Hari igihe hari ububabare mu buzima bwacu busa n'aho budashira uko imiti twafata yaba ingana kose cyangwa ubuvuzi bw'umubiri twakora. Bushobora kuba ububabare bw'umugongo bumaze imyaka myinshi butubabaza, ububabare bwo mu ijosi, cyangwa ububabare budashobora kwihanganira bumeze nk'umuriro ukubita uruhande rumwe rw'isura. Ababubayemo ni bo bonyine bazi ukuntu bigoye kubaho muri ubwo burwayi. Rero, iyo ibindi byose binaniranye, uyu munsi tugiye kuvuga ku buryo bwihariye bwo kuvura abaganga badusaba. Bitwa Rhizotomy.
Mu magambo make, Rhizotomy ni iki?
Kugira ngo tubisobanukirwe, reka tubanze dutekereze ku mitsi yo mu mubiri wacu. Imitsi inyura mu mubiri wacu imeze nk'insinga nto z'amashanyarazi. Izi nsinga ni zo zohereza ubutumwa hagati y'ubwonko bwacu n'indi mitsi yose. Ikintu cyose wumva, nko gukoraho, ububabare, n'ubushyuhe, cyoherezwa mu bwonko binyuze muri iyo mitsi, kandi ni muri iyo mitsi ubwonko bukubwira kwimura amaboko n'amaguru yawe.
Ariko, rimwe na rimwe, bitewe n'imikorere mibi muri uru rwego rw'imitsi, imitsi imwe n'imwe itangira kohereza ubutumwa "ububabare" mu bwonko buri gihe. Mu by'ukuri, ubu butumwa buragenda nubwo nta kibazo gikomeye gihari. Mu buvuzi bwitwa rhizotomy, icyo gikorwa ni ukumenya imitsi ifite ibibazo irimo kohereza ubutumwa butari bwo, ikabungiza no guhagarika ubutumwa. Ni nko gukata insinga y'amashanyarazi iteye ikibazo. Iyo ibimenyetso by'ububabare biretse kujya mu bwonko muri ubu buryo, ububabare wumva burashira cyangwa bukagabanuka cyane.
Wangiza ute iyi mitsi?
Abaganga bakoresha uburyo butandukanye kugira ngo babigereho:
- Gucamo ibice by'umubiri hakoreshejwe uburyo bwo kubaga: Hari igihe iyi mitsi icibwamo ikayikurwamo. Ibi bishobora gukorwa nk'uburyo bwo kubaga mu buryo bworoshye cyangwa hakoreshejwe uburyo bwo gupima, aho bigasaba gushyiramo kamera binyuze mu kato gato.
- Binyuze mu miti: Ushobora kandi kwangiza imitsi ivugwa ukoresheje imiti nka glycerin.
- Gukuraho imirasire y'amajwi: Imirasire y'amajwi ifite imbaraga nyinshi iba yibanda ku buryo ubushyuhe buvamo bukoreshwa mu kwangiza imitsi. Ubu buryo bukunze kwitwa Radiofrequency Ablation (RFA) .
Muri make, Rhizotomy ni uburyo bwo guhagarika imikorere y'imitsi itera ububabare cyangwa imitsi idashaka (spasticity).
Rhizotomy, Ablation, Neurotomy... Ese aya magambo asobanura ikintu kimwe?
Yego, aya magambo ashobora gutera urujijo gato, ariko ibisobanuro byayo biroroshye cyane.
- Gupima impumuro y'uruhu (Rzotomy):Iri ni ryo zina rusange ry'ubu buryo bwo kuvura. Ni ukuvuga ko inzira iyo ari yo yose yangiza imitsi ifite ikibazo ishobora kwitwa iri zina.
- Gukuraho imitsi: Iri ni irindi jambo rikoreshwa kuri Rhizotomy. Gukuraho imikorere bisobanura gukuraho cyangwa gusenya.
- Kugabanya umuvuduko w'amaraso (RFA): Ubu ni uburyo bwihariye bukoreshwa mu gukora rhizotomy. Bukubiyemo kwangiza imitsi hakoreshejwe ubushyuhe buturuka ku maradiyo.
- Ugupima imitsi: Iri ni irindi jambo ry’ubuvuzi risobanura gukata cyangwa gusenya imitsi.
Ibyo bivuze ko aya magambo yose asobanura intego imwe y'ibanze. Ntugahangayike rero niba muganga wawe akoresha aya magambo mu buryo bumwe.
Ni izihe ndwara ubuvuzi bwa Rhizotomy bufasha?
Iki ni ikintu cy'ingenzi cyane. Rhizotomy si bwo buryo bwa mbere bwo kuvura ububabare bwose. Abaganga bakunze kugerageza ibintu nk'ubuvuzi bw'umubiri, imiti igabanya ububabare idakoresha steroide (NSAIDs), cyangwa imitsi ifunga imitsi. Ubu buryo bufatwa gusa iyo ibi byose bitagenze neza .
Hariho ubwoko butandukanye bw'ubuvuzi bwa rhizotomy, buri bumwe bugamije imitsi itandukanye mu mubiri.
| Ubwoko bwa Rhizotomy | Imitsi yo mu mutwe | Indwara zavuwe |
|---|---|---|
| Ubwiyongere bw'indwara ya trigeminal ganglionie | Udutsi tw'imitsi ya trigeminal tuba ku mpande zombi z'isura. |
|
| Rhizotomy y'urusobe rw'amaso | Imizi y'imitsi inyura mu ngingo z'uruti rw'umugongo. | |
| Gupima imyakura y'umugongo (Selective Dorsal Rhizotomy) (SDR) | Udutsi tumwe na tumwe tw’imitsi twumva mu gice cyo hasi cy’umugongo. |
Ni gute nakwitegura mbere y'ubu buvuzi?
Niba uhisemo gukoresha ubu buryo, muganga wawe n'itsinda ry'abaganga bazaguha amabwiriza asobanutse neza y'uko wakwitegura. Ntutinye kubaza ikibazo icyo ari cyo cyose ushobora kuba ufite.
Ubusanzwe, uzakenera gupimwa inshuro nyinshi kugira ngo wemeze niba ubu buryo bw'ubuvuzi buzagufasha koko.
- Ibizamini byo gupima: Ibintu nka MRI scan cyangwa X-ray.
- Kuziba kw'imitsi: Kugira ngo hamenyekane neza umutsi utera ikibazo, haterwa urushinge rw'agateganyo ku mutsi kugira ngo harebwe niba ububabare bugabanuka.
- Gupima amaraso n'inkari: Menya uko ubuzima bwawe buhagaze muri rusange.
Ubu buvuzi akenshi bukorwa hakoreshejwe ikinya rusange. Ibi bivuze ko usinziriye rwose. Kubwibyo, uzakenera guhura n'inzobere mu by'ikinya kugira ngo umenye neza ko ari nta kibazo kiri kuri wewe.
Nanone, niba ufata imiti imwe n'imwe, nka imiti igabanya amaraso/imiti igabanya amaraso, ushobora kureka kuyifata iminsi mike mbere y'uko uvurwa. Ariko, ntugahagarike gufata imiti yawe utabanje kugirwa inama na muganga.
Ni iki kibaho mu gihe cyo kuvurwa?
Ni ibisanzwe kumva ufite ubwoba gato iyo ubyumvise, ariko ubu buryo buteganyijwe cyane kandi bufite umutekano. Hashobora kubaho impinduka nto bitewe n'uburyo bwo kuvura, imiterere yawe, n'imitsi ikoreshwa.
Izi ni intambwe zikunze gukurikizwa:
1. Kudasinzira cyangwa Gutuza
Akenshi, uzasinzira burundu, bityo ntuzumva ububabare. Hari ubwo ushobora gusinzira buhoro (gusinzira buhoro) cyangwa ahantu honyine hashobora kuba hatameze neza (anesthesia yo mu gace).
2. Kubona umutsi ukwiye (Ubuyobozi bw'ishusho)
Muganga azakoresha uburyo bwihariye bwa X-ray bwitwa fluoroscopy kugira ngo amenye neza aho urushinge rushyirwa. Ibi bizagufasha kubona neza aho ushyira urushinge. Hari igihe, amazi yihariye (irangi ritandukanye) ashobora guterwa mu mitsi kugira ngo imitsi igaragare neza.
3. Gupima imitsi
Mbere yo kwangiza imitsi, ni ngombwa kwemeza ko imitsi igenewe ari yo ikwiye . Kugira ngo ibi bikorwe, hatangwa akamashini gato k'amashanyarazi binyuze mu rushinge. Hari igihe ikizamini cyitwa EMG (Electromyography) nacyo gikoreshwa kuri ibi.
4. Gusenya imitsi
Iyo imitsi isanzwe yemejwe neza, bumwe mu buryo bwavuzwe mbere (imitsi ya radiyo, imiti, cyangwa gukata) bukoreshwa kugira ngo imitsi ihagarike gukora.
Ubu buryo bwo kuvura bufite akamaro kangana iki?
Abantu benshi bakorerwa rhizotomy bagabanya ububabare igihe kirekire cyangwa bagatera imbere cyane mu mitsi. Hari abantu bamara imyaka myinshi bagabanya ububabare.
Ariko, si bose babona ibisubizo bimwe. Hari aho ububabare budagabanuka cyane ku bantu bake cyane. Nanone, uko igihe kigenda gihita, imitsi ishobora gukira ku rugero runaka kandi ububabare bushobora kongera kugaragara. Ibi nibibaho, ushobora kongera kuvurwa. Muganga wawe azagusobanurira ibisobanuro birambuye ku bijyanye n'uko ubu buvuzi bwagenze neza bitewe n'imimerere yawe.
Ese hari ingaruka cyangwa ibyago bishobora guterwa n'iyi ndwara?
Nkuko bigenda ku buvuzi ubwo aribwo bwose, Rhizotomy ishobora kugira ingaruka zimwe na zimwe. Ariko, inyinshi muri zo ni nto, kandi ingorane zikomeye ni gake cyane. Izi ngaruka ziratandukanye bitewe n'ubwoko bw'ubu buvuzi n'imitsi ikoreshwa.
Igikuru ni uko muganga wawe azakubwira ku mugaragaro ingaruka zose zishobora kubaho mbere yo kuvurwa, bityo ntugire ubwoba.
| Ingaruka/ingorane | Ibisobanuro |
|---|---|
| Ibintu bisanzwe n'ibiteganijwe | |
| Ububabare buto n'ibikomere | Hashobora kubaho ububabare, gukomereka, cyangwa kubyimba aho urushinge rwakorewe cyangwa aho rwaciwe mu minsi mike. Ibi bikunze kurangira mu minsi mike. |
| Gucika intege | Nyuma yo kubagwa trigeminal rhizotomy, cyane cyane ku mitsi yo mu maso, ushobora kugira ububabare cyangwa ibinure mu bice bimwe na bimwe byo mu maso. Iyi ni ingaruka mbi yitezweho. |
| Indwara zigomba kumenyeshwa muganga ako kanya (zidakunze kubaho) | |
| Ibimenyetso by'ubwandu | Ibimenyetso nko gutukura cyane, kubyimba, kuva amabyi mu gace kavuwe, n'umuriro. |
| Ububabare bukabije cyangwa ibibazo by'imitsi | Ububabare bukomeye, ubushyuhe, intege nke z'imitsi, cyangwa ibinya bishya mu gace kavuwe cyangwa hafi yako. |
| Kuva amaraso menshi | Iyo habayeho kuva amaraso bidashira mu gace kavuwe. |
Nyuma yo kuvurwa, uzahabwa amabwiriza asobanutse neza yerekeye ibimenyetso ugomba kwitondera n'igihe ugomba kugarukira kwa muganga.
Ubutumwa bwo kujyana mu rugo
- Rhizotomy ni uburyo bwihariye bwo kuvura ububabare budakira, bukomeye cyangwa imitsi idakora neza (spasticity) iyo ubundi buryo bwo kuvura, nk'imiti cyangwa physiotherapy, bwananiranye.
- Ibi bihagarika imikorere y'imitsi ifite ikibazo ijyana ibimenyetso by'ububabare mu bwonko kandi ikagabanya ububabare.
- Nubwo ubu ari uburyo bwiza bwo kuvura, si bose bashobora kubona ibisubizo bimwe.
- Nkuko bigenda ku buvuzi ubwo aribwo bwose, hari ingaruka mbi n'ingaruka mbi, muganga wawe azakubwira neza.
- Muganga wawe ni we wenyine ushobora gufata icyemezo niba ubu buryo bw'ubuvuzi bukubereye. Rero, mubwire neza ububabare bwawe kandi umubaze amahitamo yawe.
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