Ese wigeze wumva uruhu rwo ku kiganza cyawe rwabyimbye rugakora uduheri duto? Cyangwa se ugorwa no kugumana urutoki rumwe cyangwa ebyiri zigororotse, maze zigafata buhoro buhoro zerekeza ku kiganza? Ibi si ibyawe gusa. Iyi ni indwara. Tuyita Dupuytren's Contracture. Abantu benshi ntibazi byinshi kuri ibi, bityo bishobora gutera ubwoba. Uyu munsi rero tuzaganira kuri byose mu buryo bworoshye kandi mu buryo bw'inshuti.
Mu magambo make, uburwayi bwa Dupuytren bwo mu mutwe ni iki?
Ibi bibaho kubera ko urwego rw'umubiri (fascia) munsi y'uruhu rw'ukuboko kwawe rugenda rurushaho gukomera rugakora imigozi y'imigozi. Ni nk'aho umuntu arimo gukura umugozi mu kuboko kwawe. Uko igihe kigenda gihita, iyo iyi migozi ikomeje gukomera, urutoki rumwe cyangwa nyinshi zifatanye na rwo zitangira kwinamira imbere. Ibi ni byo twita 'contracture.' Iyi ndwara ikunze kugira ingaruka ku mpeta n'intoki nto, ariko ishobora no kubaho ku rutoki urwo ari rwo rwose.
Iyi si kanseri cyangwa indwara yandura. Kandi ububabare buyiterwa akenshi buba buke. Ariko ikibazo nyamukuru ni uko iyo intoki zigonze, biba bigoye gukora imirimo ya buri munsi. Urugero, n'ibintu byoroshye nko guhanagura amaboko, gushyira mu mufuka wawe, cyangwa gufata ikintu neza bishobora kuba ingorabahizi.
Uburyo bwo kuvura bufatwa bute?
Uburyo bwo kuvura Dupuytren's contracture buratandukanye bitewe n'uburemere bw'indwara yawe. Nta buryo bumwe bwo kuvura bushobora kugufasha. Muganga wawe azagusuzuma maze aguhe uburyo bwiza bwo kuvura bitewe n'uko bigira ingaruka ku buzima bwawe.
Igikomeye ni uko nta muti wabonetse kugeza ubu ushobora guhagarika burundu iyi ndwara cyangwa kuyikumira ko ikomeza kwiyongera iyo imaze kugaragara. Intego nyamukuru y'ubuvuzi ni ukugabanya ibimenyetso no kugarura imikorere mu ntoki.
Kuri bamwe, iyi ndwara igenda buhoro cyane . Ishobora kuba ari akantu gato ku kiganza cyawe kadahinduka mu gihe cy'imyaka myinshi. Muri ibyo bihe, niba bitabangamiye imirimo yawe ya buri munsi, ni byiza gufata ingamba zo "gutegereza urebe".
Ariko, niba urutoki rwawe rurimo kwiyongera cyane kandi bigatuma bigorana gukora imirimo ya buri munsi, muganga wawe azakubwira uburyo bukwiye bwo kuvura.
Uburyo bwo kuvura butari ubw'abaganga
Hari uburyo bwinshi bwo kuvura bushobora gukoreshwa mu ntangiriro z'indwara, cyangwa se uretse kubagwa. Ariko, ubu buryo bwagaragaje ko nta cyo bwagezeho.
| Uburyo bwo kuvura | Bigenda bite kuri byo? |
|---|---|
| Kurambura | Irasabwa ku bafite indwara zoroheje cyane . Ishobora no gukoreshwa hamwe n'ubundi buryo bwo kuvura. Ariko, ibi bigomba gukorwa gusa nk'uko muganga yabigutegetse . |
| Inshinge za Steroid | Iyi ni imiti ikomeye irwanya ububyimbirwe. Iyo uyiteye mu kantu kari ku kuboko, ishobora kugabanya ingano yako. Ariko, ibi bigira akamaro gusa mu ntangiriro z'indwara. Iyo ingingo zimaze gukomera, ntabwo zigira akamaro kanini. |
| Inshinge za Enzyme | Niba urutoki rwawe rwaramaze kunama, muganga wawe ashobora kukugira inama yo gutera urushinge rw'inzoga, nka Xiaflex . Izi enzymes zisenya ingirangingo zikomeye zikarurekura. Ku munsi ukurikiyeho, muganga wawe azagerageza kugorora urutoki rwawe arufashe arukurura. Ibi bishobora gukoreshwa nk'ubundi buryo bwo kubaga. |
| Ubuvuzi bushingiye ku mirasire | Ubundi buryo bwo kuvura hakoreshejwe imirasire yo ku rwego rwo hasi ni ubundi buryo, ariko haracyari amakuru make y’ubushakashatsi ku ngaruka zabwo. |
Birenzeho gato ku bijyanye no gutera enzymes...
Ku bantu benshi, inshinge imwe cyangwa ebyiri zirahagije ku ngingo yangiritse. Hari abantu bashobora gukenera kugeza kuri eshatu. Ingaruka zikunze kugaragara ni ukubyimba, kuva amaraso, gukomereka, no kubabara aho inshinge zatewe. Ni gake cyane , ingaruka mbi nko kwangirika kw'imitsi, kwangirika kw'imitsi, cyangwa ingaruka z'ubwivumbure zishobora kubaho.
Ubundi buryo bwo kuvura nka splinting, crème ya vitamine E, na ultrasound bwageragejwe, ariko muri rusange ntabwo bwatanze umusaruro mwiza.
Ni ryari kubagwa biba ngombwa? (Ubuvuzi bwo kubaga)
Niba ugorwa no gukora imirimo ya buri munsi, nko gufata ikintu, kwandika, cyangwa gufata igikombe, muganga wawe ashobora kukugira inama yo kubagwa. Intego nyamukuru yo kubagwa ni ukugarura uruhererekane rw'intoki zawe rwabuze.
Hari ubwoko bubiri bw'ingenzi bwo kubaga.
| Ubwoko bw'ukubaga | Ibisobanuro |
|---|---|
| Kubaga mu buryo bugaragara | Umuganga ubaga atema ukuboko maze agakata ingingo ikomeye (fasciotomy) cyangwa agakuraho yose cyangwa igice cyayo (fasciectomy) . Hari igihe uruhu rukoreshwa mu gufunga igisebe. |
| Kubaga urushinge rw'inshinge | Ubu buryo bworoshye kuruta kubagwa mu buryo bwihuse. Umuganga ubaga akoresha urushinge rwo guca ururenda kugira ngo agabanye kandi agatandukanye ingingo nini iri hejuru y'uruhu. Igihe cyo gukira ni gito. Abantu benshi ntibakenera ubuvuzi bw'umubiri nyuma y'aho. |
Ni iki wakwitega nyuma yo kubagwa?
Kubagwa akenshi bishobora gukosora aho intoki zigonze no gusubiza imikorere y'ukuboko. Ariko, iyo intoki nyinshi zigonze, gukosora bishobora kugorana gato.
Kubaga bigira ingaruka zimwe na zimwe n'ingorane zimwe na zimwe.
- Gusubiramo: Hari ibyago bimwe na bimwe byo kongera kubagwa iyo ubaye ubwoko bwombi bw'ubuvuzi.
- Izindi ngorane:
- Kubyimba no kubabara ibikomere
- Kwangirika kw'imitsi cyangwa imiyoboro y'amaraso
- Indwara zandurira mu mubiri
- Urupfu rw'ingingo
Ni gute wakira vuba?
Ni ingenzi cyane gukurikiza amabwiriza ya muganga wawe nyuma yo kubagwa.
- Zamura ukuboko kwawe: Kuzamura ukuboko kwawe hejuru y'umutima wawe bishobora gufasha kugabanya kubyimba no kubabara.
- Gukoresha urutoki: Niba muganga agutegetse, koresha urutoki rwawe witonze.
- Ubuvuzi bw'umubiri:Muganga wawe ashobora kukwohereza kwa muganga w’imiti ivura indwara z’umubiri (physiotherapist) uzakwigisha imyitozo ngororamubiri kugira ngo wongere imbaraga n’imikorere y’amaboko yawe.
Ubutumwa bwo kujyana mu rugo
- Dupuytren's Contracture ni indwara ituma ingingo zo mu kiganza zikomera kandi intoki zigakomera. Si kanseri cyangwa indwara yandura.
- Si buri wese ukeneye kubagwa. Iyo indwara ari nto, ishobora kudasaba ubuvuzi ubwo aribwo bwose.
- Niba ibi bibangamira imirimo yawe ya buri munsi, hari uburyo bwo kuvura butari ubwo kubaga (guterwa inshinge) n'uburyo bwo kubaga.
- Muganga wawe ni we wenyine ushobora kugena uburyo bwiza bwo kuvura. Rero niba ubonye impinduka mu kuboko kwawe, ntutinye gushaka inama kwa muganga.
- Nyuma yo kuvurwa, kurikiza amabwiriza wahawe na muganga wawe n'umuvuzi w'umubiri witonze kugira ngo ukire vuba.
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Kwipimisha kanseri y'ibere, kwisuzuma no kwirinda byakozwe byoroshye. Kanseri y'ibihaha
Ishyirireho intego ya calorie hanyuma ubare itariki yo kugabanya ibiro.