Ciwon ramin rami na carpal

Ciwon ramin rami na carpal shine yanayin da yake akwai matsin lamba mai yawa akan jijiyar tsakiya. Wannan jijiya ne a cikin wuyan hannu wanda ke ba da damar ji da motsi zuwa sassan hannun. Ciwon ramin rami na carpal na iya haifar da ƙwanƙwasawa, ƙwanƙwasawa, rauni, ko lalacewar tsoka a hannu da yatsu.

Jijiyar tsakiya tana ba da ji da motsi zuwa babban yatsan hannu. Wannan ya hada da tafin hannu, babban yatsa, dan yatsa, dan yatsan tsakiya, da kuma babban yatsan yatsan zobe.

Wurin da ke cikin wuyan hannu inda jijiya ta shiga hannu ana kiran shi ramin carpal. Wannan rami yana da kunkuntar matsakaita Duk wani kumburi na iya tsunkule jijiyar kuma yana haifar da ciwo, dasuwa, tingling ko rauni. Wannan ana kiransa cututtukan rami na carpal.

Wasu mutanen da ke haifar da cututtukan rami na rami an haife su tare da ƙaramin ramin carpal.

Hakanan za'a iya haifar da ciwo na ramin rami ta hanyar yin hannu ɗaya da wuyan hannu a kai a kai. Amfani da kayan aikin hannu wanda ke girgiza na iya haifar da ciwo na ramin rami.

Karatun bai tabbatar da cewa ramin carpal yana faruwa ne ta hanyar buga kwamfuta, amfani da bera, ko maimaita motsi yayin aiki, kunna kayan kida, ko wasanni. Amma, waɗannan ayyukan na iya haifar da tendinitis ko bursitis a hannu, wanda zai iya ƙuntata ramin carpal kuma ya haifar da bayyanar cututtuka.

Ciwon ramin rami na carpal yana faruwa galibi a cikin mutane masu shekaru 30 zuwa 60. Ya fi zama ruwan dare ga mata fiye da maza.

Sauran abubuwan da zasu iya haifar da cututtukan rami na carpal sun haɗa da:

• Yin amfani da barasa
• Kashi karaya da amosanin gabbai na wuyan hannu
• Cyst ko ƙari wanda ke tsirowa a cikin wuyan hannu
• Cututtuka
• Kiba
• Idan jikinki ya kiyaye karin ruwa yayin haihuwa ko jinin al'ada
• Rheumatoid amosanin gabbai
• Cututtukan da suke da tarin sunadarai masu yawa a jiki (amyloidosis)

Kwayar cutar na iya haɗawa da ɗayan masu zuwa:

• Cushewar hannu yayin kama abubuwa
• Nutsuwa ko kaɗawa a cikin babban yatsan hannu da gaba yatsu biyu ko uku na hannu ɗaya ko duka hannu biyu
• Nutsuwa ko ƙwanƙwasa tafin hannu
• Ciwo wanda ya faɗi zuwa gwiwar hannu
• Jin zafi a wuyan hannu ko hannu a hannu ɗaya ko duka biyu
• Matsaloli tare da motsi na yatsa mai kyau (daidaituwa) a hannu ɗaya ko duka hannaye biyu
• Batar da tsoka a ƙarƙashin babban yatsan hannu (a cikin ci gaba ko na dogon lokaci)
• Garfin rauni ko wahalar ɗaukar jaka (korafi na gama gari)
• Rashin rauni a hannu ɗaya ko duka hannu biyu

Yayin gwajin jiki, mai ba da kiwon lafiya na iya samun:

• Nutsuwa a cikin dabino, babban yatsa, yatsan hannu, yatsan tsakiya, da kuma babban yatsan yatsan zoben ka
• Handarfin hannu mara ƙarfi
• Taɓawa jijiyar a tsakiyar wuyanka na iya haifar da zafi daga wuyanka zuwa hannunka (ana kiranta alamar Tinel)
• Lankwasa wuyan hannunka gaba gaba daya na tsawon dakika 60 yawanci yakan haifar da dimaucewa, kunci, ko rauni (ana kiran wannan gwajin na Phalen)

Gwajin da za'a iya yin oda sun hada da:

• Xarin raƙuman hannu don kawar da wasu matsaloli, irin su cututtukan zuciya a cikin wuyan hannu
• Electromyography (EMG, gwaji don bincika tsokoki da jijiyoyin da ke sarrafa su)
• Saurin tafiyar da jijiyoyi (gwaji don ganin yadda saurin sakonnin lantarki ke ratsa jijiya)

Mai ba da sabis naka na iya ba da shawarar mai zuwa:

• Sanya takalmi a dare tsawon makwanni. Idan wannan bai taimaka ba, kuna iya sa takalmin a lokacin da rana kuma.
• Guji bacci a wuyan hannu.
• Sanya matattara masu dumi da sanyi akan yankin da abin ya shafa.

Canje-canjen da zaku iya yi a wurin aikin ku don rage damuwa a wuyan ku sun hada da:

• Amfani da na'urori na musamman, kamar maballan rubutu, nau'ikan linzamin kwamfuta daban-daban, kushin kushin linzami, da maɓallan keyboard.
• Samun wani ya sake nazarin matsayin da kake yayin aiwatar da ayyukanka na aiki. Misali, ka tabbata faifan maɓallin ke ƙasa don kada wuyan hannunka ya lanƙwasa sama yayin bugawa. Mai ba da sabis ɗinku na iya ba da shawarar likitan aikin likita.
• Yin canje-canje a cikin aikinku ko ayyukan gida da wasanni. Wasu ayyukan da ke da alaƙa da cututtukan rami na rami sun haɗa da waɗanda suka haɗa da kayan aikin jiji.

MAGUNGUNA

Magungunan da ake amfani dasu don magance cututtukan rami na carpal sun haɗa da magungunan anti-inflammatory marasa steroid (NSAIDs), kamar ibuprofen ko naproxen. Allurar Corticosteroid da aka yi a cikin ramin rami na carpal na iya sauƙaƙe alamomi na wani lokaci.

Tiyata

Sakin rami na carpal wani aikin tiyata ne wanda yake yankewa zuwa jijiyar da ke matse jijiyar. Yin aikin tiyata yana yin nasara a mafi yawan lokuta, amma ya danganta da tsawon lokacin da kuka sami matsawar jijiya da kuma tsananinsa.

Kwayar cutar sau da yawa inganta ba tare da tiyata ba. Amma fiye da rabi na shari'o'in ƙarshe suna buƙatar tiyata. Koda koda aikin tiyata yayi nasara, cikakkiyar waraka na iya ɗaukar watanni.

Idan aka kula da yanayin yadda ya kamata, yawanci babu rikitarwa. Idan ba a kula da shi ba, jijiyar na iya lalacewa, yana haifar da rauni na dindindin, dushewa, da kaɗawa.

Kira don alƙawari tare da mai ba da sabis idan:

• Kuna da alamun cututtukan rami na rami
• Alamun ku ba sa amsa magani na yau da kullun, kamar su hutawa da magungunan ƙwayoyin kumburi, ko kuma idan da alama akwai asarar tsoka da yawa a yatsunku
• Yatsunku na ƙara rasa ji

Yi amfani da kayan aiki da kayan aiki waɗanda aka tsara su da kyau don rage haɗarin rauni na wuyan hannu.

Za a iya amfani da kayan taimako na ergonomic, kamar maɓallan maɓallan maɓalli, allon tebur, maɓallin buga rubutu, da ƙyallen hannu, don inganta matsayin wuyan hannu yayin bugawa. Breaksauki hutu akai-akai lokacin bugawa kuma koyaushe a daina idan kun ji ƙyalƙyali ko ciwo.

Mutuwar jijiya na Mediya; Rarraba jijiya na Mediya; Neuropathy na Mediya

• Matsawa na jijiyar tsakiya
• Gwajin jiki - wuyan hannu na al'ada
• Tsarin tiyata na carpal
• Ciwon ramin rami na carpal

Calandruccio JH. Ciwon ramin rami na carpal, cututtukan rami na ulnar, da ciwan tenosynovitis. A cikin: Azar FM, Beaty JH, Canale ST, eds. Bellungiyar Orthopedics ta Campbell. 13th ed. Philadelphia, PA: Elsevier; 2017: babi na 76.

Zhao M, Burke DT. Neuropathy na Mediya (cututtukan rami na carpal). A cikin: Frontera WR, Azurfa JK, Rizzo TD Jr, eds. Mahimmancin Magungunan Jiki da Gyarawa: Cutar Musculoskeletal, Pain, da Rehabilitation. 4th ed. Philadelphia, PA: Elsevier; 2019: babi na 36.