Kabuubyo iyo xoqid

Kabuubyo iyo xoqid waa dareemo aan caadi ahayn oo ku dhici kara meel kasta oo jirkaaga ka mid ah, laakiin waxaa badanaa laga dareemaa farahaaga, gacmahaaga, cagahaaga, gacmahaaga, ama lugahaaga.

Waxaa jira sababo badan oo macquul ah oo kabuubyo iyo xoqid ah, oo ay ka mid yihiin:

• Fadhi ama istaag isku meel ah muddo dheer
• Dhaawaca neerfaha (dhaawaca qoorta ayaa kuu sababi kara inaad dareento kabuubyo meel kasta oo gacantaada ama gacantaada ah, halka dhaawaca dhabarka hoose uu sababi karo kabuubyo ama hoos u dhigista dhabarka lugtaada)
• Cadaadiska dareemayaasha lafdhabarta, sida ka yimaada herniated disk
• Cadaadiska neerfaha durugsan ee ka imanaya xididdada dhiigga ee weynaaday, burooyinka, unugyada nabarrada, ama infekshinka
• Cudurka 'Shingles' ama 'herpes zoster infection'
• Cudurrada kale sida HIV / AIDS, baras, waraabow, ama qaaxada
• Dhiigbax la'aanta aag, sida ka adkaanshaha halbowlayaasha, dhaxanta, ama caabuqa bararka
• Heerarka aan caadiga ahayn ee kaalshiyamka, kaalshiyamka, ama sodium ku jirta jirkaaga
• Yaraanta fiitamiinada B sida B1, B6, B12, ama folic acid
• Isticmaalka dawooyinka qaarkood
• Isticmaalka daroogooyinka dariiqyada qaarkood ee sharci darrada ah
• Dhaawaca neerfaha ee ku jira leedhka, aalkolada, ama tubaakada, ama daawooyinka kemotherabi
• Daaweynta shucaaca
• Qaniinyada xoolaha
• Cayayaanka, shilinta, caarada, iyo qaniinyada caaro
• Sunta cuntada badda
• Xaaladaha dhalmada ee saameeya neerfaha

Kabuubyo iyo xoqid ayaa sababi kara xaalado caafimaad oo kale, oo ay ka mid yihiin:

• Cudurka 'tunpal tunnel syndrome' (cadaadiska neerfaha ee curcurka)
• Sonkorowga
• Dhanjafka
• Cudurka 'sclerosis' oo badan
• Suuxdin
• Faalig
• Weerar ku-meel-gaadh ah oo ku-meel-gaadh ah (TIA), oo mararka qaarkood loo yaqaan "mini-stroke"
• Qanjirka 'thyroid' oo aan firfircooneyn
• Xaaladda Raynaud (cidhiidhiga marinnada dhiigga, badanaa gacmaha iyo cagaha)

Bixiyaha xanaanada caafimaadkaaga waa inuu helaa oo daaweeyaa sababta kabuubyadaada ama xanaaqaaga. Daaweynta xaalada ayaa laga yaabaa inay calaamadaha ka baxaan ama ka joojiso inay sii xumaadaan. Tusaale ahaan, haddii aad qabtid cillad tunnel syndrome ama xanuun dhabarka u hooseeya, dhakhtarkaagu wuxuu kugula talin karaa layliyo qaarkood.

Haddii aad qabtid sonkorow, bixiyahaaga ayaa kaala hadli doona siyaabaha loo xakameeyo heerka sonkorta dhiiggaaga.

Heerarka fiitamiinada yar waxaa lagu daaweyn doonaa fitamiino dheeri ah.

Daawooyinka sababa kabuubyo ama xoqid waxay u baahan karaan in la beddelo ama la beddelo. HA BEDDELIN ama joojin qaadashada mid ka mid ah daawooyinkaaga ama ha qaadan qiyaaso badan oo fiitamiino ah ama kaabis ah illaa aad kala hadlayso takhtarkaaga.

Sababtoo ah kabuubyo waxay sababi kartaa hoos u dhac dareemo, waxaad u badan tahay inaad shil u dhaawacdid gacanta ama cagaha oo kabuubyo ah. Ka taxaddar inaad ka ilaaliso aagga meelaha dillaaca, kuuskuusyada, nabarrada, gubashada, ama dhaawacyada kale.

Aad cisbitaal ama wac nambarka degdega ee deegaankaaga (sida 911) haddii:

• Aad daciif tahay ama aadan awoodin inaad dhaqaaqdo, oo ay weheliso kabuubyo ama xoqid
• Kabuubyo ama xoqitaan waxay dhacaan isla marka waxyeello ka soo gaarto madaxa, qoorta, ama dhabarka
• Ma xakamayn kartid dhaqdhaqaaqa gacanta ama lugta, ama waxaa kaa lumay kaadi heysta ama kaadiheysta
• Waad wareersan tahay ama miyir beeshay, xitaa si kooban
• Waxaad qabtaa hadal aan fiicnayn, aragga oo isbeddela, socodka oo kugu adkaada, ama daciifnimo

Wac adeeg bixiyahaaga haddii:

• Kabuubyo ama xoqan ma leh sabab muuqata (sida gacan ama cagood "hurdo u seexanaysa")
• Waxaad xanuun ku leedahay qoortaada, cududdaada, ama farahaaga
• Kaadidaada badanaa
• Kabuubyo ama gariir ayaa ku jira lugahaaga wayna kasii darayaan markaad socoto
• Waxaad leedahay finan
• Waxaad leedahay dawakhaad, murqo xanuun, ama calaamado kale oo aan caadi ahayn

Bixiyahaagu wuxuu qaadan doonaa taariikh caafimaad wuxuuna sameyn doonaa baaritaan jireed, isagoo si taxadar leh u hubinaya nidaamkaaga neerfaha.

Waxaa lagu weydiin doonaa astaamahaaga. Su'aalaha waxaa ka mid noqon kara goorta dhibaatadu bilaabantay, meesha ay ku taal, ama haddii ay jiraan wax hagaajiya ama ka sii daraya astaamaha.

Bixiyahaaga sidoo kale waxaa laga yaabaa inuu ku weydiiyo su'aalo si loo ogaado halista istaroog, cudurka qanjirka 'thyroid', ama sonkorowga, iyo sidoo kale su'aalaha ku saabsan caadooyinkaaga shaqada iyo daawooyinka.

Tijaabooyinka dhiigga ee la dalban karo waxaa ka mid ah:

• Tirinta dhiigga oo dhameystiran (CBC)
• Heerka korantada (cabirka kiimikada jirka iyo macdanta) iyo baaritaanka shaqada beerka
• Tijaabooyinka shaqada tayroodhka
• Cabbiraadda heerarka fiitamiinka - gaar ahaan fiitamiin B12
• Baadhitaan culus oo bir ama sunta sunta ah
• Heerka dajinta
• C-fal-celinta protein

Tijaabinta sawirka waxaa ka mid noqon kara:

• Angiogram (waa baaritaan isticmaala raajo iyo dheeh qaas ah oo lagu arko gudaha xididdada dhiigga)
• CT angiogram
• Baadhitaanka CT ee madaxa
• Baadhitaanka CT ee lafdhabarta
• MRI madaxa
• MRI ee lafdhabarta
• Ultrasound ee maraakiibta qoorta si loo ogaado halista aad u leedahay TIA ama istaroog
• Ultrasound-ka Vascular
• Raajo aagga ay dhibaatadu saameysey

Tijaabooyinka kale ee laga yaabo in la sameeyo waxaa ka mid ah:

• Daraasada elektromyograafiga iyo neerfaha si loo cabiro sida muruqyadaadu uga jawaabaan kicinta neerfaha
• Daloolida lumbar (laf-dhabarka) si meesha looga saaro jirrooyinka nidaamka neerfaha
• Tijaabada kicinta qabow ayaa loo sameyn karaa si looga hubiyo ifafaalaha Raynaud

Maqnaanshaha dareenka; Paresthesias; Cirrid iyo kabuubyo; Dareenka oo luma; Biinanka iyo cirbadaha oo la dareemo

• Nidaamka neerfaha iyo nidaamka neerfaha ee durugsan

McGee S. Imtixaanka nidaamka dareenka. Gudaha: McGee S, ed. Cillad-baarista Jirka ee Cadaymo-ku-saleysan. 4aad. Philadelphia, PA: Elsevier; 2018: cutubka 62.

Snow DC, Bunney BE. Ciladaha neerfaha ee durugsan. Gudaha: Walls RM, Hockberger RS, Gausche-Hill M, eds. Daawada Degdega ah ee Rosen: Fikradaha iyo Tababarka Caafimaadka. 9aad. Philadelphia, PA: Elsevier; 2018: cutubka 97.

Swartz MH. Nidaamka neerfaha. Gudaha: Swartz MH, ed. Buugga Buugga Baarista Jirka: Taariikhda iyo Imtixaanka. 7aad ed. Philadelphia, PA: Elsevier Saunders; 2014: cutubka 18.