Phalanges. 'Ole a me nā hiʻona

Phalanx o kanaka lala ninoieo o ekolu māhele: ke kino - ke kumu o ka proximal a me ka distal hope, i mea ke kui tuberosity.

Kela a me keia kanaka manamana he ekolu phalanges, koe nae ka manamana nui (he mau). Ekolu phalanges i kapaia iniiaiie, nā haumāna a me nā kui. Phalanx ma na manamana e pōkole ma mua o ka manamanalima. Ka loihi o ia ua aia ma ka waenakonu manamana o ka lima, ka mea thickest - ma ka nui manamana.

Ka 'ole o ka phalanges: elongated iwi i loko o ka muliwai, o ka hapa-paukūʻolokaʻa-hoʻokino. Ka mea i lalo loa ua kuhikuhi i kaʻaoʻao o ka lāʻau, convex - ma kaʻaoʻao hoʻi. I ka hopena phalanges i ami surfaces.

E like me ka hooponopono hou ana i na phalanges ke diagnose kekahi mau maʻi. Symptom drumsticks - ia clubbing o na manamana a me nā manamana wāwae. A pau keia symptom fingertips reminiscent o ka alabata, a me nā kui - wati makaaniani. Muscle'aʻaʻa e moe ma waena o ke kui papa a me ka iwi mai i ka naele ia ano. No ka mea, o keia, ka wā koikoi ala ma ke kumu o ke kui mea hoʻoneʻe una.

Pahu i kou mau manamana lima i ole he kuokoa maʻi, akā, wale i ka hopena o ka nui na loli. Mau pathologies nā akemāmā maʻi, akepaa, ka naau, gastrointestinal'āpana, a me kekahi manawa - he eiei? Goiter a me cystic fibrosis.

Fracture o na phalanges o ka manamana lima hele mai ana, mai ka pololei loa paha trauma a me ka mea hou pinepine hamama. He i ka hana diaphyseal, ke kūʻai '-articular paha periarticular. Fracture kui phalanx ana kūkala.

Ka lapaʻau kiʻi o ka fracture ua wehewehe aku ma ka eha, haanou ana a me ka hoʻokumu 'o ka manamana lima kuleana pili i. Inā he mea maloko pohupani hale, oiai kekahi 'deformation. Inā ka pohupani hale mea ma kahi'ē, hiki ke diagnosed i ka loa a me ka sprain. Ma kekahi hihia ia mea e pono ke lawe mai X-Ray keia hookolokolo ana no kekahi definitiveʻike.

phalanges fracture lapaʻau ua lawe mai me pohupani hale o gypsum a Aluminum hoino aku, i ua superimposed e pelu ana nō ia ungual phalanx 150, waena, - 600, ke kumu o - i 500. Wear lole wili a splint no 3 pule. Ma hope o ka wehe 'ana i ka pono hana a ua lawe mai me ka physiotherapy gymnastics' o ia hoʻi. A mahina ma hope, i ka hiki e hana phalanx pau hoihoi hou ia.

No ka fractures o na phalanges offset hoʻohālikeʻana'ōpala hoʻi ma lalo o kūloko anesthesia. Ma hope iho e hoʻokō i ka puna a metala kaula no 3-4 pule. No ka fractures o ka manamana lima kui phalanxes immobilized tacky lina a me ka hoʻopoepoe puna e kipaku.

Phalanges wawae pinepine e ae mai dislocations ma ka metatarsophalangeal a me ka interphalangeal ami. Dislocations i kauohaia ma ka hope o ka wāwae poli, a me kaʻaoʻao.

Keia pilikia ua diagnosed ma ke ano deformation, i ka hua'ōleloʻo o ka manamana lima a me ka hoʻohāiki kona ana.

Ka nui loa ka helu ana o dislocations e kau mai maluna o ka phalanx o ka manamana nui, kona distal hapa. Ma kekona wahi i ka ha o ka manamana lima sprains. Middle manamana lima i ka emi paha e hana eha iaʻi ma muli o i kā lākou wahi ma ka waena konu o ka wāwae. Ma ka olelo o ka dislocation ua ana ike i ka hope a me kaʻaoʻao. Emi i ka dislocation i ke kūpono 'ana o ke edema. Inā ka nani i mua i hanaʻia, ka mea i nui oi paʻakikī, e hookomo i loko o ka ami phalanx.

Pani 'emi i ka dislocation ma hope o kūloko anesthesia. Inā ia mea paakiki ke straightenʻike mau iaoia, laila, ua hoʻohana 'ia ma distal phalanx hoike mau huila a me ka palapala noi hoe. Ke kaʻina hana Ua puni hoʻi a me ka maluhia. Alaila, pana aku au i ka meaʻono no ka poino manamana lima lōʻihi a me ka protivotyagu (a hāpai ka Hope) no ke kuʻekuʻe wāwae. E hookuke i ke kumu 'oni iki a hiki i kaʻaoʻao o ka phalanx lawe ka ho'ēmiʻana o ka dislocation.

I ka maʻi dislocations ponoʻoki lāʻau lapaʻau 'uao.