Muraho nshuti! Umeze ute? Uyu munsi tugiye kuvuga ku bice by'ingenzi cyane by'umubiri wacu. Ibyo ni amagufwa yacu, ingingo, n'imitsi. Tekereza gusa, tudafite ibi, ntidushobora guhagarara, kugenda, cyangwa gukora ikintu icyo ari cyo cyose. Rero, iyo hari ikibazo cyangwa ububabare muri sisitemu ikomeye nk'iyi, hari umuganga w'inzobere udufasha. Wenda wigeze kugwa ugakomereka ukuboko cyangwa ukuguru, cyangwa ukababara ivi cyangwa urutugu. Ni bwo tugomba guhura n'uyu muganga w'inzobere. Reka turebe uwo muganga ari we n'icyo akora.
Imitsi n'imitsi ni iki? Reka tubisobanukirwe mu buryo bworoshye!
Mu magambo make, iri ni ryo zina duha sisitemu yose ifasha imibiri yacu kugenda no gukora. Tekereza nk'inzu.
- Amagufwa : Aya ni urufatiro rw'umubiri wacu. Nk'inkuta n'igisenge cy'inzu. Amagufwa atanga ishusho n'imbaraga by'umubiri wacu. Anarinda ingingo z'ingenzi ziri muri twe, nk'ubwonko n'umutima .
- Ingingo : Ingingo ni ahantu amagufwa abiri ahurira. Kimwe n'amapine y'urugi. Zituma dushobora kunama, kwagura no kwimura imibiri yacu. Amavi , inkokora, ibitugu, n'ikibuno ni byo dukunda gukoresha.
- Imitsi: Iyi ni nk'imashini z'umubiri wacu. Ifitanye isano n'amagufwa kandi iyo irambitse kandi ikanakomera, dushobora kugenda. Imitsi ifasha kugenzura ibintu dukora tubyitondeye (kugenda, kwiruka) ndetse n'ibyo dukora tubyitondeye (umutima utera).
- Imitsi n'imitsi: Imitsi ni imitsi ikomeye ihuza igufwa rimwe n'irindi. Imitsi ni imitsi ihuza imitsi n'amagufwa. Iyo bitabaho, ingingo ntizakomera, kandi imbaraga zituruka ku mitsi ntizagera ku magufwa.
Ibi byose hamwe nibyo bituma dukora neza. Niba hari akantu gato kadakora muri iyi gahunda, ibikorwa byacu byose bya buri munsi bishobora guhungabana, si byo se?
Uyu muganga w’amagufwa n’ingingo (Umuganga w’amagufwa) ni nde?
Urabizi, hari abaganga bamwe bavura indwara hafi ya zose (tubita abavuzi rusange - abaganga). Nanone, hari abaganga bamwe na bamwe bahuguwe by'umwihariko kandi bazi indwara
imwe cyangwa igice kimwe cy'umubiri. Inzobere nk'iyo yitwa
inzobere mu by'amagufwa n'ingingo . Mu Cyongereza, tuyita "Umuganga w'Amagufwa". Aba baganga ni bo twavuze mbere.
Abahawe amahugurwa yihariye yo kuvura imvune , indwara, n'ibindi bibazo byose biba mu magufwa, ingingo, imitsi, imitsi n'imitsi. Icy'ingenzi: Nubwo mu izina ryabo ijambo 'Umuganga w'inzobere' ari ijambo, aba bose si abaganga b'inzobere. Mu by'ukuri, bakunze kugerageza kuvura ikibazo cyawe batabanje kubaga , bakoresheje imiti, imyitozo ngororamubiri, cyangwa ubundi buryo. Kubaga ni ngombwa gusa iyo ibindi byose bitagenze neza, cyangwa niba imiterere y'imvune/indwara isaba kubagwa rwose.
Aba bahanga bamaze imyaka myinshi biga iby’ubuvuzi, hanyuma bamara imyaka myinshi bitoza cyane cyane ibijyanye n’imitsi n’amagufwa. Kubwibyo, bafite ubumenyi bwinshi muri uru rwego. Ni ryari tugomba kubonana n'umuganga w'amagufwa?
Noneho, ushobora kuba uri kwibaza uti "Ni ikihe kibazo cyansaba kujya kwa muganga nk'uyu?" Reba niba wigeze kugira kimwe muri ibi bimenyetso:- Kuvunika: Iyo uguye cyangwa ugize impanuka ukavunika ukuboko, ukuguru, cyangwa irindi gufwa, rimwe na rimwe bishobora kuba akantu gato.
- Gucika intege no gucika intege: Tekereza ko waguye mu gituza ukina cricket, cyangwa wazunguje umugongo wawe uterura ikintu kiremereye. Ibi ni imvune ku mitsi cyangwa imitsi.
- Ububabare bw'ingingo : Ububabare buhoraho no kubyimba ingingo nk'amavi, ibitugu, inkokora, n'ikibuno. Imwe mu mpamvu zishobora kuba indwara yitwa `(Arthritis)`.
- Ububabare bw'umugongo n'ijosi: Iki ni ikibazo gikunze kugaragara ku bantu benshi. Ubu bubabare bushobora guterwa n'ibintu nko kudafata neza ingingo, guterura ibintu biremereye , n'impinduka zibaho uko umuntu agenda akura.
- Ibikomere bya Siporo : Ubwoko ubwo aribwo bwose bw'imvune umuntu yahuye nabwo mu gihe yakina siporo. Urugero, ACL (anterior cruciate ligament) yacitse mu ivi, urutugu rwacitse, nibindi.
- Kubura ibinya n'intege nke mu maguru: Hari igihe imitsi ipfutse ishobora gutera ububabare n'ububabare mu biganza no mu ntoki. Urugero ni indwara yitwa "Carpal Tunnel Syndrome."
- Ubusembwa bw'amagufwa cyangwa ingingo: Hari indwara zivukanwa (urugero: ikirenge cy'ikibuno) cyangwa zigakura nyuma, nka scoliosis.
- Intege nke z'amagufwa:Indwara nka osteoporosis zituma amagufwa acika intege kandi agacika byoroshye.
- Kugorwa no kugenda, kudashobora kwimura ingingo: Iyo ingingo imeze nk'aho idashobora kwimurwa.
Niba ufite kimwe muri ibi bimenyetso, ni byiza kureba umuganga w’indwara rusange, kandi ukurikije inama baguhaye, ukareba inzobere mu magufwa n’ingingo. Ni gute umuganga w'amagufwa yagufasha?
Iyo ugiye kureba inzobere nk'iyi, izafata ingamba nyinshi kugira ngo imenye neza ikibazo cyawe kandi iguhe ubuvuzi bukwiye. 1. Gusuzuma indwara - Kumenya neza indwara
- Uzabazwa ibimenyetso byawe: Ubwa mbere, muganga azabaza ibibazo. Ububabare buri he, bwatangiye gute, burushaho kwiyongera ryari, kandi niba ufite izindi ndwara. Ibisobanuro utanga ni ingenzi cyane.
- Isuzuma ry'umubiri: Hanyuma, muganga azagusuzuma. Azumva aho ububabare buri, azunguze amaguru yawe, anapfukame amavi yawe. Ibi bizamufasha kumenya aho ikibazo kiri n'uburemere bwacyo.
- Ibizamini byo Gufata Amashusho: Hari igihe hakenewe gufatwa amafoto kugira ngo harebwe neza ibirimo kuba imbere.
- `(X-ray)` (X-ray): Iyi ishobora gukoreshwa cyane cyane mu kureba ibintu nko kuvunika, kuvunika, kwangirika, no gucika kw'ingingo.
- `(CT scan)` (CT scan - Computed Tomography scan): Ibi bishobora gufata amashusho asobanutse neza kurusha X-ray. Bishobora gutanga igitekerezo kitari gusa ku magufwa, ahubwo no ku ngingo zoroshye.
- `(MRI scan)` (M.R.I. Scan - Magnetic Resonance Imaging scan): Ibi bishobora kubona neza ibibazo by'ingingo zoroshye nk'imitsi, imitsi, imitsi, na cartilage (igice kimeze nk'umusego kiri hagati y'ingingo).
Nyuma y'ibi bizamini, muganga azamenya neza ikibazo cyawe. 2. Kuvura - kuvura indwara
Nyuma yo gusuzuma indwara, muganga azaguhitiramo uburyo bwiza bwo kuyivura. Wibuke ko navuze mbere ko kubaga atari cyo gisubizo cya byose. Uburyo bwo kuvura butari ubwo kubaga:
Akenshi, ubu buryo butangirira kuri:- Imiti: Imiti igabanya ububabare n'imiti igabanya ububabare ishobora gutangwa.
- Inshinge: Ububabare bumwe na bumwe bw'ingingo, urugero, ububabare buterwa na rubagimpande, bushobora koroherwa n'uburyo bwo kuvura nko gutera inshinge za steroide mu ngingo.
- Imitsi, Imitsi, Imitsi: Iyo igufwa ryavunitse, hashyirwaho umutsi kugira ngo ritagenda neza. Iyo habaye gukomereka, hashobora gushyirwaho umutsi cyangwa umutsi kugira ngo hakingwe ingingo.
- Ubuvuzi bw'umubiri:Ibi ni ingenzi cyane. Umuganga w’imitsi azakwigisha imyitozo ngororamubiri yihariye yo gukora, uburyo bwo gukomeza imitsi yawe, n’uburyo bwo kongera urwego rw’imikorere mu ngingo zawe. Ibi bishobora kugufasha gukira vuba no kugabanya ibyago byo kongera ibibazo.
- Guhindura imibereho: Hari igihe, niba ufite umubyibuho ukabije, ushobora kugirwa inama yo kugabanya ibiro. Ibi biterwa nuko ibiro byinshi bishyira igitutu ku ngingo nk'amavi n'ikibuno. Ushobora kandi kugirwa inama yo kwicara neza no guterura ibintu mu buryo butababaza umugongo wawe.
Uburyo bwo kuvura indwara zo kubaga:
Nubwo ubundi buryo bwose bwo kuvura bwageragejwe, cyangwa bitewe n'uburemere bw'ikibazo, muganga ashobora gufata icyemezo cyo kubaga. Ntutinye, muganga azagusobanurira byose.- Gusana Ivunika: Ibice by'amagufwa byavunitse bishyirwa hamwe kandi bigashyirwaho insinga, imisumari, amasahani, n'ibisuguti.
- Gusimbuza ingingo: Ingingo ishaje kandi ibabaza, nk'ivi cyangwa ikibuno, irakurwaho igasimbuzwa ingingo y'ubukorano ikozwe mu cyuma cyangwa pulasitiki (`Gusimbuza ikibuno`, `Gusimbuza ivi`). Ibi bikuraho ububabare kandi bigatuma ushobora kugenda no kongera gukora neza.
- `(Arthroscopy): Ubu ni ubwoko bw'ubuganga bwitwa "kubaga imyobo y'urufunguzo." Umwobo umwe cyangwa ibiri mito ikorerwa hafi y'ingingo, aho kamera nto (arthroscope) n'ibikoresho byo kubaga bishyirwa kugira ngo bikosore ibibazo biri imbere mu ngingo (urugero: gucika kw'ingingo, imitsi). Kubera ko nta gucika gukomeye gukabije, gukira vuba.
- Gusana imitsi n'imitsi: Imitsi cyangwa imitsi, nka ACL, yacitse mu gihe cyo gukina siporo iradodwa hamwe.
- Kubaga imitsi irekurwa: Mu ndwara nka Carpal Tunnel Syndrome, hakorwa ubuvuzi bworoheje kugira ngo imitsi irekurwe.
Izi ni ingero nke gusa. Muganga wawe azaganira nawe ku buryo bwo kuvura bujyanye n'uburwayi bwawe. Ibintu ugomba kwibuka mbere no mu gihe cyo kubonana n'umuganga w'amagufwa
- Ibaruwa ivuye kwa muganga wawe (Dogiteri): Kenshi na kenshi, umuganga wawe w’umuryango (Dogiteri) azakohereza kuri ubwo bwoko bw’inzobere. Jyana iyo baruwa.
- Raporo za kera: Niba warigeze gupimwa X-ray cyangwa gupimwa, bizane nabyo.
- Ibisobanuro by'imiti: Bwira muganga wawe imiti urimo gufata ubu.
- Baza ibibazo:
"Ntutinye kubaza muganga ibibazo. Baza kandi usubize ibibazo byawe byose ushidikanyaho. Uko urushaho kumenya neza indwara yawe n'uburyo uvurwa, niko uzakira vuba."
Baza ibibazo nko icyo gukora, icyo kutakora, n'igihe bizatwara kugira ngo ukire. Ni gute twakomeza kugira amagufwa, ingingo n'imitsi bizima? Inama nke
Hari ibintu dushobora gukora kugira ngo wirinde iyi gahunda yacu y'ingenzi kurwara cyangwa gukomereka:- Indyo yuzuye: Kurya ibiryo bikungahaye kuri kalisiyumu na vitamine D (amata, foromaje, yawurute, imboga rwatsi, amafi mato). Ibi bikomeza amagufwa.
- Imyitozo ngororamubiri isanzwe: Imyitozo ngororamubiri nko kugenda, kwiruka no koga ikomeza imitsi kandi igatuma ingingo zigenda neza.
- Kugumana ibiro byiza by'umubiri: Ibiro byinshi bishyira umuvuduko utari ngombwa ku ngingo.
- Kurikiza ingamba zo kwirinda: Koresha ibikoresho by'umutekano mu gihe ukina siporo no ku kazi. Menya neza ingaruka zishobora guterwa no kugwa.
- Imiterere myiza: Guma umugongo wawe ugororotse igihe wicaye, uhagaze, cyangwa uterura ibyuma biremereye.
Ubutumwa bwo kujyana mu rugo
Rero, nshuti yanjye, uyu munsi twaganiriye cyane ku bijyanye n'umuntu witwa "Umuganga w'Amagufwa", cyangwa inzobere mu magufwa n'ingingo, icyo akora, n'igihe tugomba kumusanga, si byo se? Ikintu cy'ingenzi cyo kwibuka ni iki:- Niba ufite ububabare, kubabara, cyangwa imvune ifitanye isano n'amagufwa yawe, ingingo, cyangwa imitsi, ntubyirengagize.
- Umuganga w’amagufwa ni umuntu umeze nk’inshuti yawe, witeguye kugufasha muri ibi bibazo.
- Kubagwa si ngombwa buri gihe. Hariho uburyo bwinshi bwo kuvura butari ubwo kubaga.
- Uramutse ugiye kwa muganga vuba kandi ugashaka inama, ushobora gukemura ikibazo cyawe mbere yuko kirushaho gukomera.
Ndizera ko aya makuru azaba ingirakamaro. Twifurije abantu bose ubuzima bwiza! Umuganga w'amagufwa wo muri Sinhala, inzobere mu magufwa, inzobere mu ngingo, ubuvuzi bwo kuvunika, arthroscopy, ububabare bw'ivi, ububabare bw'umugongo, imvune za siporo muri Sinhala, sinhala y'imitsi n'amagufwa yo muri Sinhala.
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