileyo, kwisithambiso, esinqeni. Kwiimeko ezininzi, i-osteochondrosis ihamba kunye neenkwenkwezi zeminwe yesandla sokunene kunye neentloko;
    • i-scoliosis. Ukuguqulwa kweentlobo ezintathu zomgudu (thoracic, cervical, lumbar), obangela ubuhlungu obuhlungu phantsi kwe-scapula efanelekileyo, emva, emahlombe, ukuxhala, ukungasebenzi kwimathumbu, isisu, imiphunga, imisipha yenhliziyo;

    • isifo se-periarthritis ye-humeroscapular. Idibanisa iindidi zeengxaki kunye neendlela zegxalaba / iigxina, iigaments, imisipha, okubangelwa ukunyuka okungafezekanga, umsebenzi osisigxina somsi okanye ukugqithisa ngokucwangcisiweyo kwebhande legxala, ukuphazamisa intlungu phantsi kwe-scapula eyiyo;
    • bursitis. Inkqubo yokuvuvukala ye-scapula ye-synovial membrane yesigxina segxala elilungileyo lidala iintlungu ezibuhlungu phantsi kwe-scapula eyiyo;
    • isifo sofuba se-scapula;
    • ngxinwa. Iintlungu ezivuthayo phantsi kwe-scapula elungileyo kunye ne-intercostals kubangela ukuba i-ganglionitis ye-herpetic-inflammation ye-ne-vertebral nererve receptors. Isigaba esiqatha sesi sifo sibonakala ngokungabikho kwee-vesicle ezithile, eziyinkimbinkimbi kakhulu. Ukubonakala kwee-herpes kwi-intercostal izikhala zicacisa umfanekiso kwaye zisebenza njengesizathu sokumisela unyango lwe-antiviral.

    • isifo sengqondo somzimba. Umthombo - iziqalo zokuqala, ezenziwe kwiitoni, fasciae, imisipha. Ingqungquthela yokubangela ingxube ye-hypersensitivity, ingcinezelo ebangela i-syndrome ebuhlungu ebuhlungu ("gxuma uphawu"), intlungu kwindawo ecacisiweyo (intlungu ebonakalisiweyo), kude nexinzelelo. Iindawo ezithandwa kakhulu zakhiwo ziyimisipha yentloko / intamo, ecaleni lekunene lomqolo / umxhwele, obangela ukubonakala kweentloko, i-lumbago entanyeni nangaphantsi kwesigxina sokunene, ukukhanyisa entanyeni, kwintambo, kwintlambo. Izinto ezithintekayo: i-microtrauma yezihlunu, ukunyanzelisa umzimba, ukuphulwa kwe-posture, static overstrain.
  4. Iingxaki ze-neurological:

    • intercostal neuralgia. Ukuphulwa kweengcambu zentsholongwane kunye nokufuduka kweediski ze-intervertebral ukuya kwicala lasekunene kuvela kwimvelaphi yoxinzelelo lweentsholongwane kwindawo ekuphumeni kwayo - "kwikorori", eyenziwa yimimandla eyahlukeneyo (izicubu ze-articular, i-hernia, i-osteophytes). Njengoko ukuguqulwa kwe-intervertebral disks kuqhubeka, i-lumen "kwikorori" iyanciphisa, ukunikezelwa kwegazi kweziphephelo zesifo kunzima, i-edema kunye nentlungu ibonakale phantsi kwe-scapula eyiyo;
    • i-dystonia ye-vegetative-vascular. Ekuphuhliseni inkathazo ye-psychomatous, impendulo enganeleyo yenkqubo ye-nervous autonomic kwiimpembelelo zeemeko zibangela indima ebalulekileyo, ekhokelela ekuphazamiseni ukusebenza kweenkqubo ezininzi kunye namalungu omzimba. Iklinikhi i-VSD incike kwi-orientation ye-failure failments. I-Vagotonia ibonakalisa imvakalelo "yobunzima" kunye nokungabi nomoya, ukuxakeka, isisulu, isantya, ukuhlunguphazeleka okungenakushukunyiswa emva, ukuphazamiseka phantsi kwe-scapula eyiyo.

Ukwahlula ngohlobo lwentlungu

Intlungu ebuhlungu kwi-scapula eyiyo emva

Ibonisa i-nephritis, i-pyelonephritis okanye i-cholecystitis engapheliyo. Intlungu ebuhlungu kwi-scapula iyinto ebonakalayo kwiinkqubo ezimbi kunye neendawo zangaphakathi ezisecaleni. Iipopu zompompo wesokudla, izintso ezilungileyo, i-pancreas zibonakaliswa ngentlungu ephilileyo yamanxeba aphihliweyo phantsi kwe-scapula.

Intlungu ebuhlungu phantsi kwe-scapula eyiyo

Uphawu oluqhelekileyo lwe-cholelithiasis, i-cholecystitis ephawulekayo, i-colic hepatic. Kwi-30-35% yamatyala, iintlungu eziphantsi kwe-scapula "zichaza" ngokwazo i-dyskinesia ye-gallbladder, ephuma ekudleni, ukusetyenziswa kakubi kokutya okunamafutha / okwebhisikizi, ukugqithiswa kwengqondo. Ukongeza kwintlungu, izigulana zikhalaza ukuthuthumela, ukulala, ukunyuka, ukhathala okubanzi, ukukhubeka.

Ukubethelela intlungu phantsi kwe-scapula ngakwesokudla

Intlungu yesikhashana, engahambelanisi nezifo zesifo seenkqubo zangaphakathi / izitho zangaphakathi. Kwiimeko ezininzi, ubuhlungu bokubamba ubuhlungu bubonisa ukuphazamiseka kwengqondo kwi-osteochondrosis ye-thoracic / cervical spine, ichukunyiswa ngumzimba, ukuguquka okubukhali kwesiqu okanye ukungahambi kakuhle. Ngamanye amaxesha ubuhlungu besikhathi esifanelekileyo bubonakaliso bokuqala koxinzelelo lwe-cholecystitis, ukuqala kwe-colic hepatic, okanye i-spasms yeendonga ze-bile ducts.

Ukubuhlungu intlungu emva kwe-scapula eyiyo

'Bathetha' malunga nesigaba sokugqibela senkcenkcazo yesigxina, ubukho be-purulent entiltrate kwiimpso, colic renal. Kule meko, intlungu ikhula ngokukhawuleza ngexesha lokuphefumlelwa okukhulu, kuboniswe kwiphepha nentamo.

Ukubonisa ubuhlungu kwi-scapula ngakwesokudla

Ukudibanisa kunye neentsholongwane zeemisipha zebhande lesigxina okanye ukuguqulwa kwesakhiwo somqolo wamagxa. I-Osteochondrosis yommandla wentsholongwane ibonakaliswe ngokubangela intlungu, ukufumana umthwalo ngamandla rhoqo, ukuguqula isikhundla somzimba. Kuzo zonke ezinye izifo, ukudonsa ubuhlungu be-atypical, ngaphandle kwe-oncology yelungelo lempompo, isifo, isibindi, intloko ye-pancreas.

Iintlungu ezivuthayo kwindawo yecrafula ngakwesokudla

Iintlungu ezitshisayo zingabonisa ukuphulwa kweengcambu zentsholongwane okanye izimo ezinobungozi ezifuna ukunakekelwa kwangoko-ntsho-pneumonia yangasese, i-angypical angina.

Intlungu ehlala rhoqo kwi-scapula ngakwesokudla

Ubonakaliso obunjani be-dyskinesia (ukungasebenzi kwemoto) yee-ducts i-bile iphezulu. Intlungu ikhula kancane kwi-hypochondrium efanelekileyo, inika phantsi kwe-scapula eyiyo, kwicala elifanelekileyo.

Ngaphantsi kwegxala elingakwesokunene

Ubungqina benkqubo engapheliyo eqhubekayo kwizitho ezikude. Ukubonakalisa iintlungu ezibuhlungu zibonakaliso ezicacileyo zokuvuvukala kwi-pancreas, i-gall bladder, izintso, isibindi, ezingenakukunyanzelwa, kuba "zifihla" izifo ze-oncological, eziseziqaleni zokuqala zibonakalisa ngokwazo njengezibuhlungu ezibuhlungu.

Izizathu ezinokubangela iintlungu ezibuhlungu:

Kutheni kukho intlungu yokuphosa phantsi kwe-scapula eyiyo

Iintlungu ezithintekayo kwicandelo elungileyo liqhelekile ngenxa yokukhutshwa kwidiski, ukunyanzeliswa kokuqhubeka kweentlungu. I-protrusion iyona nqanaba lokuqala le-hernia ye-intervertebral, ekuhambeni kwexesha kunokukhokelela ekwakheni i-hernia intervertbral, "eyenza" ubuhlungu obukhulu.

Iimpawu zokuxhalabisa ezifuna ukunakekelwa ngxamisekileyo

Nangona zimbangela ezininzi ezibangela intlungu ehlathini elisekunene, kunezibonakaliso ezinobungozi ezibeka ingozi ebomini: iintlungu ezikhula ngokukhawuleza, zenza "isisu esiswini," i-hyperemia (kufika kuma-40 degrees), ukuvuvuka kwezandla, ukuhlanza "umthombo", i-cyanosis yolusu , ukuphefumula okufutshane, ngokukhawuleza kwehla kwi-pulse / uxinzelelo lwegazi, ukuphelelwa amandla.

Amanyathelo okuchonga

Ngentlungu phantsi kwe-scapula eyiyo, ukuhlolwa kweekliniki ezifanelekileyo kwenza ukuba kube lula ukuhlula izigulane ezingenakucatshulwa kunye nentlungu ethile. "Iimpawu zokusongela", ukuvumela ukukrokrela izifo ezisongela ubomi: ukunyuka kancane kwintlungu, ubunzima bokuhamba, ukukhubazeka, ukuphazamiseka kwengqondo, i-oncology kwi-anamnesis, utshintsho kwiimvavanyo zegazi / umchamo. I-etiology engabonakaliyo yentlungu kunye nesimo sayo esithile, engabonakalisa ubukho bokungaphumeleli komzimba, inkqubo yokusuleleka, ukulimala / ukuvuvukala kwentlungu yomgudu womzimba, izifo zesifo se-somatic zeziganeko zangaphakathi-ithuba lokubonisana neengcali ezizodwa (i-gastroenterologist, i-neurologist, i-cardiologist, i-traumatologist).

I-Algorithm yokuxilongwa ngokuhlukileyo kwentlungu phantsi kwe-scapula eyiyo:

Intlungu phantsi kwe-scapula eyiyo kufuneka iphathwe kuphela ngugqirha, oxhomekeke kwisifo, ukhetha indlela efanelekileyo yokwenza unyango kunye nesifo esikuyo ndawo. I-regimen yokwelapha ingabandakanya iindlela zokugonywa kunye nokugqirha, ukuxilisa, ukufudumala, i-reflexology kunye ne-physiotherapy.