Ese ukeneye umuganga wita ku magufwa n'ingingo? Reka tuvuge ku muganga w'amagufwa / umuganga w'amagufwa!

Uyu munsi tugiye kuvuga ku ngingo ifitiye akamaro abantu benshi. Ese hari igihe wumva ububabare mu mubiri wawe, ububabare bw'ingingo, cyangwa kutamererwa neza mu gihe ugenda? Iyo ibyo bibaye, duhamagara nde? Uyu munsi turavuga ku muganga w'inzobere uza kudufasha muri ibyo bihe - uwo ni umuganga w'amagufwa, cyangwa nkuko twese tumuzi, umuganga witwa Umuganga w'amagufwa. Bamwe banamwita Umuganga w'amagufwa.

Uyu muganga w'amagufwa ni nde?

Muri make, umuganga w’inzobere mu kubaga amagufwa ni umuganga w’inzobere mu kuvura ibibazo n’indwara z’imitsi n’amagufwa, harimo amagufwa, ingingo, imitsi n’imitsi . Bashobora kugufasha gukuraho ububabare, kugenda neza no gukora neza.

Ibi bibazo by'imitsi n'amagufwa ni ibihe?

Iri jambo rishobora gusa nkaho ari ijambo rikomeye, ariko ryoroshye. Rivuga ibibazo bigize ibice by'umubiri wacu bidufasha kwimuka no kugenda. Tekereza umubiri wacu nk'imashini igizwe n'ibice bimwe na bimwe. Bimwe mu bice by'ingenzi by'iyi "mashini" ni urusobe rw'imitsi n'amagufwa:

• Amagufwa: Aya ni yo agize igikanka cy'umubiri wacu.
• Cartilage: Igice kimeze nk'umusego kiri hagati y'ingingo kibuza amagufwa kwivanga.
• Ingingo: Ahantu amagufwa abiri ahurira (urugero: ivi, inkokora).
• Imitsi: Imiterere ikomeye, isa n'umugozi ihuza amagufwa.
• Imitsi: Ibice bifasha umubiri kwimuka no kwihuta.
• Imitsi: Imitsi itwara ubutumwa buva mu bwonko mu mubiri wose, ikadufasha kumva ububabare no gukorakora.
• Imitsi: Imitsi ikomeye ihuza imitsi n'amagufwa.

Iyo hari ikibazo muri kimwe muri ibi bice, gishobora gufatwa nk'ikibazo cy'imitsi n'amagufwa.

Ni ubuhe bwoko bw'indwara umuganga w'amagufwa avura?

Aba baganga bavura indwara zitandukanye n'ibibazo bitandukanye. Dore ingero nke:

• Arthritis: Ububabare buterwa no kwangirika kw'ingingo, cyane cyane osteoarthritis.
• Ibibyimba byoroshye by'imitsi bitagira ingaruka mbi.
• Kanseri y'amagufwa.
• Bursitis - Kubyimba kw'udufuka twuzuye amazi hafi y'ingingo.
• Ubusembwa bw'impinja: Urugero, indwara yo kubabara mu kibuno no mu kibuno.
• Kubabara mu ijosi no mu gice cyo hasi cy'umugongo.
• Ihungabana ry'amagufwa: Ibintu nk'ivunika ry'amagufwa.
• Imvune za siporo.
• Kuvunika no gucika intege.
• Tendinite - Kubyimba k'umutsi.
• Scoliosis - Uburyo umugongo ugonganye.

Ni irihe tandukaniro riri hagati y'inzobere mu kubaga amagufwa n'inzobere mu kubaga amagufwa?

Abantu benshi bafite iki kibazo. Aba baganga bombi mu by’ukuri ni bo bihariye mu kuvura indwara zijyanye n’amagufwa, ingingo n’imitsi. Bombi bavura indwara zimwe na zimwe nka rubagimpande, ububabare bw’umugongo, na osteoporosis. Ariko hari itandukaniro rito ry’ingenzi.

• Abaganga b'amagufwa babaga . Abaganga b'amagufwa muri rusange ntibabaga.
• Umuganga w’amagufwa yibanda cyane cyane ku bibazo biterwa n’imvune, ubumuga bw’umubiri avukana, n’indwara zononekara ziterwa no kumara igihe kinini umuntu akoresha umubiri we .
• Ku rundi ruhande, inzobere mu ndwara za rubagimpande zivura indwara ziterwa n’indwara z’umubiri zigira ingaruka ku mubiri wose. Izi ndwara zishobora guterwa n’ibibazo by’ubudahangarwa bw’umubiri. Urugero, harimo indwara ya lupus, vasculitis, rubagimpande, n’izindi ndwara zidasanzwe zikomoka ku maraso.

Ariko, hari igihe aba baganga bombi bakorana kugira ngo bavure abarwayi. Urugero, niba urwaye rubagimpande, inzobere mu by’imitsi n’inzobere mu kubaga amagufwa bashobora gukorana kugira ngo baguhe ubuvuzi bwiza.

Ni iki mu by'ukuri umuganga w'amagufwa akora?

Bamwe mu baganga b'amagufwa bavura indwara zitandukanye z'amagufwa (generalists). Ibi bivuze ko badakorera ahantu hamwe gusa. Abandi bahabwa andi mahugurwa mu gace runaka kandi bakigira abahanga mu kuvura indwara zijyanye n'ako gace.

Dore zimwe mu ngingo zihariye z’ubuvuzi bw’amagufwa:

• Kubagwa kw'ikirenge n'akaguru.
• Kubagwa kw'amaboko n'ikirenge cyo hejuru.
• Kubaga ingingo zisimbura ingingo.
• Ubumenyi bw'indwara z'amagufwa - Kuvura ibibyimba na kanseri z'amagufwa n'ingingo zoroshye.
• Ihungabana ry'amagufwa - ibikomere bikomeye nko kuvunika amagufwa.
• Kubaga amagufwa y'abana - Ibibazo by'amagufwa n'ingingo ku bana.
• Kubagwa uruti rw'umugongo.
• Ubuvuzi bw'imikino - imvune n'indwara z'abakinnyi.

Ni ubuhe bwoko bw'amahugurwa y'ubuganga aba baganga b'amagufwa bahabwa?

Uru rugendo ntabwo rworoshye. Kuba umuganga w'amagufwa bisaba imyaka igera kuri 14 yo guhugurwa mu buvuzi .

• Ubwa mbere, impamyabumenyi y'imyaka ine ya siyansi (amasomo ya kaminuza).
• Hanyuma imyaka ine y'ishuri ry'ubuganga. Iyi ishobora kuba impamyabumenyi y'ubuvuzi gakondo, ari yo M.D. (Dogiteri w'Ubuvuzi), cyangwa uburezi bw'amagufwa, ari yo impamyabumenyi y'ubuganga bw'amagufwa. Aba baganga b'ubuganga bw'amagufwa bita cyane cyane ku bwenge bw'umuntu, umubiri we, n'umwuka we, kandi bagakurikiza uburyo bwo kuvura 'umuntu wese'.
• Hanyuma, ugomba kurangiza ikizamini cy’ubuvuzi bw’amagufwa, ubusanzwe kikaba kimara imyaka itanu. Aha niho ubonera ubunararibonye mu by’ubuvuzi no kwiga ibijyanye no kubaga no kuvura indwara zitandukanye.
• Niba ushaka kwigira umwuga mu rundi rwego, nk'uko byavuzwe haruguru, ugomba kurangiza undi mwaka cyangwa ibiri w'amahugurwa yihariye (fellowship).

Nyuma y'ibi byose, bashobora kuba abaganga b'amagufwa bemewe n'inama y'ubutegetsi. Kuri ibyo, bagomba no gutsinda ibizamini byihariye. Nyuma y'ibyo, bagomba gukomeza kwiga ibintu bishya no kuvugurura ubumenyi bwabo mu by'ubuvuzi (gukomeza kwigisha mu by'ubuvuzi).

Ni ryari nkwiye kubonana n'umuganga w'amagufwa?

Niba ufite kimwe muri ibi bimenyetso, byaba byiza ugiye kwa muganga w’amagufwa:

• Iyo hari ijwi rya 'kiri kiri' cyangwa 'tok' iyo aho bihurira hahujwe.
• Iyo hari kubyimba cyangwa gutukura (kubyimba) ku ngingo.
• Niba ufite ububabare mu ngingo .
• Niba wumva ufite ibinya cyangwa urimo gucika intege .
• Niba ufite ikibazo cyo kugenda nabi bitewe n'ububabare.
• Niba wumva umubiri wawe urimo gufungana cyangwa gukomera .

Niba ufite ibimenyetso nk'ibi, ni byiza kujya kwa muganga utirengagije.

Ni iki nkwiye kwitega mu gihe cyo kubonana n'umuganga bwa mbere?

Reka tuvuge ko wagiye kwa muganga. Ku munsi wa mbere, dore ibishobora kubaho:

• Muganga azakubwira ibimenyetso byawe, amateka yawe y'uburwayi, n'imibereho yawe . Azakubaza ibibazo bijyanye n'ibibazo ufite, igihe umaze urwaye, n'igihe bikunze kwiyongera.
• Umubiri wawe uzasuzumwa. Bazagukorera isuzuma ry’umubiri, cyane cyane bakora ku ngingo yafashwe mu buryo butandukanye . Bazareba kandi niba ahantu habyimbye, hatukura, cyangwa hari ububabare ukozeho.
• Ushobora gusabwa gukora ikizamini, nka X-ray, kugira ngo urebe uko amagufwa yawe ameze.
• Bisobanura indwara yawe.
• Hanyuma, bazakubwira inama z'ubuvuzi .

Hari igihe, niba ukeneye kureba cyane, scan ya CT cyangwa MRI irakenewe.Bishobora gukorwa neza. Ibi bishobora kwita ku magufwa gusa, ndetse no ku ngingo zoroshye nka cartilage na tendons. Muri icyo gihe, bishobora kudashoboka kumenya neza indwara iyo ari yo n'uburyo bwo kuyivura ku munsi wa mbere. Hagati aho, muganga azakugira inama yo kugabanya ibimenyetso.

Ese guhura n'umuganga w'amagufwa bivuze ko uzagomba kubagwa nta kabuza?

Oya, nta kintu nk'icyo kibaho na gato! Iyo ni imyumvire mibi abantu benshi bafite. Iyo twumvise ijambo "umuganga w'inzobere", dutinya ko tuzabagwa.

Abaganga b'amagufwa ni inzobere mu buhanga butari ubwo kubaga no kubaga. Kubaga bishobora kuba amahitamo ya mbere ku ndwara z'amagufwa cyangwa indwara zavukanye.

Ariko, ku zindi ndwara nyinshi, abaganga babanza kugerageza uburyo bwo kuvura butari ubwo kubaga. Hari igihe hakenerwa uburyo burenze bumwe bwo kuvura kugira ngo haboneke ubuvuzi burambye. Ni ibisanzwe kugerageza uburyo butandukanye bwo kuvura icyarimwe. Gusa niba nta na bumwe muri ubu buryo bwo kuvura bugabanya ibimenyetso byawe ugomba gutekereza kubagwa. Ndetse na none, muganga wawe azagusobanurira ibisobanuro birambuye, ingaruka, n'inyungu.

Ni ubuhe buryo bwo kuvura butari ubwo kubaga bukoreshwa n'abaganga b'inzobere mu kubaga amagufwa?

Reka turebe icyakorwa hatabayeho kubagwa. Hari uburyo bwinshi bwo kuvura nk'ubu:

• Ibikoresho byihariye: imigozi, imigozi (nk'umugozi umanitse ku kuboko), plaster ya Paris (ibisasu - tubyita POPs) cyangwa imigozi (imigozi - imigozi y'agateganyo ifata amagufwa cyangwa ingingo).
• Inshinge zo mu ngingo: Imiti ya steroid, nka cortisone, igabanya ububabare no kubyimba. Hari igihe inshinge zitwa viscosupplementation, zitera amavuta mu ngingo, zishobora gukoreshwa.
• Imiti itari iy’ibiyobyabwenge: Imiti nka Paracetamol cyangwa Ibuprofen (iyi igomba gufatwa nk’uko muganga yabigutegetse).
• Ubuvuzi bw'umubiri: Imyitozo ngororamubiri yihariye n'uburyo bwo kuvura kugira ngo imitsi ipfuke, ikomeze imitsi, kandi yongere ubushobozi bwo kugenda neza kw'ingingo.
• Ubuvuzi bw'akazi: Bugufasha gukora imirimo ya buri munsi, nko kwambara no kurya, kandi byoroshye iyo bigoye bitewe n'uburwayi.
• Uburyo bwo kuvura plasma ikungahaye kuri plazma (PRP): Ibi bikubiyemo gutandukanya plazmeti n'amaraso yawe hanyuma ukazishyira mu gace k'ikibazo. Ubu buracyari uburyo bwo kuvura indwara zimwe na zimwe.
• Amagufwa y'amagufwa:Inkweto zikozwe mu buryo bwihariye zifasha gushyira ikirenge mu mwanya wacyo neza. Ibi bishobora kugabanya ububabare bw'ibirenge.

Ni ubuhe bwoko bw'ubuganga abaganga b'amagufwa bakora?

Noneho reka turebe ubwoko bw'ubuvuzi aba baganga bakora. Ubwoko bw'ubuvuzi bukubereye buterwa n'uburwayi ufite. Dore ingero nke gusa.

Uburyo bwo kuvura ibirenge n'akaguru

• Gusana imitsi yo mu bwoko bwa Achilles
• Kubaga uburyo bwo gukosora amenyo y'uruti rw'umugongo - igufwa rigaragara mu ino rinini.
• Kubaga amenyo y'urutoki - indwara ituma ibirenge bigorama.
• Kubaga Plantar fasciitis - ku bubabare bwo mu gice cy'ikirenge.
• Gusimbuza akaguru kose cyangwa guhuza

Kubagwa kw'amaboko n'amaguru yo hejuru

• Kubagwa indwara ya carpal tunnel syndrome (kurekura Carpal tunnel) - ku bijyanye no kubaga intoki zidafite icyo zivuze.
• Kubagwa kwa Dupuytren mu gihe cyo gucika intege - indwara ituma intoki zidashobora kwaguka.
• Gukuraho ganglion cyst - Agakoko kuzuye amazi gatera mu gice cyo ku kuboko.
• Kubaga uruziga rw'amaguru - kugira ngo hakorwe umutsi wo mu rutugu wacitse.
• Kubagwa urutoki - Indwara aho urutoki rumera nk'urufata iyo ugonze ukanarugorora.

Gusimbuza no gusana ingingo

• Gusimbuza ikibuno cyose
• Gusimbuza ivi ryose n'igice cyaryo
• Gusimbuza urutugu rwose
• Uburyo budakunze gukoreshwa cyane, nko gusimbuza inkokora cyangwa gusimbuza ikiganza

Ubuvuzi bw'ihungabana ry'amagufwa

• Gusana aho umuntu yacitse
• Gufata imvune - hakoreshejwe insinga n'amasahani.
• Kuvura indwara yo kutagira aho bahuriye n'igufwa, kutagira aho bahuriye n'igufwa, cyangwa indwara yo kutagira aho bahuriye n'igufwa (osteomyelitis) nyuma yo kuvunika.
• Kubaga bundi bushya kugira ngo hakorwe amagufwa yavunitse cyane cyangwa ingingo zangiritse cyane.

Kubaga uruti rw'umugongo

• Gukuraho igice cy'umugongo kugira ngo bigabanye imitsi ikandagira.
• Kugabanya umuvuduko w'umugongo - Kugabanya umuvuduko ku mitsi.
• Guhuza umugongo - Kubaga kugira ngo umugongo ukomere neza binyuze mu guhuza imigongo ibiri cyangwa irenga.

Uburyo bwo kuvura imvune mu mikino

• Kubaga amenyo y'abantu (Meniscus) - gusana agati kacitse mu ivi.
• Gusana umugozi w'imbere (ACL) - gusana umugozi ukomeye mu ivi.
• Gusana amarira ya Rotator cuff
• Kubagwa kw'ikibuno ku marira yo mu nda

Hanyuma, ibintu bike byo kwibuka (Ubutumwa bwo kujyana mu rugo)

Rero, umuganga w’amagufwa ni umuntu ufasha abantu b’ingeri zose bafite ibibazo bijyanye n’amagufwa, ingingo n’imitsi. Bamwe ni abahanga mu bice byihariye, nko mu maboko, amaguru, n’umugongo. Iyo ugiye kwa muganga, jya witegura kukubwira ibimenyetso byawe, indwara warwaye, n’uburyo wagerageje kuvura.

Wibuke ko kubonana n'umuganga w'amagufwa bitavuze ko ugomba kubagwa buri gihe.

Batanga uburyo bwinshi bwo kuvura abantu batari ababaga nko gutera inshinge no kuvura umubiri. Kubwibyo, niba urimo ubabara cyangwa ubabara mu mubiri wawe cyangwa mu ngingo zawe, ntutindiganye kujya kwa muganga w’inzobere mu kubaga amagufwa no kugisha inama.

` Umuganga w'amagufwa, Umuganga w'amagufwa, Indwara z'amagufwa, Indwara z'ingingo, Indwara z'imitsi, Ububabare bw'umugongo, Ububabare bw'ivi, Kubagwa