Ese hari ibice by'umubiri wawe wumva bifunganye kandi bifunganye? Ibi bishobora kuba ari ugufungana!

Ese hari igihe wumva ibice by'umubiri wawe, wenda uruhu, imitsi, cyangwa ingingo, bikugoye kandi bikugoye? Ese ujya ubona udashobora kunama cyangwa kunanura umubiri byoroshye nk'uko wabikoraga mbere? Iyi ndwara ishobora kuba yitwa 'contracture' nk'uko abaganga bayita. Ntugahangayike, reka tubiganireho mu buryo bworoshye.

Iyi 'contracture' ni iki?

Muri make, guhagarara kw'ingingo ni impinduka mu miterere y'ingingo ziba mu ngingo zoroshye n'ingingo zihuza umubiri wacu. Ibi bituma izi ngingo zikomera, zigakomera, kandi zikabura ubushobozi bwo kuzihindura, nk'umukandara w'icyuma . Tekereza uruhu rwawe, imitsi, cyangwa ingingo zikikije ingingo zawe zikomera kandi zigakomera, nk'amabuye. Ibi bigabanya urwego rw'imikorere y'izo ngingo.

Ibi ni nk'ubwoko bw'inkovu mu mubiri wacu. Hari igihe ubibona neza ku ruhu. Urugero, iyo umuntu afite ubushye bukabije, nyuma y'uko igisebe gikize, ushobora kuba warabonye ko uruhu ruri muri ako gace rufite inkovu kandi zikomeye. Ni uko ibi ari byo. Iyo ubu bwoko bw'inkovu bugaragaye mu zindi nyamaswa, ni ukuvuga mu mitsi, mu mitsi, natwe twita 'fibrosis'. Icyaba kibaye ni uko ibice by'izi nyamaswa bigenda bisimburwa buhoro buhoro n'ubwoko bw'inyama zikomeye, zifite fibroids, kandi zidahinduka.

Rero, ububabare buterwa nuko izi ngingo zikomeye zidashobora kwaguka cyangwa kugenda neza. Hari igihe izi ngingo zishobora kugabanuka zikaba ngufi. Iyo bibaye, izindi ngingo zikikije 'contracture' nazo zishobora kwaguka, bigatera ubumuga mu mubiri.

Ni ubuhe bwoko bw'ingenzi bw'amasezerano y'akazi?

Guhagarara kw'imitsi bishobora kugira ingaruka ku ngingo zitandukanye n'ibice by'umubiri wacu mu buryo butandukanye. Abaganga bakoresha amazina atandukanye mu kubisobanura. Reka turebe ubwoko bumwe na bumwe bw'ingenzi:

• Inkovu zifata: Ibi biterwa n'inkovu ziva mu ruhu rwawe nyuma yo gukomereka no gukira. Iyo inkovu zifata izindi ngingo cyangwa ingingo zitimuka neza, bishobora gutera izindi nkovu.
• Imitsi ikora ku maguru: Ibi bishobora kugira ingaruka ku mitsi imwe cyangwa itsinda ry'imitsi ifitanye isano. Iyi mitsi ikora ku maguru ishobora no gutera izindi mitsi ikora ku maguru, nko kudashobora kwimuka neza nk'ingingo.
• Guhagarara kw'ingingo cyangwa guhagarara kw'ingingo: Ibi bigira ingaruka ku ngingo zikikije amagufwa y'ingingo, yitwa capsule y'ingingo. Iyo iyi capsule ifashe, amagufwa ari imbere mu ngingo ntashobora kwimuka.
• Guhagarara kw'imitsi mu mubiri (Arthrogenic contraction):Iyi ni no gucika kw'imitsi biba mu gice cy'ingingo. Ariko, iyi ibaho mu gice ubwacyo. Nk'uko gucika kw'imitsi bigira ingaruka ku ngingo, gucika kw'imitsi mu gice cy'ingingo bishobora kugira ingaruka ku mitsi ifitanye isano na yo.

Ese hari ubwoko bwihariye bwa 'contractures' dukunze kumva?

Yego, hari ubwoko bumwe na bumwe bw' "amasezerano", ndetse buhabwa n'amazina atandukanye. Reka turebe amwe muri yo:

• Amiyoplasia: Iyi ni indwara ivukanwa. Muri iyi ndwara, ushobora kubona ingingo nyinshi z'umubiri w'umwana wawe.
• Arthrogryposis: Iri ni ijambo risanzwe. Iri zina rikoreshwa iyo umwana avutse afite ubumuga bwinshi. Rishobora kugaragara mu ndwara za gene nka Muscular Dystrophy na Edwards Syndrome.
• Ikirenge cy'umwana: Iki nacyo ni ugukora k'umubiri. Gifata imitsi yo mu kirenge cyangwa ibirenge by'umwana, bigatuma ikirenge cyerekeza imbere, yerekeza ku mubiri. Hari igihe gishobora no kugira ingaruka ku mitsi y'inyana.
• Guhagarara kwa Dupuytren: Iyi ni indwara iterwa na genetiki. Itera guhagarara kw'uturemangingo tworoshye tw'amaboko, bigatuma urutoki rumwe cyangwa byinshi bipfukama imbere byerekeza ku kiganza.
• Kuziba kw'inkokora cyangwa inkokora ikomeye: Iyi ni kuziba kw'inkokora biba mu kapsule y'inkokora.
• Guhagarara kw'amaguru: Uku ni uguhagarara kw'ingingo y'akaguru cyangwa imitsi iyikikije, bigatuma ikirenge kidashyirwa mu mwanya usanzwe, udafite aho ubogamiye (ku nguni ya dogere 90 ugana ku kaguru).
• Gukomera kw'ingingo: Ubu ni ubwoko bw'ingufu zo guhagarara kw'ingingo. Muri ibi, ingingo irakomera mu mwanya wayo wo guhagarara kandi ntishobora kongera kugororoka. Bigira ingaruka cyane ku ngingo.
• Capsulitis yo mu rutugu rwakonje cyangwa ifata: Iyi ni ipfundo ry'agapfukamunwa k'urutugu. Abantu benshi babyumvise.
• Volkmann contracture: Ubu ni ubundi bwoko bwa contracture bubaho mu kuboko. Muri ibi, intoki n'ukuboko bipfuka imbere, bigatuma ikiganza gisa n'ikirenge.

Ni ibihe bimenyetso by'uko umuntu arwaye indwara yo gucika kw'igitsina (contracture)?

Niba ufite ikibazo cyo gucika kw'imitsi, ushobora kugira ibimenyetso nk'ibi:

• Inkovu zigaragara neza, zibyimbye kandi zikomeye.
• Gukomera cyangwa gufungana mu mitsi, ingingo, cyangwa izindi ngingo zoroshye.
• Ububabare bw'imitsi n'amagufwa.
• Kugabanuka k'urwego rw'imikorere n'uburyo umubiri ugenda muri rusange.
• Kugabanuka kw'imitsi (kugabanuka kw'imitsi).
• Indwara zo kugenda mu buryo butunguranye.
• Ubusembwa bwo gupfukama (guhagarara neza), cyane cyane mu maguru.

Kuki iyi "contracture" ibaho?

Guhagarara kw'ingingo, nk'uko twabiganiriyeho mbere, ni indwara yitwa inkovu cyangwa fibrosis mu ngingo zawe. Ibi bikunze kubaho iyo ingingo zigerageza kongera kwiyubaka nyuma yo gukomereka , cyangwa iyo ingingo zidakora neza bitewe no kutazikoresha . Hari igihe bishobora kuvukana.

Dore zimwe mu mpamvu z'ingenzi:

• Gukomereka: Iyo utakaje igice kinini cy'umubiri wawe bitewe n'ibintu nko gushya, ibikomere byanduye, cyangwa kubagwa, inkovu yo kubyimba ishobora kuvuka mu ruhu cyangwa mu ngingo zoroshye.
• Ischema: Kudakwirakwira neza kw'amaraso mu ngingo bitera ububyimbirwe budakira, hanyuma bigatera inkovu. Ischema ishobora kubaho mu buryo butunguranye cyangwa buhoro buhoro. Kudakora neza ni imwe mu mpamvu zibitera.
• Kudakora neza: Impamvu nyamukuru ituma ingingo zoroshye zihagarara ni ukudakora neza. Ibice by'umubiri wawe bishobora kudakora neza bitewe n'imvune, ubumuga bw'umubiri, cyangwa indwara z'imitsi. Tekereza, iyo uvunitse ukuboko cyangwa ukuguru ukagomba kwambara ishitingi mu gihe cy'ibyumweru byinshi, icyo gice kikumva gikomeye, si byo? Ni ko bimeze.
• Indwara z'imitsi: Indwara nka stroke na cerebral palsy zibangamira itumanaho hagati y'ubwonko n'imitsi, bigatuma idashobora kugenda cyangwa ikagira intege nke cyane (hypertonie).
• Indwara z'imitsi ihuza umubiri: Indwara zigira ingaruka ku mikurire y'imitsi yawe, nka myopathy yavutse, zishobora gutuma imitsi ifungana cyane cyangwa irekura cyane (hypotonia).
• Ubusembwa bwo kuvuka: Hari abana bavukana ubusembwa. Ibi bishobora kubaho nta ndwara cyangwa impamvu igaragara. Bishobora guterwa n'impinduka mu ngirabuzimafatizo cyangwa kugenda nabi mu nda.

Ni izihe ngorane zishobora guterwa n'iyi 'contracture'?

Guhagarika umutima burundu bishobora kugira ingaruka zikomeye ku mibereho yawe . Bishobora kugira ingaruka ku kugenda kwawe no ku bwigenge bwawe. Bishobora kandi gutuma bigorana gukora imirimo ya buri munsi nta bufasha.

Nanone, gucika intege bishobora gutera ububabare budakira kandi bishobora kugira ingaruka ku yindi mitsi n'ingingo biyirimo, bigatuma ikibazo kirushaho gukomera. Tekereza, iyo ufite ubushobozi bwo kugenda buhoro, ingingo zawe zitangira kugabanuka cyane.

Ni gute wamenya 'contracture'?

Niba ufite imvune cyangwa indwara ishobora gutuma uhagarika umutima, muganga wawe azabimenya. Ashobora kugenzura urwego rw'imikorere yawe no kuyisuzuma akoresheje isuzuma ry'umubiri .

Hari igihe, muganga wawe ashobora gushaka gufata amashusho y’uturemangingo tw’umubiri wawe n’uturemangingo tworoshye kugira ngo arusheho gusuzuma icyateye gucika kw’uturemangingo. Ibi bishobora kuba birimo X-rays, ultrasound scan, cyangwa MRI scan.

Ni ubuhe buryo bwiza bwo kuvura indwara yo gucika kw'ijisho?

Uburyo bwiza bwo kuvura gucika kw'imitsi ni ukwirinda . Akenshi, birashoboka kwirindwa. Niba udashobora kugenda cyangwa ufite ikibazo gishobora gutera gucika kw'imitsi, ubuvuzi bw'umubiri bushobora kugufasha cyane kukirinda.

Iyo ugize ikibazo cyo gucika kw'imitsi, ni byiza kuvura hakiri kare . Ubusanzwe, gucika kw'imitsi mishya ntabwo ari ikibazo gikomeye cyane kandi bishobora kuvurwa byoroshye hatabayeho kubagwa. Ariko, gucika kw'imitsi mu buryo buhanitse bishobora kudakira ubuvuzi butari ubwo kubagwa.

Uburyo bwo kuvura indwara yo gucika kw'imitsi burimo uburyo busanzwe, uburyo bwo kuvura amagufwa, no kubaga. Ni ngombwa kandi kuvura indwara itera iyo ndwara.

Ubuvuzi butarimo kubagwa

Uburyo bwo kuvura buri muri iki cyiciro ni ubu:

• Gukomeza kunanura amaguru n'amaboko: Abaganga bakoresha ubwoko butandukanye bw'imigozi, imigozi, n'imigozi kugira ngo buhoro buhoro kandi buri gihe barambuye ingingo zacitse.
• Ubushyuhe: Gukoresha ubushyuhe buvura ku ngingo zoroshye bishobora kubafasha kuruhuka no kunanura imitsi. Ibi birafasha cyane cyane iyo ufite ikibazo cyo kugabanuka k'amaraso mu mubiri (hypertonie idakira) cyangwa spasticity (gukomera cyane). Ubushyuhe butuma amaraso atembera neza.
• Ubuvuzi bw'umubiri: Imyitozo ngororamubiri idakora cyane ishobora kongera ubworoherane n'uburyo bwo gukora imitsi n'ingingo bifatanye. Ibi kandi bishobora gufasha gukumira imitsi gucika intege bitewe no kutagira aho ijya.
• Uburyo bwo kuvura indwara ya myofascial release:Ubu ni uburyo bwo gusigwa n'intoki bwibanda ku gice cy'umubiri wawe, igice cy'umubiri kiri munsi y'imitsi yawe. Bushobora gufasha gukumira no kuvura imitsi ifungana.
• Inshinge: Hari ubwo inshinge zo mu ngingo zifatana n'izikoresha inshinge zoroshye zishobora gufasha kugabanya imitsi. Inshinge za Botox® zishobora gufasha kuruhuka, naho inshinge za collagenase zishobora gufasha mu kugabanya fibrosis.
• Uburyo bwo kuvura indwara ziterwa n'ububyimbirwe: Imiti irwanya ububyimbirwe n'uburyo bwo kuvura hakoreshejwe laser yo ku rwego rwo hasi (urumuri rwa infrared) bishobora gufasha kugabanya ububyimbirwe no gukumira fibrosis nyuma yo kunanirwa kugenda.

Kubagwa ku nda

Uburyo bwo kubaga bwo gufungana burimo:

• Tenotomi (kwagura imitsi): Uku kubagwa kugizwe no gukata utuntu duto cyangwa imyobo mu mitsi yawe kugira ngo ugabanye gukomera. Uko imitsi ikura, ishobora kwaguka.
• Gutera imitsi: Muri ubu buryo, umutsi wafashwe urakurwaho hanyuma undi mutsi, waba uturutse ku muntu utanga cyangwa uturutse mu kindi gice cy'umubiri wawe, ugashyirwa aho wafashwe.
• Arthroplasty: Ku bijyanye no gufunga ingingo, kubagwa bishobora kuba ngombwa kugira ngo igice cy'ingingo yawe gisohoke, gisimbuzwe, cyangwa rimwe na rimwe gisimbuzwe ingingo yose.
• Fasiotomi: Imitsi yo gukomeretsa ingirangingo z'umubiri (fascia) yawe, nka Dupuytren's contracture, ishobora kugufasha kuyikoresha. Abaganga babaze baca imyobo muri fasiomi kugira ngo bayikuremo, cyangwa bagakuraho uduce tw'inkovu.
• Z-plasty: Uburyo bumwe bwo guca imitsi yo mu ruhu no mu gice cy'uruhu ni uguca uduce duto mu ruhu kugira ngo ugabanye ubukana. Iyi miterere ya Z itera inkunga uruhu kongera gukura aho kugabanuka.
• Kubaga mu buryo bwa pulasitiki: Ku nkovu zifata, umuganga ashobora gukenera gukuraho inkovu agasimbuza agashinge k'uruhu cyangwa agapfundikizo k'uruhu kavanywe ku muntu waguhaye cyangwa ikindi gice cy'umubiri wawe.

Ni iki giteganyijwe ku ndwara yo gucika kw'ijisho?

Imitsi yo mu nda ikira neza iyo ivuwe mbere yuko ikomera cyane . Abaganga bashobora gufata ingamba zo gukumira cyangwa kugabanya imitsi yo mu nda ku bantu bari mu kaga.

Imitsi mishya ikunze kwitwara neza iyo habayeho ubuvuzi busanzwe. Imitsi igezweho ishobora kuvurwa no kubagwa. Ariko, imitsi imwe n'imwe ishobora kudakira neza iyo habayeho ubuvuzi cyangwa ntikire burundu iyo habayeho kubagwa.

Nakwirinda gute iyi 'contracture'?

Impamvu ikunze gutera gucika intege ni ukudakora neza . Niba uri mu bitaro kubera imvune ikomeye, kubagwa, indwara, cyangwa ugomba kwambara ishitingi mu gihe cy'ibyumweru byinshi, uba uri mu kaga ko gucika intege.

Abaganga bazakora uko bashoboye kose kugira ngo wirinde ko inda zihagarara mu gihe uri kukwitaho. Ariko, bazakenera ubufasha bwawe . Ni ngombwa cyane gukora imyitozo ngororamubiri neza mu gihe cyo gukira.

Gukora imyitozo ngororamubiri bishobora kugorana cyangwa bikaba ingorabahizi iyo ufite indwara, ubumuga, cyangwa imvune. Hari igihe ushobora gukenera ubufasha mu myitozo ngororamubiri yawe, cyangwa umuntu wo kukwibutsa no kugutera inkunga.

Niba wowe cyangwa umuntu witaho afite indwara idakira ishobora gutera gucika intege, ushobora gukenera ubuvuzi bw'umubiri buhoraho kugira ngo uyirinde. Muri ibi bihe, ni ngombwa kubona ubuvuzi bwiza mu buzima bwawe bwose .

Kubabara mu nda bishobora kugaragara byoroshye iyo umuntu akize indi ndwara. Bishobora no gufata igihe kirekire kugira ngo bikire. Kugira ngo usubizeho ibyangiritse, ugomba gukorana umwete n'ubuhanga mu kuvura umubiri .

Hari indwara zidakira n’izivukana zishobora kubuza ko habaho gucika intege. Ariko, gufata ingamba hakiri kare bishobora kugira itandukaniro rinini mu buryo bigira ingaruka kuri wewe ndetse n’ingano y’ubumuga bitera.

Amaherezo, ibuka ibi (Ubutumwa bwo kujyana mu rugo)

Kurambagara ni indwara aho ingingo zoroshye z'umubiri wacu ziba zikomeye, zikomeye, kandi zigoranye kugenda. Ni nk'inkovu iturutse imbere. Iyi ndwara ishobora guterwa n'ibintu nko gushya, imvune, kubagwa, kunanirwa kugenda igihe kirekire, zimwe mu ndwara z'imitsi, n'ubumuga bwo kuvukana. Ikintu cy'ingenzi ni ukugerageza kuyikumira. Cyane cyane niba umaze igihe kirekire udahagarara kubera impamvu runaka, kora imyitozo ngororamubiri nk'uko muganga wawe yabigutegetse. Kuko, iyo kurambagara gutangiye, bishobora gufata igihe kinini n'imbaraga nyinshi kugira ngo bikire.

Niba ufite kimwe muri ibi bimenyetso cyangwa ufite gushidikanya, menya neza ko wagana muganga kugira ngo akugire inama . Gusuzuma indwara hakiri kare no kuyivura bishobora gufasha kwirinda ko irushaho kuba mbi no kunoza ubuzima bwawe.

"gufungana, gukomera kw'imitsi, gukomera kw'ingingo, inkovu, kugenda gake, fibrosis, ubuvuzi bw'umubiri