Koj puas paub txog cov hlab ntsha tseem ceeb no hauv koj lub xub pwg? (Axillary Nerve) - Cia peb tham kom meej!

Koj puas tau xav txog pes tsawg yam uas peb lub xub pwg nyom tsis tseem ceeb rau? Nqa peb txhais tes, ntswj peb lub cev, tsa cov hnyav, oh my, peb xav tau peb lub xub pwg nyom rau ib txhiab thiab ib yam, puas yog? Yog li hnub no peb yuav tham txog ib txoj hlab ntsha tseem ceeb heev uas pab lub xub pwg nyom ua haujlwm kom zoo. Ntawd yog lub hlab ntsha axillary, lossis '(Axillary Nerve)'. Qhov no zoo li ib txoj hlua me me hauv peb lub xub pwg nyom.

Lub paj hlwb Axillary yog dab tsi? Cia peb nkag siab yooj yim!

Hais yooj yim xwb, cov hlab ntsha axillary yog ib qho ntawm tsib cov hlab ntsha loj uas khiav hla koj lub xub pwg nyom. Nws kuj qee zaum hu ua cov hlab ntsha circumflex. Cov hlab ntsha no pib hauv koj lub caj dab. Hauv koj lub caj dab, muaj ib lub network ntawm cov hlab ntsha hu ua brachial plexus, uas zoo li ib lub network ntawm ntau txoj hlab ntsha me me uas los ua ke. Qhov ntawd yog qhov uas cov hlab ntsha axillary pib thiab mus rau koj lub xub pwg nyom. Lub network ntawm cov hlab ntsha no tseem ceeb heev vim nws yog brachial plexus uas pab peb txav peb cov ceg sab saud, uas yog, peb txhais tes, thiab muab rau lawv qhov kev xav. Yog li, cov hlab ntsha axillary yog ib feem tseem ceeb ntawm lub cev loj dua ntawd.

Ntxiv rau cov hlab ntsha axillary, leej twg nyob hauv thaj chaw no?

Yog lawm, cov hlab ntsha axillary no "(Axillary Nerve)" tsis ua haujlwm ib leeg hauv thaj chaw xub pwg. Nws muaj ntau lwm cov hlab ntsha uas pab nws, uas yog, cov uas txuas nrog xub pwg thiab caj npab. Nws zoo li cov phooj ywg ua haujlwm hauv tib pab neeg. Cia peb saib lawv yog leej twg:

• Cov hlab ntsha nruab nrab: Qhov no yog cov hlab ntsha loj uas khiav mus rau pem hauv ntej ntawm koj txhais caj npab, koj txhais tes, thiab feem ntau ntawm koj cov ntiv tes. Cov hlab ntsha no tseem ceeb heev thaum koj tuav ib yam dab tsi nrog koj txhais tes thiab thaum koj khoov koj cov ntiv tes.
• Cov hlab ntsha musculocutaneous: Qhov no mus rau cov leeg nqaij ntawm sab xub ntiag ntawm koj sab caj npab thiab sab xis ntawm lub luj tshib. Qhov no pab thaum koj khoov koj lub luj tshib.
• Cov hlab ntsha radial: Cov hlab ntsha no mus rau cov leeg nqaij ntawm sab nraub qaum ntawm koj txhais caj npab (tseem hu ua triceps) thiab lub dab teg. Qhov no yog qhov pab koj ncab koj txhais caj npab thiab tsa koj lub dab teg.
• Ulnar paj hlwb: Qhov no yog ib txoj hlab ntsha uas khiav los ntawm koj sab caj npab thiab mus rau hauv koj txhais tes, tshwj xeeb tshaj yog tus ntiv tes me.

Koj pom, tag nrho cov hlab ntsha no ua haujlwm ua ke los pab peb ua txawm tias qhov kev txav mus los yooj yim tshaj plaws ntawm peb txhais tes.

Lub paj hlwb Axillary muaj lub luag haujlwm dab tsi? Yog li ntawd, nws pab dab tsi?

Zoo, tam sim no cia peb saib seb cov hlab ntsha axillary no ua haujlwm li cas rau peb lub cev. Muaj ob lub luag haujlwm tseem ceeb:

1. Kev txav ntawm cov leeg nqaij: Cov hlab ntsha no yog lub luag haujlwm rau kev txav, lossis ua kom qee cov leeg nqaij tseem ceeb hauv koj lub xub pwg ua haujlwm. Ib yam li lub teeb ci ntsa iab thaum muaj hluav taws xob siv, cov leeg nqaij no ua haujlwm thaum lub teeb liab xa los ntawm cov hlab ntsha no.

2. Muab kev xav: Cov hlab ntsha axillary yog qhov uas muab kev xav rau daim tawv nqaij nyob ib puag ncig lub xub pwg. Cov kev xav no yog dab tsi?

• Mob:Yog peb raug mob qhov twg, yog muaj qee yam tsis raug, peb yuav hnov ​​​​​​mob. Nws pab peb hnov ​​​​​​qhov mob ntawd.
• Kev Sawv Cev: Koj tuaj yeem kov qhov chaw koj txhais tes nyob (sab saud, hauv qab, mus rau sab) yam tsis tas saib. Qhov no yuav pab koj kov qhov ntawd thiab.
• Kub: Thaum koj hnov ​​​​​​cua sov lossis txias hauv koj lub xub pwg, nws kuj mus rau lub hlwb los ntawm cov hlab ntsha no.
• Kov: Yog tias ib tug neeg kov koj lub xub pwg lossis koj cov khaub ncaws txhuam rau ntawm koj lub cev, koj hnov ​​​​​​qhov kov ntawd vim yog cov hlab ntsha no.

Xav txog seb, yog tias cov hlab ntsha no tsis ua haujlwm zoo, nws yuav nyuaj rau txav koj lub xub pwg nyom, thiab koj tuaj yeem poob qhov kev xav hauv thaj chaw ntawd.

Cov leeg twg yog cov leeg uas Axillary Nerve ua haujlwm?

Tam sim no cia peb saib seb cov leeg twg yog cov uas ua rau cov hlab ntsha axillary "innervates" lossis ua haujlwm. Muaj ob cov leeg tseem ceeb thiab ib feem ntawm ib qho ntxiv:

• Cov leeg nqaij Deltoid: Qhov no yog cov leeg nqaij loj uas zoo li lub hau ntawm koj lub xub pwg thiab ua rau koj lub xub pwg zoo nkauj. Nws yog cov leeg nqaij deltoid uas feem ntau pab koj tsa koj txhais caj npab mus rau sab, mus tom ntej, thiab rov qab .
• Cov leeg nqaij Teres minor: Qhov no yog cov leeg nqaij me me nyob hauv qab cov leeg deltoid. Nws me me tab sis ua haujlwm zoo heev. Cov leeg nqaij teres minor pab koj tig koj txhais caj npab mus rau sab nraud (kev tig sab nraud) .
• Ib feem ntawm cov leeg nqaij triceps: Cov leeg nqaij triceps, nyob rau sab nraub qaum ntawm koj sab caj npab sab saud, pab koj ncab koj lub luj tshib. Lub taub hau ntev ntawm cov leeg nqaij triceps no txuas nrog cov hlab ntsha axillary.

Vim yog cov leeg nqaij no ua haujlwm tau zoo peb thiaj li ua tau txhua yam kev txav uas peb ua tau nrog peb lub xub pwg nyom, txij li pov pob mus txog rau kev zuag peb cov plaub hau.

Cov qauv ntawm cov hlab ntsha ntawm lub xub pwg nyom yog dab tsi? Yog li ntawd, nws tsim li cas?

Tam sim no cia peb mus tob me ntsis thiab saib seb cov hlab ntsha axillary no nyob hauv peb lub cev li cas, nws pib qhov twg thiab nws mus qhov twg. Nws zoo li nrhiav txoj hauv kev.

Cov hlab ntsha no pib ntawm sab saum toj ntawm koj tus txha nqaj qaum hauv koj lub caj dab, qhov twg cov hauv paus hlab ntsha los ntawm cov pob txha caj qaum thib tsib (C5) thiab thib rau (C6) ntawm lub caj dab qaum sib koom ua ke.

Thiab ces cov hlab ntsha no:

1. Nws mus ncig hauv qab koj lub pob txha caj dab.

2. Tom qab ntawd, nws hla dhau ib qho chaw sib nrug plaub fab (raws li kev kho mob hu ua "Quadrangular space") ntawm cov leeg thiab lwm cov nqaij hauv thaj chaw xub pwg. Qhov no yog qhov chaw nruj me ntsis.

3. Los ntawm qhov ntawd, nws mus tom qab sab saum toj ntawm koj pob txha caj npab sab saud (`(Humerus)`).

Tom qab ntawd, cov hlab ntsha axillary no faib ua peb ceg tseem ceeb. Xav txog nws zoo li lub cev ntoo, tom qab ntawd nws faib ua cov ceg me me los ua qee yam haujlwm tseem ceeb:

• ceg pem hauv ntej:Qhov no mus tom ntej thiab txuas rau pem hauv ntej ntawm cov leeg nqaij deltoid, pab nws txav mus los. Nws kuj muab kev xav rau daim tawv nqaij ntawm pem hauv ntej ntawm lub xub pwg nyom.
• Ceg pob qij txha: Qhov no mus ncaj qha rau lub pob qij txha glenohumeral. Nws pab nqa cov kev xav los ntawm sab hauv lub pob qij txha. Qee zaum nws kuj txuas rau lub taub hau ntev ntawm cov leeg triceps.
• Ceg tom qab: Qhov no khiav rov qab thiab txuas rau sab nraub qaum ntawm cov leeg deltoid thiab cov leeg teres minor, pab txav caj npab. Nws kuj muab kev xav rau daim tawv nqaij ntawm sab nraub qaum ntawm lub xub pwg nyom thiab sab nraub qaum sab saud ntawm caj npab.

Qhov no yog li cas cov hlab ntsha axillary ua nws txoj haujlwm.

Cov mob dab tsi cuam tshuam rau kev ua haujlwm ntawm cov hlab ntsha xub pwg no?

Tu siab kawg li, muaj ntau yam ua rau cov hlab ntsha axillary tseem ceeb no puas tsuaj. Yog tias qhov no tshwm sim, kev ua haujlwm ntawm lub xub pwg nyom yuav raug cuam tshuam. Cia peb saib seb cov laj thawj ntawd yog dab tsi:

Kev raug mob:

• Kev Sib Tsoo: Kev sib tsoo uas ua rau lub taub hau tig mus rau ib sab thiab lub xub pwg tig mus rau lwm sab (piv txwv li, hauv kev sib tsoo tsheb). Hauv cov xwm txheej zoo li no, "Brachial Plexus" hauv caj dab thiab "Axillary Nerve" tuaj yeem raug puas tsuaj.
• Cov pas nrig lossis lwm yam kev txhawb nqa: Ib txhia neeg siv cov pas nrig thaum tuav lawv nruj nreem rau hauv lawv lub qhov tso. Qhov no tuaj yeem ua rau muaj kev nias thiab ua rau cov hlab ntsha axillary puas tsuaj.
• Lub xub pwg nyom tsis txav: Qhov no yog ib yam dab tsi uas ntau tus neeg hnov ​​txog. Yog tias lub xub pwg nyom tsis txav thaum ua si nawv, poob ntawm ntaiv, lossis poob ntawm tsheb kauj vab, cov hlab ntsha axillary tuaj yeem raug rub thiab puas tsuaj. Qhov no yog qhov ua rau cov hlab ntsha axillary puas tsuaj feem ntau.
• Pob Txha: Yog tias pob txha caj npab sab saud (humerus) tawg ze ntawm lub xub pwg, cov pob txha tawg tuaj yeem ua rau cov hlab ntsha puas tsuaj.
• Cov teeb meem phais: Qee qhov kev phais mob xub pwg, xws li lub xub pwg arthroscopy, tuaj yeem ua rau cov hlab ntsha puas tsuaj, txawm tias tsis tshua muaj.

Cov teeb meem uas tshwm sim thaum lub sijhawm yug menyuam:

Thaum tus menyuam yug los, qee zaum yuav tsum rub tus menyuam tawm ntawm lub xub pwg lossis tes. Lossis tus menyuam lub xub pwg tuaj yeem daig hauv leej niam lub duav. Hauv cov xwm txheej zoo li no, tus menyuam mos lub paj hlwb axillary tuaj yeem raug puas tsuaj vim yog rub lossis nias.

Lwm yam mob:

• Kev mob caj dab radiculopathy:Qhov no yog kev nias ntawm cov hauv paus hlab ntsha uas tawm ntawm cov pob txha caj dab. Qhov no tuaj yeem ua rau mob thiab loog ntawm lub xub pwg nyom, thiab qee zaum cuam tshuam tsis ncaj qha rau kev ua haujlwm ntawm cov hlab ntsha axillary.
• Erb-Duchenne thiab Dejerine-Klumpke Palsy: Cov no yog cov mob uas ua rau ib feem lossis tag nrho ntawm caj npab tuag tes tuag taw vim yog kev puas tsuaj rau Brachial Plexus, lub network ntawm cov hlab ntsha hauv caj dab. Lub Axillary Nerve kuj yog ib feem ntawm lub network no, yog li nws kuj raug cuam tshuam rau hauv cov mob no.
• Parsonage-Turner syndrome: Qhov no yog ib qho mob tsis tshua muaj neeg mob hauv lub paj hlwb. Nws tshwm sim thaum peb lub cev tiv thaiv kab mob ua yuam kev tawm tsam cov hlab ntsha noj qab haus huv (qhov no hu ua autoimmune o). Qhov no tuaj yeem ua rau mob sai sai, mob hnyav thiab tsis muaj zog hauv xub pwg thiab caj npab.
• Kab mob Herpes zoster: Tus kab mob uas peb txhua tus paub tias yog kab mob shingles. Tus kab mob no mus ncig raws cov hlab ntsha. Yog tias nws tshwm sim hauv thaj chaw ib puag ncig cov hlab ntsha axillary, nws tuaj yeem ua rau cov hlab ntsha puas tsuaj thiab ua rau mob thiab qaug zog tom qab.
• Kab mob quadrilateral space syndrome: Cov hlab ntsha axillary, raws li tau hais ua ntej, tuaj yeem raug nias rau hauv qhov chaw quadrangular, vim yog o ntawm cov leeg nqaij hauv nws lossis vim muaj lwm yam laj thawj, thiab cov hlab ntsha axillary uas khiav sab hauv tuaj yeem raug nias. Qhov no kuj tuaj yeem ua rau mob xub pwg thiab tsis muaj zog.

Kuv puas yuav tsum txhawj xeeb heev yog tias kuv muaj kev puas tsuaj rau cov hlab ntsha axillary?

Nws yog ib qho ib txwm muaj uas yuav ntshai me ntsis thaum koj hnov ​​txog teeb meem ntawm cov hlab ntsha zoo li no. Tab sis qhov zoo tshaj plaws yog, feem ntau, cov teeb meem ntawm cov hlab ntsha no yuav kho tau lawv tus kheej raws sijhawm, txawm tias yog lawv tus kheej lossis nrog kev kho lub cev. Cov hlab ntsha yog ib hom nqaij uas kho tau sai heev. Yog li koj tsuas yog yuav tsum ua siab ntev xwb.

"Nws yuav siv sijhawm rau cov hlab ntsha kom zoo, tab sis tsis txhob tso tseg kev cia siab. Yog tias kho kom zoo, feem ntau cov neeg yuav zoo."

Txawm li cas los xij, rau qee qhov kev raug mob hnyav, xws li kev raug mob ntawm cov hlab ntsha tag nrho, kev phais yuav tsum tau ua. Hauv cov xwm txheej zoo li no, kev siv cov hlab ntsha hloov pauv, uas yog kev rho ib daim hlab ntsha me me los ntawm lwm qhov ntawm lub cev thiab hloov nws. Tom qab raug mob zoo li no, nws tuaj yeem siv sijhawm ntau lub hlis, lossis txawm tias ib xyoos, rau lub xub pwg kom rov qab hnov ​​​​​​zoo thiab tswj cov leeg nqaij. Yog li ntawd, nws yog ib qho tseem ceeb uas yuav tsum nrhiav kev kho mob sai li sai tau.

Cov kws kho mob kuaj mob li cas? (Kev kuaj mob)

Thaum koj mus ntsib kws kho mob uas mob xub pwg, tsis muaj zog, thiab tsa koj txhais caj npab nyuaj, nws yuav txiav txim li cas yog tias nws yog teeb meem nrog cov hlab ntsha axillary? Muaj ntau qhov kev kuaj rau qhov ntawd:

1. Ua tiav keeb kwm kev kho mob thiab kev ntsuam xyuas lub paj hlwb:Ua ntej, tus kws kho mob yuav nug koj ib lo lus nug ntxaws ntxaws txog nws pib li cas thiab koj muaj cov tsos mob dab tsi. Tom qab ntawd, lawv yuav kuaj koj lub xub pwg thiab caj npab kom paub tseeb tias koj cov leeg nqaij muaj zog, kev hnov, thiab kev xav rov qab.

2. Kev xeem NCS/EMG: Qhov no sawv cev rau Nerve conduction study/Electromyography. Qhov no yog ib qho kev xeem tshwj xeeb. Nws ntsuas seb cov teeb liab hluav taws xob mus ncig sai npaum li cas raws cov hlab ntsha thiab cov leeg teb li cas rau cov teeb liab ntawd. Qhov no tuaj yeem muab lub tswv yim zoo txog seb cov hlab ntsha axillary puas tau raug puas tsuaj, thiab yog tias muaj, mus txog qhov twg.

3. X-rays: Yuav ua X-ray los xyuas seb puas muaj pob txha tawg lossis pob qij txha tawg hauv pob qij txha xub pwg.

4. Kev Tshuaj Xyuas MRI (Magnetic Resonance Imaging): Kev siv MRI tuaj yeem pom cov nqaij mos mos hauv xub pwg, xws li cov leeg, cov leeg nqaij, cov leeg txuas, thiab cov hlab ntsha. Kev siv MRI tuaj yeem pab tau zoo heev rau kev txiav txim siab seb cov hlab ntsha axillary puas raug nias, o, lossis muaj teeb meem nrog cov nqaij nyob ib puag ncig.

5. Kev siv tshuab ultrasound los ntsuas cov leeg nqaij hauv lub hlwb: Qhov no kuj yog ib txoj kev siv hauv ntau lub tebchaws uas muaj kev vam meej. Ib yam li kev siv tshuab ultrasound los ntsuas tus menyuam hauv plab, qhov no tuaj yeem saib xyuas cov hlab ntsha thiab cov leeg nqaij. Qhov no kuj muaj txiaj ntsig vim tias nws tuaj yeem ua tau sai dua thiab yooj yim dua li MRI.

Yog los ntawm kev ua ib lossis ntau qhov kev kuaj no uas tus kws kho mob yuav nrhiav tau qhov ua rau koj qhov teeb meem.

Peb ua tau dab tsi los tiv thaiv hom kab mob axillary nerve no?

Muaj ib zaj lus hais tias "kev tiv thaiv zoo dua li kev kho mob." Yog li, muaj ntau yam uas peb ua tau los tiv thaiv kev puas tsuaj rau cov hlab ntsha axillary:

• Yog tias koj xav tau phais koj lub xub pwg: Yog tias koj xav tau phais koj lub xub pwg, ib txwm xaiv ib tus kws phais pob txha uas muaj kev paub dhau los thiab txawj ntse. Nws yog qhov zoo tshwj xeeb yog tias koj muaj ib tus kws tshwj xeeb hauv kev phais ceg sab saud (qee zaum hu ua kws phais tes). Qhov no yuav txo qhov kev pheej hmoo ntawm kev puas tsuaj ntawm cov hlab ntsha thaum lub sijhawm phais.
• Ceev faj thaum nce ntaiv: Yog tias koj poob ntawm ntaiv, koj tuaj yeem mob koj lub xub pwg thiab tawg koj cov pob txha. Yog li ntawd , ceev faj heev thaum nce ntaiv. Yog tias ua tau, hais kom ib tug neeg tuav ntaiv, lossis kom ib tug neeg pab koj nqa khoom. Tsis txhob mus ua haujlwm txaus ntshai ib leeg.
• Siv cov kev ntsuas kev nyab xeeb: Ib txwm hnav txoj siv sia thaum caij tsheb. Hnav khaub ncaws tiv thaiv thiab lub kaus mom hlau thaum caij tsheb kauj vab lossis ua si qee yam kev ua si. Cov no tuaj yeem txo qhov kev puas tsuaj uas tshwm sim los ntawm qhov xwm txheej.
• Siv cov pas nrig kom raug: Yog tias koj yuav tsum siv cov pas nrig,Kawm ntawm tus kws kho mob lub cev lossis kws kho mob seb yuav siv lawv li cas kom raug thiab tsis txhob muab kev nyuaj rau cov hlab ntsha. Yog tias lawv raug zawm tsis raug hauv qhov chaw mos, cov hlab ntsha axillary tuaj yeem raug nias.

Yog koj saib xyuas tej yam me me no, koj yuav zam tau cov teeb meem ntawm cov hlab ntsha no.

Thaum twg koj yuav tsum mus ntsib kws kho mob txog qhov teeb meem ntawm cov hlab ntsha hauv koj lub xub pwg?

Yog tias koj muaj ib lossis ntau yam ntawm cov tsos mob ntawm lub xub pwg nyom hauv qab no, nws yog qhov zoo tshaj plaws mus ntsib kws kho mob es tsis txhob tso tseg nws tsuas yog ib qho mob ntawm lub cev xwb:

• Yog tias koj muaj teeb meem txav koj lub xub pwg lossis caj npab, tshwj xeeb tshaj yog tias koj tsis tuaj yeem tsa koj txhais caj npab mus rau sab.
• Yog tias koj xav tias muaj qhov tingling nyob ib ncig ntawm koj lub xub pwg lossis sab nraub qaum ntawm koj txhais caj npab.
• Yog tias koj mob heev, tshwj xeeb tshaj yog thaum tsa koj txhais caj npab los yog siv koj lub xub pwg nyom.
• Yog tias koj muaj qhov tingling, lossis qee yam kev xav txawv txawv hauv koj lub xub pwg nyom.
• Yog koj xav tias koj cov leeg nqaij ntawm koj lub xub pwg tsis muaj zog thiab mob .

Cov tsos mob zoo li no txhais tau tias tej zaum yuav muaj teeb meem sab hauv. Yog li ntawd, yog tias koj mus nrhiav kev kho mob sai sai, yog tias muaj teeb meem, nws tuaj yeem kuaj pom sai sai thiab kev kho mob tuaj yeem pib. Tom qab ntawd muaj feem ntau dua ntawm kev rov zoo sai.

Thaum kawg, tej yam yuav tsum nco ntsoov (Cov Lus Coj Mus Tsev)

Zoo, peb tau tham ntau txog Axillary Nerve hnub no, puas yog? Kuv xav tias nws yuav pab tau rau koj kom nco ntsoov cov ntsiab lus no:

• Cov hlab ntsha axillary yog ib qho hlab ntsha tseem ceeb heev uas tseem ceeb rau kev txav mus los thiab kev hnov ​​​​​​hauv koj lub xub pwg nyom. Nws ua rau cov leeg nqaij deltoid thiab teres minor muaj zog.
• Cov hlab ntsha no tuaj yeem raug puas tsuaj los ntawm ntau yam xwm txheej, kev tawg ntawm lub xub pwg nyom, thiab qee yam mob.
• Txawm tias muaj kev puas tsuaj los xij, feem ntau nws tuaj yeem kho tau nrog kev kho mob zoo thiab kev kho lub cev. Tab sis nws yuav siv sijhawm me ntsis.
• Tej yam yooj yim xws li ceev faj thaum nce ntaiv thiab siv cov khoom siv kev nyab xeeb tuaj yeem pab tiv thaiv cov kev raug mob no tau ntau heev.
• Yog tias koj muaj cov tsos mob xws li mob xub pwg, loog, lossis nyuaj rau tsa koj txhais caj npab, tsis txhob tsis quav ntsej thiab mus ntsib kws kho mob tam sim ntawd.

Koj lub xub pwg yog ib qho ntawm koj cov khoom muaj nqis tshaj plaws uas pab koj nrog ntau yam haujlwm txhua hnub. Yog li ntawd, nws yog koj lub luag haujlwm los saib xyuas nws. Kuv vam tias cov ntaub ntawv no yuav pab koj nrog qhov ntawd!

Cov hlab ntsha axillary, cov hlab ntsha xub pwg, mob xub pwg, teeb meem ntawm cov hlab ntsha, brachial plexus, deltoid leeg, lub xub pwg dislocation