Isikhali

Isikhali

Ingalo (kusuka kwelesiLatini elithi brachium), ngezinye izikhathi ebizwa ngokuthi umphambili, ingxenye yengalo engenhla phakathi kwehlombe nendololwane.

I-Anatomy yamabhodi

Ukwakheka. Ingalo yakhiwe ngethambo elilodwa: i-humerus. Ingxenye yokugcina kanye ne-intermuscular partitions ihlukanisa imisipha ibe izingxenye ezimbili ezihlukene:

  • Igumbi elingaphambili, elihlanganisa ndawonye imisipha emithathu eguquguqukayo, i-biceps brachii, i-coraco brachialis kanye ne-brachialis
  • i-posterior compartment, eyenziwe yisisipha esisodwa esinwebekayo, i-triceps brachii

Ukusindiswa nokuhluthwa kwemithambo yegazi. Ukugcinwa kwengalo engalweni kusekelwa inzwa ye-musculocutaneous, i-radial nerve, ne-medial cutaneous nerve yengalo (1). Ingalo ifakwe ngokujulile imithambo ye-brachial kanye nemithambo ye-brachial.

Ukunyakaza kwengalo

Ukunyakaza kwe-Supination. Imisipha ye-biceps brachii ibamba iqhaza ekunyakazeni kwe-supination ye-forearm. (2) Lokhu kunyakaza kuvumela intende yesandla ukuba iqondiswe phezulu.

I-elbow flexion / ukunyakaza kwesandiso. I-biceps brachii kanye ne-brachii muscle ihileleke ekuguquleni indololwane kuyilapho i-triceps brachii muscle inesibopho sokunweba indololwane.

Ukunyakaza kwengalo. Umsipha we-coraco-brachialis unendima yokuguquguquka kanye ne-adductor engalweni. (3)

I-Pathologies nezifo zengalo

Ubuhlungu engalweni. Ubuhlungu buvame ukuzwakala engalweni. Izimbangela zalezi zinhlungu zihlukahlukene futhi zingahlotshaniswa nemisipha, amathambo, imisipha noma amalunga.

  • Ukuphuka. I-humerus ingaba indawo yokuphuka, kungakhathaliseki ukuthi isezingeni le-shaft (ingxenye emaphakathi ye-humerus), indawo engezansi (indololwane), noma ingaphezulu (ihlombe). Lokhu kwakamuva kungase kuhambisane nokugudluka kwehlombe (3).
  • I-Tendinopathies. Baqoka wonke ama-pathologies angenzeka kuma-tendon. Izimbangela zalezi pathologies zingahlukahluka. Umsuka ungaba ongaphakathi kanye nezakhi zofuzo, njengangaphandle, ngokwesibonelo isikhundla esibi ngesikhathi sokusebenza kwezemidlalo. Ezingeni lehlombe, i-rotator cuff ehambisana nesethi yezintambo ezimboze ikhanda le-humerus, kanye nezintambo ze-biceps ende kanye ne-biceps brachii ingathinteka yi-tendonitis, okusho ukuthi - ukusho ukuvuvukala. kwemisipha. Kwezinye izimo, lezi zimo zingaba zimbi kakhulu futhi zibangele ukuphuka kwe-tendon. (4)
  • I-Myopathy. Ihlanganisa zonke izifo ze-neuromuscular ezithinta izicubu zemisipha, kuhlanganise nalezo zengalo. (5)

Ukuvimbela nokwelashwa kwengalo

Ukwelashwa. Kuye ngesifo, ukwelashwa okuhlukene kungase kunqunywe ukulawula noma ukuqinisa izicubu zamathambo noma ukunciphisa ubuhlungu nokuvuvukala.

Ukwelapha okuhlinzwa. Ngokuya ngohlobo lokwephuka, ukuhlinzwa kungenziwa ngokubekwa kwezikhonkwane, ipuleti eligciniwe isikulufa, isilungisi sangaphandle noma kwezinye izimo isitho sokufakelwa.

Ukwelashwa kwamathambo. Ngokuya ngohlobo lokwephuka, ukufakwa kosimende noma i-resin kungenziwa.

Ukwelashwa ngokomzimba. Izindlela zokwelapha ezingokomzimba ezifana ne-physiotherapy noma i-physiotherapy zinganqunywa.

Izivivinyo zengalo

Ukuhlolwa komzimba. Ukuxilongwa kuqala ngokuhlolwa kobuhlungu bengalo ukuze kutholakale izimbangela zabo.

Ukuhlolwa kwe-imaging yezokwelapha. I-X-ray, i-CT, i-MRI, i-scintigraphy noma ukuhlolwa kwe-bone densitometry kungasetshenziswa ukuqinisekisa noma ukujulisa ukuxilongwa.

Umlando kanye nezimpawu zengalo

Lapho enye yezintambo ze-biceps brachii iphuka, imisipha ingahlehla. Lolu phawu lubizwa ngokuthi “uphawu lukaPopeye” uma kuqhathaniswa nebhola elakhiwe ama-biceps womlingiswa oqanjiwe u-Popeye (4).

shiya impendulo