Umuti ku bubabare buterwa no kuvunika uruti rw'umugongo: Menya ibijyanye no kubaga Kyphoplasty

Hari igihe, uko tugenda dusaza cyangwa bitewe n’indwara yo kugabanya amagufwa nka osteoporosis, amagufwa yo mu mugongo ashobora gukandamizwa, gushwanyagurika no kuvunika. Mu buvuzi, ibi tubyita 'gucika intege kw'umugongo'. Ububabare bw'umugongo buterwa n'ibi rimwe na rimwe bushobora kuba budashobora kwihanganira. Hamwe n'ubu bubabare, umugongo ushobora kunama imbere ugakomera. Uyu munsi rero turimo kuvuga ku buryo bwiza kandi bworoshye bwo kuvura iyi ndwara.

Kyphoplasty ni iki mu by'ukuri?

Mu magambo make, `Kyphoplasty` ni uburyo bworoshye bwo kubaga buvura amagufwa yavunitse (vertebrae) mu mugongo wawe nta gukata cyane. Irindi zina ry'ibi ni `Balloon Kyphoplasty`.

Iyo aya magufwa yo mu mugongo avunitse akavunika, ibice by'amagufwa bigwa imbere. Iyo bibaye, umugongo uragonda imbere. Ibi twita 'Kyphosis', bivuze 'guhumbya'. Iyo uku kugorora kwiyongera, ibintu nk'ibihaha bidafite umwanya uhagije wo guhumeka neza n'ingingo zo mu nda zishobora gushyirwa munsi y'umuvuduko. Bityo kubaga 'Kyphoplasty' bihagarika umugongo guhumbya muri ubwo buryo.

Uku kubagwa ni ukwa nde? Ese birakubereye?

Muganga wawe ni we uzagufatira icyemezo niba ukeneye ubu buvuzi cyangwa utabukeneye. Abantu bakurikira ni bo basanzwe bemerewe ubu buryo:

• Niba ufite ububabare bukomeye bw'umugongo bugenda burushaho kwiyongera umunsi ku wundi, buterwa no kuvunika kw'igufwa mu mugongo.
• Niba ubu bubabare bukubangamiye cyane ku buryo udashobora gukora imirimo yawe isanzwe .

Ariko ikintu kimwe ugomba kwibuka ni uko impamvu y'ububabare bw'umugongo wawe igomba kuba ari uku kuvunika kw'igufwa. Ubu buryo bwo kuvura ntibuzavura ububabare buterwa n'izindi mpamvu, nka 'Disc herniation' (disk herniated iri hagati y'umugongo), 'Arthritis' (kubyimba ingingo), cyangwa 'Stenosis' (kugabanuka k'umuyoboro w'uruti rw'umugongo).

Muganga wawe azabanza gukora isuzuma rya X-ray, CT (computed tomography), cyangwa MRI (magnetic resonance imaging) kugira ngo yemeze niba ufite ikibazo cyo kuvunika mu mugongo wawe. Niba bakeka ko ufite indwara ya osteoporosis, bashobora no gukora isuzuma ryihariye ryitwa DXA scan.

Witegura ute mbere yo kubagwa?

Mbere yo guteganya igihe cyo kubagwa, muganga wawe azagusuzuma kandi aguhe amabwiriza yose akenewe. Ubusanzwe, ibi bikurikira bibaho:

• Hakorwa isuzuma ryuzuye ry’umubiri.
• Urimo uvuga indwara uherutse kurwara.
• Kubaza ibyerekeye ubwivumbure bwawe.
• Nzakubaza imiti yose urimo gufata ubu.
• Bazagupima amaraso bimwe na bimwe bikenewe.

Noneho, dore inama zimwe na zimwe zagufasha kwitegura umunsi wo kubagwa:

• Imiti imwe n'imwe, nk'imiti igabanya amaraso, ishobora kugusaba guhagarika kuyifata iminsi mike. Ariko ibuka ko utazigera uhagarika gufata imiti iyo ari yo yose utabanje kwemererwa na muganga.
• Uzasabwa kwirinda kurya cyangwa kunywa amasaha make mbere yo kubagwa.
• Ntukambare imitako iyo ari yo yose ku munsi wo kubagwa. Ambara imyenda ijyanye neza kandi idafite isuku.
• Niba unywa itabi, gerageza kugabanya cyangwa kurireka. Saba muganga wawe ubufasha kuri ibi.

Kubagwa bikorwa gute?

Iyi ni inzira yoroshye cyane. Nta mpamvu ufite yo gutinya.

Ubwa mbere, umuganga w’ikinya azagutera ikinya. Ushobora kuba usinziriye burundu, cyangwa ukaba warahawe ikinya gato kugira ngo utababara.

Mu gihe cyo kubagwa, uzahindurirwa inda yawe maze uryame hasi. Hanyuma, umuganga uzashyira urushinge rwihariye rwitwa `trocar` mu ruhu rwawe no mu igufwa ryavunitse. Imashini yihariye ya X-ray yitwa `fluoroscopy` ikoreshwa kugira ngo urebe neza ko urushinge rujya ahantu heza.

Iyo urushinge rumaze kugera ahantu heza, agakoresho gato kameze nk'agapira gashyirwa mu igufwa. Hanyuma agapira karabyimba. Ibi bituma igufwa ryaguye ryongera kuzamuka, bigatuma habaho umwanya muto imbere. Hanyuma muganga ashyiramo ubwoko bwihariye bwa sima y'amagufwa muri uwo mwanya. Iyi sima irakomera uko igihe kigenda gihita kandi igakomeza igufwa. Ibi birinda igufwa kongera kugwa.

Igikorwa cyose kimara igihe kitarenze isaha . Kandi si igikorwa cyo kwa muganga utari mu bitaro, bivuze ko ushobora gutaha uwo munsi.

Ni iki kibaho nyuma yo kubagwa? Ese hari ingaruka zishobora guterwa n'iki kibazo?

Muganga azaguha amabwiriza asobanutse neza y'uko wakwitaho nyuma yo kubagwa. Kubera ko ushobora gutaha uwo munsi, ni byiza kuzana umuntu wo kugutwara mu rugo.

Hazashyirwa agapfundikizo gato ku gace kakoreweho ubuvuzi. Kagomba gusigaraho iminsi ibiri. Nyuma y'uko ikinyabutabire kirangiye, igikomere gishobora kuba kibabara gato. Gushyira urubura muri ako gace bishobora gufasha kugabanya ububabare. Ubusanzwe ububabare bushira burundu mu minsi ibiri cyangwa itatu. Ubusanzwe ububabare bushira mu masaha 48. Kuri bamwe, ububabare bushira ako kanya nyuma yo kubagwa.

Nubwo ushobora kongera gukora imirimo isanzwe vuba, ugomba kwirinda gukora imirimo ivunanye nko guterura ibyuma mu gihe cy'ibyumweru bike.

Ingorane zishoboka

Nubwo ubu buryo bwo kubaga bufite umutekano, kimwe no mu buvuzi ubwo ari bwo bwose, hari ingaruka nke cyane. Izi ngaruka zibaho gake cyane.

• Kwandura cyangwa kuva amaraso aho bakorewe.
• Ububabare bwiyongera, ibinya cyangwa gucika intege.
• Kwangirika kw'imitsi.
• Niba ufite indwara y'amagufwa, uba uri mu kaga ko kuvunika andi magufwa.
• Ni gake cyane, sima imwe yashyizwe mu igufwa ishobora kuva. Ibi bishobora gutera indwara nka 'pulmonary embolism' (kuziba kw'ibihaha) cyangwa 'spinal stenosis' (gufungana kw'umuyoboro w'uruti rw'umugongo).

Muganga wawe azakora uko ashoboye kose kugira ngo wirinde izi ngaruka. Azakwandikira imiti yo gukomeza amagufwa yawe, cyane cyane niba urwaye indwara ya osteoporosis.

Ni ryari ugomba kuvugana na muganga?

Niba hari kimwe muri ibi bimenyetso kigaragaye nyuma yo kubagwa, ugomba guhita uhamagara muganga wawe .

• Niba ubonye ibimenyetso by'ubwandu (urugero: kubyimba, gutukura, guhindura ibara ry'uruhu, umuriro aho bakorewe ubuvuzi).
• Iyo habayeho kuva amaraso menshi cyane aho bakorewe ubuvuzi.
• Niba wumva utangiye kugira ibinya cyangwa kumva umeze nk'ufite ikibazo cyo kubabara.
• Niba ububabare burushijeho kwiyongera aho kugabanuka.