The evaMedhia tsinga munhu: tsananguro yakaitwa uye STRUCTURAL zvinhu. Zviratidzo evaMedhia tsinga

Muviri - vakawanda tsinga, ndiye avo vane mhosva kwebasa makumbo, maoko, uye mamwe mabasa. Somuenzaniso, muruoko zvitatu chikuru murume: TOUR, evaMedhia, ulnar tsinga. Compression of evaMedhia etsinga kana kukuvara kana mumwe aigona kukonzera zvinetso zvakakomba noruoko kufamba. Ndizvo nezvazvo, tinotaura nhasi, tinodzidza pamusoro mamiriro ayo, nzvimbo, chikuru pathologies.

anatomi

The evaMedhia tsinga - iyi ndiyo imwe tsinga kupfuura brachial plexus. It zvinobva namabote brachial plexus, kana kuti, pamusoro lateral uye medial. In pamafudzi nharaunda, iri pedyo iri paburi pamusoro biceps pakati zvose dzimwe tsinga. Uyezve pasi pamberi muruoko kuburikidza buri kugokora kusvika honokono, iyo kwazvo iri pedyo pakati flexor digitorum - yakadzika uye kudzika. It mberi rinokoka muchikamu yapakati paburi rezasi uye mukati carpal mugero anosuwa muchanza. Muna Palms aponeurosis muzvikamu zvitatu chinouraya mapazi izvo zvibereko zvakawanda munwe nomwe munhu tsinga.

The evaMedhia tsinga iri honokono innervates kwete flexors mbiri chete pronator, asi. The anosiyiwa ndiwo mashoko ulnar flexor pakati chiningoningo uye hafu rakadzika flexor, basa gwenya kushanda minwe. Kana ruoko, pano ndiye anokonzera tsandanyama ari thumbs maviri honye-kufanana, pakati muchindwe uye Palms parutivi I-III uye IV minwe hafu.

tsinga basa

Mumwe nomumwe manzwiro ari mumuviri womunhu anokonzera dzakananga mabasa. Somuenzaniso, muMedhia akapiwa etsinga zvinopa flexion uye kuwedzerwa minwe matatu muruoko: napagumwe roruoko, indekisi uye pakati. Uyezve, ndiye anokonzera kusiyana thumbs uye honokono pronation.

Muscle atrophy kana chakuvara vanowanzobatwa anotaurwa sezvinoreva. Zvinoguma flattening muchanza ruoko rwenyu, uye muuye napagumwe roruoko inoita bhurasho zvikuru zvakafanana Tsoko wacho paw. To manually kuziva kuzotadzira etsinga, zvichava zvakakwana kuona yokutindivadza chinouraya phalanges eminwe maviri - indekisi uye pakati.

Kakawanda, varwere vauye chiremba pamwe zvichemo kuti minwe kanoverengeka ruoko rumwe havasi kuteerera. Vanonzwa kusagadzikana mumaoko enyu, uye ivo kwakaratidza neuropathy pamusoro evaMedhia etsinga kana optic neuritis, uyewo kukuvara tsinga. Asi chii chinonzi chirwere ichi izvo zvinokonzera uye zviratidzo vane?

The evaMedhia tsinga: kukuvara

kukuvara tsinga - iyi yakati mutowo, izvo zviri kukonzerwa kwakakwana kana rushoma chidzivaidzo yacho etsinga hunde. Closed kukuvara kunogona kuitika nokuda compression kuti nyoro zvinyama wokumwe chinhu Somuenzaniso, kana munhu aiva pasi marara, kana kurohwa pamwe sevakagurika chinhu. Bundu, mapfupa zvimedu panguva kutsemuka anogona kukuvadza etsinga. Open Kukuvara chingaitika kana munhu anocheka pachake kana akapiwa munhu vapfurwa ronda iri ruoko.

tsinga rinenge panoda chaizvo havaratidzi, sezvo iri maronda ari distal chikamu etsinga mhando iyi kunogona kukurumidza kwazvo kuva Wallerian degeneration - mumwe mutoo apo pane Absorção de Água of huta zvinyama, uye kutsiviwa vanga connective tishu. Saka zviri kuitira kuti zvaitika kurapwa akanaka, hapana anogona, pakupedzisira murwere ari kugamuchira akaremara.

Tsinga dhemeji: makirasi

The evaMedhia tsinga ruoko, zvichienderana nokuti kwave dzaparadzwa, zvinogona kunetsa vamwe pathologies:

• Chipaparadzungu. Muchiitiko chino, morphological uye anatomical abnormalities zvisingaonekwi. Nehanya uye inofamba mashandiro achidzoka 15 chete maminitsi mushure zvinokuvadza.
• Injury. Ichi chirwere imhaka yokuti anatomical chamazuva ose etsinga hunde achiri aripo, asi epineural goko apwanyika, uye ropa tsinga anopinda. With yakadaro dzaparadzwa gwenya basa anodzorerwa chete pashure mwedzi.
• Impaction. Kana zvokurwara vakachengeta kwokuomerwa zvinetso, uye zvinoenderana kukuvadza uye paanowedzera compression, pangava zviduku kutyorwa, asi pane zvakakomba nyaya yaida chete chiremba kupindira.

• Mienzaniso kukuvadzwa kunoratidza sezvo kurasikirwa nomumwe mabasa. Panyaya iyi, mashandiro pacharo haritauri muchapora, kushanda chete zvinodiwa.
• Full kwemasikati - iri kupiwa mamiriro etsinga iri stratified mbiri dzakasiyana magumo - peripheral uye nechepakati. Kana musingadi kutora matanho akakomba iyi, pakati chinyorwa kuchatsiviwa chiduku chikamu vanga tishu. Own mabasa regai muchapora, tsandanyama kutambisa rimwe zuva uchawedzera mberi akacherechedza trophic zvirwere. Muchiitiko chino, rinogona chete kubatsira oparesheni, asiwo haugari kubereka zvinodiwa zvabuda.

Neuritis kana neuropathy pamusoro evaMedhia etsinga inogona chirwere vachiri Danho uye chiito chakakodzera kana, zvinokwanisika kurapa zvokurwara ichi, pasina chinhu zvaitika.

The zvinokonzera neuropathy

vanhu vakawandisa munyika nezvinoda nyaya yakafanana maoko neuropathy. Kakawanda inobatanidzwa kuneta, kushaya hope, uye kana uine zororo rakanaka, hope, zvose kuchaitika, asi chokwadi hazvina kudaro.

Kazhinji mononeuropathy - kukundikana rimwe etsinga fibers, kazhinji anova nokuti kuti pane clamping tsinga panguva apo chobudira pazasi ganda pamusoro kana yakatetepa pfupa migero. VaBennett neuropathy angava akawanda:

• inini kuvhiya Kupindira, panzvimbo kuvhiyiwa akanga akatakurwa achiburitswa kunze ropa nguva hunoguma kutenderedza zvakanaka, izvo pakupedzisira inotungamirira kuzvimba uye tsandanyama atrophy, uyewo kuti manzwiro vari compressed;
• vaikuvadza maoko, panguva iyo yakatanga kuzvimba, zvichitungamirira compression of etsinga;
• kakawanda hypothermia;
• ekisiposha;
• mutoro simba pamusoro tsandanyama ari maoko;

• kwemakemikari anobudiswa zvokurwara, rinoshanda chirwere cheshuga;
• kudhaka;
• nokushaiwa B mavhitaminzi;
• bundu;
• takatakura Zvirwere: herpes, marariya, diphtheria, tiibhii uye kunyange HIV;
• kushandiswa kwenguva refu zvinodhaka, sechikamu paine phenytoin uye chloroquine.

Zviratidzo neuropathy

Shoma varwere kuenda kuchipatara panguva chiratidzo zvokurwara rokutanga, kazhinji kuedza kushandisa zvavo mishonga. Ekuzora, anorumanya, asi kwete nguva dzose zviri Saka zvinobvira kurapa evaMedhia etsinga, ivo zvingaratidza dzumbunuka uye kunyanya chakasimba. Zvokurwara kunooneka pacharo muchimiro uchipfuta marwadzo, izvo pamwe murwere yose zuva, uye pane chiveve ari minwe, maoko, uye kunyange maoko zvachose. Uyewo, zvimwe zviratidzo kuonekwe:

• bundu;
• kurwadza kwacho nokugwinha;
• tingling manzwiro pamusoro ganda;
• dzikira tembiricha utetsa;
• kurasikirwa Kufambisa;
• kuomerwa pakuendeswa maoko.

Paunoshanya chiremba kana pachako, pamba, zvinokwanisika kuti sangano zvirwere kuona kana murwere neuritis, neuropathy pamusoro evaMedhia etsinga, kana kwete.

Definition of injini kusagadzikana muMedhia akapiwa etsinga

Kuti uone sangano zvirwere panguva kudzvinya kana mimwe lesion pamusoro evaMedhia etsinga, chiremba ringavakurudzira miedzo izvi:

• kana waita chibhakera, ipapo panguva ino indekisi, uyewo mamwe minwe makuru uye pakati kuramba unbent, uye vamwe vaviri zvigunwe paruoko rwake saka vamanikidzwa kuti vanogona kuva zvakaoma kurega kuenda kunyange zvino;
• kana akarova nokuda evaMedhia etsinga, murwere ari kuyambuka minwe havagoni nokukurumidza tenderera wako thumbs kumativi njodzi ruoko thumbs utano, mharidzo iyi anonzi "guyo";
• murwere havazokwanisi kuti muvare indekisi munwe patafura, anogona chete kuwana kukweshera ari distal phalanges, kana iye chete anogogodza navo, panguva iyi bhurasho patafura;
• kana maoko maviri akapeta pamwechete, indekisi nomunwe ukama maoko havazokwanisi kuti muvare akagwinya;
• murwere haagoni kutora thumbs yenyu kuitira kuti agone kuumba rworudyi angled pamwe indekisi yako chigunwe.

Kana vapedza munhu kutarisana vaongo- pane disruptions ari kufamba minwe, Zvinokurudzirwa zvakaitika misoro kuzviongorora.

chirwere chirwere

Usati wasarudza zvakanaka kurapwa, unofanira rakagara kuongorora zvizere nokuda chiremba wetsinga, ndiani kuongorora hunenge, tsandanyama simba, achaita kuitisa anokosha miedzo uye miedzo.

Kubva paku chirwere dzinoshandiswa yakanaka akakodzera:

• electroneuromyography;
• X-ray kudzidza;
• rinobva kuri.

Zvidzidzo izvi vakawana, apo etsinga payakarovera, tsvaka chii chinokonzera chirwere, uye kuziva mwero kukundikana conduction. Kana zvakakodzera, kurayira murwere kuenda uye rabhoritari nemiedzo, chete ipapo anogona zvakarurama rokuongorora uye wasarudza inonyatsobudirira mishonga.

pakurapa chirwere

Pakurapa evaMedhia etsinga anosarudzwa mumwe nomumwe nomumwe murwere, nekuti mhaka chirwere angava akasiyana uye ukuru kukuvara pa vose. Panguva kurapwa, chiremba wako angada causal kurapwa. Mukubata ichi zvinosanganisira nemishonga, antiviral nevamiririri uye vascular.

Mukuwedzera, chiremba prescribes Anti-mabiko uye decongestants rinopawo zvakanaka kunoguma physiotherapy, masaja uye mumuviri kurapa.

Muzviitiko kwaiwanikwa kuti etsinga iri batwa, zvakakodzera kubvisa chikonzero. Muchiitiko chino, tinoda simba chisarudzo mushonga, asi kuti kuipedzera, unofanira kutanga siyana makemikari, uyewo kuti absorbable uye anzwirwe Vanga racho rinenge nzira. Pane nyaya kuti Chinyorwa kurapa uye masaja achakubatsira nokukurumidza pakurwara nezviratidzo zvose.

Treatment kuti ubudirire, zvinokosha kuti tiite rokuvakazve nzira, iyo rakakodzera pane imwe nyaya, anosarudza nokumutswa.

Kana evaMedhia etsinga wakuvadzwa, umo nyaya unofanira kuziva chii nzira kurapwa unoshanda - kuchinja kana kushanda. Zvinokurudzirwa kuti abate munhu tsono myography, kuti rinogona kushandiswa zvakarurama kuona ukuru kukuvara.

dziviriro

The kukundwa muMedhia akapiwa etsinga - iri mamiriro ezvinhu akaoma, kana asina kutora matanho kudzorera injini kushanda minwe chisingazogoneki. Somunhu chokudzivirira dzokubvisa zvinoshandiswa kubatsira normalize metabolic pezvakaitwa zvakare nguva inokosha zvikuru kurapa zvirwere zvinotapukira. Uyezve, unofanira kugara kuita zviitwa kuti maoko, kunyanya kana basa murwere hwakabatana basa kunopfuurira maoko (seamstresses, programmers, uye vamwe).

mhedziso

Nokupfupikisa apa, tinogona kutaura kuti chokwadi chokuti chero, kunyange zvishoma kuvadza evaMedhia etsinga kungaita kuti irreparable nemigumisiro. Naizvozvo, kana imi pakarepo akacherechedza kuti minwe yake zvakaipa hwakakungwa, kazhinji kumanikidzika, kana vasingakwanisi kuita chibhakera, zvakanakisisa chiremba. Kana kukuvadzwa ruoko wezvokurapa zano uye rokuongorora kunokosha chaizvo. Zviri nani kuti kurapa zviduku kuchinja, pane kuita oparesheni, izvo Haapi vakada kunoguma Muzviitiko zvakaipisisa.