Ko te karere waenga o te tangata: ko te whakaahuatanga o te tinana, me te hanganga āhuatanga. Tohu o te karere tau waenga

Ko te tinana tangata - he maha nui o raru, he reira ratou te hunga e kawenga mō te kaupapa o nga waewae, ringa, me ētahi atu mahi. Hei tauira, i roto i te ringa o te tangata e toru matua: toropā, tau waenga, raru ulnar. Kōpeketanga o te karere waenga ranei whara tetahi atu ranei i taea e arahi ki raruraru nui ki te nekehanga ringa. Ko te pā ana ki reira, kōrero tatou i tenei ra, ako matou e pā ana ki ona āhuatanga, te wāhi, te pathologies matua.

anatomy

Ko te karere waenga - ko tetahi o nga raru nui o te plexus brachial tenei. Taketake reira i te aho o te plexus brachial, kaua ranei, i runga i te lateral me medial. I roto i te rohe pokohiwi, wa kei roto i te haehae o uarua roto te tahi atu raru ko katoa. I tua atu ki raro i te mua o te ringa i roto i te kohao i roto i te whatīanga ki te kikowhiti, e te kei rawa wa i waenganui i te matitoro flexor - hohonu, me te pāpaku. Te reira i toro atu i roto i te wāhanga o raro o te haehae waenganui, me te i roto i te kauhanga carpal mihi te nikau. I roto i te palmar wehea aponeurosis ki toru nga peka kāpeka e hua atu e whitu maihao raru takitahi.

Te karere tau waenga i roto i te kikowhiti innervates kore e rua anake o te pronator, engari flexors. Ko te okotahi Ko te flexor ulnar o ringa me te hawhe o te flexor hohonu, te kawenga mō te nekeneke mahi o te maihao. Ka rite ki mo te ringa, i konei ko ia te kawenga mō te uaua o te koromatua, me te rua kutukutu-rite, te waenganui o te nikau me te taha palmar o ahau-III me IV maihao hawhe.

mahi io

Ia o nga raru i roto i te tinana tangata te kawenga mō ngā mahi motuhake. Hei tauira, whakarato te karere tau waenga te flexion me toronga o toru maihao o te ringa: ko te koromatua, taupū me te waenganui. I tua atu, ko ia te kawenga mō te taa i waenganui i te koromatua, me te kikowhiti pronation.

Uaua atrophy ki te whara tino maha whakahuatia te reira i roto i te tikanga. Ko te hua ko te flattening o te nikau o tou ringa, a ka kawea mai hanga te koromatua he tino rite ki te wae o te makimaki te paraihe. Ki te tautuhi i ā te kino o te karere, ka waiho reira ranea ki te kitea phalanges kāpeka rehunga o rua maihao - taupū me te waenganui.

Tino maha, haere mai tūroro ki te tākuta ki te amuamu e rave rahi maihao i tetahi ringa e kore ratou e rongo. ite ratou hūhi i roto i o koutou ringa, a whakakitea ana e ratou neuropathy o te karere waenga neuritis whatu ranei, me te kino io. Ko te aha te mea tenei mate e ai me tohu e whai ratou?

Te karere waenga: whara

kino io - he rawa, he huru noa, meinga nei e arumanga oti te kanohi ranei o te kātua karere tenei. kia puta kino kati tika ki kōpeketanga o kiko ahanoa ke ngohengohe, hei tauira, ki te i te tangata i raro i te puehu, ka patua ki te ahanoa puhuki. Puku, whatiwhatinga wheua i roto i te whati taea kino hoki te karere. Ka taea e whara tuwhera tupu ki te tapahia te tangata ia ranei riro he patunga pū i roto i te ringa.

whakaora io kikokiko rawa hei painga, pera i roto i tenei ahua o pāpaka i roto i te wahi distal o te karere e taea tino hohoro whakawhanake Wallerian e hōloa - he tukanga i roto i nei i reira he absorption o te kiko manavasii, a kua whakakapia reira ki nawe kiko tūhonohono. reira i te mea ki te whakarite e te putanga o te maimoatanga he pai, kahore he tangata e taea, i roto i te mutunga kei te fariiraa i te manawanui he hauātanga.

kino io: akomanga

Ko te karere tau waenga o te ringa, i runga i kua ranei kua pakaru reira rānei, kia whakapataritari reira etahi pathologies:

• Pōro. I roto i tenei take, e kore abnormalities morphological me kikokiko kite. hoki te tairongo me te nekehanga mahi i muri i te 15 anake meneti i muri i te wharanga.
• Whara. Ko e tika ana ki te meka tenei huru e te haere tonutanga kikokiko o te kātua karere ko tonu reira, engari kua pakaru anga epineural, a i roto i tomo karere toto. Ki te taua i whakahokia e te mahi pūkaha pakaru te i muri i anake te marama.
• Impaction. A, no te kite pakeke o disorders te māuiuitanga, a tei reira ki runga ki te pakeke, me te roanga o te kōpeketanga, i reira kia kia maumaui iti, engari i reira he take taumaha tono anake te wawaotanga taote.

• faaite kino Motunga rite mate o mahi takitahi. I roto i tenei take, e kore e te mahi ano ora, anake mahi e hiahiatia ana.
• break Full - i roto i te āhua i homai te papanga te karere ki mutunga motuhake e rua - piringa, me te pokapū. Ki te kore koe e tango i mehua nui i roto i tenei take, whakakapia te kongakonga waenganui e te wahi iti o te kiko nawe. e kore e mahi ake ora, uaua te maumauria e ka ake i ia ra, kitea atu disorders arataukai. I roto i tenei take, ka taea e tauturu i te reira anake te mahi, engari i te reira e kore ano hoki e hua tonu te hua e hiahiatia ana.

Ka taea te pāngia Neuritis neuropathy ranei o te karere waenga i te wā wawe, me te mahi e tika ana ki te, ko reira taea ki te whakaora i tenei māuiuitanga, kahore tetahi hopearaa.

Ko te take o te neuropathy

E fehangahangai maha rawa ngā iwi i roto i te ao ki te take rite ringa neuropathy. Tino maha te whai pānga te reira ki te rohirohi, te kore o te moe, a ki te he pai okiokinga, moe koe, ka tangohia nga mea katoa wahi, engari i roto i te meka e kore e pera.

Ko te tikanga mononeuropathy - kore o tetahi o nga muka karere, tino maha whakawhanake tika ki te meka i reira he clamping karere i te wāhi i reira haere ai i raro i te mata kiri ranei i roto i awa wheua kuiti. kia maha ngā take o neuropathy:

• pehia wawaotanga hāparapara, i roto i te wahi i reira kawea te mahi i roto i te toto ki te wa mutu ki te porotītiti tika, e te mutunga arata'i ki huamo me uaua atrophy, me te ki te meka e kua kōpeke te raru;
• whara ki nga ringa, i roto i nei whakawhanakehia ngawhatanga, ārahi ki kōpeketanga o te karere;
• hauhauaitu auau;
• te rongo;
• kawenga kaha i runga i te uaua o nga ringa;

• endocrine māuiuitanga, pā tenei ki te wharewhare;
• haurangi;
• kore o te huaora B;
• huamo;
• mate whanau: herpes, malaria, diphtheria, mate kohi, me te ara HIV;
• whakamahi wā roa-o taero, hei wāhanga o e reira he phenytoin me chloroquine.

tohu o te neuropathy

Torutoru o nga tūroro haere ki te hōhipera i te tohu tuatahi o te māuiuitanga, maha e ngana ana ki te whakamahi i rongoā iwi. Hinu, kokopi, engari e kore e tonu he reira te kupu taea ki te whakaora i te karere waenga, kia hiti mai te tohumate me te kia noa atu whakapeka. faaite māuiuitanga ake i roto i te puka o tahu mamae, e haere tahi i te manawanui, puta noa i te ra, a ki reira he kōpā i te maihao, ringa, a tae noa tino ringa. I tua atu, kia puta atu tohu:

• huamo;
• mamae me haehae;
• mania sensation i runga i te kiri;
• whakaiti pāmahana tūtohutanga;
• mate o te ruruku;
• uaua i roto i te kaupapa ki ona ringa.

A, no te toro koe i te tākuta koe ranei, i te kāinga, he mea ka taea hoki ki te disorders kaupapa whakatau mēnā he neuritis manawanui, neuropathy o te karere waenga, e kore ranei.

Whakamāramatanga o disorders nekeneke o te karere waenga

Hei whakatau i te disorders kaupapa i pēpēhinga tetahi atu lesion o te karere waenga ranei, kia tūtohu te tākuta enei whakamātautau:

• ki te hanga koe i te ringa, ka ki tenei wāhi te taupū, me te noho unbent etahi maihao nui, me te waenganui, me te tahi atu maihao rua i runga i tona ringa kia pakeke aki e taea e ratou uaua ki te tuku haere noa na;
• ki te patu i te karere waenga, ko te manawanui i roto i te whakawhitinga o maihao kore e taea e ki te takahuri hohoro tou koromatua a tawhio noa te koromatua ringa pā hauora, kei te tuku tenei tauira ki rite "mira";
• e kore e te manawanui e taea ki te Aotea te maihao taupū runga i te tepu, ka taea e anake tiki e ia te waku o nga phalanges distal, ia patoto tika ratou, i tenei wāhi te paraihe i runga i te tepu ranei;
• ki te takai tahi rua ringa, e kore e taea ki te Aotea te hauora te maihao taupū o te ringa pakaru;
• e kore e taea e te manawanui te tango koutou koromatua kia taea e ia te hanga i te koki tika ki tou ringa taupū.

Ki te i muri i te whakahaere i te tirohanga ataata i reira he taupatupatu i roto i te kaupapa o te maihao, e tūtohu ana ki te tika i te whakamātautau whānui.

tātaritanga o te mate

I mua i te whiriwhiri koe i te maimoatanga tika, e hiahia ana koe ki te mamae i te whakamātautau tonu i te toketā neave, ko wai e aromatawai i te reflexes, uaua kaha, ka whakahaere whakamātautau motuhake me ngā whakamātautau.

Mai i ngā tikanga tātaritanga mauhaa e pai hāngai:

• electroneuromyography;
• ako X-ray;
• atahanga autō.

Kua kitea ēnei rangahau, te wahi i pakaru te karere, kitea i roto i te mea i te take o te mate, me ki te tautuhi i te tohu o te kore i roto i te kawenga. Ki te tika, tohutohu i te manawanui ki te haere me te taiwhanga whakamātautau, ka anake e taea tika tātari me te tīpako i te therapy whai hua tino.

maimoatanga o te mate

whiriwhiri te maimoatanga o te karere waenga te takitahi hoki ia manawanui, no te mea kia rerekē, me te tohu o te kino i te katoa te take o te mate. I roto i te maimoatanga, kia huihui koutou tākuta ki te causal maimoatanga. I roto i tenei maimoatanga ngā paturopi, māngai patu huaketo me iaia.

I tua atu, whakatakoto te tākuta anti-fariiraa me decongestants homai hoki pai hua i tua, te mirimiri me te therapy tinana.

I roto i aua wā i reira i kitea ai e romia te karere te, ko reira e tika ana ki te whakakore i te take. I roto i tenei take, e hiahia ana matou he therapy taumira kaha, engari ki te whakapau i te reira, e hiahia ana koe ki te tīmata ki te momo o whākōkī, me te ki kia absorbable me fakamolū tikanga kiko nawe. He take e therapy ā-me te mirimiri ka āwhina i koe ora hohoro i tohu katoa.

Treatment ki kia whai hua, he mea e tika ana ki te kawe i roto i hangaia anō tukanga, i te mea e tika ana i roto i te take ngā, whakatau ki te whakaora.

Ki te whara te karere waenga, i roto i nei take e hiahia ana koe ki te whakatau i rite te mea tikanga o te maimoatanga he whai hua - momo operative ranei. e tūtohu ana ki te pupuri i te myography ngira, e taea te whakamahi i te reira ki te whakatau tika te tohu o te kino.

ārai

Ko te hinganga o te karere waenga - ko te huru taumaha e, ki te kore riro tetahi mehua ki whakahokia te mahi pūkaha o te maihao, ka kia taea tenei. Ka rite ki te tikanga ārai e whakamahia ana ki te āwhina i haerenga, ngā tukanga pūkoro he hoki te wa tino nui ki te hamani mate hopuhopu. I tua atu, kia meatia e koutou auau mahi mo te ringa, rawa ki te hono mahi o te manawanui kei ki te ringa mahi haere tonu (tuahine nira ahu, hötaka, me ētahi atu).

mutunga

Whakarāpopoto i te runga ake, ka taea e tatou te mea mo te tino e tetahi, ara te kino iti ki te karere waenga taea arahi ki hopearaa tūnguru. Na reira, ki te ohorere koutou kite ai ona maihao piko kino, he ratou maha kōpipiri, he taea ki te hanga i te motokia ranei, he reira pai ki te kōrero i te tākuta. A, no te Ko te tino nui whara ringa tohutohu hauora me te tirohanga. He pai ki te whakaora huringa iti, i te ki te mahi i te mahi, e kore nei e hoatu ano nga hua e hiahiatia ana i roto i ngā take kino.