Ese ukuboko kwawe kwavunitse gutya? Reka twige ku kibazo cy’akaga cya Barton Fracture!

Ese waguye ahantu runaka ukababara cyane ku kuboko? Cyangwa wenda waguye mu kintu nk'iki waguye uturutse ku igare maze ukuboko kwawe kukavunika? Tekereza, mu bihe nk'ibi, ntabwo igufwa ryo mu kuboko kwawe rivunika gusa, ahubwo icyarimwe, ingingo muri ako gace iravunika, kandi ibice by'amagufwa bigatabwa hirya no hino. Ibyo ni byo twita Barton Fracture, imvune igoye gato. Kubera ko ibi bishobora kuba bikomeye gato, reka tubiganireho birambuye, si byo se?

Barton Fracture ni iki mu by'ukuri?

Mu magambo make, Barton Fracture ni igihe igice cy'ukuboko kwawe cyavunitse maze ikindi gice kikava mu mwanya wacyo wa mbere. Mu by'ukuri, radius, ari yo igufwa ryegereye ukuboko, ni yo ivunika . Ifitanye isano kandi n'ingingo y'ukuboko, bityo iki kibazo kibaho kuri iyo ngingo.

Ibi bikunze kubaho iyo ugonze ukuboko kwawe, bivuze ukuboko kwawe, ukagwa ufite uburemere bwawe kuri urwo ruhande. Tekereza, wari wirutse hanyuma ugwa gitumo ukubita ikiganza cyawe hasi, ni bwo uku kuvunika gushobora kubaho. Mu by'ukuri, igufwa rya radius ni ryo rikunze kuvunika mu ntoki zacu. Muri rusange, 20% gusa by'izindi mvune zose ni zo mvune za radius!

Ese hari ubwoko bwa Barton Fractures?

Yego, hari ubwoko bubiri bw'ingenzi bw'imvune za Barton, bitewe n'uruhande igice cy'igufwa cyakuweho.

1. Gucika kw'igufwa ry'umugongo: Iki ni cyo gihe igice cy'igufwa cyavunitse kigaragara inyuma y'ukuboko kwawe, aho inzara ziri. Ibi bishobora gutuma habaho kubyimba gato inyuma y'ukuboko kwawe.

2. Volar Barton Fracture (izwi kandi nka Reverse Barton Fracture): Aha niho igice cy'igufwa cyavunitse gisohoka kikagera mu kuboko kwawe. Igitangaje ni uko ubu ari bwo bwoko bukunze kugaragara bw'imvune za Barton.

Ni nde ufite amahirwe menshi yo kurwara Barton Fractures?

Mu by’ukuri, umuntu wese ashobora kuvunika nk’uku. Kuko ni nde uzi igihe cyangwa uko bizagenda, sibyo? Ariko, nk’uko ubushakashatsi bwabigaragaje, 70% by’izi mvune za Barton zivugwa mu basore bakiri bato . Ibi bikunze kugaragara cyane mu bakozi bakora ku maguru cyangwa abatwara moto. Iyi mvune ishobora kubaho mu kazi cyangwa mu mpanuka y’igare.

Nanone, urwaye indwara yo kubura amaraso (osteoporosis).Iyo ufite indwara yitwa osteoporosis, uba ufite ibyago byinshi byo kuvunika. Osteoporosis ni indwara aho amagufwa aba make kandi yoroshye kuyavunika. Rero, iyo amagufwa afite intege nke, ndetse no kugwa gato bishobora kwangiza bikomeye. Ingaruka zo kurwara iyi ndwara akenshi ziba nyinshi nyuma y'imyaka 50.

Barton Fractures ikunze kugaragara ku rugero rungana iki?

Mu by’ukuri, kuvunika kwa Barton ni ubwoko budasanzwe bw’imvune . Hariho ubundi bwoko bwinshi bw’imvune mu kuboko. Kubwibyo, si buri mvune yo kuvunika kw’ukuboko iba ari iyo kuvunika kwa Barton.

Ni izihe mpamvu nyamukuru z'uku gutandukana kw'abashakanye?

Akenshi, ni ukuvuga ko akenshi ibi biterwa no kugwa . Nkuko byavuzwe mbere, ibi bibaho iyo uguye ku buryo ikiganza cyawe gikora hasi. Byongeye kandi, bene ibyo bivune bishobora no kubaho mu mpanuka zikomeye nk'impanuka z'imodoka n'impanuka za moto.

Ni ibihe bimenyetso by'indwara ya Barton Fracture?

Ibimenyetso by'imvune ya Barton bisa cyane n'iby'izindi mvune zo mu gice cya kure twavuze mbere. Ushobora guhura n'ibintu nk'ibi:

• Gukomereka no gukomereka ku kuboko: Nyuma yo kugwa, ahantu hashobora kuba ubururu no gukomereka.
• Kubyimba cyangwa ikibyimba mu kiganza: Iyo igice cy'igufwa kigiye, gishobora kubyimba kikagaragara nk'ikibyimba.
• Kudashobora kwimura ukuboko nta bubabare: Ububabare bushobora kuba bukomeye cyane ku buryo udashobora no kwimura ukuboko kwawe.
• Gucika intege cyangwa gushyuha kw'intoki: Hari igihe, iyo hari igitutu gito ku mitsi, intoki zishobora kumva zidafite imbaraga.
• Kubyimba: Ukuboko gushobora kubyimba cyane.
• Ububabare bukomeye ku kuboko: Iki ni cyo kimenyetso nyamukuru. Ububabare bushobora kuba butihanganirwa.

Tekereza, uramutse uguye ukina cricket ugakomereka ukuboko gutya, ntabwo washobora gukora imirimo yawe ya buri munsi. Kubwibyo, ni ngombwa cyane gushaka inama kwa muganga vuba niba ubonye ibimenyetso nkibi.

Ni gute abaganga basuzuma indwara ya Barton Fracture?

Iyo ugiye kwa muganga, abanza kukubaza ibimenyetso byawe, ubukana bwabyo, n'uko imvune yagenze. Hanyuma, muganga azagutegeka gukorerwa X-ray kugira ngo arebe niba igufwa ryawe ryavunitse n'ubwoko bwavunitse. X-ray ishobora gufasha muganga kubona:

• Ese hari andi magufwa yavunitse?
• Uduce tw'amagufwa twavunitse turi kure cyane gute?
• Niba ubuso bw'igufwa ryavunitse ari bubi cyangwa buroroshye.

Hari igihe ugenzura imitsi yawe, imitsi n'imitsi kugira ngo urebe niba hari icyangiritse.Hashobora kandi gukorwa CT scan cyangwa MRI .

Ibibazo muganga ashobora kukubaza

• "Uri mu bubabare bungana iki?"
• "Ibimenyetso byawe bikomeye gute?"
• "Ushobora kunyeganyeza ukuboko kwawe?"
• "Wakomeretse gute kuri uru rutoki?"
• "Iyi mvune yabaye ryari?"

Umuganga azashobora gusobanukirwa neza ikibazo akurikije ibisubizo byawe ku bibazo nk'ibi.

Ni gute wakira imvune nk'iyi?

Muganga wawe azabanza agushyireho agapira ko ku kuboko kugira ngo katagenda. Hanyuma, azakohereza kwa muganga w’amagufwa. Abaganga b’amagufwa bavura ibikomere ku magufwa, imitsi, imitsi n’imitsi.

Birashoboka cyane ko uzagomba kubagwa byitwa Open Reduction and Internal Fixation (ORIF) . Iri zina rishobora kumvikana nk'irigoye, ariko mu magambo yoroshye, rikora gutya:

1. Kugabanya uruhu: Umuganga ubaga atema gato ku ruhu, agasanga ibice by'amagufwa byavunitse, akabisubiza mu mwanya wabyo wa mbere.

2. Gufata imbere: Hanyuma, ibice by'amagufwa byashyizwe ahantu heza bifatwa hamwe hakoreshejwe uduce duto tw'insinga (udupira), inkoni, amasahani, vis, nibindi. Hari igihe bimwe muri ibi bishobora gukoreshwa hamwe.

Kugira ngo ugabanye ububabare nyuma y'uku kubagwa, muganga wawe ashobora kukugira inama yo gufata imiti igabanya ububabare nka acetaminophen (urugero: Tylenol®) na ibuprofen (urugero: Advil®, Motrin®) .

Bifata igihe kingana iki kugira ngo Barton Fracture ikire?

Ibi bishobora gutandukana bitewe n'umuntu ku wundi. Ariko muri rusange,

• Niba utabazwe (bishobora kuba bitari ngombwa rimwe na rimwe, ariko akenshi kubagwa bikaba ngombwa kugira ngo Barton avunike), uzakenera kwambara icyuma gikingira ukuboko mu gihe cy'ibyumweru bitandatu.
• Ndetse na nyuma yo kubagwa, ushobora kwambara plaster cyangwa splint igihe runaka.
• Nyuma y'ibyo, uzakenera kuvura umubiri , aho uzagenda wongera kugira imbaraga mu kuboko kwawe buhoro buhoro.

Uzatangira kumva umeze neza mu mezi make. Ariko, bishobora gufata umwaka kugira ngo ukuboko kwawe gukira neza no kongera kugira imbaraga. Kubwibyo, ni ngombwa kwihangana no kwitabira ubuvuzi. Menya neza ko wabajije muganga wawe igihe ushobora kongera gutangira gukora siporo n'igihe ushobora gukina siporo yo gukubitanaho nk'umupira w'amaguru na hockey.

Ni gute iki kibazo cyagabanuka?

Ntidushobora kumenya igihe n'uburyo izi ngaruka zizabera. Ariko dushobora kwitonda gato:

• Witondere cyane iyo ukina siporo, ukora imirimo y'amaboko, utwara moto, cyangwa uzamuka ahantu hirengeye nk'urwego.
• Niba ufite ibyago byinshi byo kurwara osteoporosis (cyane cyane niba ufite imyaka irenga 50), kuraho ibyago byo kugwa mu rugo rwawe.
• Niba ukoresha inkoni cyangwa icyuma gitwara abantu, ntukibagirwe kubikora buri gihe.

Ni iki kizabaho nyuma yo kuvunika kwa Barton? (Icyizere/Isuzuma)

Inkuru nziza ni uko abantu benshi bashobora gusubira mu mirimo yabo ya buri munsi nyuma yo kuvunika kwa Barton. Ariko, bifata igihe, ubuvuzi bukwiye, ndetse no kuvurwa neza.

Ni izihe ngorane zishobora kubaho nyuma yo kubagwa?

Hari igihe ingorane zishobora kubaho nyuma yo kubagwa. Hari amahirwe make ko ibi bintu bizabaho nyuma yo kubagwa kwa Barton's vune:

• Indwara yo mu cyumba cy’umubiri iterwa n’indwara y’ibisebe (ACS): Iyi ni yo ndwara iterwa n’uko amaraso ajya mu bice by’ingenzi by’umubiri ahagarara. Ibi bishobora kwangiza imitsi n’imitsi. Ibi ni ibintu byihutirwa.
• Osteomyelitis: Niba ufite imvune ifunguye - bivuze ko igufwa ryamenetse mu ruhu - uba uri mu kaga ko kwandura indwara.
• Indwara ya Carpal Tunnel: Iyi ndwara ishobora kubaho iyo ukuboko kwavunitse kudakize neza. Ishobora gutera ububabare, intege nke, no kugira ibinya. Ariko hari uburyo bwo kuvura ibi.
• Indwara y’ububabare bw’akarere (CRPS): Iyi ni indwara ibabaza cyane. Ibaho iyo imitsi itangiye gukururwa cyane nyuma yo gukomereka, bigatuma idakora neza.
• Malunion: Ibi bivuze ko iyo ibice by'amagufwa yawe byavunitse bikize, ntibihura neza kandi bigahinduka nabi.
• Izindi ngaruka mbi ku ngingo zikikije: Amagufwa yavunitse ashobora no kwangiza imitsi ikikije, imitsi y'amaraso, imitsi, imitsi n'imitsi.

Niba ufite impungenge cyangwa ufite impungenge ku bijyanye n'izi ngorane, menya neza ko wavugana na muganga wawe. Hari uburyo bwiza bwo kuvura ibintu bimwe na bimwe.

Ni ibihe bihe byiza byo kujya kwa muganga?

• Niba ufite imyaka irenga 50 kandi ukaba warigeze kuvunika igufwa, umuganga wawe w’ibanze ashobora gushaka kugusuzuma niba ufite indwara yo kubura amaraso. Kuvunika igufwa bivuze ko amagufwa yawe ashobora kuba adakomeye.

Ni ryari ugomba kujya mu Ishami rishinzwe Ubutabazi bw'Ingoboka?

Niba utekereza ko ushobora kuba waravunitse ukuboko, ni byiza guhita ujya mu cyumba cy’ubutabazi cya hafi . Cyane cyane niba:

• Niba ububabare bwawe bukabije cyane.
• Niba ukuboko kwawe kugaragara nk'aho kudasanzwe (nk'aho kwangiritse).
• Niba ukuboko kwaracitse intege.
• Niba intoki zawe zahinduye ibara (nk'ubururu, umweru, cyangwa ibara ry'umukara).

Ibibazo by'ingenzi ugomba kubaza muganga wawe

Iyo ugiye kwa muganga, ntukibagirwe kubaza ibi bibazo:

• "Ese koko nkeneye kubagwa?"
• "Ni ubuhe bwoko bw'imvune mfite?"
• "Ni ryari nzashobora gukuraho plaster yanjye?"
• "Ni ryari nshobora gusubira mu mirimo yanjye isanzwe?"

Ikintu cy'ingenzi cyo kwibuka (Ubutumwa bwo kujyana mu rugo)

Wibuke ko niba uguye ukuboko kwawe kwarahengamye, igice cyako gishobora kuvunika kandi igice cyako gishobora kuva mu mwanya wako. Ibi bivuze ko ushobora kuba ufite Barton Fracture. Niba ingingo isa n'aho idakora neza, ishobora kuba Barton Fracture. X-rays zishobora gufasha abaganga kumenya neza ubwoko bw'imvune. Akenshi, kubagwa ni bwo buryo bwiza bwo kuvura.

Niba ufite ibimenyetso bya Barton Fracture, jya mu cyumba cy’ubutabazi cya hafi yawe . Izi mvune zishobora kuvurwa, kandi iyo zivuwe vuba, ushobora kugabanya ububabare no gutangira gukira vuba. Tukwifurije gukira vuba!

Barton yavunitse, kuvunika ikiganza, kuvunika ikiganza, ububabare bw'ikiganza, kubagwa amagufwa, kubagwa kwa ORIF, gukira amagufwa