Ese ingingo zawe nazo zirababara? Reka tuvuge ku ndwara ya rubagimpande!

Ese hari igihe wumva ubabara iyo ukangutse mu gitondo? Cyangwa ingingo zawe zumva zikomeye kandi zibabara? Cyangwa ingingo zawe zabyimbye kandi zitukura? Ibi si ibintu bisanzwe gusa. Ibi bishobora kuba ibimenyetso by'indwara yitwa rubagimpande. Reka tubyige birambuye uyu munsi, nk'aho twavuganye n'inshuti.

Iyi ndwara ya rubagimpande ni iki?

Muri make, rubagimpande ni indwara yangiza ingingo zawe . Ese uzi ingingo icyo ari cyo? Niho amagufwa abiri mu mubiri wawe ahurira. Tekereza ahantu nko mu mavi yawe, inkokora, n'amaboko.

Uko tugenda dusaza, ingingo zimwe na zimwe zirashira. Ku bantu benshi, uku kwangirika gusanzwe no kwangirika k'ubuzima bwabo bwose bitera rubagimpande. Ubwoko bumwe na bumwe bwa rubagimpande buterwa no gukomereka ku ngingo. Nanone, hari indwara zimwe na zimwe zishobora gutera rubagimpande.

Indwara ya rubagimpande ishobora kwibasira ingingo iyo ari yo yose, ariko ikunze kugaragara ahantu hakurikira:

• Amaboko n'ibiganza
• Amavi
• Amagufwa yo mu kibuno
• Ibirenge n'utuguru
• Amatugu
• Umugongo wo hasi (uruti rw'umugongo)

Muganga ashobora kugufasha kwihanganira ibimenyetso nko kubabara ingingo no kunanuka. Bamwe mu bantu barwaye rubagimpande ikomeye bashobora gukenera kubagwa kugira ngo basimbuze ingingo zangiritse.

Niba ufite ububabare bukomeye bw'ingingo bugira ingaruka ku mirimo yawe ya buri munsi , cyangwa niba wumva udashobora kwimuka cyangwa gukoresha ingingo zawe nk'uko bisanzwe, ese koko ni ngombwa kujya kwa muganga? Ntubitindeho.

Ni ubuhe bwoko bwa rubagimpande?

Ushobora gutungurwa no kumenya ko hari ubwoko burenga 100 bwa rubagimpande! Ariko ntugahangayike, tuzavuga ku bwoko bumwe na bumwe bukunze kugaragara:

• Osteoarthritis : Iyi ni indwara ya rubagimpande iterwa no kwangirika kw'ingingo. Mu by'ukuri, ni indwara ya rubagimpande igenda ikura uko igihe kigenda gihita iyo ingingo zikoreshejwe. Tekereza nyogokuru wawe abyutse mu gitondo akavuga ati "Oh, amavi yanjye arababara, sinshobora no kuyapfukama," sibyo? Ibyo ni ibintu bisa. Ibi akenshi bibaho bitewe n'imyaka.
• Rumatizime : Iki ni cyo gihe ubudahangarwa bw'umubiri wawe (uburyo buturinda indwara) bwibasira ingingo zawe bwite. Ibi bituma ingingo zangirika, zikabyimba, kandi zikagira ububabare.
• Goutte : Iki ni igihe imiti yitwa aside urique yibumbiye mu maraso igashyira utubumbe duto mu ngingo. Tekereza umuntu aramutse avugije induru avuga ko ikirenge cye kinini kirimo gushya no kubabara, bishobora kuba ari goutte. Ububabare bushobora kuba butunguranye kandi bukomeye.
• Indwara ya Ankylosing spondylitis: Ibi bigira ingaruka cyane cyane ku ngingo zo mu mugongo wo hasi no ku ngingo zikikije ikibuno. Ni indwara ituma bigorana kugumana umugongo ugororotse.
• Indwara ya rubagimpande : Iyi ni ubwoko bwa rubagimpande bugaragara ku bantu bafite psoriasis, indwara y'uruhu. Hamwe n'udusimba tw'uruhu, hari n'ububabare mu ngingo.
• Indwara ya rubagimpande y'abana : Iyi ni indwara ya rubagimpande igaragara ku bana n'urubyiruko ruri munsi y'imyaka 16. Ushobora kuba wibaza niba ibi bintu bishobora no kuba ku bana bato, sibyo? Yego, ni ukuri.

Bitewe n'ubwoko bw'indwara ya rubagimpande ufite, ishobora gutuma ingingo zisanzwe mu ngingo zawe zisenyuka (byitwa 'degeneration') cyangwa igatera inflammation (byitwa 'inflammation'). Mu bwoko bumwe na bumwe, inflammation itera kwangirika kw'ingingo (byitwa 'degeneration').

Indwara ya rubagimpande ikunze kugaragara gute?

Indwara ya rubagimpande ni indwara ikunze kugaragara cyane . Imibare ituruka mu bihugu bimwe na bimwe ivuga ko umubare munini w'abantu bakuru bazahura n'indwara ya rubagimpande mu ngingo zabo mu gihe runaka mu buzima bwabo.

Osteoarthritis ni yo ndwara ikunze kugaragara cyane mu ndwara ya rubagimpande. Ubushakashatsi bwagaragaje ko hafi kimwe cya kabiri cy'abantu bakuru bazarwara osteoarthritis mu gihe runaka mu buzima bwabo. Bityo rero ni ikintu kigira ingaruka ku bantu benshi.

Ni ibihe bimenyetso by'indwara ya rubagimpande?

Ibi ni byo bimenyetso bikunze kugaragara bya rubagimpande. Ariko si buri wese uhura n'ibi bimenyetso byose kimwe, si byo se?

• Ububabare bw'ingingo : Iki ni cyo kimenyetso nyamukuru. Hari igihe bitangira buhoro buhoro kandi bishobora kwiyongera buhoro buhoro.
• Gukomera kw'ingingo cyangwa kugabanuka k'uburyo bwo kugenda : Kumva ingingo zawe zikomereye iyo ukangutse mu gitondo, cyangwa kudashobora kunama cyangwa kugorora amaboko cyangwa amaguru yawe byoroshye nka mbere.
• Kubyimba : Ingingo isa n'aho yabyimbye kandi yagutse.
• Guhindura ibara ry'uruhu : Uruhu rukikije ingingo ruhinduka umutuku.
• Kumva ububabare cyangwa ububabare hafi y'ingingo : Bisa nkaho bibabaza kuyikoraho gusa.
• Kumva ushyushye hafi y'ingingo : Kumva ushyushye hafi y'ingingo kurusha ahandi hantu.

Aho wumva ibimenyetso byawe biterwa n'ubwoko bw'indwara ya rubagimpande ufite ndetse n'ingingo zafashwe n'iyo ndwara.

Amwe mu moko ya rubagimpande agira ibimenyetso biza bikanashira. Ni ukuvuga ko hari iminsi iba mibi cyane hanyuma ikagenda nyuma y'iminsi mike. Ibyo tubyita "flares" cyangwa "flare-ups." Mu yandi moko, ingingo zihora zibabaza kandi zigakomera. Cyane cyane nyuma yo gukora akazi gakomeye.

Ni izihe mpamvu nyamukuru zitera rubagimpande?

Impamvu zitera rubagimpande ziratandukanye bitewe n'ubwoko bw'indwara ufite. Reka turebe zimwe mu mpamvu nyamukuru:

• OsteoarthritisNi igice gisanzwe cyo gusaza. Mu gihe cy'ubuzima bwose bw'ingingo, agahu (ikintu cyoroshye, kimeze nk'umusego kiri hagati y'ingingo) karashira.
• Niba ufite aside urike nyinshi mu maraso yawe (indwara yitwa hyperuricemia), ushobora kurwara goutte . Izi kristu za aside urike zirundanya mu ngingo, bigatera ububabare.
• Indwara ya rubagimpande (urugero, rubagimpande) ishobora no kugaragara iyo ubudahangarwa bw'umubiri bwawe bwibasiriye ingingo zawe bwite. Ni nk'aho ingabo zawe bwite zibyibasira.
• Indwara ya rubagimpande iterwa na virusi ishobora guterwa n’indwara zimwe na zimwe za virusi (urugero, hari abantu bagira ububabare bw’ingingo nyuma y’ibintu nka COVID-19).
• Hari igihe rubagimpande ikura nta mpamvu igaragara , nta mpamvu igaragara. Abaganga babyita rubagimpande idasanzwe.

Ni ibihe bintu byongera ibyago byo kurwara rubagimpande?

Umuntu wese ashobora kurwara rubagimpande. Ariko hari ibintu bimwe na bimwe bishobora kongera ibyago byo kuyirwara. Dore bimwe muri byo:

• Kunywa itabi : Kunywa itabi no gukoresha ibindi bicuruzwa by'itabi byongera ibyago. Ese ibi si byo bitera indwara nyinshi?
• Amateka y'umuryango : Niba umuntu wo mu muryango wawe (ufitanye isano n'ibinyabuzima, nka nyoko, so, abavandimwe bawe) afite rubagimpande, nawe ushobora kuyirwara.
• Urwego rw'ibikorwa : Niba udakora imyitozo ngororamubiri buri gihe, bivuze ko udakora imyitozo ngororamubiri, uba ufite amahirwe menshi yo kurwara rubagimpande.
• Izindi ndwara : Niba ufite indwara ziterwa n’ubwiyongere bw’umubiri (indwara z’ubudahangarwa bw’umubiri), umubyibuho ukabije, cyangwa indi ndwara iyo ari yo yose igira ingaruka ku ngingo zawe, ushobora kurwara rubagimpande.

Hari abantu bafite ibyago byinshi byo kurwara rubagimpande kurusha abandi, harimo:

• Abantu barengeje imyaka 50.
• Abagore (ubwoko bumwe na bumwe bw'indwara ya rubagimpande bukunze kugaragara ku bagore).
• Abakinnyi, cyane cyane abakina imikino yo gukubitana.
• Abantu bakora cyane kandi bafite akazi gashyira umutwaro mwinshi ku ngingo zabo (urugero, abahagarara igihe kirekire, bunamye, cyangwa bapfukamye).

Ubusanzwe indwara ya rubagimpande itangira ku kigero kingana iki?

Indwara ya rubagimpande ishobora kugaragara mu myaka iyo ari yo yose. Imyaka itangira biterwa n'ubwoko bw'indwara ufite n'icyayitera.

Indwara ya rubagimpande ikunze kwibasira abantu barengeje imyaka 50. Indwara ya rubagimpande ikunze kwibasira abantu bakuru bari hagati y’imyaka 30 na 60.

Ubundi bwoko bufite impamvu yihariye bukunze gutangira igihe kimwe. Urugero, rubagimpande nyuma yo gukomereka (arthritis ivuka nyuma yo gukomereka) ivuka nyuma yo gukomereka kw'ingingo. Mu buryo nk'ubwo, goutte ivuka nyuma y'uko urugero rwa aside urique mu maraso rumaze amezi menshi rwubakwa.

Ni byiza kuganira na muganga ku byago byawe byo kurwara rubagimpande, ndetse n'igihe ugomba gutangira kwitondera impinduka mu ngingo zawe.

Ni gute abaganga bapima indwara ya rubagimpande?

Umuganga azasuzuma ingingo zawe zangiritse akoresheje isuzuma ry’umubiri . Azasuzuma ingingo zawe zangiritse akanakubaza ibimenyetso byazo. Muganga azakenera gusobanura neza igihe watangiye kugira ibimenyetso nko kubabara no kunanuka, ubwoko bw'akazi ukora, n'igihe wumva cyane ku munsi.

Muganga ashobora kugenzura urwego rw'imikorere yawe (`uruhererekane rw'imikorere`). Ni ukuvuga uburebure ushobora kunama, kwagura, no kuzunguruka ingingo. Ashobora kandi kugereranya urwego rw'imikorere y'ingingo imwe n'urw'izindi ngingo (urugero, irindi ivi ryawe, akaguru, cyangwa amano).

Ibizamini bya Arthritis

Uretse isuzuma ry’umubiri, muganga ashobora gukora ibindi bipimo byinshi.

Muganga wawe ashobora gukoresha ibizamini nk'ibi kugira ngo afate amafoto y'ingingo zawe:

• X-ray : Ibi bishobora kureba impinduka mu magufwa no kugabanuka k'umwanya uri hagati y'ingingo.
• Ultrasound : Ibi bishobora gukoreshwa kugira ngo harebwe niba hari amazi yirundanyije mu ngingo zoroshye, mu turemangingo no mu ngingo.
• Isuzuma rya Magnetic Resonance (MRI) : Ibi bigufasha kubona ibintu nk'ingingo, cartilage, n'imitsi mu buryo burambuye.
• Gupima Tomografia hakoreshejwe ikoranabuhanga (CT Scan) : Ibi bishobora kandi gufata amafoto arambuye y'amagufwa n'ingingo.

Ibi bizamini bishobora gufasha muganga wawe kubona ibyangiritse mu ngingo zawe. Bishobora kandi gufasha kwemeza ko nta bindi bikomere cyangwa ibibazo (nk'ibyavunitse) bishobora gutera ibi bimenyetso.

Niba utekereza ko ufite goutte, muganga wawe ashobora gutegeka ko upimwa amaraso kugira ngo arebe urugero rwa aside urique yawe. Ibipimo by'amaraso bishobora kandi kureba ibimenyetso by'ubwandu cyangwa indwara ziterwa n'umubiri (nk'indwara zo mu bwonko zifata rubagimpande).

Ni ubuhe buryo bwo kuvura rubagimpande?

Nta muti uhari wo kuvura rubagimpande. Ariko ntugire ikibazo! Muganga wawe ashobora kugufasha kubona uburyo bwo kuvura bushobora kugufasha kugenzura ibimenyetso byawe. Ubwoko bw'ubuvuzi ukeneye buzaterwa n'icyateye rubagimpande yawe, ubwoko bw'indwara ufite, n'ingingo zangiritse.

Uburyo bukunze gukoreshwa mu kuvura rubagimpande ni ubu bukurikira:

• Imiti igabanya ububabare igurishwa na muganga (OTC) - urugero, imiti igabanya ububabare ikoreshwa mu kugurisha imiti igabanya ububabare (NSAIDs) (nka ibuprofen) cyangwa acetaminophen (nka Panadol) - ni ubwoko bw'imiti igabanya ububabare n'ububabare ushobora kugura muri farumasi udafite muganga.
• Corticosteroids: Iyi ni imiti ikomeye yanditswe na muganga kugira ngo igabanye kubyimba no kubabara. Ishobora gufatwa nk'ibinini cyangwa rimwe na rimwe nk'inkongoro ya cortisone mu ngingo.
• Niba urwaye rubagimpande cyangwa rubagimpande, ushobora guhabwa imiti igabanya indwara ya rubagimpande (DMARDs). Iyi miti ishobora gufasha mu gukumira indwara irushaho kwiyongera.
• Ubuvuzi bw'umubiri cyangwa ubuvuzi bw'akazi : Ibi ni ingenzi cyane. Bishobora kugufasha kongera imbaraga zawe n'uburyo bwo kugenda, kongera icyizere cyawe mu gihe ugenda n'ukora imirimo ya buri munsi, no kugufasha kwiga uburyo bwo kurinda ingingo zawe.
• Kubagwa : Ibi bikorwa gusa iyo ubundi buryo bwo kuvura butagabanyije ibimenyetso kandi iyo ingingo zangiritse cyane.

Kubagwa kw'indwara ya rubagimpande

Niba ufite rubagimpande ikomeye kandi ubundi buryo bwo kuvura butagufasha, ushobora kubagwa. Ubwoko bubiri bw'ingenzi bwo kubaga rubagimpande ni uguhuza ingingo n'izindi ngingo .

• Guhuza ingingo : Nk'uko izina ribigaragaza, kubagwa bisaba guhuza amagufwa abiri kugira ngo ingingo ihagarike kugenda. Ibi bigabanya ububabare. Ibi bikunze gukorwa cyane ku bijyanye no guhuza urutirigongo cyangwa guhuza akaguru.
• Gusimbuza ingingo (Arthroplasty / Gusimbuza ingingo) : Niba ingingo zawe zangiritse cyangwa amagufwa yarashaje, ushobora gukenera gusimbuza ingingo. Umuganga ubaga akuramo ingingo yawe karemano yangiritse akayisimbuza ingingo y'ubukorano (prosthesis) ikozwe mu cyuma, pulasitiki, cyangwa ceramic. Ushobora gusimbuza igice cy'ingingo (gusimbuza ingingo igice) cyangwa ingingo yose (gusimbuza ingingo yose). Kubaga ingingo zisimbuza ivi n'ikibuno ubu bikorwa neza cyane.

Muganga wawe cyangwa umuganga wawe azagusobanurira ubwoko bw'ubuvuzi ukeneye n'icyo wakwitega muri bwo.

Ese indwara ya rubagimpande ishobora kwirindwa?

Hari ubwoko bumwe na bumwe bwa rubagimpande buterwa n'impamvu karemano cyangwa indwara udashobora guhindura. Rero, nta buryo bwo guhora uyirinda. Ariko, ushobora kugabanya ibyago byo kurwara rubagimpande ukora ibi bikurikira:

• Kwirinda ibikomoka ku itabi : Iyi ni inama rusange ku ndwara hafi ya zose.
• Gukurikiza indyo yuzuye no gukora siporo ikubereye nabyo ni ingenzi. Kugenzura ibiro by'umubiri wawe nabyo ni ingenzi cyane, kuko iyo wiyongereye ibiro, umuvuduko ku ngingo zawe uriyongera.
• Gukora imyitozo ngororamubiri idashyira umuvuduko mwinshi ku ngingo zawe. Urugero, kugenda n'amaguru, koga, no kugendera ku igare .
• Ambara ibikoresho by'umutekano bikwiye kandi ukomeze kwihagararaho neza mu gihe cyose ukora ikintu gishobora kwangiza ingingo zawe (urugero: gukina siporo, guterura ibyuma).

Ni iki wakwitega niba urwaye rubagimpande?

Niba urwaye rubagimpande, ushobora kwitega ko ugomba kwihanganira ibimenyetso byawe igihe kirekire (wenda ubuzima bwawe bwose) . Ibi bivuze ko ugomba kwiga kubaho nabyo. Muganga wawe ashobora kugufasha kubona uburyo bwo kuvura rubagimpande buzagabanya ingaruka za rubagimpande ku bikorwa byawe bya buri munsi.

Kuri bamwe, ibimenyetso bya rubagimpande bishobora kwiyongera uko bagenda bakura. Ni byiza kandi kubaza inshuro ugomba kubonana na muganga wawe kugira ngo agukurikirane kugira ngo arebe niba hari impinduka mu ngingo zawe.

Ni ryari ngomba kujya kwa muganga?

Niba ufite kimwe muri ibi bimenyetso, ntutinde kujya kwa muganga:

• Ububabare bukomeye (cyane cyane iyo bumaze icyumweru kirenga cyangwa butagabanutse hakoreshejwe imiti isanzwe igabanya ububabare).
• Niba ingingo zawe zikomeje gukomera, cyane cyane niba udashobora kwimura ingingo mu buryo busanzwe.
• Niba ibimenyetso byawe bisanzwe bigaruka kenshi, cyangwa niba birushaho kwiyongera (kwiyongera kw'ibibyimba).
• Iyo ingingo ihindutse umutuku, ikabyimba, kandi ikagira umuriro (ibi bishobora kuba ikimenyetso cy'ubwandu).

Ni ibihe bibazo ugomba kubaza muganga?

Iyo tugiye kwa muganga, hari igihe twibagirwa ibyo dushaka kubaza, si byo se? Rero, ni byiza kwandika ibibazo bimwe na bimwe mbere y'igihe. Dore ingero zimwe na zimwe:

• Ni ubuhe bwoko bw'indwara ya rubagimpande mfite?
• Ni ubuhe bwoko bw'ubuvuzi nkeneye? Ese hari ingaruka mbi kuri ubu buryo bwo kuvura?
• Ese nkeneye kubagwa? Niba ari byo, ni izihe nyungu?
• Ni kangahe ngomba kuza gukora ibizamini byo gukurikirana?
• Ni izihe mpinduka ngomba gukora mu mibereho yanjye? (nk'imirire, imyitozo ngororamubiri)
• Nakora iki niba ububabare bwiyongereye?

Ni gute wagabanya vuba ububabare bwa rubagimpande?

Umubiri wa buri wese witabira uburyo butandukanye bwo kuvura. Rero, nta gisubizo kimwe "cy'ubumaji" gikorera buri wese. Muganga wawe ashobora kugufasha kubona uburyo butandukanye bwo kuvura buzagufasha kugabanya ububabare bwawe bwa rubagimpande. Hari abantu babona ihumure iyo batangiye gufata imiti igurishwa ku giciro cya muganga cyangwa imiti itangwa na muganga. Abandi bafata imiti ya rubagimpande buri gihe kugira ngo ifashe gukumira ububabare mbere yuko burushaho kuba bubi ku buryo budashobora kugira icyo bukora.

Gukomeza gukora siporo ni bumwe mu buryo bwiza bwo kugabanya ibimenyetso bya rubagimpande. Ntugahatire gukora ikintu icyo ari cyo cyose gitera ububabare bukabije. Ariko, kurambura no kwimura umubiri wawe bishobora gufasha kugabanya ububabare no kunangira no kuburinda ko burushaho kwiyongera.

Ntabwo ari ngombwa kuba umuntu wiruka marato cyangwa uterura ibiremereye muri Olempike. Kugenda n'amaguru, koga (amazi agabanya umuvuduko ku ngingo zawe), kugendera ku igare, kunanura imitsi, cyangwa yoga byose ni uburyo bwiza bwo gufasha ingingo zawe gukomeza no gukomeza imitsi y'umubiri wawe.

Vugana na muganga wawe cyangwa umuvuzi w'umubiri ku myitozo ngororamubiri ikubereye. Bashobora kukugira inama ku buryo bwagufasha gukomeza gukora siporo mu mutekano.

Ese hari ikirere kibi cyane kirushaho kubabaza rubagimpande?

Yego, hari abantu bashobora gusanga ububabare bwabo bwa rubagimpande bwiyongera mu bihe bimwe na bimwe by'ikirere. Ubushuhe n'ubukonje ni impamvu ebyiri zikunze gutera ububabare mu ngingo.

Hari impamvu nyinshi zibitera. Abantu ntibakora cyane mu gihe cy'imvura no mu gihe cy'itumba. Ubukonje n'ubushuhe bishobora gutuma ingingo zawe zikomera kandi bikongera rubagimpande. Indi nyigisho ni uko iyo igitutu cy'ikirere (igitutu cya barometric) gihindutse, bigira ingaruka ku gitutu kiri imbere mu ngingo, bikongera ububabare.

Niba wumva ko rubagimpande yawe ikomeje kwiyongera bitewe n'ikirere cyangwa ibihe bimwe na bimwe, vugana na muganga wawe. Ashobora kukubwira uburyo bwo kwirinda ububabare no kunanuka umwaka wose, cyangwa guhindura uburyo bwo kuvura rubagimpande kugira ngo buhuze n'impinduka mu bidukikije.

Amaherezo, ibintu byo kwibuka (Ubutumwa bwo kujyana mu rugo)

Indwara ya rubagimpande ni imwe mu ndwara zikunze kugaragara mu bantu. Ariko kuba abantu benshi bayirwaye ntibivuze ko ugomba kubaho ubabara.

Nubwo waba ufite rubagimpande, ushobora kubaho ubuzima burangwa n'ibyishimo kandi burangwa n'ibikorwa. Icy'ingenzi ni ukumenya ko utari wenyine no kubona inama n'ubuvuzi bikwiye.

Vugana na muganga wawe uburyo bwo kwifata mu gihe ufite ibimenyetso by'indwara ya rubagimpande. Bishobora kugufasha kumara igihe kinini ukora ibintu ukunda no kugabanya igihe umara ufite ubumuga n'ububabare.

Indwara ya rubagimpande ishobora gutera ububabare mu ngingo (amavi, ikibuno, umugongo, n'ingingo iyo ari yo yose mu mubiri). Ariko,Gerageza gukomeza gukora cyane uko bishoboka kose. Baza muganga wawe ibijyanye no kuvura umubiri cyangwa kuvura mu kazi kugira ngo bigufashe gukomeza kugira imbaraga, imbaraga, no kugira icyizere mu mirimo yawe ya buri munsi. Ntutinye kubaza ibibazo, kandi wige. Hanyuma ushobora kubaho neza ufite iyi ndwara!

` Urugongo, ububabare bw'ingingo, indwara z'ingingo, osteoarthritis, rubagimpande, goutte, kubyimba ingingo