Tekereza ko ugize impanuka ukavunika igufwa ryo ku kuboko cyangwa ku kuguru. Mbega ukuntu biteye ubwoba! Nuko, muganga araza akavuga ati: "Ibi bisaba kubagwa no gukosorwa insinga zo mu nzu n'ibyuma kugira ngo bikosorwe." Ni ibisanzwe kumva ufite ubwoba bwinshi muri ako kanya. Ariko ntugire ubwoba. Uyu munsi turimo kuvuga kuri ORIF, uburyo bwihariye bwo kubaga bukoreshwa mu gusubiza amagufwa yavunitse cyane.
Kubagwa kwa ORIF ni iki? Ni nde ubikeneye?
Ibisobanuro byuzuye bya ORIF ni Open Reduction na Internal Fixation . Nubwo izina rishobora kumvikana nk'irigoye, ibisobanuro ni byoroshye cyane.
- Kugabanya uruhu: Ibi bivuze ko umuganga ubaga uruhu, akarufungura, agafata ibice by'amagufwa yavunitse akabisubiza mu mwanya wabyo, nk'uko ashyira ibice by'ibirahuri byavunitse.
- Gufata imbere: Ibi bivuze ko ibice by'amagufwa byashyizwe ahantu heza bifatanye nta kwimuka, kandi bigafatanywa hifashishijwe ibice by'icyuma (urugero, vis, plaque, stickers, cyangwa insinga) biturutse imbere.
Si buri wese ufite igufwa ryavunitse ukeneye ubu bubagwa. Hari igihe igufwa rishobora gukoreshwa mu gukiza imvune. Ariko, ku mvune zikomeye, kubagwa kwa ORIF ni ngombwa.
| Ubwoko bw'imvune | Ibisobanuro byoroshye |
|---|---|
| Ibikomere/Ibikomere Bifunguye | Iyo igufwa ryavunitse rinyuze mu ruhu, haba hari ibyago byinshi byo kwandura. |
| Kuvunika kw'amagufwa | Hari igihe igufwa ricikamo ibice byinshi, nk'ifu. Ibi biragoye kongera guteranya. |
| Ibikomere byavunitse mu mwanya wabyo | Ibi ni ibihe aho ibice bibiri by'amagufwa byavunitse bitandukanywa, bigatera icyuho kinini hagati yabyo. Ibi ntibizakira ubwabyo. |
Ni iki kibaho mbere yo kubagwa?
Imvune nyinshi zibaho mu buryo butunguranye, nko kugwa, impanuka y'imodoka, cyangwa imvune ya siporo. Rero nta mwanya wo gutegura ubu buryo bwo kubaga mbere y'igihe. Nyuma yo kugezwa mu Ishami ryita ku Butabazi bw'Ibanze (ETU), inshingano ya mbere y'itsinda ry'abaganga ni ugusuzuma indwara yawe ishobora kuguhitana, kuyicunga no kugutuza.
Hanyuma, hakorwa X-ray kugira ngo hemezwe ko yavunitse. Hari igihe muganga ashobora no gufata icyemezo cyo gukora CT scan cyangwa MRI scan kugira ngo arebe neza aho yavunitse n'ibyangiritse ku mitsi iyikikije.
Ni iki kibaho mu gihe cyo kubagwa?
Mbere yuko ubagwa utangira, uzahabwa ikinya kugira ngo utazagira ububabare ubwo aribwo bwose. Bitewe n'uko umeze n'imiterere y'ikinya, umuganga w'ikinya azaguha ikinya rusange, kigutera gusinzira burundu, cyangwa ikinya cy'akarere, kigabanya gusa aho igufwa ryavunitse.
Hanyuma umuganga ubaga akurikiza izi ntambwe:
1. Gukata uruhu: Uruhu rucibwa hejuru y'igufwa ryavunitse rumanuka rugana aho igufwa riri.
2. Kugabanya: Ibice by'amagufwa byavunitse kandi byacitse bikurwaho witonze kandi bigashyirwa mu mwanya wabyo hakurikijwe aho byahoze.
3. Gufata neza imbere: Noneho, kugira ngo ibice by'amagufwa bitazongera guhinduka, bishyirwa hamwe hakoreshejwe vis, plaque cyangwa sticks by'icyuma. Urugero, iyo tibia yavunitse, inkoni ndende ya titanium ishobora gushyirwamo inyuze hagati mu igufwa. Iyo akaguru kavunitse, ibyuma bishobora gushyirwamo vis ku mpande zombi hanyuma bigashyirwaho vis.
4. Kudoda igikomere: Iyo igufwa rimaze gukosorwa, igikomere cyaciwe gisubizwa hamwe.
5. Kudakora neza: Amaherezo, icyuma cyangwa agapira bishyirwa ku kuboko cyangwa ku kuguru bikoreweho kugira ngo bitabangamira kugenda.
Ubu buryo bwo kubaga bushobora gufata amasaha menshi, bitewe n'imiterere y'igufwa ryavunitse n'uburemere bw'ivunitse.
Ni iki kibaho nyuma yo kubagwa?
Nyuma yo kubagwa, uzajyanwa mu cyumba cyo gukira. Aho niho itsinda ry’abaganga rizakwitaho neza kugeza igihe uzakira neza ikinya kandi bizeza ko nta zindi ngorane zizabaho. Nubwo hari abantu bashobora gutaha uwo munsi, abantu benshi bazakenera kuguma mu bitaro umunsi umwe cyangwa ibiri. Ibi bizagenwa na muganga wawe bitewe n’uko urwaye.
Akamaro gakomeye ko kubagwa kwa ORIF ni uko igufwa ryavunitse cyane rivugururwa rigashyirwa mu mwanya waryo.Gusubira mu murongo. Igufwa ritagororotse neza riba riri mu kaga ko kongera kuvunika mu gihe kizaza.
Kubaga ORIF muri rusange bitanga umusaruro mwinshi, ndetse no mu gihe havunitse imvune zidakunze kugaragara.
Ni izihe ngorane zishobora guterwa n'iki kibazo?
Nkuko bigenda mu kubaga kose, kubagwa kwa ORIF gake cyane bishobora guteza ingorane. Nta kintu cyo gutinya, ariko ni ngombwa kubimenya.
| Ingorane | Ibisobanuro byoroshye |
|---|---|
| Kwandura | Udukoko twa bagiteri dushobora kubaho, cyane cyane mu gihe uruhu rwavunitse kandi igufwa rigasohoka (gucikamo ibice). |
| Malunion | Ibice by'amagufwa bihura nabi mu gihe cyo gukira. |
| Ishyirahamwe ritagize ishyirahamwe | Uduce tw'amagufwa ntabwo duhura neza. |
| Udukoko tw'amaraso | Kutagira icyo ukora nyuma yo kubagwa byongera ibyago byo kubyimba kw'amaraso, cyane cyane mu mitsi y'amaraso yo mu maguru. |
| Indwara yo mu cyumba cy'ububabare | Ubwiyongere bw'umuvuduko mu mitsi no kugabanuka kw'amaraso. Ibi ni ibintu byihutirwa. |
Bifata igihe kingana iki kugira ngo umuntu akire?
Igihe bifata kugira ngo ukire neza kizatandukana bitewe n'imiterere y'imvune yawe. Hari imvune zikira mu byumweru bike, mu gihe imvune zikomeye zishobora kumara amezi cyangwa umwaka kugira ngo zikire.Bishobora gufata igihe. Uzakenera kwambara ikoti mu gihe cy'ibyumweru bike. Wite kuri ibi bintu mu gihe urimo gukira.
- Zamura ukuboko/ukuguru: Igihe cyose bishoboka, komeza ukuboko/ukuguru kwakoreweho ubwubatsi hejuru y'urwego rw'umutima ukoresheje imisego. Ibi bizagabanya kubyimba.
- Komeza igisebe gisukuye: Kugira ngo wirinde kwandura, komeza igisebe gisukuye kandi gitwikiriwe nk'uko muganga yabigutegetse. Tega amatwi witonze amabwiriza y'uburyo bwo guhindura igisebe n'igihe ushobora kwiyuhagira.
- Ubuvuzi bw'umubiri: Uko igufwa rikira, ubuvuzi bw'umubiri ni ingenzi kugira ngo imitsi n'ingingo bikikije bikomeze. Ushobora gukenera gukoresha ibikoresho bigufasha nko gukoresha imbago.
Ni gute wagenzura ububabare?
Ni ibisanzwe kumva ububabare nyuma yo kubagwa, cyane cyane mu byumweru bike bya mbere. Muganga wawe azaguha imiti igabanya ububabare kugira ngo igufashe kugenzura ububabare. Ni ngombwa gufata imiti ku gipimo gikwiye kandi mu gihe gikwiye. Niba ububabare budashobora kwihanganira, menyesha muganga wawe ako kanya.
Ese ibice by'icyuma (vis, amasahani) bishyirwamo burundu?
Iki ni ikibazo ku bantu benshi. Kuri bamwe, ibi bice by'icyuma biguma mu mibiri yabo mu buzima bwabo bwose. Amasahani n'ibisuguti, cyane cyane ibishyirwa mu ngingo nko ku kaguru, ntibikurwaho kuko bitanga imbaraga zidasanzwe ndetse na nyuma yuko igufwa rikize. Ariko, mu bihe bimwe na bimwe (urugero, iyo bitera ububabare cyangwa bigashyirwa mu magufwa akura ku bana), bikurwaho nyuma hagakorwa operation nto. Ni byiza kubaza umuganga wawe ibi ukamusobanurira.
Igihe cyo gushaka inama z'abaganga byihutirwa
Niba ugaragaje kimwe muri ibi bimenyetso bikurikira mu gihe cyo gukira, hamagara muganga wawe ako kanya cyangwa ujye mu bitaro bikuru by’ubutabazi bw’ibanze (ETU).
- Kubabara cyane mu gituza.
- Kugorwa no guhumeka (Dyspnea).
- Umuriro uri hejuru ya 38 ° selisiyusi (101 ° Fahrenheit).
- Kuva amaraso menshi mu gikomere cyo kubagwa.
- Ibimenyetso by'ubwandu aho igikomere giherereye (amabyi, kubyimba cyane, guhinduka ibara, impumuro, cyangwa kumva ubushyuhe bukabije).
- Ububabare bukomeye budashobora gukemurwa nubwo haba hari imiti igabanya ububabare.
Kumena igufwa ni ikintu giteye ishozi. Ni ibisanzwe kugira ubwoba iyo wumvise ko wabazwe kandi ko ibice by'icyuma byinjizwa mu mubiri wawe. Ariko ibuka ko kubagwa kwa ORIF ari bwo buryo bwiza kandi bwizewe bwo gukiza neza imvune ikomeye. Vugana na muganga wawe nta guhisha ku bibazo cyangwa impungenge ushobora kuba ufite.
Ubutumwa bwo kujyana mu rugo
- Kubaga ORIF bikubiyemo gufungura no kongera kubaka amagufwa yavunitse cyane, uruhu, no gushyiramo ibice by'icyuma imbere.
- Uku kubagwa bifasha igufwa gukira neza kandi mu mwanya waryo.
- Igihe n'inzira byo gukira biratandukanye bitewe n'umuntu ku giti cye, kandi bisaba kwihangana no kwitanga.
- Kugabanya ububabare, kwita ku bikomere, no kuvura umubiri ni bimwe mu bintu by'ingenzi mu gukira.
- Niba ufite gushidikanya cyangwa ubwoba, cyangwa niba hari ibimenyetso by'umuburo bigaragaye, hita ugana muganga wawe.
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