Ese ivi ryawe riturika hano na hariya? (Patellar Subluxation) Reka tubiganireho!

Ese wigeze wumva umupfundikizo wawe w'ivi urimo gucika mu mwanya wawe igihe wirukaga, uzamuka ingazi, cyangwa uhagaze gusa? Ibi bishobora gutuma umupfundikizo wawe ubabara, ukabyimba, kandi bikakugora kugenda. Ibi bishobora kuba ibintu bitoroshye rimwe na rimwe. Rero, uyu munsi tugiye kuvuga kuri uku gucika umupfundikizo w'ivi, indwara yitwa "Patellar Subluxation".

Iyi pfundo ry'ivi rigenda ritembera hano na hariya (Patellar Subluxation) ni iki?

Mu magambo make, "Patellar Subluxation" ni igihe ivi ryawe, igice twita "Patella" mu buvuzi, riva mu mwanya waryo ukwiye. Iyi ni "Patellar Dislocation", ntabwo yakwitiranywa no kuva mu mwanya wuzuye w'ivi. Muri "Dislocation", ivi riva mu mwobo waryo burundu.

Tekereza ko agapfukamunwa k'ivi, cyangwa patella, hagati y'igufwa ryawe ry'ikibero (Femur) n'igufwa ry'uruti rw'umugongo (Tibia), gakunze kumanuka no hejuru mu mwobo uhagaze witwa trochlear groove. Ni nk'imodoka igenda mu nzira. Mu gihe cyo gupfukamunwa, agapfukamunwa k'ivi kava mu mwobo igihe gito hanyuma kagasubira aho kari kari . Akenshi, agapfukamunwa k'ivi kamanuka kajya hanze y'ukuguru, ariko rimwe na rimwe gashobora kunyerera kajya imbere.

Ibi bishobora kubabaza cyane kandi bigatuma kugenda bigorana. Gusubiramo patellar subluxation bishobora gutera rubagimpande, kwangirika kwa cartilage, ndetse no kudahindagurika kw'ivi muri rusange . Ibi bishobora gutera ibindi bibazo by'ivi. Nubwo patellar dislocation yasubira mu mwanya wayo, ni ngombwa kujya kwa muganga kugira ngo avurwe.

Ni ibihe bimenyetso by'indwara ya "Patellar Subluxation"?

Iyo ivi ritangiye gukubita, ushobora kubona ibimenyetso nk'ibi:

• Ubusembwa bugaragara inyuma y'ivi (hari igihe ivi rishobora kugaragara rihengamye ku ruhande rumwe).
• Ububabare bukomeye mu ivi.
• Kubyimba ivi .
• Kumva cyangwa kumva ijwi rya "click" cyangwa "pop" riva mu ivi.
• Kumva nk'aho ivi ririmo kugongwa, cyangwa "rifunze" .
• Kudakomera kw'ivi, nk'aho ivi "ririmo kunyeganyega".
• Kugorwa no kuzamuka no kumanuka ku madarajya, cyangwa kwicara ku ntebe .
• Kumva nk'aho ivi "rigiye gucika intege" cyangwa "gucika intege."

Iyo ufite "Patellar Subluxation", ivi ryawe rikomeza kugenda mu mwobo ku rugero runaka, bityo ushobora kugenda. Ariko rishobora kumererwa nabi cyane kandi ridatekanye. Ushobora kandi kumva ijwi rya "click" iyo ivi ryawe rigenda.

Ni izihe ngorane cyangwa ingaruka z'igihe kirekire z'iyi ndwara?

Iyi ndwara yitwa ``Patella Subluxation``Ni ikintu gishobora kugaruka kenshi. Nanone, akenshi gishobora kugera kuri "Dislocation" yuzuye, bivuze ko ivi ritameze neza. Byongeye kandi, uku kudakomera kw'ivi bishobora kwangiza karitsiye . Uko igihe kigenda gihita, ibi bishobora gutera indwara ya osteoarthritis yo mu ivi.

Tekereza, hari umukobwa witwa Nisal, uri mu ikipe y'ishuri ya netball. Umunsi umwe, ubwo yakoraga imyitozo, yahindukiye azunguza ivi rye gato, maze ijwi rye rigira riti "kanda", yumva nk'aho ivi rye ryari ryagiye ku ruhande. Nyuma y'igihe runaka, yumvise nk'aho ryasubiye ku buryo busanzwe, ariko ivi rye ryatangiye kubabara no kubyimba. Ntiyabyitayeho cyane. Ariko nyuma, ivi rye ryatangiye "gushira" igihe cyose, kandi ntiyashoboraga no gukina. Ni bwo yamweretse muganga gusa yamenye ko ari "Patellar Subluxation", kandi ko hari ibyangiritse ku gatsiko k'imitsi.

Ni izihe mpamvu za `(Patellar Subluxation)`?

Kenshi na kenshi, impamvu nyamukuru ituma ivi risohoka gutyo ni imvune . Urugero, gukubitwa ku ivi bitaziguye. Iyi ndwara ikunze kugaragara cyane ku bantu bakina imikino ikomeye, nko gukina umupira w'amaguru . Bishobora kandi kubaho niba ukuguru kwawe ko hasi gushinze neza hasi kandi ivi ryawe rigahinduka rigahinduka imbere cyangwa inyuma.

Byongeye kandi, iyo imitsi n'imitsi yo mu ivi idafite imbaraga muri rusange (patellar instability) , bishobora no gutera patellar subluxation.

Ni ibihe bintu bishobora gutera Patellar Subluxation?

Nubwo iyi ndwara ishobora kwibasira umuntu uwo ari we wese, ikunze kugaragara cyane ku bantu bafite imitsi y'amaguru idakomeye kandi bafite imitsi idafite imbaraga . Ikunze kandi kugaragara cyane ku bantu bakurikira:

• Abantu bari hagati y'imyaka 10 na 20 (cyane cyane abakinnyi bakiri bato).
• Abantu bakora cyane ku mubiri .
• Abagore (abakobwa bafite amahirwe make yo kurwara iyi ndwara).
• Abakinnyi cyangwa abakunda gukina siporo.
• Abantu barebare kurusha ikigereranyo .

Niba warigeze kubagwa mbere kubera gucika kw'ivi cyangwa gucika igice cy'ivi ryawe, ushobora kongera kugira iyi ndwara.

Ni gute wasuzuma `(Patellar Subluxation)`?

Iyo ugiye kwa muganga, bazagusuzuma . Bazakunamira, bakugorore ukuguru, bakore ku ivi ryawe. Bazakubaza ibimenyetso byawe n'ibyabaye mbere yuko ivi ryawe riva.

Muganga ashobora kandi gukora ibizamini byihariye (subluxation tests) ku gapfukamunwa k'ivi ryawe. Ashobora kandi gukora ibizamini bimwe na bimwe byo gufata amashusho , nka:

• X-ray y'iviIkizamini.
• Ikizamini cya MRI scan `(MRI Scan)` .
• Gupima CT ni ikizamini.

Indwara ya Patellar Subluxation ivurwa ite?

Muganga wawe azabanza kugerageza uburyo bwo kuvura ibi bitari ukubaga , cyane cyane niba ari ubwa mbere ibintu nk'ibi bikubayeho. Uburyo bwo kuvura utari ukubaga burimo:

• Uburyo bwa RICE: Ibi bivuze:
• `Kuruhuka`: Kuruhuka ivi.
• `Urubura`: Gushyira urubura mu kugabanya kubyimba no kubabara.
• Gukanda: Gupfuka igitambaro gifunganye ku ivi kugira ngo ugabanye kubyimba.
• Kuzamuka: Gukomeza kuzamuka kw'ukuguru kugira ngo ugabanye kubyimba.
• NSAID: Iyi ni imiti igabanya ububabare itari steroide (NSAIDs), ikaba ari imiti igabanya ububabare n'imiti igabanya ububabare. Urugero, ibuprofen (Advil®).
• Kudakora: Bitewe n'uburemere bw'imvune, igitambaro cyo gukingira ivi cyangwa icyuma gishobora gukoreshwa kugira ngo ivi rigume ritameze neza.
• Imfasha ngendo/gutembera: Ushobora gusabwa gukoresha inkoni, inkoni, cyangwa agakoresho ko kugenda kugira ngo ugabanye umutwaro ku mavi yawe. Ushobora kandi gusabwa gukoresha agakoresho gafasha mu mavi, nka J-brace, cyangwa agakoresho gafasha mu gutuza patella.
• Inkweto zidasanzwe zo mu mavi: Ushobora kugirwa inama yo gukoresha inkweto cyangwa insoles byabugenewe kugira ngo ugabanye umuvuduko ku ivi.
• Ubuvuzi bw'umubiri: Ibi ni ingenzi cyane mu gukomeza no kunagura imitsi ikikije ivi, ndetse no kunoza kuringaniza (proprioception).

Niba ibimenyetso byawe bitameze neza nyuma y'amezi menshi, cyangwa niba waragize patellar subluxation inshuro zirenze imwe, muganga wawe ashobora kukugira inama yo kubagwa . Ubundi buryo bwo kubaga burimo:

• Kurekura Ivi: Ibi bikubiyemo gukata igice cy'ivi cyitwa ``Lateral Retinaculum'' no gukosora aho umutwe w'ivi uherereye (``Patella Positioning''). Ibi bikorwa hamwe n'ubundi buryo bwo kongera kubaka.
• Gusana Imitsi yo mu ivi (Medial Patellofemoral Ligament - MPFL): Kubaga kugira ngo hakorwe kandi hakomezwe imitsi ifasha kugumana igipfundikizo cy'ivi mu mwanya wacyo.
• Kuvugurura MPFL: Ubu ni ukubaga arthroscopic, bivuze ko bikorwa binyuze mu gukata uduce duto hakoreshejwe kamera. Muri ibi, igice cy'imitsi yawe yo mu kibuno gikurwa inyuma y'ikibero cyawe hanyuma umugozi wo hagati wa patellofemoral ukongera kubakwa.
• Osteotomy:Ibi bikubiyemo gukata igufwa ryawe ry'uruti rw'umugongo (Tibia) mu mfuruka zimwe na zimwe no guhindura igufwa ry'uruti rw'umugongo, ivi, igufwa ry'ikibero, n'ingingo zihuza amaguru.

Ni ryari ngomba kujya kwa muganga?

Niba utekereza ko ushobora kuba ufite "Patellar Subluxation", bivuze ko ufite ibimenyetso nk'ibi, ugomba kujya kwa muganga:

• Ububabare no kubyimba .
• Kudashobora kwikorera ibiro hasi ukoresheje ibirenge .
• Urusaku "rukokoma" cyangwa "rukokoma" mu ivi.
• Agapfukamunwa k'ivi gashobora kugaragara cyangwa kumvikana nk'aho kavuye mu mwobo .

Wibuke ko nubwo waba ubona ko ingofero yawe yo mu ivi yasubiye mu mwanya wayo, ni ngombwa kujya kwa muganga. Iyo idavuwe neza, ibi bishobora kwiyongera kandi bigatera ibibazo bikomeye nyuma.

Ni ibihe bibazo ngomba kubaza muganga?

Iyo ugiye kwa muganga, ushobora kubaza ibibazo nk'ibi:

• Ni ubuhe buryo bwo kuvura usaba?
• Ese nkeneye kubagwa?
• Ni amahirwe angahe yo kongera kugira iyi ndwara?
• Nakora iki kugira ngo wirinde ko ivi ryanjye rivamo gutya ukundi?

Bifata igihe kingana iki kugira ngo umuntu akire indwara ya "Patellar Subluxation"?

Igihe bifata kugira ngo umuntu akire iyi ndwara giterwa n'ibintu byinshi:

• Ese iyi ni yo subluxation yawe ya mbere, cyangwa ni ukwisubiramo ?
• Uburemere bw'indwara yawe .
• Ni ubuhe bwoko bw'ubuvuzi wahawe ?

Niba ari ubwa mbere urwaye indwara yo kubabara, ntabwo ari ikibazo gikomeye cyane, kandi ntukeneye kubagwa, ugomba gukira neza mu byumweru bine kugeza kuri bitandatu . Muganga wawe akunze kukugira inama yo kuvura indwara zo mu mubiri. Umuganga wawe w’umubiri ashobora kuguha igihe runaka.

Niba waragize subluxation nyinshi, imvune ikomeye, cyangwa kubagwa, igihe cyo gukira kizaba kirekire . Ugomba kuba ushobora gusubira mu bikorwa byoroheje mu byumweru bitandatu kugeza ku munani. Ariko, bishobora gufata umwaka cyangwa irenga mbere yuko usubira mu mikino.

Nigute nakwirinda Patellar Subluxation?

Ibyinshi mu bikomere bya patellar subluxations biterwa n'imvune, bityo ntidushobora kubikumira byose. Ariko hari ibyo ushobora gukora kugira ngo ukomeze kugira urugingo rukikije umupfundikizo wawe rukomeye. Dore bimwe mu byo ushobora gukora kugira ngo wirinde ko umupfundikizo wawe usohoka:

• Kora imyitozo ngororamubiri ikomeza imitsi yose yo mu maguru yawe .
• Kwambara udupira two mu mavi mu gihe ukina siporo yo mu bwoko bwa contact.
• Niba warigeze gukomereka mu ivi, kwambara ikariso yo mu ivi bishobora gufasha kwirinda kongera gukomereka.
• Niba muganga wawe yagundikiye ubuvuzi bw'umubiri, kurikiza ayo mabwiriza neza .

Ubutumwa bwo kujyana mu rugo

Kugabanya ururenda mu ivi bishobora kuba ikibazo kibabaza cyane kandi kibabaza. Bishobora gutuma ururenda mu ivi rwawe rudakora neza. Ushobora kongera gushyira ururenda mu ivi ryawe, ariko ugomba kujya kwa muganga . Kuko, uko igihe kigenda gihita, ubwo bwoko bwa "subluxations" bushobora gutuma ucika burundu mu ivi. Muganga wawe ashobora kugufasha kwirinda ko ibi bibaho. Ashobora kukugira inama y'uburyo bwiza bwo kuvura kugira ngo ukomeze ivi ryawe kandi rikugarure mu nzira nziza. Niba rero ufite ikibazo mu ivi, ntukirengagize, ni byiza gushaka inama kwa muganga ako kanya!

" Patellar subluxation", kuvunika kw'ivi, kubabara ivi, kudahagarara neza kw'ivi, indwara z'ivi, ubuvuzi bw'umubiri, kubagwa ivi