Maxaa Sababa Kala-Bixinta Garabka Midig?
Qanacsan
- Cirrid iyo kabuubyo
- Cudurka 'tunpal tunnel syndrome'
- Daaweynta
- Dhaqdhaqaaq la’aan
- Cudurka neerfaha ee durugsan
- Daaweynta
- Radiculopathy afka ilmo-galeenka
- Daaweynta
- Yaraanta Vitamin B
- Daaweynta
- Cudurka 'sclerosis' oo badan
- Daaweynta
- Qaadid
Cirrid iyo kabuubyo
Jirdhiska iyo kabuubyada - oo badanaa lagu tilmaamo biinanka iyo cirbadaha ama maqaarka oo gurguurta - waa dareemo aan caadi ahayn oo laga dareemi karo meel kasta oo jidhkaaga ka mid ah, caadi ahaan gacmahaaga, gacmahaaga, farahaaga, lugahaaga, iyo cagahaaga. Dareenkan badanaa waxaa lagu ogaadaa inuu yahay curyaannimo.
Cirridka iyo kabuubyada gacantaada midig waxaa sababi kara dhowr sababood oo kala duwan.
Cudurka 'tunpal tunnel syndrome'
Sababta guud ee kabuubyada, xoqida, iyo xanuunka gacanta iyo gacanta, carpal tunnel syndrome waxaa sababa isku-xoqid ama cuncun ee dareemaha dhexdhexaadka ee marinka cidhiidhiga ah ee dhinaca calaacasha ee curcurkaaga loo yaqaan tunnel carpal.
Tunnelka Carpal badanaa waxaa loo aaneyn karaa sababo dhowr ah oo ay ka mid yihiin mid ama isku darka:
- dhaqdhaqaaqyo gacmeed oo soo noqnoqda
- jabka gacanta
- rheumatoid arthritis
- jirada joogtada ah sida sonkorowga
- cayilnaan
- haynta dareeraha
Daaweynta
Tunnelka Carpal waxaa caadi ahaan lagu daaweeyaa
- Kabay kala bax ah si ay gacanta ugu qabato gacantaada
- daawooyinka nonsteroidal anti-inflammatory (NSAIDs) xanuunka
- corticosteroids, oo lagu mudo si loo yareeyo xanuunka
Dhakhtarkaagu wuxuu kugula talin karaa qalliin si loo yareeyo cadaadiska haddii astaamahaagu aysan ka jawaabin daaweynta kale ama ay si gaar ah u daran yihiin, gaar ahaan haddii daciifnimo ku jirto gacanta ama kabuubyo joogto ah.
Dhaqdhaqaaq la’aan
Haddii aad gacantaada meel isku mid ah ku haysatay muddo dheer - sida inaad dhabarka u jiifato oo aad gacantaada hoosta ka hoos gasho - waxaa laga yaabaa inaad la kulanto biinno iyo cirbado ku garaacaya ama kabuubyo ku jira gacantaas markii aad dhaqaajiso.
Dareenadan ayaa badiyaa taga marka aad dhaqaaqayso waxayna u oggolaanayaan dhiigga inuu si sax ah ugu qulqulo neerfahaaga.
Cudurka neerfaha ee durugsan
Cudurka neuropathy ee durugsan wuxuu dhaawac u yahay neerfahaaga durugsan kaasoo sababi kara xanuun xoqan oo waliba mindi ama gubasho ah. Badanaa wuxuu ka bilaabmaa gacanta ama cagaha wuxuuna ku faafaa xagga gacmaha iyo cagaha.
Cudurka neuropathy ee durugsan waxaa sababi kara xaalado dhowr ah oo ay ka mid yihiin:
- sonkorowga
- khamri cabid
- naxdin
- caabuqyada
- cudurka kalyaha
- cudurka beerka
- cudurada iswada
- cudurada unugyada isku xidha
- burooyinka
- qaniinyada cayayaanka / caarada
Daaweynta
Daaweynta xanuunka 'neuropathy peripheral' waxaa caadi ahaan daboolaya daaweynta si loo maareeyo xaaladda keeneysa neerfahaaga. Si gaar ah loo yareeyo astaamaha neerfaha, mararka qaarkood daawooyin dheeraad ah ayaa la soo jeediyaa, sida:
- miiska laga iibsado miiska laga iibsado (OTC) ee xanuun joojiyayaasha sida NSAIDs
- daawada ka-hortagga qalalaasaha sida pregabalin (Lyrica) iyo gabapentin (Neurontin, Gralise)
- dawooyinka lidka diiqadda sida nortriptyline (Pamelor), duloxetine (Cymbalta), iyo venlafaxine (Effexor)
Radiculopathy afka ilmo-galeenka
Had iyo jeer waxaa loo yaqaan 'dareemayaasha' qanjaruufo, radiculopathy afka ilmo-galeenka waa natiijada neerfaha qoorta oo xanaaqa meesha ay ka soo baxdo laf-dhabarka. Radiculopathy afka ilmo-galeenka waxaa badanaa keena dhaawac ama da 'taasoo keeneysa bulxin ama herniated intervertebral disk.
Astaamaha lagu garto radiculopathy afka ilmo-galeenka waxaa ka mid ah:
- xoqid ama kabuubyo gacanta, gacanta, ama faraha
- daciifnimada muruqyada gacanta, gacanta, ama garabka
- luminta dareenka
Daaweynta
Badanaa dadka qaba radiculopathy-ka afka ilmo-galeenka, waqti lasiiyaa, way fiicnaadaan daaweyn la'aan. Badanaa waxay qaadataa oo keliya dhawr maalmood ama dhawr toddobaad. Haddii daaweyn la damaanad qaado, daaweynta aan qalliinka ahayn waxaa ka mid ah:
- collar qalliin jilicsan
- daaweynta jirka
- NSAIDs
- corticosteroids afka
- irbado steroid ah
Dhakhtarkaaga ayaa kugula talin kara qalliin haddii radiculopathy-ka afka ilmo-galeenka uusan ka jawaabin tallaabooyinka ugu horreeya ee ilaalinta.
Yaraanta Vitamin B
Yaraynta fiitamiin B-12 waxay u horseedi kartaa dhaawac dareemayaasha oo keena kabuubyo iyo gariir gacmaha, cagaha, iyo lugaha.
Daaweynta
Marka ugu horeysa dhakhtarkaagu wuxuu kugula talin karaa talaalada fitamiin. Tallaabada xigta ayaa sida caadiga ah kaabis ah oo hubinaysa in cuntadaadu ay ku jirto ku filan:
- hilib
- digaagga
- cuntada badda
- waxyaabaha caanaha laga sameeyo
- ukunta
Cudurka 'sclerosis' oo badan
Calaamadaha cudurka 'sclerosis multiple', oo ah cudur awood u yeelan kara curyaaminta nidaamka neerfaha, waxaa ka mid ah:
- kabuubyo ama daciifnimo gacmaha iyo / ama lugaha, badiyaa hal dhinac markiiba
- daal
- gariirid
- xoqid iyo / ama xanuun qaybo kala duwan oo jirka ah
- aragga qayb ahaan ama dhammaystiran, sida caadiga ah hal il markiiba
- aragti labalaab ah
- hadal xanaf leh
- dawakhaad
Daaweynta
Maadaama aysan jirin daawo caan ah oo loo yaqaan MS, daaweyntu waxay diirada saareysaa maareynta astaamaha iyo gaabinta horumarka cudurka. Jimicsi, cunto isku dheelitiran, iyo diiqad yareynta, daaweynta waxaa ka mid noqon kara:
- corticosteroids sida prednisone iyo methylprednisolone
- plasmapheresis (isdhaafsiga plasma)
- murqaha nasteexo sida tizanidine (Zanaflex) iyo baclofen (Lioresal)
- ocrelizumab (Ocrevus)
- actiraatka glatiramer (Copaxone)
- dimethyl fumarate (Tecfidera)
- fingolimod (Gilenya)
- teriflunomide (Aubagio)
- natalizumab (Tysabri)
- alemtuzumab (Lemtrada)
Qaadid
Haddii aad ku xoqdo ama kabuubiso gacantaada midig (ama meel kasta oo jirkaaga ka mid ah) waa calaamad muujinaysa inay wax qaldan yihiin.
Waxay noqon kartaa wax fudud sida inaad gacantaada ku haysay meel qaldan muddo dheer, ama waxay noqon kartaa wax halis ah sida dhibaatooyinka ka yimaada xaalad aasaasi ah sida sonkorowga ama cilladda tunnel syndrome.
Haddii sababta kabuubyadaada ama xatooyadaadu aysan sahlaneyn in la aqoonsado, xoojiyo, ama uusan tagin, la hadal dhakhtarkaaga. Dhakhtarkaagu wuxuu si sax ah u baari karaa asalka astaamaha wuxuuna ku siin karaa fursado daaweyn.