JAMA Intern Med. 2015 Apr 13. onetsani: 10.1001 / jamainternmed.2015.0753. [Epub patsogolo pa kusindikiza]
Gilman L1, Cage DN2, Manda A1, Bishopu F3, Klam WP4, Doan AP5.
Kudalirika
Kufunika:
Kugwiritsira ntchito mafoni a m'manja mobwerezabwereza kwagwirizana ndi kuvulala.
Zochitika:
Mnyamata wa zaka 29, mwamuna wamphamvu yemwe ali ndi dzanja lamanja yemwe ali ndi ululu wamphongo wosachepera wam'mbuyo ndi kutayika mwachangu povina masewera a masewero a masewera a 3 pa smartphone yake tsiku lonse kwa 6 kwa masabata a 8. Pofufuza, thupi lamanzere extensor pollicis longus tendon silinayende bwino, ndipo panalibe kayendetsedwe kake kamene kanatchulidwa ndi mkono wolowa manja. Chombo chachikulu cha metacarpophalangeal chinali kuyenda kwa 10 ° mpaka 80 °, ndipo mawonekedwe opakatikati a interphalangeal anali 30 ° mpaka 70 °. Chidziwitso cha chipatala chinali kutuluka kumanzere kotsekemera pollicis longus tendon. Pambuyo pake wodwalayo anali ndi chizindikiro chodziwika bwino (1 ya zizindikiro za 2 zomwe zikulitsa cholembera chala) kuti zithetseko pollicis longus tendon transfer. Pa opaleshoni, kutuluka kwa extensor pollicis longus tendon kunkaoneka pakati pa metacarpophalangeal ndi ziwalo za manja.
Zotsatira ndi Zofunika:
Zomwe zingatheke masewera a pakompyuta kuchepetsa kupweteka maganizo kumapangitsa kuti anthu azitha kugwiritsira ntchito mankhwala, kugwiritsa ntchito nkhanza, ndi kuledzeretsa. Kafukufuku wamtsogolo ayenera kuganizira ngati kuchepetsa kupweteka ndi chifukwa chake anthu ena amasewera maseŵero a pakompyuta, kuwonekera, kapena kuvulazidwa komwe kumagwiritsidwa ntchito ndi masewero a kanema.
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