Ubundisholo Ezandleni? Inokuba kungenxa yokuQala amanqaku

intshayelelo

The izandla ngowona mboniso uphambili xa kufikwa kumzimba. Ziyakwazi ukuvakalisa iimvakalelo xa umntu ethetha, ziyakwazi ukuthwala izinto ukusuka kwenye indawo ukuya kwenye, kwaye xa kufikelelwa kwimidlalo, zinamandla abalaseleyo okubambelela. Izihlunu ezahlukeneyo, iintambo, iingcambu zemithambo-luvo, kunye nemigqaliselo ejikeleze amalunga ukubonelela ukusebenza kunye nokuhamba kwidijithi yomnwe ngamnye. Izandla nazo zinobudlelwane obukhulu kunye ne wrist kwaye iingalo ngenxa yokuba izihlunu kwi-forearms zihamba phantsi ukuya kwizandla ukuze zibonelele ukuhamba, ukuguquka, kunye nokwandiswa kweminwe. Nangona kunjalo, xa imisipha isetyenziswe ngokugqithiseleyo ukusuka kwiintshukumo eziphindaphindiweyo, kunokukhokelela ekuphuhlisweni kweentlungu ezigqithisene nezinye iimeko ezinokuchaphazela isandla kunye nezandla. Ukuza kuthi ga ngelo xesha, iingongoma ze-trigger zingaphuhliswa ngokuhamba kwexesha ukucela intlungu kwimisipha echaphazelekayo kwaye kubangele intlungu echazwe ukuba ichaphazele izandla. Inqaku lanamhlanje lijonga enye yezihlunu ezaziwa ngokuba yipalmaris longus, indlela amanqaku e-trigger achaphazela ngayo imisipha yesandla, kunye neendlela ezahlukeneyo zokulawula amanqaku okuqalisa ecaleni kwe-palmaris longus muscle. Sithumela izigulane kubaboneleli abaqinisekisiweyo abachwephesha kwizandla kunye nonyango lweentlungu zesandla ukubonelela ngoncedo kubantu abaphethwe yintlungu ye-trigger point ehambelana ne-palmaris longus muscles efumaneka esandleni. Sikwakhokela kwaye sazise izigulane zethu ngokuzithumela kubaboneleli bethu bezonyango abanxulumeneyo ngokusekelwe kuvavanyo lwabo xa kufanelekile. Siye safumanisa ukuba imfundo sisisombululo esikhulu ekubuzeni ababoneleli bethu imibuzo enzulu sisigulana esiyicelayo. UDkt Jimenez DC uthatha ingqalelo le ngcaciso njengenkonzo yemfundo kuphela. isikhanyeli

Yintoni iPalmaris Longus Muscle?

Ngaba ubukhe wajongana nokuba ndindisholo entendeni yezandla zakho? Ngaba ukhe waneengxaki zokubamba izinto ixesha elide? Okanye ngaba isihlahla sakho kunye nengalo yakho yangaphambili ibuhlungu rhoqo? Ukuba ukhe wahlangabezana nale miba igqubanayo, inokuba luphuhliso lwamanqaku okubangela ecaleni kwe-palmaris longus muscle. I palmaris ubude sisihlunu esincinci esiphambi kweengalo ze sifike ezantsi esihlahleni ukuze sidibane nezinye izihlunu kunye nemisipha yezandla. I-palmaris longus iphinda idibanise nophahla lwamathambo e-carpal tunnel, apho i-nerve median kunye ne-digital flexors tendons zihlala kwaye zibonelela ngokunyakaza. Ngokutsho kukaDkt Janet G. Travell, incwadi ye-MD, "Intlungu ye-Myofascial kunye nokungasebenzi kakuhle: I-Trigger Point Manual," umsebenzi we-palmaris longus muscle kukuguqula izandla kwisandla ngelixa ukwazi ukuxinzelela i-palmar fascia. Uphando lutyhila ukuba isihlunu sepalmaris longus sigoba isihlahla sibuthathaka njengesihlunu esincedisayo kwaye sithimbe ubhontsi ukuze sihambe. Esi sihlunu sikwathanda ukwenzakala njengoko sinokuvelisa iimpawu ezinjengeentlungu ecaleni kwesihlahla kunye nentende yezandla.

Amanqaku e-Trigger ayichaphazela njani imisipha yesandla?

Xa i-palmaris longus muscle iyancipha ngenxa yokulimala, inokuphuhlisa imiba engapheliyo enokubangela intlungu kwisandla kunye nezandla. Enye yeengxaki ezingapheliyo ezinokuchaphazela izihlunu zesandla kunye nezinye iingalo zangaphambili ngamanqaku e-trigger. Amanqaku e-Trigger angakhokelela ekuphuhlisweni kweentlungu ezigqithisiweyo kunye neengalo, iingalo kunye nezandla. Ukuza kuthi ga ngoku, amanqaku e-trigger anokulinganisa iimeko ezingapheliyo ezigqithisekileyo kunye nommandla ochaphazelekayo we-muscle. Ngoko xa amanqaku e-trigger eqala ukuchaphazela i-palmaris longus muscle, iimpawu ezinjengeentlungu zinokuxelisa i-carpal tunnel syndrome. Ngoku izifundo zityhila ukuba i-palmaris longus muscle ixhunywe kwi-nerve ye-median kunye ne-pathophysiology ye-carpal tunnel syndrome inokuthi idibanise phakathi kwezinto ze-anatomic kunye ne-systemic. Oku kubangela ukuba ingcambu ye-nerve median ixinzelelwe, ngaloo ndlela ibangela uxinzelelo kunye neentlungu ezandleni. Ukuza kuthi ga ngelo xesha, amanqaku aqalisayo kwi-palmaris longus muscle anokuthi asebenze ngokwenzakala ngokuthe ngqo. Eminye imizekelo enokubangela uphuhliso lwamanqaku abangelayo zezi:

• Izixhobo zokubamba ziqine kakhulu
• Ukwayama ngentonga
• Ukubamba irakhethi yentenetya ekupheleni komqheba
• Ukuwa kunye nokuwela ezandleni

Uninzi lwezi zenzo zinokubangelwa ukusetyenziswa ngokugqithiseleyo kunye nokubangela imiba kwi-palmaris longus muscle, ekhokelela kwiintlungu ezingafunekiyo kunye neempawu zokulimala kwemisipha.

Amanqaku okuqalisa kwiPalmaris Longus-Ividiyo

Ngaba ufumana nakuphi na ukuva ukuba ndindisholo entendeni yezandla zakho? Kuthekani ngokuziva iimpawu ze-carpal tunnel syndrome ecaleni kwesandla sakho? Okanye ngaba ukhe waziva iintlungu neentlungu emaphahleni akho? Ezinye zezi mpawu zihambelana nophuhliso lwamanqaku e-trigger ecaleni kwe-palmaris longus muscle. I-palmaris sisihlunu esincinci phambi kweengalo zezandla kwaye ihamba phantsi ukuya esihlahleni ukuze idibanise kunye nayo yonke imisipha yemisipha yezandla. Xa iziganeko ezibuhlungu ziqala ukuchaphazela kwaye zilimaze i-palmaris longus, inokuphuhlisa amanqaku e-trigger kwaye ibangele ukuba intlungu ikhuphe phantsi kwizandla kunye nezandla. Ividiyo engentla ichaza apho i-palmaris longus muscle ikhona kunye nendlela i-trigger points eyenza ngayo iimpawu ezinjengeentlungu ezifana nezimo ezingapheliyo ezifana ne-carpal tunnel syndrome. Uphando lutyhila ukuba xa i-nerve median (edityaniswe ne-palmaris longus muscle) ibanjwe, ibangela ukuba i-trigger points ilinganise iimpawu ze-carpal tunnel syndrome. Owu, yonke into ayilahlekanga, njengoko kukho iindlela ezahlukeneyo abantu abaninzi abanokusebenzisa ukuthomalalisa iintlungu kwi-palmaris longus izihlunu kunye nokulawula amanqaku okuqalisa ukusuka ekuphuhliseni ngakumbi.

Ubuchwephesha obahlukeneyo bokulawula amanqaku e-Trigger kwimisipha yesandla

Xa kuziwa ekulawuleni amanqaku e-trigger kwimisipha yesandla kunye ne-palmaris longus muscle, abantu abaninzi baya kufaka amayeza ahlukeneyo ukunciphisa ukuvuvukala okubangelwa yintlungu kwi-muscle echaphazelekayo kunye nokulawula amanqaku okubangela ukuba kubangele imiba emininzi kwimisipha echaphazelekayo. Unyango olufana nokuphulula umphambili ezandleni kunokunceda ukukhulula amanqaku okuqalisa kwi-palmaris longus muscle. Kuyavunywa, kuya kubakho ukuxubha okungafunekiyo, kodwa iziphumo zithintela amanqaku exesha elizayo ukuba enze isisipha. Obunye ubuchule kukubeka ipaneli yokufudumeza kwi-forearm ukukhulula izihlunu ezixineneyo kunye nokunciphisa iintlungu. Kwaye ekugqibeleni, ukuzolula ngobumnene kunye nokunciphisa ukubamba okuqinileyo kunokuthintela ukuqina kwe-palmaris longus muscle kwaye komeleze izihlunu ezidityaniswe ne-palmaris longus muscle.

isiphelo

Ngokumalunga nomzimba, izandla zinomsebenzi obaluleke kakhulu njengoko zinika amandla okubamba kwaye zinobudlelwane obukhulu kwisihlahla kunye neengalo. I-palmaris longus muscle yincinci encinci phambi kweengalo kwaye idibanisa kwiimisipha ezahlukahlukeneyo kunye neentambo zezandla kunye nezandla. Xa ukulimala okulimazayo kuchaphazela i-palmaris longus muscle, inokuphuhlisa amanqaku e-trigger ahambelana neempawu ze-carpal tunnel. Xa amanqaku e-trigger echaphazela i-palmaris longus muscle, inokubangela iimpawu zentlungu kunye nokuxhamla kwisandla kunye nezandla, okubangela ukuba umntu alahlekelwe amandla akhe okubamba. Ngombulelo, iindlela ezahlukeneyo zokulawula kunye nokunyanga amanqaku e-trigger kunokunciphisa umgangatho wentlungu kwi-forearm kunye nesihlahla ngelixa ubuyisela amandla okubamba ezandleni.

Ucaphulo

Boltuch, Andrew D, et al. "I-Palmaris Longus kunye noMbutho wayo kunye neCarpal Tunnel Syndrome." Ijenali yoTyando esihlahleni, Thieme Medical Publishers, Inc., Dec. 2020, www.ncbi.nlm.nih.gov/pmc/articles/PMC7708024/.

Cooper, uDavid W, kunye noBracken Burns. "I-Anatomy, igxalaba kunye neLingu eliPhezulu, i-Palmaris Tendon yesandla." Ku: StatPearls [Internet]. Isiqithi saseTreasure (FL), StatPearls Publishing, 3 Septemba 2021, www.ncbi.nlm.nih.gov/books/NBK519516/.

U-Ioannis, uDimitriou, kunye nabanye. "I-Palmaris Longus ye-Muscle ye-Palmaris Longus kwiZizwe ezahlukahlukeneyo kunye neeNguqulelo ezinomdla ze-Anatomical: ukuphononongwa koLuncwadi." Ijenali yoPhando lwezonyango lwezonyango, Elmer Press, Nov. 2015, www.ncbi.nlm.nih.gov/pmc/articles/PMC4596262/.

Meder, Marek A, et al. "Ukuthembeka koVavanyo lwe-Infraspinatus kwiCarpal Tunnel Syndrome: iSifundo seKlinikhi." Ijenali yoPhando lweKlinikhi kunye noDiagnostic : JCDR, UPhando lwe-JCDR kunye noPapasho (P) Limited, ngoMeyi 2017, www.ncbi.nlm.nih.gov/pmc/articles/PMC5483796/.

Travell, JG, et al. Iintlungu ze-Myofascial kunye nokungasebenzi kakuhle: I-Trigger Point Manual: Vol. 1:Isiqingatha esiPhezulu soMzimba. Williams & Wilkins, ngo-1999.

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