Pain sensations kumucheto kumashure uye pasi pasi zvinowanikwa nekukurukurirana kwemigumisiro yekuguma (receptors) yezvemuviri mukati nekuda kwezvipembenene, tsvina, zvirwere zvinoputika, kuora kwechirema, kuomerera. Urombo hunogona kuiswa munzvimbo yegunhi rakapararira kana kupararira kudarika maitiro ayo anogadzirwa. Apo dumbu nechepamucheto rapera, hazvina musoro kuisa zvakakodzera kuongororwa pachako. Kuita maitiro emagunwe anoti: kana musana uri kukuvadza, muviri wose unobatanidzwa mukugadzirisa, saka kana uine chiratidzo chokuzvidya mwoyo, iwe unofanira kubva uchingorangana nechiremba, uongororwe uye utore nzira yekurapa.
Anatomy yedumbu remukati
Nzvimbo yepamusoro, dumbu riri pasi rinobatanidza nzvimbo yacho kubva pamabheji kusvika pamusana pekushandiswa kwemashoko, miganhu kuruboshwe uye kurudyi ndeyezviputi uye mapfupa emakayak.
Nhengo dziri mudumbu rezasi:
- kumusoro kwepisis: chiputi, chibereko; mune varume - vas vas deferens, seminal vesicles, prostate gland;
- mumupungudo: chikamu chechiremba, inguinal migero; mumadzimai - mazai mavari;
- munharaunda yechinangwa: hutumbu hudiki, mutonhi mutsva;
- kurutivi rworuboshwe - sigmoid uye kuburuka kwekoni; kurudyi - cecum ine appendix uye kukwira kukoni.
Kutambudzika kwakanyanya mumushure kumashure kunoratidza peritonitis, kuputika kweguruva rusvingo, mumatumbo kana nduru, gumbo rekudzivirira. Kufambisa marwadzo kusvika kumucheto pasi kunowanzofananidzira renal colic uye maitiro epfungwa. Kakawanda kazhinji, unyoro hunoonekwa pamwe chete neyomyocardial infarction. Iyo aneurysm yekuparadzanisa yeaorta uye kuvharwa kwemakumbo emimba kunokonzera chirwere chinopisa uye chinorwadza zvikuru.
Dumbu rezasi uye rakaderera shure - rinogona kuva chii?
Kurwadziwa kwemukoko chiratidzo chemaitiro akawanda evanhu. Inogona kusiyanisa zvakanyanya muhutano uye hunhu (kunyunyuta, kupfava, kupisa, kutsva, kukona) uye kuonekwa nekuda kwezvikonzero zvakasiyana-siyana.
Zvirwere zveUrologic:
- glomerulonephritis (kukanganisa kumakumbo emakumbo). Chiuno nechepamusoro mimba nguva dzose zvinoputika, iyo inopfuurira mukati mavo maviri itsvo panguva imwechete, inopfurikidza nekuwedzerwa kweropa uye kuvhara;
- renal cysts Vanozviratidza kuti vane marwadzo anononoka mumudumbu uye anoderedza shure. Sezvo kstst inokura, iyo inomesa mafungiro, ichiita kuti atrophy uye neutsvo kusakundikana;
- pyelonephritis (kuvhiringidza kwerinal pelvis). Dambudziko remarwadzo rinosanganiswa nekusimudzirwa kwekushisa kwemuviri, kukanganisa kukwegura, kuora musoro, chirwere chekuziva;
- paranephritis (kuvhiringidzika kwezvinonzi pineineal tissue). Iyo inokonzera pasi pemimba uye inokuvadza pasi yakadzika, kune marwadzo muwedzerwa / kuruka kwekubatanidzwa kwechiuno;
- kuora kwemaronda / kuora mwoyo kwepvo. Inogadziriswa mumakumbo emimba anonyangadza neoplasm ne metastasis kumusana wechipfuva zvinokonzera marwadzo mudumbu, kumashure, chiuno. Kana chirwere chacho chikavapo mumucheto wezasi wepamusoro, marwadzo anonzwa anopiwa kunharaunda.
- kidney stones Dzakasvibiswa, dzakapoteredzwa zviduku zvishoma (kusvika kusvika mamita mashanu) dzinobuda pachena, mabwe makuru ane mitsetse yakacheneswa anobviswa pamwe chete. Pakati pekufamba kuburikidza neusreter, renal colic inoitika, inoratidzirwa nekurwadziwa kwakanyanya, kufanana nemasimba ekushanda kwebasa.
Zvirwere zve musculoskeletal system:
- osteoporosis. Zviratidzo zvekufananidzira ndezvokunyengedza kwechimiro chesimu yepamusoro, iyo inokonzera marwadzo muzasi nechemberi;
- osteochondrosis. Pain mucheche, kupa munharaunda yechiparadzi, yakagadziriswa nechekuguma kwekushaya simba kwe genitourinary system uye kuderera kwekunzwisisika kwemukati memakumbo;
- arthritis. Kusuruvara kwemuviri mudumbu rezasi uye kumucheto kumashure, kuva nechirwere chepikisi uye kukunda murwere mangwanani;
- chirwere chekubatana kwechiuno: akawana (coxarthrosis), congenital (dysplasia) kushungurudzika kwechimiro cheatomical, intraarticular fractures;
- kuvhuvhuta kwemashure kumashure, hernia ye intervertebral discs, kushandiswa kwemajini, radiculitis. Pain muzasi nechezasi uye pasi pasi zvakakomba, "kupfura", kunopisa mumugwagwa, perineum, makumbo. Kune kuora kwekunzwa kweganda, kazhinji - kushaya muviri kwemagumo ekumusoro.
Zvirwere zvepabonde
NeZPPP inodhonza dumbu rezasi nechezasi. Kurwadziwa nguva dzose kunonzwika munharaunda yemajoka, pamusoro pepisis, inopiwa mukati mahudyu. Dhigirii rehutano hwavo hunoenderana nechikamu chekuvhiringidza, kunobatanidza nekuwedzera kwehuwandu hwekuvhara kwevakadzi / urethra. Yakananga cystitis / urethritis inofambidzana nekutsva mumucheka uye urethra panguva yekuzorora. Apo kutuka kunopfuurira kumakumbo emakumbo, itsvo uye ureter, marwadzo ari mudumbu rezasi anowedzera kuwedzera nekuda kwehutachiona hwepilvic plexus (plexitis) uye fiber iri pedyo nechibereko (perimetritis).
Zvinetso zvepfungwa:
- kusingaperi kusingaperi, kupesana;
- kutsungirira mupfungwa mupfungwa;
- Kudzokororazve kufunganya kuora mwoyo / kuora mwoyo episode.
Dumbu rezasi uye rakaderera shure rinokuvadza vakadzi - zvikonzero
Nhamo iri kumucheto kumashure uye pasi padzimai mukati mevakadzi inowanikwa kakawanda kupfuura yevarume. 75-80% yemarwadzo emimba anowirirana zvakananga nemadzimai asina kunaka, pamuviri, kumwedzi:
- endometritis. Iyo kurwadziwa ndeyekusingaperi, inowedzera kuwedzera munguva yekuenda kumwedzi, mu50% yemhosva inofambidzana nechezzinesi uye kurutsa;
- pelvioperitonitis (kuputika kwevhavha ye serous yemapapu). Kuchema kunorwadza mucheche pasi, kupa muchikamu chezasi, icho chinosanganiswa nefivha, mvura yakadzika, kushungurudza;
- ovarian cyst. Inoratidzirwa nekurwadziwa kunorwadza mukati mudumbu rezasi, kurutsira, keusea, high fever;
- apoplexy of the ovary. Kubuda shure mushure mokuputika kwepuropiki neii inoitika mushure mekuita zvepabonde / zvakasimba mumuviri. Zviratidzo: kurutsa, kushungurudza, kushungurudzika kwakanyanya, kushaya simba, kusaziva;
- ectopic pregnancy. Inotyisa mamiriro ezvinhu, ayo akazara nekuputika kwetaupipian tube. Inosangana nemarwadzo ari mudumbu rezasi, iyo inowedzera nekufamba;
- kutambudzwa kwemakumbo emakumbo / kupera kwechirwere. Kuratidza kurwadziwa kunoramba kuri mucheka kumashure uye kumadzika pasi pamusana pokupisa kukuru (kusvika kusvika 39 degrees), kusuruvara, kurutsa;
- kuenda kumwedzi. Huri kurwadziwa kuri kupera nemhaka yekushanda kweuterine uye kuputika kwechirwere chechibereki.
Dumbu rezasi nechezasi kumapfupa mumunhu anokonzera
Nhamo iri mumucheto kumashure uye mimba mune varume inowanzoratidza zvirwere zvekuberekwa kwenhengo - seminal vesicles uye prostate gland, kashoma-pamusoro pezvirwere zvakafanana (acute appendicitis, urethritis, renal colic, sigmoid mumatumbo echilwere):
- prostatitis. Pain syndrome ne prostatitis inowanikwa panzvimbo yekuratidzwa kweprostate gland - perineum, ichienderera kune rectum uye shanje, zvichiita kuti zvibatsire kushanda kwebasa ravo (mvura yakadzika, inorwadza kunyorera). Kutambura kunzvimbo yakakonzera kunokanganisa - kunoramba ichienderera mberi kusvikira prostate isingatori matanho ekutanga. Nyanzvi yehutano inoita kuti erectile isakanganise, kusagadzikana, kuora mwoyo, kupera kwekugadzirisa, kupera nguva isati yasvika;
- vesiculitis (kuvhiringidza kwemainal vesicles). Inokura sechinhu chinokonzera urethritis, prostatitis, chirwere chepachiviri. Pain inowedzera mucheche pasi, chiuno, suprapubic zone, kuwedzera simba nechidzara chakazara, pamwe nekuwedzera kwekuita zvepabonde, fivha, nguva dzose erections. Iko kusingaperi kwenguva ye vesiculitis inotungamirira kuhutano hwepabonde nekushaya simba.
Kana chirwere chakaderera nechepasi chichikuvadza, iwe unofanira kubvunza chiremba uye uongorore zvakakwana, kusanganisira ultrasound yezvibato zvepachivi, x-ray ye lumbosacral musana, endoscopy yechipfuva uye chirwere chepamuviri. Kana zvichiitika kurwadziwa kwakanyanya, izvo zvisingakwanise kununurwa neanargesics, zvakakosha kukumbira ambulensi nokukurumidza.