Wuyan hannu (yana fitowa daga dunkulallen hannu) haɗin gwiwa ne wanda ke tsakanin hannun da goshi.

Wrist ɗin ya ƙunshi ƙarshen ƙarshen radius da ulna (ko ulna), da carpus, da kansa ya ƙunshi layuka biyu na ƙananan ƙasusuwa huɗu. An haɗa shi ta hanyar jijiyoyi, kasusuwan carpal suna yin “rami” da ake kira ramin carpal ta inda jijiyoyin tsaka -tsaki da jujjuyawar yatsun hannu ke wucewa. Jijiyar tsakiyar tana shiga cikin yatsun yatsun hannu da motsi na yatsun hannu da hannu.

Wrist ɗin yana ba da damar motsi hannun a wurare daban -daban:

• a kaikaice (sace -sace),
• zuwa sama (tsawo),
• ƙasa (lanƙwasa).

samu karaya. Kasusuwa na hannu suna da saukin tasiri da karaya. Dole ne a rarrabe karashen kasusuwa daga raunin haɗin gwiwa da ke tattare da haɗin gwiwa kuma yana buƙatar cikakken kimanta raunuka.

• Scaphoid karaya. Ƙashin carpal, za a iya ɓarna ɓarna a yayin faɗuwa a wuyan hannu ko gaban hannu (5,6).
• Karayar hannu. Sau da yawa, wannan karaya yana buƙatar hanzarta da daidaita madaurin hannu don gujewa ƙaura.

Pathology na kasusuwa.

• Kienbock cuta. Wannan cutar necrosis na ɗaya daga cikin kasusuwa na carpal lokacin da aka katse wadataccen abinci daga jini (7).
• Osteoporosis. Wannan cuta ta kunshi asarar yawan kashi, yawanci a cikin mutane sama da shekaru 60. Yana kara kashin kashi da hadarin karaya (8).

Cututtukan Musculoskeletal (MSDs). Wuyan hannu yana ɗaya daga cikin manyan ƙafafun da ke fama da cututtukan ƙwayoyin cuta, waɗanda aka sani azaman cututtukan sana'a ne kuma suna tasowa daga matsanancin, maimaitawa ko damuwa na kwatsam akan gabobin hannu.

• Tendonitis na wuyan hannu (de Quervain). Ya dace da kumburin jijiyoyin hannu (9).
• Ciwon ramin motsi na Carpal: Wannan ciwo yana nufin rikice -rikice da ke tattare da matsawar jijiyar mediya a matakin ramin carpal, wanda ya ƙunshi kasusuwan carpal. Yana bayyana kamar tingling a cikin yatsun hannu da asarar ƙarfin tsoka (10).

amosanin gabbai. Ya dace da yanayin da ke nuna zafi a cikin gidajen abinci, jijiyoyi, jijiyoyi ko kasusuwa. An san shi da lalacewa da tsagewar guringuntsi da ke kare kasusuwa na gidajen abinci, osteoarthritis shine mafi yawan nau'in amosanin gabbai. Haɗin hannu da wuyan hannu kuma yana iya shafar kumburi a cikin yanayin cututtukan rheumatoid (11). Waɗannan sharuɗɗan na iya haifar da nakasa yatsun hannu.

Rigakafin girgizawa da jin zafi a hannu. Don iyakance karaya da cututtukan musculoskeletal, rigakafi ta hanyar sanya kariya ko koyan ishara mai dacewa yana da mahimmanci.

Maganin kashin baya. Dangane da irin karayar da aka yi, za a yi shigar da filasta ko wani resin don kayar da wuyan hannu.

Drug jiyya. Dangane da cutar, ana ba da magunguna daban -daban don daidaitawa ko ƙarfafa ƙashi.

Jiyya na tiyata. Dangane da nau'in karaya, ana iya yin tiyata tare da sanya fil ko faranti. Maganin cutar Kienböck shima yana buƙatar tiyata.

Binciken hoto na likita. Sau da yawa ana yin gwajin asibiti ta hanyar x-ray. A wasu lokuta, likitoci za su yi amfani da MRI, CT scan, ko arthroscopy don tantancewa da gano raunuka.

A wasu fannoni kamar rawa ko wasan motsa jiki, 'yan wasa suna neman haɓaka haɓakar haɗin gwiwa, wanda za'a iya samu ta hanyar takamaiman horo. Koyaya, wannan hypermobility na iya samun mummunan sakamako. Har yanzu ba a fahimce shi sosai ba kuma an gano shi marigayi, hyperlaxity na ligament yana sanya gidajen abinci marasa ƙarfi, yana mai sa su zama masu rauni sosai (5).