Ububabare bwo mu kiganza? Bishobora kuba indwara aho amagufwa abiri mu kiganza anyerera (Scapholunate Dissociation)!

Ese hari igihe wumva ikintu kidasanzwe cyangwa kikubabaza mu kuboko kwawe? Wenda ubu bubabare bwatangiye igihe wagwaga, wateruye ikintu kiremereye, cyangwa wakinaga siporo. Akenshi, twibwira tuti, "Oh, ni ukuvunika gusa." Ariko rimwe na rimwe, iyi ishobora kuba indwara isaba kwitabwaho cyane. Ni cyo tugiye kuvugaho uyu munsi, indwara ibaho mu kuboko isaba gusuzumwa byimbitse.

Uku gucika kw'igufwa ry'ukuboko ni iki? (Scapholunate Dissociation)

Mu magambo make, iyi '(Scapholunate Dissociation)' ni igihe amagufwa abiri mato yo mu kuboko kwacu, igufwa rya 'Scaphoid' n'igufwa rya 'Lunate', agenda atandukana gato n'aho agomba kuba ari, bigatuma habaho icyuho, cyangwa 'icyuho', hagati yayo. Mu by'ukuri, aya magufwa yombi ahuzwa n'umutsi ukomeye cyane, twita 'Scapholunate Interosseous Ligament (SLIL). Mu mpanuka runaka, cyane cyane iyo ikiganza gihindagurika kikagwa, uyu 'mutsi' ushobora gucika. Ni bwo isano iri hagati y'amagufwa abiri iba irekuye, maze agatangira kugenda. Iyo ukoresheje ukuboko kwawe, aya magufwa abiri agenda ava hagati y'andi, cyangwa 'agenda ava hagati y'andi'.

Ibi bimeze nk'ipfundo rihambiriwe hamwe n'imigozi ibiri. Igihe cyose ipfundo ritoshye, imigozi ibiri iba iri kumwe, ariko uko ipfundo rifunguka, imigozi ibiri iratandukana.

Ni nde ufite amahirwe menshi yo kurwara iyi ndwara?

Mu by’ukuri, iyi ndwara yitwa `(Scapholunate Dissociation)` ishobora kuba ku muntu uwo ari we wese, hatitawe ku gitsina, ubwoko, cyangwa idini. Ariko, ibyago byinshi ni ku bantu bagwa ku biganza no ku mavi . Tekereza, uri kugenda mu muhanda ugahita ugwa, hanyuma tugahita dushyira amaboko hasi kugira ngo twikize. Ni bwo iyi mpanuka ishobora kubaho cyane.

Iyi ndwara ikunze kugaragara gute?

Nkuko tubibona, iyo turebye izindi ndwara zo gucika kw'ukuboko, iyi ndwara ya `(Scapholunate Dissociation)` iboneka hafi 5% (`5%`) by'abantu . Nanone, zimwe mu ndwara zo gucika kw'ukuboko, cyane cyane izo mu bwoko twita ``distal radius fractures``, ni ukuvuga iyo igufwa rinini mu kuboko rivunitse hafi y'ukuboko, riboneka hafi 40% (`40%`) by'abantu bafite iyi ndwara ya `(SL dissociation)` . Hariho zimwe mu ndwara zidasanzwe zo gucika kw'ukuboko, nk'izikunze kugaragara.

Kuki ibi bibaho? Impamvu ni izihe?

Nkuko nabivuze mbere, impamvu nyamukuru ibitera akenshi ni "kugwa ku kuboko kurambuye" . Mu by'ukuri, iyo uguye ugashyira ikiganza cyawe hasi ukagishyiramo uburemere, igitutu gishobora gucika "ligament ya scapholunate interosseous (SLIL)".

Uretse ibyo, hashobora kuba hari izindi mpamvu nyinshi:

• Gufata umuvuduko w'imodoka neza mu gihe cy'impanuka y'imodoka, nk'imodoka: Iyi mitsi ishobora kwangirika bitewe n'ingaruka ku kuboko mu gihe cy'impanuka itunguranye.
• Zimwe mu ndwara z’uruhererekane: Urugero, indwara nka `Hereditary Spastic Paraparesis`.
• Kunanirwa kw'imitsi yo mu nda: Hari abantu bavukana imitsi idafite aho ihuriye n'ingingo zabo. Ibi kandi bikunze kubabaho.
• Rumatizime: Iyi ni indwara itera kubyimba ingingo. Iyi ndwara ishobora no gutuma imitsi icika intege, ibi bikaba byatera iyi ndwara.

Ni ibihe bimenyetso by'ibi? Bimera bite?

Niba ufite indwara yitwa "Scapholunate Dissociation", ubusanzwe uzahura n'ibi bikurikira:

• Ububabare inyuma y'ukuboko, cyane cyane iyo ufashe ikintu cyane (`gufata cyane`) : urugero, iyo ufunguye umupfundikizo w'icupa cyangwa ufashe umupfundikizo w'urugi.
• Intege nke mu mbaraga zo gufata: Kudashobora gufata ibintu neza nk'uko byari bimeze mbere.
• Kubyimba no kubabara hafi y'ukuboko: Agace gakikije ukuboko karabyimbye kandi karababaza gukoraho.
• Kubabara iyo urambuye ukuboko: Birababaza iyo uhindukije ukuboko.
• Hari igihe ushobora kumva ijwi ryo "gukanda" riva mu kuboko kwawe.

Wibuke ko ibi bimenyetso bitabaho kimwe kuri buri wese. Hari abantu bagira ububabare bwinshi, abandi buke. Rero, niba wumva ikintu kidasanzwe mu kuboko kwawe, ni byiza kujya kwa muganga.

Ni gute umuganga asuzuma ibi?

Iyo ugiye kwa muganga, babanza kukubaza ibimenyetso byawe. Umaze igihe kingana iki ubabara, byatangiye gute, kandi birushaho kwiyongera ryari? Hanyuma bazasuzuma ukuboko kwawe kugira ngo barebe niba hari ububabare, kubyimba, cyangwa ububabare.

Byongeye kandi, muganga ashobora gukora ibizamini nk'ibi bikurikira:

• Ikizamini cyo Guhindura Igufwa rya Scaphoid: Muri iki kizamini, muganga ashyira ikiganza cye hejuru y'igufwa ryawe rya scaphoid hanyuma akazunguza ukuboko kwawe. Iki kizamini kigenzura uburyo igufwa rya scaphoid rihagaze neza.
• X-ray: Ibi bishobora kwerekana uburyo icyuho kiri hagati y'amagufwa ya scaphoid n'ay'umunyu (scapholunate gap). Ubusanzwe, iki cyuho ni milimetero 2 (2 mm) cyangwa munsi yacyo. Ariko, mu gihe cyo gutandukana kwa SL, iki cyuho gishobora kuba milimetero 5 (5 mm) cyangwa zirenga. Hari igihe, ushobora kubona ikintu cyitwa "ikimenyetso cy'impeta" kuri X-ray. Ibi ni ukwitiranya nabi kw'igufwa rya scaphoid.
• Ikizamini cya MRI (Magnetic Resonance Imaging):MRI ishobora kwerekana neza niba umugozi wa scapholunate interosseous ligament (SLIL) waracitse. Ishobora kubona ishusho nziza y'uturemangingo tworoshye dukikije igufwa.
• Arthroscopy: Ibi bikubiyemo gukata gato cyane no gushyiramo kamera (scope) kugira ngo urebe imbere mu ngingo. Ibi bigufasha kubona neza ibyangiritse ku mitsi. Hari igihe ubuvuzi bushobora gukorwa icyarimwe na arthroscopy.

Ibi bivurwa bite? (Ubuvuzi)

Mu gihe uvura indwara yitwa 'Scapholunate Dissociation', ibintu bya mbere ugomba gukora ni ibi bikurikira:

• Imiti igabanya ububabare: Imiti itangwa kugira ngo igabanye ububabare.
• Gutera amenyo: Agakoresho kabugenewe gakoreshwa mu guhagarika ukuboko no gukumwe. Ibi bifasha imitsi yangiritse gukira.

Hanyuma, muganga wawe ashobora kukwohereza kwa muganga w’inzobere mu by’amaboko. Iyi ndwara ikunze gusaba kubagwa amaboko mu byumweru bitandatu nyuma y’imvune.

Mu gihe cyo kubagwa, uzahabwa ikinya rusange (bivuze ko uzaba usinziriye burundu), cyangwa uzahabwa ikinya cy’akarere (bivuze ko uzaba ufite ibitotsi gusa). Mu gihe cyo kubagwa, muganga aza:

• Hakorwa icyuho gito inyuma y'ukuboko.
• Uduce twangiritse turakurwaho tugasukurwa.
• Hanyuma, kugira ngo uzibe icyuho kiri hagati y'amagufwa ya scaphoid n'ay'umugongo, ni ukuvuga gusubiza hamwe amagufwa yombi, ukoresha ikintu kimeze nk'umutsi wakuwe ahandi mu mubiri wawe, umugozi, cyangwa vis y'icyuma.
• Amaherezo, incision iradodeshwa hamwe.

Nakora iki kugira ngo ngire icyo nkora kugira ngo ngire icyo nkora?

Kugira ngo ugabanye ibyago byo kwitandukanya na Scapholunate (kwitandukanya na Scapholunate)`, ikintu cy'ingenzi ni ugufata ingamba zo kwirinda kugwa. Ushobora gukora ibintu nk'ibi:

• Gukora imyitozo ngororamubiri ifasha mu kuringaniza imikorere y'umubiri, guhuza imikorere y'umubiri, no kugira imbaraga.
• Gukuraho ibyago byo gutembera mu rugo. Urugero, reba niba imigozi idafunguye, urumuri rudahagije, n'amatapi.
• Niba bibaye ngombwa, koresha igikoresho gifasha umuntu nko gukubita inkoni cyangwa gukata amaguru.
• Kwambara inkweto zirambuye, zikomeye kandi zifata neza.

Ni iki nakwitega mu gihe mfite iyi ndwara? (Ingaruka mbi)

Iyo utabonye umuti wo kwandura indwara ya SL vuba, ingorane nk'izi zishobora kubaho:

• Ububabare budakira: Ushobora kuba ufite ububabare bw'ukuboko bukomeje.
• Indwara ya rubagimpande: Indwara ya rubagimpande ishobora gutera iyo umuntu abyimbye ingingo.
• Kudakomera kw'ingingo: Ukuboko gushobora kumva nk'aho kuri kugenda mu buryo butunguranye.
• Kugabanuka kw'imbaraga zo gufata: Ushobora kudashobora gufata ibintu neza.
• Akaguru ka Scapholunate Advanced Collapse (SLAC): Iyi ni indwara yo kurwara rubagimpande ituma ingingo y'ukuboko isakara. Ibi bishobora kubabaza cyane.

Bizantwara igihe kingana iki kugira ngo ngire gukira niba mfite (Scapholunate Dissociation)? (Outlook)

Niba ubaye urwaye indwara yo gucikamo ibice bya SL, uzakenera kwambara icyuma gikingira amaguru mu byumweru bike nyuma yaho. Nyuma yo kugikuraho, ubuvuzi bw'umubiri buzafasha ukuboko kwawe kongera kugira imbaraga. Iyo uvuwe neza kandi ugahabwa ubuvuzi bw'umubiri, ugomba gusubira mu mirimo yawe isanzwe mu mezi make.

Ni gute nakwiyitaho nkoresheje Scapholunate Dissociation?

Nyuma yo kuvurwa indwara yo gucikamo ibice kw'umubiri (SL dissociation), ganira na muganga wawe ubwoko bw'ibikorwa n'imyitozo ushobora gukora mu mutekano. Hari gahunda zihariye zo gukora imyitozo ngororamubiri zishobora kugufasha kugarura imbaraga n'uburyo bwo gukora mu kuboko kwawe. Ntukigere urenga ibyo muganga wawe akubwira gukora kandi ukore ibintu bikomeye cyane ku kuboko kwawe.

Ubutumwa bwo kujyana mu rugo

Yego, rero "Scapholunate Dissociation" twavuze ni igihe amagufwa abiri mato yo mu kuboko, "Scaphoid" na "Lunate", agenda ava mu mwanya wayo, bigatuma habaho icyuho hagati yayo. Impamvu nyamukuru ibitera ni ukwangirika kwa "Ligament" ihuza aya magufwa abiri. Ibi bikunze kubaho iyo uguye urambuye ukuboko.

Ibimenyetso by'ingenzi ni ububabare bw'ukuboko, kubyimba, kubabara no kugabanuka k'imbaraga zo gufata. Muganga akoresha ibizamini nka scaphoid shift test, X-rays, MRIs, na arthroscopy kugira ngo abimenye.

Kubagwa akenshi ni bwo buryo bwiza bwo kuvura. Iyo habayeho kuvurwa neza no kuvurwa neza, abantu benshi bashobora gusubira mu mirimo yabo isanzwe mu mezi make. Kubwibyo, niba ufite ububabare budashira cyangwa kutamererwa neza mu kuboko kwawe, ni ngombwa kujya kwa muganga no kukugira inama aho gutekereza ko ari ukuvunika gusa.

` Ukuboko, Ububabare bw'ukuboko, Amagufwa y'amaboko, Imitsi, Gutandukana kwa Scapholunate, Kuvunika, Kubagwa