Ese ukuboko kwawe kwakomeretse gutya? Reka twige ku byavunitse Boxer!

Ese wigeze ukubita ikiganza cyawe mu rukuta kubera uburakari? Cyangwa wigeze ukubitwa cyane mu gihe ukina siporo? Hari igihe iyo bibaye, ushobora kuvunika igufwa mu kuboko kwawe, cyane cyane igufwa riri ku ruhande rw'urutoki rwawe rw'impeta. Uyu munsi, tugiye kuvuga kuri ubu bwoko bw'imvune, abaganga bita 'Boxer's Fracture's Fracture.'

Ivunika rya Boxer ni iki?

Mu magambo make, kuvunika k'umukufi ni ukuvunika mu kiganza cyawe. Ni ubwoko bw'imvune ya metacarpal.

Igice cy'inyuma cy'ukuboko kwawe gifite amagufwa maremare kandi afite imigozi ushobora kumva iyo uyakozeho, kandi ni byo twita metacarpal. Aya ni amagufwa ahuza igikumwe cyawe n'udupira tw'izindi ntoki zawe n'ukuboko kwawe.

Gucika kw'umukufi ni ukuvunika kw'igufwa rya gatanu rya metacarpal rihuza urutoki rwawe rw'umuhondo n'ukuboko kwawe . By'umwihariko, impera y'iryo gufwa ihuza n'igufwa, igice cy' 'ijosi', iravunitse.

Akenshi, kuvura imvune nk'iyi bisaba guhagarika ukuboko ukoresheje agapira cyangwa icyuma. Ariko, iyo imvune ikomeye, cyane cyane iyo iherekejwe n'izindi mvune, kubagwa bishobora kuba ngombwa.

Ivunika ry'agatsiko k'amaboko k'isanduku rifunguye kandi rifunze

Ubu muganga wawe azashyira uku kuvunika mu cyiciro cy’ivunika “rifunguye” cyangwa “rifunze”.

Gucika intege ni igihe igufwa ryavunitse rimeneka mu ruhu rwawe rigasohoka. Ibi ni akaga gato kuko bifata igihe kirekire kugira ngo igikomere gikire kandi hari amahirwe menshi yo kwandura.

Mu gihe imvune ifunze, igufwa riravunika, ariko uruhu ntiruvunika. Nabyo ni bibi cyane, ariko ibyago byo kurwara ni bike ugereranyije n'ibyavunitse.

Imvune y'Umukinnyi wa Boxe wari waracitse

Andi magambo abiri abaganga bakoresha ni 'kwimuka' na 'kutagira aho kwimuka'.

Gucika intege ni igihe ibice bibiri by'igufwa bivunika bigasunikirwa imbere n'imbere, bigasigarana icyuho kinini hagati yabyo. Mu magambo make, igufwa riba ryararambuye kandi ntirigororotse.

Iyo imvune itarava aho iri , igufwa riravunika, ariko ibice ntibigeze bijya kure cyane, kandi biracyari mu buryo bumwe. Ubusanzwe imvune zava aho iri ziba zisaba kubagwa.

Kuvunika k'umukino w'iteramakofe kukunze kugaragara gute?

Uku kuvunika k'umukunzi w'isanduku mu by'ukuri ni bwo bwoko bukunze kugaragara cyane bw'imvune ya metacarpal mu kuboko. Mu by'ukuri, hafi kimwe cya kane (hafi 25%) by'imvune zose za metacarpal mu kuboko ni ubwo bwoko.

Ni ibihe bimenyetso by'imvune y'umuteramakofe?

Noneho reka turebe ibimenyetso by'imvune y'umuteramakofe.

• Ububabare bukomeye:Iki nicyo kintu cy'ingenzi. Birababaza aho ukuboko kwanjye kwari kuri.
• Kubyimba: Igice cyakomeretse cy'ukuboko kibyimba cyane.
• Urutoki rwa Pinkie rurenga urundi rutoki: Urutoki rwawe rwa Pinkie rushobora kugaragara nk'aho rurenga cyangwa inyuma y'urutoki rwawe rw'impeta. Ibi byitwa 'kutagira imiterere izenguruka' . Bisobanura ko urutoki rwazungurutse.
• Ububabare: Agace kakomeretse kazababara iyo ukozeho cyangwa ukagakandaho.
• Kugorwa no gukora cyangwa gukoresha ukuboko: Kugorwa no gukora imirimo ukoresheje ukuboko, kunama cyangwa kugorora intoki.
• Guhinduka ibara ry'ubururu: Uruhu rw'aho rwakomeretse rushobora guhinduka ubururu cyangwa umuhengeri.

Ni iki gitera kuvunika k'umukino w'iteramakofe?

Impamvu nyamukuru ibitera ni iyo ukubise ikiganza cyawe cyane ku rukuta cyangwa ku muryango n'inshyi . Hari abantu babikora iyo barakaye. Ni cyo gihe bibaho cyane. Izina 'gucika intege k'umukino w'iteramakofe' rikomoka ku kuba abakina imikino y'iteramakofe bakunze kugira iyi mvune. Nanone, gukubitwa cyane inyuma y'ukuboko kwawe bishobora gutera ubu bwoko bw'imvune.

Ni nde uri mu kaga gakomeye kuri ibi?

Umuntu wese ashobora kuvunika igufwa rya gatanu rya metacarpal ku ruhande rw'ikirenge kinini. Ariko hari abantu bafite ibyago byinshi. Reba uwo ari we:

• Abantu bari hagati y'imyaka 10 na 40: Ibi bikunze kugaragara cyane muri iki kigero cy'imyaka.
• Abakinnyi: Cyane cyane abakina imikino yo gukubitana ikoresha amaguru n'amaboko yabo, nko guterana iteramakofe n'imikino yo kurwana.
• Abantu bafite indwara yo gucika intege kw'amagufwa: Indwara yo gucika intege kw'amagufwa ni indwara ituma amagufwa acika intege kandi agacika intege. Abantu bafite iyi ndwara bashobora kuvunika amagufwa yabo nubwo yaba afite imvune nto.

Ni gute wamenya ko umuntu wavunitse umupira w'iteramakofe?

Iyo ugiye kwa muganga, bazabanza bagusuzume ukuboko. Muganga ashobora gutekereza ko ari imvune y'agasanduku k'amaboko akozeho cyangwa akareba gusa. Ugomba kubwira muganga neza ibyabaye mbere yuko ukomereka ku kuboko kwawe n'uko wabonye ibimenyetso bwa mbere.

Ni ibihe bipimo byo gusuzuma indwara?

Muganga azagufata X-rays zo mu kiganza cyawe. X-ray izakwereka neza aho igufwa rya gatanu rya metacarpal ryavunitse n'uko imvune isa.

Hari igihe, cyane cyane niba ukeneye kubagwa, ushobora no gupimwa CT (Computed Tomography - CT scan) . CT scan ishobora gufata ishusho y'amagufwa yawe n'ingingo zayo mu buryo bwa 3D.

Amavuniko y'umukino w'iteramakofe avurwa ate?

Muganga wawe azagusaba uburyo bwo kuvura igufwa ryawe kugira ngo rikire. Ubwoko bw'ubuvuzi ukeneye buzaterwa n'ubwoko bw'imvune y'agapira k'iteramakofe ufite ndetse niba ufite izindi mvune. Uburyo busanzwe bwo kuvura ni ubu:

Kubuza kugenda

Niba imvune y'umukoresha w'isanduku idakomeye cyane, bivuze ko ibice by'amagufwa bitaratandukanye cyane (nondisplaced fracture), ushobora gusa gukenera kugumana ukuboko kwawe mu cyuma cyangwa mu cyuma gikingira amaguru. Abantu benshi bazakenera kugumana ukuboko kwabo muri uyu mwanya mu gihe cy'ibyumweru bitatu kugeza kuri bitandatu . Hagati aho, bazafata X-ray kugira ngo barebe neza ko amagufwa akize neza.

Gukosora hakoreshejwe intoki (Gufunga kugabanya)

Ku mvune ikomeye y'umukunzi w'iteramakofe, ushobora gukenera uburyo bwitwa 'closed reduction' kugira ngo uhuze ibice by'amagufwa byavunitse. Muri ubu buryo, muganga azakanda inyuma y'ukuboko kwawe maze agarure ibice by'amagufwa byavunitse mu mwanya wabyo. Mu gihe ukora ibi, ntuzumva ububabare kandi ushobora gukora kimwe muri ibi bikurikira:

• Anesthetic yo mu gace: Iyi igabanya ububabare gusa ku gace gakikije igikomere .
• Imiti igabanya ububabare: Ibi bizatuma wumva uruhutse.
• Anesthesia rusange: Ibi bivuze ko nta kintu na kimwe uzumva, uzaba usinziriye.

Nyuma yo guhuza amagufwa muri ubu buryo, muganga azahagarika ukuboko kwawe akoresheje agapira cyangwa icyuma.

Kubagwa kw'imvune y'umukinnyi wa boxer

Abantu benshi ntibakeneye kubagwa kugira ngo bavunike umukinnyi w’iteramakofe.

Ariko niba wavunitse, wavunitse cyangwa wavunitse, muganga ashobora kukugira inama yo kubagwa. Nanone, niba igufwa ryangiritse ndetse n'izindi nyama zikikije, kubagwa bishobora kuba ngombwa. By'umwihariko, niba wavunitse byatumye ikirenge cyawe kinini kigenda hejuru y'ikindi kirenge (malrotation), kubagwa birashoboka cyane.

Umuganga ubaga ashyira ibice by'amagufwa yawe mu mwanya wabyo hanyuma akabihuza neza, kugira ngo bihuze neza. Ibi bikunze gukorwa binyuze mu 'gushyira imbere' . Ibi bivuze ko umuganga ashyira udupira, vis, cyangwa isahani mu igufwa ryawe kugira ngo afatanye. Nyuma y'uko igufwa rikize, ushobora gukenera kubagwa bundi bushya kugira ngo ukureho gufunga.

Ingorane zishobora guterwa no kubagwa

Ingorane nyamukuru zishobora kubaho nyuma yo kubagwa imvune y'umukino w'iteramakofe ni izi:

• Malunion: Ibi bibaho iyo ibice by'amagufwa byavunitse bidahuye neza mu gihe bikira. Ibi bishobora guhindura imiterere y'ukuboko no kugabanya imikorere y'ukuboko.
• Kutajya hamwe: Hari igihe ibice by'amagufwa bishobora kudahura neza, cyangwa ntibihure na gato.
• Ubwandu bw'amagufwa (Osteomyelitis):Niba waravunitse, bivuze ko igufwa ryamenetse mu ruhu, uba ufite ibyago byinshi byo kwandura bagiteri.
• Kugongana mu kiganza: Abantu bavunitse umupira w'iteramakofe bakunze kumva gukomera hafi y'igufwa ryavunitse. Uku gukomera gushobora kugabanuka hakoreshejwe imyitozo ngororamubiri yo mu rugo no kuvurwa n'abaganga b'inzobere .
• Indwara yo mu cyumba cy’umubiri itera ubwoba (ACS): Iyi ni indwara iteje akaga. Umuvuduko w’amaraso mu mitsi yo ku kuboko uriyongera, kandi amaraso ashobora kugabanuka. Ibi bishobora kwangiza imitsi n’imitsi burundu.

Nzumva meze neza nyuma y'igihe kingana iki?

Bishobora gufata ibyumweru bike kugira ngo ibimenyetso byawe bishire. Ububabare buzatangira kugabanuka mu minsi mike. Ariko bizatwara ibyumweru bitandatu kugira ngo igufwa ryawe ryongere gukomera.

Bitewe n'ubwoko bw'ubuvuzi wahawe, ushobora kongera kwimuka no gukoresha ukuboko kwawe mu byumweru bike.

Ariko ibuka ko niba ufite ububabare budashobora kugabanuka, ugomba guhita ubonana na muganga.

Ni iki wakwitega mu gihe wavunitse umukinnyi w'iteramakofe?

Ushobora gukira neza nyuma yo kuvunika k'umukino w'iteramakofe.

Ushobora kandi gukenera ubuvuzi bw'akazi kugira ngo wongere kugira imbaraga n'imikorere mu kiganza cyawe.

Bifata igihe kingana iki kugira ngo imvune y'umuteramakofe ikire?

Abantu benshi bifata ukwezi kumwe cyangwa abiri kugira ngo bakire imvune y'umukino w'iteramakofe. Igihe bizagutwara giterwa n'uburemere bw'imvune n'ubuvuzi wahawe.

Mu by’ukuri, igihe bifata kugira ngo umubiri ukire kiratandukanye bitewe n’umuntu ku wundi. Baza muganga wawe cyangwa umuganga wawe igihe bizamara bitewe n’uburwayi bwawe.

Ese ibi bizatuma ntabasha kujya ku kazi/ku ishuri?

Ushobora kudashobora kujya ku kazi cyangwa ku ishuri kugeza igihe ukuboko kwawe gukira. Ibi biragoye cyane cyane iyo imvune yavunitse mu kuboko kwawe gukomeye, ari nako ukuboko ukunda gukoresha, urugero nk'ukuboko wandika cyangwa ugakora akandi kazi.

Abantu benshi bashobora kongera gukora imyitozo ngororamubiri (nk'imikino ngororamubiri) nyuma y'ibyumweru umunani .

Ariko, ugomba kujya kwa muganga cyangwa umuganga mbere yo kongera gutangira ikintu icyo ari cyo cyose. Cyane cyane niba igufwa ryawe ryavunitse ubwo wakinaga siporo cyangwa ugakora ikintu runaka, banza ushake inama mbere yo kongera gutangira.

Ni gute twagabanya ibyago byo guhura n'ubu bwoko bw'impanuka?

Kugira ngo ugabanye ibyago byo gukomereka nk'uku, kurikiza izi nama zoroshye zo kwirinda:

• Iyo urakaye cyangwa ubabaye, ntukigere ukubita inkuta, hasi, cyangwa ikindi kintu icyo ari cyo cyose gikomeye. Iki ni cyo kintu cy'ingenzi kurusha ibindi.
• Buri gihe wambara umukandara w'imodoka iyo uri mu modoka.
• Ambara ibikoresho byo kwirinda bikwiye kuri buri gikorwa na siporo.
• Kurikiza indyo n'imyitozo ngororamubiri bigufasha kubungabunga ubuzima bw'amagufwa yawe.
• Niba ufite imyaka irenga 50, cyangwa niba hari umuntu wo mu muryango wawe urwaye indwara yo kubura amaraso, vugana na muganga wawe kandi utekereze ko wakwipimisha ubucucike bw'amagufwa .

Ni ryari ugomba kujya kwa muganga byihutirwa?

Niba utekereza ko ufite imvune y'agatsiko k'itera (cyangwa ikindi cyavunitse igufwa), ugomba kujya kwa muganga vuba bishoboka. Niba ufite kimwe muri ibi bimenyetso, jya kwa muganga wita ku barwayi b'ingoboka vuba:

• Ububabare budashobora kwihanganira.
• Niba udashobora kwimura ikiganza cyangwa intoki zawe nk'uko bisanzwe.
• Niba imiterere y'ukuboko kwawe yarahindutse cyane.
• Niba igufwa ryawe risohoka mu ruhu rwawe.
• Kubyimba.
• Niba watangiye kugira ubururu bushya hamwe n'ibindi bimenyetso.

Ni iki ngomba kubaza muganga?

Ni byiza kubaza ibi bibazo mugihe ugiye kwa muganga wawe:

• Ni ubuhe bwoko bw'imvune mfite?
• Ese nkeneye kubagwa?
• Nzambara agapira cyangwa icyuma kugeza ryari?
• Ni ryari byaba byiza gusubira gukora imyitozo ngororamubiri nka siporo?

Ese kuvunika k'umuteramakofe bizakira ubwabyo?

Oya, imvune y'umuteramakofe ntabwo izigera ikira ubwayo. Imvune iyo ari yo yose igomba gusuzumwa neza no kuvurwa na muganga. Iyo usize imvune y'umuteramakofe idavuwe, uba uri mu kaga gakomeye ko kugira ingorane nka malunion.

'Malunion' ni igihe igufwa ryavunitse rihuye neza, ariko ritari mu mwanya ukwiye, mu buryo bukwiye. Rihuye neza. Iyo bibaye, ushobora kugorwa no gukoresha igikumwe cyawe nyuma, kandi ushobora kongera kuvunika iryo gufwa mu gihe kizaza.

Niba wakomeretse ukuboko ukabona ibimenyetso by'imvune y'umukino w'iteramakofe, jya mu cyumba cyita ku barwayi barembye vuba. Nubwo igufwa ryawe ritavunitse, muganga agomba gusuzuma imvune yawe.

Hanyuma, hari ibintu bike byo kwibuka

Gucika kw'umukufi ni igufwa ryavunitse mu kiganza cyawe. Izina ryabyo rikomoka ku buryo bikunze kubaho - iyo ukubise ikiganza cyawe n'inkoni yawe ku kintu gikomeye. Nubwo iki ari imvune isanzwe mu gihe cy'imikino, ishobora no kubaho iyo ukubise urukuta cyangwa ikindi kintu gikomeye urakaye.

Birababaje gusiba ibyumweru bike by'imyitozo, amarushanwa, cyangwa ibindi bikorwa. Ariko ushobora gukira neza nyuma yo kuvunika k'umuteramakofe. Ntukirengagize ibimenyetso nko kubabara ukuboko no kubyimba, cyane cyane nyuma yo gukomereka.Shaka muganga ako kanya kugira ngo agusuzume. Uko muganga abonye vuba imvune y'umuti w'iteramakofe, ni ko igufwa ryawe ryavunitse ritangira gukira vuba.

Kuvunika k'umukino w'iteramakofe, kuvunika kw'ukuboko, kuvunika kwa metacarpal, ububabare bw'ukuboko, kubyimba ikiganza, imvune za siporo, kuvura amagufwa