Yarjejeniyar Volkmann

Yarjejeniyar Volkmann nakasar hannu ne, da yatsu, da wuyan hannu wanda ya haifar da rauni ga tsokokin jijiyoyin hannu. Har ila yau ana kiran wannan yanayin Volkmann ischemic contracture.

Yarjejeniyar Volkmann na faruwa ne lokacin da akwai rashi na jini (ischemia) zuwa gaban goshi. Wannan yana faruwa yayin da aka sami ƙarin matsa lamba saboda kumburi, yanayin da ake kira sashin ciwo.

Rauni a hannu, gami da murkushe rauni ko karaya, na iya haifar da kumburi wanda ke matsa jijiyoyin jini kuma yana rage gudan jini zuwa hannu. Rage tsawan lokaci na kwararar jini na cutar da jijiyoyi da tsokoki, wanda ke haifar musu da tauri (rauni) da gajartawa.

Lokacin da tsokar ta rage, sai ta ja akan mahaɗin a ƙarshen tsoka kamar dai yadda zai yi idan an saba kwangila. Amma saboda yana da tauri, haɗin haɗin ya kasance yana lanƙwasa kuma makale. Wannan yanayin ana kiransa kwangila.

A cikin kwangilar Volkmann, tsokoki na gaban hannu suna da rauni sosai. Wannan yana haifar da nakasar yatsun hannu, hannu, da wuyan hannu.

Akwai matakai uku na tsanani a cikin kwangilar Volkmann:

• Mai sauki - kwangilar yatsu 2 ko 3 kawai, ba tare da ko iyakance asarar ji ba
• Matsakaici - duk yatsu sun tanƙwara (lanƙwasa) babban yatsa yana manne a tafin hannu; wuyan hannu na iya lankwasawa, kuma yawanci asarar wasu ji a hannu
• Mai tsananin - dukkan tsokoki a cikin hannun hannu waɗanda duka biyun suke daɗaɗaɗa da wuyan hannu da yatsu suna da hannu; wannan yanayin nakasa ne sosai. Akwai ƙananan motsi na yatsun hannu da wuyan hannu.

Yanayin da zai iya haifar da ƙarin matsi a gaban hannu sun haɗa da:

• Cizon dabbobi
• Farɓar hannu
• Rashin jini
• Sonewa
• Allurar wasu magunguna a gaban goshi
• Raunin jijiyoyin jini a gaban goshi
• Yin tiyata a gaban goshi
• Motsa jiki mai yawa - wannan ba zai haifar da kwangila mai tsanani ba

Kwayar cututtukan Volkmann ta shafi kwancen hannu, wuyan hannu, da hannu. Kwayar cutar na iya haɗawa da:

• Rage abin mamaki
• Launin fata
• Raunin rauni da asara (atrophy)
• Lalacewar wuyan hannu, hannu, da yatsun hannu wadanda ke sa hannu ya zama mai kamannin kambori

Mai ba da sabis na kiwon lafiya zai yi gwajin jiki, yana mai da hankali kan hannun da abin ya shafa. Idan mai bayarwar yana zargin kwangilar Volkmann, za a yi cikakken tambayoyi game da raunin da ya gabata ko yanayin da ya shafi hannu.

Gwajin da za a iya yi sun hada da:

• X-ray na hannu
• Gwajin tsokoki da jijiyoyi don bincika aikinsu

Manufar magani ita ce taimakawa mutane su sake samun wani amfani ko amfani da hannu da hannu.Jiyya ya dogara da tsananin kwangila:

• Don ƙananan kwangila, ana iya yin atisaye da kuma buɗe yatsun da abin ya shafa. Ana iya buƙatar yin aikin tiyata don tsayar da jijiyoyi
• Don kwangilar matsakaici, ana yin tiyata don gyara tsokoki, jijiyoyi, da jijiyoyi. Idan ana buƙata, ƙasƙan hannu suna taqaita.
• Don kwangila mai tsanani, ana yin tiyata don cire tsokoki, jijiyoyi, ko jijiyoyin da suka yi kauri, tabo, ko matattu. Wadannan an maye gurbinsu da tsokoki, jijiyoyi, ko jijiyoyin da aka sauya daga wasu sassan jikin. Jigilar da ke aiki har yanzu na iya buƙatar tsawan lokaci.

Ta yaya mutum yayi daidai ya dogara da tsananin da matakin cutar a lokacin da aka fara magani.

Sakamakon yawanci yana da kyau ga mutanen da ke da ƙarancin aiki. Suna iya dawo da aikin hannu da hannu na yau da kullun. Mutanen da ke da matsakaiciyar aiki ko masu wahala waɗanda ke buƙatar babban tiyata ba za su iya sake dawowa aiki ba.

Ba tare da magani ba, Volkmann kwangila yana haifar da rashi ko cikakkiyar aikin hannu da hannu.

Tuntuɓi mai ba ka nan da nan idan ka sami rauni a gwiwar hannu ko gabanka kuma ka sami kumburi, dushewa, da ciwo yana ci gaba da zama mummunan.

Ischemic kwangila - Volkmann; Cutar ciwo - Volkmann kwangilar kwangila

Jobe MT. Syndromeungiyar ciwo da kwangilar Volkmann. A cikin: Azar FM, Beaty JH, Canale ST, eds. Bellungiyar Orthopedics ta Campbell. 13th ed. Philadelphia, PA: Elsevier; 2017: babi na 74.

Netscher D, Murphy KD, Fiore NA. Yin tiyata a hannu A cikin: Townsend CM, Beauchamp RD, Evers BM, Mattox KL, eds. Littafin Sabiston na tiyata. 20th ed. Philadelphia, PA: Elsevier; 2017: babi na 69.

Stevanovic MV, Sharpe F. Cutar ciwo da Volkmann kwangilar ischemic. 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 51.