Rib keji

Rib keji

Iyo mbabvu cage (kubva kuGreek thôrax, chest) inhengo ye osteo-cartilaginous, iri pamwero we thorax, iyo inobatanidzwa kunyanya mukudzivirira kwenhengo dzinokosha.

Thoracic anatomy

Chimiro chembabvu cage. Inoumbwa nezvinhu zvakasiyana (1) (2):

  • Bhonzo repazamu rinova refu, bhonzo rakati sandarara riri kumberi nepakati.
  • Iyo thoracic musana, iri kumashure, iyo inoumbwa negumi nembiri vertebrae, ivo pachavo vakaparadzaniswa ne intervertebral discs.
  • Mbabvu, makumi maviri neina muhuwandu, idzo dzakareba uye dzakakombama mapfupa, dzichibva kumashure dzichienda kumberi kuburikidza neuso hwemberi.

Chimiro chembabvu. Mbabvu dzinotanga kubva kumusana uye dzakanamirwa pabhonzo rechipfuva nekashasha inodhura, kunze kwembabvu mbiri dzepazasi dzekupedzisira. Idzi dzinonzi mbabvu dzinoyangarara, idzi hadzina kusungirirwa pamboro (1) (2). Aya majoini anoita kuti zvikwanise kupa chimiro nenzira yekeji.

Intercostal nzvimbo. Gumi neimwe intercostal nzvimbo dzinoparadzanisa mbabvu gumi nembiri pachiso che lateral. Nzvimbo idzi dzakagadzirwa nemhasuru, tsinga, tsinga, pamwe netsinga (2).

Thoracic cavity. Ine nhengo dzakasiyana-siyana dzinokosha dzinosanganisira mwoyo nemapapu (2). Nheyo yegomba yakavharwa nediaphragm.

Mabasa embabvu cage

Basa rekudzivirira renhengo dzemukati. Nekuda kwechimiro chayo uye kuumbwa kwayo, mbabvu inodzivirira nhengo dzakakosha semoyo nemapapu, pamwe nedzimwe nhengo dzedumbu (2).

Mobility basa. Bumbiro rayo rine chikamu checartilaginous rinopa chimiro chinochinjika chichiibvumira kutevera mafambiro emusana (2).

Basa mukufema. Iyo inochinjika chimiro chekeji, pamwe chete nemajoini akasiyana-siyana anopa iyo yakakura amplitudes yekufamba, kutora chikamu mune yekufema mechanics. Tsandanyama dzakasiyana-siyana dzekufema dzinowanikwawo mumbabvu (2). 

Pathologies yembabvu cage

Kunetseka kukuru. Inoenderana nekukuvadzwa kwetigeji yemuchinjikwa nekuda kwekuvhunduka kune thorax (3).

  • Kutsemuka. Mbabvu, sternum pamwe nedorsal spine zvinogona kutsemuka kwakasiyana.
  • Thoracic flap. Inopindirana nechikamu chemadziro echipfuva chakaparadzana uye chinotevera kuputsika kwembabvu dzakawanda (4). Izvi zvinotungamirira kumatambudziko ekufema nekufema kweparadoxical.

Zvakaremara zvechipfuva madziro. Pakati peizvi deformation, tinoona iyo yeanterior thoracic wall:

  • The thorax mufunnel, zvichikonzera kuparara kwegomba, nekuda kwekufungidzira kuseri kwesternum (5).
  • The thorax keeled, zvichikonzera kuremara mune bump, nekuda kwekufungidzira kumberi kwe sternum (5) (6).

Pneumothorax. Icho chinoreva nezvechirwere chinokanganisa nzvimbo yekumeso, nzvimbo pakati pemapapu nembabvu. Iyo inoratidzirwa nekurwadziwa kwakanyanya kwepfupa, dzimwe nguva kwakabatana nekunetseka kufema.

Mamota echipfuva madziro. Mamota ekutanga kana echipiri anogona kukura mubhonzo kana nyoro (7) (8).

Maladies eiyo os. Iyo mbabvu cage inogona kuva nzvimbo yekuvandudzwa kwezvirwere zvemapfupa zvakadai se osteoporosis kana ankylosing spondylitis.

Mishonga yembabvu

Kurapwa kwemishonga. Zvichienderana nekushungurudzika kana pathology, analgesics uye anti-inflammatory drugs zvinogona kurongerwa.

Kuvhiya kurapwa. Kuvhiya kunogona kuitwa kwechifuva madziro kuremara, kukuvara kwechipfuva, pamwe chete nemamota (5) (7) (8).

Thoracic cage bvunzo

Kuongorora muviri. Kuongororwa kunotanga nekuongorora kwepanyama kuongorora zviratidzo uye maitiro ekurwadziwa.

Medical imaging bvunzo. Zvichienderana nekufungidzirwa kana kupupurirwa kwechirwere, mimwe miedzo inogona kuitwa yakadai se x-ray, ultrasound, CT scan, MRI kana scintigraphy (3).

Nhoroondo uye chiratidzo chembabvu cage

Kudzvanywa kwechipfuva, kunoshandiswa nhasi senzira yekubatsira kwekutanga, kwakatanga kutsanangurwa mumhuka muna 18749 kusati kwaratidzwa muvanhu muna 1960 (10).

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