Hari igihe, iyo ukuboko cyangwa ukuguru byavunitse mu mpanuka, ntibikira neza kandi bigatera ububabare bwinshi, si byo se? Cyangwa, ugomba gukomeza urwasaya mbere yo guterwa iryinyo. Mu bihe nk'ibi niho abaganga bavuga ku 'gutera amagufwa '. Hari abantu bashobora kugira ubwoba iyo bumvise iri zina, ariko uyu munsi turaganira ku buryo bworoshye ku byo ari byo, uko bikorwa, n'ibyo ukeneye kumenya.
Mu magambo make, guterwa amagufwa ni iki?
Ubu ni uburyo bwo kubaga. Bukubiyemo gufasha umubiri wawe gusana igufwa ryacitse intege, ryavunitse cyangwa ryangiritse. Tekereza, iyo dufite umwobo ku rukuta rw'inzu yacu, tuwuzuzamo sima, sibyo? Ibi ni kimwe. Muri ubu buryo bwo kubaga, muganga ashyira ibikoresho byihariye ku mwobo cyangwa ahantu hacitse intege mu igufwa.
Ibi bifite intego ebyiri z'ingenzi:
1. Gutanga imbaraga z'inyongera: Ibikoresho bishyirwa mu cyuho bitanga inkunga n'imbaraga ku igufwa.
2. Gufasha mu gukora igufwa rishya: Ibi bikozwe mu nganda byohereza ikimenyetso ku mubiri cyo "kubaka ingingo nshya z'amagufwa hano." Hanyuma umubiri ubwawo wuzuza icyuho hanyuma ukongera ugakomeza igufwa.
Ni nde ukeneye ubwoko bw'ubu buryo bwo kubagwa?
Hari impamvu nyinshi zishobora gutuma hakenerwa ko habaho igufwa rishyirwa mu magufwa. Hari igihe bishobora kuba nyuma y’impanuka, ubundi bikaba biterwa n’ubundi burwayi. Reka turebere hamwe imiterere y’ingenzi ibi biba bikenewe.
| Impamvu | Ibisobanuro byoroshye |
|---|---|
| Ivunitse ritakira neza | Uku kubagwa ni ngombwa iyo igufwa ryavunitse rikize buhoro kurusha uko byari byitezwe (gutinda guhuza), ritameze neza (malonion), cyangwa ritakize na gato (nonunion). |
| Mbere yo Gutera Menyo | Mbere yuko iryinyo ry’ubukorano rishyirwa mu musaya, iyo igufwa ry’umusaya ridafite imbaraga, hakorwa igufwa rishyirwamo kugira ngo rikomere. |
| Gusimbuza ingingo | Ubu buryo bukoreshwa mu gusimbuza ingingo, nk'ikibuno cyangwa ivi, kandi hakenewe gukura kw'amagufwa kugira ngo ingingo y'ubukorano ikomeze neza. |
| Kubaga urutirigongo | Mu kubaga uruti rw'umugongo, gukuba amagufwa hakoreshejwe uburyo bwo gufasha guhagarara neza kw'imitsi yo mu mugongo. |
| Izindi ndwara | Ikoreshwa kandi mu kongera kubaka amagufwa yangijwe n'indwara nka osteonecrosis, kanseri y'amagufwa, n'indwara z'amagufwa (osteomyelitis). |
| Ibibazo kuva umwana avutse | Ubu buryo bushobora kandi gukoreshwa mu gukosora indwara nko gutandukana kw'uburebure bw'ingingo z'umubiri. |
Ni ubuhe buryo bw'ingenzi bwo gutera amagufwa?
Muganga azahitamo uburyo bukubereye cyane akurikije ibintu byinshi, nko ku miterere yawe n'ingano y'amagufwa agomba guterwa. Hari uburyo bwinshi bw'ingenzi.
- Autograft: Ibi bikubiyemo gufata agace gato k'igufwa mu kindi gice cy'umubiri wawe , akenshi ni nk'ikirenge cya iliac. Ubu buryo bufatwa nk'uburyo bwiza cyane. Kubera ko ari ingingo yawe bwite, umubiri wawe ntubyanga, kandi ibyago byo kwandura ni bike. Ariko, kubera ko hakorwa icyuho gitandukanye aho igufwa rifatiwe, hashobora kubaho ububabare aho hantu. Ingano y'igufwa rishobora gufatwa nayo ni mike.
- Allograft: Ibi bikoresha igufwa ry'undi muntu (uwapfuye) . Ibi bivanwa mu bubiko bw'inyama zihariye, bigasukurwa, bigashyirwamo imiti igabanya ubukana, kandi bikabikwa hakurikijwe amabwiriza akomeye y'ubuzima. Kubwibyo, ibyago byo kwandura ni bike cyane. Akamaro k'ibi ni uko nta kindi gice cy'umubiri wawe gikeneye gucibwa. Ubu buryo bukoreshwa cyane mu kubaga uruti rw'umugongo.
- Guteranya Amagufwa mu buryo bw'ubukorano: Ibi ni ibikoresho byakozwe mu buryo bw'ubukorano muri laboratwari.Ibi bikorwa mu bice bimwe biboneka mu magufwa, nka kalisiyumu. Nta mikorobe zirimo kandi zishobora gufatwa ku bwinshi bukenewe. Ni ingirakamaro cyane mu kuzuza icyuho kinini cy'amagufwa. Hari n'ibikoresho by'ubukorano birimo poroteyine zitera gukura kw'amagufwa.
- Gukoresha uburyo bwo gukamura amagufwa mu igufwa rinini: Ibi bikubiyemo gufata umwongo muto mu igufwa rinini, nk'igufwa ryo mu kibuno cyawe, ukoresheje urushinge. Uyu mwongo urimo uturemangingo twihariye (uturemangingo tw'igufwa) dushobora gukora amagufwa. Iyo uyu mwongo ukoreshejwe hamwe n'ubundi buryo bwo gutera amagufwa, inzira yo gukira amagufwa yihuta.
Ni iki kibaho mu gihe cyo kubagwa?
Reka turebe uko ibi bikunze kubaho intambwe ku yindi.
1. Anesthesia: Ubwa mbere, uzaterwa ikinya burundu (uzahabwa anesthesia ). Bityo rero ntuzumva ububabare ubwo aribwo bwose mu gihe cyo kubagwa, uzaba usinziriye.
2. Gukata: Hanyuma umuganga ubaga uruhu rw'aho igufwa rigomba gushyirwa kugira ngo rigere ku igufwa.
3. Gutegura igufwa: Hanyuma, igufwa rirasukurwa neza, ingingo zose zangiritse cyangwa zirwaye zirakurwaho, hanyuma igufwa rigategurwa kugira ngo rishyirwemo igufwa.
4. Gukosora igufwa: Noneho igufwa ryateguwe mbere (igice cy'igufwa ryawe, igufwa ryatanzwe, cyangwa ibikoresho by'ubukorano) rishyirwa mu cyuho, wenda rigashyirwamo udusahani duto cyangwa vis kugira ngo ridahinduka.
5. Gufunga icyuho: Amaherezo, icyuho kiradodwa kandi kigafungwa neza.
Ese hari ingaruka mbi zihari muri ibi?
Nkuko bigenda mu kubagwa kose, hari ingaruka zimwe na zimwe zishobora kubaho. Ariko abaganga bakora uko bashoboye kose kugira ngo bagabanye ibi byose uko bishoboka kose. Ni ngombwa ko ubimenya mbere y'igihe.
Zimwe mu ngaruka zishobora guterwa n'ibi ni izi:
- Kuva amaraso
- Indwara zandurira mu mubiri
- Ibibazo byo gukira kw'amagufwa
- Ububabare budakira
- Ibikoresho byangiritse, nko gucika cyangwa kwangirika kw'ibikoresho byakoreshejwe mu gusana imashini, nk'amasahani n'ibisuguti
- Kwangirika kw'imitsi
- Inkovu
Bigenda bite nyuma yo kubagwa? Bifata igihe kingana iki kugira ngo umuntu akire?
Nyuma yo kubagwa, umubiri wawe utangira kwihuza buhoro buhoro n'ibinyabutabire byashyizwemo, ukabifata nk'igufwa ryawo bwite. Iki gikorwa gishobora gufata ibyumweru bike kugeza ku mezi make cyangwa ndetse n'umwaka .
Igihe cyo gukira giterwa n'ibintu nk'imyaka yawe, ubuzima muri rusange, ingano n'aho igufwa riherereye.
Icy'ingenzi cyane: Niba uri umunywi w'itabi, kurireka bizafasha cyane gukira. Kunywa itabi bigabanya imiyoboro y'amaraso kandi bikagabanya amaraso ajya mu magufwa. Ibi bishobora gutinza gukira kw'amagufwa.
Niba ufite ibi bimenyetso, bwira muganga wawe ako kanya.
Ni ngombwa cyane gukurikirana ikibazo cyawe nyuma yo kubagwa. Niba ubonye kimwe muri ibi bimenyetso bikurikira, hamagara muganga wawe vuba.
| Ibimenyetso | Icyo ugomba kwitondera |
|---|---|
| Kuva amaraso cyangwa kubyimba bivuye mu gukata | Iyo hari amaraso adasanzwe cyangwa andi mazi ava aho yaciwe, cyangwa niba ahantu habyimbye cyane. |
| Umuriro | Niba wumva umuriro mu mubiri wawe, bishobora kuba ikimenyetso cy'ubwandu. |
| Kubura ibinure (Neuropathy) | Kumva urimo gushyuha hirya no hino aho icyo gitereko cyashyizwe, cyangwa kumva nta kintu na kimwe kigutera. |
| Ububabare budashobora kugenzurwa | Nubwo wafata imiti igabanya ububabare muganga aguha, ububabare ntibugabanuka. |
Ubutumwa bwo kujyana mu rugo
- Gutera amagufwa ni uburyo bwiza bwo kubaga bukoreshwa mu gukomeza amagufwa adakomeye cyangwa avunitse. Nta mpamvu yo gutinya ibi.
- Igufwa ryawe, igufwa ry'undi muntu, cyangwa ibikoresho by'ubukorano birashobora gukoreshwa muri ibi. Muganga wawe ni we uzaguhitiramo uburyo bukubereye.
- Igihe cyo gukira kiratandukanye bitewe n'umuntu ku giti cye. Ni ngombwa cyane gukurikiza amabwiriza ya muganga wawe neza, cyane cyane nko kwirinda kunywa itabi.
- Niba ugize ibimenyetso bidasanzwe (umuriro, ububabare bukabije, kubyimba, kugira ibinya) nyuma yo kubagwa, ntutindiganye kubimenyesha muganga wawe ako kanya.
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