
Ciwon baya wata matsala ce da kowane babba zai iya fuskanta. Sau da yawa wannan ba lamari ne na lokaci ɗaya ba, amma alama ce ta cuta mai haɗari. Osteochondrosis sau da yawa yana faruwa a cikin mutane 30-35 shekaru (kimanin 40% na yawan jama'a), har zuwa 90% na lokuta suna faruwa a lokacin tsufa.
Daidaitaccen ganewar asali da daidaitattun hanyoyin magance jiyya na iya kawar da ci gaban ilimin cututtuka da kuma hana rikitarwa. Abin da ya sa yana da mahimmanci a fahimci abin da ainihin ciwon baya zai iya nunawa, wane likita ya kamata ku tuntuɓi lokacin da ya bayyana, da kuma yadda za a bi da osteochondrosis.
Menene osteochondrosis
Osteochondrosis wani rukuni ne na cututtuka na yau da kullum, dalilin da ya sa shi ne lalacewa na kashin baya da kuma intervertebral fayafai, da kuma lalacewar nama na guringuntsi.
Tare da shekaru da kuma ƙarƙashin rinjayar nauyin da ba daidai ba, ƙwayar kasusuwa na kashin baya ya lalace kuma ya lalace, kuma ƙwayar tsoka yana tasowa ba daidai ba. Wannan yana haifar da bayyanar cututtuka daban-daban na osteochondrosis: hernias, curvature na kashin baya, da dai sauransu.
Osteochondrosis wani lokaci ne da ya wuce; a cikin maganin duniya ana kiransa dorsopathy. Akwai nau'ikan cututtuka daban-daban na nama mai haɗawa da tsarin musculoskeletal, wanda ake amfani da hanyoyin magani daban-daban.
Nau'in osteochondrosis
Lokacin rarraba cutar, ana la'akari da waɗannan abubuwa masu zuwa: wurin jin zafi, yanki na lalacewa ga fayafai na intervertebral, da matakin ci gaban cutar.
Ƙaddamar da abubuwan jin zafi
Yin la'akari da wurin da ciwon da cututtuka na kashin baya ya haifar, akwai:
- Lumbodynia Jin zafi na yau da kullun da ke faruwa a cikin lumbar baya yakan haifar da gurgu. A cikin lokuta masu tsanani musamman, yana iya haifar da numbness a kafafu. Mafi sau da yawa, wannan alamar yana faruwa lokacin da mutum yana da hernia intervertebral. Lokacin da aka matsa tushen tushen kashin baya, gurguntaccen gaɓoɓin yana yiwuwa.
- Lumboischialgia. Jin zafi wanda ke haskaka jin zafi zuwa ƙananan baya ko ƙananan ƙafafu, tare da baya na kafafu - daga gindi zuwa gwiwa. Bayyanar cututtuka na faruwa lokacin da akwai matsa lamba akan jijiyoyi na sciatic da kashin baya.
- Lumbago. Harbi ko ciwo mai tsanani a wani wuri a cikin ƙananan baya. Sau da yawa rikice tare da radiculitis. Harin a mafi yawan lokuta yana faruwa ne lokacin da mutum yayi ƙoƙari ya lanƙwasa sosai ko ya miƙe bayansa, da kuma lokacin da ya ɗaga abubuwa masu nauyi kwatsam.
- Thoracalgia. Ciwo a yankin kirji. An dauke shi a matsayin alama mai hatsarin gaske, wani lokacin ma likita ba zai iya tantance dalilinsa nan da nan ba. Abubuwan da ba su da daɗi ba koyaushe suna haɗuwa da motsin jiki ba. Ciwon yana da tsanani musamman a wurin tun daga kirji har zuwa hammata.
- Cervicalgia. Hanyoyi masu raɗaɗi suna faruwa a yankin wuyansa kuma suna iya yadawa zuwa gaɓoɓin babba. Bayyanar cututtuka na iya zama tare da dizziness, jin rashin jin daɗi a bayan kai, ja da kumburin fata.
Kwayar cutar tana buƙatar magani na gaggawa, saboda za a iya samun rushewar zagayawa na jini a cikin kwakwalwa, datse tushen jijiya, da kuma rushewar fitar jini na venous. Cervicalgia sau da yawa tsokanar kumburi tafiyar matakai da herniated intervertebral fayafai.
Wurin da ya fi zafi jin zafi yana nuna yankin lalacewa ga kashin baya da fayafai na intervertebral. Sau da yawa zafi yana nunawa, wato, ba a rubuta shi a wurin da ainihin tushen cutar yake ba.
Rabewa bisa wuri
Dangane da wane bangare na kashin baya lalacewar fayafai na intervertebral da kyallen takarda sun faru, osteoporosis ya kasu kashi da yawa.
Ciwon mahaifa
Ya ƙunshi ƙananan ƙananan kashin baya guda bakwai waɗanda ke fuskantar damuwa akai-akai. Cutar sankara tana tare da bakin ciki na kashin mahaifa da kuma matsawa ta hanyar arterial. Nau'in osteochondrosis na mahaifa yana da haɗari sosai, saboda yana haifar da rushewa a cikin tsarin jikewar jini a cikin kwakwalwa.
Samuwar protrusions yana haifar da hernia. Kuma ayyukan da aka yi a yankin mahaifa na iya haifar da rashin motsi na jiki.
Kirji
Raunin da ke cikin wannan ɓangaren kashin baya yana da wuyar gaske, wanda ke da alaƙa da ƙananan motsi na kashin baya. Ana ganin bayyanar zafi a cikin mutane masu motsi masu nauyi, ko kuma a cikin waɗanda suka kasance a matsayi ɗaya na dogon lokaci.
Osteochondrosis na thoracic sau da yawa yana rikicewa da ciwon huhu, ciwon zuciya, da angina.
Muhimmanci!
Likita ne kawai ya kamata ya shiga cikin ganewar asali.
Lumbosacral
Yankin lumbar yana da kashin baya guda biyar. Idan rushewar abinci mai gina jiki da tafiyar matakai na rayuwa ya faru a cikin diski na intervertebral, ya rasa elasticity, raguwa a girman kuma ba zai iya yin aiki ba tare da la'akari da nauyin da aka karɓa. Rashin magani ga lumbosacral osteochondrosis na iya haifar da rikitarwa masu zuwa: hernias, protrusions, sciatica.
Muhimmanci!
Wani al'amari mai hatsarin gaske shine matsewar kashin baya, saboda yana iya haifar da gurguntawar ƙananan ƙafafu.
Wani nau'in osteochondrosis shine polysegmental. A lokacin ci gabanta, lalata sassa a sassa daban-daban na kashin baya yana faruwa a lokaci guda. Cutar tana da alaƙa da asarar hankali a bayan kai da damuwa a cikin aikin na'urar magana.
Siffofin ci gaban cutar
Dangane da matakin canji a cikin fayafai na intervertebral, masana sun bambanta 4 matakai na ilimin cututtuka, bincikar su ta amfani da nazarin rediyo:
- Babu wasu canje-canje masu gani a cikin ginshiƙan kashin baya.
- Rushewar ciki yana faruwa a cikin fayafai, amma ba tare da canje-canje na waje ba.
- Ana lura da canje-canje a cikin diski ba tare da lalacewar waje ba.
- Lalacewa mai tsanani ga faifan intervertebral. Tsagewar ta bazu zuwa saman ciki, diski kamar an matse shi daga cikin kashin baya.
Yin la'akari da bayyanar cututtuka, matakai hudu na ci gaban osteochondrosis sun bambanta:
- Kashin baya yana aiki kamar yadda ya saba. Mutum yana jin zafi a wurin da cutar ta kasance. Marasa lafiya suna korafin rashin ƙarfi na gabaɗaya, gajiya mai ƙarfi, kuma ƙasa da ƙasa, asarar ci da damuwa na bacci.
- Cracks suna tasowa a cikin diski, kuma ɓangaren kashin baya ya rasa kwanciyar hankali. Hanyoyi masu raɗaɗi suna ƙaruwa, da farko lokaci ɗaya, daga baya - na yau da kullum, wanda ke hade da jijiyoyi masu tsinke, subluxation na vertebrae, da samuwar protrusions.
- Ciwon yana ƙaruwa har ma da yawa, nakasar kashin baya yana faruwa, kuma an samar da hernia intervertebral. A daidai wannan mataki, lordosis, curvature na kashin baya, yana tasowa.
- Rukunin kashin baya yana rasa motsi na yau da kullun. Nama na guringuntsi yana yin kauri kuma osteophytes (haɓakar cartilaginous akan gidajen abinci) suna bayyana. A cikin lokuta masu wahala musamman, marasa lafiya sun rasa ikon motsawa.
Muhimmanci!
Mutumin da aka gano tare da mataki na hudu na osteochondrosis yana samun nakasa.
Abubuwan da ke haifar da osteochondrosis
Akwai adadi mai yawa na ra'ayoyin da ke bayyana abin da ya faru na pathology. Daga cikin dalilan akwai canje-canje na hormonal, gado, matsaloli a cikin tsarin zuciya, lalacewar inji da sauransu. Masu bincike sun yarda cewa mafi yawan lokuta dalilin ya ta'allaka ne a cikin yawan nau'ikan sassan sassan kashin baya.
Kashin mutum yana da 32-34 vertebrae (7 mahaifa, 12 thoracic, 5 lumbar, 5 sacral, 3-5 coccygeal). Kowane bangare ya ƙunshi kashin baya biyu da diski na intervertebral a tsakanin su. An tabbatar da amincin wannan tsarin ta hanyar haɗin gwiwa da hanyoyin haɗin gwiwa.
Fayafai na intervertebral sun ƙunshi jigon jelly-kamar da kuma zoben fibrous mai yawa da ke kewaye da shi, waɗanda aka lulluɓe a saman tare da ɗigon nama na guringuntsi. Suna yin aiki mai ban tsoro, suna hana lalacewa ga kashin baya yayin tsalle, gudu da tafiya. Zane yana da hannu sosai kuma yana ba da sassauci da kwanciyar hankali ga kashin baya.
Tuni a mataki na farko na osteochondrosis, lalacewa da lalata fayafai na intervertebral sun fara, adadin ruwa a cikin ainihin su yana raguwa, ƙwayar guringuntsi nama kuma ya zama ƙasa da na roba.
Osteochondrosis yana samuwa a mafi yawan lokuta a cikin tsofaffi, da kuma a cikin waɗanda ke jagorancin salon rayuwa. Likitoci sun yi imanin cewa babban dalilin cutar shine rashin daidaituwa na rarraba kaya akan kashin baya da kashin baya. Wannan yana haifar da lalacewar su, da kuma lalata nama na guringuntsi.
Mafi sau da yawa, wannan rashin lafiya yana faruwa ne saboda salon rayuwa, motsa jiki na yau da kullum, yawan aiki na jiki da kuma aikin da ke hade da matsa lamba na baya.
Matsayin jikin da ba daidai ba lokacin tafiya, zaune, lokacin ɗauka da ɗaga abubuwa masu nauyi, tufafi masu maƙarƙashiya da maras kyau da takalma na iya haifar da lalacewa / ƙaura daga fayafai na intervertebral kuma, a sakamakon haka, haifar da ci gaban osteochondrosis.
Wasu dalilai na ci gaban pathology sun haɗa da:
- karaya, curvatures da lalacewa ga kashin baya;
- rashin daidaituwa na hormonal;
- ciki;
- hypothermia da yanayin zafi kwatsam.
Muhimmanci!
Rage kashin mahaifa yayin aiki a kwamfuta kuma na iya haifar da ci gaban osteochondrosis.
Abubuwan haɗari don ci gaban osteochondrosis
Akwai babban jerin cututtuka waɗanda zasu iya haifar da osteochondrosis. Waɗannan sun haɗa da:
- lebur ƙafa;
- scoliosis;
- cututtukan arthritis;
- osteoporosis;
- arthrosis;
- neuro-motsin gajiya;
- ciwon sukari mellitus;
- kiba.
Sauran abubuwan haɗari sun haɗa da rikice-rikice na rayuwa, aikin motsa jiki mai tsanani (musamman da ke da alaƙa da ɗagawa mai nauyi), rashin abinci mai gina jiki, canje-canjen da ke da alaka da shekaru a cikin jiki da tsinkayen kwayoyin halitta.
Yin amfani da taba na yau da kullun (shan taba) da barasa yana raunana nama na fayafai na intervertebral. Rashin sinadarin calcium na iya zama sanadin ci gaban cutar.
Alamomi da alamun osteochondrosis
Hanyoyi masu raɗaɗi sune babban alamar cututtuka. Yanayin zafin zai iya bambanta, yana iya zama:
- m, mai tsanani, ya tsananta tare da motsi (a matsayin mai mulkin, mai haƙuri yana ƙoƙari ya zauna har yanzu);
- maras ban sha'awa, santsi (motsi-tsine a hankali).
Bugu da ƙari, jin zafi na gida daidai a wurin da aka fara lalata kashin baya da fayafai na intervertebral, marasa lafiya sukan fuskanci jin zafi na tsinkaya - daga wurin matsala. Saboda ciwo, ƙarfin tsoka a cikin ƙananan ƙafa da babba yana raguwa, rashin motsi da rashin ƙarfi a cikin jiki yana faruwa.
Marasa lafiya sau da yawa suna kokawa game da irin waɗannan bayyanar cututtuka na osteochondrosis kamar:
- taurin kai da rashin jin daɗi lokacin motsi;
- tsokar tsoka;
- migraines da ciwon kai;
- yawan dizziness, damuwa na gani;
- faruwar ciwon kai a cikin haɗin gwiwa;
- jin sanyi a cikin iyakar;
- rage hankali;
- cututtuka na jini;
- asarar sani.
A wasu lokuta, marasa lafiya suna fama da rashin jin daɗi a cikin sassan jiki da tingling a cikin yankin mahaifa, yankin lumbar da sternum.
Tare da osteochondrosis, yawancin halayen halayen halayen sau da yawa suna kasancewa:
- Kashin baya. Ciwon baya mai tsanani ko na yau da kullum, wanda ke tare da mummunan wurare dabam dabam.
- Ciwon zuciya. Wani nau'i na angina.
- Vertebral artery ciwo. Ciwon da ke fitowa daga cututtukan jini a cikin jijiyoyin kashin baya.
- Koreshkovy. Zafin yana haifar da matsewar tushen kashin baya a wuraren da suke reshe daga kashin baya.
Dangane da nau'in osteochondrosis a wurin, alamun cutar na iya bambanta.
Don osteochondrosis na mahaifa halin da migraines, rashin jin daɗi na yatsunsu, wahalar motsa kai da wuyansa, zafi a bayan kai. Bugu da ƙari, tare da osteochondrosis na mahaifa, marasa lafiya suna koka da rashin lafiyar fuska, matsalolin barci, yawan tashin hankali da kuma sautin kunne.
Lumbar osteochondrosis yana haifar da ciwo a cikin gindi da perineum, wanda ke haifar da matsaloli tare da motsi. Marasa lafiya suna jin zafi mai tsanani lokacin da suke lanƙwasa, a cikin ƙananan baya (bayan barci ko zama a wuri ɗaya na dogon lokaci). Numbness, dizziness, da rashin ƙarfi gabaɗaya suna bayyana. Cutar takan haifar da zafi a yankin koda, rashin karfin mazakuta, da yawan fitsari. Tare da lumbar osteochondrosis, scoliosis sau da yawa yana tasowa.
thoracic osteochondrosis tare da rashin ƙarfi na numfashi, taurin kai a cikin yankin thoracic, zafi tsakanin kafada da haƙarƙari. Sau da yawa marasa lafiya suna damuwa game da matsaloli a cikin gastrointestinal fili, kodan da kuma pancreas. Musamman bayyanar cututtuka na kashin baya na thoracic sun hada da bushewar fata, bawon fata a kan iyakar, da kusoshi masu karye.
Osteochondrosis: ganewar asali
Ya kamata ku tuntubi likita (masanin ilimin vertebro ko neurologist) idan kun ji ciwon baya (kowane nau'i), ƙwayar tsoka da damuwa a cikin baya da gabobin jiki.
Ba a buƙatar ƙarin shirye-shirye don ziyartar likitan neurologist ko vertebrologist. Yana da mahimmanci don ba wa likitan ku jerin magungunan jin zafi da kuka ɗauka kwanan nan. Har ila yau, wajibi ne a ba da rahoton duk matakan da aka ɗauka yayin jinyar kai kafin shirya shawarwari.
Yayin ganawa da ku, likita zai gudanar da cikakken bincike, wanda ya hada da:
- tattara anamnesis, nazarin tarihin likita da gunaguni na mai haƙuri;
- nazarin ilimin lissafin jiki, palpation, kima na yanayin fata da kuma gano ciwo;
- ƙaddarar yanayin zafi (m, maras kyau, nunawa, gida, da dai sauransu);
- gwajin jini (alamomi masu nuna alamar calcium a cikin jini da kuma erythrocyte sedimentation rate suna da mahimmanci);
- ECG da duban dan tayi na zuciya (don ware ko tabbatar da haɗin haɗin ciwon ciwo tare da cututtuka na tsarin zuciya);
- Duplex scanning na arteries na kai da wuyansa (kimanin ingancin jini, ƙayyadaddun vasoconstriction).
Don tabbatar da ganewar asali, ana iya ba da ƙarin nazarin binciken rediyo, wanda ya haɗa da:
- X-ray na kashin baya. Cikakken hoto a cikin tsinkaya guda biyu, idan ya cancanta, yin fim na kowane yanki na kashin baya. Hakanan za'a iya ba da aikin rediyo na aiki - binciken da ƙwararren ƙwararren ya ɗauki hotuna a wurare daban-daban na jiki.
- Hoton hoto na diski ɗaya. Nazarin ya nuna yanayin jikin kashin baya, tasoshin jini, jijiyar jijiyoyi, ligaments da nama mai laushi, raguwa a cikin ma'auni na diski na intervertebral, tsayin diski, canje-canje a cikin dura mater, ci gaba mai zurfi, da rashin daidaituwa na vertebral.
- Myelography. Kwatankwacin X-ray na kashin baya.
- Hoto na maganadisu na maganadisu. Wannan madadin CT scan na diski intervertebral. Yana ba ku damar tantance yanayin jijiyoyin jini da nama na guringuntsi.
Nazarin X-ray ya tabbatar da cewa wannan shine osteochondrosis idan hotuna sun nuna:
- pathological motsi na vertebrae, karkata daga al'ada;
- ƙaura daga cikin kashin baya dangi da juna;
- zubar da gishiri a cikin fayafai na intervertebral;
- Uniform kunkuntar sararin intervertebral a cikin yankunan lumbar da mahaifa, raguwa mai siffa a cikin yankin thoracic;
- samuwar osteophytes (girma na gefe);
- Sclerosis na gefe shine samuwar haɗin gwiwa akan diski da ya shafa.
A matsayin wani ɓangare na ganewar asali, likita na iya ba da shawara tare da wani ƙwararren (ƙwararren ENT, likitan zuciya, likitan urologist, da dai sauransu).
Muhimmanci!
Babban aikin likita mai bincike shine kafa abubuwan da ke haifar da osteochondrosis. Dangane da sakamakon da aka samu a lokacin jarrabawa, likita zai ƙayyade nau'in ilimin cututtuka kuma ya tsara maganin da ya dace a cikin wani akwati.
Matsalolin osteochondrosis
Osteochondrosis na kashin baya cuta ce mara kyau, wanda a cikin matakansa na ƙarshe zai iya haifar da ci gaban wasu cututtuka da pathologies. Mafi yawansu sune:
- protrusion (bulging na intervertebral fayafai);
- intervertebral hernia;
- gishiri gishiri tsakanin kashin baya;
- kyphosis (curvature na kashin baya);
- atrophy na tsoka;
- bugun jini na kashin baya (rashin kewayawa a cikin kashin baya);
- radiculitis;
- rushewar tsarin aikin genitourinary (matsaloli tare da urination, rashin ƙarfi a cikin maza, matakai masu kumburi a cikin mahaifa, ovaries da appendages a cikin mata);
- shanyewar gabobi.
Shawarar lokaci tare da likita a farkon jin zafi mai zafi da kuma rigakafin osteochondrosis na yau da kullum zai taimaka wajen kauce wa ci gaban rikitarwa.
Jiyya na osteochondrosis
A asibitin Naran, likitoci suna yin hanyar haɗin gwiwa don maganin osteochondrosis.
Likitocin maganin Tibet suna amfani da hanyoyin jiyya guda huɗu:
- Gyaran abinci mai gina jiki bisa ga dosha
- Gyaran salon rayuwa
- Maganin ganye
Saitin hanyoyin hanyoyin waje:
- Gyaran abinci mai gina jiki. Daidaitaccen abinci bisa ga tsarin tsarin jikin mutum (dosha) yana haɓaka haɓakar kuzari da sabuntawar tantanin halitta a cikin dukkan gabobin da tsarin gabobin jiki.
- Jiyya na Jiyya. Amfani da ganyen Tibet na magani da gaurayawan girke-girke bisa girke-girke na tsoffin masu warkarwa. Yana mayar da ma'auni na halitta a cikin jiki, yana inganta farfadowa da kuma kawar da cututtuka da yawa.
Tasirin waje akan jiki:
- makamashi acupressure - normalizes da mayar da isasshen aiki na gabobin ciki, taimaka inganta jini wurare dabam dabam a cikin jiki, mayar da rigakafi;
- acupuncture - yana kawar da ciwo da kumburi, yana kawar da rashin jin daɗi sakamakon bayyanar waje, inganta yaduwar ruwa a cikin jiki;
- vacuum far (cupping) - inganta innervation, kawar da sharar gida da gubobi, normalizes tsari da kuma rayuwa tafiyar matakai;
- jiyya na dutse - da amfani ga tsarin zuciya da jijiyoyin jini, hawan jini, yana kawar da ƙwayar tsoka, mayar da barci;
- An yi amfani da moxibustion, moxibustion ko jutherapy na maki masu aiki a ilimin halitta a cikin likitancin Tibet fiye da shekaru dubu 5. Don ƙonawa ko dumama, ana amfani da sigari da aka yi daga wormwood, edelweiss, juniper, ganyen poplar, da matsewar kwal, da sauransu.
Rigakafin osteochondrosis
Babban hanyar rigakafin ita ce rarraba nauyin nauyi a kan kashin baya. A aikace wannan ya haɗa da:
- salon rayuwa mai aiki;
- motsa jiki matsakaici ( motsa jiki na safe, yoga, iyo, tafiya, gudu, hawan keke, motsa jiki don ƙarfafa ƙwayar tsoka);
- barci a kan katifa da matashin kai;
- sanye da dadi, ko mafi kyau tukuna, takalma na orthopedic;
- daidaita cin abinci, ciki har da babban adadin ma'adanai da bitamin;
- gwaje-gwaje na rigakafi na yau da kullum ta hanyar likitan neurologist da vertebrologist;
- daina shan taba da barasa.
A lokacin tsawaita aikin zama da na tsaye, yana da mahimmanci don ɗaukar hutu lokaci-lokaci, canza matsayi, da yin dumi, wannan zai taimaka muku shakatawa da rage nauyi akan kashin baya.
Lokacin ɗaga ma'auni, ba kwa buƙatar yin shi da sauri, cikin rawar jiki, kawai a hankali kuma a cikin rabin-squat. Don ɗaukar abubuwa masu nauyi, yana da kyau a zaɓi jakunkuna tare da bangon orthopedic maimakon jaka tare da madaurin kafada.
Ka guji yin dogon lokaci a tsaye, matsayi mara kyau, musamman a tsaye kuma tare da ɗaga hannunka - wannan matsayi yana cutar da haɗin gwiwa kuma yana ƙara nauyi akan fayafai na intervertebral.
Muhimmanci!
Likitoci sun ba da shawarar zama a cikin matsayi na daidaitaccen ilimin lissafi: kafadu masu annashuwa, tsokoki na ciki na ciki, har ma da rarraba nauyin nauyi a kan duka biyu da kuma matsayi na tsaye na kashin baya tare da ma'ana a baya na kujera.
Magungunan hannu, hanyoyin daban-daban na physiotherapy da acupuncture kuma suna ba da sakamako mai kyau a matsayin ma'aunin rigakafi don osteochondrosis na kashin baya.
Jiyya na osteochondrosis ya ƙunshi matakai uku:
- Saukewa ko rage zafi.
- Kawar da tashin hankali a cikin yanayin da kuma aiki na intervertebral fayafai da vertebrae.
- Rigakafin rikitarwa.
Idan kun tuntuɓi ƙwararru da sauri a farkon alamun cutar, zaku iya guje wa rikitarwa da buƙatar magani na tiyata. Wannan shine dalilin da ya sa yana da mahimmanci don yin gwaje-gwaje na rigakafi na shekara-shekara tare da likitan neurologist da likitan vertebrologist, koda kuwa ba ku damu da jin zafi a cikin kashin baya ba.
Muhimmanci!
Kwararren likita ne kawai zai iya yin cikakken ganewar asali, ƙayyade cutar da abubuwan da ke haifar da ita, kuma ya rubuta ingantaccen magani.



















































