Ese wigeze wumva 'ukubita' mu ivi ryawe igihe ukina, ubyina, cyangwa uhindukira ukazunguza ukuguru kwawe? Ese wigeze wumva ububabare bukabije nk'aho ivi ryawe ryagiye ku ruhande? Ese wasanze utagishoboye kugenda? Ibi ni byo mu buvuzi twita patella dislocation. Nubwo bishobora kuba ibintu biteye ubwoba, biroroshye cyane kubyitwaramo niba ubizi. Reka tubiganireho uyu munsi.
Mu magambo make, uku gusimbuka kw'ivi bivuze iki?
Kugira ngo tubisobanukirwe, reka tubanze turebe uburyo ivi ryacu rikozwe. Biroroshye cyane. Igice cy'ivi ryacu kigizwe n'amagufwa atatu y'ingenzi.
1. Femur: Iri ni ryo gufwa rirerire cyane mu kuguru kwawe ko hejuru.
2. Igufwa ryo hasi ry'ukuguru (tibia): Iri ni igufwa rinini riri munsi y'ivi n'imbere.
3. Ipfundo ry'ivi (patella): Iri ni igufwa rito, rifite impande eshatu riri hagati, imbere y'aya magufwa abiri.
Tekereza nka gari ya moshi iri ku muhanda wa gari ya moshi. Iyo twunamye kandi tugorora amaguru yacu, agapira k'ivi (patella) kazamuka kakamanuka mu mwobo (tuwita 'umuyoboro wa trochlear') uri munsi y'igufwa ry'ikibero (femur). Urusobe rw'imitsi n'imitsi bifasha kuyigumana muri uyu mwobo.
Gucika kwa Patella ni igihe agapfukamunwa k'ivi, ku mpamvu runaka, gasohoka mu mwobo wa trochlear. Ntigashobora kugenda neza, maze ivi rigakomera kandi rigafunga. Akenshi, gacika inyuma y'ivi. Kimwe n'ingingo iyo ari yo yose, birababaza cyane. Ariko rimwe na rimwe agapfukamunwa k'ivi gashobora gusubira mu mwanya wako ubwako.
Ni ngombwa kumenya ko gucika kwa patella bitandukanye cyane no gucika kw'ivi. Gucika kw'ivi ni ugutandukanya femur na tibia. Ni indwara ikomeye cyane.
Nanone, iyo ivi ritameze neza, gato, tubyita (patella subluxation) .
Hari uburyo bubiri bw'ingenzi bwo gupfuka ingofero y'ivi.
Tugabanya iki kibazo mo ibice bibiri by'ingenzi.
- Gucika kwa Patella mu buryo butunguranye: Ubu ni bwo bwoko bukunze kugaragara bwo gucika. Bibaho iyo agapfukamunwa k'ivi gacitse bitewe n'impanuka, kugwa, cyangwa kugongana. Agapfukamunwa k'ivi gashobora kuba gafite imbaraga nke ugereranyije n'izindi ngingo.
- Kuvukana kwa Patella: Iyi ni indwara idasanzwe. Uko umwana akura, ivi riva mu muyoboro wa trochlear. Ibi byitwa trochlear dysplasia.Nanone bivugwa.
Wamenya ute ko ivi ryawe ryacitse?
Iyo ivi rikubise, uzabona kimwe cyangwa byinshi muri ibi bimenyetso. Reka tubirebe muri ubu buryo kugira ngo tubisobanukirwe neza.
| Ibimenyetso | Ibyo bivuze iki? |
|---|---|
| Ijwi ry' 'ikimenyetso' ryumvikanye. | Ubwoko bw'urusaku bushobora kumvikana iyo ivi rivuye mu mwanya waryo usanzwe. |
| Amavi apfukama mu buryo butunguranye (Arapfukamye) | Kubera ko ingingo iba idakora neza, ivi ryawe rishobora gucika intege mu buryo butunguranye iyo ugerageje guhagarara. |
| Ububabare bukabije budashobora kwihanganirwa | Kurambura no gucika kw'imitsi n'imitsi bitera ububabare bukomeye. |
| Kubyimba ivi (Effusion) | Iyo mvune ituma amazi yirundanya mu ngingo bigatuma ibyimba vuba. |
| Ubururu/gukomeretsa | Kwangirika kw'imitsi mito y'amaraso imbere bishobora gutuma uruhu ruhinduka ubururu. |
| Gufunga ivi | Ndahagaze mu mwanya umwe, ntashobora kunama cyangwa kugorora amavi yanjye. |
| Sinshobora kugenda. | Ububabare no kudahagarara neza bituma umuntu atabasha kugenda afite ibiro ku kuguru. |
| Agapfukamunwa k'ivi kagaragara ku ruhande. | Ndetse no hanze, urabona ko ivi ritari aho rikwiye kuba, ahubwo riri ku ruhande. |
Ese ibi bishobora kugira ingaruka z'igihe kirekire?
Yego, hashobora kubaho ingorane z'igihe kirekire. Iyo umupfundikizo w'ivi ufungutse, imitsi ifata ingingo hamwe irakura, bigatuma ingingo idakomera . Nanone, agahu koroshye kari munsi y'umupfundikizo w'ivi gashobora kwangirika. Ibi byongera ibyago byo kurwara osteoarthritis yo mu ivi mu gihe kizaza.
Icy'ingenzi ni uko abantu bagera kuri 45% bavunitse ivi bazongera kurirwara. Ibi bishobora kubaho mu byumweru bike cyangwa nyuma y'imyaka mike.
Kuki ivi risimbuka gutya?
Impamvu nyamukuru yo gusimbuka ku bw'impanuka ni ugukoresha imbaraga. Ibi bishobora kubaho mu buryo bubiri.
1. Ingaruka zitaziguye: Gukubitwa, kugongana, cyangwa kugwa cyane ku ivi bishobora gusenya umutwe w'ivi.
2. Kuzunguruka: Ibi ntibigomba kuba impanuka ikomeye buri gihe. Tekereza ko uri gukina, kubyina, cyangwa kwiruka hanyuma uhita ushyira ikirenge cyawe hasi ugahindukira umubiri wawe ukawushyira ku rundi ruhande. Iyo ibi bibaye, ukuguru ko hasi kuguma ahantu hamwe, bigatuma igufwa ry'ikibero rizunguruka. Imbaraga z'ibi zishobora gutuma ivi rivungagurika. Ibi bikunze kugaragara ku bakinnyi n'ababyinnyi.
Byongeye kandi, hari abantu bavuka bafite imitsi n'imitsi ifunganye mu ivi. Ibi tubyita kutamererwa neza . Abantu nk'abo bashobora gupfuka ingofero yabo mu ivi nubwo baba babyinjijemo gato.
Ni nde uri mu kaga kurusha abandi?
Nubwo umuntu wese ashobora kuvunika ivi mu mpanuka, ibyago biri hejuru kuri bamwe.
| Icyiciro cy'ibyago | Impamvu |
|---|---|
| Abakinnyi | Cyane cyane ku bakina siporo zishyira igitutu kinini ku mavi (umupira w'amaguru, basketball). |
| Ababyinnyi | Kubera ingendo zitunguranye zo kuzunguruka no gusimbuka. |
| Abana bato (Ingimbi) | Kubera ko ingingo n'imitsi biba birekuye gato mu gihe umubiri ukura vuba. |
| Abagore | Imbaraga zo ku ruhande rw'ivi ziyongera bitewe no kwaguka kw'igufwa ry'ikibuno n'imiterere y'imitsi irekuye. |
| Abagabo barebare | Uburemere bwinshi bw'umubiri bushyira igitutu kinini ku ngingo. |
Ni gute muganga abibona neza?
Ubusanzwe, umuganga ashobora gusuzuma ikibazo cy'ivi asuzuma ivi ryawe, akakubaza iby'impanuka, hanyuma agasuzuma ivi ryawe.
Ariko, birasabwa gukora ibizamini byinshi byo gufata amashusho kugira ngo hemezwe niba hari ikindi cyangiritse imbere.
- X-ray y'ivi: Reba niba amagufwa yavunitse.
- MRI scan: Kureba neza ibyangiritse ku mitsi, imitsi, na cartilage.
- CT scan: Iga mu buryo bwimbitse uburyo amagufwa yavunitse n'aho aherereye.
Hari igihe agapfukamunwa k'ivi gahita gasohoka kandi kagasubira mu mwanya wako. Ntunamenye ko kasohotse. Ariko ivi rirabyimba kandi rirababaza. Ndetse no mu bihe nk'ibi, muganga ashobora gukoresha ibizamini byavuzwe haruguru kugira ngo amenye niba ari agapfukamunwa cyangwa niba hari ikindi cyangiritse.
Ukora iki iyo ufite ikibazo cyo kuvunika kw'ivi? Ni ubuhe buryo bwo kuvura?
Ubuvuzi butangirira ku kuruhuka ivi. Ntugakore ku rigenda cyangwa ngo ukore imirimo isanzwe. Ushobora gushyiramo urubura kugira ngo ugabanye ububabare no kubyimba, kandi ufate imiti igabanya ububabare (urugero: NSAIDs) nk'uko muganga yabigutegetse. Byongeye kandi, muganga wawe azakurikiza ubu buryo bwo kuvura.
| Uburyo bwo kuvura | Ibisobanuro |
|---|---|
| Kugabanya | Muganga azasubiza agapfukamunwa k'ivi mu mwanya waryo witonze kandi witonze. Ibi byitwa kugabanya ububabare . Iyo bibaye ngombwa, ushobora guhabwa umuti muto wo kugabanya ububabare cyangwa umuti wo kuruhuka. |
| Gutera inkunga no gukuba | Uzoshyirwamo agakoresho ko gukingira ingingo mu gihe cy'ibyumweru bike kugira ngo ingingo ikomeze gukomera. Uzabwirwa gukoresha inkoni zo gukingira ivi ryawe kugira ngo ritabishyiramo uburemere. |
| Kubaga | Iyo habayeho kwangirika gukomeye ku magufwa, ku mitsi, cyangwa ku mitsi, cyangwa iyo mvune ikomeje, bashobora kubagwa kugira ngo basane. |
| Gusana | Ubuvuzi bw'umubiri ni igice cy'ingenzi cyane muri ubu buvuzi. Bufasha gukomeza imitsi ikikije ingingo, buyifasha kugenda mu buryo butandukanye kugeza igihe yongeye gukomera. |
Ese sinshobora kubikemura ubwanjye? Ese ngomba kubonana na muganga?
Hari igihe iyo wongeye ukuguru buhoro buhoro, bishobora gusubira mu mwanya wabyo. Ariko niba bigoye kongera ukuguru kwawe kubera ububabare, ntukabikore. Muganga ashobora koroshya ububabare no kubworohereza.
Icy'ingenzi kurushaho: Nubwo wakwikosora ubwawe, ugomba kujya kwa muganga. Ni ngombwa gusuzuma niba hari imvune zo mu nda, ibyangiritse mu gifu, cyangwa imitsi yacitse. Kutabikora bishobora guteza ibibazo bikomeye mu gihe kizaza.
Niba wumva ko ivi ryawe ridafite aho rihagaze, ufite ingorane zo guterura ukuguru, ufite ububabare n'ibibyimba, cyangwa wumva ivi ryawe rigiye kugongana, menya neza ko wagisha inama kwa muganga.
Bifata igihe kingana iki kugira ngo umuntu akire?
Ibi biterwa n'uburemere bw'imvune yawe n'uburyo bwo kuyivura.
- Ku nshuro ya mbere, niba nta cyangiritse gikomeye cyabayeho: Icyizere cyo gukira ni cyiza cyane. Abantu benshi bashobora gusubira mu mirimo isanzwe ya buri munsi mu byumweru 6-8 . Bashobora gutangira gukina siporo mu mezi 3-4 .
- Niba waraguye cyangwa ukabagwa inshuro nyinshi: Igihe cyo gukira kizaba kirekire kurushaho. Bishobora gufata umwaka urenga mbere yuko usubira gukina siporo.
Ni gute twakwirinda ko ibi bitazongera kubaho?
Iyo ingingo imaze kuvunika, imitsi irakura, bigatuma ishobora kongera kuvunika mu gihe impanuka imwe ibaye. Nubwo bigoye gukumira impanuka, hari ibyo dushobora gukora kugira ngo tugabanye ibyago.
- Kora ubuvuzi bw'umubiri neza: Kora imyitozo ngororamubiri mu gihe runaka, nk'uko muganga wawe n'umuvuzi w'umubiri babigutegetse. Ntukihutire gushyira umutwaro mwinshi ku kuguru kwawe.
- Komeza imitsi y'amaguru yawe: Kora imyitozo ikomeza imitsi ikikije amavi yawe (cyane cyane imbere n'inyuma by'ibibero byawe). Ibi bizagufasha kwirinda imihangayiko ikabije ku itsinda rimwe gusa ry'imitsi.
- Imiterere ikwiye ya siporo: Niba uri umukinnyi, saba inzobere igusuzuma kugira ngo imenye neza uko ukora n'uko uhagaze.
- Utekereza kubagwa: Niba imitsi yo mu ivi ryawe irekuye cyane, ganira na muganga wawe ku bijyanye no kubagwa kugira ngo ikomeze.
Ese ibi birababaza cyane? Ese nshobora kugenda nyuma y'uko ivi rivuye?
Yego, iyi ni indwara ibabaza cyane. Ntushobora kugenda iyo ivi ricitse. Ivi rifunze, cyangwa rigapfukama mu buryo budasubirwaho. Nugerageza kurishyiramo uburemere, ivi rizagenda. Iyo risubiye mu mwanya waryo, ushobora kugenda, ariko hazabaho ububabare no kubyimba. Rero gukoresha imbago ni bwo buryo bwiza.
Gucika kw'ivi bishobora gutera ubwoba kandi bibabaza. Ariko iyo uvuwe neza kandi ugakira neza, ushobora gukira neza ugasubira mu buzima bwawe busanzwe no mu mikino. Icy'ingenzi ni ugukurikiza amabwiriza ya muganga.
Ubutumwa bwo kujyana mu rugo
- Kuvunika kwa Patella ni igihe ivi riva mu mwobo waryo usanzwe.
- Ibi birababaza cyane, kandi icyo gihe ntibishoboka gushyira ibiro ku kuguru no kugenda.
- Nubwo agapfukamunwa k'ivi kakongera gusubira mu mwanya wako, ugomba kujya kwa muganga kugira ngo arebe niba hari imvune zo mu nda cyangwa imitsi yangiritse.
- Ubuvuzi burimo kuruhuka, kwambara igitambaro cyo gupfuka amaguru, no kuvura umubiri. Mu bihe bimwe na bimwe, kubagwa bishobora kuba ngombwa.
- Kugira ngo hirindwe ko ibi bitazongera kubaho, ni ngombwa cyane gukora imyitozo ngororamubiri ikwiye no gukomeza imitsi ikikije ivi.
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