Ese ufite ikibazo gito hafi y'ukuboko kwawe? Bishobora kuba ari imvune ya scaphoid!

Ese wigeze ugwa ugakubita ikiganza cyawe hasi, kikagukomeretsa bikomeye ku kuboko? Cyangwa wenda warazungurutse ukuboko kwawe mu buryo butari bwo mu gihe ukina, hanyuma agace kakabyimba ntushobore kugakorakora? Hari igihe dutekereza ko ibi bintu ari "gukomereka gusa," ariko bishobora kuba ikintu gikomeye kurushaho. Ibyo nibyo bishobora kubaho iyo habaye ikintu nk'iki, cyitwa scaphoid fracture. Reka tubiganireho birambuye uyu munsi, sibyo?

Gucika kw'inyuma kwa Scaphoid ni iki?

Mu magambo make, kuvunika kwa scaphoid ni ukuvunika kw'igufwa ryo mu kuboko kwawe. Igufwa rya scaphoid riherereye mu nsi y'ikirenge cyawe kinini, hafi y'ukuboko kwawe. Ukuboko kwawe kugizwe n'amagufwa mato menshi yitwa amagufwa ya carpal. Scaphoid ni imwe muri ayo magufwa ya carpal.

Ibi bikunze kubaho iyo tuguye tugafata amaboko yacu. Tekereza, ugwa utunguranye, ugahita ushyira amaboko hasi kugira ngo wikize, sibyo? Ni bwo iri gufwa rishobora kwangirika cyane. Uretse ibyo, bishobora no guterwa n'impanuka z'imodoka, ingaruka zikomeye mu gihe ukina siporo, nibindi. Hari igihe kubagwa biba ngombwa kugira ngo iri gufwa rikosorwe neza. Abantu benshi bafata amezi atatu kugira ngo bakire neza iyi ndwara.

Ibice by'igufwa rya scaphoid n'aho imvune zibera

Iri gufwa rya scaphoid rifite ibice bitatu. Igice icyo ari cyo cyose muri ibi gishobora kuvunika.

• Umugongo uri kure: Uyu ni impera y'igufwa rya scaphoid riri hafi y'ukuboko kwawe n'intoki zawe, ni ukuvuga kure y'ukuboko.
• Ikibuno cya scaphoid: Aha ni hagati mu igufwa rya scaphoid. Akenshi, ni ukuvuga ko 70% by'imvune za scaphoid biba muri iki gice cyo hagati.
• Umugongo wo hafi: Uyu ni wo mpera y'igufwa rya scaphoid riri mu gahanga kawe, imbere mu mubiri wawe.

Aya magambo ashobora kumvikana nk'adasanzwe kuri wewe. Ariko abaganga bayakoresha kugira ngo babafashe gusobanukirwa neza uburyo ukuboko kwawe kwavunitse, aho igufwa ryawe ryavunitse, n'uko igufwa riherereye mu mubiri wawe muri iki gihe. Ariko, uko wabyita kose, icy'ingenzi ni ukubona muganga vuba bishoboka no kumusuzuma.

Ibi bikunze kugaragara gute? Ni nde ubibona kenshi?

Gucika kw'amagufwa yo mu kiganza ni byo bikunze kugaragara cyane mu gucika kw'amagufwa yo mu kiganza, bingana na 15% by'imvune zose zo mu kiganza.

Mu by’ukuri, nk’uko umuntu wese ashobora kuvunika igufwa, ni ko umuntu wese ashobora kuvunika igufwa rya scaphoid. Ibi biterwa nuko akenshi bibaho bitewe no kugwa cyangwa izindi mpanuka. Ariko, bikunze kugaragara cyane mu rubyiruko ruri munsi y’imyaka 30 no mu bangavu.Ibi bikunze kugaragara cyane. Niba ukunda kugwa, nawe uri mu kaga gakomeye. Nanone, abantu bafite indwara zo kugabanya amagufwa nka osteoporosis bashobora kuvunika amagufwa yabo byoroshye kurusha abandi, bityo bakaba bari mu kaga gakomeye ko kuvunika scaphoid.

Ibimenyetso ni ibihe?

Niba ufite imvune ya scaphoid, ushobora kugira ibimenyetso nk'ibi:

• Ububabare: Cyane cyane mu gice cyo hasi cy'ikirenge kinini, ku kuboko.
• Kubyimba: Agace k'ukuboko kagize ikibazo gashobora kubyimba.
• Ububabare: Agace kavuzwe haruguru karababara iyo kakozweho cyangwa kakanzwe.
• Kudashobora kwimura ukuboko: Kugorwa no guhindukira cyangwa guterura ukuboko.
• Guturika cyangwa guhinduka ibara: Bishobora kugaragara nk'ubururu cyangwa umuhengeri.
• Ikibyimba cyangwa ubumuga budasanzwe: Ukuboko gushobora kumva cyangwa kumera nk'ikibyimba kidasanzwe.

Amagufwa yavuye mu myanya y'abasimbuwe n'atari mu myanya y'abasimbuwe

Aya ni andi magambo abiri muganga azakoresha mu gusobanura imvune yawe. "Ivunitse ryacitse" bivuze ko nyuma y'uko igufwa rivunitse, ibice bibiri byacitse biba byagiye cyane, bigasiga icyuho kinini hagati yabyo. Mu "ivunitse ritacitse" (Non-displaced fracture), igufwa riba rigicitse, ariko ibice bibiri ntabwo byimukiye cyane, kandi biracyari hafi y'aho byari biri. "Ivunitse ryacitse" akenshi risaba kubagwa kugira ngo rikosorwe.

Kuki ibi bibaho?

Gukomeretsa ukuboko cyane bishobora gutera kuvunika kw'igufwa rya scaphoid. Impamvu nyamukuru ni izi:

• Gugwa: Yarambuye amaboko yombi arambuye agakora hasi.
• Impanuka za siporo: Nk'iyo ukina cricket cyangwa umupira w'amaguru.
• Impanuka z'ibinyabiziga.

Abaganga babibona bate?

Muganga azasuzuma niba ufite scaphoid vunitse agusuzuma kandi agakora ibizamini byinshi byo gufata amashusho.

Ni ibihe bizamini birimo gukorwa?

Nyuma yo gupimwa, ushobora gukora kimwe cyangwa byinshi muri ibi bikurikira mu isuzuma ry'amashusho:

• Imirasire ya X: Imirasire ya X-ray ishobora kwerekana niba hari icyavunitse mu gishishwa cya scaphoid cyangwa irindi gufwa n'ingano y'ibyangiritse.
• Ishusho ya Magnetic Resonance (MRI): Hari igihe muganga wawe agutegeka gupimwa na MRI. Ibi bishobora gufasha gusuzuma neza ibyangiritse ku magufwa n'imitsi n'ingingo biyikikije.
• CT scan: Niba ukeneye kubagwa, muganga wawe azakenera ishusho isobanutse neza y'ibyangiritse ku magufwa yawe. CT scan ishobora kwerekana amagufwa n'ingingo zikikije mu buryo burambuye kurusha X-ray.

Kuvunika kwa scaphoid y'ubumaji

Hari igihe kuvunika kwa scaphoid bitagaragara kuri X-ray, kandi hari n'igihe bitagaragara na gato. Ibi byitwa occult scaphoid fracture. Ibi nibibaho, muganga wawe ashobora kugutegeka MRI cyangwa CT scan. Muganga wawe azakubwira ibindi bipimo ushobora gukenera.

Icy'ingenzi: Bwira muganga wawe neza aho ubabara n'ikikubabaza iyo ubikandagiyeho. Niba ububabare bwawe buri mu igufwa rya scaphoid, kandi ntibushire nyuma y'umunsi umwe cyangwa ibiri, ushobora kugira imvune ihishe. Izi mvune zihishe ntizisaba ubuvuzi bwihariye, kandi nta ngaruka zidasanzwe zitera.

Ni ubuhe buryo bwo kuvura?

Uburyo bwo kuvura imvune ya scaphoid buterwa n'uburemere bwayo. Igufwa ryawe ryavunitse rigomba kongera gushyirwa hamwe rigakira. Bitewe n'uburyo ryangiritse n'uburyo ryavunitse, muganga wawe ashobora gukoresha bumwe cyangwa bwinshi muri ubu buryo bwo kuvura.

Kubuza ukuboko/ukuboko kugenda

Niba imvune yawe idakabije, bivuze ko igufwa rya scaphoid ritarava kure cyane aho ryari riri (`ritarimuka`), ushobora gusa kwambara agapira cyangwa plaster ya Paris cast. Agapira gasanzwe kamara ibyumweru bitatu kugeza kuri bitanu. Agapira gasanzwe kamara igihe kirekire, akenshi ibyumweru bitandatu kugeza ku munani. Muri ibyo bihe byombi, uzakenera kongera gukorerwa X-ray kugira ngo umenye neza ko igufwa ryawe riri gukira neza.

Kugabanya amagufwa nta kubagwa (Kugabanya amagufwa mu buryo bufunze)

Ku mvune zikomeye kurushaho, igikorwa cyitwa closed reduction gikorwa kugira ngo igufwa rya scaphoid rihuzwe neza. Ibi si ukubaga. Muganga azakanda hanyuma akuremo inyuma y'umubiri wawe kugira ngo igufwa ryavunitse imbere rihuzwe neza. Mu gihe akora ibi, azakora kimwe muri ibi bikurikira kugira ngo akureho kugabanya ububabare:

• Agashinge k'imiti gaterwa mu gace runaka kugira ngo gakureho ibisebe hafi y'igufwa ryavunitse.
• Imiti igabanya ububabare itangwa kugira ngo iruhure umubiri wose.
• Umubiri wawe wose uzaterwa ikinya kandi uzasinzira (`Anesthesia Rusange`).

Nyuma yo gukora iki gikorwa cyo kugabanya uruhu (``Closed reduction```), muganga azagushyiraho agapira cyangwa plaster.

Kubagwa kwa Scaphoid vunitse

Imvune zikomeye cyane zisaba kubagwa. Umuganga azahindura igufwa ryawe rya scaphoid akarisana, kugira ngo rigaruke rikire. Akenshi, bakora ikintu cyitwa "Internal fixation." Ibi bivuze ko umuganga azashyira ibice by'icyuma mu igufwa ryawe kugira ngo arifate kugeza rikize. Ubu buryo bwo "Internal fixation" ni ubu:

• Amasahani n'amasufe: Amasahani n'amasufe by'icyuma bishyirwa mu igufwa kugira ngo bifatanye ibice by'amagufwa.
• Insinga n'imigozi:Insinga n'udupira bikoreshwa mu gufata ibice bito by'amagufwa ugereranije n'ibindi bikoresho byo gufatanya. Ibi bikunze gukoreshwa hamwe n'amasahani cyangwa ibindi bikoresho nk'inkoni.

Hari abantu bahorana ibi bice by'icyuma mu mibiri yabo. Hari n'abantu bagomba kongera kubagwa kugira ngo babikuremo.

Guteranya amagufwa

Niba imvune yawe ya scaphoid "yavuye mu mwanya wayo," bivuze ko ibice biri kure cyane, cyangwa niba igufwa ryawe ritakira neza, ushobora gukenera gukora igikorwa cyitwa "gushyira amagufwa mu mwanya wayo." Umuganga ubaga azashyiramo izindi nyama kugira ngo afashe igufwa ryawe ryavunitse kugaruka hamwe. Hanyuma, akenshi bakora "gushyira imbere mu mubiri", bafatanye ibice kugeza igufwa rikize. Hari ahantu henshi hashobora gufatwa amagufwa kugira ngo hakorwe izi nyama:

• Uturutse ahandi ku mubiri wawe - akenshi uba hejuru y'igufwa ryawe ry'ikibuno.
• Biturutse ku wundi muntu (umuterankunga wo hanze).
• Igice cyakozwe mu buryo bw'ubuhanga.

Kubaga imvune ya Scaphoid akenshi bikorwa nk'ubuvuzi bwo hanze.

Nyuma yo kubagwa, ukuboko kwawe kuzakenera guhagarara. Ushobora gukenera kwambara agapira ko gupfuka cyangwa gusigwa mbere yo kongera gukoresha ukuboko kwawe nk'uko wabikoraga mbere yuko kuvunika.

Ni iyihe miti ikoreshwa mu kuvura imvune zo mu bwoko bwa scaphoid?

Imiti igabanya ububabare yitwa "NSAIDs", nka aspirine cyangwa ibuprofen, ishobora gutera kuva amaraso n'izindi ngorane nyuma yo kubagwa. Kubwibyo, umuganga wawe azakubwira imiti ushobora gufata kugira ngo ugabanye ububabare nyuma yo kubagwa.

Ingaruka mbi zishobora guterwa n'imiti igabanya ubukana bw'indwara ziterwa na NSAID:

• Kuva amaraso.
• Ibisebe byo mu gifu.
• Kubabara mu gifu.
• Ingorane zo mu mara.

Ese kuvunika kwa scaphoid bizakira ubwabyo?

Ntuzigere wirengagiza ibimenyetso nko kubabara, kubyimba, cyangwa kubabara. Nubwo ibimenyetso byawe byaba bidakomeye, uracyakeneye kuvurwa. Niba utabonye ubuvuzi bwo kuvunika kwa scaphoid, ushobora kuzagira ingorane zikomeye nyuma, nko:

• Indwara y’ibicurane (ACS): Umuvuduko uri mu mitsi uriyongera, amaraso anyura mu ngingo aracika, kandi imitsi n’imitsi bishobora kwangirika burundu.
• `(Malunion)`: Iyo amagufwa yawe yavunitse adahuye neza iyo akize.
• Kutagira aho uhurira: Amagufwa yawe ntabwo afatanye burundu cyangwa igice kimwe.
• `(Necrosis y'imitsi (osteonecrosis))`: Iyi ni indwara ibabaza ikomeza kwiyongera uko igihe kigenda. Ishobora kugira ingaruka ku bushobozi bwawe bwo kugenda. Ibaho iyo amaraso atemba ajya mu igufwa aciwe.
• Imiti ifata ukuboko: Indwara yitwa "Nonunion" na "Avascular necrosis" ishobora gutera rubagimpande mu kuboko no mu kuboko. Imiti ifata ukuboko ishobora gutera ububabare, kubyimba, gukomera no gucika intege.

Nzumva meze neza vuba gute nyuma yo kuvurwa?

Bishobora gufata ibyumweru byinshi kugira ngo ibimenyetso byawe bishire. Bitewe n'ubwoko bw'ikibagwa wagombaga kubagwa kugira ngo usane imvune yawe ya scaphoid, ushobora kongera kwimura ukuboko kwawe mu byumweru bike.

Ariko, niba ufite ububabare budashobora kugabanuka, hita ubonana na muganga.

Ni gute iki kibazo cyagabanuka?

Kurikiza izi nama rusange z'umutekano kugira ngo ugabanye ibyago byo gukomereka:

• Buri gihe wambara umukandara wawe w'intebe iyo uri mu modoka.
• Ambara ibikoresho by'umutekano bikwiye kuri buri gikorwa na siporo.
• Komeza urugo rwawe n'aho ukorera hasukuye ukureho ibintu bishobora gutuma wowe cyangwa undi muntu agwa.
• Mu gihe ufata ikintu icyo ari cyo cyose kiri hejuru, koresha ibikoresho cyangwa ibikoresho bikwiye. Ntukigere uzamuka ku ntebe cyangwa ku meza.
• Kurikiza indyo n'imyitozo ngororamubiri bigufasha kubungabunga ubuzima bw'amagufwa yawe.
• Niba ufite imyaka irenga 50, cyangwa niba hari umuntu wo mu muryango wawe urwaye indwara yo kubura amaraso, ganira na muganga wawe ku bijyanye no gupima ubucucike bw'amagufwa.
• Niba ukoresha inkoni cyangwa icyuma gitwara abantu mu kugenda, buri gihe koresha, kandi witondere ahantu hatangana.

Ese nshobora kwirinda kuvunika kwa scaphoid?

Gucika intege kw'amaguru akenshi guterwa no kugwa cyangwa izindi mpanuka, bityo nta byinshi byakorwa kugira ngo bikumirwe, uretse kwitonda mu gihe ugenda (ukoresheje inkoni/ikiganza niba uyifite) no kwitonda ahantu hatangana.

Ni iki nakwitega mu gihe navunitse scaphoid?

Niba ufite imvune ya scaphoid, ushobora kwitega gukira neza.

Uzakenera ubuvuzi bw'umubiri kugira ngo wongere imbaraga n'ubushobozi bwo gukora ingendo mu kuboko kwawe.

Bifata igihe kingana iki kugira ngo imvune ya scaphoid ikire?

Igihe bizatwara kugira ngo ukire kizaterwa n'uburemere bw'imvune yawe n'uburyo ukeneye kuvurwa. Abantu benshi bamara amezi agera kuri atatu kugira ngo bakire imvune ya scaphoid.

Hari izindi mpamvu nyinshi zishobora kugira ingaruka ku gihe bifata kugira ngo umubiri wawe ukire. Vugana na muganga wawe cyangwa umuganga wawe ku gihe gikwiriye imimerere yawe.

Ese sinzashobora kujya ku kazi cyangwa ku ishuri?

Niba ugishoboye gukora akazi kawe cyangwa akazi k'ishuri nubwo ukuboko kwawe kwangirika, ntuzashobora kujya ku kazi cyangwa ku ishuri.

Mu gihe urimo gukira, vugana n'umuganga wawe ubaga cyangwa umuganga mbere yo gukomeza gukora imyitozo ngororamubiri.

Igitekerezo cy'uko scaphoid yavunitse

Icyizere cy'uko imvune ya scaphoid izavunika ni cyiza. Nubwo wabazwe, ugomba gukira neza, kuko imvune yawe idashoboka kugira ingaruka z'igihe kirekire.

Ni ryari ugomba kujya mu bitaro byihutirwa?

Niba utekereza ko ufite imvune ya scaphoid - cyangwa indi mvune iyo ari yo yose - ugomba kujya kwa muganga vuba bishoboka. Jya mu cyumba cy’ubutabazi bw’ibanze vuba niba ufite kimwe muri ibi bimenyetso:

• Ububabare bukomeye budashobora kwihanganirwa.
• Niba udashobora kwimura igice cy'umubiri wawe ushobora kwimura ubusanzwe.
• Niba igice cy'umubiri wawe gisa n'igitandukanye n'ibisanzwe, niba gisa n'aho cyavuye mu mwanya wacyo.
• Niba igufwa ryawe rigaragara binyuze mu ruhu rwawe.
• Kubyimba.
• Niba hagaragaye ibikomere bishya hamwe n'ibindi bimenyetso.

Niba waragize impanuka ikomeye (ihungabana), jya mu cyumba cy’ubutabazi bwihuse.

Ni ibihe bibazo ugomba kubaza muganga?

• Ese mfite imvune ya scaphoid, cyangwa ubundi bwoko bw'imvune?
• Ni ikihe gice cy'igufwa ryanjye rya scaphoid cyavunitse?
• Ese nkeneye kubagwa?
• Bizatwara igihe kingana iki kugira ngo umuntu akire?
• Ni ryari nshobora kongera gutangira imyitozo ngororamubiri?

Kuvunika igufwa bihora biteye ubwoba, cyane cyane iyo bibayeho mu buryo butunguranye, nk'iyo unyerera ukagwa. Kuvunika kwa Scaphoid gukira neza iyo uvuwe, kandi hari amahitamo menshi yo gufasha amagufwa yawe n'umubiri wawe gukira neza. Vugana na muganga wawe uburyo bwo gukomeza gukomera no kugira ubuzima bwiza, kandi ujye usuzuma buri gihe ubucucike bw'amagufwa yawe niba ufite imyaka irenga 50 cyangwa niba hari umuntu wo mu muryango wawe urwaye osteoporosis.

Amaherezo, ibintu byo kwibuka

Rero, urabona, nubwo waba ufite ikibazo gito ku kuboko kwawe, si byiza kubyirengagiza gusa. Gucika kw'inyuma ni ikintu gishobora gukira burundu iyo kivuwe neza.

Igikuru ni ukubonana na muganga vuba bishoboka niba ufite ibimenyetso. Muri ubwo buryo, bashobora kumenya neza ibirimo no gutangira ubuvuzi bukenewe.

Wibuke ko ari ingenzi cyane kwita ku buzima bw'amagufwa yawe. Indyo yuzuye, imyitozo ngororamubiri ikwiye, no gufata ingamba zo kwirinda impanuka bishobora gufasha kwirinda izi ndwara ku rugero runaka. Niba ufite ikibazo icyo ari cyo cyose, ntutindiganye kubaza muganga wawe. Hanyuma ushobora kwizera.

Kuvunika kwa Scaphoid , kuvunika kw'ukuboko, kubabara ikiganza, kuvunika kw'amagufwa, X-ray, MRI, kubagwa amagufwa