Dalili ne mai ban sha'awa na ciwon haɗin gwiwa
Mutuwar Plica, wani lokaci ake kira "ciwon sikila na synovial plica," shine yanayin jin daɗin jiki wanda shine rufin ciki na gwiwa gwiwa. Synovium shine nau'in nama wanda yake samar da ruɗin haɗin gwiwa. Cikin aikin synovial ya ƙunshi sararin haɗin gwiwa kuma yana taimakawa wajen yin ruwa mai tsabta wanda ya sa haɗin gwiwa.
Hanyoyin synovial ne membranes da ke raba gwiwa a cikin ɗakunansu a yayin tayi.
Wadannan magunguna na yau da kullum suna raguwa da girman a lokacin busa na biyu na tayi na tayi. A cikin tsofaffi, suna wanzu a matsayin sutura da ake kira "synovial folds," ko plica. A wa] ansu mutane, aikin na synovial pics ya fi shahara kuma yana da haushi. Babu wani aiki da aka sani game da takardun, wanda kawai ya ɓace a cikin wasu mutane amma ba a cikin wasu ba.
Plica Ciwo
Rubutun da ke cikin gefen gwiwa, wanda ake kira "medial plica", shine kayan aikin da ya fi dacewa da fuska da rauni. Lokacin da gwiwa ta durƙusa, ana nuna wa jaririn kwayar cutar ta hanyar kai tsaye, kuma yana iya ji rauni a cikin rikici . Lokacin da plica ya zama fushi da kuma flamed, yanayin da ake kira plica ciwo sakamakon.
An gano asirin cututtukan cututtuka ta hanyar binciken jiki ko a lokacin aikin tiyata na arthroscopic. Sanyar cuta ta Plica yana da irin wannan halayen da hawaye da hawaye da kuma tsohuwar fata , kuma waɗannan yanayi na iya rikicewa.
Abubuwan da suka fi kowa alamun lalacewa na plica sun hada da:
- Kuna ciwo a gefen haɗin haɗin gwiwa
- Jinƙai kai tsaye kai tsaye kan medial plica
- Kusawa da dumi a kusa da plica
- Cirewa kuma danna lokacin da gwiwa ya durƙusa
Rundunonin X-rayukan gwiwa suna da al'ada a cikin mai haƙuri tare da ciwo na plica. Ana iya yin MRI don taimakawa tare da ganewar asali, amma wannan gwaji ba hanya ce cikakke don tantance wannan yanayin ba.
Jiyya na Plica Ciwo
Anyi amfani da ciwo na Plica ta hanyar haɗin gwiwa ta gwiwa da kuma barin ƙonewa don ragewa. Jiyya don rage ƙonewa sun haɗa da aikace-aikacen kankara da kuma magungunan ƙwayoyin cuta . Wadannan matakan da yawa sun isa don ƙyale bugun da zagi don warwarewa. Wani lokaci, allurar cortisone cikin gwiwa zai taimaka.
Idan waɗannan matakan ba su rage alamar cututtuka ba, to , zubar da takardun kaya zai zama dole. Wannan aikin miki yana yin amfani da tiyata na arthroscopic gwiwa , ko kuma karamin kamara, wanda aka sanya a cikin gwiwa tare da kayan aiki don cire sinadarin flamed. Ayyukan arthroscopic plica resection yana da kyakkyawan sakamakon da ake zaton plica shine dalilin bayyanar cututtuka. Sau da yawa ana ganin wani rubutun akan binciken binciken arthroscopic. Sai dai idan bayyanar cututtuka ta kasance daidai da cututtuka na plica, kuma nauyin rubutun yana kama da fushi da fushi, yawancin abu ne kawai ana bar shi. Anyi amfani da jita-jita a lokacin da ake amfani da arthroscopy idan an yi la'akari da plica ne tushen tushen bayyanar cututtuka.
Shin Ko da Matsala?
Akwai rikici game da ko akwai irin ciwo na plica ko a'a. Mutane da yawa suna da rubutun, kuma wasu suna neman ciwo a wannan wuri yayin da wasu ba suyi ba.
Wasu likitoci sun yi imanin cewa rukunin rubutun na iya zama tushen jin zafi yayin da wasu ke jin cewa ciwo zai iya haifar da wani matsala kamar irin ciwon ciwo na patellofemoral, ko haɗari mai haɗari.
Yawancin likitoci sun yarda cewa yayin da ƙonewa na synovial zai iya zama tushen jin zafi na gwiwoyi, zai zama wanda ba a sani ba kuma ya kamata a la'akari da shi ne kawai lokacin jin daɗin lokacin da wasu, an shafe yawancin yanayi. Tabbas, ƙoƙari don gudanar da alamar cututtuka tare da jiyya marasa kyau ya kamata a yi ƙoƙari kafin yin la'akari da tiyata don magance wannan yanayin.
> Source:
> Ewing JW, "Kalmomin: Kalmomi ko a'a?" J. Am. Acad. Ortho. Surg., Nov 1993; 1: 117 - 121.