Sakin ramin Carpal

Sakin rami na carpal shine tiyata don magance cututtukan rami na carpal. Ciwon ramin rami na carpal ciwo ne da rauni a cikin hannu wanda ya haifar da matsin lamba akan jijiyar tsakiya a cikin wuyan hannu.

Jijiyar tsakiya da jijiyoyin da suke lankwasawa (ko lanƙwasa) yatsunsu suna wucewa ta hanyar hanyar da ake kira ramin carpal a cikin wuyan hannu. Wannan ramin yana da kunkuntar, don haka duk wani kumburi na iya tsunkule jijiya kuma yana haifar da ciwo. Wani jijiya mai kauri (nama) a karkashin fatarka (jijiyar carpal) ya zama saman wannan ramin. A yayin aikin, likitan likita ya yanke jijiyoyin carpal don samun sararin samaniya don jijiya da jijiyoyi.

Ana yin aikin tiyata ta hanya mai zuwa:

• Da farko, kuna karɓar magungunan numfashi don kada ku ji zafi yayin aikin tiyata. Kuna iya zama a farke amma kuma zaku sami magunguna don sanya ku nutsuwa.
• Ana yin ƙaramin yanka a tafin hannunka kusa da wuyan hannu.
• Na gaba, an yanke jijiyar da ke rufe ramin carpal. Wannan yana sauƙaƙa matsin lamba akan jijiyar tsakiya. Wani lokaci, ana cire tsokar da ke kusa da jijiyar kuma.
• An rufe fatar da nama ƙarƙashin ƙanshinku tare da sutura (ɗinka).

Wasu lokuta ana yin wannan aikin ta amfani da ƙaramar kyamarar da ke haɗe a saka idanu. Kwararren likitan ya saka kyamarar a cikin wuyan hannu ta hanyar karamin tiyata kuma yana duba mai dubawa ya gani a cikin wuyan hannu. Wannan ana kiransa tiyatar endoscopic. Kayan aikin da aka yi amfani da shi ana kiranta endoscope.

Mutanen da ke da alamun cututtukan rami na rami yawanci suna ƙoƙari marasa lafiya da farko. Waɗannan na iya haɗawa da:

• Magungunan anti-inflammatory
• Far don koyon darussan da shimfidawa
• Canjin wurin aiki don inganta wurin zama da yadda kuke amfani da kwamfutarka ko wasu kayan aiki
• Linyallen wuyan hannu
• Shots na maganin corticosteroid a cikin ramin carpal

Idan babu ɗayan waɗannan magungunan da zasu taimaka, wasu likitocin zasu gwada aikin lantarki na jijiyar tsakiya tare da EMG (electromyogram). Idan gwajin ya nuna cewa matsalar ita ce cututtukan rami na rami, ana iya ba da shawarar tiyata sakin tiyata.

Idan tsokoki a hannunka da wuyan hannu suna ta karami saboda ana cizon jijiya, yawanci za a yi tiyata ba da daɗewa ba.

Hadarin ga wannan tiyatar sune:

• Maganin rashin lafia ga magunguna
• Zuban jini
• Kamuwa da cuta
• Rauni ga jijiyar tsakiya ko jijiyoyin da suka rage daga gare ta
• Akarfi da suma a kusa da hannu
• A cikin al'amuran da ba safai ba, rauni ga wata jijiya ko jijiyoyin jini (jijiya ko jijiya)
• Raunin taushin zuciya

Kafin aikin, ya kamata:

• Faɗa wa likitan likita irin magungunan da kuke sha. Wannan ya hada da magunguna, kari, ko ganyen da kuka siya ba tare da takardar sayan magani ba.
• Ana iya tambayarka da ka daina shan kwayoyi masu rage jini. Wadannan sun hada da asfirin, ibuprofen (Advil, Motrin), naproxen (Naprosyn, Aleve), da wasu kwayoyi.
• Tambayi mai ba ku maganin da yakamata ku sha a ranar tiyata.
• Idan ka sha taba, yi ƙoƙari ka daina. Tambayi mai ba ku taimako. Shan taba na iya jinkirta warkarwa.
• Bari mai ba da sabis ya san kowane irin sanyi, mura, zazzaɓi, ɓarkewar ƙwayoyin cuta, ko wata cuta. Idan bakada lafiya, to tiyatar ka na iya bukatar jinkirtawa.

A ranar tiyata:

• Bi umarni game da ko kuna buƙatar dakatar da cin abinci ko abin sha kafin aikin tiyata.
• Anyauki kowane ƙwayoyi da aka umarce ku ku sha tare da ɗan ƙaramin ruwa.
• Bi umarni kan lokacin isa asibiti. Tabbatar kun isa akan lokaci.

Wannan tiyatar ana yin ta ne bisa tsarin asibiti. Ba kwa buƙatar tsayawa a asibiti.

Bayan tiyatar, wuyan wuyan hannu zai iya kasancewa a cikin wani yanki ko bandeji mai nauyi na kimanin mako guda. Ci gaba da wannan har sai likitanka na farko ya ziyarci bayan tiyata, kuma ka tsaftace shi kuma ya bushe. Bayan an cire tsaga ko bandeji, zaku fara atisayen motsi ko shirin motsa jiki.

Sakin rami na carpal yana rage zafi, ƙwanƙwasa jijiya, da dushewa, kuma yana dawo da ƙarfin tsoka. Yawancin tiyata sun taimaka wa yawancin mutane.

Tsawan lokacin murmurewar ku zai dogara ne da tsawon lokacin da kuka fara jin ciwo kafin a yi muku tiyata da kuma yadda cutar jijiyar ku ta lalace. Idan kana da alamun cutar na dogon lokaci, mai yiwuwa ba za ka zama cikakke daga alamun ba bayan ka murmure.

Rage jijiyar mediya; Rushewar rami ta carpal; Yin tiyata - ramin carpal

• Kula da rauni na tiyata - a buɗe

• Ciwon ramin rami na carpal
• Gwajin jikin mutum - dabino na al'ada
• Gwajin jiki - wuyan hannu na al'ada
• Ristungiyar wuyan hannu
• Carpal rami gyara - jerin

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.

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.

Zhao M, Burke DT. Neuropathy na Mediya (cututtukan rami na carpal). A cikin: Frontera WR, Azurfa JK, Rizzo TD, eds. Mahimmancin Magungunan Jiki da Gyarawa: Cutar Musculoskeletal, Pain, da Rehabilitation. 3rd ed. Philadelphia, PA: Elsevier Saunders; 2015: babi na 36.