Hari igihe dushobora kumva ububabare butunguranye mu mavi cyangwa mu nkokora zacu, si byo se? Cyangwa dushobora kugira impanuka nto nko kunyerera no kugwa mu gihe turi gukina cyangwa kugenda maze tugatangira kumva ububabare muri ako gace. Iyo ugiye kwa muganga muri ibyo bihe, azakora ibizamini bimwe na bimwe kugira ngo amenye imvune yawe n'aho yangiritse neza. Ibizamini bibiri by'ingenzi ni `(Valgus Stress Test)` na `(Varus Stress Test). Reka tubiganireho mu buryo bworoshye.
Ibi bizamini bya `(Valgus)` na `(Varus)` ni ibihe? Mu magambo make...
Mu magambo make, ibi bizamini bya "Valgus" na "Varus" ni uburyo muganga akoresha kugira ngo amenye ibyangiritse ku mitsi yo mu ivi ryawe cyangwa mu nkokora, cyane cyane imitsi yo mu gice cy'umubiri.
Tekereza muganga wawe agufashe mu ivi cyangwa inkokora, aguhindura isura, agukanda kugira ngo arebe niba hari ububabare wumva cyangwa ikindi kintu kidasanzwe. Iki ni cyo gice cy'ibanze cy'iki kizamini. Akenshi, ibi bizamini bikorerwa ku mavi no ku nkokora. Ariko ni gake cyane, amaboko cyangwa utubuto tw'ibirenge byawe na byo bishobora gupimwa.
Ibi bizamini ahanini bireba ko imitsi yawe yangiritse . Twese dufite iyi mitsi mu mavi no mu nkokora zacu.
- Mu ivi imbere, ni ukuvuga ku ruhande rureba imbere iyo amaguru yombi ahujwe, hari umutsi witwa `(MCL - Medial Collateral Ligament)`. Mu buryo nk'ubwo, hari `(MCL)` ku ruhande rw'inkokora yegereye imbere mu mubiri.
- Ku ruhande rw'ivi, ni ukuvuga uruhande rugaragara iyo amaguru atandukanye, hari umutsi witwa `(LCL - Lateral Collateral Ligament)`. Hariho kandi uyu `(LCL)` inyuma y'inkokora.
Ibi bizamini bya `(Valgus)` na `(Varus)` ni ibizamini byoroshye bishobora gukorerwa kwa muganga, nta bikoresho byihariye cyangwa gahunda yihariye. Ibi bishobora gukorwa mu isuzuma rya mbere iyo ugiye kwa muganga kubera ububabare bw'ivi, ububabare bw'inkokora, cyangwa nyuma y'impanuka. Ariko, nyuma y'ibi bizamini, uzakenera gukora kimwe cyangwa byinshi `(Isuzuma ry'amashusho)` kugira ngo wemeze ko imitsi cyangwa ibindi bibazo byangiritse. Hari igihe, niba ukeneye gusana ibyangiritse imbere mu ngingo yawe ukoresheje kubagwa, ushobora no gukenera gukora `(Arthroscopy)`.
Ibi bizamini bikorwa ryari? Ni ibihe bimenyetso?
Niba ubabara mu ivi cyangwa mu nkokora, cyangwa niba waragize impanuka ku kuguru cyangwa ku kuboko, muganga wawe ashobora gukora ikizamini cya "Valgus" cyangwa "Varus". Ibi bizamini bishobora gusuzuma niba "Ligaments zo mu mutwe" zangiritse zishyigikira ingingo zawe.
Icy'ingenzi: Imvune zo mu mitsi ni imwe mu mvune zikunze kugaragara mu bakinnyi. Imvune zo mu mitsi twita "Sprain"Nanone yitwa "Amarira" . Nubwo gucika intege kenshi biba ari bito, gucika kw'imitsi rimwe na rimwe bishobora kuba imvune zikomeye.
- `(Ikizamini cya Valgus Stress)` kireba ahanini ibyangiritse kuri `(MCL)` yawe.
- `(Ikizamini cya Varus Stress)` kireba ibyangiritse kuri `(LCL)` yawe.
Iyo imwe mu mitsi yawe yangiritse, ushobora kugira ibimenyetso nk'ibi:
- Guhinduka kw'ibara ry'ubururu cyangwa guhinduka ibara ry'agahu ku gice cyakomeretse.
- Bisa nkaho ingingo irekuye, nk'aho idakomeye bihagije .
- Ububabare .
- Kumva cyangwa kumva ijwi rya "gukanda" cyangwa "gukanda" .
- Kubyimba .
- Niba ari ukuguru, biragoye guhagarara ufite uburemere , kandi niba ari inkokora, biragoye kunyeganyeza ukuboko kwawe .
- Kumva ufite intege nke muri iyo ngingo.
Ni nde ukora ibi bizamini bya `(Valgus)` na `(Varus)`?
Biroroshye cyane. Muganga wawe akora ibi bizamini mu cyumba cye bwite. Ntabwo bisaba ibikoresho bidasanzwe cyangwa kujya mu kigo gitandukanye.
Ibi bizamini bikorwa bite neza neza?
Ibi bizamini bya `(Valgus)` na `(Varus)` ni urukurikirane rw'ingendo zikorwa kugira ngo harebwe ibimenyetso byawe n'urugero ushobora kwimura ingingo yawe (Range of Motion). Ibi bizamini biroroshye cyane, kandi dore intambwe zikurikira:
1. Ubwa mbere, uzategekwa kuryama ugaramye .
2. Hanyuma muganga azamura ukuboko kwawe cyangwa ukuguru kwawe hejuru gato ugereranyije n'ibindi bice by'umubiri wawe .
3. Hanyuma, muganga azagutera umuvuduko muto hejuru y'ivi ryawe cyangwa inkokora.
- Mu "Valgus Stress Test", bisunika imbere, ni ukuvuga hagati mu mubiri wawe .
- Mu "Kipimo cya Varus Stress", bishyirwa hanze, bivuze ko biva ku mubiri wawe .
Niba urimo gukorerwa ibi bizamini ku ivi ryawe, muganga ashobora kubikora kabiri - rimwe ivi ryawe rihetamye gato, ikindi gihe ivi ryawe rigororotse.
Iyi myanya itandukanye n'imihangayiko bitera umuvuduko muke ku mitsi yawe. Iyi mikorere isa cyane n'umuvuduko uhura nawo iyo ukoresha ivi cyangwa inkokora yawe ku munsi usanzwe.
Iyo umuganga akumuriye ivi cyangwa inkokora, azakubaza niba wumva ububabare ubwo aribwo bwose . Azakwitaho cyane niba wumva ijwi rya "click" cyangwa niba wumva ikintu icyo ari cyo cyose n'ukuboko kwawe. Ibi bizamufasha gusobanukirwa aho n'uburyo imitsi yawe ishobora gucika.
Ni irihe tandukaniro riri hagati y'ibizamini bya `(Valgus)` na `(Varus)`?
Ibi bizamini bibiri mu by’ukuri birasa cyane. Itandukaniro ryonyine ni uko muganga azareba ku ruhande rw’ivi ryawe cyangwa inkokora kugira ngo arebe niba hari aho imitsi yangiritse.
- ""(Valgus)"" mu magambo y'ubuvuzi bisobanura kwimuka ugana hagati mu mubiri wawe, ni ukuvuga imbere.Izina ry'ikizamini ni ``Valgus Stress Test'', aho muganga asunika ivi ryawe cyangwa inkokora yawe imbere, yerekeza ku mubiri wawe.
- ``(Varus)`` ni izina rihabwa kuba umubiri wawe urimo gusunikwa hanze, ni ukuvuga inyuma . Ibi ni ibinyuranye na ``(Valgus)``. Mu ``(Varus Stress Test)``, muganga ashyira igitutu ku ivi ryawe cyangwa inkokora yawe hanze, kure y'umubiri wawe.
Ese hari icyo nkeneye gutegura mbere y'ibi bizamini?
Oya, ntukeneye kwitegura ibi bizamini bya ``(Valgus)`` cyangwa ``(Varus)```. Icyo ugomba gukora ni ukujya kwa muganga vuba bishoboka niba ufite ikibazo ku ivi cyangwa inkokora, cyangwa niba ufite ibimenyetso bishya mu ngingo zawe.
Ni iki nkwiye kwitega mu gihe cy'ikizamini?
Gerageza kuguma utuje uko bishoboka kose igihe muganga akunyujije ivi cyangwa inkokora.
Kubera ko ibi bizamini bya ``(Valgus)`` na ``(Varus)`` ari urukurikirane rw'ibikorwa by'umubiri, ugomba kubwira muganga wawe ibyo wumva byose - cyane cyane niba hari ikintu kibabaza cyangwa kidashimishije.
Ububabare ubwo aribwo bwose, kumererwa nabi, cyangwa ibindi bimenyetso wumva mu gihe cyo gusuzuma bizafasha muganga wawe gusobanukirwa aho imitsi yawe yangiritse, cyangwa izindi mvune ushobora kugira.
Ni iki kizaba nyuma y'ibi bizamini?
Ibipimo bya Valgus na Varus ubusanzwe ni intambwe ya mbere mu kuvura igikomere cy'umugongo. Niba muganga wawe yumvise cyangwa yumvise ikintu kidasanzwe mu gihe cyo gusuzuma, ashobora gusaba ko hakorwa ibindi bipimo byo gupima cyangwa agatangira kuvurwa kugira ngo bigufashe kugabanya ibimenyetso.
Nyuma yo gupimwa kwa valgus cyangwa varus, ushobora gukenera nibura ikizamini kimwe cyo gupimwa . Ibi bizamini bifotora imbere mu ngingo yawe kandi bishobora kureba niba imitsi cyangwa izindi ngingo zangiritse. Ibizamini bikunze gupimwa ni ibi bikurikira:
- Imirasire ya X
- Ishusho ya Magnetic Resonance (MRI)
- Ibipimo bya Ultrasound
Muganga wawe azakubwira ibizamini byo gupima umubiri ugomba gukora n'ubwoko bw'imvune ashaka.
Ushobora gukenera gukorerwa arthroscopy kugira ngo urebe imbere mu ivi ryawe cyangwa mu nkokora yawe kugira ngo urebe ikibazo cyangwa ngo ugikosore. Arthroscopy ni uburyo bwo kubaga budakoresha kamera nto kugira ngo urebe imbere mu ngingo zawe. Ubundi kubaga arthroscopy bikorwa mu gihe umuntu ari hanze, bivuze ko ushobora gutaha uwo munsi.
Ese hari ingaruka ziterwa n'ibi bizamini bya `(Valgus)` na `(Varus)`?
Oya, nta ngaruka zishobora guterwa n'amavi cyangwa inkokora zawe mu gihe ukora ikizamini cya "Valgus" cyangwa "Varus".
Ushobora kumva ububabare cyangwa kutamererwa neza mu gihe cyo gupimwa. Ariko, nubwo waba wakomeretse ku mitsi, ntugomba kumva ububabare bukabije mu gihe muganga arimo gukora ikizamini.
Ariko ibuka ko ibizamini bya `(Valgus)` na `(Varus)` atari byo byonyine ugomba gukora. Si uburyo bwiza bwo kumenya niba hari igikomere cyangwa ibyangiritse. Ariko, ni intambwe ya mbere y'ingirakamaro muganga wawe ashobora gufata kugira ngo amenye icyo igikomere cyawe ari cyo. Ibizamini byo gufata amashusho ni igisubizo gihamye, niyo mpamvu ugomba gukora nibura ikizamini kimwe cyo gufata amashusho nyuma y'ikizamini cya `(Valgus)` cyangwa `(Varus)`.
Ni ibihe bisubizo mbona? Bimbwira iki?
Ibisubizo by'ibizamini bya `(Valgus)` na `(Varus)` ntabwo ari ibisubizo bitaziguye nk'ibindi bipimo wigeze uhura nabyo mbere. Ni ukuvuga ko aho gutanga urwego runaka cyangwa umubare runaka, ibi bizamini biha muganga wawe igitekerezo cyiza cy'uko hashobora kuba hari igikomere ku ngingo yawe n'uburyo icyo gikomere gikomeye.
Ibi ni nk'ibibazo "byiza cyangwa bibi" , ntabwo ari ibibazo by'imibare bifite igisubizo gihamye. Muganga wawe azashyira ikizamini cyawe mu byiciro "byiza" niba abonye ikintu cyose kigaragaza ko ufite imvune ku mitsi. Ibisubizo "bibi" bivuze ko muganga atigeze yumva cyangwa ngo yumve ikintu kidasanzwe mu gihe cy'ikizamini.
Icy'ingenzi: Ibisubizo bitagaragaza ko nta gikomere ufite ntibisobanura ko nta gikomere ufite. Bisobanura gusa ko muganga nta kintu kidasanzwe yabonye mu gihe cyo gusuzuma, cyaba ari ``Valgus'' cyangwa ``Varus''. Ushobora kuba ugifite imitsi yacitse, cyangwa ushobora kuba ufite ubundi bwoko bw'igikomere.
Ni ryari ngomba guhamagara muganga wanjye?
Niba ibimenyetso byawe, nko kubabara cyangwa kubyimba, birushijeho kwiyongera nyuma y'iminsi mike, gana muganga.
Jya mu cyumba cy’ubutabazi bwihuse niba ubonye ibi bimenyetso:
- Ububabare bukabije cyane .
- Niba kubyimba birushaho kwiyongera .
- Niba ubonye ibara rihindutse .
- Niba udashobora kwimura ivi ryawe cyangwa inkokora yawe na gato .
Ibintu byo kwibuka (Ubutumwa bwo kujyana mu rugo)
Ibipimo by'imihangayiko bya ``(Valgus)`` na ``(Varus)`` ni intambwe zihuse kandi zoroshye za mbere zifasha abaganga kumenya niba hari igikomere ku mitsi yo mu ivi ryawe cyangwa mu nkokora. Nubwo badatanga igisubizo gihamye , bashobora gufasha kuyobora intambwe zikurikira mu gusuzuma no kuvura igikomere cyawe.
Niba wakomeretse ivi cyangwa inkokora yawe - cyane cyane niba udashobora kubikoresha cyangwa kubimura - gana muganga cyangwa ujye mu cyumba cy’ubutabazi bwihuse. Kwita ku buzima bwawe ni cyo kintu cy’ingenzi kurusha ibindi!
Ububabare bw'ivi , Ububabare bwo mu gikonjo, Ibikomere byo mu mitsi, Ikizamini cy'umuhangayiko, Ikizamini cya Valgus, Ikizamini cya Varus, Indwara z'ingingo











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