Pain da ke ƙarƙashin Sikakken Ƙaƙƙarƙi shine ƙwararriya ta kowa a magani. Zai iya zama mummunan (ƙuƙwalwar tsoka), kuma zai iya nuna alamun cututtuka na rayuwa da lafiyar jiki (sarcoma na kasusuwa), don haka duk wani ciwo a ƙarƙashin Shine mai dacewa ya kamata ya kula sosai kuma yana buƙatar kulawar likita.
Tsarin dakalai: tsari na anatomical
Sashen scapula wani ɓangare ne na gangar jikin, wanda aka shimfiɗa ta ƙasa ta hanyar layin da aka kwance ta gefen ƙananan gefen scapula, tare da layi na tsaye wanda ya dace da tsinkayyar iyakar iyakar SIZO; a saman - layin da ke gudana tsakanin tsinkayyi na bakwai na vertebra na mahaifa da haɗin haɗarin kwakwalwa, a waje - ƙananan iyakar muscle deltoid da tsakiyar tsakiya. Tsakanin yankakken yanki shine scapula - kasusuwa mai laushi wanda ke kusa da gajeren jirgin sama na tsakiya tsakanin na bakwai da na biyu. Akwai siffofi daban-daban na scapula: uniform, tsawo, kunkuntar, gajeren, fadi. A cikin jini yana samar da sashin ma'auni, rassan ƙaramin ƙaddamarwa, wanda aka haɗa da rassan axilry aorta, ya shiga. An fitar da zub da jinin a cikin sassan da sunan guda ɗaya, rassan daji na plexus suna samar da jijiyoyi zuwa yankin da ya dace.
Iri irin ciwo a ƙarƙashin Shine mai kyau:
- jinin gida (damuwa). Kullum ji a cikin ɓangaren da ya shafi jiki ko kusa da shi, an haɗa shi da tsari wanda ke rinjayar jijiyoyin ciwo na kasusuwa, gado, ligaments, tendons, tsokoki. Gini: ƙonewa ne ƙwayar tsoka. Yawancin lokaci yana da halayen da aka zubar. Zai iya zama maras ban sha'awa, zafi, m. "Bar" a lokacin da aka sake gyara kayan da aka lalace / gabar jiki, dacewa ya dace da farfadowa tare da analgesics;
- Ra'ayin da aka nuna. Yana yada cikin iyakoki na kwayoyin halitta (sassan jikin fata), wadanda suke da alaƙa da shigar da matakan ƙananan ƙwayoyin ko ƙananan hanyoyi. An lalacewa ta hanyar cututtuka na pancreas, ƙwayoyi masu narkewa, kodan, zuciya. Zai iya zama mai zurfi, mai ciwo, mai laushi, haɗe tare da ƙuntatawa da ƙungiyoyi da paresthenia (rashin hankali);
- radiating zafi. Yana faruwa a baya na raunuka na jijiya / tushe, yana da babban tsanani, distal hijirarsa daga yankin na daidai dermatome. Yana da yanayin yanayi - an hade shi da rashin aiki na tsarin mai juyayi. Yana tare da vegetative / mota cuta, rage jini ya kwarara, ne rigakafi zuwa analgesics;
- ciwon dysfunctional. Ya dogara ne akan canje-canje a cikin tsarin aiki na shafukan yanar gizo na tsakiya waɗanda ke kula da ciwo. Abubuwan da ke faruwa game da abubuwan da suka faru: m, zamantakewa, tunani.
Abin zafi a ƙarƙashin Shine dama - menene zai iya zama?
Pain a cikin baya a ƙarƙashin Harshen Haƙiƙƙiƙƙen ƙwayar alama ce ta ƙwayar cututtuka. Yana da yadawa da na gida, yankewa, compressive, latsa, m da na yau da kullum. Za a iya nuna cututtuka na tsarin / gabobin a cikin sassan jiki (fata, tsoka, haƙarƙari, spine thoracic, jijiyoyin intercostal, kyamara / damuwa) da kuma abubuwan da ke ciki a cikin cikin ciki (hanta, hanji, koda mai kyau, gallbladder).
Pain da ke ƙarƙashin Hanyoyin Sikakken Tsarin Harshen Sakamakon Sakamakon ƙwayar halitta, cututtuka, yanayin traumatic:
- abubuwan da ke ci gaba. Ablasia da ke ciki (underdevelopment / absence) na Sakamakon daidaitaccen abu ne mai wuya, yawanci ana gyara shi tare da sauran cututtukan kwayoyin halittar musculoskeletal; Dole ne a bambanta matakan da za a dauka na rayuwa tare da tarkon da aka samu, wanda ya haifar da raunin da ya faru, myopathy, ƙwayar tsoka;
- lalacewa / raguwa na ƙayayyen Ƙaƙƙarƙi. Rashin rarraba na ƙwallon ƙafa ya samo shi tare da samfurin samfuri, a ƙarƙashin rinjayar ko ƙarfin ƙarfin ƙarfin hannu, scapula ya juya, slipping zuwa waje, wanda zai haifar da katsewa daga tsokoki wanda ke haɗuwa da iyakokin iyaka na Sakamakon dama da spine. Hanya a cikin haɗin gwiwa na kafada yana da iyakacin iyakance saboda ciwo a gefen dama na baya. A cikin kashi 45-50% na lokuta, raunin da ya dace na Siffar lafiya yana tare da ciwo ga jijiyoyi da tasoshin;
- exostosis. Yana nuna kansa a matsayin halayyar haɗuwa tare da ƙungiyoyi na haɗin gwiwa na dama, jin dadi, matsanancin zafi a karkashin scapula;
- osteomyelitis scapula. Yana tasowa bayan bude raunin da ya faru a gefen dama na kafar (gungun bindiga), tare da alamun bayyanar shan giya, bayyanar gida (aiki marar nauyi na scapula, zafi a gefen dama). Yin watsi da tsarin da za a iya aiwatar da shi zuwa ɓangaren sifa na baya zai kai ga zurfin muscular edema da ƙara yawan ciwo;
- ciwace-ciwacen ƙananan ƙwayar cuta. M (reticulosarcoma, chondrosarcoma) da benign (chondroma, osteoma, osteoblastoklastoma, osteochondroma) suna da mummunan rauni, yana haifar da ciwo mai dadi a ƙarƙashin saitattun 'Yanci.
Pain a ƙarƙashin Hanyoyi masu kyau - cututtuka na gabobin ciki:
- ciwon hawan kodayim. A mataki na biyu na cutar, sauye-sauye a cikin kwayar koda ya zama sclerotic, yana haifar da bayyanar da ciwo mai tsanani wanda ya ba da jiki zuwa sama ko baya baya. A cikin hanyar da ke gefen dama, jin zafi yana ƙaura a ƙarƙashin Shine dama. Bayanin abubuwa: tashin zuciya, zafin jiki, da zafi mai zafi. Cigaba mai tsanani zai iya nuna gaban wani purulent infiltrate a koda;
- na kullum cholecystitis. Yana nuna kansa ta wurin ciwo mai banƙyama tare da laƙabi a cikin sashi na Sakamakon dama daga baya, ya ba da ciki a cikin epigastrium. Harkokin haɗari suna faruwa a hankali, ba tare da haddasa rashin jin daɗi na musamman ba. An haɗa shi da launin fata na fata, zubar da jini, tashin zuciya, yanayin rashin zafi;
- Dyskinesia na bile ducts. DZHVP nau'in hypotonic yana nuna saurin ci gaba na ciwo a cikin hawan hypochondrium mai kyau, wanda aka nuna a ƙarƙashin scapula da ƙafar dama, an ƙarfafa a lokacin tsinkayar, zurfin wahayi. Babban haɗarin rashin ciwo da ba a ciki ba a ƙarƙashin Sashin dama tare da dyskinesia babban haɗari ne na bunkasa cholelithiasis, m cholecystitis, gastroduodenitis;
- Colic na hepatic. Yana haifar da mummunan ciwo, yana haskakawa ga dama kafada, dama kafada da wuyansa. Idan colic yana tsawon sa'o'i 4-5, jin dadi mai raɗaɗi ya yada zuwa dukkanin sashin jiki na ciki, tare da zubar da ciki da tashin hankali;
- cholelithiasis. Rashin gazawar aikin aikin gallbladder yana nunawa ta hanyar ciwo mai tsanani a karkashin Ƙaƙƙarƙai mai kyau, nuna a cikin wuyansa, jaw, kafada, sau da yawa - a cikin zuciya (cholecystocoronary syndrome);
- pancreatitis. A cikin wani karamin mataki, an hada cutar tare da shingles wanda ya yada a ko'ina a karkashin sassan biyu. Kumburi da kai na pancreas yana fama da ciwo, ƙaddamar da shi a ƙarƙashin Rashin Ƙarƙashin Ƙarƙashin kuma ya ji a matsayin "ɗakin". Gaba ɗaya, ciwo yana da dindindin, ba ya rage a lokacin canji a matsayi na jiki, bazai sami tsanani tare da tari ba, inhaling, tensing;
- cirrhosis na hanta. Hoton bidiyon na cirrhosis (zazzabi mai tsayi, jaundice, pruritus, ascites) a kan "fara" na cirrhosis yana cike da ciwo a ƙarƙashin saitattun Ƙaƙasa da kuma fadada hanta;
- hagu na gefen dama. A cikin 20-25% na lokuta shi ne asymptomatic a mataki na farko, yana nuna kansa kawai tare da jin zafi mai tsawo a karkashin Sashin dama. Abin da ya kamata ya faɗakar da: hanzarin numfashi, matsananciyar gogewa da dare, rashin amsawa ga kwayoyin antipyretic, yawan zazzabi yana sama da digiri 38 na kwana uku;
- subdiaphragmatic abscess. Dalilin da aka samu a cikin rami tsakanin diaphragm da gabobin da ke kusa da shi shine kamuwa da jiki da kwayoyin cutar. Akwai ciwo a ƙarƙashin Hasken Ƙaƙƙarƙi mai kyau, ƙaruwa ƙwarai a yayin ƙoƙarin yin numfashi mai zurfi, ƙananan ƙaruwa a yanayin jiki.
Cututtuka na tsarin ƙwayoyin cuta:
- osteochondrosis na ƙwayar magunguna. Yana da ƙwayar degenerative-dystrophic, a wasu matakai wanda wasu dalilai da dama ke da fifiko a cikin samuwar ciwo na jin zafi: damuwa / rashin daidaituwa na sassan layi, ƙwaƙwalwar ƙwayar cuta ta tsakiya, stenosis na canal spinal, arthrosis na facet gidajen. Dukkan bambancin da ake nunawa suna fama da ciwo tare da ganowa a baya, bada a ƙarƙashin Harshen mai kyau, a cikin buttock, kugu. A mafi yawan lokuta, osteochondrosis yana tare da mahaɗar yatsun hannun dama da ciwon kai;
- scoliosis. Hanyoyin jiragen sama guda uku na layi (thoracic, cervical, lumbar), haifar da ciwo mai zafi a ƙarƙashin Harshen mai kyau, a baya, kafurai, gajiya, rashin aiki a cikin hanji, ciki, huhu, tsoka da zuciya;
- wani ciwo na wani nau'i mai tsinkaye mai tsauri. Ya haɗu da matsaloli masu yawa tare da ƙananan kafa / kafaffiyar yankuna, ligaments, tsokoki, sakamakon sakamako mai banƙyama, aikin ƙwayar murƙushewa ko ƙaddamarwa mai ɗorewa akan ƙafar kafar, wanda yake haifar da ba da ƙimar da aka ba a ƙarƙashin Shine dama;
- bursitis. Hanyar ƙwayar cuta ta scapula na membrane na synovial na kafaɗɗun kafaɗɗun dama yana haifar da mummunan ciwo a ƙarƙashin Sashin dama;
- tarin fuka na scapula;
- shingles. Jin zafi a ƙarƙashin Sikakken Ƙaƙƙiƙi da tsaka-tsakin ya haifar da ganglionitis - ƙin ƙananan masu karɓar rashawa na kusa. Matsayi mai zurfi na cutar shine halin da babu wasu ƙwayoyin vesicles, wanda ya haifar da ganewar asali. Harshen tsire-tsire na herpes a cikin wuraren intercostal ya bayyana hotunan kuma yayi aiki a matsayin uzuri don tsara maganin antiviral.
- Ƙungiyar ciwo mai tsanani. Asalin - abubuwan da ke jawowa, farawa a cikin tendons, fasciae, tsokoki. Wani abu mai mahimmanci shi ne wani ɓangare na cututtuka, matsin lamba wanda ke haifar da ciwon ciwo mai tsanani tare da flinch ("tsalle-tsalle"), ciwo a wuri mai mahimmanci (nuna zafi), daga matsa lamba. Hanyoyin da aka fi sani dashi shine tsokoki na wuyan / wuyansa, gefen dama na baya / kafada, wanda ke haifar da ciwon kai, lumbago a cikin wuyansa da kuma ƙarƙashin hannun dama na kafada, yana yada zuwa kafa, cinya, buttock. Abubuwan da ake tantancewa: microtrauma na tsokoki, matsayi na jiki, cin zarafi, matsayi mai mahimmanci.
Magungunan rashin lafiya:
- intercostal neuralgia. Rashin ƙananan ciwon daji tare da kawar da kwakwalwan ɓangare zuwa gefen dama yana tasowa akan tushen da ake yiwa matsalolin maganin ƙwayar jiki a wurin da suka fita - a cikin "tafarki", wanda aka tsara ta hanyoyi daban-daban (nama mai launi, hernia, osteophytes). Yayin da tsire-tsire na diski na tsakiya ya ci gaba, lumen a cikin "farfajiyar" ya rushe, jinin jinin da ke fama da mummunar cututtuka, rubutu da zafi yana bayyana a ƙarƙashin Shine dama;
- vegetative-na jijiyoyin bugun gini dystonia. A ci gaba da rashin lafiyar zuciya, rashin dacewa da amsawar tsarin kula da jiki na jiki da tasiri ga yanayin damuwa yana taka muhimmiyar rawa, wanda zai haifar da rushewa a cikin aiki da yawa da tsarin jiki. VSD asibitin ya dogara ne akan daidaitawar rashin cin ganyayyaki. Magana ta halin motsa jiki ne ta hanyar "rashin ƙarfi" da kuma rashin iska, rashin hankali, tashin zuciya, rashin ciwo mai zafi a baya, da yaduwa a ƙarƙashin Shine dama.
Ƙayyadewa ta hanyar zafi
Ƙananan ciwo a cikin Sakamako mai kyau daga baya
Yana nuna ayoyin da ake kira nephritis, pyelonephritis ko cholecystitis na kullum. Ƙananan ciwo a cikin scapula yana da mahimmanci ga matakai masu kyau tare da ƙira a cikin ɓangarorin da ke ciki a gefen dama. Neoplasms na ƙwayar ido, koda mai kyau, alamu suna nunawa ta hanyar daɗaɗɗen bakin ciki mai kwakwalwa a cikin shinge.
Jin zafi a karkashin Ƙaƙƙarƙan Ƙaƙƙarƙi
A bayyanar da alama na cholelithiasis, m cholecystitis, colic hepatic. A cikin 30-35% na lokuta, ciwo mai tsanani a karkashin scapula "ya bayyana" kanta dyskinesia na gallbladder, da tasowa daga overeating, amfani da ba tare da amfani da kayan abinci mai ma'ana / kayan yaji, ƙwaƙwalwa ba. Bugu da ƙari, ciwo, marasa lafiya suna kuka game da shawagi, rashin barci, ƙarar ƙaruwa, raunin gaba daya, rashin tausayi.
Citching ciwo a karkashin Sulhu a gefen dama
Jin zafi mai tsawo, ba hade da cututtuka na cututtuka na tsarin na ciki / gabobin. A mafi yawancin lokuta, ciwon zafi yana nuna rashin lafiyar kwayar cutar a cikin osteochondrosis na ƙwayar maganin thoracic / cervical, yana da fushi ta hanyar motsawa jiki, da maɓallin kullun ko ɓangaren dadi. Wasu lokuta mawuyacin shan wuya shine alamar farko na ƙwaƙwalwar cholecystitis, farawa na colic na kofi, ko spasms na ganuwar bile ducts.
Cutar da bala'in sharhi a ƙarƙashin dama
Suna "magana" game da mataki na ƙarshe na ƙwayar ƙwayar doki mai kama, wanda ke kasancewa na purulent infiltrate a cikin koda, ƙananan rufi. A wannan yanayin, ciwo ya karu da sauri a lokacin zurfafa wahayi, ya nuna a kafada da wuyansa.
Ana zub da shan wahala a cikin Sashen gaba zuwa dama
Haɗuwa da spasms na tsokoki na ƙafar kafada ko gurɓata tsarin sassa na kashin baya. Osteochondrosis na sassan jiki na jiki yana haifar da zubar da ciwo, samun ƙarfin hali tare da matsayi na yau da kullum, canza yanayin jikin. Ga sauran cututtuka, jawo ciwo yana da mawuyacin hali, banda ilimin ilimin kwayoyin halitta na ƙwayar ƙwayar cuta, koda, hanta, babcreas kai.
Ƙunƙarar zafi a cikin Sashen Shine zuwa dama
Ciki mai zafi zai iya nuna ƙetare tushen asibiti ko yanayin hadarin da ake buƙatar gaggawa a hankali - cututtukan hagu na jiki, angina.
Cikakken ci gaba a cikin Sashen gaba zuwa dama
Bayanin halayen dyskinesia (rashin aiki na motar) na bile ducts yana da matsanancin matsanancin hali. Cikin ciwon yana ci gaba da hankali a hannun dama na hypochondrium, yana ba a ƙarƙashin Sashin dama, a hannun dama na kafada.
Aching a karkashin ƙafar dama na kafar baya a baya
Tabbatar da tsarin ci gaba wanda ke ci gaba a cikin gabobi masu nisa. Yayi tunanin ciwo mai zafi shine alamar bayyanar kumburi a cikin pancreas, juyayi, kodan, hanta, wanda ba za a iya watsi da shi ba, saboda yana iya "ɓoye" cututtuka na halittu, wanda a farkon matakan bayyana kansu a matsayin yuwuwar shan wahala.
Dalili mai yiwuwa na ciwo mai zafi:
- Tsarin tsari a hannun dama na LO;
- ciwon hawan kudan zuma / cholecystitis;
- cholelithiasis, osteochondrosis;
- Latent pneumonia / pleurisy a cikin hakkin ƙwayar cuta;
- hepatitis / cirrhosis;
- na kullum mashako, pancreatitis.
Me yasa akwai ciwo mai tsanani a ƙarƙashin Shine mai kyau
Hanyoyin motsa jiki a cikin sashin hagu shine yawanci saboda yunkurin kwakwalwa, matsalolin cigaba na ƙarewa. Tsarin yaduwa shine mataki na farko na hernia ta tsakiya, wanda a lokaci zai haifar da haifar da hernia ta tsakiya, wanda "ya ba" ciwo mai tsanani.
Abubuwan da ke damun damuwa da ake bukata don kulawa da gaggawa
Duk da yawa suna haifar da ciwo a hannun dama na kafar, akwai alamun da ke da haɗari wanda ya kawo barazanar rayuwa: ciwo mai kwatsam, yana haifar da "mummunan ciki," hyperemia (har zuwa digiri 40), kumburi da hannayensu, zubar da "marmaro", cyanosis na fata , rashin ƙarfi na numfashi, zubar da kwatsam a cikin kututtuka / jini, rashin ƙarfi.
Matakan bincike
Tare da ciwo a ƙarƙashin Sikakken Ƙaƙƙarƙanci, ƙwararren gwaji na gwadawa yana iya raba wasu marasa lafiya da ƙananan ciwo. "Hutun cututtuka na barazanar", ba da damar ɗaukar cututtukan cututtuka na rayuwa: ƙara yawan ciwo, karuwa na ƙungiyoyi, rashin lafiya, rashin lafiya na hankali, ilimin incology a cikin maharan, canza canjin gwajin jini / fitsari. Labaran da ba'a iya ganowa da ciwon ciki da yanayinsa na musamman, wanda zai iya nuna rashin ciwo na rashin lafiya, magungunan ciwon magunguna, ƙwayar cuta / ciwon jini na kashin jini, cututtuka masu tasowa na gabobin ciki - wani lokaci don shawara tare da kwararru na musamman (gastroenterologist, neurologist, cardiologist, traumatologist).
Algorithm don bambancin asali na ciwo a ƙarƙashin Shine dama:
- tarin motsi, ƙayyadaddden ma'anar yanayin zafi;
- ƙimar bugun jini, karfin jini;
- faɗakarwa na yankin interscapular, baya;
- gudanar da gwaji kothopedic;
- ganewa da alamun annoba na rashin lafiya;
- Cire wata mummunar yanayin da ke kawo barazana ga rayuwar mai haƙuri;
- Tabbatarwa / cirewa daga asalin tunanin mutum na jin zafi;
- ƙarin nazarin: duban dan tayi, MRI, CT cardiac, cardiogram, X-ray na spine da thorax, FGD, bronchoscopy, fitsari / jini gwaje-gwaje.
Abin zafi a ƙarƙashin saitattun Ƙaƙƙarƙanci ya kamata a bi da shi kawai ta likita wanda, dangane da ganewar asali, ya zaɓi hanya mafi kyau duka don farfadowa da ciwo a cikin ɓarna. Dokar warkewa na iya haɗawa da miki da mikiya, massage, warmani, reflexology da physiotherapy.