Ese amavi yawe arahengamye inyuma kandi ararambuye cyane? (Ivi rirambuye cyane) Reka tubiganireho!

Ese wigeze ugira ibibazo byinshi mu gihe ukina siporo, wiruka, usimbuka, cyangwa ntacyo ukora, ivi ryawe rigacika ukumva ububabare bukabije? Iyo bibaye, bishobora gutera ubwoba cyane, sibyo? Wenda nawe wahuye n'iki kibazo cyitwa 'knee hyperextension'. Uyu munsi, turabivugaho birambuye, nk'uko urimo uganira n'inshuti yawe.

Ivi rinini cyane ni iki?

Mu magambo make, iyi ndwara ibaho iyo ivi ryawe rigonze inyuma cyane ugereranyije n'aho risanzwe rigera. Tekereza nk'aho ari nk'aho uhambiriye ku rugi. Rigenda ryerekeza mu cyerekezo kimwe gusa. Bigenda bite iyo urishyizeho umuhate wo kugonda mu kindi cyerekezo? Ibyo ni ko biba ku ivi ryawe.

Ivi ryacu ni ingingo igoye cyane. Rifite ingirangingo zihuza umubiri nk'imitsi , imitsi, na cartilage . Ibi ni byo bifatanya ivi kandi bigafasha kugenda neza. Rero, iyo imbaraga nyinshi zikoreshejwe ku ivi, byaba bivuye mu mvune ya siporo cyangwa indi mpanuka, maze rigasunikirwa inyuma, izi ngingo zihuza umubiri zishobora kwangirika. Ibi ni byo twita ivi rinini. Iyo ibi bibaye, iyo ugerageje gushyira uburemere ku ivi, rishobora kumva ridafite umutekano , wenda ndetse 'rigacika intege', ari na byo bishobora kuba.

Ntukivange ibi n'amarira ya `ACL`, `PCL`, `MCL` na `LCL`!

Noneho ushobora kwibaza uti, ese ibi bifitanye isano n'izindi mvune zo mu ivi? Yego, gucika kw'ivi, gucika kw'imitsi yo mu ivi ya ACL (Anterior Cruciate Ligament), no gucika kw'imitsi yo mu ivi ya PCL (Posterior Cruciate Ligament) byose ni ubwoko butandukanye bw'imvune zo mu ivi. Ariko ibi byose bikunze guterwa n'imvune zo mu mikino.

Reka turebe ibyo 'ligaments' ari byo:

• Imitsi ibiri y'ingenzi ihuza igufwa ryawe ryo mu itako (femur) n'igufwa ryo mu kibuno (tibia) ni ACL na PCL. Yombi inyura hagati mu ivi ryawe. ACL iri imbere mu ivi ryawe, naho PCL iri inyuma.
• `MCL (Medial Collateral Ligament)` na `LCL (Lateral Collateral Ligament)` biri ku mpande zose z'ivi. Ibi bituma ivi rihagarara neza kandi bigafasha kuzenguruka uruhande.

Ubu urabyumva? Iyo ivi rirenze urugero, umutsi umwe cyangwa myinshi muri iyi mitsi ishobora kwangirika. Cyane cyane iyo ivi rirenze urugero, hari amahirwe menshi yo gucika `ACL` na `MCL` .

Ariko, si ko kwaguka cyane kw'ivi kose bitera kwaguka kw'imitsi. Nanone, nubwo ivi ritaguka cyane, imitsi ishobora gukomereka no kwaguka. Rero ni byiza kutavanga ibi, si byo se?

Ni nde ushobora kugira iyi ndwara cyane? Ni ku rugero rungana iki?

Umuntu wese ashobora kugira ikibazo cyitwa hyperextension of the knee. Ariko, kigaragara cyane mu bakinnyi b'imikino ngororamubiri.Nibyo koko. Tekereza, niba ukoze agapira ukoresheje amaguru yombi ukina umupira w'amaguru, cyangwa niba usimbutse ukagwa nabi ukina basketball... Uko niko ibi bishobora kubaho.

Iyi ni imvune ikunze kugaragara cyane, cyane cyane mu bakinnyi, bityo ni ngombwa kubimenya.

Ni gute kwagura ivi cyane bigira ingaruka ku mubiri?

Uretse ibimenyetso nko kubabara no kubyimba, ushobora gusanga bigoye gukoresha ivi ryawe bisanzwe nyuma yo kuvunika. Ibi bishobora kuba bikomeye cyane cyane iyo ibindi bice by'ivi ryawe, nk'imitsi, imitsi, cyangwa meniscus (imiterere y'agatsiko k'ivi), nabyo byangiritse . Ivi ryawe rishobora kumva ridafite imbaraga kandi ridafite aho rihuriye, nk'aho 'ririmo gucika'. Ushobora kandi kunanirwa gushyira ibiro ku ivi ryawe nk'uko bisanzwe.

Ni ngombwa cyane ko iyo ivi ryawe rirambuye cyane, udakora ibintu nko "gukina ububabare" cyangwa "kugenda ureba niba buzashira." Iyo wirengagije ibimenyetso, ndetse n'igikomere gito gishobora gukomera no kwangiza imbere mu ivi.

Niba ubabara kandi udashobora kwimura ivi ryawe neza, jya kwa muganga .

Ni ibihe bimenyetso by'ivi rinini rishobora kugaragara?

Iyo ivi rirambuye cyane, ibimenyetso nka:

• Ububabare bukomeye .
• Kubyimba ivi .
• Kugorwa no kwimura ivi mu buryo busanzwe.
• Amavi yumva adakomeye cyangwa afite intege nke kurusha uko bisanzwe.
• Hari igihe hashobora kugaragara ibisebe cyangwa ibara ry'uruhu (ubururu/umuhengeri).

Iyo wumvise 'pop' cyangwa ukumva ikintu nk'icyo mu ivi ryawe iyo ufite imvune, birashoboka ko ufite meniscus yacitse. Meniscus yacitse ishobora gutera ububabare bukomeye ndetse bigatuma bidashoboka gukoresha ivi ryawe.

Ni iki gitera ibi?

Akenshi, ivi rirushaho kurambuka cyane mu gihe cy'imikino cyangwa indi mirimo ngororamubiri . Tekereza ko ari ukugwa gitumo mu gihe wiruka muri cricket, gusimbuka muri netball ugagwa nabi, cyangwa kugwa uturutse hejuru. Mu magambo make, imbaraga iyo ari yo yose itera ivi inyuma ishobora gutuma ivi rirushaho kurambuka cyane. Tekereza uko bigenda iyo amaguru y'umukinnyi w'umupira w'amaguru afashwe, cyangwa umukinnyi wa basketball agasimbuka akagwa nabi.

Umenya ute iyi ndwara?

Muganga wawe azasuzuma ivi ryawe binyuze mu isuzuma ry’umubiri no gupima imiterere yaryo . Azasuzuma ivi ryawe, akubwire ibimenyetso byaryo, kandi arebe uburyo ubushobozi bwawe bwo gukoresha ivi ryawe bugarukira.

Birashoboka ko uzakenera nibura kimwe muri ibi bizamini byo gufata amashusho:

• Gusuzuma X-ray (`X-rays`)
• Ishusho ya Magnetic Resonance (MRI)
• Isuzuma rya CT (`CT - Isuzuma rya Tomography rya Computed`)

Ibi bizamini bishobora gufasha muganga wawe kubona ibyangiritse mu ivi ryawe no mu nkengero zaryo, ndetse bishobora no kwerekana niba hari igikomere gikomeye kurushaho, nk'umutsi wacitse.

Wavura ute ivi ryagutse cyane?

Uburyo bwo kuvura ivi ryawe buzaterwa n'uburemere bw'imvune . Niba ufite ibimenyetso bito gusa kandi nta cyangiritse gikomeye kiri imbere mu ivi ryawe, ushobora kubivura mu rugo ukoresheje uburyo bwa `RICE`:

• R - Kuruhuka: Irinde igikorwa cyaguteye imvune. Ntugashyire uburemere bwinshi ku ivi ryawe kugeza rikize.
• I - Urubura: Shyira agapaki k'urubura ku ivi mu gihe cy'iminota 15 icyarimwe, inshuro enye ku munsi.
• C - Gukanda: Ushobora gupfunyika ivi ryawe ukoresheje igitambaro cya elastic kugira ngo ugabanye kubyimba.
• E - Uburebure: Komeza amavi yawe n'ibirenge byawe bibe hejuru y'uburebure bw'umutima wawe igihe kirekire gishoboka.

Imiti igabanya ububabare itangwa na muganga nka aspirine cyangwa ibuprofen, yitwa NSAIDs (Imiti Idakoresha Steroidal Anti-Inflammatory Drugs), ishobora kugabanya ububabare no kubyimba. Ariko, niba ufata iyi miti mu gihe kirenga iminsi 10, shaka inama kwa muganga.

Kugira ngo wirinde imvune mu gihe kizaza, muganga wawe ashobora kandi kukugira inama yo gukora imyitozo ngororamubiri kugira ngo ukomeze imitsi ikikije ivi ryawe kandi wongere ubushobozi bwo koroherwa .

Ese kubagwa ni ngombwa kugira ngo ivi rikomere cyane?

Ni gake cyane ko gukomereka kw'ivi bisaba kubagwa. Ariko, niba impanuka yaguteye gukomereka kw'ivi yangiritse cyangwa yacitse imitsi nka ACL cyangwa PCL yawe, ushobora gukenera kubagwa kugira ngo ukore ibyacitse.

Akenshi, kubaga ivi bikorwa nk'ubuvuzi bwo hanze . Ibi bivuze ko ushobora gutaha uwo munsi. Umuganga wawe akunze gukora uburyo bwo kuvura ivi butari busanzwe bwitwa arthroscopy , busana agahu k'imbere mu ivi.

Bifata igihe kingana iki kugira ngo umuntu akire iyi ndwara?

Igihe bifata kugira ngo ukire biterwa n'uburyo ivi ryawe ryavunitse cyane ndetse niba hari ibindi bikomere ufite. Niba ivi ryawe ryavunitse ridafite ibyangiritse imbere kandi ridasaba kubagwa, ugomba gukira mu byumweru bike kugeza ku kwezi .

Ariko, niba ugomba kubagwa kubera imvune ikomeye, bishobora gufata amezi menshi kugira ngo wongere gukora imirimo yose isanzwe.

Baza muganga wawe cyangwa umuganga wawe amakuru yihariye yerekeye igihe cyawe cyo gukira.

Ni gute wakwirinda ko ivi rirushaho kwaguka cyane?

Itondere ibi bintu mu gihe ukina siporo cyangwa indi mirimo ngororamubiri:

• Ambara ibikoresho by'umutekano bikwiye.
• Niba ivi ryawe rikubabaza, haba mu gihe cy'imyitozo ngororamubiri cyangwa nyuma yayo, ntukigane ububabare.
• Ha umubiri wawe umwanya wo kuruhuka no gukira nyuma yo gukora imyitozo ngororamubiri.
• Mbere yo gukina siporo cyangwa imyitozo ngororamubiri , shyushya kandi wongere imitsi yawe.
• Nyuma yo gukora imyitozo ngororamubiri , komeza uteke hanyuma wongere ugorore.

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

• Komeza urugo rwawe n'aho ukorera nta bintu bitari ngombwa bishobora gutuma wowe cyangwa undi muntu agwa.
• Buri gihe koresha ibikoresho cyangwa ibikoresho bikwiye kugira ngo ugere ku bintu biri hejuru mu nzu yawe. Ntukigere uzamuka ku ntebe, ameza, cyangwa ku meza.
• Niba ugorwa no kugenda cyangwa ufite ibyago byinshi byo kugwa, koresha inkoni, inkoni, cyangwa icyuma gifasha kugenda.

Ni iki wakwitega niba ivi ryawe ryarambuwe cyane? / Ni iki kigaragara?

Ushobora kwitega gukira neza nyuma yo kuvunika ivi. Iki ni imvune y'igihe gito kandi ntigikwiye kugira ingaruka ku buzima bwawe cyangwa ubushobozi bwawe bwo gukina siporo ukunda.

Ariko, niba imvune ikomeye bihagije ku buryo igomba kubagwa, teganya ko uzaba utari mu mikino cyangwa ibikorwa byaguteye imvune byibuze amezi make .

Abantu benshi bagira ibisubizo byiza nyuma y’iyi ndwara. Imvune nyinshi ntizisaba kubagwa , kandi ugomba kuba ushobora gusubira mu mirimo yose isanzwe mu byumweru bike.

Ese ntazashobora kujya ku kazi/ku ishuri kubera iyi ndwara?

Niba ushobora gukora akazi kawe cyangwa akazi k'ishuri wicaye kandi udashyizeho umutwaro w'inyongera ku ivi ryawe ryakomeretse , ntugomba guhagarika kujya ku kazi cyangwa ku ishuri kugeza igihe uzakira.

Ariko, banza ubaze umuganga wawe cyangwa umuganga mbere yo kongera gukora imyitozo ngororamubiri mu gihe uri gukira.

Ni ryari ukwiye kujya kwa muganga?

Niba wumva ububabare cyangwa kubyimba birushaho kwiyongera nyuma y'iminsi mike, cyangwa niba udashobora kwimura ivi ryawe nk'uko bisanzwe, vugana na muganga.

Ni ryari ugomba kujya mu Kigo cyita ku Buvuzi bw’Ingoboka (ETU) ?

Niba ubonye kimwe muri ibi bimenyetso, jya mu cyumba cy’ubutabazi bwihuse :

• Ububabare bukabije cyane.
• Kubyimba kurimo kwiyongera.
• Guhindura ibara ry'uruhu (ubururu/umuhengeri).
• Ntushobora kwimura amavi yawe na gato.

Ni iki ngomba kubaza muganga?

• Ese nkeneye gukorerwa ibizamini byo gufata amashusho?
• Ese mfite ikibazo cyo gucika kwa ACL cyangwa PCL?
• Nkwiye kuruhuka igihe kingana iki no kwirinda siporo n'indi mirimo ngororamubiri?
• Ese ngomba kubagwa?
• Nzamara igihe kingana iki ntabasha kujya (ku kazi/ku ishuri)?
• Ese iyi ni indwara ikomeye?
• Ese ntazashobora gukina muri uyu mwaka w'imikino?

Ibi byose ni ibibazo biza mu mutwe iyo ufite ikibazo cyo gukomereka kw'ivi. Ku bw'amahirwe, ibibazo byinshi byo gukomereka kw'ivi ntibisaba kubagwa , kandi ushobora kubivura mu rugo ukoresheje imiti itangwa na muganga no guha umubiri wawe umwanya wo kuruhuka no gukira.

Nubwo waba ufite imvune ikomeye nk'umutsi wacitse, ugomba kuba ushobora gukira neza no gusubira mu mikino n'ibikorwa ukunda .

None se, ni ibihe bintu by'ingenzi ugomba kwibuka?

Sawa, reka nsobanure muri make zimwe mu ngingo z'ingenzi cyane mu byo twaganiriyeho.

• Ivi rinini cyane ni igihe ivi rinamye inyuma birenze urugero rw’aho risanzwe . Ibi bishobora kubaho mu gihe cy’imikino, urugero nko mu gihe umuntu aguye.
• Ibimenyetso by'ingenzi ni ububabare, kubyimba no kudahagarara neza kw'ivi . Iyo wumvise ijwi rya 'pop' riturutse imbere mu ivi, birashoboka ko umutsi w'amaraso wacitse.
• Uburyo bwo kuvura mu rugo `RICE` (kuruhuka, urubura, gukanda, kuzamura) akenshi burahagije. Imiti igabanya ububabare ishobora no gukoreshwa.
• Ibikomere bikomeye, cyane cyane amarira menshi, bishobora gusaba kubagwa (Knee Arthroscopy) , ariko ibi ntibikunze kubaho.
• "Ntugakomeze ububabare." Niba ufite ibimenyetso, jya kwa muganga. Niba ibimenyetso birushijeho gukomera, jya mu cyumba cyita ku barwayi b'ingorabahizi vuba.
• Kwirinda ni bwo buryo bwiza bwo kubikora. Ni ngombwa gushyushya, gukonja, gukoresha ibikoresho by'umutekano, no gutega amatwi umubiri wawe.
• Akenshi, ushobora gukira burundu ibi. Ntugahangayike rero, iyo uvuwe neza, ukaruhuka, kandi ukitabwaho, ushobora gusubira mu buzima bwawe busanzwe.

Wibuke ko ivi ryawe rifite agaciro gakomeye kuri wewe. Kubwibyo, ni inshingano zawe kuriyitaho. Niba hari ikibazo, ntugatinye kuvugana na muganga.

` Ivi, Gupfuka kw'ivi, Indwara z'ivi, Ibikomere bya siporo, Ububabare bw'ivi, Kubyimba ivi, (Ivi riva ryavuguruwe)