Dalili, Cutar cututtuka, ganewar asali, da jiyya
Hawan ciki zai iya zama m a wasu lokuta. Kuna iya magance cutar kuturta , ƙwannafin zuciya, ko kumbura . Amma, me game da zafi, damuwa, da tingling a hannunka da wuyan hannu? Idan kana da waɗannan bayyanar cututtuka, zai iya zama ciwon ƙwayar karamin motsi (CTS).
CTS wani rashin jin dadi ne na ciki wanda ba sau da yawa ji. Ga abin da kake bukata don sanin game da haddasawa, alamun bayyanar cututtuka, da kuma kula da rami na carpal cikin ciki.
Mene Ne Cutar Rashin Ruwa na Rashin Kafa?
Ƙunƙarar raunin karamin motsa jiki shi ne yanayin da ke fama da ciwon daji a cikin wuyan hannu da ake kira jijiyar tsakiya. Magunguna aika sakonni daga kwakwalwa ga jiki da jikinka zuwa kwakwalwarka. Suna da alhakin ƙungiyoyi na jiki da kuma ikon iyawa da jin dadin jiki. Ƙwararren ƙwayar na tsakiya ya sauko hannunka a hannunka. Ya wuce hannun wuyan hannu ta wurin wani yanki mai ƙananan yanki. Rashin karamin motar yana dauke da ligament da rukuni na ƙananan ƙasusuwan ƙasusuwan da ake kira kasusuwa. Idan wani abu ya kulla ko ya sanya matsin lamba a kan jijiyar tsakiya yayin da yake wucewa ta wannan wuri mai zurfi, zai iya haifar da alamar cututtuka na motsi.
Rafin Carpal a ciki
Ƙungiyar rawanin motsi na fata zai iya zama mummunan ko ma dan damuwa, amma ba a la'akari da yanayin lafiya a lokacin daukar ciki. Zai fi kusantar nunawa zuwa ƙarshen ciki a farkon lokacin mahaifiyar da ta kai shekaru 30, kuma idan kana da shi a cikin ciki ɗaya, akwai damar da ya fi dacewa zai sake dawowa a ciki na gaba.
Har zuwa kashi 60 cikin dari na mata suna samun bayyanar cututtuka na ramin motar rai lokacin daukar ciki. Yawancin lokaci yana da m da kuma juriya. Duk da haka, kimanin kashi 10 cikin dari na mata masu ciki, zai iya zama ciwo da damuwa da barci da rayuwar yau da kullum.
Dalilin
Yayinda take ciki, jiki yana da yawa ta canjin jiki da na hormonal wanda zai haifar da kumburi a jiki.
Lokacin da karin ruwa ya haifar da kumburi a cikin wuyan hannu, yana sanya matsin lamba akan jijiyar tsakiya kuma yana haifar da alamar cututtuka na rami na carpal. Wasu daga cikin halayen ciki-ciki na CTS sune:
- Ƙimar nauyi mai yawa
- Tsarin ruwa (edema)
- Ciki tare da jariri fiye da ɗaya
- Sashin ciwon sukari
Harshen carpal zai iya ci gaba a lokacin daukar ciki daga al'amurran da ba su da alaƙa da ciki. Wadannan sun hada da cututtuka na rheumatoid, da ciwo ga wuyan hannu, ko maimaita hannun hannu irin su bugawa a kan keyboard.
Cutar cututtuka
Kwayoyin cututtuka na ramin carpal na iya nunawa a kowane lokaci amma sun fi kowa a lokacin na biyu ko uku na uku . Kuna iya samun CTS a hannayenka guda biyu, amma hannunka mai rinjaye na iya nuna karin alamar cututtuka tun lokacin da kake amfani dashi. Alamun cututtuka na ramin carpal sune:
- Ƙungiya da buƙata a cikin yatsunsu da hannu
- Ji kamar hannunka yana barci
- Lamba a hannun hannunka kusa da yatsa
- Lamba a cikin yatsanka, index, da yatsunsu na tsakiya
- Husa hannu tare da hannunka da kuma faduwa abubuwa
- Wuya a lokacin ƙoƙarin kama abubuwa
- Pain a hannun, wuyan hannu, da kuma gaba
- Akwai kuma ciwo a gwiwar hannu, hannu, kafada, da wuya
- Hakan yana jin dadi a hannunka da hannu
- Jiji na kumburi a cikin yatsunsu da wuyan hannu
Rafin Carpal a Daren
Ramin karamin motsi na iya haifar da ciwo na wuyan hannu a dare kuma ya tashe ku.
Yayin da kuke barci, ƙwanƙwanku zai iya rusa ko ƙasa kuma danna kan jijiya. Idan ka girgiza hannunka lokacin da kake farka, yakan ji daxi. Hakan zai iya taimakawa, kamar yadda suke riƙe da wuyan hannu a yayin da kuke barci kuma taimakawa matsa lamba akan jijiyar.
Sanin asali
Idan kana fuskantar bayyanar cututtuka na rami na carpal, ya kamata ka yi magana da likitan ka. Dikita zai sauraren bayyanar cututtuka kuma bincika hannuwanku da wuyan hannu don duba busa da zafi. Dikita zai iya yin wasu gwaje-gwaje masu sauki don bincika yadda za ku ji da kuma idan akwai wani rauni a cikin tsokoki na dabino ko yatsunsu.
Wadannan gwaje-gwajen sune:
- Testing Compression na Durkan: likita zai danna kan jijiyar tsakiya tare da yatsunsa don duba jin zafi ko tingling.
- Magani na Tinel: likita zai sauƙaƙe ƙwayar cutar don ganin idan kun ji tingling a cikin yatsunsu.
- Matsalar Phalen: Dole ne likita zai rike hannunka tare da kafa wuyan hannu kuma ya yardar da wuyan hannu don sassaukarwa ta jiki ta hanyar nauyi, ko kuma za ku kasance da wuyan hannuwanku da sassauka tare da ɗayan hannuwan hannuwanku da matsawa juna don ku ga idan kun ji zafi, tingling, ko numbness.
Doctors yi amfani da wasu gwaje-gwajen don tantance CTS, amma ba za ka iya samun su ba lokacin da kake ciki. Duk da haka, idan bayyanar cututtuka ba ta tafi bayan haihuwar jariri, zaka iya samun haka:
- Kwafin gwaji ko kuma electromyography (EMG)
- Harkokin X
- Duban dan tayi
- Halin Hanya na Magnetic (MRI)
Jiyya A lokacin Ciki
Yin lura da ramin motar motar lokacin daukar ciki zai danganta ne akan yadda CTS ke shafar rayuwarka ta yau da kullum da kuma yadda za ka iya jurewa. A cikin ƙananan hali, likitanku zai iya ba ku bayani da zaɓuɓɓukan magani don taimakawa bayyanar cututtuka. Abubuwa masu tsanani ba su sabawa ba, amma idan sun tashi, likitanku zai iya mayar da ku ga likitan ne wanda ke da ƙwarewa a jijiyoyi ko likita wanda ke da ƙwarewa a kasusuwa da tsokoki.
Yayin da kake da ciki, ya kamata ka yi abin da zaka iya sarrafawa da kuma jure wa bayyanar CTS. Idan zaku iya samun ta cikin sauran kwananku, ya kamata ya sami mafi alheri bayan bayarwa na yaro. Kwararka na iya bada shawarar cewa kayi kokarin:
- Ice
- Gyara zafi da sanyi zuwa yankin
- Zata guje wa ƙungiyoyi masu maimaita sauƙi kamar yadda yakamata aikace-aikacen da ke gudana ya taimaka wajen ciwo
- Kayan hannun hannu yana hutawa don tallafawa wuyan hannu lokacin da kake bugawa ko aiki akan kwamfutarka
- Kashewa sau da yawa musamman ma idan kana da aiki wanda yake buƙatar ka rubuta, rubuta, ko amfani da kayan aiki da ke girgiza
- Nada hannayenka don taimakawa ruwan ruwa daga yankin
- Massage yankin
- Yin amfani da yatsa mai sauki da ƙarfafa hannun hannu
- Gwanon gyaran kafa da ake kira ƙwanƙwarar ƙwanƙwarar hannu don riƙe da wuyan hannu a wuri mai tsaka tsaki musamman ma da dare
- Samun Tylenol (acetaminophen) ko magani mai zafi wanda yake da lafiya don amfani a lokacin daukar ciki
- Yunkurin acupuncture ko yoga
- Jiki na jiki
Idan bayyanar cututtuka sun kasance mai tsanani, maganin steroid wanda aka yi amfani da shi da wani allura kai tsaye a cikin ramin motar mota zai iya taimakawa wajen taimakawa zafi da kumburi.
Jiyya bayan haihuwa
Da zarar an haifa jariri, alamar CTS na iya samun sauki a kan kansu kamar yadda ruwan sama da matakan hormone suka koma al'ada. Lokaci sau da yawa shine mafi kyawun magani ga alamun bayyanar cututtuka na ramin motsi na ciki. Ci gaba da magana game da shi tare da likitanka a cikin alƙawarinka. Idan bayyanar cututtuka ba ta inganta a cikin makonni da watanni bayan haihuwa, likita na iya bada shawara:
- Magungunan ƙwayoyin cutar ƙwayoyin cuta don rage zafi da kumburi. Yayin da kake da juna biyu, kada ka dauki magungunan maganin jinya irin su Motrin da Advil (Ibuprofen) sai dai idan likitanka ya tsara su. Amma, zaka iya magana da likitanka game da amfani da su bayan bayarwa.
- Diuretics (kwayoyin ruwa) don taimakawa wajen kawar da ruwa daga jiki ta hanyar urination
- Ci gaba da farfadowa ta jiki ko aikin idan an buƙata
- Magungunan kwayar cutar
- Ba'a buƙatar yin aikin tiyata amma yana samuwa idan ya cancanta.
CTS da kuma nono
Kwayoyin cututtuka na rami na carpal sukan tashi bayan bayarwa, amma zasu iya ci gaba da nono . Wasu mata basu sha wahala daga CTS a lokacin daukar ciki, kawai don samun bayyanar cututtuka fara makonni bayan haihuwa yayin da suke shan nono. Yin lura da rami na carpal a yayin da ake shan nono ya hada da sanin halinka a yayin da kake rike da nono da jaririnka , saka hannayen hannu, hutawa sosai , shan kwayoyi na ruwa don saki ruwa daga jiki, da kuma samun maganin steroid idan ya cancanta. Mafarin da ke dauke da nono yana dauke da ita sau ɗaya a lokacin da jariri yake .
> Sources:
> Ibrahim I, Khan WS, Goddard N, Smitham P. Gida 1: Ciwon Tunnel na Carpal: Wani Binciken Litattafan Nan. Labaran bude jarida. 2012; 6: 69.
> Lawrence, Ruth A., MD, Lawrence, Robert M., MD. Yarayar Kiyayeyar Jagora Ga Jagoran Harkokin Kiwon Lafiyar Harkokin Kiwon Lafiya. Elsevier Kimiyyar Lafiya. 2015.
> Aiki na AR, Moghtaderi N, Loghmani A. Tattaunawa da ingancin ƙwayar cutar ta dexamethasone na gida a cikin masu ciki da ƙwayar motsi. Jaridar bincike a kimiyyar kiwon lafiya: littafin jarida na jami'ar Isfahan na Kimiyya. 2011 May, 16 (5): 687.
> O'Donnell M, Elio R, Ranar D. Ciwon Ruwa Tun daga Carpal. Nursing for kiwon lafiya. 2010 Aug 1; 14 (4): 318-21.
> Osterman M, Ilyas AM, Matzon JL. Raunin karamin motsi na ciki a cikin ciki. Orthopedic Clinics. 2012 Oktoba 1; 43 (4): 515-20.