Rushewar jijiyoyi da lahani sune cututtuka na yau da kullum, yawanci lalacewa ta hanyar rauni ko rauni, don dawo da aikin gabobin, dole ne a gyara tsagewar ko rauni a cikin lokaci. Sutuning tendon wata dabara ce mai rikitarwa kuma dabarar tiyata. Saboda jijiyar ya fi ƙunshi filaye masu tsayi, karyewar ƙarshen yana yiwuwa ga tsagawa ko tsayin suture yayin suture. Suture yana ƙarƙashin ɗan tashin hankali kuma yana kasancewa har sai tendon ya warke, kuma zaɓin suture shima yana da mahimmanci. A yau, zan raba tare da ku 12 na kowa raunin jijiya da ka'idoji, lokaci, hanyoyin da dabarun gyaran jijiyoyi na suturar tendon.
I.Cufftear
1.Pathogeny:
Raunin kafada na lokaci-lokaci;
Raunin rauni: raunin da ya wuce kima ga jijiyar rotator cuff ko faɗuwa tare da miƙewa babba kuma an ɗaure shi a ƙasa, da ƙarfi yana sa kan humeral ya shiga ya yaga ɓangaren gaba na rotator cuff;
Dalilan likita: rauni ga jijiyar rotator cuff saboda karfin da ya wuce kima yayin aikin jiyya;
2. Siffar asibiti:
Alamun: Ciwon kafada bayan rauni, tsage-kamar zafi;
Alamomi: 60º～120º tabbataccen baka na alamar ciwo; sace kafada da ciwon juriya na ciki da waje; zafi matsa lamba a gaban iyakar acromion da kuma mafi girma tuberosity na humerus;
3. Rubutun asibiti:
Nau'in I: Babu ciwo tare da aiki na gaba ɗaya, zafi lokacin jifa ko juya kafada. Gwajin shine kawai don ciwon baya-baki;
Nau'i na II: Bugu da ƙari ga ciwo lokacin maimaita motsin da aka ji rauni, akwai juriya juriya na rotator cuff, kuma gaba ɗaya motsi na kafada al'ada ne.
Nau'in III: mafi mahimmanci, bayyanar cututtuka sun haɗa da ciwon kafada da iyakancewar motsi, kuma akwai matsa lamba da juriya akan jarrabawa.
4. Rotator cuff rupture:
① Cikakken fashewa:
Alamun : Ƙaƙƙarfan ciwo mai tsanani a lokacin rauni, jin zafi bayan raunin da ya faru, ya biyo bayan karuwa a hankali a matakin zafi.
Alamun Jiki: Yaɗuwar matsa lamba a cikin kafada, zafi mai kaifi a ɓangaren ƙwanƙwasa;
Sau da yawa fissure mai laushi da sautin shafan kashi mara kyau;
Rauni ko rashin iya sace hannu na sama zuwa 90º a gefen da abin ya shafa.
X-haskoki: Matakan farko yawanci ba su da canje-canje mara kyau;
Late bayyane humeral tuberosity osteosclerosis cystic degeneration ko ossification na jijiyoyi.
② Rashin cikawa: arthrography kafada zai iya taimakawa wajen tabbatar da ganewar asali.
5. Gano na'urorin rotator cuff tare da kuma ba tare da fashewa ba
①1% procaine 10 ml zafi maki rufe;
② Gwajin saukar da hannu na sama.
II.Injory na becips brachii dogon kai tendon
1.Pathogeny:
Raunin da ke haifar da maimaita yawan jujjuyawar kafada da motsi mai ƙarfi na haɗin gwiwa na kafada, haifar da maimaita lalacewa da tsagewar jijiya a cikin sulcus inter-nodal;
Raunin da ya haifar da jan hankali fiye da kima;
Sauran: tsufa, kumburin rotator cuff, subscapularis tendon stop rauni, mahara na gida hatimi, da dai sauransu.
2. Siffar asibiti:
Tendonitis da/ko tenosynovitis na dogon kai tsoka na biceps:
Alamun: ciwo da rashin jin daɗi a gaban kafada , yana haskaka sama da ƙasa deltoid ko biceps.
Alamomin jiki:
Inter-nodal sulcus da biceps dogon kai tausasawa;
striae na cikin gida na iya zama mai laushi;
Kyakkyawar satar hannu na sama da ciwon tsawo na baya;
Alamar Yergason mai kyau;
Iyakantaccen kewayon motsi na haɗin gwiwa na kafada.
Rushewar jijiyar dogon kan biceps:
Alamomi:
Wadanda suka katse jijiya tare da raguwa mai tsanani: mafi yawan lokuta babu wani tarihin bayyanar cututtuka ko ƙananan raunuka kawai, kuma alamun ba a bayyana ba;
Wadanda ke da fashewar da ke haifar da ƙaƙƙarfan ƙanƙara na biceps akan juriya: majiyyaci yana da tsagewa ko jin sautin tsagewa a cikin kafada, kuma ciwon kafada a bayyane yake kuma yana haskakawa zuwa gaban hannun sama.
Alamomin jiki:
kumburi, ecchymosis da taushi a inter-nodal sulcus;
Rashin iya jujjuya gwiwar gwiwar hannu ko raguwar juzu'in gwiwar hannu;
Asymmetry a cikin siffar tsokar biceps a bangarorin biyu a lokacin ƙaddamarwa mai ƙarfi;
Matsayi mara kyau na ciki na tsoka na biceps a gefen da aka shafa, wanda zai iya motsawa zuwa ƙananan 1/3 na hannun sama;
Bangaren da abin ya shafa yana da ƙananan sautin tsoka fiye da gefen lafiya, kuma ƙwayar tsoka ya fi kumbura fiye da kishiyar gefen yayin ƙaddamarwa mai ƙarfi.
Fim ɗin X-ray: gabaɗaya babu canje-canje mara kyau.
III.Injori nada becips brachii tendon
1. Etiology:
Enthesiopathy na triceps brachii tendon (enthesiopathy na triceps brachii tendon): triceps brachii tendon yana maimaita ja.
Rupture na triceps brachii tendon (karshe na triceps brachii tendon): jijiyar triceps brachii ya yage ta kwatsam da tashin hankali na waje.
2. Bayyanar cututtuka:
Triceps tendon endopathy:
Alamomi: jin zafi a baya na kafada wanda zai iya haskakawa zuwa deltoid, rashin jin dadi na gida ko wasu abubuwan da ba su da kyau;
Alamomi:
Ciwon matsi a cikin dogon kashin kai na triceps brachii a farkon ƙananan iyaka na glenoid scapular a teburin waje na hannun sama;
Kyakkyawan tsayin gwiwar gwiwar hannu juriya zafi; ciwon triceps wanda ke haifar da matsanancin pronation na hannun sama.
X-ray: wani lokacin akwai inuwar hyperdense a farkon tsokar triceps.
Triceps rupture rupture:
Alamomi:
Yawa mai yawa a bayan gwiwar hannu a lokacin rauni;
Jin zafi da kumburi a wurin rauni;
Rauni a cikin tsawo na gwiwar hannu ko rashin iyawa da gaske mika gwiwar gwiwar gaba daya;
Ciwo ya tsananta ta hanyar juriya ga tsawo na gwiwar hannu.
Alamomin jiki:
Ana iya jin damuwa ko ma lahani sama da humerus na ulnar, kuma ana iya murƙushe ƙarshen jijiyar triceps;
Kaifi mai laushi a kumburin ulnar humerus;
Gwajin tsawo na gwiwar hannu mai kyau akan nauyi.
Fim ɗin X-ray:
Ana ganin karaya ta layi mai tsayi kusan 1 cm sama da ulnar humerus;
Ana ganin lahani na kashi a cikin ulnar tuberosity.
Lokacin aikawa: Jul-08-2024
