Ese ufite ikibazo nk'iki ku ivi ryawe? Reka twige neza kuri (ACL Tear)!

Ese wigeze wumva ijwi rya "click" riva mu ivi ryawe uri gukina siporo, wiruka, usimbuka, cyangwa ugenda nk'uko bisanzwe, maze ukumva ububabare bukabije maze ntushobore kunama cyangwa kugorora ivi ryawe? Cyangwa ivi ryawe ryabyimbye kandi rigakomera? Ibi bishobora kuba ibimenyetso by'imitsi yacitse mu ivi, cyane cyane iryo tuvuga (ACL Tear) . Reka tubiganireho mu buryo bworoshye uyu munsi.

Iki ni iki (ACL Tear)? Reka dusobanukirwe neza!

Mu magambo make, gucika kwa ACL ni ugucika kwa ACL. ACL ni imwe mu mitsi ine ikomeye mu ivi. Tekereza nk'umugozi ukomeye. Ihuza igufwa ry'ikibero cyawe, femur , n'igufwa ryawe ry'uruti rw'umugongo , tibia .

Mu ivi ryawe, iyi (ACL) n'indi ligament yitwa (PCL - Posterior Cruciate Ligament) bitondetse mu ishusho y'inyuguti "X". (ACL) iherereye imbere y'ivi, naho (PCL) iherereye inyuma y'ivi.

Akamaro k'ingenzi k'iyi ligament (ACL) ni ukubuza ivi ryawe kunama cyane, cyangwa kuzunguruka cyane. Ni ukuvuga ko bifasha ivi ryawe kuguma rihamye. Rero, niba ivi ryawe rikoreshejwe imbaraga zirenze urugero, kandi rigacurama cyangwa rigacurama cyane, iyi ligament (ACL) ishobora kwangirika cyangwa gucika.

Imvune zo mu ivi zikunze kugaragara cyane mu bakinnyi, ariko zishobora no kugera ku muntu uwo ari we wese. Niba ufite ububabare mu ivi, cyane cyane niba bwaratangiye nyuma y’impanuka cyangwa igihe wakinaga siporo, ugomba kujya kwa muganga.

Ese hari urwego rutandukanye rw'imvune (ACL)?

Yego, abaganga bapima ibi bikomere (ACL) bakurikije uburemere bwabyo. Ibi bidufasha gusobanukirwa uko imvune imeze. Hariho amanota atatu y'ingenzi:

• Icyiciro cya 1: Iki ni cyo gihe ACL ivunika, igatera kwangirika, ariko ntiracika burundu. Ibi bivuze ko umutsi uba ukiri mu gice kimwe, ufashe amagufwa y'ivi. Ariko uba ufite intege nke gato.
• Icyiciro cya 2: Aha umugozi wa ACL urarambuye cyane, igice cyawo kikaba cyaracitse. Umugozi uba urekuye, kandi ivi rigakomeza gukomera.
• Icyiciro cya 3: Iki ni cyo kibazo gikomeye cyane. Aha ACL yacitse burundu, icikamo ibice bibiri.

Ukumva umeze ute iyo urwaye ACL?

Abantu benshi bibuka igihe bashwanyaguritse ACL yabo cyane, kuko akenshi bibaho mu gihe cy’impanuka igaragara, nk’impanuka ya siporo.

Umuntu ufite ACL rising ashobora guhura n'ibi bikurikira:

• Umva cyangwa wumva ijwi rya "click" cyangwa "pop" mu ivi ryawe.
• Ivi ritunguranyeKumva "udakomeye", udashoboye kwigenzura (kudakomera, intege nke).
• Amarira ya ACL ashobora kubabaza cyane. Hari abantu bashobora kugira ububabare buke gusa. Ariko, niba ufite ikibazo cyo gukomereka ku ivi, cyane cyane iyo wumvise cyangwa wumva ijwi riturika nk'iryo twavuze haruguru, ugomba kujya kwa muganga.

Ni ibihe bikunze kubaho ku mvune zo mu bwoko bwa ACL?

Mu by’ukuri, imvune za ACL zikunze kugaragara cyane. Mu mitsi yose iri mu ivi, ACL ni yo ikunze gukomereka cyane. Urugero, nk’uko imibare imwe n’imwe ibivuga, muri Leta Zunze Ubumwe za Amerika honyine, abantu bagera ku 100.000 kugeza ku 200.000 bacikamo ACL buri mwaka. Tekereza ukuntu ibi bikunze kugaragara.

Ni ibihe bimenyetso by'indwara ya ACL Tear?

Nkuko twabivuze mbere gato, ibimenyetso by'ingenzi bya ACL Tear ni ibi bikurikira:

• Kumva cyangwa kumva ijwi rya "click" cyangwa "pop" mu ivi.
• Kubyimba: Ivi ritangira kubyimba ako kanya nyuma y'imvune cyangwa nyuma y'amasaha make.
• Ububabare: Ububabare bukomeye bushobora kubaho, cyane cyane iyo ugerageza guhagarara cyangwa kugenda uremereye ku ivi.
• Intege nke cyangwa kumva nk'ivi ririmo "guturika": Ivi rishobora kumva ridafite imbaraga kandi rigahita ripfukama iyo rihagaze.
• Kugorwa no kwimuka: Kudashobora kunama cyangwa kugorora ivi neza.

Ni izihe mpamvu zitera ACL Tear?

Mu magambo make, gucika kwa ACL bishobora kubaho iyo ivi ryawe rishyizwemo imbaraga nyinshi cyangwa igitutu kirenze urugero. Ibi bivuze ko ivi risunikwa birenze urugero rw’imikorere yaryo.

Impamvu zikunze gutera amarira ya ACL ni izi zikurikira:

• Impanuka mu mikino: Cyane cyane mu mikino isaba guhagarara giturumbuka, guhindura icyerekezo gitunguranye, no gusimbuka (urugero: kwiruka mu mupira w'amaguru, netball, basketball, volleyball, cricket).
• Impanuka z'imodoka: Gukubitwa cyane ku ivi mu gihe cy'impanuka z'imodoka.
• Kugwa: Mu bihe nko kugwa uturutse hejuru cyangwa kunyerera.

Ni nde uri mu kaga gakomeye ko kurwara (ACL Tear)?

Umuntu wese ashobora kugira ikibazo cyo gucika intege mu mubiri (ACL tear). Ariko, bikunze kugaragara cyane mu bakinnyi. Nkuko byavuzwe mbere, abakina siporo zisaba guhagarara giturumbuka, kuzunguruka no guhindura icyerekezo baba bari mu kaga gakomeye. Urugero:

• Umupira w'amaguru
• Umupira w'amaguru
• Umupira w'amaguru
• Imyitozo ngororamubiri
• Umupira wa Netball
• Volleyball

Ni izihe ngorane ziterwa n'indwara ya ACL Tear?

Mu mpanuka ikomeye ku buryo ACL yacitse, ibindi bice by'ivi nabyo bishobora kwangirika, niyo mpamvu ari ngombwa kwihutira gushaka abaganga.

Hamwe no gucika kwa ACL, izindi ligaments zo mu ivi ryawe nazo zishobora kwangirika, nka:

• (Medial Collateral Ligament - MCL)
• (Umugongo w'inyuma w'ingoboka - LCL)
• (Posterior Cruciate Ligament - PCL)

Nanone, izindi mvune zishobora guterwa no gucika kwa ACL zirimo:

• Amagufwa yavunitse
• Amarira ya Meniscus ( meniscus ni igice kimeze nk'ikigufwa kiri hagati y'amagufwa y'ivi)
• Imitsi ikomeretsa

Ni gute wamenya ko ACL iri kurira?

Muganga asuzuma indwara ya ACL amubaza ibimenyetso by’indwara yawe, agasuzuma umubiri, ndetse agashobora no gukora ibizamini bimwe na bimwe.

Ubwa mbere, muganga azakubaza uko imvune yagenze, ibimenyetso ufite, n'igihe umaze ubabara. Ugomba kubwira muganga neza icyo wakoraga mbere yuko ukomereka mu ivi n'igihe wabonye ibimenyetso bwa mbere.

Hanyuma, muganga azagukorera ivi n'ukuguru mu buryo bumwe na bumwe. Ushobora kumva utameze neza cyangwa ububabare muri iki gihe. Niba hari imwe muri izi myitwarire cyangwa ingendo zibabaza, bwira muganga wawe.

Ushobora gukenera gukora kimwe cyangwa byinshi muri ibi bizamini byo gufata amashusho :

• Imirasire ya X: Iyi ishobora gusuzuma ibimenyetso byose by'uko imvune yavunitse.
• Isuzuma rya CT (Isuzuma rya Tomography ryakozwe ku magufwa): Ibi bishobora kandi gutanga ishusho y'amagufwa n'ingingo zoroshye.
• MRI (Magnetic Resonance Imaging): MRI ni bwo buryo bwiza bwo gusuzuma neza imvune ku mitsi n'ingingo zoroshye, nko gucika kwa ACL.

Indwara yo kurira ya ACL ivurwa ite?

Uburyo bwo kuvura bushingira ku gipimo cy'imvune yawe (ACL) (ni ukuvuga ubukana bwayo) ndetse no kumenya niba hari ikindi cyangiritse ku ivi ryawe.

Ibyo wakora ako kanya nyuma yo gukomereka (uburyo bwa RICE):

Ukimara kubona ububabare bw'ivi cyangwa ibindi bimenyetso, hagarika gukora siporo cyangwa gukora ibikorwa bitera igitutu ku ivi ryawe. Hanyuma kurikiza ubu buryo bwa RICE :

• R - Kuruhuka: Irinde igikorwa cyaguteye imvune. Ntugashyire uburemere bwinshi ku ivi ryawe kugeza rikize.
• I - Urubura: Shyira agapaki k'urubura gapfunyitse mu gitambaro gito cyangwa uduce duke tw'urubura ku ivi ryakomeretse mu gihe cy'iminota 15 inshuro nyinshi ku munsi. Ibi bizagabanya kubyimba no kubabara.
• C - Gukanda: Zingira ivi ryawe ukoresheje igitambaro cya elastic. Ibi bizanafasha kugabanya kubyimba. Ariko ibuka ko utagomba kubyimba cyane , kuko bishobora kugabanya amaraso atembera.
• E - Uburebure: Komeza amavi yawe n'ibirenge byawe bibe hejuru y'uburebure bw'umutima wawe uko bishoboka kose. Ushobora gukoresha ikintu kimeze nk'umusego kugira ngo ubishyigikire.

Muganga wawe ashobora kukugira inama yo kugufasha kugenzura ububabare bwawe n'ibindi bimenyetso:

• Koresha inkoni (genda udashyira ibiro ku mavi yawe).
• Ambara igipfundikizo kugira ngo ivi ryawe rikomeze gukomera.
• Imiti igabanya ububabare ishobora kugurwa muri farumasi nta muganga uyiguze, urugero (NSAIDs - Imiti igabanya ububabare idakoresha steroide) (urugero: Ibuprofen) cyangwa (Acetaminophen) (urugero: Panadol).
• Ubuvuzi bw'umubiri: Ibi ni ingenzi cyane. Umuvuzi w'umubiri azakwigisha imyitozo ngororamubiri kugira ngo agufashe kongera kugira imbaraga, ubworoherane, no kugendagenda mu ivi ryawe.

Ese amarira ya ACL azakira ubwayo?

ACL yacitse ntabwo ikira ubwayo. Ariko, iyo imvune idakabije cyane (urugero, imvune yo mu cyiciro cya mbere), hari abantu bashobora kuyibana nayo. Ni ukuvuga ko bashobora gukora imirimo yabo ya buri munsi nta ngorane nyinshi.

Ariko, niba uri umukinnyi cyangwa umuntu ukunda kugira ubuzima busanzwe, akenshi uzakenera kubagwa kugira ngo usanwe ACL. Abantu benshi bahitamo kubagwa kugira ngo ACL itsike.

Reka twige ibijyanye no kubaga ACL Tear

Kubaga imvune zo mu ivi nk'izi akenshi bikorwa nk'ubuvuzi bwo hanze, bivuze ko udakwiye kuguma mu bitaro.

Umuganga uvura indwara akunze gukora igikorwa cyitwa arthroscopy yo mu ivi . Ibi bikubiyemo gukata uduce duto mu ivi, gushyiramo kamera n'ibikoresho bito, no gusana ibyangiritse uyobowe na moniteur. Ubu buryo ni uburyo budatera ingaruka nyinshi , bufasha gukira vuba no kugabanya inkovu. Ushobora kubaza umuganga wawe amakuru arambuye kuri ibi.

Ese gucika kwa ACL gushobora kwirindwa?

Hari igihe bigorana kwirinda gucika kwa ACL, cyane cyane niba uri umukinnyi. Kuko tudashobora guteganya imvune n'impanuka mu mikino.

Ariko, hari ibintu dushobora gukora kugira ngo tugabanye ibyago.

Mu gihe ukina siporo cyangwa indi mirimo ngororamubiri:

• Ambara ibikoresho by'umutekano bikwiye.
• Niba ubabara mu ivi uri gukina siporo cyangwa imyitozo ngororamubiri, hagarika "gukina ububabare." Humura ako kanya.
• Ha umubiri wawe umwanya wo kuruhuka no gukira nyuma yo gukora imyitozo ngororamubiri.
• Shyushya kandi ugorore neza mbere yo gukina siporo cyangwa imyitozo ngororamubiri.
• Komeza wongere ugorore nyuma y'ibikorwa.
• Mu kwitabira gahunda zo gukora imyitozo ngororamubiri ikomeza ivi n'imitsi yo hasi y'umubiri mu gihe cy'ikiruhuko cy'ivi, ushobora gutegura ingingo kugira ngo zihangane n'umuvuduko uterwa n'ivi mu gihe cy'ikiruhuko.

Kurikiza izi nama rusange z'umutekano kugira ngo ugabanye ibyago byo gukomereka:

• Irinde gutera ibirenge byawe ahantu hamwe no kuzunguruka umubiri wawe hejuru y'amavi yawe.Iyi ni yo mpamvu nyamukuru yangiza ACL na meniscus ku bakinnyi.
• Komeza urugo rwawe n'aho ukorera hasukuye, nta bintu bitari ngombwa n'ibindi bishobora kukubangamira.
• Buri gihe koresha ibikoresho bikwiye kugira ngo ugere ku bintu biri hejuru mu nzu yawe. Ntukigere uzamuka ku ntebe, ku meza, cyangwa ku meza.
• Niba ugorwa no kugenda cyangwa ufite ibyago byinshi byo kugwa, koresha inkoni yawe cyangwa agakoresho ko kugenda.

Bifata igihe kingana iki kugira ngo umuntu akire indwara yo kubabara kwa ACL?

Ubusanzwe bifata amezi atandatu kugeza ku icyenda kugira ngo gukira indwara ya ACL. Abakinnyi barushanwa bashobora gufata igihe kirekire kugira ngo basubiza mu buzima bwabo kandi bahabwe uburenganzira bwo kugaruka mu mikino.

Muganga wawe azakubwira igihe ushobora gusubiramo imyitozo ngororamubiri. Ntugakore siporo cyangwa ngo ugire imyitozo ngororamubiri kugeza igihe muganga wawe aguhaye uburenganzira. Iyo usubiye gukora imyitozo mbere yuko ACL yawe ikira neza, ushobora kongera kuyikomeretsa.

Ese ushobora kugenda n'ikibuno cyacitse?

Hari abantu bashobora kugenda bafite ACL yacitse. Ariko, niba hari ububabare, ntugakoreshe ivi ryawe ku ngufu cyangwa ngo ukoreshe. Niba ufite ububabare cyangwa ibindi bimenyetso by'imvune yo mu ivi, gana muganga. Gushyira igitutu ku ACL yakomeretse bishobora gutuma n'imvune ntoya irushaho kwiyongera.

Ni ryari ngomba kubonana na muganga wanjye?

Shaka muganga vuba bishoboka nyuma yo gukomereka mu ivi. Bwira muganga wawe niba ubonye ibimenyetso bishya cyangwa niba ububabare busa n'uburimo kwiyongera.

Niba wagize imvune ikomeye (ihungabana) , nk'impanuka y'imodoka cyangwa kugwa bikomeye, jya mu bitaro byihutirwa vuba. Mu mpanuka nk'izo, ushobora kugira izindi mvune zo mu mutima ushobora kutamenya ako kanya.

Ni ibihe bibazo ngomba kubaza muganga wanjye?

Iyo ugiye kwa muganga, ni byiza kubaza ibibazo nk'ibi:

• Ese mfite ikibazo cyo gucika kw'imitsi cyangwa ikindi gikomere?
• Iyi mvune ni urwego rungana iki?
• Ese nkeneye kubagwa?
• Nzategereza igihe kingana iki mbere yo kongera gutangira siporo cyangwa gukina siporo?
• Ni izihe ngorane zo kongera gucika kwa ACL mu gihe kiri imbere?

Ese gucika kwa ACL bishobora kongera kubaho?

Nubwo ACL yakosorwa mu buryo bwo kubaga, hari amahirwe make cyane ko ACL izongera gucika mu gihe kiri imbere. Abantu bari munsi ya 10% bafite ACL yo gucika bazongera gucika ACL imwe. Baza muganga wawe cyangwa umuganga wawe kugira ngo akubwire byinshi kuri ibi.

Ese gucika intege kw'imitsi ya ACL bivuze "iherezo ry'umwuga w'umukinnyi"?

Akenshi, gucika intege kw'umukino wa ACL si iherezo ry'umwuga w'umukinnyi.Igikuru ni ukutihutira gukira. Abantu benshi barwaye ACL tear bashobora gusubira mu mikino yabo nta ngaruka mbi z'igihe kirekire.

Gahunda yo kuvura ivi nyuma yo kubagwa ni bwo buryo bwiza bwo kugarura imbaraga no koroherwa mu ivi ryawe. Uzakenera kuvura ivi ryawe igihe runaka mbere yuko usubira mu mikino.

Baza muganga wawe cyangwa umuganga wawe niba nta kibazo kirimo ko wongera gukina uwo mukino n'igihe ushobora gutangira imyitozo.

Gucika kw'imitsi yo mu ivi ni kimwe mu bikomere bikunze kugaragara ku bakinnyi. Bishobora kubabaza kumara amezi menshi udakora. Ariko ntukihutire gukira. Niba ubayegwa kugira ngo usane ACL yawe, uzashobora gusubira mu kibuga cyangwa muri siporo ivi ryawe rikimara gukira.

Niba ufite ikibazo ku ivi ryawe, ntugashyireho igitutu kinini. Kubikora bishobora gutuma n'agahinda gato k'uburibwe bwa ACL karushaho kwiyongera. Jya kwa muganga ukimara gukomereka ku ivi ryawe cyangwa kumva ububabare.

Ubutumwa bwo kujyana mu rugo

Sawa, twavuze byinshi ku gucika intege kw'imitsi. Hanyuma, zirikana izi ngingo:

• Gucika kw'imitsi yo mu ivi ni ikintu gikunze kugaragara kandi gishobora no kuba gikomeye.
• Niba ubonye ibimenyetso nko kumva ijwi rikunnye riva mu ivi, kubyimba, ububabare bukabije, cyangwa kubura uburyo bwo kuyobora ivi , shaka ubufasha bwa muganga byihutirwa.
• Ibizamini nka MRI bishobora kuba ngombwa kugira ngo hamenyekane neza indwara.
• Uburyo bwo kuvura buratandukanye bitewe n'ubwoko bw'imvune. Kuruhuka, urubura, no kuvura umubiri ni ingenzi. Ibikomere bikomeye bishobora gusaba kubagwa .
• Gusubira mu buzima ni igice cy'ingenzi mu gukira. Kurikiza amabwiriza ya muganga wawe neza.
• Gukurikiza ingamba zimwe na zimwe z’umutekano bishobora kugabanya ibyago byo gucika kwa ACL.
• Ntuzigere wirengagiza ububabare. Gukira vuba bishobora gukumira ububabare bukabije.

Niba ufite ikibazo nk'iki, icyiza wakora ni ukudatinya, gushaka inama zikwiye kwa muganga, no kwihangana ukajya kuvurwa.

Gucika kw'imitsi, imvune zo mu ivi, imvune zo mu mikino, gucika kw'imitsi, kubagwa ivi, ubuvuzi bw'umubiri, ububabare bw'ivi