Gucika kw'umubiri ni iki? Ntugire ikibazo, reka tubiganireho birambuye!

Hari ahantu mu mibiri yacu hagenewe kudufasha kunama no kugenda. Tekereza ahantu nk'urutugu rwawe, inkokora, ivi, n'intoki. Ibi tubyita ingingo . None se, wigeze wumva inkuru nka "Oh, igufwa ryanjye ryacitse" cyangwa "Igufwa ry'umuntu ryacitse maze ngomba kujya mu bitaro"? Wenda nawe ubwawe wagize icyo kibazo, cyangwa wenda hari umuntu uzi wagize. Iryo "gucika kw'igufwa" ni icyo bita "Dislocation" muri siyansi y'ubuvuzi. Nubwo iri jambo rishobora kumvikana nk'aho riteye ubwoba iyo uribyumvise, umaze gusobanukirwa neza icyo ari cyo, impamvu kibaho, n'icyo wakora nibibaho, dushobora guhangana n'iki kibazo neza.

Gucika kw'umubiri ni iki mu by'ukuri?

Mu magambo make, gucika kw'ingingo ni igihe igufwa rimwe cyangwa menshi mu ngingo ava mu mwanya wayo usanzwe, ni ukuvuga kuva mu mwanya wayo. Tekereza ku ngingo nk'aho ari ku muryango. Urugi rukora neza igihe cyose ibice bibiri by'ingingo biri mu mwanya ukwiye. Iyo igice kimwe kidakora neza, urugi ntiruzakinguka cyangwa ngo rufunge neza, nk'uko gucika kw'ingingo bibaho mu ngingo.

Ingingo zacu zigizwe n'amagufwa afatanye n'andi hamwe n'uturemangingo tworoshye tuyakikije, nk'imitsi, imitsi, imitsi n'imitsi. Ibi byose bikorana kugira ngo ingingo zikomeze gukomera no kudufasha kugenda. Gucika kw'ingingo ni igihe rimwe cyangwa menshi muri ayo magufwa asohoka burundu cyangwa igice cy'ingingo mu mwobo w'ingingo.

Icy'ingenzi: Gucika kw'ingingo bitandukanye no kuvunika. Gucika kw'ingingo ni ukuvunika hagati y'ingingo cyangwa gucikamo kabiri. Mu buryo nk'ubwo, gucika kw'ingingo ni ukubabara kw'imitsi yo mu ngingo. Nubwo byose uko ari bitatu bibabaza, impamvu n'uburyo bwo kuvura bishobora kuba bitandukanye.

Kuki amagufwa asimbuka gutya? Ni izihe mpamvu nyamukuru?

Hari impamvu nyinshi zishobora gutuma igufwa rigwa. Reka turebe ibintu by'ingenzi bituma ibi bibaho:

• Impanuka n'ibikomere (Ihungabana): Iyi ni yo mpamvu ikunze kugaragara cyane.
• Kugwa: Cyane cyane iyo umuntu aguye avuye hejuru, iyo igihimba cyaguye nabi, ingingo nk'urutugu, inkokora n'ukuboko bishobora kuvunika. Abageze mu zabukuru n'abana bato baba bafite ibyago byinshi byo kugwa.
• Imvune mu mikino: Gucika intege bishobora kubaho mu mikino ihuza abantu nka rugby na football, no mu mikino isaba koroherwa nka gymnastics. Urugero, iyo ukina cricket, ushobora 'kwibira' no 'gufata' no kuvunika urutugu rwawe.
• Impanuka z'imodoka: Impanuka ikomeye y'imodoka ishobora no gucika ingingo nini nk'ingingo yo mu kibuno.
• Gukubita mu buryo butaziguye: Gukubita mu buryo butaziguye kandi bukomeye ku ngingo bishobora no gukuraho igufwa.

• Zimwe mu ndwara zivukana:
• Hari abantu bavukana ingingo zirekuye cyangwa ingingo zirekuye. Ibi bivuze ko imitsi yabo yoroshye kurusha uko bisanzwe. Aba bantu bashobora kuvunika amagufwa byoroshye. Ibi bishobora no guterwa n'indwara zimwe na zimwe za genetiki, nka Ehlers-Danlos syndrome.

• Guhangayika Gusubiramo:
• Hari igihe iyo ingingo imwe ikomeje kwimurirwa mu buryo bumwe, ingingo zikikije iyo ngingo zishobora gucika intege kandi amagufwa ashobora kunyerera cyane. Ariko, ibi bishobora gutuma igice cy’ingingo gihinduka, aho igufwa rigenda riva aho riri (subluxation), aho kuva aho rihinduka burundu.

Ni ibihe bimenyetso by'indwara yo gucika kw'igufwa?

Uburyo igufwa ritera n'uko rigaragara bishobora gutandukana gato bitewe n'umuntu. Ariko hari ibimenyetso bike bikunze kugaragara:

• Ububabare bukabije: Iki ni cyo kimenyetso nyamukuru. Ububabare bushobora kugorana, cyane cyane iyo ugerageje kwimura ingingo. Bushobora kumva nk'aho icyuma kiguteye.
• Kubyimba no gukomeretsa: Agace gakikije igufwa ryavunitse kaziba vuba. Hari igihe amaraso make ashobora guterana agasa n'ubururu cyangwa umuhengeri, nk'udukomere.
• Ubusembwa bw'ingingo: Iki ni ikimenyetso kigaragara. Ingingo ishobora kugaragara idahuye n'aho iri, irambitse, iragondamye, cyangwa ibyimbye mu buryo budasanzwe. Urugero, iyo urutugu ruzungurutse, ukuboko gushobora kugaragara nk'aho kumanutse gato hasi.
• Kugorwa no kwimuka cyangwa kutabasha kwimuka burundu: Iyo igufwa ryavunitse, ingingo ntishobora kwimuka neza. Hari igihe ishobora kudashobora kwimuka na gato.
• Kubura ibyiyumvo cyangwa kubura ibyiyumvo: Iyo imitsi inyura mu ngingo ikandamijwe iyo igufwa ryavunitse, ushobora kugira ibinya, kumva ubabaye, cyangwa se ugatakaza ibyiyumvo byose mu gace kari munsi y'ingingo.
• Hari n'abantu bavuga ko rimwe na rimwe bumva ijwi rya "tock".

Ni gute muganga asuzuma neza ikibazo cyo kuvunika kw'umubiri?

Niba ufite ibi bimenyetso, ikintu cyiza wakora ni ukujya kwa muganga vuba bishoboka. Ubusanzwe muganga azasuzuma indwara muri ubu buryo:

1. Kukubaza amateka y'umurwayi wawe: Ibi byabaye bite? Ni ubuhe bwoko bw'ikintu wakoze? Ububabare bumeze bute? Ibi byaba byarabayeho mbere? Muganga azabaza ibibazo nk'ibi kugira ngo asobanukirwe neza imiterere yawe.

2. Isuzuma ry'umubiri: Muganga azareba ingingo yawe yakomeretse neza. Azasuzuma niba hari ibibyimba, ibara ryahindutse, n'imiterere yayo. Azakora ku ngingo buhoro buhoro kandi arebe niba hari aho inyura. Azasuzuma kandi niba hari aho imitsi yangiritse n'amaraso atembera.

3. Ibizamini byo Gushushanya:

• `### X-ray:` Iki ni cyo kizamini gikoreshwa cyane. `(X-ray)` ishobora kureba neza niba igufwa ryavuye mu ngingo, kandi niba ari uko bimeze, igana mu cyerekezo ki. Ishobora kandi gusuzuma `vunitse`.
• `### MRI cyangwa CT Scan:` Hari igihe, cyane cyane iyo uhora uvunika, cyangwa se habayeho kwangirika kw'ingingo zoroshye zikikije ingingo, nk'imitsi n'imitsi, muganga wawe ashobora kukugira inama yo gukorerwa MRI (Magnetic Resonance Imaging) cyangwa CT (Computed Tomography) Scan.

Ni ubuhe buryo bwo kuvura igufwa ryavunitse? Ese rishobora gukosorwa?

Uburyo bwo kuvura igufwa ryavunitse buterwa n’ingingo yavunitse, ubukana bw’ivunitse, ndetse niba hari ikindi cyangiritse. Icyakora, intego nyamukuru ni ukugabanya ububabare, gusubiza igufwa ryavunitse mu mwanya waryo usanzwe.

• `### Kuvura byihuse: Gusubiza ingingo mu mwanya wayo (Kugabanya)`

Iki ni cyo kintu cya mbere gikorwa. `(Kugabanya)` ni igihe umuganga yitonze, akoresheje ubuhanga bwihariye, asubiza igufwa ryakuwe mu mwanya waryo mu ngingo. Ibi bishobora kubabaza gato, bityo rimwe na rimwe hashobora gutangwa imiti igabanya ububabare, imiti igabanya ikinya, cyangwa imiti igabanya ububabare .

Icy'ingenzi cyane: Ntuzigere na rimwe, uko undi muntu yakubwira kose, ugerageza gushyira igufwa ryacitse mu mwanya waryo wowe ubwawe cyangwa uri kumwe n'undi muntu! Kubikora bishobora kwangiza ingingo, imitsi n'imiyoboro y'amaraso. Ibi bigomba gukorwa gusa na muganga w'inararibonye.

• `### Kubuza ingingo kugenda (Kubuza ingingo kugenda)`

Nyuma yo gusubiza igufwa mu mwanya waryo, ingingo igomba kubuzwa kugenda kugeza ikize. Muganga wawe ashobora kukugira inama yo kurikoresha umugozi, gupfuka icyuma, cyangwa se gufunga icyuma. Igihe ugomba kubigumana giterwa n'ubwoko bw'ingingo yacitse n'ingano y'ibyangiritse. Akenshi bifata ibyumweru bike.

• `### Kugabanya ububabare`

Kugira ngo umuganga wawe agabanye ububabare, ashobora kuguha parasetamol, imiti igabanya ububabare idakoresha steroide nka ibuprofen, cyangwa indi miti ikomeye igabanya ububabare. Ashobora kandi kukugira inama yo kugabanya ububabare mu gukabya.

• `### Gusana ni ingenzi cyane!`

Iyo igihe cyo kunanirwa kugenda kirangiye, bifata igihe kugira ngo ingingo yongere gukora neza. Ni cyo gikorwa cyo kuvugurura ingingo.

• Ubuvuzi bw'umubiri:Muri ibi, umuganga w’imitsi azakwigisha imyitozo yihariye. Iyi myitozo igamije kongera buhoro buhoro urwego rw’imikorere y’ingingo, gukomeza imitsi iyikikije, no gusubiza ingingo ituje. Iyo ubu buryo bwo kuvura indwara budakozwe neza, ingingo ishobora gukomera, igacika intege, cyangwa ikavunika.

• `### Ese kubagwa bizakenerwa?`

Kenshi na kenshi, kubagwa si ngombwa. Ariko, hari aho kubagwa biba ngombwa. Urugero:

• Iyo igufwa ridashobora kugarurwa mu mwanya waryo wa mbere hamwe na `(Reduction)`.
• Iyo igufwa ryavunitse cyane ryangije imiyoboro y'amaraso cyangwa imitsi.
• Niba ingingo zoroshye nk'imitsi zacitse.
• Iyo ingingo imwe igiye ihinduka inshuro nyinshi (`recurrent dislocations`).

Ese hari ingorane zishobora kubaho iyo igufwa ricitse?

Iyo idavuwe neza, ndetse rimwe na rimwe no kuvurwa, hari ingorane zishobora kubaho nyuma yo gukomereka kw'igufwa.

• Kwangirika kw'imitsi cyangwa imiyoboro y'amaraso: Iyo igufwa ryavunitse, imitsi cyangwa imiyoboro y'amaraso iri hafi ishobora gukubitwa cyangwa gukururwa, bigatera kwangirika.
• Ingaruka zo kongera kuvunika: Iyo igufwa rivunitse, ingingo ishobora kudakomera, bigatuma ishobora kongera kuvunika.
• Arthritis: Mu gihe kirekire, indwara zo kubyimba ingingo nka osteoarthritis zishobora kugaragara mu ngingo yangiritse.
• Gukomera kw'ingingo n'intege nke: Iyo imyitozo yo kuvura ingingo idakozwe neza, gukomera cyangwa intege nke bishobora kugumaho, bigatuma bigorana kwimura ingingo.

Ni iki twakora kugira ngo wirinde ko amagufwa acika?

Hari imvugo ivuga ngo "kwirinda biruta kuvura." Nubwo tudashobora kwirinda burundu indwara yo mu magufwa, hari ibintu dushobora gukora kugira ngo tugabanye ibyago byacu:

• Ibikoresho byo Kwirinda: Mu gihe ukina siporo, cyane cyane mu mikino ikomeye, ambara ibikoresho byo kwirinda (urugero: ibikoresho byo kurinda amavi, ibikoresho byo kurinda inkokora) bikwiranye n'imikino.
• Gukomeza imitsi: Gukomeza imitsi ikikije ingingo bitanga ubufasha bwiza ku ngingo. Rero, kora imyitozo ngororamubiri buri gihe.
• Kwirinda kugwa: Witondere iwawe, ku madarajya no ahantu hanyerera. Witondere cyane cyane abana bato n'abageze mu za bukuru.
• Gushyushya neza: Mbere yo gutangira siporo iyo ari yo yose cyangwa imyitozo ngororamubiri, banza wishyushye neza. Nanone, shyiramo umwuka ushyushye urangije.
• Uburyo Bukwiye: Koresha uburyo bwiza bwo kwifata no guterura ibyuma mu gihe ukina siporo.

Reka twibuke izi ngingo (Ubutumwa bwo kujyana mu rugo)

Sawa, twavuze byinshi ku bijyanye no kwimuka kw'ingirabuzima fatizo, si byo se? Amaherezo, ni ngombwa kuzirikana ibi bintu:

• Gucika kw'igufwa ni ikibazo cyihutirwa cy'ubuvuzi. Si ikintu cyoroshye nko gucika intege.
• Niba wowe cyangwa umuntu uzi afite igufwa ryavunitse cyangwa ufite kimwe muri ibi bimenyetso, shaka ubufasha bwa muganga vuba. Jya kwa muganga vuba bishoboka.
• Ntukagerageze gusubiza igufwa mu mwanya waryo wowe ubwawe. Ibyo bizangiza byinshi.
• Kurikiza neza uburyo muganga aguhaye ubuvuzi. Menya neza ko ukurikiza igihe cyo "Kudakora" (Immobilisation), imiti, cyane cyane imyitozo yo kuvura indwara ('Physiotherapy').
• Ingingo zimwe na zimwe, urugero nk'urutugu, zishobora kongera gukomereka nyuma yo gukomereka rimwe. Rero komeza witondere ibyo kandi ukurikize amabwiriza ya muganga wawe.

Wibuke ko nubwo igufwa ryavunitse ari ikintu cyo gutinya, ni indwara ishobora gukira cyane cyane iyo habayeho ubuvuzi bukwiye no kuvurwa neza. Rero ikintu cy'ingenzi ni ukudatinya no gukora ibintu mu buryo bw'ubwenge.

Ndizera ko aya makuru wayasanze ari ingirakamaro. Ubuzima bwiza kuri mwese!

Kuvunika kw'amagufwa , kuvunika kw'ingingo, kubabara ingingo, imvune za siporo, gusubiranamo, ubuvuzi bw'umubiri