Shin kana da ciwon kafada kuma? Bari mu yi magana game da Gwajin Yergason! (Gwajin Yergason)

Shin kana jin zafi idan ka ɗaga kafadar ka, ka ɗaga nauyi, ko kuma ka juya hannunka? Wataƙila dalilin hakan shine matsala da tsokar biceps ɗinka. Don haka, a yau muna magana ne game da wani gwaji mai sauƙi, mara zafi wanda likita zai iya yi don duba ko akwai matsala a kafadar ka a irin wannan lokaci. Wannan ana kiransa gwajin Yergason.

Menene ainihin gwajin Yergason?

A taƙaice dai, gwajin Yergason gwaji ne na jiki da likita zai yi maka. Yana duba duk wani lahani da ya faru a jijiyar da ke cikin tsokar biceps ɗinka, musamman ma dogon kan jijiyar biceps.

Wannan gwajin yana taimakawa wajen fahimtar wasu matsaloli da dama.

• Shin ka yage jijiyar humeral da ke kafadarka?
• Akwai wata matsala da ake kira 'SLAP tear', wadda ke faruwa a cikin guringuntsi (labrum) a cikin haɗin kafada?
• Shin jijiyar tsokar biceps ta kumbura kuma ta kumbura, ma'ana kana da wata cuta da ake kira 'biceps tendonitis'?

Kafin mu fahimci wannan gwajin, bari mu ɗan yi bayani game da waɗannan sassan.

Kada ka firgita idan ka ji waɗannan sunaye. Waɗannan abubuwa ne masu sauƙi. Bari mu dube su ɗaya bayan ɗaya.

• Tsokar Biceps: Ka yi tunanin kana lanƙwasa hannunka don nuna wa wani "babba." Sai ga wani ɓullar tsoka a saman hannunka, wanda ake kira da tsokar biceps. Wannan yana taimaka mana mu ɗaga nauyi, mu lanƙwasa gwiwar hannu, da kuma ɗaga hannayenmu sama.

• Jijiyoyin Biceps: Jijiyoyin sune ginshiƙai masu ƙarfi, masu kama da band waɗanda ke haɗa tsokokinmu da ƙasusuwanmu. Tsokar biceps tana da jijiyoyi uku. Biyu suna manne da kafada, ɗaya kuma yana manne da gwiwar hannu. Gwajin Yergason galibi yana duban dogon kan jijiyar biceps da ke manne da kafada.

• Jijiyoyin Humeral masu juyawa: Wannan kuma wani bangare ne mai kama da madauri. Aikinsa shine riƙe doguwar jijiyar biceps, wadda aka ambata a sama, a cikin ramin da ya kamata ta kasance a ciki. Kamar matse kebul ne da abin ɗaurewa don hana shi motsawa.

• Tsugewar SLAP: Haɗin kafadar ku haɗin ƙwallon ƙafa ne da soket. Labrum zobe ne na guringuntsi wanda ke kewaye da haɗin. Tsugewar SLAP yana faruwa ne lokacin da wannan zoben ya tsage ko ya lalace. Tunda doguwar jijiyar biceps ta manne da wannan zoben, duk wata lalacewa da ta same shi na iya shafar jijiyar.

• Ciwon tendon na biceps:Wannan abu ne mai sauƙi. Wannan kuwa saboda jijiyar biceps tana kumbura kuma tana ciwo saboda yawan amfani da wannan motsi.

To ta yaya za ku yi wannan Gwajin Yergason?

Wannan gwaji ne mai sauƙi. Za ka iya zama a kan kujera ko tsaye.

1. Da farko, ka kusance hannunka kusa da jikinka ka kuma lanƙwasa gwiwar hannunka zuwa digiri 90. Wannan yana nufin cewa hannunka ya kamata ya kasance kamar 'L' a gwiwar hannu. A wannan lokacin, tafin hannunka ya kamata ya fuskanci ƙasa.

2. Yanzu likita zai sanya wasu yatsu na hannu ɗaya a gaban kafadarka, kawai don jin ramin bicipital inda jijiyar biceps ke shiga.

3. Sannan, likitan zai riƙe wuyan hannunka da ɗayan hannunsa.

4. Yanzu za ka yi abubuwa biyu. Ka riƙe gwiwar hannunka kusa da jikinka sannan ka juya hannunka waje, kana juya tafin hannunka sama.

5. Yayin da kake yin wannan motsi, likitan zai yi masa ɗan juriya da hannunsa. Wannan yana nufin zai yi amfani da ƙarfi don ya sa ya yi maka wuya ka juya hannunka.

6. Yi irin wannan gwajin a ɗayan hannunka, wanda ba shi da zafi, sannan ka kwatanta ko akwai bambanci tsakanin hannayen biyu.

Menene sakamako mai kyau?

Akwai hanyoyi guda biyu da wannan gwajin zai iya zama 'positive'.

• Jin 'danna' ko kuma bugun jijiya: Idan jijiyar humeral ta yage, jijiyar biceps za ta fito daga cikin ramin ta lokacin da ka juya hannunka. Wannan jin bugun jijiya zai ji kamar 'danna' ko 'buga' a hannun likita a kafada. Wannan yana nufin cewa jijiyar da ke riƙe da jijiyar ta fashe.

• Ciwo ko taushi: Idan ka ji ciwo a gaban kafadarka yayin gwajin, ana kuma ɗaukarsa a matsayin "mai kyau". Wannan ciwon na iya nuna wata cuta kamar "tendinopathy" (lalacewar jijiya ta dogon lokaci), "tendinosis" (rushewar collagen a cikin jijiya), ko "SLAP tear".

Me zai faru bayan wannan gwajin?

Bayan gwajin Yergason, likitanka zai yi wasu abubuwa kaɗan.

• Bugu da ƙari, za a yi wasu gwaje-gwajen jiki masu sauƙi kaɗan.
• Suna ba da shawarar yin wani abu kamar hoton MRI don duba cikin kafadar ku.

Bayan haka, za a tsara tsarin magani bisa ga yanayinka. Wannan na iya haɗawa da:

• Hutu
• Narkewar kankara
• Magungunan rage radadi da magungunan hana kumburi
• Allurar maganin steroid (allurar Cortisone)
• Jiyya ta jiki
• A wasu lokuta, ana iya yin tiyata don cire sassan da suka lalace (`debridement`) ko kuma don sake haɗa jijiyar (`biceps tenotomy` ko `tenodesis`).

Wasu gwaje-gwaje don ciwon kafada

Baya ga gwajin Yergason, akwai wasu gwaje-gwaje masu sauƙi da likitoci ke amfani da su don gano matsalolin kafada. Bari mu ɗan yi nazari a kansu. Duba wannan tebur.

Yaya waɗannan gwaje-gwajen suke daidai?

Gwaje-gwajen jiki irin waɗannan ba su da inganci 100%. Wato, wani lokacin sakamakon zai iya cewa 'a'a' ga wanda ke da cutar, da kuma 'eh' ga wanda ba shi da cutar. Shi ya sa likita ba ya dogara da gwaji ɗaya kawai. Yana zuwa ƙarshe ta hanyar haɗa alamun da kuka bayyana, sakamakon irin waɗannan gwaje-gwaje da dama, kuma, idan ya cancanta, rahotannin scan.