Ese imitsi yawe irakomeye kandi iri mu bubabare bukabije? Iyi ishobora kuba ari "Close of Compartment"!

Ese wigeze ugira ikibyimba mu kuguru cyangwa ku kuboko wumva nk'ibuye, kibyimba kandi kibabaza? Hari igihe kiba kirenze igikomere gusa. Uyu munsi tugiye kuvuga ku ndwara ikomeye gato, ariko ishobora gukemurwa neza niba uyimenye. Yitwa "Compartment Syndrome".

"Indwara yo mu cyumba" ni iki? Reka tubisobanukirwe mu buryo bworoshye, si byo se?

Mu magambo make, `(Indwara y'Ibice)` ni ukwiyongera gukabije k'umuvuduko mu mwanya ukikije imitsi yawe . Tekereza muri ubu buryo, imitsi yo mu mubiri wacu ihurizwa hamwe mu "byumba" bito cyangwa "ibyumba" (`(Ibice)`). Buri gice muri ibi bice gitwikiriwe n'agace gato kandi gakomeye kitwa `(Fascia)` . Ni nk'uruhu rworoshye rukikije sosiso , ariko rukomeye.

Rero, iyo umuvuduko uri muri iki gice cy’umubiri wiyongereye kubera impamvu runaka, byaba biterwa no kubyimba cyangwa kuva amaraso, fascia ntishobora gukomeza. Icyaba gihari ni uko imitsi yose, imitsi y’amaraso, n’imitsi iri muri icyo gice bitangira gukururana. Uku gukururana bituma amaraso ahagarara, kandi ogisijeni n’intungamubiri ku mitsi n’imitsi bikagabanuka . Ibyo nibyo byitwa syndrome y’igice cy’umubiri. Iyi ni indwara ibabaza cyane.

Nubwo iyi ndwara ishobora kugira ingaruka ku itsinda iryo ari ryo ryose ry'imitsi mu mubiri, ikunze kugaragara muri ibi bikurikira:

• Ku maguru, cyane cyane mu gitsina (ubwoya bumera mu nda ni ikintu gitandukanye, ibi ni bibi cyane).
• Mu biganza, harimo n'ukuboko (ukuboko) n'ikiganza.
• Ku birenge.
• Mu nda (mu nda).
• Mu gice cy'amatako.

Hari ubwoko bubiri bw'ingenzi bwa ``Compartment Syndrome``

Tuzi ubwoko bubiri bw'ingenzi bw'ibi. Imiterere n'uburyo buri kimwe gifatwa biratandukanye gato.

1. Indwara yo mu cyumba cy'inyuma (Acute Clear Syndrome)

Ubu ni bwo bwoko buteye akaga cyane . Nk'uko izina ryabwo ribivuga, iyi ni indwara ibaho mu buryo butunguranye . Akenshi ibaho nyuma y'imvune ikomeye. Tekereza nk'impanuka ikomeye, kugwa uvuye hejuru, cyangwa kuvunika igufwa.

Iki ni ikibazo cyihutirwa cy’ubuvuzi! Niba ufite amakenga ko ufite indwara yo mu gice cy’umubiri, ugomba guhita ujya mu cyumba cy’ubutabazi bw’ibanze cy’ibitaro . Kuko iyo idavuwe vuba, ishobora kwangiza imitsi burundu, guhagarara , cyangwa ndetse no gupfa. Bisa nkaho biteye ubwoba, si byo se? Ariko kumenya ni cyo kintu cy’ingenzi cyane.

2. Indwara y'ibice bidakira

Ibi si ibintu bitunguranye nk'uko bigenda mu buryo butunguranye. Iyi ni indwara y'igihe kirekire, ikura buhoro buhoro.Ibi bikunze kugaragara cyane cyane ku bantu bakora siporo ikabije kandi bakina siporo. Niyo mpamvu abaganga rimwe na rimwe babyita "Indwara yo mu cyumba cy'imyitozo ngororamubiri iterwa no gukora imyitozo ngororamubiri ." Nubwo ibi atari ibintu byihutirwa, bishobora kubabaza cyane.

"Indwara yo mu cyumba" ikunze kugaragara gute?

Mu by’ukuri, indwara y’ibice by’umubiri itunguranye ntabwo ikunze kugaragara cyane. Ndetse no muri Leta Zunze Ubumwe za Amerika, igaragara mu bantu bari munsi ya 10 mu 100.000 buri mwaka. Ariko, abantu bagize ibikomere bimwe na bimwe, nko kuvunika amagufwa, bafite amahirwe menshi yo kurwara iyi ndwara . Urugero, ubushakashatsi bwagaragaje ko abantu bagera kuri 10% bavunitse tibia (igufwa rinini riri munsi y’ivi) bashobora kurwara indwara y’ibice by’umubiri.

Ni ibihe bimenyetso bya `(Close of the Compact)`?

Noneho reka turebe ibimenyetso. Niba ufite bike muri ibi, nta gushidikanya ko wagombye kujya kwa muganga.

• Kubyimba cyangwa kubyimba kugaragara hafi y'ikibyimba cy'inyama.
• Ububabare bukomeye bw'imitsi. Ubu bubabare bukabije cyane kuruta ububabare usanzwe uterwa no gukora imyitozo ngororamubiri. Bushobora kumvikana nk'aho icyuma kiguteye icyuma.
• Imiterere ikomeye. Iyo uyikozeho, ishobora kumva ikomeye nk'ibuye.
• Ububabare bukomeye iyo umuntu arambuye umubiri.
• Ubuhumyi (`(Ubuhumyi)`).
• Kubabara cyangwa gushya munsi y'uruhu (`(Paresthesia)`). Nk'imiswa iri kwiruka hirya no hino, cyangwa nk'amahwa arimo gutobora.
• Kumva nk'aho inyama zuzuye, zikomeye kandi nini kuruta uko bisanzwe.

Ni iyihe mpamvu nyamukuru itera `(Indwara y'Ibice)`?

Nkuko nabivuze mbere, impamvu nyamukuru ibitera ni ukwiyongera k'umuvuduko mu cyumba cy'inyama . Uyu muvuduko wiyongera bitewe no kubyimba cyangwa kuva amaraso, byaba bitewe n'imvune cyangwa stress ikomeje.

Inyama y'uruhu ishobora kwaguka gato, ariko ifite aho igarukira. Uko igitutu gikomeza kwiyongera, inyama y'uruhu ntiyongera gukomera. Ni bwo imitsi n'imitsi biyirimo bitangira gukanda. Uku gukanda ni byo bitera ububabare n'ibindi bimenyetso.

Tekereza kugenda umunsi wose wambaye inkweto nto cyane ugereranije n'ingano yawe. Birashoboka ko byaba byiza kwambara mu gitondo. Ariko uko umunsi ugenda, uko ugenda, ibirenge byawe bitangira kubyimba. Mu mpera z'umunsi, inkweto wabonaga ko "zikwiriye" zumva nk'aho ari icyuma gikonjesha ibirenge byawe. Indwara yo mu cyumba kimwe ni ikintu kimwe, ariko ni akaga cyane kuko iki gitutu kiba kirimo kwiyongera mu mubiri.

Impamvu zitera indwara y’ibice bitandukanye bitewe n’ubwoko.

Impamvu zitera "syndrome y'ibice by'umubiri" itunguranye

Ibikomere bikomeye ni byo bitera ibi.

• Impanuka z'ibinyabiziga.
• Kugwa uturutse hejuru (nk'uvuye ku gisenge, ku ngazi).
• Kuvunika kw'amagufwa.
• Ibikomere bikomeretsa umubiri bitewe n'ikintu cyaguye ku mubiri.
• Kubabara imitsi cyane.
• Impanuka za siporo.
• Ingorane nyuma yo kubagwa.
• Ingorane ziterwa no gupfuka icyuma gifunganye cyangwa icyuma gifunganye.
• Imihangayiko yo kumara amasaha menshi uri mu mwanya umwe udakoresheje ukuboko cyangwa ukuguru. (Urugero, umuntu wataye ubwenge nyuma yo kunywa inzoga ashobora guhura n'ibi).

Impamvu zitera indwara y'ibice (syndrome) igihe kirekire

Ibi bikunze kugenda buhoro buhoro uko igihe kigenda gihita. Imyitozo ngororamubiri isaba imbaraga nyinshi ni yo mpamvu nyamukuru. Iyo ukomeje gukora imyitozo imwe, itsinda rimwe ry'imitsi rishobora kugira stress kandi umuvuduko ukongera.

• Kwiruka (`(Kwiruka)`).
• Gutwara igare (`(Gutwara igare)`).
• Koga (`(Koga)`).
• Guterura ibiremereye (`(Guterura ibiremereye)`).

Uretse ibi, nubwo bidakunze kubaho kandi bikunze kugaruka kenshi , haba ku kazi cyangwa nk'imyidagaduro, nabyo bishobora kuba intandaro y'indwara yo mu gice kimwe cy'umubiri.

Ni ibihe bintu bishobora gutera ibyago?

Indwara yo mu cyumba ishobora kugaragara ku muntu uwo ari we wese nyuma y’impanuka itunguranye.

Ariko, abakinnyi n'abakora cyane mu myitozo ngororamubiri baba bafite amahirwe menshi yo gukora cyane imitsi yabo no kugira "Cropment Syndrome" y'igihe kirekire.

Nanone, iyi ngaruka ishobora kwiyongera gato ku bantu bafite indwara z'amaraso nka hemophilia .

Ni izihe ngorane zishobora guterwa na `(Compartment Syndrome)`?

Ibi bishobora guteza ingorane zikomeye.

Iyo umuvuduko mu cyumba cy’inyama ubaye mwinshi cyane, ingirangingo (`(Imitsi)`) ntizibona amaraso mashya, ogisijeni, n’intungamubiri bihagije . Ibi bishobora gutuma ingirangingo zipfa (`(Necrosis)`) . Ibi bibaye, ni ukwangirika burundu .

Indwara yo mu cyumba ishobora kwica iyo idavuwe vuba. Niyo mpamvu ari byiza kujya kwa muganga vuba niba ufite amakenga make.

Ni gute abaganga basuzuma indwara ya ``(Compartment Syndrome)''?

Umuganga azagusuzuma agusuzuma ku mubiri no kugukorera ibizamini bimwe na bimwe. Azasuzuma witonze imitsi yawe n'ibiyikikije. Ashobora kandi kugerageza gukuraho izindi ndwara zishobora gutera ibimenyetso nk'ibyo, nko kubyimba kw'imitsi ( tendon) cyangwa kubabara mu igufwa ry'uruti rw'umugongo (shin splints ).

Bwira muganga wawe neza icyo wakoraga ubwo wumvaga ububabare bwa mbere n'ibindi bimenyetso, n'ubwoko bw'ibintu bituma ibimenyetso birushaho kuba bibi cyangwa birushaho kuba bibi.

Ibizamini byo gusuzuma `(Close Syndrome)`

Muganga ashobora gukoresha ibizamini byinshi kugira ngo amenye iyi ndwara:

• X-ray: Ibi bifasha gusuzuma izindi mvune , nko kuvunika igufwa.
• Ikizamini cyo gupima umuvuduko w'igice: Muri iki kizamini, muganga wawe ashyira urushinge ahantu henshi mu nda yawe. Imashini ifatanye n'urushinge ipima umuvuduko uri mu mubiri wawe. Iki kizamini gishobora kubabaza gato. Bwira muganga wawe uburyo urushinge rubabara cyane iyo rushyizwemo, kandi niba hari ahantu hababaza cyane kurusha ahandi.
• Subiramo ikizamini cy'umuvuduko: Niba muganga wawe atekereza ko ufite indwara ihoraho yo mu gice cy'umubiri (compositive compartment syndrome), ashobora kongera gukora ikizamini cy'umuvuduko nyuma yo gukora imyitozo ngororamubiri. Bazagereranya umuvuduko wawe mbere yo gukora imyitozo ngororamubiri n'umuvuduko wawe nyuma yo gukora imyitozo ngororamubiri.

Ni ubuhe buryo bwo kuvura `(Indwara yo mu cyumba)`?

Uburyo bwo kuvura ibi biterwa n'ubwoko bw'indwara yo mu gice cy'umubiri ufite.

Syndrome y'ibice ni ikibazo cyihutirwa cy'ubuvuzi gisaba kubagwa byihuse.

Indwara y’igihe kirekire ikunze kwiyongera iyo uhinduye gahunda yawe yo gukora imyitozo ngororamubiri no kuruhuka.

Ubuvuzi bwihutirwa bwa ``Croppartment Syndrome``

Umuganga ubaga azakora igikorwa cyitwa "Fasciotomy." Ibi bikubiyemo gukata uruhu rwawe no mu gice cy'imitsi kugira ngo ugabanye umuvuduko ku gice cy'imitsi cyangiritse.

Gukata bifungwa nyuma yo kubyimba no gucika kw'umuvuduko. Hari igihe ibi bishobora kudashoboka ako kanya. Ibi biramutse bibaye, umuganga ashobora gukora inshinge y'uruhu . Ibi bivuze gufata igice cy'uruhu mu kindi gice cy'umubiri wawe ugafunga inshinge.

Uburyo bwo kuvura indwara y'igihe kirekire yitwa "Compartment Syndrome"

Indwara y’imyitozo ngororamubiri idakira (iterwa n’imyitozo ngororamubiri) ikunze kumera neza iyo umuntu aruhutse ibice by’imitsi byangiritse no kureka gukoresha cyane . Muganga wawe ashobora kukugira inama ikurikira kugira ngo umenye ibimenyetso byawe kandi wirinde ko umuvuduko ukomeza kwiyongera:

• Imiti: Imiti igabanya ububabare (NSAIDs ) (urugero: ibuprofen) cyangwa acetaminophen ( urugero: Panadol) irashobora kugurwa muri farumasi kugira ngo igabanye ububabare .Imiti igabanya ububabare ishobora kugabanya kubyimba no kubabara. Ariko, ntugafate iyi miti mu gihe kirenze iminsi 10 nta nama ya muganga.
• Guhindura gahunda yawe yo gukora imyitozo ngororamubiri: Ushobora gukenera gukora imyitozo itandukanye kandi idatera ingaruka nyinshi. Hari abantu bahindura bakajya mu "myitozo ngororamubiri." Ni ukuvuga gukora imyitozo itandukanye aho gukora imyitozo imwe buri munsi. Ushobora kandi gukenera guhindura aho ukorera imyitozo ngororamubiri. Urugero, aho kwiruka mu muhanda wa sima, iruka mu nzira igenda buhoro.
• Ubuvuzi bw'umubiri : Umuvuzi w'umubiri ashobora kugufasha kongera imbaraga n'ubushobozi bw'imitsi yawe yangiritse. Bashobora kandi kukwereka uburyo wakora imyitozo ngororamubiri mu buryo butuma stress n'umunaniro bigabanuka.
• Amagufwa yo mu nda: Izi ni inserts zishyirwa imbere mu nkweto. Izi zishobora gufasha abantu bafite compartment syndrome. Muganga wawe azakubwira ubwoko bwa orthotics bukubereye.

Iyo ubundi buryo bwo kuvura budakora, cyangwa indwara yo mu gice cy'umubiri ikagaruka, ushobora gukenera gukorerwa fasciotomi . Muganga wawe azakubwira igihe cyo gutekereza kubagwa n'icyo wakwitega.

Nzumva meze neza vuba gute nyuma yo kuvurwa?

Niba urwaye indwara itunguranye ya `(Compartment Syndrome)`, ugomba kumva umeze neza mu gihe ukize kubagwa kwa `(Fasciotomy). Abantu benshi bakeneye kuruhuka mu gihe cy'ukwezi kumwe mbere yuko bongera gukoresha imitsi. Umuganga wawe azakubwira igihe bizatwara kugira ngo wongere usubire gukora imyitozo ngororamubiri.

Gucunga indwara y’ibicurane ishobora gufata igihe, cyane cyane mu ntangiriro. Bishobora gufata amezi menshi kugira ngo ubone uburyo bwo kuvura no guhindura imyitozo ngororamubiri bigenzura ibimenyetso byawe. Uko ugenda ushakisha uburyo bwo kwirinda gushyira igitutu kinini ku mitsi yangiritse, ibimenyetso byawe bigomba kugabanuka buhoro buhoro.

Ni gute wakwirinda `(Indwara yo mu cyumba)`?

Indwara yo mu cyumba cy'inyuma ni ikintu gishobora kuvuka mu buryo butunguranye nyuma yo gukomereka cyangwa bitewe n'ingorane udashobora kugenzura, bityo ntushobora kuyirinda. Kujya mu cyumba cy'indembe ukimara gukeka ko ufite indwara yo mu cyumba cy'inyuma ni bwo buryo bwonyine bwo kwirinda ingorane zikomeye.

Niba wumva ko plaster cyangwa bandege bifashe cyane, cyane cyane niba ugifite ububabare no kubyimba muri ako gace nubwo ufata imiti igabanya ububabare, bwira muganga wawe. Muganga wawe ashobora guhindura uburyo bwo kugufasha no gukumira indwara yo mu gice cy'umubiri.

Uburyo bwiza bwo kwirinda indwara y’igihe kirekire ni ukwirinda gushyira imitsi yawe mu mubyimba ukabije . Kurikiza izi nama kugira ngo ugabanye ibyago byo kurwara:

• Irinde imyitozo ngororamubiri irenze urugero – Niba imitsi yawe ibabara, haba mu gihe cy'imyitozo ngororamubiri cyangwa nyuma yayo, ntugatekereze ko ari "gukina ububabare."
• Shyushya kandi ugorore imitsi mbere yo gukora imyitozo ngororamubiri.
• Nyuma yo gukora akazi gakomeye, shyiramo umwuka ushyushye hanyuma ugorore.
• Ongera imbaraga zawe buhoro buhoro – ntukongere imbaraga z'imyitozo ngororamubiri yawe mu buryo butunguranye.
• Hindura imyitozo ngororamubiri yawe. Gerageza kwirinda gukora imyitozo ngororamubiri imwe, mu buryo bumwe, buri munsi.
• Gerageza kwirinda gukora imyitozo ngororamubiri ahantu hakomeye kandi hakomeye nka sima na tile.

Ni iki umuntu urwaye "Close Syndrome" ashobora kwitega?

Indwara yo mu cyumba ishobora kuba indwara ibabaza cyane, ariko iyo utangiye kuyirwanya, ibimenyetso bigomba kugabanuka.

Ubusanzwe indwara yo mu cyumba cy’umubiri ntigaruka nyuma yo kubagwa mu buryo bw’uruhu. Ariko, ni ngombwa kuyimenya no kuyivura vuba bishoboka. Uko ikomeza igihe kirekire, ni ko ibyago byo kwangirika burundu birushaho kwiyongera.

Indwara y’igihe kirekire ishobora kugaruka, cyane cyane iyo wongereye urwego rw’ibikorwa byawe mu buryo butunguranye. Baza muganga wawe ibikorwa by’umutekano ushobora gukora mu gihe ukize.

Bishobora gufata umwaka wose kugira ngo umuntu asubire gukora imyitozo ngororamubiri igoye mu mutekano.

Wamenya ute ko umuntu afite "Close Syndrome"?

Umuganga ni we wenyine ushobora gusuzuma indwara yo mu gice cy’umubiri. Ariko, ntukirengagize ibimenyetso nko kubabara imitsi no kubyimba. Niba hari amahirwe make cyane ko ushobora kugira indwara yo mu gice cy’umubiri, jya mu cyumba cy’ubutabazi bw’ibanze ako kanya.

Shaka muganga niba ubabara cyangwa ukabyimba nyuma yo gukora imyitozo ngororamubiri, cyane cyane niba bikunze kubaho. Nubwo "syndrome yo mu cyumba" ihoraho atari ikibazo gikomeye gishobora gushyira ubuzima mu kaga, iracyari ikibazo gikomeye.

Hari abantu batekereza ku mvugo ngo "Nta bubabare, nta burumbuke," ariko ibyo ntibireba na gato iki kibazo. Ntushaka kubabara nyuma yo gukora imyitozo ngororamubiri cyangwa gukora siporo. Hari itandukaniro rinini hagati y'ububabare bwiza wumva umunsi umwe cyangwa ibiri nyuma yo gukora imyitozo ngororamubiri ikomeye n'ububabare butuma udashobora kugenda nta bubabare bukabije.

Niba ugize ububabare mu mubiri wawe butuma utekereza ko hari ikibazo, gana muganga. Nubwo udafite "syndrome y'igihe kirekire yo mu cyumba," ushobora kugira ikindi gikomere cyangwa ikibazo gitera ibimenyetso.

Ni ibihe bibazo ngomba kubaza muganga wanjye?

Iyo ugiye kwa muganga wawe, ni byiza kubaza ibibazo nk'ibi:

• Ni ubuhe bwoko bwa ``(Compartment Syndrome)'' mfite?
• Ni ubuhe bwoko bw'ubuvuzi nkeneye?
• Ese ngomba kubagwa?
• Nigute nahindura gahunda yanjye yo gukora imyitozo ngororamubiri?
• Ni ryari nshobora kongera gutangira imyitozo ngororamubiri?

Ubutumwa bwo kujyana mu rugo

Indwara yo mu gice cy'umutima ni indwara iterwa no kwiyongera k'umuvuduko ukikije ibice by'umutima. Indwara yo mu gice cy'umutima ni ikibazo gikomeye gishobora guhitana ubuzima. Indwara yo mu gice cy'umutima ishobora gukemurwa nta kubagwa.

Ariko, tega amatwi umubiri wawe. Ntukihatire gukora imyitozo ngororamubiri cyangwa ngo ugire imyitozo ngororamubiri iyo uri mu bubabare. Hari itandukaniro rinini hagati yo kwiruka inyuma y'imipaka yawe mu mutekano no kwishyira mu kaga ko gukomereka.

Niba wumva ububabare budasanzwe mu gace kamwe nyuma ya buri myitozo ngororamubiri, gana muganga wawe. Ashobora kugufasha gushaka uburyo bwo kugabanya umuvuduko mu turemangingo tw'imitsi yawe no gukumira ububabare mu gihe kizaza.

Niba wakomeretse bikomeye, nyuma yo kubagwa, cyangwa niba ubabara cyane, ukabyimba, cyangwa ukaba udafite ibinya mugihe wambaye icyuma cyangwa igitambaro, jya mu cyumba cy’ubutabazi bwihuse. Wibuke ko kuvurwa hakiri kare bishobora gukumira kwangirika gukomeye.