Ese ukunda siporo? Wenda ukina siporo nka football, volleyball, cyangwa netball. Cyangwa wenda wiruka, usimbuka, cyangwa uterura ibyuma. Bite ho niba uhita wumva ububabare bukabije imbere mu ivi ryawe hamwe n'ijwi rya 'click'? Cyangwa wenda ukubitwa n'umuntu hanyuma ivi ryawe rigakomera imbere? Mu bihe nk'ibi, hari amahirwe menshi ko MCL yawe, umutsi w'ingenzi mu ivi ryawe, ushobora kwangirika. Uyu munsi, turaganira ku cyo MCL irira, uko ibaho, n'icyo wakora kuri yo.
Mu magambo make, MCL tear ni iki?
MCL isobanura Medial Collateral Ligament . Mu rurimi rwa Sinhala, ni umugozi ukomeye imbere mu ivi. Tekereza ku ivi ryacu nk'ingingo. Igufwa ryo hejuru (femur) n'igufwa ryo hasi (tibia) by'iyi ngingo birafatanye, kandi ivi rihagarikwa kwimuka ku ruhande rigakomeza gukomera n'uyu mugozi ukomeye witwa MCL. Ni nk'umugozi ukomeye.
Gucika kwa MCL ni igihe iyi ligament ikomeye yangiritse. Kwangirika gushobora kuba guto, cyangwa gushobora gucika burundu no gutandukanamo ibice bibiri.
Hari imitsi ine y'ingenzi nk'iyi mu mavi yacu.
- Umutsi w'imbere w'ivi (MCL): Umutsi uri imbere mu ivi.
- Umutsi w'inyuma w'ivi (Lateral Collateral Ligament - LCL): Umutsi w'inyuma y'ivi.
- Anterior Cruciate Ligament (ACL): Igice cy'imbere cy'imitsi ibiri ifite ishusho ya X imbere mu ivi.
- Umutsi w'inyuma (Posterior Cruciate Ligament) (PCL): Umutsi w'inyuma mu mitsi ibiri ifite ishusho ya X iri mu ivi.
Muri izi enye, umugozi wa MCL ni wo ukunze gukomereka cyane.
Uburyo bwo Gupima Amarira ya MCL (Amanota y'Amarira)
Muganga wawe azashyira mu byiciro uburemere bw'amarira. Ibi bigabanyijemo ibyiciro bitatu by'ingenzi (amanota). Kubimenya bizagufasha gusobanukirwa uburyo uvura.
| Icyiciro | Imiterere y'amarira | Uko wumva umeze |
|---|---|---|
| Icyiciro cya 1 (amarira make) | Imigozi iri mu gice cy'umugozi yacitsemo ibice biri munsi ya 10%. Umugozi uracyakomeye. | Hari ububabare buto imbere mu ivi kandi bukagira ububabare iyo bukozweho. Ivi rihagaze neza. Nshobora kugenda. |
| Icyiciro cya 2 (amarira ari hagati) | Igice kinini cy'umutsi cyacitse, ariko nticyatandukanye burundu. | Hari ububabare bukomeye n'ububabare imbere mu ivi. Ivi rishobora kumva ridafite aho rihuriye kandi ridafite aho rihagaze. Bishobora kugorana kugenda. |
| Icyiciro cya 3 (amarira akomeye) | Ihambiro rirashwanyagurika burundu rigacikamo ibice bibiri. | Hari ububabare bukabije. Ivi rirahindagurika cyane, rikumva risa n'aho "riri gusimbuka". Biba bigoye guhagarara rifite uburemere. Akenshi, izindi ligaments, nka ACL, nazo zirangirika. |
Ni izihe mpamvu zitera MCL rill?
Impamvu nyamukuru itera MCL gucika ni ugukubita cyane inyuma y'ivi. Tekereza ko uri gukina umupira w'amaguru maze umuntu akagukubita inyuma y'ivi ryawe, bigatuma ivi ryawe rigonda imbere. Ibi bishobora gutuma umutsi wa MCL uri imbere ucika.
Byongeye kandi, amarira ya MCL ashobora guterwa na:
- Guhindura icyerekezo gitunguranye: Iyo ukuguru kumwe gushyizwe hasi maze umubiri ugahita uhindukirira urundi ruhande. Ibi bikunze kugaragara mu mikino nka basketball na netball.
- Kugwa nabi: Kugwa nabi iyo ivi ripfutse rigakubita hasi.
- Kugera kure kw'ivi: Ibi bishobora kubaho mu mikino nko kugendera ku rubura.
- Guterura ibintu biremereye: Iyo uteruye ikintu kiremereye ufite imiterere idakwiye.
- Imihangayiko isubiramo: Iyo ivi rimaze igihe kinini rihangayikishijwe, umugozi wa MCL ushobora gucika intege no gucika ndetse no mu gihe gito cyane, nk'umukandara ushaje wa rubber.
Ni ibihe bimenyetso by'uko umuntu yarwaye MCL?
Ushobora kugira kimwe cyangwa byinshi muri ibi bimenyetso mu gihe MCL yacitse.
- Iyo habayeho imvune , ijwi ryo 'gukanda' cyangwa 'gucikagurika' ryumvikana imbere mu ivi .
- Ububabare imbere mu ivi.
- Birababaza nubwo ukora ku ivi imbere.
- Kubyimba no gukomera kw'ivi .
- Utinya ko ivi "rizakubita" cyangwa "rigapfukama" mu gihe ushyira uburemere ku kuguruKumva nta gihagararo (kudahamye).
- Kumva ivi ryawe rifashe cyangwa rifunze iyo urigonda cyangwa urigorora.
Igikuru ni uko niba ushobora kugenda ariko ugakomeza kubabara cyangwa kubyimba mu ivi ryawe, ntubyirengagize. Byanze bikunze jya kwa muganga.
Ubibona ute, Muganga?
Iyo ugiye kwa muganga, abanza kukubaza uko imvune yagenze. Hanyuma azasuzuma ivi ryawe.
- Isuzuma ry'umubiri: Muganga azakanda imbere mu ivi ryawe n'ukuboko kwe kugira ngo amenye neza aho ububabare buri. Hanyuma, ivi ryawe rihetamye gato, azashyira igitutu inyuma kugira ngo arebe uko ivi rifunguka imbere (valgus stress test). Ibi bizaguha igitekerezo cy'uburyo ligament ya MCL irekuye.
- MRI Scan: Iki ni cyo kizamini cyiza cyo kwemeza ko MCL yacitse. MRI ishobora kwerekana neza ingano y'imitsi yacitse, ndetse no kumenya niba ibindi bice, nka ACL, byarangiritse.
- Gupima hakoreshejwe ikoranabuhanga rya Ultrasound: Ibi bishobora kandi gusuzuma ibintu nko gucika kw'imitsi ya MCL n'amazi ayikikije.
- X-ray: Ishinya rya MCL ntirishobora kugaragara kuri X-ray kuko X-ray igaragaza igufwa gusa. Ariko, muganga wawe ashobora gutegeka X-ray kugira ngo yemeze ko hari imvune cyangwa ikindi gikomere.
Indwara ya MCL ivurwa ite?
Inkuru nziza ku bantu benshi ni uko amarira menshi ya MCL ashobora kuvurwa nta kubagwa . Kubera ko umugozi wa MCL ufite amaraso meza, birashoboka cyane ko wikiza wonyine.
Ubuvuzi Butari Ubuvuzi
- Uburyo bwa RICE: Ubu ni bwo buryo bwa mbere kandi bw'ingenzi bwo kuvura.
- R - Kuruhuka: Ha ivi ryawe ikiruhuko. Irinde kwiruka, gusimbuka, cyangwa ibindi bikorwa bitera igitutu ku ivi ryawe.
- I - Urubura: Siga urubura ahantu hari ububabare n'ibibyimba mu gihe cy'iminota 15-20 inshuro nyinshi ku munsi. Ntugashyire urubura ku ruhu, ruzingire mu gitambaro.
- C - Gukanda: Zingira ivi ukoresheje igitambaro cya elastic kugira ngo ugabanye kubyimba. Ntugapfundike cyane .
- E - Kuzamuka: Komeza ukuguru kwawe hejuru uko bishoboka kose. Ibi bizagabanya kubyimba.
- Imiti igabanya ububabare: Ushobora gufata imiti igabanya ububabare ikoreshwa mu kugabanya ububabare (NSAIDs) nk'uko muganga yabigutegetse.
- Igikoresho cyo gukingira ivi:Muganga aragira inama yo kwambara agakoresho kabugenewe kugira ngo ivi ritagondama ku ruhande kandi rigatuma umugozi wa MCL urushaho gukomera kugira ngo ukire.
- Ibibando: Kugira ngo ugabanye ibiro ku ivi, ushobora gukenera gukoresha ibibando igihe gito.
- Ubuvuzi bw'umubiri: Ibi ni ingenzi cyane . MCL imaze gukira, ugomba gutangira imyitozo uyobowe n'umuvuzi w'umubiri. Ibi bizagufasha kugarura uburyo bwo gukora ivi ryawe, gukomeza ikibero cyawe n'imitsi ikikije, no gusubira mu mirimo isanzwe.
Kubaga
Kubagwa ntibikunze kuba ngombwa.
- Iyo umugozi wa MCL wacitse burundu (Icyiciro cya 3), bisa nkaho wavuye ku igufwa.
- Iyo indi ligament, nka ACL, yangiritse cyane hamwe n'icika rya MCL.
- Niba uri umukinnyi w'umwuga kandi ukeneye gukomera cyane mu ivi mu gihe kizaza.
Kubagwa bikubiyemo kudoda imitsi yacitse cyangwa kongera kubaka imitsi hakoreshejwe agace k'umubiri kavanywe mu kindi gice cy'umubiri (urugero: imitsi yo mu kibuno).
Bizatwara igihe kingana iki kugira ngo umuntu akire?
Igihe cyo gukira giterwa n'uburemere bw'igogorwa n'uburyo wubahiriza neza ubuvuzi.
- Icyiciro cya 1: Ubusanzwe bikira mu gihe cy'icyumweru 1-3.
- Icyiciro cya 2: Bishobora kumara ibyumweru 4-6.
- Icyiciro cya 3: Bishobora kumara ibyumweru birenga 6, wenda amezi menshi. Iyo habayeho kubagwa, bishobora kumara igihe kirekire kurushaho.
Igikuru ni ukudakora vuba, ahubwo ni ukuruhuka no gukora imyitozo ngororamubiri mu gihe cyagenwe nk'uko muganga n'umuvuzi w'umubiri babigusabye. Iyo wihutiye, hari amahirwe menshi yo kongera gukomereka.
Ibibazo byo kubaza muganga
Niba ufite ikibazo cya MCL, ni byiza kubaza muganga wawe ibibazo nk'ibi.
- Ni ubuhe bwoko (urwego) bw'amarira ya MCL mfite?
- Ni ubuhe buryo bwo kuvura mfite? Ese nkeneye kubagwa?
- Utekereza ko bizatwara igihe kingana iki kugira ngo umuntu akire neza?
- Ni uwuhe muti ngomba gufata?
- Ese nkwiye kubonana n'inzobere?
- Ni ryari nkwiye gutangira ubuvuzi bw'umubiri?
- Ni ryari nzongera gutangira gukina?
Ubutumwa bwo kujyana mu rugo
- Kubabara kwa MCL ni ugukomereka kw'imitsi iri imbere mu ivi. Ni imvune ikunze kugaragara mu bakinnyi.
- Ibimenyetso by'ingenzi ni ububabare, kubyimba, no kudahagarara neza kw'ivi.
- Amarira menshi ya MCL ashobora kuvurwa hatabayeho kubagwa hakoreshejwe ikiruhuko, urubura, icyuma gikingira umubiri, ndetse n'ubuvuzi bw'umubiri.
- Imyitozo ngororamubiri ni ingenzi cyane mu gukira. Ntukayisige.
- Niba ufite imvune mu ivi, nubwo waba ushobora kugenda, ntubyirengagize kandi ushake inama kwa muganga ako kanya. Niba imvune ikomeye, jya mu ishami rishinzwe ubutabazi bwihuse (ETU) ry’ibitaro biri hafi yawe.

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