Ese amagufwa yawe ntabona amaraso ahagije? Ibi byitwa Avascular Necrosis cyangwa Osteonecrosis!

Ese wigeze wumva ibibaho iyo amagufwa yawe abuze amaraso? Bisa nkaho biteye ubwoba gato, si byo se? Ariko ni ikintu tugomba kumenya. Mu magambo make, iyo amagufwa yacu atabonye amaraso akeneye, ingingo z'amagufwa zitangira gupfa buhoro buhoro. Ibyo ni byo twita avascular necrosis cyangwa osteonecrosis. Ese twavuga kuri ibi mu buryo burambuye?

Kuki ibi bibaho ku magufwa yacu? Avascular Necrosis ni iki?

Tekereza nawe, kimwe na buri selile mu mubiri wacu, amagufwa yacu akeneye ogisijeni n'intungamubiri kugira ngo abeho kandi akomeze gukomera. Ni nde utwara ibi? Amaraso. Amagufwa yacu si ibice by'amabuye gusa. Ni ingirabuzima zihoraho zihora zivugururwa, uturemangingo dushaje dupfa kandi uturemangingo dushya tugakora. Kimwe no gusana inzu, inkuta zishaje zirasenywa kandi zikubakwa nshya, ari na byo biba mu magufwa. Ibi tubyita kuvugurura amagufwa . Noneho tekereza kuri ibi, bigenda bite niba kubera impamvu runaka amaraso agana kuri aya magufwa afunzwe cyangwa agahagarara? Nk'uko ikimera kiruma iyo kidabonye amazi, amagufwa ntabone intungamubiri na ogisijeni akeneye. Hanyuma umusaruro w'uturemangingo dushya tw'amagufwa uragabanuka, ariko uturemangingo dushaje tugakomeza gupfa. Nyuma y'igihe runaka, igice cy'igufwa kidakira amaraso kiracika intege, kiracika intege, kandi amaherezo gishobora gusenyuka. Nk'igiti cyariwe n'inyenzi. Ibyo ni byo twita (Avascular Necrosis).

Iyi ndwara ikunze kugaragara gute? Ni nde ufite amahirwe menshi yo kuyirwara?

Mu by’ukuri, ibi ntabwo bikunze kubaho cyane, ariko ntibibaho. Urugero, mu gihugu nka Amerika, bivugwa ko abantu bagera ku 10.000 kugeza ku 20.000 buri mwaka barwara iyi ndwara. Ibi bishobora kuba ku muntu wese w’imyaka iyo ari yo yose, hatitawe ku gitsina. Ariko, abantu bari hagati y’imyaka 30 na 40 bari mu kaga gakomeye gato. Ibi bivuze ko abakiri bato, bafite imyaka yo gukora, nabo bagomba guhangayikishwa n’iki kibazo.

Ni hehe Avascular Necrosis ikunze kugaragara cyane?

Nubwo iyi ndwara ishobora gufata ingingo iyo ari yo yose mu mubiri, ikunze kugaragara cyane mu ngingo yo mu kibuno . Aha niho ukuguru kwawe guhurira n'ikibero cyawe. Byongeye kandi, ishobora gufata izindi ngingo nyinshi. Izi ni:

• Amaguru
• Umusaya
• Amavi
• Ukuboko ko hejuru - humerus n'amatugu

Tekereza nawe, ikibuno ni kimwe mu ngingo zikomeye zitwara ibiro mu mubiri wacu. Niba rero hari ikibazo nk'iki, bishobora kugorana kugenda cyangwa guhagarara.

Kuki iyi ndwara (Avascular Necrosis) ibaho? Ni izihe mpamvu?

Mu magambo make, ikintu cyose gihagarika amaraso mu magufwa gishobora kubitera. Hari igihe, hafi 20% by'abarwaye, nta mpamvu igaragara ihari . Ariko impamvu nyamukuru zishobora kugabanywamo amatsinda abiri: 1. Ihungabana ry'imitsi: Ibi bibaho iyo igufwa ryavunitse cyangwa ingingo igasenyuka mu mpanuka. Hanyuma imiyoboro y'amaraso itanga igufwa ishobora kwangirika. 2. Ihungabana ry'imitsi:Ibi bibaho iyo amaraso agana mu magufwa adakora neza, byaba bitewe n'indi ndwara cyangwa bitewe n'imiti ufata. Icy'ingenzi hano ni uko iyo ibi bibaye, akenshi bigira ingaruka ku ngingo zimwe ku mpande zombi z'umubiri . Urugero, niba ufite indwara yo mu rutugu rw'iburyo, hari amahirwe menshi ko byazagera no ku rutugu rw'ibumoso.

Ni ubuhe bwoko bw'imvune bushobora gutera indwara ya Traumatic Avascular Necrosis?

Ibi ntibibaho kuri buri kuvunika, ariko hari imvune zimwe na zimwe ziba ziri mu kaga gakomeye.

• Kuvunika kw'ikibuno no gucika kw'imitsi : Bivugwa ko abantu bagera kuri 20% bashobora kugira indwara yo kubura imitsi, cyane cyane iyo ingingo y'ikibuno yacitse. Ibi biterwa nuko imitsi y'amaraso ijyana amaraso mu kibuno iba iri ahantu hakomeye cyane.

Ni izihe ndwara n'ibindi bibazo bitera Nontraumatic Avascular Necrosis?

Hari ibintu byinshi bishobora gutera ibi:

• Osteoporose : Indwara ituma amagufwa acika. Cyane cyane ku bagore bakuze (ndetse n'abagabo bamwe na bamwe), indwara yo kubura imitsi ishobora kuvuka mu buryo butunguranye mu ivi. Ibi kandi byitwa `(SPONK - Spontaneous Osteonecrosis of the Knee)`.
• Indwara z'amaraso: Urugero, indwara nka sickle cell anemia . Muri izi ndwara, imiterere y'uturemangingo dutukura tw'amaraso irahinduka kandi dushobora kwifatira mu mitsi mito y'amaraso .
• Diyabete Mellitus: Abantu barwaye diyabete nabo bafite ibyago byinshi kuko diyabete ishobora kwangiza imiyoboro y'amaraso.
• Uburyo bwo kuvura kanseri : Uburyo bumwe bwo kuvura kanseri, cyane cyane iyo hakoreshejwe imirasire , bushobora kwangiza imiyoboro y'amaraso yo muri ako gace, bigatera indwara y'imitsi.
• Indwara yo kugabanya umuvuduko : Iyo abantu bo mu mazi yo mu nyanja bazamuka vuba, umwuka ushobora kurema uduheri mu maraso no kuziba imiyoboro y'amaraso.
• agakoko gatera SIDA
• Lupus: Iyi ni indwara ifata ubudahangarwa bw'umubiri.
• Gutera ingingo: Iyi ngaruka irahari, cyane cyane nyuma y'ibintu nko gutera impyiko. Impamvu imwe ibi ni imwe mu miti ikoreshwa.

Ni ibihe bintu mu mibereho yacu byongera iyi ngorane?

Ingeso zimwe na zimwe zishobora kongera ibyago byo kurwara iyi ndwara (Avascular Necrosis).

• Kunywa inzoga nyinshi: Kunywa inzoga nyinshi bishobora kongera ibinure mu maraso no kuziba imiyoboro y'amaraso.
• Kunywa itabi: Kunywa itabi nabyo byangiza cyane imiyoboro y'amaraso.
• Gukoresha imiti ya corticosteroids igihe kirekire: Urugero, imiti nka `(Prednisone).` Iyi ni imiti itangwa ku ndwara nyinshi. Ariko, iyo uyifashe igihe kirekire kandi mu rugero rwo hejuru, izi ngaruka mbi zishobora kubaho.

Ni ibihe bimenyetso bya Avascular Necrosis?

Ibimenyetso ntibigaragara icyarimwe. Ushobora kutabona ikintu icyo ari cyo cyose mu gihe cy'ibyumweru cyangwa amezi. Uko igihe kigenda gihita, ibi bimenyetso biragaragara:

• Ububabare buza bugashira: Ububabare buza bugashira, cyane cyane iyo igitutu gishyizwe ku igufwa ryagize ikibazo, hanyuma kikagabanuka iyo igitutu gikuweho.
• Ububabare n'uburibwe byiyongera buhoro buhoro: Bishobora kubabaza gato mu ntangiriro, ariko nyuma ububabare bushobora gukomera ndetse bikagorana kwimura ingingo.
• Ingano nto y'ingingo: Urugero, ku rutugu, biragoye kuzamura ukuboko. Ku rutugu, biragoye kunama cyangwa kugorora ukuguru.
• Kurema: Niba ufite iyi ndwara mu kibuno cyangwa mu ivi, ushobora gucumbagira iyo ugenda.
• Kugorwa no kuzamuka ingazi, guhagarara no kugenda.

Niba ufite kimwe cyangwa byinshi muri ibi bimenyetso, nta kabuza ugomba kujya kwa muganga .

Ni gute abaganga basuzuma indwara ya Avascular Necrosis?

Iyo ugiye kwa muganga, babanza kukubaza ibimenyetso byawe hanyuma bakagusuzuma. Hanyuma bashobora gukora kimwe cyangwa byinshi muri ibi bikurikira:

• Imirasire ya X: Bashobora gushaka ibintu nk'imvune na rubagimpande. Ariko, Avascular Necrosis ishobora kutagaragara kuri X-rays mu ntangiriro.
• MRI (Ishusho ya Magnetic Resonance - MRI): Iki ni cyo kizamini cyiza kandi cy’ingirakamaro cyo gusuzuma Avascular Necrosis. MRI ishobora kubona neza n’impinduka nto mu magufwa, ndetse n’ahantu amaraso atembera.

Indwara ya Avascular Necrosis ivurwa ite?

Ubuvuzi buterwa n'ibyangiritse ku magufwa yawe.

Niba kwangirika kw'amagufwa ari guke, ku magufwa mato adatwara ibiro:

Muri ibi bihe, kubagwa bishobora kuba atari ngombwa. Muganga wawe ashobora kukugira inama y'ibintu nk'ibi:

• Udupaki tw'ibikonje n'ibishyushye (Udupaki tw'ibikonje, Uburyo bwo kuvura ubushyuhe): Kugabanya ububabare no kubyimba.
• Kuruhuka: Ni ingenzi cyane kuruhuka ingingo yangiritse.
• Imiti igabanya ububabare idakoresha steroide (NSAIDs): Imiti igabanya ububabare, nka ibuprofen, igabanya ububabare no kubyimba.
• Ubuvuzi bw'umubiri:Imyitozo ngororamubiri n'ubundi buryo bwo kuvura kugira ngo ugabanye ububabare bw'ingingo no kongera uburyo bwo kugenda.
• Imfashanyigisho zo kugenda: Koresha imfashanyigisho zo kugenda nk'inkoni n'imbago kugira ngo ugabanye uburemere ku ngingo yangiritse.

(Avascular Necrosis) Iyo indwara ikomeye, operation:

Kenshi na kenshi, cyane cyane iyo iri mu ngingo iremereye nk'ikibuno (avascular necrosis), kubagwa birakenewe . Hari ubwoko butandukanye bwo kubaga bushobora gukorwa:

• Gukuraho igice cy'imbere: Muri ubu buryo, umuganga ubaga akora utwenge twinshi duto (cores) mu igufwa ryafashwe. Ibi bifasha kugabanya umuvuduko w'amaraso mu igufwa no gukura kw'imitsi mishya y'amaraso. Hari igihe hakoreshwa udushinge tw'amagufwa cyangwa izindi nshinge kugira ngo amagufwa yihutishwe. Ibi bigerwaho gusa iyo indwara igaragaye hakiri kare.
• Gusimbuza ingingo: Ibi bikubiyemo gukuraho ingingo yangiritse no kuyisimbuza ingingo y’ubukorano. Gusimbuza ikibuno no gusimbuza ivi ni uburyo bubiri bwagenze neza cyane (hafi 95%) bugabanya ububabare kandi bugafasha abantu bafite Avascular Necrosis gusubirana uburyo bwo kugenda neza.

Ese Avascular Necrosis ishobora kwirindwa?

Hari igihe ibi bitashobora kwirindwa, cyane cyane iyo byatewe n'impanuka. Ariko hari ibintu dushobora gukora kugira ngo tugabanye ibyago:

• Kureka kunywa itabi: Iki ni ikintu ugomba gukora rwose.
• Gabanya kunywa inzoga: Ni byiza kuzigabanya uko bishoboka kose.
• Kugenzura urugero rwa cholesterol: Kolesterol yiyongera mu maraso ntabwo ari nziza ku miyoboro y'amaraso.
• Niba ufata imiti ya corticosteroids kubera indwara idakira, ganira na muganga wawe ku kugabanya ingano. Ntugahagarike gufata imiti yawe cyangwa ngo uhindure ingano utabanje kubaza muganga wawe.

Ese Avascular Necrosis ishobora gukira burundu?

Ikibabaje ni uko nta muti uhari wa Avascular Necrosis. Ubuvuzi bushobora kugenzura gusa iterambere ry’iyi ndwara no kugabanya ububabare. Abantu benshi amaherezo bakeneye kubagwa, cyane cyane kubagwa ingingo zisimbura izindi. Abantu barwaye Avascular Necrosis nabo bashobora kurwara osteoarthritis ikomeye uko igihe kigenda gihita.

Ni ryari ngomba kujya kwa muganga?

Indwara ya Avascular necrosis ni indwara igenda irushaho kwiyongera uko igihe kigenda gihita. Niba waragaragaye ko ufite iyi ndwara, ugomba kwitondera ibimenyetso byawe, cyane cyane ububabare no kugorwa no kugenda. Shaka muganga ako kanya niba ufite kimwe muri ibi bikurikira:

• Ububabare budashira nubwo wamara kuruhuka cyangwa gufata imiti igabanya ububabare.
• Ububabare burakabije ku buryo bigoye kugenda cyangwa kwimuka.
• Niba ucumbagira nta mpamvu .

Ni ibihe bibazo ngomba kubaza muganga wanjye?

Ni byiza kubaza ibi bibazo iyo ugiye kwa muganga:

• Kuki narwaye Avascular Necrosis?
• Ni ubuhe buryo bwo kuvura bunkwiriye?
• Ni izihe ngorane ziterwa n'ubu buryo bwo kuvura?
• Ni ubuhe buryo bwo gukurikirana ubuvuzi nkeneye nyuma yo kuvurwa?

Indwara ya Avascular Necrosis ni indwara ibabaza cyane kandi ishobora gushyira ubuzima mu kaga. Niba ufite indwara yongera ibyago byo kurwara iyi ndwara, cyangwa niba ufata imiti yongera ibyago byo kurwara, vugana na muganga wawe. Ashobora kugusobanurira ibimenyetso bya Avascular Necrosis. Gusuzuma no kuvurwa hakiri kare bishobora gufasha kugabanya iterambere ry’iyi ndwara.

Ibintu by'ingenzi cyane ugomba kwibuka (Ubutumwa bwo kujyana mu rugo)

Noneho reka tuvuge muri make bimwe mu bintu ugomba kwibuka mu byo twavuze:

• Indwara y'imitsi ni igihe amaraso anyura mu magufwa ahagarara, bigatuma amagufwa apfa.
• Ibi bikunze kugira ingaruka ku matako , ariko bishobora no kugira ingaruka ku bice nko mu mavi no ku bitugu.
• Ibi bishobora guterwa n'ibintu nk'imvune z'amagufwa, indwara zimwe na zimwe (urugero: diyabete, lupus), imiti imwe n'imwe (urugero: corticosteroids), kunywa inzoga nyinshi, no kunywa itabi .
• Niba ufite ibimenyetso nko kubabara kenshi, kunanuka kw'ingingo, cyangwa gucumbagira, gana muganga.
• Uburyo bwiza bwo kubigeraho ni ugukoresha MRI scan .
• Ubuvuzi burimo kuruhuka, imiti, ubuvuzi bw'umubiri , kandi mu bihe bikomeye, kubagwa (Gukuraho igice cy'umubiri, Gusimbuza ingingo) bishobora kuba ngombwa.
• Nubwo idashobora gukira burundu, iyi ndwara ishobora gukemurwa iyo imenyekanye hakiri kare kandi igatangira kuvurwa.

Niba ufite ikindi kibazo kuri ibi, ntutindiganye kuvugana na muganga wawe. Komeza ugire ubuzima bwiza!