Phalanges. Kapangidwe ndi mbali

Phalanx wa miyendo la munthu lili ndi magawo atatu: thupi - maziko a proximal ndi wapotalikira kumapeto, omwe ndi msomali tuberosity.

Lililonse chala anthu ali phalanges atatu, koma chala chachikulu (ali awiri). phalanges atatu amatchedwa pulayimale, sekondale ndi misomali. Phalanx pa zala wamfupi kusiyana zala. Motalika kwambiri mwa iyo ili pakati chala cha dzanja, ndi zothinanitsa - pa chala chachikulu.

Kapangidwe ka phalanges kuti: elongated fupa pakati pa theka yamphamvu-mphako. Mbali lathyathyathya walangizidwa mbali ya kanjedza, otukukira kunja - pa mbali kumbuyo. Pa phalanges mapeto ali pamalo olowa.

Malinga ndi kusinthidwa wa phalanges akhoza oterewa matenda ena. Zizindikiro drumsticks - izo clubbing zala ndi zala. Pamene chizindikiro ichi mosavuta amatikumbutsa botololo ndi makadabo - magalasi wotchi. Minofu minofu kuli pakati pa msomali mbale ndi fupa ali ndi chikhalidwe chofewa ngati siponji. Chifukwa cha ichi, pamene kukanikiza pa tsinde la misomali zikuoneka makina mbale.

Drum zala zanu siziri matenda palokha, koma zotsatira za kusintha aakulu mkati. pathologies zikuphatikizapo matenda a m'mapapo a chiwindi, mtima, kapepala m'mimba, ndipo nthawizina - ndi khosi lotupa akakufunsani ndi enaake fibrosis.

Wovulala ndi phalanges chala amachokera nkhonya mwachindunji kapena kupwetekedwa mtima ndipo nthawi zambiri lotseguka. Iye chigweranso diaphyseal, kwapakati pa-articular kapena periarticular. Wovulala msomali phalanx zambiri umagawanika.

Chithunzi matenda a fupa lothyoka la amakhala ndi ululu, kutupa ndi malire a ntchito chala. Ngati pali kusamutsidwa mkati, pamene mapindikidwe noticeable. Ngati kusamutsidwa palibe, akhoza matenda yotupa kapena sprain. Mulimonsemo ndikofunikira kugwira X-ray Kupenda kwa matenda okhazikika.

phalanges wovulala mankhwala ikuchitika popanda kusamuka kwa gypsum kapena zotayidwa njanji, amene superimposed ndi lopinda ungual phalanx 150, pakati - 600, yakuti - kwa 500. mubvale bandeji kapena splint kwa masabata 3. Pambuyo kuchotsa zinthu ikuchitika ndi olimbitsa physiotherapy zikutanthauza. Patatha mwezi umodzi, luso ntchito phalanx utabwezeretsedwa kwathunthu.

Pakuti fractures a phalanges ndi kuchepetsa akuyerekeza zinyalala pansi mankhwala oletsa ululu pamalopo. Pambuyo zoika pulasitala kapena zitsulo kachingwe kwa masabata 3-4. Pakuti fractures ya chala msomali phalanxes kuyenda tacky zomatira kapena kuponya zozungulira pulasitala.

Phalanges mapazi zambiri amadwala dislocations mu metatarsophalangeal ndi interphalangeal mafupa. Dislocations akuuzidwa kumbuyo kwa phazi chokha ndipo pambali.

Vutoli amawapeza ndi mapindikidwe khalidwe, kufupikitsa chala kapena asagwiritse kayendedwe ake.

Chiwerengero chachikulu kwambiri cha dislocations imagwera pa phalanx ya chala choyamba, mbali wapotalikira. Mu malo chachiwiri ndi sprains chachinayi chala. zala Middle ali kuli amavutika chifukwa malo awo pakati pa phazi. Motsogozedwa dislocation zambiri ena paseri ndi mbali. Kuchepetsa ndi dislocation kuti chitukuko cha edema. Ngati kutupa inali kale anapanga, ndi ovuta kwambiri amaika mu phalanx olowa.

Tatseka kuchepetsa ndi dislocation pambuyo mankhwala oletsa ululu pamalopo. Ngati n'kovuta kuwongola njira ochiritsira, ndiye ntchito kupyolera oyamba masipoko wapotalikira phalanx kapena ntchito khasu. Ndondomeko ndi yosavuta komanso otetezeka. Ndiye nthawi kufuna kutalika kuonongeka chala ndi protivotyagu (limene likutengera kuthandiza) kwa bondo la. Kuyendetsa m'munsi ankatembenukira kwa mbali ya phalanx anagwira kuchepetsa dislocation.

Pamene dislocations aakulu muyenera alowererepo pa opaleshoni.