Ese wavunitse igufwa ryawe? (Clavicle Fracture) Reka tubiganireho birambuye!

Oh, rimwe na rimwe no kugwa gato bishobora gutera ububabare bwinshi mu gice cy'urutugu, si byo se? Muri icyo gihe, igufwa ryawe ry'umugongo, ni ukuvuga igufwa rirerire riva hasi mu ijosi rijya ku rutugu, twita "Clavicle" mu Cyongereza, rishobora kuba ryaravunitse. Ibi ni ibintu bibaho ku bantu benshi cyane cyane abana bato. None rero uyu munsi, reka twige neza kuri uku kuvunika kw'umugongo "Clavicle Fracture".

Uku kuvunika kw'igufwa ry'umugongo bisobanura iki? (Kuvunika kwa Clavicle)

Mu magambo make, igufwa ry'umugongo ryavunitse ni igihe rimwe mu magufwa abiri ari mu igufwa ryawe ryavunitse. Aya magufwa abiri aherereye mu gice cyo hejuru cy'igituza cyawe, kuva hejuru y'igufwa ry'igituza cyawe (sternum) kugeza ku gice cyo hasi cy'urutugu rwawe (scapula). Igufwa ry'umugongo wawe n'urutugu byawe birahura bigateranya bigakora ingingo y'urutugu. Rero, niba ikintu kigukubise cyane ku rutugu rwawe, cyangwa niba ugize impanuka, iyi gufwa ry'umugongo rishobora kuvunika byoroshye.

Ni ubuhe bwoko bw'amagufwa yavunitse?

Iyo ugiye kwa muganga, bashobora gukoresha amagambo atandukanye mu gusobanura uku kuvunika kw'inyuma. Bashobora kubisobanura gutya:

• Gucika kw'igufwa rimwe cyangwa ridafite ishingiro: Igufwa ryawe rishobora kuvunika ahantu hamwe gusa, cyangwa rishobora kuvunika mo ibice ahantu henshi. Iyo ryavunitse ahantu harenze hamwe, byitwa kuvunika kw'ishingiro.
• Byaba ibice byavunitse byakuweho cyangwa bitakuweho (`Displaced/Nondisplaced`): Hari igihe, nubwo igufwa ry'umugongo ryavunitse, ibice byavunitse bishobora kuguma aho byari biri. Ariko, iyo ibice byakuweho aho byari biri, byitwa ``Displaced fracture``.

Muganga wawe ashobora gukoresha uburyo bwihariye bwo gushyira mu byiciro (nk'uburyo bwa Neer bwo gushyira mu byiciro) kugira ngo ashyire mu byiciro imvune yawe. Ubu buryo bwo gushyira mu byiciro bushingira aho imvune iherereye n'uko izindi ngingo zangiritse. Ubu buryo bwo gushyira mu byiciro bushobora gufasha muganga wawe gusuzuma imvune yawe no kugena uburyo bwiza bwo kuyivura.

Ni ibihe bikunze kubaho ko amagufwa y'inyuma avunika?

Gucika kw'igufwa ry'umugongo mu by'ukuri ni imvune ikunze kugaragara. Ifite hagati ya 5% na 10% by'imvune zose . Igitangaje ni uko ikunze kugaragara inshuro ebyiri mu bana - ingana na 10% na 15% by'imvune zose mu bana. Muri rusange, ni yo mvune ikunze kugaragara mu bwana. Ni nayo mvune ikunze kugaragara mu bana bavuka. Hagati ya 1% na 2% by'abana bazacika kw'igufwa ryabo ry'umugongo muri ubu buryo.

Ni ibihe bimenyetso by'igufwa ryavunitse mu mutwe?

Igufwa ryavunitse rishobora gutera ibimenyetso nk'ibi bikurikira:

• Ububabare bw'amagufwa: Igufwa ryavunitse rishobora gutera ububabare bukomeye . Bitewe n'aho ryavunitse, ububabare bushobora kumvikana mu rutugu, hafi y'ijosi, cyangwa hagati mu igufwa.
• Kugorwa no kwimura umubiri:Ushobora kumva urutugu rwawe cyangwa ukuboko kwawe bikomereye, cyangwa ububabare bushobora kwiyongera iyo ugerageje kubyimura. Ushobora kumva urusaku rw'ingufu iyo ubyimura, cyangwa wumva amagufwa arimo kwangirika .
• Kubyimba: Iyo igufwa iryo ari ryo ryose ryavunitse, ingingo zoroshye zirikikije zirabyimba. Kubera ko igufwa ry'umugongo riba ryegereye cyane uruhu, ubusanzwe ushobora kubona no kumva uko kubyimba.
• Impinduka igaragara: Ushobora kubona ko hari ikintu kiri mu gitereko cyawe cyahindutse aho cyari kiri mbere. Amatugu yawe ashobora kugaragara nk'aho ari hasi mu buryo budasanzwe, cyangwa igufwa ryawe rishobora kugaragara nk'iringana ku mpande zombi.
• Gukomeretsa: Iyo ibice by'amagufwa byavunitse bigenda hirya no hino, bishobora gutera imvune ku ngingo zoroshye, bigatera ububabare iyo bikandagiwe ndetse rimwe na rimwe bigakomeretsa. Ushobora kubona uruhu rwijimye cyangwa ruhinduka ibara ku igufwa ry'umugongo.
• Gushyira uruhu mu mahema: Mu gihe havunitse igufwa, rimwe na rimwe igufwa ryavunitse rishobora gusohoka mu ruhu nk'inkingi z'ihema. Ibi bishobora kumera nk'ikibyimba kiri munsi y'uruhu.

Ni izihe mpamvu nyamukuru zitera kuvunika kw'amagufwa yo mu gituza?

Igufwa ry'umugongo rikunze kuvunika bitewe n'impanuka, ni ukuvuga "Ihungabana". Impamvu zikunze kugaragara ni izi:

• Kugwa: Kugwa ku rutugu cyangwa ku kuboko kurambura ni impamvu ikunze gutuma igufwa ry'umugongo rivunika. Tekereza nko gukubita urutugu rwawe mu gihe wibira mu gihe ukina cricket, cyangwa kunyerera mu bwogero ugakomeretsa urutugu rwawe.
• Kugongana: Kugongana kw'igufwa ni imvune ikunze kugaragara mu gihe cy'imikino. Ndetse n'abana bato bashobora gukubitana mu gihe bakina.
• Impanuka z'imodoka: Mu mpanuka y'imodoka, umubiri wawe ushobora kugonga dashboard, cyangwa airbag igatangira, bigatera imvune.
• Ihungabana ryo mu gihe cyo kuvuka: Abana bashobora kuvunika imitsi yo mu ijosi iyo ibitugu byabo byakomeretse mu gihe cyo kuvuka.

Wamenya ute neza niba ijosi ryacitse?

Niba utekereza ko ufite igufwa ryavunitse, ni ngombwa cyane gushaka inama kwa muganga byihutirwa. Muganga azakora ibi bikurikira:

• Ndibaza icyakubayeho.
• Akora ku gice cyakomeretse maze aragisuzuma.
• Hakorwa X-ray kugira ngo hemezwe ko imvune yavunitse.

Imirasire ya X-ray ishobora kwerekana aho imvune yawe iri, ubwoko bwayo, ndetse niba andi magufwa yaravunitse. Niba ufite imvune ikomeye kurushaho, cyangwa niba ufite imvune zirenze imwe, muganga wawe ashobora kandi gutegeka ko ukorerwa scan ya CT (Computed Tomography scan) kugira ngo arebe ibisobanuro birambuye.

Ni ubuhe buryo bwo kuvura igufwa ryavunitse?

Imvune nyinshi zo mu ijosi zikira neza iyo habayeho kuvurwa byoroshye. Kubagwa ni ngombwa mu gihe gito cyane cy'abarwayi.

Uburyo busanzwe bwo kuvura igufwa ryavunitse ni ubu:

• Kudakora neza: Imvune nyinshi zo mu igufwa ry'umugongo zikira ubwazo.Nubwo ishobora gukira, ni ingenzi cyane kurinda igufwa ryavunitse kugenda kugeza rikize. Muganga wawe azaguha agakoresho ko gukingira urutugu cyangwa agakoresho ko kugabanya umuvuduko. Uzakenera kwambara ibi mu gihe cy'ibyumweru byinshi.
• Ububabare: Ushobora gukenera imiti igabanya ububabare yanditswe na muganga mu byumweru bibiri bya mbere nyuma yo gukira. Nyuma yibyo, ushobora no gukoresha imiti igabanya ububabare yatanzwe na muganga (OTC), nka aspirine, ibuprofen, na acetaminophen. Ishobora kandi gufasha gushyira urubura ku mvune mu gihe cy'iminota 20 icyarimwe.
• Gukurikirana: Muganga wawe azakomeza gukurikirana aho wavunitse kugeza igihe ukize. Bazagufata X-ray kugira ngo barebe ko ukize neza. Ibi ni ingenzi kuko rimwe na rimwe igufwa rishobora kudakira neza (nonion). Ibi bibaye, muganga wawe ashobora kugufasha.
• Ubuvuzi bw'umubiri: Iyo igufwa ritangiye gukira, muganga wawe azaguha imyitozo ngororamubiri yo gukora buhoro buhoro. Ibi bizagufasha kwirinda ko ingingo zoroshye zikomera cyane mu gihe ukuboko kwawe kudashobora kugenda. Iyo igufwa rimaze gukira neza, ushobora kongera kongera kubaka imbaraga z'imitsi.

Kubaga

Ushobora gukenera kubagwa niba ibice by'amagufwa biri kure cyane (kwangirika gukomeye kw'imitsi yo mu gituza) cyangwa niba izindi ngingo, nk'imitsi, imitsi, imitsi y'amaraso, cyangwa imitsi, byangiritse.

Kubaga igufwa ryavunitse bikubiyemo (1) gushyira ibice byavunitse hamwe (2) kubifatanya n'udupira, amasahani, n'amapine kugira ngo bitagenda. Abaganga babyita (1) "kugabanya igice" na (2) "gufata imbere mu mubiri."

Bigenda bite iyo imvune y'igufwa ry'umugongo idavuwe?

Nubwo ushobora kudakenera kubagwa niba wavunitse igufwa ryawe, ni ngombwa ko umuganga w’inzobere asuzuma imvune yawe. Azashaka kumenya neza ko amagufwa yawe yavunitse akira neza kandi ko nta bindi bikomere byo mu mutima bikeneye kuvurwa.

Azakugira inama y'uko wakwitaho uri mu rugo. Ibi ni ingenzi cyane kugira ngo ukire. Niba urutugu rwawe rudahagaze neza, bishobora kubangamira gukira kwawe. Iyo udakoze imyitozo ngororamubiri neza, urutugu rwawe rushobora gukomera kandi rugakonja ('urutugu rwakonje'). Iyo utagiye kwisuzumisha kwa muganga, ushobora kutabona ikibazo icyo ari cyo cyose.

Wibuke ko nubwo byaba bisa n'aho ari ibintu bito, bishobora guteza ibibazo nyuma iyo bitavuwe neza.

Bifata igihe kingana iki kugira ngo igufwa ry'umugongo rikire?

Igihe bifata kugira ngo igufwa ry’umugongo rikire gishobora gutandukana. Biterwa n’uburemere bw’imvune yawe n’imyaka ufite. Abana, amagufwa yabo agikura, bakunda gukira vuba kurusha abantu bakuru.Mubisanzwe, gukira bishobora gufata igihe kingana gutya:

• Ku bantu bakuru: ibyumweru 8 kugeza kuri 12.
• Ku bana bato: ibyumweru 6 kugeza kuri 8.
• Ku bana bari munsi y'imyaka 8: ibyumweru 3 kugeza kuri 6.
• Ku mwana uvutse: ibyumweru bibiri.

Muganga wawe azakubwira igihe ushobora gusubira mu mirimo isanzwe.

Ni ryari nshobora kongera gukina?

Abantu benshi bashobora gusubira mu mikino iyo igufwa ryabo rimaze gukira neza kandi nta bubabare bubaho iyo bimura umubiri wabo. Ariko, niba ukina siporo yo kuvura amaguru n'amaboko, bishobora gufata igihe kugira ngo imbaraga zawe zigaruke. Mbere yuko ukira, muganga wawe azagufata indi X-ray hanyuma agusuzume.

Ese kuvunika kw'igufwa ry'umugongo bishobora gutera ingorane z'igihe kirekire?

Imvune nyinshi zo mu igufwa ry’umugongo zikira burundu nta ngorane. Ariko, iyo imvune yawe idakira ubwayo (nonunion), ushobora gukomeza kugira ububabare kugeza igihe muganga aza kuyisana akoresheje kubagwa. Iyo ibice by’amagufwa bikize nabi, ushobora gusigarana ubumuga bugaragara bw’amagufwa. Iyo imvune yawe yegereye ingingo y’urutugu, rimwe na rimwe ibice by’amagufwa bishobora kwangiza agati mu ngingo, bigatera ububabare nyuma.

Ikibyimba aho igufwa ryakize (`Ibibyimba by'amagufwa`)

Hari abantu bamwe, cyane cyane abana, bashobora kugira ikibyimba ku igufwa nyuma yo kuvunika. Ibi byitwa "Bone callus". Ni nk'inkovu ku ruhu. Ntabwo ari bibi kandi iragabanuka uko igihe kigenda gihita. Ishobora gushira nyuma y'umwaka umwe, ariko rimwe na rimwe ikibyimba gito gishobora kugumaho.

Ni iki wakora n'ikidakwiye gukorwa iyo igufwa ryawe ryavunitse kandi rikize?

Niba uri gukira igufwa ryavunitse mu kanwa, kurikiza izi nama:

Ibintu byo gukora:

• Shyira akaboko kawe cyangwa agakoresho karinda amaboko umunsi wose n'ijoro ryose. Kakureho gusa iyo wiyuhagiye.
• Koresha imiti igabanya ububabare uko bikenewe, ariko gusa nk'uko muganga wawe yabigutegetse.
• Zunguza ibitugu byawe, amaboko yawe, n'amaboko yawe gato buri munsi nk'uko byavuzwe.
• Jyana na muganga wawe isuzuma ryose.

Ibintu bidakwiye gukorwa:

• Keretse muganga wawe agugiriye inama, ntukavange imiti igabanya ububabare.
• Ntugafate imiti irenze urugero rw'umuti watanzwe.
• Niba ugikeneye icyuma gikingira imodoka cyangwa icyuma kiyibuza kugenda, ntugatware imodoka.
• Ntugaterure, ntusunike, cyangwa ngo ukure ikintu icyo ari cyo cyose n'amaboko yawe kugeza igihe muganga wawe aguhaye uburenganzira.

Ni ryari ukwiye kujya kwa muganga?

Niba ubonye kimwe muri ibi bimenyetso bishya cyangwa bidasanzwe , hita ubonana na muganga:

• Kugorwa no guhumeka.
• Kubura ibyiyumvo cyangwa kubura ibyiyumvo mu ngingo.
• Intege nke cyangwa gucika intege.
• Ububabare bushya cyangwa burushaho kwiyongera.

Igufwa ryawe rishobora kugaragara nk'aho ritari ahantu ho gukomereka cyane, ariko bishobora guterwa n'uko rifitanye isano n'urutugu rwawe. Imbaraga zose zikomeye zikugeraho zishobora kwimurirwa ku igufwa ryawe risanzwe. Kubera iyo mpamvu, kuvunika kw'igufwa bikunze kugaragara kurusha uko wabitekereza, cyane cyane ku bana. Ingufu nyinshi zo kuvunika kw'igufwa zikira nta kibazo. Kurikiza amabwiriza ya muganga wawe kugira ngo gukira kwawe gukomeze neza uko bishoboka kose.

Hanyuma, ubutumwa bwo kujyana mu rugo:

Rero, kuvunika kw'igufwa ry'umugongo (Clavicle Fracture) si ikintu cyo gutinya, ahubwo ni ikintu kigomba kwitabwaho no kuvurwa hakurikijwe amabwiriza ya muganga. Cyane cyane niba ufite ububabare bukomeye mu rutugu, kubyimba, cyangwa bigoye kwimura ukuboko nyuma yo kugwa cyangwa impanuka, ntubyirengagize ahubwo ubyereke muganga.

• Kuruhuka neza no kudakora ni ingenzi cyane.
• Kora imyitozo yatanzwe na muganga.
• Jya kwisuzumisha ku gihe.

Nubikora neza, uzakira vuba kandi uzabashe gusubira mu mirimo yawe isanzwe. Wibuke ko ubuzima bwawe buri mu maboko yawe!

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