Ese ingingo nk'ivi ryawe, inkokora, urutugu, cyangwa ikibuno cyabyimbye bitunguranye kandi bikababaza, bigatuma kugenda bigorana? Hari abantu babyita "amazi mu ngingo." Mu by'ukuri, uku kubyimba n'ububabare bishobora gutuma bigorana no gukora imirimo ya buri munsi. Uyu munsi rero tugiye kuvuga ku buryo bworoshye, ariko bufite akamaro cyane muganga wawe ashobora kukugira inama mu gihe nk'iki. Ibyo byitwa 'Arthrocentesis' cyangwa 'Joint Aspiration'.
Mu magambo make, Arthrocentesis ni iki?
Nubwo ibi bishobora kumvikana nk'ijambo rikomeye, mu by'ukuri biroroshye cyane. Arthrocentesis ni uburyo bukoresha urushinge ruto cyane kugira ngo ukure amazi arenze urugero mu ngingo yawe yabyimbye.
Tekereza muri ubu buryo: ingingo zacu zimeze nk'imipira y'umupira iri mu mashini. Kugira ngo zikomeze gukora neza, mu bisanzwe ziba zirimo amazi make. Tuyita amazi ya synovial. Ariko iyo ingingo ibyimbye bitewe n'indwara nka rubagimpande, ubwandu, cyangwa impanuka, aya mazi atangira gukorwa cyane . Icyo gihe ingingo irabyimba, igakomera, kandi ikagira ububabare.
Rero, icyo ukora na 'Arthrocentesis' ni ukuvanaho ayo mazi menshi kandi bikaguha ihumure. Ibi bigabanya ububabare no kubyimba. Nanone, usuzumye amazi akuweho, ushobora kumenya neza icyateye uku kubyimba.
Ubu buryo bwo kuvura bukora bute?
Ubusanzwe iyi ni inzira yoroshye ishobora gukorerwa kwa muganga (OPD) cyangwa mu ishami ry’abarwayi bataha mu bitaro. Ntibisaba kwitegura cyane. Iyo ugiyeyo, muganga azakurikiza izi ntambwe:
- Ubwa mbere, uruhu rw'aho urushinge ruzashyirwa rusukurwa neza kandi rugaterwa umuti wica udukoko.
- Hanyuma, amavuta yo gusiga ibinure (anesthesia yo mu mutwe) ashyirwa aho hantu cyangwa, nibiba ngombwa, agaterwa urushinge ruto rwo gusiga ibinure (anesthesia yo mu gace). Ibi bizatuma utababara cyane.
- Hari igihe, kugira ngo umuganga amenye neza aho amazi ari imbere mu ngingo, ashobora gukoresha imashini isuzuma nka ultrasound cyangwa fluoroscopy. Ibi bishobora kugufasha kugera ku ntego ikwiye.
- Hanyuma, urushinge ruto rufatanye na seringi rushyirwa mu ngingo binyuze mu gace gatera ibisebe.
- Noneho, amazi y'inyongera ari mu ngingo ashyirwa muri syringe. Iyo hari amazi menshi cyane, syringe irahindurwa kugira ngo ikurwemo amazi menshi uko bikenewe.
- Hari igihe, nyuma yo gukuraho amazi, umuti ugabanya ububabare (urugero: steroid) ushobora guterwa mu ngingo ukoresheje urushinge rumwe.
- Amaherezo, icyitegererezo cy'amazi cyakuwemo cyoherezwa muri laboratwari kugira ngo gipimwe, nibiba ngombwa, kugira ngo hamenyekane neza icyabiteye.
Iyi gahunda yose imara iminota 10 .
Ni izihe nyungu nyamukuru z'ibi?
Arthrocentesis ni nko kwica inyoni ebyiri n'ibuye rimwe. Ni uburyo bwo kuvura no gusuzuma indwara icyarimwe.
Ibi bizagufasha guhita ugabanya ububabare bwawe kandi bizagufasha kumenya icyateye iyo ndwara.
Reka turebe ibyo byiza biri mu mbonerahamwe iri hepfo.
| Inyungu | Mu magambo make ... |
|---|---|
| Kugabanya ububabare ako kanya | Iyo amazi asigaye mu ngingo akuweho, igitutu ku ngingo kiragabanuka, kandi kubyimba no kubabara biragabanuka cyane. |
| Kwitegura imiti | Mbere yo gutera umuti mu ngingo, gukuramo amazi arenze muri ubu buryo bituma umuti winjira neza. Binatuma umuti ugira akamaro. Urugero, inshinge nk'izi: - Inshinge za Cortisone/steroid - Inshinge za plasma zikungahaye kuri plaquette (PRP) - Guteranya ibinure (inshinge za gel) |
| Isuzuma | Iyo hafashwe icyitegererezo cy'amazi (synovial fluid) cyoherezwa muri laboratwari kugira ngo gipimwe, impamvu nyayo y'ikibyimba ishobora kumenyekana. Urugero: - Urwara rwandujwe na bagiteri? - Ese hari amaraso ava mu ngingo? - Ese hari ubwiyongere bw'amakristale buterwa n'indwara nka goutte ? |
Ese hari ingaruka mbi muri ibi?
Ubu ni uburyo bwiza cyane bwo kuvura mu bihe byinshi. Ingorane ni nke cyane. Ariko, nk'uko bigenda ku buvuzi ubwo ari bwo bwose, hari ingaruka ntoya.
- Kugaragara kwandura indwara:Hari amahirwe make cyane ko mikorobe yinjira aho urushinge rwashinzwe.
- Kuva amaraso: Iyo umutsi muto cyane w'amaraso wangiritse iyo urushinge rushyizwemo, kuva amaraso guke bishobora kubaho.
- Ubwivumbure: Hari abantu bashobora kugira ubwivumbure ku muti ukoreshwa mu gutera ibisebe cyangwa ku muti ukoreshwa mu gutera ingingo. Ariko, ubwivumbure bukomeye nka "Anaphylaxis" ni gake cyane.
- Nyuma yo guterwa urushinge: Hari abantu bamwe (hafi 1 kuri 50) bashobora kugira ububabare bwiyongereye mu ngingo no kubyimba amasaha make nyuma yo guterwa urushinge. Ariko, ibi akenshi bihita byisubiraho mu minsi mike.
Bigenda bite nyuma yo kuvurwa kandi nzumva nduhutse ryari?
Nyuma yo kuvurwa, muganga azashyira agapfukamunwa gato aho urushinge rwashyizwe kandi agugire inama yo kudashyira imbaraga nyinshi ku ngingo mu gihe cy'umunsi umwe cyangwa ibiri.
Uzatangira kumva ububabare n'ibibyimba umunsi ukurikiyeho. Igihe ubu buruhukiro buzamara biterwa n'uko urwaye. Niba ufite indwara idakira nka rubagimpande, ibibyimba bishobora kugaruka uko igihe kigenda gihita. Hanyuma ushobora kongera kubikora. Muganga wawe azakugira inama y'uburyo bwo kubikora.
Ni ryari ngomba kongera kubonana na muganga?
Niba ubonye kimwe mu bimenyetso bikurikira nyuma yo kuvurwa, hamagara muganga wawe ako kanya.
| Ibimenyetso byo kwitondera |
|---|
| Niba ububabare bukomeje kwiyongera nubwo ufata imiti igabanya ububabare. |
| Niba ahantu umuti watewe ari umutuku, hashyushye, cyangwa hameze nk'aho uri guterwa . |
| Niba amaraso cyangwa andi mazi arimo kuva aho bateye inshinge. |
| Niba ufite umuriro cyangwa wumva urimo gukonja . |
Ubutumwa bwo kujyana mu rugo
- Arthrocentesis ni uburyo bworoshye kandi bwizewe bwo kwa muganga bufasha kugabanya ububabare no kumenya icyateye kubyimba kw'ingingo.
- Ibi bikubiyemo gukuraho amazi menshi yakusanyije imbere mu ngingo hakoreshejwe urushinge ruto.
- Ibi bizagufasha kugabanya ububabare n'ibibyimba vuba.
- Mu gusuzuma amazi akuweho, muganga azashobora gufata umwanzuro nyawo ku bijyanye n'uko umeze.
- Niba ububabare bwiyongera, bugahinduka umutuku, cyangwa bukagira umuriro nyuma yo kuvurwa, menyesha muganga wawe ako kanya.
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