Gwiwar hannu da ta karye tana da matuƙar muhimmanci a yi magani cikin gaggawa domin kada ta shafi aikinka na yau da kullum da kuma rayuwarka, amma da farko kana buƙatar sanin dalilin da yasa gwiwar hannu ta karye tare da kuma yadda za ka yi maganinta domin ka ci gajiyar ta!
Dalilan da ke haifar da yankewar gwiwar hannu
Dalili na farko shine yawan matasa kuma ana iya haifar da shi ta hanyar tashin hankali a kaikaice. Gabaɗaya idan mutum ya faɗi, tafin hannunsa ya faɗi ƙasa kuma haɗin gwiwar hannu ya miƙe gaba ɗaya, wannan haɗin yana fuskantar ƙaruwar ƙarfi nan take, wanda zai iya haifar da zubar da jini a haɗin gwiwa da kuma wargajewar haɗin gwiwar.
Dalili na biyu na iya zama cewa yayin da mutane ke tsufa, ƙasusuwan wasu mutane suna yin ƙashi sosai kuma akwai rashin ruwan shafawa a cikin haɗin gwiwa, saboda mutane suna yawo da yawa kuma ba sa mai da hankali sosai ga ƙarfin amfani da mahimman abubuwan da ake amfani da su a rayuwa ta yau da kullun. Wannan yana haifar da ƙaruwar gogayya, wanda akan lokaci zai iya haifar da karyewar haɗin gwiwar gwiwa.
Dalili na uku shinerugujewar haɗin gwiwawanda ke faruwa ta hanyar tashin hankali kai tsaye, wanda wani haɗari a rayuwa zai iya faruwa, kamar haɗarin mota ko wasu abubuwan da ke haifar da karyewar gwiwar hannu, kuma dalili na huɗu shine karyewar gwiwar hannu, wanda ke faruwa ta hanyar ikon sanya zoben a kusa da motsi fiye da kima.
Maganin gurɓatattun gidajen gwiwar hannu
Alamomin tiyata: (1) waɗanda suka kasa sake saita wurin rufewa, ko waɗanda ba su dace da sake saita wurin rufewa ba, wannan ba kasafai yake faruwa ba, amma galibi yana haɗuwa da manyan raunuka a gwiwar hannu, kamar karyewar ƙashin ƙugu na ulnar tare da rabuwa da ƙaura; (2) karyewar gwiwar hannu tare da karyewar avulsion na medial epicondyle nahumerus, lokacin da aka sake saita karyewar gwiwar hannu, amma har yanzu ba a sake saita tsakiyar epicondyle na humerus ba, ya kamata a yi tiyata don sake saita tsakiyar epicondyle ko gyara na ciki; (3) tsohon karyewar gwiwar hannu, bai dace da gwaji ba (iii) tsoffin karyewar gwiwar hannu waɗanda ba su dace da rage rufewa ba: (iv) wasu karyewar da aka saba gani.
Sake buɗewa: Maganin sa barci na Brachial plexus, yankewa a tsaye a bayan gwiwar hannu, fallasa epicondyle na tsakiya na humerus da kuma kare jijiyar ulnar. Ana yin yanke harshe don jijiyar triceps. Bayan fallasa haɗin gwiwar hannu, ana cire nama mai laushi da tabo da ke kewaye don cire haematoma, granulation da tabo daga ramin haɗin gwiwa. Ana gano ƙarshen ƙashi na haɗin gwiwa kuma ana sake sanya shi. Ana dinka kyallen periarticular. Don hana sake wargajewa, ana sanya fil ɗin kerf daga bakin shaho zuwa ƙarshen ƙasan humerus kuma a cire shi bayan makonni 1 zuwa 2.
Arthroplasty: Ana amfani da shi galibi don tsofaffin gurɓatattun haɗin gwiwar gwiwar hannu inda saman guringuntsi ya lalace, ko kuma inda haɗin ya yi tauri bayan rauni a gwiwar hannu. A ƙarƙashin maganin sa barci na brachial plexus, ana yin yanke gwiwar hannu ta baya, ana yanke jijiyar triceps sannan a fallasa ƙarshen ƙashi na haɗin gwiwar gwiwar hannu. Ana cire ƙarshen ƙasan humerus, ana kiyaye wani ɓangare na tsakiya da na gefe na humerus, ana cire ƙarshen ulnar da wani ɓangare na ƙashin baya, kuma ana yanke ƙarshen aikin rostral kaɗan, wanda ke kiyaye saman guringuntsi na articular. Ba a cire kan radial ba idan bai shafi motsin haɗin gwiwa ba, in ba haka ba za a cire kan radial. Idan sabon gibin haɗin gwiwa ya yi kunkuntar, ana iya cire tsakiyar ɓangaren ƙananan humerus da 0.5 cm don ƙirƙirar raba dama. Nisa mafi kyau ya kamata ya kasance daga 1 zuwa 1.5 cm.
Rigakafin Rushewar Gwiwar Gwiwoyi
Bugu da ƙari, ya kamata a lura cewa marasa lafiya da ke da gaɓoɓin da suka karye ya kamata su motsa gaɓoɓinsu da wuri kuma su ɗauki matakin yin ayyukan faɗaɗawa da lanƙwasawa da juyawar hannu ko kuma ƙarin motsa jiki bayan an sake sugyarawa, amma jan ƙarfi da yawa yana iya haifar da kumburin myositis a kusa da haɗin gwiwar hannu.
Lambobin Sadarwa:
Yoyo
Whatsapp：+8615682071283
Email：liuyaoyao@medtechcah.com
Lokacin Saƙo: Maris-13-2023
