Jin zafi a cikin yankin thoracic a matakin kafada na kafada na iya nuna matsalolin baya, ciwo a cikin gabobin ciki, da kuma nuna rashin jin daɗi na zuciya. Don gano dalilin, kuna buƙatar bayyana koke-koke a fili ga likita, kuma ku yi gwaji. Dangane da ganewar asali, an ba da magani. Hakanan ya kamata ku yi la'akari dalla-dalla hanyoyin da za a bi da ciwon baya a ƙarƙashin kafada.
Kirji Anatomy
Yankin scapular yana cikin kashin thoracic kuma yana cikin matakin kirji. Wajibi ne a yi nazarin yanayin jikin wannan yanki domin a gane wace gabobin da ke damun mara lafiya kai tsaye da kuma a fakaice.
Manyan abubuwan da ke jikin jiki sun haɗa da:
- Rukunin kashin baya - ya ƙunshi kashin baya da kashin baya, fayafai na intervertebral. Yana da muhimmin ɓangare na dukan tsarin musculoskeletal, yana kare kashin baya daga lalacewa.
- Dama da hagu scapula suna cikin sifofin ƙashi na ɗokin kafada na sama. Suna kama da alwatika kuma ƙasusuwa ne lebur. Wannan tsarin kashi yana da ramuka da damuwa da yawa. Waɗannan su ne wuraren da aka makala na ligaments, tendons da tsokoki. Wuraren suna da ƙarfi mai ƙarfi, don haka cikin sauƙi suna iya jure wa madaidaicin lodi.
- Clavicle shine kashi wanda ke haɗa ruwan kafada zuwa kirji.
- Zuciya - alhakin aiki na tsarin zuciya da jijiyoyin jini, yana fitar da jini ta hanyar veins da arteries.
- Huhu wani nau'i ne na numfashi guda biyu da ke da alhakin tafiyar da musayar iskar gas.
- Esophagus, ciki - na cikin gabobin narkewa.
- Haƙarƙari - samar da aikin kariya na ƙirji. Waɗannan ƙasusuwan lebur ne da ke haɗe zuwa kashin baya a baya da gaban sternum.
Yanayin zafi
Gilashin kafada suna a bayan baya kuma suna kusa da humerus da kashin wuya. Wannan ƙashi ne mai haɗe-haɗe na siffar triangular, wanda aka haɗa rhomboid da ɓangaren trapezius. Waɗannan ƙungiyoyin tsoka suna yin abin ɗaurin kafaɗa na sama ta hannu. An haɗa ruwan kafada tare da haƙarƙarin don samar da firam mai ƙarfi na gawu. Duk wani rashin jin daɗi a cikin wannan yanki na iya haifar da rashin jin daɗi da ƙayyadaddun motsi na babba baya. Saboda wannan dalili, ba za a iya jure jin zafi ba kuma ya kamata ku nemi likita nan da nan.
An kasu iri-iri na jin zafi zuwa rarrabuwa da yawa:
- Pain da halinsa bisa ga ƙayyadaddun abubuwan da ba su da kyau - a tsakiyar kafada, a hagu ko dama, ko akwai haskakawa ga kirji ko tsakanin haƙarƙari, zafi yana jin zafi ko ƙasa.
- Ta hanyar dabi'ar jin dadi - rashin jin daɗi, jan hankali, ciwo mai tsanani, whining, irradiation, pulsation.
- Tsawon lokacin zafi shine hare-haren episodic, ana jin shi akai-akai, yana ƙaruwa sosai, rashin jin daɗi yana faruwa bayan aikin jiki.
Mafi sau da yawa, jin zafi yana nuna matsaloli tare da kashin baya kuma da wuya sigina wasu matsalolin da ke da alaƙa.
Manyan dalilai
Alamomin ciwo a ƙarƙashin kafada suna faruwa saboda irin wannan cuta:
- zafi a cikin ciki (gastritis, ulcers);
- cututtuka na narkewa (ciwon zuciya, reflux na esophageal);
- cuta a cikin aikin tsarin zuciya da jijiyoyin jini (infarction myocardial, pericarditis);
- matsalolin huhu (bronchitis, ciwon huhu);
- cututtuka na degenerative na riji, kashin baya;
- rauni, kumburi, sprains, myositis;
- cututtuka na jijiyoyin jini.
A cikin 90% na lokuta, kamar yadda ƙididdiga suka nuna, rashin jin daɗi a cikin kafada yana haifar da ciwon baya. Kashin bayan mutum yana da alhakin tafiya a tsaye, don haka yana ɗaukar nauyi mai mahimmanci. Halin kulawa da lafiyar mutum yana taimakawa wajen inganta jin dadi lokacin da rashin aiki na jiki da rashin matsayi yana haifar da rashin jin daɗi. Lamarin ya ta'azzara da shekaru.
Raunin
Idan mai haƙuri yana da rauni ko rauni, zafi a ƙarƙashin kafada zai iya faruwa tare da motsi ko damuwa. A cikin lokaci mai tsanani, zafi yana da yawa kuma ana jin shi har ma a hutawa. Dangane da wurin da aka samu rauni, zafi yana faruwa a gefen hagu ko dama na kafada. Mafi yawan nau'ikan lalacewa sune kasusuwa ko corset na tsoka.
Sauran nau'ikan raunin rauni:
- RauninYana da yanayin zafi na sama. Mafi sau da yawa, nama mai laushi na sama, saman tsokar Layer da kitsen da ke cikin jiki suna fama da raunuka. Abubuwan da ba su da kyau suna faruwa a ƙarƙashin kafada da ƙasa, kumburi da tsarin kumburi na gida yana bayyana. Yawancin lokaci ba a buƙatar takamaiman magani. Wannan ciwon yana tafiya da kansa a cikin 'yan makonni.
- Karye ko tsage - zafi yana da girma kuma ba shi da tunani kuma yana mai da hankali a wurin da aka samu rauni. Ko da ɗan motsin hannu yana haifar da jin daɗi. A cikin irin wannan yanayi, ana nuna majiyyaci cikakken hutawa, don kada ya kara tsananta yanayin tare da karaya.
- Ragewa, ƙaura daga cikin kashin baya. A wannan yanayin, zafi zai kasance a cikin gida ba kawai a cikin yanki na kafada ba, amma har ma a baya a matakin yankin thoracic. Sau da yawa, zafi yana faruwa saboda matsawa na jijiyoyi a cikin canal na kashin baya, wanda ke nuna lalacewa ga fayafai na intervertebral.
Cutar da ke da sauƙin ganewa. A lokacin motsi, ana jin ƙumburi, kumburin nama a wurin da ya ji rauni yana gani.
Osteochondrosis
A classic bayyanar osteochondrosis na thoracic yankin ne interscapular zafi a matakin da tudu. Hankali mara dadi yana tasowa saboda tsinkewar jijiyoyi. Tare da raunin yankin thoracic a cikin babba na mai haƙuri, yana jin zafi mai zafi wanda ke haskakawa zuwa hannu. Gefen ya dogara da raunin takamaiman tushen jijiya. Lokacin matse hanyoyin jini, ana samun karuwar matsi, ciwon kai da juwa.
Idan ƙananan yanki na yankin thoracic ya shafi, to, mai haƙuri yana da rashin jin daɗi a cikin ƙananan baya daga scapula. Hakanan yana ba da hannun hagu ko dama, dangane da wurin da jijiyar tsinke. Bayan lokaci, zafi ya zama mai tsanani, mai haƙuri ya fara jin dadi ba kawai a lokacin aikin motsa jiki ba, har ma a lokacin hutawa. Halin wahala - ana jin rashin jin daɗi a kowane lokaci, har ma da dare. Sau da yawa, a kan bango na osteochondrosis, protrusions ko hernias faruwa.
Scoliosis
Cin zarafin matsayi shine cutar da aka fi sani da kashin baya wanda ke faruwa tun yana karami. An lura da matsalolin farko tun daga matakin farko na makaranta - yara ba sa sarrafa daidaitattun matsayi kuma ba su fahimci dalilin da yasa manya ke buƙatar su zauna daidai ba. Bayan lokaci, halayen motsi marasa al'ada suna haɓaka. Mutum yana zaune a matsayin da ya dace da shi, amma wannan matsayi yana haifar da nauyin tsoka da haɓakar rashin daidaituwa. Idan kashin baya ya tsaya a cikin matsayi na antalgic na dogon lokaci, to sai an yi curvature, wanda ke cike da sakamako.
A lokacin balaga, mutane da yawa suna fuskantar hypodynamia - yanayin ƙarancin motsa jiki, lokacin da mutum ya jagoranci salon rayuwa na musamman. Sakamakon shine ci gaba da ciwon baya saboda raunin tsoka. Idan akwai curvature a cikin yankin thoracic, to, zafi yana cikin yanki a cikin yanki na kafada. Wani lokaci akwai raɗaɗin rashin jin daɗi a yankin mahaifa. Bambance-bambancen halayen scoliosis shine cewa kafada ɗaya ya fi ɗayan a tsaye, yanayin annashuwa.
A gwajin farko, mai ilimin hanyoyin kwantar da hankali zai iya ganin cutar. Wajibi ne don magance cutar na dogon lokaci kuma tare da taimakon haɗin kai. Don rage yanayin zafi, kuna buƙatar kafa salon rayuwa, daina jin tsoro kuma fara motsi. A karkashin damuwa, ƙwayar tsoka na iya karuwa, wanda zai haifar da lalacewa a cikin jin dadi. Massage yana taimakawa sosai, yana da amfani don aiwatar da aikin motsa jiki na baya.
Hernias da protrusion
Bayyanar hernia ta intervertebral wani yanayi ne mai tsanani wanda ke nuna fitowar ƙwayar kashin baya ta hanyar zoben fibrous na diski. Yanayin baya na hernia shine protrusion. Tare da haɓakawa, diski ɗin ya lalace kaɗan, kuma an shimfiɗa zoben fibrous. Hernias yana faruwa a lokacin motsa jiki mai ƙarfi, saboda ɗagawa mai nauyi. Muhimmin rawa a cikin bayyanar su yana taka rawa ta hanyar abubuwan gado. Idan iyali yana da dangi na kusa tare da hernias ko protrusions, to yana yiwuwa su faru da shekaru a cikin yara.
Idan hernia ko protrusion yana samuwa a matakin yankin thoracic, to, zafi yana faruwa a yankin na kafada. Hakanan akwai kumburin zafi a hannu ko kafada. Gefen ya dogara da takamaiman tushen jijiya mai tsinke. An bayyana harbe-harbe masu raɗaɗi ta hanyar shan kashi na ƙarshen jijiyoyi, waɗanda aka danne saboda matsawa da yawa a baya.
Lokacin da kasan baya ya shafa, ana ba da ciwon baya ga kafa, kuma lokacin da ciwon mahaifa ya faru, zafi yana haskaka kai. A kowane hali, hernia yana buƙatar hadaddun magani da nufin shakatawa da baya, kawar da ciwo mai tsanani da kuma kawar da ƙwayar tsoka. Tare da hernias da protrusions, yana da amfani don aiwatar da aikin motsa jiki, halartar hanyoyin ilimin lissafi. A lokuta da ba kasafai ba kuma na ci gaba, ana buƙatar tiyata.
Kyphosis
Wannan curvature ne mai kama da scoliosis, amma a cikin kishiyar shugabanci. Idan tare da scoliosis, kashin baya yana lankwasa zuwa dama ko hagu, to, tare da kyphosis akwai madaidaicin madaidaicin kafada na sama. Ɗaya daga cikin alamun alamun cutar shine jin zafi a cikin yankin interscapular a gaban alamun waje na pathology. Yana jin zafi a ƙarƙashin kafadar hagu ko dama, dangane da yanayin lanƙwasa. Yawancin lokaci zafi yana faruwa a bangarorin biyu kuma yana ba da makamai, wuyansa. Akwai manyan hanyoyi guda biyu don samuwar pathology:
- Neurogenic. A lokacin abin da ya faru na curvature, tsarin lalacewa yana faruwa a cikin kashin baya, wanda ke haifar da tsintsin tushen jijiya na kashin baya. Akwai raɗaɗin raɗaɗi a cikin yankin scapula na dama da hagu, waɗanda aka ba da wuyansa, ƙwanƙwasa ko hannu, sau da yawa zuwa haɗin gwiwa na kafada.
- Muscular. Kasancewa a cikin yanayi mara kyau yana haifar da rashin daidaituwa na tsoka da wuce gona da iri. A cikin babba baya, tsokoki suna danne, wanda ke haifar da hypertonicity da zafi mai tsanani. Sauran tsokar baya kuma suna shan wahala. Hypotension na iya faruwa a yankin lumbar.
A sakamakon haka, jijiyoyin vertebral suna matsawa, wanda ke haifar da ci gaba da cin zarafi na cerebral. Sannu a hankali, akwai tabarbarewar jin daɗi, akwai rashin aiki a cikin aikin gabobin ciki. Tare da irin wannan mai haƙuri, wajibi ne don aiwatar da ayyuka masu rikitarwa, ciki har da sabis na mai gyarawa, aikin motsa jiki.
Spondylarthrosis
Wani lokaci ci gaban spondylarthrosis yana nuna zafi a dama ko hagu a cikin yankin kafada. Cutar tana da alaƙa da lalacewa ga haɗin gwiwar facet da fayafai na intervertebral. Tare da ci gaba da cutar, akwai asarar motsi, akwai jin dadi, wanda aka fi sani da safe.
Pathology yana bayyana kansa a matakai da yawa:
- Lalacewa da lalata guringuntsi. Idan yanayin jini ya lalace a cikin wannan yanki, to, an lalata mutuncin nama mai haɗawa, saboda abin da diski na articular ya zama bakin ciki. Hanyoyin sake dawowa a cikin kashi da nama mai haɗawa sun lalace sosai. Ƙara yawan aiki na jiki a wannan yanki yana haifar da microtrauma.
- Ƙarin canje-canje masu lalacewa suna faruwa. Abubuwan hatimi suna bayyana a cikin faifan, motsi yana ƙaruwa, wanda ke haifar da haɓakar ƙwayar guringuntsi. Mai haƙuri na iya jin zafi koyaushe, ko da a cikin yanayin kwanciyar hankali.
- Mataki na ƙarshe shine ossification, samuwar osteophytes. Wadannan ci gaban suna cutar da haɗin gwiwa, tendons, tsokoki da haɗin gwiwa. A wannan yanayin, za a buƙaci aiki.
Halin bayyanar cututtuka na spondylarthrosis a matakin farko shine bayyanar zafi kawai a lokacin motsa jiki na jiki. Rashin jin daɗi a hutawa yana raguwa, saboda babu wani abu mai ban tsoro.
Intercostal neuralgia
Wannan yanayin yana nufin rashin lafiya na jijiyoyi. Lokacin da ilimin cututtuka ya faru, zafi mai zafi ya bayyana, harbi a cikin kafada, haƙarƙari da kirji. Irin wannan ciwon sau da yawa yana rikicewa tare da ciwon zuciya. Bambanci mai ban sha'awa shine rashin ingantaccen wuri a cikin yankin zuciya. Hanyoyi marasa daɗi suna ƙaruwa akan wahayi. Ciwo yana tare da jin dadi. Idan mai haƙuri yana tunanin cewa yana da angina pectoris, to, bayan shan nitroglycerin, babu taimako.
Jin zafi a ƙarƙashin gefen dama ko hagu na kafada yana nuna ƙaddamarwa zuwa takamaiman wurare. Ƙunƙasa da spasm ba na al'ada ba ne don wannan tsarin cututtukan cututtuka. Dangane da ƙayyadaddun alamun cutar, ƙwararren zai yi ganewar asali ba tare da wata matsala ba. Jiyya ya ƙunshi yin amfani da bitamin B masu allura da magungunan myotropic (masu shakatawa na tsoka). Ya kamata a kula da maganin intercostal neuralgia ta likitan neurologist.
Abubuwan da ke haifar da ciwo a ƙarƙashin kafada na hagu daga baya daga baya - cututtuka na zuciya
Sau da yawa, ciwon baya yana nuna rashin lafiyar zuciya. Me yasa ciwon baya wani lamari ne na ciwon da ake magana da shi wanda ke nuna cututtuka na jijiyoyin jini, ciwon zuciya ko pericarditis. Idan akwai ciwon wuka na kwatsam yanayi, wanda ya karu tare da motsa jiki na jiki, amma babu alamun cututtuka na kashin baya, kana buƙatar ziyarci likitan zuciya na gaggawa don shawarwari. Jiyya na kai ko jinkirtawa na iya kawo yanayin zuwa wani yanayi mai mahimmanci.
Mafi yawan abubuwan da ke haifar da rashin jin daɗi a cikin zuciya, suna haifar da ciwo a ƙarƙashin kafadar hagu daga baya daga baya:
- Ciwon zuciya. Bugu da ƙari ga sakawa a cikin iska, mai haƙuri yana jin zafi mai zafi a yankin na tsokar zuciya. Abubuwan da ke haifar da pathology suna hade da toshe manyan arteries da veins ta hanyar thrombus. Idan plaque na thrombotic ya karye kuma ya toshe kwararar jijiyoyin jini a cikin zuciya, bugun zuciya zai faru. A wannan yanayin, dole ne mutum yayi gaggawar yin aiki, in ba haka ba mai haƙuri zai mutu. Tushen tushen pathology wanda ya taso shine atherosclerosis, agglutination na erythrocytes, platelet tare da ƙarar jini.
- Ischemic cututtukan zuciya ko angina pectoris. Bisa ga bayanin da aka samu daga labarin likitanci, wani harin da aka yi wa cututtukan jini yana tasowa ba zato ba tsammani. Akwai rashin jin daɗi, wanda shine paroxysmal a cikin yanayi. Ana iya dakatar da harin cikin sauƙi ta hanyar shan nitroglycerin. Cutar tana buƙatar ƙarin kulawar likita, saboda yana iya faruwa a mafi yawan lokacin da ba a zata ba. Idan harin ya wuce fiye da sa'o'i kadan, kuma magani bai taimaka ba, kana buƙatar kiran motar asibiti. Baya ga rashin jin daɗi a cikin zuciya, numfashin mai haƙuri ya zo gaskiya, ƙarancin numfashi yana faruwa, wanda ya tsananta ta hanyar motsa jiki.
- Jin zafi a ƙarƙashin ƙafar ƙafar hagu daga baya daga baya na iya nuna ci gaban harin pericarditis. Pathology halin da tarin ruwa tare da kumburi rauni na serous membrane na zuciya. Bincike ya haɗa da gwaji don alamun kumburi, gami da gwaje-gwajen rheumatic. Pericarditis sau da yawa wani rikitarwa ne na cututtukan cututtuka da suka gabata, ciki har da cututtuka na numfashi na sama da ƙananan sassan numfashi. Na dogon lokaci, hadaddun far ne da za'ayi.
Cututtuka na tsarin numfashi
A gaban tsawaita cututtuka na numfashi, majiyyaci na iya fuskantar zafi mai haskakawa a yankin kafada. Mafi sau da yawa, rikitarwa suna haifar da irin waɗannan cututtuka:
- Na kullum ko m mashako. A cikin matakan farko, cutar tana nuna busassun tari. A hankali, hangula na makogwaro yana ƙaruwa kuma rigar tari yana faruwa. Idan cutar ta ci gaba a bayan bayanan SARS, to ana samun karuwar zafin jiki. Cutar ba ta buƙatar takamaiman magani, ya isa ya lura da hutun gado, sha ruwa mai dumi. Da wuya, ana iya buƙatar maganin antipyretic da maganin rigakafi.
- PleurisyIdan mai haƙuri ya yi gunaguni game da ciwon kirji mai tsanani tare da yiwuwar haskakawa, tari, rashin ƙarfi na numfashi da zazzabi, to dole ne ƙwararren ya yi sarauta ko tabbatar da wannan cuta. Pleurisy yana da alaƙa da kumburin zanen gadon pleural, sannan tari tari na sputum mai ruwa a cikin rami na pleural. Cutar tana da wuyar jurewa. Ana buƙatar cikakkiyar magani tare da maganin rigakafi da magungunan rigakafin tarin fuka.
- Namoniya. Sau da yawa yana tasowa azaman rikitarwa na SARS. Ciwon huhu yana da yanayin yanayi mai tsanani, tare da tari, ƙarancin numfashi, ciwon kirji akan wahayi da kuma zazzabi mai karfi. An tabbatar da cutar ta hanyar x-ray na ƙirji kuma ana iya magance ta da maganin rigakafi.
Cututtuka na gastrointestinal tract
Duk rikice-rikice na gastrointestinal tract wanda ke haifar da rashin jin daɗi a cikin yanki na kafada yana da alamar jin zafi. Wadanne matsaloli na iya tasowa:
- Gastritis ko ciwon ciki. Idan akwai alamun bayyanar cututtuka na ciwo, to, mai haƙuri yana jin rashin jin daɗi a cikin ƙananan ƙananan thoracic (kasa na kafada a bangarorin biyu). Yana iya zama kamar ciwon tsoka. Tare da harin zafi a cikin ciki, ana iya jin zafi a cikin plexus na hasken rana a layi daya. Ana bi da cututtuka ta hanyar hadaddun, ana amfani da kwayoyi don rage acidity, magungunan warkarwa (proton pump inhibitors). Idan an sami kwayar cutar kwayan cuta, ana ba da maganin rigakafi.
- Ciwon ciki, ƙwannafi. Rashin jin daɗi yana faruwa a cikin yankin kirji, sau da yawa yana haskakawa zuwa yankin scapular. Dalilin pathology shine komawar abin da ke cikin ciki zuwa ga esophagus. Abubuwan da ba su da kyau suna da alaƙa da tasiri mai ban sha'awa na hydrochloric acid akan esophagus. Akwai fashewa mai tsami, jin kullu a cikin makogwaro. A lokuta masu wuya, amai yana faruwa. Don hana kai hari, kuna buƙatar iyakance amfani da soyayyen abinci, kayan yaji da mai mai. A cikin maganin bayyanar cututtuka, ana amfani da antacids masu rage acid akan magnesium da aluminum hydroxide.
Ra'ayin Edita
Abubuwan da ba su da daɗi a cikin yankin scapular galibi suna haɗuwa da haɓakar cututtuka na tsarin musculoskeletal. Kadan sau da yawa, cututtukan zuciya, matsaloli dangane da ilimin jijiya, cututtuka na ciki da tsarin numfashi suna haifar da rashin jin daɗi. Don ƙarin koyo game da abubuwan da ke haifar da ciwon baya, ana ba da shawarar yin nazarin labarin daidai akan gidan yanar gizon mu.