Haɗin gwiwa takalmin yana ɗauke da ciwon maganin ƙwaƙwalwar ƙwaƙwalwa fiye da sau ɗaya. Lokacin da marasa lafiya suna da ciwon maganin ƙwaƙwalƙun hanji, sun ɓaci haɗin gwiwa tsakanin ƙushin hanci (tibia) da ƙafar idon kafa (talus), wanda ake kira daɗaɗen tibiotalar.
Sanadin ƙwayoyin rigakafi
Abubuwan da suka dace da ke haifar da maganin maganin ƙwaƙwalwar ƙwayoyin cuta sun hada da:
- Raunin wutan kwanci na baya: Cutar maganin ƙwaƙwalwar rigakafi ne mafi yawan sakamakon ciwon da ya ci gaba da haɗin gwiwa. A cikin marasa lafiya wanda ke ciwo da rauni kamar ƙwaƙwalwar takalma , ƙwayarwa zai iya lalacewa kuma zai kai ga ciwon arthritis. Lokacin da idon ya ji rauni, shi ma yana mai saukin kamuwa da rauni wanda ake kira osteonecrosis. Lokacin da osteonecrosis ya auku ne sakamakon sakamakon ciwon idon, wani ɓangare na kasusuwa yana da lalacewar jinin jini. Osteonecrosis kuma zai iya haifar da idon karfin maganin rigakafi.
- Rheumatoid arthritis : Marasa lafiya da cututtuka na ƙwayar cuta na iya samun ƙwanƙwashin maganin rigakafi. Maganin rheumatoid yana haifar da kumburi da lalacewa ga guringuntsi. Bayan lokaci, wannan zai haifar da manyan matsalolin, wajibi ne don magani.
- Kamuwa da cuta: Rashin kamuwa da haɗin gwiwa zai iya haifar da lalacewar Seltiyoyin Kwayoyin. Saboda ƙwayoyin jigilar jini ba zai iya canzawa ba, lalacewa daga kamuwa da cuta zai iya zama har abada.
- Genetics: Ba a fahimci tasirin kwayoyin halittu game da ci gaban maganin ƙwararru ba, amma mun san cewa wasu mutane suna da nau'in kwayoyin halitta don yada kayan aiki fiye da sauran.
- Nauyin jiki: Magunguna wadanda suke da karba suna sanya nauyi a kan kwatangwalo, gwiwoyi, idon kafa, da ƙafafunsu. Wadannan marasa lafiya suna da karfin hali don inganta ciwon maganin ƙwaro, kuma sau da yawa suna ƙara lalacewar haɗin gwiwa .
Kwayoyin cututtuka na maganin ƙwaro
Ƙunƙasar maganin ƙwaƙwalwar ƙwaƙwalwar ƙwaƙwalwa mafi yawan ƙananan ciwo a kusa da haɗin gwiwa, kuma mafi yawan dalilai marasa lafiya don neman magani shi ne ciwon da ke cikin wannan yanayin.
Sauran bayyanar cututtuka na ankle arthritis sun hada da:
- Stiffness na idon
- Kusawa a kusa da haɗin gwiwa
- Bone spurs haifar da lumpy bayyana hadin gwiwa
- Dama da haɗin gwiwa
- Ƙarfin jiki, ko kuma jin daɗin haɗin gwiwa na iya "ba da kyauta"
Kadan ƙari, ƙwanƙwashin ƙwaƙwalwar ƙwaƙwalwar ƙwaƙwalwa zai iya haifar da haushin jijiyoyi a kusa da haɗin gwiwa wanda ke haifar da tingling da ƙidaya a cikin ƙafa da yatsun kafa.
Kwancen ƙwaƙwalwar rigakafin ƙwaƙwalwar ƙwaƙwalwa zai iya zama sauƙin ganewa tare da jarrabawa da x-ray. Da zarar an bincikar marasa lafiya, dole ne a yi ƙoƙarin yin gwaji marasa magani. Yawancin marasa lafiya na iya samun taimako ta hanyar matakai ciki harda gyara aiki kuma canje-canje a takalma.
Kwangwani Arthritis Jiyya
Yin jiyyar maganin ƙafar yatsun kafa ya kamata a fara koyaushe ta hanyar matakai mai sauƙi ciki har da:
- Canje-canje takalman : Ɗaya daga cikin matakai mafi sauki shine a gwada wasu takalma takalma. Hanyoyin da ke ciki sun taimaka wajen magance bayyanar cututtuka. Wani mataki na taimakawa shi ne samun takamaiman takalman gyaran takalma ƙara 'rocker-kasa' zuwa takalmin takalma.
- Ayyukan Ayyukanwa: Sauye-gyaren aiki yana da muhimmin bangare na magani, kuma marasa lafiya basu yarda su canza salon rayuwarsu ba kullum suyi la'akari da maganin jiyya don ƙwaro ba. Dole ne marasa lafiya su yi ƙoƙarin ƙuntata ayyukan haɗakar da suka haɗa da gudu da tsalle.
- Braces: Za'a iya ƙirƙira takalmin don taimakawa wajen haɗin gwiwa da idon kafa a wuri. Wadannan takalmin, wanda ake kira ƙafar kafa-ƙafa ko AFOs, zasu goyi bayan haɗin gwiwa kuma su hana motsi mai yawa.
- Anti-Flammatory Medications: Anti-mai kumburi magunguna na iya taimakawa cikin marasa lafiya tare da matsakaici bayyanar cututtuka na idon karfin takalmin kafa. Dole ne marasa lafiya su yi amfani da magungunan ƙwayoyin ƙwayoyin ƙwayoyin cuta a hankali kamar yadda akwai yiwuwar sakamako mai mahimmanci , musamman ma amfani da tsawon lokaci.
- Cortisone Injections : Crisisone injections zai iya zama da gaske taimako a cikin gudanar da idon maganin ƙwaro, musamman a cikin wani m flare-up na ciwo. Duk da yake ba za a iya yin rigakafi na cortisone a kai a kai , saurin cortisone a wani lokaci yana taimakawa a mafi yawan marasa lafiya da ciwon hakori.
M jiyya don ƙwanƙwashin Arke
Idan waɗannan jiyya ba za su iya rage yaduwar maganin wutsiyar wutsiya ba, to ana iya la'akari da magunguna. Zaɓuɓɓuka na zaɓuka sun haɗa da:
- Ankle Arthroscopy : Tiyata na arthroscopic zai iya amfani da marasa lafiya tare da iyakokin maganin ƙwaƙwalwar ƙwararre, amma mafi yawancin rashin amfani ga ƙwanƙwashin ƙafar ƙafar idon kafa. Ankle arthroscopy yana taimakawa sosai lokacin da ƙananan yatsun kafa suka taso a kusa da haɗin gwiwa wanda ya haddasa "lalata," ko kuma kashi ya zubar da ciki lokacin da idon ya motsa sama da ƙasa. A lokacin aikin tiyata na arthroscopic, kasusuwa zai iya aski don inganta motsi na haɗin gwiwa.
Abin baƙin cikin shine, idan arthritis na takalma ya fi yawa, aikin tiyata arthroscopic zai zama marar amfani. Lokacin da yawancin gwargwadon ƙwayar ya ƙare, haɗin gwiwa ba zai amfana daga hanyar arthroscopic ba.
Jirgin gyaran gyaran fuska : An yi amfani da tayar da hanzari don maganin maganin rigakafi. Wannan tiyata yana kawar da sashi na haɗin gwiwa, sa'an nan kuma ya rike kasusuwa cikin matsayi mai kyau.
- Magunin gyaran gyaran gyaran gyaran gyaran gyaran gyaran gyaran gyaran gyaran gyaran gyaran gyaran gyaran gyare-gyare : gyare-gyaren gyare-gyaren kafa shi ne mafi mahimmancin maganin maganin maganin ƙwaro. Nasarar aikin tiyata yana cikin muhawara, kuma babu wata kwarewa sosai tare da tilasta yin gyare-gyare don ƙwaƙwalwar ƙafafun takalma. Kamar yadda ake aiwatar da wadannan hanyoyin, ana inganta tsarin zane. Wannan zai haifar da kyakkyawan sakamako.