Bite se niba wavunitse ukuboko cyangwa ukuguru? Reka tuvuge ku mavune ya oblique!

Ese waguye? Cyangwa hari impanuka nto? Ese ukuboko kwawe cyangwa ukuguru kwawe kwarababaye cyangwa kwabyimbye? Mu bihe nk'ibyo, twibaza niba igufwa ryavunitse. Uyu munsi, tugiye kuvuga ku bwoko bwihariye bw'imvune ishobora kubaho mu bihe nk'ibi. Ibyo ni imvune inyura mu buryo bw'ibanga, cyangwa nk'uko abaganga babyita, imvune inyura mu buryo bw'ibanga (Oblique Fracture) .

Ese koko Oblique Fracture ni iki?

Mu magambo make, "Oblique Fracture" ni igihe rimwe mu magufwa yawe rivunika ku mfuruka, bivuze ku mfuruka runaka . Tekereza nk'igiti cy'igiti gicikamo kabiri, aho kuvunika ku mfuruka nto. Muri iki gihe, igufwa riravunika burundu, bivuze ko umurongo w'ivunika unyura mu igufwa ryose.

Ubwo bwoko bw'imvune bukunze kugaragara cyane mu magufwa maremare y'umubiri wacu. Urugero:

• Ifu y'umugore
• Igufwa ry'uruti rw'umugongo `(Tibia)`
• Igufwa riri hanze y'igufwa ry'uruti rw'umugongo `(Fibula)`
• Igufwa ryo hejuru ry'ukuboko `(Humerus)`
• Amagufwa y'ukuboko (Radius na Ulna)
• Clavicle

Inyinshi muri izi mvune ziterwa no kugwa cyangwa impanuka. Hari igihe kubagwa biba ngombwa kugira ngo igufwa risanwe. Ariko kuri bamwe, agapira cyangwa icyuma bishobora gufasha. Igihe bifata kugira ngo kire neza biterwa n'igufwa ryavunitse n'uburyo ryavunitse. Ubusanzwe bifata amezi menshi kugira ngo rire.

Ni irihe tandukaniro riri hagati yo kuvunika kw'inyuma n'ivunika ry'inyuma?

Izi ni ubwoko bubiri butandukanye bw'amagufwa avunitse. Aya mazina afasha muganga gusobanukirwa uburyo igufwa ryawe ryavunitse n'imiterere y'amagufwa avunitse.

Mu "Kuvunika kw'igufwa" (Oblique Fracture), igufwa rivunika ku nguni, ku buryo rihindagurika . Ni ukuvuga ko kuvunika bimeze nk'umurongo ugonganye unyura ku igufwa. Ubwo bwoko bw'imvune bushobora kubaho iyo uburemere buguye ku ruhande rugororotse, nko mu gihe cyo kugwa, cyangwa iyo ikintu kiguye ku ruhande rugufi rugororotse, nko mu mpanuka y'imodoka.

Ariko mu "Spiral Fracture" igufwa riravunika mu ruziga, nk'ingazi zizunguruka . Ibi bikunze kugaragara mu mpanuka za siporo. Tekereza umuntu aramutse aje akakugorama ukuguru mu gihe ukina umupira w'amaguru.

None se itandukaniro riri hagati y'ivunika rya oblique n'ivunika rya transverse ni irihe?

Muri ibyo bihe byombi, kuvunika ni nk'umurongo ugororotse unyura mu igufwa.

Ariko muri "Oblique Fracture" (Gucikamo ibice), umurongo uba uri ku mfuruka . Muri "Transverse Fracture" (Gucikamo ibice birenga ibice), umurongo uba unyuze ku igufwa ryose, ni ukuvuga, ugororotse ku burebure bw'igufwa.

Ariko, uko wakwita kose imvune yawe, icy'ingenzi ni ukubonana na muganga vuba bishoboka no kwisuzumisha.

Ese izi mvune zo mu kibuno zikunze kugaragara gute?

Gucika intege kw'amagufwa mu buryo bugaragara ni ubwoko bukunze kugaragara cyane bw'imvune, cyane cyane ku magufwa maremare.

Ni nde ufite amahirwe menshi yo guteza imbere ibi?

Umuntu wese ashobora kuvunika nk'uku. Biterwa ahanini no kugwa no kugongana. Niba ukunda kugwa, uba ufite amahirwe menshi yo kurwara. Nanone, abantu barwaye indwara yo gucika intege kw'amagufwa , bafite ibyago byinshi byo kuvunika ubwoko ubwo aribwo bwose, harimo n'iyi ndwara (Oblique Fracture).

Ni ibihe bimenyetso by'ivunika rya Oblique?

Niba ufite Oblique Fracture, ushobora kugira ibimenyetso nk'ibi:

• Ububabare bukabije
• Kubyimba
• Ububabare iyo bukozweho (ubworoherane)
• Kudashobora kwimura igice cy'umubiri gisanzwe gishobora kwimurwa
• Gukomereka cyangwa guhindura ibara ry'uruhu
• Ubusembwa cyangwa ikibyimba kidakunze kugaragara muri ako gace kiragaragara.

Icy'ingenzi: Niba ufite kimwe cyangwa byinshi muri ibi bimenyetso, ni byiza guhita ugisha inama kwa muganga.

Ni iki gitumye amagufwa afunguka n'afunze?

Iyo umuganga wawe agushyize mu byiciro ikibazo cy’imvune, azakubwira niba gifunguye cyangwa gifunze . Mu gihe cy’imvune ifunguye , igufwa ryawe ryavunitse riba ryaravunitse mu ruhu kandi ririmo gusohoka. Ibi bifata igihe kirekire kugira ngo bikire, bishobora kwandura indwara, kandi bishobora guteza izindi ngorane. Gucika kw’imvune na byo ni bibi cyane, ariko igufwa ntiriva mu ruhu.

Ni iki gituma imvune zivunika?

Abaganga bita aya magufwa "Yavunitse" cyangwa "Yatavunitse". "Yavunitse" ni igihe ibice bibiri by'igufwa bivunika bigatandukana , bigasiga icyuho gikikije igice cyavunitse. Tekereza ko wavunitse inkoni y'igiti mo kabiri. Niba ibice bibiri bikiri hafi, biba "Bitavunitse." Ariko niba ibice bibiri bivanywemo kandi bifite icyuho hagati yabyo, biba "Byavanywemo." Aya magufwa "Yavunitse" ashobora kuba akenewe kubagwa.

Ni izihe mpamvu zitera kuvunika kw'inyuma kw'inyuma?

Gucika kw'igufwa bishobora kubaho iyo igufwa ryawe ryagize ingaruka mu buryo ubwo aribwo bwose. Ibi bikunze kubaho iyo ikintu kikugonze ku ruhande rw'umubiri wawe. Impamvu zikunze kugaragara ni izi:

• Kugwa (urugero: kunyerera, kugwa uturutse hejuru)
• Impanuka z'imodoka
• Impanuka za siporo (urugero: impanuka mu gihe cyo gukina cricket, umupira w'amaguru)

Tekereza, Nimal yagiye gukina cricket maze agwa mu buryo butunguranye ubwo yakinaga mu kibuga. Cyangwa, Sumana nyirasenge yaranyerera agwa ubwo yamanukaga ku madarajya mu rugo. Ni bwo hari amahirwe menshi yo kugwa no kuvunika.

Abaganga bapima iki kibazo gute?

Muganga wawe azasuzuma aho imvune yacitse akoresheje isuzuma ry’umubiri n’ibizamini bimwe na bimwe by’ishusho .

Ni iki ibi bizamini bigerageza kumenya?

Nyuma yo gupimwa umubiri, ushobora gukora kimwe cyangwa byinshi muri ibi bizamini:

• Imirasire ya X: Imirasire ya X ishobora kwemeza niba ufite imvune ya oblique cyangwa indi mvune y'igufwa. Ishobora kandi kwerekana ingano y'ibyangiritse ku igufwa.
• Ishusho ya Magnetic Resonance (MRI): Hari igihe muganga wawe agutegeka gukora MRI. Ibi bishobora kureba ibyangiritse ku magufwa yawe n'ingingo zikikije. Ibi ni ingenzi kugira ngo harebwe niba hari ibyangiritse ku mitsi yawe, ingingo zihuza umubiri, cyangwa ingingo zawe.
• Gupima CT: Niba ukeneye kubagwa, umuganga wawe cyangwa umuganga wawe azakenera kumenya neza ingano y’ibyangiritse byakorewe ku magufwa yawe. Gupima CT bishobora gutanga ishusho isobanutse neza kandi irambuye y’amagufwa n’ingingo zikikije kurusha gupima X-ray. Niba X-ray zitarasobanuka neza, ushobora gukenera gupima CT kugira ngo utegure kubagwa kwawe.

Ni gute imvune zo mu gice cy'imbere zivurwa?

Uburyo bwo kuvura "Oblique Fracture" yawe buzaterwa n'uburemere bw'ivuniko rya mbere. Amagufwa yawe yavunitse agomba gukira no gukira. Muganga wawe azakoresha uburyo butandukanye bwo kuvura bitewe n'uburyo yangiritse n'icyateye ivuniko.

Kubuza kugenda

Niba imvune yawe idakomeye cyane, bivuze ko ibice by'igufwa bitaratandukanye cyane (`non-displaced`), ushobora gukira ukoresheje gusa agapira cyangwa icyuma . Agapira kazamara ibyumweru bitatu kugeza kuri bitanu. Agapira kazamara igihe kirekire, akenshi ibyumweru bitandatu kugeza ku munani. Muri ibyo byose, uzakenera kongera gukorerwa X-ray kugira ngo umenye neza ko igufwa rikize neza.

Guhindura intoki (Gufunga kugabanya)

Ku mvune zikomeye kurushaho, uburyo butarimo kubaga bwitwa closed reduction bukoreshwa kugira ngo igufwa ryavunitse rihuzwe neza. Muri ubu buryo, muganga afata igufwa ryavunitse ari hanze y'umubiri wawe, akarikanda akanarigarura mu mwanya waryo. Muri ubu buryo, uzahabwa kimwe muri ibi bikurikira kugira ngo bigufashe kugabanya ububabare:

• Akamaro ko kugabanya ububabare mu gace kavunitse gusa.
• Imiti igabanya ububabare kugira ngo iruhure umubiri wose.
• Anesthesia rusange izagutera gusinzira mu gihe cyose cy'igikorwa.

Nyuma yo gukora ubu buryo bwo "Kugabanya uruhu" (Closed Reduction), muganga azagusiga agapira cyangwa plaster.

Kubaga Ibisebe bya Oblique (Kubagwa kw'Ibisebe bya Oblique)

Ku mvune zikomeye cyane, ni ngombwa kubagwa. Umuganga azatunganya amagufwa yawe ayakosore kugira ngo adacika intege. Ni bwo azakira.

Gutunganya imbere

Akenshi, ibi bikorwa hakoreshejwe ikintu cyitwa fixation y'imbere . Ibi bivuze ko umuganga ubaga ashyira ibice by'icyuma (nk'inkoni, amasahani, cyangwa udupira) mu igufwa ryawe kugira ngo rikomeze kuguma mu mwanya waryo. Nyuma y'ibyo, uzakenera kuruhuka igice cy'umubiri wawe cyabazwe kugeza igihe igufwa rikize burundu.

Hari uburyo butandukanye bwo "Gutunganya imbere":

• Inkoni: Inkoni inyuzwa hagati mu igufwa kuva hejuru kugeza hasi.
• Amasahani n'amasufe: Amasahani y'icyuma ashyirwa mu igufwa kugira ngo afatanye ibice by'amagufwa.
• Insinga n'imigozi: Ibi bikoreshwa mu gufata ibice bito by'amagufwa ugereranyije n'ibindi bikoresho byo gufata. Ubusanzwe bikoreshwa hamwe n'imigozi cyangwa amasahani.

Hari abantu babana n'ibi bice by'icyuma mu mibiri yabo. Hari n'abantu bagomba kongera kubagwa kugira ngo babikuremo.

Gufata hanze

Ushobora kandi gukenera gukorerwa external fixation . Ibi bisaba ko umuganga ubaga ashyira utuntu two mu mubiri wawe ku mpande zombi z'igufwa ryavunitse hanyuma agashyira utwo duti ku gikoresho cyangwa icyuma cyo gukingira inyuma y'umubiri wawe. Ibi bikorwa by'agateganyo. Ibi bikorwa kugira ngo igufwa ribone umwanya wo guhagarara neza no gutangira gukira mbere yuko rikorwa.

Gusimbuza ingingo (Arthroplasty)

Niba ingingo yawe yavunitse, nk'ikibuno cyawe, ivi, cyangwa urutugu, ushobora gukenera gusimbuzwa ingingo (arthroplasty) . Umuganga ubaga akuramo ingingo yawe yangiritse akayisimbuza ingingo y'ubukorano. Iyi ngingo y'ubukorano ishobora kuba ikozwe mu cyuma, ibumba, cyangwa pulasitiki ikomeye. Ingingo yawe nshya izasa kandi igende nk'ingingo yawe isanzwe.

Guteranya amagufwa

Niba Oblique Fracture yawe 'yaracitse' cyane, bivuze ko ibice by'amagufwa byagiye hirya no hino, kandi igufwa ridakira neza kandi rikagenda rikira buhoro, ushobora gukenera guterwa igufwa . Umuganga w'inzobere mu kubaga azashyiramo ibindi bice by'amagufwa kugira ngo yongere ahuze igufwa ryawe ryavunitse. Hanyuma, akenshi hamwe no gushyira imbere mu mubiri, ibice bifatwa hamwe kugeza igihe igufwa rikuriye. Ibice by'iyi igufwa bishobora gukurwa ahantu hatandukanye:

• Uvuye ahandi ku mubiri wawe - akenshi uba hejuru y'igufwa ryawe ry'ikibuno.
• Kuva ku wundi muterankunga.
• Igice cyakozwe mu buryo bw'ubuhanga.

Kubaga `(Oblique Fracture)` akenshi bikorwa udakomeje kuba mu bitaro (`out attention procedures`), kandi ushobora gutaha uwo munsi. Ariko, niba ari ukubaga igufwa rinini nka femur, ugomba kumara iminsi myinshi mu bitaro.

Nyuma yo kubagwa, igufwa ryavunitse rizahagarara. Uzakenera kwambara igipfundikizo, agakoresho ko gupfuka, cyangwa icyuma mbere yo kongera gushyiramo uburemere cyangwa kugikoresha nk'uko wabikoraga mbere yuko igufwa rivunika.

Ni iyihe miti itangwa ku gukomereka no kuvunika?

Imiti imwe n'imwe igabanya ububabare, nka aspirine cyangwa ibuprofen ( NSAIDs ), ishobora gutera kuva amaraso n'izindi ngorane nyuma yo kubagwa. Umuganga wawe azakubwira imiti ushobora gufata kugira ngo ugabanye ububabare nyuma yo kubagwa.

Ni izihe ngorane zo kuvura imvune zo mu mutwe?

Zimwe mu ngorane zishobora guterwa no kubagwa ni izi:

• Indwara yo mu cyumba cy’umubiri ikabije (ACS): Iyo umuvuduko uri mu mitsi wiyongera kandi amaraso akagera mu ngingo agahagarara, hashobora kubaho kwangirika burundu kw’imitsi n’imitsi.
• Malunion: Indwara aho igufwa ryavunitse ritakira neza ahubwo rigaterana nabi.
• Kutagira aho bihurira: Kunanirwa kw'amagufwa gusubirana neza kandi neza.
• Kwandura amagufwa (Osteomyelitis): Niba ufite imvune ifunguye (aho igufwa ryamenetse mu ruhu), ushobora kwandura indwara ya bagiteri.
• Izindi mvune zo mu mutima: Gucika intege bishobora no kwangiza imitsi, imitsi, imitsi y'amaraso, imitsi n'imitsi bikikije.

Nzumva meze neza nyuma y'igihe kingana iki?

Bishobora gufata ibyumweru byinshi kugira ngo ibimenyetso byawe bishire. Bitewe n'ubwoko bw'ikibagwa wagombaga kubagwa kugira ngo usane '(Oblique Fracture)' yawe n'amagufwa yavunitse, ushobora kongera gutangira kugenda mu byumweru bike.

Kwitabwaho byihutirwa: Niba ufite ububabare budashobora kugabanuka, hamagara muganga wawe ako kanya.

Ni gute ibyago byo kuvunika nk'ibi byagabanuka?

Kurikiza izi nama rusange z'umutekano kugira ngo ugabanye imvune zikomoka ku mpanuka:

• Buri gihe wambare umukandara wawe w'intebe igihe utwaye imodoka.
• Ambara ibikoresho by'umutekano bikwiye mu gihe ukina siporo n'indi mirimo.
• Komeza isuku mu rugo no mu kazi kawe kandi ugire isuku, nta bintu bishobora gutuma ugwa cyangwa ugwa.
• Buri gihe koresha ibikoresho cyangwa ibikoresho bikwiye kugira ngo ugere ku bintu uhereye hejuru. Ntuzigere uzamuka ku ntebe, ku meza, cyangwa ku meza.
• Kurikiza indyo n'imyitozo ngororamubiri bifasha mu kubungabunga ubuzima bwiza bw'amagufwa.
• Niba ufite imyaka irenga 50, cyangwa niba hari umuntu wo mu muryango waweNiba ufite indwara y'amagufwa, ganira na muganga wawe ku bijyanye no gupima ubucucike bw'amagufwa.
• Niba ugorwa no kugenda cyangwa ufite ibyago byinshi byo kugwa, koresha inkoni yawe cyangwa agakoresho ko kugenda .

Ese kuvunika kw'inyuma (Oblique Fracture) bishobora kwirindwa?

`(Imvune zo mu kibuno)` Kubera ko akenshi ziterwa no kugwa cyangwa izindi mpanuka, nta byinshi ushobora gukora kugira ngo uzirinde. Ariko, ushobora gukoresha inkoni cyangwa icyuma gikuyobora kugira ngo wongere ubushobozi bwawe bwo kugenda no kwirinda kugwa.

Nanone, niba ufite indwara ya osteoporosis , kuyivura bishobora gukumira gutakaza ubucucike bw'amagufwa mu gihe kizaza.

Ni iki nakwitega mu gihe navunitse umutwe?

Niba ufite Oblique Fracture, ushobora kwitega gukira neza . Ariko bizatwara igihe.

Ushobora kandi gukenera gukora physiotherapy kugira ngo wongere imbaraga n'uburyo bwo kugenda mu gice cy'umubiri cyakomeretse.

Bifata igihe kingana iki kugira ngo imvune yo mu kibuno ikire?

Igihe bifata kugira ngo ukire biterwa n'uburemere bw'imvune yawe n'ubuvuzi wahawe. Abantu benshi bamara amezi menshi kugira ngo bakire indwara ya Oblique Fracture.

Ariko, hari izindi mpamvu nyinshi zishobora kugira ingaruka ku gihe bifata kugira ngo umubiri wawe ukire. Vugana na muganga wawe cyangwa umuganga wawe ku byerekeye igihe gikwiriye imimerere yawe.

Ese sinzashobora kujya ku kazi/ku ishuri?

Igihe uzaba utagishoboye kujya ku kazi, ku ishuri, cyangwa mu bindi bikorwa bizatandukana bitewe n'imvune ufite ndetse n'amagufwa yavunitse.

Mu gihe urimo gukira, vugana n'umuganga wawe ubaga cyangwa umuganga mbere yo gukomeza gukora imyitozo ngororamubiri iyo ari yo yose.

Amaherezo, ku bijyanye no kuvunika kw'inyuma...

Icyizere cy'uko `(Oblique Fracture)` kinini ari cyiza. Nubwo wabazwe, ugomba gukira neza.

Ni ryari nkwiye kujya mu cyumba cy’ubutabazi bw’ibanze?

Niba utekereza ko ufite "Oblique Fracture" cyangwa ikindi kintu cyose cyavunitse igufwa, ugomba kujya kwa muganga vuba bishoboka. Jya mu cyumba cy’ubutabazi bw’ibanze niba ufite kimwe muri ibi bimenyetso:

• Ububabare budashobora kwihanganira.
• Niba udashobora kwimura igice cy'umubiri wawe ushobora kwimura ubusanzwe.
• Niba igice cy'umubiri wawe cyarahindutse mu isura cyangwa kigaragara kitari aho giherereye .
• Niba ubona igufwa risohoka mu ruhu.
• Kubyimba.
• Iyo, hamwe n'ibindi bimenyetso, hagaragaye ibikomere bishya mu buryo butunguranye.

Niba waragize impanuka, jya mu cyumba cy’ubutabazi bwihuse.

Ni ibihe bibazo ngomba kubaza muganga wanjye?

• Ni irihe gufwa ryanjye ryavunitse?
• Ese mfite Oblique Fracture cyangwa ubundi bwoko bw'imvune?
• Ese nkeneye kubagwa?
• Bizatwara igihe kingana iki kugira ngo umuntu akire?
• Ni ryari nshobora kongera gutangira imyitozo ngororamubiri?

Gucika intege kw'amagufwa akenshi si ikintu gihindura ubuzima, ariko bishobora gutera ubwoba kumenya ko wavunitse igufwa. Gucika intege kw'amagufwa kw'amagufwa y ...

Kuvunika , Kuvunika kw'amagufwa, Ubuzima bw'amagufwa, Ubufasha bw'ibanze, Kubaga