Kullin na farko, wanda ake kira karkatacciyar ɓarna, yana da nakasar yatsun hannu . Musamman, saurin ulnar yana faruwa ne a lokacin da ake karkatarwa da ɓarna da magungunan kwakwalwa na magunguna na MCP. Bisa ga al'ada, ƙananan kuskuren sun haɗa tare da metacarpals na hannu a zane-zane na metacarpophalange. Ana amfani da galibin MCP a matsayin kullun.
Rashin ƙarancin motsi na haɗin gizon haɗuwa ta tasowa lokacin da aka rabu da haɗin haɗin gwiwa - ƙananan phalanx suna canzawa daga magungunan metacarpal, suna motsawa cikin jagorancin jagora. Tsakanin matsakaici da gurbatawa suna bin motsi na motsi na phalanx.
Bisa ga Kelley's Textbook of Rheumatology , akwai shaida cewa cutar rheumatic na wuyan hannu yana haifar da ɓarna a cikin ɓangarorin MCP. Anyi zaton cewa raunana daga tsofaffin ƙwayoyin motsa jiki na motsawa yana haifar da yatsun kafa na wuyan hannu kamar yadda kasusuwa masu motsi suka juya (ƙananan kasusuwa na kasusuwa suna juyawa a cikin hanya na kullun da kasusuwa masu karamar ƙafa a cikin wani jagora mai radial). Shirye-shiryen na Ulnar yana tasowa ne a matsayin amsawar jiki, ƙoƙari ya ci gaba da yatsun zuwa ɓoyewa tare da radius. Rashin ƙashi na kasusuwa ko ƙwayoyin kayan aiki zai iya taimakawa wajen tafiyar dashi, amma kuma yana iya faruwa ba tare da ko dai ba. Synovitis da rauni na tsoka zasu iya taka muhimmiyar rawa a ci gabanta.
Abubuwa na farko na ulnar drift sun hada da:
- rashin ƙarfi na farko dorsal interossei (interossei ne tsokoki a tsakanin ƙananan ƙasusuwa)
- laxity na radial jingina ligaments
- Karfafa tsohuwar tsokoki
- ulnar ta saki tendons na sassauci (shahararren a cikin layi da kuma yatsunsu)
- ulnar ɓatawa yatsunsu wanda ya bayyana a yayin da aka karar da kwakwalwan MCP
Alamar alamun ulnar drift sun hada da:
- ƙaddamar da muryar volar (rarrabawar rarraba) na ɓarna
- rashin yiwuwar ƙaddamar da kayan aiki na MCP wanda ya haifar da kwangilar gyaran
- ulnar zamewa ko motsi na tendons
- Ƙarfafa ƙwayar ƙarancin hypothenar (ƙungiya guda uku na tsokoki a hannun dabino wanda yake sarrafa motsi na ɗan yatsan)
- gyare-gyare na yatsan hannu
- Ƙararren ƙwaƙwalwar ƙwayar cuta
- asarar damar yin amfani da yatsin hannu don hamayya da yatsa
Don tantance ƙimar kullun na ulnar, ana iya amfani da gonomita . An sanya hannun hannu na goniomeri a kan metacarpal yayin da aka kunna hannun hannu a layi daya zuwa kusurwar kusa. Bayan da aka ƙaddamar da nakasar, ana tambayar masu haƙuri su karkatar da hannayen su, idan ya yiwu, don yin gyaran hanzari na daidaitawa da sake karɓa. Wasu gwaje-gwaje na aiki na hannu za'a iya amfani da su don kimanta tsananin nakasar.
Wane ne ke tasowa na farko?
Aikin farko na Unguwar yana da dangantaka da rudun arthritis . Ƙinƙasa na kwanakin kwakwalwar MCP na lalata haɗin gwiwa da haɗin gwiwa. Amma, arthritis na rheumatoid ba shine kawai yanayin da aka hade da ulnar drift ba. Zai iya faruwa tare da wasu cututtuka masu kumburi ko cututtuka na haɗin kai, irin su lupus ko psotic arthritis .
Ɗaya daga cikin binciken binciken ya kuma bayyana wata ƙungiya tare da rashin fahimta, ƙwayar villonodular synovitis (PVNS).
Jiyya Zɓk
Zaɓuɓɓuka don zalunta hannuwan kullun da ciwon ciki sun haɗa da kankara, zafi mai zafi, suturar wanka na paraffin, TENS , da duban dan tayi. Ayyukan hannu, wanda shine mahimmanci sun haɗa da yadawa, ana bada shawarar su kiyaye adadin motsi kamar yadda ya yiwu.
Ana yin amfani da shinge a wasu lokuta don rage subluxation na wuyan hannu, don daidaita matsakaici na MCP a daidaitaccen radial-ulnar, kuma rage ragewar magungunan MCP ta hanyar goyan baya ga ƙananan hanyoyi. Yawanci, ana sawa ɗannun igiya a daren ko lokacin hutawa a rana.
Ƙwararraki na iya taimakawa tare da zafi a daren amma ba a nuna alamomi don hana ɓataccen ɓarna ba. Ko da tare da launi na yau da kullum, karkatarwar ulnar na iya cigaba.
> Sources:
> Kelley's Textbook na Rheumatology. Tsarin na tara. Firestein et al. Elsevier Saunders. Magunguna na Rheumatoid Arthritis. Babi na 70. Hands da wuyan hannu. Page 1112.
> Haɗakarwa ta Musayar Maɗaukaki na Metacarpophalangeal.
> Ayyuka mafi kyau don Gudanar da lalatawar kullun na watan Mayu a Rheumatoid Arthritis. Vancouver Coastal Health. Ƙungiyar Arthritis (Kanada).
> Yin Amfani da Hannun Kayan Kayan Kwace Aiki a Tsakanin Harshen Farko na Rheumatoid Hand. Johnson M et al. Clinic Rheumatology. Maris 1992.
> Kuskuren na farko na Yamma ba Kullum Rheumatoid ba ne . Zuber M et al. Annals na Rheumatic Diseases. 1996.