Tawagar Rauni na Jijiya Clinic. Jijiyoyin suna da rauni kuma suna iya lalacewa ta hanyar matsa lamba, mikewa, ko yanke. Raunin jijiyoyi na iya dakatar da sigina zuwa ko daga kwakwalwa, haifar da tsokoki ba su yi aiki yadda ya kamata ba kuma suna rasa jin dadi a yankin da aka ji rauni. Tsarin jijiyoyi yana sarrafa yawancin ayyukan jiki, daga daidaita numfashin mutum zuwa sarrafa tsokoki da kuma jin zafi da sanyi. Amma, lokacin da rauni daga rauni ko yanayin da ke ciki ya haifar da raunin jijiya, yanayin rayuwar mutum na iya tasiri sosai. Dokta Alex Jimenez ya bayyana ra'ayoyi daban-daban ta hanyar tarin tarihin tarihin da ke tattare da nau'in raunuka da yanayin da zai iya haifar da rikice-rikice na jijiyoyi da kuma tattauna nau'i daban-daban na jiyya da mafita don sauƙaƙe ciwon jijiya da kuma mayar da rayuwar mutum.
Bayanin da ke nan ba a yi niyya ba don maye gurbin dangantaka ɗaya-ɗaya tare da ƙwararren ƙwararren kiwon lafiya ko likita mai lasisi kuma ba shawara ba ne na likita. Muna ƙarfafa ku don yanke shawarar kula da lafiyar ku bisa ga bincikenku da haɗin gwiwa tare da ƙwararren ƙwararren kiwon lafiya. Iyakar bayanin mu yana iyakance ga chiropractic, tsokar tsoka, magungunan jiki, lafiya, lamuran lafiya masu mahimmanci, labaran aikin likitanci, batutuwa, da tattaunawa. Muna ba da kuma gabatar da haɗin gwiwar asibiti tare da kwararru daga fannoni daban-daban. Kowane ƙwararrun ana sarrafa su ta hanyar ƙwararrun aikinsu da ikonsu na lasisi. Muna amfani da ka'idojin lafiya na aiki & lafiya don jiyya da tallafawa kulawa ga raunin da ya faru ko rashin lafiyar tsarin musculoskeletal. Bidiyoyin mu, posts, batutuwa, batutuwa, da kuma abubuwan da suka shafi asibiti, batutuwa, da batutuwan da suka shafi da tallafawa, kai tsaye ko a kaikaice, aikin aikin mu na asibiti. nazarin binciken da ya dace ko nazarin da ke tallafawa abubuwan da muke yi. Muna ba da kwafi na tallafin binciken bincike da ake samu ga hukumomin gudanarwa da jama'a bisa buƙata.
Mun fahimci cewa muna rufe al'amuran da ke buƙatar ƙarin bayani game da yadda za ta taimaka a cikin wani shirin kulawa na musamman ko yarjejeniya ta magani; saboda haka, don ƙarin tattauna batun da ke sama, da fatan za a yi tambaya kyauta Dr. Alex Jimenez Ko tuntube mu a 915-850-0900.
Lokacin da sciatica ko wasu radiating jijiya zafi gabatar, iya koyo don bambanta tsakanin ciwon jijiya da kuma daban-daban na jin zafi taimaka mutane gane lokacin da kashin baya jijiya Tushen ya yi fushi ko matsa ko mafi tsanani matsaloli da bukatar likita?
Kowane bangare yana da tushen jijiya a dama da hagu wanda ke ba da injina da ayyukan azanci ga gaɓoɓi.
Reshen sadarwa na gaba da na baya sun haɗu don samar da jijiyoyi na kashin baya waɗanda ke fita daga canal na kashin baya.
Sassan kashin baya na 31 suna haifar da jijiyoyi 31 na kashin baya.
Kowannensu yana watsa shigarwar jijiya mai hankali daga takamaiman yanki na fata a wancan gefe da yanki na jiki.
Waɗannan yankuna ana kiransu dermatome.
Ban da jijiya na kashin baya na farko na mahaifa, dermatomes suna wanzuwa ga kowane jijiyar kashin baya.
Jijiyoyin kashin baya da dermatoma masu alaƙa suna samar da hanyar sadarwa a duk faɗin jiki.
Manufar Dermatomes
Dermatomes sune wuraren jiki/ fata tare da shigar da hankali da aka ba wa jijiyoyi na kashin baya. Kowane tushen jijiya yana da dermatome mai alaƙa, kuma rassa daban-daban suna ba da kowane dermatome daga tushen jijiya ɗaya. Dermatomes hanyoyi ne ta inda bayanai masu ban sha'awa a cikin fata ke watsa sigina zuwa kuma daga tsarin juyayi na tsakiya. Hankalin da ake jin jiki, kamar matsa lamba da zafin jiki, ana yada su zuwa tsarin kulawa na tsakiya. Lokacin da tushen jijiya na kashin baya ya zama matsa lamba ko fushi, yawanci saboda ya shiga cikin wani tsari, yana haifar da radiculopathy. (Cibiyoyin Kiwon Lafiya na Ƙasa: Cibiyar Ƙwararrun Ƙwararrun Ƙwararrun Ƙwararrun Ƙwararrun Ƙwararrun Ƙwararrun Ƙwararrun Ƙwararrun Ƙwararru. 2020).
Radiculopathy
Radiculopathy yana bayyana alamun bayyanar cututtuka da ke haifar da jijiyar da aka dade tare da kashin baya. Alamu da jin daɗi sun dogara ne akan inda aka tsinke jijiyar da girman matsi.
mahaifa
Wannan ciwo ne na raɗaɗi da / ko na'urar jijiya lokacin da aka matsa tushen jijiya a cikin wuyansa.
Yana sau da yawa yana ba da ciwon da ke gangarowa hannu ɗaya.
Hakanan ma daidaikun mutane na iya samun jin daɗin wutar lantarki kamar fil da allura, firgita, da ƙonawa, da kuma alamun motsi kamar rauni da rauni.
lumbar
Wannan radiculopathy yana haifar da matsawa, kumburi, ko rauni ga jijiyar kashin baya a cikin ƙananan baya.
Hankali na ciwo, rashin jin daɗi, tingling, lantarki ko jin zafi, da alamun motsi kamar raunin tafiya ƙasa ɗaya kafa ɗaya ne na kowa.
ganewar asali
Wani ɓangare na gwajin jiki na radiculopathy yana gwada dermatomes don jin daɗi. Mai aikin zai yi amfani da takamaiman gwaje-gwaje na hannu don tantance matakin kashin baya wanda alamun suka samo asali. Gwaje-gwaje na hannu sau da yawa suna tare da gwaje-gwajen hoto na bincike kamar MRI, wanda zai iya nuna rashin daidaituwa a cikin tushen jijiya na kashin baya. Cikakken nazarin jiki zai ƙayyade idan tushen jijiya na kashin baya shine tushen alamun.
Magance Dalilai masu Mahimmanci
Yawancin cututtuka na baya za a iya bi da su tare da magungunan ra'ayin mazan jiya don samar da ingantaccen jin zafi. Don faifan diski mai rauni, alal misali, ana iya ba wa ɗaiɗai shawarar su huta kuma su ɗauki maganin hana kumburin da ba na istiroidal ba. Acupuncture, jiyya na jiki, chiropractic, raunin da ba a yi ba, ko decompression hanyoyin kwantar da hankali za a iya kuma rubuta. Don ciwo mai tsanani, ana iya ba wa daidaikun mutane allurar steroid na epidural wanda zai iya ba da jin zafi ta hanyar rage kumburi. (Cibiyar Nazarin Orthopedic ta Amurka: OrthoInfo. 2022) Don ƙwanƙwasa na kashin baya, mai badawa zai iya fara mayar da hankali kan farfadowa na jiki don inganta lafiyar gaba ɗaya, ƙarfafa ciki da tsokoki na baya, da kuma kiyaye motsi a cikin kashin baya. Magunguna masu raɗaɗi, ciki har da NSAIDs da corticosteroid injections, na iya rage kumburi da kuma rage zafi. (Kwalejin Rheumatology ta Amurka. 2023) Masu ilimin motsa jiki na jiki suna ba da magunguna daban-daban don rage alamun bayyanar cututtuka, ciki har da aikin hannu da na'ura mai kwakwalwa da ƙwaƙwalwa. Ana iya ba da shawarar tiyata don lokuta na radiculopathy waɗanda ba su da amsa ga jiyya na mazan jiya.
Rauni Medical Chiropractic da Ayyukan Magungunan Kulawa na Kulawa na Clinical tsare-tsaren kulawa da sabis na asibiti sun ƙware kuma suna mai da hankali kan raunin da ya faru da cikakken tsarin dawowa. Yankunan aikinmu sun haɗa da Lafiya & Gina Jiki, Jin zafi na yau da kullun, Rauni na mutum, Kula da Hatsari na Auto, Rauni na Aiki, Raunin Baya, Ciwon Ƙarƙashin Baya, Ciwon Wuya, Ciwon kai na Migraine, Raunukan wasanni, Sciatica mai tsanani, Scoliosis, Complex Herniated Discs, Fibromyalgia, Chronic Ciwo, Rauni mai rikitarwa, Gudanar da Damuwa, Jiyya na Magungunan Aiki, da ka'idojin kulawa a cikin iyaka. Muna mayar da hankali kan maido da ayyukan jiki na yau da kullun bayan rauni da raunin nama mai laushi ta amfani da Ka'idojin Chiropractic na Musamman, Shirye-shiryen Lafiya, Ayyuka da Haɗin Gina Jiki, Ƙarfafawa, da Koyarwar Fitness na Motsi, da Tsarin Gyarawa ga duk shekaru daban-daban. Idan mutum yana buƙatar wani magani, za a tura shi zuwa asibiti ko likita wanda ya fi dacewa da yanayin su. Dr. Jimenez ya haɗu tare da manyan likitocin tiyata, ƙwararrun likitoci, masu bincike na likita, masu kwantar da hankali, masu horarwa, da masu samar da gyaran gyare-gyare na farko don kawo El Paso, manyan magungunan asibiti, ga al'ummarmu.
Mayar da Motsin ku: Kulawar Chiropractic Don farfadowa da Sciatica
Mutanen da ke fama da harbi, ciwo mai raɗaɗi a cikin ƙananan ƙafafu, da ciwon kafa na tsaka-tsaki na iya zama masu fama da ciwon neurogenic claudication. Shin sanin alamun bayyanar cututtuka na iya taimakawa ma'aikatan kiwon lafiya su samar da ingantaccen tsarin kulawa?
Neurogenic Claudication
Neurogenic claudication yana faruwa lokacin da jijiyoyi na kashin baya sun zama matsa lamba a cikin lumbar ko ƙananan kashin baya, yana haifar da ciwo na ƙafa. Ƙunƙarar jijiyoyi a cikin kashin baya na lumbar na iya haifar da ciwo na ƙafafu da ƙuƙwalwa. Ciwo yawanci yakan tsananta tare da takamaiman motsi ko ayyuka kamar zama, tsaye, ko lankwasa baya. An kuma san shi da pseudo-claudication lokacin da sarari a cikin kashin lumbar ya ragu. Yanayin da aka sani da lumbar spinal stenosis. Duk da haka, claudication neurogenic ciwo ne ko rukuni na alamun bayyanar cututtuka da ke haifar da jijiyar kashin baya, yayin da stenosis na kashin baya ya kwatanta raguwar sassa na kashin baya.
Alamun
Alamun Neurogenic claudication na iya haɗawa da:
Ciwon kafa.
Numbness, tingling, ko jin zafi.
Gajiyar ƙafa da rauni.
Jin nauyi a cikin kafa/s.
Kaifi, harbi, ko radadi mai zafi wanda ke yaduwa zuwa ƙananan sassan, sau da yawa a kafafu biyu.
Hakanan ana iya samun ciwo a cikin ƙasan baya ko gindi.
Neurogenic claudication ya bambanta da sauran nau'in ciwon ƙafar ƙafa, kamar yadda zafin ya canza - dainawa da farawa ba tare da izini ba kuma ya tsananta tare da takamaiman motsi ko ayyuka. Tsaye, tafiya, saukowa matakala, ko jujjuya baya na iya haifar da ciwo, yayin da ake zaune, hawa matakan hawa, ko jingina gaba yana ƙoƙarin rage zafi. Duk da haka, kowane lamari ya bambanta. A tsawon lokaci, claudication neurogenic zai iya rinjayar motsi yayin da mutane ke ƙoƙarin guje wa ayyukan da ke haifar da ciwo, ciki har da motsa jiki, ɗaga abubuwa, da kuma tafiya mai tsawo. A cikin lokuta masu tsanani, claudication neurogenic na iya sa barci mai wahala.
Neurogenic claudication da sciatica ba iri ɗaya ba ne. Neurogenic claudication ya ƙunshi jijiyar jijiyoyi a cikin tsakiyar canal na kashin baya na lumbar, yana haifar da ciwo a kafafu biyu. Sciatica ya haɗa da matsawa tushen jijiya da ke fitowa daga sassan kashin baya na lumbar, yana haifar da ciwo a ƙafa ɗaya. (Carlo Ammendolia, 2014)
Sanadin
Tare da claudication neurogenic, matsananciyar jijiyoyi na kashin baya sune tushen dalilin ciwon ƙafa. A lokuta da yawa, ƙwayar katako na katako - LSS shine sanadin jijiyar tsinke. Akwai nau'i biyu na lumbar kashin baya.
Tsakanin stenosis shine babban dalilin claudication neurogenic. Tare da wannan nau'in, tsakiyar canal na kashin baya na lumbar, wanda ke zaune a cikin kashin baya, ya ragu, yana haifar da ciwo a kafafu biyu.
Lumbar stenosis na kashin baya za a iya samu kuma ya ci gaba daga baya a rayuwa saboda lalacewar kashin baya.
Haihuwa yana nufin an haifi mutum da yanayin.
Dukansu na iya haifar da claudication neurogenic ta hanyoyi daban-daban.
Foramen stenosis wani nau'i ne na ƙwanƙwasa na lumbar wanda ke haifar da kunkuntar wurare a kowane gefe na kashin baya na lumbar inda tushen jijiya ke reshe daga kashin baya. Ciwon da ke tattare da shi ya bambanta da cewa yana cikin dama ko hagu.
Ciwon ya yi daidai da gefen kashin baya inda ake danne jijiyoyi.
An Samu Lumbar Spinal Stenosis
Lumbar stenosis na kashin baya yawanci ana samun su ne saboda lalacewa na kashin baya na lumbar kuma yana kula da rinjayar tsofaffi. Abubuwan da ke haifar da raguwa na iya haɗawa da:
Raunin kashin baya, kamar daga karon abin hawa, aiki, ko raunin wasanni.
Ankylosing spondylitis - wani nau'i na cututtuka na kumburi wanda ke shafar kashin baya.
Osteophytes - kasusuwa spurs.
Ciwon daji na kashin baya - marasa ciwon daji da ciwon daji.
Ciwon Lumbar Spinal Stenosis
Nakasar kashin baya na mahaifa na nufin an haifi mutum tare da rashin daidaituwa na kashin baya wanda bazai bayyana a lokacin haihuwa ba. Saboda sarari a cikin canal na kashin baya ya riga ya kunkuntar, kashin baya yana da rauni ga kowane canje-canje kamar yadda mutum ya tsufa. Ko da mutanen da ke da ƙananan ƙwayar cuta na iya samun alamun bayyanar cututtuka na neurogenic claudication da wuri kuma su ci gaba da bayyanar cututtuka a cikin 30s da 40s maimakon 60s da 70s.
ganewar asali
Bincike na claudication neurogenic ya dogara ne akan tarihin likitancin mutum, nazarin jiki, da kuma hoto. Binciken jiki da sake dubawa sun gano inda zafi ke nunawa da kuma lokacin. Mai ba da lafiya na iya tambaya:
Shin akwai tarihin ciwon ƙananan baya?
Shin ciwon kafa ɗaya ne ko duka biyun?
Ciwon yana dawwama?
Ciwon ya zo ya tafi?
Shin ciwon yana samun sauki ko muni lokacin tsaye ko zaune?
Shin motsi ko ayyuka suna haifar da bayyanar cututtuka da jin zafi?
Shin akwai abubuwan da aka saba gani yayin tafiya?
Jiyya
Jiyya na iya ƙunsar jiyya ta jiki, alluran steroid na kashin baya, da magungunan jin zafi. Tiyata hanya ce ta ƙarshe lokacin da duk sauran hanyoyin kwantar da hankali ba za su iya ba da taimako mai inganci ba.
jiki Far
A tsarin kulawa zai ƙunshi jiyya na jiki wanda ya haɗa da:
Mikewa kullum
Ƙarfafawa
Ayyukan motsa jiki
Wannan zai taimaka ingantawa da daidaita ƙananan tsokoki na baya da kuma daidaita matsalolin matsayi.
Maganin aikin aiki zai bada shawarar gyare-gyaren aiki wanda ke haifar da alamun ciwo.
Wannan ya haɗa da ingantattun injiniyoyi na jiki, adana makamashi, da kuma gane alamun zafi.
Hakanan ana iya ba da shawarar takalmin gyaran kafa na baya ko bel.
Injections Steroid na Spinal
Masu ba da lafiya na iya ba da shawarar allurar steroid na epidural.
Wannan yana sadar da kwayar cutar cortisone zuwa mafi girman sashe na kashin baya ko sararin epidural.
Ana amfani da magungunan raɗaɗi don magance claudication neurogenic na lokaci-lokaci. Waɗannan sun haɗa da:
Analgesics kan-da-counter kamar acetaminophen.
Magungunan anti-inflammatory marasa steroidal ko NSAIDs kamar ibuprofen ko naproxen.
Za a iya rubuta NSAIDs na magani idan an buƙata.
Ana amfani da NSAIDs tare da ciwon neurogenic na kullum kuma ya kamata a yi amfani da shi kawai lokacin da ake bukata.
Yin amfani da NSAID na dogon lokaci zai iya ƙara haɗarin ciwon ciki, kuma yawan amfani da acetaminophen zai iya haifar da gubar hanta da gazawar hanta.
Surgery
Idan jiyya masu ra'ayin mazan jiya ba su iya ba da taimako mai mahimmanci da motsi da / ko ingancin rayuwa sun shafi, tiyata da aka sani da laminectomy na iya ba da shawara don ƙaddamar da kashin lumbar. Ana iya aiwatar da hanyar:
Laparoscopically - tare da ƙananan ɓangarorin, scopes, da kayan aikin tiyata.
Bude tiyata - tare da fatar fata da sutures.
A lokacin aikin, an cire sassan vertebra a wani bangare ko gaba daya.
Don samar da kwanciyar hankali, wasu lokuta ana haɗa ƙasusuwan da sukurori, faranti, ko sanduna.
Adadin nasara ga duka biyun sun fi ko ƙasa da haka.
Tsakanin 85% da 90% na mutanen da ke yin aikin tiyata sun sami taimako na dindindin na dindindin da / ko dindindin. (Xin-Long Ma et al., 2017)
Magungunan Motsi: Kulawa na Chiropractic
References
Ammendolia C. (2014). Degenerative lumbar spinal stenosis da imposters: nazari uku. Jaridar Ƙungiyar Chiropractic ta Kanada, 58 (3), 312-319.
Munakomi S, Foris LA, Varacallo M. (2024). Spinal Stenosis da Neurogenic Claudication. [An sabunta 2023 Agusta 13]. A cikin: StatPearls [Internet]. Tsibirin Treasure (FL): Bugawa na StatPearls; 2024 Jan-. Akwai daga: www.ncbi.nlm.nih.gov/books/NBK430872/
Ma, XL, Zhao, XW, Ma, JX, Li, F., Wang, Y., & Lu, B. (2017). Ingancin tiyata tare da jiyya na ra'ayin mazan jiya don ƙwanƙwasawa na lumbar: nazari na tsarin da meta-bincike na gwajin sarrafawa bazuwar. Mujallar tiyata ta duniya (London, Ingila), 44, 329-338. doi.org/10.1016/j.ijsu.2017.07.032
Ga mutanen da ke fama da ciwo mai tsanani, shin yin amfani da hanyar toshe jijiyoyi na iya taimakawa wajen ragewa da sarrafa alamun?
Tubalan Jijiyoyi
Toshewar jijiya hanya ce da ake yi don katsewa/ toshe siginar jin zafi saboda raunin jijiya ko rauni. Ana iya amfani da su don bincike ko dalilai na magani, kuma tasirin su na iya zama gajere ko na dogon lokaci, ya danganta da nau'in da ake amfani da su.
A toshe jijiya na wucin gadi na iya haɗawa da aikace-aikacen ko allura wanda ke dakatar da siginar jin zafi daga watsa na ɗan gajeren lokaci.
Misali, a cikin ciki, ana iya amfani da allurar epidural lokacin haihuwa da haihuwa.
Tushen jijiyoyi na dindindin ya haɗa da yanke / yanke ko cire wasu sassan jijiyoyi don dakatar da alamun zafi.
Ana amfani da waɗannan a lokuta masu rauni mai tsanani ko wasu yanayin zafi na yau da kullum waɗanda ba su inganta tare da wasu hanyoyin magani ba.
Amfanin Magani
Lokacin da ma'aikatan kiwon lafiya suka gano yanayin ciwo mai tsanani wanda ya haifar da raunin jijiya ko rashin aiki, za su iya amfani da toshewar jijiya don gano wurin da ke haifar da alamun zafi. Suna iya yin electromyography da/ko a saurin tafiyar da jijiya / gwajin NCV don nuna dalilin ciwon jijiya na kullum. Har ila yau, toshe jijiyoyi na iya magance ciwon neuropathic na yau da kullum, kamar ciwon da ya haifar da lalacewa ko matsawa. Ana amfani da tubalan jijiyoyi akai-akai don magance ciwon baya da wuyan wuya wanda fayafai masu taurin kai ko kashin baya ke haifarwa. (Johns Hopkins Medicine. 2024)
iri
Nau'u uku sun haɗa da:
Na gida
Neurolytic
Tiyata
Ana iya amfani da duka uku don yanayin da ke haifar da ciwo mai tsanani. Duk da haka, tubalan neurolytic da na tiyata suna dindindin kuma ana amfani dasu kawai don ciwo mai tsanani wanda ya tsananta tare da wasu jiyya ba zai iya ba da taimako ba.
Tubalan wucin gadi
Ana yin toshewar gida ta hanyar allura ko amfani da maganin sa barci na gida, kamar lidocaine, zuwa wani yanki.
Epidural wani shingen jijiyar gida ne wanda ke allurar steroids ko analgesics zuwa wani yanki da ke kusa da kashin baya.
Wadannan suna da yawa a lokacin daukar ciki, nakuda, da haihuwa.
Hakanan za'a iya amfani da epidurals don magance wuyan wuyansa ko ciwon baya saboda matsewar jijiyar kashin baya.
Yankuna na gida yawanci na wucin gadi ne, amma a cikin tsarin kulawa, ana iya maimaita su tsawon lokaci don sarrafa ciwo mai tsanani daga yanayi kamar arthritis, sciatica, da migraines. (NYU Langone Lafiya. 2023)
Tubalan Dindindin
Wani toshe neurolytic yana amfani da barasa, phenol, ko abubuwan thermal don magance ciwon jijiya na yau da kullun. (Cibiyar Kula da Cututtukan Jijiya da bugun jini ta ƙasa. 2023) Wadannan hanyoyin suna lalata wasu wurare na hanyar jijiya da gangan don kada a iya yada alamun zafi. An fi amfani da toshe neurolytic don lokuta masu tsanani na ciwo mai tsanani, kamar ciwo daga ciwon daji ko hadaddun ciwon ciwo na yanki / CRPS. A wasu lokuta ana amfani da su don magance ciwo mai gudana daga ciwon ƙwayar cuta mai tsanani da kuma jin zafi a bangon kirji bayan tiyata. (Johns Hopkins Medicine. 2024) (Alberto M. Cappellari et al., 2018)
Likitan neurosurgeon yana yin shingen jijiya ta tiyata wanda ya haɗa da cirewa ko lalata takamaiman wuraren jijiya. (Cibiyar Kula da Cututtukan Jijiya da bugun jini ta ƙasa. 2023) Ana amfani da toshewar jijiya ta tiyata kawai don lokuta masu zafi mai tsanani, irin su ciwon daji ko trigeminal neuralgia.
Ko da yake neurolytic da jijiyoyi tubalan su ne m hanyoyin, zafi bayyanar cututtuka, da kuma ji na iya dawowa idan jijiyoyi sun iya sake girma da kuma gyara kansu. (Eun Ji Choi et al., 2016) Duk da haka, bayyanar cututtuka da jin dadi bazai dawo watanni ko shekaru bayan hanya ba.
Waɗannan hanyoyin na iya samun yuwuwar haɗarin lalacewar jijiya na dindindin. (Anthem BlueCross. 2023) Jijiya suna da hankali kuma suna sake farfadowa a hankali, don haka ƙananan kuskure na iya haifar da illa. (D O'Flaherty et al., 2018) illolin gama gari sun haɗa da:
Ciwon tsoka
rauni
Yawaita numbness
A lokuta da ba kasafai ba, toshe zai iya fusatar da jijiya kuma ya haifar da ƙarin ciwo.
ƙwararrun likitocin kiwon lafiya masu lasisi kamar likitocin fiɗa, likitocin kula da ciwo, likitocin jinya, da likitocin haƙori an horar da su don yin waɗannan hanyoyin a hankali.
Koyaushe akwai haɗarin lalacewar jijiyoyi ko rauni, amma yawancin toshe jijiyoyi lafiya da nasara ragewa kuma suna taimakawa sarrafa ciwo na yau da kullun. (Anthem BlueCross. 2023)
Abin da ya sa ran
Mutane na iya jin tausasawa ko raɗaɗi da/ko lura ja ko haushi kusa ko kusa da wurin da yake na ɗan lokaci.
Hakanan ana iya samun kumburi, wanda ke danne jijiyoyi kuma yana buƙatar lokaci don ingantawa. (Stanford Medicine. 2024)
Ana iya tambayar mutane su huta na ɗan lokaci bayan aikin.
Dangane da nau'in tsari, daidaikun mutane na iya yin kwanaki a asibiti.
Wasu zafi na iya kasancewa har yanzu, amma wannan baya nufin tsarin bai yi aiki ba.
Ya kamata daidaikun mutane su tuntubi ma'aikacin kiwon lafiya game da haɗari da fa'idodi don tabbatar da hakan daidai ne magani.
Cappellari, AM, Tiberio, F., Alicandro, G., Spagnoli, D., & Grimoldi, N. (2018). Inurantal neurolysis don lura da m zafi zafi zafi zafi: jerin lokuta. Muscle & jijiya, 58(5), 671-675. doi.org/10.1002/mus.26298
Choi, EJ, Choi, YM, Jang, EJ, Kim, JY, Kim, TK, & Kim, KH (2016). Ciwon Jijiya da Farfaɗowa a cikin Ayyukan Pain. Jaridar Koriya na ciwo, 29 (1), 3-11. doi.org/10.3344/kjp.2016.29.1.3
Mutanen da ke fama da alamun zafi kamar harbi, soka, ko jin motsin lantarki zuwa latissimus dorsi na babba baya na iya haifar da rauni na jijiya ga jijiyar thoracodorsal. Shin sanin tsarin jiki da alamun bayyanar cututtuka na iya taimakawa masu samar da kiwon lafiya su samar da ingantaccen tsarin kulawa?
Jijiya Thoracodorsal
Har ila yau aka sani da Jijiya subscapular na tsakiya ko kuma dogon jijiya subscapular, Yana rassa daga wani ɓangare na brachial plexus kuma yana ba da innervation / aiki na motar zuwa ga latissimus dorsi tsoka.
ilimin tiyata
Ƙwaƙwalwar ƙwanƙwasa wata hanyar sadarwa ce ta jijiyoyi waɗanda ke fitowa daga kashin baya a wuya. Jijiyoyin suna ba da mafi yawan jin daɗi da motsin hannu da hannaye, tare da ɗaya a kowane gefe. Tushensa guda biyar sun fito ne daga sararin samaniya tsakanin na biyar zuwa takwas na kashin mahaifa da kuma kashin baya na farko. Daga nan sai su samar da wani tsari mai girma, sannan su rarraba, su sake hadewa, su sake raba su don samar da kananan jijiyoyi da tsarin jijiya yayin da suke tafiya kasa da hannu. Ta wuya da ƙirji, jijiyoyi daga ƙarshe suna haɗuwa kuma su samar da igiyoyi uku waɗanda suka haɗa da:
Igiyar gefe
Igiyar tsakiya
Igiyar baya
Igiyar baya tana samar da manya da ƙananan rassa waɗanda suka haɗa da:
Jijiya axillary
Jijiya Radial
Ƙananan rassan sun haɗa da:
Mafi girman jijiyar subscapular
Ƙarƙashin jijiyar subscapular
Jijiya Thoracodorsal
Tsari da Matsayi
Jijiya na thoracodorsal ya rabu da igiya na baya a cikin hamma kuma yana tafiya zuwa ƙasa, yana biye da jijiya na subscapular, zuwa tsokar latissimus dorsi.
Yana haɗawa da hannu na sama, ya miƙe bayan hammata, yana samar da baka mai axillary, sannan ya faɗaɗa cikin babban triangle wanda ke zagaye da hakarkarinsa da bayansa.
Jijiya ta thoracodorsal tana zurfafa a cikin latissimus dorsi, kuma ƙananan gefen yakan kai kusa da kugu.
Bambance-bambance
Akwai daidaitaccen wuri da hanya na jijiyar thoracodorsal, amma jijiyoyi ɗaya ba ɗaya ba ne a cikin kowa.
Jijiya yawanci ta rabe daga igiyar baya na brachial plexus daga maki uku daban-daban.
Lats na iya samun saɓanin yanayin jikin mutum da ba kasafai aka sani da a Samun Langer, wanda shine ƙarin ɓangaren da ke haɗuwa da tsoka ko haɗin haɗin gwiwa na hannun sama a ƙarƙashin mahadar gama gari.
A cikin mutanen da ke da wannan rashin daidaituwa, jijiyar thoracodorsal tana ba da aiki / ciki) zuwa baka. (Ahmed M. Al Maksoud et al., 2015)
aiki
tsokar latissimus dorsi ba zai iya aiki ba tare da jijiyar thoracodorsal ba. Naman tsoka da jijiya suna taimakawa:
Tabbatar da baya.
Dauke nauyin jiki sama lokacin hawa, iyo, ko yin jan-up.
Taimakawa numfashi ta hanyar faɗaɗa kejin haƙarƙarin yayin shakar numfashi da kwangila lokacin fitar numfashi. (Encyclopaedia Britannica. 2023)
Juya hannu zuwa ciki.
Ja hannu zuwa tsakiyar jiki.
Ƙara kafadu ta hanyar aiki tare da manyan teres, ƙananan teres, da tsokoki na baya na deltoid.
Sauko da abin wuyan kafada ta hanyar harba kashin baya.
Don karkata zuwa gefe ta hanyar harba kashin baya.
Zafin da zai iya zama harbi, soka, ko jin motsin lantarki.
Numbness, tingling.
Rauni da asarar aiki a cikin tsokoki masu alaƙa da sassan jiki, gami da wuyan hannu da digon yatsa.
Saboda hanyar jijiyoyi ta cikin hammata, likitoci dole ne su yi hankali da bambance-bambancen jikin mutum don kada su lalata jijiya ba da gangan ba yayin hanyoyin ciwon nono, ciki har da rarraba axillary.
Ana yin hanyar don bincika ko cire nodes na lymph kuma ana amfani da su wajen magance ciwon nono da kuma magani.
A cewar wani binciken, 11% na mutanen da ke da ƙwayar ƙwayar ƙwayar ƙwayar cuta axillary sun sami lalacewa ga jijiyoyi. (Roser Belmonte et al., 2015)
Ma'anar kalmar sake gini Dairy
A cikin aikin gyaran nono, ana iya amfani da lats a matsayin maɗaukaki a kan dasa.
Dangane da yanayin, ana iya barin jijiyar thoracodorsal a cikakke ko yanke.
Akwai wasu shaidun da ke nuna cewa barin jijiya ba ta ƙare ba zai iya haifar da tsokar ƙwayar tsoka kuma ta rabu da dasa.
Ƙwararren jijiyar thoracodorsal na iya haifar da atrophy na tsoka, wanda zai iya haifar da rauni na kafada da hannu.
Amfani da Graft
Wani ɓangare na jijiyar thoracodorsal yawanci ana amfani dashi a cikin gyaran jijiyar jijiyar don dawo da aiki bayan rauni, wanda ya haɗa da masu zuwa:
Jijiya na musculocutaneous
Na'urorin haɗi
Jijiya axillary
Hakanan za'a iya amfani da jijiyar don mayar da aikin jijiya zuwa tsokar triceps a hannu.
fi
Idan jijiyar thoracodorsal ta ji rauni ko lalacewa, jiyya na iya haɗawa da:
Ƙunƙarar kafa ko tsaga.
Maganin jiki don inganta kewayon motsi, sassauci, da ƙarfin tsoka.
Idan akwai matsawa, ana iya buƙatar tiyata don rage matsi.
Binciken Magungunan Haɗin Kai
References
Chu B, Bordoni B. Anatomy, Thorax, Thoracodorsal Jijiya. [An sabunta 2023 Jul 24]. A cikin: StatPearls [Internet]. Tsibirin Treasure (FL): Bugawa na StatPearls; 2023 Jan-. Akwai daga: www.ncbi.nlm.nih.gov/books/NBK539761/
Al Maksoud, A. M., Barsuum, A.K., & Moneer, M. M. (2015). Langer's baka: wani abu mai ban mamaki yana rinjayar axillary lymphadenectomy. Rahoton rahoton maganganun tiyata, 2015 (12), rjv159. doi.org/10.1093/jscr/rjv159
Belmonte, R., Monleon, S., Bofill, N., Alvarado, M. L., Espadaler, J., & Royo, I. (2015). Dogon raunin jijiya na thoracic a cikin marasa lafiya da ciwon nono da aka bi da su tare da rarraba ƙwayar lymph axillary. Kulawa na Ciniki: Journal Journalm Journal official ofungiyar watsa shirye-shirye na ƙungiyar kulawa ta asali, 23 (1), 169-175. doi.org/10.1007/s00520-014-2338-5
Kwon, S.T., Chang, H., & Oh, M. (2011). Tushen anatomic na tsagawar jijiyar interfascicular na ɓangaren ɓangaren latissimus dorsi na tsoka. Jaridar filastik, sake ginawa & aikin tiyata: JPRAS, 64 (5), e109-e114. doi.org/10.1016/j.bjps.2010.12.008
Shin mutanen da ke da tabarbarewar jijiyoyi na iya haɗawa da ɓacin rai don maido da aikin motsin hankali a jikinsu?
Gabatarwa
Rukunin kashin baya a cikin tsarin musculoskeletal ya ƙunshi ƙasusuwa, haɗin gwiwa, da jijiyoyi waɗanda ke aiki tare da tsokoki da kyallen takarda daban-daban don tabbatar da cewa an kare kashin baya. Kashin baya wani bangare ne na tsarin juyayi na tsakiya inda tushen jijiya ke yadawa zuwa sassan jiki na sama da na kasa waɗanda ke ba da ayyukan motsa jiki-motar. Wannan yana bawa jiki damar motsawa da aiki ba tare da ciwo ko rashin jin daɗi ba. Duk da haka, lokacin da jiki da kashin baya suka tsufa ko kuma lokacin da mutum ke fama da raunin da ya faru, tushen jijiya zai iya zama fushi kuma ya haifar da jin dadi kamar rashin tausayi ko tingling, sau da yawa yana daidaitawa da ciwon jiki. Wannan na iya haifar da nauyin zamantakewa da tattalin arziki a kan mutane da yawa kuma, idan ba a bi da su nan da nan ba, zai iya haifar da ciwo mai tsanani. Har zuwa wannan batu, zai iya haifar da mutane da yawa da ke fama da ciwon jijiyar jiki da ke hade da rashin aikin jijiya. Wannan yana sa mutane da yawa waɗanda ke fama da cutar musculoskeletal fara neman magani. Labarin na yau yayi nazarin yadda tabarbarewar jijiyoyi ke shafar gaɓoɓi da kuma yadda rashin aikin tiyata zai iya taimakawa wajen rage tabarbarewar jijiyoyi don ba da damar motsi zuwa ga gaɓoɓi na sama da na ƙasa. Muna magana da ƙwararrun ma'aikatan lafiya waɗanda ke haɗa bayanan majiyyatan mu don samar da hanyoyin da ba na fida ba kamar ɓacin rai don taimakawa mutane masu rauni na jijiya. Har ila yau, muna sanar da marasa lafiya yadda rashin aikin tiyata ba zai iya dawo da motsi-hankali zuwa na sama da na kasa ba. Muna ƙarfafa majinyatan mu don yin tambayoyi masu rikitarwa da ilimi ga masu ba da lafiyarmu masu alaƙa game da alamu masu kama da raɗaɗi waɗanda suke da alaƙa da tabarbarewar jijiya. Dokta Alex Jimenez, DC, yana amfani da wannan bayanin azaman sabis na ilimi. Disclaimer.
Yadda Ciwon Jijiya ke Shafar Ƙarfafawa
Shin kuna fuskantar tingling ko ramuwa a hannunku ko ƙafafu waɗanda ba sa son tafiya? Kuna jin zafi a sassa daban-daban na baya wanda za'a iya samun sauƙi ta hanyar mikewa ko hutawa? Ko yana jin zafi don tafiya mai nisa da kuke jin kamar kuna buƙatar hutawa akai-akai? Yawancin yanayi masu kama da ciwo suna da alaƙa da rashin aikin jijiya na jijiya wanda zai iya rinjayar babba da ƙananan ƙafafu. Lokacin da mutane da yawa suka fuskanci tabarbarewar jijiyar jijiya kuma suna magance abubuwan ban mamaki a cikin ƙarshen su, mutane da yawa suna tunanin hakan ya faru ne saboda ciwo na musculoskeletal a wuyansu, kafadu, ko baya. Wannan wani bangare ne kawai na batun, saboda yawancin abubuwan muhalli na iya haɗawa da ciwon jijiya na jijiya, yayin da tushen jijiya ke daɗaɗawa da tada hankali, yana haifar da rashin ƙarfi na jijiyoyi a cikin iyakar. Tun da tushen jijiya ya bazu daga kashin baya, kwakwalwa tana aika bayanan neuron zuwa tushen jijiya don ba da damar aikin motsi-motsi a cikin babba da ƙananan ƙafafu. Wannan yana ba da damar jiki ya zama wayar hannu ba tare da rashin jin daɗi ko ciwo ba kuma yana aiki ta hanyar ayyukan yau da kullum. Duk da haka, lokacin da mutane da yawa suka fara yin motsi mai maimaitawa wanda ke sa diski na kashin baya ya kasance yana matsawa akai-akai, zai iya haifar da yiwuwar ɓarnawar faifai da cututtuka na musculoskeletal. Tun da yawancin tushen jijiya suna yaduwa zuwa sassa daban-daban, lokacin da tushen tushen jijiya ya tsananta, zai iya aika siginar zafi zuwa kowane gefe. Don haka, mutane da yawa suna fama da damun jijiyoyi wanda ke haifar da ƙananan baya, gindi, da ciwon ƙafa wanda zai iya shafar ayyukan yau da kullum. (Karl et al., 2022) A lokaci guda kuma, mutane da yawa tare da sciatica suna fama da rashin lafiyar jijiyoyi wanda ke shafar iyawar tafiya. Tare da sciatica, ana iya danganta shi da ilimin cututtuka na kashin baya kuma yana sa mutane da yawa su nemi magani. (Bush et al., 1992)
Asirin Sciatica Ya Bayyana-Bidiyo
Lokacin da ake neman magani don rage rashin aikin jijiya na jijiya, mutane da yawa za su zaɓi hanyoyin da ba za a yi amfani da su ba don rage yawan bayyanar cututtuka da kuma rage alamun zafi da ke haifar da nakasa da na sama. Maganin jiyya marasa aikin tiyata kamar ragewa na iya taimakawa wajen dawo da aikin jijiya na hankali ta hanyar jan hankali ta hanyar haifar da diski na kashin baya don kashe tushen jijiya mai tsanani kuma ya fara tsarin warkarwa na jiki. A lokaci guda kuma, yana taimakawa rage cututtukan musculoskeletal daga dawowa. Bidiyon da ke sama yana nuna yadda za a iya rage sciatica da ke da alaƙa da tabarbarewar jijiya ta hanyar jiyya ba tare da tiyata ba don ba da damar iyakar jiki su ji daɗi.
Rushewar Rashin tiyatar Rage Tabarbarewar Jijiya
Magunguna marasa aikin tiyata na iya taimakawa wajen rage ƙananan ciwon baya da ke hade da rashin aikin jijiya na jijiya don mayar da aikin motsa jiki-motar zuwa babba da ƙananan ƙafafu. Mutane da yawa waɗanda suka haɗa jiyya marasa aikin tiyata kamar ɓacin rai a zaman wani ɓangare na lafiyarsu da na yau da kullun na iya ganin ci gaba bayan jiyya a jere. (Chou et al., 2007) Tun da yawancin ma'aikatan kiwon lafiya sun haɗa magungunan marasa lafiya kamar raguwa a cikin ayyukan su, an sami ci gaba sosai a cikin kula da ciwo. (Bronfort et al., 2008)
Lokacin da mutane da yawa suka fara amfani da raunin da ba na tiyata ba don rashin aiki na jijiya, da yawa za su ga ci gaba a cikin zafin su, motsi, da ayyukan rayuwarsu ta yau da kullun. (Gose et al., 1998). Abin da ragewar kashin baya ke yi ga tushen jijiya shi ne yana taimaka wa faifan da ya shafa wanda ke dagula tushen jijiya, ya ja diskin zuwa matsayinsa na asali, ya sake mayar da shi ruwa. (Ramos & Martin, 1994) Lokacin da mutane da yawa suka fara tunanin lafiyarsu da lafiyar su, magungunan da ba a yi musu tiyata ba za su iya yin tasiri a gare su saboda farashi mai araha da kuma yadda za a iya haɗa su tare da wasu hanyoyin kwantar da hankali don sarrafa mafi kyawun ciwon da ke hade da ciwon jijiyoyi da ke shafar sassan jikinsu.
References
Bronfort, G., Haas, M., Evans, R., Kawchuk, G., & Dagenais, S. (2008). Shaida-bayanar da kulawa da ƙananan ciwon baya tare da yin amfani da kashin baya da motsi. Kashin baya J, 8(1), 213-225. doi.org/10.1016/j.spine.2007.10.023
Bush, K., Cowan, N., Katz, DE, & Gishen, P. (1992). Tarihin halitta na sciatica da ke hade da ilimin cututtuka na diski. Nazarin mai yiwuwa tare da bin diddigin rediyo na asibiti da mai zaman kansa. Spine (Phila Pa 1976), 17(10), 1205-1212. doi.org/10.1097/00007632-199210000-00013
Chou, R., Huffman, LH, American Pain, S., & American College of, P. (2007). Magungunan da ba a magani ba don ciwo mai tsanani da na ciwo mai tsanani: bita na shaida ga Ƙungiyar Ƙwararrun Ƙwararrun Ƙwararrun Ƙwararrun Ƙwararrun Ƙwararrun Ƙwararrun Ƙwararrun Ƙwararrun Ƙwararrun Ƙwararrun Ƙwararrun Ƙwararrun Ƙwararrun Ƙwararrun Ƙwararrun Ƙwararru. Ann Intern Med, 147(7), 492-504. doi.org/10.7326/0003-4819-147-7-200710020-00007
Gose, EE, Naguszewski, WK, & Naguszewski, RK (1998). Vertebral na cire lalata lalata don jin zafi da ke hade da kayan aikinta ko na lalacewa ko cututtukan fata: karatun sakamako. Neurol Res, 20(3), 186-190. doi.org/10.1080/01616412.1998.11740504
Karl, HW, Helm, S., & Trescot, AM (2022). Maɗaukaki da Ƙarƙashin Ƙarƙashin Ƙarƙashin Ƙarƙashin Ƙarƙashin Ƙarƙashin Ƙarƙashin Ƙarƙashin Ƙarƙashin Ƙarƙashin Ƙarƙashin Ƙarƙashin Ƙarƙashin Ƙarƙashin Baya da Radicular Pain. Likita mai zafi, 25(4), E503-E521. www.ncbi.nlm.nih.gov/pubmed/35793175
Ramos, G., & Martin, W. (1994). Tasirin raguwar axial na vertebral akan matsa lamba na intradiscal. J Neurosurg, 81(3), 350-353. doi.org/10.3171/jns.1994.81.3.0350
Ga mutanen da ke fama da yanayin zafi na yau da kullum na iya samun kyakkyawar fahimtar ƙwararrun masu kula da ciwo suna taimakawa wajen bunkasa shirye-shiryen jiyya na multidisciplinary mai tasiri?
Kwararrun Gudanar da Raɗaɗi
Gudanar da ciwo shine ƙwararren likita mai girma wanda ke ɗaukar tsarin horo da yawa don magance kowane irin ciwo. Wani reshe ne na magani wanda ke amfani da fasaha da hanyoyin da aka tabbatar da kimiyya don sauƙaƙawa, ragewa, da sarrafa alamun ciwo da jin zafi. Kwararrun kula da ciwo suna kimantawa, sake gyarawa, da kuma bi da yanayin yanayi, ciki har da ciwon neuropathic, sciatica, ciwon baya, yanayin zafi mai tsanani, da sauransu. Yawancin ma'aikatan kiwon lafiya na farko suna mayar da marasa lafiya zuwa ƙwararrun masu kula da ciwo idan alamun ciwo suna ci gaba ko mahimmanci a bayyanar su.
Kwararru
Ma'aikatan kiwon lafiya da suka ƙware a cikin kula da ciwo sun gane yanayin yanayin zafi kuma suna fuskantar matsalar daga kowane bangare. Jiyya a asibitin jin zafi ya dogara ne akan abubuwan da asibitin ke da shi. A halin yanzu, babu ƙayyadaddun ƙa'idodi na nau'ikan ilimin da ake buƙata, wani dalili kuma zaɓin magani ya bambanta daga asibiti zuwa asibiti. Masana sun ce wurin ya kamata ya ba marasa lafiya:
Ma'aikacin daidaitawa ƙwararre kan kula da ciwo da ƙwararrun masu ba da shawara a madadin majiyyaci.
Sauran ƙwararrun da aka wakilta a cikin kula da ciwo sune anesthesiology, neurosurgery, da likitancin ciki. Mai bada sabis na kiwon lafiya na iya tura mutum don ayyuka daga:
Dole ne mai bada sabis na kiwon lafiya ya kammala ƙarin horo da ƙwarewa a cikin maganin ciwo kuma ya zama MD tare da takaddun shaida a cikin akalla ɗaya daga cikin masu zuwa (Hukumar Kula da Lafiya ta Amurka. 2023)
Anesthesiology
Gyaran jiki
Ilimin halin tababbu
ilimin tsarin jijiyoyi
Likitan kula da ciwo ya kamata kuma ya kamata aikin su ya iyakance ga ƙwararrun da suke riƙe da takaddun shaida.
Burin Gudanarwa
Filin kula da ciwo yana ɗaukar kowane nau'in ciwo a matsayin cuta. Na kullum, kamar ciwon kai; m, daga tiyata, da ƙari. Wannan yana ba da damar yin amfani da kimiyya da sababbin ci gaban likita don jin zafi. Yanzu akwai hanyoyi da yawa, ciki har da:
magani
Hanyoyin sarrafa ciwo na tsaka-tsaki - tubalan jijiyoyi, masu motsa jiki na kashin baya, da irin wannan jiyya.
jiki far
Magunin madadin
Manufar ita ce ragewa da sanya alamun da za a iya sarrafa su.
Mutane da yawa sun ƙaddara cewa tiyata ba ta amfana da yanayin su.
Kyakkyawan fahimtar cututtuka na ciwo ta hanyar al'ummomi da kamfanonin inshora da kuma ƙara yawan nazarin ciwo zai taimaka wajen ƙara yawan inshora don jiyya da fasaha don inganta sakamakon shiga tsakani.
Kulawar Chiropractic don Rashin kwanciyar hankali na ƙafa
Mutanen da ke jin tingling ko fil da alluran jin daɗin da suka mamaye hannuwa ko ƙafafu na iya fuskantar paresthesia, wanda ke faruwa lokacin da jijiya ta matsa ko lalacewa. Shin sanin alamun bayyanar cututtuka da haddasawa zai iya taimakawa wajen ganowa da magani?
Jikin Paresthesia
Ƙunƙasa ko ƙwanƙwasa lokacin da hannu, ƙafa, ko ƙafa suka yi barci ba kawai game da zagayawa na jini ba ne amma aikin jijiya.
Paresthesia wani yanayi ne mara kyau da ake ji a cikin jiki saboda matsawa ko haushin jijiyoyi.
Yana iya zama sanadin inji kamar jijiyar da aka danne/konne.
Ko kuma yana iya zama saboda rashin lafiya, rauni, ko rashin lafiya.
Alamun
Paresthesia na iya haifar da bayyanar cututtuka daban-daban. Waɗannan alamomin na iya bambanta daga mai sauƙi zuwa mai tsanani kuma suna iya zama gajere ko dadewa. Alamomin na iya haɗawa da: (Cibiyar Kula da Cututtukan Jijiya da bugun jini ta ƙasa. 2023)
Tingling
Fil da allura abubuwan jin daɗi
Jin kamar hannu ko kafa sun yi barci.
Lambobi
Ƙunƙwasawa.
Jin zafi.
Wahalar kamuwa da tsokoki.
Wahalar amfani da hannu ko kafa da abin ya shafa.
Alamomin cutar yawanci suna ɗaukar mintuna 30 ko ƙasa da haka.
Girgizawa da abin ya shafa sau da yawa yana sauƙaƙa abubuwan jin daɗi.
Paresthesia yawanci yana shafar hannu ko ƙafa ɗaya kawai a lokaci ɗaya.
Duk da haka, duka hannuwa da ƙafafu na iya shafar su, dangane da dalilin.
Tuntuɓi ma'aikacin kiwon lafiya idan alamun sun wuce fiye da mintuna 30. Ana iya buƙatar magani idan an kawo abubuwan jin daɗin jiki ta hanyar wani dalili mai mahimmanci.
Sanadin
Zama tare da matsayi mara kyau da mara kyau na iya damfara jijiyoyi da haifar da alamu. Koyaya, wasu dalilai sun fi damuwa kuma suna iya haɗawa da:
Idan alamun ba su tafi ba bayan mintuna 30 ko ci gaba da dawowa don dalilai da ba a sani ba, kira ma'aikacin kiwon lafiya don gano abin da ke haifar da rashin jin daɗi. Ya kamata ma'aikacin kiwon lafiya ya kula da lamarin da ya fi muni.
Neuropathy na gefe wanda ke haifar da ciwon sukari yawanci yana farawa da jin rauni a cikin ƙafa / ƙafafu kuma yana iya tsanantawa kuma yana haifar da wasu rikitarwa.
Ma'aikacin kiwon lafiya zai yi aiki tare da mutum don fahimtar alamun da kuma yin gwaje-gwajen bincike masu dacewa don sanin dalilin. Ma'aikacin kiwon lafiya zai zaɓi gwaje-gwajen bisa gwajin jiki. Hanyoyin bincike na gama gari sun haɗa da: (Merck Manual Professional Version. 2022)
Hoto na Magnetic Resonance Hoto - MRI na kashin baya, kwakwalwa, ko iyakar.
X-ray don kawar da rashin daidaituwa na kashi, kamar karaya.
Gwajin jini.
Electromyography - Nazarin EMG.
Gudun tafiyar jijiya - gwajin NCV.
Idan paresthesia yana tare da ciwon baya ko wuyansa, ma'aikacin kiwon lafiya na iya zargin jijiyar kashin baya da aka matsa / pinched.
Idan mutum yana da tarihin ciwon sukari wanda ba a sarrafa shi sosai, suna iya zargin neuropathy na gefe.
Jiyya
Jiyya ga paresthesia ya dogara da ganewar asali. Ma'aikacin kiwon lafiya zai iya taimakawa wajen ƙayyade hanya mafi kyau don takamaiman yanayin.
m System
Idan yanayin jin tsoro na tsakiya kamar MS ya haifar da bayyanar cututtuka, mutane za su yi aiki tare da mai ba da lafiyar su don samun magani mai dacewa.
Idan paresthesia ya haifar da matsawa na jijiyar kashin baya, kamar sciatica, ana iya kiran mutane zuwa ga chiropractor da ƙungiyar jiyya ta jiki don sakin jijiya da matsa lamba. (Julie M. Fritz, et al., 2021)
Mai ilimin hanyoyin kwantar da hankali na jiki na iya rubuta motsa jiki na kashin baya don kawar da matsawa na jijiyoyi da mayar da hankali da motsi na al'ada.
Ƙarfafa motsa jiki don mayar da sassauci da motsi za a iya ba da izini idan rauni ya bayyana tare da jin dadin jiki na paresthesia.
Ƙwaƙwalwar Herniated
Idan diski na herniated yana haifar da abubuwan da ba su da kyau, kuma babu wani ci gaba tare da matakan ra'ayin mazan jiya, mai bada sabis na kiwon lafiya na iya ba da shawarar tiyata don rage matsa lamba akan jijiyoyi / s. (Ƙungiyar Ƙwararrun Ƙwararrun Ƙwararru ta Amirka. 2023)
A cikin hanyoyin tiyata kamar laminectomy ko discectomy, manufar ita ce dawo da aikin jijiya.
Bayan tiyata, ana iya ba wa mutane shawara ga likitan motsa jiki don taimakawa dawo da motsi.
Cibiyar Kula da Cututtukan Jijiya da bugun jini ta ƙasa. (2023) Faresthesia.
Ƙungiyar Ƙwararrun Ƙwararrun Ƙwararru ta Amirka. (2023) Kwafi na Herniated.
Cibiyar Nazarin Ciwon sukari ta ƙasa da Cututtukan narkewar abinci da koda. (2018) Tsinkaya neuropathy.
Merck Manual Professional Version. (2022) Lambobi.
Razazian, N., Yavari, Z., Farnia, V., Azizi, A., Kordavani, L., Bahmani, DS, Holsboer-Trachsler, E., & Brand, S. (2016). Yin Tasiri akan Gajiya, Bacin rai, da Paresthesia a cikin Majiyoyin Mata masu fama da Sclerosis da yawa. Magunguna da kimiyya a cikin wasanni da motsa jiki, 48(5), 796-803. doi.org/10.1249/MSS.0000000000000834
Fritz, JM, Lane, E., McFadden, M., Brennan, G., Magel, JS, Thackeray, A., Minick, K., Meier, W., & Greene, T. (2021). Maganar Maganin Jiki Daga Kulawa na Farko don Ciwon Ciwon Baya Tare da Sciatica: Gwajin Sarrafa Bazuwar. Littattafai na likitancin ciki, 174(1), 8-17. doi.org/10.7326/M20-4187
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