Ese ubyuka ufite ububabare budakomeye mu kibuno cyawe, cyangwa utangira kubabara nyuma yo kugenda gato? Ese ubabara uhuha iyo uhagurutse ku ntebe cyangwa uva mu modoka? Ububabare mu kibuno ni ikibazo gikunze kugaragara ku bantu benshi, kandi nubwo rimwe na rimwe gishobora kuba ikibazo gito, ubundi bisaba ubuvuzi bwitondewe. Uyu munsi muri Nirogi Lanka , reka tuganire ku kubabara mu kibuno mu by'ukuri, impamvu bibaho, n'uko wabyitwaramo.
Ububabare bwo mu kibuno ni iki?
Muri make, ingingo yawe yo mu kibuno niho igufwa ry'ikibuno rihurira n'ikibuno. Ni imwe mu ngingo nini kandi zikomeye mu mubiri wawe, itanga ubufasha bw'ingenzi mu gihe ugenda, wiruka, kandi ukomeza kuringaniza umubiri wawe mu gihe wikoreye ibiro byawe.
Aho ububabare bwawe buherereye akenshi butanga ibimenyetso by'inkomoko yabwo. Urugero:
- Iyo wumva ububabare hafi y'uruhu cyangwa hejuru y'umubiri, bushobora kuba bufitanye isano n'imitsi, imitsi, cyangwa imitsi.
- Iyo ububabare bugeze kure, akenshi bufitanye isano n'igufwa cyangwa umugeri uri mu ngingo.
- Hari igihe ububabare bw'ikibuno bugera mu mugongo cyangwa mu kibuno.
Ubu bubabare ntibuhora buhindagurika. Bushobora kugaragara gusa iyo uri gukora cyane kandi bugashira mu gihe uruhuka. Kuri bamwe, burushaho kuba bubi mu gitondo, mu gihe abandi babona ububabare burushaho kwiyongera nijoro, cyane cyane iyo uryamye ku ruhande rwafashwe. Nubwo ububabare buto bushobora gukemurwa n'ubuvuzi bwo mu rugo n'imiti igabanya ububabare itangwa na muganga, niba ububabare bukabije ku buryo bubangamira ubuzima bwawe bwa buri munsi cyangwa ntibukorwe neza nyuma y'iminsi mike, ugomba kugana muganga.
Ni izihe mpamvu nyamukuru zitera ububabare mu kibuno?
Kubabara mu kibuno ni ikimenyetso, si indwara ubwayo, kandi bishobora guterwa n'ibibazo byinshi by'ingenzi. Reka turebe impamvu zikunze kugaragara.
| Impamvu | Bigenda bite? | Ingero |
|---|---|---|
| Rubagimpande | Indwara itera ububabare mu ngingo no kubyimba. Imitsi yo mu kibuno ikunze kugaragara cyane. | – Osteoarthritis – Indwara ya rubagimpande - Ankylosing spondylitis |
| Bursitis | Kubyimba kwa bursae, ari byo bifuko bito byuzuyemo amazi bifasha ingingo zawe kumererwa neza. | - Bursitite ya Iliopectineal - Bursitite yo mu bwoko bwa Trochanteric |
| Ibikomere | Kwangirika kose kw'imiterere y'ikibuno bishobora gutera ububabare. Ibi akenshi biterwa n'impanuka cyangwa ibikorwa bijyanye na siporo. | - Imitsi yo mu kibuno itera imitsi - Indwara ya Iliotibial band syndrome - Amarira yo mu kibuno – Amagufwa yavunitse |
| Imiterere y'imiterere | Hari abantu bavukana imiterere itandukanye y'ikibuno, ibyo bikaba bishobora gutera ububabare haba mu bwana cyangwa mu myaka yashize. | - Femoroacetabular impingement (FAI) – Kudakora neza kw'ikibuno (DDH) |
Nkuko mubibona, hari impamvu nyinshi zishobora gutera. Icy'ingenzi ni uko abakinnyi nka babyinnyi n'abakinnyi ba siporo bakeneye kugenda cyane mu kibuno bari mu kaga gakomeye ko kurwara izi ndwara.
Ububabare bwo mu kibuno buvurwa bute?
Gahunda yo kuvura ukeneye iterwa n'impamvu n'uburemere bw'ububabare bwawe. Muganga wawe ni we uzaguhitiramo uburyo bwiza bwo kugufasha.
Kwita ku buzima bwo mu rugo: Uburyo bwa RICE
Ku mvune nto, uburyo bworoshye kandi bunoze ni uburyo bwa RICE.
- R – Kuruhuka: Irinde igikorwa cyateye ububabare. Guha ingingo zawe umwanya wo kuruhuka bifasha kwirinda kwangirika kurushaho.
- I – Urubura: Shyira agapaki k’urubura (cyangwa umufuka w’imboga zikonjeshejwe uzingiye mu gitambaro) ku gace karwaye mu gihe cy’iminota 10-15. Ku munsi wa mbere, ushobora kubikora buri saha, hanyuma buri masaha 3-4 nyuma yaho. Ntuzigere ushyira urubura ku ruhu.
- C – Gukanda: Gukoresha agatambaro ko gukanda kavuye muri farumasi yo hafi yawe bishobora kugabanya kubyimba.
- E – Kuzamuka: Niba bishoboka, komeza ikibuno cyawe kibe hejuru ku misego, byaba byiza kiri hejuru y’urwego rw’umutima wawe.
Imiti
Muganga wawe ashobora kukugira inama yo kugabanya ububabare no kubyimba. Imiti isanzwe ikoreshwa mu buryo butari ubwa steroide (imiti igabanya ububyimbirwe) nka ibuprofen cyangwa naproxen ikunze gukoreshwa, hamwe na acetaminophen (parasetamol).
Ibuka: Ntugakoreshe iyi miti mu gihe kirenze iminsi 10 utabanje kugisha inama muganga wawe wo muri Nirogi Lanka.
Ubuvuzi bw'umubiri
Niba ububabare bwawe buterwa n'indwara nka rubagimpande cyangwa ibibazo by'imiterere y'umubiri, muganga wawe ashobora kukwohereza kwa muganga w'imiti. Bazagufasha gukora imyitozo ngororamubiri yo gukomeza no kunanura imitsi kugira ngo wongere ubushobozi bwo kuruhuka no kugabanya ububabare.
Kubaga
Kubagwa si ngombwa kuri buri wese. Ariko, niba ububabare bwawe bukabije cyangwa ntibusubize imiti isanzwe, muganga wawe ashobora kukubwira uburyo bwo kubaga.
- Uburyo bwo gupima ikibuno: Uburyo busanzwe bwo gukata uduce duto, hagakoreshwa kamera nto (arthroscope) mu gusuzuma no gusana ibyangiritse imbere mu mubiri.
- Gusimbuza ikibuno: Mu bihe bikomeye aho kugenda nabi cyane, gusimbuza ikibuno bishobora kuba ngombwa, aho ingingo yangiritse isimburanwa n'insimburangingo.
Ese ububabare bwo mu kibuno bushobora kwirindwa?
Nubwo impanuka zimwe na zimwe zidashoboka kwirindwa, nta gushidikanya ko ushobora gufata ingamba zo kugabanya ibyago byawe.
Mu gihe ukora imyitozo ngororamubiri:
- Buri gihe tangira ukoresheje uburyo bukwiye bwo kwishyushya.
- Shyiramo imyitozo yo gukonjesha no kunanura imitsi nyuma y'imyitozo ngororamubiri.
- Ntukigere ugerageza kugerageza kunyura mu bubabare mu gihe cy'imikino cyangwa imyitozo ngororamubiri.
- Ha umubiri wawe umwanya uhagije wo gukira hagati y'igihe cyo gukora imyitozo ikomeye.
Inama rusange ku mutekano:
- Komeza urugo rwawe n'aho ukorera birinde ibyago bishobora kugutera kugwa.
- Irinde guhagarara ku ntebe cyangwa ku meza kugira ngo ugere ku bintu; ahubwo koresha urwego rukomeye.
- Niba uhura n'ingorane zo kugenda cyangwa wumva udakomeye, ntutindiganye gukoresha inkoni cyangwa agakoresho ko kugenda kugira ngo wirinde kugwa.
Ni ryari ukwiye kujya kwa muganga?
Ibi ni ingenzi cyane.
Niba ububabare bw'ikibuno cyawe bukomeje, cyangwa se bukakubuza kurangiza imirimo yawe ya buri munsi no kwishimira ibikorwa ukunda, nyamuneka gisha inama muganga vuba.
Niba waragize imvune ikomeye, nk'impanuka y'imodoka cyangwa kugwa, cyangwa niba udashobora kwimura ikibuno cyawe cyangwa ukuguru kwawe, cyangwa niba ukeka ko wavunitse, jya vuba aha ku ishami rishinzwe ubutabazi bw'ibanze riri hafi yawe.
Nubwo ububabare bwo mu kibuno ari ikintu gisanzwe, ntabwo ari ngombwa ko ubyihanganira. Muganga wawe ashobora kumenya impamvu nyamukuru y’ikibazo no gutanga ubuvuzi bukwiye kugira ngo agufashe gukira vuba no gusubira mu buzima bwawe bwa buri munsi.
Ubutumwa bwo kujyana mu rugo
👩🏽⚕️ Ibibazo Bikunze Kubazwa (Ibibazo Bikunze Kubazwa)
💬 Ni iyihe ndwara Fluvastatin (Lescol) yanditsweho?
Uyu ni umuti wa statin ukoreshwa mu kuvura cholesterol nyinshi (hyperlipidemia). Nubwo ushobora kuba udafite imbaraga nka atorvastatin, inyungu yawo idasanzwe ni uko akenshi uhabwa abarwayi barwaye indwara y'umutima cyangwa indwara y'umutima (nka PTCA / Bypass) kugira ngo ugabanye ibyago byo kuziba imitsi y'amaraso. Muri rusange kandi ufite ibyago bike byo kuba imiti ikoreshwa n'imiti.
💬 Ni gute Fluvastatin ikora kugira ngo igabanye cholesterol mbi?
Umwijima wawe ukoresha enzyme yitwa 'HMG-CoA Reductase' kugira ngo ikore cholesterol. Iyo umaze gufata uyu muti, molekile zawo zikora zifunga neza uyu mujima (Enzyme Inhibition). Iyo uyu 'mashini' ukozwe uzimye, umwijima wawe wishyura ukongera uburyo cholesterol mbi ya LDL yinjira mu maraso yawe (kongera uburyo bwo kwakira LDL receptors).
💬 Ni izihe ngaruka zikomeye nkwiye kumenya mu gihe nfata Fluvastatin?
Nubwo idashobora kugira ingaruka nyinshi, ibyago bikomeye bishobora guterwa no kuvunika kw'imitsi ni 'Myopathy/Rhabdomyolysis' (gucika intege kw'imitsi). Niba ubabara imitsi mu buryo butari bwo, ufite intege nke, cyangwa ukabona inkari zirimo ibara ryijimye (zifite ibara rya kawa), hamagara muganga wawe vuba kuko bishobora gutera impyiko kudakora neza. Byongeye kandi, uyu muti urabujijwe cyane ku bagore batwite n'abafite indwara y'umwijima.
