Labarai - Raunin Jijiyoyin da Aka Fi Sani

Karyewar jijiya da lahani cuta ce da aka saba gani, galibin da ke faruwa sakamakon rauni ko rauni, domin a dawo da aikin gaɓɓai, dole ne a gyara jijiyar da ta fashe ko ta lalace a kan lokaci. Dinkewar jijiya wata dabara ce mai sarkakiya da taushi. Saboda galibin jijiya ta ƙunshi zare mai tsayi, ƙarshen da ya karye yana iya rabuwa ko tsawaita dinki yayin dinki. Dinkewar tana ƙarƙashin wani tashin hankali kuma tana nan har sai jijiya ta warke, kuma zaɓin dinki ma yana da matuƙar muhimmanci. A yau, zan raba muku raunuka guda 12 na jijiya da ƙa'idodi, lokaci, hanyoyi da dabarun gyara jijiya na dinkewar jijiya.
I. Cufftear
1. Cututtuka:
Raunin kafada na yau da kullun;
Rauni: raunin da ya wuce kima ga jijiyar da ke juyawa ko kuma faɗuwa tare da miƙa hannun sama da aka ɗaure a ƙasa, wanda hakan ke sa kan humeral ya ratsa ya kuma yage ɓangaren gaba na saman na rotator cuff;
Dalilin lafiya: raunin da ya faru a jijiyar rotator cuff saboda ƙarfi mai yawa yayin jiyya da hannu;
2. Siffar asibiti:
Alamomin: Ciwon kafada bayan rauni, ciwo kamar yagewa;
Alamomi: 60º ~ 120º alamar ciwo mai kyau; tashin kafada da ciwon juriyar juyawa na ciki da waje; ciwon matsi a gefen gaba na acromion da kuma babban bututun humerus;
3. Nau'in asibiti:
Nau'i na I: Babu ciwo idan ana yin aiki na yau da kullun, ciwo lokacin jifa ko juya kafada. Ana yin gwaji ne kawai don ciwon baya-baya;
Nau'i na II: Baya ga ciwo yayin maimaita motsin da ya ji rauni, akwai ciwon juriya ga juyawar cuff, kuma motsi na gaba ɗaya na kafada abu ne na al'ada.
Nau'i na III: Alamomin da suka fi yawa sun haɗa da ciwon kafada da kuma ƙarancin motsi, kuma akwai matsi da ciwon juriya yayin da ake duba.

4. Karyewar jijiyar da ke juyawa da kuma kauri:
① Cikakken fashewa:
Alamomi: Ciwon da ke faruwa a lokacin rauni, rage radadi bayan rauni, sai kuma ƙaruwar zafin a hankali.
Alamomin Jiki: Ciwon matsi mai yaɗuwa a kafada, ciwo mai kaifi a ɓangaren da ya fashe na jijiyar;
Sau da yawa ana iya ganin ɓarkewar ƙashi da kuma sautin goge ƙashi mara kyau;

Rashin ƙarfi ko rashin iya ɗaga hannun sama zuwa digiri 90 a gefen da abin ya shafa.
X-ray: Matakan farko yawanci ba sa samun canje-canje marasa kyau;
Ciwon daji na humeral tuberosity na ƙarshe da ake iya gani a ƙarshen lokaci, lalacewar cystic ko ossification na tendon.

② Rashin cikakkiyar fashewa: gwajin kafada na iya taimakawa wajen tabbatar da ganewar cutar.
5. Gano jijiyoyin da ke juyawa da kuma waɗanda ba su da fashewa
Rufe wurin zafi na ①1% procaine 10 ml;
② Gwajin saukar hannu na sama.

II. Jin daɗin jijiyar kai mai tsayi ta becips brachii
1. Cututtuka:
Raunin da ya faru sakamakon yawan juyawar kafada da kuma motsi mai ƙarfi na haɗin gwiwa na kafada, wanda ke haifar da lalacewa da tsagewa na jijiyar a cikin sulcus na tsakiya;
Raunin da ya faru sakamakon jan jiki da ya wuce kima ba zato ba tsammani;
Sauran: tsufa, kumburin rotator cuff, raunin da ya shafi jijiyar subscapularis, hatimin gida da yawa, da sauransu.
2. Siffar asibiti:
Ciwon tsoka da/ko tenosynovitis na dogon tsokar kai ta biceps:
Alamomin: ciwo da rashin jin daɗi a gaban kafada, suna haskakawa sama da ƙasa da deltoid ko biceps.
Alamomin jiki:
laushin jijiya mai tsayi a tsakiyar nodal sulcus da biceps;
Ana iya ganin striae na gida;
Tabbataccen ɗaga hannu na sama da kuma ciwon da ke ƙarawa a baya;
Alamar Yergason mai kyau;
Iyakantaccen motsi na haɗin gwiwa na kafada.

Rushewar jijiyar dogon kan biceps:
Alamomin:

Waɗanda suka karya jijiyar da ke da mummunan lalacewa: galibi babu wani tarihin rauni a bayyane ko ƙananan raunuka kawai, kuma alamun ba a bayyane suke ba;

Waɗanda ke da karyewar da ta faru sakamakon ƙanƙantar biceps ɗin da ke hana su jurewa: majiyyaci yana jin kamar yagewa ko kuma yana jin ƙarar tsagewa a kafaɗa, kuma ciwon kafaɗa a bayyane yake kuma yana haskakawa zuwa gaban hannun sama.

Alamomin jiki:

kumburi, ecchymosis da taushi a cikin sulcus na inter-nodal;

Rashin iya lanƙwasa gwiwar hannu ko raguwar lanƙwasa gwiwar hannu;

Rashin daidaito a siffar tsokar biceps a ɓangarorin biyu yayin matsewa mai ƙarfi;

Matsayi mara kyau na cikin tsokar biceps a gefen da abin ya shafa, wanda zai iya sauka zuwa ƙasan 1/3 na babban hannun;

Gefen da abin ya shafa yana da ƙarancin sautin tsoka fiye da gefen lafiya, kuma cikin tsoka yana kumbura fiye da na akasin haka yayin matsewa mai ƙarfi.

Fim ɗin X-ray: gabaɗaya babu canje-canje marasa kyau.

III.Injory najijiyar becips brachii

1. Ilmin Halitta:

Enthesiopathy na jijiyar brachii ta triceps (enthesiopathy na jijiyar brachii ta triceps): ana jan jijiyar brachii ta triceps akai-akai.

Rushewar jijiyar brachii ta triceps (karyewar jijiyar brachii ta triceps): jijiyar brachii ta triceps tana tsagewa ta hanyar wani ƙarfi na waje wanda ba zato ba tsammani.

2. Bayyanar cututtuka:

Ciwon jijiyar triceps: Alamun endopathy

Alamomi: ciwon bayan kafada wanda zai iya haskakawa zuwa ga deltoid, ko kuma jin kasala a wurin aiki ko kuma wasu matsalolin ji;

Alamomi:

Ciwon matsi a cikin dogon jijiyar kai na triceps brachii a farkon iyakar ƙasa na scapular glenoid a teburin waje na hannun sama;

Ciwon juriya ga tsawaita gwiwar hannu mai kyau; ciwon triceps wanda ke faruwa sakamakon matsanancin ɗaga hannun sama.

X-ray: wani lokacin akwai inuwar da ta yi yawa a farkon tsokar triceps.

Rushewar jijiyar triceps:

Alamomin:

Yawan girgiza a bayan gwiwar hannu a lokacin rauni;

Ciwo da kumburi a wurin da aka ji rauni;

Rashin ƙarfi a faɗaɗa gwiwar hannu ko rashin iya faɗaɗa gwiwar hannu sosai;