Maareynta Paresthesia: Nastee kabuubyada iyo xiiqashada jidhka

Shakhsiyaadka dareema jidhicyo ama biinanka iyo dareenka cirbadaha ee dhaafa gacmaha ama lugaha waxay la kulmi karaan paresthesia, kaas oo dhaca marka neerfaha la cadaadiyo ama dhaawacmo. Ogaanshaha calaamadaha iyo sababaha ma caawin karaa ogaanshaha iyo daaweynta?

Dareenka Jirka ee Paresthesia

Dareenka kabuubyada ama kabuubyada marka cudud, lug, ama cagtu ay seexdeen maaha wax badan oo ku saabsan wareegga dhiigga laakiin shaqada dareemayaasha.

• Paresthesia waa dareen aan caadi ahayn oo laga dareemo jirka taasoo ay ugu wacan tahay cadaadis ama xanaaqa dareemayaasha.
• Waxay noqon kartaa sabab makaanik ah sida dareemaha la isku cadaadiyo.
• Ama waxaa laga yaabaa inay sabab u tahay xaalad caafimaad, dhaawac, ama jirro.

Calaamadaha

Paresthesia waxay keeni kartaa calaamado kala duwan. Calaamadahani waxay u dhaxayn karaan khafiif ilaa kuwa daran waxayna noqon karaan kuwo kooban ama waara. Calaamadaha waxaa ka mid noqon kara:Machadka Qaranka ee Xanuunada Neerfaha iyo Stroke. 2023)

• Qulqulka
• Dareenka biinanka iyo cirbadaha
• Dareen sida gacanta ama lugtu ay seexdeen.
• Kabuubis
• Cuncun.
• Dareen gubasho.
• Dhibaatada muruqyada
• Dhibaato isticmaalka gacanta ama lugta ay saameysay.

1. Calaamaduhu waxay caadi ahaan socdaan 30 daqiiqo ama ka yar.
2. Ruxida addinka ay saameysay inta badan waxay yareysaa dareenka.
3. Paresthesia waxay caadi ahaan saamaysaa hal gacan ama lug ah markiiba.
4. Si kastaba ha ahaatee, labada gacmood iyo lugaha ayaa saameyn kara, iyadoo ku xiran sababta.

La tasho bixiye daryeel caafimaad haddii calaamaduhu ay socdaan in ka badan 30 daqiiqo. Daaweyn ayaa loo baahan karaa haddii dareenka jirka ee paresthesia ay keento sabab hoose oo daran.

Sababaha

Ku fadhiisashada muuqaal khaldan oo aan caafimaad qabin waxay cadaadin kartaa neerfaha waxayna dhalin kartaa calaamado. Si kastaba ha ahaatee, sababaha qaar ayaa aad uga walaacsan waxaana ka mid noqon kara:

• Xaaladaha habdhiska dhexe ee neerfayaasha – istaroog ama sclerosis badan/MS. (Machadka Qaranka ee Xanuunada Neerfaha iyo Stroke. 2023)
• Shaqada neerfaha oo isbedeshay oo ay keentay xaalad, sida sonkorowga.
• Cadaadiska ama xanaaqa dareemayaasha laf dhabarta. (Ururka Maraykanka ee Dhakhaatiirta Neerfaha. 2023)
• Kacsanaan iyo jiidid ama jiidashada neerfaha.

Raadinta Caawinaad Caafimaad

Haddii astaamuhu ayan tagi waayaan 30 daqiiqo ka dib ama ay ku soo noqdaan sababo aan la garanayn, wac bixiyaha xanaanada caafimaadka si aad u ogaato waxa keenaya dareenka aan caadiga ahayn. Kiis ka sii daraya waa in uu kormeero bixiyaha xanaanada caafimaadka.

• Peripheral neuropathy ee uu keeno sonkorowgu caadi ahaan wuxuu ku bilaabmaa dareenka paresthesia ee cagta/cagaha wuxuuna ka sii dari karaa oo keeni karaa dhibaatooyin kale.
• Tani waa calaamad muujinaysa in macaanku si liidata loo koontaroolay oo u baahan in si habboon loo maareeyo. (Machadka Qaranka ee Sonkorowga iyo Cudurada dheefshiidka iyo kelyaha. 2018)

Cilad-

Bixiyaha daryeelka caafimaadku waxa uu la shaqayn doonaa qofka si uu u fahmo calaamadaha una sameeyo baadhitaanada ogaanshaha ku haboon si loo go'aamiyo sababta. Bixiyaha daryeelka caafimaadka ayaa dooran doona imtixaanada ku salaysan baadhis jidheed. Nidaamyada ogaanshaha caadiga ah waxaa ka mid ah: (Nooca Xirfadlaha Buugga Merck. 2022)

• Sawirka dhawaaqa magnetic - MRI ee lafdhabarta, maskaxda, ama xaglaha.
• Raajo si meesha looga saaro cilladaha lafaha, sida jabka.
• Tijaabooyinka dhiigga.
• Electromyography - Daraasadaha EMG.
• Xawaaraha socodka neerfayaasha - Imtixaanka NCV.

1. Haddii paresthesia uu la socdo xanuunka dhabarka ama qoorta, bixiyaha xanaanada caafimaadka ayaa laga yaabaa inuu ka shakiyo dareemaha laf-dhabarka oo la cadaadiyo.
2. Haddii shakhsigu uu leeyahay taariikh sonkorow oo si liidata loo koontaroolay, waxa laga yaabaa inay ka shakiyaan neuropathy peripheral.

Daaweynta

Daaweynta paresthesia waxay kuxirantahay ogaanshaha. Bixiye daryeel caafimaad ayaa kaa caawin kara go'aaminta habka ugu wanaagsan ee ficilka xaaladda gaarka ah.

System habdhiska

• Haddii calaamadaha ay kiciyaan xaalad dhexe oo neerfayaasha sida MS, shakhsiyaadka ayaa si dhow ula shaqayn doona bixiyehooda daryeel caafimaad si ay u helaan daaweynta habboon.
• Daaweynta jireed ayaa lagula talin karaa si ay u caawiso hagaajinta dhaqdhaqaaqa guud ee shaqeynta. (Nazanin Razazian, iyo al., 2016)

Dareemaha lafdhabarta

• Haddii paresthesia ay sababto isku-buuqa dareemayaasha laf-dhabarka, sida sciatica, shakhsiyaadka waxaa loo gudbin karaa lafopractor iyo kooxda daaweynta jireed si ay u sii daayaan neerfaha iyo cadaadiska. (Julie M. Fritz, iyo al., 2021)
• Daaweeye jireed ayaa laga yaabaa inuu qoro jimicsiyada laf dhabarta si uu u yareeyo cadaadiska neerfaha una soo celiyo dareenka iyo dhaqdhaqaaqa caadiga ah.
• Xoojinta jimicsiga si loo soo celiyo dabacsanaanta iyo dhaqdhaqaaqa ayaa laga yaabaa in la qoro haddii daciifnimada ay la socoto dareenka jidhka paresthesia.

Herniated Disc

• Haddii saxanka herniated uu keeno dareenka aan caadiga ahayn, oo aysan jirin wax horumar ah oo lagu sameeyay tallaabooyinka ilaalinta, bixiyaha xanaanada caafimaadka ayaa laga yaabaa inuu soo jeediyo qalliin si loo yareeyo cadaadiska dareenka / dareemayaasha. (Ururka Maraykanka ee Dhakhaatiirta Neerfaha. 2023)
• Hababka qalliinka sida laminectomy ama discectomy, ujeedadu waa in dib loo soo celiyo shaqada dareemayaasha.
• Qalitaanka ka dib, shakhsiyaadka ayaa laga yaabaa in lagula taliyo daaweeyaha jireed si uu u caawiyo dib u soo celinta dhaqdhaqaaqa.

Peripheral Neuropathy

• Haddii xuubka neuropathy ee ka yimaada sonkorowga uu yahay sababta, astaamuhu waxay noqon karaan kuwo joogto ah oo laga yaabo inay wax yar isku beddelaan daawada. (Machadka Qaranka ee Sonkorowga iyo Cudurada dheefshiidka iyo kelyaha. 2018)

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tixraacyada

Machadka Qaranka ee Xanuunada Neerfaha iyo Stroke. (2023) Paresthesia.

Ururka Maraykanka ee Dhakhaatiirta Neerfaha. (2023) Diskaha Herniated.

Machadka Qaranka ee Sonkorowga iyo Cudurada dheefshiidka iyo kelyaha. (2018) Peripheral neuropathy.

Nooca Xirfadlaha Buugga Merck. (2022) Kabuubis.

Razazian, N., Yavari, Z., Farnia, V., Azizi, A., Kordavani, L., Bahmani, DS, Holsboer-Trachsler, E., & Brand, S. (2016). Samaynta Saamaynta Daalka, Niyad-jabka, iyo Paresthesia ee Bukaan-socodka Dheddig ee qaba sclerosis badan. Daawooyinka iyo sayniska ee ciyaaraha iyo jimicsiga, 48(5), 796-803. doi.org/10.1249/MSS.0000000000000834

Fritz, JM, Lane, E., McFadden, M., Brennan, G., Magel, JS, Thackeray, A., Minick, K., Meier, W., & Greene, T. (2021). Gudbinta Daaweynta Jirka ee Daryeelka Aasaasiga ah ee Xanuunka Dhabarka Ba'an ee Sciatica: Tijaabo La Kantaroolay oo Randomized. Taariikhda daawaynta gudaha, 174(1), 8-17. doi.org/10.7326/M20-4187