Bari mu koyi game da Gwajin Yergason don ciwon kafada.

Shin kana da matsaloli kamar ciwon kafada, wahalar ɗaga hannunka, ko kuma sautin "dannawa" da ke fitowa daga kafadarka? Wani lokaci likitocinmu suna yin wasu gwaje-gwaje na musamman na jiki don gano ainihin dalilin waɗannan abubuwa. Ɗaya daga cikin irin wannan gwaji mai mahimmanci ana kiransa Gwajin Yergason . Bari mu yi magana game da wannan a yau ta hanya mai sauƙi da za ka iya fahimta, ko?

Menene Gwajin Yergason?

A taƙaice dai, gwajin Yergason wani gwaji ne na musamman da likitocinmu ke yi. Babban manufar wannan shine gano duk wani lahani da ya faru ga tsokar biceps ɗinmu, musamman ma dogon kan jijiyar biceps da ke manne da kafada. Ba wai kawai wannan ba, wannan gwajin na iya bayar da ra'ayi game da wasu abubuwa da dama. Misali:

• Kana da tsagewa a cikin jijiyar humeral ɗinka?
• Akwai wani rauni na musamman a kafada da ake kira tsagewar SLAP?
• Akwai wata cuta da ake kira biceps tendonitis?

Yanzu kana iya tunanin cewa waɗannan sunaye suna da ɗan rikitarwa. Kada ka damu, bari mu sauƙaƙa maka.

Da farko dai, ina tsokoki na biceps ɗinmu suke?

Tsokar biceps ita ce tsokar da kowa ya sani da ke fitowa lokacin da ka lanƙwasa hannunka don "nuna tsokoki." Suna kan saman hannunmu na sama, wato humerus, wanda shine ƙashin da ke gudana daga kafada zuwa gwiwar hannu. Tsokar biceps tana taimaka mana da ayyuka da yawa, kamar ɗaga nauyi, lanƙwasa gwiwar hannu, da kuma miƙa hannayenmu sama da kanmu.

To, ina ne dogon kan jijiyar biceps yake?

Jijiyoyin ƙashi suna da ƙarfi waɗanda ke haɗa tsokoki da ƙashi. Tsokar biceps ɗinmu tana da manyan jijiyoyin jiki guda uku.

• Jijiyoyi biyu suna haɗa biceps zuwa haɗin kafada. Dogon kan jijiyar biceps yana manne da glenoid, wani soket a saman haɗin kafada.
• Sauran gajeriyar jijiyar (gajeren kan jijiyar biceps) tana mannewa da tsarin coracoid na kashin kafada (scapula).
• Eja ta uku tana haɗa tsokar biceps zuwa ƙashin radius a hannunmu, a gwiwar hannu.

Gwajin Yergason galibi yana shafar doguwar jijiyar da ke manne da kafada.

Mene ne haɗin gwiwar humeral transverse?

Wannan ƙaramin jijiyar ce mai faɗi, a kwance. Ɓangarorin haɗin gwiwa sune kyallen da ke haɗa ƙasusuwa da juna. Wannan jijiyar haɗin gwiwa mai ratsa jiki tana nan daidai akan "ƙwallon" ƙashin hannunmu na sama (humerus), kusa da dogon kan jijiyar haɗin gwiwa. Abu mafi mahimmanci da wannan jijiyar ke yi shine kiyaye dogon kan jijiyar haɗin gwiwa a wurin a cikin wani tsagi da ake kira bicipital gravion, da kuma hana shi zamewa lokacin da muke motsa hannunmu. Ana riƙe wannan jijiyar a wurin kamar bel.

Menene tsagewar SLAP?

SLAP kalma ce ta musamman ta Superior Labrum Anterior to Posterior Troeping. Labrum zobe ne na guringuntsi wanda ke kewaye da ramin glenoid, ko "socket," na haɗin kafada. Labrum yana taimakawa wajen tabbatar da daidaiton haɗin kafada. Tagewar SLAP rauni ne ga ɓangaren sama na wannan labrum, daga gaba zuwa baya - yana iya zama tsagewa, tsagewa, ko tsagewa gaba ɗaya. Abu mafi mahimmanci, dogon kan jijiyar biceps shi ma yana manne da ɓangaren sama na wannan labrum. Don haka idan labrum ya ji rauni, akwai babban yuwuwar cewa zai shafi jijiyar biceps.

Mene ne ciwon tendonitis na biceps?

Wannan yana nufin kawai akwai kumburi ko ƙaiƙayi a cikin jijiyar biceps ɗinmu ta sama, musamman doguwar jijiyar. Wannan yanayin yana faruwa ne sakamakon yawan amfani da jijiyar, kamar motsa jiki akai-akai, ɗaga nauyi, da sauransu. Haka kuma jijiyar biceps na iya kumbura saboda shekaru da yawa na lalacewa da tsagewa a kafada.

Yaya ake yin gwajin Yergason?

Ka yi tunanin yadda likita zai yi wannan gwajin idan ka je wurin likita don jin ciwon kafada.

1. Ya kamata ka zauna ko ka miƙe tsaye. Sanya hannuwanka a ƙasa a zahiri a gefenka, bayan hannunka yana fuskantar gaba.

2. Na gaba, kana buƙatar lanƙwasa gwiwar hannunka zuwa kusurwar digiri 90 (lanƙwasa). Abu mafi mahimmanci shine ka riƙe gwiwar hannunka da hannunka na sama kusa da jikinka. Tafin hannunka ya kamata ya kasance yana fuskantar ƙasa.

3. Yanzu likita zai sanya yatsun hannu ɗaya a hankali a gaban kafadarka, inda ramin bicipital yake (inda ligament na humeral da doguwar jijiyar biceps suke). Wannan saboda suna son jin duk wani motsi a wurin yayin gwajin.

4. Da ɗayan hannunsa, zai kama hannunka. Ana yin hakan ne don ya ba ka ɗan juriya lokacin da kake motsa hannunka.

5. Sannan, ana buƙatar ka yi motsi biyu a lokaci guda:

• Tsaya gwiwar hannunka kusa da jikinkaKana buƙatar juya hannunka a waje, tafin hannunka yana fuskantar sama.
• A lokaci guda kuma, kana buƙatar motsa hannunka kaɗan daga jikinka.

Ana yin wannan gwajin a ɗayan hannunka mai "kyau", wanda ba shi da ciwo. Kwatanta su biyun don ganin ko akwai bambanci.

Me ake nufi da gwajin Yergesson ya zama "positive"?

Ana ɗaukar wannan gwajin a matsayin "tabbatacce" idan waɗannan sun faru:

• Idan jijiyar humeral ɗinka ta yage, yatsun likitan da ke kan kafadarka za su ji wani irin "dannawa" ko kuma wani abu mai kama da ƙwanƙwasa. Wannan kuwa saboda doguwar jijiyar biceps, wadda jijiyar ta riƙe ta da kyau, yanzu tana zamewa daga cikin ramin bicipital.
• Haka kuma, idan ka ji zafi ko taushi a kafadarka yayin gwajin, wannan kuma alama ce ta "tabbatacce". Wannan nau'in ciwon na iya nuna wata cuta kamar tendinopathy (cutar jijiya ta dogon lokaci), tendinosis (rushewar furotin collagen a cikin jijiya), ko kuma tsagewar SLAP.

Yaya wannan gwajin yake daidai?

An ce gwajin Yergason yana da ƙarfin ji na kashi 43% da kuma takamaiman kashi 79% don gano matsalolin da ke tattare da jijiyar biceps.

Menene hankali da takamaiman yanayin gwaji?

Ko da yake waɗannan kalmomi biyu na iya zama kamar na likitanci, amma suna da sauƙin fahimta.

• Jinkiri yana nufin ikon gwaji don gano mutanen da ke da cutar daidai kamar "eh, ina da cutar." Yayin da jinkirin ya fi yawa, haka nan ƙarancin rashin kyawun sakamako ke ƙaruwa.
• Takamaiman bayani yana nufin ikon gwaji don gano mutanen da ba su da wata cuta a zahiri a matsayin "a'a, cutar ba ta nan." Yayin da take da takamammen bayani, haka nan take akwai ƙarancin takamammen bayani.

Da zarar waɗannan kashi biyu sun kusanci kashi 100%, to gwajin zai fi yin daidai wajen gano cutar. Amma ku tuna, gwaji ɗaya kaɗai ba zai iya zama cikakke ba koyaushe.

Me za ku yi bayan wannan gwajin?

Idan gwajin Yergason ya nuna cewa yana da "alama mai kyau," ko kuma idan likita ya ga yana buƙatar ƙarin bayani, zai iya yin waɗannan abubuwa:

• Sauran gwaje-gwajen jiki: Ana iya yin wasu gwaje-gwaje na musamman, kamar gwajin Speed ​​ko gwajin O'Brien. Bari mu ɗan yi nazari a kansu.
• Gwaje-gwajen hoto:Ana iya yin odar wani abu kamar na'urar daukar hoton MRI (Magnetic Resonance Imaging) don duba cikin kafada.
• Shawarwarin magani:
• Hutu: Hutu kafada yana da matuƙar muhimmanci.
• Kankara: Za ka iya shafa kankara na tsawon mintuna 15-20 sau da yawa a rana don rage radadi da kumburi.
• Magungunan hana kumburi: Likitan yana rubuta magunguna don rage zafi da kuma rage kumburi.
• Allurar Cortisone: Wani lokaci, ana iya allurar magani mai suna cortisone kai tsaye a cikin haɗin gwiwa na kafada, wanda zai iya rage zafi da kumburi cikin sauri.
• Maganin motsa jiki: Da taimakon mai ilimin motsa jiki, za ku iya yin motsa jiki da ke ƙarfafa tsokoki na kafada da kuma ƙara sassauci.
• Debridement: Cire nama da ya yage, yage, ko ya saki daga cikin haɗin kafada (sau da yawa ta hanyar ƙaramin yankewa kamar arthroscopy).
• Wasu tiyata: Wani lokaci, dangane da dalilin, tiyata kamar biceps tenotomy (yanke jijiyar) ko tenodesis (sake haɗa jijiyar zuwa wani wuri daban) na iya zama dole.

Ƙarin gwaje-gwaje don gano matsalolin kafada

Bari mu ɗan yi bayani game da gwajin Yergason, da kuma wasu gwaje-gwajen da likitoci ke amfani da su.

Gwajin Sauri

Wannan wani gwajin jiki ne da ake yi don neman matsaloli tare da jijiyar biceps, musamman matsalolin da ke tattare da dogon kan jijiyar biceps, kamar hawayen SLAP ko tendinopathy na kafada.

Yadda ake yi (mai sauƙi):

Za ka tsaya da hannunka a gefenka, kana fuskantar gaba. Ba tare da lankwasa gwiwar hannunka ba, ka ɗaga hannunka a cikin motsi na rabin zagaye (kamar jefa ƙwallo) har sai ya kai kai tsaye sama da kafadarka (a kusurwar digiri 90). Yayin da kake ɗaga hannunka ta wannan hanyar, likita zai sanya ɗaya daga cikin hannayensa/ta a kan hannunka kuma ya ba ka juriya.

Akwai kuma bambance-bambancen wannan. Likitan zai zaɓi hanyar da ta dace dangane da nau'in ciwon.

Yadda ake zama "mai kyau"?

Idan ka ji zafi ko rauni a lokacin wannan gwajin, gwajin zai zama "mai kyau." Jin zafi na iya nuna kumburin jijiyar biceps (biceps tendonitis) ko raunin SLAP. Idan ka ji rauni (watau, ba za ka iya ɗaga hannunka ba), za ka iya samun tsagewa a cikin jijiyar biceps.

Daidaito: Wannan gwajin yana nuna ƙarfin ji na kashi 32% da kuma takamaiman kashi 75% don gano matsalolin da ke tattare da jijiyar biceps.

Gwajin O'Brien

Wannan wani gwaji ne da ake amfani da shi don gano matsalolin jijiyar biceps, musamman raunukan da aka samu a kan dogon kan jijiyar biceps da raunukan SLAP.

Yadda ake yi (mai sauƙi):

Yayin da kake tsaye ko zaune, ɗaga hannunka kai tsaye a gabanka zuwa matakin kafada (digiri 90). Sannan ka juya hannunka kaɗan zuwa ga jikinka (duction na digiri 10). Yanzu ka juya hannunka har babban yatsanka ya nuna ƙasa kuma tafin hannunka ya fuskanci jikinka. Yayin da likita ya matsa ƙasa zuwa saman hannunka, ya kamata ka shafa masa ƙarfi. Na gaba, ka juya hannunka don tafin hannunka ya fuskanci sama, sannan ka sake shafa ƙarfi akan matsin ƙasa da likita ya yi.

Yadda ake zama "mai kyau"?

Idan kana jin zafi lokacin da kake yin wannan gwajin, gwajin zai zama "tabbatacce." Jin zafi a haɗin kafada na iya nuna raunin SLAP. Idan ciwon ya ragu lokacin da ka juya hannunka, hakan yana ƙara shaidar cewa kana da tsagewar SLAP.

Daidaito: Wannan gwajin yana nuna ƙarfin ji na kashi 38% da kuma takamaiman kashi 61% don gano raunukan SLAP.

Muhimmi: Kada ka yi ƙoƙarin gwada ɗaya daga cikin waɗannan gwaje-gwajen da kanka. Ya kamata likita mai ƙwarewa ne kawai ya yi waɗannan gwaje-gwajen.

A ƙarshe, ku tuna da wannan (Saƙon Ɗauka Gida)

Gwajin Yergason muhimmin gwaji ne na jiki wanda zai iya gano wasu matsalolin da ke tattare da jijiyar biceps waɗanda ke iya haifar da ciwon kafada cikin sauri da sauƙi. Musamman ma, yana iya taimakawa wajen gano yanayi kamar raunin jijiyar biceps mai tsawo, hawayen ligament na humeral, hawayen SLAP, da kuma ciwon jijiyar biceps.

Amma ku tuna, gwajin "tabbatacce" kamar wannan ba yana nufin za ku sami wani abu mai tsanani ba. Likitan ku zai gudanar da ƙarin gwaje-gwaje ya kwatanta su da alamun ku don yin ganewar asali. Sannan, ku da likitan ku za ku yi aiki tare don ƙirƙirar tsarin magani wanda ya dace da ku. Wannan na iya haɗawa da jiyya masu ra'ayin mazan jiya kamar hutawa, kankara, magungunan rage radadi, da kuma hanyoyin motsa jiki, da kuma zaɓuɓɓukan tiyata idan ya cancanta.

Don haka, idan kana da ciwon kafada mai ɗorewa, kada ka ji tsoron ganin likita. Shi ko ita za su taimaka maka.

Gwajin Yergason , jijiyar biceps, ciwon kafada, tsagewar SLAP, tendinitis, gwaje-gwajen kafada, gwaje-gwajen jiki