Ese nawe ufite ububabare inyuma y'akaguru kawe? Bishobora kuba ari ugucika kw'imitsi yo mu kanwa (Peroneal Tendon Tear)!

Ese wigeze wumva ububabare butunguranye inyuma y'akaguru kawe mugihe ugenda, wiruka, cyangwa ukina siporo? Cyangwa se inyuma y'akaguru kawe hamaze igihe wumva udasanzwe kandi ubabara? Wenda wumva ukuguru kwawe kwabuze igenzura, nk'aho "kwabuze ingingo" iyo ugenda. Impamvu imwe ishobora kuba kwangirika kw'ingingo ebyiri zihariye mu kaguru kawe. Reka tubiganireho birambuye uyu munsi.

Gucika kw'umutsi w'inyuma (Peroneal Tendon Tear) ni iki?

Mu magambo make, gucika kw'imitsi yo mu kirenge ni igihe umwe cyangwa yombi mu mitsi yo mu kirenge yangiritse. Hari imitsi ibiri mu kirenge cyawe, yitwa peroneal brevis na peroneal longus. Iyi mitsi ni nk'imitsi ikomeye. Iyi ni imitsi yo mu kirenge cyawe cyo hasi ihuza n'amagufwa yo mu kirenge cyawe. Ifasha kandi mu gutuma ikirenge cyawe n'akaguru kawe bikomera. Iherereye inyuma y'igufwa ry'akaguru no ku ruhande rw'ikirenge cyawe.

Tekereza kuri uyu mutsi nk'umukandara w'inyuma. Iyo urambuye cyane, cyangwa hagakoreshwa imbaraga zitunguranye, ushobora gucika, sibyo? Ibyo nibyo bibaho hano.

Kuki ibi bigoye gato kubimenya?

Akenshi, gucika kw'imitsi yo mu kirenge bibaho hamwe n'izindi mvune zo mu kirenge. Urugero, iyo ukuguru kwawe guhindukiye imbere mu buryo butunguranye (tubyita imvune yo mu kirenge), imitsi yo mu kirenge cyawe ishobora gucika, bigatuma akaguru kavunika. Muri ibyo bihe byombi, ushobora gutekereza ko ububabare buturuka ku karenge kavunika gusa. Kubwibyo, gucika kw'imitsi yo mu kirenge bishobora kwihisha inyuma y'izindi mvune, ariyo mpamvu rimwe na rimwe bishobora kugorana kuzisuzuma.

Niyo mpamvu, niba urwaye ububabare bw'akaguru budashira, ari ngombwa cyane kubonana na muganga ufite imyitozo yihariye ku bibazo by'ibirenge n'akaguru.

Ushobora kubonana n'umuganga w'amaguru, umuganga w'imikino, cyangwa umuganga w'amagufwa . Bazasuzuma ikirenge cyawe neza, bamenye ikibazo, hanyuma baguhe uburyo bwo kuvura bukwiye.

Ubwoko bw'amarira y'imitsi yo mu bwoko bwa Peroneal Tendon

Aya marira y'imitsi ashobora kugabanywamo ubwoko bubiri bw'ingenzi:

Amarira akabije

Ibi bibaho mu buryo butunguranye. Tekereza uri kwiruka, umanuka ku madarajya, cyangwa ukina siporo hanyuma ukuguru kwawe kukajya imbere mu buryo butunguranye. Muri ako kanya, akaguru kawe kagomba gukoresha imbaraga nyinshi kuri izi '(Peroneal Tendons)' kugira ngo kagororoke. Iyo bibaye, umutsi ushobora kurambuka cyane ugacika. Akenshi, mu gihe habayeho '(Acute Tear)' nk'iyi, wibuka neza igihe n'uko byagenze.

Amarira adakira

Izi ni zo mvune zikunze kugaragara cyane. Ushobora no kutibuka ko wavunitse akaguru cyangwa wagakomeretse. Aya marira agenda buhoro buhoro, uko igihe kigenda gihita, bitewe n'igitutu gihoraho no gukanda imitsi (gukoresha cyane). Urugero, muri siporo zimwe na zimwe (tekereza nko kwiruka intera ndende cyangwa kubyina), ibi bishobora kubaho iyo ukomeje gukora ingendo zimwe. Ububabare bwo ku kaguru bushobora kugabanuka igihe runaka, hanyuma bukagaruka. Ushobora no kutamenya icyabuteye.

Gushyira mu byiciro hakurikijwe imiterere y'irira (Uburemere)

Abaganga kandi bashyira aya marira y'imitsi mu byiciro hakurikijwe uburemere bwayo:

• Icyiciro cya 1 (Cyoroshye): Iki ni igihe umutsi uba warambutse gato kuruta uko bisanzwe, ariko ukaba ushobora gufata ikirenge cyawe n'akaguru kawe. Ushobora kumva ububabare no kubyimba.
• Icyiciro cya 2 - Giciriritse: Iki ni igice cy'umutsi w'amaguru ucika. Hariho ububabare n'ibibyimba. Hashobora kubaho gutakaza ubushobozi bwo gukomera kw'ikirenge kugeza ku gipimo.
• Icyiciro cya 3 - Gikomeye: Iki ni cyo gihe umutsi uba wacitse burundu. Abaganga nabo babyita "Gucika". Ibi bivuze ko umutsi uba ugabanyijemo ibice bibiri. Gucika burundu nk'uku akenshi bisaba kubagwa.

Ushobora gukata umwe cyangwa yombi muri '(Peroneal Tendon)' yawe. Akenshi, abantu bakata '(Peroneal Brevis Tendon)'.

Ubyumva ute iyo umutsi w'imbere ucitse? (Ibimenyetso)

Muri iki gihe, ushobora kugira ibimenyetso nk'ibi:

• Ububabare ku kaguru k'inyuma. Mu gihe habayeho gucika buhoro buhoro (Chronic Tear), ubu bubabare bushobora kumara iminsi mike, hanyuma bukagenda, hanyuma bukagaruka.
• Kumva udakora neza cyangwa ufite intege nke mu kaguru. Akaguru gashobora kumva "gatera" cyangwa "gatera umugongo" iyo ugenda. Ibi bigaragarira cyane cyane iyo ugenda mu muhanda urimo imigozi.
• Kubyimba. Igice cy'inyuma cy'akaguru gishobora kubyimba.
• Hari igihe ushobora kumva ububabare nubwo waba ukoze kuri ako gace.
• Ni gake cyane, ijwi ryo "gukanda" rishobora kumvikana hejuru y'imitsi.

Ni iki gitera ibi? (Impamvu)

Hari impamvu ebyiri z'ingenzi zitera gucika kw'imitsi yo mu gice cy'imbere cy'inyuma:

• Gukomereka gutunguranye ku kaguru. Urugero, gukomereka ku kaguru.
• Gukoresha cyane: Ibi bibaho iyo ukomeje gukora ingendo zimwe inshuro nyinshi, cyangwa iyo ushyize igitutu kinini kandi ukananiza imitsi igihe kirekire .

Ni ibihe bintu bishobora gutera ibyago?

Hari ibintu bimwe na bimwe bishobora kongera ibyago byo gucika kw'imitsi:

• Gukina siporo zisaba kuzunguruka vuba k'ikirenge kuva ku ruhande rumwe ujya ku rundi.Urugero, basketball, netball, football, tennis.
• Ku bantu bafite ibirenge birebire, uburyo uburemere bw'ikirenge bukwirakwira bushobora gushyira igitutu kinini ku mitsi.
• Imitsi ifunganye mu gice cy'inyuma no mu maguru yo hasi.
• Kwambara inkweto zidakwiranye. Nk'inkweto zidafite ubwishingizi, zifunganye ku kirenge, cyangwa zidakwiranye n'igikorwa kirimo gukorwa.
• Imyitozo mibi: Kudakoresha imiterere ikwiye mu gihe ukora siporo cyangwa ukina siporo.
• Kugabanuka kw'imbaraga z'imitsi uko imyaka igenda ikura nabyo bishobora kugira ingaruka.

Ingorane zishobora kubaho iyo zitavuwe

Iyo utabyitayeho neza, ibibazo nk'ibi bishobora kuvuka:

• Gukomereka mu kaguru kenshi.
• Kubabara mu kaguru/ku kirenge bikomeje.
• Kudakomera kw'ikirenge.
• Gucika kw'imitsi cyangwa Subluxation: Iki ni igihe imitsi inyerera hejuru y'igufwa riri inyuma y'akaguru . Ushobora kumva cyangwa kumva ijwi ryo "gukanda".

Abaganga bapima iki kibazo gute?

Gusuzuma iyi ndwara bitangirana no gusuzuma umubiri.

Isuzuma ry'umubiri

Muganga azakubaza kandi akore ibi bikurikira:

• Ibintu nk'ibimenyetso byawe, igihe bimaze, n'uko bigenda bikura.
• Ikirenge cyawe n'akaguru kawe bizasuzumwa neza kandi bigenzurwe niba nta bimenyetso by'imvune (kubyimba, gutukura, ububabare iyo bikozweho).
• Ikirenge cyawe n'akaguru kawe bizahindurirwa kandi bihindurirwe mu byerekezo bitandukanye.
• Bazagutera igitutu buhoro buhoro ku kirenge cyawe, bakubwire ko ugikoresha imbaraga (ibi byitwa 'ibipimo byo kwirinda').
• Kanda witonze ahantu hatandukanye h'akaguru kugira ngo umenye neza aho ububabare buturuka.

Ubu buryo bushobora gufasha muganga wawe kumenya icyateye ibimenyetso byawe. Ariko, hari ibizamini bimwe na bimwe bishobora gukenerwa kugira ngo byemezwe ko indwara yanduye kandi bigakuraho ibindi bibazo.

Ibizamini byo gushushanya bishobora gukenerwa

Muganga wawe ashobora gutegeka kimwe cyangwa byinshi muri ibi bizamini:

• Imirasire ya X-ray y'ibirenge: Kugira ngo harebwe niba hari aho byavunitse.
• Imirasire ya X-ray ku kaguru: Reba kandi ibibazo bifitanye isano n'amagufwa.
• Gupima imiterere y'imitsi yoroshye nka "tendons" n'imitsi. Ibi bishobora gufasha kumenya niba imitsi yacitse n'aho yarenze urugero.
• MRI Scan (Magnetic Resonance Imaging - MRI): Ubu ni bwo buryo bwiza bwo kubona ibintu nk'amarira y'imitsi neza. Ishobora kwerekana ibintu byinshi, nko kumera k'imitsi, ingano y'amarira, ndetse n'ibyangiritse ku ngingo zikikije.

Ibi bivurwa bite? (Ubuvuzi)

Gucika kw'imitsi yo mu gice cy'imbere cy'umubiri (peroneal tendon tendons) bivurwa hakoreshejwe uburyo bwo kwirinda gucika, kubagwa, cyangwa byombi. Niba gucika kworoheje, muganga wawe ashobora kugerageza imiti idafite aho ihuriye no kubagwa mu gihe cy'amezi make kugira ngo arebe niba bifasha. Ariko, niba gucika kw'imitsi gukomeye, cyangwa niba kwacitse burundu, kubagwa ni byo byiza kubanza kugirwa inama.

Ingamba zo kurengera ibidukikije

Ibi ni ibya:

• Gufata imiti igabanya ububabare: Iyi ishobora kugabanya ububabare no kubyimba (urugero, ibintu nka `Ibuprofen`, `Naproxen`, ariko uyifate nk'uko muganga yabigutegetse).
• Ruhuka ikirenge kandi ugabanye imyitozo ngororamubiri: Imitsi ikenera igihe kugira ngo ikire. Kubwibyo, ushobora kureka kwiruka, gusimbuka, cyangwa gukina siporo igihe runaka.
• Guhagarika ikirenge: Ibi bisaba kwambara inkweto cyangwa igitambaro cyo gukingira. Ibi bihagarika akaguru kakagenda kandi bigafasha imitsi gukira.
• Gukorana n'umuvuzi w'umubiri: Umuvuzi w'umubiri azakwigisha imyitozo ngororamubiri yihariye izagufasha kugarura imbaraga, ubworoherane, no gukora ingendo mu maguru yawe.
• Uburyo bwo kuvura indwara zisubira inyuma: Hari igihe uburyo bwo kuvura nka `(Prolotherapy)`, `(PRP Injections)` (Plasma ifite platelet-rich), `(Dry Needling)` na `(Deep Massage)` nabwo bushobora gutangwa. Ibi bitera imbaraga inzira yo gukira kw'ingingo.

Kubaga

Niba ubu buryo bwo kuvura butari ukubaga budafasha, cyangwa niba gucika kwawe gukomeye, ushobora gukenera kubagwa. Abaganga bakoresha uburyo butandukanye bwo kubaga kugira ngo basubize imikorere y'imitsi yawe. Uburyo bwiza buterwa n'ubwoko bw'ugucika kwawe (byaba ari ugucika igice cyangwa gucika burundu).

Dore bumwe mu buryo bwo kubaga:

• Gukuraho igice cyangiritse cy'imitsi no gusana igice gisigaye gizima.
• Gukuraho igice cyangiritse cy'umutsi umwe w'imbere no gufata igice gisigaye ku wundi mutsi muzima w'imbere. Abaganga kandi babyita "Side-to-side Tenodesis".
• Gufata imitsi bikubiyemo gufata umutsi muzima uvuye mu kindi gice cy'ikirenge cyawe ukawutera kugira ngo usimbuze umutsi wangiritse.
• Gusubiramo imitsi y'umubiri hakoreshejwe ingingo yakuwe ku muntu utanga ingingo (allograft).

Ingorane zishobora kubaho nyuma yo kubagwa

Nkuko bigenda mu kubagwa kose, hari ingorane zimwe na zimwe zishobora kubaho, ariko izi ntizikunze kubaho.

• Kubabara mu kaguru (bishobora kubaho kenshi).
• Kubyimba guhoraho.
• Kubura uruhu hafi y'aho baguze (bitewe no kwangirika kw'imitsi).
• Kwandura indwara yo gukata.
• Indwara yo mu mitsi miremire (DVT) (ibi ni gake cyane).

Muganga wawe azakubwira byinshi kuri izi ngaruka.

Ese ibi bizakira hatabayeho kubagwa?

Biterwa n'uburemere bw'irira. Amarira yoroheje ashobora gukira hatabayeho kubagwa. Ariko, amarira akomeye, cyane cyane iyo umutsi wacitse burundu, ashobora gusaba kubagwa.

Bifata igihe kingana iki kugira ngo umuntu akire?

Ibi biratandukanye bitewe n'umuntu ku giti cye. Hari ibintu byinshi bigira ingaruka kuri byo: ubwoko bw'ubuvuzi wahawe, ubukana bw'amarira yawe, imyaka yawe, ndetse n'ubuzima bwawe muri rusange. Rero, ni byiza kubaza muganga wawe igihe bizatwara kugira ngo ukire bitewe n'uburwayi bwawe.

Muri rusange:

• Bishobora gufata amezi agera kuri atatu kugira ngo umuntu akire nyuma yo kuvurwa atari ukubagwa.
• Niba ubaye, bishobora gufata amezi menshi kugira ngo usubire mu mirimo isanzwe (nk'ukujya ku kazi cyangwa gukina siporo).

Mu gihe cyo gukira nyuma yo kubagwa, ushobora kwitega ibi bikurikira:

• Uzatangira buhoro buhoro ushyira ibiro ku kuguru kwawe. Wenda nyuma y'ibyumweru bine, uzaba ushobora gushyira ibiro ku kuguru kwawe.
• Ubuvuzi bw'umubiri bushobora gutangira nyuma y'ibyumweru bitandatu. Uzakorana n'umuvuzi w'umubiri kugira ngo wongere imbaraga n'urwego rw'imikorere y'ukuguru kwawe. Aya masomo azagufasha gusubira mu mirimo yawe isanzwe mu mutekano.

Baza muganga wawe ibyerekeye gukira kwawe igihe kirekire n'icyo wakora kugira ngo wirinde imvune nk'izo mu gihe kizaza.

Ni gute wakwirinda indwara nk'izo? (Kwirinda)

Nubwo gucika kw'imitsi yo mu mubiri kudashobora kwirindwa buri gihe, hari ibintu byinshi ushobora gukora kugira ngo wirinde ubwoko bw'ibikomere byoroshye mu birenge n'ibindi bikomere mu mubiri wose:

• Ambara inkweto zikwiye: Hitamo inkweto zijyanye n'imiterere y'ikirenge cyawe (urugero, niba ufite ibirenge birebire), bikoroha, kandi bitanga ubufasha bwiza. Iyo inkweto zawe zasaze cyangwa ikirenge cyawe kidakora neza, zisimbuze. Nanone, wambare inkweto zijyanye n'akazi ukora. Tekereza ukuntu ari akaga gukina siporo nka tenisi, badminton, na netball bisaba kwiruka uva ku ruhande rumwe ujya ku rundi wambaye inkweto.
• Komeza gahunda y'imyitozo ngororamubiri iboneye: Twese twigishijwe kurya indyo yuzuye. Ariko twibagirwa ko gahunda y'imyitozo ngororamubiri iboneye ari ingenzi cyane. Ifasha mu kwirinda imvune. Kora gahunda ikubiyemo imyitozo ngororamubiri nko kugenda n'amaguru, imyitozo yo koroshya imikorere nka yoga, n'imyitozo ngororamubiri nk'ikoresha imigozi yo kwirinda.Mbere yo gutangira gahunda nshya yo gukora imyitozo ngororamubiri, ni byiza kuvugana na muganga kugira ngo arebe neza ko ari byiza kuri wewe.
• Shyushya mbere yo gutangira imyitozo ngororamubiri: Ntukihutire kwiruka, gusimbuka, cyangwa guterura ibyuma ako kanya. Kora ikintu nko kwiruka ahantu runaka mu gihe cy'iminota mike cyangwa kugendagenda mu ntera nke. Izi "warmups" zitegura ibice by'amaguru yawe (n'ibindi bice by'umubiri wawe) kugira ngo bikore cyane nyuma yaho.
• Komeza umuvuduko nyuma yo gukora imyitozo ngororamubiri: Ntugahagarike gukora imyitozo ako kanya. Niba uri kwiruka, hindura uko wiruka hanyuma ugende n'amaguru. Komeza umuvuduko nibura iminota 10 ukoresheje imbaraga nke kandi buhoro.
• Komeza Ubashe Kwiyoroshya: Kurambura ni kimwe mu bintu by'ingenzi ushobora gukora kugira ngo wirinde imvune. Menya uburyo bwo kurambura neza kandi ubigire akamenyero ka buri munsi.

Ni ryari ukwiye kujya kwa muganga?

Niba ufite ibimenyetso byo gucika kw'imitsi yo mu mutwe, gana muganga vuba bishoboka. Uko uvurwa vuba, ni ko utangira gukira vuba. Niba bishoboka, gana muganga w'inzobere mu kuvura imvune z'ibirenge n'ibirenge (nk'inzobere mu buvuzi bwa siporo, umuganga w'amagufwa, cyangwa umuganga w'amaguru).

Muganga wawe azakubwira inshuro ugomba kugaruka kugira ngo agukurikirane.

Ibibazo byo kubaza muganga wawe

Ibi bibazo bizagufasha kumenya byinshi ku ndwara yawe:

• Ni ubuhe bwoko bw'imvune y'ikirenge/akaguru mfite?
• Izi ndwara zikomeye gute?
• Ni iki nakora mu rugo kugira ngo ngire ibimenyetso?
• Ni izihe mpinduka nkwiye gukora ku rwego rw'ibikorwa byanjye?
• Ni igihe kingana iki ngomba gutegereza kugira ngo nsubire mu mirimo yanjye isanzwe?
• Ni ubuhe bwoko bw'ubuvuzi usaba?
• Ni izihe nyungu n'ibibi/ingaruka z'ubwo buvuzi?
• Bizatwara igihe kingana iki kugira ngo umuntu akire?
• Ese ushobora kungira inama inkweto cyangwa ibikoresho byo gushyiramo ibirenge bizampa ihumure kandi bishyigikire ibirenge byanjye?
• Ni ryari nshobora kongera gutangira gukora siporo cyangwa gukora imyitozo ngororamubiri?

Ni irihe tandukaniro riri hagati y'umutsi w'imitsi n'umutsi ucika?

Abantu benshi bakoresha aya magambo abiri mu buryo bumwe. Ariko, abaganga bakoresha ijambo ``Gucika``` iyo umutsi wacitse burundu ugacikamo ibice bibiri (ni ukuvuga ``Isomo rya 3``). Iki ni cyo kibazo gikomeye cyane cy’umutsi wacitse.

Amagambo nka "gucika" cyangwa "gucika" ashobora gutera ubwoba. Ariko ibuka ko abaganga bahora bamenya kandi bakavura imvune nk'imitsi yo mu mugongo itera ku mubiri. Biteguye kugufasha kongera kwihagararaho no kugufasha kwihagararaho.

Igikuru ni ugukurikiza amabwiriza ya muganga wawe witonze mu gihe cyo gukira. Waba ugiye kubagwa cyangwa utabanje kubagwa, ikirenge cyawe gikeneye igihe cyo gukira no kongera gukomera. Ntukihutire gusubira mu buzima busanzwe ako kanya. Kwihangana ni cyo kintu cy'ingenzi hano. Muganga wawe azakubwira igihe ntarengwa cyo gusubira mu mirimo yawe isanzwe, siporo, na siporo.

Amaherezo, ibuka (Ubutumwa bwo kujyana mu rugo)

Kubabara inyuma y'akaguru si ikintu cyoroshye. Bishobora kuba "Kurira kw'imitsi" ku giti cyayo. Muri ibyo bihe:

• Shaka inama kwa muganga ako kanya. Uko ubimenye vuba, niko ubuvuzi n'ubuvuzi birushaho gukira vuba.
• Kurikiza amabwiriza ya muganga wawe neza. Kora ibyo avuga byose ku bijyanye no kuruhuka, siporo, n'imiti.
• Ntukihutire. Ihe umwanya wo gukira.
• Tekereza no ku kwirinda. Ibintu nko kwambara inkweto zikwiye, kwishyushya no gukonjesha mbere na nyuma y'imyitozo ngororamubiri, no gukomeza kwiyoroshya bishobora gufasha mu kwirinda imvune zizaza.

Ubuzima bwawe buri mu maboko yawe!

Guturika kw'imitsi , kubabara akaguru, indwara z'ibirenge, indwara z'imitsi, imvune mu mikino, kuvunika akaguru, kubagwa ibirenge