Brachial plexopathy

Brachial plexopathy wani nau'i ne na neuropathy na gefe. Yana faruwa lokacin da lalacewar plexus ta brachial. Wannan yanki ne a kowane gefen wuya wanda asalin jijiya daga lakar ya kasu zuwa jijiyar kowane hannu.

Lalacewa ga waɗannan jijiyoyin yana haifar da ciwo, rage motsi, ko rage ji a cikin hannu da kafaɗa.

Lalacewa ga plexus na brachial yawanci daga rauni kai tsaye ga jijiya, miƙa raunuka (gami da raunin haihuwa), matsin lamba daga ciwace-ciwacen da ke yankin (musamman daga ciwan huhu), ko lahani wanda ke haifar da maganin fuka-fuka.

Hakanan ana iya haɗuwa da cututtukan plexus na Brachial tare da:

• Launin haihuwa wanda ya sanya matsin lamba a yankin wuya
• Bayyanawa ga gubobi, sunadarai, ko magunguna
• Janar maganin sa barci, amfani a lokacin tiyata
• Yanayin kumburi, kamar waɗanda saboda ƙwayoyin cuta ko matsalar garkuwar jiki

A wasu lokuta, ba a gano musabbabin hakan ba.

Kwayar cutar na iya haɗawa da:

• Umbarar kafada, hannu, ko hannu
• Kafadar kafaɗa
• Ingunƙwasawa, ƙonewa, zafi, ko abubuwan da ba na al'ada ba (wuri ya dogara da yankin da aka ji rauni)
• Rashin rauni na kafaɗa, hannu, hannu, ko wuyan hannu

Gwajin hannu, hannu da wuyan hannu na iya bayyana matsala tare da jijiyoyin plexus na brachial. Alamomin na iya haɗawa da:

• Lalacewar hannu ko hannu
• Matsalar motsi kafada, hannu, hannu, ko yatsu
• Rage karfin hanzarin hannu
• Shaƙatar tsokoki
• Raunin hannu sassauci

Cikakken tarihin na iya taimakawa wajen gano dalilin cutar ƙwanƙwasa jiki. Shekaru da jima'i suna da mahimmanci, saboda wasu matsalolin plexus na brachial sun fi yawa a wasu rukuni. Misali, samari galibi suna kamuwa da cututtukan ƙwayar cuta na ƙwayar cuta da ake kira Parsonage-Turner syndrome.

Gwajin da za a iya yi don tantance wannan yanayin na iya haɗawa da:

• Gwajin jini
• Kirjin x-ray
• Electromyography (EMG) don bincika tsokoki da jijiyoyin da ke kula da tsokoki
• MRI na kai, wuya, da kafada
• Gudanar da jijiyoyi don bincika yadda saurin sakonnin lantarki ke ratsa jijiya
• Nerve biopsy don bincika wani jijiya a ƙarƙashin microscope (da wuya ake buƙata)
• Duban dan tayi

Ana nufin jiyya don gyara abin da ke haifar da ba ka damar amfani da hannunka da hannu kamar yadda ya kamata. A wasu lokuta, ba a buƙatar magani kuma matsalar ta fi kyau ta kanta.

Zaɓuɓɓukan jiyya sun haɗa da ɗayan masu zuwa:

• Magunguna don sarrafa ciwo
• Jiki na jiki don taimakawa riƙe ƙarfin tsoka.
• Braces, splints, ko wasu na'urori don taimaka maka amfani da hannunka
• Maganin jijiya, wanda a ciki ake sanya magani a yankin kusa da jijiyoyi don rage ciwo
• Yin tiyata don gyara jijiyoyi ko cire wani abu da ke danna jijiyoyin

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

Yanayin lafiya kamar su ciwon suga da cutar koda suna iya lalata jijiyoyi. A cikin waɗannan halayen, ana ba da magani ga yanayin kiwon lafiyar da ke ciki.

Kyakkyawan dawowa yana yiwuwa idan an gano musabbabin kuma a bi shi da kyau. A wasu lokuta, akwai rashi ko cikakken motsi ko motsawa. Ciwon jijiya na iya zama mai tsanani kuma zai iya ɗauka na dogon lokaci.

Matsaloli na iya haɗawa da:

• Lalacewar hannu ko hannu, mai sauki zuwa mai tsanani, wanda zai iya haifar da kwangila
• Mutuwar hannu ko cikakkiyar hannu
• Orangare ko cikakken rashin abin sha a hannu, hannu, ko yatsu
• Sake dawowa ko raunin da ba'a sani ba ga hannu ko hannu saboda raguwar ji

Kira mai ba da sabis na kiwon lafiya idan kun ji zafi, numfashi, ƙwanƙwasawa, ko rauni a kafaɗa, hannu, ko hannu.

Neuropathy - brachial plexus; Brachial plexus rashin aiki; Ciwon Parsonage-Turner; Ciwon Pancoast

• Tsarin juyayi na tsakiya da tsarin juyayi na gefe

Chad DA, Bowley MP. Rashin lafiya na tushen jijiya da plexuses. 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 106.

Waldman SD. Cervicothoracic interspinous bursitis. A cikin: Waldman SD, ed. Atlas na Painunƙun Painunƙun Cutar Bazuwar. 4th ed. Philadelphia, PA: Elsevier; 2020: babi na 23.