Gwanin tsakiyar tsakiyar ƙashi
Dikitanku ya ce kuna da raunin tsaka-tsakin tsakiya na tsakiya. Me ake nufi da abin da ke faruwa a gaba?
Yawan humerus shine kashi wanda ya hada da kafada zuwa gwiwar hannu. Wannan sashi na jiki ana kiranta hannu, kuma tare da hannu da goshin gaba, ya zama mafi girma. Jirgin humerus yana da kashi mai karfi da aka saka ta da ball na kwakwalwar ball-da-socket a saman kuma yana da takalmin haɗin gwiwa a kasa.
Raguwa daga cikin ƙwayar humerus an raba su zuwa nau'i uku: ƙananan ƙananan ciwon takalmin ƙwayar cuta na kafada, tsaka-tsakin tsaka-tsaka na tsaka-tsaka, da kuma ɓacin ƙwallon ƙwallon ƙafafun kafa.
Tsaka-tsaka-tsaka-tsaki na tsakiya
Tsakanin tsaka-tsakin tsakiya na tsakiya na yawanci ba ya ƙunshi kafadun ko kafar hannu. Irin wannan rarraba yana wakiltar kashi 3% na dukkan kasusuwa karusuwa . Babban abin da ya fi dacewa da raunin daji shine raguwa, amma raunin ƙarfi mai tsanani (haɗarin motar motar, raunin motsa jiki) da kuma mummunar cututtuka ( raunin bindiga ) zai iya haifar da wannan rauni. Yawancin ɓarna na hawaye suna faruwa ne sakamakon sakamakon raunana kashi daga osteoporosis .
Raguwa daga cikin mahaifa zai iya zama mummunan raunin raunuka, kuma hasken X-rayukan yakan ji tsoro ga marasa lafiya. Saboda akwai kashi ɗaya kawai da ke hada kafada a gefen hannu, marasa lafiya sukan ji kamar dai ba a haɗa hannuwansu ba. Ya kamata a tabbatar da marasa lafiya, cewa akwai fiye da kashin da ke riƙe da hannu kuma cewa yawancin tsirrai na tsakiya na tsakiya ya rushe warkar ba tare da tiyata ba.
Jiyya na Humeral Shaft Fractures
Akwai nau'ukan maganin da yawa don waɗannan fractures, amma mafi yawan su marasa magani ne. Abin farin ciki, nauyi yana aiki abubuwan ban al'ajabi don daidaitawa da ciwon humerus, kuma kawai kyale hannayen da ke rataye a gefe shine sau da yawa magani mafi kyau ga ƙwayar zafi. Bugu da ƙari kuma, kowane magani yana da babban hadari.
Yin iyakacin damar damar ƙwarewa shine dalili guda don la'akari da maganin marasa magani.
Dalilin da za a yi la'akari da maganin ƙwayar magani ya haɗa da raguwa da yawa, bude fractures , rauni ga tasoshin jini ko jijiyoyi, da kuma rashin nasarar warkaswa tare da maganin rashin fahimta ( nonunion ).
- Fassara Bracing: Mafi yawan maganin da aka yi wa haɗin gwal yana kiransa da takalmin gyaran kafa, wanda ake kira da takalmin Sarmiento, wanda ake kira bayan likita wanda ya jagoranci wannan hanyar magani. Yawancin lokaci, raunin da aka yi da shi a cikin shinge ko sling don sati daya don ba da damar faduwa don ragewa, sa'an nan kuma an sanya takalmin gyaran kafa ga mai haƙuri. Takalmin gyare-gyare yana kama da harsashi mai tsabta kuma yana riƙe da humerus a cikin jeri. Amfani da takalmin katsewa shine cewa yayin da ake warkaswa, marasa lafiya zasu iya fara amfani da kafada da kafafun kafa.
- Fassara Alkama: Mafi tiyata na musamman don magance wani ɓarna a cikin ƙananan zafi shi ne sanya babban farantin karfe tare da mahaifa, da kuma tabbatar da shi da sutura. Yin amfani da farantin karfe da sutura shine hanyar da ta fi dacewa don magance cututtuka ta hanyar kwakwalwa. Damuwa na tiyata shi ne cewa hadarin cututtuka na naman da kuma zumunci ba tare da maganin jiyya ba tare da marasa lafiya.
- Rods: Itarar ƙwararren ƙwayar itace sandar ƙarfe ce wadda aka sanya ƙasa mai zurfi na kashi. Amfani da sandan karfe shine tiyata ba shi da nakasa, kuma likitan likita yana nisa daga magunguna masu muhimmanci da ke tafiya a hannun. Abin damuwa da sanda shine cewa waraka ba su da girma, kuma haɗin kai shine ƙwarewa na kowa.
Lokacin Warkarwa da Rarraba na Kashi Hanya Kashi
Warkar da wani ɓangaren tsaka-tsakin tsakiya na tsakiya na daukan watanni daban-daban amma sau da yawa yakan taimaka wajen bunkasa motsi na kafada kuma an fara zubar da hawan gwiwar sau da yawa. Wadannan rikice-rikice biyu da aka gani sau da yawa suna shan raunuka ga ciwon radial da kuma ɓangaren ɓarna.
Raunin da ya shafi raunin radial ya faru ne saboda wannan muhimmin ciwon yana kunshe da tsakiyar tsakiya. Rashin jijiyar radial zai iya ji rauni a lokacin raunin ko kuma lokacin kula da fashewar. Rashin raunin jiji na radial ya haifar da lalacewa a gefen hannun, kuma wahalar yin gyare-gyaren (ƙara) da wuyan hannu da yatsunsu.
Yawancin raunin raunin da ya kamu da jijiyoyinsu zai inganta tare da lokaci, amma likitanku zai bi wannan a hankali don sanin idan ana buƙatar wani magani.
Saduwa ba wata matsala ce mai wuya kuma yana faruwa a yayin da fashewar bata warkar. Akwai dalilai da dama da yasa ba'a iya faruwa ba. Abin sha'awa shine, daya daga cikin dalilan da suka fi dacewa don yin haɗin kai shine tiyata . Lokacin da kake da tiyata, kayan aikin taushi da ke kewaye da raguwa sun kara rushewa, kuma wannan zai iya daidaita matsalar jini zuwa shafin yanar gizo na fatara. Ɗaya daga cikin dalilai don kauce wa tiyata shi ne ya hana haɗarin tarkon. Duk da haka, idan wani tayi ba zai faru ba, to, ana tilastawa tiyata a kowane lokaci don tayar da amsawar warkarwa na kashi.
Source:
Carroll EA, et al. "Gudanar da Harkokin Hanya Kashi" J Am Acad Orthop Surg Yuli 2012 vol. 20 ba. 7 423-433.