Ankylosing Spondylitis, cyangwa AS mu magambo ahinnye, ni indwara idakunze kugaragara cyane isaba kubagwa. Kenshi na kenshi, iyi ndwara ishobora gukemurwa n'ubundi buryo bwo kuvura (nk'imiti n'imyitozo ngororamubiri). Ariko, mu bihe bikomeye, iyo ubundi buryo bwose bwo kuvura bwananiwe, muganga wawe ashobora gufata icyemezo cyo kubaga. Rero, uyu munsi, turaganira kuri bimwe mu bisobanuro birambuye kugira ngo tugabanye ubwoba n'amakenga kuri iyi ndwara.
Kuki kubagwa ari ngombwa?
Si abantu bose bafite AS bazakenera kubagwa. Ariko, umubare muto cyane w'abantu bashobora gukenera kubagwa. Hari impamvu nyinshi z'ingenzi zishobora gutuma muganga wawe atekereza kubagwa.
Muri make, kubagwa bifatwa gusa iyo indwara ikomeye cyane ku buryo udashobora gukora imirimo yawe ya buri munsi. Urugero, tekereza kuri ibi bikurikira:
- Niba ufite ububabare budashobora kwihanganira . Ni ukuvuga niba udashobora kugenzura ububabare nubwo wamaze gufata imiti ikomeye igabanya ububabare yandikiwe na muganga.
- Niba udashobora kugenda neza bitewe n'ubumuga bw'umugongo, intege nke z'imitsi, cyangwa ububabare.
- Iyo uruti rw'umugongo ruvunitse kandi ibice by'amagufwa bikaba bikandagira imitsi inyura mu ruti rw'umugongo.
Iki ni cyo gihe kubagwa biba amahitamo. Ubu buryo bwinshi bwo kubaga bukorwa hakoreshejwe ikinya rusange, bivuze ko uba usinziriye rwose kandi nta kintu na kimwe uzi. Ibi tubyita ikinya rusange .
Ubwo bwoko bw'ubu burwayi ni ubuhe?
Hari ubwoko bwinshi bw'ingenzi bwo kubaga bukorerwa AS. Ntabwo kubaga kose gukorwa ku mpamvu imwe. Muganga wawe azahitamo kubaga gukwiriye ikibazo cyawe. Reka dusobanukirwe ubu buryo mu mbonerahamwe yoroshye.
| Izina ry'aho bakorewe ubuvuzi | Bigenda bite kuri ibi? | Ibisobanuro birambuye ku bijyanye no kubagwa |
|---|---|---|
| Kubaga Laminectomy | Ubu ni bwo buryo bukunze gukoreshwa cyane mu kubaga AS. Bugabanya ububabare buturuka mu maboko no ku maguru bitewe no gukanda imitsi yo mu ruti rw'umugongo. | Muganga akuraho 'lamina', igufwa ritwikiriye umugongo. Ibi bitanga umwanya munini w'imitsi. Uku kubagwa bifata amasaha 1-2. Ushobora gutaha uwo munsi. |
| Osteotomy | Ibi bikorwa gake cyane. Ubu buryo bwo kubaga bukorerwa kugira ngo umugongo ugororoke mu gihe umugongo ugoramye cyane kandi udashobora guhagarara cyangwa kugenda. | Igice cy'igufwa gikurwa mu mugongo hanyuma uruti rw'umugongo rugasubizwa mu mwanya warwo. Ibi bishobora gufasha kunoza imiterere y'umubiri no kugabanya ububabare. Uzakenera kuguma mu bitaro iminsi igera kuri 5-7 nyuma yo kubagwa. |
| Guhuza Uruti rw'Umugongo | Akenshi bikorwa hamwe na Laminectomy cyangwa Osteotomy. Igufwa rikuweho ribuza uruti rw'umugongo gukomera no kurukomeza. | Uruti rw'umugongo ruhamye hakoreshejwe inkoni n'insinga by'icyuma. Uku kubagwa bishobora gufata hagati y'amasaha 2-7. Uzakenera kumara iminsi 2-4 mu bitaro. |
| Gusimbuza Ikibuno | Ubu buryo bwo kubaga ni byiza iyo AS yangije ingingo zo mu kibuno kandi ikaba itera ububabare bwinshi bwo kugenda. | Ingingo y'ikibuno yangiritse irakurwaho igasimburwa n'ingingo y'ubukorano ikozwe mu cyuma, ibumba, cyangwa pulasitiki. Uzakenera kuguma mu bitaro iminsi 1-2 nyuma yo kubagwa. |
Icy'ingenzi ni uko bigoye kwitega ko ubu burwayi bwose buzakiza burundu ububabare bw'umugongo wawe. Akenshi, bugabanya gusa ububabare buterwa no gukanda imitsi no kwihagararaho neza.
Ni izihe ngaruka mbi zo kubagwa?
Kubaga AS muri rusange birakora neza kandi bitekanye. Ariko, kubaga uko ari ko kose, hari ingaruka zimwe na zimwe. Ni ngombwa kubimenya mbere y'igihe.
| Ubwoko bw'ibyago | Ibisobanuro |
|---|---|
| Ingaruka zikunze kugaragara zo kubagwa uruti rw'umugongo (Laminectomy, Osteotomy, Spinal Fusion) | |
| Ibibazo bijyanye no gusinziriza | Indwara zikomeye nko kugorwa no guhumeka, ibibazo byo kwibuka, indwara z'umutima cyangwa indwara zo mu bwonko. (Ibi ni gake cyane) |
| Amaraso apfutse | Hari ibyago byo kubyimba kw'amaraso, cyane cyane mu maguru. |
| Indwara zandurira mu mubiri | Kwandura igikomere cyangwa indwara y'ibihaha (pneumonia). |
| Kwangirika kw'imitsi | Hari ibyago bike cyane byo kwangirika kw'imitsi yo mu ruti rw'umugongo mu gihe cyo kubagwa. |
| Ububabare ntibugabanuka | Hari igihe ububabare bushobora gukomeza nyuma yo kubagwa cyangwa bukarushaho kuba bubi kurusha mbere. |
| Ingaruka zo Kubagwa Ikibuno mu buryo bwo Gusimbuza Inyama | |
| Ingaruka zisanzwe | Hariho kandi ibyago byo kubyimba kw'amaraso no kwandura. |
| Kwimuka | Hari ibyago bike by'uko ingingo y'ubukorano yashyizwemo ishobora kuva aho iri. |
Witegura ute kubagwa?
Uburyo bwiza bwo gukira vuba nyuma yo kubagwa ni ukwitegura neza. Dore bimwe mu bintu ushobora gukora.
- Andika ibibazo byose ufite mu mutwe hanyuma ubaze muganga. Baza neza inyungu zo kubagwa, n'icyo wakwitega mu gihe cyo kubagwa na nyuma yaho.
- Bwira muganga wawe imiti yose ufata (harimo n'imiti igurishwa mu kigo).
- Niba unywa itabi, rekera aho . Nikotine idindiza gukira kw'ibikomere.
- Menya neza igihe ugomba guhagarika kurya no kunywa mbere yo kubagwa, ndetse niba ugomba guhagarika gufata imiti imwe n'imwe.
- Niba ubana wenyine, teganya umuntu uzagufasha ugeze mu rugo nyuma yo kubagwa. Ushobora gukenera ubufasha mu bintu nko guhaha no gutegura amafunguro.
- Bika ibintu ukeneye kenshi mu rugo (telefone, televiziyo, icupa ry'amazi) ahantu horoshye kuhagera.
- Kuraho ibintu nk'amatapi n'imigozi bishobora gufungana mu gihe ugenda, kandi utume urugo rwawe rutekanye kugira ngo ushobore kwimukamo .
Igihe cyo gukira nyuma yo kubagwa
Wibuke ko bifata igihe kugira ngo ukire neza nyuma yo kubagwa. Ihangane nawe ubwawe . Ni ngombwa gukomeza gukora cyane uko bishoboka kose, nubwo waba wumva ufite intege nke rimwe na rimwe.
Muganga wawe ashobora kukugira inama yo kuvura imikorere y'umubiri cyangwa akaguha imyitozo yoroshye yo gukora uri mu rugo. Umuganga wawe azagusobanurira ibyo ugomba gukora n'ibyo udakwiye gukora umaze kugera mu rugo. Baza muganga wawe igihe ushobora gutangira gukora imyitozo ngororamubiri igoye kurushaho.
Niba warakorewe laminectomy, ugomba kuba ushobora gusubira ku kazi mu byumweru bike, keretse niba ufite akazi gasaba guterura cyane cyangwa kugenda n'amaguru. Niba warakorewe osteotomy yo mu ijosi, uzasabwa kwambara ijosi. Ushobora kandi kugirwa inama yo kwambara amasogisi yo gukanda kugira ngo wirinde kubyimba kw'amaraso.
Icy'ingenzi kurushaho: Niba ufite ibimenyetso by'ubwandu (nk'umuriro, amashyira), cyangwa niba ububabare burimo kwiyongera, hamagara muganga wawe vuba.
Ubutumwa bwo kujyana mu rugo
- Kubaga ankylosing spondylitis (AS) ni gake cyane kandi ni byiza gusa mu bihe bikomeye aho ubundi buryo bwo kuvura bwananiranye.
- Hariho ubwoko butandukanye bwo kubaga (nk'uburyo bwo kubaga Laminectomy, Osteotomy) kugira ngo bigabanye ububabare, bigabanya imitsi ikandagira, kandi bigorore umugongo uhetamye.
- Buri kubagwa gufite ingaruka zimwe na zimwe, kandi ni ngombwa kuganira kuri izi ngaruka zose na muganga wawe mbere yo kubagwa.
- Kwitegura neza kubagwa no gukurikiza amabwiriza ya muganga nyuma yo kubagwa ni ingenzi cyane kugira ngo umuntu akire vuba.
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