Ese wavunitse igufwa ryo hejuru ry'ukuboko? Reka tuvuge kuri (Humerus Fracture)!

Yewe! Ese ukuboko kwawe kubabara? Wenda nyuma yo kugwa cyangwa impanuka, waba waragize ububabare bukomeye no kubyimba ukuboko ko hejuru, bigatuma bitoroshye kukwimura? Niba ari uko bimeze, ushobora kuba ufite `(Humerus Fracture )`, ari yo mvune y'igufwa ryo hejuru ry'ukuboko. Ntugahangayike, reka tubiganireho mu buryo burambuye kandi bworoshye.

Iyi `(Humerus Fracture)` ni iki? Reka tubisobanukirwe mu buryo bworoshye!

Reka tubanze turebe icyo iri gufwa ryitwa `(Humerus)`. Ni igice cyo hejuru cy'ukuboko kwawe kuva ku rutugu rwawe kugeza ku nkokora, kandi ni ryo gufwa rinini ryonyine dufite aho ngaho, `(Humerus)`. Rero, iyo iri gufwa rivunitse, iyo rivunitse, abaganga baryita `(Humerus Fracture)`. Ibi ntabwo ari ibisanzwe nkuko ushobora kubitekereza, ariko bishobora kuba bibi cyane iyo bibaye.

Akenshi, ubwo bwoko bw'imvune buterwa n'impanuka (ihungabana). Tekereza ku mpanuka y'imodoka, kugwa uvuye uburebure, n'ibindi. Hari igihe nk'ibi ndetse n'iri gufwa rikomeye rishobora kuvunika.

Iyo wavunitse igufwa ryawe, ushobora kubagwa kugira ngo urisane. Ariko si buri wese ukeneye kubagwa. Hari abantu bashobora kurokoka bakoresheje agapira, icyuma cyangwa icyuma cyo gupfuka. Ariko, uzakenera ubuvuzi bw'umubiri kugira ngo wongere gukoresha neza ukuboko kwawe.

Ese hari ubwoko butandukanye bw'imvune?

Yego, umuganga wawe azashyira mu byiciro igufwa ryawe ryavunitse bitewe n'uburyo ryavunitse. Iri tsinda ni ingenzi cyane mu kugena uburyo bwo kuvura. Reka turebe ubwoko bumwe na bumwe bw'ingenzi.

Ubwoko hakurikijwe uburyo byacitsemo ibice:

Icyo turimo kureba hano ni uko 'umurongo ucikamo ibice' umeze.

• Gucika kw'igufwa: Gucika kw'igufwa mu buryo bw'impinja.
• Kuvunika kw'igufwa mu buryo burambuye: Kuvunika kw'igufwa mu buryo burambuye.
• Kuvunika kw'inyuma: Kuvunika kw'igufwa aho rivunika mu buryo bw'inyuma, nk'uko bigenda mu buryo bw'inyuma. Ibi bikunze kubaho iyo ukuboko guhindagurika.
• Gucika kw'igice: Igufwa rivunika nibura ahantu habiri, igice kiri hagati gitandukanye .
• Kuvunika kw'igufwa: Kuvunika kw'igufwa aho rivunikamo ibice byinshi. Ibi biragoye kurushaho.
• (Ivunika ryagize ingaruka): Iyo ibice by'amagufwa byavunitse bisunikiye kimwe mu kindi.
• (Kuvunika kw'igufwa / Kuvunika kwa Torus): Ibi bikunze kugaragara cyane ku bana bato. Igufwa ntirivunika burundu, ahubwo rinamira gato imbere ku ruhande rumwe.
• (Kuvunika k'umusatsi / Uduce): Umurongo muto gusa wacitse mu igufwa.

Ubwoko hakurikijwe uburyo icyuho cyabayeho:

• Kuvunika kw'imitsi: Kuvunika gato mu igufwa guterwa n'umuvuduko uhoraho cyangwa guhangayika ahantu hamwe. Ibi bishobora kubaho ku bakinnyi.
• Kuvunika kw'igufwa: Agace gato k'igufwa kavunika aho imitsi cyangwa imitsi ifatanye n'igufwa.

Ubwoko bwihariye bw'imvune hafi y'inkokora: `(Imvune ya Supracondylar humerus)`

Iyo igufwa ryo hejuru y'ukuboko kwawe rivunitse hejuru gato y'inkokora, byitwa "kuvunika kwa supracondylar." Ibi bikunze kugaragara ku bana bato . Akenshi bibaho iyo umwana aguye ukuboko kwe kurambutse agashyira uburemere hasi. Abaganga ni bo basuzuma kandi bakavura ibi, nk'uko bimeze ku zindi mvune zose.

Ifunguye cyangwa ifunze? (`Ifunguye ugereranije n'ipfunze`)

Iki kandi ni urwego rw'ingenzi cyane.

• (Kuvunika bifunguye): Iki ni igihe igufwa ryavunitse rimeneka mu ruhu rikagaragara. Ibi ni akaga gato kuko byongera ibyago byo kwandura kandi bigafata igihe kirekire kugira ngo bikire.
• (Kuvunika gufunze): Aha igufwa riravunika, ariko uruhu ntirwavunitse. Ibi nabyo ni bibi cyane, ariko nta ngaruka nyinshi zo kwandura zihari nk'iz'"kuvunika gufunguye".

Ese ibice by'amagufwa byakuweho? (`Ibikomere byakuweho`)

Muganga azakubwira kandi niba imvune yawe ari ``yavuye mu mwanya wayo`` cyangwa ``itavuye mu mwanya wayo``.

• (Ivunika ryacitse): Ibi bivuze ko iyo igufwa ryavunitse, ibice bibiri bigenda bizenguruka, bigatera icyuho kinini hagati yabyo. Nta hantu bihurira. Ubwo bwoko bw'imvune bukunze gusaba kubagwa kugira ngo bukosorwe neza.
• (Kuvunika bidakuwe mu mwanya wabyo): Igufwa ryavunitse, ariko ibice ntibiragenda cyane, kandi biracyari mu mwanya wabyo.

Ni hehe igufwa ryo hejuru ry'ukuboko (`Humerus`) rishobora kuvunika?

Muganga wawe azakubwira aho igufwa ryavunitse riherereye neza. Bakoresha amagambo yihariye kuri ibi.

• Aho iherereye (`Aho iherereye - hafi na kure`): Aya magambo abiri akubwira aho igufwa riherereye.
• (Imbere): Iyi ni impera yo hejuru y'igufwa, igice cyegereye urutugu . Rero, 'kuvunika kw'igufwa ry'imbere' bivuze ko igufwa ryo hejuru y'ukuboko kwawe ryavunitse aho rihurira n'urutugu.
• (Distal): Ibi bivuga impera yo hasi y'igufwa, ari na yo gice cyegereye inkokora . `Distal humerus fracture` bivuze ko igufwa ryavunitse ku nkokora.
• Ibice by'igufwa (`Anatomie`): Nubwo igufwa ryawe ari igice kimwe, rifite ibice bitandukanye bishobora kuvunika. Igufwa rya `humerus` rifite ibice byitwa `umutwe` (igice cyo hejuru hafi y'urutugu), `umugozi` (igice cyo hagati gisa n'inkoni), na `distal aspect` (igice cyo hasi hafi y'inkokora). Abaganga bakoresha amagambo nka `ijosi ryo kubaga` na `greater tuberosity` kugira ngo basobanure neza aho igufwa ryangiritse. Ntabwo ukeneye kumenya byinshi kuri ibi, ariko ni ingenzi ku baganga.

Ni bande bavunika ubwo bwoko bw'imvune? Ni ku rugero rungana iki?

Mu by’ukuri, kuvunika kw’igufwa ni ikintu gishobora kuba kuri buri wese, kimwe n’izindi mvune z’amagufwa. Kubera ko akenshi izi mvune ziterwa n’impanuka zikomeye, ntabwo dushobora kumenya igihe, uburyo, cyangwa uwo impanuka izabera.

Ariko, kuvunika kw'imitsi yo mu bwoko bwa humerus si ibintu bikunze kubaho . Mu zindi mvune zose, munsi ya 10% ni zo mvune zo mu bwoko bwa humerus.

Akenshi, igufwa rya humerus rivunika hejuru, hafi y'urutugu (proximal humerus fracture), aho kuvunika hasi, hafi y'inkokora (distal humerus fracture).

Ni ibihe bimenyetso by'ivunika rya Humerus?

Niba ufite imvune y'umugongo, ushobora kugira ibimenyetso nk'ibi:

• Ububabare bukomeye (`Ububabare`)
• Kubyimba
• Ububabare ( kubabara iyo ubikozeho cyangwa ukandagiye)
• Kudashobora guhana amaboko mu buryo busanzwe
• Guhinduka cyangwa guhinduka ibara ry'uruhu
• Ubusembwa cyangwa ikibyimba ku kuboko kitari gisanzwe

Igikuru ni uko igufwa ryawe rya humerus riramutse rivunitse, hari amahirwe ko n'izindi ngingo zirikikije zishobora kwangirika.

Ibi bishobora kuba bikubiyemo:

• Imitsi : Imitsi yawe ya biceps (imitsi y'imbere) na triceps (imitsi y'inyuma).
• Imitsi: Imitsi yawe itatu y'ingenzi, umutsi wo hagati, umutsi wo mu gituza, n'umutsi wo mu gituza, byose bifitanye isano n'igufwa rya humerus. Iyo byangiritse, bishobora gutuma umuntu atabasha kumva no kugenda mu kiganza.
• Amaraso atangwa : Umutsi w'amaraso wo mu mutwe wawe (umutsi mukuru w'amaraso) n'umutsi w'amaraso.

Ni izihe mpamvu zitera `Humerus Fracture`?

Nkuko byavuzwe mbere, ibi bikunze guterwa n'impanuka (traumas) . Igufwa ry'umugongo ni rimwe mu magufwa akomeye mu mubiri. Bisaba imbaraga nyinshi kugira ngo rivunwe.

Hari impamvu nyinshi z'ingenzi:

• Impanuka z'imodoka
• Kugwa - cyane cyane uturutse hejuru, cyangwa kugwa hejuru y'ukuboko kwawe.
• Ibikomere bya siporo - bishobora kubaho mu mikino isaba gukoranaho.

Iyo amagufwa yawe afite intege nke bitewe n'indwara nka osteoporosis , uba ufite amahirwe menshi yo kuvunika igufwa.

Reka twige bike kuri 'Osteoporose'

Indwara yo gucika kw'amagufwa (Osteoporosis )"Ibi bigabanya intege amagufwa, hanyuma akavunika mu buryo butunguranye kandi butunguranye. Abantu benshi bamenya gusa ko bafite "Osteoporose" iyo bamaze kuvunika igufwa. Ibi biterwa nuko nta bimenyetso bigaragara bigaragara ku ikubitiro.

Nyuma y'imyaka 50, abagore, cyane cyane, baba bafite ibyago byinshi byo kurwara indwara ya osteoporosis. Kubwibyo, ni byiza kuganira na muganga wawe ku bijyanye no gupimwa ubucucike bw'amagufwa. Ibi bishobora gufasha kumenya ikibazo mbere yuko igufwa rivunika.

Ni gute wamenya "Humerus Fracture"?

Muganga wawe azasuzuma niba wavunitse uruhu akoresheje isuzuma ry’umubiri n’ibizamini byo gufata amashusho . Niba winjiye mu bitaro mu ishami rishinzwe ubutabazi bw’ibanze nyuma y’impanuka, ibi bizamini bishobora gukorerwayo.

Iyo ugiye mu cyumba cy’ubutabazi bw’ibanze, itsinda ry’abaganga rizagufasha kumererwa neza no kuguvura hakurikijwe uburemere bw’imvune zawe, cyane cyane niba ufite ibikomere bishobora kuguhitana. Iyo umaze kumererwa neza, hazakorwa ibizamini byo gufata amashusho kugira ngo byemezwe ko wavunitse.

Ni ibihe bipimo bikorwa kugira ngo hamenyekane `Humerus Fracture`?

Ikizamini kimwe cyangwa byinshi muri ibi gishobora gukorwa kugira ngo hafatwe amafoto y'aho imvune yavunitse:

• Imirasire ya X: Imirasire ya X ishobora kwemeza ko hari aho yavunitse ndetse ikagaragaza n'uburyo amagufwa yangiritse. Iki ni cyo kizamini cya mbere cyakozwe.
• Ishusho ya Magnetic Resonance (MRI): MRI ishobora gukorwa niba muganga wawe ashaka kumenya neza ibyangiritse ku magufwa yawe n'ingingo ziyikikije. Ibi bishobora kandi kureba ibyangiritse ku mitsi, imitsi, n'imitsi ikikije amagufwa.
• CT scan: CT scan ishobora guha muganga wawe cyangwa umuganga wawe ishusho irambuye y'amagufwa yawe n'ingingo zikikije kuruta X-ray. Ibi ni ingenzi cyane cyane ku magufwa akomeye, nko kuvunika kwangiritse.

Ni gute wavura `Humerus Fracture`?

Uburyo bwo kuvura imvune yawe buzaterwa n'ubwoko bwayo, icyayiteye, n'ingano y'ibyangiritse ku magufwa yawe .

Kubuza ukuboko kugenda

Niba imvune yawe idakomeye cyane, ni ukuvuga ko 'itari mu mwanya wayo' (ibice by'igufwa bitaragenda), ushobora gukira ukoresheje 'splint' cyangwa 'cast' gusa. 'Splint' isanzwe imara ibyumweru bitatu kugeza kuri bitanu. 'Cast' imara igihe kirekire, akenshi ibyumweru bitandatu kugeza ku munani. Muri ibyo bihe byombi, muganga wawe azafata indi 'X-ray' kugira ngo arebe neza ko igufwa ryawe riri gukira neza.

Ushobora kandi gukoresha umugozi kugira ngo urutugu rwawe n'ukuboko bigume mu mwanya wabyo, cyane cyane niba igufwa rya humerus ryavunitse ku mpera y'aho.

Gutegura n'intoki (`Kugabanya bifunze`)

Ku mvune zikomeye kurushaho, uburyo bwitwa "Closed Reduction" bukoreshwa kugira ngo ibice by'amagufwa byavunitse bisubire mu mwanya wabyo. Ubu si ukubaga. Muganga azagufata ukuboko inyuma, akure, hanyuma akusunike kugira ngo ahuze ibice by'amagufwa byavunitse imbere. Mu gihe ukora ibi, ntuzumva ububabare kandi uzakora kimwe muri ibi bikurikira:

• Gutera umuti utera ibisebe hafi y'aho imvune yavunitse (umuti ugabanya ububabare mu gace k'umubiri).
• Gutanga umuti wo gutuza umubiri wose (`Imiti igabanya ububabare`).
• Uzasinzira (`Anesthesia rusange`) mu gihe cyose cy'igikorwa.

Nyuma yo gukora igenzura rifunze, muganga azagushyira agapira cyangwa icyuma ku kuboko.

Kubaga `Humerus Fracture` (`Humerus fracture surgery`)

Hari imvune zimwe na zimwe ziterwa n'umugongo zikenera kubagwa. Bitewe n'ubwoko bw'imvune n'ingano y'ibyangiritse byakorewe ku igufwa, umuganga wawe ashobora gukoresha uburyo butandukanye.

Gushyiraho imbere

Umuganga w’inzobere mu kubaga azashyira ibice by’amagufwa yawe byavunitse mu mwanya wabyo, abishyire mu mwanya wabyo, kugira ngo amagufwa akire kandi asubirane. Akenshi, bakora ikintu cyitwa 'gufata imbere'. Ibi bivuze ko umuganga w’inzobere mu kubaga azashyira ibice by’icyuma ('icyuma') mu igufwa ryawe kugira ngo abifate mu mwanya wabyo . Uzakenera kugabanya ikoreshwa ry’ukuboko kwawe kugeza igihe igufwa rikize burundu.

Hari uburyo butandukanye bwo "gufata imbere":

• Inkoni: Inkoni y'icyuma yinjizwa mu igufwa, kuva hejuru kugeza hasi.
• Amasahani n'ibisumeno: Amasahani y'icyuma afatanye n'igufwa kugira ngo afatanye ibice by'amagufwa.
• Insinga n'imigozi: Ibi bikoreshwa ahantu hari uduce duto tw'amagufwa ugereranyije n'ibindi bikoresho byo gufatanya. Akenshi bishyirwa hamwe n'inkoni cyangwa amasahani.

Hari abantu babana n'ibi bice by'icyuma mu mibiri yabo. Hari n'abantu bagomba kongera kubagwa kugira ngo babikuremo.

Gusimbuza ingingo (`Arthroplasty`)

Niba wavunitse inkokora cyangwa ingingo y'urutugu, ushobora gukenera gusimbuza ingingo. Umuganga ubaga akuramo ingingo yangiritse akayisimbuza ingingo y'ubukorano. Iyi ngingo y'ubukorano (prosthesis) ishobora kuba ikozwe mu cyuma, ibumba, cyangwa pulasitiki ikomeye. Ingingo nshya izasa kandi igende nk'ingingo yawe isanzwe.

Guteranya amagufwa

Niba imvune yawe yacitse cyane, cyangwa amagufwa adahuye neza, ushobora gukenera guterwa igufwa. Umuganga w'inzobere azashyiramo izindi nyama kugira ngo asubize hamwe igufwa ryawe ryavunitse. Hanyuma, azakora isuzuma ry'imbere kugira ngo afatanye ibice kugeza igihe igufwa rikuriye. Hari ahantu henshi ushobora gufata igufwa:

• Uturutse ahandi ku mubiri wawe - akenshi uba hejuru y'igufwa ryawe ry'ikibuno.
• Kuva ku wundi muterankunga (`umuterankunga wo hanze`).
• Igice cyo gusimbuza cy'ubukorano.

Nyuma yo kubagwa, ukuboko kwawe kuzaba guhagaze. Ushobora gukenera kwambara agapira ko gupfuka, gusigwa, cyangwa gupfuka icyuma mbere yo kongera gukoresha ukuboko kwawe.

Ni iyihe miti itangwa ku ndwara ya 'Humerus Fracture'?

Imiti igabanya ububabare (NSAIDs) nka aspirine cyangwa ibuprofen, ikoreshwa mu kugabanya ububabare, ishobora gutera kuva amaraso n'izindi ngorane nyuma yo kubagwa. Kubwibyo, umuganga wawe azakubwira imiti ushobora gufata kugira ngo ugabanye ububabare nyuma yo kubagwa.

Ingaruka mbi za NSAIDs: Kuva amaraso, ibisebe byo mu gifu, kuribwa mu gifu, ibibazo byo mu mara.

Ni izihe ngorane ziterwa no kuvura Humerus Fracture?

Kubagwa kw'aho umuntu yavunitse bishobora guteza ingorane nka:

• Indwara y’ibicurane mu mubiri (ACS): Ubwiyongere bw’umuvuduko mu mitsi yawe bushobora kubuza amaraso gutembera mu ngingo, bigatera kwangirika kw’imitsi n’imitsi burundu. Ibi ni ibintu byihutirwa.
• Malunion: Uburyo igufwa ryavunitse ritajya rihura neza iyo rikize.
• Kutagira aho bihurira: Kunanirwa kw'amagufwa gusubirana neza kandi neza.
• Kwandura amagufwa (Osteomyelitis): Niba ufite imvune ifunguye (aho igufwa ryamenetse mu ruhu), uba uri mu kaga ko kwandura indwara ya bagiteri.
• Ibindi byangiritse ku ngingo zikikije: Gucika intege bishobora kwangiza imitsi, imitsi, imitsi y'amaraso, imitsi n'imitsi mu gace k'imvune.

Nzumva meze neza vuba gute nyuma yo kuvurwa?

Bishobora gufata ibyumweru byinshi kugira ngo ibimenyetso byawe bishire. Bitewe n'uburyo bwo guhagarika kugenda cyangwa kubagwa byakoreshejwe mu gusana imvune yawe, ushobora kongera gukoresha ukuboko kwawe mu byumweru bike.

Icy'ingenzi: Niba ufite ububabare bukomeye budashobora kwihanganira kandi budashira, hamagara muganga wawe ako kanya.

Ni gute wagabanya ibyago byo kurwara `Humerus Fracture`?

Kurikiza izi nama rusange z'umutekano kugira ngo ugabanye ibyago byo gukomereka:

• Buri gihe wambare umukandara wawe w'intebe .
• Ambara ibikoresho by'umutekano bikwiye kuri buri gikorwa cyangwa siporo ukora.
• Komeza urugo rwawe n'aho ukorera nta bintu bishobora gutuma wowe cyangwa abandi bagwa .
• Buri gihe koresha ibikoresho cyangwa ibikoresho bikwiye kugira ngo ugere ku bintu uhereye hejuru. Ntukigere uzamuka ku ntebe, ku meza, cyangwa ku meza.
• Kurikiza indyo n'imyitozo ngororamubiri bigufasha kugira amagufwa meza.
• Niba ufite imyaka irenga 50 cyangwa niba hari umuntu wo mu muryango wawe urwaye indwara y'amagufwa, ganira na muganga wawe ku bijyanye no gupima ubucucike bw'amagufwa .
• Niba ufite ingorane zo kugenda cyangwa ufite ibyago byinshi byo kugwaKoresha inkoni cyangwa icyuma gitwara abantu .

Ni iki wakwitega niba ufite `Humerus Fracture`?

Nubwo wavunika igufwa ryawe, ushobora kwitega gukira neza . Ariko, uzakenera ubuvuzi bw'umubiri kugira ngo wongere imbaraga n'ubushobozi bwo gukora ingendo mu kuboko kwawe.

Bifata igihe kingana iki kugira ngo 'Humerus Fracture' ikire?

Igihe bizatwara kugira ngo ukire kizaterwa n'uburemere bw'imvune yawe n'ubuvuzi wahawe. Abantu benshi bamara amezi menshi kugira ngo bakire imvune ya humerus.

Hari ibintu byinshi bishobora kugira ingaruka ku buryo umubiri wawe ukira vuba. Vugana na muganga wawe cyangwa umuganga wawe ku gihe gikwiriye ikibazo cyawe.

Ese sinzashobora kujya ku kazi cyangwa ku ishuri?

Imvune yawe n'amagufwa yavunitse bizagena igihe uzakenera kumara utajya ku kazi, ku ishuri, no mu bindi bikorwa. Mu gihe urimo gukira, vugana n'umuganga wawe mbere yo kongera gukora imyitozo ngororamubiri cyangwa siporo.

Ni ryari nkwiye kujya mu cyumba cy’ubutabazi bw’ibanze?

Niba utekereza ko ufite imvune yo mu kibuno - cyangwa irindi gufwa ryavunitse - ugomba kujya kwa muganga vuba bishoboka . Jya mu cyumba cy’ubutabazi bw’ibanze vuba niba ufite kimwe cyangwa byinshi muri ibi bimenyetso:

• Ububabare bukomeye.
• Ntabwo ushobora guhana amaboko nk'uko bisanzwe.
• Ukuboko kwawe kugaragara ukundi cyangwa kutameze neza.
• Ushobora kubona igufwa binyuze mu ruhu.
• Kubyimba.
• Hamwe n'ibindi bintu, hari n'ibikomere bishya bigaragara.

Niba waragize impanuka, jya mu cyumba cy’ubutabazi bwihuse.

Ni ibihe bibazo ngomba kubaza muganga wanjye?

Iyo uhuye na muganga, ntukibagirwe kubaza ibibazo nk'ibi:

• Ni ubuhe bwoko bw'imvune mfite?
• Ese nkeneye kubagwa?
• Bizatwara igihe kingana iki kugira ngo umuntu akire?
• Ni ryari nzongera gukora imyitozo ngororamubiri cyangwa siporo?

Amaherezo, ibuka ibi ! (Ubutumwa bwo kujyana mu rugo)

Igufwa rya humerus riri mu kuboko kwawe ko hejuru ni ryo gufwa ryonyine riri muri icyo gice cy'umubiri wawe, kandi ni rimwe mu magufwa akomeye mu mubiri wawe. Gucika kw'igufwa rya humerus bikunze kubaho nyuma y'impanuka ikomeye, nk'impanuka y'imodoka. Nubwo wabazwe kugira ngo usane igufwa ryawe, ushobora kwitega gukira neza nyuma yo kuvunika kw'igufwa rya humerus . Ubuvuzi bukwiye bw'umubiri ni bwo buryo bwiza bwo gukira vuba no gusubiza ukuboko kwawe mu buryo busanzwe. Rero, ntugatinye, kurikiza gusa amabwiriza ya muganga wawe. Ndakwifurije gukira vuba!

Kuvunika kwa Humerus , igufwa ry'ukuboko, kuvunika kw'ukuboko, kuvunika kw'igufwa, uburyo bwo kuvura, ibimenyetso, kubagwa