Tekereza uri gukora ku ngazi hanyuma ukanyerera ukagwa, cyangwa ukagira impanuka y'imodoka. Ukumva ububabare bukabije mu kaguru kawe, ukuguru kwawe kwabyimbye cyane, ndetse bishobora no kugaragara nk'aho byagoramye mu buryo budasanzwe. Birababaza cyane ku buryo udashobora no gushyira ukuguru hasi, ndetse no kugenda. Mu bihe nk'ibi, bishobora kuba bikomeye kuruta ukuguru gusanzwe kwavunitse. Ubwo ni bwo bwoko bw'imvune ikomeye tugiye kuvugaho uyu munsi.

Mu by'ukuri, Pilon Fracture ni iki?

Mu magambo make, kuvunika kwa Pilon (Tibial Plafond Fracture) ni ukuvunika gukomeye mu gice cyo hasi cy'igufwa ryawe ry'uruti (tibia), aho rihurira n'akaguru. Hari amagufwa abiri y'ingenzi mu kuguru kwacu, irinini twita `(tibia)` n'irito twita `(fibula)`. Mu kuvunika kwa Pilon, aya magufwa yombi akunze kuvunika.

Ibi byitwa `Pilon` kubera impamvu yihariye. `Pilon` bisobanura `mole` mu Gifaransa. Nk'uko iyo ukubise ikintu mu gishishwa no mu musenyi, uku kuvunika bibaho n'imbaraga nyinshi. Tekereza, igufwa rya `(talus)` riri mu kaguru kawe (igufwa rihuza na talus) risunitswe hejuru n'imbaraga nyinshi, rigasya impera ya talus. Ubwo ni bwo buryo bubaho hano.

Ese hari ubwoko bw'ibi biruhuko?

Yego, abaganga bakoresha uburyo butandukanye bwo gushyira mu byiciro bitewe n'uburemere bw'iyi mvune. Uburyo bworoshye kandi bukoreshwa cyane kugira ngo dusobanukirwe ni uburyo bwa `Ruedi-Allgower`. Reka tubisobanukirwe mu buryo bworoshye.

• Ubwoko bwa I: Iki ni cyo gihe igufwa rica mu ngingo, ariko ibice by'amagufwa byavunitse ntibigire aho bihurira . Biracyari mu mwanya wabyo. Ubu ni bwo bwoko bw'imvune idakabije cyane.
• Ubwoko bwa Kabiri: Aha, ibice by'amagufwa byavunitse biba byahindutse gato, bivuze ko igufwa ritari mu murongo ukwiye. Ariko, igufwa ntirivunitsemo ibice byinshi.
• Ubwoko bwa gatatu: Iki ni cyo kibazo gikomeye cyane . Muri iki gihe, ibice by'amagufwa byavunitse ntibikurwaho gusa, ahubwo n'igufwa ryavunitsemo uduce duto (comminution) . Hariho kandi kwangirika gukomeye ku ngingo.

Ubwoko bw'ubuvuzi buterwa n'ubwoko bw'imvune ufite. Vune yo mu bwoko bwa gatatu hafi ya yose isaba kubagwa.

Ni ibihe bimenyetso wahura nabyo uramutse uhuye n'ikintu nk'iki?

Kuvunika kwa pilon ni indwara ibabaza cyane. Ibimenyetso biragaragara neza.

Ni izihe mpamvu zo gutandukana gukomeye nk'uku?

Ubu bwoko bw'imvune bukunze gusaba imbaraga zikomeye . Impamvu zikunze kugaragara zirimo:

• Impanuka z'imodoka: Izi mvune zishobora kubaho, cyane cyane mu mpanuka z'imodoka, moto, cyangwa impanuka z'imodoka y'amapine atatu.
• Kugwa uturutse uburebure: Kugwa uturutse uburebure, nk'igiti, urwego, cyangwa igorofa ryo hejuru ry'inyubako, ni impamvu ikomeye.
• Impanuka za siporo:Impanuka nk'izi zishobora no kubaho mu mikino yihuta cyane nko gusiganwa ku rubura.

Ariko, rimwe na rimwe, ndetse no kuvunika kutagira ingaruka nyinshi bishobora kubaho. Impamvu yabyo ni indwara zituma amagufwa acika intege .

Ni nde uri mu kaga gakomeye?

Nubwo aka kaga gashobora kugera kuri buri wese, hari amatsinda amwe ari mu kaga gakomeye.

• Abagabo bari hagati y'imyaka 25-50: Iyi ndwara ikunze kugaragara cyane ku bagabo bo muri iki kigero bitewe n'imvune zikomeye (nk'impanuka z'imodoka).
• Abagore barwaye indwara yo kuvunika kw'amagufwa: Abagore bakuze cyane cyane, baba bafite ibyago byinshi byo kuvunika, ndetse no kugwa gato.
• Abantu bakora ku ngazi no ku nyubako: Abantu bakora mu nganda z'ubwubatsi bafite ibyago byinshi byo kugwa.
• Abantu bageze mu za bukuru bagwa kenshi: Abantu barengeje imyaka 65, bafite uburinganire buke, kandi bagwa kenshi nabo bari mu kaga gakomeye.

Ni gute muganga asuzuma ibi?

Iyo ugiye kwa muganga, cyane cyane Ishami rishinzwe ubutabazi bwihutirwa (ETU) ufite imvune nk'iyi, umuganga w'inzobere mu kubaga amagufwa azagusuzuma.

1. Isuzuma ry'umubiri: Muganga azasuzuma neza ukuguru kwawe n'akaguru, yite ku kubyimba, gukomereka, impinduka mu miterere, n'imiterere y'uruhu.

2. X-ray: Iki ni cyo kizamini cy'ibanze kandi cy'ingenzi cyane. X-ray ishobora kwerekana neza niba igufwa ryavunitse n'aho ryavunitse.

3. CT Scan: Mu bihe byinshi byo kuvunika kwa pilon, CT scan irakenewe hiyongereyeho X-ray. Ibi biterwa nuko CT scan ari ingenzi cyane kugira ngo harebwe mu buryo butatu (3D) ingano y'igufwa ryavunitse, ibyangiritse byakorewe ku ngingo, n'uko ibice byavunitse bihagaze. Aya makuru ni ingenzi mu gutegura kubaga.

Ivurwa ite? Ese kubagwa ni ngombwa?

Uburyo bwo kuvura imvune ya pilon buterwa n'ibintu byinshi, birimo ubwoko bw'imvune, ingano y'ibice by'amagufwa byakuweho, kwangirika k'uruhu n'imitsi, ndetse n'ubuzima bwawe muri rusange.

Igihe kubagwa bidakenewe (Ubuvuzi Butari Ubuvuzi)

Ibi ni gake cyane. Kubagwa si ngombwa keretse iyo imvune ari nto cyane, bivuze ko ibice by'amagufwa byavunitse bitavaho gato (bitavaho) . Muri iki gihe, muganga wawe ashobora kukugira inama yo kuvura ibi bikurikira:

• Ikiruhuko:Bakubwira kuruhuka ukuguru kwawe no kugukomeza hejuru igihe kirekire gishoboka.
• Gushyiramo icyuma cyangwa inkweto: Kugira ngo ukuguru gukomeze kugenda no kugukomeza kugeza igihe igufwa rikize, ushobora gukenera gushyiramo icyuma, icyuma gikingira amaguru, cyangwa inkweto zidasanzwe.
• Gukoresha inkoni: Si byiza gushyira uburemere ku kuguru kugeza igihe bikize, bityo uzakenera gukoresha inkoni.
• Imiti: Hari igihe imiti igabanya amaraso (anticoagulants) ishobora gutangwa kugira ngo hirindwe kubyimba kw'amaraso mu mitsi y'amaguru.
• Ubuvuzi bw'umubiri: Nyuma yuko igufwa rikize, ubuvuzi bw'umubiri ni ingenzi kugira ngo wongere imbaraga n'imikorere y'ukuguru n'akaguru.

Ubuvuzi bwo Kubaga

Mu bihe byinshi bya Pilon vunitse , kubagwa ni ngombwa cyane , kuko akenshi ibice by'amagufwa biba byacitse aho byari biri maze bikimuka.

Hari ubwoko bubiri bw'ingenzi bwo kubaga.

1. Gufungura no Gushyiramo Imbere mu Mutwe (ORIF):

Ubu ni bwo bubagwa bukunze kugaragara cyane. Mu magambo make, icyo ukora ni ukubaga uruhu, akajya aho rwavunitse, agahindura ibice byose by'amagufwa byakuwe mu myanya yabyo (kugabanya) . Hanyuma, hakoreshwa ibyuma n'amapine byabugenewe kugira ngo hakorwe ibice ku igufwa kugira ngo bitazongera kwimuka (gufata imbere) . Ibi bice n'amapine akenshi bisigara mu mubiri ubuzima bwose.

2. Gufata inyuma:

Ubu buryo butandukanye gato. Iyo kubyimba ku kaguru gukabije cyane, cyangwa niba hari ibisebe bikomeye ku ruhu, kubagwa kwa ORIF ntibishobora gukorwa ako kanya. Muri ibyo bihe, ubu buryo bukoreshwa mu gutuma ukuguru guhagarara by'agateganyo. Aha, umuganga ubaga acukura inkoni nyinshi z'icyuma mu magufwa maze agafata izo nkoni ku gitereko kiri hanze y'umubiri . Ubu buryo butuma amagufwa aguma neza adatembera. Iyo kubyimba kumaze kugabanuka kandi uruhu rugakira, igitereko kirakurwaho hanyuma abaganga ba ORIF bavuzwe haruguru bagakorerwa ubuganga.

Bifata igihe kingana iki kugira ngo umuntu akire?

Iki ni ikibazo abantu benshi bahura nacyo. Gucika intege mu gice cy'imbere cy'umugongo bifata igihe kirekire kugira ngo bikire. Iki ni ikintu gisaba kwihangana no kwitanga.

• Gukira kw'amagufwa: Ubusanzwe bifata amezi 3 kugeza kuri 6 kugira ngo igufwa rikire neza nyuma yo kubagwa.
• Gukira burundu: Ariko, akazi ntikarangira igufwa rimaze gukira. Bishobora gufata umwaka cyangwa irenga kugira ngo ukuguru kugarure imbaraga, kugenda no gukora neza nk'uko bisanzwe.Bishobora gufata igihe.

Ubuvuzi bw'umubiri ni ingenzi muri ubu buryo bwo gukira. Ni ingenzi cyane gukurikiza amabwiriza ya muganga n'umuganga w'umubiri kugira ngo ukire vuba.

Ni ryari ukwiye kujya kwa muganga?

Niba ufite kimwe mu bimenyetso bivugwa muri iyi nkuru, cyane cyane nyuma y’impanuka ikomeye, jya kwa muganga wita ku barwayi barembye (ETU) vuba, bidatinze. Niba udashobora kugenda wenyine, hamagara serivisi y’imbangukiragutabara yo mu 1990.

Niba ugaragaje kimwe muri ibi bimenyetso uri mu rugo nyuma yo kubagwa, bishobora kuba ikimenyetso cy'ubwandu. Niba ari uko bimeze, ugomba guhita ujya kwa muganga :

• Niba wumva umutuku, kubyimba, cyangwa ubushyuhe hafi y'igikomere cyo kubagwa.
• Niba hari amazi asa n'ibibyimba asohoka mu gikomere.
• Niba ufite umuriro .

Ni izihe ngaruka z'igihe kirekire z'iyi ndwara?

Kuvunika kwa Pilon ni ikibazo kigoye kuvura kuko gitera kwangirika kw'ingingo ubwazo. Kubwibyo, nubwo haba hari uburyo bwiza bwo kuvura, hari ingorane zimwe na zimwe zishobora kubaho igihe kirekire.

• Ububabare budakira: Hari abantu bashobora kugira ububabare bw'akaguru rimwe na rimwe ndetse na nyuma yo gukira.
• Kugorama kw'ingingo: Ubushobozi bwo kwiyunamura no kwagura ingingo y'akaguru bushobora kugabanuka.
• Indwara ya rubagimpande nyuma yo gukomereka: Iyi ni yo ngorane ikunze kugaragara cyane. Imvune ishobora kwangiza agati k'ingingo, ibi bikaba byatera rubagimpande uko igihe kigenda gihita. Ibi bitera ububabare no kubyimba.

Kugira ngo hirindwe cyangwa hagenzurwe ibi bintu, ni ngombwa cyane gukurikiza amabwiriza ya muganga n'ubuvuzi bw'umubiri neza.