Reka twige kuri Broken Femur? Ntutinye, reka tuganire!

Tekereza uko byaba bimeze iyo iryo gufwa rinini kandi rikomeye mu kuguru kwawe, kuva mu kibuno kugeza mu ivi - femur - rivunika! Bishobora kuba ibintu bibabaza cyane. Femur ni igufwa rirerire, riremereye, kandi rikomeye mu mubiri wacu. Rero, kugira ngo rivunike, byaba ari imbaraga nini cyane, impanuka ikomeye cyane. Niba wavunnye femur, ni ngombwa gushaka abaganga ako kanya. Kuko bishobora gufata amezi menshi kugira ngo kire. Reka tubiganireho mu buryo burambuye, si byo se?

Ifu y'umugongo ni iki? Ni iki kibaho iyo ivunitse?

Mu magambo make, femur ni yo igufwa ryonyine riri mu itako ryawe. Nkuko twabivuze mbere, ni ryo gufwa rinini kandi rikomeye mu mubiri wacu. Kubwibyo, kurivunika si ikintu cyoroshye. Akenshi ni gake cyane kurivunika bitewe no kugwa gato. Akenshi rivunika bitewe n'impanuka ikomeye y'imodoka, kugwa uvuye hejuru, cyangwa gukomereka kw'isasu.

Ariko, cyane cyane ku bantu barengeje imyaka 65, iyo banyerera bakagwa nubwo bahagaze, amagufwa yabo aba adakomeye cyane (cyane cyane iyo bafite indwara nka osteoporosis), bityo amahirwe yo kuvunika iyi femur aba menshi.

Kuki uku kuvunika kw'inyuma ari imvune ikomeye cyane?

Iyo uvunnye ifu y'umugore, ntabwo ari nko kuvunika ukuboko cyangwa ukuguru gusa. Hari ibintu bike bishobora kuba bikomeye kurushaho. Reba:

• Hashobora kubaho kuva amaraso menshi: Cyane cyane iyo ibice by'amagufwa byamenetse mu ruhu (ibi byitwa "kuvunika gufunguka"), amaraso menshi ashobora gusohoka mu mubiri. Hari igihe kuva amaraso bishobora no kugaragara imbere mu mubiri.
• Gutungurwa: Umubiri ushobora kugira ubwoba bitewe no kuva amaraso menshi no kubabara.
• Igufwa ry'ikibuno rishobora kuvunika: Iyo igice cyo hejuru cy'igufwa ry'ikibero, ni ukuvuga hafi y'ingingo y'ikibuno, cyavunitse, igufwa ry'ikibuno rishobora kuvunika hamwe naryo. Ibi byago biri hejuru ku bantu barwaye indwara ya osteoporosis.
• Kwangirika kw'ivi: Iyo igice cyo hasi cy'igufwa ry'ikibero, ni ukuvuga hafi y'ivi, cyavunitse, ivi naryo rishobora kwangirika. Ibi bikunze kugaragara ku bantu babazwe ivi cyangwa abafite indwara yo kuvuruka kw'amagufwa.

Ubabara bingana iki iyo uvunitse igufwa ry'ikibero cyawe?

Yewe! Icyo ni ikintu kibabaza cyane . Biragoye kugisobanura mu magambo. Ariko ntugahangayike, nyuma yo kwinjira mu bitaro, abaganga bazaguha imiti ikenewe kugira ngo bagenzure ububabare bwawe.

Ni ibihe bimenyetso by'uko ifu y'umugongo yavunitse?

Niba uguye cyangwa ukomeretse ikibuno mu yindi mpanuka, menya ibimenyetso bikurikira:

• Ububabare ntibushobora kwihanganira .
• Ntushobora no gushyira ukuguru kwawe kwakomeretse hasi cyangwa ngo ukureme .
• Hari igihe ibice by'amagufwa byavunitse bishobora gutobora uruhu bigasohoka, bigatera kuva amaraso.Ibi byitwa "Gucika intege gufungutse".
• Hari n'igihe uduce tw'amagufwa dushobora kugaragara hejuru y'uruhu, ariko ntitwinjire mu ruhu . Ibi byitwa "gucika kw'amagufwa mu mfuruka".
• Agace k'ikibero ni ubururu kandi hari ibikomere bigaragara .
• Uduce tumwe na tumwe two mu gice cy'ikibero turabyimbye .
• Ukuguru kwakomeretse gushobora kugaragara nk'aho ari kugufi gato ugereranyije n'ukundi kuguru. Ukuguru kwakomeretse gushobora no kuba kwahinduriwe inyuma (kure y'umubiri wawe) .

Ese ushobora kugenda ufite igufwa ry'ikibero ryavunitse?

Oya rwose. Iyo ijosi ryawe rimaze kuvunika, ntuzaba ushobora gushyira ibiro kuri iryo guru cyangwa kurihagararaho. Rero ntugatekereze no kugenda.

Ni gute abaganga basuzuma ubwoko bw'ikibuno cyo kuvunika?

Iyo ugiye kwa muganga, abaganga bazabanza gusuzuma ukuguru kwawe kwakomeretse neza. Hanyuma, bazagukorera ikizamini cya `(X-ray)`. Hari igihe `(Computed Tomography scan)`, izwi kandi nka `(CT scan)` ishobora no gukorwa kugira ngo barebe neza imiterere y'imvune. Muri ibyo bizamini abaganga bashobora kumenya neza ubwoko bw'imvune ufite (`(ubwoko bw'imvune)`).

Hari ubwoko butandukanye bw'imvune zo mu kibuno:

• Gucika kw'igufwa: Igufwa ryavunitse mu murongo utambitse hejuru yaryo.
• Kuvunika kw'igufwa: Igufwa ryavunitse mu buryo bw'uruziga.
• Kuvunika kw'igufwa: Igufwa ryavunitse ku ruhande.
• Gucika intege: Igufwa ryacitsemo ibice bitatu cyangwa birenga.
• `(Ivunitse cyangwa ryavunitse cyane)` (Ivunitse rifunguye): Igufwa ryavunitse kandi ibice by'amagufwa byatobotse uruhu bisohoka.

Ivunika ry'ikibuno cy'inyuma rivurwa rite?

Ubwa mbere, kugira ngo bagabanye ububabare no kurinda igufwa ryavunitse kugenda, abaganga bashobora gushyira agakoresho ko kuvura ikibuno, gatwikira igice kinini cy'ukuguru kwawe. Iki ni igipimo cy'agateganyo.

Byongeye kandi, uburyo bwo kuvura bwitwa `(traction)` nabwo burakoreshwa. Ibi bifasha kugumisha amagufwa yavunitse mu buryo bukwiye. Hari ubwoko bubiri bwa `(Traction)`:

• Imigozi yo gukurura iremereye: Ibi bikubiyemo gushyira umugozi ku kaguru kawe, kuwushyiraho ibyuma biremereye, no kuwukurura buhoro buhoro unyuze mu gice cy'umubiri n'udupira. Ibi bitera igitutu ku gice cy'imbere cy'umubiri, bigafasha amagufwa kuguma agororotse.
• Gufata amagufwa: Muri ibi, muganga akora igikorwa cyo kubaga gito agashyira agapira mu igufwa ry'ikibero cyawe (femur) cyangwa mu igufwa ry'ikibuno (tibia). Hanyuma, agapira gashyirwa ku gapira kugira ngo igufwa ry'ikibero cyawe rikomeze kuba rigororotse.

Ese buri kuvunika kw'ikibuno bisaba kubagwa?

Yego rwose.Iyo uvunitse igufwa ry'ikibero cyawe, uzakenera kubagwa kugira ngo rikire neza. Ubu buryo busanzwe bukorwa mu masaha 24 kugeza kuri 48 nyuma y'uko ukomeretse kandi ugeze mu bitaro. Abaganga bakora ubwoko bubiri bw'ingenzi bwo kubaga:

• `(Kugabanya no Gushyira imbere mu buryo bufunguye - ORIF)`
• `(Gufata hanze)`

Uku kubagwa kwa `(ORIF)` ni iki?

Muri ubu buryo, umuganga ubaga atera igufwa hafi y’ikibuno cyawe cyangwa ivi ryawe, hanyuma agahindura ibice by’amagufwa byavunitse. Hanyuma, hashyirwamo icyuma (urugero: inkoni cyangwa isahani) kugira ngo igufwa rikomere.

Ni ibihe bikoresho by'icyuma bikoreshwa muri ubu buvuzi bwa `(ORIF)`?

• Inkoni: Izi zikoreshwa mu gikorwa cyo kubaga cyitwa intramedullary aura. Umuganga w’inkoni ashyira izi nkoni mu kaguru kawe, anyuze mu mwobo wa medullary (aha niho umwobo w’amagufwa uba).
• Ibyuma: Kugira ngo inkoni cyangwa isahani y'icyuma yavuzwe haruguru idahinduka, ibyuma bishyirwa hejuru no hepfo yabyo.
• Amasahani y'icyuma: Kimwe n'agapira ko gupfuka, umuganga ubaga ashyira aya masahani y'icyuma inyuma y'igufwa maze akayafata akoresheje vis kugira ngo akomereze kuvunika.

None se kubaga ""(Gufata hanze)"" ni iki?

Ubu kandi ni ukubaga kugira ngo igufwa ry'ikibero rikomere. Ibi bisaba gushyiramo udupira twinshi tw'icyuma (bolts/pins) mu igufwa ry'ikibero cyawe hanyuma ukadushyira ku gitereko (frame) kiri inyuma y'ukuguru kwawe. Hari igihe ubu buryo bukoreshwa kugira ngo igufwa rikomere by'agateganyo mbere yo kubagwa kwa ORIF. Cyangwa, bushobora gukoreshwa iyo imvune ikomeye cyane ku buryo budashobora kubagwa kwa ORIF.

Ubu buryo bwo kubaga ""(Gufata hanze)"" bukorwa hakoreshejwe ikinyabutabire. Abaganga bombora imyobo mu igufwa ritangiritse hejuru no munsi y'igice cyavunitse cy'igufwa ryawe ryo mu itako hanyuma bakarishyiramo inkoni. Izi nkoni zifatanye n'inyuma y'ukuguru kwawe. """"" muri uru rwego zemerera inkoni guhindurwa kugira ngo ibice by'amagufwa byavunitse bihure neza.

Ese ni ngombwa ko habaho ubuvuzi bw'umubiri nyuma yo kubagwa?

Yego rwose! Uzakenera ubuvuzi bw'umubiri mu gihe cyose cyo gukira. Ibi bizakomeza imitsi y'amaguru yawe, bisubizeho uburyo bwo kugenda, kandi bigufashe kongera kugenda neza.

Ese mutanga imiti igabanya ububabare?

Yego, muganga wawe azakubwira ububabare bwawe kandi akwandikire imiti ikwiye yo kugabanya ububabare.

Ni izihe ngaruka cyangwa ingorane zishobora guterwa n'ubu buryo bwo kubaga?

Nkuko bigenda mu kubagwa ukundi kose, kubagwa kw'ikibuno bishobora kugira ingorane zimwe na zimwe. Muri zo harimo:

• Indwara y’imitsi itera indwara ya ACS (ACS): Iyi ni igihe umuvuduko w’amaraso wiyongera mu mitsi, amaraso akajya mu mitsi n’uturemangingo agagabanuka. Ibi bishobora gutuma imitsi n’imitsi bingirika burundu.
• Uduce tw'amagufwa tudahuye neza: Ibi bishobora gutuma igufwa rikira nabi.
• Kubabara guterwa n'imisumari n'amapine byinjijwemo.
• `(Indwara yo kugabanya ibinure)`: Muri ibi, utuntu tw’ibinure dushobora kwirundanya mu maraso. Ibimenyetso nko kugorwa no guhumeka no guta ubwenge bishobora kubaho.
• Amaraso apfutse.
• Uduce tw’amagufwa twavunitse dushobora gukata cyangwa kwangiza imiyoboro y’amaraso cyangwa imitsi.
• Kwandura indwara.

Nkwiye kwiyitaho nte nyuma yo kubagwa?

Mu byumweru bibiri bya mbere, ni ngombwa kugira umuntu mu rugo wo kugufasha. (Muganga wawe ashobora kugufasha kubona umuganga wabihuguriwe kugira ngo agufashe mu rugo.)

Iyo usinziriye, ugomba kuryama uhagaze ukuguru kwavunitse hejuru y'umutima wawe . Gusinzira muri ubu buryo bishobora kugabanya kubyimba kw'ukuguru kwavunitse.

Uko ugenda ukira buhoro buhoro, uzakenera kwitemberera mu nzu wenyine. Ariko, baza muganga wawe uburemere ushobora gushyira ku kuguru kwawe. Ushobora gukenera gukoresha inkoni, inkoni, cyangwa agakoresho ko kugenda. Umuganga wawe w’umubiri azakwereka uko ubikoresha.

Igikuru ni ukwitonda ntuzongere kugwa! Nusubira kugwa, ushobora kongera gukomeretsa ijosi ryawe. Kugira ngo ugabanye kugwa, kora ibi bikurikira:

• Niba icyumba cyawe cyo kuraramo n'ubwiherero biri hejuru, shyiraho ahantu ho kurara by'agateganyo n'ahantu ho kurara hasi. Muri ubwo buryo, ntuzakenera kuzamuka no kumanuka ku madarajya.
• Kuraho ibintu ushobora kwivangamo, nk'insinga hasi cyangwa tapi nto.
• Shyira imigozi mu bwiherero, haba mu bwogero cyangwa mu bwogero, cyangwa hafi y'ubwiherero.
• Shyiramo imigozi ku mpande zombi z'ingazi.
• Cana neza mu rugo rwawe, waba wongeyeho amatara menshi cyangwa ukoresheje amatara agaragara cyane.
• Bika ibintu ukoresha kenshi mu tubati tworoshye kugeraho utiriwe uzamuka intebe kugira ngo ubyinjize.
• Shyira imitako idaterera hasi mu bwiherero.

Bifata igihe kingana iki kugira ngo igufwa ry'ikibero rivunitse rikire?

Bishobora gufata amezi ane kugeza kuri atandatu kugira ngo bikire neza. Hari igihe bishobora gufata igihe kirekire, bitewe n'imiterere y'imvune, imyaka yawe, ndetse n'ubuzima bwawe muri rusange.

Kuki bifata igihe kirekire kugira ngo gukira? Kubera ko ifu yavunitse inyura mu nzira isanzwe yo gukira. Ifite ibyiciro byinshi:

• Iminsi ya 1-5:Iyo igufwa ryawe ryo mu itako rivunitse, imiyoboro y'amaraso iritanga amaraso nayo iravunika. Iyi miyoboro y'amaraso yavunitse ituma amaraso agwa aho yavunitse. Iyi miyoboro y'amaraso ikora nk'urufatiro rw'igihe gito kandi igafasha igufwa ryawe gukira. Ubudahangarwa bw'umubiri bwawe busubiza kuri iki gikomere bukoresha uturemangingo dukuraho ingirabuzimafatizo zangiritse n'uturemangingo dutuma umubiri ukira.
• Iminsi ya 5-11: Umubiri wawe utangira kubaka urusobe rw'imitsi hagati y'ibice by'amagufwa byavunitse. Utangira kandi gukora igufwa rishya (igufwa riboshye).
• Iminsi ya 11-28: Urusobe rw'imitsi rugenda rurushaho kwiyongera. Imitsi mishya y'amaraso n'amagufwa mashya arimo aravuka. Uko iki gikorwa gikomeza, igufwa ryawe ritangira kwisana, amaherezo rigahinduka igufwa risanzwe. Iki gikorwa cyose gishobora gufata amezi, ndetse n'imyaka.

Nigute nakwirinda ko ifu y'umugongo yavunitse?

Ikibabaje ni uko ibintu bitera ifu y'umugongo kuvunika (nk'impanuka z'imodoka, kugwa, ibikomere by'amasasu) bigoye kubigenzura.

Ariko, abantu bafite ibyago byinshi byo kugwa uko bakura (cyane cyane abarengeje imyaka 65) bagomba kwitonda. Bashobora kugwa bagakomereka nubwo bahagaze gusa.

Niba ufite imyaka irenga 65 kandi ukaba ufite ubwoba bwo kugwa, baza muganga wawe ibyago byawe byo kugwa. Mubwire niba ufata imiti igutera gusinzira cyangwa kuzungera. Muganga wawe ashobora kukugira inama y'ibintu ushobora gukora kugira ngo ugabanye ibyago byawe. Urugero, ashobora kukugira inama yo gukora imyitozo ngororamubiri ikomeza amaguru yawe no kunoza uburinganire bwawe.

Ni ryari ngomba kubonana na muganga wanjye?

Uzahabwa gahunda zo gukurikirana uburwayi bwawe, guhera mu byumweru bibiri nyuma yo kubagwa, na buri byumweru bike nyuma yaho. Menya neza ko ujya kuri buri gahunda.

Niba ufite ikibazo icyo ari cyo cyose kijyanye n'iterambere ry'uburwayi bwawe cyangwa ibibazo byihariye, nko kugabanya ububabare, menya neza ko wabibajije muganga wawe.

Ni ryari nkwiye guhamagara muganga wanjye cyangwa gushaka ubufasha bwihutirwa?

Mu gihe urimo gukira ikibuno cyavunitse, niba ufite kimwe muri ibi bimenyetso , hamagara muganga wawe ako kanya cyangwa ujye ku bitaro biri hafi yawe:

• Kugorwa no guhumeka cyangwa kubabara mu gituza iyo uhumeka.
• Kunyara kenshi cyangwa kumva ubushyuhe mu gihe cyo kunyara.
• Ugutukura cyangwa ububabare bwinshi hafi y'igikomere cyo kubagwa.
• Amazi ameze nk'ibibyimba arimo kuva mu gikomere.
• Kubyimba ku kuguru kumwe (kuzaba gutukura kandi kuzumva gushyushye kurusha ukundi kuguru).
• Ububabare bw'inyana.
• Umuriro urenze 38.3°C (101°F).
• Ububabare imiti igabanya ububabare idashobora kugenzura.
• Niba bikugoye kugenda cyangwa gushyira ibiro ku kuguru kwawe mu buryo butunguranye.

Ni ibihe bibazo ngomba kubaza muganga wanjye?

Ikibuno cyavunitse ni imvune ikomeye isaba ubuvuzi bwihutirwa. Nyuma yo gukemura ibibazo byawe byihutirwa, ni byiza kubaza muganga wawe ibi bibazo:

• Ese nkeneye kubagwa kenshi?
• Ni ryari nkwiye gutangira ubuvuzi bw'umubiri?
• Ni iki nkwiye gukora kugira ngo menye ububabare bwanjye?
• Ni ryari nzashobora kugenda?
• Ni ryari nzashobora gusubira mu biro byanjye cyangwa aho nkorera?

Ese ububabare buracyashobora kubaho nyuma y'imyaka myinshi uruhu rw'inyuma rwavuwe?

Ikibabaje ni uko ari byo. Nubwo imvune yawe imaze gukira, ushobora kuba ugifite ububabare muri ako gace. Ibi byitwa ububabare budakira. Hari impamvu nyinshi zishobora kubitera:

• Kwangirika kw'imitsi bitewe n'aho yavunitse cyangwa kuvurwa mbere.
• Inkovu y'urugingo.
• Indwara ya rumatizime.
• Kutahuza ni ukunanirwa kw'amagufwa kugira ngo afatanye neza.

Ubu bubabare budakira bushobora kugabanuka cyangwa gukurwaho hakoreshejwe uburyo bwo kuvura umubiri, imyitozo ngororamubiri, n'imiti.

Ibintu by'ingenzi cyane ugomba kwibuka (Ubutumwa bwo kujyana mu rugo)

Sawa, twavuze byinshi ku bijyanye n'ivunika ry'umugongo. Wibuke ko nubwo iki ari imvune ikomeye, iyo uvuwe neza kandi ukaba witanze, ushobora gukira neza.

Ibanga ryo gukira vuba ni ugukurikiza amabwiriza ya muganga neza, gukora imyitozo ngororamubiri nk'uko byategetswe, no kwihangana.

Niba ufite ibindi bibazo kuri iyi ndwara, ntutindiganye kuvugana na muganga wawe. Tukwifurije gukira vuba!

` igufwa ry'ikibuno, igufwa ry'ikibero ryavunitse, igufwa ry'ikibero, kuvunika, kubagwa, gukira, ubuvuzi bw'umubiri