Urimo kureba televiziyo ugiye guhaguruka, ububabare bukabije bugwa mu mugongo wawe nk'inkuba. Cyangwa wumva 'gukanda' mu mugongo wawe ubwo ufataga umufuka w'ibiribwa hasi, hanyuma kuva aho, wumva ububabare butuma udashobora kugenda. Ese wigeze ugira ububabare nk'ubu? Abantu benshi babyita "disiki yacitse." Mu buvuzi, iyi ndwara tuyita disiki ya herniated . Reka turebe icyo ari cyo mu by'ukuri, impamvu ibaho, n'icyakorwa kuri yo.
Mu magambo make, disiki ya herniated ni iki?
Kugira ngo tubisobanukirwe, tugomba kubanza kumenya bike ku mugongo wacu. Umugongo wacu ugizwe n'amagufwa 24 mato yitwa vertebrae, ashyizwe hejuru y'andi. Hagati y'aya magufwa, nk'icyuma gifata impanuka mu modoka, hari umusego woroshye witwa intervertebral disc.
Iyi disiki ifite ibice bibiri:
1. Igice cy'imbere: Gifite ubwoya bwinshi nk'ubwa jeli. Ibi byitwa `(Nucl EUS Pulposus)`.
2. Igice cyo hanze: Iyi jelly ikikijwe n'igipfundikizo gikomeye kandi gikomeye cyitwa ``Annulus Fibrosus```.
Disiki ya herniated ni igihe, ku mpamvu runaka (urugero, impanuka, guterura ikintu kiremereye), igipfukisho gikomeye cyo hanze cya disiki cyacitse n'umusemburo w'isukari imbere usohoka. Tekereza nko gukanda donut yuzuyemo jam hanyuma jam igasohoka. Iyo umusemburo usohoka ukanda umugongo uri hafi cyangwa imitsi iwusohokamo, ibimenyetso nk'ububabare budashobora kwihanganira, gucika intege, no gucika intege bitangira kugaragara.
Ese 'Disiki ya Herniated' na 'Disiki Itumburutse' ni ibintu bibiri bitandukanye?
Yego, hari itandukaniro rito hagati y’izi ndwara ebyiri. Nubwo abantu benshi bavangavanga, impamvu n’uko zibaho biratandukanye. Ibimenyetso bishobora kuba bisa cyane.
Mu magambo make, muri disiki ifite ururenda, disiki itwikira amarira maze jeli irasohoka. Muri disiki ifite ibibyimba, disiki nticika, ahubwo irahinduka bitewe n'imyaka cyangwa izindi mpamvu, kandi isohoka burundu.
Reka dusobanukirwe neza iri tandukaniro ukurikije imbonerahamwe iri hepfo.
| Ibisobanuro | Disiki ifite Herniated | Disiki ibyimbye |
|---|---|---|
| Impamvu | Akenshi biterwa n'impanuka cyangwa stress ikomeye. | Indwara yo kwangirika igenda ibaho buhoro buhoro uko umuntu akura. |
| Uko bibaho | Igipfukisho cyo hanze cya disiki kiracika, maze jeli imbere irasohoka. | Disiki irasenyutse kandi irasohoka burundu (nta gucika). |
| Umubare wa disiki zagize ingaruka | Akenshi igira ingaruka kuri disiki imwe icyarimwe. | Disiki nyinshi zishobora guhindurwa icyarimwe. |
| Imyaka ikunze kugaragara cyane | Hagati y'imyaka 30-50 (ikunze kugaragara cyane mu bagabo). | Bikunze kugaragara nyuma y'imyaka 40. |
Ni ibihe bimenyetso by'ibi?
Hari igihe disiki ya herniated ishobora kuba idatanga ibimenyetso . Ariko, akenshi ibimenyetso biragaragara. Ibi bimenyetso biterwa n'aho disiki ya herniated iherereye n'urugero rw'imitsi ihagaze.
Ibimenyetso bisanzwe ni ibi bikurikira:
- Ububabare bukabije, butwika, cyangwa bumeze nk'ubw'amashanyarazi.
- Kubabara cyangwa kuribwa mu gice cy'ububabare n'ukuboko cyangwa ukuguru bifitanye isano nabyo.
- Ubukene bw'imitsi hafi y'aho ububabare buherereye.
- Akenshi ibi bimenyetso bigaragara ku ruhande rumwe rw'umubiri gusa.
Bitewe n'aho ububabare buherereye
- Uruti rw'umugongo: Ubu ni bwo bwoko bw'ububabare bukunze kugaragara cyane mu mugongo . Ubu bubabare butangirira mu gice cyo hasi cy'umugongo,Ishobora kuva mu matako, inyuma y'ikibero, ndetse rimwe na rimwe ikagera no ku kirenge. Imeze nk'aho ikubiswe n'amashanyarazi . Ubu bubabare bwihariye tubwita kandi 'Sciatica'.
- Mu ijosi (Umugongo w'inkondo y'umura): Ububabare bushobora gutangirira mu ijosi bukagera ku rutugu kugeza ku kuboko, ndetse rimwe na rimwe bukagera no ku ntoki .
Ubu bubabare buriyongera iyo ukora, uhagaze, wicaye, cyane cyane iyo urimo gukorora cyangwa kwitsamura. Ibi biterwa nuko igitutu ku mitsi ipfunyitse cyiyongera muri icyo gihe. Ubusanzwe ububabare bugabanuka gato iyo uruhuka.
Ibimenyetso byihutirwa
Nubwo ubusanzwe iyi ndwara ishobora gukemurwa uri mu rugo, niba ufite kimwe muri ibi bimenyetso bikurikira, bishobora kuba ibimenyetso by'ubutabazi bwihutirwa . Muri ibyo bihe, ugomba kujya kwa muganga wita ku barwayi b'inkeragutabara (ETU) byihutirwa.
- Ububabare mu kuboko cyangwa ku kuguru, bujyana no gucika intege cyane muri ako gace.
- Kugira umuriro cyangwa ubwandu.
- Kubura ibyiyumvo mu gice cy'igitsina cyangwa hafi y'ikibuno.
- Kudashobora kugenzura imikorere y'amara cyangwa uruhago (Kudakora neza kw'inkari cyangwa uruhago).
Ibi bishobora kuba ibimenyetso by'uko uruti rw'umugongo rwangiritse cyane, bityo ntuzigere ubyirengagiza.
Ubibona ute, Muganga?
Niba ufite ibi bimenyetso, ikintu cyiza cyo gukora ni ukujya kwa muganga.
1. Isuzuma ry'umubiri
Ubwa mbere, muganga azakubaza ububabare bwawe kandi agusuzume. Muri iki kizamini,
- Bakandagira ahantu hababaza inyuma cyangwa mu ijosi.
- Uzabwirwa kuryama ku buriri no gukora ibintu nko kugorora amaguru no kuyapfukama.
- Ipima imikorere y'imitsi (reflexes) mu ivi no ku kaguru.
- Ingufu z'imitsi yo mu maboko no ku maguru zirageragezwa.
- Ababwira kugenda ku gatsinsino no ku mano.
Kenshi na kenshi, indwara ishobora gupimwa neza hakoreshejwe iri suzuma ry’umubiri.
2. Ibindi bizamini bibaye ngombwa
Hari igihe, muganga wawe ashobora kukugira inama yo gukomeza gupima kugira ngo amenye izindi ndwara cyangwa kugira ngo amenye neza umutsi uri gukubitwa.
- X-ray: Uduce tw’inyuma ntabwo dushobora kugaragara kuri X-ray isanzwe, ariko bishobora gufasha kumenya niba ububabare buterwa n’indi mpamvu, nko kuvunika cyangwa ikibyimba.
- MRI Scan: `(Magnetic Resonance Imaging)` ni ikizamini gikoresha imbaraga za rukuruzi kugira ngo haboneke amashusho asobanutse neza y’umugongo na disiki. Ubu ni bwo buryo bwiza bwo kureba neza aho disiki ya herniated iri n’imitsi ikandagiraho.
- Gupima CT:Tomography ya mudasobwa (CT) ni uburyo bukora amashusho y'umugongo mu buryo bunyuranyije n'ibice byinshi binyuze mu gukusanya imirasire myinshi ya X.
- EMG/NCS: `(Electromyogram and Nerve Conduction Studies)` ni ibizamini bikoreshwa mu kumenya niba umutsi wangiritse cyangwa warakaye. Ibi bikubiyemo kohereza ibimenyetso bito cyane by'amashanyarazi ku mitsi no ku mitsi no gupima imikorere yayo.
Bizatwara igihe kingana iki kugira ngo umuntu akire? Ni ubuhe buryo bwo kuvura?
Nubwo ibi bishobora kumvikana nk'ibiteye ubwoba, inkuru nziza ni uko indwara nyinshi zo mu maguru zikira ubwazo mu byumweru cyangwa amezi make, nta kubagwa bisaba.
Ibintu ushobora gukora kugira ngo ukire vuba:
1. Kuruhuka: Irinde ibintu byongera ububabare, nko guterura ibyuma, kunama, no kuguma mu mwanya umwe igihe kirekire.
2. Imiti: Ushobora gufata imiti igabanya ububabare n'imiti igabanya ububabare nk'uko muganga yabigutegetse.
3. Udupaki dukonje n'udushyushye: Udupaki dukonje ni ingirakamaro mu kugabanya ububabare no kubyimba mu minsi ibiri ya mbere. Nyuma y'iminsi ibiri, ushobora gukoresha udupaki dushyushye kugira ngo worohereze imitsi.
4. Ubuvuzi bw'umubiri: Iyo ububabare bumaze kugabanuka, muganga wawe azakujyana kwa muganga w'umubiri. Imyitozo ngororamubiri ikomeza imitsi y'umugongo n'inda ikakwigisha imiterere ikwiye ishobora gufasha gukumira ko iki kibazo kigaruka.
Gusa iyo ubwo buryo bworoshye bwo kuvura budatanga ubutabazi, muganga ashobora kukugira inama yo gutera inshinge za steroid cyangwa, gake cyane, kubagwa.
Ubutumwa bwo kujyana mu rugo
- Niba ufite ububabare butunguranye, bukomeye mu mugongo cyangwa mu ijosi bujyana no gutwika cyangwa gutwika biva mu kuboko/kuguru, bishobora kuba ari disiki ya herniated.
- Akenshi, iyi ndwara ikira burundu hakoreshejwe ikiruhuko, imiti igabanya ububabare, ndetse n'imiti ivura umubiri.
- Niba ugize ikibazo cyo kubura amaguru/amaboko, kubura uburyo bwo kugenzura amara/amara, cyangwa kubura uburyo bwo kumva mu myanya ndangagitsina yawe, ibi ni ibintu byihutirwa kandi ugomba kujya kwa muganga wita ku barwayi ba ETU byihutirwa.
- Buri gihe jya kwa muganga kugira ngo akugire inama n'ubuvuzi bukwiye, aho kwisuzumisha ukoresheje interineti.

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