Amalungu Abalulekile: Amathambo Esandla Nesihlakala

-Delile

• Amathambo eCarpal esihlakaleni
• I-anatomy ehlangene yesihlakala
• Ukuhlanganiswa kwe-Radiocarpal
• Ilunga le-Ulnocarpal
• Ukuhlangana kwe-radioulnar okude
• Amathambo esandla axhunywe emalungeni esihlakaleni
• Izicubu ezithambile esihlakaleni
• Ukulimala kwesihlakala okuvamile
• Hlunga
• Impaction syndrome
• Ubuhlungu be-arthritis
• Ukwephuka
• Ukuphindaphinda ukulimala kwengcindezi

Isihlakala sakho sakhiwe ngamathambo namalunga amaningi amancane avumela isandla sakho ukuba sihambe siye ezinhlangothini eziningana. Kubandakanya nokuphela kwamathambo engalo.

Ake sihlolisise.

Amathambo eCarpal esihlakaleni

Isihlakala sakho sakhiwe ngamathambo amancane ayisishiyagalombili abizwa nge-carpal bones, noma i-carpus. Lokhu kuhlanganisa isandla sakho namathambo amabili amade engalweni yakho - irediyasi ne-ulna.

Amathambo e-carpal ayizikwele ezincane, amise okweqanda futhi angunxantathu. Iqoqo lamathambo e-carpal esihlakaleni liwenza womelele futhi aguquguquke. Isihlakala sakho nesandla sakho bekungeke kusebenze ngokufanayo ukuhlangana kwesihlakala kwakwenziwe kuphela ngethambo elilodwa noma amabili amakhulu.

Amathambo ayisishiyagalombili e-carpal yilawa:

• Scaphoid: ithambo elide elimise okwesikebhe ngaphansi kwesithupha sakho
• Ngenyanga: ithambo elimise okweqanda eceleni kwe-scaphoid
• I-Trapezium: ithambo eliyindilinga elinesikwele ngenhla kwe-scaphoid nangaphansi kwesithupha
• I-Trapezoid: ithambo eceleni kwe-trapezium elimise okonjiwe
• Bhala: ithambo eliyisiyingi noma eliyikhanda phakathi kwesihlaka
• I-Hamate: ithambo ngaphansi kohlangothi olubomvana lwesandla
• Unxantathu: ithambo elifakwe iphiramidi ngaphansi kwe-hamate
• I-Pisiform: ithambo elincane, eliyindilinga elihlala phezu kwe-triquetrum

Umfanekiso kaGeorge Sabogal

I-anatomy ehlangene yesihlakala

Isihlakala sinamalunga amathathu amakhulu. Lokhu kwenza isihlakala sizinze kakhudlwana kunokuba bekunejoyinti elilodwa kuphela. Iphinde inikeze isihlakala sakho futhi inikeze ukunyakaza okuhlukahlukene.

Amalunga esihlakala avumela isihlakala sakho sihambise isandla sakho phezulu naphansi, njengalapho uphakamisa isandla sakho ukuze uzulise. La malungu akuvumela ukuba ugobise isihlakala sakho phambili nasemuva, eceleni nasesandleni, futhi ujikeleze isandla sakho.

Ukuhlanganiswa kwe-Radiocarpal

Yilapho irediyasi - ithambo lengalo elijiyile - lixhuma khona nomugqa ongezansi wamathambo esihlakaleni: amathambo e-scaphoid, lunate kanye ne-triquetrum. Lelijoyinti ikakhulu lisohlangothini lwesithupha lwesihlakala sakho.

Ilunga le-Ulnocarpal

Lokhu ukuhlangana phakathi kwe-ulna - ithambo lengalo elincane - kanye namathambo esihlakala senyanga nenyanga le-triquetrum. Lolu uhlangothi lomunwe opinki esihlakaleni sakho.

Ukuhlangana kwe-radioulnar okude

Lelijoyinti lisesihlakaleni kodwa alihlanganisi amathambo esihlakaleni. Ixhuma iziphetho ezingezansi zeradiyo ne-ulna.

Amathambo esandla axhunywe emalungeni esihlakaleni

Amathambo esandla phakathi kweminwe yakho nesihlakala akhiwe ngamathambo amahlanu amade abizwa ngokuthi ama-metacarpals. Benza ingxenye yamathambo ngemuva kwesandla sakho.

Amathambo esandla sakho axhuma emathanjeni amane esihlakaleni aphezulu:

• trapezium
• trapezoid
• capitate
• isando

Lapho zixhuma khona kubizwa ngokuthi amalunga e-carpometacarpal.

Izicubu ezithambile esihlakaleni

Kanye nemithambo yegazi, izinzwa, nesikhumba, izicubu ezinkulu ezithambile esihlakaleni zifaka:

• Imigqa. Imigqa ixhuma amathambo esihlakala komunye nomunye nasesandleni nasesandleni sangaphambili. Imigqa ifana namabhande okunwebeka agcina amathambo emi endaweni yawo. Bawela isihlakala ngasohlangothini ngalunye ukubamba amathambo ndawonye.
• AmaTendon. Ama-tendon ngolunye uhlobo lwezicubu ezinwebeka ezixhumeka ezinamathisela imisipha emathanjeni. Lokhu kukuvumela ukuthi uhambise isihlakala sakho namanye amathambo.
• IBursae. Amathambo esihlakaleni nawo azungezwe amasaka agcwele uketshezi abizwa nge-bursae. La masaka athambile anciphisa ukungqubuzana phakathi kwemisipha namathambo.

Ukulimala kwesihlakala okuvamile

Amathambo esihlakala, imisipha, imisipha, imisipha nezinzwa kungalimala noma kulimale. Ukulimala okujwayelekile kwesihlakala nemibandela kufaka:

Hlunga

Ungadonsa isihlakala sakho ngokuselula kakhulu noma ngokuthwala okuthile okusindayo. Isigaxa senzeka lapho kukhona ukulimala kwe-ligament.

Indawo ejwayelekile yokuthambeka kwesihlakala isejoyintini le-ulnocarpal - ilunga phakathi kwethambo lengalo kanye nethambo lesandla ohlangothini lomunwe obomvana.

Impaction syndrome

Ebizwa nangokuthi i-ulnocarpal abutment, lesi simo sesihlaka senzeka lapho ithambo lengalo le-ulna lide kancane kuneradiyo. Lokhu kwenza ukuhlangana kwe-ulnocarpal phakathi kwaleli thambo namathambo akho esihlakaleni kungazinzi kangako.

I-Impaction syndrome ingaholela ekwandeni kokuxhumana phakathi kwe-ulna namathambo e-carpal, okuholele ebuhlungwini nasekuntekentekeni.

Ubuhlungu be-arthritis

Ungathola ubuhlungu obuhlangene besihlakala kusuka ku-arthritis. Lokhu kungenzeka kusukela ekugugweni okujwayelekile nasekudabukeni noma ekulimaleni esihlakaleni. Ungathola nesifo samathambo ngokungalingani kwamasosha omzimba. I-arthritis ingenzeka kunoma yimaphi amalunga esihlakaleni.

Ukwephuka

Ungaphuka noma yimaphi amathambo asesandleni sakho kusukela ekuweni noma kokunye ukulimala. Uhlobo oluvame kakhulu lokwephuka esihlakaleni kungukuqhekeka kwe-distal radius.

Ukwephuka kwe-scaphoid yithambo le-carpal evame ukuphuka. Leli yithambo elikhulu ohlangothini lwesithupha esihlakaleni sakho. Kungaphuka lapho uzama ukuzibamba ekwindla noma ukushayisana ngesandla eseluliwe.

Ukuphindaphinda ukulimala kwengcindezi

Ukulimala okuvamile esihlakaleni kwenzeka ngokwenza ukunyakaza okufanayo ngezandla zakho nezihlakala kaninginingi isikhathi eside. Lokhu kufaka ukuthayipha, ukuthumela imiyalezo, ukubhala nokudlala ithenisi.

Kungadala ukuvuvukala, ukuba ndikindiki, nobuhlungu esihlakaleni nasesandleni.

Ukulimala kwengcindezi kungathinta amathambo, imisipha, nezinzwa zesandla. Kubandakanya:

• umhubhe we-carpal
• ama-ganglion cysts
• i-tendinitis

Ngokuya ngokulimala, ukukhishwa, nezimo ezingazodwana, ukwelashwa kwezinkinga ezijwayelekile zesihlakala kusuka ekuphumuleni, ekusekelweni, nasekuzivocavoca kuya emithini nasekuhlinzekweni.

Isibonelo, umhubhe we-carpal unokuzivocavoca kwawo kanye namadivayisi angasiza. Isifo samathambo esihlakaleni sizoba nohlelo lwaso lokwelashwa, naso. Qiniseka ukuthi ukhuluma nomhlinzeki wakho wezokunakekelwa kwezempilo uma unanoma ikuphi ukukhathazeka ngezihlakala zakho.