Ese uhura n'ingorane mu gukora imirimo yawe ya buri munsi? Ni gute umuganga w'indwara z'imitsi yagufasha? (Umuganga w'indwara z'imitsi / Ubuvuzi bw'imitsi n'ubuvuzi bwo gusana)

Ese wigeze wumva `Umuganga w'Umuganga`? Wenda iri zina ni rishya kuri wewe. Ariko, mu bihe bigoye mu buzima bwacu, iyo turwaye cyane cyangwa dufite ubumuga ku buryo tutabasha no gukora imirimo yacu ya buri munsi neza, aba baganga bitwa `Umuganga w'Umuganga` baradufasha cyane. Muri make, aba bahanga barahari kugira ngo bagufashe guhangana n'indwara n'ibikomere bikubuza gukora, kwita ku muryango wawe, cyangwa gukora ibintu ukunda.

Uyu Muganga w’Imitwe y’Abaganga ni nde? Ni iki ishami ry’ubuvuzi ryitwa Physiatry?

Reka tubanze turebe uwo "Muganga w'Umuganga" ari we. "Umuganga w'Umuganga" ni umuganga wihariye mu buvuzi bw'umubiri no gusana (PM&R) . Yego, uyu muganga yitwa kandi "PM&R" cyangwa "Umuganga w'Abagororangingo". Aba bantu bibanda cyane ku kugufasha gutsinda ingorane ufite mu mibereho yawe ya buri munsi bitewe n'indwara n'ibibazo bigira ingaruka ku mitsi yawe cyangwa ku mitsi.

Tekereza, ushobora kuba umaze imyaka myinshi ubabara umugongo cyangwa ivi. Cyangwa ushobora kuba waragize impanuka y'imodoka, cyangwa wakomeretse ukuboko cyangwa ukuguru ukina siporo, kandi ukaba ubabara cyane ku buryo udashobora no kuva mu buriri, gusokoza umusatsi, cyangwa kwicara ntuje. Icyo gihe ni bwo 'Umuganga w'indwara z'imitsi' ashobora kugufasha.

Icy'ingenzi kurushaho, aba baganga bagerageza kugufasha gukemura ibimenyetso byawe bakoresheje uburyo butandukanye bwo kubaga, badakoresheje uburyo bwo kubaga, kandi bakagufasha gusubira mu buzima bwiza kandi wigenga uko bishoboka kose.

Ishami ry’ubuvuzi ryitwa 'Physiatry' rishinzwe gukumira, gusuzuma no kuvura indwara zigira ingaruka ku mikorere yawe ya buri munsi ndetse rimwe na rimwe zishobora gutera ubumuga.

Ni iki mu by'ukuri umuganga w'imitsi akora?

Reka turebere hamwe uburyo umuganga w’imitsi ashobora kwitwara mu buzima bwawe.

• Gusuzuma no kuvura: Aba bantu basuzuma kandi bakavura indwara zibangamira ubushobozi bwawe bwo kwimuka, gukora imirimo ya buri munsi, no gukorana n'abandi. Urugero, ibi birimo kugorwa no gukora "Activities of Daily Life (ADLs)" nko kugenda, kurya, kuvuga, kwiyuhagira no kwambara.
• Gukorana nk'ikipe: Umuganga w'imitsi ntakora wenyine. Bakorana n'umuganga w'umuryango wawe (Utanga Ubuvuzi bw'ibanze) n'abandi bahanga kugira ngo bahuze ubuvuzi bwawe nk'ikipe.
• Ubuvuzi bw'abantu b'ingeri zose: Abantu b'ingeri zose, kuva ku bana bato kugeza ku bageze mu za bukuru, bashobora kuvurwa na muganga w'indwara z'imitsi.
• Kwitabwaho igihe kirekire:Ushobora gukenera gukorana n'umuganga w'imitsi igihe kirekire, cyane cyane niba wowe cyangwa umuntu wo mu muryango wawe afite indwara idakira. Bazaguha ubufasha buhoraho.

Ni izihe ndwara umuganga w’umubiri avura?

"Umuganga w'umubiri" avura indwara zitandukanye. Reka turebere hamwe izikuru.

Ibihe bibangamira abantu bakuru

Ku bantu bakuru, umuganga w’umubiri ashobora gufasha mu ndwara nk’izi:

• Impinduka ziterwa n'imyaka (urugero: kugabanuka k'ubucucike bw'amagufwa)
• Kanseri n'ingaruka mbi zo kuvurwa
• Indwara y'ibihaha idakira (COPD)
• Ububabare budakira
• Indwara z'umutima zisaba kuvura indwara
• Ibikomere bitandukanye
• Indwara z'ingingo (urugero: rubagimpande, bursitis)
• Indwara ya Parkinson
• Indwara z'imitsi (urugero: Multiple Sclerosis (MS), Amyotrophic Lateral Sclerosis (ALS))
• Gukomereka k'umugongo
• Igisebe cy'imitsi

Izi ni ingero nke gusa. Byongeye kandi, abaganga b'imitsi bavura izindi ndwara nyinshi z'igihe kirekire.

Ibihe bibangamira abana

Ku bana, umuganga w’imitsi akunze kuvura indwara nk’izi:

• Mielite ikaze yo mu bwoko bwa flaccid
• Indwara y'ububabare bw'imitsi n'amagufwa (AMPS)
• Gukomereka kwa plexus yo mu bwonko
• Indwara yo mu bwonko itera indwara ya cerebral palsy
• Indwara y'ububabare bw'akarere iteye ubwoba
• Indwara ya Ehlers-Danlos
• Kurwara kw'imitsi
• Indwara y'umutima yo mu bana
• Uburyo umugongo ugonganye (scoliosis)
• Spina Bifida
• Torticollis (Torticollis)
• Ibikomere byo mu bwonko bikomeretsa (TBI)

Ni gute umuganga w’indwara z’umubiri ashobora gusuzuma indwara?

Iyo ugiye kwa muganga w’indwara z’umubiri (physiatrist), azakurikiza intambwe nyinshi kugira ngo amenye neza indwara yawe.

• Isuzuma ry'umubiri: Ubwa mbere, uzakorerwa isuzuma ryimbitse ry'umubiri. Ushobora kandi gukorerwa isuzuma ry'imitsi.
• Amateka y'ubuvuzi n'ibimenyetso: Uzabazwa ibyerekeye indwara zawe za kera n'ibimenyetso by'ubu.
• Ibizamini byihariye: Niba bibaye ngombwa, ibizamini nk'ibi nabyo bishobora gukorwa:
• Gupima amaraso
• Electromyography (EMG) (reba imikorere y'imitsi)
• MRI Scan `(Ishusho ya Magnetic Resonance - MRI)`
• Inyigo y'uburyo imitsi ikora (reba imikorere y'imitsi)
• Imirasire ya X

Muganga azagusobanurira ibi bizamini byose, kandi azakubwira ibyabyo nyuma y'uko ibisubizo bibonetse.

Icy'ingenzi kurushaho, umuganga w'imitsi akubona nk'umuntu usanzwe. Ibyo bivuze ko atareba gusa umubiri wawe, ahubwo anareba uburyo iyo ndwara igira ingaruka ku bwenge bwawe no ku mwuka wawe. Mu gihe cyo gusuzuma indwara, asuzuma kandi ibibazo nk'ibi:

• Ni gute iki kibazo bigira ingaruka ku buzima bwawe?
• Ni ubuhe bwoko bw'ingendo cyangwa imirimo bigoye neza?
• Ni iki udashobora gukora kubera iki kibazo?
• Ukunda gukora iki?
• Ni gute iki kibazo bigira ingaruka ku buzima bwawe bwo mu mutwe?

Akoresheje aya makuru yose, umuganga w’imitsi azagena gahunda y’ubuvuzi ikubereye.

Ni ubuhe buryo bwo kuvura butangwa n'umuganga w'imitsi?

Abaganga b'imitsi ni bo bakunze kuvura badakoresheje ubuvuzi bwo kubaga. Intego y'ubu buryo bwo kuvura ni ukugenzura ibimenyetso no gufasha umubiri kwivura. Kubera ko indwara nyinshi zidashobora gukira burundu, umuganga w'imitsi akora kugira ngo agufashe gukora ku giti cyawe uko bishoboka kose, nta kwishingikiriza ku bandi. Ubu buryo bwo kuvura ahanini bukemura ibimenyetso nko kubabara, intege nke z'imitsi, gukomera kw'imitsi (spasticity), no kumva umeze nabi (nk'ibinure - paresthesia).

Dore ingero zimwe na zimwe:

Ubwoko bw'inshinge

• Gutera inshinge zo gutera udukoko (ku ndwara zibabaza imitsi)
• Inshinge zo koroshya ububabare bw'ingingo
• Inshinge za steroid zo mu bwoko bwa Epidural (ESI) (kuvura ububabare bw'umugongo)
• Guterwa inshinge z'uburozi bwa botulinum (urugero: ku mitsi ibabara)

Uburyo butandukanye bwo kuvura

• Ubuvuzi bw'umubiri
• Ubuvuzi bw'akazi (bufasha gukora imirimo ya buri munsi byoroshye)
• Ubuvuzi bw'imivugire
• Kuvura hifashishijwe amazi (imyitozo ngororamubiri yo mu mazi)
• Uburyo bwo kuvura indwara yo mu magufwa (OMT)

Uburyo bwihariye bwo kuvura

• Gukangura amashanyarazi mu buryo bw'imikorere (FES)
• Gukangura imitsi y'amashanyarazi hakoreshejwe amashanyarazi (TENS)
• Ugutera imitsi yo mu bwonko na Kyphoplasty (kuvura imvune z'umugongo)
• Ubuhanga bwo guhuza ubuvuzi

Ibintu bifasha mu buzima bwa buri munsi

• Inganda n'imitsi
• Ibikoresho byo gufasha (urugero: amagare y'abamugaye n'abagenda n'amaguru)
• Impinduka mu rugo rwawe no mu kazi `(Impinduka mu mwanya wawe wo kubamo)`
• Imiti

Ni ryari ukwiye kujya kwa muganga w’imitsi?

Ushobora gukenera ubufasha bw'umuganga w'imitsi muri ibi bihe:

• Niba ufite ububabare buterwa n'uburwayi cyangwa imvune y'igihe kirekire, cyangwa niba ufite ikibazo cyo kwimuka k'umubiri wawe mu gihe ukora imirimo ya buri munsi.
• Niba uri gukira indwara yo mu bwonko.
• Niba uri kubabara nyuma yo kubagwa, cyangwa ufite ikibazo cyo kwimuka k'umubiri wawe.
• Niba ufite umunaniro mwinshi, ububabare, cyangwa kutamererwa neza bitewe no kuvurwa indi ndwara.
• Niba ku mpamvu iyo ari yo yose udashobora kwimura umubiri wawe neza kandi byoroshye nk'uko byari bimeze mbere.

Mu bihe nk'ibi, ushobora kuvugana na muganga w'umuryango wawe hanyuma ukajyanwa kwa muganga w'umubiri.

Ni irihe tandukaniro riri hagati y'umuganga w'imitsi n'umuganga w'imitsi?

Iki ni ikintu abantu benshi bahuriraho mu rujijo. 'Umuganga w'umubiri' n' 'umuvuzi w'umubiri' ni ibintu bibiri bitandukanye. Ariko byombi bifite intego imwe: kugufasha gukora neza no mu buryo bwiza mu mirimo yawe ya buri munsi.

• Amahugurwa: Umuganga w’imitsi ni umuganga warangije impamyabumenyi y’icyiciro cya kabiri cya kaminuza mu ishuri ry’ubuganga, akaba afite impamyabumenyi y’ikirenga (MD) cyangwa impamyabumenyi y’ikirenga (DO) (Doctor of Osteopathy). Umuganga w’imitsi arangiza gahunda yo kuvura imitsi kandi akabona impamyabumenyi y’ikirenga (DPT).
• Uruhare:
• `Umuganga w’indwara z’umubiri` ashobora gusuzuma indwara no kumuha imiti.
• Umuganga w’imitsi ntashobora gusuzuma cyangwa kuguha imiti. Ariko, ashobora gusuzuma indwara y’imitsi (PTD) cyangwa gusuzuma imikorere y’umubiri (FD). Ibi bivuze ko ashobora kukubwira ibibazo ufite byo kugenda, uburemere bwabyo, uko bigira ingaruka ku buzima bwawe, n’uburyo ubuvuzi bushobora kugufasha.

Mu magambo make, umuganga wawe w’imitsi azasuzuma indwara yawe n’icyayiteye. Hanyuma, umuganga wawe w’imitsi azagaragaza uburyo iyo ndwara igira ingaruka ku mikorere yawe n’imikorere yawe.

Urugero, umuganga w’imitsi ashobora kugusuzuma arwaye indwara ya osteoarthritis yo mu ivi. Umuganga w’imitsi ashobora kugusuzuma agasanga ufite aho unyura mu ivi, bigatuma bikugora kugenda ku kazi cyangwa no mu nzu.

Umuganga w’imitsi n’umuganga w’imitsi akenshi bakorana. Umuganga w’imitsi azasuzuma indwara yawe, arebe niba uri umuntu mwiza wo kuvura indwara z’imitsi, hanyuma akwohereze kwa muganga w’imitsi (PT). Kuva aho, muganga w’imitsi azakorana nawe kugira ngo akore gahunda y’ubuvuzi ikubereye. Mwembi muzajya muganira ku buzima bwanyu.

Ni irihe tandukaniro riri hagati y'umuhanga mu by'imitekerereze n'umuganga w'imitsi?

Iki ni ikindi kintu gishobora gutera urujijo abantu benshi. Inzobere mu by'imitekerereze n'inzobere mu by'umubiri ni abahanga babiri batandukanye rwose.

• Umuhanga mu by'imitekerereze y'abantu ni inzobere mu by'ubuzima bwo mu mutwe ukoresha uburyo bwo kuvura indwara zo mu mutwe (psychotherapy) mu kuvura indwara zitandukanye zo mu mutwe. Bafasha kandi abantu guhangana n'ibibazo by'igihe gito n'iby'igihe kirekire mu buzima bwabo. Ubusanzwe inzobere mu by'imitekerereze y'abantu ifite impamyabumenyi y'ikirenga (PhD).
• Umuganga w’imitsi ni umuganga uvura indwara zawe z’umubiri, cyane cyane izigira ingaruka ku mitsi n’imitsi. Izi ni indwara zikunze gutera ububabare n’ibindi bimenyetso bigira ingaruka ku buzima bwawe bwa buri munsi.

Inzobere mu by’imitekerereze y’abantu ntishobora gusuzuma cyangwa kuvura indwara nk’izi. Ariko, bashobora kugufasha kuganira na bo ku buryo iyo ndwara igira ingaruka ku buzima bwawe n’uko ushobora guhangana na zo mu mutwe. Abantu benshi barwaye ububabare budakira cyangwa izindi ndwara z’umubiri basanga ari ingirakamaro kubonana n’inzobere mu by’imitekerereze y’abantu kugira ngo babashe kubungabunga ubuzima bwabo bwo mu mutwe.

Amaherezo, ibintu ugomba kwibuka (Ubutumwa bwo kujyana mu rugo)

Tekereza gato, ndetse no gusuzuma ikintu kimwe gusa bishobora kugira ingaruka ku buzima bwawe bwose. Ni nko kujugunya ibuye mu mazi ugatera uduce duto. Abaganga b'imitsi barabyumva neza. Basobanukiwe uburyo indwara yawe igoye, uburyo itagira ingaruka ku kuboko kwawe, ku kuguru no ku mugongo, ahubwo igira ingaruka ku buzima bwawe bwose, ku bitekerezo byawe, ku byiyumvo byawe, ku byiringiro byawe by'ejo hazaza.

Niba ugiye kubonana na muganga w’indwara z’umubiri (physiotherapie), gira itegure kuvuga neza uko umerewe n’icyo witeze ku buvuzi. Muganga azagutega amatwi witonze kandi agushyirireho gahunda yo kugufasha bitewe n’intego zawe n’ibyo ukeneye.

Niba wowe cyangwa umuntu uzi afite ububabare, ingorane zo kugenda cyangwa gukora imirimo ya buri munsi, tekereza kubonana na muganga w’imitsi. Bashobora kugufasha cyane mu gusubiza ubuzima bwawe mu nzira nziza.

` Umuganga w'imitsi, Ubuvuzi bwo gusana, Ubuvuzi bw'imitsi n'ubuvuzi bwo gusana, PM&R, Ubuvuzi bw'imitsi, Kurwanya ububabare, Gusubiza mu buzima busanzwe indwara zo mu bwonko, Indwara zo mu mitsi