Ese igufwa ryawe ryavunitse ahantu habiri, igice cyaryo gitandukanye hagati? Ese ni ukuvunika kw'igice? Reka tubiganireho!

Twese twahuye n'ibibazo byo kugwa no gukomereka. Hari igihe uvunika ukuboko cyangwa ukuguru, hari igihe ubyimba gato. Ariko tekereza, nyuma y'impanuka ikomeye, igufwa ryawe rivunika atari ahantu hamwe, ahubwo ni ahantu habiri nibura , kandi hagati y'izo ngingo ebyiri zavunitse, igice cy'igufwa gitandukanye burundu n'ibindi bice. Ubwo ni bwo bwoko bw'igufwa rikomeye tugiye kuvugaho uyu munsi, bwitwa imvune y'igice . Izina risa n'aho riteye ubwoba gato, si byo se? Ariko ntugire ikibazo, tuzabivugaho mu buryo bworoshye, busobanutse, kandi mu buryo ushobora kumva.

Kuvunika kw'igice cy'umubiri ni iki mu by'ukuri?

Mu magambo make, kuvunika kw'igice ni ukuvunika ahantu nibura habiri mu igufwa rirerire mu mubiri wawe. Uku kuvunika gubiri gutuma igice gito cy'igufwa gitandukana burundu n'ibindi bice bibiri by'ingenzi. Tekereza nko kumena igice cy'igiti ahantu habiri hanyuma igice gito cy'igiti kikava hagati.

Ubwo bwoko bw'imvune bushobora kugaragara mu igufwa ryose rirerire mu mubiri. Ahantu hakunze kugaragara cyane ni:

• Femur (igufwa kuva ku kibuno kugeza ku ivi)
• Tibia (igufwa rinini riri imbere mu kuguru, kuva mu ivi kugeza ku kaguru)
• Fibula (igufwa rito riri inyuma y'ukuguru, riteganye n'igufwa ry'uruti rw'umugongo)
• Igufwa ryo hejuru ry'ukuboko (`Humerus` - igufwa kuva ku rutugu kugeza ku nkokora)
• Amagufwa abiri kuva ku nkokora kugeza ku kuboko (`Radius` na `Ulna` - amagufwa yo ku kuboko)
• Clavicle (igufwa ry'umugongo)

Aya ni yo magufwa y'ingenzi ashobora kuvunika cyane.

Kuki ibi bibaho? Impamvu ni izihe?

Iyi ndwara yitwa "Segmental Fracture" ntituruka ku kugwa gusanzwe. Ibi bikunze kubaho bitewe n'impanuka zikomeye cyane ("serious traumas" . Tekereza kuri ibi bikurikira:

• Impanuka ikomeye y'imodoka: impanuka y'imodoka, impanuka y'igare.
• Kugwa uturutse ahantu hirengeye cyane: Iyo uguye uturutse ahantu hirengeye, nko ku giti, ku gisenge, cyangwa ku gisenge.

Ni igihe igufwa rihuye n’ikibazo gikomeye cyane, rishobora kuvunika ahantu habiri, igice kigatandukana hagati. Ubusanzwe, kuvunika bibaho iyo tunyerera tukagwa, cyangwa iyo dukora imirimo yo mu rugo, akenshi biba bikomeye cyane. Izi ni indwara zikomeye cyane , kandi akenshi zisaba kubagwa kugira ngo igufwa rigororwe .

Igihe bifata kugira ngo umuntu akire biterwa n'igufwa ryavunitse n'uburemere bw'igikomere. Ubusanzwe bishobora gufata umwaka kugira ngo umuntu akire neza .

Ni irihe tandukaniro riri hagati y'imvune za 'Segmental' na 'Comminuted'?

Aya mazina yombi akoreshwa n'abaganga mu gusobanura imiterere y'imvune. Yombi ni ubwoko bukomeye bw'imvune.

• Gucika kw'igice, nk'uko twabiganiriyeho, ni igihe igufwa rivunika ahantu habiri, igice kigatandukana hagati.
• Gucika intege ni ukuvunika aho igufwa rivunika ahantu hatatu cyangwa harenga, ni ukuvuga mo ibice .

Noneho urabyumva, sibyo? Hari ibice bishobora kuvunika (bivuze ko igice cyavunitse hagati gishobora kuvunikamo ibice bito), naho ibindi ntibivunike.

Ariko, uko byakwitwa kose, icy'ingenzi ni ukubonana na muganga vuba bishoboka nyuma y'impanuka .

Ni nde ushobora kuvunika nk'uku? Ni ku rugero rungana iki?

Kimwe n'izindi mvune z'amagufwa, kuvunika kw'ibice bishobora kuba kuri buri wese . Kubera ko izi mvune ziba mu bihe bitazwi, ntabwo dushobora kumenya igihe cyangwa uko zizabera.

Ariko, ibi ni gake cyane . Impamvu ni uko atari buri wese uhura n'impanuka zikomeye ziterwa n'izi mpanuka mu buzima bwe bwa buri munsi. Ibyo nabyo ni amahirwe mu buryo runaka.

Ibimenyetso ni ibihe? Ubimenya ute?

Niba ufite imvune y'igice, ushobora no kugira ibindi bimenyetso bikomeye bijyanye n'impanuka yaguteye. Ibi bimenyetso bizatandukana bitewe n'izindi mvune ufite. Ariko muri rusange, ibimenyetso by'imvune y'igice bishobora kuba birimo:

• Ububabare bukomeye : Ububabare bushobora kuba budashobora kwihanganira.
• Kudashobora kwimura igice cy'umubiri gisanzwe cyimukanwa : Ushobora no kudashobora kwimura ukuboko cyangwa ukuguru.
• Impinduka mu miterere y'igice cy'umubiri cyangwa uko kigenda : Ukuboko cyangwa ukuguru bishobora kugaragara birambuye cyangwa bihagaze mu buryo budasanzwe.
• Igufwa rigaragara mu ruhu : Hari igihe ibice by'amagufwa byavunitse bishobora kugaragara mu ruhu. Ibi ni bibi cyane.
• Kubyimba : Aho igikomere cyakomeretse hashobora kubyimba cyane.
• Gukomeretsa : Uruhu ruri muri ako gace rushobora guhinduka ubururu/umuhengeri.

Ibiruhuko bifunguye kandi bifunze

Muganga azashyira imvune yawe mu cyiciro cya "Open Fracture" cyangwa "Closed Fracture" .

• Gucika kw'igufwa rifunguye ni uko igufwa ryavunitse rinyura mu ruhu. Ibi bifata igihe kirekire kugira ngo bikire kandi bishobora gutera indwara n'izindi ngorane .
• Gucika intege nabyo ni ikibazo gikomeye, ariko igufwa ntirisohoka mu ruhu.

Ni gute umuganga abyemeza?

Muganga azemeza niba ufite ikibazo cyo kuvunika igice cy'umubiri binyuze mu isuzuma ry'umubiri n'ibizamini bitandukanye byo gufata amashusho . Hari igihe ibi bizamini bikorerwa aho ngaho iyo winjiye mu cyumba cy'ubutabazi bw'ibanze (ER) nyuma y'impanuka.

Iyo ugejejwe mu cyumba cy’ubutabazi bw’ibanze, itsinda ry’abaganga rizakorana kugira ngo rigufashe kuvura indwara yawe no kugufasha mu buryo bukurikije uburemere bwayo, cyane cyane niba imvune zawe zishobora gushyira ubuzima bwawe mu kaga. Iyo umaze kumererwa neza, hazakorwa ibizamini byo gufata amashusho kugira ngo byemezwe ko wavunitse.

Ni ibihe bipimo bikoreshwa mu gusuzuma iyi ndwara?

Kugira ngo umenye neza uko imvune yawe yavunitse, ushobora gukenera gukora kimwe cyangwa byinshi muri ibi bizamini:

• X-ray: X-ray ishobora kwemeza niba hari ibice cyangwa ibindi byavunitse ndetse n'ingano y'ibyangiritse ku magufwa.
• Ishusho ya Magnetic Resonance (MRI): Muganga wawe ashobora gukoresha MRI kugira ngo amenye neza ibyangiritse ku magufwa yawe n'ingingo zikikije. Ibi bishobora kugufasha kubona neza uburyo imvune yagize ingaruka ku mitsi, ingingo zihuza amagufwa, n'ingingo zikikije amagufwa yawe.
• Isuzuma rya CT (Computed Tomography scan): Isuzuma rya CT rituma umuganga cyangwa umuganga ubaga abona ishusho irambuye kandi isobanutse neza y’amagufwa n’ingingo zikikije kurusha isuzuma rya X-ray.

Ivurwa ite? Bizatwara igihe kingana iki kugira ngo umuntu akire?

Hafi ya mvune zose zivurwa no kubagwa. Hariho uburyo butandukanye bwo kubaga kugira ngo uhuze aya magufwa yavunitse. Ubuhanga umuganga wawe akoresha buzaterwa n'imvune zawe, amagufwa yavunitse, ndetse niba hari izindi ngorane wagize nyuma y'impanuka.

Umuganga w’inzobere mu kubaga azahuza amagufwa yawe yavunitse maze ayasanye . Iki ni cyo gihe atangira kwihuza, gukura no gukira. Ibi akenshi bikorwa hakoreshejwe ikintu cyitwa fixation y’imbere . Ibi bivuze ko umuganga w’inzobere mu kubaga ashyira ibice by’icyuma mu igufwa ryawe akabigumana kugeza igihe igufwa rikize. Hari ubwoko butandukanye bwo gufunga imbere:

• Inkoni: Inkoni y'icyuma inyuzwa hagati mu igufwa, kuva hejuru kugeza hasi.
• Amasahani n'amasufe: Amasahani y'icyuma ashyirwa hejuru y'igufwa agafatwa n'amasufe.
• Insinga n'imigozi: Insinga n'imigozi bikoreshwa mu gufata uduce duto tw'amagufwa ibindi bikoresho bidashobora gufata. Ibi bikunze gukoreshwa hamwe n'inkoni cyangwa amasahani.

Hari abantu baba bafite ibi bice by'icyuma mu mibiri yabo ubuzima bwabo bwose, kandi rimwe na rimwe bashobora gukenera kubagwa ubundi kugira ngo babikuremo.

Gufata hanze

Ushobora gukenera gufatisha inyuma (`External Fixation`) . Akenshi iki ni igisubizo cy'igihe gito. Kikorwa kugira ngo imvune ikomeze guhagarara kugeza igihe ibindi bikomere byawe bikize. Umuganga ubaga ashyira vis mu igufwa riri mu mubiri wawe ku mpande zombi z'imvune hanyuma agahuza vis n'icyuma (`brace cyangwa bracket`) kiri hanze y'umubiri wawe.

Hari igihe abaganga b'inzobere mu kubaga basaba ko habaho iyi gahunda yo gufunga inyuma nk'intambwe ya mbere mbere yo gufunga imbere mu mubiri. Niba ufite izindi mvune nyinshi, ushobora gutegereza igihe kugira ngo umubiri wawe ukire bihagije kugira ngo uhangane n'iyi gahunda yo gufunga imbere mu mubiri. Ikoreshwa kandi mu guhagarara neza kw'igufwa mu gihe kubyimba imbere mu mubiri bigabanuka.

Kubaga imvune zo mu gice cy'umubiri ni uburyo bwo kwivuza hanze . Ibi bivuze ko ushobora gutaha uwo munsi. Ariko, kubera ko ushobora kuba ufite izindi mvune zatewe n'impanuka yateje ubwo bwoko bw'imvune, ushobora kuzakenera kuguma mu bitaro kugeza ukize .

Nyuma yo kubagwa, igice cy'umubiri wawe aho igufwa ryavunitse kizaba kidakora neza. Bitewe n'aho riri, ushobora gukenera kwambara igitambaro cyo gukingira, agapira ko gukingira, cyangwa icyuma gikingira . Ibi bizaba ngombwa mbere yuko wongera gushyiramo ibiro kuri icyo gice cyangwa ukagikoresha nk'uko wabikoraga mbere y'impanuka.

Ni iyihe miti ikoreshwa mu kuvura?

Imiti igabanya ububabare (NSAIDs) ikoreshwa cyane nk'imiti igabanya ububabare, 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.

Ese hari ingorane ziterwa n'ubu buryo bwo kubaga?

Yego, hari ingorane zishobora kubaho nyuma yo kubagwa igice cy'ivunika. Zimwe muri zo ni:

• Indwara yo mu cyumba cy’umubiri (ACS): Ubwiyongere bw’umuvuduko mu mitsi bushobora kubuza amaraso gutembera mu ngingo. Ibi bishobora kwangiza imitsi n’imitsi burundu.
• Malunion: Indwara aho amagufwa yavunitse adahura neza mu gihe akira.
• Kutagira aho bihurira: Indwara aho amagufwa adahuza neza cyangwa neza.
• Kwandura amagufwa (`Osteomyelitis`): Niba waravunitse igufwa (aho igufwa ryanyuze mu ruhu), uba ufite ibyago byinshi byo kwandura indwara ya bagiteri.
• Ibindi byangiritse imbere:Kuvunika bishobora no kwangiza imitsi, imitsi, imitsi y'amaraso, imitsi, n'imitsi ikikije igikomere.

Nanone, hari ingaruka mbi zishobora guterwa n'ubwoko bwa `NSAID` bwavuzwe haruguru bw'imiti igabanya ububabare:

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

Ni iki nkwiye kwitega mu gihe nzakira?

Bishobora gufata ibyumweru byinshi kugira ngo ibimenyetso byawe bishire. Bitewe n'ubwoko bw'ikibagwa wakorewe n'ingano y'amagufwa yavunitse, ushobora kongera gutangira kwimuka mu byumweru bike.

Ariko, niba ufite ububabare bukomeye butagabanuka, hamagara muganga wawe ako kanya.

Mu gihe cyo gukira, uzakenera ubuvuzi bw'umubiri . Ibi bivuze ko uzakenera gukora imyitozo ngororamubiri idasanzwe kugira ngo igufashe kugarura imbaraga n'uburyo bwo kugenda mu gice cy'umubiri cyakomeretse. Ubu buvuzi buzaba bumwe mu buryo rusange bwo gukira izindi mvune zawe.

Inshuro nyinshi zo kuvunika kw'ibice bifata umwaka kugira ngo bikire . Igihe nyacyo bifata kugira ngo igufwa ryawe rikire giterwa n'uburemere bw'imvune ndetse niba hari izindi ngorane ufite.

Ushobora kudashobora kujya ku kazi cyangwa ku ishuri muri iki gihe. Igihe uzamara utajya ku kazi, ku ishuri, cyangwa mu bindi bikorwa bizaterwa n'imvune runaka n'amagufwa wavunitse. Menya neza ko wabanje kubaza umuganga wawe mbere yo gukora imyitozo ngororamubiri kugeza igihe uzakira.

Ni iki twakora kugira ngo tugabanye impanuka nk'izo?

Biragoye gukumira burundu impanuka zikomeye nk'izi. Kubera ko impanuka ziba mu gihe tutaziteze. Ariko, dushobora gukora ibintu nk'ibi kugira ngo tugabanye ibyago by'impanuka mu buzima bwacu bwa buri munsi:

• Ambara umukandara w'imodoka buri gihe. Ambara ingofero iyo utwaye amagare na moto.
• Ambara ibikoresho byo kwirinda bikwiye mu gihe ukina siporo n'indi mirimo.
• Komeza urugo rwawe n'aho ukorera hasukuye kandi hatarimo ibintu bishobora gutuma ugwa cyangwa ugwa.
• Mu gihe ugera ku kintu kiri hejuru mu nzu yawe, buri gihe koresha ibikoresho cyangwa urwego bikwiye. Ntuzigere uzamuka ku ntebe cyangwa ku meza kugira ngo ugere ku kintu.
• Kurikiza indyo n'imyitozo ngororamubiri bifasha mu kubungabunga ubuzima bwiza bw'amagufwa.
• 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.

Ibi nibyo dushobora gukora. Ariko ibuka ko kuvunika kw'ibice bikunze guterwa n'impanuka, bityo biragoye cyane kubikumira burundu.

Ni ryari ugomba guhita ujya kwa muganga?

Niba utekereza ko wavunitse igice kimwe cy'umubiri - cyangwa ikindi kintu icyo ari cyo cyose cyavunitse igufwa - ugomba kujya kwa muganga vuba bishoboka. Jya mu cyumba cy'ubutabazi bwihuse niba ufite kimwe muri ibi bimenyetso bikurikira:

• Ububabare bukabije cyane.
• Kudashobora kwimura igice cy'umubiri gisanzwe gishobora kwimurwa.
• Impinduka mu miterere y'igice cy'umubiri cyangwa uko kigenda kiva aho cyari kiri.
• Igufwa rigaragara binyuze mu ruhu.
• Kubyimba.
• Hamwe n'ibindi bimenyetso, hagaragara ibikomere bishya.

Cyane cyane niba waragize impanuka ikomeye, jya kwa muganga vuba.

Ibibazo by'ingenzi ugomba kubaza muganga

Niba uhuye n'ikibazo nk'iki, ntukibagirwe kubaza muganga wawe ibi bibazo:

• Ni irihe gufwa ryavunitse?
• Ni ubuhe bwoko bw'ubuvuzi ngomba kubagwa?
• Ese ngomba kubagwa byinshi?
• Bizatwara igihe kingana iki kugira ngo umuntu akire?

Amaherezo, ubutumwa bwo kujyana mu rugo

Gukomereka kw'ibice ni imvune zikomeye cyane . Ibikomere bitera bishobora gushyira ubuzima mu kaga. Ikintu giteje akaga cyane kuri izi mvune ni uko tudashobora kuzitegura mbere y'igihe.

Ariko inkuru nziza ni uko igipimo cy'intsinzi mu kubaga kugira ngo hakorwe imvune zo mu gice cy'umubiri ari kinini cyane . Nubwo gukira imvune ikomeye rimwe na rimwe bishobora kugaragara nk'ibirenze urugero, komeza urugendo rwawe rwo gukira intambwe ku yindi, kandi wishimire buri ntambwe utera mu nzira. Ntugacike intege. Ndakwifurije gukira vuba!

Kuvunika kw'amagufwa , kuvunika kw'ibice, kubagwa amagufwa, impanuka, igihe cyo gukira, ingorane zo kubagwa, ubuvuzi bw'umubiri