Ese iki gice cy'ukuguru kwawe nacyo kirababaza? Reka tuvuge kuri (Gucika kw'inyuma kwa Metatarsal kwa gatanu)!

Oh, rimwe na rimwe, byaba ari ukugwa gato, gutembera, cyangwa kugorama gato ku kuguru, uruhande rw'ikirenge cyacu gito rushobora kubabara, sibyo? Bishobora kubabaza cyane ku buryo udashobora no kugenda, ndetse bishobora no kubyimba no kuba ubururu. Impamvu y'ibi ishobora kuba ari ukuvunika kw'igufwa rito mu kirenge cyawe. Uyu munsi, turimo kuvuga ku ndwara nk'iyi, yitwa `(5th Metatarsal Fracture)`, ishobora kuba ku bantu benshi.

Iyi Metatarsal Fracture ya 5 ni iki?

Mu magambo make, hari igufwa rirerire ku nkengero z'ikirenge cyawe, rihuzwa n'ikirenge cyawe gito . Ushobora no kuriyumva ukoresheje ukuboko kwawe. Mu buvuzi, iri gufwa twita 'igufwa rya 5 rya Metatarsal' . Rero, iyo iri gufwa ryavunitse cyangwa ricitsemo ibice kubera impamvu runaka, twita 'igufwa rya 5 rya Metatarsal Fracture'. Mu by'ukuri iki ni ikibazo gikunze kugaragara ku kirenge kurusha uko tubitekereza.

Ese hari ubwoko bw'izi mvune?

Yego, iyi `(5th Metatarsal Fracture)` igabanyijemo ubwoko butatu bw'ingenzi, bitewe n'aho igufwa ryavunitse. Abaganga bayita ibi bakurikije agace kabigenewe. Tubyita agace ka 1, agace ka 2, na agace ka 3 .

Agace ka 1: Avulsion fracture

Ubu ni bwo bwoko bukunze kugaragara cyane bwo kuvunika. Tekereza, hafi 93 ku ijana byabwo byitwa "Avulsion Fractures". Ikibaho hano ni uko iyo umutsi cyangwa ligament ifatanye cyane n'igufwa ikuruwe cyane, uwo mutsi cyangwa ligament iva mu igufwa hamwe n'agace gato kayo. Ni nk'iyo dufashe buto ku ishati ishaje cyane, iva hamwe n'igitambaro.

Ibi bikunze kubaho iyo ukuguru kuzungurutse imbere (nk'aho gukomereka ku kaguru). Hari igihe abaganga bashobora kwitiranya gukomereka ku kaguru n'ivunika ry'uruhu kuko ububabare n'ibibyimba ari ibisanzwe kuri byombi.

Akarere ka 2: Jones Fracture

Ubu bwoko bw'imvune, bwitwa "Jones Fracture", buboneka mu gace gato, kihariye k'igufwa rya gatanu rya metatarsal. Gusa ni uko amaraso aba make ugereranyije n'andi magufwa . Urabizi, iyo amaraso agabanutse, igikomere icyo ari cyo cyose kimara igihe kirekire kugira ngo gikire, kandi amahirwe yo kugira ibibazo bitandukanye na yo aba menshi. Niyo mpamvu iyi "Jones Fracture" ifata igihe gito kugira ngo ikire, kandi ishobora no guteza ingorane.

Ibi bishobora kuba kuvunika kw'umuvuduko, ari na ko gasaya gato k'umusatsi gaterwa no guhangayika gukabije kw'igufwa uko igihe kigenda gihita. Cyangwa bishobora kuba gucika gukomeye guterwa n'impanuka itunguranye.Bishobora kandi kubaho mu buryo bukurikira. Akenshi biterwa no gukoresha ikirenge cyane (cyane cyane ku bakinnyi), guhangayika kenshi, cyangwa gukomereka gutunguranye. Ibi ntibikunze kubaho cyane nk'uko byavuzwe mbere bya Avulsion Fracture, kandi biragoye gukira.

Agace ka 3: Ivunika ryo hagati cyangwa Ivunika ry'umubyinnyi

Ibi kandi byitwa "Kuvunika hagati mu gice cy'umugongo", rimwe na rimwe "Kuvunika kw'ababyinnyi" . Bishobora kuba byitwa kuko bikunze kugaragara mu babyinnyi, cyane cyane iyo baguye bavuye gusimbuka. Akenshi bibaho bitewe n'impanuka itunguranye, nko "gukomereka" cyangwa guhindagurika cyane kw'ukuguru. Kuvunika biba hagati mu igufwa, hafi y' "umutwe" n' "ijosi".

Ni nde ushobora kuvunika nk'uku?

Mu by’ukuri, iyi '(5th Metatarsal Fracture)' ishobora kuba kuri buri wese . Umuntu wese kuva ku mwana muto kugeza ku muntu ukuze ashobora kurwara iyi ndwara. Ariko, iyo urebye raporo n'amakuru by'abaganga, bivugwa ko ikunze kugaragara ku bagabo bari mu myaka ya za 30 no ku bagore bari mu myaka ya za 70. Bivugwa kandi ko '(Avulsion Fracture)' na '(Mid-shaft Fracture)' byavuzwe haruguru bikunze kugaragara ku bagore kurusha abagabo.

Ni iki gitera izi mvune?

Mu magambo make, impamvu nyamukuru ibitera ni impanuka cyangwa stress irambye (ihungabana cyangwa stress isubiramo) ku kirenge cyawe. Tekereza ku bintu nk'ibi:

• Igikomere gikomeye gitunguranye ku kirenge: Nk'ikintu kiremereye kigwa ku kirenge, cyangwa kigwa mu kintu runaka.
• Udukingirizo turerure: Hari abantu bafite utwenge turerure gato munsi y'ikirenge cyabo, ibyo bikaba bishobora gushyira igitutu kinini inyuma y'ikirenge cyabo iyo bagenda.
• Gukoresha cyane inshuro nyinshi: Iyi ngaruka igaragara cyane cyane ku bakinnyi, abiruka, n'abakora bahagaze igihe kirekire.
• Imvune yo kuguruka: Iyi ni yo mpamvu ikunze kugaragara. Ishobora guterwa n'ibintu nko kugwa mu mwobo uri kugenda cyangwa gutembagaza ikirenge cyawe uri kumanuka ku madarajya.
• Kuzunguruka cyangwa kuzunguruka ukuguru bitewe n'impanuka cyangwa imvune ya siporo: Ubu bwoko bw'imvune bushobora kubaho iyo ukuguru kwazungurutse cyangwa kwazungurutse mu buryo butunguranye.

Ibimenyetso ni ibihe?

Niba ufite `(5th Metatarsal Fracture)`, ikintu cya mbere uzabona ni ukugorwa no kugenda . Ushobora no kunanirwa gushyira ikirenge cyawe hasi. Byongeye kandi, ushobora kubona ibimenyetso bikurikira inyuma y'ikirenge cyawe (ku ino rito):

• Guturika no kumera nk'ubururu : Ahantu hashobora gutangira guhinduka ubururu nyuma y'umunsi umwe cyangwa ibiri.
• Ububabare cyangwa kubabara: Birababaza nubwo waba ufashe ukuboko kwawe, kandi hashobora kubaho ububabare nubwo waba uhagaze aho gusa.
• Kubyimba : Ahantu hazatangira kubyimba, haba nyuma gato y'impanuka cyangwa nyuma gato y'aho.
• Ububabare : Agace kaba kababara iyo kakozweho.

Ubimenya ute neza?

Iyo ugiye kwa muganga ufite ibi bimenyetso, abanza kukubaza ibibazo bike . Byagenze bite, ububabare bumaze igihe kingana iki, kandi ububabare burushaho kwiyongera ryari? Hanyuma muganga azasuzuma neza ikirenge cyawe kugira ngo arebe aho kibabara, uko kibyimbye, ndetse niba igufwa ryiyumva nk'aho ririmo kugenda.

Hanyuma, hashobora gukorwa ibizamini byinshi byo gufata amashusho kugira ngo hemezwe ikibazo kandi hamenyekane neza imiterere y’aho imvune yavunitse:

• X-ray: Iki ni cyo kizamini gikunze kugaragara cyane. X-ray ishobora kwerekana aho igufwa ryawe ryavunitse n'uko ryavunitse. Ariko, zimwe mu mvune, nka Jones Fracture twavuze mbere, zishobora kutagaragara kuri X-ray.
• CT scan (computer tomography scan) cyangwa MRI (magnetic resonance imaging): Niba muganga wawe akeka ko Jones Fracture cyangwa ashaka kureba ibisobanuro birambuye ku bijyanye n'iyo mvune, ashobora gusaba CT scan. Izi scan zishobora kwerekana igufwa n'ingingo zoroshye zikikije mu buryo burambuye.

Ivurwa ite?

Uburyo bwo kuvura ""5th Metatarsal Fracture"" bushingira ku bintu byinshi. Ikintu cy'ingenzi cyo gusuzuma ni ukumenya niba ibice by'amagufwa byavunitse "byavanywe mu mwanya wabyo"" cyangwa "byari mu mwanya wabyo" . Byongeye kandi,:

• Urwego rw'ibikorwa: Ibintu nko kuba uri umukinnyi cyangwa umuntu ugenda n'amaguru cyane.
• Imyaka.
• Ubuzima muri rusange.

Nyuma yo gusuzuma ibi byose, muganga wawe azaguhitiramo uburyo bwiza bwo kuvura. Hari uburyo bubiri bw'ingenzi bwo kuvura:

1. Kudakora neza

Niba ibice by'amagufwa yawe bitaragenda, bivuze ko bikiri ahantu hamwe, muganga wawe ashobora kukubwira ko ukuguru kwawe guhagarara. Ibi byitwa immobilisation .

• Ku bijyanye na Zone 1 Avulsion Fracture twavuzeho, ubu ni bwo buryo bwonyine bwo kuvura.
• Iyi "(Immobilisation)" ishobora kandi gukorwa nk'intambwe ya mbere kuri Zone 2 Jones Fracture .

Ibi bikubiyemo guhagarika ukuguru kwawe ukoresheje icyuma gikozwe mu ijosi, inkweto zidasanzwe, cyangwa inkweto zikomeye.Ibi bizaha igufwa ryavunitse amahirwe yo gukira neza. Uzakenera kandi gukoresha inkoni muri iki gihe, kuko atari byiza gushyira ibiro ku kuguru. Ubusanzwe ugomba kubigira aho bihagarara mu gihe cy'ibyumweru bitandatu kugeza ku munani .

2. Kubagwa

Mu bihe bimwe na bimwe, kubagwa birakenewe. Muri ibi harimo:

• Niba ibice by'amagufwa yawe byimutse birenga milimetero 3 (`byakuwe mu myanya`) .
• Niba uri umukinnyi w’umuhanga ( kuko ushaka gukira vuba no gusubira mu mikino).
• Niba Zone 2 Jones Fracture idakira uburyo bwo kuvura butunguranye bwo guhagarika kugenda.
• Kubagwa akenshi ni byiza kuri Zone 3 (`Zone 3 Mid-shaft cyangwa Dancer's Fracture`) .

Muri ubu buvuzi, umuganga ubaga ibirenge n'akaguru (Foot and Ankle Surgeon) ashyira agapira gato, vis, inkoni, cyangwa isahani mu igufwa kugira ngo igufwa ryavunitse rigume mu mwanya waryo. Ubusanzwe ibi bimera mu mubiri nubwo igufwa ryamaze gukira kandi ntibikunze gukurwaho.

Mu bihe bimwe na bimwe bigoye, igufwa ryangiritse rikikije aho ryavunitse rishobora gukenera gukurwaho rigasimbuzwa igufwa ryangiritse . Ibi bisaba gusimbuza igufwa ryangiritse n'igice cy'umubiri wawe cyangwa ikindi kintu. Ushobora kandi gukoresha igikoresho cyitwa igufwa rivura indwara , gifasha igufwa gukira vuba.

Ese ibibazo bishobora kubaho nyuma yo kuvurwa?

Nkuko bigenda ku buvuzi ubwo aribwo bwose, hari ingorane zishobora kubaho nyuma yo kuvurwa `(5th Metatarsal Fracture)`. Ariko, izi ntizibaho kuri buri wese, kandi buri muntu aratandukanye. Zimwe mu ngorane zikunze kugaragara ni izi:

• Amaraso apfutse : Cyane cyane nyuma yo kubagwa kuko ukuguru kuba kutagenda neza.
• Kwangirika kw'imitsi cyangwa imitsi : Ibi bishobora kubaho mu gihe cyo kubagwa cyangwa mu gihe cy'impanuka.
• Kuva amaraso menshi cyane .
• Kwandura : Cyane cyane niba ugiye kubagwa.
• Kugabanuka kw'imitsi : Imitsi ishobora gucika intege bitewe no kudakoreshwa.
• Nonunion cyangwa Malunion : Hari igihe ibice by'amagufwa byavunitse bishobora kudahurira neza cyangwa bigahurira nabi.
• Ububabare buhoraho (`Ububabare`) .

Icy'ingenzi: Kugira ngo ugabanye ibyago byo guhura n'ingorane nk'izi, ni ngombwa cyane gukurikiza amabwiriza ya muganga wawe neza.

Nigute nakwitaho kugeza nduhutse? Nigute nakwitwaramo ibimenyetso byanjye?

Ushobora gukora ibi bintu kugira ngo bigufashe gukira vuba no kugabanya ububabare:

• Kuzamura ikirenge cyawe uko bishoboka kose: Iyo wicaye, shyira ikirenge cyawe ku musego cyangwa ku ntebe ku buryo kiba kiri hejuru gato y'uburebure bw'umutima wawe. Ibi bizagabanya kubyimba.
• Koza ikirenge cyawe mu ifu: Shyira agapaki k'urubura gapfunyitse mu gitambaro ku gice cyakomeretse mu gihe cy'iminota 15-20 inshuro nyinshi ku munsi mu masaha 24-48 ya mbere nyuma y'imvune na nyuma yayo. Ibi bizagabanya ububabare no kubyimba. Ariko ntugashyire urubura ku ruhu.
• Ntugashyire ikirenge cyawe ibiro kugeza igihe muganga wawe akubwira ('Gushyira ibiro ku kirenge cyawe'): Niba ukoresha inkoni, zikoreshe neza.
• Niba unywa itabi, rireke (`Kureka kunywa itabi`): Kunywa itabi no gukoresha ibikomoka ku itabi bitinza gukira kw'ibikomere. Kubwibyo, kureka iyi ngeso bizafasha cyane gukira vuba.
• Gufata imiti igabanya ububabare: Fata imiti igabanya ububabare yandikiwe na muganga wawe, nka ibuprofen cyangwa naproxen, nk'uko byavuzwe. Iyi miti ishobora gufasha mu kugabanya ububabare mu minsi ya mbere. Ariko, ni byiza kuganira na muganga wawe ku miti ikubereye.

Ese ibyago byo kuvunika nk'uku bishobora kugabanuka?

Nubwo bidashobora kwirindwa burundu, hari ibintu bike ushobora gukora kugira ngo ugabanye ibyago byo kurwara:

• Gumana ibiro byiza by'umubiri: Kugira ibiro binini bitera umuvuduko mwinshi ku birenge byawe.
• Niba urwaye diyabete, genzura neza: Abantu barwaye diyabete bafite ibyago byinshi byo kuvunika amenyo n'ingorane zijyana nayo. Abantu bafite umubyibuho ukabije nabo bafite ibyago byinshi byo kuvunika amenyo.
• Ambara inkweto zikubereye neza: Ambara inkweto zitanga ubufasha bwiza ku birenge byawe, cyane cyane iyo ukina siporo cyangwa ukora akazi.
• Kurikiza uburyo bukwiye bwo gukora imyitozo ngororamubiri: Ntugatangire gukora imyitozo ngororamubiri cyane icyarimwe, ahubwo komeza wongere imbaraga buhoro buhoro.
• Witondere ibidukikije: Witondere ahantu hanyerera mu rugo no ku kazi, kandi witondere ibinogo biri mu muhanda.

Ni iki nakwitega mu gihe mfite imvune nk'iyi?

Niba imvune yawe yaravuwe hakoreshejwe uburyo bwo kuyihagarika (plaster), ushobora kwitega ko izakira mu byumweru bitandatu kugeza ku munani .

Niba warabazwe, bishobora gufata ibyumweru birindwi cyangwa igihe kirekire kugira ngo ukire. Ariko, uko ubuvuzi bwaba bumeze kose, uzakenera kwirinda gushyira ibiro ku kuguru kwawe byibuze ibyumweru bitandatu .

Nyuma yo gukira burundu, ni ukuvuga, ubusanzweNyuma y'amezi atatu kugeza kuri ane, ushobora gusubira mu mirimo yawe isanzwe na siporo. Ariko ibyo nabyo bigomba gukorwa ubyemerewe na muganga. Muganga ashobora kukugira inama yo kuvura amaguru kugira ngo wongere kugenda neza no gukomera kw'ukuguru kwawe. Gukora iyi myitozo neza ni ingenzi cyane kugira ngo ukire vuba.

Ni ryari ngomba kongera kubonana na muganga?

Umaze gusubira mu rugo uvuye kuvurwa, ugomba guhita ubonana na muganga wawe niba ugize umuriro cyangwa ufite kimwe muri ibi bimenyetso mu kuguru kwawe:

• Iyo ububabare bubaye ubworoshye (`Ububabare bwiyongera`) .
• Niba kubyimba kwiyongera (`Ukwiyongera k'ububyimbirwe`) .
• Niba wumva ufite ibinya cyangwa ubabara mu maguru yawe .
• Niba uruhu rwo ku maguru yawe ruhinduka umuhengeri , cyangwa niba wumva ukonje kurusha uko bisanzwe.
• Niba hari amabyi asohoka mu gikomere, cyangwa niba hari impumuro mbi (niba warabazwe).

Ibimenyetso nk'ibi bivuze ko hashobora kubaho ikibazo. Kubwibyo, ni ngombwa gushaka inama kwa muganga byihuse.

None se, ni ibihe bintu tugomba kwibuka? (Ubutumwa bwo kujyana mu rugo)

Sawa, rero ndizera ko ubu usobanukiwe neza ikibazo cya 5th Metatarsal Fracture twavuzeho uyu munsi.

Nubwo iyi ari indwara ikunze kugaragara kurusha uko wabitekereza, ishobora gukira vuba iyo ubonye isuzuma rikwiye, ugahabwa ubuvuzi bukwiye, ugakurikiza amabwiriza ya muganga neza, kandi ukaruhuka bihagije.

Igikuru ni ukubonana na muganga vuba iyo akano kawe gato kakubabaje, kabyimbye, cyangwa kakakugora kugenda. Muri ubwo buryo, ushobora kumenya vuba ikibazo, ugafatwa X-ray nibiba ngombwa, hanyuma ugatangira kuvurwa neza. Muri ubwo buryo, ushobora gusubira mu mirimo yawe isanzwe vuba!

Kuvunika , Ububabare bw'ibirenge, Metatarsal, Kuvunika kwa Jones, Kuvunika kwa Avulsion, Indwara z'ibirenge, Kuvunika kw'akaguru