Ciwo a Hannu: Dalilai, Gano Matsala da Zaɓuɓɓukan Gudanarwa

Bayanan Gabaɗaya Game da Ciwo a Hannu
Ciwo a hannu, wata damuwa ce da za ta iya bayyana a kowanne yanki daga kafadar har zuwa ƙarshen yatsun hannu, kuma galibi tana da damuwa sosai har ta iya kawo cikas ga rayuwar yau da kullum. Halin ciwon na iya kasancewa mai ƙonewa, mai soka, mai matsawa ko kuma mai sa jin shanyewa. A wasu lokuta ciwon na iya bayyana a wuri guda kawai, wani lokaci kuma ya bazu zuwa dukkan hannun. Ana iya ganin ciwo a hannun dama ko hagu, amma a lokuta kaɗan yana iya bazuwa zuwa hannaye biyu gaba ɗaya. Ana iya fuskantar ciwon yayin motsi ko kuma a lokacin hutawa, kuma wannan bambanci na iya taimakawa wajen gano musabbabin da ke ƙasa.
Sanannun Dalilan Ciwo a Hannu
Ciwo a hannu na iya da yawa-daban-daban dalilai. Tsukewar jijiyoyi, matsalolin haɗin kafada, raunin tsoka-da-tendon, matsalolin haɗin gwiwa, har ma wasu cututtukan jiki gaba ɗaya na iya haifar da wannan matsala.
Fitar Daurewar Wuya (Cervical Disk Herniation): Idan faifan dake tsakanin ƙashin wuya ya matsa wa kashin baya ko jijiyoyi, ana iya jin ciwo daga sama har zuwa ƙarshen yatsun hannu. Wani lokaci wannan ciwo yana tare da jin rashin jin daɗi tsakanin wuya da ƙashin kafaɗa, raunin tsokar hannu ko jin shanyewa.
Matsalolin Haɗin Kafada: A cikin cututtuka kamar kafada mai sanyi, impingement syndrome, ko bursitis, ciwo galibi yana bazuwa zuwa kafada da sama da hannu, kuma yana iya ƙaruwa da motsin kafada. A irin waɗannan lokuta, takaituwar motsi abu ne da ake yawan gani.
Lateral Epicondylitis (Ciwo na 'Yan Tennis): Wannan matsala na bayyana ne da ciwo a wajen gwiwar hannu, kuma galibi yana da alaƙa da maimaita motsin hannu da yatsu. Ciwon galibi baya wuce matakin gwiwa.
Tsukewar Jijiyoyi: A irin matsaloli kamar ulnar groove syndrome da carpal tunnel syndrome, tsukewar jijiyoyi na iya haifar da ciwo a hannu, galibi tare da jin shanyewa ko kaikayi a yatsun hannu. A carpal tunnel syndrome, musamman babban yatsa da na tsakiya ne ke shafar, yayin da a ulnar groove syndrome jin shanyewar na iya fara daga gwiwar hannu zuwa yatsun zobe da ƙaramin yatsa.
Ciwon Hannu Mai Alaƙa da Zuciya
Wani lokaci ciwo a hannu na iya zama alamar cututtukan jijiyoyin zuciya. Musamman idan ciwon yana da tsanani, ya fara ba zato ba tsammani kuma galibi yana hannun hagu, hakan na iya zama alamar bugun zuciya (myocardial infarction). A ciwon da ke da alaƙa da zuciya, ana jin ciwo daga ƙirji yana bazuwa zuwa haɓa, baya da hannu. Idan wannan yanayi yana tare da matsalar numfashi, amai, jiri ko zufa mai sanyi, to ana buƙatar gaggawar duba lafiya. Amma ya kamata a sani ba kowanne ciwo a hannu ke da alaƙa da zuciya ba; ana buƙatar cikakken bincike da gwaje-gwaje don tantance musabbabin.
Ta Yaya Ciwon Hannu Ke Bambanta?
Tsananin ciwo da yadda ake jin sa na iya bambanta sosai. Wani lokaci ana jin sa mai ƙonewa ko mai soka, wani lokaci kuma mai soka ko mai raɗaɗi. Wani lokaci yana a wuri guda, wani lokaci kuma yana bazuwa. Dole ne a bambanta tsakanin ciwon da ke ƙaruwa da motsi da wanda ke bayyana a lokacin hutawa. Tsawon lokacin ciwo, alaƙarsa da motsa jiki da sauran alamomi (misali, jin shanyewa ko rashin ƙarfi) na da muhimmanci ga likita wajen tantance matsalar.
Hanyoyin Gano Ciwon Hannu
Don gano musabbabin ciwo a hannu, da farko ana ɗaukar cikakken tarihin marar lafiya: lokacin da ciwon ya fara, irin ciwon, tsawon lokacin sa, tsanani da sauran alamomi. A lokacin duba jiki, ana bincika jin zafi, yawan motsin haɗin gwiwa, aikin jijiyoyi da tsoka. Ana iya yin ƙarin gwaje-gwaje kamar haka:
Rontgen: Wannan shi ne zaɓi na farko don gano yiwuwar karyewar ƙashi bayan rauni ko matsalolin ƙashi.
Magnetic Resonance Imaging (MRI): Ana amfani da shi musamman wajen tsukewar jijiyoyi, raunin tsoka-da-tendon ko matsalolin kafada da wuya.
Electromyography (EMG): Idan akwai matsala a isar da saƙon jijiyoyi, yana taimakawa wajen gano matsalolin jijiyoyi kamar carpal tunnel ko ulnar groove syndrome.
Don tabbatar da sahihancin ganowa da samun ingantaccen magani, yana da matuƙar muhimmanci a tuntuɓi ƙwararren likita.
Gudanarwa da Zaɓuɓɓukan Magani na Ciwon Hannu
Maganin ciwo a hannu ya danganta da musabbabin da ke ƙasa:
A raunin da ya biyo bayan hatsari (karyewa, fitar haɗin gwiwa, raunin tsoka): Ajiye yankin a hutu, amfani da gyaran gwiwa ko atel, wani lokaci kuma ana buƙatar tiyata.
Ciwon da ke da alaƙa da fitar daurewar wuya: A matsalolin da ba su da tsanani, ana ba da magungunan rage ciwo da masu sassauta tsoka tare da kulawa sosai. Idan akwai matsanancin matsin jijiyoyi ko ciwo mai tsanani, ana iya la'akari da tiyata.
A matsalolin kafada da haɗin gwiwa: A matakin farko, ana ba da magani don rage ciwo, idan ya zama dole a huta na ɗan lokaci da kuma yin jinya ta motsa jiki. Idan ba a samu sauƙi da magani da jinya ba, ana iya yin allurar magani a haɗin gwiwa ko la'akari da tiyata.
A tsukewar jijiyoyi (carpal tunnel, ulnar groove syndromes): Amfani da atel don rage matsin yankin, ƙarin bitamin B12 da kuma jinya ta motsa jiki (paraffin bath, TENS, ultrasound da sauransu) na iya amfani. Idan an samu asarar jijiyoyi sosai, ana la'akari da tiyata.
A lateral epicondylitis: Takaita motsa jiki, amfani da bandejin gwiwa, da magungunan rage ciwo su ne hanyoyin farko. Idan ba a samu sauƙi ba, ana iya yin allurar steroid ko la'akari da tiyata.
Abin da ya kamata a tuna shi ne, dole ne a gano cutar da ke haifar da ciwo a hannu daidai kuma a tsara magani na musamman ga kowane mara lafiya. Idan kana fama da ciwo a hannu, mafi aminci shi ne ka tuntuɓi likita maimakon ka yi wa kanka gwaji ko magani.
Tambayoyi da Ake Yawan Yi
1. Me ke haifar da ciwo a hannu?
Ciwo a hannu na iya da yawa-daban-daban dalilai. Raunin tsoka da haɗin gwiwa, tsukewar jijiyoyi, matsalolin kafada, fitar daurewar wuya da a lokuta kaɗan matsalolin zuciya na iya haifar da wannan matsala. Idan ciwon yana da tsanani, yana maimaituwa ko kuma yana daɗewa, ya kamata a tuntuɓi ƙwararren likita.
2. Shin ciwo a hannu na iya zama alamar bugun zuciya?
Musamman idan ciwo mai tsanani ne a hannun hagu, ya fara ba zato ba tsammani kuma yana bazuwa zuwa ƙirji, haɓa ko baya, tare da matsalar numfashi da zufa mai sanyi, to a yi tunanin yiwuwar bugun zuciya. A irin wannan yanayi, a nemi taimakon gaggawa na lafiya.
3. Wane ƙwararre ya kamata in je idan ina da ciwo a hannu?
Saboda ciwo a hannu; ana iya tuntuɓar ƙwararru a fannin Orthopaedics, Jinya da Sake Gina Lafiya, Neurology ko Cutar Jijiyoyin Zuciya (Cardiology). Za a tura ka zuwa sashen da ya dace da alamominka.
4. Me zan iya yi a gida don ciwo a hannu?
A sauƙaƙan raunin tsoka, hutu na ɗan lokaci, amfani da sanyi da kuma magungunan rage ciwo da ba sa buƙatar takardar saye na iya amfani. Amma idan ciwon yana da tsanani, yana daɗewa ko kuma bayan rauni, to a tuntuɓi likita.
5. Wane yanayi ne ke buƙatar gaggawa idan ana da ciwo a hannu?
Idan ciwo a hannu yana tare da ciwon ƙirji, matsalar numfashi, zufa mai sanyi, amai ko jiri, to a gaggauta zuwa asibiti. Idan kuma an samu asarar ƙarfi ba zato ba tsammani, rashin iya motsa hannu ko canjin siffar hannu bayan rauni, wannan ma na buƙatar duba gaggawa.
6. Me ya kamata in yi idan ciwo a hannu yana ci gaba da damuna?
Idan ciwon yana daɗewa, yana ƙaruwa da motsa jiki ko kuma yana tare da asarar jin daɗi/tsoka ko jin shanyewa, to a tuntuɓi ƙwararren lafiya don tantancewa da magani.
7. Wane gwaje-gwaje ake yi don ciwo a hannu?
A yawancin lokuta, bayan duba likita, ana iya buƙatar rontgen, MRI, wani lokaci EMG da gwaje-gwajen dakin gwaje-gwaje. Nau'in gwajin da za a yi ya danganta da musabbabin ciwon.
8. Shin masu ciwo a hannu na iya yin motsa jiki?
Dangane da musabbabin ciwo, ana iya ba da shawarwari na musamman ko kuma a ba da shawarar hutu a lokacin da ciwo ke tsanani. Don samun shawarwari na musamman, a tuntuɓi likitanka.
9. Yaushe ake buƙatar tiyata idan ciwo a hannu yana da tsanani?
A mafi yawan lokuta, tiyata na la'akari ne idan magani da jinya ba su yi tasiri ba, ko kuma idan akwai matsanancin tsukewar jijiyoyi ko karyewa/fitar haɗin gwiwa. Yana da muhimmanci a bi shawarwarin likita wajen tsara magani.
10. Shin ciwo a hannu koyaushe alamar matsala mai tsanani ne?
A mafi yawan lokuta, ciwo a hannu na faruwa ne sakamakon jan tsoka ko raunin haɗin gwiwa mai sauƙi, amma a wasu lokuta na iya zama alamar cuta mai tsanani. Musamman idan akwai alamomin haɗari da aka ambata a sama, to duba lafiya na da matuƙar muhimmanci.
Madafa
World Health Organization (WHO): Musculoskeletal conditions
Kungiyar Likitocin Kashi ta Amurka (AAOS): Ciwo a Hannu
Kungiyar Zuciya ta Amurka (AHA): Alamomin Farkon Ciwon Zuciya
Asibitin Mayo: Ciwo a Hannu
Babban Laburaren Kasa na Magunguna na Amurka (MedlinePlus): Raunuka da Matsalolin Hannu