Adeegyada lafaha

Lafaha, ama adeegyada lafaha, ayaa ujeedkeedu yahay daaweynta nidaamka muruqyada. Tan waxaa ka mid ah lafahaaga, kala-goysyadaada, xididdadaada, muruqyadaada, iyo muruqyadaada.

Waxaa jiri kara dhibaatooyin caafimaad oo fara badan oo saameyn ku yeelan kara lafaha, kala-goysyada, kala-goysyada, muruqyada, iyo murqaha.

Dhibaatooyinka lafaha waxaa ka mid noqon kara:

• Ciladaha lafaha
• Caabuqyada lafaha
• Burooyinka lafaha
• Jabka
• Baahida loo qabo goynta
• Nounions: fashilka jabka inuu bogsado
• Malunions: jabka ku bogsiinta meel khaldan
• Ciladaha lafdhabarta

Dhibaatooyinka wadajirka ah waxaa ka mid noqon kara:

• Arthritis
• Bursitis
• Barakac
• Xanuun wadajir ah
• Barar wadajir ah ama barar
• Dareen ilmo ah

Baadhitaannada la xiriira lafa-beelka lafa-beelka ee caadiga ah ee ku saleysan qeybta jirka waxaa ka mid ah:

KOOBKA IYO CAGTA

• Buugag
• Fasciitis
• Cilladaha cagaha iyo canqowga
• Jabka
• Suulka dubbe
• Cirib xanuun
• Ciribta ciribta
• Joint xanuun iyo arthritis
• Murgacasho
• Cudurka tunnel tunnel syndrome
• Sesamoiditis
• Tendon ama dhaawac jilibka ah
  

Gacan iyo Duub

• Jabka
• Xanuun wadajir ah
• Arthritis
• Tendon ama dhaawac jilibka ah
• Cudurka 'tunpal tunnel syndrome'
• Ganglion cyst
• Tendinitis
• Tendon ilmada
• Caabuq

WAA IN LAGA QAADO

• Arthritis
• Bursitis
• Barakac
• Garab barafaysan (capsulitis xabag leh)
• Cudurka 'Impingement syndrome'
• Jir dabacsan ama shisheeye ah
• Jeex jeexjeexa 'Rotator cuff'
• Rotator cuff tendinitis
• Kala saarid
• Labrum diiran
• SLAP ilmada
• Jabka

OGOW

• Cartilage iyo dhaawacyada meniscus
• Kala-baxa jilibka (patella)
• Muruqyada murqaha ama ilmada (cirridka hore, gadaal dambe, isugeyn dhexdhexaad ah, iyo jeexjeexa lafdhabarta dambe)
• Dhaawacyada Meniscus
• Jir dabacsan ama shisheeye ah
• Cudurka Osgood-Schlatter
• Xanuun
• Tendinitis
• Jabka
• Tendon ilmada

Xusul

• Arthritis
• Bursitis
• Barakac ama kala tag
• Murqaha murqaha ama ilmada
• Jir dabacsan ama shisheeye ah
• Xanuun
• Tennis ama golf xusulka (epicondylitis ama tendinitis)
• Adkaanta xusulka ama qandaraasyada
• Jabka

DHAQANKA

• Disk Herniated (siibatay)
• Infekshinka lafdhabarta
• Dhaawaca lafdhabarta
• Cudurka 'Scoliosis'
• Neefsashada lafdhabarta
• Burooyinka lafdhabarta
• Jabka
• Dhaawacyada lafdhabarta
• Arthritis

ADEEGYADA IYO DAWEYNTA

Nidaamyada sawir-qaadista waxay gacan ka geysan karaan baaritaanka ama xitaa daaweynta xaalado badan oo lafaha. Bixiyaha xanaanada caafimaadkaaga ayaa laga yaabaa inuu dalbado:

• Raajo
• Baadhitaannada lafaha
• Baadhitaanka sawir-qaadista (CT)
• Sawirka sawirka 'magnetic resonance imaging' (MRI)
• Arthrogram (raajo wadajir ah)
• Sawir qaadista

Mararka qaarkood, daaweyntu waxay ku lug leedahay irbado daawo oo lagu shubo aagga xanuunka leh. Tani waxay ku lug yeelan kartaa corticosteroid ama noocyo kale oo irbado ah oo ku dhaca kala-goysyada, muruqyada, iyo seedaha, iyo hareeraha lafdhabarta.

Nidaamyada qalliinka ee loo isticmaalo daaweynta orthopedics waxaa ka mid ah:

• Goynta
• Qalliinka 'Arthroscopic'
• Bunionektomi iyo dubba hagaajinta suulka
• Nidaamyada hagaajinta carjawda ama dib u soo celinta
• Qalitaanka Carjawda ilaa jilibka
• Jabka jab
• Isku-darka wadajirka ah
• Arthroplasty ama beddelka wadajirka ah
• Dib u dhiska culeyska
• Dayactirka seedaha iyo jeexyada jeexan
• Qalliinka lafdhabarta, oo ay ku jiraan diskektomi, foraminotomy, laminektomi, iyo isku dhafka laf-dhabarka

Nidaamyada cusub ee adeegga lafaha ayaa waxaa ka mid ah:

• Qalliin yar oo duullaan ah
• Hagaajin dibadda Advanced
• Isticmaalka beddelka tallaalka lafaha iyo borotiinka isku-buuqa lafaha

YAA KU JIRA

Daryeelka lafdhabarta badanaa wuxuu ku lug leeyahay qaab kooxeed. Kooxdaada waxaa ka mid noqon kara dhakhtar, khabiir dhakhtar aan aheyn iyo sidoo kale kuwa kale. Khabiirrada aan takhtarka aheyn waa xirfadlayaal sida jimicsiga jirka.

• Dhakhaatiirta lafaha orthopedic waxay helaan 5 ama in ka badan oo sanado dheeraad ah oo tababar ah iskuulka kadib. Waxay ku takhasusaan daryeelka xanuunnada lafaha, murqaha, muruqyada, iyo seedaha. Waxaa loo tababaray inay maareeyaan dhibaatooyinka wadajirka ah ee farsamooyinka hawlgalka iyo kuwa aan hawlgalinba.
• Daawada jireed iyo dhakhaatiirta baxnaaninta waxay leeyihiin 4 ama in kabadan sanado dheeri ah oo tababar ah kadib iskuulka caafimaadka. Waxay ku takhasusaan daryeelka noocan ah. Waxaa sidoo kale loo yaqaan 'physiatrists'. Qalliin ma sameeyaan, in kasta oo ay isugeyn karaan cirbado.
• Dhakhaatiirta daawada isboortiga waa takhaatiir khibrad u leh daawada isboortiga. Waxay leeyihiin takhasus aasaasi ah oo ku saabsan dhaqanka qoyska, dawada gudaha, daawada degdega ah, dhakhaatiirta carruurta, ama daawada jirka iyo dhaqan celinta. Intooda badani waxay leeyihiin 1 ilaa 2 sano oo tababar dheeri ah oo ku saabsan daawada isboortiga iyada oo loo marayo barnaamijyo takhasus gaar ah u leh daawada isboortiga. Daawada isboortiga waa qayb gaar ah oo ku saabsan lafaha. Qalliin ma sameeyaan, in kasta oo ay isugeyn karaan cirbado. Waxay siiyaan daryeel caafimaad oo dhameystiran dadka firfircoon ee da 'kasta leh.

Dhakhaatiirta kale ee laga yaabo inay qayb ka yihiin kooxda lafaha ayaa waxaa ka mid ah:

• Dhakhaatiirta neerfaha
• Khabiirada xanuunka
• Dhakhaatiirta daryeelka aasaasiga ah
• Dhakhaatiirta maskaxda
• Daaweynta lafdhabarta

Xirfadlayaasha caafimaadka ee aan dhakhtarka ahayn ee laga yaabo inay qayb ka ahaadaan kooxda lafa-beelka waxaa ka mid ah:

• Tababarayaasha ciyaaraha fudud
• La taliyayaal
• Kalkaaliyayaasha caafimaadka
• Daaweeyaha jirka
• Caawiye dhakhtar
• Dhakhaatiirta cilmu-nafsiga
• Shaqaalaha bulshada
• Shaqaalaha xirfadaha

Ball JW, Dains JE, Flynn JA, Solomon BS, Stewart RW. Nidaamka muruqyada. Gudaha: Ball JW, Dains JE, Flynn JA, Solomon BS, Stewart RW, eds. Tilmaanta Siedel ee Imtixaanka Jirka. 9aad. St. Louis, MO: Elsevier; 2019: cutubka 22.

McGee S. Imtixaanka nidaamka muruqyada. Gudaha: McGee S, ed. Cillad-baarista Jirka ee Cadaymo-ku-saleysan. 4aad. Philadelphia, PA: Elsevier; 2018: cutubka 57.

Naples RM, Ufberg JW. Maareynta kala-baxa guud. Gudaha: Roberts JR, Custalow CB, Thomsen TW, eds. Nidaamka Caafimaadka ee Roberts iyo Hedges ’ee Daawada Degdegga ah iyo Daryeelka Ba’an. 7aad ed. Philadelphia, PA: Elsevier; 2019: cutubka 49.