Ese urimo kugira ububabare bukabije mu gice cyo hejuru cy'ukuguru kwawe? Bishobora kuba ari imvune ya Lisfranc!

Hari igihe, ndetse n'ikintu gisa n'aho ari gito gishobora guhinduka ikibazo gikomeye, sibyo? Tekereza ko wamanukaga ku madarajya menshi utinya ukabura intambwe, cyangwa ugahita ugwa ukazunguruka ukuguru kwawe mu gihe wakinaga cricket n'inshuti zawe. Niba igice cyo hejuru cy'ukuguru kwawe, ni ukuvuga igice kiva ku kiraro kijya ku mano, kibabara cyane, kibyimbye, ndetse wenda n'ubururu, ushobora kugira indwara yitwa Lisfranc Injury. Iki ni ikintu ugomba kwitondera, kuko iyo kidavuwe neza, gishobora guteza ibibazo nyuma. Reka tubiganireho birambuye, si byo se?

Imvune ya Lisfranc ni iki?

Mu magambo make, hejuru y'ikirenge cyawe, aho ufite amagufwa maremare ahuza n'amano yawe (twabyita "amagufwa ya Metatarsal" ), ingingo ihuza ayo magufwa n'andi magufwa mato (amagufwa ya tarsal) hagati mu kirenge cyawe yitwa Lisfranc joint . Ni nk'ikiraro gito. Kwangirika kose kuri iyi ngingo - byaba ari ukuvunika, gucika, cyangwa gucika cyangwa gukomereka mu mitsi (imitsi ikomeye ifata amagufwa) ikikije ingingo - bifatwa nk'igikomere cya Lisfranc.

Tekereza umuhanda wa Kandy nk'aho inzira igana Colombo ihurira. Iyo iyo nzira ihurira, imodoka zose zizahungabana, si byo se? Muri ubwo buryo, iyi nzira ya Lisfranc ni ingenzi cyane ku mikorere myiza y'ibirenge byacu. Niba aka gace gato kadakora neza, ushobora kutagorwa no kugenda, kwiruka, gusimbuka, ndetse no guhagarara gusa.

Ese hari ubwoko butandukanye bw'iyi ndwara?

Yego, iyi ngingo ya Lisfranc ishobora kugabanywamo ubwoko butandukanye bitewe n'uburyo yangiritse. Ni ukuvuga ko iyi ngingo ishingiye ku gice cy'ingingo yawe cyangiritse n'uburyo yangiritse.

• Guhinduka kwa Lisfranc: Iki ni igihe amagufwa ari mu ngingo ahinduka ava ahantu hamwe ajya ahandi, nk'uko inzira ebyiri za gari ya moshi zihinduka.
• Kuvunika kwa Lisfranc: Ubu ni ubwoko bwihariye bw'ikirenge cyavunitse. Igufwa rimwe cyangwa menshi mu ngingo ya Lisfranc ashobora kuvunika. Hari igihe ashobora kuvunikamo ibice bito.
• Kuvunika kwa Lisfranc / Gucika kw'imitsi: Iki ni igihe imitsi ikikije ingingo irambura cyane, cyangwa igacika igice cyangwa burundu. Ni nk'aho umukandara wa rubber ucika iyo uwukuruye cyane.

Hari igihe bumwe cyangwa bwinshi muri ubu bwoko bushobora kubaho hamwe. Urugero, kuvunika bishobora guherekezwa no gucika kw'imitsi.

Ni ibihe bimenyetso by'ibi? Bimera bite iyo bibaye?

Iyo ufite imvune ya Lisfranc, ibimenyetso bikunze kugaragara hejuru y'ikirenge cyawe, hafi y'aho uhambira imigozi y'inkweto zawe. Reba niba ufite kimwe muri ibi:

• Gukomereka no guhinduka ibara: Igice cyo hejuru cy'ukuguru gishobora guhinduka ubururu cyangwa umuhengeri. By'umwihariko, hari abantu bashobora no kubona udusebe ku gice cyo hasi cy'ikirenge . Iki ni ikimenyetso cy'igikomere cya Lisfranc.
• Ububabare bukomeye bw'amaguru: Ububabare bushobora kuba budahangarwa, cyane cyane iyo ugerageza guhagarara, kugenda, cyangwa kwimura ukuguru kwawe. Hari abantu bashobora kumva bakomeretse cyangwa bashyushye ndetse no mu gihe bahagaze gusa.
• Kubyimba: Igice cyo hejuru cy'ukuguru, ndetse rimwe na rimwe n'ikirenge cyose, bishobora kubyimba cyane, nk'aho ibara ry'umupira riturika.
• Kugorana gushyira ikirenge ku buremere: Guhagarara cyangwa kugenda ikirenge cyawe kiri hasi bishobora kugorana cyane. Hari abantu bashobora kudashobora na gato gushyira ikirenge cyabo hasi.

Niba ufite kimwe cyangwa byinshi muri ibi bimenyetso, ntubivuge gusa nk'ikintu cyoroshye, sibyo?

Kuki ibi bibaho? Ni izihe mpamvu zibitera?

Ibikomere bya Lisfranc bikunze guterwa n’impanuka. Mu magambo make, iyo igice cy’imbere cy’ikirenge (uruhande rw’amano) gikandagiwe hasi, iyo uruhande rw’agatsinsino ruhindukiye cyangwa rugahindukira, uru rugingo rwa Lisfranc rushobora kwangirika.

• Kugwa no kunyerera: Ibi bishobora guterwa n'ibintu nko kugwa ku madarajya, kunyerera ku kintu nk'amavuta, kugwa mu mwobo, n'ibindi. Hari igihe, nubwo wagwa gato uva ku muhanda, ibi bishobora kubaho.
• Ibikomere bya siporo: Iyi ngingo ishobora gukomereka iyo ihinduye icyerekezo gitunguranye, isimbutse, cyangwa igonganye n'undi muntu, cyane cyane mu mikino nka football, rugby na basketball. Abakinnyi bamwe bashobora kugorama cyane iyo imitsi yabo ifashe hasi.
• Ihungabana ritaziguye: Ibintu nko kugwa ikintu kiremereye ku kaguru (urugero: itafari, agasanduku karemereye), kugwa ukuguru mu mpanuka y'imodoka, cyangwa kugwa uturutse hejuru (urugero: uturutse ku ngazi) nabyo bishobora kwangiza cyane uru rugingo.

Tekereza, Nilanthi Akka yari arimo kumanuka ku madarajya mu rugo maze azunguza ukuguru kwe nyuma yo kubura intambwe ya nyuma. Yatekerezaga ko ari ukuvunika gusanzwe. Ariko nubwo nyuma y'iminsi ibiri cyangwa itatu, ububabare n'ibibyimba ntibyagabanutse. Ni igihe yabyerekaga muganga gusa ni bwo yamenye ko ari igikomere cya Lisfranc.

Ni nde ufite amahirwe menshi yo kuyirwara? Ni ibihe bintu bishobora gutera ibyago?

Umuntu wese, ku myaka iyo ari yo yose, ashobora kugira imvune ya Lisfranc. Ariko, hari abantu bafite ibyago byinshi.

• Abantu bafite indwara zangiza ibirenge cyangwa zigabanya ibyiyumvo mu birenge:Iyi ngaruka ni nyinshi cyane ku bantu barwaye diyabete (`(Diabete Mellitus)`). Kubera ko diyabete ishobora kugabanya imitsi mu birenge (`(diabete-related neuropathy)`). Hanyuma kumva ibirenge biragabanuka. Ndetse n'igikomere gito ntigishobora kumvikana neza, bityo gishobora gukura kikavamo indwara nk'iyi. Nanone, diyabete ishobora gutuma amaraso agera ku birenge agabanuka (`diabete-related foot conditions`).
• Abantu bakora akazi gasaba imbaraga nyinshi: Abantu bakora mu nganda z'ubwubatsi, baterura ibyuma, n'abahagarara umunsi wose bari mu kaga.
• Abantu bakina imikino yo guhiganwa cyangwa bakina imikino yo guhuriraho: Nkuko byavuzwe mbere, ibi bikunze kugaragara mu bakinnyi b'umupira w'amaguru na rugby.
• Hari n'abantu bamwe na bamwe bivugwa ko bafite ibyago byinshi kurushaho iyo bavutse bafite ikirenge kirekire.

Bizagenda bite niba ibi bitavuwe neza? Ese ingorane zirimo ni mbi?

Iki ni ikintu tugomba kwitaho cyane. Imvune ya Lisfranc, iyo idavuwe neza kandi vuba, ishobora gutera ingorane zikomeye nyuma. Ntugatekereze gusa ngo "Ni ukuvunika gusa, bizakira ubwabyo."

Ibuka: Imvune ya Lisfranc, cyane cyane iyo yavunitse, ishobora gutera ububabare bw'igihe kirekire no kubura imikorere y'ikirenge iyo idavuwe neza.

Ingorane nyamukuru zishobora kubaho ni izi:

• Imitsi: Iyo igice cyoroshye cy'ingingo yangiritse cyitwa cartilage cyangiritse, uko igihe kigenda gihita, rubagimpande ishobora kuvuka. Ingingo irabyimba, igakomera, kandi ikagira ububabare.
• Ububabare budakira: Nubwo iyi ndwara ifatwa nk'aho "yakize," hari abantu bashobora gukomeza kugira ububabare. Ubu bubabare bushobora kubaho mu gihe bagenda cyangwa bakora.
• Imirongo yangiritse n'ubundi busembwa bw'ibirenge: Ipfundo rya Lisfranc rifasha kubungabunga umugongo w'ikirenge. Iyo uru rugingo rwangiritse, uko igihe kigenda gihita umugongo w'ikirenge ushobora kugwa kandi ikirenge kikaba kirambuye. Imiterere y'ikirenge nayo ishobora guhinduka.
• Indwara yo mu cyumba: Iyi ni indwara idasanzwe ariko ikomeye. Umuvuduko uri mu ngingo z'ukuguru ushobora kwiyongera, bigatuma amaraso adasohoka. Ibi bisaba kuvurwa byihuse.

Ni gute umuganga asuzuma ibi? Ni ibihe bipimo bakora?

Iyo ugiye kwa muganga ufite ububabare bw'amaguru, ikintu cya mbere azabaza ni uko byagenze, icyo wakoraga igihe byatangiraga kubabara, n'uko wiyumva ubu. Ni ngombwa cyane ko umusobanurira neza ibyabaye.

Hanyuma muganga azasuzuma ukuguru kwawe witonze.

• Reba niba hari kubyimba no gukomereka.
• Bakora ku bice bitandukanye by'ikirenge, bagerageza kumenya neza aho ububabare buherereye.
• Igenzura ry’uko ikirenge gihagaze neza. Hari igihe muganga agukoraho witonze kugira ngo arebe niba amagufwa arimo kugenda cyangwa niba hari ikintu kidasanzwe kigenda.

Nyuma yo gusuzuma umubiri, ibizamini bimwe cyangwa byinshi byo gufata amashusho, nk'ibi, bishobora gukorwa kugira ngo hemezwe neza ikibazo:

• Imirasire ya X-ray y'ikirenge: Iki ni cyo kintu cya mbere ugomba kureba. Ishobora gusuzuma niba amagufwa yavunitse, ingingo zacitse, cyangwa impinduka mu intera iri hagati y'amagufwa. Hari igihe, muganga wawe ashobora kugusaba guhagarara ufite ibiro ku kirenge cyawe (imirasire ya X-ray ifite ibiro). Hari imvune zimwe na zimwe zo muri Lisfranc zitagaragara kuri X-ray zidafite ibiro ku kirenge.
• Isuzuma rya MRI (Magnetic Resonance Imaging): Ibi bishobora kubona neza ibyangiritse ku mitsi, cartilage, n'uturemangingo tworoshye. Bishobora kandi kubona imvune nto z'amagufwa zitagaragara kuri X-ray.
• Isuzuma rya CT (Computed Tomography): Ibi bifasha kubona ibyangiritse ku magufwa, n'uburyo amagufwa yavunitse (cyane cyane iyo yavunitsemo ibice byinshi), mu buryo busobanutse neza, bugizwe n'ibice bitatu (3D). Ibi bikunze gukorwa mbere yo kubagwa.

Ivurwa ite? Ni iki cyakorwa?

Hari uburyo butandukanye bwo kuvura imvune ya Lisfranc. Muganga wawe azagena uburyo bwo kuvura bukubereye hashingiwe ku buremere bw'imvune, aho amagufwa amaze kwimuka, ndetse n'ibyangiritse ku mitsi.

• Koza urubura no kuzamura ukuguru (UMUCE - Kuruhuka, Urubura, Gukanda, Kuzamuka): Iki ni cyo kintu cya mbere ugomba gukora.
• Kuruhuka: Kuruhuka ukuguru kwawe. Gabanya kugenda no guhagarara uko bishoboka kose.
• Urubura: Gerageza gukomeza kuzamuka hejuru y'umutima wawe uko bishoboka kose. Ushobora gukomeza kuzamuka ukoresheje imisego. Zingira agapaki k'urubura mu gitambaro gito hanyuma ushyire ku gice cyakomeretse mu gihe cy'iminota 15-20. Bikore inshuro nyinshi ku munsi. Ntugashyire urubura ku ruhu, kuko rushobora gutwika uruhu.
• Gukanda: Muganga ashobora kukugira inama yo gushyira igitambaro gikingira kugira ngo ugabanye kubyimba.
• Kuzamura: Komeza amaguru yawe azamuye hejuru y'urwego rw'umutima wawe ukoresheje imisego. Ibi bizagabanya kubyimba.

• Kubuza kugenda kw'ukuguru:
• Niba imvune idakabije cyane, bivuze ko igufwa ritari kure cyane, muganga wawe ashobora gushyira inkweto cyangwa icyuma ku kuguru kwawe. Ibi bizamara ibyumweru bigera kuri 6 kugeza kuri 8. Si byiza gushyira uburemere ubwo aribwo bwose ku kuguru kwawe muri iki gihe. Uzakenera gukoresha inkoni zo gutembera. Ibi bizagufasha kugabanya uburemere ku kuguru kwawe, bigufashe kuguma mu mwanya wabyo, kandi bikubuze gushyira uburemere bwinshi ku kuguru kwawe.

• Kubaga Lisfranc:
• Imvune nyinshi za Lisfranc, cyane cyane iyo amagufwa yakuwe mu myanya cyangwa ingingo idakora neza, bisaba kubagwa. Umuganga ubaga azasana ingingo yawe ya Lisfranc, asubize amagufwa mu mwanya wayo, kandi ashyiremo ibikoresho nk'ibipande n'imisumari mu kirenge cyawe kugira ngo bikomeze mu mwanya wabyo.
• Nyuma yo kubagwa, uzakenera kudatwara ibiro mu gihe cy'ukwezi kumwe cyangwa abiri. Nyuma y'ibyo, ushobora kwambara inkweto cyangwa icyuma mu gihe cy'amezi make.
• Iyo ingingo imaze gukira neza, ubusanzwe nyuma y'amezi 4-6, muganga ashobora gukora ubundi buryo bwo kubaga gato kugira ngo akureho udupira n'ibikoresho byashyizwemo. Si buri wese ubikuramo, ni ibya muganga ubwe.

• Imiti igabanya ububabare: Muganga wawe ashobora kuguha imiti igabanya ububabare kugira ngo igabanye ububabare no kubyimba. Ushobora gukoresha imiti igabanya ububabare itari steroide (NSAIDs) (urugero: ibuprofen, diclofenac) cyangwa acetaminophen (urugero: acetaminophen). Ariko, banza ubaze muganga wawe mbere yo kuyifata mu gihe cy'iminsi irenga 10. Muganga wawe ashobora kandi kuguha imiti ikomeye igabanya ububabare. Muganga wawe azakubwira inshuro ugomba kuyifata n'inshuro ugomba kuyifata.

Bifata igihe kingana iki kugira ngo umuntu akire?

Bishobora gufata amezi menshi, cyangwa ndetse n'umwaka, kugira ngo imvune ya Lisfranc ikire neza kandi ubashe gusubira mu mirimo isanzwe na siporo. Ibi biratandukanye cyane bitewe n'umuntu ku giti cye. Biterwa n'ibintu byinshi, harimo ubwoko bw'imvune ufite, ubukana bwayo, niba warabazwe, imyaka yawe, n'ubuzima bwawe muri rusange.

Igikuru ni uko umubiri wa buri wese ukira ku rugero rutandukanye. Bityo rero ganira na muganga wawe ku byerekeye gahunda yawe yo kuvurwa n'uko uzakira. Ruhuka, fata imiti yawe, kandi ugire imyitozo ngororamubiri nk'uko muganga wawe abikubwira.

• Uburyo bwo kuvura butari ubw'ababaga: Ukuguru akenshi kuzaba guhagarara (kwambaye inkweto/igitambaro) mu gihe cy'ibyumweru 6 kugeza kuri 8. Nyuma y'ibyo, uzakenera gukora ubuvuzi bw'umubiri (PT) . Umuganga w'umubiri azagufasha buhoro buhoro kongera kugarura imbaraga, imbaraga, no kuringaniza ingingo z'amaguru yawe.
• Kubagwa kwa Lisfranc: Uzakenera kwambara inkweto cyangwa icyuma mu gihe cy'amezi 3 kugeza kuri 4 nyuma yo kubagwa. Umuganga wawe azakubwira igihe ushobora gutangira gushyira ibiro ku kuguru kwawe n'igihe ushobora gutangira ubuvuzi bw'umubiri (PT). PT ni igice cy'ingenzi cyane muri ibi.

Ese ushobora kugenda n'imvune ya Lisfranc?

Ushobora kugenda gato mu gihe ufite imvune ya Lisfranc, cyane cyane niba imvune idakabije. Ariko, niba ufite ububabare cyangwa ibindi bimenyetso, ntugakoreshe ukuguru kwawe ku ngufu.Iyo ukomeje gukoresha ukuguru kwawe gutyo, hari amahirwe menshi ko n'imvune ntoya ishobora kuba ikomeye igasaba kubagwa. Ni ngombwa kwihangana kugeza igihe bikize neza.

Mu gihe wambaye inkweto cyangwa icyuma gikingira umubiri, ushobora kugenda nk'uko muganga wawe abikubwira (wenda ukoresheje inkoni). Ariko, imyitozo ngororamubiri igoye nko kwiruka, gusimbuka no guterura ibyuma ikwiye kwirindwa. Baza muganga wawe cyangwa umuvuzi w'umubiri wawe imirimo ugomba kwirinda n'icyo wakora kugeza ukize.

Ni ryari ngomba kujya kwa muganga?

Niba ufite ibimenyetso by'igikomere cya Lisfranc (nk'ububabare n'ibibyimba byavuzwe haruguru) kandi ntibikongere nyuma y'iminsi mike yo kuruhuka no kubura urubura, ugomba kujya kwa muganga vuba bishoboka. Cyane cyane niba:

• Niba udashobora guhagarara amaguru yawe aremereye.
• Niba udashobora kugenda neza.
• Niba imiterere y'ikirenge isa n'aho yahindutse.
• Niba hari igikomere ku gice cyo hasi cy'ikirenge.

Niba ibimenyetso byongeye kugaragara cyangwa bikarushaho kwiyongera nyuma yo kunanirwa kugenda cyangwa kubagwa, niba ugize umuriro, cyangwa niba hari amabyi aturuka mu gisebe, bimenyeshe muganga wawe vuba.

Ubutumwa bw'ingenzi cyane bwo kujyana mu rugo!

Tekereza nawe, wenda waramanuye ukuguru kwawe ku madarajya, cyangwa se wakomeretse mu mpanuka ikomeye nk'impanuka y'imodoka. Impamvu iyo ari yo yose yaba iteye, niba ufite ububabare budasanzwe, kubyimba, cyangwa gukomereka mu kuguru kwawe, ni byiza kujya kwa muganga vuba bishoboka aho kubitekereza ko ari "ugukomereka gusa."

Imvune ya Lisfranc, cyane cyane iyo Lisfranc yavunitse, ishobora gutera ibibazo bikomeye (nk'ububabare budakira na rubagimpande) bishobora kugira ingaruka ku buzima bwawe mu gihe kizaza iyo idavuwe vuba.

Niba ufite ikibazo ku birenge byawe, hita ubyitaho. Gushaka inama z'abaganga vuba bizagufasha gukira vuba kandi wirinde ingorane zizaza. Ibirenge byawe ni ingenzi cyane kuri wowe, bityo rero wirinde!

Lisfranc Imvune, ububabare bw'ibirenge, ubumuga bw'amaguru, kuvunika kw'ingingo, kuvunika kw'amagufwa, kubyimba ibirenge