Chanza cheruoko chinoumba nzvimbo iri pachiso chemukati cheruoko uye inobvumira kubata.

Chinzvimbo. Chanza cheruoko chiri mukati meruoko, pakati pechanza neminwe (1).

Chimiro chakanaka. Chanza cheruoko chinogadzirwa nechepasita, chinogadzirwa nemapfupa marefu mashanu anoiswa mukuwedzera kwemunwe wega (2).

Chimiro chetishu. Chanza cheruoko chakagadzirwa (1):

• ligaments;
• yemukati memhasuru yeruoko, iyo inova uye hypothenar eminences, iyo lumbricals, iyo interossei, pamwe neiyo adductor tsandanyama yechigunwe;
• tendons kubva kumisungo yechikamu chepamberi chepamberi;
• yepalmar aponeurosis.

Hamvuropu. Chanza cheruoko chakafukidzwa nepamusoro peganda gobvu. Iyo yekupedzisira haina vhudzi uye ine ma gland akawanda edikita. Iyo inotaridzwawo nematatu akadzika wrinkles anonzi "palmar flexion folds".

Innervation uye vascularization. Chanza cheruoko hachina kuvharwa nepakati uye ulnar tsinga (3). Ropa rinopihwa neradial uye ulnar arteries.

Ruzivo basa. Chanza cheruoko chine simba rakasimba rinobvumira kuwana ruzivo rwakawanda rwekunze (4).

Basa rekuita. Chanza cheruoko chinobvumira kubata, iyo inoumba seti yemabasa inobvumira kubata (4).

Mamwe mabasa. Chanza cheruoko chinoshandiswawo pakutaura kana kudyisa (4).

Zvinetso zvakasiyana zvinogona kubuda muchanza cheruoko. Zvikonzero zvavo zvakasiyana uye zvinogona kuva zvemapfupa, kutya, tsandanyama kana kunyange articular mavambo.

Zvirwere zvepfupa. Skeleton yechanza cheruoko inogona kutyoka asi inogonawo kutambura kubva kune mamwe mamiriro emapfupa. Semuenzaniso, osteoporosis kurasikirwa kwepfupa kunowanikwa kune vanhu vanopfuura makore 60. Inosimbisa kushaya simba kwepfupa uye inokurudzira zvikwereti (5).

Nerve pathologies. Mhando dzakasiyana dzetsinga pathologies dzinogona kukanganisa muchanza cheruoko, semuenzaniso carpal tunnel syndrome inoreva kusagadzikana kunoenderana nekutsikirirwa kwetsinga yepakati pamwero wecarpal tunnel, zvakanyanya padanho rechanza. Inotaridza senge kurira muminwe uye kurasikirwa kwesimba remhasuru, kunyanya muchanza (6).

Tsandanyama uye tendon pathologies. Muchindwe unogona kukanganiswa ne musculoskeletal disorders, inozivikanwa sehosha yebasa uye inoitika panguva yakawandisa, kudzokorora kana kuerekana kunetseka pagumbo.

Joint pathologies. Chanza cheruoko chinogona kunge chiri chigaro chemamiriro ekubatana akadai seArthritis, kuunganidza pamwe chete marwadzo anoenderana nemajoini, ligaments, tendon kana mapfupa. Osteoarthritis ndiyo yakajairika nzira yeArthritis uye inoratidzwa nekupfeka uye kubvaruka kweshwashwa rinodzivirira mapfupa mumajoini. Majoini emichindwe anogonawo kukanganiswa nekuzvimba munyaya yerheumatoid arthritis (7).

Kudzivirira kuvhunduka uye kurwadziwa muchanza cheruoko. Kuti udzikise kuputsika uye kusagadzikana kwemusculoskeletal, kudzivirira nekupfeka dziviriro kana kudzidza majeti akakodzera kwakakosha.

Syndromeomatic kurapwa. Kuti uderedze kusagadzikana, munhu wacho anogona kupfeka splint panguva yehusiku. Izvi zvinokurudzirwa, somuenzaniso, munyaya ye carpal tunnel syndrome.

Orthopedic kurapwa. Zvichienderana nerudzi rwekutsemuka, kuiswa kwepurasita kana resin kuchaitwa kuti isafambe muchanza.

Mishonga yekurapa. Zvichienderana nechirwere chechirwere chinowanikwa, marapirwo akasiyana-siyana anorayirwa kuti atonge kana kusimbisa mapfupa emapfupa. Mimwe mishonga inogona zvakare kurongerwa kubatsira kubvisa tsinga.

Kuvhiya kurapwa. Zvichienderana nechirwere chakaonekwa uye nekushanduka kwayo, kuvhiya kunogona kuitwa.

Kuongorora kwepanyama. Kutanga, kuongororwa kwekliniki kunoitwa kuitira kutarisa uye kuongorora zviratidzo zvekunzwa uye motokari zvinonzwisiswa nemurwere muchanza cheruoko.

Kuongorora kwekufungidzira kwekurapa. Kuongororwa kwekliniki kunowanzowedzerwa ne x-ray. Mune zvimwe zviitiko, vanachiremba vachashandisa MRI kana CT scan kuti vaongorore uye vaone maronda. Scintigraphy kana kunyange bone densitometry inogona kushandiswa kuongorora bone pathologies.

Electrophysiological exploration. Iyo electromyogram inoita kuti zvikwanise kudzidza kushanda kwemagetsi etsinga uye kuona zvingangoita maronda.