Ese nawe birakugora kuzamuka ingazi, kugenda buhoro, cyangwa gukora imirimo ya buri munsi kubera ububabare bw'ivi? Wenda wafashe imiti igabanya ububabare, wagiye mu buvuzi bw'umubiri, kandi wakoze ibintu bitandukanye, ariko ububabare bwo mu ivi ryawe ntiburagabanuka. Niba ari uko bimeze, uyu munsi tugiye kuvuga ku buvuzi bwihariye muganga wawe ashobora kukugira. Ubu buryo bwitwa 'Genicular Never Block'.

Mu magambo make, ni iki kigabanya imitsi ya Genicular?

Biroroshye cyane. Guhagarika imitsi yo mu gitsina bikubiyemo gutera umuti ugabanya ububabare mu mitsi runaka ikikije ivi ryawe ijyana ububabare mu bwonko bwawe. Uru rushinge rutanga ihumure ry'igihe gito ku bubabare bw'ivi. Hari igihe ubu buruhukiro bushobora kumara igihe kirekire. Ubusanzwe bukorwa hakoreshejwe umuti ugabanya ububabare mu gace runaka hamwe n'umuti wa steroid.

Ingingo yacu y'ivi ifashwa n'imitsi myinshi. Muri iyi, amashami menshi y'imitsi akwirakwiriye hirya no hino mu ivi. Aya mashami mato y'imitsi ni yo twita 'Imitsi ya Genicular'. By'umwihariko, iyi ni yo mitsi abaganga bibandaho muri ubu buvuzi:

• Imitsi yo mu gitsina ikora ku buryo bwa Superolateral genicular nerve (SLGN)
• Uturemangingo tw’uruhu rw’imbere mu mubiri (Superomedial genicular nerve - SMGN)
• Imitsi yo mu gitsina ya Inferromedial (IMGN)

Muri ubu buvuzi, nubwo hari undi mutsi nk'uyu (Inferolateral genicular nerve - ILGN), ntuterwa inshinge. Ibi biterwa nuko uba hafi cyane y'undi mutsi munini (Peroneal Nerve) ingenzi mu ngendo z'amaguru yacu, bityo ibi bikorwa kugira ngo hirindwe ko wangirika.

Uru rukingo rutangwa ryari?

Hari impamvu ebyiri z'ingenzi zo gukoresha icyuma gikingira imitsi ya Genicular.

1. Ububabare bw'ivi budakira: Niba umaze igihe kinini ubabara ivi, cyane cyane bitewe n'indwara nka Osteoarthritis y'ivi, kandi niba ububabare butaragenzuwe hakoreshejwe uburyo busanzwe bwo kuvura (nk'imiti igabanya ububabare n'ubuvuzi bw'umubiri), muganga wawe ashobora kukugira inama yo guterwa uru rushinge.

2. Ku bubabare nyuma yo kubagwa ivi: Abaganga b'inzobere mu gutera ikinya bakoresha uru rushinge mu kugenzura ububabare bukomeye mbere na nyuma yo kubagwa ivi rikomeye, nko kubagwa ivi ryose. Ibi bitangwa hiyongereyeho ikinya rusange.

Ni iki wakora mbere yo kuvurwa?

Ibi ubusanzwe ntibisaba kwitegura cyane. Ariko, rimwe na rimwe, muganga wawe ashobora gufata icyemezo cyo kuguha umuti wo kuruhuka kugira ngo ugire uruhuke, bivuze ko uzaba ufite ibitotsi bike. Muri iki gihe, uzagirwa inama yo kutarya cyangwa kunywa ikintu icyo ari cyo cyose amasaha 6-8 mbere y'uko uhabwa umuti. Ni ngombwa kandi kugira umuntu ugutwara mu modoka nyuma yo kuvurwa.

Ariko, muganga wawe azaguha amabwiriza asobanutse neza kuri ibi. Kurikiza ayo mabwiriza neza. Ntutinye kubaza ikibazo icyo ari cyo cyose ufite.

Bigenda bite iyo uhawe urukingo?

Ubusanzwe ubu buryo buto bukorerwa mu bitaro aho gukorerwa mu bitaro. Ibi bivuze ko ushobora gutaha nyuma gato yo guterwa urushinge. Dore uko bigenda mu gihe cyo kuvurwa:

• Uzategekwa kuryama ku buriri bwihariye, umusego muto ushyizwe munsi y'ivi ribabaza kandi ivi ryawe rihetamye gato.
• Ushobora guhabwa imiti binyuze mu murongo wa IV kugira ngo igufashe kuruhuka.
• Hanyuma muganga azasukura neza uruhu rwo ku ivi ryawe akoresheje umuti wica udukoko.
• Hanyuma, haterwa agashinge gato k'ikinyabutabire cyo mu gace runaka kugira ngo agashinge gashireho ibisebe. Muri iki gihe, ushobora kumva urimo kubabara mu gihe urushinge rwinjiyemo.
• Hanyuma, akoresheje imashini yihariye yo gupima nka ultrasound cyangwa fluoroscopy , muganga azashaka aho imitsi yo gutera umuti iherereye.
• Amaherezo, umuti uterwa hafi y'uwo mutsi uko bishoboka kose.

Igikorwa cyose kimara iminota 5 kugeza ku 10 gusa. Nyuma y'ibyo, ushobora kuruhuka gato ugataha.

Ni izihe nyungu n'ingaruka z'ibi?

Ibyiza

Hari ibyiza byinshi bishobora kuboneka muri ubu buryo bwo kuvura:

• Kugabanya ububabare by'igihe gito cyangwa igihe kirekire , bigatuma byoroha gukora imirimo ya buri munsi.
• Kubyimba kw'imitsi itera ububabare biragabanuka, bibafasha gukira.
• Kubona ihumure ryiza ku bubabare nyuma yo kubagwa.
• Ni amahitamo meza yo kugabanya ububabare ku bantu badashobora kubagwa ivi bitewe n'izindi ngorane z'ubuzima.

Ingaruka

Nkuko bigenda ku buvuzi ubwo aribwo bwose, hari ingaruka zimwe na zimwe zishobora kubaho, ariko ingorane zikomeye ni gake cyane.

• Aho bateye inshinge hashobora kubyimba cyangwa gukomereka gato. Ibi akenshi bishira mu munsi umwe cyangwa ibiri.
• Ni gake cyane ibintu bishobora kubaho ni ibi bikurikira:
• Kwandura aho bateye inshinge.
• Kuva amaraso mu gace.
• Gutera umuti mu mitsi y'amaraso ku buryo butunguranye.
• Gutera umuti mu ivi ku bw'impanuka.
• Ni gake cyane, iyo umuti ugiye ku wundi mutsi uri hafi aho (Common Peroneal Neurve), indwara yitwa 'foot drop' , aho ikirenge kidashobora guterurwa uhereye ku kaguru, ishobora kubaho.

Ingaruka z'urukingo zimara igihe kingana iki?

Iki ni ikibazo abantu benshi bafite. Mu by’ukuri, uburyo bwo kuruhuka bushobora gutandukana cyane bitewe n’umuntu ku giti cye. Hari abantu bashobora kuruhuka iminsi mike, abandi bakaruhuka ibyumweru, amezi, cyangwa umwaka. Ugereranyije, ushobora kwitega koroherwa mu gihe cy’amezi agera kuri 3. Ariko, hari abantu bashobora kutaruhuka na gato.

Ni ryari ngomba kubonana na muganga?

Nyuma yo guhabwa urukingo, niba ugaragaje ibimenyetso bishya, urugero nk'ibimenyetso by'ubwandu nko kubyimba, gutukura, cyangwa amashyira aho watewe inshinge, cyangwa niba ugize ubushye budasanzwe, kugira ibinya cyangwa intege nke , menyesha muganga wawe ako kanya.

Niba ufite impungenge cyangwa gushidikanya kuri ubu buryo bwo kuvura, vugana na muganga wawe ku mugaragaro. Azagusubiza ibibazo byawe byose.