Ese wigeze ubona ko amaguru y'umwana wawe ari magufi kurusha ayandi? Cyangwa hari indwara yavutse yagabanyije uburebure bw'ukuboko cyangwa ukuguru kumwe? Ni ibisanzwe kumva ubabaye cyane kandi uhangayitse mu bihe nk'ibi. Ariko siyansi y'ubuvuzi yateye imbere muri iki gihe ifite ibisubizo kuri ibi. Imwe muri izo ngamba ni ukubaga amagufwa tuvuga uyu munsi, ari byo byitwa 'Kubaga Amagufwa Manini'.
Kubaga uburebure bw'ikirenge ni iki?
Muri make, ubu ni uburyo bwo kubaga butuma igufwa (amagufwa) rigabanuka mu kuboko cyangwa ku kuguru kwawe. Ibi ntibikorwa icyarimwe, ahubwo bikorwa buhoro buhoro, mu mezi menshi. Abaganga babaga bashobora kubaga cyane cyane kuri aya magufwa:
- Igufwa ryo hejuru ry'ukuboko (Humerus)
- Ku magufwa yo mu rutoki `(Radius/Ulna)`
- Ku igufwa ry'ikibero `(Femur)`
- Igufwa ry'uruti rw'umugongo `(Tibia)`
Ni mu bihe ibihe ubu bubagwa bukorerwa?
Ubu buryo bwo kubaga bukoreshwa cyane cyane mu gukosora itandukaniro riri hagati y’uburebure bw’amaguru n’amaboko, bivuze ko ukuboko kumwe cyangwa ukuguru kumwe ari kugufi kurusha ukundi. Bukoreshwa kandi mu kuvura indwara zimwe na zimwe zigira ingaruka ku mikurire y’amagufwa.
| Imiterere | Ibisobanuro byoroshye |
|---|---|
| Ikibyimba cy'amagufwa kitari kibi | Kudakura neza biterwa n'ikibyimba gisanzwe kibaho aho igufwa riramba (urugero rw'igikuriro). |
| Indwara yo mu bwonko itera indwara ya cerebral palsy | Kubera iyi ndwara, hari igihe imikurire y'amagufwa ishobora kugira ingaruka bitewe n'ihindagurika ry'imitsi. |
| Kubura igitsina cy'umugore mu nda | Igufwa rimwe ry'ikibero rivuka ari rigufi kurusha irindi. |
| Kwaguka k'uruhande rumwe gusa rw'umubiri (Hemihypertrophy) | Indwara idakunze kubaho aho uruhande rumwe rw'umubiri (urugero, ukuboko kw'iburyo n'ukuguru) rukura vuba kurusha urundi. |
| Kurwara kw'amagufwa mu bwonko | Indwara zo mu nda zibangamira imikurire y'amagufwa (urugero: ubugufi). |
| Kuvunika kw'inkombe y'ikura | Guhagarara k'ugukura bitewe n'imvune mu bice amagufwa y'umwana akura. |
| Indwara y'amagufwa (Osteomyelitis) | Indwara zimwe na zimwe zikomeye zo mu magufwa zishobora kwangiza imikurire y'amagufwa. |
Ni iki kibaho mbere yo kubagwa?
Mbere yo kubagwa, muganga wawe azafata X-ray y'igufwa ryawe maze agapima uburebure bwaryo nyabwo . Ibi bizamini bizagena ingano y'igufwa rigomba kurengerwa. Ubusanzwe, uburebure bwa santimetero 2 bushobora kurengerwa mu kubagwa kumwe.
Itsinda ry'abaganga bawe rizakubwira uko wakwitegura kubagwa. Mbere yo kubagwa, baza muganga wawe neza imiti urimo gufata, iyo ukwiye guhagarika gufata, n'iyo ukwiye gukomeza gufata. Baza kandi kukubwira igihe ugomba guhagarika kurya no kunywa mbere yo kubagwa.
Ku munsi wo kubagwa, uzahabwa ikinya rusange. Ibi bivuze ko uzaba usinziriye rwose mu gihe cyo kubagwa, bityo ntuzumva ububabare. Uzakenera kuguma mu bitaro iminsi itatu nyuma yo kubagwa. Nutaha, uzakenera umuntu wo mu muryango cyangwa inshuti yawe kuguherekeza.
Ni ingenzi cyane kugira umuntu ugufasha mu byumweru bike nyuma yo kubagwa. Nta gushidikanya ko uzakenera ubufasha mu bintu nko kwambara, gutegura amafunguro no kujya mu bwiherero. Niba ufite ikibazo cyo kuvunika ukuguru, ntuzashobora kugenda kuri ako kaguru igihe runaka. Uzakenera gukoresha intebe y'abamugaye cyangwa imbago.
Ni iki kibaho mu gihe cyo kubagwa?
Hari intambwe ebyiri z'ingenzi muri ubu buvuzi:
1. Osteotomy:Umuganga ubaga yagabanyijemo igufwa ririmo ikibazo mo ibice bibiri.
2. Gushyiraho igikoresho: Hanyuma, igikoresho cyongerera amaguru hagati y'amagufwa abiri gishyirwamo igikoresho cyongerera amaguru.
Hari ubwoko bubiri bw'ingenzi bw'ibi bikoresho byo gushyiramo.
| Ubwoko bw'igikoresho | Uko bikora |
|---|---|
| Igikoresho cyo Gutunganya Ingufu cyo Hanze | Muri ibi, muganga ashyiramo imigozi cyangwa insinga mu magufwa yombi hanyuma agashyiraho icyuma gikozwe mu cyuma giturutse hanze y'umubiri. Kubera ko icyuma gisohoka muri santimetero nke uvuye ku mubiri, bishobora kugorana kwambara imyenda imwe n'imwe. Abantu benshi bambara imyenda nk'amakabutura magufi. |
| Inkoni y'imbere | Ubu ni uburyo bushya. Icyo ukora hano ni ugushyira igikoresho gisa n'ibikururu mu igufwa. Ibi ntibigaragara inyuma y'umubiri. |
Ni gute amagufwa aramba nyuma yo kubagwa?
Umaze gukira gato nyuma yo kubagwa, icyiciro cyo kwaguka kw'amagufwa kiratangira. Iki ni cyo twita 'icyiciro cyo kwibagirwa'. Ibi bifata amezi abiri. Muri iki gihe, ibice bibiri by'amagufwa byaciwe birakurwa buhoro buhoro. Uko bigenda bitandukana, umubiri wawe wubaka ingingo nshya z'amagufwa kugira ngo wuzuze icyuho kiri hagati yazo.
Imibiri yacu ifite ubushobozi butangaje bwo kubaka amagufwa mashya. Ubu buryo bwo kubaga bugenzura iyo mikorere karemano kandi bukongera uburebure bw'amagufwa kugeza ku burebure dukeneye.
Muri iki gihe, ufite ibintu bitatu by'ingenzi ugomba gukora:
- Guhindura igikoresho: Inshuro nyinshi ku munsi, ugomba kugihindura ubwawe. Buri gihe, amagufwa abiri agenda atandukanywaho gato, hafi milimetero imwe. Niba ari icyuma gishyizwe hanze, ibi bikorwa ukoresheje akantu gato. Niba ari igikoresho cy'imbere, ukoresha ikintu nk'icyuma gikoresha remote kugira ngo ukizunguruke.
- Ubuvuzi bw'umubiri: Ibi ni ingenzi cyane.Kugira ngo ubone umusaruro mwiza, ubuvuzi bw'umubiri ni ngombwa. Uzakenera kujyayo inshuro nke mu cyumweru. Ibi bizakomeza imitsi yawe, binoze uburyo ingingo zigenda, kandi bifashe igufwa rishya gukomera.
- Sura muganga wawe buri gihe: Muganga wawe azafata X-ray buri gihe kugira ngo arebe aho igufwa rishya rihagaze. Niba igipimo cy’igufwa kiri hejuru cyane cyangwa kiri hasi cyane, gahunda yo kuvura ishobora guhindurwa uko bikwiye.
Ukora iki iyo igufwa rimaze kuba rinini bihagije?
Iyo igufwa rimaze gukura kugeza ku burebure wifuza, ugomba guha igufwa rishya umwanya wo gukomera, cyangwa 'gukomera'. Ibi tubyita 'icyiciro cyo kwihuza'. Ibi bishobora gufata amezi agera kuri atatu. Muri iki gihe:
- Ihagarika guhindura igikoresho: Igikoresho kiracyahari, ariko ntabwo ugihindura.
- Komeza ubuvuzi bw'umubiri: Ibi bigomba gukomeza kugira ngo amagufwa akomeze gukomera uko bishoboka kose.
- Tangira buhoro buhoro gushyira ibiro ku kuboko/kuguru kwawe: Mu ntangiriro, uzatangira gushyira ibiro ku kuboko/kuguru kwawe ukoresheje inkunga nk'imbago. Mu mpera z'iki cyiciro, muganga wawe ashobora kukugira inama yo gushyira ibiro nta nkunga. Ntuzigere wihutira gushyira ibiro ku kuboko/kuguru kwawe kugeza igihe muganga wawe abikubwiye.
Ni izihe nyungu n'ingaruka zishobora guterwa n'ubu buvuzi?
Nk’uko bigenda mu kubagwa kose, hari ibyiza n’ingaruka. Ni ngombwa kubiganiraho na muganga wawe mu buryo bweruye.
| Ibyiza | Ingaruka n'ingorane |
|---|---|
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Ni ibihe bihe ugomba guhita ubonana na muganga?
Niba ubonye kimwe muri ibi bimenyetso bikurikira, hita ubibwira muganga wawe . Ibi bishobora kuba ibimenyetso by'ubwandu cyangwa ikindi kibazo gikomeye.
| Ibimenyetso by'ibyago - bwira muganga wawe ako kanya! | |
|---|---|
| Umuriro | Ubushyuhe bw'umubiri bwiyongera. |
| Gusohoka mu gace kabohewemo | Kuva amaraso, amashyira, cyangwa andi mazi. |
| Gutukura ku gikomere cyangwa aho cyapfumuwe | Uduheri, kubyimba, cyangwa imirongo itukura ikikije igikomere cyangwa hafi y'aho igikomere gishongeshejwe. |
| Ububabare bukabije cyangwa kubyimba | Ububabare bukabije cyangwa kubyimba kudasanzwe mu kuboko cyangwa ukuguru kurambura. |
| Gucika intege | Kubabara cyangwa kugira ibinya mu kuboko cyangwa ukuguru birambuye. |
| Kubabara mu gituza cyangwa kugorwa no guhumeka | Iki ni ikibazo cyihutirwa. Jya ku bitaro bikuru byita ku barwayi ba ETU (ETU) byihutirwa. |
Mu gusoza, kubaga amagufwa bishobora guhindura ubuzima bw'abantu bafite ibibazo by'uburebure bw'ingingo. Ikoranabuhanga rishya, cyane cyane ibikoresho bishyirwa mu mubiri, ryatumye uburyo bwo kubaga bworoha kandi butekanye kurusha mbere hose. Iyo bikozwe n'umuganga w'inzobere mu kubaga, kandi hatanzwe amabwiriza akwiye, igipimo cyo gutsinda kiba kiri hejuru cyane. Abantu benshi bakomeza kubaho ubuzima bwuzuye kandi burangwa n'ingufu nyuma y'ubu buryo bwo kubaga.
Ubutumwa bwo kujyana mu rugo
- Kubaga amagufwa menshi ni ukubaga byihariye bikorwa kugira ngo hakosorwe impinduka mu burebure bw'ingingo ziterwa n'indwara zimwe na zimwe. Ntabwo bikorwa mu rwego rwo kwisiga.
- Iyi ni inzira ndende ishobora gufata amezi menshi. Kwiyemeza kw'umurwayi, cyane cyane ubuvuzi bw'umubiri no gukurikiza amabwiriza y'ubuvuzi, ni ingenzi kugira ngo agire umusaruro mwiza.
- Gukora ibintu neza, nko guhindura ibikoresho no kubungabunga aho inkoni zishyirwa, bigira ingaruka zitaziguye ku ntsinzi.
- Niba ubonye ibimenyetso by'akaga (umuriro, ububabare bukabije, kubyimba, kuva amaraso mu mubiri), menyesha muganga wawe ako kanya, nta bwoba cyangwa ngo utinde.
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