Likuvannya oniminnya fingers of the hands for a lump of porosity. ONIMINNIA: LIKAR VIDPOVIDAU. Yak buti yaksho see oniminnya

Innervation of the brush in the main work has three nerves: middle, literal, and exchange, in the mensh world the school-mantle, so that the sensitivity of the child is not guaranteed great finger.

Roughly - 0.3%. In fact, the injury of the digital nerves, rosted on the palms, especially during the great and the next few days, is more likely to occur gradually, but not to see the image in the diagnosis.

In fig. 125 shows a diagram of the localization of wounds of the hand, the most frequently accelerated nerves. The identification of the nerves in case of severe wounds of the hand is primed on the left localization of the wound and the topography of the nerves of the hand. Rukhovi and sensitive issues with a strong nerve break down at once, but through an incomplete situation it is not possible to get it. Wounded nerves in the middle of the fingers and in the middle of the wrists of ruffs does not wick, but the sensitiveness and trophies are meaningful. The wounds of the base of the valley, the worms to the thumb, accelerate the reduction of the median nerve with the onset of the paralleling of the muscles of the great toe and the I-II worms.

The posture of the middle and lactic nerves on the wrist of the wrist is of the type of ruffs, sensitive trophies (persistent, changes in color, temperature, etc.).

Small. 125. Localization of wounds of the hand most often supervises over the nerves (a); nerve suture scheme (b).

Injury of the superficial veins of the exchange nerve and the thin veins of the lytic nerve in the lower third of the anterior part of the nerve is also more sensitive for itself, the sensitive trophies of the various zones of the innervation.

Diagnosis of a nerve loss is often made deprived of problems and months of injury (K.A. To clarify the diagnosis with the use of electrodiagnostics and electromyography, further development of biopotentials and indirect methods.

An important role in diagnostics, in the assessment of the overcoming and regeneration of the nerves of the fingers and the hand, plays the role of the neurological situation. For a more and more accurate picture of the sensitivity of the brush and fingers, it is recommended to read the tactile, discriminational sensitivity, stereognosis and Ningidrin test. Having discovered that, having suspected a nerve closure, it is necessary to shine the hand and direct the victim in the surgical examination, de think for the primary processing and the suture of the nerve.

nerve suture

The need to put a suture on the palatine nerve is not forgiven for discussion, but if the sensitivity of the fingers is damaged, the functional health of the hand is reduced. With a whole series of keruvatis, the provisions about those that the seam of the nerve is a non-term operation.

At the first wound of the finger, the indications are the first epineural suture in quiet drops, if the surgeon knows we can carry out an additional operation and suture the wound. In case of obstructed wounds of fingers or the appearance of defects in the shkiri, if there are no minds for the primary suture, the nerve suture stitching is vicious.

It is not important to fix the nerves on the wrist and fingers, since both the back and the hair of the fingers are not so delicate as to transfer. The seam of the digital nerve is technically correct and on the middle phalanx. Kintsi yogo bezvychay not to disperse, and to finish one or two epineural sutures (Fig. 125, b). Bennel's tribute to the triviality of regeneration of the digital nerve sewn on the proximal phalanx is about 85 days, on the bottom of the valley - ALE days.

Nerve suture technique

The operation of the suture of the nerves in the hand is carried out in the minds of the hospital, under anesthesia or in the internal diseases of the surgeons, as may be seen before the surgery of the hand. When cutting a wound, it is necessary to expand the wound along the path of the nerve. When a nervous stovbur is seen, all the manipulations of the surgeon are atraumatic; unacceptable tanning of the nerve with tweezers, trivial nakedness, vitiaguvannya, separation, etc. m'yak_ fabric abo epіneurіy.

When a seam is applied, an atraumatic head and a seam through an epineurium will become stuck. Suture the seam on the nerve from one, more accessible side, take the ends of the threads in a jam and pick them up as "holders" when the onset seams are applied to the opposite side of the nerve. At the same time, it is important not to allow the rotation of the nerve outbound one to one; Any gap between the bundles will be filled with a hematoma and a scar, so that the new-grown axons will sprout. The number of seams is guilty of being sufficient, to ensure the tightness of the closure of the bundles and epineuria. Such a technique is to rob the unnecessary enclosure of the nerve suture zone with small fabrics and materials, so that more coarse scars can be made.

If you see a tension on the nerve when the seams are tied up, then you need to get the position to learn it. The great value is the correct way of carrying out the ailing work of the operation, in the wake of the postal regime, when the hand is not laid down with a stretch of 5-7 dB. away complex lykuvannya polyaga at the injection of physical factors (strumi d "Arsonval, ionophoresis, UHF, massage, electrostimulation of musics, educational gymnasticsі immobilization, lykarski zasobi).

The renewal of the function of the hand for the ear of the middle and the lactic nerves in the carpal tunnel is not given before the beginning and often not in the new world. There is a lot of new ideas, because of the discrimination of sensitivity - the quality of the development is instantly up to two points. For the renewal of the courtesy of the patient, the most important is the quality of the recognition of the drowned objects without the control of the vision - "tactile gnosis", which, on the mind of more authors, does not appear in the emerging world.

The increase in the long-term results of the suture of the nerves in the hand and in the fingers showing, but only 57% of sufferers have pain during the day, a third of the ailments see cold fingers, paresthesias; more often of the risky step bends of trophic rosters.

At the current surgery of nerves, there is more and more expansion of microsurgical technology, which will prevent the synchronous operation of the surgeon and assistant, the possibility of accurate renewal of the bundle of V.N., B. і spіvavt., 1975).

E. V. Usoltseva, K. I. Mashkara
Hirurgia ailments and pockets of bristles

A finger of a lumpy porosity wriggled into the lykarnya. Sewing up surgery. If you have healed the ear of you, you will be able to see it as a scar, but you will not be hurt. What is it for the damnation? Chi pass tse? And what about the sensitive finger? I am even more contemptuous and afraid. Help the old lady in advance.

VIDPOVIV: 11/29/2015

Privit Anna. Improvement and decrease in sensitivity due to severe paresis due to overlays of seams in the whole part of the manifestation. Hence, the nerve fibers are renewed, which means sensitivity. However, it is not 100% possible. For the improvement of tissue regeneration and acceleration of muscle blood flow, it is possible to vikoristovuvat Kontrubex micevo ointment to the area of ​​the scar.

VIDPOVIV: 11/29/2015 Maksimov Oleksiy Vasilovich Moscow 0.6 likar-hirurg, doctor-maximov.ru

Shvidshe for all the talk about the manifestation of post-traumatic fibroids and post-traumatic neuropathy. Precisely you can tell the deprivation of the picture. As soon as the diagnosis is confirmed, the problem is determined by the physical procedures.

Similar food:

17.10.2010, 13:49

On the 14/10 in the evenings I cut my middle finger on the left hand with a knife. The blood was too strong, 30 minutes of bleeding was uncomfortable. In the regional traumatology, the finger was sewn up, they put on 4 or 5 sutures. Vinnik's finger is stronger than an inappropriate vidchuttya, is it similar to a blow with a strum? In traumatology on the dressing in 2 days I suffered a lot of such pain. The doctor said that it was better for all the "nerve sprouting."
and more - sensitiveness on the ear-fingered finger and frozen. Is it okay? why will you pass? Likar with injuries nothing viraznogo without saying.
And more nutrition - how can you judge the integrity of a tendon by the weakness of the tip of a finger?

17.10.2010, 14:22

Well, in the medical field, the understanding is "normal" and "not even normal" :-)
Let's try to understand this:
1. "... more inappropriate to see, similar to a blow with a strum ..." yak i "... sensitiveness on the ear finger ni-vin yak freezing ..."
2. "... Chi will you pass?" As a rule, in case of a certain injury - so. A guarantee of unambiguous indications, as a matter of fact, it is not.
3. "... chi dovgo bude tse trivati ​​..." Termin, zychayno, numbered in months.
4. "... how can you judge the integrity of a tendon by the weakness of the end of a finger?" So.

17.10.2010, 14:46

On the 14/10 in the evenings she cut my middle finger on the left hand with a knife.

More beautifully, I would be more precise with the localization of the wound.

The food is normal, but when you put your finger on it, it’s more inappropriate to see it, looks like a blow with a strum?

Tse zvvychay with a subtle nerve.

And yet - sensitivity on the ear-fingered finger ni-win yak freezing. Chi is it okay?

It’s natural, because offending the digital nerve bully peresіchenі.

How can you judge the integrity of a tendon by the weakness of the end of a finger?

Likar zmozhe.

18.10.2010, 07:08

precise localization of the wound - rip the whole part of the finger from the side of the valley in the area of ​​the transition from the first to the other phalanx, that is, it is practical on the zgin ...

18.10.2010, 09:11

only about the dressing ... the horror ... the pain of the bed of the cake, how I started to curl up in my life, sluzi rushed from my eyes ...
Ketonal was prescribed - 1 t / 2 r per day
i milgammu-for 1 t
21 I don’t know how I’m going to see it ... such is the sensitivity of the family on one of the Swedish people ... I’m afraid to find out if I’ll be ...

04.11.2010, 00:10

I go to the topic. Buli indicated injections of proserin in pediatric patients - 10 rubles, Ortofen-10, Milgamma-10 the pricks of the endings, ale periodical strumming, all were overflowed (for an hour the pricks did not boil, the dressings were painless), hit it hard, I’m afraid to look at my problem with my heart, I’m afraid to read the infarction (=)) lang hit with a strum. The finger gets smashed, but everything is given with great difficulties. All the same, at the age, when the zgynach / tendon of evil is a little-finger not to go to the end, to get into a fist with great pracea, then why is it for the banging of the middle finger, I don’t know for the banging of what. Strike with a struma when the brush is tied, the laces are tied, just like the brush is carelessly laid. When I get sick, I immediately see the middle fingers see a tightness, I feel that it will burst .. Now I take neuromedin, Milgamma in tablets. The physician-traumatologist from the regional traumatology, saying that it was necessary to have it right away in the microchip of the hand, the nerve was really damaged in 6-9 years after injuries. I don’t know how robiti it is ... I’m in general space. strong blows a struma at naymensh_y navantazhennі is uncomfortable.
Why would I turn into NDI Harmful in the appearance of microsurgery of the hand, and help me to help the stench of my nerve, even to pass through the most miscellaneous? How can you add your finger to the robot? Through one I practically do not creep with my own hand ... as if I see it from the Langeti, and through the bile, I can’t see the nerve.

Viklada photo - zignannya pozhkozhenogo finger with minimal effort

Signing a finger with the maximum effort, a higher maximum, far not wanting -

Photo of the localization of the wound [Posilannya can bachiti only registered and assets of koristuvachi] liva side the finger from the seam of nothing is not visible, for in the singing positions itself there is a winky bile. The photo did not convey too close a seam and a trocha vische є small humps, behind the color of a white color of children.

Will you tell me?

04.11.2010, 18:50

what do you say? I’ll tell you, it’s gotten to you! Judging by the fact that you are actively flexing your finger, the tendon of the spines will not overreach and function. If you look at your pictures, you can say that you might have a vascular palatine nerve, which you can call at once with the vessels (which caused the blood to bleed in case of injury - the vessel - and pored). In order for it to be important, if the moment of injury will cause overreacting of the palatine nerve, it is necessary to spend an hour to cleanse the wound with the revision of the nerve, or send the sick person for a consultation before failing, for example, before the cysts. Infection at you is the key to the main nerve infection. And if so, then Ortofen, Milgamma, Proserin, etc. boules are absolutely not needed. Even a nerve, without fixing its end, doesn’t grow up and doesn’t start to function normally. That is why the yakomog is required to carry out an operation-revision of the nerve and in case of damaged integrity - repair. And yet, through a month of trauma, when there is a suppuration, the wound is guilty of the mother's name, without worms. Tobto Vee does not engage in reabilitation of your finger. I think that Vee is not really guilty. The surgeon-traumatologist is guilty of the nobility;

05.11.2010, 14:10

The crust is shvidshe for all ziyde, as well as її pokolupati)) even at my fingertips, the shkіra changed, and I was afraid of the crust.
For the cause of the nerve injuries, it was clear more often in the day, at once, half a finger-raised sensitivity over the early, and I didn’t say that in the regional injuries, as there may be traces of similar injuries. It’s not a penny for me, I’m ready to sew a nerve for a fee.
ale of justice for the sake of joy, all the same, I do, I’m sure that the proserin that milgamma helped me a little longer, even if I couldn’t show a simple cut of the wound, I shot my finger so hard with a stream, that I added a glance at the stylings and took Yes, but once again, on one half of the finger, the sensitiveness of the right-handed man, having lost a little bit of malice, well, there is noisy-smartly judging by the pictures, the nerve of the turn-ups.
Before the speech, a lykar, saying, well, so, the nerve of overwhelming, altogether a sprinkle of guilt gently bringing me, but not on the fingers of the nerves, then saying that it is possible "here in the cool centers of the world to be engaged". On food - like my action. He said that as a nerve of stress it will be renewed (well, it’s on the right, and it’s growing longer), but as a nerve of re-cutting, then it will sprout after a new one, where you can germinate. It grows 1 mm a day. .Ale navit for all pіdrakhunks - for 1-1.5 months guilty all are good.

And what procedures can I use for my finger? Likar young, a recent graduate of the Vyskovo-Medical Academy, there is not enough news. Injections and pills, I vied with force. Nourished some electrophoresis in lidase-read deyakim because of such an injury they were robbed, in general, be it a physiotherapeutic procedure. She did not discard any clear messages.
І stopping power supply mean goosebumps? There are goose bumps in the vicinity of sensitiveness, as if to shove a finger in a cell with champagne.

05.11.2010, 18:52

All food on the conservative or operative lіkuvannyu is more beautiful to put a living fachіvtsya with surgical brushes: in Peterі there are such - "in bulk".

05.11.2010, 19:24

Thank you.That's the problem, as few people can be aware of, where it turns out to be more vivid in its own problem - in the polyclinics of everybody, in every way, as a paid center (I know, it’s necessary to know the knowledge). Thanks to the forum, I found the center of the surgery of the brush and the im'ya fahivtsya dal.

05.11.2010, 22:24

Determination of microsurgery of the hand from NDI im Vreden.

06.11.2010, 21:21

I didn’t make progress, I didn’t hit the tongue, the finger didn’t shoot, the whole day without the langeti, I’m creeping with my hand, but it’s a little bit too small, but it’s not like that, but it’s not scary. all. I plan to start developing neuromyography for the ear (it's shitty, it's impossible to break out and nowhere, we don't have such a lot of such things).

06.11.2010, 23:28

I plan for a cob to develop neuromyography advised fahivtsev, Yaky to you everything and the development of a professional. Electrodiagnostics, and more than myography, is not required.

06.11.2010, 23:34

Thank you, I will take it into account.

09.11.2010, 13:14

We went to NDI Vreden. Operation 16/11, at Lushnikov's, paid, bezkoshtovno such not shy ... the price is 15 thousand rubles, in the case of nerve plastics is close to +10 000 re ...
Benefit, as long as possible medical anesthesia is going to be a honey dream - it is necessary to go to the clinic for the day at least and make an analysis ... .. The operation itself is 6000 rubles kostu ... in the out-of-town, everything is wonderful, but there’s no way to go ...

09.11.2010, 20:56

Benefit, so that there is a future honey dream - it’s necessary to go to the clinic for the day of minimum and make an analysis ... How much of the stench to explain - an hour or so more importantly, or perhaps just a sight. The seam of the hairy digital nerve is struggling, and the doctor is right, because of the low provincial anesthesia, like the vicon's operative surgery. Ale deyakі patsієnti with satisfaction will wait and sleep before the hour of the operation, and the deyakі naіvіt na tsemu. So there is nothing wonderful in the whole nemє - servants for whatever gusto is, it’s not degraded. Good luck to you.

In this view, we can imagine your opinion of a qualified user for the power supply of our readers, assigning them to them.

What is the same thing?

Oniminnya - a waste of sensitiveness - is a win in case of impaired functions of sensitive nerves. For example, if all the rest of the night is on the ruts (evil), then the grip on the nerve, or the destruction of bloodsteps, is vicious. Ale tsei camp of the team.

I will not smother the implantation of alcohol nervous system(Right-Handed). Vono vede to neuritis - burning of nerve fibers, - which is often possible for vilikuvati, spite with alcoholic beverages... Nareshty, loss of sensitivity can be the result of nerve tearing in case of injury.

Inconsistency in some cases is a piece of work, so you can easily carry out the operation painlessly. Such a manipulation is called a miscellany anesthesia.

I have a great scar on the line, and, for one, it’s because of the merriment of sensitiveness. Tse wiklicano irreversible poshkojennyam nerve or whoo nasty bloodsteps?

Shvidshe for everything, not that, not for everything. The loss of sensitiveness near the scar can be a viclikan tim, but in the middle of injuries there are nerves. The visibility of the same sensitiveness to the scar itself is the same as the food.

The scar is deposited from the resulting fabrics, which have grown from the edges of the wound to quiet times, since then it has not crept up and the integrity of the skin has not been renewed. Blood-bearing judges have sprouted in qiu tissue, and the blood supply of this dilyanka, and nerve fibers, has sprouted.

Call and quiet, and they pretend to be inadequate. A shortage of blood-bearing judgments will be amassed biliy kolir to a scar (a scar, do not wind up a scarlet after a hot bath). And the lack of nerve fibers is the reason for the decreased sensitivity of the scar.

Inodі vrantsі my hand becomes insensitive. It’s stronger than it’s that I’m forcibly collapsing with my hand and I don’t see it. What is the reason for this?

Nayimovirnishe, a waste of sensitiveness to see the fact that you sleep in non-manual position, If the blood circulation is going down in the vicinity of the parts of the body. Immediately after awakening, it is necessary to try with your own hand, sensitiveness is guilty of being awakened. However, if the problem is overwhelming and oniminnya supernatural symptoms, doctor of neurologist.

For a moment, I hit my finger hard. If I want to have healed for a long time, the tip of my finger will turn back into a loss of sensitivity. Should I be renewed?