Zamkatimu
Zida zakutsogolo
Mbali yakutsogolo ndi gawo la nthambi yakumtunda yomwe ili pakati pa chigongono ndi dzanja.
Anatomy yakutsogolo
kapangidwe. Dzanja lake limapangidwa ndi mafupa awiri: utali wozungulira ndi ulna (womwe umadziwika kuti ulna). Amalumikizidwa limodzi ndi nembanemba yosakanikirana (1). Pafupifupi minofu makumi awiri imakonzedwa mozungulira mzerewu ndipo imagawidwa kudzera m'magulu atatu osiyana:
- chipinda chamkati, chomwe chimasonkhanitsa minofu ya flexor ndi pronator,
- chipinda cham'mbuyo, chomwe chimabweretsa pamodzi minofu yotulutsa,
- chipinda chakunja, pakati pazipinda ziwiri zam'mbuyomu, zomwe zimabweretsa pamodzi ma extensor ndi supinator minofu.
Kusakhazikika komanso kupatsa mphamvu. Kusungidwa kwa mkono kumathandizidwa ndi mitsempha itatu yayikulu: mitsempha yapakatikati ndi yam'mimbamo m'chipinda cham'mbuyo komanso mitsempha yozungulira kumbuyo ndi m'mbali. Magazi omwe amatulutsidwa kumapeto kwenikweni amapangidwa ndi mtsempha wamagazi ndi mtsempha wamagazi.
Kusuntha kwa mkono
Utali wozungulira ndi ulna zimaloleza mayendedwe amtsogolo. 2 Kutanthauzira kumapangidwa ndi magulu awiri osiyana:
- Gulu loyendetsa: yendetsani chikhatho cha dzanja m'mwamba
- Kayendedwe katchulidwe: kalozetsani chikhatho cha dzanja pansi
Kusuntha kwa dzanja ndi zala. Minofu ndi minyewa yakutsogolo imakulitsa kukhala gawo la minofu yamanja ndi dzanja. Zowonjezera izi zimapatsa patsogolo mayendedwe otsatirawa:
- kugwidwa ndi kuchotsa dzanja, zomwe zimapangitsa kuti dzanja lisunthire kapena kuyandikira thupi
- kupindika ndi kusuntha kwa zala.
Zovuta zam'mimba
fractures. Kutsogolo kwake nthawi zambiri kumakhala komwe kumang'ambika, kaya ndi utali wozungulira, ulna, kapena zonse ziwiri. (3) (4) Timapeza makamaka kuphulika kwa Pouteau-Colles pamlingo wa utali wozungulira, ndi wa olecranon, womwe umapanga nsonga ya chigongono, pamlingo wa ulna.
kufooka kwa mafupa. Kutayika kwa mafupa ndi chiopsezo chowonjezeka cha fractures mwa anthu opitilira zaka 60.
Mphatso. Amatchula zovuta zonse zomwe zimatha kuchitika pam tendon. Zizindikiro za matendawa ndizopweteka kwambiri mu tendon mukamayeserera. Zomwe zimayambitsa matendawa zimatha kukhala zosiyanasiyana. Kutsogolo kwake, epicondylitis, yotchedwanso epicondylalgia, imanena za ululu womwe umawonekera mu epicondyle, dera la chigongono. (6)
Tendinitis. Amanena za tendinopathies yokhudzana ndi kutukusira kwa tendon.
Mankhwala amtsogolo
Chithandizo chamankhwala. Kutengera matenda, njira zosiyanasiyana zitha kuperekedwa kuti zithetse kapena kulimbitsa minofu ya mafupa kapena kuchepetsa kupweteka ndi kutupa.
Chithandizo cha opaleshoni. Kutengera mtundu wovulala, opareshoni imatha kuchitidwa ndi, mwachitsanzo, kuyika zikhomo, mbale yoluka kapena chosinthira chakunja.
Mayeso a forearm
Kuyesedwa kwakuthupi. Matendawa amayamba ndikuwunika kupweteka kwa mkono kuti adziwe zomwe zimayambitsa.
Kuyeza zamankhwala. X-ray, CT, MRI, scintigraphy kapena bone densitometry mayeso atha kugwiritsidwa ntchito kutsimikizira kapena kukulitsa matendawa.
Mbiri ndi zophiphiritsa za mkono
Epicondylitis yakunja, kapena epicondylalgia, ya chigongono chimatchulidwanso kuti "chigongono cha tenisi" kapena "chigongono cha osewera tenisi" popeza zimachitika nthawi zonse m'masewera a tenisi. (7) Sizodziwika kwenikweni masiku ano chifukwa cha kulemera kopepuka kwamapaketi apano. Pafupipafupi, epicondylitis wamkati, kapena epicondylalgia, amadziwika kuti "chigongono cha golfer".