Udibaniso luvo yomntu: inkcazo ukwakheka komzimba kunye neempawu zesakhiwo. Iimpawu-luvo median

Umzimba womntu - inani elikhulu luvo, ngabo abanoxanduva intshukumo imilenze, iingalo, kunye neminye imisebenzi. Umzekelo, esandleni indoda ezintathu eziphambili: ziqu, median, imizwa ulnar. Ucinezelo ye-luvo median okanye ukwenzakala okanye nayiphi na enye into kunokubangela iingxaki ezinkulu kunye iintshukumo ngesandla. Yiloo nto, sithetha namhlanje, sifunda neempawu zayo, indawo, i ezimbi eziphambili.

nokwakheka

I-luvo median - le yenye luvo likhulu plexus brachial. It evela izintya plexus brachial, hayi kanye mandithi, phezu osecaleni medial. Kule ndawo umkhono, lula ukufikelela kwi emseleni of izo- phakathi kwezinye zonke luvo. Ngokubhekele phaya phantsi phambi esandleni ngalo umngxuma ngengqiniba ukuya ziyenza njani, nto leyo lula kakhulu ephakathi flexor digitorum - nzulu kunye nzulu. Kwakhona hide kwicandelo esezantsi emseleni oluphakathi phakathi kwitonela carpal bayaphoswa namasundu. Xa palmar aponeurosis yahlulwe yangamacandelo amathathu terminal ukuvelisa ngakumbi luvo ngomnwe ezisixhenxe ngamnye.

Le nerve median kwi zengalo innervates ababini kuphela pronator, kodwa ukugoba. Ezi nketho aba na flexor ulnar iiwotshi kunye nesiqingatha flexor enzulu, onoxanduva umsebenzi lwemoto neminwe. Ke ukuba isandla, apha nguye onoxanduva izihlunu lobhontsi kunye ezimbini mpethu-efana, phakathi entendeni kunye icala palmar I-III kunye IV iminwe enesiqingatha.

umsebenzi luvo

Ngalinye luvo emzimbeni womntu onoxanduva kwimisebenzi ethile. Umzekelo, i-luvo median sinika flexion kunye nokwandiswa yiminwe emithathu esandleni; ubhontsi, isalathiso kunye embindini. Ukongeza, nguye onoxanduva umahluko phakathi nocikicane yengalo pronation.

Muscle yoma ukuba amaninzi ukulimala ezivakaliswe uyakuthi. Ngenxa yoko flattening entendeni yesandla sakho, uze ungenise nasesithupheni yenza brush iyafana kakhulu ukuba nidlobe nyani leyo. Ukuze ngesandla ukuchonga umonakalo luvo, iza ukubhaqa phalanges terminal zomzimba of iminwe emibini - index kunye ophakathi.

amaninzi kakhulu, beza kwagqirha nezikhalazo ukuba iminwe eziliqela icala nabo balukayo abawuthobeli ncam. Bavakalelwa kabi ezandleni zenu, yaye watyhila neuropathy le-luvo median okanye neuritis optic, kwakunye luvo. Kodwa yintoni na esi sifo esidala kunye iimpawu abanazo?

Udibaniso luvo: ukwenzakala

umonakalo luvo - oku kakhulu yimeko eqhelekileyo, nto leyo ebangelwa uphazamiseko olupheleleyo okanye olungaphelelanga buti-luvo. umonakalo ezivaliweyo kunokwenzeka ngenxa ucinezelo soft esiqwini into angaphandle, umzekelo, ukuba umntu uphantsi yimiwewe, xa wambetha ngento ehlabayo. Ithumba, iziqwenga ithambo ngexesha ngokwaphulwa kwakhona uyakwazi kunokwenzakalisa luvo. ukulimala Vula enokwenzeka xa umntu usika ngokwakhe okanye wafumana inxeba kokudutyulwa kwi ingalo.

nemithambo inyama kutsha kakuhle kakhulu, njengoko kolu hlobo, ukwenzakala inxalenye distal ye-luvo unako ngokukhawuleza kakhulu ukuphuhlisa Wallerian yamehlo - inkqubo apho kukho kukufakwa nyama-luvo, kwaye indawo kukuqulungana kwizicwili. Ngako oko ke ukuqinisekisa ukuba kwisiphumo unyango buthi, akukho namnye unako, ekugqibeleni isigulane ufumana yokukhubazeka.

umonakalo luvo: iiklasi

Le nerve median isandla, ngokuxhomekeka ekubeni sele sele yonakele, ukuze bandiqumbise ezinye ezimbi:

• Yokulimala. Kulo mzekelo, ukungaqheleki morphological kwaye yokwakheka ezingabonwayo. imisebenzi ubuntununtunu eshukumayo ukubuyela emva kwemizuzu eli-15 kuphela emva kokwenzakala.
• Ukwenzakala. Le meko ngenxa yokuba ekuqhubekekeni yokwakheka lo buti-luvo isekhona, kodwa iqokobhe epineural baphuke, yaye igazi luvo lingena. Ekubeni loo msebenzi motor umonakalo ibuyiselwe kuphela emva kwenyanga.
• Impaction. Xa ngezifo waphawula ubungqongqo ukuphazamiseka, kwaye oko kuxhomekeke ebukhulwini nexesha ucinezelo, kusenokubakho zolwaphulo ezingephi, kodwa ke kukho iimeko ezinzima efuna kuphela ungenelelo kugqirha.

• umonakalo Partial abonisa ukulahleka imisebenzi ngamnye. Kulo mzekelo, umsebenzi asibikho akazukuphila, kuphela operation olufunekayo.
• ikhefu ngokupheleleyo - in urhulumente banikwa luvo ke wakubo zibe isiphelo esahlukileyo - neuropathy central. Ukuba ngaba uthathe amanyathelo kakhulu kulo mzekelo, isiqwenga ophakathi endaweni yinxalenye encinane ijwabu kwesiva. imisebenzi yethu musa kuphila, izihlunu uchitha nsuku aya kunyuka, ukuphazamiseka trophic waphawula ngakumbi. Kulo mzekelo, yi nga ku pfuna kuphela umsebenzi, kodwa kwakhona ayisoloko ukuveza iziphumo ezinqwenelekayo.

Neuritis okanye peripheral le-luvo udibaniso ukuba yintoni na unobangela kusekwangoko kwaye athathe amanyathelo afanelekileyo ukuba, kunokwenzeka ukuba aphilise le ngezifo, ngaphandle nayiphi imiphumo.

Izinto ezibangela peripheral

Abantu abaninzi kakhulu ehlabathini senze umba ofana izandla zomzimba. Amaxesha amaninzi inxulunyaniswa ukudinwa, nokungalali, yaye ukuba unayo luphumlo elungileyo, ubuthongo, yonke into iya kuqhubeka, kodwa enyanisweni ayikho njalo.

Ngokuqhelekileyo mononeuropathy - ukungaphumeleli enye luvo, amaxesha amaninzi iphuhlise ngenxa yokuba kukho nokubotshwa luvo kwindawo apho udlula ngaphantsi komphezulu ulusu okanye imisele ithambo emxinwa. Izinto ezibangela peripheral ibe ezininzi:

• unenzondelelo angenelele ngotyando, kuloo ndawo apho ukusebenza lwaqhutywa igazi kunye ixesha liyayeka ukuba ajikeleze kakuhle, nto leyo ekugqibeleni kukhokelela ukudumba kunye yoma kwezihlunu, kwakunye yokuba kwimithambo- ukuba zixinaniswe;
• umonzakalo izandla, ngethuba awathi ukudumba, ekhokelela ucinezelo le-luvo;
• emzimbeni rhoqo;
• exposure;
• umthwalo okuqinileyo izihlunu iingalo;

• ezidalwe ngezifo, oku kusebenza seswekile;
• ukunxila;
• ukungabikho vitamins B;
• ayanda;
• izifo ebemzele: herpes, imalariya, isifo somqala omhlophe, isifo sephepha kunye nkqu HIV;
• ukusetyenziswa ixesha elide iziyobisi, njengenxalenye apho kukho phenytoin kunye chloroquine.

iimpawu peripheral

Embalwa izigulane hamba uye esibhedlele xa uphawu yokuqala ngezifo, ngokufuthi uzama ukusebenzisa amayeza womthonyama. Namafutha aqholiweyo, Oluma, kodwa akusoloko kuyinto enokwenzeka ukuba aphilise le luvo amanqaku angumndilili, iimpawu ukuze ecinyiweyo isenokuphinda ivele kunye kube yondele kakhulu. Pathology kubonakala ngohlobo wokutshisa iintlungu, ezihamba kunye isigulane imini yonke, kwaye kukho antsi kwi iminwe, izandla, kwaye nokuba izandla ngokupheleleyo. Ukongezelela, ukuze babonakale ezinye iimpawu:

• ayanda;
• aqaqambayo kunye yombono;
• ukuntlontlozela imvakalelo esikhumbeni;
• ukunciphisa ubushushu uvakalelo;
• ukulahleka lonxulumelwano;
• nzima intshukumo ngezandla zakhe.

Xa utyelela ugqirha okanye wena, ekhaya, kunokwenzeka ukuba iingxaki intshukumo ukuze kubonwe ukuba ngaba neuritis nomonde, peripheral le luvo udibaniso, okanye hayi.

Ingcaciso ukuphazamiseka lwemoto le-luvo udibaniso

Ukuze ubone ukuphazamiseka intshukumo kwi ukucudisa okanye nayiphi na enye sisilonda esidumbileyoesingaphakathi na luvo amanqaku angumndilili, ugqirha angase akukhuthaze ezi mvavanyo:

• ukuba wenze ngenqindi, ke ngoko, nakweli xesha isalathiso, ngokunjalo ezinye iminwe ezinkulu ophakathi kuhlala unbent, kunye nezinye iminwe amabini esandleni sakhe nzima ukuze licinezelwe ukuba kunokuba nzima ukuba uye ke;
• ukuba usindwa luvo amanqaku angumndilili, isigulana ekudibaneni iminwe bengenako ngokukhawuleza jikeleza ubhontsi wakho malunga nasesithupheni sesandla abachaphazelekayo esempilweni, lo sampuli obizwa ngokuba "lokusila";
• isigulane akayi kuba nako ukukrwela isalathisi ngomnwe phezu kwetafile, uya kufumana kuphela iimpikiswano zochuku le phalanges distal, okanye ke etshaya nje, ngeli xesha brush phezu kwetafile;
• ukuba izandla ezimbini Eyisongile kunye, isalathiso ngomnwe izandla ezonakeleyo akayi kuba nako ukukrwela ngendlela enempilo;
• Esi sigulane asikwazi ukuthatha ubhontsi wakho ukuze akwazi ukwakha esinekona sasekunene kunye index wakho ngomnwe.

Ukuba emva kokwenza uhlolo olubonakalayo kukho ukuphazamiseka intshukumo neminwe, kucetyiswa ukuba bapase iimviwo ebanzi.

lokufunyaniswa kwesifo

Ngaphambi kokuba ukhethe unyango ekunene, kufuneka bangenele uviwo epheleleyo emine, ngubani oza kuhlola ikhaliphe, amandla kwezihlunu, liya kuqhuba iimvavanyo ezizodwa kunye neemvavanyo.

Ukususela iindlela instrumental diagnostic zezona zilungele:

• electroneuromyography;
• X-reyi sifundo;
• ukwenza umfanekiso ngemagnethi.

Ezi zifundo ziye zafumanisa, apho yonakele le luvo, fumanisa ukuba yintoni na unobangela izifo, kwaye ukuchonga iqondo ukungaphumeleli Uhanjiso. Ukuba kuyimfuneko, ukucebisa isigulane ukuya kwilebhu iimvavanyo, ngoko kuphela ngokuchanekileyo ukuxilonga ukhethe uthomalaliso kakhulu ngempumelelo.

unyango lwesifo

Unyango lwe-luvo udibaniso esikhethwe ngamnye ukuba isigulane ngasinye, ngenxa yokuba unobangela sifo inokuba nomahluko kunye neqondo umonakalo bonke. Ngexesha unyango, ugqirha wakho usenokubhenela kobude unyango. Kule unyango lubandakanya nemithi, iiarhente antiviral kunye yegazi.

Ukongeza, ugqirha umisela anti-ulwamkelo kunye ukuxinana kwakhona inika iziphumo ezilungileyo, ukuyifundisa yokuthanjiswa kunye nonyango ngokwasemzimbeni.

Kwezo meko apho kwafunyaniswa ukuba luvo angalinandiphi, kuyimfuneko ukuphelisa unobangela. Kulo mzekelo, kufuneka sibe unyango olomeleleyo isigqibo, kodwa tirhisa, ufuna ukuqala nge ezahlukeneyo enzyme, ngokunjalo ukwenza absorbable kwaye ukuthambisa kukuqulungana inyama kuthetha. Kukho amatyala unyango manual kunye yokuthanjiswa kuya kukunceda ngokukhawuleza ukuchacha zonke iimpawu.

Unyango ukuba isebenze, kuyimfuneko ukwenza inkqubo yokwakha, leyo afanelekileyo kwimeko ethile, ugqiba ukuba yokurhaxwa na.

Ukuba luvo udibaniso lithe lenzakala, apho kunokwenzeka kufuneka ukufumanisa ukuba yintoni indlela unyango olusebenzayo - amasiko okanye operative. Kuyanconywa ukuba ubambe myography inaliti, ukuba izakusetyenziswa ukugqiba ngokuchanileyo izinga lomonakalo.

ukuvimbela

Ekubulaleni luvo udibaniso - oku yimeko esinzulu, ukuba kuthathwe nawaphi na amanyathelo ukubuyisela umsebenzi lwemoto neminwe iya kuninqabela. Ngenxa ubuchule othintelo asetyenziselwa ukunceda bunjani iinkqubo pathways nalo ixesha ebaluleke kakhulu ukuze ukunyanga izifo ezosulelayo. Ukongeza, kufuneka wenze rhoqo imithambo kuba izandla, ingakumbi xa umsebenzi yomguli edibene oluqhubekayo ngomsebenzi wezandla (seamstresses, badwelisi benkqubo, kunye nabanye).

isiphelo

Ukushwankathela kungentla, sinokuthi ngenxa Qiniseka ukuba naziphi na, nkqu umonakalo incinane ukuya luvo udibaniso kunokukhokelela nemiphumo noqhekeko. Ngoko ke, ukuba ngequbuliso waphawula ukuba iminwe yakhe kakubi zityediwe, bona badla emxinwa, okanye akukwazi ukwenza inqindi, kuya kuba kuhle ukuba udibane nogqirha. Xa iingcebiso zobugqirha kukwenzakala ngesandla kunye nokuhlolwa kubaluleke kakhulu. Kubhetele ukuba ukunyanga utshintsho olungephi, kunokuba ukwenza umsebenzi, nto leyo nayo ayiniki iziphumo ezinqwenelekayo kwiimeko ezinzima.