Cudurka tunnel tunnel syndrome

Cudurka 'tunal tunnel syndrome' waa xaalad ay ku cadaato dareemaha tibial. Kani waa neerfaha canqowga kaas oo u oggolaanaya dareemo iyo u dhaqdhaqaaq qaybo ka mid ah cagta. Cudurka tunnel tunnel syndrome wuxuu u horseedi karaa kabuubyo, xoqid, daciifnimo, ama murqo dhaawac inta badan salka hoose ee cagta.

Cudurka 'tunnel tunnel syndrome' waa nooc aan caadi ahayn oo ka mid ah neerfaha oo durugsan. Waxay dhacdaa marka uu dhaawac gaaro dareemaha tibial.

Meesha lugta ku taal ee dareemaha uu ka galo dhabarka dambe ee anqawga waxaa loo yaqaan tunnel tarsal. Tunnel-kaan ayaa caadi ahaan cidhiidhi ah Marka dareemaha tibial la cadaadiyo, waxay keentaa astaamaha cilladda tunnel tunnel syndrome.

Cadaadiska dareemaha tibial waxaa laga yaabaa inuu ugu wacan yahay mid ka mid ah kuwan soo socda:

• Barar ka soo gaaray dhaawac, sida canqowga oo murgacanaya ama murqaha u dhow
• Koritaan aan caadi ahayn, sida lafo-barar, kuus kuuskuus ah (ganglion cyst), xidid barar (varicose)
• Cagaha fidsan ama qaanso sare
• Cudurada ku dhaca jirka oo dhan (systemic), sida sonkorowga, shaqeynta qanjirka 'thyroid', arthritis

Xaaladaha qaarkood, sabab looma heli karo.

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

• Dareenku wuu isbeddelayaa hoose cagta iyo suulasha, oo ay ku jiraan dareemid gubasho, kabuubyo, xoqid, ama dareen kale oo aan caadi ahayn
• Xanuun hoose ee cagta iyo suulasha
• Tabar-darrada muruqyada cagta
• Daciifnaanta suulasha ama anqawga

Xaaladaha daran, muruqyada cagtu aad ayey u daciif yihiin, cagtuna way qalloobi kartaa.

Bixiyahaaga daryeelka caafimaadka ayaa baari doona cagahaaga wuxuuna weydiin doonaa calaamadahaaga.

Inta lagu jiro baaritaanka, adeeg bixiyahaaga waxaa laga yaabaa inuu ku arko inaad leedahay calaamadaha soo socda:

• Awood la'aanta in la leexiyo suulasha, cagaha hoos u riix, ama leexashada canqowga gudaha
• Tabar-darrada anqawga, cagaha, ama suulasha

Tijaabooyinka la qaadi karo waxaa ka mid ah:

• EMG (duubista waxqabadka korantada ee murqaha)
• Cad ka-qaadista neerfaha
• Imtixaannada wadista dareeraha (duubista waxqabadka korantada ee dareemaha)

Tijaabooyinka kale ee laga yaabo in la dalbado waxaa ka mid ah baaritaanka dhiigga iyo baaritaanka sawirka, sida raajada, ultrasound, ama MRI.

Daaweyntu waxay kuxirantahay sababta calaamadaha.

• Bixiyahaaga ayaa u badan inuu soo jeediyo nasashada ugu horeysa, baraf saar canqowga, iyo ka fogaanshaha howlaha sababa calaamadaha.
• Daawada xanuunka ee miiska laga iibsado oo dhan, sida NSAIDs, ayaa laga yaabaa inay kaa caawiso yareynta xanuunka iyo bararka.
• Haddii astaamaha ay ka dhashaan dhibaato cag ah sida cagaha oo fidsan, waxaa laga yaabaa in la qoro.
• Daaweynta jireed waxay gacan ka geysan kartaa xoojinta muruqyada cagaha iyo hagaajinta dabacsanaanta.
• Cirbadeynta isteeroydhiska ee canqowga ayaa loo baahan karaa.
• Qalliinka si loo weyneeyo tunnelka tarsal ama loo wareejiyo neerfaha ayaa laga yaabaa inuu gacan ka geysto yareynta cadaadiska dareemaha tibial.

Dib u soo kabasho buuxda ayaa suurtagal ah haddii la helo sababta keentay cilladda tunnel tunnel syndrome isla markaana si guul leh loo daweeyo. Dadka qaarkiis waxaa laga yaabaa inay yeeshaan qayb ahaan ama gebi ahaanba dhaqdhaqaaqooda ama dareenkooda. Xanuunka neerfaha wuxuu noqon karaa mid aan fiicnayn oo soconaya waqti dheer.

Cudurka tunnel tunnel syndrome ee aan la daaweyn wuxuu u horseedi karaa waxyaabaha soo socda:

• Cillad la'aanta cagta (khafiif ama daran)
• Dhaqdhaqaaqa luminta suulasha (qayb ahaan ama dhammaystiran)
• Dhaawac soo noqnoqday ama aan la ogaan lugta
• Dareemida dareenka lugaha lugaha ama lugaha (qayb ahaan ama dhammaystiran)

Wac daryeel bixiyahaaga haddii aad isku aragto astaamaha cilladda tunnel tunnel syndrome. Ciladda hore iyo daaweynta waxay kordhisaa fursadda in astaamaha la xakameyn karo.

Ciladda neerfaha ee Tibial; Neuralgia tibiirka dambe; Neuropathy - dareemaha tibial ee dambe; Cudurka neerfaha ee durugsan - neerfaha tibial; Xakamaynta neerfaha ee Tibial

• Dareenka Tibial

Katirji B. Cilladaha neerfaha durugsan. Gudaha: Daroff RB, Jankovic J, Mazziotta JC, Pomeroy SL, eds. Bradley's Neurology ee Tababbarka Caafimaadka. 7aad ed. Philadelphia, PA: Elsevier; 2016: cutubka 107.

Ii xishood. Cudurka neuropathies ee durugsan. Gudaha: Goldman L, Schafer AI, eds. Daawada Goldman-Cecil. 25aad. Philadelphia, PA: Elsevier Saunders; 2016: cutubka 420.