Hamate bone ndomumwe wemapfupa maduku masere echigadziko. Aya mapfupa masere akaiswa zvakanaka zvakakwana mumitsara miviri pasi pechanza (zvakananga pasi pezvikamu zvakaderera zvemuchindwe). Pamwe chete, mapfupa anonzi mapfupa e-carpal-shoko rinobva pashoko rechiLatini rinoreva "chiuno." Vanhu vakawanda vakanzwa nezve carpal tunnel syndrome , mamiriro apo nharo inonamatwa sezvainopfuura nomugwagwa wakaoma wakaumbwa nemapfupa e-carpal.
Kungofanana nedzimwe rimwe pfupa mumuviri, mapfupa emapapu anogona kukanganiswa pavanoona kusagadzikana kunetseka kana kushungurudzika . Hamate bone bone isingaenzaniswi. Mazhinji emapfupa akave akaenzana, asi pane chidimbu chependekete chepfupa rinonzi "hook ye hamate." Iko hove iri shoma shoma shoma, uye inosungirirwa nemirasi nematononi muhomwe.
Kuputika muHook yeHamate
Mitsetse yehove ye hamate haina kujairika. Pasingapfuuri 2% yemapapiro ose emapappa anobatanidza hokore ye hamate. Zvisinei, kuputsika uku kuchiri kukodzera kukurukurirana, sezvavanokwanisa kazhinji kuoma kuongorora, uye kunetsa kurapa.
Mitsetse yehove ye hamate inowanzoitika mumitambo inoita mutambo unosanganisira kubata chimwe chinhu. Vatambi vebhokisi, gorofu, uye vatambi veHockey vanotsigira huwandu hwakawanda hwezviputi zvehove ye hamate.
Kazhinji, mutambi wacho anogona kuyeuka kukuvara kwavakange vaine chinyararire chekudzoka kana kurova gorofu mumudzi kana pasi.
Zviratidzo
Chiratidzo chinowanzovhiringidzika chekuputsika kwechigamba che hamate chinorwadza. Kuzvimba, kugunun'una, uye kushaya simba kwekubata zvinowanzoonekwawo, asi zviratidzo zvinowanzoitika zvinorwadziwa.
Utano hunogona kunge husina kujeka uye hwakaoma kubereka asi hunofanira kuwanika apo muongorori achinyanya kutsvaga hokore ye hamate bone. Kakawanda zvimwe zvinokonzera marwadzo emasikirwe emakumbo zvinogona kutaridzirwa, kusanganisira TFCC misodzi , tendon kana kukuvara kwegumbo , kana zvimwe zviputsi.
Mune dzimwe nguva dzenguva refu, zviratidzo zvinogonawo kusanganisira kusagadzikana kwehutano hwehutano hwehutachiona . Huru yerinari imwe yematambudziko makuru anopa kunzwa kune ruoko neminwe. Nzira yacho inopfuura nechokupoteredza hokore yeHatate, uye kazhinji varwere vachaona kusuruvara uye kusungirirwa mune zviduku uye zvigunwe kana chirwere chenyoka chisina kushanda kazhinji.
Chimiro chechimiro x-rays kazhinji chinoratidzika sechinhu chakanaka kune varwere vane kuputsika kwehutano hwe hamate. Iko kune maonero anokosha, anonzi carpal tunnel view, kuti zviri nani zvinotarisa hokore ye hamate, zvichiita kuti zvimwe zviputi zvionekwe. MRI neC CT zvinyorwa zvinonyanya kuratidzira mukuratidza kuputsana kwehutano hwe hamate. CT inoratidzira inoratidzira zviri nani pfupa, asi MRIs inogona kubatsira zvikuru kana kuongororwa kusina kunyatsojeka, uye muongorori anodawo kuongorora goroti, ligaments, uye tendons.
Treatment Options
Pane zvishoma zvingasarudzwa zvekurapa fractures ye hook ye hamate.
Kushandiswa kwekukanda kuvhara bvudzi rakaputsika dzimwe nguva kunogona kubudirira, asi zvigumisiro hazvisi kuvimbika. Kuporeswa kwekuputsika hakugone kuitika, uye varwere vangangoda kuwedzerwa kurapwa.
Kugadziriswa kweputsika kazhinji kunodzivisa. Kuporesa kwepafu kunogona kuva kwakaoma kuita, uye varwere vanowanzotambudzwa ne hardware inoshandiswa kugadzirisa rakaputsika bone.
Kurapa kwakanyanya, kunyanya kumutambo, ndiko kukwanisa kubvisa hove yakaputsika ye hamate. Kuvimbika kwekudzoka kubva pakuberekwa uku kwakanaka zvikuru. Vatambi vanowanzotora vhiki 6-8 kuti vadzoke kubva pakuvhiyiwa uku uye kudzokera kumitambo.
Pane zvinetso zvinogona kuitika zvekuvhiya, kusanganisira nharo yekukuvara, utachiona, uye kurwadziwa, asi kana pakaitwa nechiremba anovhiya inonyatsochengeteka.
Sources:
Slowman LS, uye Morgan WJ. "Maoko Akaoma uye Maziso Okukuvara MuVatambi: Kuongorora uye Kutungamirirwa" J Am Acad Orthop Surg November / December 2001 vol. 9 no. 6 389-400