Ho tsamaea ha Ulnar, eo ho thoeng ke ho kheloha ha li-ulnar, ke ho fokola ha menoana ea letsoho . Ha e le hantle, ho hula ha ulnar ho etsahala ha ho e-na le ho kheloha ha ulnar le tlhaloso ea volar ea manonyeletso a metacarpophalangeal (MCP). Ka tlhaho, li-phalanges tse holimo li kopana le metacarpals ea matsoho mananeng a metacarpophalangeal. Litho tsa MCP li atisa ho bitsoa li-knuckles.
Tlhaloso ea li-volar ea methapo ea metacarpophalangeal e hlaha ha ho na le ho fokotsa karolo e itseng ea motsoako-e leng li-phalanx tse tlohang hloohong ho tloha hloohong ea metacarpal, e tsamaeang leetong la palema. Lipapali le distal phalanges li latela mekhoa e fetohang ea phalanx e tsitsitseng.
Ho ea ka Kelley's Textbook of Rheumatology , ho na le bopaki ba hore lefu la rheumatic ea letsoho le lebisa ho fapanyetsana ha lisele tsa litho tsa MCP. Ho nahanoa hore ho fokotseha ha mesifa ea extensor carpi ulnaris ho etsa hore motsoako oa radial o fapane joaloka masapo a carpal a potolohe (masapo a mangata a carpal a potoloha ka tsela e laolang 'me a arohana le masapo a majoe ka lehlakoreng le leng). Ho kheloha ka ho feletseng ho hlaha joaloka karabelo ea 'mele, ho leka ho boloka mekhoa ea phalanges ho latela moeli. Ho senyeha ha lesapo kapa marticle ea articular ho ka tlatsetsa ho hoholeha ha ulnar, empa hape ho ka 'na ha etsahala ntle le. Synovitis le bofokoli ba mesifa li ka phetha karolo ea tsoelo-pele ea eona.
Matšoao a mathomo a qalang a ulnar a kenyelletsa:
- bofokoli ba pele dorsal interossei (ho na le mesifa pakeng tsa masapo a itseng)
- ho senyeha ha mahlaseli a radial
- ho tiisa mesifa ea tlhaho
- ho falla ha ulnar ea li-tendon tse nang le li-flexor (tse hlaheletseng ho li-index le tse menoana e telele)
- ho kheloha ha menoana ea leseli e hlakileng ha manonyeletso a MCP a atolosoa
Matšoao a tsoetseng pele a marang-rang a lutseng a kenyeletsa:
- ho hlaseloa ha volar (dislocation e fokolang) ea phalanges
- ho se khone ho atolosa manonyeletso a MCP ka ho feletseng ho fella ka tumellano ea ho phunya
- ho koala ha ulnar kapa ho fetoloa ha li-tendons tsa extensor
- ho tiisoa ha mesifa ea hypothenar (sehlopha sa mesifa e meraro seatleng sa letsoho le laolang ho tsamaea ha monoana o monyenyane)
- ho kheloha ha letsoho ka letsoho
- extensor carpi ulnaris tendon dislocation
- ho lahleheloa ke bokhoni ba ho thunya molomo oa letsoho
E le ho hlahloba ho tiea ha sekepe sa ulnar, ho ka sebelisoa goniometer . Letsoho le emisitsoeng la goniometer le behoa holim'a metacarpal ha letsoho le sisinyehang le behoa ka tsela e lumellanang le phalange e tsitsitseng. Ka mor'a hore tekanyo ea bofokoli e behoa, hangata mokuli o botsoa hore a otlolle matsoho, haeba ho khoneha, ho lokisa boemo ba 'mele le tekanyo ea ho nchafatsa hape. Liteko tse ling tsa mesebetsi ea matsoho li ka boela tsa sebelisoa ho hlahloba boima ba ho holofala.
Ke Bo-mang ba Hlahisang Leoto la Ulnar?
Lefu la Ulnar le amana haholo le ramatiki ea ramatiki . Ho ruruha ho sa tloaelehang ha mahlahana a MCP ho senya motsoako o kopaneng le mehaho e potolohileng. Empa, ramatiki ea ramatiki hase eona feela boemo bo amanang le ho theoha ha ulnar. E ka 'na ea e-ba le maemo a mang a ho ruruha kapa maloetse a maiketsetso, a kang lupus kapa lefu la psoriatic ramatiki .
Phuputso e 'ngoe ea linyeoe e boetse e senola botsoalle le bothata bo sa tloaelehang, pigmented villonodular synovitis (PVNS).
Khetho ea Kalafo
Mekhoa ea ho phekola matsoho le ho opeloa ho kenyelletsa leqhoa, mocheso o mongobo, liphala tsa boka ba parafine, lisebelisoa tsa TENS le ultrasound. Ho sebelisa mekhoa e metle, e kenyeletsang ho otlolla, ho buelloa ho boloka mokoloko oa liphalo ka hohle kamoo ho ka khonehang.
Ka linako tse ling ho buelloa hore ho fokotsoe ho fokotsa ho arohana ha letsoho, ho beha lihlahisoa tsa MCP hantle ka tsela e sa nkeheng ea radial-ulnar, le ho fokotsa ho arohana ha manonyeletso a MCP ka ho tšehetsa phalanges. Ka kakaretso, likhahla tsena li apere bosiu kapa nakong ea phomolo motšehare.
Li-splints li ka thusa ka bohloko bosiu empa likhahla ha li e-s'o bontšoe ho thibela ho fapoha ha li-ulnar. Esita le ho arohana ha bosiu, phapang ea ulnar e ka tsoela pele.
> Mehloli:
> Kelley's Textbook ea Rheumatology. Khatiso ea borobong. Firestein et al. Elsevier Saunders. Litšebeletso tsa Meriana ea Ramatiki ea Rheumatoid. Khaolo ea 70. Matsoho le Matlo. Leqephe la 1112.
> Tlhōlisano ea li-vola ea Metacarpophalangeal Joint.
> Litlhahiso tse Molemo ka ho fetisisa bakeng sa Taolo ea Ulnar Drift Deformity ho Rumatoid Arthritis. Bophelo bo botle ba Vancouver Coastal. Mokhatlo oa Arthritis (Canada).
> The Usefulness of Spitints tsa Phomolo ea Mantsiboea Tšebelisong ea ho Fapanyetsana ha Leihlo la Letsoho la Rumatoid. Johnson M et al. Kliniki ea Rheumatology. Ka 1992.
> Phapang ea Ulnar ha e se kamehla e e-na le li-rumatoid . Zuber M et al. Annals ea Rheumatic Diseases. 1996.