A tsakãtsaki jijiya mutum: da bayanin Anatomy da kuma tsarin fasali. Alamun tsakãtsaki ce jijiya

A jikin mutum - a manyan yawan jijiyoyi, shi ne su, sũ ne ke da alhakin motsi na kafafu, hannaye, da kuma sauran ayyuka. Alal misali, a hannun wani mutum uku main: radial, tsakãtsaki ce, ulnar jijiyoyi. Matsawa da tsakãtsaki ce jijiya ko rauni ko kuma wani zai iya kai ga tsanani matsaloli tare da hannun ƙungiyoyi. Shi ke nan game da shi, mu yi magana a yau, mun koyi game da fasali, da wuri, da babban pathologies.

haltta

A tsakãtsaki jijiya - wannan shi ne daya daga cikin mafi girma a jijiyoyi da brachial plexus. Yana fãra daga cikin igiyoyi na brachial plexus, ko kuma wajen, a kaikaice da kuma tsakiya. A kafada yanki, dace located a cikin tsagi na biceps cikin dukan sauran jijiyoyi. Kara saukar da gaban hannun ta cikin rami a gwiwar hannu zuwa hannu da dantse, wanda aka sosai dace located tsakanin flexor digitorum - zurfi da kuma m. Ya kara kara a cikin ƙananan sashe na tsakiya tsagi, kuma a cikin carpal rami kuskure da dabino. A palmar aponeurosis kasu kashi uku m rassan wanda samar da karin yatsa bakwai mutum jijiyoyi.

A tsakãtsaki jijiya a hannu da dantse innervates ba kawai biyu na pronator, amma flexors. A ware ne da ulnar flexor na wuyan hannu , kuma rabi daga cikin zurfin flexor, alhakin mota aiki na yatsunsu. Amma ga hannunka, a nan shi ke da alhakin tsokoki na yatsa da kuma biyu tsutsa-kamar, tsakiyar dabino da palmar gefe na I-III, da IV yatsunsu rabin.

jijiya aiki

Kowace daga cikin jijiyoyi a jikin mutum alhakin takamaiman ayyuka. Alal misali, tsakãtsaki ce jijiya samar da lankwashewa da tsawo na uku yatsunsu na hannu: da yatsa, index da kuma tsakiyar. Bugu da kari, ya ce ke da alhakin bambanci tsakanin yatsa da kuma hannu da dantse Juyawan kafar zuwa kasa.

Muscle atrophy idan an raunana mafi sau da yawa da aka bayyana a cikin mawaki. A sakamakon haka ne flattening na dabino daga hannunka, da kuma kawo babban yatsan sa goga ne sosai kama da biri da dungu. Don hannu gane da lalacewar na jijiya, shi zai zama isa ya gane maganin sa barci m phalanges na biyu yatsunsu - index da kuma tsakiyar.

Sau da yawa sosai, marasa lafiya zo likita da gunaguni cewa da dama yatsotsin hannu suka kada ka yi ɗã'ã. Suna jin rashin jin daɗi a cikin hannãyenku, kuma suka saukar da neuropathy na tsakãtsaki ce jijiya ko na gani neuritis, kazalika da jijiya lalacewa. Amma abin da yake da wannan cuta wadda sa da kuma bayyanar cututtuka ba su yi?

A tsakãtsaki jijiya: rauni

jijiya lalacewar - wannan shi ne quite na kowa yanayin, wanda ake sa ta da cikakken ko m katsewa na jijiya akwati. An Rufe lalacewar iya faruwa saboda matsawa da taushi nama waje abu, misali, idan wani mutum kasance a karkashin kufai a karkara, a lokacin da aka buga da wani m abu. Ƙari, kashi, niƙaƙƙun gaɓãɓuwa a lokacin karaya ma iya cuta da jijiya. Open raunin iya faruwa idan wani mutum ya sare kansa ko samu wani raunin harbin bindigar a hannu.

jijiya nama regenerate sosai talauci, kamar yadda a cikin wannan irin raunuka a distal ɓangare na jijiya iya sosai da sauri ci gaba Wallerian degeneration - wani tsari a lokacin da akwai sha na cikin juyayi nama, kuma shi ne ya maye gurbin tare da tabo connective nama. Saboda haka ya tabbatar da cewa sakamakon da magani ne m, babu wanda zai iya, a karshen haƙuri ne samun wata tawaya.

Jijiya lalacewar: azuzuwan

A tsakãtsaki jijiya daga hannun, dangane da ko an lalace, shi iya tsokana wasu pathologies:

• Girgizawa. A wannan yanayin, morphological da kuma ilimin Halittar Jiki munanan ba gani. Ƙima da kuma motsi ayyuka koma bayan kawai minti 15 bayan rauni.
• Rauni. Wannan yanayin ne saboda gaskiyar cewa ilimin Halittar Jiki cin gaba na jijiya akwati ne har yanzu ba, amma epineural harsashi suna karya, kuma a jijiya jini shiga. Tare da irin wannan lalace motor aiki ne a mayar da kawai bayan wata daya.
• Impaction. Lokacin da Pathology lura mai tsanani da cuta, da kuma shi ya dogara da tsanani da tsawon matsawa, akwai iya zama qananan faru, amma akwai tsanani lokuta bukata kawai likita shiga tsakani.

• M lalacewar bayyana a matsayin asarar mutum ayyuka. A wannan yanayin, da aiki da kanta ba warke, kawai aiki da ake bukata.
• Cikakken hutu - a ba jihar da jijiya an rabe biyu raba karshen - gefe da kuma tsakiyar. Idan ba ka yi tsanani matakan a cikin wannan harka, tsakiyar gutsure ana maye gurbin da karamin sashi na tabo nama. Own ayyuka ba warke, tsoka wasting kowace rana zai kara, kara lura trophic cuta. A wannan yanayin, shi ne kawai zai iya taimaka cikin aiki, amma, kuma ba ko da yaushe nuna da ake so sakamakon.

Neuritis ko neuropathy na tsakãtsaki ce jijiya za a iya bincikar lafiya a wani wuri mataki da kuma daukar dace mataki idan, yana yiwuwa ya warkar da wannan Pathology, ba tare da wani sakamakon.

A Sanadin neuropathy

Kuma mutane da yawa a duniya suna fuskantar wani batun kamar neuropathy hannuwanku. Very sau da yawa shi ake dangantawa da gajiya, rashin barci, da kuma idan kana da mai kyau sauran, barci, duk abin da zai faru, amma a gaskiya shi ne, ba haka.

Yawancin lokaci mononeuropathy - gazawar da daya daga cikin jijiya zaruruwa, mafi sau da yawa tasowa saboda gaskiyar cewa akwai clamping jijiya a batu inda shi wuce a kasa cikin fata surface ko a kunkuntar kashi canals. Sanadin neuropathy iya zama da dama:

• halartar m baki, a cikin wurin da aiki da aka za'ayi jini da lokaci daina kewaya yadda ya kamata, abin da kyakkyawan take kaiwa zuwa kumburi da tsoka atrophy, kazalika da gaskiyar cewa jijiyoyi suna matsa.
• rauni zuwa hannuwa, a lokacin da ɓullo da kumburi, abu don matsawa da jijiya.
• m hypothermia.
• fiddawa.
• karfi load a kan tsokoki na makãmansu.

• endocrine Pathology, wannan yana zartuwa ga masu ciwon sukari.
• maye.
• rashin B bitamin.
• ƙaruwa.
• haifa cututtuka: herpes, zazzabin cizon sauro, diphtheria, da tarin fuka da kuma ko da HIV.
• dogon lokacin da amfani da kwayoyi, a matsayin wani ɓangare na abin da akwai phenytoin da chloroquine.

bayyanar cututtuka na neuropathy

'Yan daga cikin marasa lafiya zuwa asibiti a farko alamar Pathology, sau da yawa kokarin amfani da jama'a magunguna. Man shafawa, compresses, amma ba ko da yaushe shi ne kamar haka yiwu in warkar da tsakãtsaki ce jijiya, da cututtuka iya sake bayyana da kuma zama ma fi m. Pathology bayyana kanta a cikin nau'i na kona zafi, wanda bi da mãsu haƙuri a ko'ina cikin yini, kuma akwai numbness a cikin yatsunsu, hannuwanku, kuma ko da gaba daya hannun. Bugu da kari, wasu cututtuka na iya bayyana:

• ƙaruwa.
• spasms da kuma convulsions.
• tingling abin mamaki a kan fata.
• rage zafin jiki ƙwarai.
• asarar daidaituwa.
• wahala a motsi da hannunsa.

A lokacin da ka ziyarci likita ko da kanka, a gida, yana yiwuwa ga motsi cuta domin sanin ko a haƙuri neuritis, neuropathy na tsakãtsaki ce jijiya, ko ba.

Definition na mota cuta na tsakãtsaki ce jijiya

Don sanin ko motsi cuta a squeezing ko wani rauni daga cikin tsakãtsaki ce jijiya, likita zai iya bayar da shawarar da wadannan gwaje-gwaje:

• idan kun yi dunkulallen hannu, sa'an nan a wannan lokaci da index, kazalika da wasu manyan da kuma tsakiyar yatsunsu kasance unbent, da kuma sauran biyu yatsunsu a hannunsa don haka da wuya guga man da cewa ba za su iya zama da wahala a bari tafi har sai.
• idan buga da tsakãtsaki ce jijiya, da mãsu haƙuri ne a mararraba na yatsunsu ba su iya sauri juya yatsa kusa da abin ya shafa da hannunka thumb lafiya, wannan samfurin da aka kira a matsayin "niƙa".
• da haƙuri ba za su iya zuwa karce da index yatsa a kan tebur, ya iya kawai samun gogayya da distal phalanges, ko ya kawai darkãke su, a wannan lokaci da buroshi a kan tebur;
• idan hannayenka biyu folded tare, da manuniya da na lalace hannuwa ba za su iya zuwa karce da lafiya.
• da haƙuri ba zai iya daukar yatsa har ba ya iya samar da wata dama kwana tare da index yatsa.

Idan bayan dauke da fitar da wani gani dubawa akwai katsalandan a cikin yunkuri na yatsunsu, shi ne shawarar auku a m jarrabawa.

ganewar asali da cutar

Kafin ka zabi da hakkin magani, kana bukatar ka sha wani cikakken jarrabawa da wani neurologist, wanda zai tantance reflexes, tsoka ƙarfi, za ta gudanar da gwaje-gwaje na musamman da kuma gwaje-gwaje.

Daga instrumental bincike hanyoyin su ne mafi kyau dace:

• electroneuromyography.
• X-ray nazari.
• Magnetic Dabarar.

Wadannan karatu sun samu, inda da jijiya da aka lalace, gano abin da hanyar cuta, kuma su gane da mataki na rashin cin nasara a madugu. Idan dole, shawara da haƙuri je da dakin gwaje-gwaje gwaje-gwaje, kawai sai iya daidai gane asali kuma zaɓi mafi tasiri far.

magani na cutar

A lura da tsakãtsaki ce jijiya da aka zaba akayi daban-daban ga kowane haƙuri, saboda hanyar da cuta na iya zama daban-daban da kuma digiri na lalacewa a kowa da kowa. A lokacin jiyya, your likita iya koma ga causal magani. A wannan magani ya hada maganin rigakafi, antiviral jamiái da jijiyoyin bugun gini.

Bugu da kari, likita ya furta anti-liyafar da decongestants kuma bada sakamako mai kyau physiotherapy, tausa da jiki far.

A waɗannan lokuta, inda aka gano cewa, da jijiya da aka matse, shi wajibi ne ya kawar da dalili. A wannan yanayin, muna bukatar wani karfi ƙuduri far, amma don ciyar da ita, kana bukatar ka fara da dama enzymes, kazalika da yin absorbable da kuma laushi tabo nama wajen. Akwai lokuta da manual far da kuma tausa zai taimake ku da sauri warke daga duk bayyanar cututtuka.

Jiyya zama tasiri, wajibi ne a gudanar da ayyukan sake gina hanya, wanda ya dace a wani batu, yanke shawarar da ya farfado.

Idan tsakãtsaki ce jijiya an ji rauni, wanda idan kana bukatar sanin daidai da abin da Hanyar magani ne tasiri - ra'ayin mazan jiya, ko kungiyar. An shawarar rike da allura myography, cewa shi za a iya amfani da su daidai sanin mataki na lalacewa.

rigakafin

Da shan kashi na tsakãtsaki ce jijiya - wannan shi ne wani tsanani yanayin da cewa, idan ba su riƙi wani matakan mayar da mota aiki na yatsunsu zai zama ba zai yiwu ba. Kamar yadda wani m dabaru ana amfani da su taimaka normalize tafiyar matakai na rayuwa ne ma da muhimmanci sosai lokacin da su bi da cutar. Bugu da kari, ya kamata ka kai a kai yi darussan ga hannun, musamman idan haƙuri da aiki yake da alaka da gudana aikin hannuwanku (seamstresses, shirye-shirye, da sauransu).

ƙarshe

Rungumar sama, za mu iya cewa don tabbatar da cewa wani, ko wata 'yar alamar lalacewar da tsakãtsaki ce jijiya zai iya kai ga irreparable sakamakon. Saboda haka, idan ka ba zato ba tsammani ya lura cewa yatsunsu mugun lankwasa, su ne sau da yawa cramped, ko da ikon yin dunkulallen hannu, shi ne mafi kyau tuntubar likita. Lokacin da hannu rauni likita da shawara da kuma dubawa yana da muhimmanci sosai. Shi ne mafi alhẽri warkar da qananan canje-canje, fiye da ka yi aiki, wanda kuma ba ya bayar da ake so sakamakon a mai tsanani lokuta.