Reka twige ku kuvunika kw'amagufwa ku bana (Salter-Harris Fracture).

Si ikintu gishya ko umwana wawe agwa mu gihe akina, cyangwa agakomeretsa ukuboko cyangwa ukuguru mu gihe yiruka. Ubusanzwe, tubifata nk'igikomere gito cyangwa igikomere, ariko rimwe na rimwe bishobora kuba ikintu gikomeye kurushaho. Amagufwa y'abana, by'umwihariko, agira ahantu hadakomeye hajyanye n'imikurire yabo. Ibi tubyita 'igipande cyo gukura' . Uyu munsi, turimo kuvuga ku kwangirika kuri aka gace, ni ukuvuga kuvunika kw'igufwa. Ibi bizwi mu buvuzi nka Salter-Harris Fracture .

Igipimo cyo gukura ni iki?

Mu magambo make, isahani yo gukuraho ni agace kihariye gakozwe mu turemangingo ku mpera z'amagufwa maremare y'umwana (nk'ayo mu maboko no ku maguru ye). Tekereza nk'ishami ry'igiti rikura. Aka gace niho amagufwa y'umwana agenda akura buhoro buhoro agakura akagera ku bunini n'imiterere ikwiye. Iyo umwana akura neza, ni ukuvuga iyo ageze mu bwana, aka karemangingo gatangira gukomera kagahinduka igufwa risanzwe.

Izi nganda zikura cyane cyane ziboneka muri:

• Mu igufwa ryo hejuru ry'ukuboko
• Amagufwa abiri yo mu kuboko ko hasi (radius na ulna)
• Mu magufwa y'ikiganza
• Mu igufwa ry'ikibero

Kubera ko aka gace ari ingenzi cyane ku mikurire y'umwana, tugomba rwose guhangayikishwa n'ibyangirika byose kuri aka gace.

Ese hari ubwoko bw'imvune za Salter-Harris?

Yego, abaganga bagabanya izi mvune mu moko atanu y'ingenzi, bitewe n'uburyo zibaho. Ntabwo ukeneye kumenya byinshi kuri ibi, ariko ni byiza kubimenyaho gato kugira ngo byoroshye kubyumva iyo muganga abigusobanuriye.

Namenya nte ko ikintu nk'iki cyabaye ku mwana wanjye? (Ibimenyetso)

Niba ubonye ibi bimenyetso nyuma y'uko umwana aguye, gira impungenge.

• Ububabare bw'amagufwa: Umwana ararira cyane iyo agace kakomeretse gakozweho.
• Kubyimba: Ahantu hakomeretse harabyimbye.
• Kugaragara nabi: Ukuboko cyangwa ukuguru bisa nkaho byarambuye, binamye, cyangwa bitameze neza.
• Kudashobora gukoresha: Umwana ntashobora kwimuka cyangwa gukoresha ukuboko cyangwa ukuguru byakomeretse.
• Ibara ry'ubururu/umuhengeri: Amaraso yageze munsi y'uruhu, agasa n'aho yakomeretse.
• Ubushobozi bwo kumva umuntu akozeho: Umwana yumva ububabare nubwo yakoraho.

Kuki abana bagira bene ubwo bwoko bw'imvune?

Impamvu nyamukuru ibi ni impanuka.

• Gutemba: Gutemba mu gihe ukina, ugendera ku igare, uzamuka ibiti, n'ibindi.
• Impanuka za siporo: Impanuka zibaho mu gihe cyo gukina siporo nka cricket, football, basketball, na gymnastics.
• Impanuka z'ibinyabiziga.

Byongeye kandi, gukora imyitozo myinshi mu gihe kirekire, cyane cyane mbere y’uko umubiri w’umwana ukura neza, bishobora gutera igitutu gihoraho ku gice cy’imikurire, bigatera ubwo bwoko bw’imvune.

Ni nde uri mu kaga gakomeye ko kugira iyi ndwara?

Nubwo ibi bishobora kubaho ku mwana uwo ari we wese, ibyago byo kurwara iyi ndwara biri hejuru gato kuri bamwe.

• Ingimbi n'abangavu: Uku kuvunika kw'amagufwa kugaragara cyane muri iki kigero cy'imyaka.
• Abahungu: Abahungu bafite amahirwe abiri y’ukurwara iyi ndwara ugereranyije n’abakobwa. Ibi biterwa nuko abakobwa bakura vuba, kandi ibice byabo bikura bigakomera vuba bigahinduka amagufwa akomeye .
• Abakinnyi: Abana bakunze gukina siporo yo gusimbuka no kwiruka (basketball, gymnastics, skiing) bari mu kaga gakomeye.

Ese ibi bishobora kugira ingaruka z'igihe kirekire?

Inkuru nziza ni uko akenshi iyo bivuwe neza kandi vuba, nta ngaruka zirambye zibaho. Ikintu cy'ingenzi ni ukubona muganga no gutangira kuvurwa mu cyumweru kimwe nyuma y'impanuka.

Ariko, ni gake cyane, cyane cyane iyo imvune zikomeye (ubwoko bwa 4, 5) cyangwa iyo ubuvuzi butinze, hari ingorane zimwe na zimwe zishobora kubaho.

• Malunion: Igufwa ryavunitse rihagaze nabi.
• Kutagira aho bihurira: Igufwa ryavunitse ntirihura neza.
• Kudakura neza: Igufwa ryangiritse rishobora gukura buhoro buhoro. Urugero, ukuboko cyangwa ukuguru bishobora kuba bigufi gato ugereranije n'ukundi. Muri iki gihe, kubagwa bishobora kuba ngombwa kugira ngo ibi hirindwe.

Ni gute muganga asuzuma ibi neza?

Iyo ujyanye umwana wawe kwa muganga, abanza kumusuzuma neza. Bazareba imvune, kubyimba, n'ububabare. Bazabigereranya kandi n'ukuboko cyangwa ukuguru kuzima. Muganga azabaza ibibazo nko kumenya uko impanuka yagenze n'igihe watangiye kugira ibimenyetso.

Nyuma y'ibyo, hakorwa ibizamini byinshi kugira ngo harebwe uko igufwa rimeze.

• X-ray: Ibi akenshi bishobora kumenya aho imvune yavunitse.
• MRI cyangwa CT scan: Hari igihe ibi bizamini bishobora gukenerwa kugira ngo harebwe niba hari imvune cyangwa ibyangiritse ku ngingo zikikije bitagaragara neza kuri X-ray.

Ivurwa ite?

Uburyo bukunze kugaragara kandi bugira ingaruka nziza kuri ibi ni ugushyiramo icyuma gikozwe mu ibumba, nka Plaster of Paris (POP) cyangwa Fiberglass.Ibi bizafata igufwa ryavunitse mu mwanya waryo kandi bikirinde kugeza rikize. Muganga wawe azagusobanurira ubwoko bw'igishishwa umwana wawe akeneye, igihe kigomba kumara mu mwanya wacyo, n'uburyo bwo kuyitaho. Igishishwa gikunze kwambarwa mu gihe cy'ibyumweru 4-6.

Ku magufwa akomeye cyane (icyiciro cya 3, icya 4, cyangwa icya 5), ​​kubagwa bishobora kuba ngombwa. Ariko, ibi ni gake cyane. Muri iki gihe, umuganga ubaga ahindura ibice by'amagufwa agakoresha ibikoresho byo gufata imbere nk'ibisumizi, udupira, cyangwa amasahani kugira ngo abifate neza. Ibi byitwa "Internal Fixation." Nyuma y'uko igufwa rikize, hari igihe hakenerwa ubundi buryo bwo kubaga kugira ngo ibyo bikoresho bikurweho.

Ni ryari nkwiye kujyana umwana wanjye kwa muganga byihutirwa?

Niba umwana wawe aguye cyangwa yagize impanuka ikomeye, hita ugana muganga. Cyane cyane niba ufite amakenga make ko umwana wawe yavunitse igufwa, mujyane mu bitaro bya ETU (Ishami rishinzwe Ubuvuzi bwihutirwa) biri hafi yawe .

Niba ufite kimwe muri ibi bimenyetso bikurikira, ntutinde:

• Niba hari ububabare bukabije .
• Niba udashobora no kwimura ukuboko cyangwa ukuguru.
• Iyo ukuboko cyangwa ukuguru byarambuye neza kandi bisa n'ibidasanzwe .
• Iyo igufwa ryavunitse rigaragara binyuze mu ruhu .
• Iyo yabyimbye cyane .
• Niba ibi bimenyetso biherekejwe no kugaragara nabi mu buryo butunguranye cyangwa guhinduka kw'ibara ry'uruhu .

Ni ibisanzwe ko ababyeyi bagira ubwoba iyo umwana wabo yakomeretse. Ariko izi mvune zo mu gice cy’inyuma cy’izuba zirakira neza iyo zisuzumwe kandi zigavurwa hakiri kare. Igihe ni cyo cy’ingenzi. Niba ufite impungenge, ikintu cyiza wakora ni ukujyana umwana wawe kwa muganga vuba.