Harkokin da ke kewaye da yatsun yatsan na iya zama mai tsanani. Wadannan ana kiran su flexor tenosynovitis ko ƙwaƙwalwar ƙwaƙwalwar ƙwararrun ƙwararru.
Kafin fahimtar muhimmancin tiyata da kuma gano kwayoyin maganin kwayoyin halitta , sassaukar tenosynovitis yakan haifar da asarar haɓaka ko mutuwa. A yau, wadannan cututtuka za a iya bi da su. Amma, don hana rashin lafiya mai mahimmanci, dole ne a gane su da sauri kuma a bi da su sosai.
Flexor Tendons & da Flexor Sheath
Harsusin ƙusoshin su ne tendons na yatsunsu. Jigon yana da tsarin da ke haɗar tsoka zuwa kashi. Lokacin da tsohuwar kwangila, tendon yana jawo kashi. A cikin yanayin saurin yatsun yatsun yatsun, lokacin da tsokoki na tsokoki, yatsun suna ja da tendon a cikin yatsun hannu.
Hannun sifofin suna gudana wani ɓangare na hanya ta hanyar tsarin da ake kira shinge mai sauƙi. Gilashin gyaran gyare-gyaren gyare-gyaren gyare-gyare yana da dalili guda biyu:
- Yana ba da dama don yaduwa mai yatsa mai sauƙi. Saboda yatsun suna ci gaba da motsi, motsi mai sauƙi yana da mahimmanci ga motsi mai zurfi.
- Harshin gyaran gyare-gyare yana hana ƙananan daga "bowstringing". Bowstringing zai faru idan gilashi ba ta riƙe yatsun a kan kashi ba. A wannan yanayin, za a ja wa a cikin layi madaidaiciya, ba a riƙe da yatsan ba, kuma zasu sami hanyar fahimtar abubuwa.
Kamuwa da ƙwayar Flexor Sheath (Flexor Tenosynovitis)
Mafi yawancin lokuta, kamuwa da cutar ƙuƙwalwar ƙwayar cuta tana faruwa bayan rauni ga yatsan, mai zurfi, ko ciwon zuciya.
Idan an gabatar da kwayoyin cutar cikin ƙuhofi, jiki yana da iyakacin ƙwarewar yaki da waɗannan cututtuka.
Babu jini don samar da ruwa mai tsabta a cikin shinge na tendon kuma, sabili da haka, tsarin kwayoyin jiki ba shi da amfani. Alamar kamuwa da cutar ta haifar da ci gaba a cikin mako guda da raunin da ake ciki kuma an gano shi da wadannan:
- Kusar da yatsan
- Ƙaunar tare da ƙwanƙwasa
- Ƙunƙwasawa mai tsauri tare da yatsan yatsa ya yi tsalle
- Pain tare da yunkurin motsi na yatsan
Wadannan alamu an kira su "Alamar Markus," wanda ake kira bayan likita wanda ya bayyana su. Dole ne a gwada marasa lafiya tare da waɗannan alamu da likita don ƙaddamar da cututtuka. Marasa lafiya na iya zama zazzabi, aikin jini, da sauran binciken, amma alamun da aka bayyana ta hanyar Kanavel shine mafi mahimmanci a lokacin da aka gano asalin ƙwaƙwalwar ƙwayar cuta.
Jiyya na Flexor Tenosynovitis cututtuka
Kamar yadda aka fada a baya, hanya mafi mahimmanci shine a fahimci matsalar nan da nan da kuma farawa magani a wuri-wuri. Yawancin cututtuka na suturar ƙuƙwalwa zai kasance tare da kwayoyin da aka samuwa a jikin jikin mu, ciki har da staph da strep.
Magungunan rigakafi yana da mahimmanci, amma ba cikakke ba. Saboda jiki yana da iyakancewa ga jini zuwa suturar gyaran gyare-gyare, ƙwayoyin maganin rigakafi ba zasu iya samun wannan wuri ba sauƙi. Sabili da haka, ana bukatar tiyata don tsabtace kamuwa da cuta daga ƙyallen.
Za'a iya amfani da tiyata don tsabtace ƙuƙwalwar ƙwararriya ta hanyar yin ƙananan ƙananan ƙananan, wanda a gindin yatsan da kuma kusa da tip.
Ana wanke ruwan saline ta hanyar tabarba don tsabtace kamuwa da cuta. Marasa lafiya da ke ci gaba da kamuwa da cuta zai iya buƙatar dukkanin ƙuƙwalwa don a kwantar da shi don tsabtace kamuwa da cuta.
Matsaloli na Flexor Sheath Infections
Rashin ciwon ƙwaƙwalwar ƙwaƙwalwar ƙwayar cuta yana da raunin da ya faru kuma suna karɓar watanni don cikakken farfadowa. Marasa lafiya da ciwon ƙwayar cuta mai tsanani bazai iya sake samun motsi na yatsan ba.
Saboda ƙuƙwalwar gyaran fuska yana da mahimmanci don motsi, idan lalacewa ta ɓoye ko ƙwayar cuta ta tasowa, yatsin yatsa baya iya komawa kashi 100. Marasa lafiya na iya aiki tare da masu kwantar da hankalin hannu bayan da kamuwa da cutar ta yanke shawarar taimakawa wajen dawo da motsi.
kalma daga sosai
Hanyoyin cuta na shinge mai sauƙi a hannu da yatsunsu suna da matsala mai tsanani waɗanda zasu iya samun damuwan lokaci. Yin bincike da gaggawa gaggawa ya zama dole don tabbatar da kamuwa da cutar ta hanyar dacewa, don ba ku damar samun damar dawowa. Ko da tare da maganin da ya dace, karfin zuciya, kumburi, da rashin jin daɗi zai iya jurewa na dogon lokaci.
Sources
> Draeger RW da Bynum DK. "Flexor Tendon Sheath Infections of Hand" J Am Acad Orthop Surg Yuni 2012; 20: 373-382.