Ngati mwawamva mawu akuti "phalanx" mwinamwake mukudzifunsa kuti ndi ndani. Pali mafupa ochulukirapo pamapazi! Tiyeni tione momwe thupili limayambira, pomwe izi zimagwirizana ndi momwe phazi lirilonse limakhalira, ntchito yake ndi cholinga cha mafupawa, ndi momwe matenda angakhudze iwo.
Mwachidule
Nthenda ya phalanx yowonjezereka ndi mfupa (fupa lamphongo) pafupi ndi mwendo.
Chithunzicho chimasonyeza chithunzi cha mafupa awa omwe ali pamapazi-pakatikati pa mapiri a phalanges omwe ali kuti zala zazing'ono zimachoke ku thupi lalikulu la phazi.
Mukulankhulira zachipatala, phalanx yodalirika ndi fupa m'donthe uliwonse pafupi ndi fupa la metatarsal lomwe limagwirizanitsa ndi fupa la phalanx.
Kodi Phalanges Ndi Chiyani?
"Phalanges" ndi mawonekedwe ochuluka a phalanx. Mu anatomy, imatanthawuza pamodzi ku mafupa (zala ndi zala) m'manja ndi m'mapazi. Pali mafupa 56 a phalanx mu thupi la munthu. Chophimba chachikulu (chomwe chimatchedwa hallux) ndi chala chachikulu chili ndi phalanges, pomwe zala ndi zala zina zimakhala zitatu.
Matenda a phalanx a chala chake ndi amfupi kuposa omwe ali m'manja. Izi ndi zowona makamaka pazomwe zimapangidwira phalanx.
Mwachidule Anatomy ya Mapazi ndi Zala
Kuti mudziwe bwino za malo omwe amapezeka phalanges, zingakuthandizeni kufotokozera mwachidule maonekedwe a mapazi.
Mapazi akugwera m'madera atatu apadera:
- Chotsatira chomwe chimakhala ndi phalanges (awiri mu zala zazikulu zazing'ono ndi zitatu zala zala zina) kuphatikizapo mafupa a metatarsal
- Pakatikati mwa phazi lomwe liri phazi la phazi ndipo limapangidwa ndi mafupa asanu a tarsal
- Hindfoot kapena rearfoot yomwe imadziwika kuti chidendene, ndipo imakhala ndi fupa lalikulu chidendene chomwe chimatchedwa calcaneus komanso talus bone
Kupanga ndi Kumangidwe
Maonekedwe a phalanx amatha kukhala concave pansi, kutanthauza kuti ndi yopindika mkati, ngati mkati mwa mbale. Pamwamba pa phalanx yochulukirapo imakhala yodetsedwa, yokhala ndi mawonekedwe osiyana ndi khomo lakunja ngati kunja kwa mpira. Mbali ya fupa imapangidwe, kupangitsa fupa kukhala locheperachepera pakati pamapeto.
Kutha kwa kumapeto kwa phalanx koyambirira kumakhala kofanana kumene kumagwirizana ndi fupa la metatarsal. Mutu wa phalanx wodalirika umagwirizanitsa ndi phalanx wapakati mwa njira yomwe imaloleza kufotokozera.
Ntchito ndi Cholinga
Mavuto a phalanges ndi ofunika kwambiri polola kuti zala zikugwedezeke bwino. Potero, iwo ndi ofunika muzochitika kuyambira kuyenda ndikudumphira. Mafupawa ndi ofunikiranso pamakwerero akutha, akuthandizani kuti muziyenda malo osasinthasintha ndikukhazikika.
Zochitika Zamankhwala
Phazi laumunthu ndi gawo lovuta kwambiri la thupi lomwe limakhala ndi zovuta kwambiri pamene tikuyenda mmoyo wathu. Momwemo, zingakhale zovulaza. Pa nthawi yomwe mapazi athu amadziwika ndi mphamvu, kupweteka kwamapazi kumatha kuchepetsa pafupifupi ntchito iliyonse m'miyoyo yathu.
Nazi mavuto angapo omwe amawoneka omwe angagwirizane ndi kapena akukhudzidwa kwambiri ndi phalanx.
Mitsempha ya Toi
Zosweka zazing'ono zimakhala zofala, kawirikawiri zimayambitsidwa ndi chinachake cholemetsa chimene chikuwagunda kapena kupunthira chala chotsutsana ndi chinthu. Zimakhala zopweteka ndipo zimatha kuyenda kuyenda movutikira. Ngati osatulutsidwa, zophulika zowononga zimatha kuchiza molakwika ndipo zimayambitsa mavuto ena apansi pamzere. Kuphwanyidwa kwapansi kwa phazi kungathenso kuchitika, izi ndizo zimayambitsidwa ndi kuvulala kwakukulu. Kuvomereza kupweteka kwa phazi, ngati mukukumana nawo, ndi kufunafuna chithandizo chamankhwala, ndi njira imodzi yopezera kuti ziphuphuzi zisapangitse kulemala pamsewu.
Zojambula Zamanda
Matendawa ndi vuto lalikulu, makamaka pakati pa amayi, zomwe zingakhudze chombo chimodzi kapena chala, ngakhale kuti si zachilendo muzitole zazikulu.
Iwo amadziwika ndi kupindika kwapamwamba pakati pa zala zakutsogolo pa mgwirizano wa metatarsophalangeal kumene mphulupulu ya phalanx imakomana ndi mafupa a metatarsal. Minofu yofooka muzitole imalola kuti tizilombo tifupikitse ndikupunthanso chala kumapazi, zomwe zimapangitsa kuti mgwirizano wokwera ndi "mawonekedwe" asunthike. Chimodzi mwa zifukwa zomwe zimayambitsa nyundo zingakhale nsapato zochepa kwambiri.
Metatarsalgia
Metatarsalgia ndi ululu umene umapezeka pa phazi pakati pa chigoba ndi zala, nthawi zambiri mumatawu aakulu a metatarsophalangeal. Kawirikawiri amagwirizanitsidwa ndi mavuto ndi phazi la biomechanics kapena deformities. Kukoma mtima ndi ululu pamene mukuyenda ndi zizindikiro zofala.
Osteoarthritis
Matenda a osteoarthritis ndi matenda omwe amachititsa kuti thupi likhale lopweteka, pamene khunyu, yomwe imakhala ngati chingwe pakati pa mafupa omwe ali pamodzi, imachepa. Ikhoza kukhala ngati zotsatira zachizolowezi chovala-ndi-kugwedeza pamodzi. Kupweteka ndi kuvulazidwa kwa phazi, kuchepa kwa miyendo yachitsulo ndi zofooka kungapangitsenso kuti matenda a mitsempha ya m'mimba ayambe kukula.
Osteophytes (Bone Spurs)
Nkhungu zimatulutsa zowonongeka kapena zowonongeka zomwe zingapangidwe pamagulu. Nthawi zambiri amagwirizanitsidwa ndi osteoarthritis. Amatha kupweteka ndipo amalepheretsa kusuntha kwa ziwalo zomwe zimakhudza.
Kusamalira Mapazi Anu
Nthawi zambiri timatengera mapazi athu mopepuka mpaka chovulazidwa kapena nyamakazi imatikakamiza kuti tione momwe ife timadalira ntchito yawo yachibadwa. Ngati muli ndi vuto lililonse limene liri lovuta kapena likupitiriza, onetsetsani kuti mupange nthawi yoti muwone dokotala wanu kapena podiatrist poyamba osati mtsogolo. Mavuto ambiri amapazi amakhala ovuta kuchiza pamene sakhala vuto lalikulu.
Zotsatira:
Gill, T., Menz, H., Landorf, K., Arnold, J., Taylor, A., ndi C. Hill. Kuzindikiritsa Magulu a Mphindi Maulendo Malo mu Mtsinje Wachigawo. Matenda a Nyamakazi ndi Kafukufuku . 2017 Feb 23. (Epub patsogolo pa kusindikiza).
Kasper, Dennis L .., Anthony S. Fauci, ndi Stephen L .. Hauser. Mfundo za Harrison za Mankhwala a M'kati. New York: maphunziro a Mc Graw Hill, 2015. Print.