Menene kuma yadda za'a magance Kienbock Disease

Wadatacce

• Yadda za a taimaka bayyanar cututtuka
• 1. Rashin motsi daga wuyan hannu
• 2. Magungunan anti-inflammatory
• 3. Yin gyaran jiki da motsa jiki
• 4. Yin tiyata
• Yadda za a tabbatar da ganewar asali

Kienbock cuta ce da ke ɗaya daga cikin ƙananan ƙasusuwa waɗanda suka yi wuyan hannu, wanda aka sani da ƙashin ƙwallon ƙafa, ba ya karɓar adadin jini da ake buƙata don haka ya fara lalacewa, yana haifar da ciwo a cikin wuyan hannu da wahalar motsi ko rufe hannun , misali.

Wannan canjin zai iya bayyana a kowane zamani, duk da haka, ya fi yawa tsakanin shekaru 20 zuwa 40 kuma da wuya ya taɓa duka ƙwanƙwasa a lokaci guda.

Kodayake babu tabbataccen magani ga cutar Kienbock, wasu nau'ikan magani kamar tiyata ko amfani da magunguna ana iya amfani dasu don sauƙaƙa matsa lamba akan ƙashi da kuma taimakawa alamomin cutar.

Yadda za a taimaka bayyanar cututtuka

Maganin cutar Kienbock ana yin sa ne kawai don kawar da ciwo da wahala tare da motsi na wuyan hannu, tunda ƙaruwa da zagayawa zuwa ƙashi yana da matukar wahalar samu. Saboda wannan, akwai nau'ikan magani da yawa waɗanda dole ne likitan ƙwararru ya kimanta su gwargwadon ci gaban cutar da tsananin alamun cutar.

Wasu daga cikin hanyoyin da aka fi amfani da su sun haɗa da:

1. Rashin motsi daga wuyan hannu

Yawancin lamura na cutar Kienbock na iya inganta kawai tare da rataya wuyan hannu, saboda wannan hanyar ƙashin baya cika nauyi, yana barin ƙonewa da matsin lamba a wurin ya ragu.

Don hana ƙwanƙwasa hannu, likita yakan shafa filastar a hannu, wanda dole ne a ajiye shi aƙalla makonni 2 ko 3.

2. Magungunan anti-inflammatory

Amfani da magungunan kashe kumburi, kamar su Aspirin ko Ibuprofen, na daya daga cikin hanyoyin farko na magance wannan matsalar kuma yawanci tana aiki ne ta hanyar rage kumburin kyallen takarda a kusa da ƙashin semilunar, rage matsi da saukaka ciwo.

3. Yin gyaran jiki da motsa jiki

Yin wasu atisaye na mikewa don wuyan hannu na iya taimakawa dan taimakawa matsin lamba na tsokoki akan kasusuwa, saukaka radadi da bada damar yanci mafi girma.

Gabaɗaya, ana iya yin waɗannan atisayen a yayin zaman likita, amma kuma ana iya horar da su a gida bayan jagora daga likitan kwantar da hankali. Anan akwai ƙuƙwalwar wuyan hannu wanda zai iya taimakawa rage zafi.

4. Yin tiyata

Maganin tiyata yawanci ana keɓance shi ne don ƙarin ci gaba na cutar Kienbock, lokacin da alamun ba su inganta tare da nau'ikan maganin da aka nuna a sama.

Nau'in tiyata ya bambanta dangane da mutum da takamaiman matsala, gami da:

• Sake sanya kasusuwa na haɗin wuyan hannu: lokacin da daya daga cikin kasusuwa a hannu ya dan guntu kadan, likita na iya sa karamin guntun kashi ko cire wani yanki na doguwar kashin, domin daidaita hadin gwuiwar da kuma rage matsin lamba a kan kashin, a saukake alamun;
• Cire ƙashin semilunar: lokacin da kashin jikin rabin jiki ya tabarbare sosai, likitan kashi zai iya zaban cire kashi gaba daya. Koyaya, a cikin waɗannan halaye kuma ya zama dole a cire ƙashi biyu da suke gefe, wanda ke kawar da ciwo, amma zai iya rage kewayon motsi na wuyan hannu;
• Fusion na ƙashin wuyan hannu: a wasu lokuta, zabin magani ya kunshi lika kasusuwan wuyan hannu, don samar da kashi daya wanda yake karbar jini daga sauran kasusuwan da suka rabu, yana saukaka dukkan alamu.

Bugu da kari, ana iya amfani da tiyata a matakin farko na cutar don kokarin karkatar da zagawar jini zuwa ƙashin semilunar. A wannan dabarar, likita ya cire wani guntun kashin da ke karbar jini ya manna shi a cikin kashin, wanda hakan zai ba shi damar jini da jini. Koyaya, wannan dabarar ba zata yiwu ba a kowane yanayi kuma bazai nuna sakamako mai gamsarwa ba a lokacin bayan aiki.

Yadda za a tabbatar da ganewar asali

Ciwon da Kienbock ya haifar sau da yawa yana rikicewa tare da cututtukan rami na carpal kuma, sabili da haka, yana da kyau a tuntuɓi likita don tabbatar da ganewar asali da kuma fara maganin da ya dace.

Don yin ganewar asali, likita na iya yin odar wasu gwaje-gwajen bincike kamar su X-ray na wuyan hannu da MRI. Wadannan gwaje-gwajen suna kuma sauƙaƙe kimantawar canjin matsalar:

• Mataki na 1: a cikin wannan lokaci X-ray yawanci al'ada ce, amma MRI tana nuna ƙarancin zagayawa zuwa ƙashi;
• Mataki na 2: ƙashin rabin lokaci ya fara zama mai wahala saboda rashin zagayawa kuma, sabili da haka, ya bayyana a launi mafi launi fiye da sauran ƙasusuwa na wuyan hannu, akan X-ray;
• Mataki na 3: a wannan matakin, ƙashi ya fara karyewa kuma, sabili da haka, jarrabawa na iya nuna ɓangarori daban-daban a wurin kashin kuma canzawa a matsayin ƙasusuwan da ke kewaye;
• Mataki na 4: shi ne matakin da ya ci gaba sosai inda ɓangarorin ƙasusuwa-rabi suke haifar da lalacewar ƙasusuwan da ke kewaye, suna haifar da amosanin gabbai a wuyan hannu.

Yayinda cutar ta ci gaba, ciwo a wuyan hannu ya zama mai ƙarfi, kuma motsin yana da wuya. Sabili da haka, sanin wane mataki zai bawa likita damar zaɓar zaɓi mafi dacewa.