Ese ikiganza cyawe cyavunitse? (Ukuboko kwavunitse) Reka tuvuge kuri ibi!

Ese wakomeretse ukuboko? Wenda waguye ugakubita hasi. Iyo bibaye, ni ibisanzwe ko ikiganza cyawe kibabara kandi kikabyimba. Ariko ushobora kuba utamenya niba iki ari igikomere gusa, cyangwa niba igufwa riri mu kuboko kwawe ryavunitse, ari byo byitwa `(Ukuboko kwavunitse)`, sibyo? Ntugahangayike, uyu munsi turaganira kuri izi mvune z'intoki mu buryo burambuye.

Reka twige bike ku magufwa y'ikiganza?

Ukuboko kwacu ni ikiremwa gitangaje, si byo se? Ni itsinda ry'amagufwa mato. Mu by'ukuri, hari amagufwa 27 mu kuboko kwawe gusa. Abaganga bagabanya aya magufwa mu matsinda atatu y'ingenzi bitewe n'aho aherereye n'imikorere yayo:

• Carpals: Aya ni amagufwa mato ahuza ikiganza cyawe n'ukuboko kwawe.
• Metacarpal: Aya ni amagufwa ari mu kiganza cyawe atuma ukuboko kwawe kumera neza.
• Phalanges: Aya magufwa agize ingingo z'intoki zawe n'igikumwe cyawe.

Rero, ikiganza cyavunitse ni igufwa ryavunitse mu igufwa rimwe cyangwa menshi muri 27. Wibuke ko rimwe na rimwe ibi bishobora gukosorwa mu minsi mike hakoreshejwe agakoresho gafasha ukuboko kuguma guhagaze cyangwa icyuma gikozwe muri sima (plaster cast). Ariko, ku mvune zikomeye, kubagwa bishobora kuba ngombwa kugira ngo amagufwa yavunitse agororoke.

Ikindi kintu cy'ingenzi ni uko iyo ikiganza cyavunitse, izindi ngingo zoroshye zo mu kuboko nazo zishobora kwangirika. Ibyo bivuze:

• Imitsi (uturemangingo duhuza amagufwa)
• Imitsi (imitsi ihuza imitsi n'amagufwa)
• Imitsi
• Imitsi
• Imitsi y'amaraso

Ibi byose bishobora kugira ingaruka.

Ese hari ubwoko butandukanye bw'amagufwa yo mu kiganza?

Yego rwose. Iyo uvunnye igufwa mu kuboko kwawe, umuganga ntarivuga gusa ngo "Iri ni igufwa ryavunitse." Nanone barishyira mu byiciro bakurikije ubwoko bwavunitse n'uburyo igufwa ryavunitse.

Amwe mu mavuniko ashyirwa mu byiciro hakurikijwe imiterere cyangwa imiterere y'amavuniko :

• Kuvunika kw'igufwa: Kuvunika kw'igufwa ku mubiri wose.
• Kuvunika kw'igufwa mu buryo burambuye: Kuvunika kw'igufwa mu buryo burambuye.
• Kuvunika kw'umugongo: Kuvunika aho igufwa risa n'aho rizungurutse.
• Gucika kw'igice: Igufwa ricikamo ibice byinshi.
• Kuvunika kw'igufwa: Kuvunika kw'igufwa aho ryavunitse burundu, rigacikamo ibice byinshi.
• Gucika kw'igufwa/gucika kw'igufwa: Iki ni igihe igufwa risunikirwamo rigasohoka gato ku ruhande rumwe. Ibi bikunze kugaragara cyane ku bana bato, kuko amagufwa yabo aba yoroshye.

Hariho ubundi bwoko bw'ibise bitewe n'uburyo bibaho :

• Kuvunika kw'umuvuduko w'ihungabana:Uduce duto mu igufwa tugenda twibasirwa n’igitutu gihoraho ahantu hamwe. Ibi bishobora kubaho ku bakinnyi.
• Kuvunika kw'imitsi: Ibi bibaho iyo umutsi cyangwa ligament bivuye hamwe n'igice cy'igufwa.

Urugero, ushobora kuba ufite ``transverse metacarpal fracture``. Ibi bivuze ko igufwa ryo mu kiganza ryacitse. Hari n'amagufwa amwe afite amazina yihariye. Ushobora kuba warumvise ``boxer's fracture`` . Ibi ni byo bibaho iyo umuntu akubise ikiganza cye n'inkoni ye ku kintu gikomeye (nk'urukuta, uruzitiro) maze akamena igufwa rya ``metacarpal`` mu kiganza, cyane cyane ku ruhande rw'umuhondo.

Aya mazina yose, aya matsinda yose, bifasha muganga gusobanukirwa vuba kandi neza igufwa ryavunitse, icyabaye kuri ryo, kandi bikaguha ubuvuzi bwiza.

Ni mu rugero rungana iki kuvunika amaboko?

Mu by’ukuri, kuvunika kw’intoki ni ibintu bikunze kugaragara kurusha uko tubitekereza. By’umwihariko, kuvunika kw’amagufwa ya metacarpal mu kuboko ni byo bikunze kugaragara cyane. Imibare igaragaza ko 1 kuri 10 mu mvune zose ku isi ari imvune ya metacarpal! Nanone, mu rubyiruko ruri hagati y’imyaka 18 na 34, iyi ni yo mvune ikunze kugaragara cyane mu kuboko.

Ni ibihe bimenyetso by'ukuboko kwavunitse?

Noneho reka turebe icyo ushobora kumva no kubona iyo uvunitse ukuboko. Ushobora kuba ufite kimwe cyangwa byinshi muri ibi bimenyetso:

• Ububabare bukomeye: Iki ni cyo kintu cy'ingenzi.
• Kubyimba: Hashobora kubaho kubyimba gukomeye hafi y'aho imvune yavunitse.
• Ubwitonzi iyo bukozweho cyangwa bukandamijwe.
• Kugorwa no gukorakora ikiganza, intoki, n'igikumwe.
• Ubururu cyangwa ibara ry'uruhu hafi y'aho imvune yavunitse.
• Ubusanzwe bisa n'ikibyimba (ubusembwa) mu kuboko. Bishobora no kumvikana nk'aho igufwa ririmo gusohoka.
• Ibice by'ukuboko bishobora kugaragara nk'aho byarambuye, cyangwa bikaba byanagoramye. Hari igihe intoki zishobora no guhurirana (`malrotation`).

Iyo uvunitse ikiganza, ubusanzwe ubona itandukaniro ako kanya. Ushobora kubona kubyimba, guhinduka ibara, n'ikibyimba aho cyavunitse. Uku kubyimba no guhinduka ibara bishobora gukwirakwira kuva aho cyavunitse bikagera mu bindi bice by'ukuboko. Iyo igufwa rivuye burundu (``gucikamo ibice``), ibice by'amagufwa bishobora kuba bisohoka mu ruhu. Ibyo bishobora gutera ubwoba gato.

Ni izihe mpamvu nyamukuru zitera amagufwa yavunitse mu kiganza?

Hari impamvu nyinshi zishobora gutuma igufwa ryo mu kiganza rivunika. Reka turebe zimwe mu mpamvu zikunze kugaragara:

• Gugwa: Iyi ni yo mpamvu ikunze kugaragara cyane. Cyane cyane iyo uguye kandi ukaba ugomba gukoresha amaboko yawe kugira ngo wifashe. Tekereza nawe, igihe wari umwana, ukina, wiruka, usimbuka, cyangwa ugwa ku igare, sibyo? Byashoboraga no kubaho iyo unyerera ukagwa mu bwiherero.
• Impanuka za siporo:Impanuka nk'izo zishobora kubaho iyo umupira wihuta ukubita ikiganza mu gihe ukina cricket, mu gihe ukina imikino yo gukubitanaho nka rugby na football, cyangwa mu gihe ukina imyitozo yo kurwana.
• Impanuka cyangwa impanuka zo ku kazi mu gihe ukoresha ibikoresho: Ibintu nko kugwa uterura ikintu kiremereye, gufata ukuboko kwawe mu mashini, nibindi.
• Ihungabana: Mu gihe habaye impanuka ikomeye, nk'impanuka y'imodoka.
• Gukubita ahantu hakomeye: Hari abantu bakubita amaboko yabo ku nkuta cyangwa ku nzugi iyo barakaye. Ibyo bishobora kumena amagufwa mu ntoki zabo byoroshye. Ntukagire icyo ukora.

Uretse ibi bintu, hari indwara zimwe na zimwe zishobora gutuma amagufwa yo mu kiganza acika intege kandi agacika byoroshye. Urugero, hari ibibyimba bitari kanseri (bitari byiza) byitwa `enchondromas`, biba mu magufwa bikayaca intege. Nanone, indwara zitwa `osteoporosis` (indwara yo gutakaza amagufwa) na `osteopenia` (ubucucike buke bw'amagufwa) bishobora gutuma amagufwa acika intege kandi akavunika mu buryo butunguranye, ndetse no kugwa gato. Abantu benshi ntibazi ko bafite `osteoporosis` kugeza igihe bavunikiye igufwa. Kubera ko nta bimenyetso bikomeye biba bifite mu ntangiriro.

Ni nde uri mu kaga gakomeye ko kuvunika ukuboko?

Umuntu wese ashobora kuvunika ukuboko, ariko hari abantu bafite ibyago byinshi kurushaho:

• Abantu bari munsi y'imyaka 40: Kubera ko abantu bo muri iki gihe baba bakora cyane.
• Abakinnyi: Cyane cyane abakina `imikino yo gukubitana` n'abakora imyitozo ngororamubiri.
• Abantu bafite ibibazo by'ubuzima bigira ingaruka ku magufwa: nka osteoporosis twavuze haruguru.

Ni gute umuganga amenya neza ko umuntu yavunitse ukuboko?

Iyo ugiye kwa muganga ufite ububabare bwo ku kuboko, abanza kukubaza uko byagenze. Hanyuma bazagusuzuma ku kuboko kwawe. Bazareba niba hari ibibyimba, ibisebe, ndetse niba ushobora kwimura ukuboko kwawe.

Hanyuma, kugira ngo amenye neza aho igufwa ryo mu kuboko kwawe ryavunitse n'uko imvune isa, muganga azagutegeka gupimwa "X-ray" . "X-ray" ni bwo buryo busanzwe bwo kubona neza imvune. Ushobora kandi gukenera "CT scan", cyane cyane niba ugiye kubagwa.

Ni ubuhe buryo bwo kuvura ukuboko kwavunitse?

Uburyo uvura ukuboko kwawe kwavunitse biterwa n'ibintu byinshi, harimo igufwa ryavunitse, ubwoko bwavunitse, ndetse niba hari izindi ndwara. Uburyo busanzwe bwo kuvura burimo:

Kubuza ukuboko kugenda

Niba ukuboko kwawe kudakomeye cyane, bivuze ko amagufwa atari kure cyane (``nondisplaced fracture``), ushobora gukenera kwambara ``splint`` cyangwa ``cast``. Ibi bikorwa kugira ngo amagufwa yavunitse agume mu mwanya wayo kandi arusheho kugaruka. Abantu benshi bazakenera kugumana ukuboko kwabo kudakora mu gihe cy'ibyumweru 3 kugeza kuri 6. Muri iki gihe, ushobora gukenera kongera gukoresha ``X-ray`` kugira ngo urebe ko amagufwa arimo gukira neza.

Gutegura amagufwa (Gufunga)

Iyo imvune ikomeye cyane, bivuze ko amagufwa adakora neza, ushobora gukenera uburyo bwitwa closed reduction kugira ngo uyashyire mu mwanya wayo. Ibi bisaba ko muganga akanda inyuma y'ukuboko kwawe agasubiza amagufwa yavunitse mu mwanya wayo. Mu gihe urimo gukora ibi, ushobora kutababara kandi ushobora gukora kimwe muri ibi bikurikira:

• Agakoresho ko kugabanya ububabare gahabwa gusa agace gakikije aho imvune yavunitse.
• Imiti igabanya ububabare itangwa kugira ngo iruhure umubiri wose kandi ikumvishe ko wasinze gato.
• Cyangwa babikora bagusinzira burundu kandi bakaguha ikinya rusange.

Nyuma yo kugabanya amaguru mu buryo bufunze, muganga azaguhagarika ukuboko akoresheje agapira cyangwa icyuma.

Kubaga ikiganza cyavunitse

Niba ufite "imvune ifunguye" (bivuze ko igufwa ryamenetse mu ruhu) cyangwa "imvune yacitsemo ibice byinshi" (igufwa ryacitsemo ibice byinshi), muganga wawe ashobora kukugira inama yo kubagwa. Nanone, niba hari ibyangiritse ku bindi bice by'ukuboko, nk'imitsi, imitsi, cyangwa imitsi, kubagwa bishobora kuba ngombwa.

Mu gihe cyo kubagwa, umuganga wawe azasubiza amagufwa yawe mu mwanya wayo, abemerera gukira no kongera gukura hamwe. Hari uburyo bubiri bwo kubikora:

• Gufata inyuma: Muri ibi, inkoni z'icyuma cyangwa insinga zishyirwa mu ntoki kugira ngo amagufwa akosorwe.
• Gufata imbere: Muri ibi, udupira duto cyangwa utugozi twinjizwa mu igufwa kugira ngo dufate igufwa.

Nyuma y'uko igufwa rikize, ushobora gukenera kubagwa bundi bushya kugira ngo ukureho inkoni, amasahani, n'imisumari byashyizwemo.

Ese ibibazo bishobora kubaho nyuma yo kubagwa?

Ingorane ziterwa no kubagwa amaboko ni gake cyane, ariko hari ibintu bike bishobora kubaho rimwe na rimwe:

• ` Malunion` : Iki ni igihe amagufwa yawe yavunitse adahuye neza, agahinduka akajagari gato uko akira.
• ` Nonunion `: Amagufwa yawe ntabwo afatanye burundu cyangwa ngo afatanye na gato.
• Kwandura amagufwa (Osteomyelitis) : Niba ufite imvune ifunguye (aho igufwa ryavuye mu ruhu), uba ufite ibyago byinshi byo kwandura bagiteri mu gikomere zikagutera indwara.
• Kugongana mu kiganza : Abantu bavunitse ikiganza bakunze kugira ubukana hafi y'igufwa ryavunitse no mu ngingo z'ikiganza, bigatuma bigorana kugenda. Imyitozo yoroshye yo gukora mu rugo no kuvura indwara z'akazi bishobora kugabanya ubu bukana.
• Indwara yo mu cyumba cy’umubiri (ACS) : Iyi ni indwara ikomeye cyane. Kubyimba imbere mu mitsi bishobora kongera umuvuduko w’amaraso no kugabanya urujya n’uruza rw’amaraso mu ngingo. Ibi bishobora gutuma imitsi n’imitsi byangirika burundu. Niyo mpamvu abaganga banahangayikishijwe no kubyimba.

Bifata igihe kingana iki kugira ngo ukuboko kukire?

Igihe bifata kugira ngo ukuboko kwawe gukira biterwa n'ibintu byinshi:

• Ni irihe gufwa ryavunitse?
• Ni iki cyateye kuvunika (nk'ukugwa cyangwa impanuka)?
• Ni ubuhe bwoko bw'ubuvuzi wari ukeneye?
• Niba hari ibindi bikomere ku kuboko (urugero: umutsi wacitse).

Inshuro nyinshi z'amaboko yavunitse bifata ukwezi kumwe cyangwa abiri kugira ngo akire. Ariko, ibi bishobora gutandukana bitewe n'umuntu ku wundi. Ni byiza kubaza muganga wawe cyangwa umuganga wawe igihe gikwiriye ku kibazo cyawe.

Bizatwara igihe kingana iki kugira ngo umuntu akire neza kandi atangire gukora?

Nubwo igufwa ryamaze gukira, bizagutwara igihe kugira ngo ukire neza kandi usubire mu mirimo yawe isanzwe. Ubukana bw'ukuboko kwawe bugomba kugabanuka kandi imbaraga zawe zigasubira. Abantu benshi bashobora kongera gukora imyitozo ngororamubiri, nko gukina siporo, nyuma y'ibyumweru bigera kuri 8 (cyangwa amezi abiri) .

Ariko, ni ingenzi cyane kugisha inama muganga wawe cyangwa umuganga mbere yo kongera gukora imyitozo ngororamubiri. Ni ingenzi cyane gushaka inama z'abaganga mbere yo kongera gukora siporo iyo ari yo yose, cyane cyane niba wavunitse igufwa ryawe mu gihe ukora siporo cyangwa imyitozo runaka.

Ese ushobora kwirinda kuvunika ukuboko?

Bishobora kudashoboka kwirinda kuvunika ukuboko 100%, kuko impanuka zishobora kubaho mu gihe tutiteze. Ariko, ushobora kugabanya ibyago byo gukomereka ukurikije izi nama rusange z'umutekano:

• Ntukigere ukubita inkuta, inzugi, cyangwa ahandi hantu hakomeye iyo urakaye cyangwa ubabaye. Ibi bizakwangiza ikiganza cyawe gusa.
• Buri gihe wambara umukandara wawe neza iyo uri mu modoka.
• Ambara ibikoresho byo kwirinda bikwiye (urugero: uturindantoki) kuri buri gikorwa cyangwa siporo ukora.
• Kurikiza indyo ikungahaye kuri kalisiyumu na vitamine D hamwe na gahunda y'imyitozo ngororamubiri kugira ngo ukomeze kugira ubuzima bwiza bw'amagufwa.
• Niba ufite imyaka irenga 50, cyangwa niba hari umuntu wo mu muryango wawe (mama, so, abavandimwe bawe) ufite indwara yo kubura amaraso, ganira na muganga wawe ku bijyanye no gupima ubucucike bw'amagufwa .

Ni ryari ugomba kujya mu cyumba cy’ubutabazi bw’ibanze?

Niba ubona ko wavunitse ukuboko, ugomba kujya kwa muganga vuba bishoboka. Ariko, niba ufite kimwe muri ibi bimenyetso , jya mu ishami ryita ku butabazi bwihuse ku bitaro:

• Ububabare ntibushobora kwihanganira.
• Niba udashobora kwimura ikiganza cyawe cyangwa intoki zawe.
• Niba imiterere y'ikiganza cyawe yarahindutse cyane (nk'aho cyararambuye, gifite ibibyimba).
• Niba ubona igufwa risohoka mu ruhu.
• Kubyimba gukabije.
• Iyo hagaragaye ubururu bushya mu buryo butunguranye hamwe n'ibindi bimenyetso.

Ni ibihe bibazo ugomba kubaza muganga?

Iyo ugiye kwa muganga wawe, ushobora kubaza ibi bibazo kugira ngo usobanukirwe neza ikibazo cyawe:

• Ni ubuhe bwoko bw'imvune mfite? (Ni ubuhe bwoko muri ubwo bwavuzwe haruguru?)
• Ese ngomba kubagwa?
• Nzambara agapira cyangwa icyuma kugeza ryari?
• Nzakenera ubuvuzi bw'akazi igihe kingana iki?
• Ni ryari byaba byiza gusubira gukora imyitozo ngororamubiri nko gukina siporo?

Ese ushobora kuzunguza ikiganza cyawe nubwo cyangiritse?

Iki ni ikibazo abantu benshi bibaza. Bitewe n'igufwa ryo mu kiganza cyawe ryavunitse n'uburemere bw'aho ryavunitse, ushobora kuba ushobora kwimuka no gukoresha ukuboko kwawe gato. Ariko, nubwo waba ushobora kwimuka ukuboko kwawe, ntugahatire - cyane cyane niba bibabaza cyane iyo ukukoresheje. Kubikora bishobora gutuma ikibazo kirushaho gukomera.

Niba ufite amakenga make ko ufite igufwa ryavunitse mu kuboko kwawe, ni byiza guhita ugisha inama kwa muganga. Uko muganga abimenye vuba kandi akavura, niko birushaho gukira vuba kandi niko ibibazo bigabanuka.

Ese uku ni ukuvunika ukuboko cyangwa ni ukuvunika gusa?

Nubwo kuvunika kw'igufwa no gukomereka ari ubwoko bubiri butandukanye bw'imvune, byombi bishobora guterwa n'impanuka imwe (urugero: kugwa).

• Gucika kw'igufwa bibaho iyo igufwa ryangiritse rikameneka, rikavunika cyangwa rikavunika.
• Gukomereka bibaho iyo imwe mu mitsi yawe (ingingo ihuza amagufwa) irambutse cyangwa iracitse. Gucika kw'igufwa mu kuboko kwawe bishobora no gutera gucika kw'ukuboko cyangwa urutoki ("urutoki rwacitse").

Hari igihe ibimenyetso byabyo byombi bisa, bityo hashobora kuba ngombwa gupimwa X-ray kugira ngo hamenyekane neza ikibazo kirimo.

Turaseka iyo umuntu aguye agacika ukuboko cyangwa agakubitwa inyundo mu ntoki mu mashusho ya katuni na filime. Ariko mu buzima busanzwe, gukomeretsa amaboko si urwenya. Tekereza ku kamaro k'amaboko yacu iyo dufitanye isano n'isi ituzengurutse kandi dukora imirimo yacu ya buri munsi. Kuvuna igufwa mu ntoki bivuze ko ugomba kwiga gukora gahunda zawe za buri munsi mu buryo butandukanye mu gihe cy'ibyumweru byinshi, wenda bikanarenza. Ibyo bishobora kuba ikibazo gikomeye.

Amaherezo, icyo ugomba kwibuka (Ubutumwa bwo kujyana mu rugo)

Rero, niba wakomeretse ukuboko kwawe, ntukirengagize ibimenyetso nko kubabara no kubyimba, ukibwira uti "Ni ikintu gito cyane." Shaka muganga vuba bishoboka maze ugenzurwe. Uko muganga agusuzuma vuba kandi agatangira kuvurwa neza, niko amahirwe yo gukira neza kandi vuba arushaho kwiyongera. Hanyuma ushobora gusubira mu mirimo yawe isanzwe vuba. Komeza ubuzima bwiza!

Kuvunika kw'ukuboko , kuvunika kw'igufwa, kubabara ikiganza, kubyimba ikiganza, kuvura ikiganza, kuvunika kw'isanduku, icyuma gikozwe mu cyuma, agapira k'intoki