Marwadzo anowanikwa kuruboshwe rworuboshwe pasi pemibvu inogona kukonzerwa nezvikonzero zvakasiyana-siyana zvinosangana nezvirwere / kukuvadzwa kwezviviri zvemuviri uye chetatu. Basa rinokosha rekuongororwa nderokutsvaga kunonyatsoona nzvimbo yehutano syndrome, iyo inenge 80 muzana yematambudziko inobvumira munhu kutora kuvapo kwehutano mune imwe nhengo. Chikamu chechikamu chemuviri chinobatanidza zvikamu zvitatu: iliac, sub-ribbed uye lateral. Marwadzo anowanikwa mukuonekwa kwezvinhu izvi mune mishonga yepirini inowanzonzi "marwadzo pasi pemiti yeruboshwe."
Chii chiri pasi pechibvu chemanheru chomunhu?
Kuruboshwe hypochondrium ndiyo nzvimbo iri kurutivi rworuboshwe rwemuviri mudumbu pasi pemiti miviri yepasi. Heano: tumukati kaduku, spleen, chikamu chemudumbu, pancreas, mumukati mukuru, diaphragm, tsvete neuurere. Nhamo inosanganiswa yepanyama uye inokonzera zvinokonzera kuti ropa rinopera mune imwe chikamu chemuviri. Chekutanga ndeye trophic disorder (nzira dzinochengetedza kuchengetedzwa kwebasa / chimiro che cellulose), yechipiri ndiko kuputika kwemashupu nekuda kwekuputika, izvo zvinotungamirira kukanganisa kwevangara rekugamuchira, chechitatu - kukanganisa mishonga / matukisi nekuda kwekuita kwekunze, chechina - kuchinja kwemukati membrane nekuda kwechirwere chepathogenic microorganisms.
Nhamo pasi pembambo yeruboshwe - zvinoita:
- acute kurwa. Chirwere chinokonzera kukurumidza kuruboshwe rworuboshwe pasi pemibvu chiitiko chekukurumidzira kushamiswa kwema ambulensi. Inoratidza kukonzera (kuputika) kwezvipfigiso zvemukati mudumbu, rusvingo rwemudumbu, renal pelvis kana spleen. Kana nharo dzehondo dzikaitika nekugomera, izvi zvinoratidza kukuvadza kunokanganisa nhengo dzomukati dzinopisa upenyu;
- achingorwadziwa. Kusagadzikana, kurwadziwa kwakanyanyisa pasi pemucheto kunoratidzira kupera kwekuita kupora. Kushambidzwa kunobatanidza chiratidzo chakajeka chemuviri wesonda. Kuva nemarwadzo mudivi mu 40% emhosva dzinoratidza ischemic heart disease uye angina pectoris;
- kurwadziwa kunotyisa. Kuve nekurwadziwa kunorwadza nemakungwa muboshwe hypochondrium kunoratidza zvirwere zvisingaperi zvegumbo remimba: cholecystitis, gastritis, pancreatitis.
Ndezvipi zvinogona kukuvadza pasi pembvu yeruboshwe?
Nhamo iri pasi pemibvu iyi isiri chiratidzo chaiyo, saka, zvinokosha kufunga nezvekuratidzwa kwayo kose kusina kuratidzwa uye kliniki yematenda: kukura, maitiro, simba, nguva, mamiriro ekusimudzira / kuderedza, kuwandisa.
Nhamo pasi pemiti yeruboshwe - zvirwere zvemuviri:
- gastritis. Zvinokanganisa zvinokonzerwa nemukati mucosa zvinokonzera kushushikana kwebasa uye kuputika, zvichikonzera kurwadziwa kunorwadza kuruboshwe rworuboshwe pasi pechibvu chiri mberi, pamwe chete nekuputika uye kusuruvara. Zviratidzo zvemakiriniki zvegastritis: kubata, kupisa kwemavastastria, kunakidza kunofadza mumuromo, kuoma munharaunda ye epigastric, chirwere chemahara / kuvhiringidzika, kushaya simba kukuru, kufema, kusagadzikana, kuderera kunzwisisika mumagumo (kumusoro / pasi);
- a stomach ulcer. Zviratidzo zvepeptic ulcer zvinotarisana nekureba kwenguva uye chikamu. Nechironda cheponda, kusiyana necheduenal ulcer, marwadzo ari pasi pechibvumirano anooneka mushure mekudya, uye kwete pamunhu asina chinhu. Inosanganiswa nemarutsi pashure pokudya, kuora kurasikirwa, "acidic" kukanganisa, kuora mwoyo;
- neoplasms. Chimwe chiratidzo chechiremera chacho inorwadza nekusingaperi muboshwe hypochondrium, isingabatanidzi nezvokudya. Muchikamu chekutanga, kenza yemudumbu inondipa zviratidzo zvisinganzwisisiki uye inozviratidza se "zviratidzo zvishoma" - dyspepsia (kunzwa kumanikidzika, kukanganisa, kuora mwoyo), kupesana nezvibereko zvekudya, kuora kurasikirwa, kurasikirwa kwechido, kukurumidza kurwara. Pachigarire chekupedzisira mukati mekuchenesa uye kurutsa "nzvimbo yekofi" inobatanidzwa;
- kupera kwemuviri wesonda. Iko kunoonekwa nekuumbwa kwegomba mumadziro emudumbu, izvo zvinokonzera kurwadziwa kwe "dagger" pasi pemubvu, kusasimba kwakasimba, kurasikirwa kwekuziva.
- gastritis. Zvinokanganisa zvinokonzerwa nemukati mucosa zvinokonzera kushushikana kwebasa uye kuputika, zvichikonzera kurwadziwa kunorwadza kuruboshwe rworuboshwe pasi pechibvu chiri mberi, pamwe chete nekuputika uye kusuruvara. Zviratidzo zvemakiriniki zvegastritis: kubata, kupisa kwemavastastria, kunakidza kunofadza mumuromo, kuoma munharaunda ye epigastric, chirwere chemahara / kuvhiringidzika, kushaya simba kukuru, kufema, kusagadzikana, kuderera kunzwisisika mumagumo (kumusoro / pasi);
Nhamo pasi pechibvu chemanzere - chirwere chepleen:
- kuwedzera kwepleen (splenomegaly). Nhamo iri kumativi inomuka kubva pakuwedzera kwepleen uye kuwedzerwa kwekapukisi yayo - ichi chiratidzo chinowanzogadziriswa muhutachiona hwemononucleosis. Mukuwedzera kumarwadzo ekurwadziwa pasi pechibhakera, chirwere chacho chinoratidzirwa nehutachiona huse, kutonhora kwekushisa, musoro wepamusoro, chizivi, chizuru, kutuka zvakanyanyisa, kubatana uye kusuruvara kurwadziwa, lymph node kuvhiringidzika, kuwedzerwa kwechiropa, chirwere chemaperembudzi mumucheto wepasi / kumusoro;
- kupera kwepleen. Chikonzero chikuru chechiitiko chacho chinokonzerwa nehutachiona, chinotungamirira pakurwadziwa kwakanyanya kune rumwe rutivi uye cyanosis rweganda rakakomberedza ruzivo, runokonzerwa nokuunganidza ropa mune chikamu ichi;
Nhamo pasi pemiti yeruboshwe - matambudziko ane diaphragm
Kana ikarwadzisa pasi pechibvu, mhaka yacho inogona kuenzaniswa nekuumbwa kwechibereko chinoputika. Iyo diaphragm, iyo inoshumira sefence pakati pemakumbo e thoracic uye emimba, ine chitubu chekufamba kwemashoko. Apo masimba ekudzora masimba ekuzarura mishonga inowedzera, inowedzera, izvo zvinoita kuti zvive nyore kuti chikamu chepamusoro chiri kunze kwe peritoneum kupinda mujinga re thoracic. Chirwere chinoputika chinoratidzirwa nekurwadziwa kunoramba kuripo kune rumwe rutivi rworuboshwe, kuora mwoyo, kusuruvara. Apo dumbu racho rakaputika, pane chirwere chinopinza uye chinopinza pasi pembvu yeruboshwe.
Heart pathologies:
- ischemic heart disease. Nheyo ndeyokukundikana kweropa kunopa musimba wemwoyo nekuda kwehutano hwehutano hwehutano. Ischemia inofambidzana neyeusea, kuwedzerwa kwemwoyo, kupera kwekufema, kuremera mubhokisi, kurwadziwa kunorwadza pasi pechibvu;
- cardiomyopathy. Chikwata chezvirwere zvemuviri wemutsipa, pasi pacho chimiro chinoshanduka uye basa rayo rinopwanyika. Pathology haibatanidzi nehutachiona hwehutachiona, midziyo yevhavha, midziyo. Kusuruvara pasi pechibvu kazhinji kunowanikwa maererano nemamiriro ekuita basa. Inosanganiswa nekurumidza kuneta, kushaya simba, kuwedzerwa kwemwoyo.
Zvirwere zveRheumatic zvepona:
- kukanganisa kwezvibatanidza zvisungo zvezvibatanidza mu muscular dystrophy, nekuda kwekuderera kwemisungo yemakamuri ekudhinda;
- costochondritis. Kuvhiringidza kwezvinyorwa zvinokonzera sternum nemibvu, zvinokonzera marwadzo asingakanganisi kana akajeka kune rumwe rutivi pasi pembambo, inoitika panguva yekufema zvakanyanya. Zvinonyanya kukosha: nhabvu chondrites inogona nyore nyore kuvhiringidzwa nehutano hwemwoyo nekuda kwezviratidzo zvakafanana. Misiyano ndeyokuti marwadzo anobva ku chondritis anowedzera nemarpation, kubva mukurwisa kwemoyo - haawedzere;
- pinched nerve. Hernia / deformation ye-intervertebral disc, arthritis, osteoporosis, spondylitis inogona kukonzera mutsara / nharo yakagadzirirwa mumutsara wemagetsi, inoratidzwa nekupisa, kurwadziwa kune rumwe rutivi, kurira kana kuvhara;
- kuputsika kwemabvu / mbabvu kuruboshwe. Marwadzo ari kuwedzera simba nekufamba kwemuviri wepamusoro nekufema zvakanyanya, "mashizha" mushure mekutora mishonga inorwadza;
- sarcoma pamubvu. Izvo zvakanyanya kukura kwezvirwere zvehupenyu hweEwing sarcoma mhuri inonyangadza yakaumbwa inobereka mapfupa nematukisi akaipoteredza. Izvi zvinoratidzirwa nekliniki ine utsinye, kupararira kwakanyanya kwemaitiro emasitema, kuwanda kwekudzoka zvakare. Dambudziko rechirwere rinowedzera zvakanyanya nechokuti mbabvu dziri pedyo nemakumbo anokosha - mutumbi weCent Nervous System, mapapu, uye mwoyo.
Kukuvara
Uturu hwakanyanya mudivi pasi pemubvu unogona kukonzera zvikonzero zvinoshandiswa. Kukuvadzwa kwekodhilaginous, bony, soft tistues inowanikwa panguva dzomukati dzomuviri (zvinokonzera, kuwira). Kukuvadza kunogona kunge kwakasiyana-siyana-kubva pamakumbo maduku kusvika kumakumbo / kuputika mumakanda, izvo zvinogona kutungamirira kuputika kwemuviri.
Neuralgia
Intercostal neuralgia inowanikwa apo inonzi intercostal receptors inomanikidzwa / inotsamwiswa. Marwadzo anoonekwa nemhando dzakasiyana-siyana dzezviratidzo: paroxysmal, dull, kurova, yakaoma, kupisa. Zvichienderana nekuwedzerwa kwekutuka, kuburitswa kweganda, kusvibiswa kwemisungo, kusimbiswa pamusoro pechirango chekufamba kwechimbichimbi, kukwezva, kunyorera, irradiates munharaunda ye lumbar uye pasi pe scapula.
Zvirwere zve pleura:
- pleurisy (kuruboshwe-rutivi). Izvo zvinopisa, zvinowanikwa mumakumbo emapinimoni, pamwe nekuiswa kwe fibrin (high molecular weight protein) pamusana waro muhutu hwakaoma, nekuunganidza kwemvura mukati mechipfuva chemuviri - mune chimiro chekunyanyisa. Pain sensations pasi pechibvumirano inosangana nekukanganiswa, kufema, kunotarisana kune zvakasiyana. Zviratidzo zvinogadzirisa: kuremera muhafu yakasara ye sternum, kuokera kwakakomba, kupfupika kwemhepo, kufema kwemakumbo emumwoyo, kupisa kwemakumbo / chiso, kutuka, fivha, kufema zvishoma;
- pneumonia (kuruboshwe-rutivi). Kuvhiringidza kwemavara mumucheto wezasi wepapupa yakasara kunokonzera kuonekwa kwechinyoro (60-65% yematambudziko) kana kuoma "kutema" (35-40%) marwadzo mu hypochondrium. Chirwere "chinotanga" nekukanganiswa kwakaoma, general malaise, kupisa mumutsipa, kushaya simba. Kiriniki yakawedzerwa yechirwere inosanganisira fivha uye chifukidziro nemuwandu wepulumum sputum.
Zvirwere zvepancreas:
- pancreatitis. Chimwe chiratidziro chepaccreatitis yakaoma inorwadza zvakanyanya muruboshwe rwakatarisana mberi uye epigastric zone. Ne pancreatitis, kune nguva dzose uye zvinonzwisisika zvinoratidzika zvinorwadza, zvinosangana nekurutsira "tsime" nekubatanidzwa kwe bile iyo isingadzose zororo. Kuwedzera uye kukanganisa kumusoro wechipfu kunokonzera mishonga ye jaundice, kusanganiswa nekujekesa kwechigaro, ruvara rwemajini, ruvara rweganda. Nzira isingaperi inoratidzirwa nekurwadziwa kunorwadza pasi pemakwenzi, kusina kutonhora, kusuruvara, kusuruvara mumuromo;
- pancreatic cancer. Hahupi hupi hupi humwe zviratidzo, kunze kwemarwadzo akaoma uye kwenguva refu pasi pechibvumirano uye pakati nepamuviri, naizvozvo kupisa kunokanganisa kunowanzowanikwa muzvikamu zvekupedzisira chete.
Inorwadza pasi pechibvu pasi
Nhamo iri kumativi ari pasi apa chiratidzo chinogara chiripo uye chekutanga chekudzivirira mumimba. Zvinorwadza zvinorwadza pakarepo, "pane imwechete yakaenzana" - hazvina kutungamirirwa nevanopedzisira vasati vatarisira kudya. Kurwisana kunokonzerazve maminetsi gumi nemashanu kusvika pamaminitsi makumi maviri nemashanu, kufambira mberi kwechirwere kunotungamirira kumagumo ekurwadziwa kwakanyanya, izvo zviratidzo zvisingarangarirwi, sezvo zvichiratidza kumira kwebasa rinopera remurumbo.
Zvinorwadza pasi pemiti pfupi
Pain sensations inotangira mushure mebvu, kuratidzira kuvapo kwezvirwere zvetsvo dzezasi:
- urolithiasis. Iyo inoratidzirwa nekugadzirwa kwezvipfeko munhengo dze urinary system. Chirwere chacho chinoputika, nekutambudzika kunorwadza kwakanyanya kune rumwe rutivi, kuchipa zvakare, icho chinowanzosimudzirwa mushure mokushanda kwemuviri, kufamba kwenguva yakareba, kutasva. Kuvhiringidzwa kwemashoko nematombo akadzingwa kunoratidza kuburikidza nemarwadzo epasmodic munharaunda yakakomberedzwa, kurutsira, ropa mumuguta, uye kunosvitsa kunetseka. Kunyanya kurwadziwa chirwere mumakamuri mberi nekumashure kunoratidza kufambira mberi kwe calculus pamwe chete neusreter;
- pyelonephritis. Kuvhiringidza kwetsvo, kukura pakatarisana nehutachiona hwehutachiona. Zvinorwadza zvinorwadza, zvinogona kuva zvakasimba kana zvinyoro, zvichiendeswa mberi nekuwedzerwa kudhakwa, kuwedzerwa kwekushisa kusvika kune 40 degrees, kurutsa, kushungurudza. Pyelonephritis yakasara-nechepamusoro inotambudzwa nekurwadziwa kunorwadza, kunetseka kunyorera, chills uye kushaya simba kwakanyanya.
Nhamo iri kuruboshwe hypochondrium inogona kuonekwa kumashure uye ine myocardial infarction, iyo iyo "kusvetuka" kurwadziwa kwechirwere inowanzooneka, ichipenya kuruoko rworuboshwe, mutsipa, pasi pechigamba, kurutivi rworuboshwe. Zvimwe zviratidzo: pre-stupor, chizuru, kupererwa kwemhepo, kushungurudzika.
Pain pasi pechibvu, kwete kusangana nezvirwere
Kusuruvara kune rumwe rutivi kunogona kuonekwa panguva yekuita muviri kwakasimba - izvi zvinoitika kana muviri usingagadziri mitoro yakawandisa, iyo inowedzera nokukurumidza mukana wekupararira kweropa: midziyo, kusanganisira muromo wekakarurama, kuwedzera muhupamhi, zvichikuvadza kurwadza kurudyi, kupa kuruboshwe hypochondrium. Dzimwe nguva manzwiro anorwadza anomuka pakukanganiswa kwetambo / kufamba-kunokonzerwa nekubatana kwepamusoro pebvuri rechebo nechemuviri.
Kuongororwa uye kurapwa
Uturu huri pasi pembvu yeruboshwe ndeye chiratidzo chinotyisa, saka chero maitiro ekuzvipa mishonga haabvumirwi, sezvo anogona kutungamirira kumatambudziko uye anowedzera kuchipatara chinyorwa chechirwere. Levopodbedrennaya lokalizatsiya chirwere chirwere chinodikanwa kubvunzurudzwa nevadzidzisi vezvenyanzvi - gynecologist, traumatologist, chirwere chinopfurikidza chirwere, gastroenterologist, chirwere chinorwara. Vazhinji varwere vane marwadzo pasi pemibvu vanoda rubatsiro rwekukurumidzira, uye kazhinji nevakapinda muchipatara. Kana urombo hunonzwa hunoziviswa, usapindira mukati ma25-30 maminitsi - ichi ndicho chikonzero chekurumidza kurapwa muchipatara.