Bite se niba rimwe mu magufwa yawe ryamenetsemo ibice? Reka tuvuge ku kuvunika kwangiritse!

Yewe, twese twumvise iby'ukuboko cyangwa ukuguru byavunitse mu mpanuka ikomeye. Ariko hari imvune zimwe na zimwe zitari imvune zoroshye gusa. Tekereza isahani iguye hasi ikameneka, igufwa rigacikamo uduce duto. Ibyo ni byo twita ' imvune yavunitse' mu buvuzi. Iyi ni indwara ikomeye cyane, bityo ni ngombwa kubimenya.

Mu by'ukuri kuvunika kw'inyuma ni iki?

Mu magambo make, kuvunika kw'igufwa ni igihe rimwe mu magufwa yawe rivunika ahantu habiri cyangwa henshi rigacikamo ibice byinshi. Ni nk'igice cy'ikirahure gicikamo ibice iyo kiguye. Ibi biragoye gato kuruta kuvunika bisanzwe.

Ubwo bwoko bw'imvune bushobora kugaragara mu igufwa rinini cyangwa rinini mu mubiri. Ahantu hakunze kugaragara ni:

• Igufwa ry'ikibero (femur)
• Igice cy'imbere cy'igufwa ry'uruti rw'umugongo (Tibia)
• Igice cy'umugongo, cyoroheje cy'igufwa ry'uruti rw'umugongo (`Fibula`)
• Igufwa ryo hejuru ry'ukuboko (Humerus)
• Amagufwa y'ukuboko n'ikiganza byerekeza ku ntoki (`Radius` na `Ulna`)
• Clavicle
• Agahanga

Iyi ndwara yitwa comminuted fracture ikunze guterwa n'impanuka idashoboka. Tekereza nk'impanuka ikomeye y'imodoka cyangwa kugwa uturutse ahantu hirengeye nk'igorofa ryo hejuru. Ibi biba bikomeye cyane iyo bibayeho ku magufwa manini, kandi kubagwa akenshi biba ngombwa kugira ngo igufwa ritere. Ariko, rimwe na rimwe ubwo bwoko bw'imvune mu magufwa mato bushobora gukira hatabayeho kubagwa. Igihe bifata kugira ngo gukira biterwa n'igufwa wavunitse n'uburyo ryavunitse. Ku bantu benshi, cyane cyane niba waragombaga kubagwa, bishobora gufata umwaka wose kugira ngo uruhuke neza.

Ni irihe tandukaniro riri hagati y'ivunika rya comminute n'iry'ibice?

Gucika kw'amagufwa no Gucika kw'amagufwa mu bice bibiri byombi ni ubwoko bw'amagufwa avunitse cyane . Aya mazina abwira muganga wawe ibisobanuro birambuye ku buryo amagufwa yawe yavunitse, aho yavunitse, n'uko asa mu mubiri wawe.

Iyo wavunitse igice kimwe cy'umubiri, bivuze ko igufwa ryawe ryavunitse ahantu habiri cyangwa henshi kandi ryavunitsemo ibice byinshi. Mu yandi magambo, ni nk'aho ryavunitse.

Ku rundi ruhande, kuvunika kw'igice ni igihe igufwa rivunika ahantu habiri, igice cy'igufwa kiri hagati yacyo kikaba gitandukanye n'ibindi bice. Hari ibice bishobora kuvunika cyangwa ntibivunike.

Ariko, uko byakwitwa kose, icy'ingenzi ni ugusuzumisha imvune yawe kwa muganga vuba bishoboka. Ubwoko ubwo aribwo bwose bw'imvune bushobora kuba imvune ikomeye, kandi nyuma yo gusuzumwa na muganga ni bwo hashobora kumenyekana ubuvuzi bukenewe.

Ni nde ushobora kurwara ubwo bwoko bw'imvune?

Mu by’ukuri, kuvunika kw’igufwa - kimwe n’andi magufwa yose - bishobora kuba kuri buri wese. Kubera ko ibi biterwa n’impanuka zikomeye, nta muntu ushobora kumenya igihe, uburyo, cyangwa uwo impanuka izabera. Kubwibyo, buri wese ari mu kaga.

Iyi ndwara ikunze kugaragara gute?

Ariko inkuru nziza ni uko izi ndwara zo gucika intege zidakunze kugaragara cyane. Impamvu ni uko, ku bw'amahirwe, abantu benshi badakenera guhura n'impanuka zikomeye zibitera.

Ni ibihe bimenyetso by'uko umuntu yavunitse amaguru?

Niba wavunitse igice cy'umubiri, ushobora no kugira ibindi bimenyetso bikomeye byatewe n'impanuka yaguteye. Ibimenyetso byawe bizaterwa n'izindi mvune ufite. Ariko muri rusange, ibimenyetso by'imvune igice cy'umubiri bishobora kuba birimo:

• Ububabare bukabije cyane: Ubu bubabare si ubusanzwe, ni ububabare bugoye kwihanganira.
• Kudashobora kwimura igice cy'umubiri gisanzwe cyimuka: Indwara aho ukuboko cyangwa ukuguru bidashobora kwimuka cyangwa kunama.
• Igice cy'umubiri gisa n'aho gitandukanye cyane cyangwa kigenda kiva aho kiri: Ukuboko cyangwa ukuguru bishobora kugaragara nk'aho byarambuye cyangwa bishyizwe mu mwanya udasanzwe.
• Igufwa ryawe ririmo gusohoka mu ruhu rwawe: Iki ni ikimenyetso gikomeye cyane.
• Kubyimba: Ahantu hakomeretse habyimba cyane.
• Ibisebe n'amabara y'amaraso : Amaraso anyura munsi y'uruhu agahinduka ubururu/umuhengeri.

Imvune zavunitse zifunguye kandi zifunze

Muganga wawe azashyira imvune yawe mu cyiciro cya "Open Fracture" cyangwa "Closed Fracture".

• Niba ufite "Open Fracture" (rimwe na rimwe yitwa "Compound Fracture"), igufwa ryawe ryavunitse riba ryaravunitse mu ruhu. Ibi bifata igihe kirekire kugira ngo bikire kandi bishobora kwandura indwara nyinshi.Hariho kandi ibyago byinshi byo kurwara ) n'izindi ngorane.
• Gucika kw'igufwa rifunze ni uko igufwa ryavunitse kandi uruhu ntirwangirike, bivuze ko igufwa ritavuye mu ruhu. Ibi nabyo birakomeye, ariko bigira ingorane nke nko kuvunika kw'igufwa rifunze.

Ibikomere byo mu rugo byavunitse

Amagambo 'Yavuye mu rugo' cyangwa 'Ntavuye mu rugo' ni yo muganga wawe azakoresha mu gusobanura imvune .

• Gucika kw'igufwa ni igihe igufwa rivunika hanyuma ibice bigatandukana, bigasiga icyuho kinini hagati yabyo. Ubwo bwoko bw'imvune bukunze gusaba kubagwa kugira ngo bushyirwe mu mwanya wabwo neza.
• Kuvunika kw'igufwa ritavuye mu mwanya waryo ni igihe igufwa ryavunitse, ariko ibice ntibigiye kure cyane, kandi biracyari byose.

Mu gihe cy'imvune yavunitse, igufwa rivunikamo ibice byinshi, bigatuma rishobora kwimuka kurusha ubundi bwoko bw'imvune.

Ni izihe mpamvu zitera kuvunika kw'inyuma?

Uku kuvunika kw'inyuma guterwa n'ihungabana rikomeye cyane kandi rikomeye. Impamvu zikunze kugaragara ni izi:

• Impanuka zikomeye z'ibinyabiziga (nk'impanuka z'imodoka na moto).
• Kugwa uturutse ahantu hirengeye cyane (urugero, uturutse ku ngazi, ku gisenge, cyangwa se ku giti kirekire).

Ingaruka iyo ari yo yose igera ku magufwa yawe ishobora gutera kuvunika kw'igufwa. Ariko, nubwo ibintu bisanzwe nko kunyerera no kugwa bishobora kuvunika amagufwa, ntabwo bishobora kwangiza bihagije ku buryo byatera kuvunika kw'igufwa.

Ni gute wamenya imvune yavunitse?

Muganga wawe azagusuzuma akoresheje isuzuma ry’umubiri n’ibizamini bitandukanye byo gufata amashusho. Hari igihe, iyo winjiye mu cyumba cy’ubutabazi bw’ibanze nyuma y’impanuka ikomeye, ibi bizamini bishobora gukorerwayo.

Iyo ugejejwe mu cyumba cy’ubutabazi bw’ibanze, itsinda ry’abaganga rizagufasha kandi rigufashe mu buryo bukurikije uburemere bw’impanuka. Cyane cyane niba ufite ibikomere bishobora kuguhitana, bizashyirwa imbere. Nyuma yo kugufata neza, hazakenerwa ibizamini byo gufata amashusho kugira ngo byemezwe ko wavunitse.

Ni ubuhe bwoko bw'ibizamini bikorwa?

Kugira ngo umenye neza uko imvune yawe yavunitse, ushobora gukenera gukora kimwe cyangwa byinshi muri ibi bizamini byo gufata amashusho:

• Imirasire ya X (X-ray)`:Ishusho ya X-ray ishobora kwemeza ko hari imvune cyangwa izindi mvune zacitse kandi ikamenya ingano y’ibyangiritse ku magufwa yawe.
• Ishusho ya Magnetic Resonance (MRI): Muganga wawe ashobora gukoresha MRI kugira ngo amenye neza ibyangiritse ku magufwa no mu bice biyikikije. Ashobora kandi kureba niba hari ibyangiritse ku ngingo zoroshye (imitsi, ingingo zihuza, ingingo) zikikije amagufwa. Ibi ni ingenzi kugira ngo hamenyekane uburyo byagize ingaruka ku mpanuka.
• CT Scan (Isuzuma rya Tomography ryakozwe ku matwi): Isuzuma rya CT rituma umuganga wawe cyangwa umuganga wawe amenya neza amagufwa yawe n'ingingo zikikije kurusha isuzuma rya X-ray.

Ivuniko ryavunitse rivurwa rite?

Niba wavunitse igufwa rirerire cyangwa rinini kandi rikaba ryaravunitse, uzakenera kubagwa kugira ngo rikosorwe. Hari uburyo bwinshi bwo kubaga bukoreshwa mu gukosora imvune zavunitse. Ubuhanga umuganga wawe akoresha buzaterwa n'imvune zawe, igufwa ryavunitse, n'ingorane zose zabayeho nyuma y'impanuka.

Umuganga w’inzobere mu kubaga azasubiza amagufwa yawe yavunitse mu mwanya wayo (tuyata 'amatsinda') maze ayashyire mu mwanya wayo. Aha niho akira neza kandi agahuza. Akenshi, ibi byitwa gushyira imbere mu mubiri . Ibi bivuze ko umuganga w’inzobere mu kubaga azashyira ibice by’icyuma (nk’inkoni cyangwa amasahani) mu igufwa ryawe kugira ngo abifate mu mwanya wabyo kugeza igihe igufwa rizeye. Hari ubwoko butandukanye bwo gushyira imbere mu mubiri:

• Inkoni: Inkoni ishyirwa hagati mu igufwa, kuva hejuru kugeza hasi.
• Amasahani n'amasufe: Amasahani y'icyuma ashyirwa mu igufwa agafatwa n'amasufe, agafata ibice by'amagufwa hamwe.
• Insinga n'udupira: Iyo hari uduce tw'amagufwa duto cyane ugereranyije n'ibindi bikoresho, insinga n'udupira bikoreshwa kugira ngo bifatanye. Ibi bikunze gukoreshwa hamwe n'inkoni cyangwa amasahani. Ushobora gukenera insinga n'udupira kugira ngo bifatanye nyuma yo kuvunika.

Hari abantu babana n'ibi bice by'icyuma mu mibiri yabo. Hari n'abantu bagomba kubikurwamo nyuma.

Gufata hanze

Ushobora kandi gukenera gukorerwa isuku yo hanze. Ibi akenshi biba ari igisubizo cy'igihe gito. Bifasha mu gutuma imvune iguma ihamye kugeza igihe izindi mvune zawe zikize. Umuganga ubaga ashyira vis mu mubiri wawe, ku mpande zombi z'imvune, maze akazihuza n'icyuma gishyigikira (igishingo cyangwa bracket) kiri hanze y'umubiri wawe.

Hari igihe abaganga babasaba gukora external fixing nk'intambwe ya mbere mbere yo kubagwa bikomeye kugira ngo bavune imvune yawe yangiritse. Niba ufite izindi mvune nyinshi, bishobora gufata igihe kugira ngo umubiri wawe ukire bihagije kugira ngo ubagwe imbere mu mubiri.

Guteranya amagufwa

Niba imvune yawe yacitse cyane, cyangwa niba igufwa ryawe ritakira neza nk'uko byari byitezwe, ushobora gukenera guterwa igufwa . Umuganga ubaga azafata izindi nyama z'amagufwa akabishyiramo kugira ngo asubize hamwe igufwa ryawe ryavunitse. Hanyuma, ibice bifatwa hamwe, akenshi bifatanye imbere, kugeza igihe igufwa rimaze gukura. Hari uburyo bwinshi bwo kubona inyama z'igufwa:

• Uturutse ahandi ku mubiri wawe - akenshi uba hejuru y'igufwa ryawe ry'ikibuno.
• Kuva ku muntu wo hanze utanga umusanzu.
• Hamwe n'igice gisimbura cyakozwe mu buryo bw'ubukorano.

Kubaga imvune yavunitse mu buryo bwa "Comminuted Fracture" ni igikorwa gikorerwa hanze y'ibitaro, bivuze ko ushobora gutaha uwo munsi. Ariko, ushobora kugira izindi mvune zatewe n'impanuka yateje imvune yavunitse mu buryo bwa "comminuted fracture", bityo ushobora gukenera kuguma mu bitaro kugeza ukize.

Nyuma yo kubagwa, igice cy'umubiri wawe aho igufwa ryavunitse kizaba kidakora neza. Bitewe n'aho kiri, ushobora gukenera kwambara igitambaro cyo gukingira, igitambaro cyo gukingira, cyangwa icyuma cyo gukingira. Icyo gihe ni bwo ushobora kugishyiramo uburemere buhoro buhoro cyangwa ugatangira kugikoresha nk'uko wabikoraga mbere y'impanuka.

Ni iyihe miti ikoreshwa ku mvune zavunitse?

Imiti igabanya ububabare idakoresha steroide (NSAIDs) nka aspirine cyangwa ibuprofen ishobora gutera kuva amaraso n'izindi ngorane iyo ikoreshejwe nyuma yo kubagwa. Kubwibyo, umuganga wawe azakugira inama ku miti ushobora gufata kugira ngo ugabanye ububabare nyuma yo kubagwa.

Ingorane zo kuvura imvune yavunitse

Ivunika ryacitse ``(Ivunika ryacitse ``` Ingorane zishobora kubaho nyuma yo kubagwa zirimo:

• Indwara yo mu cyumba cy’umubiri (ACS): Umuvuduko uri mu mitsi uriyongera, amaraso anyura mu ngingo aracika, kandi imitsi n’imitsi bishobora kwangirika burundu.
• Malunion: Iyo igufwa ryawe ryavunitse ritahuye neza mu gihe rikira.
• Kutagira aho bihurira: Iyo amagufwa yawe adahuye neza cyangwa igice.
• Kwandura amagufwa (Osteomyelitis): Niba waravunitse igufwa (aho igufwa ryanyuze mu ruhu), uba ufite ibyago byinshi byo kwandura indwara ya bagiteri.
• Ibindi byangiritse imbere:Kuvunika bishobora kwangiza imitsi, imitsi, imitsi y'amaraso, imitsi n'imitsi ikikije igikomere.

Nanone, iyo imiti nka "NSAIDs" ikoreshejwe nabi, ishobora gutera ingaruka mbi nka:

• Kuva amaraso
• Ibisebe byo mu gifu (ibisebe byo mu gifu)
• Kubabara mu gifu
• Ingorane z'igogora ry'ibiryo

Nzumva meze neza nyuma y'igihe kingana iki?

Bishobora gufata ibyumweru byinshi kugira ngo ibimenyetso byawe bishire. Bitewe n'ubwoko bw'ikibagwa wagombaga kubagwa kugira ngo usane imvune yawe yari yacitse n'igufwa ryavunitse, ushobora kongera gukora ingendo mu byumweru bike.

Ariko, niba ukomeje kugira ububabare bukabije, menya neza ko wagiye kwa muganga.

Nigute nagabanya ibyago byo kuvunika kw'inyuma?

Kurikiza izi ntambwe kugira ngo ugabanye ibyago by'impanuka mu buzima bwawe bwa buri munsi:

• Buri gihe mwambare umukandara w'imodoka iyo uri mu modoka.
• Ambara ibikoresho by'umutekano bikwiye mu gihe cyose cy'ibikorwa n'imikino.
• Komeza isuku mu rugo no mu kazi kawe kandi ugire ibintu bishobora kugutera igisitaza cyangwa byagutera abandi igisitaza.
• Buri gihe koresha ibikoresho bikwiye kugira ngo ugere ku bintu uturutse hejuru. Ntuzigere uzamuka ku ntebe cyangwa ku meza.
• Kurikiza indyo n'imyitozo ngororamubiri bifasha mu kubungabunga ubuzima bwiza bw'amagufwa.
• Niba ufite imyaka irenga 50, cyangwa niba hari umuntu wo mu muryango wawe ufite indwara yo kugabanya amagufwa (osteoporosis), ganira na muganga wawe ku bijyanye no gupima ubucucike bw'amagufwa.

Ese kuvunika kw'inyuma bishobora kwirindwa?

Gucika kw'ibanga akenshi birashoboka rwose kuko bibaho mu buryo butunguranye. Kubera ko udashobora kumenya igihe impanuka izaba, nta kindi wakora kugira ngo wirinde gucika kw'ibanga uretse gukurikiza amabwiriza y'ibanze y'umutekano. Niba ukoresha icyuma gitwara amaguru cyangwa inkoni, ntuzigere ugenda udafite ibyo bikoresho, kandi witondere cyane ahantu hatangana.

Ni iki nakwitega mu gihe navunitse uruhu?

Niba wavunitse, gukira bizatwara igihe kirekire kurusha ubundi bwoko bw'imvune. Bishobora gufata umwaka kugira ngo uruhuke, cyane cyane niba ufite izindi mvune zaturutse ku mpanuka ya mbere.

Uzakenera ubuvuzi bw'umubiri kugira ngo bugufashe kugarura imbaraga n'uburyo bwo kugenda mu gice cy'umubiri cyakomeretse. Ubu buvuzi buzaba bumwe mu buryo bunini bwo gukira ibindi bikomere byawe.

Bifata igihe kingana iki kugira ngo imvune yangiritse ikire?

Amavunika yavunitse bifata igihe kirekire kugira ngo akire kurusha andi moko y’amavunika kandi ashobora gutera ingorane nyinshi.

Imvune nyinshi zivunika bifata umwaka umwe cyangwa irenga kugira ngo zumuke. Igihe nyacyo bifata kugira ngo igufwa ryawe (cyangwa amagufwa) zumuke giterwa n'uburemere bw'imvune yawe ndetse niba ufite ibibazo.

Ese sinzashobora kujya ku kazi cyangwa ku ishuri?

Niba ugize impanuka ikomeye, ushobora kudashobora kujya ku kazi cyangwa ku ishuri kugeza igihe uzakira. Ibikomere byihariye n'amagufwa wavunitse bizagira ingaruka ku gihe uzagira utari ku kazi, ku ishuri, no mu bindi bikorwa.

Vugana n'umuganga wawe cyangwa umuganga mbere yo kongera gukora imyitozo ngororamubiri mu gihe cyo gukira.

Ni iki giteganyijwe ku kuvunika kw'inyuma?

Gukomereka kw'inyuma ni imvune zikomeye cyane. Niba waragize izindi mvune mu mpanuka ya mbere, ubuzima bwawe bushobora kugira ingaruka ku buryo buhoraho. Kubera ko gukomereka kw'inyuma akenshi ari imvune zishobora gushyira ubuzima mu kaga, bishobora kugorana gutandukanya kimwe n'ikindi. Vugana na muganga wawe ku byerekeye gahunda yihariye yo gukira n'icyo wakwitega mu gihe uzaba ukize impanuka yawe.

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

Niba utekereza ko wavunitse igufwa - cyangwa ikindi kintu cyose cyavunitse igufwa - ugomba kujya kwa muganga vuba bishoboka. Jya mu cyumba cy’ubutabazi bw’ibanze niba ufite kimwe muri ibi bimenyetso:

• Ububabare bukabije cyane.
• Kudashobora kwimura igice cy'umubiri ushobora kwimura ubusanzwe.
• Igice cy'umubiri gisa n'aho gitandukanye cyane cyangwa kigenda kiva aho cyari kiri.
• Ushobora kubona igufwa ryawe risohoka mu ruhu rwawe.
• Kubyimba.
• Hamwe n'ibindi bimenyetso, hagaragara ibikomere bishya n'uduheri tw'amaraso.

Jya mu cyumba cy’ubutabazi bw’ibanze ako kanya nyuma y’impanuka ikomeye iyo ari yo yose.

Ni ibihe bibazo ngomba kubaza muganga wanjye?

Ntukibagirwe kubaza ibi bibazo igihe ugiye kwa muganga wawe:

• Ni irihe gufwa ryavunitse?
• Ni ubuhe bwoko bw'ubuvuzi nkeneye?
• Ese nkeneye kubagwa by'inyongera (Ibibazo byo gukurikirana)?
• Bizatwara igihe kingana iki kugira ngo umuntu akire?

Gukomereka kw'igufwa ni imvune ikomeye cyane. Ushobora kuba utazi ko ufite iyo mvune kugeza igihe ugiye kuvurirwa imvune yabayeho. Nubwo ari ibisanzwe kugira ubwoba iyo umenye ko wavunitse igufwa - cyane cyane igufwa rikomeye - igipimo cyo kuvura imvune z'igufwa ni kinini cyane.Muganga wawe n'umuganga uzabaga bazagufasha mu nzira yo gukira.

Ubutumwa bwa nyuma bwo kujyana mu rugo

Kugeza ubu ushobora kuba usobanukiwe ko kuvunika kw'igufwa ari indwara ikomeye aho igufwa rivunikamo ibice byinshi. Ibi bikunze kubaho bitewe n'impanuka zikomeye. Kubagwa akenshi birakenewe, kandi bifata igihe kugira ngo bikire neza.

Ariko, ikintu cy'ingenzi ugomba kwibuka ni uko iyo uvuwe neza kandi ugahabwa ubuvuzi bw'umubiri, ushobora gukira burundu iyi ndwara. Kubwibyo, ni ngombwa cyane gukurikiza amabwiriza ya muganga wawe neza, gufata imiti yawe uko byategetswe, no gukora imyitozo ngororamubiri neza. Ni ngombwa kandi gufata ingamba zose zishoboka kugira ngo wirinde impanuka. Niba ufite ibindi bibazo kuri ibi, ntutindiganye kuvugana na muganga wawe.

Kuvunika kw'igufwa, kuvunika kw'igufwa, kuvunika kw'igufwa, kubagwa kw'igufwa, impanuka , gukira kw'igufwa, ubuzima bw'igufwa