Ese ufite Ankylosing Spondylitis? Niba ari uko bimeze, ushobora kuba ufite ubwoba gato kandi ukaba ufite amatsiko yo kubagwa. Ushobora kuba wibaza uti "Ese ngomba kubagwa?" Ariko kubagwa ntibikunze kuba ngombwa kuri iyi ndwara. Abantu benshi bakira neza iyo banyoye imiti n'imiti. Ariko mu bihe bimwe na bimwe bikomeye, iyo ubundi buryo bwo kuvura budashoboye kugabanya ububabare n'ibimenyetso, muganga wawe ashobora kukugira inama yo kubagwa. Reka tubiganireho mu buryo bwumvikana kandi bworoshye.
Kuki ugomba kubagwa?
Ibuka ko atari abantu bose bafite ankylosing spondylitis (AS) bazakenera kubagwa. Ariko hari impamvu nyinshi z'ingenzi zishobora gutuma umuganga atekereza kubagwa.
- Niba ufite ububabare bukabije: Niba ufite ububabare bukabije budashobora gukemurwa nubwo waba ufite imiti igabanya ububabare kandi bukabije ku buryo udashobora gukora imirimo ya buri munsi.
- Niba udashobora kugenda neza: Niba kugenda bigoye bitewe n'ubumuga bw'umugongo n'ingingo, intege nke z'imitsi, cyangwa ububabare.
- Iyo imvune y'umugongo iteye gukanda imitsi: Hari igihe, iyo amagufwa yo mu ruti rw'umugongo yavunitse (kuvunika), ibice byavunitse bishobora gukanda umugongo cyangwa imitsi iwukomokaho. Ibi bishobora guteza akaga kandi bigasaba kubagwa.
Igikuru ni uko iki cyemezo gifatwa na muganga wawe, uzi neza uko umerewe. Azasuzuma neza uko umerewe maze afate umwanzuro niba ari ngombwa kubagwa cyangwa atari ngombwa.
Ni ubuhe bwoko bw'ubwibagi bukorwa?
Hari ubwoko butandukanye bwo kubaga bwa AS. Ubwoko bwo kubaga uzahitamo buterwa n'ikibazo cyawe. Reka turebe ubwoko bw'ingenzi bwo kubaga. Inyinshi muri ubu buryo bwo kubaga bukorwa hakoreshejwe ikinya rusange, bivuze ko uba usinziriye rwose kandi nta kintu na kimwe uzi.
| Izina ry'aho bakorewe ubuvuzi | Bigenda bite kuri ibi? | Ibisobanuro bigufi |
|---|---|---|
| Kubaga Laminectomy | Ubu ni bwo buryo bukunze gukoreshwa cyane kuri AS, kuko bugabanya umuvuduko ku mitsi yo mu ruti rw'umugongo kandi bugatuma ububabare bugabanuka. | Igice cy'umugongo cyitwa lamina kirakurwaho kugira ngo imitsi irusheho kubona umwanya. Hari izindi nsinga z'amagufwa cyangwa inkoni z'icyuma zishobora gukoreshwa mu gutuma umugongo ukomera. Bitwara amasaha 1-2, kandi ushobora gutaha uwo munsi. |
| Osteotomy | Kubagwa kugira ngo umugongo ugororoke kandi habeho imiterere myiza ku bantu bafite kyphosis. Ibi bikorwa gake cyane. | Igice cy'igufwa gikurwa mu mugongo hanyuma umugongo ugasubirana. Ibi bituma kugenda byoroha kandi bigabanya ububabare. Ushobora kumara iminsi 5-7 mu bitaro. |
| Guhuza Uruti rw'Umugongo | Kubagwa kugira ngo umugongo uhore umeze neza. Akenshi, kubagwa kubiri twavuze haruguru bikorerwa hamwe. | Hakoreshejwe inkoni n'insinga by'icyuma, imitsi yo mu mugongo irahuzwa kandi igakomera. Ibi byihutisha gukira. Bifata amasaha 2-7 kandi bisaba iminsi 2-4 yo kurara mu bitaro. |
| Gusimbuza Ikibuno | Bikorerwa abantu bangije cyane ingingo y'ikibuno kubera AS kandi bakaba bababara cyane ku buryo badashobora kugenda. | Ingingo y'ikibuno yangiritse irakurwaho igasimbuzwa ingingo y'ubukorano ikozwe mu cyuma, ibumba, cyangwa pulasitiki. Ushobora gukenera kumara iminsi 1-2 mu bitaro. |
Ni izihe ngaruka mbi zo kubagwa?
Kubaga AS akenshi biragira icyo bitanga. Ariko, nkuko tubizi, hari ingaruka zimwe na zimwe ziterwa no kubagwa uko ari ko kose. Ni ngombwa kubimenya.
Ingaruka zo kubagwa uruti rw'umugongo
- Ibibazo bishobora kubaho mu gihe cyo gusinziriza (urugero: gutakaza ubwenge, kubura umwuka wo guhumeka, indwara zikomeye nko kurwara umutima cyangwa gucika kw'imitsi)
- Amaraso apfutse
- Ibibazo by'ibihaha, urugero, umusonga
- Kwandura ibikomere
- Imyanda y'icyuma idafite aho ihuriye cyangwa yakuwe mu cyumba
- Kwangirika kw'imitsi yo mu ruti rw'umugongo
- Ububabare bukomeza cyangwa burushaho kwiyongera nyuma yo kubagwa
- Gushyira igitutu kinini ku bindi bice by'umugongo, bigatuma bisaza vuba
Ingaruka zo kubagwa ikibuno
Uku kubagwa bifite igipimo cyo gutsinda kiri hejuru cyane, ariko ni gake cyane ibi bikurikira bishobora kubaho:
- Amaraso apfutse
- Indwara zandurira mu mubiri
- Gucika kw'ingingo yatewe
Witegura ute kubagwa?
Uburyo bwiza bwo gukira vuba nyuma yo kubagwa ni ukwitegura neza. Dore bimwe mu bintu ushobora gukora.
- Kora urutonde rw'ibibazo: Andika ibibazo byose ufite, kuva ku bito kugeza ku binini, ku rupapuro hanyuma ujye kwa muganga. Baza neza icyo wakwitega mu kubagwa, igihe cyo gukira, n'ingaruka zishobora kubaho.
- Bwira muganga wawe imiti yose ufata (harimo na vitamine n'imiti y'ibimera).
- Niba unywa itabi, hagarika ubu ngubu: Nikotine idindiza cyane gukira kw'ibikomere. Ni ngombwa kureka kunywa itabi mbere yo kubagwa.
- Kurikiza amabwiriza yerekeye ibiryo, ibinyobwa, n'imiti: Baza muganga wawe amasaha angahe mbere yo kubagwa ugomba guhagarika kurya no kunywa, kandi niba ugomba guhagarika gufata imiti imwe n'imwe, kandi uyikurikize uko bikwiye.
- Teganya ko hari umuntu uzagufasha mu rugo: Niba ubana wenyine, teganya ko hari umuntu uzagufasha guhaha, guteka no gukora ibindi bintu nyuma yo kubagwa.
- Tegura aho utuye mu rugo: Bika ibintu ukeneye kenshi (telefone, televiziyo, icupa ry'amazi) ahantu horoshye kuhagera. Hindura ibintu kugira ngo byoroshye kugendagenda mu nzu. Kuraho ibintu nk'imisego n'imigozi bishobora kugutera igisebe.
Igihe cyo gukira nyuma yo kubagwa
Wibuke ko gukira bifata igihe. Ihangane. Nubwo byaba bikubangamiye, ni ngombwa kwimuka no kugenda uko bishoboka kose ukurikije inama za muganga.
Muganga wawe azakohereza muri physiotherapy cyangwa aguhe imyitozo ngororamubiri yo gukora mu rugo. Menya neza ko ubikora. Umuganga wawe azaguha amabwiriza asobanutse neza y'ibyo ushobora gukora n'ibyo udashobora gukora nyuma yo kubagwa (nk'iterura ibyuma, kunama).
Icy'ingenzi: Niba hari ibimenyetso by'indwara y'igikomere (urugero: gutukura, kubyimba, amabyi, umuriro), cyangwa niba ububabare bwawe burimo kwiyongera, hamagara muganga wawe vuba. Mu bihe bikomeye, jya mu Ishami ryita ku Butabazi bw'Ibanze (ETU) ry'ibitaro biri hafi yawe.
Ubutumwa bwo kujyana mu rugo
- Kubagwa ntabwo bikenewe cyane kuri ankylosing spondylitis (AS). Abantu benshi ntibabikeneye.
- Kubagwa bigirwa inama gusa mu bihe bikomeye, nko kubabara cyane, kugenda bigoranye, cyangwa gukanda imitsi, ndetse no mu gihe ubundi buryo bwo kuvura bwananiranye.
- Hari ubwoko butandukanye bwo kubaga (nk'uburyo bwo kubaga Laminectomy, osteotomy) bushobora kuba bujyanye n'ikibazo cyawe. Muganga wawe azagusobanurira.
- Kwitegura neza mbere yo kubagwa (kubaza ibibazo, kureka kunywa itabi, gutegura inzu) bigira uruhare runini mu kwihutisha gukira.
- Gira kwihangana mu gihe cyo gukira, kurikiza amabwiriza ya muganga wawe n'amabwiriza ya physiotherapy witonze, kandi umenyeshe muganga wawe ako kanya niba uhuye n'ikibazo icyo ari cyo cyose.
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