Hari igihe wumva ububabare bukabije ahantu nko ku rutugu, mu ivi, cyangwa mu nkokora, si byo se? Wenda byaba byarabyimbye gato. Impamvu y'ibi ishobora kuba indwara yitwa 'Bursitis'. Rero, mu gihe nk'iki, muganga ashobora kukugira inama yo 'guterwa inshinge za Bursa'. Uyu munsi, turaganira kuri ibi mu buryo burambuye, mu buryo bworoshye.
Bursa ni iki? Bursitite ikura ite?
Reka tubanze dusobanukirwe ibi mu buryo bworoshye. Tekereza ingingo zacu nk'ibice byimuka by'imashini. Kugira ngo ibi bice bikore neza nta gukururana, hagomba kubaho ikintu kimeze nk'amavuta hagati yabyo. Mu buryo nk'ubwo, izi 'bursa' ni udufuka duto twuzuyemo amazi dufasha amagufwa yacu, imitsi, n'imitsi kugenda byoroshye nta gukururana. Ibi ni bimwe mu bigize uturemangingo tw'amagufwa yacu.
Ariko, iyo ukoresheje ingingo imwe inshuro nyinshi, cyangwa iyo hari ikintu kiyibayeho, izi bursae zirabyimba kandi zuzuyemo amazi, bigatera ububabare. Ibi tubyita 'bursitis' . Iyo uku kubyimba kubayeho, urwego rw'imikorere y'ingingo ruragabanuka, ibyo bigatera ububabare iyo ingingo yimuwe.
Rero, abaganga batanga uru rushinge rwa bursa kugira ngo bagabanye ububabare n'ibibyimba biterwa na bursiti. Ibi akenshi biba birimo gutera inshinge za steroid (nka triamcinolone) zigabanya ububabare n'ibibyimba, hamwe n'indishi igabanya ububabare. Iyi miti igabanya ububabare izagufasha kugabanya ububabare mu gihe steroid itangiye gukora.
Ni izihe ngingo zikunze kwibasirwa cyane na bursitis?
Ushobora gutungurwa no kumenya ko dufite udusakoshi tugera ku 160 twa bursa mu mibiri yacu! Ariko bursiti ikunze kugaragara mu ngingo dukoresha kenshi kandi zigashyiramo uburemere bwinshi. Urugero:
- Ingingo y'urutugu (Subacromial bursitis)
- Indwara yo mu kibuno (Trochanteric bursitis)
- Inkokora (Olecranon bursitis)
- Ivi (Pre-patellar bursitis)
- Agace k'ikibuno (Hamstring bursitis)
Bigenda bite iyo utewe urushinge?
Ubu buryo ni bwihuse cyane kandi bworoshye butwara iminota iri munsi ya 10. Ushobora kubukorera kwa muganga wawe ugataha. Hari igihe, iyo uteye urushinge mu ngingo zikomeye nko mu kibuno cyangwa mu ivi, muganga ashobora gukoresha ikoranabuhanga rya ultrasound kugira ngo afashe kuyobora urushinge ahantu heza. Reka turebe intambwe.
| Intambwe | Ibisobanuro |
|---|---|
| 1. Kwemeza | Muganga azemeza ubuvuzi ukeneye n'aho bugomba gukorerwa. |
| 2. Gusukura | Aho bateye hasukurwa neza n'umuti wica udukoko. |
| 3. Kutamenya | Umuti wo gusiga ibisebe ushyirwa ku ruhu cyangwa ugaterwa urushinge ruto. |
| 4. Gutera urushinge | Urushinge ruto cyane rushyirwa mu ruhu mu gice cy’umubyimba hanyuma umuti ugaterwa. |
Ushobora kumva ufite igitutu cyangwa utameze neza igihe utewe urushinge, ariko rumara amasegonda make gusa.
Ese hari ingaruka mbi n'ibyago?
Ubu buvuzi muri rusange ni bwiza cyane, ariko kimwe no ku buvuzi ubwo ari bwo bwose, ingaruka mbi nke zishobora kubaho.
Hashobora kubaho ububabare, gukomereka, cyangwa kubyimba mu ngingo mu gihe cy'umunsi umwe cyangwa ibiri nyuma yo guterwa urushinge. Hari kandi ibyago bike cyane byo kwandura. Izindi ngaruka mbi zirimo:
- Umutwe
- Umuriro muto
- Guhinduka kw'ibara ry'uruhu cyangwa aho rwatewe urushinge
Icy'ingenzi! Ikintu kimwe ugomba kwibuka by'umwihariko ni uko uru rushinge rwa steroide rushobora gutuma umuvuduko w'amaraso n'isukari mu maraso byiyongera gato mu gihe cy'umunsi umwe cyangwa ibiri . Niba urwaye diyabete cyangwa umuvuduko ukabije w'amaraso , uzakenera kwitonda cyane mu minsi mike nyuma yo guterwa urushinge. Ni ngombwa kubiganiraho na muganga wawe mbere y'igihe no kuganira ku yindi miti ushobora gukenera.
Ni iki nkwiye gukora nyuma yo guterwa urushinge?
Iyo wongeyeho umuti ugabanya ububabare mu rushinge, uhita ugabanya ububabare mu gihe cy'amasaha make. Nyuma y'ibyo, bishobora gufata iminsi mike kugira ngo umuti wa steroide ukore kandi kubyimba bigabanuke. Ni ngombwa cyane gukurikiza amabwiriza ya muganga muri iki gihe.
- Irinde gukora imirimo ivunanye ishyira igitutu ku ngingo aho watewe urushinge nibura amasaha 24 .
- Kugira ngo ugabanye ububabare no kubyimba, shyira agapaki k'urubura gapfunyitse mu gitambaro aho hantu.
- Kugira ngo ugabanye ububabare no kubyimba, fata imiti igabanya ububabare cyangwa imiti igabanya ububabare idakoresha steroide (NSAIDs) nk'uko muganga yabigutegetse.
- Irinde kujya mu bwogero cyangwa muri pisine iminsi ibiri nyuma yo guterwa urushinge. Ariko, nta kibazo kirimo kwiyuhagira.
Ubwo bufasha buzamara igihe kingana iki? Ese bushobora kongera gufatwa?
Igihe ububabare bumara gitandukanye bitewe n'umuntu ku giti cye kandi biterwa n'ingingo yafashwe. Ubusanzwe, uru rushinge rushobora kugabanya ububabare no kubyimba mu mezi menshi kugeza ku mwaka . Hari abantu babona ubutabazi buhoraho bakoresheje urushinge rumwe gusa. Ariko, iyo ukomeje gukora ibikorwa bibangamira ingingo, ibimenyetso bya bursitis bishobora kugaruka vuba.
Muri rusange abaganga basaba ko hashira nibura amezi atatu hagati yo guterwa inshinge mu ngingo imwe, kuko gutera inshinge inshuro nyinshi bishobora kwangiza bursa, ingingo n'ingirabuzimafatizo zikikije.
Ni ryari ugomba guhita ubonana na muganga?
Uramutse ubonye kimwe muri ibi bikurikira, ugomba guhita uhamagara muganga wawe.
- Ibimenyetso by'ubwandu: umuriro, gutukura, kubyimba, cyangwa kuva amaraso y'umuhondo mu gice cy'urushinge.
- Ububabare bukomeye kandi budashobora kwihanganira mu gace kavuwe.
- Gukomereka cyane cyangwa kuva amaraso .
- Kugabanuka k'ubushobozi bwo kwimura ingingo yavuwe.
Wibuke ko inshinge za bursa ari umuti mwiza kandi uvura ububabare bwa bursiti. Ariko kugira ngo wirinde ko iyi ndwara yongera kugaruka, ni ngombwa cyane gukurikiza amabwiriza ya muganga wawe. Kugabanya ibikorwa bishyira umuvuduko ku ngingo, kwambara icyuma gikingira ingingo cyangwa icyuma gikingira ingingo mu gihe bibaye ngombwa, no gukora imyitozo ngororamubiri muganga wawe agusaba bishobora gufasha gukumira ko iyi ndwara yongera kugaruka. Niba ibimenyetso byawe bigarutse nyuma yo guterwa inshinge, vugana na muganga wawe kuri ibyo.
Ubutumwa bwo kujyana mu rugo
- Urushinge rwa bursa rugabanya ububabare bw'ingingo no kubyimba biterwa na bursiti.
- Ubu ni uburyo bwihuse kandi bworoshye bwo kuvura, bukunze gukorerwa kwa muganga.
- Ni ingenzi cyane gukurikiza amabwiriza nko kuruhuka no gushyiramo urubura mu minsi mike nyuma yo guterwa urushinge.
- Niba urwaye diyabete cyangwa umuvuduko ukabije w'amaraso, witondere urugero rw'isukari n'umuvuduko w'amaraso mu minsi mike nyuma yo guterwa urushinge kandi uganire na muganga wawe kuri ibyo.
- Niba ufite ibimenyetso by'ubwandu, nk'umuriro, ububabare bukabije, cyangwa amazi ava aho watewe inshinge, hita ubonana na muganga wawe.
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