Ese ikiganza cyawe cyaragose imbere nk'urushyi? Reka tuvuge kuri 'Ikiganza cy'Inkoni'!

Ese wigeze ugira intoki zigoramye imbere, nk'urushyi? Cyangwa wigeze wumva ububabare cyangwa ingorane zo kugorora intoki zawe? Wenda ufite igitekerezo kuri iyi ndwara yitwa 'ukuboko kw'urushyi' . Ntugahangayike, tuzabivugaho birambuye uyu munsi. Kuko kuri bamwe, iki gishobora kuba ikintu bavukana, mu gihe ku bandi, gishobora kuvuka nyuma y'ubuzima bitewe n'impanuka cyangwa izindi ndwara.

Iki kiganza cy'inkoni ni iki?

Mu magambo make, ikiganza cy'inkoni ni indwara aho intoki zawe, cyane cyane impeta n'intoki nto, zigoramye imbere kandi ukuboko kwawe kukaba gukururwa imbere. Byitwa ikiganza cy'inkoni kuko bisa nkaho ikiganza cyawe gifashwe mu ishusho y'inkoni. Hari igihe abaganga babyita Ulnar Nerve Palsy . Muri iyi ndwara, ushobora gusanga bigoye, cyangwa se bidashoboka, kugorora intoki zawe zose.

Tekereza nawe, hari imitsi mito myinshi mu biganza byacu idufasha kunama no kwagura intoki zacu. Iyi mitsi ikorana n'ibimenyetso by'amashanyarazi, cyangwa ubutumwa bw'imitsi, buturuka mu bwonko bwacu no mu ruti rw'umugongo. Uturemangingo twa Ulnar ni umwe mu mitsi ikomeye ituruka imbere mu kuboko kwacu, cyane cyane imitsi ifitanye isano n'urutoki rw'impeta n'urutoki ruto, kandi ikadufasha kunama no kwagura intoki zacu. Akenshi, iki kiganza cy'inkoni kibaho iyo hari ikintu cyangiritse mu mitsi ya Ulnar.

Ibi bishobora kuba ikintu wavukiyemo ( nk'itandukaniro ry'ukuboko kwavutse ), cyangwa bishobora guterwa n'impanuka, indwara, cyangwa kwangirika kw'imitsi mu gihe cy'izabukuru.

Ni irihe tandukaniro riri hagati ya Claw Hand, Dupuytren's Contracture, na Trigger Finger?

Noneho ushobora kuba urimo gutekereza uti: "Hari izindi ndwara zituma intoki zigorana kandi zikagorana kugorora, none se ibi bitandukanye bite?" Yego, uvuze ukuri. Kimwe na Claw Hand, Dupuytren's Contracture na Trigger Finger nabyo bitera ingorane mu kugorora intoki. Ariko impamvu ziratandukanye. Reka turebe ibyo ari byo.

• Ikiganza cy'Inkoni: Nkuko twabivuze mbere, ibi bikunze guterwa no kwangirika k'imitsi yo mu gituza cyawe. Iyi mitsi igenzura imitsi yo mu gikumwe cyawe n'urutoki rwawe rw'imbere. Rero iyo imitsi yo mu gituza yangiritse, ibimenyetso by'amashanyarazi igenzura kugira ngo igorore intoki zawe ntibinyura neza. Iyo mitsi iracika intege, ikarusha imbaraga imitsi ikora ku rundi ruhande, bigatuma intoki zawe zigonga imbere.

• Guhagarara kwa Dupuytren:Iyi ni indwara ikunze kuba mu buryo bw’uturemangingo. Ibaho iyo ingingo iri munsi y’uruhu rw’ikiganza n’intoki (cyane cyane fascia , imiterere isa n’umukandara ushyigikira ikiganza n’intoki kandi ikabafasha kugenda) irushaho gukomera. Udusimba duto twiba munsi y’uruhu rw’ikiganza, rimwe na rimwe tugakora udusimba tumeze nk’umugozi. Uko igihe kigenda gihita, utu dusimba n’udusimba dushobora gutuma intoki zigonda imbere kandi zikaba ndende cyane ku buryo zitabasha kugororoka. Ibi akenshi ntibibabaza, ariko bishobora gutuma bigorana gukoresha ukuboko.

• Urutoki n'Igikumwe: Izi ndwara ziterwa no kubyimba kw'imitsi (ingingo ikomeye ihuza imitsi n'amagufwa) mu kuboko kwawe. Iyo imitsi yawe ihora ihangayika cyangwa ugakora ikintu kimwe kenshi, ishobora gukomereka no kubyimba. Uku kubyimba gutuma imitsi ifatwa mu gituza inyuramo. Ibi bishobora gutera urusaku rwo gukubita cyangwa gukubita iyo ugerageje kunama cyangwa kugorora urutoki rwawe. Hari igihe urutoki rushobora gufatirwa mu mwanya wo kunama cyangwa kure. Ibi bishobora kubabaza.

Urabyumva? Itandukaniro nyamukuru ni impamvu.

Ni nde ushobora kugira claw hand kurusha abandi?

Ikiganza cy'inkoni gishobora kumera ku muntu uwo ari we wese. Nyamara, ubushakashatsi bwagaragaje ko abagabo bafite amahirwe make yo kurwara iki kiboko kurusha abagore. Uretse ibyo, nta tandukaniro rigaragara mu myaka.

Ni gute claw Hand igira ingaruka ku mubiri wanjye?

Ushobora kwiyumvisha ukuntu bibabaza kudashobora gukoresha intoki zawe neza. Cyane cyane niba utaravukanye iyi ndwara kandi ikakugeraho nyuma, bizatwara igihe kugira ngo uyimenyere.

• Kugorwa no gufata ibintu no kubikoraho: Ibi bishobora kugira ingaruka ku bintu nko gufata ikintu gito, kwandika ikintu, cyangwa gufata igikombe.
• Kugorwa no gukora imirimo ya buri munsi: Niba akazi kawe gasaba gukoresha amaboko yombi, urugero, kwandika kuri mudasobwa cyangwa gufata ikintu runaka, iyi ndwara ishobora kubangamira iyo mirimo. Niba uri umwana ujya mu ishuri, ibi bishobora no kugira ingaruka ku mirimo nko kwandika.

Ni ibihe bimenyetso by'ikiganza cy'inka?

Ikimenyetso nyamukuru kandi kigaragara cyane ni ikiganza gisa n'ikiganza , bivuze ko intoki ziba zigose imbere kandi ukuboko kukaba gukururwa imbere.

• Kugorana kugorora intoki: Biragoye cyane kurambura intoki kure y'ukuboko, kandi rimwe na rimwe ushobora no kudashobora kwimura intoki zawe.
• Biragoye "gufungura" ikiganza cyawe: Ubusanzwe, dufungura ikiganza cyacu hagati mu kiganza intoki zacu zirambuye, ibyo bikaba bigoye kubikora.
• Gucika intege cyangwa gucika intege:Niba impamvu y'iyi ndwara y'intoki ari ukwangirika kw'imitsi yo mu gituza, ushobora kugira ibinure no kumva urimo gushyuha kuva ku kuboko kugera ku kuboko, ku rutoki rw'impeta, no ku rutoki ruto. Hari n'igihe, hashobora kubaho gutakaza ibyiyumvo muri ako gace.

Ni izihe mpamvu zitera inzara zo mu kiganza?

Hari impamvu nyinshi zishobora gutera inzara. Reka tubirebe.

• Kwangirika k'imitsi ya Ulnar cyangwa amashami yayo: Gukomereka (nk'ugukomereka, gukomereka, cyangwa gukururwa) ku ijosi ryawe, mu gituza, mu kwaha, cyangwa ahandi hose mu kuboko kwawe bishobora kwangiza imitsi ya Ulnar, iva ku mpande z'ijosi ryawe ikamanuka ikagera ku kuboko kwawe.
• Indwara ya Cubital Tunnel Syndrome: Iyi ndwara izwi kandi nka Ulnar Never Entrapment, ibaho iyo umutsi wo mu gituza, unyura mu muyoboro uri imbere mu nkokora yawe, ukandamizwa. Ni nk'aho umuyoboro w'amazi ufunzwe. Iyi ngingo ibuza umutsi wo mu gituza gukora neza. Ibi bishobora gutuma imitsi yo mu kiganza cyawe ihungabana, kandi ushobora kugira ibinya cyangwa kuribwa mu kuboko kwawe, ukuboko, urutoki rw'impeta, n'urutoki ruto. Abantu bashyira igitutu ku nkokora zabo no ku maboko yabo, cyangwa bakora imirimo ibasaba kunama no kurambura inkokora zabo n'amaboko yabo (urugero: abantu bakora kuri mudasobwa inkokora zabo zimaze igihe kirekire zigonze, cyangwa abakina siporo zimwe na zimwe) bashobora kurwara iyi ndwara.
• Itandukaniro ry'ukuboko kwavutse: "Congenital" bivuga "kubaho kuva bavutse." Hari abana bavukana itandukaniro ry'ukuboko. Ikiganza cy'amaboko gishobora kuba kimwe mu ndwara nk'izo bavukanye.
• Spondylosis yo mu mugongo: Muri make, iyi ni indwara ibaho uko umuntu asaza bitewe no kwangirika kw'imitsi yo mu mugongo (amagufwa yo mu ijosi ry'umugongo) n'uruti ruri hagati yayo. Ibi bishobora gutera ibimenyetso nko kubabara ijosi no gukomera. Kuri bamwe, iyi ndwara ishobora no gutuma imikorere y'intoki n'ibindi bibazo nk'ukuboko kw'inka. Ibi biterwa nuko imitsi ijya mu maboko itangirira mu ijosi.
• Inkovu: Inkovu zigira ingaruka nyuma y’uko uruhu rwo ku kuboko kwawe cyangwa ku kuboko kwawe rukize, urugero nko gushya cyane, rimwe na rimwe zishobora gukomera cyane. Iyi nkovu ikomeye ishobora gutuma intoki zawe zikurura imbere, bigatuma ikiganza kigwa.
• Indwara: Ibi ni gake cyane, ariko zimwe mu ndwara zigira ingaruka ku mitsi, nk'ibibembe , zishobora no gutera inzara.

Indwara y'ukuboko kw'inkoni ipimwa ite?

Niba ufite ibi bimenyetso, ikintu cya mbere ugomba gukora ni ukujya kwa muganga. Muganga azagusuzuma.

• Isuzuma ry'umubiri:Muganga azareba ikiganza cyawe arebe niba ushobora kunama no kugorora intoki zawe, uko ushobora kurenga urugero, uko zumva neza, ndetse niba ushobora gukoresha ikiganza cyawe nk'uko bisanzwe.
• Electromyography (EMG): Niba muganga wawe akeka ko ufite inzara z'intoki cyangwa ikindi kibazo cy'imitsi, ashobora gutegeka ko upimwa EMG (Electromyography) . Ibi bikubiyemo gushyira inshinge nto cyane mu ruhu rwawe mu mitsi yawe, no gukoresha electrodes ku nshinge kugira ngo upime imikorere y'amashanyarazi y'imitsi yawe mu gihe uyijyana. Ibi bishobora gufasha kumenya niba imitsi yawe yangiritse, aho iri, n'ubukana bwayo.

Iyo umwana avutse afite iyi ndwara, muganga azayisuzuma akimara kuvuka.

Ni gute wavura inzara z'ukuboko?

Inkuru nziza ni uko hari uburyo bwinshi bwo kuvura inzara. Ubwoko bw'ubuvuzi ukeneye buzaterwa n'icyateye n'uburemere bw'ibimenyetso byawe.

Ibi bikurikira bishobora gukorwa nk'ubuvuzi:

• Imyitozo yo kunanura imitsi: Muganga wawe cyangwa umuganga w’imitsi azakwigisha imyitozo yihariye yo kunanura imitsi yo ku rutoki, ku kuboko no ku kuboko. Iyi myitozo ishobora gukorerwa mu rugo.
• Kwambara agakoresho ko gukingira cyangwa gukingira: Agakoresho ko gukingira (agakoresho gakozwe kugira ngo gahuze n'ishusho y'ukuboko) cyangwa gukingira bishobora kwambarwa kugira ngo bishyigikire urutoki rwafashwe. Ibi bishobora gufasha gukumira urutoki guhindagurika no gukomera ku buryo budasanzwe, kandi bigafasha ko rugenda rugororoka buhoro buhoro.
• Ubuvuzi bw'umubiri: Ushobora gushaka abaganga b'imiti kugira ngo bongere imbaraga n'ubushobozi bw'ukuboko kwawe. Bazakwigisha imyitozo n'uburyo bwo kuvura bikwiye.
• Kubagwa: Hari ubwo, cyane cyane iyo imitsi ikubiswe cyangwa ubundi buryo bwo kuvura budafasha, kubagwa bishobora kuba ngombwa.
• Umuti: Niba icyateye inzara ari ubwandu, imiti ishobora gutangwa kugira ngo ivure ubwandu.

Kubaga Ikiganza cy'Inkoni

Hari igihe, kubagwa bishobora kuba ngombwa kugira ngo intoki zawe zibohoke kandi bigabanye ibimenyetso byo gukoresha intoki. Hari ubwoko butandukanye bwo kubaga:

• Gusana imitsi: Gusana imitsi yakomeretse.
• Kurekura imitsi: Kurekura no kurekura imitsi ikomeye.
• Gutera Uruhu: Iyo inkovu zavutse bitewe n'ubushye, uruhu rukomeye rurakurwaho hanyuma uruhu rugaterwa ahandi hantu.
• Kohereza imitsi:Umutsi ukora wimurirwa ku mutsi w’imitsi idakora neza ukawufatanyaho. Ibi bishobora gusubiza imikorere y’ukuboko.

Muganga wawe cyangwa umuganga wawe azagusobanurira ubwoko bw'ikibagwa ukeneye n'icyo wakwitega nyuma yaho.

Bifata igihe kingana iki kugira ngo umuntu akire nyuma yo kuvurwa?

Ibi bizatandukana bitewe n'ubwoko bw'ubuvuzi uhabwa. Niba ugomba kwambara agatambaro ko kuvura, uzakenera kukambara amezi menshi. Imyitozo ngororamubiri yo kunanura imitsi n'ubuvuzi bw'umubiri ni uburyo bwo kuvura bumara igihe kirekire. Hari igihe bishobora gufata umwaka cyangwa irenga kugira ngo bikire neza.

Niba ugiye kubagwa kugira ngo usane ikiganza cyawe cy'inkoni, umuganga wawe azakubwira igihe cyo gukira. Abantu benshi bazakenera amezi menshi kugira ngo bakire nyuma yo kubagwa. Hanyuma uzakenera ubuvuzi bw'umubiri kugira ngo wongere imbaraga mu kuboko kwawe. Ariko, niba impamvu ari ukwangirika gukomeye kw'imitsi yo mu gituza, ushobora kugira ibimenyetso by'imitsi by'igihe kirekire (nk'ibishishwa cyangwa kubura ibyiyumvo).

Ese iki kibazo gishobora kwirindwa?

Impamvu nyinshi zitera inzara, cyane cyane niba waravutse nazo, ziragoye kwirinda.

Ariko, ushobora gukora ibi kugira ngo wirinde kwangirika kw'imitsi yo mu gituza n'indwara nka syndrome y'imitsi yo mu gituza:

• Irinde kwishingikiriza ku nkokora: Abantu benshi bishingikiriza ku nkokora zabo mu gihe bakora ku meza cyangwa bareba televiziyo. Ibi bishobora gushyira igitutu ku mitsi yo mu gituza.
• Irinde gushyira igitutu imbere mu kuboko kwawe.
• Niba ukunze gukoresha intebe ya mudasobwa, ntugashyire inkokora zawe ku bitereko byo kuboko. Komeza intebe izamutse.
• Gerageza kuryama inkokora zawe zigororotse. Hari abantu baryama inkokora zabo zihetamye, ibyo nabyo si byiza.
• Irinde gukoresha amaboko yawe n'inkokora yawe cyane. Fata ikiruhuko gito iyo ukora muri ubwo buryo igihe kirekire.
• Humura umubiri wawe nyuma yo gukora imyitozo ngororamubiri igoye.

Ni iki nkwiye kwitega mu gihe mfite ikiganza cy'urushyi?

Ikiganza cy'amaboko ni ikibazo rimwe na rimwe gikemuka by'agateganyo, ariko gishobora no kuba ikibazo cy'igihe kirekire. Igihe kigutera ingaruka biterwa n'impamvu n'uburyo intoki zawe n'ukuboko kwawe byitwara mu kuvurwa.

Hari abantu bakira burundu bakoresheje icyuma gikingira imitsi n'imitsi. Abandi bashobora kuba bagifite ikibazo cyo kubura imikorere mu ntoki zabo nyuma yo kubagwa. Baza muganga wawe cyangwa umuganga wawe ingano y'ubuvuzi ushobora kwitega bitewe n'uburwayi bwawe.

Ese sinzashobora kujya ku kazi cyangwa ku ishuri kubera inzara y'ukuboko?

Niba ufite akazi gakoresha amaboko yawe, cyangwa niba ukoresha intoki zawe zose mu kazi k'ishuri, ushobora kudashobora kujya ku kazi cyangwa ku ishuri kugeza igihe uzakira. Baza muganga wawe ubwoko bw'ibikorwa ushobora gukora n'intoki zawe zangiritse n'uburyo bwo kuruhuka ushobora kubona.

Nitwara nte?

• Niba warahawe agapira ko gupfuka cyangwa ko gupfuka, menya neza ko wambaye nk'uko muganga yabigutegetse kandi igihe cyose ubibwiwe.
• Nanone, niba ukorana n'umuganga w'imiti, kora imyitozo akwigisha kenshi gashoboka, kandi uyikore neza.
• Niba ibimenyetso byawe birushijeho gukomera, cyangwa niba ubabara cyane, bwira muganga wawe ako kanya.

Ni ryari ngomba kujya kwa muganga?

Niba ubonye impinduka mu kiganza cyawe cyangwa ku ntoki zawe (nk'ububabare, gukomera, ibinya) bitagenda neza mu minsi mike, jya kwa muganga vuba bishoboka. Uko utangira kuvurwa vuba, niko amahirwe yawe yo gukira aba menshi.

Ni ryari nkwiye kujya mu Ishami ry’Ubuvuzi bw’Ingoboka (ETU) ?

Niba ufite ikibazo giteye ihungabana , nko kugwa cyangwa impanuka y'imodoka, cyangwa niba ufite kimwe muri ibi bimenyetso, jya mu cyumba cy'ubutabazi bwihuse:

• Niba udashobora kwimuka cyangwa gukoresha ukuboko kwawe nk'uko bisanzwe.
• Niba utakaje kumva mu kiganza cyawe cyangwa mu gahanga.
• Utekereza ko ufite igufwa ryavunitse.

Ni ibihe bibazo ngomba kubaza muganga wanjye?

Iyo ugiye kwa muganga, ntukibagirwe kubaza ibibazo nk'ibi:

• Ese mfite inzara, cyangwa ni indi ndwara?
• Ni ubuhe bwoko bw'ubuvuzi nkeneye?
• Ese nkeneye kubagwa?
• Nzakenera kwambara igitambaro cyo ku gituza cyangwa kujya muri physiotherapy igihe kingana iki?
• Bizatwara igihe kingana iki kugira ngo umuntu akire neza?
• Ese ibi bishobora kongera kubaho?

Ikintu cyose gituma udashobora gukoresha ukuboko kwawe mu buryo busanzwe gishobora gutera ubwoba no kubabaza. Ikiganza cy'amaboko gishobora kugira impamvu nyinshi. Shaka muganga ako kanya ubonye impinduka mu ntoki zawe, ikiganza, cyangwa ukuboko kwawe.

Ubutumwa bwa nyuma bwo kujyana mu rugo

Gukira kw'intoki bifata igihe. Ihangane rero, kurikiza neza ubuvuzi, kandi wishimire iterambere ryose ugeraho. Ntabwo uri wenyine, kandi hari abaganga n'abavuzi bashobora kugufasha. Ni ngombwa cyane gukurikiza inama zabo. Nubona impinduka mu kuboko kwawe, ntuzirengagize. Gushaka inama z'abaganga vuba bishoboka bizagufasha gukira vuba.

` Ikiganza cy'amaboko, imitsi yo mu gituza, guhindagurika kw'urutoki, ububabare bw'intoki, indwara z'imitsi, gucika intege kw'intoki