Damage zuwa Haɗin Hanya kamar Sakamako na Rushewa
Tashin hankali na Hill-Sachs a kan kafada ya faru ne sakamakon sakamakon rarrabawar kafada . Rashin ƙwaƙwalwar kafaɗa yana da rikicewa tare da rabuwa guda ɗaya , amma waɗannan suna da rauni sosai. Lokacin da ɓarkewar ƙafa ya auku, ball of the ball-and-socket shoulder joint ya fita daga matsayi. Yawancin lokaci, lokacin da wannan rauni ya auku a karon farko, dole ne mutum ya sake sanya haɗin gwiwa , sau da yawa a asibiti ko ma'aikatar gaggawa.
Hulɗar kafaɗa ta kunshi kwallon a kan saman kashin (kashin mahaifa), wanda ake kira shugaban hagu. Rashin kafa na kafada shine ɓangare na scapula (ƙwallon ƙafa) da ake kira glenoid. Taimakon riƙe da ball a cikin soket ne ligaments, guringuntsi, da kuma tendons.
Lokacin da fadiwar kafada ya faru, al'amuran al'ada da ke riƙe da kwallon a cikin kafar kafada suna lalace. Damage zuwa ga kafada shine mafi yawan dogara ga shekarun mai haƙuri wanda ya ci nasara. Abinda ya sabawa shi ne ko dai a cikin halayen kafada, wanda ake kira Bankart hawaye , wanda ke faruwa a kananan marasa lafiya. A cikin tsofaffi waɗanda suka yi watsi da kafafinsu, ciwon da ya saba da shi shine gabobin da aka yi amfani da su . Bugu da ƙari ga lalacewa ko lalacewar tendon , ƙashi da guringuntsi na iya lalacewa; yawancin lalacewar da aka fi sani da shi shine Hill-Sachs kuskure.
Hill Sachs Dama
Labaran Hill-Sachs yana faruwa yayin da akwai rauni ga kashi da kuma guringunin mutum.
Yayin da mutum mai tsauri ya ɓace daga kwas ɗin kafaɗɗun kafaɗa, mai zagaye mai tsayi ya kai gefen soket da karfi. Wannan ya haifar da raba a cikin babban mutum wanda ake kira rikici. Wannan sifa yana gani a kan MRI, kuma mafi girma Hill-Sachs raunin zai iya gani a kan wani x-ray.
Samun Hill-Sachs ba ya faruwa a banza, ma'ana akwai wasu lalacewar da aka bari ƙwaƙwalwar ta ƙare. An yi amfani da kuskuren Hill-Sachs don tabbatar da cewa kafada ya zo gaba ɗaya daga soket, maimakon kawai wanda aka rabu da shi, kamar yadda yake faruwa a subluxation . Rashin kuskuren Hill-Sachs yana faruwa a game da rabin raguwa na farko da aka samu a kafaɗa kuma an kusan ganinsa a cikin mutanen da ke da rikici a kan kafuwa daga maɓallin dislocations da suka gabata.
Dalilin da za a nema ga lalacewar Hill-Sachs ba kawai don tabbatar da cutar da ake zargi da raunin kafa ba, amma kuma gano cewa cutar ta Hill-Sachs yana da mahimmanci don tabbatar da maganin magance matsalar kafar .
Hanya Dislocation Jiyya
Kamar yadda aka bayyana, yana da mahimmanci don likitan likitanka ya fahimci kasancewar Hill-Sachs Lions kafin yayi ƙoƙarin yin maganin ƙwaƙwalwar ƙafa . Idan labaran Hill-Sachs ya yi yawa kuma ya bar ba tare da yin gyare-gyaren ba, gyara zai iya kasawa, kuma rashin ci gaba da rikici na iya faruwa.
Abubuwan da aka saba amfani dasu don sanin idan cutar ta Hill-Sachs ta buƙaci karin magani a lokacin tiyata shi ne girman launi. Raunin da ya ƙunshi kasa da kashi 20 cikin dari na shugabancin mutum na iya kusan a bar shi kadai ba tare da bukatar karin magani ba.
Wannan yana nufin mahimmancin maganin ƙwaƙwalwar ƙafafun (wanda zai iya ko a'a ba yana nufin tiyata) zai iya cigaba ba tare da yin kasuwanci a cikin Hill-Sachs ba.
Raunin da ya ƙunshi fiye da kashi 40 cikin hamsin kai yana kusan bukatar karin magani. A cikin yanayin da Hill-Sachs kuskure ya shafi tsakanin 20-40% na hawan kai, mai likita ya kamata ya ƙayyade idan cutar ta ba da gudummawa ga rashin zaman lafiya. Hakan ya nuna cewa matsalar rashin lafiya a Hill-Sachs da ke sa kwallon ya tashi a cikin kwaskwarima yana "shiga," kuma wadanda ke fama da cutar ta Hill-Sachs sun bukaci karin magani.
Zaɓuɓɓukan magani don gudanar da lalacewar Hill-Sachs sun haɗa da:
- Yin wani abu
Kulawa shine magani mafi yawan, kuma yawanci nasara. Musamman a lokacin da wani labaran Hill-Sachs ya ƙunshi kasa da kashi 20 cikin dari na kai da kai, ba abin da ya fi dacewa mafi kyawun magani. - Shiftin Capsular
Gyara shimfiɗar ƙafafun kafa shine aikin tiyata don ƙarfafa nama a cikin layin Hill-Sachs don hana tsauri da yawa daga cikin kafada. Ta hanyar juyawa juyawa, kuskuren Hill-Sachs bazai zama lahani ba. - Bone Grafting / Abubuwa Ciki
Lokacin da lahani ya zama babba, kuma sauƙaƙe ƙafar kafar bai isa ba, wani abu dole ne a yi amfani da ita don cika lahani a cikin kai. Wasu likitocin likita masu amfani suna amfani da kashi, sau da yawa daga ƙashin ƙugu, ko wasu kayan laushi don cika lalacewa. - Disimpaction
Rashin rarrabuwa wata hanya ce da take ɗauke da ƙananan kashi don ƙoƙarin sake kafa al'ada na al'ada. - Hanya Sauyawa
A wasu lokuta masu ban sha'awa, musamman maɓarnataccen mawuyacin marasa lafiya, zabin mafi kyau zai iya kasancewa aikin tiyata . Wannan hanya ana tanadar shi ne don mafita a ƙananan marasa lafiya.
Tabbatar da mafi kyawun magani zai iya dogara ne akan wasu dalilai da suka haɗa da bayyanar cutar ta hanyar nazarin hoto, binciken binciken jiki, tsammanin mutane masu sha'awar wasan gaba, da kuma likitan likita.
Sources:
Provencher MT, et al. "The Hill-Sachs Lesion: Bincike, Ƙwarewa, da Gudanarwa" J Am Acad Orthop Surg Afrilu 2012 vol. 20 ba. 4 242-252