Ese imitsi yawe irakomera mu buryo butunguranye? Ese irahinda? Reka tuvuge kuri Spasticity!

Ese hari igihe wumva iyo ugerageje kwimura ukuboko cyangwa ukuguru, bihita bikomera nk'aho byakubiswe n'ibuye? Cyangwa wumva imitsi yawe irimo kunyeganyega no kubabara nubwo waba uhagaze gusa? Iyi ni indwara abantu benshi bahura nayo, ariko ntibazi neza icyo ari cyo. Mu buvuzi, ibi tubyita Spasticity. Ntugahangayike, uyu munsi tuzavuga kuri byose mu buryo bworoshye, mu buryo ushobora gusobanukirwa.

Mu magambo make, Spasticity ni iki?

Guhagarara cyane ni indwara ifata umubiri igenzura urujya n'uruza rw'imitsi yacu. Tekereza nawe, iyo dusanzwe tugonga ukuboko, itsinda rimwe ry'imitsi rirakomera (rigakomera), mu gihe irindi tsinda ry'imitsi riruhuka. Bimeze nk'intambara yo gukurura; iyo uruhande rumwe rukuruwe, urundi ruhande rugomba kuruhuka. Iyi gahunda igenzurwa n'urwego rw'imitsi rwo hagati, ari rwo ubwonko n'umugongo (umutsi uri mu gice cy'umugongo) .

Iyo iyi mitsi yo hagati yangiritse kubera impamvu runaka, uburyo bwo gutanga ibimenyetso kuri iyo mitsi burahungabana. Icyo bibaho ni uko iyo ugerageje kwimura ukuboko, imitsi igomba kuba ikomeye n'imitsi igomba kuba irekuye byombi bikomera icyarimwe. Ibi bituma bigorana kwimuka, bigatera imitsi gukomera, kandi bigatera ububabare.

Kuri bamwe, iyi ndwara ishobora kuba yoroheje, gusa imitsi ifunganye gato. Ku bandi, ishobora kugera ku mimerere aho urugingo rufunganye cyane ku buryo rudashobora kugenzurwa, bigatera ububabare bukomeye.

Ni izihe mpamvu zitera spasticity?

Nkuko nabivuze mbere, impamvu nyamukuru ibitera ni ukwangirika kw'imitsi yo hagati mu mutwe wacu, ni ukuvuga ubwonko cyangwa uruti rw'umugongo. Hari impamvu nyinshi zishobora gutera uku kwangirika.

• Gukomereka k'umugongo: Kwangirika k'umugongo gutewe n'impanuka.
• Multiple Sclerosis (MS): Indwara yangiza imitsi.
• Indwara yo mu bwonko: Indwara iterwa no kwangirika k'ubwonko mu bwana.
• Stroke: Kwangirika kw'uturemangingo tw'ubwonko bitewe no guhagarika gutembera kw'amaraso mu bwonko.
• Igikomere cy'ubwonko cyangwa umutwe: Ingaruka ku mutwe ziturutse ku mpanuka.
• Amyotrophic Lateral Sclerosis (ALS): Indwara igabanya buhoro buhoro uturemangingo tw’imitsi tugenzura ingendo.
• Gucika intege bishobora guterwa n'izindi ndwara nyinshi zikomoka ku ngirabuzimafatizo.

Gucika intege bivurwa gute?

Igishimishije ni uko hari uburyo bwinshi bwo kuvura iyi ndwara. Nubwo spasticity idashobora gukira burundu, hari byinshi ushobora gukora kugira ngo ucunge ibimenyetso, ugabanye ububabare, kandi worohereze ubuzima bwawe.

Uburyo bwiza bwo kuvura iki kibazo ni ugukorana n'itsinda ry'abaganga b'ingeri zitandukanye, atari umuntu umwe gusa. Iri tsinda rishobora kuba ririmo inzobere mu by'imitsi, inzobere mu by'umubiri, inzobere mu by'imitsi, n'inzobere mu by'ubuvuzi bw'imiti.

Uburyo bwo kuvura butari ubwo kubaga

Ubu ni bwo buryo bwa mbere bwo kuvura bukoreshwa.

• Ubuvuzi bw'umubiri: Ibi bikubiyemo cyane cyane imyitozo yo kunanura no gukomeza imitsi ifunganye, ndetse no kwitoza kugenda no guhagarara.
• Ubuvuzi bw'akazi: Ibi bikubiyemo gukora imyitozo ngororamubiri mu ntoki zawe kugira ngo ubashe gukora imirimo yawe ya buri munsi, nko kwambara, koga no guteka, wenyine.
• Ubuvuzi bwo kuvuga: Niba gucika intege bikagira ingaruka ku mitsi yo mu maso, mu kanwa no mu muhogo, ubu buvuzi bushobora kugufasha gutsinda ingorane zo kuvuga no kumira.
• Imiti: Hari imiti ishobora gukoreshwa mu kuruhuka imitsi. Urugero, imiti nka (Baclofen), (Tizanidine), (Diazepam). Ariko, ibi rimwe na rimwe bishobora gutera ingaruka mbi nko gusinzira no gucika intege. Kubwibyo , ni ngombwa gukoresha iyi miti gusa nk'uko muganga yabigutegetse.

Uburyo bwo kuvura inshinge za Botox

Yego, ni kimwe na (Botox®) wigeze kumva. Ubu si uburyo bwo kwisiga gusa, ahubwo ni n'uburyo bwiza bwo kuvura indwara yo kubabara mu nda. Icyo ukora hano ni ugutera uru rushinge mu mitsi ifunze neza. Hanyuma iyo mitsi iraruhuka. Ingaruka zabyo zimara amezi agera kuri 3.

Kubaga )

Ibi bikunze gukoreshwa iyo indwara ikomeye cyane.

• Ubuvuzi bwa ITB: Ibi bikubiyemo kubagwa no gushyira agakoresho gato ka pompe munsi y'uruhu rw'inda, gasohora umuti wihariye witwa (Baclofen) mu mazi akikije imitsi yo mu ruti rw'umugongo. Ingaruka mbi zigira ni nkeya kuruta kuwufata ukoresheje umunwa.
• Gupima amaguru mu buryo bunyuranye (Selective Dorsal Rhizotomy - SDR): Ubu ni uburyo bwo kubaga bugoye gato. Muri ubu buryo, imizi y'imitsi itera ikibazo ni yo yonyine itoranywa ikanacibwa. Ibi bishobora kugabanya gukomera cyane kw'amaguru.
• Kubaga amagufwa: Kubaga ingingo n'imitsi byakomeretse kandi bikomeye bitewe no gucika intege.

Ni ryari ugomba kujya kwa muganga?

Ibi ni ingenzi cyane.

Niba uhuye n'imitsi ifunganye kandi igahindagurika gutya nta kibazo na kimwe wagize mbere, bishobora kuba ikimenyetso cy'uko ubwonko cyangwa uruti rw'umugongo byangiritse, bityo jya kwa muganga vuba vuba.Jya mu Ishami ry’Ubuvuzi bw’Ingoboka (ETU) niba bibaye ngombwa.

Niba usanzwe uzi ko ufite spasticity, vugana na muganga wawe niba ibi bikurikira bibaye:

• Niba gukomera no kubabara birushaho kwiyongera umunsi ku wundi.
• Niba ububabare bwiyongera.
• Niba ufite ingorane nyinshi mu gukora imirimo ya buri munsi.