Jin zafi a ƙarƙashin ruwan kafadar hagu

Jin zafi a ƙarƙashin ruwan kafadar hagulura a cikin musculoskeletal pathologies (osteochondrosis, myofascial ciwo, raunin da ya faru), cututtukan zuciya (myocardial infarction, angina pectoris, rheumatic da wadanda ba rheumatic carditis), gastrointestinal cututtuka (pancreatitis, ciki ulcers). Dalilan da ba safai ba na alamar sun haɗa da lalacewa ga maƙarƙashiya, ulcers da ciwan fata. An zaɓi hanyoyin bincike bisa ga ciwon da ke ciki: X-ray, duban dan tayi da kuma nazarin endoscopic ana amfani da su. Don kawar da ciwo, an wajabta magungunan analgesics, bayan haka an gudanar da aikin likita ko tiyata na cututtukan da ke ciki.

Abubuwan da ke haifar da ciwo a ƙarƙashin kafada na hagu

Radicular ciwo

Yanayin pathological yana tasowa tare da osteochondrosis na thoracic ko hernia intervertebral. Kadan yawanci, radicular zafi yana faruwa tare da spondylolisthesis da ankylosing spondylitis. An lura da ciwo mai tsanani a cikin tsinkaya na scapula na hagu lokacin da tushen 3rd-6th thoracic ke shiga cikin tsari; rashin jin daɗi kai tsaye a ƙarƙashin scapula yana nuna alamar lalacewa a cikin 7th-8th vertebrae. Yawanci, jin zafi yana yaduwa daga scapula zuwa saman gefen kirji da kuma wuraren intercostal.

Myofascial ciwo ciwo

Matsayi mara kyau da tsayin daka a cikin matsayi mara kyau yana haifar da tashin hankali na tsoka. Ciwon ya bayyana kansa a matsayin zafi a cikin yankin scapula a gefen hagu, lokacin da nauyin ya fi yawa a wannan gefen. Mai haƙuri yana jin rashin jin daɗi a matsayin mai zurfi da matsakaici mai tsanani. Da farko, ana jin zafi ne kawai a lokacin motsi da motsa jiki, amma bayan lokaci ya zama akai-akai. Wani lokaci raɗaɗin zafi yana bayyana a hannun gaba ko hannun hagu.

Raunin

Ciwo mai tsanani yana tasowa bayan tsagewa ko karaya na scapula ko raunin nama mai laushi a kan wannan yanki. Idan an kiyaye mutuncin kashi, zafi yana da matsakaici, mutum zai iya yin numfashi mai zurfi kuma ya motsa cikin yardar kaina. Lokacin da lalacewa mai rauni ga tsarin kashi ya faru, zafi mai zafi yana faruwa, kuma motsi na hannu da kafada yana da iyakacin iyaka. Lokacin canza matsayi ko danna kan yankin da aka ji rauni, ana jin zafi mai tsanani.

Boils da carbuncles

Ƙunƙarar ƙumburi na fata da ke kewaye da ƙafar kafada na hagu yana tare da ciwo mai tsanani, wanda, a matsayin mai mulkin, an bayyana shi a fili. Yayin da tafasar ya girma, abubuwan jin dadi na "tugging" suna faruwa, wanda ke ƙaruwa lokacin da yankin kumburi ya shafe ko shafa shi da tufafi. Bayan taya ya fashe ta hanyar necrotic core ya fito, zafi yana raguwa. Tare da carbuncle, zafi ya fi tsanani, kuma yanayin mai haƙuri yakan kara tsanantawa.

Cututtukan zuciya

Lalacewar zuciya shine yanayin da ke haifar da ciwo a ƙarƙashin scapula na hagu, wanda ke hade da kusancin wuri na jiki da kuma halaye na ciki. A wannan yanayin, alamun suna tare da ciwo a cikin kirji na nau'i daban-daban, jin dadi ko katsewa a cikin aikin zuciya. Yawancin lokaci ana gano tachycardia da sauran rikicewar bugun jini. Jin zafi a ƙarƙashin kafada yana bayyana kansa kamar:

• Ciwon zuciya.Marasa lafiya suna fuskantar ƙonawa masu ƙonawa waɗanda ba za su iya jurewa ba waɗanda ke yaɗu daga yankin precordial zuwa hannun hagu da ruwan kafada, kuma ƙasa da ƙasa sau da yawa zuwa yankin clavicle da wuyansa. Yanayin yana faruwa ba zato ba tsammani kuma yana tare da tsananin tsoro na mutuwa da kuma yanayin suma.
• Barga angina.Abubuwan da ke faruwa na matsi ko matsawa zafi suna haskakawa zuwa yanki na subscapular musamman ga hare-haren cututtukan zuciya na ischemic. Alamun da ba su da daɗi suna haifar da motsa jiki ta hanyar motsa jiki ko damuwa na motsin rai kuma suna ɗaukar matsakaici har zuwa mintuna 10-15. Bayan hutawa ko shan nitrates, zafi ya ɓace.
• Cututtukan zuciya masu kumburi.Ƙunƙara ko ciwo mai zafi a cikin kirji, wanda ke haskakawa zuwa ga kafadar kafada ta hagu kuma yana damun mara lafiya na kwanaki da yawa, yana da mahimmanci ga cututtukan zuciya (myocarditis, pericarditis). Har ila yau, mutum yana kokawa game da ƙarancin numfashi, ƙara yawan zafin jiki, da kumburin ƙananan ƙafafu.
• Rheumatism.Radiating zafi a cikin hagu rabin baya a hade tare da cardialgia ne halayyar asibiti hoto na rheumatic carditis. Hoton asibiti yana cike da arthralgia, erythema mai siffar zobe akan fata, da nodules na rheumatic. Ana fi samun alamun bayyanar cututtuka a yara da matasa.

Pancreatitis

Ciwon gidle wanda ke motsawa daga hypochondrium na hagu zuwa yankin subscapular ana lura dashi tare da kumburin pancreatic mai tsanani. Bugu da ƙari ga ciwo mai zafi, marasa lafiya suna damuwa game da rashin ƙarfi na amai tare da ƙazantattun bile da gamsai, da tashin hankali a cikin tsokoki na ciki. Motsi yana ƙara jin zafi, don haka mutum yayi ƙoƙari ya kwanta a gefensa ba tare da motsi ba.

A cikin pancreatitis na yau da kullun, kumburin zafi a ƙarƙashin scapula yana nuna haɓakar tsari. Sau da yawa, cin zarafi suna tsokanar kurakurai a cikin abinci - babban liyafa, shan barasa. Jin zafi yana cikin yanayin paroxysmal, wani lokacin yadawa ba kawai ga subscapularis ba, har ma zuwa yankin precordial. Alamun suna haɗuwa da tashin zuciya, tashin zuciya, da steatorrhea.

Ciwon ciki

Jin zafi a ƙarƙashin ruwan kafada na hagu alama ce ta gano lahani a bangon baya na ciki, kusa da baya. Hanyoyi marasa dadi suna bayyana a cikin minti 20-50 bayan kammala cin abinci. Alamun farko sun faru, mafi girman wurin da ulcer ke ciki. Rashin jin daɗi yana ƙara tsananta lokacin cin abinci mai tsami, yaji ko soyayyen abinci. Don rage tsananin zafi, marasa lafiya suna haifar da amai.

Cutar cututtuka

Raɗaɗi da jin daɗin cikawa a cikin yanki na subscapular na hagu yana faruwa tare da splenomegaly wanda ke haifar da cututtuka, autoimmune ko tsarin myeloproliferative. Tare da haɓakar sashin jiki a hankali, rashin jin daɗi na lokaci-lokaci yana tasowa tare da nauyi a cikin yankin da abin ya shafa, kuma saurin canji a girman girman sa yana tare da raɗaɗin yankan raɗaɗi da ke haskakawa a ƙarƙashin kafadar hagu na hagu.

Dan kadan kadan akai-akai, dalilin ciwo shine cututtukan cututtuka na splin: rupture, infarction, volvulus. A wannan yanayin, akwai raɗaɗin yankewa ko bugun jini da ke haskakawa a ƙarƙashin scapula, waɗanda ƙaramin motsi ya tsananta. Sabili da haka, mai haƙuri yana ɗaukar matsayi na tilastawa: kwance a gefen hagu ko a baya tare da gwiwoyinsa a cikin ciki. Hoton asibiti yana cike da raguwar hauhawar jini da tachycardia. Idan babu isasshen jin zafi, girgiza yana faruwa.

Bronchopulmonary pathologies

Hanyoyi masu mahimmanci na gefen hagu a cikin huhu sukan haifar da ciwo a cikin tsinkayar scapula. Rashin jin daɗi yana ƙaruwa tare da zurfin numfashi, dariya da magana, da kuma tari. Ciwon yana da yanayi daban-daban: kaifi, soka, maras ban sha'awa, latsawa. Suna tare da zazzabi, ƙarancin numfashi da sauran alamun alamun numfashi. Mafi sau da yawa, ciwo a ƙarƙashin ƙafar kafada na hagu yana fama da marasa lafiya waɗanda suka ci gaba:

• Namoniya.Mai haƙuri yana jin zafi mara nauyi, wanda ke da bayyananniyar wuri idan akwai kumburin huhu ko yaduwa cikin yankin scapular idan akwai ciwon huhu na lobar. Tari mai zurfi yana bayyana tare da sakin mucopurulent sputum. Alamun suna wucewa har zuwa makonni 2-4.
• PleurisyTare da exudative pleurisy, mutum yana fuskantar matsin lamba da fashe a ƙarƙashin scapula da gefen bangon kirji. Lokacin da kuka ji wannan yanki, rashin jin daɗi yana ƙaruwa. Dry pleurisy yana da mummunan zafi a cikin kirji da yanki na subscapular, wanda ya tsananta a lokacin motsi.
• Cutar tarin fuka.Cutar tarin fuka yana daɗe na dogon lokaci, don haka ƙananan zafi yana ci gaba har tsawon watanni da yawa. Idan an gano ciwon a cikin yanki na scapula, ana iya mayar da hankali ga pathological a cikin sassan baya na huhu.
• Ciwon huhu.Mutuwar wani sashe na parenchyma na huhu yana bayyana da zafi mai tsanani wanda ke haskakawa a ƙarƙashin kafada na hagu, a asibiti kamar harin angina. Halin marasa lafiya yana da rikitarwa ta hanyar hemoptysis ko zubar da jini na huhu, rashin aiki na numfashi na waje, da arrhythmias.

Dalilan da ba kasafai ba

• Neoplasms: osteoma da osteosarcoma, cyst cyst, m ciwace-ciwacen daji na fata sama da scapula (basal cell carcinoma, melanoma).
• Rare cututtukan cututtukan zuciya: cardiac syndrome X, aneurysm na gangarawa aorta.
• Cututtukan fida: retroperitoneal kumburi, hemoperitoneum, strangulated diaphragmatic hernia.

Bincike

Marasa lafiya da ciwo a ƙarƙashin ƙafar kafada na hagu an fara tura su don tuntuɓar likitan likitancin orthopedic. Idan babu cututtuka na tsarin musculoskeletal, wasu ƙwararrun ƙwararrun suna da hannu a cikin binciken bincike: neurologist, likitan zuciya, likitan fiɗa, da dai sauransu. Don tabbatar da abubuwan da ke haifar da ciwo, an ba da cikakken nazarin kayan aiki, wanda ya haɗa da:

• Radiyon rediyo.Hoton X-ray na scapula a cikin tsinkaye na gaba da na gefe yana ba mutum damar ware ko tabbatar da rauni mai rauni. Ana nuna hoton radiyo na kashin baya don zargin osteochondrosis, scoliosis, ko spondylolisthesis. Filayen rediyo na ramin ƙirji yana ba mutum damar zargin lalacewa ga huhu ko zuciya.
• Electrocardiogram.Ma'auni na 12-lead ECG shine hanyar nunawa, dangane da sakamakon da likita ya yi bincike na farko kuma ya gano matakai masu haɗari (myocardial infarction, arrhythmias mai barazanar rai). Rukunin bincike yana cike da na gargajiya ko transesophageal echocardiography da electrophysiology na zuciya.
• Duban dan tayi na gabobin ciki.Ana amfani da hanya mai sauri da mara amfani don gano yanayi na yau da kullum da ke haifar da ciwo a cikin kafada na hagu. Binciken duban dan tayi yana nuna alamun ciwon ciki, kumburin kutsawa na pancreas, da kuma kara girma. Don bayyana ganewar asali na peptic ulcer, ana amfani da EGD.
• Ƙarin Hanyoyi. Don bayyana yanayin da tsananin canje-canje na kashi, ana yin CT ko MRI na kashin baya. Idan akwai yiwuwar cututtuka na bronchopulmonary, ana yin bronchoscopy tare da biopsy da huda pleural. Idan akwai matsaloli wajen bincikar cututtukan ciki, ana ba da shawarar laparoscopy na bincike.

Hanyoyin gwajin dakin gwaje-gwaje suna taka muhimmiyar rawa wajen yin ganewar asali. Gwajin jini na asibiti yana nuna alamun kumburi ko rushewar hanyoyin hematopoietic. Manufofin sunadaran sunadaran lokaci mai tsanani da furotin suna ba da labari idan akwai yuwuwar lalacewar zuciya ko tsari na autoimmune. Ana ƙididdige ƙayyadaddun alamomin ƙwayar zuciya don ciwon angina.

Don bincikar cututtukan gastrointestinal, ana aiwatar da tsarin coprogram: kasancewar pancreatitis ana nuna shi ta babban abun ciki na barbashi na abinci mara narkewa, haɓakar adadin ƙwayoyin tsoka da ƙwayar sitaci. Game da kumburi tafiyar matakai na huhu da kuma pleura, bacteriological seeding na biomaterial wajibi ne, bi da gwajin ga ji na ƙwarai daga cikin ware microorganisms zuwa maganin rigakafi.

Magani

Taimako kafin ganewar asali

Yin la'akari da nau'o'in abubuwan da ke haifar da ciwo a ƙarƙashin ƙafar kafada na hagu, yana da wuyar gaske ga likita ya ba da shawarwari har sai an gano cututtukan da ke ciki. A lokacin jarrabawa, yana da kyau a rage nauyin da ke kan tsokoki na baya don kawar da gajiya mai sauƙi da wuce haddi, wanda zai iya haifar da alamun ciwo mai tsanani. Idan abubuwan da ba za su iya jurewa ba, ana amfani da analgesics kuma an kwantar da mai haƙuri nan da nan a asibiti.

Maganin Conservative

An zaɓi tsarin kulawa kawai bayan cikakken ganewar asali da kuma ƙayyade abubuwan etiological na ciwo a ƙarƙashin ƙafar kafada na hagu. Idan mai haƙuri yana fama da rashin jin daɗi mai tsanani, ana ba da shawarar magungunan ƙwayoyin cuta da masu shayarwa na tsoka, wanda da sauri ya kawar da jin zafi. Don ciwo mai tsanani, magungunan warkewa da kuma kula da analgesics na narcotic suna da tasiri. Yin la'akari da cutar, an zaɓi yanayin aikin jiki.

An ba da izinin maganin miyagun ƙwayoyi ta hanyar ƙwararrun bayanan da suka dace. Don jin zafi saboda lalacewar zuciya, likitan zuciya ya rubuta magungunan antianginal da antiarrhythmic, magungunan antiplatelet da anticoagulants, da magungunan antihypertensive. Cututtuka na tsarin bronchopulmonary suna buƙatar sa hannu na likitan huhu da kuma amfani da maganin rigakafi, masu tsattsauran ra'ayi, da takamaiman magungunan cutar tarin fuka.

Don cututtukan cututtukan gastrointestinal, an zaɓi abincin da ya dace kuma ana ba da magani tare da shirye-shiryen enzyme, prokinetics, antacids da magungunan antisecretory. A cikin ilimin jijiyoyi, wakilai na neurometabolic, bitamin B, da magungunan da ke inganta microcirculation da rheological Properties na jini ana nuna su don kawar da ciwo na radicular.

Don rikice-rikice na postural da sauran matsaloli tare da kashin baya, ana amfani da hanyoyin da ba na ƙwayoyi ba a rayayye: farfadowa na motsa jiki, tausa na warkewa, aikin motsa jiki. Daga cikin hanyoyin physiotherapeutic, balneotherapy (sulfide da radon baths), laka far, da reflexology sun shahara. Yana yiwuwa a ƙara tasirin maganin miyagun ƙwayoyi ta hanyar electrophoresis na kwayoyi kai tsaye zuwa yankin da abin ya shafa.

Tiyata

Ana nuna hanyoyin tiyata lokacin da magani mai ra'ayin mazan jiya ba shi da tasiri ko kuma a cikin mummunan cututtukan da ke barazanar rayuwa, lokacin da jinkiri yana da haɗari ga rayuwa da lafiyar majiyyaci. Rukunin na biyu na ayyuka sun haɗa da hanyoyin stenting, angioplasty da kewaye tiyata don ciwon zuciya na zuciya, taimakon ciki ko thoracic likitoci don raunin da ya faru, tafiyar matakai na purulent, da zubar da jini na ciki.

Shirye-shiryen aikin tiyata sau da yawa ana ba da izini a cikin neurosurgery don ciwo mai tsanani na radicular da hernia intervertebral. Don kawar da ciwon da ke hade da matsawa na tsarin jijiya, ana yin microdiscectomy da laser vaporization na diski. A cikin lokuta da ba kasafai ba, ana aiwatar da ayyukan kwantar da hankali akan kashin baya (haɗin haɗin gwiwa, aikace-aikacen na'urar Halo, daidaitawar transpedicular).