Ese ufite ububabare nk'ubu mu kuguru kwawe? Reka tuvuge kuri Jones Fracture!

Ese wigeze ugonga ukuguru kwawe mu buryo butunguranye cyangwa wumva urusaku rw'"icyuho" inyuma y'ikirenge cyawe mu gihe ukina siporo? Muri icyo gihe, ushobora kuba wibaza uti "Ni iki giherutse kuba? " Bishobora kuba indwara yitwa Jones fracture , tugiye kuvugaho uyu munsi. Ntugahangayike, tuzavuga kuri ibi mu buryo bworoshye, mu buryo ushobora gusobanukirwa.

Kuvunika kwa Jones ni iki? Mu magambo make...

Mu magambo make, kuvunika kwa Jones ni igufwa ryavunitse mu kirenge cyawe. Ikirenge cyawe gifite igufwa rirerire rihuza n'igice cy'ikirenge cyawe, sibyo? Ibyo ni byo abaganga bita igufwa rya gatanu rya metatarsal . Kuvunika kwa Jones ni ukuvunika kuri iri gufwa.

Ibi bikunze kubaho iyo ikirenge cyawe gihindukiye imbere, hanyuma mu buryo butunguranye hagashyirwaho imbaraga nyinshi cyangwa igitutu kinini inyuma y'ikirenge cyawe. Tekereza igihe uguye ku kirenge cyawe mu buryo butunguranye mu gihe wiruka.

• Gukoresha ikirenge cyane inshuro nyinshi : nko kwiruka ku butaka bukomeye umunsi wose, cyangwa gukora akazi gasaba guhagarara igihe kirekire.
• Imvune mu mikino : Ibi bishobora kubaho cyane cyane mu mikino yo gusimbuka nka basketball na volleyball, cyangwa mu mikino ihindura icyerekezo vuba nk'umupira w'amaguru na cricket.
• Kugwa no kunyerera : Ibi bishobora guterwa n'ibintu nko kugwa ku madarajya cyangwa kunyerera ahantu hanyerera hanyuma bigahita bigwa hasi.

Kenshi na kenshi, kubagwa birakenewe kugira ngo iri gufwa rikire neza. Bishobora gufata amezi menshi kugira ngo rikire neza.

Ni irihe tandukaniro riri hagati y'imvune ya Jones n'imvune ya avulsion?

Aya mazina yombi ashobora gusa n'aho ateye urujijo, ariko yombi aboneka mu igufwa rimwe rya gatanu rya metatarsal twavuze mbere. Ariko, hari itandukaniro rito ariko rikomeye hagati y'aya magufwa abiri.

Tekereza igufwa ryawe rya gatanu rya metatarsal nk'agace gato k'igiti. Abaganga bagabanya igufwa mo ibice bitatu, cyangwa "uturere". Utu duce dufasha muganga gusobanukirwa neza aho igufwa ryavunitse.

• Agace ka 1: Iki ni igice cya mbere cy'igufwa, hafi yo hagati y'ikirenge. Aha hantu havunitse byitwa kuvunika kw'amagufwa . Hari igihe byitwa imvune zo mu bwoko bwa dancer cyangwa imvune za pseudo-Jones . Izi mvune akenshi ntizisaba kubagwa. Akenshi zikira mu mezi abiri hakoreshejwe inkweto cyangwa icyuma.

• Agace ka 2 (`Agace ka 2`):Iki ni igice cy'igufwa kiri inyuma gato y'agace ka mbere, hagati mu igufwa. Mu by'ukuri, iki ni igice "cy'igituza" cy'igufwa kiza nyuma y'agace ka mbere, kimeze nk'"umutwe ". Gucika intege muri aka gace ka kabiri ni byo twita "gucika intege kwa Jones". Ibi akenshi bisaba kubagwa. Bishobora gutera ingorane kurusha izindi mvune zo ku kuguru.

• Agace ka 3: Aha ni urundi ruhande rw'igufwa, aho rihurira n'amagufwa y'intoki. Gucikagurika muri aka gace bikunze kwitwa stress fractures, biterwa n'igitutu kidashira. Ibi bifata igihe kirekire kugira ngo bikire kandi rimwe na rimwe bisaba kubagwa.

Aya mazina ashobora kugaragara nk'aho akubangamiye gato. Ariko ntugahangayike. Niba wavunitse ukuguru ahantu hose, intambwe ya mbere y'ingenzi ni ukubonana na muganga vuba bishoboka. Muganga azagusobanurira ubwoko bw'imvune ufite n'icyo wakora kuri yo.

Ni gute Jones avunika? Ni nde ushobora kubyibasira cyane?

Kuvunika kw'ikirenge cya Jones ni kimwe mu bikunze kugaragara cyane. Abakinnyi, ababyinnyi, n'abantu bakora akazi gasaba guhagarara no kugenda umunsi wose ni bo cyane cyane bashobora guhura n'akaga.

• Abakinnyi (cyane cyane abakina siporo yo kwiruka no gusimbuka)
• Ababyinnyi
• Abantu bahagarara kandi bakagenda igihe kirekire mu gihe bakora

Muri rusange, abagabo bari mu kigero cy'imyaka 30 n'abagore barengeje imyaka 70 bafite amahirwe menshi yo kurwara imvune za Jones kurusha abo mu yandi moko y'imyaka.

Nanone kandi, abantu barwaye indwara yo gucika intege kw'amagufwa ( indwara itera gucika intege kw'amagufwa) bafite ibyago byinshi byo kurwara Jones imvune, ndetse n'imvune iyo ari yo yose.

Ni ibihe bimenyetso by'imvune ya Jones?

Niba ufite imvune ya Jones, ushobora kugira ibimenyetso nk'ibi:

• Ububabare bukomeye: cyane cyane inyuma y'ikirenge.
• Kubyimba.
• Ububabare (kubabara iyo ubikozeho cyangwa ukandagiye).
• Kugorwa no kugenda neza.
• Gukomeretsa cyangwa guhindura ibara ry'uruhu.
• Ikibyimba kidasanzwe cyangwa impinduka mu miterere y'ikirenge bishobora kugaragara (`ubusembwa cyangwa ikibyimba`).

"Imvune ya Jones" yo mu kiruhuko cy'izabukuru ni iki?

Iyo ugiye kwa muganga, ushobora kumva amagambo "kwimuka" cyangwa "kutava aho uri." Mu magambo make, "kwimuka aho uri" ni igihe ibice bibiri by'amagufwa byacitse byatandukanye, bigasiga icyuho kinini hagati. "Kwimuka aho uri"Ibi bivuze ko igufwa ryavunitse, ariko ibice bibiri byavunitse ntibigeze bihinduka cyane kandi ntibiri mu mwanya umwe. Akenshi, "amagufwa yavunitse" asaba kubagwa. Amagufwa "atari yavunitse" ashobora kudasaba kubagwa.

Ni izihe mpamvu nyamukuru zitera Jones kuvunika?

Nkuko twabiganiriyeho mbere, Jones avunika iyo ukuguru kwawe, cyane cyane iyo agatsinsino kawe kazamuwe kandi karagoranye, kagize ingaruka mu buryo butunguranye. Hari impamvu nke z'ingenzi:

• Gukoresha cyane inshuro nyinshi: Gukomeza kugenda, kwiruka, cyangwa guhagarara ahantu hakomeye. Urugero, hari abantu bafite akazi kabasaba guhagarara umunsi wose, kandi baba bari mu kaga gakomeye.
• Imvune zo mu mikino: Ibi bishobora kubaho iyo umuntu asimbutse hejuru no hasi mu mikino nka basketball na volleyball, cyangwa iyo umuntu azunguza ukuguru vuba mu mikino nka football, cricket na netball. Izi mvune zishobora no kubaho iyo umuntu akina volleyball mu midugudu yacu.
• Kugwa no kunyerera: Ibintu nko kugwa ku madarajya mu rugo, kunyerera ahantu hatose nko mu bwiherero, no gukubita ikirenge hasi mu buryo butunguranye.

Ni gute wasuzuma imvune ya Jones? (`Isuzuma`)

Muganga wawe azabanza kugusuzuma (`ikizamini cy'umubiri`). Hanyuma, azagutegeka ibizamini byinshi byihariye (`ibizamini byo gushushanya`) kugira ngo arebe uko amagufwa yawe ameze.

Ibi bizamini ni ibihe?

• Imirasire ya X: Imirasire ya X ishobora kwerekana neza niba wavunitse Jones cyangwa undi muvuniko w'igufwa ndetse n'ingano y'ibyangiritse ku magufwa.
• Gupima MRI (Ishusho ya Magnetic Resonance - MRI): Hari igihe muganga aba akeneye kureba ingano y'ibyangiritse ku magufwa n'ingingo zikikije, nk'imitsi n'imitsi. Icyo gihe ni bwo gupima MRI biba bikozwe.
• CT scan (`CT scan - Computed Tomography scan`): Niba ukeneye kubagwa, umuganga uzabaga azakenera ishusho isobanutse neza y'ibyangiritse ku magufwa yawe. CT scan ishobora kureba amagufwa n'ingingo zikikije mu buryo burambuye kurusha X-ray.

Ivuniko rya Jones rivurwa rite?

Uburyo bwo kuvura imvune ya Jones buterwa n'uburemere bw'imvune. Ariko, ibice by'amagufwa yavunitse bigomba kongera guhuzwa bigakira. Hari uburyo butandukanye abaganga bakoresha kugira ngo babufashe.

1. Kudakora neza

Iyo imvune idakabije cyane, bivuze ko ibice by'amagufwa bitaratandukanye cyane (bitavanywe mu myanya y'umubiri), uzakenera gushyirwaho icyuma cyangwa inkweto zidasanzwe ku kuguru kwawe. Ibi bizambarwa mu gihe cy'ibyumweru bitandatu kugeza ku munani. Muri iki gihe, uzakenera kandi gupimwa X-ray kugira ngo umenye neza ko igufwa rikize neza.

2. Kugabanya amafaranga mu buryo bufunze

Ku magufwa akomereye cyane (cyane cyane iyo yakuwe mu myanya yayo), uburyo bwitwa closed reduction bukoreshwa mu guhuza amagufwa. Ibi bikubiyemo uburyo butari ubwo kubaga aho muganga afata ibice by'amagufwa byavunitse inyuma y'umubiri wawe, akabikanda akanabigarura mu mwanya wabyo. Ibi bikorwa kugira ngo utababara, nk'uku:

• Agakoresho ko kugabanya ububabare gatangwa kugira ngo gafashe gusa aho imvune yavunitse.
• Imiti igabanya ububabare itangwa kugira ngo iruhure umubiri wose.
• Ibi bishobora gukorwa hakoreshejwe ikinya rusange.

Nyuma yo kugabanya uburebure bw'umugongo, muganga azagushyiramo icyuma cyangwa inkweto ku kuguru.

3. Kubagwa Jones imvune

Ku magufwa yavunitse cyane, ni ngombwa kubagwa. Umuganga asubiza ibice by'amagufwa yavunitse akabisana kugira ngo bitagenda kugeza igihe bikize. Ibi byitwa fixation y'imbere . Ibi bivuze ko umuganga ashyiramo ibyuma mu igufwa ryawe kugira ngo rikomeze kuguma mu mwanya waryo. Uburyo bukoreshwa muri ibi ni ubu:

• Inkoni: Inkoni y'icyuma inyuzwa hagati mu igufwa kuva hejuru kugeza hasi.
• Amasahani n'imisumari: Amasahani y'icyuma n'imisumari bishyirwa mu igufwa kugira ngo bifatanye ibice by'amagufwa.
• Insinga n'imigozi: Ibi bikoreshwa ahantu hari uduce duto tw'amagufwa ugereranyije n'ibindi bifatanye. Akenshi bishyirwa hamwe n'inkoni cyangwa amasahani.

Hari abantu bagira ibi byuma biba mu mubiri wabo ubuzima bwabo bwose. Ku bandi, bagomba kubagwa kugira ngo babikuremo nyuma yuko igufwa rikize.

4. Guteranya amagufwa

Niba imvune yawe ya Jones yacitse cyane, cyangwa niba igufwa ritakira neza, ushobora gukenera guterwa igufwa . Aha niho umuganga w’inzobere ashyiramo izindi nyama kugira ngo ahuze igufwa ryawe ryavunitse. Hanyuma, igufwa rigafatwa hakoreshejwe icyuma gifata imbere kugeza rimaze gukura. Izi ngingo zikurikira zishobora gufatwa:

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

Kubaga imvune ya Jones akenshi bikorwa nk'ubuvuzi bwo hanze. Uzashobora gutaha umunsi umwe n'uwo kubagwa.

Nyuma yo kubagwa, ukuguru kwawe kuzaba guhagaze. Uzakenera kwambara inkweto cyangwa icyuma mbere yo kubishyiramo uburemere no kongera kubikoresha.

Ni iyihe miti ikoreshwa ku mvune za Jones?

Hari imiti igabanya ububabare , nka aspirine cyangwa ibuprofen, itangwa kugira ngo igabanye ububabare.Kuva amaraso n'izindi ngorane bishobora kubaho nyuma yo kubagwa. Kubwibyo, umuganga wawe azakubwira imiti ushobora gufata kugira ngo ugabanye ububabare nyuma yo kubagwa.

Ni izihe ngorane zo kuvura Jones imvune?

Ingorane zishobora kubaho nyuma yo kubagwa Jones zirimo:

• Indwara yo mu cyumba cy’umubiri ikabije (ACS): Iyo umuvuduko uri mu mitsi wiyongera kandi amaraso akagera mu ngingo agahagarara, imitsi n’imitsi bishobora kwangirika burundu.
• Malunion: Iki ni cyo gihe ibice by'igufwa ryawe ryavunitse bitagenda neza mu gihe bikira, ahubwo bigatangira kugenda hamwe.
• Kutagira aho bihurira: Iki nicyo giteye akaga cyane. Ibice by'amagufwa ntibisubira hamwe, cyangwa ngo bifatanye neza. Ingaruka zo kutagira aho bihurira ni nyinshi ku mvune za Jones kurusha izindi mvune. Bivugwa ko umuntu umwe kuri batatu azarwara iyi ndwara.
• Ibindi byangiritse imbere: Igufwa ryavunitse rishobora no kwangiza imitsi, imitsi, imitsi y'amaraso, imitsi n'imitsi biyikikije.
• Gusubira inyuma: Gusubira inyuma kwa Jones bishobora kongera kuvunika kurusha izindi mvune.

Imiti nka NSAIDs ishobora no gutera ingaruka zimwe na zimwe: kuva amaraso, ibisebe byo mu gifu, kubabara mu gifu, n'ibibazo byo mu mara.

Nzumva meze neza nyuma y'igihe kingana iki?

Bishobora gufata ibyumweru byinshi kugira ngo ibimenyetso byawe bishire kandi wongere ugende. Bitewe n'ubwoko bw'ikibagwa wakorewe, ushobora kutazongera gushyira ibiro ku kuguru kwawe mu gihe cy'ibyumweru umunani. Uzajya ubasha gukora buhoro buhoro no kugenda. Ugomba kongera gusubira mu mirimo yawe yose isanzwe, harimo na siporo, mu mezi 3-4.

Ariko, niba urimo kugira ububabare budashobora kugabanuka, hita ubonana na muganga wawe.

Ni iki nakora kugira ngo ngire ibyago byo kuvunika kwa Jones?

Kurikiza izi nama zoroshye z'umutekano kugira ngo wirinde impanuka nk'izi:

• Ambara ibikoresho by'umutekano bikwiye mu gihe cy'ibikorwa cyangwa siporo iyo ari yo yose.
• Komeza urugo rwawe n'aho ukorera hasukuye, nta bintu bitari ngombwa n'ibindi bishobora kukubangamira.
• Buri gihe koresha ibikoresho bikwiye (nk'urwego) mu gihe ugera ku kintu kiri hejuru mu nzu. Ntuzigere uzamuka ku ntebe cyangwa ku meza kugira ngo ugere ku bintu.
• Kurikiza indyo n'imyitozo ngororamubiri bigufasha kugira amagufwa meza .
• Niba ufite imyaka irenga 50, cyangwa niba hari umuntu wo mu muryango wawe ufite indwara y'amagufwa, ganira na muganga wawe ku bijyanye no gupima ubucucike bw'amagufwa .

Ni gute wakwirinda ko Jones yavunika?

Irinde gukoresha ibirenge byawe cyane uko bishoboka kose. Ha umubiri wawe umwanya wo kuruhuka no gukira nyuma yo gukora imyitozo ngororamubiri igoye. Niba ukoresha agakoresho ko kugenda cyangwa inkoni kugira ngo bigufashe kugenda, ntukagerageze kugenda udafite ibyo bikoresho. Witondere cyane iyo ugenda ahantu hatangana, nk'amabuye.

Bizagenda bite iyo mvune ya Jones ibaye?

Niba wavunitse Jones, ushobora kwitega gukira neza. Ariko, uzakenera ubuvuzi bw'umubiri kugira ngo wongere imbaraga n'uburyo bwo kugenda mu kuguru kwawe.

Bifata igihe kingana iki kugira ngo imvune ya Jones ikire?

Ibi biterwa n'uburemere bw'imvune yawe n'uburyo ukeneye kuvurwa. Abantu benshi bifata amezi agera kuri atatu kugeza kuri ane kugira ngo bakire imvune ya Jones.

Niba ufite ikibazo nko kudahuza cyangwa kutagira aho uhurira n'ingingo, igihe cyo gukira gishobora kuba kirekire. Nanone, niba warakorewe ishinge ry'amagufwa kugira ngo usane imvune yawe ya Jones, bizatwara igihe kirekire kugira ngo umubiri wawe ukire.

Ese sinzashobora kujya ku kazi/ku ishuri?

Niba ugishoboye gukora akazi kawe cyangwa kwiga mu gihe ukuguru kwawe kudafite imbaraga, ntuzabura guhagarika kujya ku kazi cyangwa ku ishuri.

Vugana n'umuganga wawe cyangwa umuganga mbere yo kongera gukora imyitozo ngororamubiri mu gihe cyo gukira.

Ijambo rya nyuma ku kibazo cya Jones cyo kuvunika...

Icyizere cy'uko Jones yavunitse ni cyiza. Nubwo wabazwe, ushobora gukira neza.

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

Niba utekereza ko ufite imvune ya Jones - cyangwa indi mvune iyo ari yo yose - ugomba kujya kwa muganga vuba bishoboka. Jya mu cyumba cy’ubutabazi bw’ibanze vuba niba ufite kimwe muri ibi bimenyetso bikurikira:

• Ububabare budashobora kwihanganira.
• Niba udashobora kwimura igice cy'umubiri ushobora kwimura ubusanzwe.
• Niba igice cy'umubiri wawe gisa n'ikidasanzwe cyangwa gisa n'aho cyavuye mu mwanya wacyo.
• Niba ushobora kubona igufwa binyuze mu ruhu rwawe.
• Kubyimba gukabije.
• Niba hari ibikomere bishya bigaragara hamwe n'ibindi bimenyetso.

Niba wagize impanuka ikomeye (ihungabana), jya kwa muganga vuba.

Ni ibihe bibazo ngomba kubaza muganga wanjye?

• Ni irihe gufwa ryanjye ryavunitse?
• Ese mfite imvune ya Jones, cyangwa ubundi bwoko bw'imvune y'igufwa rya gatanu rya metatarsal?
• Ese nkeneye kubagwa?
• Bizatwara igihe kingana iki kugira ngo umuntu akire?
• Ni ryari nshobora kongera gutangira imyitozo ngororamubiri?

Kuvunika kwa Jones bishobora kugutera ikibazo, cyane cyane niba umaze amezi menshi ukina siporo ukunda. Ariko ibuka ko nubwo wabazwe, kuvunika kwa Jones ni indwara ikira neza iyo uvuwe, kandi ushobora gukira neza. Vugana na muganga wawe uburyo wakomeza kugira amagufwa yawe akomeye kandi afite ubuzima bwiza, kandi ujye usuzuma buri gihe niba ufite imyaka irenga 50 cyangwa niba hari umuntu wo mu muryango wawe ufite indwara ya osteoporosis.

Kuvunika kwa Jones , kuvunika kw'ikirenge, igufwa rya metatarsal, kuvunika kw'igufwa, ububabare bw'ikirenge, imvune za siporo, gukira kw'igufwa