Nā hui nui: Nā Iwi Lima a me nā Lima

Anter

• Iwi iwi ma ka pulima lima
• Anatomia hui pū lima
• Ami radiocarpal hui
• Huina Ulnocarpal
• Huina radioulnar hui pū
• Pili nā iwi lima i nā hono o ka lima
• Nā mea palupalu i ka lima
• ʻO nā ʻeha o ka pulima maʻamau
• ʻŪhā
• Maʻi ʻaʻano Impaction
• ʻEha ʻeha
• Haki
• Nā hōʻeha koʻikoʻi hou

Hana ʻia kou pulima i nā iwi liʻiliʻi a me nā hono i ʻae i kou lima e neʻe i nā ʻaoʻao he nui. Hoʻopili pū ʻia me ka hopena o nā iwi lima.

E nānā pono kākou.

Iwi iwi ma ka pulima lima

Hana ʻia kou pūlima i ʻewalu mau iwi liʻiliʻi i kapa ʻia nā iwi carpal, a i ʻole ke carpus. Hoʻopili kēia i kou lima i nā iwi lōʻihi ʻelua i loko o kou lima - ka radius a me ka ulna.

ʻO nā iwi carpal he mau square square, oval, a me nā iwi triangular. ʻO ka huhui o nā iwi carpal i ka pūlima e ikaika a maʻalahi hoʻi ia. ʻAʻole e hana like kou pulima a me kou lima inā hana ʻia ka hui pūlima o hoʻokahi a ʻelua paha iwi nui.

ʻO nā iwi iwi ʻewalu:

• Scaphoid: iwi iwi lōʻihi ma lalo o kou manamana nui
• Lunate: iwi pili me ka pili ma hope o ka scaphoid
• Trapezium: iwi iwi poepoe i luna o ka scaphoid a ma lalo o ka manamana nui
• Trapezoid: iwi ma ka ʻaoʻao o ka trapezium e like me ka wedge
• Kapikala: he iwi oval a i ʻole poʻo poʻo i waena o ka pulimaʻu
• Hamate: iwi ma lalo o ka ʻaoʻao manamana mānoanoa o ka lima
• Triquetrum: iwi like pyramid ma lalo o ka hāmare
• Pisiform: iwi liʻiliʻi, poepoe e noho ana ma luna o ka triquetrum

Nā kiʻi na Diego Sabogal

Anatomia hui pū lima

ʻEkolu mau hui nui o ka lima. ʻO kēia ka paʻa o ka pulima lima ma mua o ka mea inā hoʻokahi wale nō hono. Hāʻawi pū ia i kou lima a hāʻawi i kahi neʻe ākea.

E hoʻokuʻu nā kuʻi lima i kou lima e neʻe i kou lima i luna a i lalo, e like me ka hāpai ʻana i kou lima e nalu. ʻAe kēia mau ami iā ʻoe e pelu i kou lima i mua a i hope, ʻaoʻao a ʻaoʻao, a e hoʻohuli i kou lima.

Ami radiocarpal hui

ʻO kēia kahi e hoʻopili ai ka radius - ka iwi ʻāpana manoanoa - i ka lālani lalo o nā iwi lima: ka iwi iwi, ka lunate a me nā iwi triquetrum. ʻO kēia ami ka mea nui ma ka ʻaoʻao manamana nui o kou lima.

Huina Ulnocarpal

ʻO kēia ka ami ma waena o ka ulna - ka iwi ʻaoʻao lahilahi - a me nā iwi lima lunate a me ka triquetrum. ʻO kēia ka ʻao manamana o kou pulima.

Huina radioulnar hui pū

Aia kēia ami i ka pūlima akā ʻaʻole hoʻokomo i nā iwi pūlima. Hoʻohui ia i nā wēlau o lalo o ka radius a me ka ulna.

Pili nā iwi lima i nā hono o ka lima

ʻO nā iwi lima ma waena o kou manamana lima a me kou pūlima lima o nā iwi lōʻihi ʻelima i kapa ʻia he metacarpals. Hana lākou i ka iwi iwi ma ka hope o kou lima.

Pili nā iwi o kou lima i nā iwi lima ʻehā o luna:

• trapezium
• trapezoid
• kapikala
• hāhā

Kapa ʻia kahi e pili ai lākou i nā hono carpometacarpal.

Nā mea palupalu i ka lima

Me nā kīʻaha koko, nā aʻalolo, a me ka ʻili, ʻo nā mea palupalu nui i ka lima ka:

• Nā Ligament. Hoʻohui nā ligament i nā iwi lima i kekahi i kekahi a me nā iwi lima a me ka forearm. ʻO nā ligament e like me nā kāʻei elastis e mālama i nā iwi i kahi. Hāʻalo lākou i ka pūlima mai kēlā me kēia ʻaoʻao e hoʻopaʻa pū i nā iwi.
• Tendons. ʻO Tendons kahi ʻano ʻē aʻe o nā mea hoʻopili hoʻopili e hoʻopili i nā mākala i nā iwi. Hāʻawi kēia iā ʻoe e hoʻoneʻe i kou pūlima a me nā iwi ʻē aʻe.
• Bursae. Hoʻopuni pū ʻia nā pūlima lima e nā ʻeke piha piha i ka wai i kapa ʻia ʻo bursae. ʻO kēia mau ʻeke palupalu e hoʻoliʻiliʻi i ka hakakā ma waena o nā iwi a me nā iwi.

ʻO nā ʻeha o ka pulima maʻamau

Hiki ke hōʻeha a hōʻino ʻia nā iwi pūlima, nā ligament, nā aʻa, nā mākala a me nā aʻalolo. ʻO nā ʻeha a me nā kūlana lima maʻamau e pili ana:

ʻŪhā

Hiki iā ʻoe ke sprain i kou pulima lima e ka hohola ʻana i kahi mamao loa a i ʻole ka hāpai ʻana i kahi mea kaumaha. Kū ka sprain ke loaʻa ka hōʻino i ka ligament.

ʻO ka wahi maʻamau no ka pulupulu lima ma ka hui ulnocarpal - ka ami ma waena o ka iwi lima a me ka iwi lima ma ka ʻaoʻao manamana o ka lima.

Maʻi ʻaʻano Impaction

Kāhea ʻia hoʻi ka ulnocarpal abutment, hiki i kēia kūlima lima ke lōʻihi ka lōʻihi o ka iwi lima ulna ma mua o ka radius. ʻO kēia ka mea e hoʻopili iki ai ka iwi ulnocarpal ma waena o kēia iwi a me kou mau iwi lima.

Hiki i ka maʻi Impaction ke alakaʻi i ka hoʻonui ʻana o ka pilina ma waena o nā iwi ulna a me nā iwi carpal, e alakaʻi ana i ka ʻeha a me ka nāwaliwali.

ʻEha ʻeha

Hiki iā ʻoe ke loaʻa i ka ʻūlū pūlima ʻeha mai ka maʻi pākī. Hiki i kēia ke hana mai ka lole a haehae maʻamau a i ʻole kahi ʻeha i ka lima o ka lima. Hiki iā ʻoe ke loaʻa i nā rumatika mai kahi palekana ʻole o ka ʻōnaehana pale. Hiki ke hana ʻia ka wīwī ma kekahi o nā ami o nā pūlima.

Haki

Hiki iā ʻoe ke uhaʻi i kekahi o nā iwi i kou lima mai ka hāʻule ʻana a i ʻole nā ​​ʻeha ʻē aʻe. ʻO ka haki ke ʻano maʻa mau o ka pūlima ka haki radius distal.

ʻO ka haki scaphoid ka iwi carpal haʻihaʻi pinepine. ʻO kēia ka iwi nui ma ka ʻaoʻao manamana nui o kou lima. Hiki iā ia ke uhaʻi ke hoʻāʻo ʻoe e hopu iā ʻoe iho i ka hāʻule a i ʻole ka hoʻokuʻi ʻana me ka lima kīnā.

Nā hōʻeha koʻikoʻi hou

Kū nā ʻeha maʻamau i ka pulima mai ka hana ʻana i nā neʻe like me kou mau lima a me kou mau lima lima no ka manawa lōʻihi. Pākuʻi ʻia kēia i ke kikokiko ʻana, kikokiko ʻana, kākau ʻana, a me ka pā ʻana i ka ʻumi.

Hiki iā lākou ke kumu i ka pehu, ka helu, a me ka ʻeha o ka pulima a me ka lima.

Hiki i nā hōʻeha koʻikoʻi ke hoʻopili i nā iwi, nā ligament, a me nā ʻāʻī o ka pūlima lima. Pākuʻi ʻia lākou:

• tunnel kaʻa kaʻa
• ʻalalā kikl
• tendinitis

Aia i ka ʻeha, ka pilikia a me nā kūlana pākahi, ka mālama ʻana no nā pilikia o ka pulima e like me ka hoʻomaha, ke kākoʻo, a me nā hoʻoikaika kino i nā lāʻau a me nā ʻoki kino.

ʻO kahi laʻana, loaʻa i kā carpal tunnel kāna hana ponoʻī a me nā hāmeʻa e kōkua paha. E loaʻa i ka wrist arthritis kāna hoʻolālā lapaʻau ponoʻī. E kamaʻilio pono me kāu kauka inā loaʻa iā ʻoe kahi hopohopo e pili ana i kou mau pulima.