Lōlō o Duchenne-Erb: 'ehaʻeha ka a me ka lapaʻau

ulu o ka laau lapaau noke. Kela a me keia lā, kńnaka invent hou ai 'kaumaha? Ienoai aa ano o ka hoʻokō' ia 'ana. I loko nō holomua loa ai kākou i loko o kēia wahi, eha hanau pilikia mea nō pili. Ka mea nui weliweli hanau ole i ka pathology a me kona hopena. A Kuhina Nui mamuli o ke neurological kāna hana, a he keiki hiki ke kiʻi i loko o ka papa o ka haawi, he brachial plexus eha. Inā ka malama loli i loko o ka 'ole o ka cervical vertebrae, lōlō diagnosed me Duchenne-Erb. I ka papa kuhikuhiE kumu o ka mai a me kāu kiʻina hana o ka hana ana au i ke ma lalo nei.

Pōkole hōʻike o ka maʻi

ʻike ākea mai o ka ua'emi'ōnaehana e hoʻomōhala ana i like me ka hopena o ke poho a hiki i ka brachial plexus lolo ua kapaia Duchenne-Erb. Ua Ua ana mua ia e ka 'eha ka hanau ana. No laila, i ka pathology ua pinepine kapaia obstetric lōlō. Naʻe, i kēia mea,ʻaʻole ka mea wale kumu o keia kulana.

Ua Ua wehewehe aku ma ka Muscle nawaliwali ma ke keenaʻaoʻao, kapu o ka hoʻoneʻe i ka'ūhā mua a me ka kuʻekuʻe aku ami. Ua mea no hoi e hiki kue o ka pā lonoaʻili, akā, hoopaa iho la o motility brushes. Obstetric lolo Duchenne-Erb ka hiki ole i ka lanakila, ina mākou e hoʻohana i ka nui noaia o Inc. Iapaau ana ua mau wae pākahi. Kekahi hoomanawanui ma hope o ka nana i ke kauka prescribes ka lapaʻauʻiaʻai ana, ae - physiotherapy. I oi loa hoopii e noi mai anaʻoki kino. Ke kēla no ka hoʻopakele hilinaʻi nui ma luna o ka oolea o ka pathology a me ka completeness o kona nohoʻana.

Historical kāʻei kua a me kekahi mau 'ikepili helu

Lōlō o Duchenne-Erb i ka inoa i loko o ka hanohano o nā neurologists. Ka mea mua kakau ma ka au mamuli o ka etiology o ka mai, a me ka? Aaieou. Palani kauka G. Duchesne no kekahi mau makahiki këia i ka moku'āina o opiopio hoʻomanawanui iki mai ma hope o ka pilikia hanau. I ka 1872, oia ua hoʻoʻuluʻulu manaʻo ke 'ike i loaa, a hōʻike mai iā ia i ka piha ano o na symptoms o ka lōlō i loko o na kamalii uuku. Ia laua a hiki i ka hoʻopaʻa 'ana i ka maʻi āpau i komo i kekahi kauka, mai Germany W. Erb. He ua hiki ke wehewehe i ka anatomical kiʻi o ka hooulu ana o ka mai a me ka pathogenesis o kēia kaʻina hana i loko o nā mākua.

Wahi a ka 'ikepili helu, obstetric lōlō o Duchenne-Erb hina i loko o ka waeʻano o pohihihi keia pathologies. Currently, e like me kaʻike, ua hookupaa iho la ia i na thousandth keiki. I loko nō o ka ikaika hana o obstetric i kūpono, ka maʻi koe he topical pilikia o kēia lapaau.

Nā kumu o ka lōlō i loko o nā pēpē i

Lōlō o Duchenne-Erb i loko o ke keiki e hoʻomōhala ana i ku ei ka backdrop o traumatic brachial plexus. Ma ke kaʻina hana o ka haawi, mai ka obstetrician e hana likeʻole hana, e kōkua i ke keiki e hānau e. It E e kaulana ia 'āinana apau i na ana wale i ka hihia o ka pilikia. I loko o kēia mau manipulations e hiki:

• trauma hulili nāʻiʻo ;
• aku o ka brachial plexus, ke aʻalolo pua, mai hemo mai;
• Nā hana kahe ana ke koko i loko o ka hoʻohuli ai i nā wahi.

Inā ka fetus mea, ua nui, a me kona mea kiko'î mai 'Aʻohe i ka nui o ka hānau Canal, o ka pilikia o ka poho i ka'ūhā mua ami, piʻi pū kekahi mau manawa. E kōkua i kou kamaiki e e hanau ai, e pio palekeiki, e hoʻohana kūikawā hana. Iʻoi ka neʻe 'ana o ka brachial plexus nā aʻalolo olona, mai hemo mai.

Nā kumu o ka lōlō i loko o nā mākua

Ma mua na keiki a me nā mākua, i ke kūpono 'ana o ke pathology ua hookuu ia me ka trauma pili. I waena o kēia mau mechanical e poino nā:

• traction lima;
• ai eha;
• brachial plexus eha ma ka ciia;
• kona.

I kekahi manawa, brachial plexus poino mea ku pono i ke kaʻa ulia. Loa pohihihi keia Erb-Duchenne lōlō i loko o nā mākua kupu ana mai kaʻawahia a infectious lesion. Ke kūpono 'ana o ke kaʻina hana pathological hiki ke kena ae la ia e TB maʻiʻaʻai e kahe ana i loko o ka huikau palapala, kuni, a me ka malaria.

He aha symptoms hoike maʻi?

Me ka hooulu ana o ka ai-kapaia flaccid lōlō malama lilo o ka hana ana o ka helu o nāʻiʻo (biceps, deltoid,'ūhā mua). Ke oolea o symptoms o ka poho hilinaʻi nui ma luna o ke ano o na olona,, lāʻau ikiʻai wale conduction abnormalities.

Ka hapanui o nā pēpē i lolo Duchenne-Erb akaka no ka puka i loko o nā lā mua o ke ola. Ke keiki i overly manao nui a mau kahea. Ke kumu o ka kāna hana, ua hanahana loa kaʻeha i loko o na lala. Nō hoʻi ma luna o ka ino brachial plexus e hōʻike i nā kēia symptoms:

• mau a iki wehe lima i ke kuʻekuʻe aku;
• ua hoʻemi Muscle leo;
• hoemiia lewa;
• lima loaʻa i ka lima me ka manamana nui;
• haikea ili.

I loko nō o ka nele o ka ha awina o ka lima eha, keiki pinepine i haʻahaʻa kalepa ae la lakou ka leo. Eia naʻe, ina he keiki e moe ana i lalo ma luna o ka lāʻau o ka loli ana o ka lala e e iki droop.

Kahua o ka hoʻonaʻauao pathological kaʻina pele

Lōlō o Duchenne-Erb ana i loko o kekahi mau kahua o ka hoʻonaʻauao.

Huʻi pae mau mai kekahi mau hora a hiki i 2-3 lā. I keia manawa, aia no he emi o ka hana ana o na lima, pilikia i anuenue i ka lima ma ke kuʻekuʻe aku o ke kaʻina.

A laila, hiki mai ke ola pae. Me ka pono lapaau ana i ka? Iaea o ka nalowale mana e lawe kekahi mau makahiki. E like me ka hopena, i loko o ke aʻalolo puluniu ka pōʻino i ka edema ke kino, a ua hoihoi loa i ke koko holo.

A ma hope iho e hele mai i ke kahua o ke koena 'ole i hiki hope i ka wā e ola ana. Nolaila, ia mea nui iloko o ke ola 'Imi pū ma ka lapaau. Ma ke kahua, i kekahi koena 'ole o ka pākōlea uao ai' e ka hapanui ineffective. Ke hoomanawanui loli lala i nā hypertrophy, oiai kaumaha nā palapū nanaʻiliahi. Ka huhui me kaʻaoʻao ahonui ua hulu, i ke kihi kolo ana aku, mai ka spine. Over manawa, i kēia mau loli alakai i ka curvature o ka spine - scoliosis.

Pehea o kaʻike,?

Ano he kumu hoʻohālike o Duchenne-Erb lolo noiʻi ua nō riveting i ka noonoo ana o nā kānakaʻepekema, mai a puni ka honua. I keia la, aka,ʻike, o pathological kaʻina, aole ia i i kekahi pilikia. I ka ka mea mua hoailona o kona pediatrician E hoouna aku au i kekahi keiki i ke kukakuka ana me ka neurologist a me ka orthopedist. I kanaka makua nā mea maʻi, i ka lapaau ana i ka maʻi i kekahi limahana i loko o kēia mau 'Oihana. E kau i ka neurologistʻike, e hoʻopaʻa haʻawina mōʻaukala o ka hoomanawanui, hoʻomaka i ka physical hōʻike. A laila, neʻe i ka oi piha keia hookolokolo ana i kēia mau:

• electroneuromyography;
• MRI;
• kamepiula myelography;
• dinanometriyu;
• reovasography;
• Ultrasound ka ninaninau ana i ka uha mua ami.

Nō kāu, ka mea mawaho hoike ana mai o ka maʻi, ua lawa e hōʻoia i ka maʻi. A pau 'ike Ua koi' ia e komo i loko o ka hoʻomanawanui ka 'inikua kāleka. Ke kauka i ka palapala aie, e kaʻike,, "Erb-Duchenne lōlō." ICD-10 hooili i ka maʻi R14.0 kuhi.

Eia naʻe, e hōʻike i ke 'ano o ka poino e mālama nei i kēia mau haʻawina ua koi' ia. Kēlā me kēia no nā hakakā o kaʻike, hāpai i kekahi hana, aʻaʻole hiki ke UAIAaIN e kekahi. Ma muli o kēia mau hōʻike nā hualoaʻa, kou kauka i hoakaka ia lapaʻau, e like me ka haawi aku i kēla no ka wā e hiki mai.

lāʻau Inc

lōlō lapaʻau hoʻomaka me ka makeʻe kulana ki ina hana like. Ma ka huʻi pae mea i mau mea hiki e hooholo i ka degere o ka poho i na olona, aie i ka ikaika'aʻaʻa edema. Nolaila, ua manaoiaʻoki lāʻau lapaʻau ke kaʻina hana e 'ole a.

He aha lapaʻauʻia e ia i loko o ke kaua e kū'ē i kēia pathology, ka luna lolo Duchenne-Erb?

1. Nonsteroidal Anati-hoʻoʻino ai ': "Ibuprofen", "Amidopyrine".
2. Laau, e hoʻoikaika i ke koko holo, "Pentoxifylline," "papaverine".
3. Anticholinesterase ai 'i ka hōʻoi' ke aʻalolo impulses, "Neuromidin", "galantamine", "Neostigmine".
4. Hoomakaukau no ka normalization o pūnao "Aktovegin", "Meksidol" wikamina eiiieaenu.

Me ka hou ana o ka hoʻomanawanui ka lapaʻauʻia laʻau heluna a me ka laʻau heluna regimen ĸokoĸa ana nä pane.

Helu Inc kaʻina hana

Kaua maʻi kaʻina hoʻohuʻu ka ai-kapaia lapaau kūlana. Ma ka ailing lala ua superimposed kaʻa 'ohua i hiki ke wehe' ia i ka manawa o ka kou niho kaʻina hana wale.

E malama i Muscle leo E hoike mai, hana e like me:

• lomilomi i ka loli ana o ka lala (hoʻomaka mai ka hebedoma lua);
• uila Muscle stimulation ;
• physiotherapy me ka OE hoounauna;
• acupuncture;
• paraffin bato;
• ozokerite.

I ka maikaʻi hopena o ka makeʻe kulana Inc mea hiki wale ina ka hapa ka make ana o ka brachial plexus olona. He ia e kali ana no ma kahi o ekolu mahina, a laila, e kakau iho i ka loiloi 'ana i nā hualoaʻa. Inā ma kēia wahi i ka hoʻomanawanui 'Aʻole e hōʻikeʻeleu ana o ke kuʻekuʻe aku, i ka ninau e pili ana i ka hana.

ʻoki lāʻau lapaʻau 'uao

Ke ae pā o ka hana ua hoemiia ka pono o ka poino olona, e hoʻihoʻi aku. No keia hana nā aʻalolo kumu ea. Currently ka mea, o ka hana wale i hiki ke kōkua hoʻomanawanui iki mai i kaʻike, o "lōlō o Duchenne-Erb." Ka iapaau ana i lawe mai i loko o ka makahiki mua o ka uuku hoomanawanui ola, ke haawi mai i ka maikaʻi i nā hualoaʻa. Ke hana Aʻole e wehe i ka symptoms o ka pathological kaʻina. Ua apono 'oe i ke ala ma i nā aʻalolo impulses e neʻe maila hoʻihoʻi aku. A laila e hōʻike 'ia makeʻe kulana lapaʻau hoʻohana physical Inc, lomilomi.

Ei i ka wā e hiki mai

E hoʻomaopopo i ka iapaau ana o obstetric lōlō - ia mea he lōʻihi a me ka painstaking 'oihana i pono ahonui. All kauka o ka aʻo E e hahai kaʻoi loa ma ka mea i kiʻi i ka maikaʻi result. He nui o nā kaʻina hana i hohola no ka mahina, o ka oi aku ma physical Inc a me ka lomilomi.

Ke lōlō e pau Duchenne-Erb: kīnā o ke kino a me ke ola? Eia naʻe, e haawi aku i ka kūlike loa pane i keia ninau mea,ʻaʻole hiki. Ua pau hilinaʻi nui ma luna o na aʻe e like me:

• ka oolea o ka ino;
• Alemanaka a me adequacy o Inc;
• ka makemake e lawe mai i ke kauka o ka hoike a pau.

Inā ka helehelena lesions o ka brachial plexus ke manaolana no ka 100% ke ola. Ma ka liʻiliʻi loa ka mea, wahi a 'ikepili helu. I ka piha hoʻokaʻawale wale, Eia naʻe, ua nui uuku.

kāohi ana

Ua mea hiki ke pale aku i ka lōlō o Duchenne-Erb? Photos o kahi mau keiki liilii, ka poe i, e hana i kēia maʻi, maoli oe manaʻo e pili ana i keia mea hilo e.

I mea, o ka Kāohiʻana o ka maʻi mea he mea. Ua hoʻohuʻu kūpono prenatal malama, i ka pololei kīvila o ka hana o ka haawi. A hiki ma ke kahua e pono ai, e lawe malama o ko lākou noho papahana, ho'āʻo i kaʻai pololei a me ka hana i malama ole haʻuki. Healthy wahine Ua oi paha, e hanau ole pathologies. Ma waho aʻeo ia i ka poʻe uʻi a ana o ka 'inikua kula ma ka expectant makuahine hoʻoholo i ana, E e hoʻokokoke akula responsibly. Oe Pono e heluhelu i nā hōʻike manaʻo e pili ana i ka obstetrician, ke haawi kaʻina hana i loko o kēia? Aaieou. E hiki no hoi kukakuka pu me ka hoa ka poe i e ho'āʻo i ka kūlana o ka makuahine e hoʻokele mamua. Ma hāpai keiki o ka loa pololei nui, e hoʻolohe i ka'ōlelo aʻo a ka gynecologist, mai i kāpae'ōlelo kona koi.