Kumenya ko wowe, umwana wawe, cyangwa undi muntu ukunda yavunitse igufwa bishobora kuba ibintu bitera ubwoba cyane kandi bitera ubwoba. Bikunze kubaho ako kanya—wenda kugwa gato mu gihe uri gukina, cyangwa ingaruka z'impanuka itunguranye mu gihe cyo kujya mu kazi ka buri munsi. Muri Nirogi Lanka , turashaka kugufasha gusobanukirwa neza icyo kuvunika kw'igufwa ari cyo, uburyo bwo kubimenya, intambwe itsinda ry'abaganga rizatera, kandi ikiruta byose, inzira itangaje y'uko umubiri wawe ukira.
Mu by'ukuri igufwa ryavunitse ni iki?
Mu magambo make, igufwa ryavunitse ribaho iyo hari igufwa rikomeye rikomeje cyangwa ricitsemo ibice mu buryo rikomeza. Mu buvuzi, ibi tubyita 'kuvunika'Nubwo amagufwa yawe aramba cyane, ashobora kuvunika iyo akoreshejwe imbaraga zirenze urugero, nko mu gihe cyo kugwa cyane cyangwa kugongwa cyane. Tekereza nk'inkoni y'igiti; ishobora kwihanganira kunama, ariko iyo igitutu kirenze urugero rwayo, izacika. Ibyo ni byo bibaho mu gihe cyo kuvunika.
Kuki amagufwa avunika? Ni izihe mpamvu?
Hari impamvu nyinshi zishobora gutuma igufwa rivunika. Reka turebe zimwe mu mpamvu zikunze kugaragara.
- Kugwa: Iyi ni yo mpamvu ikunze gutera kuvunika, cyane cyane mu bana n'abantu bakuru. Abana bato bashobora kuvunika igufwa mu gihe biruka, bazamuka ibiti, cyangwa ndetse no mu mirimo isanzwe ya buri munsi. Uko ugenda usaza, kuringaniza kw'umubiri wawe biragabanuka kandi amagufwa yawe ashobora gucika intege, bigatuma ibyago byo kuvunika umubiri birushaho kwiyongera.
- Impanuka: Ibintu bishobora guteza ingaruka zikomeye nko kugonga imodoka zo mu muhanda, kugwa uturutse ahantu harehare, cyangwa gukomereka ku kazi ni byo bintu by’ingenzi bituma amagufwa avunika.
- Imvune mu mikino: Imikino yo gukubitanaho nk'umupira w'amaguru cyangwa rugby, ndetse n'ibikorwa bikomeye nko kwiruka cyangwa gusimbuka, bishobora gutuma umuntu avunika. Hari igihe kugwa nabi bishobora kuba bihagije kugira ngo umuntu avunike.
- Gusubiramo Imihangayiko: Gusubiramo kandi inshuro nyinshi bishobora gushyira umuvuduko uhoraho ku igufwa runaka. Ibi bishobora gutera imivune mito, igaragara mu basirikare cyangwa abakinnyi bakora intera ndende.
- Kuvunika kw'indwara: Hari indwara zimwe na zimwe, nko kubura ubucucike bw'amagufwa (kugabanuka kw'amagufwa) cyangwa kanseri y'amagufwa, zishobora gutuma amagufwa yawe acika intege, bigatuma ashobora kuvunika nubwo yaba afite igitutu gito cyane.
Ese hari ubwoko butandukanye bw'imvune?
Yego, kuvunika kw'amagufwa bishyirwa mu byiciro bitewe n'uburyo amagufwa yavunitse n'imiterere y'ibice byabyo. Muri Nirogi Lanka, abahanga bacu bakoresha ubu buryo bwo kugena gahunda nziza yo kuvura. Dore ubwoko bumwe na bumwe busanzwe:
- Gucika kw'igufwa rya Greenstick: Kimwe no gucika ishami rishya ry'icyatsi kibisi, uruhande rumwe rw'igufwa ruravunika mu gihe urundi ruhande rworoshye. Ibi bikunze kugaragara ku bana kuko amagufwa yabo yoroshye kandi yoroshye kuyahindura.
- Gucika kw'igufwa cyangwa gucika kw'igufwa: Ibi bibaho iyo uruhande rumwe rw'igufwa rukandagiye cyangwa 'rucitse', bigatuma habaho akabyimba gato nta rundi ruhande ruvange. Ibi kandi bikunze kugaragara ku bana.
- Gucika kw'imitsi: Imitsi ifatana n'amagufwa hakoreshejwe imitsi. Hari igihe imitsi ikomera cyane ku buryo ikurura igice cy'igufwa aho rifatanye.
- Gucika kw'igufwa: Abana n'ingimbi bafite ibice by'imitsi ikura ku mpera z'amagufwa yabo byitwa imitsi ikura. Iyi mitsi ikenera kwitabwaho cyane kuko ishobora kugira ingaruka ku mikurire y'igufwa mu gihe kizaza.
- Gucika kw'umuvuduko w'imisatsi: Nkuko byavuzwe, iyi ni imiyoboro mito y'umusatsi iterwa n'umuvuduko uhoraho w'imashini uko igihe kigenda gihita, aho kuba ingaruka imwe itunguranye.
- Kuvunika kw'igufwa: Iki ni igikomere gikomeye aho igufwa rivunikamo ibice birenga bibiri, akenshi bigaterwa n'ihungabana rikomeye.
- Gucika intege: Ibi bibaho iyo igufwa riguye bitewe n'igitutu, rigahinduka rigufi cyangwa rigahinduka nk'ikigega cyamenetse.Ibi bikunze kugaragara mu mitsi yo mu bwonko, cyane cyane ku bantu bakuze bafite indwara ya osteoporosis.
Ibi ni bimwe mu byiciro bisanzwe. Hari n'ubundi bwoko, kandi muganga wawe azakwemeza imiterere yihariye y'imvune yawe nyuma yo gusuzuma X-ray.
Nzamenya nte ko navunitse? Ni ibihe bimenyetso?
Ibimenyetso bishobora gutandukana bitewe n'uburemere bw'imvune, ariko bimwe ni ibisanzwe cyane.
- Ububabare: Iki ni cyo kimenyetso gikunze kugaragara. Ushobora kumva ububabare bukomeye aho wavunitse, akenshi bigatuma bidashoboka kwimura agace kagize ikibazo.
- Kubyimba: Agace gakikije aho imvune yavunitse gashobora kubyimba nk'igice cy'uburyo umubiri ubyimba.
- Guhinduka kw'ibara: Kuva amaraso munsi y'uruhu bishobora gutuma agace kagaragara nk'ubururu, umuhengeri cyangwa umuhondo.
- Kugorwa no kwimuka: Ushobora gusanga bigoye cyangwa bidashoboka gukoresha cyangwa kwimura urugingo rwakomeretse cyangwa ingingo.
- Ubusembwa: Mu bihe bikomeye, urugingo rushobora kugaragara nk'urugoramye cyangwa rudafite ishusho nziza. Iki ni ikimenyetso gikomeye gisaba ubuvuzi bwihuse.
- Gucika kw'uruhu: Iyo igufwa ritoboye uruhu, bizwiho kuvunika cyangwa kuvunika cyane. Ibi ni ikibazo cyihutirwa cy'ubuvuzi bitewe n'ibyago byinshi byo kuva amaraso menshi no kwandura indwara.
- Crepitus: Ushobora kumva cyangwa kumva ikintu gisya, "giteye ubwoba" iyo igufwa ryavunitse ritangiye gukubitana.
Icy'ingenzi: Niba wowe cyangwa umwana wawe mubonye kimwe muri ibi bimenyetso, ntimugatekereze ko ari igikomere gusa. Shaka ubuvuzi bwihuse cyangwa usure ishami rishinzwe ubutabazi bwihuse riri hafi yawe.
Ni gute abaganga basuzuma indwara yo kuvunika kw'umubiri?
Iyo ugiye kwa muganga kubera ikibazo cy’imvune nkeka ko yavunitse, tuzabanza tukubaze uko imvune yagenze hanyuma tumenye urugero rw’ububabare bwawe. Hanyuma tuzasuzuma neza aho hantu habyimbye, hafite ubumuga, ndetse n’aho umuntu agenda.
Kugira ngo twemeze neza aho igufwa ryavunitse n'uko ryavunitse, tuzatumiza X-ray. Iyi foto idufasha kubona aho ryavunitse no kumenya niba impera z'igufwa zaravuye. Mu bihe bigoye cyane, dushobora gukoresha CT scan cyangwa MRI kugira ngo tubone neza.
Ni gute amagufwa yavunitse avurwa? Ni ubuhe buryo bwo kuvura?
Intego y'ibanze mu kuvura imvune ni ukugorora neza ibice by'amagufwa no kubigumana bidafite aho bihuriye.Ibi byemeza ko igufwa ryawe rikira neza kandi neza. Dukoresha uburyo butandukanye kugira ngo tubigereho:
- Gutera icyuma: Ubu buryo ni bwo bukunze gukoreshwa cyane. Dukoresha icyuma gikomeye ku kuboko, ku kuguru, cyangwa ku gice cy'umubiri cyangiritse. Mu gukumira kugenda, icyuma gitera igufwa gukomera kugira ngo rivugururwe. Igihe cyo gutera icyuma giterwa n'aho cyabereye, ubwoko bw'imvune, n'imyaka yawe.
- Gutera cyangwa Gutera Ingufu: Hari igihe, cyane cyane iyo habayeho kubyimba gukomeye, dushobora gukoresha icyuma gifasha gukuraho (agakoresho gafasha cyangwa icyuma gifasha) kidakomeye nk'igitereko. Iyo kubyimba kugabanutse, dushobora kugushyira mu gitereko gihoraho.
- Kugabanya: Niba ibice by'amagufwa byahindutse cyangwa 'byahindutse' igihe byavunitse, muganga wawe azakora 'kugabanya'—uburyo bwo kuyobora amagufwa neza mu mwanya wayo ukwiye mbere yo kuyashyiramo icyuma.
- Gufunga: Ibi bikubiyemo guhindura ibice by'amagufwa mu mwanya wabyo bivuye hanze y'uruhu, bitabaye ngombwa ko bicibwa. Dushobora gutanga umuti ugabanya ububabare aho uri, kuko bishobora kugorana.
- Kugabanya no Gufata Imbere mu Mutwe (ORIF): Ku mvune zikomeye cyangwa iyo kugabanya bidahagije, umuganga ubaga azakora igikorwa cyo kubaga kugira ngo amagufwa yerekanwe kandi akoreshe ibyuma, imisumari, cyangwa udupira kugira ngo afatanye ibice imbere.
- Gufata Inyuma: Mu gihe habaye imvune zikomeye cyane, hashobora gushyirwaho icyuma gifata inyuma y'umubiri kugira ngo ibice by'amagufwa bikomeze mu mwanya wabyo mu gihe cyo gukira.
Byongeye kandi, muganga wawe ashobora kukwandikira imiti igabanya ububabare, kandi mu gihe cy'imvune zifunguye, ashobora kukwandikira imiti igabanya ububabare kugira ngo wirinde kwandura.
Biratangaje, si byo se? Ni gute igufwa rikira?
Gukira kw'amagufwa ni igikorwa cy'ibinyabuzima gitangaje kandi kigoye. Dore uko umubiri wawe wisana intambwe ku yindi:
1. Imiterere y'amaraso: Iyo igufwa rimaze kuvunika, amaraso ava hirya no hino ku mvune, bigatuma amaraso acika . Iyi ngingo irinda umubiri kandi ikawuha ikimenyetso cyo kohereza uturemangingo twabugenewe aho hantu kugira ngo dutangire gusanwa.
2. Imiterere ya Callus: Mu minsi mike, urugingo rworoshye, rumeze nk'ikiraro rwitwa 'soft callus' rutangira gukora hirya no hino aho rwavunitse, rugakora nk'ukore karemano. Mu byumweru byinshi, kalisiyumu yinjizwa muri iki kiraro, ikagihindura 'callus' ikomeye kandi ikomeye. Niyo mpamvu tugushyira mu gitereko igihe kirekire - kugira ngo turinde iyi mpinduka ikomeye mu gihe igufwa rigarura imbaraga.
3. Kuvugurura amagufwa: Mu ntangiriro, iyi mvune nshya ishobora kugaragara nk'inini cyangwa ifite imiterere idahwitse ugereranije n'igufwa rya mbere. Mu mezi akurikira cyangwa ndetse n'umwaka, uturemangingo twihariye (osteoclasts na osteoblasts) tuzasenya ingirangingo zirenze urugero kandi tunonosore imiterere, buhoro buhoro tuvugurura igufwa uko ryari rimeze mbere. Ibi bizwi nka 'kuvugurura amagufwa'.
Nkuko mubibona, gukira ni igikorwa cyiza kandi gisanzwe. Kwihangana n'igihe ni byo bigufasha cyane mu gihe cyo gukira.
Ubutumwa bwo kujyana mu rugo
Kuvunika bishobora gutera ubwoba kandi bibabaza. Ariko, iyo ukomeje gutuza no gushaka ubuvuzi bw’inzobere ku gihe muri Nirogi Lanka cyangwa mu kigo cyita ku buzima bw’ingorabahizi cyo mu gace utuyemo, imvune nyinshi zishobora gukira burundu.
- Niba ukeka ko hari imvune yavunitse, ntugatekereze ko ari igikomere cyangwa gukomereka gusa. Shaka ubufasha bwa muganga ako kanya. Gutinda kuvurwa bishobora kongera igihe cyo gukira no guteza ingorane.
- Kurikiza amabwiriza ya muganga wawe cyane cyane ajyanye no kwita ku ivuriro, gahunda z'imiti, n'imyitozo yo kuvura indwara. Gukurikiza amabwiriza ni ingenzi kugira ngo ukire vuba.
- Mwitondere cyane abana, cyane cyane imvune ziterwa n'imikurire y'umwana, kuko zishobora kugira ingaruka ku mikurire ye mu gihe kizaza.
- Gukira bifata igihe. Ihangane n'umubiri wawe kandi uwuhe umwanya ukeneye kugira ngo ukire neza.
- Nyuma yo gukuraho icyuma, ubuvuzi bwa physiotherapy akenshi ni ingenzi kugira ngo wongere gukora neza no gukomera kw'imitsi mu ngingo.
- Niba ufite ikibazo cyangwa impungenge, ntugatinye kubaza muganga wawe. Ufite uburenganzira busesuye bwo gusobanukirwa urugendo rwawe rw'ubuvuzi.
Komeza utekanye! Mu gihe cy’impanuka, komeza gutuza uhamagare 911 cyangwa usure ibitaro bikwegereye.
Amagambo ahinnye: Kuvunika, igufwa ryavunitse, gukata, gukira amagufwa, kuvunika kw'abana, kuvugurura amagufwa, Nirogi Lanka
