Gabatar da wata hanya don gano "jijiyar radial" a cikin hanyar da ke bayan humerus

Maganin tiyata don karyewar ƙashi a tsakiyar humerus (kamar waɗanda ke faruwa ta hanyar "kokawa ta wuyan hannu") ko osteomyelitis na humeral yawanci yana buƙatar amfani da hanyar kai tsaye ta baya zuwa humerus. Babban haɗarin da ke tattare da wannan hanyar shine raunin jijiyar radial. Bincike ya nuna cewa yuwuwar raunin jijiyar radial ta iatrogenic sakamakon hanyar baya zuwa humerus ya kama daga 0% zuwa 10%, tare da yuwuwar raunin jijiyar radial ta dindindin daga 0% zuwa 3%.

Duk da ra'ayin amincin jijiyoyi na radial, yawancin bincike sun dogara ne akan alamomin ƙashi kamar yankin supracondylar na humerus ko scapula don sanya wurin a lokacin tiyata. Duk da haka, gano jijiyar radial yayin aikin har yanzu yana da ƙalubale kuma yana da alaƙa da rashin tabbas mai yawa.

Zane na yankin aminci na jijiyoyi na radial. Matsakaicin nisan daga layin radial zuwa layin gefe na humerus shine kimanin 12cm, tare da yankin aminci wanda ya miƙe 10cm sama da layin gefe.

Dangane da wannan, wasu masu bincike sun haɗa ainihin yanayin da ake ciki a lokacin tiyata kuma sun auna nisan da ke tsakanin ƙarshen jijiyar triceps da jijiyar radial. Sun gano cewa wannan nisa yana da daidaito kuma yana da babban ƙima don matsayi a lokacin tiyata. Dogon kan jijiyar tsoka ta triceps brachii yana gudana kusan a tsaye, yayin da kan gefe yana samar da kusan baka. Mahadar waɗannan jijiyoyin suna samar da ƙarshen jijiyar triceps. Ta hanyar gano jijiyar radial 2.5cm sama da wannan tip, ana iya gano jijiyar radial.

 Hanyar Matsayi

Ta hanyar amfani da saman jijiyar triceps a matsayin abin tunawa, ana iya gano jijiyar radial ta hanyar motsawa sama da kusan 2.5cm.

Ta hanyar wani bincike da ya shafi matsakaicin marasa lafiya 60, idan aka kwatanta da hanyar bincike ta gargajiya wacce ta ɗauki mintuna 16, wannan hanyar sanyawa ta rage lokacin yanke fata zuwa fallasa jijiyar radial zuwa mintuna 6. Bugu da ƙari, ta yi nasarar guje wa raunin jijiyar radial.

Hoton macroscopic na gyaran ƙashin baya na tsakiyar nesa na 1/3 na humeral. Ta hanyar sanya dinki biyu masu sha waɗanda suka haɗu kusan 2.5cm sama da saman saman jijiyar triceps fascia, binciken wannan wurin haɗuwa yana ba da damar fallasa jijiyar radial da kuma tarin jijiyoyin jini.
Nisa da aka ambata hakika yana da alaƙa da tsayin majiyyaci da tsawon hannunsa. A aikace, ana iya daidaita shi kaɗan bisa ga yanayin jikinsa da kuma girman jikinsa.