Chigongono (kuchokera ku liwu lachilatini ulna) ndi cholumikizira chapamwamba chomwe chimalumikiza mkono ndi mkono.

kapangidwe. Chigongonochi chimapanga mphambano pakati pa:

• mapeto akutali a humer, fupa lokhalo pa mkono;
• malekezero apakatikati a radius ndi ulna (kapena ulna), mafupa awiri a mkono.

Mapeto oyandikira a ulna amapanga fupa la mafupa, lotchedwa olecranon, ndipo limapanga mfundo ya chigongono.

zimfundo. Chigongono chimapangidwa ndi mfundo zitatu (1):

• nsonga ya humero-ulnar, yolumikiza humeral trochlea, mu mawonekedwe a pulley, ndi throchlear notch ya ulna (kapena ulna). Malo awiriwa ali ndi chichereŵechereŵe;
• nsonga ya humeral-radial yolumikiza capitulum ya humer ndi dimple radial;
• cholumikizira cha radio-ulnar cholumikizira mbali ziwiri za radius ndi ulna mozungulira.

Kuikidwa. Dera la chigongono ndi malo oyikamo minofu yambiri ndi mitsempha yomwe imalola kuyenda kwa chigongono ndikusunga dongosolo.

Kusuntha kwa zigongono. Chigongono chimatha kuchita mayendedwe awiri, kupindika, komwe kumabweretsa mkono pafupi ndi mkono, ndi kukulitsa, komwe kumayenderana ndi kusunthaku. Kusunthaku kumachitika makamaka kudzera pagulu la humero-ulnar komanso pang'onopang'ono kudzera pagulu la humero-radial. Chotsatiracho chimakhudzidwa ndi kayendetsedwe ka kayendetsedwe kake ndi matalikidwe, omwe amatha kufika 140 ° pafupifupi. (2)

Kusuntha kwa mkono. Kulumikizana kwa chigongono, makamaka cholumikizira cha radio-ulnar komanso pang'ono cholumikizira cha humero-radial, chimakhudzidwa ndikuyenda kwapatsogolo kwa pronosupination. Pronosupination imapangidwa ndi mayendedwe awiri osiyana (3):

- The supination movement zomwe zimapangitsa kuti chikhatho cha dzanja chikhale chokwera

- Katchulidwe ka mawu zomwe zimapangitsa kuti chikhatho cha dzanja chikhale cholunjika pansi

fractures. Chigongono chimatha kudwala fractures, chimodzi mwazomwe zimachitika pafupipafupi ndi olecranon, yomwe ili pamtunda wa proximal epiphysis ya ulna ndikupanga mfundo ya chigongono. Kuphulika kwa mutu wa radial kumakhalanso kofala.

kufooka kwa mafupa. Matendawa amapangitsa kuchepa kwa mafupa omwe amapezeka mwa anthu azaka zopitilira 60. Imakulitsa kufooka kwa mafupa ndikulimbikitsa mabilu (4).

Mphatso. Amawonetsa ma pathologies onse omwe amatha kuchitika mu tendons. Zizindikiro za ma pathologieswa makamaka kupweteka kwa tendon panthawi yolimbitsa thupi. Zomwe zimayambitsa ma pathologies awa zimatha kukhala zosiyanasiyana. Epicondylitis, yomwe imatchedwanso epicondylalgia, imatanthawuza kupweteka komwe kumachitika mu epicondyle, dera la chigongono (5).

Tendinitis. Amatchula tendinopathies yokhudzana ndi kutupa kwa tendon.

Chithandizo cha mankhwala. Malingana ndi matenda omwe amapezeka, mankhwala osiyanasiyana amatha kuperekedwa kuti athetse kapena kulimbitsa minofu ya mafupa, komanso kuchepetsa ululu ndi kutupa.

Chithandizo cha opaleshoni. Malingana ndi mtundu wa fracture, opaleshoni ikhoza kuchitidwa ndi, mwachitsanzo, kuyika mbale yowonongeka, misomali kapena ngakhale fixator kunja.

Zojambulajambula. Njira yochita opaleshoni imeneyi imalola kuti mafupa aziwonetsedwa ndikugwiritsidwa ntchito.

Chithandizo chakuthupi. Njira zochiritsira zolimbitsa thupi, kudzera muzochita zolimbitsa thupi, nthawi zambiri zimaperekedwa monga physiotherapy kapena physiotherapy.

Kufufuza mwakuthupi. Kuzindikira kumayamba ndikuwunika kupweteka kwapakhosi kuti adziwe zomwe zimayambitsa.

Kuyesa kuyerekezera kwachipatala. X-ray, CT, MRI, scintigraphy kapena mafupa a densitometry angagwiritsidwe ntchito kutsimikizira kapena kukulitsa matendawa.

Epicondylitis yakunja, kapena epicondylalgia, ya chigongono imatchedwanso "chigongono cha tennis" kapena "chigongono cha wosewera mpira" chifukwa amapezeka pafupipafupi pamasewera a tennis. (6) Ndizochepa kwambiri masiku ano chifukwa cha kulemera kopepuka kwa ma racket apano. Kuchepa, epicondylitis yamkati, kapena epicondylalgia, imatchedwa "golfer's elbow".