Rarraba ƙwayar jijiyar jiki

Rarraba jijiyar jijiyoyin jiki wani nau'i ne na cututtukan jijiyoyin jiki wanda ke shafar motsi ko ji a hannu.

Nau'in nau'in cututtukan jijiyoyin jijiyoyi na nesa shine ciwon ramin rami.

Rashin aiki na rukuni guda ɗaya, kamar jijiya na tsakiya, ana kiransa mononeuropathy. Mononeuropathy yana nufin akwai wani dalilin cikin gida na lalacewar jijiyar. Cututtukan da suka shafi jiki duka (tsarin cuta) na iya haifar da lalacewar jijiya.

Wannan yanayin yakan faru ne yayin da jijiya ta kumbura, kama, ko rauni saboda rauni. Dalilin da yafi kowa shine tarko (kamawa). Kamawa yana sanya matsin lamba akan jijiyar inda yake wucewa ta wani yanki matsattse. Ractarƙwarar wuyan hannu na iya cutar da jijiyar tsakiya kai tsaye. Ko kuma, yana iya ƙara haɗarin kama tarkon daga baya.

Lamonewa na jijiyoyi (tendonitis) ko haɗin gwiwa (amosanin gabbai) kuma na iya sanya matsa lamba akan jijiya. Wasu maimaita motsi suna haɓaka damar haɓaka ramin ramin carpal. Mata sun fi maza illa.

Matsalolin da ke shafar nama kusa da jijiyar ko haifar da adibas da zai samar a cikin ƙwayar na iya toshe magudanar jini kuma ya haifar da matsin lamba akan jijiyar. Irin waɗannan yanayi sun haɗa da:

• Yawancin hormone mai girma a cikin jiki (acromegaly)
• Ciwon suga
• Rashin maganin thyroid (hypothyroidism)
• Ciwon koda
• Ciwon kansa da ake kira myeloma mai yawa
• Ciki
• Kiba

A wasu lokuta, ba a iya samun dalilin hakan. Ciwon sukari na iya ƙara wannan yanayin.

Kwayar cutar na iya haɗawa da ɗayan masu zuwa:

• Jin zafi a wuyan hannu ko hannu wanda zai iya zama mai tsanani kuma ya tashe ka da dare, kuma ana iya jin hakan a wasu yankuna, kamar hannu na sama (ana kiransa ciwo)
• Sensio yana canzawa a cikin babban yatsa, fihirisa, tsakiya, da kuma ɓangare na yatsun zobe, kamar su jin ƙonawa, raguwar ji, ƙararraki da ƙwanƙwasawa
• Rashin rauni na hannu wanda ke haifar da sauke abubuwa ko wahalar fahimtar abubuwa ko maballin rigar

Mai ba da lafiyar ku zai bincika wuyan ku kuma ya yi tambaya game da tarihin lafiyar ku. Gwajin da za a iya yi sun hada da:

• Electromyogram (EMG) don bincika aikin lantarki na tsokoki
• Gwajin gwajin jijiyoyi don bincika yadda saurin sakonnin lantarki ke ratsa jijiya
• Neuromuscular duban dan tayi don duba matsaloli tare da tsokoki da jijiyoyi
• Biopsy na jijiyoyin jiki wanda aka cire kayan jijiya don bincike (da wuya ake buƙata)
• Hanyoyin fuska na yanayin maganaɗisu (hoton dalla-dalla game da jijiyoyin gefe)

Ana amfani da jiyya akan dalilin.

Idan jijiyar rami ta raunin jijiya ta tsakiya, tsintsiyar wuyan hannu na iya rage ƙarin rauni ga jijiyar kuma zai taimaka rage alamun. Saka takalmin daddare yana sanya yankin kuma yana rage kumburi. Allura a cikin wuyan hannu na iya taimakawa tare da bayyanar cututtuka, amma ba zai gyara matsalar ta asali ba. Za a iya buƙatar yin aikin tiyata idan wani yanki ko magunguna ba su taimaka ba.

Don wasu dalilai, magani na iya haɗawa da ɗayan masu zuwa:

• Magunguna don kula da ciwon jijiya (kamar gabapentin ko pregabalin)
• Yin maganin matsalar rashin lafiya da ke haifar da lalacewar jijiyoyi, kamar ciwon sukari ko cutar koda
• Jiki na jiki don taimakawa riƙe ƙarfin tsoka

Idan ana iya gano musababbin matsalar jijiya kuma ana iya magance ta, akwai damar samun cikakken warkewa. A wasu lokuta, akwai wasu ko cikakkiyar asarar motsi ko motsawa. Ciwon jijiya na iya zama mai tsanani kuma ya daɗe na dogon lokaci.

Matsaloli na iya haɗawa da:

• Lalacewar hannu (ba safai ba)
• Sashi ko cikakken asarar motsi na hannu
• M ko cikakken asarar abin mamaki a cikin yatsunsu
• Sake dawowa ko raunin rauni a hannu

Kira mai ba ku sabis idan kuna da alamun rashin aikin jijiya na tsakiya. Gano asali da magani yana ƙara damar warkarwa ko sarrafa alamun.

Rigakafin ya bambanta, ya danganta da dalilin. A cikin mutanen da ke da ciwon sukari, sarrafa sukarin jini na iya rage haɗarin ɓarkewar jijiyoyin jiki.

Ga mutanen da ke da ayyukan da suka haɗa da maimaita motsi na wuyan hannu, ana iya buƙatar canji a yadda ake yin aikin. Yawan hutu a cikin aiki na iya taimaka.

Neuropathy - jijiyar tsakiya na tsakiya

• Tsarin juyayi na tsakiya da tsarin juyayi na gefe

Craig A, Richardson JK, Ayyangar R. Gyara marasa lafiya tare da neuropathies. A cikin: Cifu DX, ed. Braddom ta Magungunan Jiki da Gyarawa. 5th ed. Philadelphia, PA: Elsevier; 2016: babi na 41.

Katirji B. Rashin lafiyar jijiyoyi na gefe. A cikin: Daroff RB, Jankovic J, Mazziotta JC, Pomeroy SL, eds. Bradley's Neurology a cikin Clinical Practice. 7th ed. Philadelphia, PA: Elsevier; 2016: babi 107.

Toussaint CP, Ali ZS, Zager EL. Raɗaɗɗen raɗaɗɗen raɗaɗɗen raɗaɗi: ramin carpal, rami na ƙugu, peroneal, da rami tarsal. A cikin: Winn HR, ed. Youmans da Winn Yin aikin tiyata. 7th ed. Philadelphia, PA: Elsevier; 2017: sura 249.

Waldman SD. Ciwon ramin rami na carpal. A cikin: Waldman SD, ed. Atlas na cututtukan ciwo na yau da kullun. 4th ed. Philadelphia, PA: Elsevier; 2019: sura 50.