Kuki rimwe na rimwe amagufwa avunika n'ikintu gito cyane? (Ivunika ry'indwara) Reka tubyigeho.

Tekereza ko uri mu nzu yawe maze ikirenge cyawe kigafatwa n'imfuruka y'itapi cyangwa intambwe nto. Cyangwa se reka tuvuge ko ukubise ukuguru kw'intebe cyane. Ubusanzwe, igufwa rinini mu kuboko kwacu cyangwa ku kuguru kwacu ntirivunika bitewe n'ikintu nk'icyo, si byo se? Ariko, amagufwa ya bamwe aba afite intege nke gato, bityo n'ikintu gito nk'icyo gishobora kuyavuna. Ibyo nibyo tuvuga uyu munsi (Pathologic Fracture).

Iki ni iki (Pathologic Fracture)?

Muri make, kuvunika kw'amagufwa ni ukuvunika kw'amagufwa . Ariko ibi ntibibaho gusa. Amagufwa yawe yacitse intege bitewe n'indi ndwara mu mubiri wawe, bigatuma ashobora kuvunika kurusha amagufwa asanzwe. Hari igihe abaganga babyita kandi ko ari ukuvunika kw'amagufwa.

Tekereza gato, kugwa gusanzwe, impanuka nto mu gihe ukina siporo, cyangwa se ingaruka nke umubiri ushobora kwihanganira, bishobora gutera kuvunika kw'amagufwa ku muntu ufite intege nke. Ni nk'igice cy'igiti cyaboze gishobora kuvunika nubwo cyaba gishyizwemo igitutu gito cyane.

Ni ubuhe bwoko bw'amagufwa bwibasirwa cyane n'ibi?

Iyi ndwara, yitwa fracture ya pathologic, ishobora kuba mu igufwa iryo ari ryo ryose mu mubiri. Ariko, ikunze kugaragara mu magufwa asanzwe akomeye cyane kandi adacika byoroshye . Urugero:

• Udukoko tw'umugongo : Aya ni amagufwa mato agize umugongo wacu.
• Igituza
• Humerus : Iri ni igufwa riri mu gice cyo hejuru cy'ukuboko kuva ku rutugu kugeza ku nkokora.
• Femur : Igufwa rirerire kandi rikomeye mu mubiri wacu.
• Tibia : Igufwa rinini ry'ukuguru kuva mu ivi kugeza ku kaguru.
• Fibula : Igufwa rito rigenda ribangikanye n'agace k'umugongo.

Ubusanzwe, nubwo waba unyerera gato mu gihe ukora imirimo yo mu rugo cyangwa ugatakaza uburinganire bwawe mu gihe umanuka ingazi, aya magufwa manini yo mu maboko no mu maguru yacu ntabwo akunze kuvunika. Ariko, niba ufite ikibazo cy’uburwayi gituma amagufwa yawe acika intege, ndetse n’ikibazo gito nk’icyo gishobora gutera kuvunika kw’umubiri .

Hari igihe, kubagwa bishobora kuba ngombwa kugira ngo igufwa ryavunitse risanwe. Cyangwa, kubagwa bishobora kuba ngombwa kugira ngo hirindwe kuvunika mbere yuko bibaho. Muganga wawe azagusaba ubundi buryo bwo kuvura indwara ituma amagufwa yawe acika intege. Igihe bifata kugira ngo gukira giterwa n'igufwa ryavunitse n'icyabiteye.

Ni ibihe bimenyetso by'indwara yo kuvunika kw'inyuma?

Ibimenyetso by'indwara yo kuvunika bisa cyane n'iby'indwara isanzwe yo kuvunika. Ni ibi bikurikira:

• Ububabare : Ububabare bukomeye kandi budashobora kwihanganira bushobora kubaho.
• Kubyimba : Aho igufwa ryavunitse hazabyimba.
• Ububabare: Ububabare bugaragara iyo umuntu abikozeho cyangwa akandagiye.
• Kudashobora kwimuka nk'uko bisanzwe : Igice cy'umubiri cyafashwe ntigishobora kwimurwa cyangwa ngo gikoreshwe nk'uko bisanzwe.
• Gukomereka cyangwa guhindura ibara ry'uruhu : Hari igihe bishobora kugaragara nk'ubururu/umuhengeri.
• Ubusembwa cyangwa ikibyimba : Ishusho cyangwa ikibyimba kidasanzwe gishobora kugaragara aho cyavunitse.

Igikuru ni uko nubwo waba ufite ibi bimenyetso, ugomba gushaka inama kwa muganga kugira ngo umenye neza niba ari Pathologic Fracture cyangwa atari yo, ndetse n'impamvu itera.

Kuki ibi bibaho? (Impamvu zo kuvunika kw'indwara)

Impamvu nyamukuru itera kuvunika kw'amagufwa, utabizi, ni uko umubiri wawe ufite ikibazo cy'uburwayi gituma amagufwa yawe acika intege mu buryo budasanzwe . Impamvu ebyiri z'ingenzi zibitera ni indwara ya osteoporosis na kanseri y'amagufwa.

Bitewe n'indwara yo gucika kw'amagufwa (osteoporosis)

Osteoporose ni indwara aho amagufwa agenda agira imyenge kandi agacika intege . Ni nk'aho yakuwemo imbere. Ibi bituma amagufwa adakomera kandi ashobora kuvunika cyane. Abantu benshi bamenya ko bafite osteoporose gusa iyo bavunitse igufwa. Ibi biterwa nuko nta bimenyetso bigaragara by'iyi ndwara bigaragara mu ntangiriro .

Abagore n'abantu barengeje imyaka 65 bafite ibyago byinshi byo kurwara indwara ya osteoporosis. Ushobora kuba warumvise ko ba sogokuru na ba nyogokuru bavunika ukuboko cyangwa ukuguru nubwo bagwa gato. Imwe mu mpamvu nyamukuru zibitera ni indwara ya osteoporosis.

Bitewe n'ibibyimba by'amagufwa cyangwa ibisebe

Ikibyimba ni urusobe rw'uturemangingo tudasanzwe tuba ahantu hose mu mubiri wacu. Zimwe muri zo zishobora kuba kanseri (zifite ubukana), mu gihe izindi zishobora kuba zitari kanseri (zifite ubukana). Ibisebe mu magufwa si ibibyimba bikomeye, ahubwo ni uturemangingo tudasanzwe dutuma igufwa ricika intege.

Gucika kw'igufwa (Pathologic Fracture) bishobora kubaho iyo ikibyimba cyangwa igisebe kivutse mu igufwa, cyangwa iyo gikwirakwira mu igufwa giturutse ahandi. Hanyuma imiterere n'imbaraga by'igufwa biragabanuka.

• Ibibyimba bibi: Iyo urwaye kanseri y'amagufwa (sarcoma), ishobora gukura mu igufwa ubwaryo. Ariko, ni ibisanzwe ko kanseri ikwirakwira mu magufwa iturutse mu kindi gice cy'umubiri (urugero: ibere, ibihaha, prostate) (igufwa rihinduka).
• Ibibyimba by'amagufwa bitameze neza: Ibi ni ibibyimba bidafite uturemangingo twa kanseri, ahubwo bikurira mu magufwa. Hari ubwoko butandukanye. Ubwo bwoko bwose muri ubu bushobora gutuma igufwa ricika intege (pathologic fracture).

Ni gute wasuzuma neza iyi ndwara?

Umuganga azagusuzuma indwara yo kuvunika kw'umubiri.Hakorwa isuzuma ry’umubiri n’ibizamini bitandukanye byo gufata amashusho .

Nibura kimwe muri ibi bizamini bizakorwa kugira ngo hasuzumwe igufwa ryawe ryakomeretse n'ibikikije:

• Imirasire ya X : Iyi ishobora kwerekana neza ko amagufwa yavunitse.
• MRI Scan (MRI - Magnetic Resonance Imaging) : Ibi bigufasha kubona amagufwa atari gusa, ahubwo no kureba ingingo zoroshye zikikije n'ibindi nk'ibibyimba.
• Isuzuma rya CT (Isuzuma rya Tomography ryakozwe ku magufwa) : Ibi bishobora kandi gutanga amashusho arambuye y'amagufwa n'ingingo zikikije.

Bitewe n'icyateye kuvunika, ushobora gukenera gukorerwa ibindi bipimo. Urugero:

• Gupima amaraso ya kanseri : Reba ibimenyetso bya kanseri.
• Isuzuma ry'umubiri : Gufata urugero ruto rw'ingingo cyangwa ingingo hanyuma ukayisuzuma ukoresheje mikorosikopi.
• Ikizamini cy'ubucucike bw'amagufwa (DXA scan) : Ibi ni ingenzi cyane kugira ngo harebwe niba hari indwara ya osteoporosis.

Wavura ute (Pathologic Fracture)?

Uburyo bwo kuvura igufwa ryavunitse buterwa n'igufwa ryavunitse n'icyari cyabiteye . Kimwe n'izindi mvune zose, uburyo bukurikira bwo kuvura ivunitse ryavunitse bukoreshwa:

• Kudakora neza: Ushobora gukenera kwambara igufwa cyangwa agapira k'inyuma. Igihe uzakenera kwambara bizaterwa n'ubwoko bw'igufwa ryavunitse. Abantu benshi bazakenera kwambara igufwa mu gihe cy'ibyumweru byinshi. Ushobora kandi gukenera gupimwa X-ray kugira ngo urebe ko igufwa riri gukira neza.
• Kubagwa: Hari imvune zimwe na zimwe ziterwa n’uburwayi zisaba kubagwa. Umuganga ubaga `ashyira` igufwa ryavunitse akarishyira mu mwanya waryo kugeza rikize kandi rikongera kubana. Uburyo bukunze gukoreshwa cyane ni `gushyira imbere`. Ibi bivuze ko umuganga ashyira ibyuma, vis, cyangwa udupira mu igufwa. Hari igihe ibi bishobora kuguma mu mwanya wabyo ubuzima bwose. Hari abantu bashobora gukenera ubundi bubagwa kugira ngo babikuremo nyuma.
• Ubuvuzi bushingiye ku mirasire: Iyo muganga abonye ikibyimba cyangwa igisebe mbere yuko igufwa rivunika, ubuvuzi bushingiye ku mirasire bushobora gutangwa kugira ngo busenye. Ubu buvuzi butuma igufwa rikura nabi kandi bugatuma uturemangingo tw’amagufwa tuzima twongera gukura. Ubuvuzi bushingiye ku mirasire bushobora kandi gutangwa nyuma yo kubagwa ku ndwara yavunitse iterwa na kanseri y’amagufwa.
• Kuvura ikibazo cy’ibanze: Ibi ni ingenzi cyane.Ushobora kandi gukenera ubundi buryo bwo kuvura indwara cyangwa ikibyimba cyateye kuvunika. Urugero, niba urwaye kanseri, uzakenera gukorana n'umuganga w'indwara zo mu bwoko bwa kanseri. Muganga wawe azagusobanurira icyo witeze n'ubwoko bw'ubuvuzi uzakenera.

Izindi ngorane zishobora guterwa no kuvunika kwa Pathologic

Kuvunika kw'indwara, kimwe n'izindi mvune, bishobora gutera ingorane zimwe na zimwe. Zimwe muri zo ni:

• Indwara yo mu cyumba cy’umubiri ikabije (ACS): Ibi bibaho igihe umuvuduko uri mu mitsi wiyongera kandi amaraso agaca mu mubiri. Ibi bishobora kwangiza imitsi n’imitsi burundu.
• Malunion: Iyo amagufwa yavunitse adahuye neza mu gihe cyo gukira.
• Kutagira aho bihurira: Igufwa ritaragaruka neza cyangwa igice cyaryo.

Bifata igihe kingana iki kugira ngo (Pathologic Fracture) ikire?

Igihe bifata kugira ngo imvune ya Pathologic ikire giterwa n'ibintu byinshi:

• Ni irihe gufwa ryavunitse?
• Ni iki gitera kuvunika kw'amagufwa?
• Ni ubuhe bwoko bw'ubuvuzi wari ukeneye?
• Ese hari izindi mvune wagize?

Akenshi bifata amezi menshi kugira ngo igufwa ryavunitse rire. Vugana na muganga wawe cyangwa umuganga wawe ku gihe gikwiye ku kibazo cyawe. Igihe cyo gukira kizaterwa n'indwara yateye kuvunika. Ndetse na nyuma yuko igufwa ryavunitse rirakira, indwara nka osteoporosis, ibibyimba by'amagufwa bidakomeye, cyangwa kanseri zishobora gusaba igihe cy'inyongera kugira ngo zivurwe.

Ese ubwo bwoko bw'imvune bushobora kwirindwa?

Yego, bishobora kwirindwa ku rugero runaka. Niba muganga wawe ashobora kubona ikibyimba, igisebe, cyangwa ibimenyetso bya osteoporosis mbere yuko igufwa rivunika, hari amahirwe menshi y'uko kuvunika kw'indwara bishobora kwirindwa. Hari igihe, ibibyimba n'ibindi bintu bituma amagufwa adakomera bishobora gutera ububabare mbere yuko igufwa rivunika. Ibi byitwa "imvune y'indwara igiye kurangira," bivuze "imvune y'igufwa ishobora kubaho vuba." Niba wumva ububabare bushya bw'igufwa , hita ubonana na muganga.

Hari igihe kubagwa (byitwa prophylactic fixation) bishobora gukorwa kugira ngo ikibyimba cyangwa igisebe gikureho mbere yuko igufwa rivunika. Niba ufite indwara ya osteoporosis cyangwa indi ndwara igira ingaruka ku bucucike bw'amagufwa, muganga wawe ashobora kukugira inama yo gukoresha imiti n'ubundi buryo bwo kuvura kugira ngo ukomeze amagufwa yawe kandi ugabanye ibyago byo kuvunika.

Ni ngombwa kwisuzumisha kwa muganga rimwe mu mwaka (cyangwa kenshi nk'uko muganga agusaba).Nanone, niba ugaragaje ibimenyetso bishya, nko kubabara hafi y'igufwa cyangwa ububabare iyo urikandagiyeho, bwira muganga wawe ako kanya. Niba ubona ko uri mu kaga, baza muganga wawe ibijyanye no gupima kanseri cyangwa isuzuma ry'ubucucike bw'amagufwa, rishobora kugaragaza indwara ya osteoporosis hakiri kare.

Ni ryari ugomba guhita ujya kwa muganga? (Mu gihe cy'impanuka)

Niba utekereza ko wavunitse igufwa, cyane cyane niba ufite ibi bimenyetso, jya mu cyumba cy’ubutabazi bwihuse :

• Ububabare bukabije cyane.
• Niba udashobora kwimura igice cy'umubiri wawe.
• Niba igice cy'umubiri gisa n'ikidasanzwe, cyangwa gisa n'aho kitari mu mwanya wacyo.
• Niba igufwa rigaragara binyuze mu ruhu.
• Niba hari kubyimba.
• Niba hagaragaye ibikomere bishya hamwe n'ibi bimenyetso.

Ibibazo byo kubaza muganga wawe

Ushobora kubaza muganga wawe ibibazo nk'ibi:

• Ni irihe gufwa ryavunitse?
• Ese iyi ni Pathologic Fracture cyangwa ubundi bwoko bw'imvune?
• Ese nkeneye ubundi buvuzi?
• Ni iyihe ndwara yateye iyi ndwara yo kuvunika?
• Ese mfite kanseri?

Kumena igufwa bihora biteye ubwoba. Bishobora gutera ubwoba kurushaho iyo bibayeho bitewe n'indwara utazi. Muganga wawe azagusobanurira icyateye kuvunika kw'igufwa, uburyo wafasha umubiri wawe gukira, n'uburyo bwo kuvura bukenewe kugira ngo hagenzurwe impamvu nyamukuru.

Ntukigere utinya kubaza ibibazo. Uko urushaho gusobanukirwa ubuzima bwawe, niko urushaho kugira icyizere cyo guhangana n'ibiri imbere.

Amaherezo (Ubutumwa bwo kujyana mu rugo)

Indwara yo kuvunika kw'amagufwa ni indwara ikomeye cyane. Ariko, ishobora gukemurwa no gusuzumwa neza no kuvurwa . Ikintu cy'ingenzi ni ukwita ku buzima bw'amagufwa yawe no gushaka abaganga niba ubonye ibimenyetso bidasanzwe. Vugana na muganga wawe neza, ubaze ibibazo byawe, kandi ukurikize gahunda yawe yo kuvura. Uzashobora guhangana n'iyi ndwara neza.

` Kuvunika kw'indwara, Kuvunika kw'amagufwa, Amagufwa adakomeye, Amagufwa yo mu bwonko, Ikibyimba cy'amagufwa, Kanseri y'amagufwa, Ubuzima bw'amagufwa