Amagqabantshintshi obuqaqawuli buka-Thenar

Umxholo

• Imisipha yokuqaqamba kwangoko
• Ichasene nepollicis
• Abductor pollicis brevis
• I-Flexor pollicis brevis
• Umzobo weAnatomy
• Imithambo yokuqaqamba kwangoko
• Umsebenzi wokuphakama kwangoko
• Iimeko ezichaphazela ukuphakama kwangoko
• Ukuzilolonga kwangoko
• Ubhontsi flex kunye nokwandiswa
• Ukwandiswa kobhontsi ngebhanti yerabha
• Umsebenzi wokubamba ngesandla
• Sebenzisa amandla omzimba
• Ukuchukumisa ubhontsi-ngomnwe
• Ukuthatha

Ukuphakama kwangoko kubhekisa kumbhobho onokubonakala emazantsi wesithupha sakho. Yenziwe zizihlunu ezithathu ezahlukileyo ezisebenza ukulawula iintshukumo zesithupha.

Siza kujonga ngakumbi ukubalasela kwangoko, ukusebenza kwayo, kunye neemeko ezinokuthi zichaphazele.

Imisipha yokuqaqamba kwangoko

Ichasene nepollicis

Iiponyonens pollicis sesona sihlunu sikhulu sifumaneke kubude obabukulo.

Umsebenzi wawo ubaluleke kakhulu kwinto eyenza ukuba izithupha zabantu ziphikisane. I-opponens pollicis isebenza ukuhambisa ubhontsi kude kweminye iminwe yesandla. Ngexesha lokushukuma, ubhontsi uyajikeleza ukuze uchasane, okanye ungaphaya, eminye iminwe emine yesandla.

Le ntshukumo ibaluleke kakhulu kwimisebenzi enjengokubamba kunye nokubamba izinto.

Abductor pollicis brevis

I-abductor pollicis brevis ibekwe ngaphezulu kwe-opponens pollicis ecaleni ngaphandle kwesithupha. Umsebenzi wayo kukunceda ususe ubhontsi kude kumnwe wesalathiso.

Le ntshukumo inokuboniswa ukuba isandla sibekwe tyaba ngaphezulu kwaye isithupha sishenxisiwe kude nesandla.

I-Flexor pollicis brevis

I-flexor pollicis brevis ikwakhona ngaphezulu kweponyonens pollicis kodwa ibekwe ngaphakathi kwesithupha. Inoxanduva lokugoba ubhontsi ngasesipinki.

Le ntshukumo inokubonakaliswa ngokugoba indibaniselwano yokuqala yesithupha. Xa oku kusenzeka, isithupha kufuneka sigobe ukuze sikhombe kumnwe wepinki.

Umzobo weAnatomy

Cofa kwimisipha yesithupha ukuze ubone i-opponens pollicis, i-abductor pollicis brevis, kunye ne-flexor pollicis brevis.

Imithambo yokuqaqamba kwangoko

Imithambo-luvo ye-median ibonelela ngemithambo-luvo kuzo zontathu izihlunu kwindawo ephezulu yelo xesha. Le nerve ye-median ivela kwiqela leentsholongwane ezibizwa ngokuba yi-brachial plexus.

I-median nerve isebenza ngaphakathi kwengalo apho ithi iwele ngaphaya kwengqiniba, ibonelele ngemithambo yezihlunu zengalo, isihlahla, kunye nesandla.

Inxalenye encinci ye-flexor pollicis brevis, ebizwa ngokuba yintloko enzulu, inikezelwa yimithambo-luvo yi-ulnar nerve. Ukongeza, i-opponens pollicis ibonelelwa ngemithambo-luvo yi-ulnar nerve malunga neepesenti ezingama-20 zabantu.

Njenge-nerve median, i-ulnar nerve ivela kwi-plexus ye-brachial. Yehla ingalo, inqumle ingqiniba ecaleni kwento engaphakathi kwaye ihambe ngaphakathi ngaphakathi kwengalo. Ikwanika imithambo-luvo kwiindawo zangaphambili, esihlahleni nakwisandla.

Umsebenzi wokuphakama kwangoko

Isazinzulu uJohn Napier wakhe wathi, "Isandla ngaphandle kwesithupha asinto ilunge ngakumbi ngaphandle kwespatula esinoopopayi kwaye eyona nto ilungileyo yeyesibini somkhosi onamanqaku angadibani kakuhle." Ewe ubhontsi ubaluleke kakhulu kwiindlela esinxibelelana ngazo nezinto ezisingqongileyo.

Ukuphakama kwangoko kunceda ukulawula ukuhamba kakuhle kwesithupha, kubandakanya ukukwazi ukubamba, ukubamba, nokucofa izinto.

I-abductor pollicis brevis kunye ne-flexor pollicis brevis ivumela ukuhamba kwesithupha kude okanye ukuya kweminye iminwe yesandla. I-opponens pollicis yenza ukuba isithupha sikwazi ukuchasana. Ezi ntshukumo zisivumela ukuba siphathe ngononophelo kwaye sisebenzise izinto kunye nezinto.

Iimeko ezichaphazela ukuphakama kwangoko

Kukho iimeko ezininzi ezinokuchaphazela ukuphakama kwangoko, okukhokelela ekwehleni kokusebenza okanye nakwi-atrophy yezihlunu.

Usenokuba nengxaki malunga nemisipha yokuqaqamba kwangoko ukuba uyaqaphela:

• Ukuba ndindisholo okanye “izikhonkwane neenaliti” kubhontsi wakho. Ezi mvakalelo zihlala zibangelwa kukucofa okanye uxinzelelo kwi-nerve median.
• Ubuthathaka bemisipha. Abantu abanezihlunu eziphakamileyo ezibuthathaka bangabamba izinto kancinci kwaye babe lula ukuzishiya.
• Intlungu. Uninzi lweentlungu ezinxulumene nazo zingaphuma kwisiseko sesithupha.
• Ukukhubazeka. Ukuba uyakuqaphela oku kwisiseko sesithupha sakho, kunokuba ngenxa ye-atrophy yemisipha yokuphakama kwangoko.

Eminye imizekelo yeemeko ezinokuchaphazela ukuphakama kwangoko kubandakanya:

• Isifo seCarpal tunnel. Le meko ibangelwa kukucinezelwa okanye ukucofwa kwe-nerve median njengoko ibaleka esihlahleni. Iimpawu eziqhelekileyo zibandakanya ukuphazamiseka, ukubetha, kunye nobuthathaka.
• Isiseko samathambo. Le meko ibangelwa kukuwohloka kwentlala ejikeleze ilunga lesithupha elisezantsi. Ngelixa kuchaphazela amalungu ajikeleze ukuphakama kwangoko kwaye hayi izihlunu ngokwazo, imeko inokubangela ukulahleka kwesindululo okanye ubuthathaka besithupha.
• Umothuko kwingalo, isihlahla, okanye ubhontsi. Ukonzakala kwengalo engezantsi kunokubeka abantu kwimeko yeemvakalelo okanye ye-arthritic enokuthi ichaphazele ukubalasela kwangoko. Umzekelo, ukwaphuka kwengalo eyonakalisa i-median nerve kungakhokelela ekunciphiseni kwemvakalelo kwindawo yesithupha.
• Ubunzima okanye ithumba. Ubunzima okanye ithumba okanye kwindawo ejikeleze ubume obunqabileyo kunqabile. Apho ikhoyo, oku kunokubangela iimpawu ezifanayo ne-carpal tunnel syndrome.
• I-Amyotrophic lateral sclerosis (ALS). I-ALS sisifo senkqubo yemithambo-luvo esenza buthathaka izihlunu zomzimba ngokuthe ngcembe. I-Atrophy yamalungu okuphakama kwangoko luphawu lokuqala lwekliniki ye-ALS.

Ukuzilolonga kwangoko

Zama imithambo engezantsi ukugcina ukomelela kobungangamsha belo xesha. Ukuba awuqinisekanga ngayo nayiphi na le mithambo okanye usandul 'ukonzakala okanye uqhaqho ngengalo yakho, isihlahla, okanye isandla, thetha nogqirha wakho kuqala.

Ubhontsi flex kunye nokwandiswa

Phakamisa isandla, uqiniseke ukuba ubhontsi wakho ubekwe kude kwiminwe yakho. Hambisa ubhontsi wakho entendeni yesandla sakho ukuze ichukumise nje ngezantsi komnwe wepinki.

Bamba indawo nganye kwimizuzwana eli-10 ukuya kweli-15, usenza iirisithi ezili-10 ngesandla ngasinye.

Ukwandiswa kobhontsi ngebhanti yerabha

Beka isandla sakho phezu kwetafile okanye kwenye indawo elukhuni. Beka ibhanti yerabha ecaleni kwesandla sakho ukuze ihlale emazantsi amalungu akho omnwe. Ngenisa ngobhontsi isithupha sakho kude kweminye iminwe yakho kude kuye kufika. Bamba esi sikhundla imizuzwana engama-30 ukuya kwengama-60 emva koko ukhulule.

Phinda-phinda kali-10 ukuya kwali-15 ngesandla ngasinye.

Umsebenzi wokubamba ngesandla

Thatha intenetya okanye ibhola elingana nayo ngesandla esinye. Cinezela ibhola nzima kangangoko unako phakathi kwemizuzwana emi-3 ukuya kwemi-5 ngaphambi kokuba uyekelele kancinci kancinci ekubambeni kwakho.

Phinda la maxesha ali-10 ukuya kweli-15 kwisandla esinye emva koko ubuye ngesinye isandla.

Sebenzisa amandla omzimba

Thatha ibhola ethambileyo yegwebu phakathi kwesithupha sakho kunye nomnwe wesalathiso. Cofa ibhola, ubambe indawo phakathi kwemizuzwana engama-30 ukuya kuma-60. Khulula kancinci ipinki.

Phinda-phinda kali-10 ukuya kwali-15 ngesandla esinye kwaye kwakhona ngesinye isandla.

Ukuchukumisa ubhontsi-ngomnwe

Phakamisa isandla sakho phambi kwakho. Ngobunono ubambe ubhontsi komnye weminwe yakho emine, ubambe indawo nganye kangangemizuzwana engama-30 ukuya kwengama-60.

Phinda okungenani amaxesha ama-4 kwisandla ngasinye.

Ukuthatha

Ukuphakama kwangoko liqela lezihlunu ezithathu ezantsi kwesithupha. Ngaphandle kobukhulu bayo obuncinci, zibaluleke kakhulu kulawulo lweentshukumo ezintle zesithupha ezinje ngokubamba kunye nokucofa.

Ukuphakama kwangoko kunokuchaphazeleka ziimeko ezahlukeneyo ezinokubangela ukwehla kwentshukumo yokuhamba okanye kwemisipha. Ukuba uyakholelwa ukuba uhlangabezana neempawu ezihambelana nenye yezi meko, yenza idinga lokuya kugqirha.