Ciladda neerfaha ee Axillary

Cilad-darrada neerfaha ee Axillary waa dhaawac soo gaara dareemayaasha taasoo keenta inuu lumo dhaqdhaqaaq ama dareen garabka ah.

Cilad-darrada neerfaha ee Axillary waa nooc ka mid ah neuropathy-ka durugsan. Waxay dhacdaa marka uu dhaawac gaaro dareemaha axillary. Tani waa neerfaha ka caawisa xakameynta muruqyada deltoid ee garabka iyo maqaarka ku wareegsan. Dhibaatada kaliya hal dareemayaal, sida dareemaha axillary, waxaa loo yaqaan mononeuropathy.

Sababaha caadiga ah waa:

• Dhaawac toos ah
• Cadaadis waqti dheer ah oo ku dhaca dareemaha
• Cadaadiska neerfaha ee qaabdhismeedka jirka ee ku dhow
• Dhaawaca garabka

Qabsashadu waxay cadaadis ku abuurtaa neerfaha halka ay ka marayso qaab dhismeedka cidhiidhiga ah.

Waxyeellada ayaa baabiin karta galka myelin-ka ee daboolaya neerfaha ama qayb ka mid ah unugga neerfaha (axon). Waxyeellada nooc kasta ha noqotee waxay yareysaa ama ka hortageysaa dhaqdhaqaaqa calaamadaha dhexmara neerfaha.

Xaaladaha u horseedi kara cillad dareemayaasha axillary waxaa ka mid ah:

• Cilladaha jirka oo dhan (nidaamsan) ee sababa caabuqa dareemayaasha
• Infekshin qoto dheer
• Jabka lafta gacanta sare (humerus)
• Cadaadiska ka imanaya kabaha ama kabayaasha
• Si qaldan ulaha loo adeegsado
• Kala-baxa Garabka

Xaaladaha qaarkood, sabab looma heli karo.

Calaamadaha waxaa ka mid noqon kara mid ka mid ah kuwan soo socda:

• Kabuubyo ku jirta qayb ka mid ah garabka kore
• Garab liidashada, gaar ahaan marka gacanta kor loo qaado iyo meel ka fog jirka

Bixiyahaaga daryeelka caafimaadka ayaa baari doona qoortaada, cududdaada, iyo garabkaaga. Daciifka garabka ayaa sababi kara dhibaato ku saabsan dhaqaaqa gacantaada.

Muruqyada jilicsan ee garabka ayaa laga yaabaa inay muujiyaan calaamadaha muruq-jabka (luminta unugyada muruqyada).

Tijaabooyinka loo isticmaali karo in lagu hubiyo cillad la'aanta dareemaha axillary waxaa ka mid ah:

• EMG iyo tijaabooyinka tabinta dareemaha, waxay caadi ahaan noqon doonaan isla dhaawaca ka dib dhaawaca waana in la sameeyaa dhowr toddobaad ka dib dhaawaca ama astaamaha ay bilowdaan
• MRI ama raajooyinka garabka

Iyada oo ku xidhan sababta keentay cilladda neerfaha, dadka qaarkood uma baahna daaweyn. Dhibaatadu way ka sii fiicnaanaysaa keligeed. Heerka ka soo kabashada wuu u kala duwanaan karaa qof walba. Waxay qaadan kartaa bilooyin badan si ay u bogsato.

Daawooyinka kahortaga bararka ayaa la siin karaa haddii aad leedahay mid ka mid ah kuwan soo socda:

• Calaamadaha degdega ah
• Isbedelada yar ee dareenka ama dhaqdhaqaaqa
• Ma jiro taariikh dhaawac oo deegaanka ah
• Wax calaamado ah oo ku saabsan dhaawaca dareemayaasha

Daawooyinkani waxay yareeyaan bararka iyo cadaadiska neerfaha. Waxaa laga yaabaa in si toos ah loogu mudo aagga ama afka looga qaato.

Daawooyinka kale waxaa ka mid ah:

• Daawooyinka xanuunka ee miiska laga iibsado ayaa laga yaabaa inay waxtar u yeeshaan xanuunka fudud (neuralgia).
• Daawooyinka kaa caawinaya yareynta xanuunka mindida.
• Daawooyinka xanuun joojiya ee opiate ayaa loo baahan karaa si loo xakameeyo xanuunka daran.

Haddii calaamadahaagu sii socdaan ama ka sii daraan, waxaad u baahan kartaa qalliin. Haddii neerfaha ku xannibmay uu sababayo astaamahaaga, qalliin lagu sii daayo neerfaha ayaa kaa caawin kara inaad fiicnaato.

Daaweynta jireed waxay gacan ka geysan kartaa ilaalinta murqaha. Isbedelada shaqada, dib-u-tababaridda murqaha, ama noocyo kale oo daaweyn ah ayaa lagula talin karaa.

Waxaa laga yaabaa inay suurtagal tahay in la sameeyo soo kabasho buuxda haddii sababaha keena cilladda neerfaha ee axillary la ogaan karo oo si guul leh loo daweyn karo.

Dhibaatooyinka waxaa ka mid noqon kara:

• Cilad-darrada gacanta, garabka qandaraaska, ama garabka barafoobay
• Qeyb luminta dareenka gacanta (aan caadi ahayn)
• Curyaannimo garab ah
• Dhaawac soo noqnoqday oo ku dhaca gacanta

Wac inaad ballan ka samayso bixiyahaaga haddii aad leedahay astaamo cillad aan caadi ahayn oo neerfaha ah. Ciladda hore iyo daaweynta waxay kordhisaa fursadda xakameynta astaamaha.

Tallaabooyinka ka hortagga ahi way kala duwan yihiin, iyadoo ku xidhan sababta. Iska ilaali inaad cadaadis saarto aagga hoostiisa muddo dheer. Hubso in kabka, kabku, iyo qalabka kale ay si habboon u habboon yihiin. Markaad ulaha isticmaasho, baro sida looga fogaado inaad cadaadis saarto hoosta.

Neuropathy - neerfaha axillary

• Waxyeellada dareemaha axillary

Steinmann SP, Elhassan BT. Dhibaatooyinka neerfaha ee la xiriira garabka. Gudaha: Rockwood CA, Matsen FA, Wirth MA, Lippitt SB, Fehringer EV, Sperling JW, eds. Rockwood iyo Matsen Garabka. 5aad. Philadelphia, PA: Elsevier; 2017: cutubka 18.

Taylor KF. Qabashada neerfaha. Gudaha: Miller MD, Thompson SR, eds. DeLee iyo Drez's Orthopedic Medicine Medicine: Mabaadi'da iyo Tababarka. 4aad. Philadelphia, PA: Elsevier Saunders; 2015: cutubka 58.