Ntabwo imvune zose zo ku kuboko zimeze kimwe! Reka tuvuge kuri Smith Fracture

Ese wigeze ugwa ugakomereka cyane ku kuboko? Iyo bibaye, hari igihe ushobora kuvunika igufwa mu kuboko kwawe. Izi mvune ziratandukanye, kandi ntiziba kuri bose kimwe. Uyu munsi tugiye kuvuga kuri imwe muri izo mvune, Smith Fracture . Niba ubizi, ushobora gutuza no kuvurwa neza vuba niba ikintu nk'iki kikubayeho cyangwa umuntu uzi.

Igikomere cya Smith ni iki?

Muri make, kuvunika kwa Smith ni ubwoko bwihariye bw'imvune mu kuboko kwawe. Akenshi bibaho iyo uguye mu gihe ukuboko kwawe gufite imbaraga, bivuze ko ukuboko kwawe gufite imbaraga zerekeza ku kuboko kwawe, cyangwa niba wakubiswe cyane inyuma y'ukuboko kwawe.

Ubu ushobora kuba urimo gutekereza, hari amazina menshi y’aya magufwa yavunitse, kandi birateye urujijo. Ni ukuri. Ushobora kuba warumvise ibyerekeye kuvunika kwa Smith, ari byo "kuvunika kwa radius ya distal", ari byo kuvunika kw'inyuma y'urukiramende, amagufwa abiri manini mu kuboko kwawe, ari ku ruhande rw'igikumwe cyawe.

Ibi byose ni ingenzi kugira ngo muganga amenye neza amagufwa yo mu kuboko kwawe yavunitse, aho yavunitse, uko yavunitse, n'uko imbere hameze. Tekereza ibi nk'ahantu ho gukuza kuri mikorosikopi, bituma muganga abona neza imvune yawe. Ariko, icy'ingenzi ni ukwereka umuganga vuba bishoboka.

Ibi bitandukanye bite n'izindi mvune zo ku kuboko?

Ubwoko bw'imvune yo ku kuboko ufite biterwa n'uburyo igufwa ryawe ryavunitse n'uko imvune isa. Gucika intege kwa Smith bikunze kubaho iyo uguye ukuboko kwawe kugosoye imbere cyangwa iyo ukubiswe cyane inyuma y'ukuboko kwawe.

Itandukaniro riri hagati ya Smith fracture na Colles fracture

Noneho, niba muganga akubwira ko ufite "Colles fracture", ikibaho ni uko igice cy'igufwa cyavunitse mu kuboko kwawe ("radius") gisunikirwa inyuma (dorsally). Ni ukuvuga, ahagana inyuma y'ukuboko. Ariko mu kuvunika kwa Smith, ni ikindi kintu: igice cy'igufwa cyavunitse gisunikirwa imbere (volarly), ni ukuvuga, ahagana ku kiganza. Urabyumva itandukaniro? Iri ni ryo tandukaniro nyamukuru.

Itandukaniro riri hagati ya Smith imvune n'imvune ya Barton

Amagufwa ya Barton asa n’aya Smith. Byombi bishobora kubaho iyo ukuboko gupfukamye imbere kukagwa. Ariko, iyo Barton yavunitse, igufwa ryavunitse riba rihengamye cyangwa rivuye ku kuboko kwawe, kandi ibi binareba ingingo.

Ni nde ufite amahirwe menshi yo kurwara Smith Fractures?

Mu by’ukuri, umuntu wese ashobora kuvunika amaguru bitewe n’impanuka cyangwa gukubitwa bikomeye.

Ariko hari ikintu kimwe cy'ingenzi gishobora gutera indwara. Icyo ni indwara ya osteoporosis.Iyo urwaye indwara ya osteoporosis, amagufwa yawe ashobora kuvunika byoroshye kurusha umuntu usanzwe. Nubwo bishobora kuba kuri buri wese, bibaho ku bagore inshuro enye kurusha abagabo. Nanone, abantu barengeje imyaka 50 bafite ibyago byinshi byo kurwara osteoporosis.

Iyi ndwara ikunze kugaragara gute?

Ugereranyije, kuvunika kw'ukuboko bingana na 20% by'imvune zose ziboneka mu bitaro byita ku butabazi bw'ibanze. Ni nabyo imvune ya kabiri ikunze kugaragara mu bantu barengeje imyaka 50.

Ariko ugereranije n'izindi mvune zo ku kuboko, imvune za Smith ni nke cyane . Zigize hafi 5% by'imvune zose zo ku kuboko. Ni nkeya ugereranyije n'imvune za Colles.

Ni ibihe bimenyetso by'ibi?

Ushobora kugira ibimenyetso nk'ibi mu gihe cyo kuvunika kwa Smith:

• Ububabare bukomeye mu kuboko.
• Kubyimba .
• Ubugwaneza iyo bukozweho.
• Kudashobora kwimura ukuboko kwawe nta bubabare.
• Gukomeretsa ku kuboko, bishobora kuba bifite ibara ry'ubururu n'umuhengeri.
• Ubusembwa budasanzwe cyangwa ikibyimba kigaragara ku kuboko. Ni nk'aho imiterere y'ikiganza yahindutse.

Kuki ibi bibaho? Impamvu ni izihe?

Kugwa ni yo mpamvu ikunze kugaragara. Abantu benshi bavunika umutwe bakagwa ukuboko kwabo kugose imbere, bikubita ku kibero cy'ukuboko.

Byongeye kandi, impanuka z'imodoka, imvune za siporo (urugero, kugwa ku igare, kugwa kuri skateboard), n'izindi mpanuka zikomeye nabyo bishobora gutera kuvunika kwa Smith.

Muganga ashobora gukoresha ijambo nka "uburyo bwo gukomereka" kugira ngo asobanure icyateye ukuguru kwawe kuvunika. Ni ijambo abaganga bakoresha gusa, kandi ribafasha gusobanukirwa uburyo wakomeretse.

Umuganga abibona ate?

Uburyo bwonyine bwo kumenya neza niba ufite imvune ya Smith ni ugupima ``(X-ray)``` . Ibi bishobora kubwira muganga neza amagufwa wavunitse, ubwoko bw'imvune ufite, n'aho ibice byavunitse bijya. ``((X-ray)``` ni byo bifatwa ku mvune iyo ari yo yose yo ku kuboko.

Uretse kwemeza ko ukuboko kwawe kwavunitse, X-ray iha muganga andi makuru menshi y'ingenzi. Urugero, uburyo aho wavunitse hasukuye, ibice bingana iki, umwanya uri hagati y'amagufwa, ndetse niba andi magufwa yarangiritse.

Hari igihe, CT scan cyangwa MRI bishobora gukorwa kugira ngo byemezwe cyangwa bivemo ko nta byangiritse ku bindi bice by'ukuboko, nk'imitsi, imitsi, n'imitsi.

Ibizamini ugomba gukora bizaterwa n'impamvu n'uburemere bw'imvune yawe. Niba imvune yawe yo ku kuboko yatewe n'impanuka ikomeye, nk'impanuka y'imodoka cyangwa kugwa uvuye ku ngazi, ushobora gukenera ibindi bipimo.

Ni ubuhe buryo bwo kuvura buhari?

Uburyo bwo kuvura imvune yawe ya Smith buzaterwa n'uburemere bw'imvune ya mbere. Amagufwa yawe yavunitse agomba gukira no kugaruka. Hari uburyo bwinshi bwo kuyakomeza.

Kudakora ni igikorwa cyo kudakora ukuboko.

Niba imvune yawe idakomeye cyane, kandi amagufwa atari kure cyane (atari mu mwanya wayo cyangwa adakuweho cyane), ushobora gusa kwambara agapira cyangwa agapira ku kuboko kwawe. Agapira gasanzwe kamara ibyumweru bitatu kugeza kuri bitanu. Agapira gashobora kumara igihe kirekire, akenshi ibyumweru bitandatu kugeza ku munani . Ushobora kandi gukenera kongera gukorerwa X-ray kugira ngo urebe neza ko amagufwa yawe akize neza.

Kugabanya ibiciro bifunze

Ku mvune zikomeye, bivuze ko imvune zacitse, ushobora gukenera ikintu cyitwa "closed reduction" kugira ngo amagufwa yawe asubire mu mwanya wayo. Ibi si ukubagwa. Muri ibi, muganga azagufata ukuboko no ku kuboko akabikurura kugira ngo ahuze amagufwa yavunitse. Kugira ngo ugire ububabare buke mu gihe ukora ibi, ushobora guhabwa kimwe muri ibi bikurikira:

• Anesthesia yo mu gace utuyemo izatera ibisebe ku kuboko no ku kiganza cyawe gusa.
• Imiti itera gusinzira (imiti ituma wumva usinziriye) ituma umubiri wawe wose wumva uruhutse.
• Uzasinzira (anesthesia rusange) mu gihe cyose cy'igikorwa.

Nyuma yo kugabanya ubwivumbure, muganga azagushyiramo icyuma cyangwa agapira ku kuboko. Hanyuma uzakenera kubonana n'inzobere kugira ngo baganire ku buryo bwo kuvura.

Ukeneye kubagwa?

Ku magufwa akomeye cyane, ni ukuvuga imvune idashobora gushyirwaho neza hamwe n'"igabanuka ry'umuvuduko", cyangwa ku magufwa adahindagurika, kubagwa birakenewe. Umuganga wawe azahuza amagufwa yavunitse (igabanuka ry'umuvuduko), hanyuma ashyire icyuma n'amapine mu kuboko kwawe kugira ngo bifatanye (ishyirwa imbere mu gitereko).

Gukira nyuma yo kubagwa bifata igihe kirekire kurusha ubundi buryo bwo kuvura. Nyuma yo kubagwa, uzakenera kwambara agatambaro ko kurinda amagufwa yawe no kuyafasha gukira. Uzakenera kandi ubuvuzi bw'umubiri kugira ngo bugufashe kongera kugira imbaraga no kugenda neza.

Ni iki cyakorwa ku bubabare?

Ni ngombwa kuvugana na muganga wawe mbere yo gufata umuti uwo ari wo wose kugira ngo ugabanye ububabare nyuma yo kuvurwa. Imiti igabanya ububabare itangwa na muganga (nk'umuti wa ibuprofen cyangwa acetaminophen) ishobora gufasha kugabanya ububabare no kubyimba. Ikoreshe neza nk'uko muganga wawe abikubwira.

Ni gute wakwirinda ikintu nk'iki kubaho?

Kuvunika ukuboko hafi ya kose bibaho ku bw'impanuka. Kubera ko kugwa ari byo bintu bitera kuvunika ukuboko, ni ngombwa kurinda urugo rwawe n'aho ukorera ibintu bishobora kugutera igisebe cyangwa gukomeretsa abandi. Witondere insinga, imisego n'ibikinisho biri hasi. Nanone, menya neza ko abagize umuryango wawe barengeje imyaka 50 bafite imico myiza yo kwirinda kugwa.

Nanone, ganira na muganga wawe ku bijyanye n'indwara ya osteoporosis n'uburyo wakomeza amagufwa yawe binyuze mu mirire (ikungahaye kuri kalisiyumu na vitamine D), imyitozo ngororamubiri, no gupimwa buri gihe ubucucike bw'amagufwa.

Bifata igihe kingana iki kugira ngo umuntu akire?

Igihe bifata kugira ngo ukire biterwa n'uburemere bw'imvune yawe n'uburyo wavunitse. Bishobora gufata igihe icyo ari cyo cyose kuva ku mezi make kugeza ku mwaka urenga kugira ngo ukire neza.

• Niba hakoreshejwe agapira cyangwa icyuma gikozwe mu gitereko: ibyumweru bitandatu.
• Niba ufite closed reduction: Niba udashaka kubagwa, ushobora gutaha uwo munsi. Uzakenera kwambara agapira ko gupfuka/gushyiramo icyuma byibuze ibyumweru bitandatu kugeza ku munani.
• Niba ubayegwa: Bifata amezi agera kuri atatu kugira ngo ukire nyuma yo kubagwa. Uzakenera kandi ibyumweru bine kugeza kuri bitandatu byo kuvura indwara zo mu mutwe no kuvura umubiri.

Abantu benshi bashobora kugira ububabare mu kuboko mu gihe cy'amezi menshi, ndetse n'imyaka myinshi, nyuma y'uko imvune yabo ikize. Niyo mpamvu ari ngombwa gukora imyitozo ngororamubiri muganga wawe yagutegetse.

Ni ryari nzashobora gusubira ku kazi no ku ishuri?

Uko ubuvuzi wahabwa bwaba buri kose, kuvunika kwa Smith bizagira ingaruka ku buzima bwawe kugeza igihe bizakira:

• Gusoma, kwandika no gukoresha mudasobwa bishobora kugorana, cyane cyane iyo ukuboko kw'ikiganza cyawe gikomeye kwavunitse.
• Niba warabazwe, uzakenera ubuvuzi bw'umubiri kugira ngo wongere imbaraga zawe.
• Nubwo kubagwa bidakenewe, muganga wawe azakwigisha imyitozo ngororamubiri kugira ngo agufashe kugumana uburyo bwo kugenda no koroherwa mu kiganza cyawe no mu kuboko kwawe.

Muganga azagusobanurira kandi igihe udashobora kujya ku kazi, ku ishuri, cyangwa mu bindi bikorwa.

Abantu benshi bashobora kongera gukora imyitozo ngororamubiri yoroheje (gutembera, kwiruka, gukora imyitozo yo hasi) mu gihe cy'ukwezi kumwe cyangwa abiri nyuma yo gukuraho icyuma cyangwa nyuma yo kubagwa. Ariko, bishobora gufata amezi atatu kugeza kuri atandatu kugira ngo wongere gukora imyitozo ngororamubiri iremereye cyangwa siporo yo gukomeretsa umubiri.

Ni izihe ngorane zindi ibi bishobora gutera?

Kuvunika kwa Smith bishobora guteza ingorane nk'izi, niyo mpamvu ari ngombwa kuvurwa neza:

• Indwara y’ibicurane (ACS) : Ubwiyongere bw’umuvuduko mu mitsi yo ku kuboko kwawe bushobora gutuma amaraso ava mu ngingo, bigatera kwangirika kw’imitsi n’imitsi burundu. Ibi ni ibintu byihutirwa.
• `(Malunion)` : Ibi bibaho iyo amagufwa yawe yavunitse adakize neza kandi agahinduka nabi.
• Indwara ya Carpal tunnel syndrome : Kuvunika kw'ukuboko kudakira neza bishobora gutera gukanda imitsi yo hagati mu kuboko, bigatera ububabare, uburyaryate n'intege nke mu kuboko.
• Kwandura amagufwa (osteomyelitis) : Niba wavunitse ukuboko (aho igufwa rica mu ruhu), uba uri mu kaga ko kwandura indwara ya bagiteri.
• Izindi mvune zo mu mutima : Gucika intege bishobora no kwangiza imitsi, imitsi, imitsi y'amaraso, imitsi, n'imitsi ikikije imvune yawe.
• Rubagimpande : Uko igihe kigenda gihita, rubagimpande ishobora kugaragara mu ngingo yakomeretse.

Ni ryari ngomba kujya kwa muganga?

Niba utekereza ko wavunitse ukuboko, shaka ubufasha vuba bishoboka . Jya mu cyumba cy’ubutabazi bw’ibanze niba waragize impanuka kandi ufite ibi bimenyetso:

• Ububabare bukomeye.
• Kubyimba.
• Birababaza iyo bikozweho.
• Ntushobora kunyeganyeza ukuboko kwawe.
• Niba ukuboko kugaragara nk'aho gucuramye kandi kwangiritse mu buryo butangaje.
• Niba intoki zawe zirimo gutyara cyangwa zihinduka ibara.

Bwira muganga cyangwa abakozi b'ubutabazi neza ibyabaye .

Ni ibihe bibazo ugomba kubaza muganga?

Ntukibagirwe kubaza ibi bibazo iyo ugiye kwa muganga. Muri ubwo buryo, ushobora gusobanukirwa byose neza.

• Ni ubuhe bwoko bw'imvune mfite? Ni imvune ya Smith?
• Ese nkeneye kwambara agapira cyangwa icyuma gikingira igituza? Igihe kingana iki?
• Ese nkeneye kubagwa?
• Ese nkeneye ubuvuzi bw'umubiri?
• Ni ryari nshobora gukoresha ukuboko kwavunitse?
• Ni ryari nshobora gukina siporo cyangwa imyitozo ngororamubiri?
• Ni ryari ukuboko kwanjye kuzakira burundu?
• Ni ibihe bintu bimwe na bimwe ngomba gukora no kwirinda mu rugo?
• Ni ryari ngomba kongera kubonana na muganga?

Amaherezo, ikintu cy'ingenzi cyane (Ubutumwa bwo kujyana mu rugo)

Kuvunika igufwa bihora biteye ubwoba, cyane cyane iyo ari impanuka ikomeye. Ku bw'amahirwe, kuvunika kw'ukuboko, harimo n'ibyavuyemo Smith, birashobora kuvurwa. Iyo ubuvuzi bukwiye n'inama za muganga, abantu benshi bashobora gusubira gukora ibyo bakoraga mbere y'uko bakomereka.

Niba utekereza ko ufite imvune ya Smith cyangwa indi mvune iyo ari yo yose yo ku kuboko, ntugapfushe umwanya ahubwo ujye kuyisuzumisha vuba bishoboka.Niba ufite ibintu byihariye bishobora gutera indwara, nko kurwara indwara y’amagufwa, ntukibagirwe kuvugana na muganga wawe ku buryo bwo gukomeza amagufwa yawe no kwirinda kuvunika. Ubuzima bwawe buri mu maboko yawe!

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