Jab jajaban ee jajaban ayaa ka mid ah kuwa ugu caansanJabku-dhaqanka kiliinikada. Inta badan jabka jajabka fog, natiijooyinka daaweynta wanaagsan waxaa lagu gaari karaa saabuun waflad ah oo loo habeeyo saxan gudaha ah. Intaas waxaa sii dheer, waxaa jira noocyo kala duwan oo jab ah oo jab ah, sida jabka Barton, jajabka loo yaqaan 'punch-pulk',Jabka Chauffeur, iwm., mid kasta oo u baahan qaabab daaweyn gaar ah. Culimada shisheeye, waxbarashadooda ku saabsan tusaalooyinka jabka ee duullka durugsan, oo qayb ka mid ah qaybta kala go'ay waxay ku lug leedahay qaab qumman oo leh "TRIANDULON" TRIVER (TRERIEDEDOR ", oo loo yaqaan nooca" TETRIEDEDENEDON ".
Fikradda ah jabka "TRETHIDEDON" Nooca Rusius Rudius: Noocan jajabay, jabku wuxuu ku dhacaa qayb ka mid ah laabatada, oo ku lug leh labadaba faashar-ku-xirnaanta ultar iyo qaab-dhismeedka translulation transval. Xariiqa jabku wuxuu u fidiyaa dhamaadka fog ee radius.
Midnimada jabkaan waxaa lagu muujiyey astaamaha kala duwan ee jajabyada lafaha ee 'Palmar-Ulnar' ee looxyada lafaha ee xargaha ee radius. Hal gacan, dayaxa founda waxaa sameeyay jajabyada lafaha ee 'Plar-Ulntar' ay u adeegtaa sidii taageero jireed oo ka dhan ah goynta volar ee lafaha carpal. Khasaaraha ka soo gaadhay qaab dhismeedka qaab dhismeedkan wuxuu dhalinayaa in Volar laga takhaluso wadajirka gacanta ee gacanta. Dhanka kale, oo ah qayb ka mid ah qalalaasaha foltial ee fowsial, dib u soo celinta jajabka laf-dhabarka ee booska jirka ee jirka ayaa shardi u ah dib-u-dejinta deganaanshaha foldioullanr.
Sawirka hoose wuxuu muujinayaa kiis 1: sawirada muuqaalka ah ee jabka 'trchaddadron' trantralron res rouritus jab.
Daraasad lagu sameeyay shan sano, toddobo xaaladood oo jabka noocaas ah ayaa la aqoonsaday. Marka laga hadlayo tusaalayaasha qalliinka, sedex kiis, oo ay ku jiraan kiis 1 Sawirka kore, halkaas oo ay ku jiraan jabno bilow ah, daaweynta muxaafidka ah ee muxaafidka ah ayaa markii hore la xushay. Si kastaba ha noqotee, inta lagu gudajiro dabagalka, dhammaan seddexda xaaladood ee ay soo gaadhay barakaca jabka, taasoo horseedaysa qalliinka hagaajinta gudaha ee gudaha. Tani waxay soo jeedineysaa heer sare oo deg-degga ah iyo halista weyn ee dib-u-haynta jabka nooca noocan ah, adoo ku nuuxnuuxsaday tilmaam xoog leh wax ka qabashada qalliinka.
Marka laga hadlayo daaweynta, laba kiis ayaa markii hore la gashay qaab deganaansho dhaqameed leh flexor flei radialis (fcr) saxannada iyo hagaajinta gudaha. Mid ka mid ah kiisaskaas, hagaajinta ayaa ku guuldareysatay, taasoo dhalisay barakaca lafaha. Intaa ka dib, qaab 'Palmarin' ayaa la shaqaalaysiiyay, iyo hagaajin gaar ah oo leh safka safka lagu sameeyay dib-u-eegista tiirarka dhexe. Dhacdada ka dib guuldaradii hagaajinta, shanta xaaladood ee ku xigta dhammaan xashiishkan waxaa lagu dhajiyay qaabka 'Palmar-uldar' waxaana lagu hagaajiyaa 2.0mm ama 2.4mm.
Kiiska 2: Ka faa'iideysiga qaabka volar ee caadiga ah ee flexor furpei radialis (fcr), hagaajinta saxan saxan ah ayaa la sameeyay. Ka dib, ka dib go'doominta dabacsan ee wadajirka gacanta ee gacanta ayaa la arkay, taas oo muujineysa fashilka hagaajinta.
Dacwada 2, adoo adeegsanaya qaabka 'Palmarin' iyo dib u eegista saxan santa safka ah ayaa sababay in boos lagu qanco oo loogu talagalay hagaajinta gudaha.
Tixgalinta khaladaadka jajabinta jajabinta masaafada fog ee xayiraada qaabkan qaaska ah ee lafaha, waxaa jira laba arrimood oo waaweyn. Marka hore, adeegsiga qaabka volar ee flexhor furperi radialis (fcr) waxay ku dambayn kartaa soo-gaadhis ku filan oo aan ku filnayn. Marka labaad, cabirka weyn ee xargaha saxan ee xirmooyinka saxan ee saxan ayaa laga yaabaa inaysan si sax ah u sugin jajabyada lafaha yar ee lafaha oo laga yaabo inay ku farxi karaan iyada oo lagu dhex geliyo boolal ku dhex jira jajabyada ka dhexeeya jajabyada.
Sidaa darteed, culimadu waxay soo jeedinayaan adeegsiga 2.0mm ama 2.4mm oo qufulan oo loogu talagalay hagaajinta gaarka ah ee jajabyada miiraha dhexe ee lafta. Ka sokow saxanka taageeraya, adoo adeegsanaya laba boog oo lagu xalliyo jajabka lafta iyo ka takhalusidda saxanka si loo ilaaliyo boogaha sidoo kale waa ikhtiyaar hagaajin gudaha ah.
Xaaladdan oo kale, ka dib markii lagu hagaajiyaa jajabka lafta oo leh laba boolal, saxanka ayaa la galiyay si loo ilaaliyo boogaha.
Marka la soo koobo, "Tooska" TETRIEDYON "ee jajabinta masaafada u leh ayaa muujinaya astaamaha soo socda:
1. Dhacdada hoose oo leh heerar sare oo filim bilow ah oo si khaldan u ah si khaldan.
2. Khatarta sare ee xasillooni darrida, iyada oo loo janjeero ku-meel-gaarka inta lagu jiro daaweynta mutadawrada ah.
3. Taargooyinka qufulka madaxa ee caadiga ah ee jajabka foldal ee fowdda leh waxay leeyihiin xoog hagaajinta daciifka ah, waxaana lagu talinayaa in la isticmaalo 2.0mm ama 2.4mm ama 2.4mm) hagaajinta gaarka ah.
Marka la eego astaamahan, ee ku saabsan waxqabadka kiliinikada, waxaa lagu talinayaa in la sameeyo baaritaanno CT ama dib-u-dhac xilliyeed oo loogu talagalay bukaannada qaba astaamaha gacanta ee waaweyn laakiin raajo taban. Noocan ahdillaacidda, faragalinta qalliinka hore ee saxan qaas ah ayaa lagula talinayaa in laga hortago dhibaatooyinka ka dib.
Waqtiga Post: Oct-13-2023
