Ululu pansi tsamba phewa pa kumbuyo kumanzere: zotheka zimayambitsa

Ululu pansi tsamba phewa anasiya - ichi ndi zachilendo. Kusapeza ingayambe ndi kukhala ndi moyo wabwino wovuta kwa nthawi yaitali kapena amalephera kayendedwe lakuthwa chifukwa cha kuphwanya kwa thupi. Komabe, yaitali ndi ululu kobwereza - ichi ndi chizindikiro choipa kwambiri.

Ndipotu, kuwawa bwino zimayamba ndi zinthu zosiyanasiyana matenda aakulu. Choncho, ngati muli ndi zizindikiro ayenera yomweyo funsani dokotala ndi ndisanabadwe.

Sikuti kuti gwero la zowawa ndi nthawi pafupi ndi malo mawonetseredwe ake. The anthu mantha dongosolo lakonzedwa kuti nyemba panamveka ndi thupi la wodwalayo akhoza kuchotsedwa kwa icho kuwoneka kwina. Choncho, ululu pansi tsamba phewa bwino zimayamba ndi matenda a msana, m'mimba ndiponso pathologies mtima. Pa nthawi yomweyo, ululu pansi tsamba phewa ndi lamanzere kumbuyo amatanthauza ululu akatswiri. Mwachitsanzo, madalaivala ndi seamstresses. Pankhaniyi, ululu wa katundu zonse pa minofu ya msana khomo lachiberekero.

Nthawi zambiri pali ululu pansi tsamba phewa pamene galimoto, koma nthawi yomweyo amapita matalala. Nthawi zina, pali ululu mu mtima. The zifukwa zizindikiro chinayambira pathologies a dongosolo mtima.

diagnostics

Chifukwa ululu subscapular kungasonyeze matenda osiyanasiyana ndipo pathologies, zina Kupenda thupi ikuchitika zochokera matenda a dokotala.

• Ngati mukukayikira matenda a mtima muyenera kuchita ndi electrocardiogram (ECG) ndi ultrasound Kupenda mtima.
• Kufufuza za m'mimba thirakiti ultrasonography anachita matupi awa.
• Ngati muli ndi mavuto ndi dongosolo la minofu ndi mafupa amafunika X-ray, ndipo ndithu mwina ndi Kujambula.
• Pamene matenda a m'mapapo, iwo ayenera ndisanabadwe ndi X-ray.

Pamwambapa njira kafukufuku ndi pulayimale ndi ambiri, omwe akutipatsa mfundo za boma ambiri sakuchedwa lake ndi matenda. Mukaona zakusokonenezedwa ndi pathologies ayenera kukhala mokwanira kwambiri mosamala anthu ndi makhalidwe ake onse thupi.

matenda masamba

Masamba, ngati gawo lina lililonse la thupi, zikhoza kukhala matenda enieni. Choncho, nthawi zina, kusapeza kumbuyo uko ndi ndalama za matenda.

• Kuvulala masamba. mikwingwirima kwambiri ndi tokhala mu dera scapular kungayambitse choipa. Pamene zoipa kugwa zambiri wovulala kapena zisamayoyoke wa tsamba, imbaenda zotsatira zoipa kwambiri. Pankhani ya kuwonongeka fupa amapezeka ululu amphamvu kwambiri omwe umakulitsa chisonyezo. Pankhani ya kukayikitsa kuvulala kwambiri mu malo oyamba, muyenera ayesedwe chifukwa X-ray.
• Osteomyelitis tsamba. matenda akufotokozera poyera ozama mabala. Abscess angagwe.
• TB tsamba. A matenda osowa kwambiri, komabe nthawi zina kale.
• Akulimbana mu tsamba phewa. Izo zimayambitsa kutupa zikwama subscapularis. Yodziwika ndi kusapeza kapena ululu si amphamvu kwambiri. Pamene magulu yogwira paphewa pali crunch khalidwe.
• Chotupa tsamba. Iwo akhoza chifukwa cha matenda osiyanasiyana. Zikatero, kufufuza mwatsatanetsatane za thupi ndi kuchotsa chotupa.
• Wotsinidwa mitsempha. Nthawi zambiri kumachitika mafizo mpikisanowo, koma angayambe munthu aliyense. Amaonera kuvulala, kusupuka ndi sprains.

Ngakhale pali zifukwa kulibe vuto lililonse, pamene kupweteka kwambiri pa tsamba mapewa ngati njira yabwino kuti anayesedwa - chifukwa mu zina ululu ngati ndi chizindikiro cha kufunika kwa chithandizo mwadzidzidzi.

Mitundu ya ululu pansi tsamba mapewa

kuwawa kotero, malingana zimayambitsa, angakhale:

• Pachimake.
• Stitching.
• Nthawi zonse.
• Zodziwitsa.
• Chocheperako.
• amphamvu kwambiri.

Pamaziko a madandaulo kwa wodwala kudziwa mitundu ikuluikulu ya ululu:

• kupweteka m'thupi sasiya thupi ngakhale pa mpumulo. Nthawi achuluke, limodzi ndi kutengeka moto.
• Kudula ululu pansi tsamba phewa, nthawi kudutsa mu malo pakati pa masamba a mapewa.
• Kupweteka mtima. Pamene pali mavuto mtima, zizindikiro akhoza zimapezeka kupyolera mu ululu pansi tsamba mapewa.
• Zonse ululu, imene boma la mpumulo, koma kukula ndi kutsokomola kapena kudzoza kwambiri.
• Lakuthwa ululu kumanzere, amapita pambuyo kusanza.
• Timatha ululu limawonekera pa malo ena a thupi. Mwachitsanzo, limapezeka ngati mkono Chikoka-mmwamba.
• Ululu imatsogoleredwa kunsi pa phewa kwa m'chiuno. Pali kumverera kukoka.
• Ululu pansi tsamba phewa pamene galimoto.

Ululu ngati chizindikiro cha matenda a msana

Nthawi zambiri, ululu pansi tsamba phewa amayamba ndi matenda osiyanasiyana ndi pathologies msana. Mwachitsanzo, osteochondrosis kapena kupindika msana.

• matenda osiyanasiyana a msana khomo lachiberekero kumapweteketsa pansi tsamba phewa, chithandizo cha zimenezi yaitali ndithu. kupweteka m'thupi pansi tsamba phewa chifukwa matenda a msana, monga osteochondrosis, intervertebral chophukacho, spondylosis ndi ena. Kupweteka amathanso nthawi kutha ndipo amaoneka mu mawonekedwe a lumbago mwadzidzidzi.
• Intercostal neuralgia akhoza kuyambitsa kupweteka. Pamene ululu matenda kukupitirira m'dera lonse nthiti, ndipo akhala ovuta atembenuza thupi.
• Kumanzere phewa, msana periarthritis komanso amayambitsa kupweteka pansi tsamba kumanzere phewa.
• Scapula, nthiti syndrome amayambitsa kupweteka pansi tsamba phewa limodzi ndi mwachikondi msana khomo lachiberekero.
• Mitundu yosiyanasiyana ya kansa. Nthawi zina, chotupa mwina ili mu tsamba kwambiri ndi chifukwa zomverera zosasangalatsa kwambiri. Pankhani ya khansara mu msana kapena msana, kupweteka akadali kuwafika vanes.

ululu waukulu pansi tsamba mapewa

Yodziwika ndi lakuthwa, koopsa ndimakwiya ululu. Iwo angayambe nthawi; Tulukani ululu anabwerera ndi mphamvu yatsopano chifukwa kayendedwe ndi mpweya kwambiri. kupweteka kwambiri pa tsamba phewa kawirikawiri amakonda kukamba za mwakayakaya thupi ndi kufunika alowererepo oyambirira zachipatala.

Mukalandire matenda otsatirawa:

• M'mnyewa wamtima infarction. Childs, kupweteka koopsa anaonekera pamaso zinachitika ndipo anapitiriza pa izo, ndi accruing. Pang'onopang'ono kuwonjezeka, iwo mu khosi, nsagwada, mano, ndi dzanja lamanzere. Koma nthawi zina pangakhale kusonyeza kuukira zakuthwa ululu omwe akupezeka pansi tsamba mapewa. Komabe, sikuti nthawi zonse ndi ululu pansi tsamba kumanzere phewa ndi vuto la mtima. Zizindikiro akhoza zionetsa zifukwa zina.
• Pleurisy. kupweteka kwambiri zingachitike pa siteji koyamba za matendawa. ululu nthawi lolunjika m'dera la madzimadzi kudzikundikira malo, kuti ali. E. Pansipa tsamba kumanja kapena kumanzere phewa.
• Aneurysm. Komanso izo zimayambitsa aakulu lakuthwa ululu pansi tsamba kumanzere phewa. Ululu kukhala mu dera mapewa.
• Kapamba. Matenda matenda limodzi ndi ululu mu tsamba kumanzere phewa.

Single, kuukira osati mobwerezabwereza chifukwa cha gulu zoipa kapena kuvulala. Komabe, ngati kupweteka kwambiri pa tsamba phewa ndi mwadongosolo ndi ululu amaumirira - Akufunika kuti ndipite ku chipatala.

Mafanizo ululu pansi masamba phewa

Mtundu wa ululu zambiri amapezeka pamene chitukuko cha matenda osiyanasiyana ndipo inakhala anachititsa kukanikiza pakati pa mathero mitsempha (mwachitsanzo, osteochondrosis khomo lachiberekero msana).

Scapula, nthiti syndrome kumachititsanso kugirigisha kukoka ululu. Matendawa mosavuta kuzindikira, chifukwa kayendedwe nthawi ndinamva crunch chosiyana. Komanso syndrome ichi ndi ululu mu khomo lachiberekero msana irrardiruet.

Chikhalidwe achilendo ululu chifukwa chakuti, choyamba, ndi kudwala kwa msana patsogolo kwa kuchepa mu mtunda intervertebral, ndipo kachiwiri, akuchedwa ndithu, kotero ululu ndi kawirikawiri lakuthwa ndi amphamvu.

Ululu pansi pa scapula kumanzere, mankhwala ndi njira yodziwira

Mu chochitika cha ululu pulogalamu mtundu uliwonse m'pofunika kuti apezeke. Ngakhale ululu zimachitika kawirikawiri, ululu pansi tsamba phewa akhoza kusonyeza chiyambi cha matenda aakulu. Mwachitsanzo, pamene kupweteka mtima amachititsa bodza mu zosayembekezereka wa matenda a mtima, koma ululu pansi tsamba phewa mwina amasonyezanso kwa iwo.

Choyamba, tiyenera kuona dokotala kufufuza. Malinga mtundu wa ululu, mawonetseredwe ake ndi zizindikiro zina ndi nkhani anayendera yoyenera.

• Pankhani ya kukayikitsa matenda a dongosolo mtima akhoza zolamulidzwazo potsata ndime ya electrocardiogram (ECG) a mtima ndi kafukufuku ena.
• Mu matenda a dongosolo minofu ndi mafupa amagwira ntchito X-ray. N'zothekanso ndime ya kulingalira maginito kumveka (Kujambula).
• Mu kudwala a dongosolo m'mimba adzakhululukidwa inakonzedwa ultrasound pa mundawo m'mimba.

Pa nthawi imene kuona koyamba silinena ululu zimayambitsa kapena amaganiziridwa mavuto, anachita amalipiritsa zina kusanthula ndi Kupenda wathunthu wa thupi.

Choncho, anthu mwamsanga adzakhala mayesowo bwino thanzi lake. Chifukwa yake matenda a matenda aliwonse kungathandize chitukuko cha matenda ndi mavuto ena.

chithandizo

Kusankha chithandizo kumatengera ndi zotsatira za mayeso ndipo matenda. Nkofunika kukumbukira kuti kudziletsa mankhwala kapena kulandira ululu mankhwala popanda kufunsa dokotala akhoza kwambiri zimawonjezera vuto la mtima.

Nthawi zambiri, chithandizo ndi mankhwala m'chilengedwe. ena zakudya alinso Kwalamulidwa kwa odwala, matenda pa ntchito thupi ndi mode wapadera wa tsiku.

Komabe, opaleshoni ukafunidwe zina. Mwachitsanzo, pamene chotupa zilonda mu tsamba ndi lokhalo lovomerezeka mankhwala njira. Amene kamodzinso zimatsimikizira chithandizo oyambirira kuchipatala ululu mawonetseredwe zimachitika.

Chapamimba chilonda ndi kapamba

Chimodzi mwa zomwe zimakonda ululu mmbuyo pansi pa tsamba kumanzere phewa ndi chapamimba chilonda. Pa kuwonekera kwa ululu pa chilonda amakhudza zinthu zambiri:

• Seasonality.
• Chakudya. ululu angayambe yomweyo pambuyo chakudya kapena sanamwe (ululu kusala).
• Kusanza. Kusanza atsogolere ululu kapena palibe konse woyera.
• mtundu wa chakudya. Isanayambike ululu akhoza zidzayambike ndi kulandira inayake chakudya.

Pamene munthu m'mimba chilonda amakhudza, ululu pansi tsamba kumanzere phewa anasiya angathe kukhala a mitundu yosiyana.

ululu akhoza kukula usiku ndi limodzi ndi kutengeka moto. Nthawi zambiri ndi kulongolola ndi wosasamala. Zizindikiro zimenezi zimachitika odwala ndi mkulu-atagona zilonda zam'mimba.

Pamene inu muwona zizindikiro zimenezi ayenera n'chiyani mosamala thirakiti m'mimba ndiponso kudya pang'ono. M'pofunika kumwa madzi ambiri ndi kuonjezera chiwerengero cha chakudya tsiku (koma osati kuchuluka kwa chakudya ankadya, ine ndikutanthauza kusintha kwa 5 kamodzi chakudya) - kotero kuti m'mimba ndi nthawizonse chinachake kuti, motero kuwonongeka kwa makoma a m'mimba, zidzakhala kochepa.

chala Lady kwa nkhani kwambiri khalidwe la zowawa zimene zimachitika pa chopanda kanthu m'mimba. Komanso, ululu zingachititse phwando zikuchitika zosiyanasiyana. Choncho, tikulimbikitsidwa kuti aonetse mndandanda wa zakudya kudyedwa.

Anthu ambiri ali ndi zilonda zam'mimba anati kusanza. Ndipo iwo anamutcha kukula kwa zowawa, osati nseru. Monga ulamuliro, munthu wa n'kusanzidwa, ululu kapena mipita kapena amachepetsa zayamba.

Mu chapamimba chilonda chikhoza kusonyeza lakuthwa, koopsa ululu. Izi zikhoza chifukwa cha perforation cha chilonda cha. Ndipotu, zikamera wa perforation ndi benga pa khoma m'mimba pa malo a bala chifukwa cha chamtunduwu. Ndi zinadzala ndi kugunda kwa nkhani muzituluka mu zonse m'mimba ndi peritonitis.

Mu chochitika cha kuukira kwa ululu kapamba zambiri ndi nsungu khalidwe. Komanso limodzi ndi kusanza ndi chizungulire.

Matenda a dongosolo mtima

Ziwembu za matenda a mtima wofanana ndi zosayembekezereka ululu pachimake pa tsamba kumanzere phewa. Iwo angayambe pamene:

• M'mnyewa wamtima infarction.
• Zikwapu.
• Myocarditis.
• Kugaŵa aneurysm kwa msempha.

Kawirikawiri, pamene vuto la mtima zikachitika, ululu pansi tsamba phewa anasiya si chizindikiro chokha zikusonyeza nkhondo. Iwo limodzi ndi ululu sternum, ndi kumanzere dzanja, nsagwada, khosi. Komabe, ndi "m'mnyewa wamtima kumbuyo" ululu amenewa mawonetseredwe okha ndi nthenda ya mtima. Kusiyana zofunika kwambiri pakati pa matenda a mtima ndi matenda ena mtima - n'zosatheka kuchotsa ululu nitroglycerin. Mwachitsanzo, nitroglycerin thandizo lalikulu pa paroxysm a angina.

Choncho, ululu pansi tsamba phewa anasiya akhoza zambiri zifukwa. Kuyambira mwachilungamo palibe vuto lililonse - monga mikwingwirima, ndi kutsiriza ndi matenda kani kwambiri. Choncho musamaone kuwawa kotero, makamaka ngati zimachitika pali mwadongosolo. Kupimidwa Mulimonsemo sadzatenga nthawi yambiri. Makamaka kudutsa anayendera, chingalepheretse chitukuko cha matenda aakulu ndi mavuto awo.