Gucika kw'inyuma: Ntutinye, reka tubimenye

Tekereza uguye ku ngazi cyangwa ukagira impanuka y'imodoka. Muri ako kanya, ureba hejuru ubabara cyane ukabona igice cy'igufwa cyavunitse kiva mu ruhu rw'ukuboko kwawe cyangwa ukuguru kwawe. Mu by'ukuri, umuntu wese ubonye ikintu nk'iki aratinya cyane. Arahangayika. Mu buvuzi, iyi ndwara tuyita Compound Fracture cyangwa Open Fracture . Iyi ni indwara ikomeye cyane kandi ugomba kujya kwa muganga vuba.

Mu magambo make, iyi Compound Fracture ni iki?

Impamvu nyamukuru ituma igufwa rivunika, cyangwa nk'uko tubyita, kuvunika, ni imbaraga nyinshi zikoreshwa kuri ryo. Ibi bishobora guterwa n'impanuka. Ariko rimwe na rimwe bishobora no guterwa n'igitutu gihoraho gishyirwa ahantu hamwe. Urugero, iyo umusirikare ahora agenda afite igikapu kiremereye ku mugongo, igitutu gihoraho ku kuguru gishobora gutera akantu gato mu igufwa.

Noneho reka turebe icyo "Compound" cyangwa "Open" Fracture ari cyo. Muri make, iki ni cyo gihe igufwa ryavunitse rigaragara binyuze mu ruhu rwawe. Iyo uguye ku ngazi ukavunika ukuboko, igufwa ryavunitse rigaragara binyuze mu ruhu, ni Compound Fracture. Ariko, niba igufwa ryavunitse ariko uruhu rukaba rutameze neza, bivuze ko igufwa ryavunitse ritagaragara, tubyita "Simple" cyangwa "Funze".

Ni ayahe magufwa yo mu mubiri ashobora kwibasirwa cyane n'iki gikomere?

Igufwa iryo ari ryo ryose mu mubiri wacu rishobora kuvunika. Ariko, kuvunika gukomeye bikunze kugaragara mu maboko yacu, amaguru, amaboko, n'ibirenge. Byongeye kandi, hari andi magufwa ashobora kwangirika, nubwo ku gipimo gito.

• Imbavu
• Igufwa ry'umugozi
• Amagufwa y'amaso
• Igituza
• Amagufwa y'agahanga
• Amagufwa yo mu maso
• Uruti rw'umugongo cyangwa urutirigongo

Ni izihe mpamvu nyamukuru zitera kuvunika kw'ingingo?

Kugira ngo umuntu avunike bikomeye nk'ibi, hagomba kubaho gukubitwa cyangwa gukomeretswa gukomeye (Ihungabana rikomeye) ku mubiri. Urugero:

• Impanuka ikomeye y'imodoka
• Kugwa uvuye ku burebure bunini
• Impanuka ibaho mu mikino yo gukubitanaho nk'umupira w'amaguru cyangwa rugby

Ni ibihe bimenyetso by'ibi?

Ikimenyetso cy'ingenzi kandi kigaragara cyane ni igufwa ryavunitse rinyura mu ruhu. Byongeye kandi, hari ibindi bimenyetso byinshi bishobora kugaragara. Reka tubirebe neza mu mbonerahamwe.

Ni gute umuganga asuzuma ibi kandi akabivura?

Ntabwo bigoye cyane kwa muganga gusuzuma ikibazo cy’igufwa ryavunitse. Kuko igufwa ryavunitse rigaragara binyuze mu ruhu. Ariko abaganga ntibarisuzuma gusa ngo bategereze. Nta gushidikanya ko bazakora X-ray kugira ngo barebe neza uko igufwa ryavunitse, ingano y’ibyangiritse byakozwe, n’uko rigomba gusanwa. Hari igihe ibizamini nka MRI cyangwa CT scan bishobora gukenerwa kugira ngo bige neza ibyangiritse.

Byongeye kandi, abaganga bareba n'izindi ngorane:

• Genzura ibara ry'uruhu rwawe n'ubushyuhe bwarwo (menya ibijyanye n'amaraso atangwa).
• Basuzuma umuvuduko w'amaraso n'imitsi kugira ngo barebe niba hari amaraso menshi ava.
• Isuzuma ry’ibyumviro mu bice bikikije no munsi y’igikomere kugira ngo harebwe niba hari ibyangiritse mu mitsi.

Uburyo bwo kuvura

Iyo ugejejwe mu Ishami ry’Ubutabazi bw’Indwara (ETU), ikintu cya mbere gikorwa ni ukugenzura ububabare. Ibi bikorwa uhabwa imiti igabanya ububabare mu kanwa, cyangwa imiti igabanya ububabare mu mitsi kugira ngo ugire ubutabazi bwihuse. Hari igihe uterwa urushinge ku mitsi ikikije igikomere kugira ngo ikureho ibisebe. Ibi byitwa Imitsi Ifunganye .

Bitewe n'imiterere y'igikomere, hatangwa inshinge ya tetanasi na antibiyotike kugira ngo hirindwe kwandura.

Hanyuma, igufwa riravugururwa hanyuma hagafatwa ingamba zikenewe kugira ngo rirakire. Ibi bisaba kubagwa. Mu gihe cyo kubagwa, muganga azatanga imiti igabanya ububabare n'indibanire, hanyuma agasubiza ibice by'amagufwa byavunitse mu mwanya wabyo. Ibi tubyita kugabanya kwangirika .

Kugira ngo amagufwa akomeze kuguma mu mwanya wayo, ibikoresho bitandukanye bikoreshwa mu gihe cyo kubaga:

• Udupira
• Inkoni
• Amasahani
• Skurudi

Nyuma y'uko amagufwa ateguwe muri ubu buryo, hakoreshwa icyuma cyangwa ikindi gikoresho kugira ngo igice kidakora neza kugira ngo kidakora neza.

Igufwa ryavunitse rikira gute?

Imibiri yacu ifite ubushobozi butangaje bwo kubaka ingingo nshya z'amagufwa. Iyo igufwa ryavunitse, ingingo nshya z'amagufwa zitangira gukura zikikije igufwa ryavunitse. Ibi tubyita External Callus . Mbere na mbere, biba byoroshye, nk'umusemburo, ariko mu gihe cy'ibyumweru n'amezi, bigenda bikomera, bikabika kalisiyumu, bigahinduka igufwa risanzwe.

Ubu buryo bwo gukira bubaho mu byiciro bitatu by'ingenzi:

1. Icyiciro cyo kubyimba

Iyo igufwa rimaze kuvunika, umubiri utangira gukira. Uturemangingo tw’ubudahangarwa bw’umubiri twihutira kugera aho byakomeretse kandi twongera amaraso mu gace. Niyo mpamvu agace gakikije aho byakomeretse kabyimba kandi kagatukura.

2. Icyiciro cyo gusana

Iki cyiciro gishobora kumara ibyumweru bike kugeza ku mezi make. Muri iki gihe, igufwa ryawe ryavunitse rihagarara rigapfa hakoreshejwe icyuma. Muri iki gihe, umubiri ukora icyo twise External Callus.Irimo gukorwa. Kubera ko iyi ari nto cyane, ni ngombwa cyane kuyirinda.

3. Icyiciro cyo kuvugurura

Ibi bishobora gufata amezi menshi. Muri iki gihe, igufwa rishya (callus) rirakomera, kalisiyumu ikongera ikagira imbaraga. Buhoro buhoro, igufwa risubira ku miterere yaryo n'imbaraga zaryo.

Ni izihe ngorane ibi bishobora gutera?

Kuvunika kw'ingingo ni imvune ikomeye. Kubwibyo, hari igihe hashobora kubaho ingorane zitandukanye. Abaganga bahora babizi muri ETU, mu gihe cyo kubagwa, ndetse no mu gihe cyo gukira.

Bifata igihe kingana iki kugira ngo umuntu akire?

Gucika kw'ingingo bishobora gufata amezi menshi cyangwa arenga kugira ngo bikire neza. Ni ngombwa kwihangana muri iki gihe. Igihe cyo gukira giterwa n'ibintu byinshi:

• Uburemere bw'imvune.
• Imyaka yawe (abana bakira vuba kurusha abantu bakuru).
• Ingorane nyuma yo kuvurwa.
• Niba ufite izindi ndwara, nka diyabete, gukira bishobora gutinda.

Ni gute wakwita ku bakinnyi ba filime?

Kwita ku gitereko cyawe neza ni ingenzi kugira ngo gikire vuba. Dore inama zimwe na zimwe:

• Iyo muganga atatanze uburenganzira,Ntureke plaster itose. Iyo itose, bizagorana kuma kandi bishobora gutera ibikomere ku ruhu cyangwa indwara.
• Suzuma uruhu rukikije plaster buri gihe. Bibwire muganga wawe niba ruhindutse umutuku, rukavamo amazi, cyangwa rubabara.
• Mu masaha 24-48 ya mbere, shyira ukuboko/ukuguru kwawe hejuru y'umutima wawe ukoresheje imisego uko bishoboka kose. Ibi bizafasha kugabanya kubyimba.
• Niba uruhu ruri imbere muri plasta rusharira, ntugashyiremo ikintu icyo ari cyo cyose ngo urwambure.
• Kugira ngo ugabanye kubyimba, ni byiza kwimura intoki zawe niba muganga wawe abigusabye.
• Niba impande z'igishishwa zigoramye cyangwa zityaye, shyiramo igishishwa cyangwa kaseti kugira ngo wirinde gukomereka ku ruhu.

Iyo ufite icyuma gikingira, ni mu bihe bihe ugomba kujya muri ETU vuba?

Niba ufite isuka ku mubiri wawe, witondere ibimenyetso bikurikira. Niba ufite kimwe muri ibi, jya kwa muganga wita ku barwayi b’incuke vuba.

• Niba plaster igutera kunanirwa ukuboko/ukuguru.
• Niba wumva ukuboko/ukuguru kwawe gutangiye gucika intege .
• Iyo ububabare bukomeje cyangwa bukiyongera .
• Niba plaster imeze nk'aho ifunze cyane .
• Iyo hari impumuro ikomeye ituruka kuri plaster.
• Niba ufite umuriro .