Twese dushobora kuvunika igufwa mu gihe runaka mu buzima bwacu, sibyo? Bishobora kubaho iyo tururiye igiti tukagwa, mu gihe turimo gukina, cyangwa ndetse no mu mpanuka nto. Akenshi, iyo tugiye kwa muganga tugashyiraho plaster (POP cast), irakira burundu mu minsi mike kandi igasubira uko yari imeze. Ariko ... bite ho niba bitabaho buri gihe? Bite ho iyo igufwa ryavunitse riteye nabi, cyangwa niba ritafashe na gato uko byagenda kose? Ibyo ni byo tuvuga uyu munsi. Mu buvuzi, izi ndwara ebyiri zitwa `(Malunion)` na `(Nonunion)`.
Mu magambo make, Malunion na Nonunion ni iki?
Ibi biroroshye cyane. Reka tubitekerezeho muri ubu buryo.
Malunion: Ibi bivuze ko ibice bibiri by'igufwa ryawe ryavunitse bifatanye, ni ukuvuga ko bifatanye, ariko mu buryo butari bwo. Ntabwo biri aho bikwiye kuba biri. Bishobora kuba bigoramye gato, bigoramye, cyangwa bigufi gato. Tekereza ko urimo gushyira hamwe ibice bibiri by'isahani yavunitse ukoresheje kole, ariko ibice byombi ntibifatanye neza, bigoramye gato. Isahani ifatanye, ariko imiterere yayo ubu iratandukanye. Nguko uko 'malunion' ari.
Kutagira aho bihurira: Iki ni cyo gihe ibice bibiri by'amagufwa byavunitse bitajya bihurirana, uko igihe cyahita kose. Haracyari icyuho hagati y'ibi bice bibiri. Iyo dufashe urugero rumwe n'urwa mbere, ni nk'ibice bibiri by'isahani bitajya bihurirana uko wabihuzaga kose.
Hari impamvu ebyiri z'ingenzi zishobora gutuma igufwa ritakira neza muri ubu buryo.
1. Ikibazo cya mekanike: Ibi bivuze ko ibice bibiri by'amagufwa bidashobora gufatanywa kandi bigakomeza mu gihe cyo gukira. Hari igihe ibice by'amagufwa bishobora kwimukira mu gitereko.
2. Ikibazo cy’ibinyabuzima: Ibi bivuze ko inzira yo kurema amagufwa mashya ihungabana bitewe n’impamvu zimwe na zimwe mu mubiri wawe. Urugero, amaraso adahagije mu gace, ibura ry’imirire, cyangwa izindi ndwara bishobora kugira ingaruka kuri ibi.
Abaganga basuzuma izi mpamvu zombi iyo bavura izi ndwara.
Ese hari ubwoko bw'abatari mu mashyirahamwe?
Yego, iyo igufwa ritameze neza, abaganga barishyira mu byiciro kugira ngo bamenye icyari kibiteye. Ibyo bituma byoroha kuvura.
| Ubwoko bw'ishyirahamwe ritari iry'ishyirahamwe | Mu magambo make ... |
|---|---|
| Kutagira ubumwe bukabije | Muri iki gihe, umubiri ugerageza kubaka igufwa rishya. Ibyo bivuze ko umubiri ufite ubushobozi bwo kubaka igufwa neza. Ariko impera z'ibice bibiri by'amagufwa byavunitse ntizihura, bityo ntizishobora gukosorwa. Hari ikibazo cya tekiniki hano. |
| Kutagira ubumwe mu buryo bukabije | Muri iki gihe, umubiri ntugira imbaraga zo kubaka igufwa rishya. Impamvu ni uko amaraso anyura muri ako gace aba ari make cyane. Hari ikibazo cy’ibinyabuzima. Hari igihe ibi bishobora kubaho nubwo igufwa ryanduye (septic nonunion). |
| Oligotrophic nonusion | Iyi ni uruvange rw'ibyo bintu byombi. Umubiri urimo kugerageza kubaka igufwa rishya, ariko ntabwo ryuzuye. Kandi ibice by'amagufwa ntabwo ari byiza neza. Bityo rero hashobora kuba hari ibintu byombi byabigizemo uruhare hano. |
Ni ibihe bimenyetso by'uko amagufwa atameze neza (malonion)?
Iyo igufwa ritameze neza, ibimenyetso bishobora kugaragara haba mu buryo bwo kubabara cyangwa mu buryo bwo kubabara.
Uko bigaragara inyuma
- Bisa nkaho ukuboko cyangwa ukuguru kwawe kwavunitse .
- Ukuboko cyangwa ukuguru bisa nkaho byagoramye .
- Uko kuboko cyangwa ukuguru bisa nkaho ari bigufi ugereranije n'uruhande rundi.
Kumva ubabaye
- Birababaza iyo ukoresheje ukuboko cyangwa ukuguru.
- Hari kubyimba aho.
- Iyo iri mu kuguru, iracumbagira iyo ugenda.
Tekereza ko igufwa ryo ku kuguru kwawe ritameze neza. Iyo ugenda, umubiri wawe uhita wongera uburemere ku kibuno cyawe, ku mavi, cyangwa ku mugongo kugira ngo ubyishyure. Nyuma y'igihe runaka, si ukuguru kwawe gusa kubabara, ahubwo no ku kibuno cyawe no ku mugongo.
Hari igihe ibice by'amagufwa bitajyanye neza bishobora gukanda imitsi. Ibi nibibaho, ushobora kugira ibimenyetso nk'ibi:
- Kubabara, kumva ubabara (paresthesia)
- Uburemere bw'imitsi, gutakaza imbaraga (atrophy)`
- Ububabare bukomeye bw'imitsi buterwa no kubyimba (neuropathy)
Ni ibihe bimenyetso by'umuntu utari mu muryango?
Iyo igufwa ritakize igihe kirekire, ushobora kugira ibimenyetso bikurikira:
- Ububabare bukomeye kandi burambye buterwa n'igufwa ryavunitse.
- Ni intege nke cyangwa kudashobora gukoresha ukuboko cyangwa ukuguru neza.
- Ubusembwa bugaragara, urugero, ikibyimba gisa n'ikibyimba, cyangwa umwobo usa n'umwobo.
Byongeye kandi, iyo igufwa ryanduye, ibimenyetso nka:
- Kubyimba
- Umuriro
- Gutitira bitewe n'ubukonje
Kuki amagufwa ahinduka nabi cyangwa agahinduka nabi gutya?
Hashobora kuba hari impamvu nyinshi zibitera.
- Imiterere y'imvune: Hari imvune zimwe na zimwe ziba zigoye cyane. Iyo igufwa rivunitsemo ibice byinshi (imvune yacitse) cyangwa rigahinduka ipfundo (ivunitse), biragoye kubishyira hamwe. Nanone, iyo imitsi y'amaraso iha igufwa amaraso yangiritse muri iyo mpanuka, gukira biratinda cyane.
- Uburyo bwo kuvura: Iyo igufwa ryavunitse ritavuwe na muganga ako kanya, igufwa ritangira kugorana. Hari igihe, ndetse na nyuma yo gusigwa, ibice by'amagufwa bishobora gucika. Gutinda cyangwa kudahabwa uburyo bukwiye ni yo mpamvu ikomeye ibitera.
- Amakosa akorwa mu gihe cyo gukira: Iyo uciye ukanakuraho plaster mbere yuko muganga akubwira, cyangwa niba ushyizeho uburemere ku kuguru wabwiwe kudashyiraho uburemere, ndetse n'igufwa ryagombaga kuba ryarahagaze neza rishobora gutera nabi cyangwa ntiritere na gato.
- Ubuzima bwawe muri rusange: Gukira kw'amagufwa biragabanuka uko ugenda usaza. Abantu bafite indwara nka diyabete, indwara ya tiroyide, n'imirire mibi nabo bafite ibyago byinshi. Kunywa itabi no gukoresha nikotine ni abanzi bakomeye bo gukira kw'amagufwa. Bishobora kugabanya amaraso atembera mu magufwa, bikaba byahagarika gukira.
Ubibona ute, Muganga?
Iyo ugiye kwa muganga, azakurikiza izi ntambwe.
1. Kubaza ibisobanuro birambuye: Ubwa mbere, bazakubaza amakuru arambuye. Bazakubaza ibyo ukeneye kumenya byose, nko kumenya uko impanuka yagenze, igihe yabereye, ibibazo urimo guhura nabyo ubu, izindi ndwara ufite, n'imiti ufata.
2. Isuzuma ry'umubiri: Hanyuma, agace karasuzumwa neza. Bareba niba hari ukubyimba cyangwa ubusembwa bugaragara, niba amaguru n'amaboko bingana uburebure, kandi niba ingingo zikora neza. Bashobora kandi kugusaba kugendagenda.
3. Ibizamini byo gushushanya: Icyo gihe ni bwo ibizamini bikorwa.
- X-ray: Ubusanzwe X-ray ishobora kugaragaza byinshi. Ishobora kwerekana neza niba amagufwa ahagaze neza, adahagaze neza, cyangwa adahagaze neza.
- Scan ya CT cyangwa MRI:Hari igihe hakenewe ibisobanuro birambuye, nko kureba ibyangiritse ku ngingo zoroshye zikikije igufwa, hashobora gutangwa isuzuma rya CT scan cyangwa MRI scan.
Iyo X-ray igaragaje ko amagufwa adahagaze neza, byitwa `Malunion`. Iyo amagufwa adahagaze neza nyuma y'igihe kirekire (urugero, amezi 6, 9, 12), byitwa `Nonunion`.
Ese ibi bibazo bishobora gukosorwa? Ni ubuhe buryo bwo kuvura?
Yego, ibi bishobora gukosorwa rwose. Ariko si buri malunion igomba gukosorwa. Niba nta ngaruka nini igira ku buzima bwawe bwa buri munsi, cyangwa niba itababaza, muganga wawe ashobora kukubwira ko utagomba kugira icyo ukora kuri byo. Ariko niba bigutera ububabare cyangwa kumererwa nabi, ugomba kwivuza.
Uburyo bwo kuvura bushobora kugabanywamo ibyiciro bibiri: ubutabaga n'ububaga.
Uburyo bwo kuvura indwara y'uruhu
| Uburyo bwo kuvura | Ibisobanuro |
|---|---|
| Uburyo bwo kuvura butari ubwo kubaga | |
| Gutera inkunga | Kwambara agakoresho ko gukingira kugira ngo igufwa rikomeze kuguma mu mwanya waryo mwiza. |
| Amagufwa y'amagufwa | Iyo ukuguru ari kugufi, hari agakoresho kabigenewe gashyirwa imbere mu nkweto kugira ngo kagufashe. |
| Ubuvuzi bw'umubiri | Imyitozo ikomeza imitsi ikikije igufwa kandi ikagabanya umutwaro ku igufwa. |
| Ubuvuzi bwo kubaga | |
| Osteotomy | Umuganga wongera gukata igufwa ryari ritameze neza, arigorora, hanyuma arikosora akoresheje ibyuma n'amapine. |
| Kubagwa uburebure bw'ikirenge | Iyo ukuboko cyangwa ukuguru bigufi, hashyirwaho igikoresho cyihariye maze igufwa rigakomeza kwiyongera buhoro buhoro. |
Uburyo bwo kuvura umuntu utari mu muryango
| Uburyo bwo kuvura | Ibisobanuro |
|---|---|
| Uburyo bwo kuvura butari ubwo kubaga | |
| Ubuvuzi bw'ubuvuzi | Kuvura indwara runaka, nka diyabete, kubura imirire, cyangwa indwara zandura. |
| Igitera imbaraga amagufwa | Igikoresho cyo hanze gikangura gukira kw'amagufwa hakoreshejwe imiraba ya ultrasound cyangwa electromagnetic. |
| Ubuvuzi bwo kubaga | |
| Gukuraho ibyangiritse | Kubaga no gukuraho ingingo zapfuye ku mpera z'ibice bibiri by'amagufwa, bigatuma habaho ubuso bushya bw'amagufwa. |
| Guteranya amagufwa | Igice cy'igufwa cyakuwe mu kindi gice cy'umubiri wawe (urugero, igufwa ryawe ryo mu kibuno) cyangwa igice cy'igufwa ry'uwatanze gishyirwa mu cyuho. Ibi bitangira gukura kw'amagufwa mashya. |
| Gushyiraho imbere | Gufatana bikubiyemo guhuza ibice bibiri by'amagufwa no kubifatanya n'insinga, amasahani, imigozi, cyangwa inkoni. |
Ese nyuma yo kuvurwa ibintu bizaba bimeze bite?
Akenshi, ubu buryo bwo kubaga n'ubundi buryo bwo kuvura burakora neza cyane. Ariko bifata igihe kugira ngo ukire. Ushobora gukoresha inkoni mu mezi make nyuma yo kubagwa. Nanone, ubuvuzi bw'umubiri ni ingenzi kugira ngo wongere imbaraga z'imitsi yatakaye no gusubiza ingingo mu buryo zigenda neza.
Ariko, niba izindi ndwara, nka diyabete, zidagenzuwe neza, niba kunywa itabi bitahagaritswe, cyangwa niba igufwa ritameze neza ryongeye kuba inzoka, hari amahirwe make ko ubuvuzi buzananirana.
Ibuka rero, niba ufite amakenga make ko wavunitse igufwa, ntutindiganye kujya kwa muganga. Guhabwa ubuvuzi bwihuse kandi bukwiye bishobora gufasha cyane mu kwirinda bene izi ngorane.
Ubutumwa bwo kujyana mu rugo
- Niba igufwa ryawe ryavunitse kandi ububabare n'ibibyimba bigakomeza igihe kirekire, cyangwa niba urwego rwawe rusa n'aho rukomeye, ntubifate nk'aho ari ibintu byoroshye. Ongera uganire na muganga wawe kuri ibyo.
- `Malunion` ni igihe igufwa ryavunitse ritajyanye neza. `Nonunion` ni igihe ritajyanye na gato.
- Ibintu nka diyabete n'itabi bishobora kuba imbogamizi zikomeye ku gukira kw'amagufwa. Kuganira na muganga wawe kuri ibi no kubigenzura ni ingenzi kugira ngo ubuvuzi bugende neza.
- Hariho uburyo bwo kuvura butari ubwo kubaga n'ubwo kubaga. Muganga wawe ni we uzaguhitiramo uburyo bwiza bwo kuvura.
- Gukurikiza amabwiriza ya muganga nyuma yo kuvurwa, cyane cyane imyitozo ngororamubiri, ni ingenzi cyane kugira ngo umuntu akire vuba.











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