Ese wavunitse igufwa hafi y'ukuboko kwawe? Iyi ishobora kuba "Umushoferi yavunitse"!

Yewe! Ese ukuboko kwawe kurababara? Wenda bibaho iyo uguye, ugonze ikintu runaka, cyangwa ukubiswe nabi ku kuboko? Nubwo bishobora kugaragara nk'aho ari ukuvunika gato, rimwe na rimwe ubu bubabare bushobora kuba ikintu gikomeye kurushaho. Uyu munsi tugiye kuvuga ku bwoko bwihariye bw'imvune mu kuboko. Ibi byitwa "Umushoferi Uvunika".

Iyi "Chauffeur Fracture" ni iki?

Mu magambo make, "Chauffeur Fracture" ni ukuvunika kw'igufwa hafi y'ukuboko kwawe. Mu kuboko kwacu, kuva ku nkokora kugeza ku kuboko, hari amagufwa abiri maremare y'ingenzi, si byo? Rimwe ni radius irindi ni ulna . Twita "Chauffeur Fracture" iyo impera y'urukiramende (abaganga bita radial styloid process) ku kuboko ivunitse.

Ubu mu by'ukuri ni ubwoko bw'imvune yitwa "Distal Radius Fracture" . Ni ukuvuga kuvunika ku mpera yo hasi y'igufwa rya "Radius", hafi y'ukuboko. Ikintu kidasanzwe ni uko "Shofer Fracture" igera mu ngingo y'ukuboko . Abaganga bita imvune inyura mu ngingo nk'iyi "Intraarticular Fracture" . Urabyumva? Ibyo bivuze ko atari igufwa gusa, ahubwo n'ingingo.

Iyi 'Shofer fracture' yitwa andi mazina menshi. Ushobora kuba warigeze kuyumva:

• Ibi kandi byitwa "Radial Styloid Fracture" .
• Nanone yitwa `(Hutchinson Fracture)` ,
• Iyi ndwara ishobora kandi kwitwa ``Backfire Fracture'' .

Ni nde ufite amahirwe menshi yo kurwara iyi "Shofer fracture"?

Mu by’ukuri, umuntu wese ashobora kuvunika nk’uku. Ariko, muri rusange, ubwoko bwa ``Distal Radius Fracture```, ni ukuvuga kuvunika kw’igufwa rya ``Radius``` mu gice cy’ukuboko, bukunze kugaragara cyane mu rubyiruko rufite imbaraga, cyangwa ku bantu barengeje imyaka 65. Ibi byago biri hejuru cyane ku bantu bakuze bafite ``Osteoporosis``` (indwara yo gutakaza amagufwa). Kubera ko amagufwa yabo aba afite intege nke gato kandi ashobora kuvunika byoroshye.

Ushobora gutungurwa no kumenya ko ubu bwoko bw'imvune, bwitwa "Distal Radius Fracture", ari bwo bwoko bw'imvune bukunze kuvurwa n'abaganga mu bihugu nka Leta Zunze Ubumwe za Amerika. Bugira 17% by'imvune zose ziboneka mu byumba byita ku barwayi!

Kuki ibi byitwa "Kuvunika kw'umushoferi"?

Iri zina risa n'aho ritangaje gato, si byo se? "Shofer" bisobanura abashoferi. None se ryabonye iryo zina gute? Hari inkuru nto inyuma yaryo.

Mu gihe cyashize, ni ukuvuga mu ntangiriro z'ikinyejana cya 20, imodoka ntizatangizwaga zizunguza urufunguzo nk'uko bimeze ubu. Hari agakoresho kanini ko gukurura (inkoni yazunguzwaga n'intoki) imbere y'imodoka. Moteri yatangizwaga bayizunguzaga cyane mu clock ugana iburyo.Tekereza akazi kenshi abashoferi (abashoferi) bagombaga gukora muri icyo gihe. Rero, rimwe na rimwe, iyo moteri 'itangiye', 'agakoresho ko gufata crank' gahita gasubira inyuma. Nk'aho 'gatangiye'. Hanyuma umuntu wahinduraga crank agahita asubira inyuma ku kuboko, akavuna isonga ry'iryo gufwa rya '(Radius)' twavuze mbere.

Ni ukubera iki kibazo, umuganga w’amagufwa w’Umufaransa Just Lucas-Championnière yise iki kibazo "Gucika intege kwa Chauffeur," birashoboka ko ari ukubera ko cyari gisanzwe mu bashoferi icyo gihe.

Ni izihe mpamvu zitera "Shofer fracture"?

Impamvu nyamukuru ni ingaruka zikomeye ku kuboko. Ibi bishobora kubaho mu buryo butandukanye:

• Kugwa urambuye ukuboko: Iyo tuguye, turambura ukuboko tugakora hasi n'ukuboko kwacu. Muri icyo gihe, uburemere bw'umubiri wose bunyura mu kuboko, bishobora gutuma habaho ubwo bwoko bw'imvune. Ndetse no kunyerera gato no kugwa bishobora gutera ibi.
• Gukubitwa bikomeye inyuma (uruhande rwo hejuru) rw'ukuboko: Ibi bishobora kubaho iyo ikintu gikomeye kikuguyeho cyangwa kikakugonga ahantu runaka.
• Impanuka z'imodoka: Biterwa n'ibintu nko kugonga umuyoboro w'imodoka mu mpanuka y'imodoka.
• Imvune mu mikino: Ibi bishobora kubaho cyane cyane iyo ukina imikino yo gukubitanaho, nka rugby na football. Bishobora no kubaho iyo uguye uri ku rubura cyangwa ukina ku rubura.

Ni ibihe bimenyetso by'indwara ya "Scaufer vunitse"?

Niba ufite ikibazo cya 'Shofer fracture', ushobora kubona ibimenyetso bikurikira mu kuboko kwawe:

• Ibikomere: Hashobora kubaho ibikomere by'ubururu cyangwa umuhengeri.
• Ubushobozi bwo kugenda buhoro: Kugorwa no guhindukiza ukuboko, kukuzamura cyangwa kukumanura.
• Ububabare bukabije: Ububabare buba bukomeye cyane cyane iyo urimo gukora ku kiganza cyangwa ugerageza gukora ku kintu runaka.
• Kubyimba: Agace gakikije ukuboko gashobora kubyimba cyane.
• Ububabare: Birababaza iyo umuntu abikozeho cyangwa akandagiye.
• Isura idasanzwe y'ukuboko: Ukuboko gushobora kuba kwangiritse, kurambura, cyangwa kumera nk'ikibyimba kidasanzwe.

Niba ufite ibi bimenyetso, ugomba guhita ubonana na muganga. Ntukivure.

Ni gute wamenya "Shofer fracture"?

Iyo ugiye kwa muganga, babanza kukubaza ibimenyetso byawe n'uko byagenze. Hanyuma bazasuzuma ikiganza cyawe n'ibindi bice by'ukuboko kwawe kugira ngo barebe niba hari ibikomere, kubyimba, cyangwa impinduka mu miterere. Bazasuzuma kandi imikorere y'imitsi mu kiganza cyawe no ku ntoki zawe. Byongeye kandi, bashobora gukora ibizamini bikurikira:

• X-ray: Ibi bishobora kwerekana neza aho igufwa ryavunitse n'ibice byaryo byavunitsemo. Muganga ashobora kandi kugereranya uburebure bw'amagufwa yo mu maboko yawe yombi.
• CT scan cyangwa MRI:Ibi bishobora kwemeza neza ko imvune yavunitse kandi bikagaragaza neza niba hari ibyangiritse ku mitsi, imitsi, cyangwa ingingo zoroshye zikikije. Si buri wese ubikeneye, ariko ibi bizamini bishobora gufasha mu bihe bimwe na bimwe bigoye.

"Shofer fracture" ivurwa ite?

Intego nyamukuru y'abaganga ni ugushyira hamwe amagufwa yavunitse no kuyagumana mu mwanya wayo kugeza akize neza. Uburyo bwo kuvura 'Schaufer fracture' bushobora gutandukana bitewe n'umuntu ku wundi. Biterwa n'ibintu nka:

• Uburemere bw'imvune.
• Ese imvune iri ku kuboko kwawe gukomeye?
• Ese ibice by'amagufwa byakuwe aho byari biri?
• Urwego rw'ibikorwa byawe bisanzwe.
• imyaka yawe.
• Ese hari izindi mvune ku maguru, kandi se zizatera ingorane mu gukora cyangwa gutwara ibiro muri iki mvune?

Hari uburyo bwo kuvura indwara ya Shofer fractures butari ukubaga cyangwa kubagwa. Kenshi na kenshi, kubagwa ni ngombwa kugira ngo ubwo bwoko bw'imvune bukire neza.

Uburyo bwo kuvura butari ubwo kubaga:

• Gukuraho no Gusiga Ingufu mu Ruhu: Muganga azagukata uruhu hanyuma asubize igufwa ryavunitse (wenda bigabanya ububabare). Nyuma y'ibyo, agapira k'uruhu (agakoresho k'igihe gito kabuza kugenda) kazambarwa mu minsi mike. Iyo ikibyimba kimaze kugabanuka, kizakurwaho hanyuma hagashyirwaho agapira k'ingufu. Uzongera gusuzumwa mu byumweru bibiri cyangwa bitatu kandi agapira gashobora guhindurwa bibaye ngombwa. Ubusanzwe agapira kazakurwaho burundu mu byumweru bitandatu.

Ubuvuzi bwo kubaga:

• Gufata Ingufu zo mu Giti: Muri ubu buryo, muganga ashyiramo agakoresho gatuma umubiri uhora uhagaze mu kaboko akoresheje udupira tw'icyuma. Ubu buryo bukoreshwa iyo imashini yonyine idashobora gufata ibice by'amagufwa mu mwanya wabyo, cyangwa iyo hari ibikomere byinshi bikomeye.
• Kugabanya Gufungura: Muri ubu buryo, muganga akora akato gato hanyuma agasubiza ibice by'amagufwa mu mwanya wabyo. Hanyuma hakoreshwa igikoresho cyo kubifata inyuma kugira ngo kibifate mu mwanya wabyo. Ubu buryo bushobora gukoreshwa iyo ibice by'amagufwa birengeje milimetero 2 bitajyanye neza.
• Gufungura no Gufata Imbere mu Mugongo (ORIF): Ubu ni bwo buryo bukunze gukoreshwa cyane mu kubaga imvune ya Shofer. Umuganga ubaga atema igice cy'imbere cy'ukuboko kwawe (uruhande aho twumva umuvuduko w'amaraso - igice cya volar), agasubiza ibice by'amagufwa byavunitse, agakoresha icyuma n'imisumari kugira ngo abifate neza.Abaganga bamwe na bamwe ubu bakoresha ikoranabuhanga rya 3D icapa kugira ngo bakore ibishushanyo by'amagufwa ajyanye nabyo kugira ngo bongere ubuhanga mu kubaga.

Ese imiti ishobora gutera ingorane cyangwa ingaruka mbi?

Ingorane ziva mu kuvurwa zishobora gutandukana bitewe n'umuntu ku wundi. Ingorane ikunze kugaragara ni indwara yitwa "malunion", aho igufwa rikira mu buryo butandukanye n'uko ryari rimeze ubwo ryakiraga bwa mbere. Ibi bishobora gutuma igufwa rigabanuka gato, rigakururwa, cyangwa rigahindagurika.

Izindi ngorane zishobora kugaragara zirimo:

• Arthritis: Ibi bivuze kubyimba kw'ingingo. Uko igihe kigenda gihita, ububabare n'ubukomere bw'ingingo bishobora kubaho.
• Kutagira aho bihurira: Hari igihe ibice by'amagufwa bishobora kudahura neza.
• Syndrome y'ibice: Iyi ni ukwiyongera gukomeye k'umuvuduko mu mitsi y'amaboko. Ibi ni ibintu byihutirwa.
• Indwara y’ububabare bw’akarere iteye ubwoba (CRPS): Ibi bitera ububabare bukabije no kubyimba.
• Kwandura: Hari amahirwe make yo kwandura aho bakorewe ubuvuzi.
• Gukomereka ku ngingo cyangwa imitsi: Ibi bishobora no kwangirika hamwe n'aho byavunitse.
• Indwara z'imitsi: Urugero, indwara nka syndrome ya carpal tunnel zishobora kubaho.
• Ububabare buhoraho, kunanuka, cyangwa kudashobora kongera kwimuka burundu.
• Kubabara mu kiganza cy'uruhago.

Nzumva meze neza vuba gute nyuma yo kuvurwa?

Igihe cyo gukira kiratandukanye bitewe n'umuntu ku giti cye. Niba ugeze mu zabukuru, cyangwa niba ufite izindi ndwara nka osteoporosis cyangwa diyabete, bishobora gufata igihe kirekire kugira ngo uruhuke. Ni ngombwa kwihangana no gukurikiza amabwiriza ya muganga wawe.

Ni gute wagabanya ibyago byo "kuvunika kwa Schaufer"?

Nubwo ibyago byo kuvunika nk'uku bidashobora gukurwaho burundu, hari ibyo dushobora gukora kugira ngo tubigabanuke:

• Kora imyitozo yo kwisiga ibiro: nko kugenda n'amaguru, kwiruka no kubyina. Nanone, kora imyitozo yo kwirinda indwara: nko guterura ibiremereye. Iyi myitozo ikomeza amagufwa.
• Kurya indyo yuzuye ikungahaye kuri kalisiyumu na vitamine D.
• Kurinda cyangwa kugenzura indwara yo gucika kw'amagufwa (osteoporosis): kurya neza, gukora imyitozo ngororamubiri, no gufata imiti nk'uko muganga yabigutegetse mu gihe bibaye ngombwa.
• Kureka kunywa itabi no gukoresha itabi burundu. Kunywa itabi bibangamira gukira kw'amagufwa.
• Imiti imwe n'imwe ufata ishobora kugira ingaruka ku kwinjiza kwa kalisiyumu na vitamine mu mubiri.Kubwibyo, vugana na muganga wawe ku bijyanye n'imiti ufata.
• Fata ingamba zo kwirinda kugwa mu rugo: ibintu nko gushyira imigozi ku madarajya no gufata utubati mu bwiherero.
• Niba ukina imikino ikomeye (nk'umupira w'amaguru, rugby), cyangwa ugakora ibikorwa nko gusiganwa ku rubura cyangwa gusiganwa ku rubura, menya neza ko wambaye ibirinda ukuboko n'ibindi bikoresho byo kwirinda.

Ni iki wakwitega mu gihe ufite "Shofer fracture"?

Niba ugiye kubagwa kubera 'Shofer fracture', umuganga azagushyira agashinge ku kuboko mu gihe cy'ibyumweru bibiri. Hanyuma, nusubira kwa muganga, azaguha agashinge gashobora gukuramo kugira ngo wambare mu byumweru bine.

'Shofer fracture' ishobora gutera ububabare mu minsi mike kugeza ku byumweru bike. Kugira ngo ugabanye ububabare, muganga wawe ashobora kukwandikira imiti igabanya ububabare nka `(Ibuprofen)` cyangwa `(Acetaminophen)` . Iyo ububabare bukabije, ushobora kwandikirwa umuti ukomeye.

Muganga wawe azakwigisha imyitozo yoroshye kugira ngo igufashe kwimura ukuboko n'intoki buhoro buhoro . Bashobora kandi kukugira inama yo kugufasha kongera kugira imbaraga no kwihuta mu kuboko kwawe. Ibi ni ingenzi cyane.

Ese ibi bishobora kugira ingaruka z'igihe kirekire?

Hashobora kubaho uburibwe no gukomera mu kuboko kugeza ku myaka ibiri . Ubuvuzi bw'umubiri bushobora gufasha gusubizaho urwego ntarengwa rwo gukora ku kuboko.

Muri rusange, ushobora kongera gukora ibikorwa byoroheje nko koga mu kwezi kumwe cyangwa abiri nyuma yo gukuraho icyuma cyangwa nyuma yo kubagwa. Bifata amezi agera kuri atatu kugeza kuri atandatu kugira ngo wongere gukora ibikorwa bitoroshye nka rugby na snowboarding.

Bishobora gufata nibura umwaka kugira ngo umuntu akire neza. Kuri bamwe, cyane cyane:

• Iyo igikomere gikomeye cyane,
• Niba ufite imyaka irenga 50,
• Niba urwaye osteoarthritis (indwara y'ingingo),

Hashobora kandi kubaho ububabare buhoraho cyangwa gukomera mu kuboko.

Ni ryari ngomba kubonana na muganga?

Byaba nyuma yo guterwa icyuma cyangwa kubagwa, niba udashobora kwimura intoki zawe bitewe no kubyimba cyangwa ububabare mu masaha 24, jya kwa muganga ako kanya. Ugomba kugerageza kongera gukoresha intoki zawe mu buryo bwose vuba bishoboka. Nanone, menya neza ko ukurikirana muganga wawe nk'uko byategetswe mu gihe cy'ubuvuzi bwawe. Ibi bizagufasha kumenya ibibazo byose bishobora kuvuka mu gihe cyo gukira.

Ubutumwa bwo kujyana mu rugo

Noneho rero urabyumva ko "Umushoferi yavunitse" twavuze uyu munsi ari ukuvunika kw'igufwa ryegereye ukuboko. Ibi bishobora guterwa no kugwa, impanuka, n'ibindi.

Igikuru ni ukudatinya iyo ufite imvune nk'iyi, ahubwo ni ugushaka inama z'abaganga vuba. Abaganga bashobora kuvura neza izi 'Shofer fractures' bakoresheje plaster, bashyiraho ibikoresho byo hanze, cyangwa babaze.

Niba ufite ingorane nyuma yo kuvurwa, vugana na muganga wawe hanyuma ubone imiti ikenewe cyangwa ubuvuzi bw'umubiri. Nubwo bishobora gufata igihe, abantu benshi bashobora gusubira mu mirimo yabo isanzwe mu mezi make. Rero, ni ngombwa kwihangana no gukurikiza amabwiriza ya muganga wawe mu gihe cyo kuvurwa! Tukwifurije gukira vuba!

Kuvunika k'umushoferi, Kuvunika kw'amabara ya Radial Styloid, Kuvunika kw'ukuboko, Kuvunika kw'amagufwa, Kubabara mu ntoki, Kubabara mu kiganza, Kuvunika kw'amabara ya Radius