Umuti muto wo gukata ububabare bw'akaguru kawe? Reka twige ibijyanye na Arthroscopy y'akaguru!

Ese umaze igihe kinini ubabara mu kaguru kawe? Wenda wumva ubabara cyangwa urwaye ibinure iyo ugenda cyangwa uzamuka ingazi? Cyangwa ubabara imbere mu kaguru kawe nubwo uhagaze gusa? Ese iyi ndwara ntiyahindutse nubwo wafashe imiti kandi urimo kuvurwa n'imyitozo ngororamubiri? Hanyuma muganga wawe ashobora kuba yarakubwiye iby'ubuvuzi bwitwa 'Ankle Arthroscopy'. Kumva iri zina bishobora kuba byaraguteye ubwoba gato. Ushobora kuba waratekereje uti, "Ubundi bubagwa?" Ariko ntugahangayike. Uyu munsi, tuzaganira kuri byose mu buryo bworoshye cyane ushobora gusobanukirwa.

Arthroscopy y'akaguru ni iki?

Muri make, ubu ni ukubaga bikorwa nko kureba mu mwobo w'urufunguzo. Niyo mpamvu byitwa kandi "kubaga urufunguzo." Aho gukata urutoki runini mu kaguru kawe no kugafungura nk'uko byari bimeze kera, muri ubu buryo, muganga wawe akora uduce duto cyane (ubusanzwe munsi ya santimetero imwe) mu ruhu rw'akaguru kawe.

Hanyuma, binyuze muri ako gace gato, igikoresho cyihariye gishyirwamo. Cyitwa arthroscope . Ni umuyoboro muto ufite kamera nto cyane n'urumuri ruyifatanyeho. Amashusho y'iyi kamera agaragara kuri ecran nini (monitor), kugira ngo muganga abone neza ibintu byose biri mu kaguru kawe, harimo n'amagufwa, cartilage, n'imitsi.

Iyo hamenyekanye neza aho ikibazo kiri, ibikoresho bito byo kubaga bishyirwa binyuze mu kindi gice gito cyo gukata kugira ngo bikosore ibyangiritse imbere mu ngingo. Kubera ko atari igice kinini cyo gukata, iki gikorwa ntigitera stress nyinshi.

Ni nde ukeneye ubu buvuzi?

Ubusanzwe, iyo umurwayi agize ububabare ku kaguru, muganga ntahita amwohereza kubagwa. Uburyo bwo kuvura butari ubwo kubaga nko kugabanya ububabare, gutera inshinge za steroide, no kuvura umubiri ni bwo bwa mbere bukoreshwa.

Ariko, niba nta na kimwe muri ibi gitanga ihumure rihagije ku bubabare bwawe no gukomera kwawe, bishobora kuba ikibazo kiri mu ngingo ubwayo. Icyo gihe ni bwo muganga wawe azasuzuma uburyo bwo gupima akaguru k'ikirenge. Niba akaguru kawe kadakomeye ku buryo udashobora kugenda, cyangwa niba ukunda kuzunguza akaguru k'ikirenge, ubu buryo bwo kubaga bushobora kuba igisubizo cyiza.

Ni izihe ndwara zishobora kuvurwa hakoreshejwe Ankle Arthroscopy?

Uku kubagwa k'urufunguzo bishobora gukemura ibibazo byinshi by'akaguru. Reka turebere hamwe indwara nyamukuru zivurwa n'uku kubagwa.

Wakwitegura ute mbere yo kubagwa?

Kugira ngo ubuvuzi bugende neza, ugomba kwitegura mbere y'igihe. Ni ngombwa cyane gukurikiza amabwiriza ya muganga neza.

Ni iki kibaho mu gihe cyo kubagwa?

Nyuma yo kujyanwa mu cyumba cy’ababaga, umuganga w’inzobere azaguha ikinya. Ibi bishobora gukorwa mu buryo bubiri:

1. Anesthesia Rusange: Muri ibi, uzaba usinziriye burundu kugeza igihe abaganga barangije kubaga. Nta kintu na kimwe uzumva.

2. Anesthesia yo mu gace: Iyi igabanya gusa ububabare mu gice kiri munsi y'ikibuno cyawe cyangwa hafi y'akaguru. Urabizi, ariko nta bubabare wumva.

Nyuma yo gusinzira, umuganga ubaga atema uduce duto twinshi ku kaguru maze agashyiramo agakoresho ko gusuzuma imbere mu ngingo. Iyo ikibazo kimaze kugaragara neza, umuganga ashyiramo ibikoresho bikenewe binyuze mu zindi mashini kugira ngo asane ibyangiritse. Ubusanzwe igikorwa cyose kimara isaha imwe . Ariko, iki gihe gishobora gutandukana bitewe n'uko urwaye.

Debridement ni iki?

Ushobora kumva iri jambo iyo uvuga ku kubagwa. Gukuraho ibisebe bisobanura gusa 'gusukura'.Tekereza icyumba cyo mu nzu yawe kirimo akajagari. Wenda gikeneye gusukurwa gato. Wenda gikeneye gusukurwa neza. Uko byagenda kose, umusaruro ni umwe, kandi icyo ni icyumba gisukuye kandi gisukuye. Gusesagura ni ikintu nk'icyo. Ibi ni byo muganga ashaka kuvuga mu gukuraho ibisigazwa by'umubiri, ibice by'amagufwa, n'ibice byangiritse bitari ngombwa mu ngingo yawe y'akaguru no 'gusukura' ingingo.

Ni iki kibaho nyuma yo kubagwa?

Ubusanzwe iyi ni inzira ikorerwa hanze y'ibitaro . Uzajya ukurikiranwa amasaha make nyuma yo kubagwa hanyuma wemererwe gutaha. Muganga cyangwa umuforomo azagusobanurira icyo ugomba gukora nyuma yo gutaha.

• Irinde gushyira ibiro ku kuguru kwabagawe mu byumweru bike bya mbere. Uzakenera gukoresha inkoni zo kugufasha.
• Urubura no kuzamura ikirenge cyawe: Kuzamura ukuguru kwawe, nko ku ntebe, bishobora gufasha kugabanya kubyimba. Gushyira urubura ku kirenge cyawe mu minota 15-20 inshuro nyinshi ku munsi nabyo ni byiza ku bubabare no kubyimba.
• Komeza igisebe gisukuye: Ibikomere bigomba gupfukwa kandi bigahora bisukuye. Bipfukeho igipfukisho kidapfa amazi mu gihe cyo koga. Si byiza koga cyangwa kujya muri pisine kugeza igihe ibikomere bikize.
• Imiti igabanya ububabare: Nywa imiti igabanya ububabare (nk'imiti igabanya ububabare) wanditswe na muganga wawe ku gihe.
• Umugozi: Mu byumweru bike bya mbere, uzasabwa kwambara umugozi cyangwa inkweto kugira ngo ugabanye ihindagurika ry'ikirenge cyawe.

Mu minsi mike, muganga azongera kukubona, akagukata imishumi, hanyuma akakubwira icyo ugomba gukora nyuma yaho. Nyuma y'ibyo, uzakenera gutangira ubuvuzi bw'umubiri . Ibi ni ingenzi kugira ngo wongere imbaraga n'imikorere y'akaguru kawe.

Ni izihe nyungu z'ubu buvuzi?

Ugereranyije no kubagwa cyane, arthroscopy y'akaguru ifite ibyiza byinshi.

• Gukira vuba: Kubera ko nta gikomere gikomeye cyabaye, igihe cyo gukira ni gito cyane. Ushobora kongera gukora imirimo isanzwe mu byumweru bike.
• Ububabare buke: Ububabare nyuma yo kubagwa ni buke cyane.
• Kuva amaraso make n'inkovu nto: Gucikamo uduce duto bituma amaraso aba make, kandi hasigaye uduce duto duto gusa, tugaragara neza.
• Ingaruka nke zo kugira ibibazo: Ingaruka mbi nk'izandura ni nke cyane.

Hari ibyago ibyo ari byo byose?

Nkuko bigenda mu kubagwa kose, hari ingaruka zimwe na zimwe, ariko izi ni indwara zidakunze kubaho kenshi.

• Uburyo bwo kurwara indwara yo gusinziriza
• Kwangirika kw'imitsi
• Amaraso afungana, cyane cyane mu mitsi y'amaguru (Deep Vein Thrombosis - DVT)
• Kwandura ibikomere
• Kuva amaraso menshi cyangwa kubyimba
• Kubura ibikomere mu kaguru no ku kirenge
• Wenda, niba ikibazo kidakemutse burundu, hashobora kuba ngombwa ko habaho ubundi bubagwa.

Ntugatinye izi ngaruka. Muganga wawe azafata ingamba zose zikenewe kugira ngo agabanye izo ngaruka.

Ni ryari nkwiye kujya kwa muganga nyuma yo kubagwa?

Ni ngombwa kwita ku mubiri wawe nyuma yo gutaha nyuma yo kubagwa. Niba ufite kimwe muri ibi bimenyetso bikurikira, hamagara muganga wawe ako kanya cyangwa ujye kwa muganga aho wavuriwe.

• Niba uhura n'ububabare bukabije .
• Niba igikomere kirimo kuva amaraso menshi cyane .
• Iyo isesemi no kuruka bikomeje.
• Niba ubonye ibimenyetso by'ubwandu (urugero: umuriro, gutukura, kubyimba, ubushyuhe bukikije aho waciwe, amashyira).