Gacanta calaacal

Claw hand waa xaalad keenta faraha oo qalooca ama foorara. Tani waxay ka dhigeysaa in gacanta ay u muuqato sida cidiyaha xayawaanka.

Qofku wuxuu ku dhalan karaa gacanta ciddiyaha (congenital), ama way ku horumarin karaan cilladaha qaarkood, sida dhaawaca dareemaha.

Sababaha waxaa ka mid noqon kara:

• Cilladaha dhalmada
• Cudurada hidde-sidaha, sida cudurka loo yaqaan 'Charcot-Marie-Tooth'
• Dhaawaca neerfaha ee gacanta
• Nabar ka dib gubashada daran ee gacanta ama gacanta
• Infekshannada dhifka ah, sida baraska

Haddii xaaladdu tahay mid lagu dhasho, waxaa badanaa lagu ogaadaa dhalashada. Haddii aad aragto in cudud gacmeedku soo baxayaan, la xiriir bixiyaha xanaanada caafimaadkaaga.

Bixiyahaaga ayaa ku baari doona oo wuxuu si dhow u eegi doonaa gacmahaaga iyo cagahaaga. Waxaa lagu weydiin doonaa su'aalo ku saabsan taariikhdaada caafimaad iyo astaamahaaga.

Tijaabooyinka soo socda ayaa loo samayn karaa si loo hubiyo dhaawaca dareemayaasha:

• Electromyography (EMG) si loo hubiyo caafimaadka murqaha iyo neerfaha xakameeya muruqyada
• Daraasad ku saabsan habdhiska neerfaha si loo hubiyo sida ugu dhakhsaha badan calaamadaha korantadu ugu dhex wareegaan neerfaha

Daaweyntu waxay kuxirantahay sababta. Waxaa ka mid noqon kara:

• Kabay
• Qalliin lagu xalliyo dhibaatooyinka laga yaabo inay wax ku kordhin karaan gacanta, sida dhibaatooyinka neerfaha ama maskaxda, qandaraasyada wadajirka ah, ama unugyada nabarrada
• Wareejinta Tendon (graft) si loogu oggolaado dhaqdhaqaaqa gacanta iyo curcurka
• Daaweynta toosinta faraha

Curiyaha curyaanka ee Ulnar - gacanta oo loo yaqaan 'claw hand'; Ciladda neerfaha ee Ulnar - gacanta oo loo yaqaan 'claw hand'; Ulnar ciddiyaha

• Gacanta calaacal

Davis TRC. Mabaadi'da wareejinta tendon ee neerfaha, radial iyo ulnar. Gudaha: Wolfe SW, Hotchkiss RN, Pederson WC, Kozin SH, Cohen MS, eds. Qalliinka Gacanta ee Qalliinka Green. 7aad ed. Philadelphia, PA: Elsevier; 2017: cutubka 31.

Feldscher SB. Maareynta daaweynta wareejinta wareegga. Gudaha: Skirven TM, Osterman AL, Fedorczyk JM, Amadio PC, Feldscher SB, Shin EK, eds. Dayactirka gacanta iyo xagjirnimada sare. 7aad ed. Philadelphia, PA: Elsevier; 2021: cutubka 44.

Sapienza A, Green S. Sixitaanka gacanta cidiyaha. Bukaanka Gacanta. 2012; 28 (1): 53-66. PMID: 22117924 pubmed.ncbi.nlm.nih.gov/22117924/.