Esi nchoputa nke abdominal mgbu. Abdominal syndrome - ihe ọ bụ?

Ọ bụrụ na ị na-enwe abdominal mgbu, ọtụtụ ngwa ngwa na-a Erere, "Ma-spa" ma ọ bụ "ftalazol", kwere na ha nwere nsogbu na digestive usoro. Otú ọ dị, afo nwere ike mgbu n'ihi a iri na abuo ihe kpam kpam na-agbasaghị ma na afo ma ọ bụ eriri afọ. Nke a na onu bụ ọbụna a ọgwụ okwu - abdominal syndrome. Gịnị ka ọ bụ? The aha na-abịa site Latin "afo", nke sụgharịta ka "afọ." Nke ahụ bụ niile na-ejikọta ya na nke a na mpaghara nke ahụ mmadụ bụ abdominal. Ka ihe atụ, afọ, eriri afọ, eriri afo, splin, akụrụ - bụ abdominal akụkụ, na mgbu, pancreatitis, cholecystitis, afọ ndị ọzọ eriri afọ nsogbu - abdominal ọrịa. Site ntụnyere, abdominal syndrome - ya nsogbu ke afo ebe (ogo, ihe mgbu, tingling, cramping na ndị ọzọ ihe ọjọọ mmetụta). Mgbe ndị dị otú mkpesa onye ọrịa ọrụ nke dọkịta bụ na ndị ziri ezi iche nke mgbaàmà, ọ bụghị na-na-ezighị na nchoputa. Ka anyị hụ otú nke a na-eme na-eme na ihe bụ atụmatụ nke mgbu metụtara na onye ọ bụla ọrịa.

Human abdominal oghere

Iji mee ka ọ dịkwuo mfe obibi ajụjụ a: "abdominal syndrome - ihe ọ bụ?" na ịghọta otú ọ na-e, i kwesịrị ịghọta n'ụzọ doro anya ihe bụ n'ime anyị na afo, nke ọ nwere akụkụ dị ka ha emekọ ọ bụla ọzọ. ị pụrụ ịhụ schematic tube nkọlọ na anatomical foto, nnukwu tarawuza afọ, eriri afọ writhing agwọ, nri n'okpuru ọgiriga imeju, splin, ekpe, na ala nke eriri afo na ureter, ndinyanade mbịne site na akụrụ ya. Nke ahụ bụ, dị ka, na nke ahụ bụ niile. N'eziokwu, anyị abdominal oghere nwere a ihe mgbagwoju Ọdịdị. Conventionally, ọ na-kere atọ agba. elu ókè bụ - na otu aka - domed muscle akpọ diaphragm. N'elu ya bụ thoracic oghere na ngụgụ. On n'akụkụ nke ọzọ nke elu nke na-kewapụrụ n'ebe ndị nkezi na-akpọ mesentery nke colon. Nke a abụọ-oyi akwa n'ogige atụrụ, site nke niile akụkụ nke digestive tract na-mmasị ka azụ nke ụgbọelu afọ. Na n'elu nke nwere atọ nkewa - imeju, pancreas na gland. N'etiti nke nke mesentery gbatịrị si tupu mmalite nke pelvis. Ọ bụ na nke a akụkụ nke afo bụ alọ ebe. N'ikpeazụ, na ala nke - mpaghara a obere efere, nke hụrụ a ebe urogenital akụkụ na omumu usoro.
Ọ bụla abnormalities (mbufụt, ọrịa, n'ibu na chemical mmetụta, daa ọrịa guzobere na mmepe) na ahu nke ọ bụla nke n'elu mere ndokwa na atọ agba ime ka abdominal syndrome. Ọzọkwa, na peritoneum bụ ọbara na lymphatic arịa na ganglia. Otu n'ime ha ihe ndị kasị ama bụ aorta na anyanwụ plexus. The nwetụrụ nsogbu na ha na-akpasu mgbu na afo.

Iji ichikota: abdominal syndrome nwere ike mere site ọ bụla mara ụbọchị, eriri afọ ọrịa na urogenital usoro, nsogbu na ọbara arịa na akwara plexus nke peritoneum, chemical ikpughe (nsi, ọgwụ), n'ibu mkpakọ (apịpụta) nke niile n'akụkụ nkeji na-emi odude ke peritoneum.

nkọ mgbu

Esi nchoputa nke abdominal mgbu na-emekarị-amalite na njirimara nke na ọnọdụ na ọdịdị nke ihe mgbu. The kasị-eyi ndụ egwu na-esi ike mmadụ ndidi, n'ezie, a nkọ mgbu. Ọ pụtara na mberede, inikiet inikiet, mgbe mgbe, na-enweghị ihe ọ bụla anya kpasuo ya na-akpata, na-egosipụta ọgụ, na-adịgide adịgide si a nkeji ole na ole ka otu awa.

Nnukwu mgbu nwere ike so vomiting, afọ ọsịsa, fever, akpata oyi, oyi sweats, ọnwụ nke nsụhọ. Ọtụtụ mgbe, ha nwere a kpọmkwem ebe (nri, n'aka ekpe, ala elu), nke na-enyere aka igosi a mbido nchoputa.

Ọrịa ndị dị otú ahụ abdominal syndrome - bụ:

1. mkpali Filiks ke peritoneum - nnukwu na relapsing appendicitis, diverticulitis Meckel, peritonitis, nnukwu pancreatitis ma ọ bụ cholecystitis.

2. mgbochi ma ọ bụ strangulated hainia.

3. The perforation (perforation, onu) akụkụ nke peritoneum odu ke gastric na / ma ọ bụ duodenal ọnyá afọ na diverticulitis. Ọ na-nwere ike na-agụnye discontinuities imeju, aorta, splin, ovary etuto ahụ.

N'ọnọdụ perforation, nakwa dị ka appendicitis na peritonitis ọrịa ndụ bụ 100% dabere na ihe na-arịa na-ebu ngwa ngwa n'ịwa ahụ.

Ọzọ ọmụmụ:

• ọbara ule (na-enye ohere iji chọpụta ihe ndị ọrụ nke mkpali usoro, iji chọpụta ọbara otu);
• X-ụzarị (na-egosi na ọnụnọ ma ọ bụ enweghị perforations, obstructions, hainia);
• ultrasound;
• ma ọ bụrụ na e nwere a enyo nke na-agba ọbara na digestive tract, na-eme esophagogastroduodenoscopy.

adịghị ala ala mgbu

Ha na-eto nwayọọ nwayọọ na ikpeazụ ruo ọtụtụ ọnwa. Mmetụta n'otu oge dị ka ma ọ bụrụ na masịrị, Anam Udeme, igbu mgbu, mgbe mgbe, "kwafuru" n'elu dum mpụta nke peritoneum, na-enweghị a kpọmkwem orunótu. Adịghị ala ala mgbu nwere ike ibelata na-abịa azụ ọzọ, n'ihi na ihe atụ mgbe a nri. Na fọrọ nke nta niile ikpe, a na-egosi abdominal syndrome nke-adịghị ala ala ọrịa nke abdominal uji eze. O nwere ike ịbụ:

1) mgbu (mgbu na elu nke, ọgbụgbọ, oké afo, belching, nrekasi obi, na defecation nsogbu);

2) gastric na / ma ọ bụ duodenal ọnyá ná mmalite nkebi (mgbu "na ya afo," ihe efu afo, n'abalị ma ọ bụ mgbe a obere oge mgbe eri, nrekasi obi, acid regurgitation, bloating, flatulence, ọgbụgbọ);

3) akụrụ nkume (mgbu gị n'akụkụ ma ọ bụ afo, ọbara na / ma ọ bụ ájá na mmamịrị, na-egbu mgbu urination, ọgbụgbọ, vomiting);

4)-adịghị ala ala cholecystitis (mgbu na nri elu nke, ike ọgwụgwụ, ilu ọnụ, ala okpomọkụ, agafe ọgbụgbọ, vomiting - mgbe ụfọdụ na bile, belching);

5) cholangitis-adịghị ala ala (na imeju mgbu, ike ọgwụgwụ, anụ yellowness, ala okpomọkụ, na nnukwu mgbu nwere ike e nyere ndị obi na agụba);

6) Oncology eriri afọ na mbụ ogbo.

Ntighari mgbu ụmụaka

A na-akpọ ntighari mgbu, ugboro ugboro mgbe a oge. Ha nwere ike ime na ụmụ nke ọ bụla dị afọ iri na okenye.

A mụrụ ọhụrụ, a nkịtị akpata ihe mgbu na afo na-nsia colic (nwere ike kpebisie ike site a nkọ elu-ulo-ikwū-ákwá, erughị ala, abdominal distention, ọdịda na-eri, na azụ nkechi, jupụtara ngwa ngwa mmegharị ejiri-ụkwụ, regurgitation). Akụkụ dị mkpa nke nsia colic bụ na ha mkpochapu nwa ahụ na-jụụ, na-achịkwa ọchị, ezi riri. Iji nagide ọrịa na-enyere aka okpomọkụ, ịhịa aka n'ahụ na afo, dil Vodicka. Na nwa na-eto eto, a niile nsogbu ndị nke ha onwe ha dị.

A ọtụtụ ndị ọzọ oké nsogbu bụ na abdominal syndrome na somatic ọrịa na ụmụ. "Soma" n'asụsụ Grik pụtara "aru". Nke ahụ bụ echiche nke "somatic ọrịa" pụtara ọ bụla ọrịa nke akụkụ ahụ nke ọ bụla congenital ma ọ bụ enwetara nkwarụ. Neonates na-kwuru, sị:

1) na-efe efe eriri afọ ọrịa na (okpomọkụ ruo oké egwu etoju, ịjụ nri, lethargy, afọ ọsịsa, regurgitation na vomiting iyi, na-eti, na ụfọdụ, agbanwe agba nke anụ);

2) digestive tract ọrịa na (hainia, ahu otutu, wdg).

Isetịpụ nchoputa na nke a ọ na-mgbagwoju anya site na eziokwu na nwa bụghị ike na-egosi ebe ọ na-ewute, ma kọwaa mmetụta ha. Esi nchoputa nke abdominal mgbu na ụmụ ọhụrụ a rụrụ site n'aka nke ọzọ ule, dị ka:

• coprogram;
• ultrasound;
• ọbara analysis;
• esophagogastroduodenoscopy;
• X-ray barium abdominal oghere;
• Esophageal onye Onyenwe anyị + nlekota oru.

Ntighari mgbu okenye

Ke okenye ụmụaka (ukwuu n'ime akwụkwọ afọ) na ndị okenye na-eme nke ntighari abdominal mgbu nke ukwuu nke na ha na-ekewa n'ime ise ige:

• na-efe efe;
• mkpali (dịghị ọrịa);
• arụmọrụ;
• anatomical (metụtara na a akpan akpan ikike);
• microbiological (eme ka dị iche iche nje, na-edozi na digestive tract).

Gịnị bụ na-efe efe na mkpali mgbu, ọzọ ma ọ bụ na-erughị doro anya. Na na pụtara arụmọrụ? Ọ bụrụ na e nyere ha nchoputa, otú ịghọta mgbe okwu "abdominal syndrome na ụmụ"? Gịnị ka ọ bụ? Kọwaa echiche nke ọtọ mgbu nwere ike ịbụ ya mere: ọrịa nchegbu banyere abdominal erughị ala n'ihi na ọ dịghị ihe doro anya kpatara na ọrịa nke peritoneum. Ụfọdụ ndị toworo eto ọbụna kwere na nwa ahụ na-agha ụgha banyere ya mgbu, dị ka ogologo dị ka ọ na-ahụ ihe ọ bụla imebi. Otú ọ dị, ndị dị otú ahụ a onu na nkà mmụta ọgwụ do, ya bụ, dị ka a na-achị, na ụmụaka okenye karịa 8 afọ. Ime ka ọtọ mgbu nwere ike na-agụnye:

1) abdominal migraine (abdominal mgbu na-aghọ isi ọwụwa, sochiri vomiting, ọgbụgbọ, na-eri ọdịda);

2) ọtọ dyspepsia (si nnọọ ahụ nwa, ihe mgbu na elu afo nke na-akwụsị mgbe a bowel ije);

3) nsia iyatesịt.

Ọzọ controversial nchoputa bụ "nnukwu akụkụ okuku ume malitere ịrịa ọrịa na abdominal syndrome" na ụmụ. Ọgwụgwọ na nke a nwere a ụfọdụ specificity, ebe ụmụ ọhụrụ nwere mgbaàmà na na oyi na-nsia-efe efe. Ọtụtụ mgbe, ndị dọkịta ịchọpụta na ụmụaka, bụ ndị nwere nwetụrụ ihe ịrịba ama nke nnukwu akụkụ okuku ume malitere ịrịa nje (eg, azụzụ), na nkwenye nke ọrịa nke digestive tract na-adịghị achọpụtara. The ugboro ole nke dị otú ahụ ikpe, dị ka nke ọma dị ka jupụtara ejupụta ọrịa kwesịrị inwekwu ya mkpuchi.

Nnukwu akụkụ okuku ume na ọrịa na abdominal

Nke a daa ọrịa bụ ihe nkịtị na ụlọ akwụkwọ ọta akara na ụlọ akwụkwọ praịmarị na ụmụ. Okenye, ọ bụ nnọọ obere. Na nkà mmụta ọgwụ, nnukwu akụkụ okuku ume na-efe efe na nnukwu akụkụ okuku ume malitere ịrịa nje metụtara otu ụdị ọrịa, dị ka RE (akụkụ okuku ume na ọrịa) akacha mere site na nje virus, na ha na-akpaghị aka na-agafere na udi nke RVI. Ha kasị mfe "catch" na ụmụ iche iche - ụlọ akwụkwọ, kindergartens, nurseries. Ọzọkwa niile mara influenza akụkụ okuku ume, ukwuu ize ndụ bụ ndị na-akpọ "afo flu" ma ọ bụ rotavirus. Ọ na-chọpụtara dị ka SARS na abdominal syndrome. Na ụmụaka, mgbaàmà nke ọrịa na-egosi 1-5 ụbọchị mgbe ọrịa. The adakarị picture bụ dị ka ndị:

• mkpesa nke mgbu na afo;
• vomiting;
• ọgbụgbọ;
• okpomọkụ;
• afọ ọsịsa;
• runny imi;
• ụkwara;
• red akpịrị;
• na-egbu mgbu na-elo;
• lethargy, adịghị ike.

Dị ka a pụrụ hụrụ si ndepụta, na doro anya mgbaàmà nke na oyi na-nsia-efe efe. Na obere okwu, a na nwa nwere ike n'ezie na-ewetara ndị nkịtị oyi plus eriri afọ ọrịa na dọkịta ga-n'ụzọ doro anya ọdịiche dị n'etiti. Diagnosis nke rotavirus ọrịa bụ nnọọ mgbagwoju. Ọ na-agụnye immunosorbent nnwale, elektrọn Microscopy, asị ibe ọdịda, na-ebu a plurality nke Jeremaya mere. Ọtụtụ mgbe pediatricians chọpụtara enweghị ndị dị otú mgbagwoju nyochara, naanị adakarị ediyarade nke ọrịa na na ndabere nke anamnesis. Rotavirus, ezie na e nwere ihe mgbaàmà nke a oyi, unu nje na elu akụkụ okuku ume na akụkụ na eriri afọ tract, n'ozuzu na colon. The isi iyi nke ọrịa - a na-arịa ọrịa mmadụ. Rotavirus banye n'ime ahu nke ọhụrụ nwe nri, unyi aka, adị kwa ụbọchị ihe (eg ụmụaka), ji site ndidi.

Ọgwụgwọ nke SARS na abdominal syndrome ga-mụụrụ na ndabere nke nchoputa. Ya mere, ọ bụrụ na abdominal mgbu a nwa kpatara enweghị nchịkwa ngwaahịa nke ọrụ dị mkpa nke akụkụ okuku ume na nje virus, na ọgwụ ndị kpatara ọrịa, plus rehydration site na ịnweta sorbents. Ọ bụrụ na enen rotavirus ọrịa adịghị eme ka uche na-ahọpụta a nwa ọgwụ nje, ebe ha na-enweghị mmetụta na nje ahụ. The ọgwụgwọ mejupụtara na n'ikuku nke ọrụ carbon sorbents, a na-eri, na-aṅụ ukwuu. Ọ bụrụ na nwatakịrị na-adị afọ ọsịsa, probiotics na-ahọpụta. Prevention nke ọrịa bụ ịgba ọgwụ mgbochi ọrịa.

Paroxysmal mgbu enweghị bowel ọrịa

Iji mee ka ọ dịrị ya mfe iji chọpụta ihe mere syndrome nke abdominal mgbu na-ekewa na edemede dị ka ebe ke afo, ebe ha na-chere kasị ike.

Paroxysmal mgbu na-enweghị mgbanwe nke dyspepsia ime n'etiti nke (mesogaster) na ala (hypogastrium). Ekwe Omume akpata:

• infestation na ikpuru;
• Payra syndrome;
• pyelonephritis;
• hydronephrosis;
• na mmekọahụ na akụkụ nke nsogbu;
• nsia mgbochi (ezughị ezu);
• stenosis (apịpụta) na celiac ogwe;
• IBS.

Ọ bụrụ na onye ọrịa bụ nnọọ otú ahụ abdominal syndrome, ọgwụgwọ na-kenyere na ndabere nke ọzọ ule:

• elu ọbara ule;
• seeding na nsị na àkwá nke ikpuru na nsia-efe efe;
• urinalysis;
• Ultrasound nke digestive tract;
• ergography (irrigoscopy barium doo usoro);
• Doppler ultrasound nke abdominal arịa.

Abdominal mgbu na bowel ọrịa

All ise edemede nke ntighari mgbu nwere ike ime na ala na n'etiti agba nke peritoneum na nsogbu na eriri afọ. Mere e nwere ihe dị otú ahụ abdominal syndrome, nke ukwuu. Lee ụfọdụ n'ime ha:

• helminthiasis;
• na-asọ ọ bụla na ngwaahịa;
• nonspecific ọnyá afọ (afọ ọsịsa n'ihu hụrụ, ifịm nwere ike ịbụ na abu ma ọ bụ ọbara, flatulence, ọnwụ nke agụụ, adịghị ike, dizziness, arọ ọnwụ);
• celiac ọrịa (ihe nkịtị na-eto eto ụmụ n'oge mmalite nke ha nri nwa ọhụrụ usoro ọka);
• na-efe efe (salmonellosis, campylobacteriosis);
• pathologies na colon ihe atụ, dolichosigma (sigmoid colon bụ ogologo), na ihe mgbu na-kwukwara ogologo ntachi;
• disaccharidase erughi;
• hemorrhagic vasculitis.

Nke ikpeazụ ọnọdụ na-adị mgbe ndị nanị ire ọkụ na, dị ka a N'ihi ya, na-aza ọbara arịa na eriri afọ, ha clotting emee. Ihe mere - nsogbu na ọbara na a nnofega ke hemostasis. A na ọnọdụ a na-mara dị ka hemorrhagic abdominal syndrome. Ọ na-ọdịiche dị na atọ degrees nke ọrụ:

M (nwayọọ) - mgbaàmà dị nwayọọ, kpebisie ike site na arụmọrụ nke ESR ke iyịp.

II (ufọt ufọt arọ) - e nāda # mbà mgbu na peritoneum, okpomọkụ adahade, e nwere a adịghị ike, na isi ọwụwa.

III (oké) - elu okpomọkụ, oké isi ọwụwa na abdominal mgbu, adịghị ike, ọgbụgbọ, vomiting ọbara, mmamịrị na feces weere na ọbara, nwere ike ime ka ọbara na-agba na afo na eriri afọ, perforation.

Ọ bụrụ na ị na-enwe ihe mgbu na n'etiti na ala akụkụ nke peritoneum enyowe na bụla bowel nsogbu, nchọpụta nsogbu na-agụnye:

• Extended ọbara analysis (Biochemical na Amalite Ijekọ);
• coprogram;
• fibrocolonoscopy;
• ergography;
• stool omenala;
• a ọbara ule maka-alụso ọrịa ọgụ;
• hydrogen ule;
• Endoscopy na biopsy nke obere eriri afọ anụ ahụ;
• immunological ule;
• sugar usoro.

Pain ke n'elu nke nke abdominal (epigastric)

N'ọnọdụ ka ukwuu, abdominal syndrome ke n'elu nke nke peritoneum bụ a N'ihi ya nke nri oriri na ike na-egosipụta onwe abụọ iche:

• dispepsionnom, ya bụ mebiri nke afo ( "agụụ ihe mgbu" na-aga mgbe a nri);
• dyskinetic (bursting mgbu, a mmetụta nke ókè, n'agbanyeghị nke ego nke ingested nri, belching, vomiting, ọgbụgbọ).

Na-akpata ọnọdụ ndị dị otú nwere ike gastroduodenitis, gastric hypersecretion nke hydrochloric acid, ọrịa, nsia ikpuru, pancreatic ọrịa na / ma ọ bụ biliary tract, mkpọchị gastroduodenal motility. Ọzọkwa, epigastric mgbu pụrụ ịkpasu Dunbar syndrome (daa ọrịa celiac aortic ogwe mgbe squeezed diaphragm). Nke a na ọrịa bụ congenital, butere n'aka (mgbe) ma ọ bụ enwetara mgbe a mmadụ na-abịakwute neyrofibroznoy uto nke anụ ahụ.

Celiac ogwe (nnukwu obere alaka abdominal aorta) mgbe mkpakọ na-enwetara pinned na aorta, ukwuu narrowed na ọnụ ya. Nke a na-akpata abdominal ischemic syndrome, nchoputa a rụrụ iji iche X-ray (angiography). Celiac ogwe ọnụ na ndị ọzọ na ọbara arịa ọnọde ọbara na abdominal uji eze ọ bụla eriri afọ akụkụ. Mgbe na-apịpụta ọbara nnyefe, na ya mere na ọkọnọ nke akụkụ dị mkpa bekee na-ewe ebe na-adịghị ezu, nke na-eduga oxygen ịnọ n'ụkọ (hypoxia) na ischemia. Mgbaàmà nke ọrịa ndị yiri ndị hụrụ na mgbu, duodenitis, gastric ọnyá afọ.

Ọ bụrụ na ọbara ọkọnọ ụkọ nwetara eriri afọ amalite ischemic afọ, enteritis. Ọ bụrụ na ọbara ya bụ ụkọ na imeju, ịba ọcha n'anya na-amalite na pancreas emegharị ọdịda n'ime ọbara ọkọnọ nke pancreatitis.

Ọ bụghị ka e chere na nchoputa, a ga-rụrụ n'ihu nchoputa nke ọrịa na-enyo enyo na abdominal rịaworo. Endovascular nchọpụta nsogbu - nke a bụ kasị mma usoro mejupụtara ke eziokwu na ọbara arịa na-nyochaworo site inputting nime ya a catheter enwe a X-ray Njirimara. Nke ahụ bụ, na usoro ga-ekwe ka na-ahụ nsogbu na ọbara arịa na-enweghị n'ịwa ahụ. Endovascular nchoputa na-eji na ọrịa nile nke abdominal arịa. Ọ bụrụ na e nwere ihe gosiri, wires na endovascular n'ịwa ahụ. kwere omume nzaghachi mkpesa nke ndidi chere abdominal rịaworo:

• persistent mgbu ke afo, karịsịa mgbe eri, mgbe n'ịrụ ọ bụla anụ ahụ na-arụ ọrụ ma ọ bụ nrụgide mmetụta uche;
• mmetụta nke na njuputa-na ogo ke n'elu nke nke peritoneum;
• belching;
• nrekasi obi;
• ilu ka onu oghere;
• afọ ọsịsa ma ọ bụ, ọzọ, afọ ntachi;
• Ugboro isi ọwụwa;
• iku ume ọkụ ọkụ;
• pulsation n'afọ;
• arọ ọnwụ;
• general ike ọgwụgwụ na adịghị ike.

Naanị mpụga ule onye ọrịa, nakwa dị ka ọkọlọtọ-achọpụta ọrịa ụzọ (ọbara, mmamịrị, ultrasound) na-adịghị oké egwu nchọpụta nke ọrịa.

Vertebral abdominal syndrome

Nke a na ụdị daa ọrịa bụ otu n'ime ndị kasị sie ike ịchọpụta. Ọ dabeere n'eziokwu na ndị ọrịa bụ ndị doro anya ihe ịrịba ama nke nsogbu na eriri afọ tract (abdominal mgbu, vomiting, belching, nrekasi obi, afọ ọsịsa ma ọ bụ afọ ntachi), ma ha na-kpatara ọrịa na nke spain ma ọ bụ n'akụkụ ndị ọzọ nke nweekwa usoro. Dọkịta na-adịghị n'ụzọ ziri ezi mata ihe kpatara ya ozugbo, otú ọgwụgwọ a rụrụ, adịghị arụpụta ihe. N'ihi ya, dị ka ọnụ ọgụgụ, banyere 40% nke ọrịa na osteochondrosis nke thoracic, mesoo ha na-abụghị existent bowel ọrịa, na afo. Ọbụna sadder picture na spinal ọrịa. Pain dị otú ahụ ikpe na-igbu mgbu, dull, nnọọ metụtara nri oriri na ọ bụrụ na ọrịa afọ ntachi ma ọ bụ afọ ọsịsa, ha na-adịghị si ot ụzọ. Ime ka ndị na-esonụ ọrịa nwere ike vertebral abdominal syndrome:

• spondylosis;
• scoliosis;
• Ụkwara nta nke ọkpụkpụ azụ;
• ọrịamkpokọta jikọtara akpụ mgbanwe spinal kọlụm;
• visceral ọrịamkpokọta (Guttseyta).

The kasị ihe na ọrịa mkpesa nke abdominal mgbu na-abụghị digestive tract pathologies, mgbe mgbe, na-aghọta ka malingerers. Iji chọpụta ihe kpatara nke unexplained abdominal mgbu, ọ dị mkpa iji ọzọ ụzọ nke nchoputa, dị ka spondylography, X-ray, MRI, rentgenotomografiya, ehospondilografiya na ndị ọzọ.