Ese ufite imvune nk'iyi mu kuboko kwawe? Reka twige ku bijyanye na Monteggia Fracture!

Ese wigeze ugira impanuka n'ukuboko kwawe ukabwirwa na muganga ko ufite 'Monteggia Fracture', bivuze igufwa ryavunitse? Cyangwa hari aho wigeze wumva iri jambo? Mu by'ukuri iri ni ubwoko bw'ivunika bugoye gato. Si igufwa ryavunitse mu kuboko kwawe gusa. Rero, uyu munsi tugiye kuvuga kuri iyi ndwara yitwa 'Monteggia Fracture' mu buryo bworoshye ushobora kumva. Nta kintu cyo gutinya, reka dusobanure byose.

Gucika kwa Monteggia ni iki?

Noneho reka turebe icyo 'Monteggia Fracture' ari cyo. Mu magambo make, ni ukuvunika kw'ukuboko kwawe. Ukuboko ni igice cy'ukuboko kwawe kiva mu nkokora yawe kijya mu kuboko kwawe. Ukuvunika biba ku ngingo y'inkokora.

Wari uzi ko hari amagufwa abiri y'ingenzi mu gahanga kacu.

• Imwe muri zo ni igufwa rya ulna . Iri riherereye imbere mu kuboko, ku ruhande aho igikumwe cyawe kiri (mu by'ukuri, iyo urebye ikiganza cyawe ikiganza cyawe kireba hasi, ulna iri ku ruhande rw'urutoki rwawe ruto. Ibi ni byo abaganga bita imiterere y'ukuboko).
• Indi ni igufwa rya radius . Iri riherereye ku ruhande rw'inyuma rw'ukuboko, ryerekeza ku mano manini (iyo urebye ikiganza, nk'uko byavuzwe mbere).

Noneho, hamwe n'imbaraga zikomeye, igufwa ryawe rya ulna riravunika hafi y'inkokora. Icyabaye ni uko ingingo iba idakomeye. Bityo, impera yo hejuru y'igufwa rya radius, igice gihuza n'inkokora, igenda igaruka iva aho igomba kuba iri. Mu buvuzi, ibi byitwa "dislocation." Ibyo ni byo twita "Monteggia Fracture."

Ni ngombwa ko abaganga bumva ko ibi bigoye kuruta igufwa ryavunitse gusa. Kubera ko rihungabanya ingingo y'inkokora, bisaba ubuvuzi bwihariye kugira ngo rikire neza. Niba bishoboka, abaganga bazongera gushyira amagufwa mu mwanya waryo n'intoki. Ariko niba bidashoboka, cyangwa niba hari ikibazo gikomeye ku mitsi, imitsi y'amaraso, cyangwa imitsi iri mu ngingo yawe, ushobora gukenera kubagwa.

Ni irihe tandukaniro riri hagati ya Monteggia na Galeazzi imvune?

Ushobora kuba warumvise ibyerekeye 'Galeazzi fracture'. Nubwo ibi byombi bisa, hari itandukaniro. Ibyo byombi bishobora kwitiranywa.

• Mu gihe Monteggia yavunitse , igufwa ryawe rya ulna rivunika hafi y'inkokora, bigatuma impera yo hejuru y'igufwa rya radius iva ku ngingo.
• Mu gihe Galeazzi yavunitse , igufwa ryawe rya radius rivunika hafi y'aho ukuboko guhurira, hanyuma igice cyo hasi cy'igufwa rya ulna kikava kuri iyo ngingo.

Dore inama nto yo kwibuka ibi. Byitwa FROG mu Cyongereza. Bisobanura Fractured Radius Of Galeazzi . Noneho ushobora kwibuka ko muri Galeazzi, radius yacitse. Hanyuma, biroroshye kwibuka ko muri Monteggia, ulna yacitse, sibyo?

Ni ibihe bimenyetso by'uko Monteggia yavunitse?

Umuntu ufite ikibazo cya Monteggia Fracture akunze kumva ububabare mu nkokora . Uzumva aho amagufwa avunitse mu gice cya gatatu cyo hejuru cy'ukuboko kwawe. Ahantu hashobora kubyimba. Hari igihe ubona amagufwa agenda agaruka, hari n'igihe utabibona. Igufwa rya radius naryo rirababaza.

Ushobora kandi kumva ibintu nk'ibi:

• Bisa nkaho bigoye kunama cyangwa kugorora inkokora yawe (aho umuntu ashobora kugenda gake).
• Hari igihe igufwa ryakuwe mu mwanya waryo rihita risubira mu mwanya waryo wa mbere.

Iyo muganga agusuzumye, azareba ibimenyetso by'uko imitsi yakomeretse. Muri ibyo bihe, ibintu nk'ibi bishobora kubaho:

• Ukumva urimo gushyuha cyangwa kumva nk'ibimonyo birimo kugenda mu kiganza (paresthesia).
• Kumva intege nke mu kuboko cyangwa mu kiganza.
• Ububabare buturuka aho igufwa ryavunitse.

Ni iyihe mitsi ishobora kwangirika bitewe no kuvunika kwa Monteggia?

Gucika intege kwa Monteggia bishobora kwangiza imitsi yawe ya radial cyangwa imitsi yo hagati . Imvune ikunze kugaragara ni iyo mu mitsi yo inyuma y’inyuma (PIN), ari yo ishami ry’imitsi ya radial. Iyo uyu mutsi wangiritse, ushobora kugorwa no kunoza intoki zawe n’igikumwe.

Inkuru nziza ni uko akenshi, kwangirika k'imitsi guturuka ku gucika kwa Monteggia kuba guke cyane (`neurapraxia`). Ibi bivuze ko imitsi ifatwa by'agateganyo. Ibi akenshi bikira ubwabyo mu mezi make. Iyo bitagenze bityo, bishobora gukosorwa no kubagwa.

Ni iki gitera kuvunika kwa Monteggia?

Ibi akenshi biterwa n'igikomere gikomeretse . Impamvu zikunze kugaragara ni izi:

• Ugwa urambuye ukuboko . Tekereza ko unyerera uri kwiruka maze ukuboko kwawe kugafata hasi.
• Kugwa uvuye hejuru ku buryo inkokora ikubita hasi .
• Gukubita cyane inyuma y'inkokora .

Abaganga babisobanukirwa bate neza?

Iyo ugize impanuka n'ukuboko kwawe, muganga abanza gukora isuzuma ry'umubiri , hanyuma bakamufatira X-ray.Ibizamini birakorwa. Mu isuzuma ry'umubiri, muganga abona igitekerezo cy'icyo agomba kureba kuri X-ray.

Kugira ngo umenye neza indwara ya Monteggia Fracture, uzakenera gufata X-rays zombi ku kuboko no ku nkokora. X- rays zo ku kuboko zizagaragaza kuvunika kw'igufwa ry'umura. X-rays zo ku nkokora zizagaragaza ko umutwe wacitse.

Ariko, kuvunika kw'inyuma no kuvunika kw'inyuma rimwe na rimwe bishobora kuba bitagaragara neza . Kubwibyo, bishobora kubura byoroshye. Ibi bibazo bishobora kugorana kubimenya , cyane cyane ku bana bato . Hari igihe kuvunika biba bito cyane ku buryo bitagaragara, cyangwa igufwa rishobora kuba rigoranye gato. Hari n'igihe, impande zavunitse zisubira mu mwanya wazo ubwazo mbere yuko ujya kwa muganga. Kubwibyo, kugira ngo umenye neza niba ari 'Monteggia Fracture', ugomba kuyisuzuma witonze kugira ngo urebe niba hari ibimenyetso by'uko yavunitse mbere.

Ni gute kuvunika kwa Monteggia kuvurwa?

Uburyo bwo kuvura igufwa rya Monteggia ryavunitse butandukanye gato no kuvura igufwa ryavunitse. Ibi biterwa nuko rijyana no gucika kw'ingingo. Iyo igufwa rivuye mu mwanya waryo, ingingo zisanzwe zirifata zirakura cyangwa ziracika. Ndetse na nyuma y'uko igufwa risubijwe mu mwanya waryo, bifata igihe kugira ngo izi ngingo zikire. Ingingo ntirakomera. Kubwibyo, hari amahirwe ko ingingo zishobora kongera kwangirika, cyangwa igufwa rikongera gucika.

Kugira ngo umuntu avurwe neza 'Monteggia Fracture', hagomba kubaho ibi bikurikira:

• Igufwa ry'umura rigomba kugaruka mu mwanya waryo ukwiye .
• Igufwa rya radius rigomba kugaruka mu mwanya waryo ukwiye .
• Aya magufwa yombi agomba kuguma ahamye aho ahurira kugeza igihe akize.

Kugira ngo babigereho, abaganga bakunze kugerageza uburyo bwo kuvura busanzwe mbere na mbere. Iyo binaniranye ni bwo babanza kubagwa. Mu by'ukuri, abana bato benshi ntibakenera kubagwa, ariko abantu bakuru bakunze kubagwa. Impamvu y'ibi ni uko amagufwa n'ingingo by'abana bigikura, bityo biroroshye gusana no gukira vuba. Amagufwa yo mu ngingo z'abantu bakuru ntakunda gukira ubwayo nta bufasha, kandi ntakunda kuba ahantu heza.

Dore uburyo bwo kuvura:

• Kugabanya amafaranga byafunze:'Kugabanya' bivuze gusubiza igufwa ryakuwe mu mwanya waryo. 'Kugabanya rifunze' bivuze guhindura ingingo n'intoki nta kubagwa. Igihe cyose bishoboka, abaganga bazagerageza kubikora mbere na mbere. Ibi bikorwa mu gihe uri munsi y'ikinya. Nyuma y'ibyo, uzakenera kwambara icyuma gikingira igufwa kugira ngo ukomeze igufwa kugeza rikize.
• Gufungura no gushyira imbere mu mubiri (ORIF): Niba kugabanya bidashoboka, ubundi buryo ni ukubaga (kugabanya). Gushyira imbere mu mubiri bikubiyemo gusubiza amagufwa yose mu mwanya wayo no kuyafata mu mwanya wayo. Hari igihe umuganga w’inzobere azakenera kongera gufata igufwa rya ulna mbere yo gusubiza radius mu mwanya wayo. Izindi ngingo zangiritse nazo zishobora gukenera kuvurwa cyangwa gukurwaho.

Bifata igihe kingana iki kugira ngo Monteggia ikire?

Abantu benshi bashobora gusubira mu mirimo isanzwe mu byumweru 8 kugeza kuri 12 nyuma yo kuvurwa. Abakinnyi n'abafite akazi gasaba imbaraga nyinshi bashobora kumara igihe kirekire.

Niba ufite icyuma gifunganye, ushobora kwambara icyuma mu gihe cy'ibyumweru 6 kugeza kuri 8. Niba ubaye, ushobora kwambara icyuma mu gihe cy'ibyumweru 3. Nyuma y'ibyo, ushobora gukenera gukora ubuvuzi bw'umubiri cyangwa ubuvuzi bw'umubiri mu gihe cy'ibyumweru bike kugira ngo wongere kwiyoroshya no gukora neza mu ntoki zawe.

Ese nyuma yo kuvurwa kwa Monteggia imvune imeze ite?

Iyo abantu benshi basuzumwe ku gihe kandi bagahabwa ubuvuzi bukwiye, bakira nta ngorane zikomeye. Ariko, kubera ko iki ari imvune ikomeye, ni ibisanzwe kugira intege nke mu nkokora, ububabare buhoraho, no gucika intege nyuma yo kuvurwa. Abantu bagera kuri 10% bagira ikibazo cy'imitsi y'igihe gito, gishobora kumara amezi menshi.

Igikuru ni uko iyo Monteggia Fracture itamenyekanye kandi ikamara ibyumweru byinshi idavuwe, bigoye kuyivura neza. Ishobora no gutera kwangirika kw'igihe kirekire.

Iyo ukuboko kwawe kwavunitse hafi y'ingingo, ni ngombwa gutekereza ku kuba ingingo ubwayo ishobora kuba yarangiritse. Biragoye kumenya igihe ufite imvune ebyiri ahantu hamwe, hafi y'ingingo imwe. Ariko, niba ibimenyetso byawe bikomeje kukubabaza nyuma yo kuvurwa, ntukabirengagize gusa. Ongera uganire na muganga wawe. Bazitondera kudatinza ubuvuzi bukwiye ku mvune ya Monteggia, aho kuyirinda.

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

• Kuvunika kwa Monteggia ni ukuvunika kw'igufwa ry'ikiganza cy'umuntu aho rivunika ku nkokora, bigatuma igufwa rya radius riva mu ngingo.
• Ibi biragoye kuruta kuvunika gusa, kuko ingingo y'inkokora iba idakomeye.
• Ibi bishobora guterwa n'ibintu nko kugwa no gukubitwa ku nkokora.
• Ibimenyetso by'ingenzi ni ububabare bw'inkokora, kubyimba, no kudashobora kwimura ukuboko neza. Hari kandi amahirwe make yo kwangirika kw'imitsi.
• Kugira ngo uyimenye neza, ugomba gufata X-ray y'uruhanga rwawe n'inkokora.
• Abana bato bakunze gukosorwa batabanje kubagwa, ariko abantu bakuru bashobora gukenera kubagwa.
• Iyo indwara imenyekanye hakiri kare kandi ikavurwa neza, gukira neza birashoboka. Iyo itinze, hashobora kubaho ingorane.
• Niba ukomeje kugira ububabare cyangwa kutamererwa neza nyuma yo kuvurwa, menya neza ko wagiye kwa muganga.

Ndizera ko aya makuru azagufasha. Niba ufite ikibazo icyo ari cyo cyose, ntutindiganye kubaza muganga wawe. Komeza ugire ubuzima bwiza!

Kuvunika kwa Monteggia , imvune zo mu nkokora, kuvunika, ulna, radius, kuvunika ukuboko, kubagwa