Ciwan jijiyar Ulnar

Rashin jijiya na Ulnar matsala ce ta jijiyar da ke tafiya daga kafaɗa zuwa hannu, wanda ake kira jijiyar ulnar. Yana taimaka maka motsa hannu, wuyan hannu, da hannunka.

Lalacewa ga ƙungiyar jijiyoyi guda ɗaya, kamar jijiyar ulnar, ana kiranta mononeuropathy. Mononeuropathy yana nufin akwai lalacewar jijiya ɗaya. Cututtukan da suka shafi jiki duka (tsarin cuta) na iya haifar da lalacewar jijiya.

Abubuwan da ke haifar da mononeuropathy sun hada da:

• Rashin lafiya a cikin duka jiki wanda ke lalata jijiya ɗaya
• Kai tsaye rauni ga jijiya
• Matsayi na dogon lokaci akan jijiya
• Matsin lamba akan jijiyar da ta haifar da kumburi ko rauni na sifofin jiki kusa

Ulnar neuropathy kuma sananne ne ga waɗanda ke da ciwon sukari.

Neuropathy na Ulnar yana faruwa lokacin da lalacewar jijiyar ulnar. Wannan jijiyar tana tafiya ƙasa zuwa hannu zuwa wuyan hannu, hannu, da zobe da ƙananan yatsu. Yana wucewa kusa da gwiwar gwiwar hannu. Don haka, cin karo da jijiyar a wurin yana haifar da zafi da ƙyalli na "buga kashi mai ban dariya."

Lokacin da jijiyar ta matsa a gwiwar hannu, matsalar da ake kira ciwo na rami mai ma'ana zai iya haifar.

Lokacin da lalacewa ta lalata murfin jijiya (myelin sheath) ko wani ɓangare na jijiyar kanta, siginar jijiyar tana jinkiri ko hana ta.

Lalacewa akan jijiyar ulnar na iya haifar da:

• Matsawa na dogon lokaci akan gwiwar hannu ko tushe na tafin hannu
• Bowunƙun gwiwar hannu ko rabuwa
• Maimaita lanƙwasa gwiwar hannu, kamar shan sigari

A wasu lokuta, ba a iya samun dalilin hakan.

Kwayar cutar na iya haɗawa da ɗayan masu zuwa:

• Abubuwa masu ban sha'awa a cikin ƙaramin yatsa da kuma wani ɓangare na yatsan zobe, yawanci a gefen tafin hannu
• Rashin rauni, asarar daidaito na yatsun hannu
• Nakasar nakasa na hannu da wuyan hannu
• Jin zafi, dushewa, raguwar ji, ƙwanƙwasawa, ko ƙonawa a cikin yankunan da jijiyar ta sarrafa

Jin zafi ko numfashi na iya farka daga bacci. Ayyuka kamar su wasan tanis ko golf na iya sa yanayin ya daɗa muni.

Mai ba da sabis na kiwon lafiya zai bincika ku kuma ya yi tambaya game da alamunku da tarihin lafiyar ku. Ana iya tambayarka abin da kake yi kafin alamun cutar su fara.

Gwajin da za a iya buƙata sun haɗa da:

• Gwajin jini
• Gwajin hoto, kamar su MRI don duba jijiya da sifofin da ke kusa
• Gwajin gwajin jijiyoyi don bincika yadda saurin sakon jijiyoyin ke tafiya
• Electromyography (EMG) don bincika lafiyar jijiyar ulnar da tsokokin da take sarrafawa
• Nerve biopsy don bincika yanki na jijiya (da wuya ake buƙata)

Manufar magani ita ce ba ka damar amfani da hannu da hannu kamar yadda ya kamata. Mai ba da sabis ɗinku zai nemo kuma ya magance dalilin, idan zai yiwu. Wani lokaci, ba a buƙatar magani kuma za ku sami sauƙi da kanku.

Idan ana buƙatar magunguna, za su iya haɗawa da:

• Takaddama a kan kanti ko magunguna (kamar gabapentin da pregabalin)
• Allurar Corticosteroid a kusa da jijiyar don rage kumburi da matsin lamba

Wataƙila mai ba da sabis ɗinku zai ba da shawarar matakan kula da kai. Waɗannan na iya haɗawa da:

• Sparfafawa mai tallafi a ko dai a wuyan hannu ko gwiwar hannu don taimakawa hana ƙarin rauni da kuma sauƙaƙe alamun. Kila iya buƙatar sa shi duk dare da rana, ko kuma da dare kawai.
• Kushin gwiwar hannu idan jijiyar ulnar ta ji rauni a gwiwar hannu. Hakanan, guji yin karo ko jingina a gwiwar hannu.
• Motsa jiki na motsa jiki don taimakawa riƙe ƙarfin tsoka a hannu.

Za'a iya buƙatar aikin sana'a ko shawara don bayar da shawarar canje-canje a wurin aiki.

Yin aikin tiyata don sauƙaƙa matsa lamba akan jijiya na iya taimakawa idan alamun sun ƙara muni, ko kuma idan akwai tabbacin cewa wani ɓangaren jijiya yana ɓatawa.

Idan ana iya samun dalilin rashin aikin jijiyar kuma aka yi nasarar magance shi, akwai kyakkyawar damar samun cikakken warkewa. A wasu lokuta, ana iya samun rashi ko cikakken motsi ko motsin rai.

Matsaloli na iya haɗawa da:

• Lalacewar hannu
• Orangare ko cikakkiyar asarar abin mamaki a hannu ko yatsu
• Orangare ko cikakken asarar wuyan hannu ko motsi hannu
• Sake dawowa ko raunin rauni a hannu

Kira mai ba ku sabis idan kuna da rauni a hannu kuma ku sami rauni, kunci, zafi, ko rauni a gaban goshinku da zobe da ƙananan yatsu.

Guji tsawan matsi a gwiwar hannu ko tafin hannu. Guji lanƙwasa mai ɗorewa ko maimaitawa. Castts, splints, da sauran kayan aiki koyaushe yakamata a bincika su don dacewa.

Neuropathy - jijiyar ulnar; Ciwon jijiyar Ulnar; Mononeuropathy; Ciwon rami na Cubital

• Lalacewar jijiyar Ulnar

Craig A. Neuropathies. A cikin: Cifu DX, ed. Braddom ta Magungunan Jiki da Gyarawa. Na 6 ed. Philadelphia, PA: Elsevier; 2021: babi na 41.

Jobe MT, Martinez SF. Raunin jijiyoyin jiki A cikin: Azar FM, Beaty JH, Canale ST, eds. Bellungiyar Orthopedics ta Campbell. 13th ed. Philadelphia, PA: Elsevier; 2017: babi na 62.

Mackinnon SE, Novak CB. Matsawa neuropathies. A cikin: Wolfe SW, Hotchkiss RN, Pederson WC, Kozin SH, Cohen MS, eds. Yin aikin tiyatar hannu na Green. 7th ed. Philadelphia, PA: Elsevier; 2017: babi na 28.