Yana ɗan rashin jin daɗi idan hannunka ko ƙafarka suka yi rauni, ko kuma idan ka ji kamar tururuwa suna gudu. Wani lokaci wannan yana faruwa ne kawai ya tafi. Amma idan wannan ciwon ya ci gaba, yana iya zama alamar matsala da ɗaya daga cikin jijiyoyi a jikinmu. A irin waɗannan yanayi, gwaji mai sauƙi da likita ke amfani da shi ana kiransa 'Alamar Tinel', wanda muke magana a kai a yau.
Menene Alamar Tinel?
A taƙaice dai, alamar Tinel ita ce idan likitanka ya taɓa fatar da ke kan jijiyar a hankali, sai ka ji wani irin ƙara ko kuma wani irin ƙara a jikin jijiyar. Idan ka ji ɗan ƙara, kamar ƙaramin girgizar lantarki, hakan yana nufin cewa jijiyar tana ƙarƙashin matsi ko kuma ta lalace.
Ana kuma kiransa da alamar Hoffmann-Tinel, bayan likitocin da suka fara bayyana wannan gwajin, Paul Hoffmann da Jules Tinel. Amma idan muka yi magana game da shi gabaɗaya, kawai muna kiransa da 'alamar Tinel'.
A wane yanayi ne likita ke yin wannan gwajin?
Idan likitanka ya yi zargin cewa wata jijiyar jiki a wani wuri a jikinka ta matse ko ta lalace, zai iya yin wannan gwajin mai sauƙi. Akwai wasu yanayi da wannan yake da matuƙar muhimmanci.
| Yanayin lafiya | A taƙaice dai, me zai faru? |
|---|---|
| Ciwon Tunnel na Carpal | Idan aka matse jijiyar tsakiya, babbar jijiyar da ke tafiya zuwa hannunmu da yatsunmu, a wuyan hannu, sau da yawa tana haifar da jin kasala a babban yatsa, yatsan manuniya, da yatsan tsakiya. |
| Ciwon Tunnel na Cubital | Idan gwiwar hannunmu ta buga wani abu, wata iska tana tafiya a hannunmu, tana matse jijiyar ulnar. Wannan na iya haifar da jin kasala a ƙaramin yatsa da yatsan zobe. |
| Ciwon Tunnel na Tarsal | Jijiya da ke gudana a kan ƙugu (jijiyar tibial ta baya) tana matsewa yayin da take ratsawa ta cikin idon sawunmu. Wannan na iya haifar da suma, ƙonewa, ko ciwo a tafin ƙafarmu. |
Wadanne wasu alamu ne za su iya faruwa idan aka matse jijiya?
Baya ga alamar Tinel, idan jijiya ta matse, za ka iya fuskantar alamu kamar:
- Konewa: Jin zafi, kamar kana riƙe da kwal mai rai.
- Jin kasala: Jin rashin jin daɗi a wani yanki, ko kuma jin kamar tururuwa suna gudu.
- Ciwo: Ciwon zai iya jin kaifi, ko kuma ya yi kaifi, ko kuma ya yi duhu.
- Rashin ƙarfi: A hannu, yana iya jin kamar kana zubar da kofi ko riƙe da alkalami. A ƙafa, yana iya jin kamar kana tuntuɓe lokacin da kake tafiya.
Yaya ake yin gwajin Tinel?
Wannan gwaji ne mai sauƙi wanda ke ɗaukar ƙasa da minti ɗaya. Ba kwa buƙatar wani shiri don wannan.
Mataki na 1: Likitan zai tambaye ka ƙarin bayani.
Da farko, likita zai saurare ka da kyau ya kuma gano game da rashin jin daɗinka. Misali, za ka iya yin tambayoyi kamar, "Yaushe kake jin ciwon kai?", "Waɗanne irin abubuwa kake yi da ke ƙara ta'azzara shi?", "Shin kana jin rauni a hannunka?"
Mataki na 2: Yadda ake yin gwajin
Bayan haka, likitan zai shafa fatar a hankali da yatsun hannunsa inda yake tunanin jijiyar ta matse. Wani lokaci, yana iya amfani da ƙaramin na'ura mai kama da guduma (hammer reflex) don wannan. Misali, idan kuna zargin ciwon ramin carpal, zai taɓa wuyan hannunku.
Mataki na 3: Faɗi abin da kake ji.
Idan likita ya buge ka, ya kamata ka gaya masa ko kana jin wani irin ƙara, ko kuma wani irin bugun lantarki, ko kuma wani irin ƙara a jikin wannan jijiya. Amsar da ka bayar sakamakon wannan gwajin ne.
Me sakamakon gwajin ya ce?
- Gwaji Mai Kyau: Idan ka ji kasala lokacin da likita ya buge ka, to sakamakon yana nuna cewa jijiyar na iya fuskantar matsi ko lalacewa.
- Gwaji Mai Kyau: Idan ba ka jin wani suma ba, sakamako ne mara kyau.
Amma ku tuna da wannan, kawai saboda wannan gwajin ya fito a matsayin 'mara kyau' ba yana nufin kun rabu da damuwa 100% ba.Wani lokaci, ko da akwai matsewar jijiya, wannan alamar ba za ta bayyana ba. Saboda haka, wannan kawai don taimaka wa likita ya fahimci yanayinka.
Dangane da sakamakon wannan gwajin da kuma alamomin da ke tattare da shi, likitanka zai iya ba da shawarar ƙarin gwaje-gwaje idan ya cancanta. Misali:
- Electromyography (EMG): Gwaji wanda ke auna aikin lantarki na jijiyoyi da tsokoki.
- Duban MRI: Sami cikakken hoto na kyallen jiki masu laushi kamar jijiyoyi da tsokoki.
- X-ray: Domin ganin ko matsala da ƙasusuwa tana sa jijiya ta matse.
Akwai wasu haɗari da ke tattare da wannan gwajin?
Ko kaɗan ba haka ba ne. Wannan gwaji ne mai aminci. Kamar likita ne ke sanya na'urar hangen nesa a ƙirjinka, kuma gwaji ne mai sauƙi wanda ba ya haɗa da haɗari ko ciwo. Don haka babu buƙatar jin tsoron wannan.
Yaushe ya kamata in ga likita?
Idan kana da ciwon kai mai tsanani, rauni, rauni a hannu, ƙafa, ko wani ɓangare na jikinka, kada ka ɗauka kawai, "Wannan alama ce kawai." Zai iya zama jijiyar da ta yi rauni. Samun magani da wuri zai iya taimakawa wajen hana lalacewar jijiya na dogon lokaci. Don haka, tabbatar da ganin likitanka don neman shawara.
Kada ka yi ƙoƙarin gano kanka ta hanyar yin irin waɗannan gwaje-gwaje. Kullum ka nemi likita don samun cikakken ganewar asali da magani.
Saƙon Ɗauka Gida
- Alamar Tinel gwaji ne mai sauƙi kuma mara zafi don duba matsewar jijiyoyi.
- Idan likita ya ji kasala lokacin da ya danna jijiya, to hakan yana nuna akwai matsala da jijiya.
- Ana amfani da shi sosai don gano matsalolin jijiyoyi da suka shafi ramin carpal, ramin cubital, da ramin tarsal.
- Ko da gwajin bai nuna wani rauni ba, ba yana nufin ba ka da matsalar jijiya 100%. Wannan ya rage ga likitanka ya yanke shawara.
- Idan kana da alamun kamar ciwon kai mai tsanani, ƙonewa, ciwo, ko rauni, kada ka yi watsi da shi kuma ka tabbata ka ga likita.
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