Ese wigeze uvunika igufwa? Reka twige kuri (Comminuted Fracture) mu magambo make!

Hari igihe mu buzima bwacu tuba tugomba guhura n'impanuka tukagwa. Hari igihe dushobora guhunga dufite umuvuduko muto, ariko mu bindi bihe dushobora kuvunika ukuboko cyangwa ukuguru. Iyo tuvuze ko amagufwa avunika, amwe muri yo avunika ahantu hamwe, ariko hari aho amagufwa avunika mo ibice byinshi, nk'aho yavunitse. Ibyo ni byo twita `(Comminuted Fracture)` ku igufwa rikomeye nk'iryo. Uyu munsi rero tuzavuga kuri iyi ndwara yitwa `(Comminuted Fracture)` mu buryo burambuye , kugira ngo ubyumve.

`(Comminuted Fracture)` ni iki?

Mu magambo make, `(Ivunika ryacitse)` ni igihe rimwe mu magufwa yawe (ni ukuvuga igufwa) ricikamo ibice bitatu cyangwa birenga . Tekereza muri ubu buryo: iyo uguye isahani, rimwe na rimwe icikamo kabiri, ariko rimwe na rimwe icikamo uduce duto. Ibi ni kimwe. Mu kuvunika gusanzwe, igufwa rishobora kuvunikamo kabiri. Ariko mu `(Ivunika ryacitse)`, igufwa ricikamo uduce, rimwe na rimwe rigahinduka ifu. Ugomba kandi kumva ko ibi biruta kuvunika gusanzwe . Kuko iyo citsemo uduce, biragoye cyane kubihuza neza.

Kuki habaho "Comminuted Fracture"? Ni izihe mpamvu?

Kugira ngo igufwa nk'iri rimeneke rikavamo ibice, byaba ari ingaruka zikomeye cyane, byangiza byinshi . Ni gake cyane ko ibi bibaho bitewe no kugwa gato. Dore bimwe mu bintu bishobora kubitera:

• Impanuka zikomeye z'ibinyabiziga: Ibi bishobora guterwa n'impanuka hagati y'ibinyabiziga nk'imodoka na moto cyangwa izindi mpanuka zikomeye.
• Kugwa uturutse uburebure bunini: Iyo uguye uturutse uburebure bunini, nko mu giti cyangwa mu nyubako.
• Imvune zikomeye mu mikino: Zishobora kubaho mu mikino yihuta cyane kandi ikora ku buryo butunguranye (urugero: rugby).
• Ibikomere bikomeye nko gukomeretswa n'amasasu: Mu bihe nk'ibi, "Comminuted Fracture" ishobora kubaho kubera imbaraga nyinshi zishyirwa ku igufwa.

Ariko, hari ikindi kintu. Uko abantu bakura, amagufwa yabo arushaho gucika intege, ari na byo twita `(Osteoporosis)`. Ku muntu ufite amagufwa adakomeye nk'ayo, hari amahirwe ko no kugwa gato, bitagize ingaruka mbi ku muntu usanzwe, bishobora gutuma habaho `(Comminuted Fracture)`. Ariko ikigaragara cyane ni uko bibaho bitewe n'ingaruka zikomeye twavuze mbere.

Ni ibihe bimenyetso by'indwara yo gucika intege kw'umubiri (Comminuted Fracture)? Wabimenya ute?

Ushobora kwiyumvisha ukuntu bibabaza iyo igufwa ricitsemo ibice byinshi. Dore bimwe mu bimenyetso by'ingenzi:

• Ububabare bukabije: Ikintu cy'ingenzi ni ububabare bukabije. Ububabare bushobora kuba bukomeye cyane ku buryo udashobora no kubukoraho.
• Kubyimba no gukomereka vuba: Aho igikomere cyakomeretse hazatangira kubyimba vuba, ndetse bishobora no kugaragara nk'ubururu/umuhengeri.
• Ubusembwa: Ibi bivuze ko niba ari ukuboko cyangwa ukuguru, imiterere yako ishobora guhinduka kandi igasa n'aho yarambuye.
• Kudashobora kwimura urugingo: Ibi bituma umuntu adashobora gukoresha cyangwa kwimura ukuboko cyangwa ukuguru kwakomeretse.
• Hari igihe igice cy'igufwa ryavunitse gishobora gusohoka mu ruhu: Ibi ni akaga gato. Tubyita kandi "Open Comminuted Fracture". Ibi bibaye, hari amahirwe menshi yo kwandura.
• Kumva cyangwa kumva urusaku "rusaku" mu gihe cy'impanuka: (`(Crepitus)`) Hari abantu bashobora kumva cyangwa kumva urusaku rw'amagufwa akubitana.
• Kugenda mu buryo budasanzwe iyo agace kagize ikibazo kakozweho: (`Kugenda mu buryo budasanzwe`) Bishobora kumvikana nk'aho ukuboko/ukuguru bigondamye ahantu hadakunze kuba ingingo.

Niba ufite kimwe cyangwa byinshi muri ibi bimenyetso, ni ngombwa cyane gushaka inama kwa muganga byihutirwa.

Ni gute umuganga asuzuma neza "Comminuted Fracture"?

Iyo ugiye kwa muganga ufite imvune nk'iyi, umuganga abanza kukubaza icyakubayeho, agasuzuma aho hantu, hanyuma agakora ibizamini bikurikira kugira ngo amenye niba imvune ari "imvune yacitse" n'uburemere bwayo:

• X-ray: Iki ni cyo kizamini gikunze kugaragara cyane. X-ray ishobora kwerekana neza uburyo igufwa ryavunitse, ibice byavunitsemo, n'ibice bingana iki hirya no hino.
• CT scan (Computed Tomography scan - CT scan): Hari igihe, cyane cyane iyo imvune iri hafi y'ingingo (urugero: ivi, inkokora), cyangwa niba ushaka kureba ibisobanuro birambuye ku bice by'amagufwa, muganga wawe ashobora gutumiza CT scan. Ibi bishobora gutanga ishusho y'amagufwa mu buryo butatu (`3D`), bishobora kugufasha gusobanukirwa neza uko ibintu bimeze.
• Ishusho ya Magnetic Resonance (MRI): MRI ntikunze gukoreshwa kugira ngo hemezwe ko imvune yacitse. Ariko, MRI ishobora gukenerwa kugira ngo harebwe niba hari ibyangiritse ku ngingo zoroshye (nk'imitsi, imitsi, imitsi, n'imitsi y'amaraso) zikikije imvune.

Nyuma y'ibi bizamini ni bwo gusa muganga agena ikibazo cyawe neza n'ubwoko bw'ubuvuzi ukeneye.

Wakira ute `(Ivunitse ryacitse)`? Bifata igihe kingana iki kugira ngo kire?

Twavuze ko "Kuvunika kwacitse intege" ari ukuvunika gukomeye. Iyo igufwa ricitsemo ibice byinshi, ibice bigomba kongera gushyirwa hamwe bigakosorwa ku buryo bitagenda. Bitabaye ibyo, igufwa ntirizakwira neza.

Bityo rero, akenshi, "Ivuniko ryacitse" risaba kubagwa.

Kubaga bisaba kwimura ibice by'amagufwa byavunitse bigasubira mu mwanya wabyo uko bishoboka kose hanyuma ukabisubiza hamwe. Hari uburyo butandukanye bwo kubikoresha:

• Kugabanya no Gushyiramo Imbere mu Mutwe (ORIF): Ubu ni bwo buryo bwo kubaga bukoreshwa cyane.
• `Kugabanya Gufungura` bivuze: Muganga agabanya uruhu, akajya ku igufwa ryavunitse, hanyuma agahindura ibice by'amagufwa n'intoki.
• `Gufata imbere` bivuze: Uburyo bwo gufatanya ibice by'amagufwa byateguwe hakoreshejwe ibyuma byihariye, imisumari, inkoni cyangwa inzara imbere. Ibi bikorwa mu byuma byihariye byagenewe guhuza umubiri.
• Gufata Inyuma: Mu gihe hari imvune zikomeye cyane, cyane cyane iyo havunitse cyangwa iyo igikomere cyabyimbye cyane, bishobora kudashoboka kubaga ORIF ako kanya. Muri ibyo bihe, igikoresho cyitwa External Fixator gishyirwamo.
• Ibi bikubiyemo gushyira udupira twinshi tw'icyuma (`pins` cyangwa `screws`) mu ruhu ruri hejuru no munsi y'aho imvune yavunitse mu igufwa, hanyuma ukadushyira ku gitereko (`frame`) hanze y'umubiri. Ibi bifasha kugumana uduce tw'amagufwa mu mwanya watwo tudakomeje kugenda. Iyo igisebe kimaze gukira gato kandi kubyimba kukagabanuka, kubagwa `(ORIF)` bishobora gukorwa nyuma. Hari igihe, iyi `(External Fixator)` ishobora gukoreshwa kugeza igihe igufwa rizeye.

Uburyo bwo kuvura hatabayeho kubagwa:

Ni gake cyane kuvura `(Ivunitse ryacitse)` nta kubagwa. Kubera ko ibice by'amagufwa bitatanye ahantu henshi, ntibishobora guhuzwa neza na `(Ivunitse ryaciwe)` cyangwa `Ivunitse` gusa. Ariko, ni gake cyane , niba ibice by'amagufwa bitaratandukanye cyane, muganga ashobora kugerageza kubikiza nta kubagwa akoresheje ivunitse ryaciwe. Ariko, ibi ntibigira icyo bigeraho cyane.

Kurwanya ububabare:

Kubera ko ibi bibabaza cyane, muganga azaguha imiti igabanya ububabare ikwiye.

Igihe cyo gukira:

Igihe bifata kugira ngo "Umuvune wavunitse" ukire gitandukanye bitewe n'umuntu ku giti cye kandi bitewe n'imiterere y'umuvune. Bimara igihe kirekire kuruta imvune isanzwe.

• Bishobora gufata amezi menshi (ubusanzwe amezi 3-6 cyangwa arenga) kugira ngo ibice by'amagufwa bifatanye kandi bikomere.
• Nubwo byagenda gutyo, niba ushaka kongera gukoresha ukuboko/ukuguru byangiritse, nta kabuza uzakenera kuvurwa byitwa physiotherapy . Ibi bishobora no gufata amezi menshi.

Rero, bishobora gufata umwaka wose kugira ngo umuntu akire neza. Bityo rero ni ngombwa kwihangana no gufata imiti.

Ni izihe ngorane zishobora guterwa n'"Ivunika ryacitse"?

Kimwe n'izindi mvune zose, "Comminuted Fracture" ishobora kugira ingorane zimwe na zimwe. Ni byiza kumenya izi ngingo kandi:

• Kwandura:Cyane cyane iyo habayeho "Open Fracture" (iyo uruhu rutobowe kandi igufwa rigashyirwa ahagaragara) cyangwa nyuma yo kubagwa, mikorobe zishobora kwinjira mu gikomere zikanatera ubwandu.
• Kwangirika kw'imitsi cyangwa imitsi y'amaraso: Iyo igufwa ryavunitse, ibice by'amagufwa bityaye bishobora kwangiza imitsi cyangwa imitsi y'amaraso iri hafi aho.
• Indwara yo mu cyumba: Iyi ni indwara ikomeye. Kubyimba kw'imitsi ikikije imvune bishobora gutuma umuvuduko w'amaraso wiyongera, bigatuma amaraso atembera. Iyi ni indwara isaba ubuvuzi bwihutirwa. Ibimenyetso birimo ububabare bukabije, kubyimba, no kugira ibinya mu maboko/amaguru.
• Malunion cyangwa Nonunion: Hari igihe ibice by'amagufwa bishobora guterana nabi (nk'agapira k'igufwa). Cyangwa bishobora kuguma hamwe igihe kirekire. Iyo bibaye, ushobora kongera kubagwa.
• Uko igihe kigenda gihita, ububabare bw'ingingo (Arthritis): Cyane cyane iyo ingingo yavunitse, uko igihe kigenda gihita, iyo ngingo ishobora kugira rubagimpande, ni ukuvuga ububabare bw'ingingo.
• Ububabare budakira: Hari abantu bashobora gukomeza kugira ububabare nubwo igikomere cyamaze gukira.
• Kugongana no kubura imikorere mu kuboko/ukuguru: Ukuboko/ukuguru kwakomeretse gushobora gukomera kudashobora kunama cyangwa kugororoka nk'uko byari bimeze mbere. Aha niho ubuvuzi bw'umubiri buba ingenzi cyane.

Ibintu nk'ibi ntibibaho kuri buri wese, ariko ni ngombwa kumenya ko bishobora kubaho no gukurikiza amabwiriza ya muganga witonze.

Ni iki wakora kugira ngo ukire vuba nyuma yo kuvunika kw'uruhu (Comminuted Fracture)?

Niba ufite "Comminuted Fracture" kandi ukaba uri kuvurwa, fata ibi bintu kugira ngo bigufashe gukira vuba:

• Kurikiza amabwiriza ya muganga neza: Icyo ni cyo kintu cy'ingenzi kurusha ibindi. Kora byose neza, nko gufata imiti yawe, kwita ku gikomere cyawe, kuruhuka ukeneye, n'igihe ugomba kongera gutangira kugenda.
• Fata imiti wanditswe na muganga ku gihe: Fata imiti wanditswe na muganga, nk'imiti igabanya ububabare ndetse n'imiti ishobora kuba imiti igabanya ubukana (antibiyotike) (kugira ngo wirinde kwandura), nk'uko byavuzwe.
• Kuruhuka ni ingenzi: Ni ingenzi cyane kuruhuka ukuboko/ukuguru byafashwe kugeza igufwa rikize. Ntugaterure ibintu biremereye, wiruke cyangwa ngo usimbuke kugeza igihe muganga wawe abikubwiye.
• Zamura agace kagize ikibazo kugira ngo ugabanye kubyimba: Niba ari ukuboko/ukuguru, kugushyira hejuru ukoresheje umusego bishobora gufasha kugabanya kubyimba.
• Menya neza ko ukora physiotherapy: Niba muganga wawe abigusabye, ujye witabira amasomo ya physiotherapy buri gihe. Kora imyitozo ngororamubiri mu rugo. Ibi bizagufasha kongera kugira imbaraga n'ubushobozi bwo kuboko/ukuguru.
• Kurya ibiryo byiza bifite intungamubiri:Kurya ibiryo byinshi birimo kalisiyumu na vitamine D (nk'amata, yawurute, foromaje, imboga rwatsi, n'amafi), bifasha mu kuvura amagufwa. Ibiryo bikungahaye kuri poroteyine nabyo ni ingenzi.
• Niba unywa itabi, rekeraho: Kunywa itabi bitinza cyane gukira kw'amagufwa. Niba rero unywa itabi, kurireka ubu ni ingirakamaro cyane kuri wewe.
• Ntukirengagize isuzuma rya muganga: Jya kwa muganga ku minsi akubwira ko ugarutse ukareba uko umerewe.

Ese "Kuvunika kwangiritse" bishobora kwirindwa?

Impanuka ni ibintu bibaho mu gihe tutari twiteze. Ariko, gukurikiza ingamba zimwe na zimwe z’umutekano bishobora kugabanya ibyago byo gukomereka bikomeye.

• Gukurikiza inzira z'umutekano:
• Buri gihe mwambare imikandara y'imodoka iyo uri mu modoka.
• Ambara ingofero ikwiye mugihe utwaye moto cyangwa igare.
• Kurikiza ibikoresho n'amabwiriza agenga umutekano aho bakorera, cyane cyane ahantu hateje akaga nko mu bwubatsi.
• Mu gihe ukina siporo, koresha ibikoresho by'umutekano (urugero: abarinzi, amabati) bikwiranye n'imikino.
• Kwirinda kugwa (cyane cyane ku bageze mu za bukuru):
• Menya neza ingaruka zishobora gutemba no kugwa mu rugo rwawe (urugero: ubwiherero, ingazi). Niba bibaye ngombwa, shyiramo imigozi n'amatafari adatemba.
• Menya neza ko hari urumuri rwiza nijoro.
• Niba ufite ingorane zo kugenda, koresha inkoni cyangwa icyuma gifasha kugenda nk'uko muganga wawe yabigutegetse.
• Gukomeza amagufwa:
• Kurya indyo yuzuye ikungahaye kuri kalisiyumu na vitamine D.
• Imyitozo ngororamubiri buri gihe (imyitozo ngororamubiri ikomeza amagufwa).
• Niba ufite indwara nka osteoporosis, vurwa neza.

Gutekereza kuri ibi bintu bizadufasha mu rugero runaka kwirinda ibikomere bikomeye nka `(Comminuted Fracture)`.

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

Sawa, twaganiriye cyane kuri `(Comminuted Fracture)` uyu munsi. Dore ibintu by'ingenzi ugomba kwibuka:

• "Kuvunika kw'igufwa" ni indwara ikomeye aho igufwa rivunikamo ibice byinshi.
• Ibi akenshi biterwa n'ingaruka zikomeye cyane (nk'impanuka ikomeye, kugwa uvuye hejuru).
• Niba ugize imvune nk'iyi , ni ngombwa kwihutira gushaka ubuvuzi.
• Akenshi, iyi ndwara isaba kubagwa kugira ngo hakosorwe neza ibice by'amagufwa.
• Bifata igihe kugira ngo umuntu akire, kandi ubuvuzi bwa physiotherapy ni igice cy'ingenzi cyane mu gukira.
• Iyo ukurikije amabwiriza ya muganga neza kandi ukihangana n'ubuvuzi, ushobora gukira neza.

Ntutinye, ahubwo komeza kwita ku mutekano wawe. Kuko, nk'uko bivugwa, "Kwirinda biruta kwivuza." Ndizera ko aya makuru azagufasha!

Kuvunika kw'amagufwa, kuvunika kw'igufwa, igufwa ryavunitse, kubagwa , gukira amagufwa, ubuvuzi bw'umubiri, impanuka, kuvura amagufwa