Mgwirizano wa chifuwa cha m'mimba: dongosolo

Mgwirizano wa sternoclavicular siwowoneka bwino nthawi zonse. Kawirikawiri zimapezeka mwa anthu omwe ali ochepa thupi kapena asthenics. Ngati pali zochepa zazing'ono zamtundu, zimatha kuganiziridwa. Kwa anthu omwe ali olemera thupi kapena owonjezera thupi, ndi zovuta kuziwonekera. Pamene mimba imayang'ana mafupa osakanikirana, pakati pake, pambali ndi pakhosi, pamunsi pa khola lachiberekero, muli ziwalo ziwiri zofanana.

Tanthauzo ndi malo a mgwirizano

Mgwirizano wa chifuwa cha chifuwa ndi malo ogwirizanitsa chiwombankhanga ndi sternum. Ili ndi mawonekedwe osakanikirana omwe amakulolani kuti muthe kulipira kusiyana kwa kukula ndi mawonekedwe a fupa la fupa ndi chifuwa, kuwalola kuti ayanjane bwino. Mkati mwa chophatikizira ndi diski yokha yomwe imabweretsa mavuto pakati pa mafupa, pokhala chinthu chogwirizanitsa. Pamwamba, zonsezi zili ndi minofu yotetezeka, kutetezera ku zisonkhezero zakunja ndi kuwonongeka.

Mgwirizano wamatumbo. Nkhani

Cholinga cha chophatikizira ndicho kugwirizanitsa pamwamba pamtunda ndi thotho pogwiritsa ntchito mafupa a chiguduli ndi thumba la pamapewa ndi thunthu. Pachiyambi chake, mgwirizanowu wamakono ndi chiwonongeko chomwe chiri mgwirizano wa pamwamba kapena forelimbs osati mwa anthu okha, komanso kwa zinyama kuyambira zowonongeka. Iye ali wamphamvu kwambiri ndipo amachita nawo mwa kuyenda kwa manja, kukonzanso. Izi zimamveka bwino mukamakweza mmwamba manja anu pansi. Kugwirizana kumeneku kumapangitsa kuti zitsulozi zisunthike pamitsinje ikuluikulu ikuluikulu itatu, ikugwirizana ndi mapewa, pothandizidwa ndi zida zamphamvu komanso zamphamvu kwambiri.

Chikhalidwe

Chigwirizano cha chifuwa cha chifuwa chimawoneka ngati chophimba. Mu mawonekedwe ake, ali ndi mawonekedwe oyankhulana, okhala ndi concavities ndi makhonzedwe ofanana. Mgwirizanowu, wokhala ndi nsonga ziwiri ndi kusunthira momasuka nawo, kuchokera kumalo opangidwa ndi zosavuta kumagwirira ntchito. Zomwe zimapangidwanso zimaphatikizapo ziphuphu zotere :

• Chophimba chophimba;
• Chophimba chotsalira cha chingwe chokhazikika;
• Disk cartilaginous;
• Matenda osakanikirana ophimba mgwirizano.

Kotero, mawonekedwe a mgwirizanowa ndi awa:

• Kutha kwakumapeto kwa chigwirizano ndi chachikulu;
• Mpweya waukulu;
• Ligament kutsogolo;
• Mizere yonyansa;
• Thumba la posterior;
• Zolemba za Concave zapansi pa mtengo wapansi.

Mgwirizano wa sternoclavicular umathandizidwanso ndi:

• Mitsempha yotchedwa intervertebral ligament , yomwe imatambasula pamwamba pa mchenga wa chimphepo chomwe chimakhala pakati pa mapiko ake.
• Zambiri za mitsempha yotchedwa sternoclavicular ligaments . Kumalo awo, amasunthira kumbuyo, kumbuyo ndi pamwamba pamwamba pa mgwirizano, kulimbitsa mphamvu zake.
• Mphungu yamphamvu kwambiri ndi yamphamvu kwambiri pamtundawu ndi ndondomeko yotsika mtengo komanso yofiira . Amadutsa kuchokera kumapeto kwenikweni kwa nthiti yoyamba ndikukwera ku collarbone. Amayendetsa kukweza kwachangu kwachitsulo.

Mgwirizano wa thoracic, wokhala ndi chiboliboli, umakhala wofanana ndi woyendayenda.

Kuwonongeka

Chifukwa cha malo ake enieni komanso mbali ya mafupa ndi ziwalo za mthunzi wa pamapewa ndi thunthu, collarbone yokha ndi ziwalo zomwe zimagwiritsidwa ntchito nthawi zambiri zimakhala zophulika ndi kusweka. Kutuluka kwadzidzidzi kumachitika chifukwa cha kusuntha kwadzidzidzi kumapeto kwa nsapato kapena kumbuyo ndi kumbuyo. Pachifukwa ichi, mitsempha ya anterior inang'ambika, ndikupanga kugwedeza. Pogwiritsa ntchito mphamvuyi pamaganizo amenewa, mitsempha yonse yathyoledwa, kumasula chigudulicho kuchokera ku joint fossa, kupanga kupatutsidwa kwa mgwirizanowu, umene umazindikiridwa mosavuta ndi zizindikiro zakunja. Mtundu wina wa kusokonezeka umachitika ngati zotsatira za collarbone ndi zogwirizana ndizokhazikika, ndiko kuti, kudodometsedwa kapena kutsutsidwa kwakukulu, pamene mpweya wa posterior umatha. Kusokonezeka koteroku kumachitika mkati mwa chifuwa. Zimapezanso pamene mgwirizano ukuwululidwa mwa kuumiriza kwambiri mapewa patsogolo ndi mkati. Monga lamulo, ndi zoterezi, kuphulika kwa nthiti zoyamba kapena zoyamba za sternum zikuwonedwa.

Matenda

Izi zimakhala ndi matenda monga ankylosis, omwe amachokera ku gonococcal kapena nyamakazi ya nyamakazi. Pambuyo pokwanitsa zaka makumi anai, matenda a arthrosis amapezeka nthawi zambiri, omwe pamaphunziro ake amapanga nyamakazi ya m'mphepete mwa nyamayi pamutu wa chiwombankhanga. Kupweteka kumene kumayambitsidwa chifukwa chogwiritsidwa ntchito palimodzi, kugwedeza, kutupa kuyenera kukhala chifukwa chochezera dokotala wofooka.

Nseprosis yotchedwa Aseptic necrosis yomaliza, yomwe imadziwikanso kuti Friedrich's syndrome, yomwe imagwiritsidwa ntchito pa sternum , imatsimikiziridwa ngakhale panthawi yamimba. Zimayambitsa kutupa kowawa kwa minofu yomwe imakhala pambali palimodzi, kutupa ndi kuphulika kwa khungu. Kusintha kwa hyperostatic kumapeto kwa chigwirizanochi kumawonetsedwa mu matenda a marble ( matenda a Paget). Mawonetseredwe a hyperostosis ndi omwe amachititsa kuti tizilombo toyambitsa matenda tizilombo toyambitsa matenda tizilombo toyambitsa matenda.

Kuzindikira kusintha kwa mgwirizano

Njira zowunikira matenda ndi zovuta mu mgwirizano wamagetsi ndizoyezetsa ndi kupima, chifuwa x-ray ya chifuwa. Maphunziro onse amachitidwa ndi katswiri wamatenda kapena osteopath. Kukhalapo kwa mtundu wina uliwonse wa mankhwalawa, kapena kupweteka, kapena kupweteka pamene mukuyenda mu mphambano yam'mbali, mawonekedwe a kuwonekera akusonyeza kukhalapo kwa matenda kapena kuvulala kumeneku.

Kuphatikizidwa kumachitidwa ndi chala chachiŵiri ndi chachitatu cha dzanja lamanja, pamene dokotala ali kumbuyo kapena kumbali ya wodwalayo. Zolemba zazing'ono zimayikidwa pakati pa sternum ndi poyambira pa phokoso pansi pa khosi la wodwalayo, akuyang'anitsitsa palimodzi. Kuti mudziwe bwino, wodwalayo akufunsidwa kukweza manja ake mu ndege yopanda malire, yomwe imathandiza kwambiri kufufuza.

Chigwirizano cha chifuwa cha chifuwa chimakhala chophweka. Koma pamene ili lamphamvu, imapangitsa kuti miyendo ikhale yogwirizana ndi thupi. Ngati mgwirizanowu wawonongeka, manja sakhala ochepa ndipo amabweretsa ululu.