Ese igufwa ryawe ryavunitse ryakize nabi? Cyangwa ntirirakira? Reka tuvuge kuri (Malunion na Nonunion Fractures)!

Ni ibisanzwe kuvunika igufwa, nk'ukuboko cyangwa ukuguru, nibura rimwe mu buzima bwacu. Iyo ibyo bibaye, twihutira kujya kwa muganga, tugashyiraho plaster, hanyuma tugategereza ko rikira. Akenshi, iyo habayeho kuvurwa neza, aya magufwa yavunitse azongera gukira neza. Ariko, hari igihe ubu buryo bwo gukira butabaho neza. Ni bwo tugomba kuvuga ku ndwara zitwa `(Malunion)` (kutagororoka neza) na `(Nonunion)` (kunanirwa gukira na gato) . Ibi bishobora kubabaza gato, bityo ni ngombwa cyane kubimenya.

Ibi `(Malunion)` na `(Nonunion)` bisobanura iki? Reka tubisobanukirwe mu buryo bworoshye, si byo se?

Tekereza ko ufite igufwa ryavunitse mu kuboko cyangwa ku kuguru kwawe. Muganga yararishyizeho neza kandi arishyiraho plaster. Noneho, ibice bibiri by'amagufwa byavunitse bigomba kugaruka bigahura neza neza.

• `(Malunion)` - Kutumva nabi:

Mu magambo make, `(Malunion)` bisobanura ko amagufwa abiri yavunitse yahujwe, ariko atari neza . Ni ukuvuga ko igufwa rishobora kuba ritari mu murongo, cyangwa rigoramye gato, cyangwa rigufi kuruta uko bikwiye. Ni nko gushyira ibice bibiri by'ibumba byavunitse mu mwanya wabyo. Byahujwe, ariko ntabwo ari byiza cyane.

• `(Nonunion)` (Nonunion) - Gutakaza ibikwiriye:

"(Nonunion)" ni indwara ikomeye gato. Ikibaho hano ni uko ibice bibiri by'amagufwa byavunitse, nubwo byamaze igihe kirekire bikira, bitahura na gato . Ni ukuvuga ko, nubwo byamaze amezi menshi, nta ihuriro rishya rihari hagati y'amagufwa yombi. Mu by'ukuri, igufwa riracyavunitse.

Iyo amagufwa adakize neza, bishobora kugira ingaruka zikomeye ku buryo amagufwa y’umubiri wacu aguma neza ndetse n’imikorere y’ayo magufwa. Tekereza niba igufwa ryo ku kuguru kwawe ritameze neza, ushobora gucumbagira no kubabara iyo ugenda, si byo?

Akenshi, imvune zikira neza iyo zivuwe neza. Hari impamvu ebyiri zishobora gutuma ibi bitabaho. Imwe ni 'ikibazo cya mekanike' . Ibi bivuze ko ibice bibiri byavunitse bitahuye neza mu gihe cyo gukira. Indi ni 'ikibazo cy'ibinyabuzima' . Ibi bivuze ko umubiri wawe udafite intungamubiri n'amaraso nk'uko amagufwa yawe akeneye kugira ngo akire. Abaganga bazirikana ibi bintu byombi iyo bavura ibi bibazo.

Ni ubuhe bwoko bw'ingenzi bw'imvune zitari iz'umuryango?

Iyo abaganga basuzumye umuntu ufite ikibazo kitari mu mubiri (non-union), bagishyira mu byiciro. Ibi bibafasha gusobanukirwa impamvu igufwa ritakira n'ibintu bibitera. Hari ubwoko butatu bw'ingenzi:

`(Hypertrophic nonunion)` ni iki?

Muri ubu bwoko, hari ibimenyetso by'uturemangingo dushya tw'amagufwa. Ni ukuvuga ko umubiri ugerageza gukiza igufwa. Ariko impera z'uduce tubiri tw'amagufwa yavunitse ntizifatanye neza. Ibi bivuze ko umubiri ufite umutungo kamere, ariko uduce tubiri twavunitse ntidufatana neza kandi ntidusenyuka mu gihe cyo gukira. Ni nk'aho hari sima, ariko sima ntifatana neza.

`(Atrophic nonunion)` ni iki?

Muri iki gihe, nta kimenyetso cy'uko amagufwa mashya yavutse. Nanone, igufwa ntiriba rifite amaraso meza. Ibi bigaragaza ko ibintu by'ibinyabuzima biri kubuza igufwa gukira. Hari igihe indwara ishobora kuba yarabayeho mu igufwa, ibyo bikaba byahungabanya uburyo amaraso atangwa. "Nonunion" ifite ubwo bwandu yitwa "Septic nonunion" .

`(Oligotrophic nonunion)` ni iki?

Muri ubu bwoko, hari igufwa rishya ryavutse, ariko ntiryuzuye. Ibice bibiri by'igufwa ntabwo biri ahantu heza neza. Birashoboka ko igufwa ritari ryashyizwe neza igihe ryashyirwaga bwa mbere, cyangwa nyuma ryaraguye rigahindurirwa ahandi. Ibintu byombi bihamye ndetse n'ibintu bikomoka ku buzima bishobora kuba birimo hano.

Wamenya ute ko ufite `(Malunion)`? Ni ibihe bimenyetso?

Iyo igufwa ritameze neza, ryitwa "malunion," ushobora kubona cyangwa kumva ibintu nk'ibi:

• Impinduka zigaragara inyuma:
• Igufwa ryawe risa n'aho rirambuye cyangwa rigoramye .
• Igufwa risa n'aho rizunguruka , cyangwa risa n'aho riri kuzenguruka .
• Igufwa rishobora kumva rigufi kurusha uko ryari risanzwe . Urugero, ukuguru kumwe gushobora kuba kugufi gato kurusha ukundi.

• Ibibabaza bivuka iyo ukoresheje iryo gufwa:
• Hari ububabare mu igufwa.
• Hari kubyimba aho.
• Kunanirwa kugenda (niba ari ukuguru).

Amagufwa yose yo mu mubiri wacu afitanye isano. Rero, iyo igufwa rigize intege nke ahantu hamwe, rishobora gushyira igitutu cyinshi ku yandi magufwa. Kubwibyo, nubwo nta bubabare bubaho ahantu hari "malunion", iyo iryo gufwa rikoreshejwe, rishobora gutera ububabare ahandi hantu h'umubiri.

• Ibibazo bifitanye isano n'imitsi:

Hari igihe imitsi iri hafi aho ishobora gukandamizwa cyangwa gukubitwa n'amagufwa adahagaze neza. Ibi bibaye, ushobora kugira ibimenyetso nk'ibi:

• Gucika intege cyangwa kumva urimo gushyuha (`(Paresthesia)`) muri ako gace.
• Intege nke z'imitsi, cyangwa mu by'ukuri, kugabanuka kw'imitsi.
• Ububabare bw'imitsi (Neuropathy).

Ni ibihe bimenyetso by'indwara ya `(Nonunion)`?

Iyo igufwa ritajyanye, ni ukuvuga ko hari "nonunion", ushobora kubona ibimenyetso nk'ibi:

• Hari ububabare bukomeye kandi burambye aho igufwa ryavunitse. Ubu bubabare bushobora gukomeza nubwo igufwa ryakuweho.
• Iyo ukoresha iryo gufwa, wumva ufite intege nke cyangwa ukagira aho ugera .
• Impinduka igaragara, urugero, ikibyimba cyangwa icyuho, ishobora kugaragara inyuma, nk'aho igufwa ryavuyemo.

Hari igihe, iyo hari ubwandu mu igufwa, ibi bimenyetso bishobora kubaho rimwe cyangwa ukwaryo:

• Kubyimba
• Umuriro
• Kumva urimo gukonja no kugira ibicurane (ubukonje)

Kuki imvune zidakira neza bigatuma habaho "malonion" cyangwa "nonunion"? Ni izihe mpamvu?

Hari impamvu nyinshi zishobora gutuma igufwa ritakira neza. Zimwe dushobora kuzigenzura, izindi ntituzishobore. Dore zimwe muri zo:

• Imiterere n'ubukana bw'ivuniko:

Hari imvune zimwe na zimwe zigorana gukira. Urugero, imvune zizunguruka (izivunika mu buryo bugoramye) cyangwa imvune zacitsemo ibice byinshi , ntabwo zishobora gushira neza. Nanone, iyo amaraso ajya mu igufwa yahungabanye bitewe n'impanuka ikomeye, ibyo bishobora kugira ingaruka ku gukira.

• Uburyo ubuvuzi bwakiriwe vuba kandi neza:

Iyo igufwa ritavuwe vuba nyuma yo kuvunika, rishobora gutangira gukira nabi. Nanone, nubwo igufwa ryashyizweho neza kandi rigashyirwamo ifu, rishobora gukomeza kuva aho riri. Ibi birashoboka cyane niba kuvurwa bitinze cyangwa uburyo bwakoreshejwe (urugero, imbaraga z'ifu) budahagije.

• Niba wararuhutse neza kandi ukirinda igihe wari urimo gukira:

Mu gihe cyo gukira, ni ngombwa cyane ko igufwa ryavunitse rihagarara neza kandi rigashyirwa mu mwanya waryo. Hari igihe bishobora gufata igihe kirekire kuruta uko bisanzwe kugira ngo rikire. Muri ibyo bihe, ibibazo bishobora kuvuka iyo muganga akuyeho igufwa hakiri kare cyane cyangwa utangiye kurikoresha vuba cyane.

• Ubuzima bwawe muri rusange n'imbaraga z'umubiri bikenewe kugira ngo ukire:

Iyo inzira yo gukira itinze, haba hari amahirwe menshi yo kurwara indwara ya malunion cyangwa non-union. Gukira kw'amagufwa bishobora gutinda cyangwa ntibibe byuzuye ku bantu basaza , bafite ikibazo cy'imirire mibi (cyane cyane kalisiyumu na vitamine D), ndetse n'indwara za metabolisme nka diyabete na tiroyide . Kunywa itabi na nikotine nabyo ni ibintu by'ingenzi bigabanya intege nke z'amagufwa no gutinda gukira.

Ni gute abaganga bamenya neza izi ndwara za `(Malunion)` na `(Nonunion)`?

Niba ubona ufite ikibazo nk'iki, muganga abanza kukubaza iby'impanuka n'izindi ndwara zose ushobora kuba ufite. Hanyuma, azakora isuzuma ry'umubiri ry'igufwa. Bazareba impinduka zishobora kugaragara inyuma, kandi bazabaze uko wumva umeze binyuze mu kwimura igufwa. Bashobora kugusaba kugenda, cyangwa bashobora gupima uburebure bw'igufwa.

Nyuma yibyo, ibizamini by'amagufwa bikunze gukorwa. Ibi bishobora kuba birimo:

• `(X-rays)` (X-ray): Iki ni cyo kintu cya mbere ureba.
• `(CT scan)` (CT scan): Ishobora kubona amashusho yumvikana neza y'igufwa.
• `(MRI)` (MRI scan): Ibi bifasha kureba niba hari ibyangiritse ku ngingo zoroshye zikikije amagufwa, nk'imitsi.

Muganga aramutse asanze igufwa ryakize mu buryo butari ubwo mu mubiri, azafata umwanzuro ko ari "malunion." Iyo igufwa ritaratangira gukira cyangwa ritarakira neza nyuma y'igihe gikwiye cyo gukira, bizwi nka "gutinda guhuza" cyangwa "nonunion." Igihe cyo gukira gishobora gutandukana bitewe n'imiterere y'igikomere, igufwa ryagize, n'ubuzima bwawe. Ubusanzwe, byitwa "nonunion" iyo ritarakira nyuma y'amezi atandatu, icyenda, cyangwa cumi n'abiri.

Ese izi ndwara za `(Malunion)` na `(Nonunion)` zishobora kuvurwa? Ni ubuhe buryo bwo kuvura?

Inkuru nziza ni uko atari buri malunion cyangwa nonunion igomba "gukosorwa." Biterwa n'igufwa ririmo, uko urikoresha, n'uko rigira ingaruka ku buzima bwawe bwa buri munsi. Ariko, hari nonunions zishobora kugabanya ingendo zawe, zikakubabaza, cyangwa zikagutera izindi ngorane. Muri ibyo bihe, kubagwa bishobora kuba ngombwa kugira ngo ikibazo gikemuke. Abaganga bazabanza kugerageza uburyo bwo kuvura butari ubw'ababaga hanyuma bakore kubagwa niba bidakora.

Uburyo bwo kuvura `(Malunion)` (Amagufwa Atari mu murongo)

• Uburyo bwo kuvura butari ubwo kubaga:
• Gutera inkunga: Ushobora gusabwa kwambara inkunga kugira ngo igufwa rikomeze kuguma mu mwanya waryo mu gihe urikoresha.
• Imitsi y'amagufwa: Niba ukuguru kumwe ari kugufi, ushobora gukoresha agakoresho kabigenewe ko gushyiramo inkweto kugira ngo usubizeho itandukaniro.
• Ubuvuzi bw'umubiri: Ibi bikubiyemo imyitozo yihariye ishobora gukomeza imitsi ijyanye n'ibyo ikora no kugabanya umuvuduko ku magufwa.
• Imiti igabanya ububabare: NSAIDs (imiti igabanya ububabare idakoresha steroide) kugira ngo igabanye ububabare rimwe na rimweUshobora gukoresha imiti isanzwe igabanya ububabare nk'iyi.

• Uburyo bwo kuvura hakoreshejwe uburyo bwo kubaga:
• Osteotomy: Umuganga ubaga ashobora gutema igufwa no kurihindura aho riherereye.
• Kubaga uburebure bw'ikirenge: Iyo ukuboko cyangwa ukuguru bigufi cyane, kubagwa bishobora gukorwa kugira ngo bibe binini hakoreshejwe igikoresho cyihariye.

Uburyo bwo kuvura `(Nonunion)` (amagufwa adahuye)

• Uburyo bwo kuvura butari ubwo kubaga:
• Ubuvuzi: Niba hari indwara yibasira umubiri wose (urugero: diyabete), ubwandu, cyangwa imirire mibi, bigomba kubanza kuvurwa.
• Orthoses: Igikoresho cyo gukingira, icyuma cyo gukingira, cyangwa icyuma gikoreshwa mu gufasha igufwa gukira no kuririnda kugwa.
• Igikangura amagufwa: Ibi ni ibikoresho byihariye bikoresha imiraba ya ultrasound cyangwa imiraba ya electromagnetic kugira ngo bitume amagufwa akira neza.
• Inshinge z’ibinyabuzima: Uturemangingo tw’inyuma cyangwa plasma ikungahaye kuri platelets zishobora guterwa mu igufwa kugira ngo zikomeze gukira no gukura.

• Uburyo bwo kuvura hakoreshejwe uburyo bwo kubaga:
• Gukuraho igufwa: Umuganga ubaga akura ingingo zapfuye kandi zidakira mu igufwa.
• Kubaga imitsi: Iyo amaraso ahagaze nabi, hashobora gukorwa kubaga imitsi kugira ngo yongere akoreshwe.
• Guteranya amagufwa: Umuganga ubaga akura igice cy'igufwa mu kindi gice cy'umubiri wawe (nk'igufwa ryo mu kibuno) cyangwa mu igufwa ry'umutanga akagishyira mu gice cyabuze. Ibi bitanga intangiriro nziza yo gukura kw'amagufwa mashya.
• Kugabanya no gushyira imbere mu mubiri: Umuganga ubaga ashyira ibice by'amagufwa mu mwanya wabyo, agakoresha vis, plaque cyangwa inzara zo kubaga kugira ngo abifatanye.

Gukira nyuma yo kuvurwa bigenda bite?

Uburyo bwo kuvura butari ubwo kubaga no kubaga bufite igipimo cyo hejuru cyo kuvura malunion no kudahuza. Ayo ni amakuru meza. Ariko, bishobora gufata igihe kugira ngo uruhuke neza kandi wongere ugaruke mu buzima busanzwe (gusubira mu buzima busanzwe). Ushobora gukenera gukoresha inkoni cyangwa icyuma gifasha kugenda kugeza ukize. Ushobora kandi gukenera ubuvuzi bw'umubiri.

Hari igihe ubuvuzi bushobora kunanirana. Ibi bishobora kubaho iyo igufwa ritashoboye gufatwa neza, cyangwa niba abaganga badashobora kugenzura ibintu by’umubiri twavuze (nk’amaraso n’imirire).

Ibintu by'ingenzi tugomba kwibuka (Ubutumwa bwo kujyana mu rugo)

Kuvunika igufwa bishobora kubaho kuri buri wese. Hari igihe tutamenya ako kanya ko twavunitse igufwa. Ariko, niba ufite amakenga make ushobora kuba ufite, ni byiza guhita ubonana na muganga hanyuma ukajya kwisuzumisha.

• Abavunitse bakira neza iyo babonye ubuvuzi bwiza kandi bugezweho hakiri kare .
• Muganga wawe azasuzuma igikomere cyawe maze amenye ibintu bishobora kubuza gukira.
• Bazakugira inama ku buryo bwiza bwo kwiyitaho kugira ngo wirinde `(Malunion)` cyangwa `(Nonunion). Ni ngombwa cyane gukurikiza ayo mabwiriza witonze.

Rero, ndizera ko aya makuru azakugirira akamaro. Niba wavunitse igufwa, ntugatinye kandi ntukibagirwe gukurikiza inama z’abaganga. Ibi akenshi bishobora gukumira ingorane nk’izi.

Kuvunika , kuvura amagufwa, kudahuza amagufwa, kuvura amagufwa, kubaga amagufwa