Hijab -paralysis: symptoms, causes and treatment

The diagnosis of the diaphragm usually begins with physical examination and revises the patient’s medical history and symptoms. In the examination, and with the patient lying flat, the abdominal wall moves inside during inhalation instead of natural external movement, and this is called conflicting movement. When evaluating a patient who is believed to have paralysis of the diaphragm, it is important to observe the main cause. For example, if the patient undergoes a heart surgery, it is known that up to 20% of patients are suffering from a remaining weak due to the cooling of the pilgrimage nerve that disappears over time. Diagnosis can be made based on a group of patient history, physical examination results, photography and other tests, and the most important diagnostic methods include the following: 1. Radiographies on the breast. The x -ray of the breast alone can unilaterally diagnose up to 90% of the diaphragm -paralysis, as the right diaphragm is usually slightly high compared to the left, and if it is lifted at a more serious angle, one can suspect in the right diaphragm. If the height of the left diaphragm is similar to the height of the anxious half -diaphragm, you can suspect the paralysis of the left diaphragm. 2. Fluoroscopic evaluation. If the patient is suspected of having a mono -side diaphragm based on the results of the X -ray of the breast, the diagnosis can be confirmed by the endoscopic examination. In the case of a one -sided diaphragm -paralysis, half of the paralyzed diaphragm will not appear, or it may have a conflicting movement in the breast cavity if you breathe the deep soul. 3. Pulmonary function -tests are the most important muscle of inhalation, up to 80% of the energy generated during breathing, and with a mono -side -diafrower -paralysis expected to a 50% decline in respiratory capability. It also drops by up to 25% during lying because of muscle weakness and pressure directed from the skull from the abdominal cavity, and other lung sizes can remain unchanged, as long as paralysis remains unilaterally. 4. Electromography hygroscopic planning plays a somewhat limited role in diagnosing diaphragm -paralyzing on the one hand, if the problem is localized in the pilgrimage nerve, the nerve stimulation will not lead to muscle contraction. 5.. It is expected that transdiaphragmatic measurements in the case of a monochromatic diaphragm will lower the pressure by the diaphragm; Because the diaphragm cannot shrink properly, and with the paralysis of the left diaphragm more than the right side of the stomach ingredient to measure the pressure through the diaphragm. 6. Thorax ultrasound) The breast box ultrasound can be used to diagnose the diaphragm paralysis, the ultrasound situation can show the diaphragm as a thick echo line. The situation was used to show the paralyzed diaphragm movement, but it can show no movement with peaceful breathing, inhalation or deep breathing. 7. Computerized tomography, once patients with monochrome paralysis have been diagnosed. CT scan can be helpful in determining the cause of paralysis, as well as excluding any potential pressure of other crops or breast causes. 8. Magnetic resonance imaging. MRI if the patient suffers from cervical spinal pain, or to look at the soft tissue closer to shock to diagnose the causes of the diaphragm that weaken accurately. 9. 10. Other tests may be done some tests, which include: lung function tests, including a few tests performed while sitting and lying down. The maximum mouth pressure. Measuring pressure via the diaphragm. The stimulation of the pilgrim nerve in the neck through electric or magnetic stimulation. The hygroscopic electrical layout is a test that evaluates and records the electrical activity due to the muscles of the skeleton.