Mitsempha apakatikati wa munthu: malongosoledwe a thunthu ndi mbali structural. Zizindikiro za mitsempha apakatikati

Thupi la munthu - ambiri misempha, ndi iwo amene ali ndi udindo kayendedwe ka miyendo, manja, ndi zinthu zina. Mwachitsanzo, mu dzanja la munthu zitatu: zozungulira, apakatikati, ulnar misempha. Psinjika za mitsempha apakatikati kapena kuvulala kapena zingachititse mavuto aakulu ndi kayendedwe dzanja. Ndicho za izo, ife kulankhula lero, timaphunzira za paradaiso, malo, ndi pathologies chachikulu.

thunthu

Mitsempha apakatikati - ichi ndi chimodzi mwa mitsempha yaikulu ya brachial plexus. Iwo anachokera ku zingwe za brachial plexus, kapena kani, pa lateral ndi medial. M'dera phewa, zinamangidwa mu poyambira wa kukongola mwa misempha ena onse. Komanso pansi kutsogolo dzanja mwa dzenje chigongono kwa mkono, amene conveniently kwambiri inali pakati pa flexor digitorum - kwambiri ndi osaya. Inafotokozanso chimafikira mu gawo m'munsi mwa poyambira pakati komanso mkati m'ngalande carpal angamachite m'manja. Mu palmar ndi aponeurosis ogaŵikana nthambi zitatu osachiritsika imene chakudya kwambiri chala asanu misempha payekha.

Mitsempha apakatikati pa mkono wa innervates osati awiri okha pronator, koma flexors. The kuchotserapo ali ndi flexor ulnar wa dzanja ndi hafu ya flexor kwambiri, udindo galimoto ntchito ya zala. Koma dzanja, pano ali ndi udindo kwa minofu ya chala chachikulu ndi awiri nyongolotsi-ngati, pakati pa kanjedza ndi mbali palmar ine, III ndi IV zala theka.

ntchito mitsempha

Aliyense wa misempha mu thupi udindo ntchito yeniyeni. Mwachitsanzo, mitsempha apakatikati amatipatsa flexion ndi kutambasuka kwa zala zitatu dzanja: chala chachikulu, index ndi pakati. Komanso ndi udindo kusiyana pakati pa chala chachikulu ndi mkono pronation.

Minofu ya manja ngati yavulala nthawi zambiri anafotokoza mu ndondomeko ya. Chifukwa ndi flattening m'manja mwa dzanja lanu, ndi kubweretsa chala zimapangitsa burashi ndi zofanana kwambiri ndi mphamvu nyani. Kuti pamanja kudziwa kuwonongeka kwa mitsempha, zidzakhala zokwanira kuti azindikire ochititsa dzanzi osachiritsika phalanges zala ziwiri - index ndi pakati.

Nthawi zambiri, odwala kubwera kwa dokotala madandaulo kuti zala angapo pa dzanja limodzi samvera. Iwo amaona kusapeza mmanja mwanu, ndipo Iwo anafotokoza neuropathy ya mitsempha apakatikati kapena chamawonedwe neuritis, komanso kuwononga mitsempha. Koma kodi matenda kamene kamayambitsa ndi zizindikiro chiyani?

Mitsempha apakatikati: kuvulala

kuwonongeka kwa mitsempha - ichi ndithu chikhalidwe wamba, amene amayamba ndi kusokoneza lonse kapena tsankho la thunthu mitsempha. kuwonongeka pakanema kumachitika chifukwa psinjika minofu zofewa chinthu chatsopano Mwachitsanzo, ngati munthu anali pansi chomenyedwa, pamene anakantha ndi chinthu yosamveka. Chotupa zidutswa fupa pa fupa lothyoka komanso akhoza kuvulaza mitsempha. kuvulala Open chingachitike n'chiyani ngati munthu adula yekha kapena kulandira ndi gunshot bala mphamvu.

mitsempha minofu buluzi bwino kwambiri, monga mwa mtundu uwu zotupa mu gawo wapotalikira ya mitsempha mwamsanga kwambiri kukhala Wallerian alibe - njira imene pali mayamwidwe minofu mantha, ndipo ayamba chilonda connective minofu. Choncho ndi kuonetsetsa kuti zotsatira za chithandizo bwino, palibe m'modzi akhoza pamapeto wodwala ndi kulandira chilema.

Mitsempha kuwonongeka: makalasi

Mitsempha apakatikati dzanja, malingana ngati iwo akhala owonongeka imfayo ena pathologies:

• Concussion. Pankhaniyi, morphological ndi anatomical kuvutika zosapenyeka. Tilinazo ndi zoyenda ntchito kubwerera pambuyo Mphindi 15 pokhapokha zoipa.
• Ngozi. chikhalidwe ichi ndi chifukwa chakuti kupitiriza anatomical wa thunthu mitsempha akadali pano, koma chipolopolo epineural osweka ndipo mu magazi mitsempha akulowa. Woterowo kuonongeka galimoto ntchito abwezeretsedwa pokhapokha mwezi umodzi.
• Impaction. Pamene kudwala anaona kusalekerera matenda, ndipo zimadalira mwamphamvu ndi nthawi ya psinjika, pangakhale kuyan'anila zazing'ono, koma pali nkhani yaikulu sidzatenga dokotala alowererepo.

• kuwonongeka tsankho kuwawonetsera monga imfa ntchito payekha. Pankhaniyi, ntchito payokha si achire, kokha ntchito zofunika.
• Full yopuma - mu chikhalidwe anapatsidwa mphamvu ndi stratified mu awiri osiyana mapeto - zotumphukira ndi pakati. Ngati mulibe amayesetsa kwambiri Pankhaniyi, mpukutu pakati m'malo ndi mbali yaing'ono ya minofu yovulazidwa. ntchito sanachite achire, minofu tikungotaya tsiku ndi tsiku kuonjezera, ananenanso matenda trophic. Pankhaniyi, likhoza kuthandiza opareshoni, koma sikuti kuwasamalira ankafuna.

Neuritis kapena neuropathy ya mitsempha apakatikati akhoza anapezeka pa siteji oyambirira ndi kutenga kanthu ngati n'zotheka kuchiza kudwala imeneyi, popanda kukumana ndi mavuto alionse.

Zimayambitsa neuropathy

Anthu ambiri m'dzikoli akukumana ndi nkhani ngati manja neuropathy. Nthawi zambiri amagwirizanitsidwa ndi kutopa, kusagona tulo, ndipo ngati muli ndi kupuma kwabwino, kugona, chirichonse chidzachitika, koma kwenikweni izo siziri choncho.

Kawirikawiri mononeuropathy - kulephera kwa mmodzi wa ulusi mitsempha, nthawi zambiri akufotokozera chifukwa chakuti pali clamping mitsempha pa poti chitadutsa pansi pa khungu kapena ngalande yopapatiza fupa. Zimayambitsa neuropathy kungakhale zingapo:

• akukonza alowererepo opaleshoni, kumene opaleshoni zinachitikadi magazi ndi nthawi ikutha kuti zimafala bwino, zomwe mapeto kutupa ndi minofu ya manja, komanso chakuti misempha ali wothinikizidwa;
• choipa kwa manja, imene anayamba kutupa, zikubweretsa psinjika za mitsempha;
• pafupipafupi hypothermia;
• padzuwa;
• katundu kwambiri minofu ya manja;

• endocrine kudwala, inakwaniritsidwa odwala matenda ashuga;
• kuledzera;
• chosowa mavitamini B;
• kutupa;
• adzanyamula matenda: nsungu, malungo, diphtheria, TB ndipo ngakhale HIV;
• yaitali ntchito mankhwala, monga gawo limene pali phenytoin ndi chloroquine.

zizindikiro za neuropathy

Ochepa odwala kupita kuchipatala pa chizindikiro choyamba cha kudwala, nthawi zambiri kuyesera kugwiritsa ntchito mankhwala wowerengeka. Zodzola, compresses, koma osati nthawi zonse ndi Choncho n'zotheka kuchiza mitsempha apakatikati, matendawo akhoza reappear ndi kukhala kovuta. Kudwala kumaonekera mwa mawonekedwe a moto ululu, omwe limodzi wodwala tsiku lonse, ndipo pali dzanzi mu zala manja, ndipo ngakhale kwathunthu manja. Komanso, zizindikiro zina zingaoneke:

• kutupa;
• spasms ndi khunyu;
• kumva kulasalasa kutengeka pa khungu;
• ndichepe kutentha tilinazo;
• imfa ya mgwirizano;
• amavutika kuyenda ndi manja ake.

Pamene inu kukaona dotolo kapena nokha, kunyumba, n'zotheka matenda gulu kudziwa ngati neuritis mtima, neuropathy ya mitsempha apakatikati, kapena ayi.

Tanthauzo la matenda galimoto ya mitsempha apakatikati

Kudziwa matenda kayendedwe pa kufinya kapena chotupa ina ya mitsempha apakatikati, adokotala akhoza amalangiza mayesero awa:

• ngati inu kupanga nkhonya, ndiye pa nthawi imeneyi, index, komanso ena zala zazikulu ndi pakati kukhalabe unbent, ndi zina zala ziwiri pa dzanja lake kotero atapanikizika kuti kungakhale kovuta kuti apite ngakhale ndiye;
• ngati chidwi ndi mitsempha apakatikati, wodwalayo mu Kuoloka kwa zala sangathe msanga atembenuza chala chanu padziko wathuyo dzanja chala wathanzi, nyemba amatchulidwa kuti "mphero";
• wodwalayo sangathe kuti zikande ndi index chala pa tebulo, sakhoza amangotorapo mikangano ya phalanges wapotalikira, kapena monga agogoda iwo, pa nthawi imeneyi, burashi pa gome;
• ngati manja awiri apangidwe pamodzi, index chala manja kuonongeka sadzatha kuti zikande wathanzi;
• wodwala kutenga chala chanu kuti athe kupanga mlingo woyenerera ndi index chala chanu.

Ngati pambuyo pogwira kuyendera zithunzi pali disruptions mu kayendedwe ka zala, izo tikulimbikitsidwa pochitika tinafotokoza mwatsatanetsatane.

matenda a matenda

Musanayambe kusankha mankhwala oyenerera, muyenera kulandira kufufuza zonse ndi matenda okhudza ubongo, amene adzakhala ngoziyo bongo, mphamvu minofu, azichititsa mayesero apadera ndi mayesero.

Kuyambira njira malangizo matenda zabwino yosayenera:

• electroneuromyography;
• X-ray phunziro;
• maginito kulingalira.

Maphunziro awa tapeza, kumene mitsempha chawonongeka, kupeza chifukwa chiyani matenda, ndi kudziwa mlingo wa kulephera conduction. Ngati ndi kotheka, kulangiza wodwalayo kupita ndi zasayansi mayesero, ndiye yekha molondola oterewa ndi kusankha mankhwala yabwino kwambiri.

mankhwala a matenda

Mankhwalawa mitsempha apakatikati amasankhidwa payekha kwa wodwala aliyense, chifukwa chifukwa cha matenda angakhale osiyana ndi digiri ya kuwonongeka pa aliyense. Pa mankhwala, dokotala anu angayambe causal chithandizo. Mankhwala zimenezi zimaphatikizapo mankhwala wothandizila mavairasi oyambitsa ndi mtima.

Komanso dotolo n'kukulemberani odana ndi phwando ndi decongestants limaperekanso zotsatira zabwino physiotherapy, kutikita ndi mankhwala thupi.

Nthawi kumene chinapezeka kuti mitsempha ndi cholizira, m'pofunika kuchotsa chimene chimayambitsa. Pankhaniyi, tiyenera wamphamvu kusamvana mankhwala, koma amathera izo, mukufunika ndi zosiyanasiyana michere, komanso kuti absorbable ndi kufewetsa minofu yovulazidwa njira. Pali milandu kuti Buku mankhwala ndi kutikita kudzakuthandizani msanga achire zizindikiro zonse.

Chithandizo kuti azigwira, m'pofunika kuchita kukhazikitsanso ndondomeko, amene ali oyenera pa nkhani zosiyanasiyana akudzipereka kuwatsitsimula.

Ngati mitsempha apakatikati yavulala, zimene zinachitikira muyenera kudziwa ndendende zimene njira ya mankhwala othandiza - ndiwofatsa kapena kugwira ntchito. Ndi bwino kugwira singano myography, kuti angagwiritsidwe ntchito molondola kudziwa mlingo wa kuwonongeka.

kupewa

Kugonjetsedwa kwa mitsempha apakatikati - ichi ndi chikhalidwe kwambiri kuti, ngati sanatenge miyeso kubwezeretsa injini ntchito ya zala kadzakulakani. Monga njira zodzitetezera ntchito kuthandiza matenda njira kagayidwe kachakudya ndi nthawi yofunika kwambiri pofuna kuchiza matenda. Komanso, nthawi zonse tiyenera kuchita Zochita kwa manja, makamaka ngati ntchito wodwalayo chikugwirizana yosatha ntchito manja (seamstresses, mapulogalamu, ndi ena).

Pomaliza

Mwachidule pamwamba, tikhoza kunena motsimikiza kuti aliyense, ngakhale kuwonongeka pang'ono kwa mitsempha apakatikati angakhale ndi zotsatira mpaka kalekale. Choncho, ngati inu modzidzimutsa anaona kuti zala zake zoipa ndichotse, amachita wopanikiza, kapena akulephera kupanga nkhonya, ndi bwino kukaonana ndi dokotala. Pamene dzanja choipa kuchipatala ndipo anayendera ndi zofunika kwambiri. Ndi bwino kuchiza kusintha zazing'ono, kuposa kuchita opaleshoni, amene sapereka zotsatira analakalaka Zikavuta.