Tekereza, umuntu uzi yagize impanuka, hanyuma ntashobore kwimuka cyangwa kumva amaguru ye. Ibi biteye ubwoba kandi biratangaje, si byo se? Iyi ni yo ndwara aho amaguru yombi ndetse rimwe na rimwe inda yo hasi itakaza imikorere yayo, ari na byo twita Paraplegia mu buvuzi. Nubwo ibi bikunze gufatwa nk'ikimenyetso, rimwe na rimwe bishobora kubaho nk'indwara. None rero uyu munsi, reka tuganire kuri byose mu buryo bworoshye ushobora gusobanukirwa.
Paraplegia ni iki mu by'ukuri?
Mu magambo make, Paraplegia ni ukudashobora kugenzura imitsi yo mu maguru yawe, ni ukuvuga paraplegia. Impamvu nyamukuru ibitera ni ukwangirika kw'imitsi yacu, cyane cyane uruti rw'umugongo runyura mu mugongo. Uyu mugongo ni nk''umugozi mukuru' utwara ubutumwa buva mu bwonko bwacu bujya mu bice byo hasi by'umubiri, cyane cyane amaguru. Iyo uyu mugozi wangiritse, ubutumwa buva mu bwonko ntibugera ku maguru. Icyo gihe amaguru atakaza imikorere yawo.
Dukurikije uko iki cyangiritse kigenda, dushobora kubona ubwoko bubiri bw'ingenzi bwa paraplegia.
| Ubwoko bw'imvune | Ibisobanuro |
|---|---|
| Imvune yuzuye | Muri iki gihe, uruti rw'umugongo rurangirika burundu. Ibi bivuze ko nta kintu kiri munsi y'aho cyangiritse gishobora kumvikana cyangwa kwimurwa. Nanone, nta kugenzura imikorere y'amara n'uruhago. |
| Imvune idahagije | Aha, uruti rw'umugongo rwangiritse igice. Kubwibyo, hashobora kubaho kumva cyangwa kugenda mu bice biri munsi y'aho byangiritse. Ariko, ibi ntibishobora gukorwa iyo umuntu afite imbaraga nk'uko yari ameze mbere y'impanuka. |
Nanone, hari ubwoko bubiri bw'ingenzi bushingiye ku buryo imitsi ikora muri iki kibazo:
- Guhagarara kw'imitsi mu buryo bworoshye: Muri ibi, imitsi iba idafite ubuzima kandi iragoranye. Nta jwi rihari.
- Kurema ibice mu mubiri: Muri iyi ndwara, imitsi irakomera cyane. Amaguru ashobora gukomera no kunyaragurika.
Ibimenyetso bitandukanye bite bitewe n'aho imvune y'umugongo yabereye?
Iyi ni ingingo y'ingenzi cyane. Ingaruka zo gucika intege ziterwa n'urwego rw'umugongo wangiritse. Uruti rwacu rugabanyijemo ibice byinshi. Ibi ni igice cy'umura, igice cyo mu gituza, n'igice cyo mu ruti rw'umugongo n'igice cyo mu ruti rw'umugongo. Gucika intege akenshi biterwa no kwangirika kw'uruti rw'umugongo (T), lumbar (L), cyangwa sacral (S).
Reba imbonerahamwe iri hepfo kugira ngo urebe uburyo ingaruka zitandukana bitewe n'urwego rw'ibyangiritse.
| Aho imvune yabereye | Ingaruka |
|---|---|
| Imitsi yo mu gituza iri hagati ya T1 na T6 | Kurema ibice by'umubiri (paraplegia) bibaho burundu. Imitsi y'amaguru, ikibuno, n'inda itakaza imikorere yayo. Nta kintu kigaragara. Hari ukubura uburyo bwo kugenzura amara n'uruhago. Kuri uru rwego rwo kwangirika, gukorora no guhumeka cyane nabyo bishobora kugorana. |
| Imitsi yo mu gituza iri hagati ya T7 - T12 | Indwara y'ubumuga bw'ingingo isa n'iyavuzwe haruguru ibaho, ariko imitsi yo mu gituza ntigira ingaruka. Kubwibyo, ibibazo byo guhumeka biba bike. |
| Imitsi yo mu bwonko iri hagati ya L1 na L2 | Aha naho amaguru aracika intege. Ariko imitsi yo mu gituza no mu nda ntabwo irakomera. Hari amagare y'abamugaye akenewe kugira ngo umuntu ayitware. Hashobora kandi kubura uburyo bwo kugenzura amara n'inkari. |
| Imitsi yo mu kibuno n'iya sacral iri hagati ya L3 - S5 | Kwangirika k'umugongo wo hasi birashoboka cyane ko bitaba byuzuye. Kuri uru rwego rw'ibyangiritse, ushobora kugenda wifashishije ibyuma bifasha mu gupfuka cyangwa icyuma gifasha mu kugenda . Ariko, ushobora kugira ibibazo bimwe na bimwe mu bijyanye no kugenzura amara n'inkari. |
Ni izihe mpamvu nyamukuru zitera paraplegia?
Impamvu nyamukuru kandi ikunze gutera iyi ndwara ni ibikomere ku ruti rw'umugongo . Ibi bikomere bishobora kubaho mu buryo butandukanye.
- Impanuka z'imodoka: Impanuka z'imodoka zitwara amapine atatu, impanuka za bisi, n'impanuka za moto ni ibintu bikunze kugaragara muri Sri Lanka.
- Kugwa: Cyane cyane uturutse mu burebure (ibiti, inyubako). Nanone, bitewe n'indwara ya osteoporosis ku bageze mu za bukuru, no kugwa gusanzwe bishobora kwangiza uruti rw'umugongo.
- Ibikomere biterwa n'intwaro zityaye: Ibintu nko gukomeretswa cyangwa gukomeretswa n'amasasu.
- Impanuka za siporo: Mu mikino ikomeye nka rugby.
Igikuru ni uko, niba ukeka ko hari imvune mu mugongo, ntugerageze kugerageza kumuterura cyangwa kumuterura kubera impamvu iyo ari yo yose. Ibyo bizatera ibindi byangirika. Hamagara imbangukiragutabara vuba (1990).
Uretse izi mpanuka, paraplegia ishobora guterwa n'izindi ndwara:
- Ibibyimba by'umugongo: Gukanda uruti rw'umugongo bitewe na kanseri cyangwa ibibyimba bidakomeye.
- Indwara: Ikwirakwira ry'ubwandu mu ruti rw'umugongo cyangwa mu ruhu ruwukikije.
- Ischemia: Gucika cyangwa kuziba k'imitsi ijyana amaraso mu ruti rw'umugongo.
- Indwara zo mu gihe cy'impinja: Ubusembwa bw'umugongo buvukana, nka spina bifida.
- Izindi ndwara: Indwara ziterwa n'ubwiyongere bw'umubiri nka multiple sclerosis, transverse myelitis, na Guillain-Barré syndrome.
- Diyabete Mellitus: Kwangirika kw'imitsi guterwa na diyabete idakora neza.
- Indwara z'uruhererekane: Indwara z'uruhererekane nka paraplegia y'uruhererekane rw'ibicurane.
Ni iki twakora mu gihe cy'ubutabazi bwihutirwa?
Iki ni cyo gice ugomba kwibuka. Paraplegia ni ikibazo cyihutirwa cy’ubuvuzi gisaba kuvurwa byihutirwa.
Niba umuntu yagize impanuka akavuga ati "Sinshobora kumva amaguru yanjye," cyangwa niba ubonye ikintu nk'icyo, hamagara 1990 ako kanya maze uhamagare imbangukiragutabara. Ntukagerageze guterura, kwimura, cyangwa kwicaza uwo muntu ubwawe. Tegereza kugeza igihe abahanga bahuguwe bazaza hanyuma ujyane umurwayi ku bitaro neza. Icyo wakora gusa ni ukumukura aho yabereye keretse habayeho akaga gakomeye, nk'inkongi y'umuriro cyangwa guturika. Bitabaye ibyo, mureke aho ari. Abaganga bo mu Ishami rishinzwe Ubuvuzi bwihutirwa (ETU) mu bitaro bazakora ibikenewe.
Ni irihe tandukaniro riri hagati ya Paraplegia, Tetraplegia na Hemiplegia?
Nubwo aya magambo asa, afite ibisobanuro bitatu. Ni ngombwa kumenya iri tandukaniro.
| Imiterere | Agace kagizweho ingaruka |
|---|---|
| Paraplegie | Kubura amaguru yombi (ndetse wenda n'inda yo hasi). |
| Tetraplegia (cyangwa Quadriplegia) | Amaboko yombi n'amaguru yombi , ni ukuvuga gutakaza amaguru yose ane. Ibi bibaho iyo uruti rw'umugongo rwangiritse ku rwego rw'ijosi. |
| Hemiplejiya | Gutakaza ubwenge ku ruhande rumwe rw'umubiri (ibumoso cyangwa iburyo). Ibi bivuze gutakaza ubwenge ku ruhande rumwe rw'ukuboko, ukuguru, no mu maso. Ibi bikunze kubaho bitewe no kwangirika k'ubwonko, nko gucika intege mu bwonko. |
Ku bijyanye no kuvura, biterwa gusa n'icyateye indwara ya Paraplegia n'ingano y'ibyangiritse. Hari igihe, hari uburyo bwo kunoza ibintu bushobora kugerwaho binyuze mu kubagwa, physiotherapy, no gusana. Ariko, hari ibyangiritse bibaho burundu. Ariko, muganga wawe ni we uzakugira inama nziza ku bijyanye n'uburyo bwiza bwo kuvura n'intambwe zikurikiraho.
Kurwara paraplegia ni ubunararibonye buhindura ubuzima. Ariko, iyo uhawe inama zikwiye z'abaganga, kugarura ubuzima mu buryo buboneye, ndetse n'imbaraga zo mu mutwe, hari abantu benshi ku isi bamaze kumenyera iyi ndwara kandi bakabaho mu buzima bwigenga kandi bushimishije.
Ubutumwa bwo kujyana mu rugo
- Kubura ubushobozi bwo gukora neza kw'amaguru yombi ni ukubura ubushobozi bwo gukora neza. Impamvu nyamukuru ibitera ni ukwangirika k'umugongo.
- Niba ukeka ko impanuka yaguteye, ntukamukureho kubera impamvu iyo ari yo yose. Hamagara imbangukiragutabara ako kanya.
- Kurema paraplegia bishobora guterwa n'impanuka ndetse n'indwara zitandukanye. Kubwibyo, ni ngombwa kujya kwa muganga ku bijyanye n'ubumuga ubwo aribwo bwose.
- Uburyo bwo kuvurwa n'uburyo bwo gukira butandukana bitewe n'icyateye n'ingano y'ibyangiritse. Muganga wawe ni we muntu mwiza wo kugisha inama kuri ibi.
- Nubwo iki ari ikibazo kigoye cyane, iyo ufashwe neza kandi ugasubizwa mu buzima busanzwe, birashoboka kumenyera iki kibazo no kubaho ubuzima bwiza.
👩🏽⚕️ Ibibazo by'inyongera (Ibibazo Bikunze Kubazwa)
💬 Paraplegia ni indwara imeze ite?
Ibi si ugupfa gusa kw'amaguru yawe! 'Paraplegia' ni indwara ibabaje cyane aho amaguru yombi ari munsi y'ikibuno, haba burundu cyangwa by'agateganyo, apfa 100% (Gupfa burundu), bigatuma udashobora kwimura amaguru yawe cyangwa kumva ikintu icyo ari cyo cyose. Muri iyi ndwara, ntutakaza gusa ubushobozi bwo kugenzura amaguru yawe, ahubwo unatakaza ubushobozi bwo kugenzura amara yawe n'inkari (Kudakomeza kwifata kw'inkari no mu ruhago).
💬 Ni izihe mpamvu nyamukuru zitera paraplegia (paraplegia)?
Impamvu nyamukuru y'ibi si ubwonko, ahubwo ni 'igikomere gikomeye cy'umugongo'! 1) Ibi bibaho iyo igice cyo hagati cy'umugongo (Thoracic/Lumbar Spinal Cord) cyavunitse burundu/cyashegeshwe n'impanuka y'imodoka, cyaguye ku giti, cyangwa cyarashwe (Trauma). 2) Iyo 'cancer' ikurira mu mugongo (Spinal Tumors) ikandagiye imitsi. 3) Indwara zo kwangirika kw'ubwonko (Multiple Sclerosis) na, 4) Guhagarara k'umugongo nabyo bishobora gutuma ukuguru kubura imikorere.
💬 Ni izihe ngorane zikomeye abantu bafite ubumuga bwo mu nda bahura na zo? Ni gute bashobora kwitabwaho?
Akaga gakomeye ni uko batagira ububabare mu maguru yabo (nubwo batwitswe n'amazi ashyushye). Rero, iyo bagumye mu mwanya umwe, uruhu rwo ku matako yabo rurabora kugeza igihe igufwa rigaragaye, bigatera 'ibisebe byo mu gifu / ibisebe by'umuvuduko' kandi umurwayi ashobora gupfa azize udukoko twakwirakwiriye muri byo (sepsis) (ni ngombwa kubihindura buri masaha 2). Indi ngorane ni indwara zikomeye zo mu nzira y'inkari (UTIs) zizanwa na catheter z'inkari!
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