Ese igufwa ryawe ntiryahagaze neza nyuma yo kurivunika? (Malunion & Nonunion Fractures)

Oh, kuvunika igufwa ni ikintu udashaka no gutekerezaho, sibyo? Ariko bishobora kubaho mu mpanuka, kugwa uvuye ku burebure, cyangwa ndetse n'impanuka y'imodoka. Akenshi, hamwe n'ubuvuzi butangwa n'abaganga, nko gusigwa ibitambaro ndetse wenda na sima, ibice by'amagufwa byavunitse bishobora kongera guhuzwa neza. Ariko rimwe na rimwe, ibi bintu ntibiba byoroshye nkuko ubitekereza. Bigenda bite iyo bitahuye neza, cyangwa niba bitahuye na gato? Uyu munsi, tugiye kuvuga ku bintu bibiri nk'ibi: Malunion na Nonunion .

Malunion na Nonunion ni iki?

Mu magambo make, ibi byerekeza ku bihe aho igufwa ridakira neza nyuma yo kuvunika.

• Malunion ni igihe amagufwa yavunitse ahujwe, ariko mu buryo butari bwo, mu mwanya utari wo . Nk'ibice bibiri by'isahani byavunitse bifatanye nabi. Amagufwa ashobora gukururwa, gupfundikanywa, cyangwa kugabanywa.
• Kutagira aho bihurira ni igihe amagufwa yavunitse atakize na gato, nubwo byaba bimaze igihe kirekire. Bimeze nk'ibice bibiri by'ibiti byavunitse bitashobora guhuzwa.

Muri ubu buryo, iyo igufwa ritameze neza, cyangwa ritameze neza burundu, bishobora kugira ingaruka zikomeye ku ituze n'imikorere y'umubiri wacu. Tekereza ukuntu byaba bigoye kugenda iyo igufwa ryo ku kuguru ritameze neza.

Akenshi, imvune zikira neza iyo zivuwe neza. Iyo zitavunitse, hagomba kuba hari impamvu. Bishobora kuba ikibazo cya tekiniki - ni ukuvuga ko ibice byavunitse bitahuye neza mu gihe cyo gukira. Cyangwa se bishobora kuba ikibazo cy’ibinyabuzima - ni ukuvuga ko umubiri wawe udafite ubushobozi buhagije bwo gukiza igufwa. Abaganga bazirikana ibi bintu byose iyo bavura izi ndwara.

Ni ubuhe bwoko bw'ingenzi bw'abatari mu muryango?

Muganga wawe ashobora gushyira "hypertrophic" yawe mu byiciro "atrophic", "atrophic", cyangwa "oligotrophic". Iri tsinda rishingiye ku bimenyetso by'icyatuma igufwa ritakira.

• Kutagira aho bihurira cyane: Iki ni igihe igufwa rishya riba ririmo gukorwa, ariko impera z'ibice by'amagufwa byavunitse ntizifatanye neza. Mu yandi magambo, igufwa ryawe rifite ibice byose by'umubiri (urugero: amaraso, uturemangingo) bikenewe kugira ngo rirame, ariko ibice by'amagufwa ntibifatanye neza mu gihe cyo gukira. Tekereza ufite ibikoresho byose bikenewe kugira ngo wubake inzu, ariko inkuta ntizifatanye neza.
• Kutagira aho bihurira:Muri iki gihe, nta magufwa mashya agaragara, kandi igufwa ntiribone amaraso meza. Ibi bigaragaza ko igufwa ritakira kubera impamvu z’ibinyabuzima. Nk’uko ikimera gipfa amazi n’indyo. Hari igihe, iyo hari ubwandu mu igufwa (septic nonunion), amaraso na yo ashobora guhungabana.
• Kutagira aho bihurira: Muri iki gihe, hari igufwa rishya riba rivutse, ariko ntiryuzuye. Uduce tw'amagufwa ntabwo turi mu mwanya waryo. Birashoboka ko uduce tw'amagufwa tutashyizwe neza mbere, cyangwa nyuma twaje guhuzwa. Hashobora kubaho ibibazo ku buryo uduce tw'amagufwa tudahinduka ndetse n'ibintu bifatika.

Ni ibihe bimenyetso by'indwara y'uruhu (maloin)?

Iyo igufwa ritameze neza (malonion), ushobora kubona ibintu nk'ibi:

• Amagufwa yawe asa n'aho arambuye cyangwa agoramye.
• Bisa nkaho igufwa ryagoramye .
• Igufwa risa n'aho ari rigufi kurusha uko ryari rimeze mbere.

Mu gihe ukoresha igufwa ridafite umurongo ukwiye muri ubu buryo, ushobora kugira ibimenyetso bikurikira:

• Birababaza aho igufwa riri.
• Hari kubyimba .
• Kunanirwa kugenda (niba ari ukuguru).

Amagufwa yose yo mu mubiri wacu afitanye isano. Rero iyo igufwa rigize intege nke ahantu hamwe, rishobora gushyira uburemere burenze urugero ku yandi magufwa. Kubwibyo, iyo ukoresheje igufwa ryakomeretse, ushobora kumva ububabare mu bindi bice by'umubiri.

Tekereza, niba umutsi uri hafi aho ufashwe cyangwa ukururwa bitewe n'ibice by'amagufwa bitajyanye neza, ibi ni ibimenyetso by'imitsi ushobora kubona:

• Kurira, kumva nk'aho imboro zirimo kwiruka hirya no hino (paresthesia).
• Imitsi yo mu gace kakomeretse iracika intege kandi igacika intege.
• Hari kubaho ububabare mu mitsi (neuropathie).

Ni ibihe bimenyetso by'umuntu utari mu muryango?

Iyo igufwa ritahuye (ritahuriranye), ushobora kubona ibimenyetso nk'ibi:

• Hari ububabare bukomeye kandi buhoraho aho wavunitse.
• Muri urwo rwego haracyari intege nke, kumva ko ntabasha kugenda neza .
• Urebye inyuma, ushobora kubona itandukaniro , wenda nk'ipfundo cyangwa icyuho.

Hari igihe, iyo hari ubwandu mu igufwa, bushobora guherekezwa cyangwa butarimo ibi bimenyetso:

• Kubyimba
• Umuriro
• Ndimo gukonja.

Kuki izi malunions n'izitari unions bibaho?

Iyo igufwa ryavunitse, hari impamvu nyinshi zishobora gutuma ritakira neza cyangwa ntirikire burundu. Reka turebe zimwe mu ngingo z'ingenzi:

• Uburyo yavunitse, mbega ukuntu yangiritse cyane:Urugero, amagufwa agoramye (amagufwa acitsemo ibice) cyangwa avunitsemo ibice byinshi (amagufwa acitsemo ibice) ntakunda gukira neza. Nanone, niba ufite ibikomere bikomeye (amagufwa akomeretse) bigira ingaruka ku buryo amaraso anyura mu igufwa, bizagira ingaruka ku gukira. Kubera ko amaraso atangwa ni ngombwa kugira ngo igufwa ribeho kandi rirakire.
• Uburyo bwo kuvurwa vuba kandi neza: Iyo utagiye kwa muganga ukimara kuvunika igufwa, rishobora gutangira gukira nabi. Hari igihe, nubwo ibice by'igufwa byakozwe neza, bishobora kwangirika. Ibi birashoboka cyane niba kuvurwa bitinze cyangwa niba ubuvuzi budahagije.
• Kuruhuka no kwirinda mu gihe cyo gukira: Ni ingenzi cyane kugumana igufwa mu mwanya waryo kandi mu mwanya waryo mu gihe ririmo gukira. Hari abantu bafata igihe kirekire kuruta uko bisanzwe kugira ngo igufwa rikire. Muri ibyo bihe, ibibazo bishobora kuvuka iyo muganga akuyeho igufwa hakiri kare cyane cyangwa utangiye kurikoresha vuba cyane.
• Ubuzima bwawe muri rusange n'ubushobozi bwawe bwo gukira: Iyo igufwa rikize buhoro buhoro, rishobora guhinduka urunion cyangwa non-union. Abantu basaza , bafite ikibazo cy'imirire mibi (cyane cyane kalisiyumu na vitamine D), cyangwa indwara za metabolisme nka diyabete na tiroyide bashobora kugabanya cyangwa bakabuza gukira kw'amagufwa. Ni ngombwa kandi kwibuka ko kunywa itabi na nikotine nabyo bishobora gutuma amagufwa acika intege kandi bigatinda gukira.

Abaganga bapima gute izi ndwara?

Mu gihe muganga asuzuma indwara nk'iyi, abanza kukubaza uko imvune yagenze n'izindi ndwara zose ushobora kuba ufite. Hanyuma, azagusuzuma umubiri w'ukuguru kwawe. Azareba ibintu nk'impinduka ubona inyuma n'uko byifashe iyo ubyimuye. Bitewe n'aho imvune iri, bashobora gushaka kureba uko ugenda cyangwa gupima uburebure bw'ukuguru.

Hanyuma, birumvikana ko hafatwa amafoto y'igufwa (`imaging`). Ibi bishobora gukoresha ibizamini nka X-rays , CT scan , cyangwa MRI .

Muganga azasuzuma niba igufwa ryakize mu buryo butari bwiza ku mubiri. Niba ari uko bimeze, azamenya ko ari malunion.

Iyo igufwa rimaze igihe kinini ritakira, cyangwa ritarakira burundu, byitwa "gutinda guhuza" cyangwa "nonion". Igihe bifata kugira ngo igufwa rikire gishobora gutandukana bitewe n'imiterere y'imvune, ubwoko bw'igufwa ryavunitse, n'ubuzima bwawe muri rusange. Ubusanzwe, bishobora gufata amezi atandatu, icyenda, cyangwa cumi n'abiri kugira ngo igufwa rikire ritakira.

Ese izi nyungu n'izidafite inyungu zishobora kuremwa?

Si buri malunion cyangwa nonunion igomba gusanwa. Biterwa n'igufwa ryavunitse, uko ukoresha igufwa, n'uburyo indwara igira ingaruka ku buzima bwawe bwa buri munsi. Ariko rimwe na rimwe, igufwa ritarakira neza rishobora gutuma bigorana kugenda, rigatera ububabare, cyangwa rigatera izindi ngorane. Muri icyo gihe, kubagwa bishobora kuba ngombwa kugira ngo risanwe. Muganga wawe azabanza kugerageza uburyo bwo kuvura butari ubw'ababaga hanyuma akakugira inama yo kubagwa niba bidakora.

Uburyo bwo kuvura Malunion

Uburyo bwo kuvura butari ubwo kubaga:

• Gutera amaguru: Hari igihe igufwa ridasanzwe rishobora gukoreshwa kugira ngo rikomeze kuguma mu mwanya waryo mwiza.
• Imitsi y'amaguru: Akantu ko gushyiramo inkweto kakozwe mu buryo bwihariye gashobora gufasha kwishyura itandukaniro ry'uburebure bw'amaguru.
• Ubuvuzi bw'umubiri: Imyitozo ngororamubiri yihariye ishobora gukomeza imitsi yangiritse no kugabanya umutwaro ku magufwa.
• Imiti igabanya ububabare: Ku bubabare bumwe na bumwe, ushobora gukoresha imiti isanzwe igabanya ububabare nka NSAIDs.

Uburyo bwo kuvura hakoreshejwe uburyo bwo kubaga:

• Osteotomy: Muri ibi, umuganga ubaga amagufwa agabanya igufwa ryari ritameze neza maze akarisubiza mu mwanya waryo.
• Kubaga uburebure bw'ikirenge: Iyo ukuboko cyangwa ukuguru bigufi, umuganga ashobora gukoresha igikoresho cyihariye kugira ngo abigereho.

Uburyo bwo kuvura abadafite ishyirahamwe

Uburyo bwo kuvura butari ubwo kubaga:

• Ubuvuzi: Ushobora gukenera kuvurwa indi ndwara (urugero: diyabete), ubwandu, cyangwa kubura imirire.
• Orthoses: Igikoresho cyo gukingira, icyuma cyo gukingira, cyangwa icyuma cyo gukingira gishobora gufasha igufwa kuguma ridashobora kugenda no gukira.
• Ibitera imbaraga mu gukangura amagufwa: Ibi bikoresha imiraba ya ultrasound cyangwa electromagnetic kugira ngo bitume amagufwa akira neza.
• Inshinge z’ibinyabuzima: Inshinge z’uturemangingo tw’umubiri cyangwa plasma ikungahaye kuri platelets zishobora gutuma amagufwa akira neza kandi agakura.

Uburyo bwo kuvura hakoreshejwe uburyo bwo kubaga:

• Gukuraho igufwa: Muri ibi, umuganga w’amagufwa akuramo ingingo zapfuye mu igufwa.
• Kubaga imitsi: Umuganga ubaga imitsi ashobora kubaga imitsi yawe kugira ngo agarure amaraso mu mutima wawe.
• Guteranya amagufwa:Muri ibi, umuganga w’amagufwa afata igice cy’igufwa mu kindi gice cy’umubiri wawe, cyangwa mu igufwa ry’umutanga, akagishyira mu gice cyabuze. Iri gufwa ryatewe ritanga intangiriro nziza yo gukura kw’amagufwa mashya.
• Kugabanya no gushyira imbere mu mubiri: Muri ibi, umuganga w’amagufwa ahuza ibice by’amagufwa akabisana hamwe n’imisumari n’ibyuma byo kubaga.

Ese nyuma yo kuvurwa, ibintu byifashe bite?

Uburyo bwo kuvura butari ubwo kubaga no kubaga bugira ingaruka nziza cyane mu kuvura indwara z’umutima n’amaraso. Ariko, gukira no kugarura ubuzima bifata igihe. Ushobora gukoresha inkoni cyangwa icyuma cyo kuvura kugeza ukize. Ushobora kandi gukenera gukora ubuvuzi bw’umubiri igihe runaka. Hari igihe, iyo amagufwa adashoboye kumera neza, cyangwa niba muganga adashobora kugenzura ibintu by’ingenzi bigize ubuzima, ubuvuzi bushobora kunanirana.

Kuvunika igufwa bishobora kuba kuri buri wese. Ntabwo buri gihe biba byumvikana neza niba ufite igufwa ryavunitse cyangwa utavunitse. Ariko niba utekereza ko ushobora kuba ufite igufwa, ni byiza kujya kwa muganga vuba bishoboka. Kuko imvune zikira neza iyo zivuwe vuba kandi neza. Muganga wawe azasuzuma imvune yawe maze amenye icyaba cyayibujije gukira. Hanyuma azakugira inama ku cyo wakora kugira ngo ikire neza, aho gutera akajagari cyangwa kutajya mu mwanya wayo.

Ibintu by'ingenzi cyane ugomba kwibuka (Ubutumwa bwo kujyana mu rugo)

Ntugatinye niba wavunitse igufwa. Ariko ntugafate nk'aho ari ibintu byoroshye. Shaka muganga ako kanya kandi uhabwe ubuvuzi bukwiye. Kurikiza amabwiriza ya muganga neza. Niba uhawe isuka, komeza uyishyiremo kugeza igihe azakubwiye kuyikuramo. Niba agusabye gukora imyitozo ngororamubiri, kora imyitozo ngororamubiri neza. Rya indyo yuzuye, cyane cyane ibiryo bikungahaye kuri kalisiyumu na vitamine D. Niba unywa itabi, kurireka ni ingirakamaro cyane mu gukira. Kuko amagufwa meza ari ingenzi kugira ngo umuntu abeho neza!

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