Kuvulala kwa mano kumagwidwa pathanthwe, zomwe zimaperekedwa mopepuka kupanikizika kwa ntchitoyi kumaika ma dijiti pamene ikuyenda motsatira malo osagwirizana ndikuthandizira kulemera kwa thupi lanu lonse. Komabe, kuvulala komwe kumachitika kungakhale kosazolowereka, osati kungoponyera chala kapena kusuntha kwa ziwalo.
Chimodzi mwa zovulaza zosayembekezereka zomwe zimachitika, ndipo zimawoneka pafupi pokha pamapiri a miyala, amatchedwa kupasuka kwa digriyumu pulley.
Chifukwa chomwe izi zimayambira ndi zotsatira za makina a zizindikiro ndi ziwalo zazing'ono ndi malo omwe makamaka zala zikuchitika pamene kukwera miyala.
Zomwe masewera ena omwe avulalawa tafotokozedwa mmenemo ali ndi makapu akuluakulu a baseball. Mphamvu zomwe zimagwiritsidwa ntchito ndi chala ndizosiyana kwambiri ndi zochitika ziwirizi, koma zonsezi zimapangitsa kuti zipsyinjo zikhale zovuta.
Mapulogalamu a Manyowa
Aliyense ali ndi zolemba za digital digleys (madokotala nthawi zambiri amagwiritsa ntchito mawu akuti "chiwerengero" ndi "chala" mosasinthasintha). Mapulaneti awa ndi apadera omwe amachititsa kuti mafupa a zala azigwira. Pokhapokha mapulanetiwa ali ndi zala, vuto lomwe limatchedwa bowstringing la tendons likanachitika.
Tendons ndizomwe zimagwirizanitsa minofu ndi mafupa. Pamene minofu ikugwirizanitsa, imakoka matope, omwe amakoka fupa. Pamwamba pake, mitsempha ya mgwirizano wamalowu, kukoketsa mikwingwirima ya minofu, kuchititsa kuti zala za mgwirizano zikhale chibwano.
Popanda mapulumulo pamalo omwe amagwira mafupawo, mafupawa amatha kukoka pamtambo, osalola kuti tiwombere. Ntchitoyi ndi yofanana ndi ntchito ya pulley yomwe imakweza chinthu cholemera.
Chala chirichonse chimakhala ndi mapiritsi asanu ndi atatu, koma awiri okhawo amawoneka kuti ndi ofunika kwambiri kuteteza kupopera kwazingwe.
Munthu akaphwanya pulley, amatha kusamalira mitundu yosiyanasiyana ya kuvulaza kuchokera pamtunda wovuta wa pulley kuphulika kwa mapulaneti ambiri mu chiwerengero chimodzi.
Panthawi yovuta kwambiri, pamene tinthu timene timapanga tizilombo tomwe timapanga tizilombo timene timakhala tomwe timapanga tizilombo tomwe timapanga tizilombo tomwe timapanga tizilombo tomwe timapanga, timatha kutuluka pakamwa pokha tikamapanga nkhonya
Zizindikiro za Kutuluka kwa Pulley
Zowonongeka zapachikale zalake zimaphatikizapo:
- Ululu pa chikhomo cha chala chake ndi chikondi ndi mavuto
- Kutupa kwa chala
- Zovuta kupanga chibonga
- Kumva "pop" pa nthawi ya kuvulala
Ndikofunika kuti mulingalire kuvulala kwa digito ya pulley yomwe inayesedwa ndi katswiri nthawi yomweyo (mkati mwa masiku angapo kufika pa sabata) pambuyo pa chovulalacho. Ngakhale kuti chithandizo chamwadzidzidzi sichifunika, kuchedwa mankhwala (masabata kapena miyezi ingapo) kungapangitse zotsatira zopambana. Chofunika kwambiri pa kafukufuku wa kachipatala ndicho kudziwa ngati pali nsonga iliyonse yamatope chifukwa cha kuvulala kwa pulley. Ngati sichoncho, chithandizochi chimangokhala chitetezo chokha mpaka kutupa ndi kupweteka kwatha.
Kawirikawiri, chiwerengero cha pakati kapena chiwerengero ndi chala chovulala. Mipira ikuluikulu iwiriyi imayikidwa A2 ndi mapaipi A4. Pogwera miyala, mwina ziŵiri zonsezi zimavulazidwa.
Kawirikawiri pamapikisano a baseball, chovulalacho chimachokera ku A4 pulley.
Mayesero apadera angagwiritsidwe kuti athandizidwe ndi matendawa ndikukonzekera chithandizo. X-ray ingakhale yothandiza kuthetsa zifukwa zina za ululu wa mano kuphatikizapo sprains ndi zophulika zala . Mayeso a MRI ndi othandiza, makamaka ngati malo kapena kuvulaza kosawonekera sizowonekera. Nthaŵi zina MRI idzachitidwa ndi chala chokhazikika, kenaka n'kuwerama, kuti muwone ngati pali nsomba zamtunduwu.
Chithandizo
Ngati pali nsapato zamtunduwu, ndiye kuti kusamalira mosamala kwambiri kuvulaza kuyenera kuchitika.
Izi sizikutanthauza kuti opaleshoni ndi yofunika, koma pali njira zamakono komanso njira zamankhwala zomwe zingalole kuti mapulitsi amuchiritse bwino. Pokhapokha ngati pali mapulaneti angapo a pulley kapena ngati akuchedwa chithandizo ayenera kuchitidwa opaleshoni.
Ponena za kubwerera kuntchito, izi zimasiyanasiyana kwambiri ndi kuopsa kwa chovulalacho. Ndi mitsempha ya pulley yochepa, ntchito yonse ingayambirenso mwamsanga pamene kutupa ndi ululu zatsika. Pofuna kupweteka kwathunthu komwe akuchiritsidwa osati opaleshoni, nthawi ya chithandizo imakhala pakati pa miyezi itatu kapena itatu. Kwa anthu omwe amafuna kuti apange opaleshoni ya pulley, pangakhale zoletsedwa kwa chaka kuchokera pa nthawi ya opaleshoni.
> Zotsatira:
> Goldfarb CA, Puri SK, Carlson MG "Kuzindikira, Kuchiza, ndi Kubwerera ku Masewero a Masewera Anai Omwe Amagwira Mmanja ndi Wanja" J Am Acad Orthop Surg. Dec. 2016; 24 (12): 853-862.