Ese wigeze ugorama ukuboko cyangwa ukuguru ukavunika igufwa? Reka twige kuri iyi 'Spiral Fracture' iteje akaga!

Mana yanjye, tekereza uramutse urimo gukina umupira w'amaguru cyangwa umanuka ingazi maze ukuguru kwawe kukagenda nabi mu buryo butangaje, bigatera ububabare bukabije bigatuma ukuboko cyangwa ukuguru bitabasha kunyeganyeza! Niba ari uko bimeze, ushobora kuba waragize icyo bita "kuvunika mu bwonko." Ubu ni ubwoko bukomeye bw'imvune. None rero uyu munsi, reka tubiganireho birambuye, nk'aho ubwira inshuti yawe.

Uku kuvunika kw'umugongo ni iki?

Muri make, kuvunika kw'umugongo ni ukuvunika kw'umubiri wawe bibaho iyo igufwa ryavunitse bitewe n'imbaraga zizunguruka . Ni nk'ingufuri ifungura umugongo. Uku kuvunika gukwirakwira ku igufwa mu buryo bw'uruziga. Ibi bikunze kwitwa "kuvunika kwuzuye" (" complete fractures" ). Ibi bivuze ko igufwa ryavunitse burundu mo kabiri.

Kugira ngo ubyumve neza, tekereza kuri ubu buryo: Iyo ukanda igitambaro gitose, kirazunguruka hagati, sibyo? Uko ni ko kuvunika nk'uku biba iyo igufwa rikoreshejwe imbaraga zizunguruka.

Ni ubuhe bwoko bw'amagufwa bushobora kubaho?

Gucika intege mu buryo bw'imitsi bikunze kugira ingaruka ku magufwa maremare mu mubiri wacu. Dore ingero nke:

• Igufwa ry'ikibero (femur)
• Igufwa ry'uruti rw'umugongo (`Tibia`)
• Irindi gufwa rito riri hanze y'igufwa ry'uruti rw'umugongo (`Fibula`)
• Igufwa riri mu kaguru (`Talus`)
• Igufwa kuva ku rutugu rwacu kugeza ku nkokora zacu (`Humerus`)
• Amagufwa yo mu kuboko (`Radius` na `Ulna`)
• Amagufwa mato mu ntoki no mu mano (`Phalanges` na `Metacarpals`)

Iyo habaye imvune nk'iyi, akenshi kubagwa birakenewe. Igihe cyo gukira gitandukana bitewe n'ubwoko bw'igufwa ryavunitse n'icyabiteye. Ariko, akenshi bifata amezi menshi kugira ngo rirame burundu.

Ni irihe tandukaniro riri hagati yo kuvunika kw'umugongo n'ivunika rya 'greenstick'?

Ubu bwoko bwombi bw'imvune, ariko bufite imiterere itandukanye. Ku muganga, aya mazina akubwira uko igufwa ryavunitse, aho riri, n'uko rigaragara imbere mu mubiri.

• Kuvunika kw'umuzunguruko ni ukuvunika kw'igufwa rikora ingazi zizunguruka. Ibi bibaho iyo igufwa rihuye n'imbaraga nyinshi zizunguruka bitewe no kugwa, impanuka, cyangwa imvune za siporo. Tekereza nk'umuntu ugufashe ukuguru akakuzunguruka mu gihe ukina rugby.
• Gucika kw'igufwa rya "Greenstick" ni igihe igufwa rigondamye rikagira akantu gato, ariko ntiricikamo kabiri burundu. Ese wigeze ugerageza gucamo igufwa rito, ni ukuvuga igufwa ryoroshye, ukoresheje amaboko yawe? Ntiricikamo kabiri neza nk'igufwa ryumye, si byo se? Uko ni ko bimeze. Uku kuvunika kw'igufwa rya "Greenstick" kukunze kugaragara mu bana bato.

Rero, uko wabyita kose, icy'ingenzi ni ukubonana na muganga ako kanya ukimara gukomereka no kwisuzumisha.

Ni iyihe sano iri hagati y'ibi n'indwara ya 'Toddler Fracture' ibaho ku bana bato?

'Gucika intege kw'umwana muto' mu by'ukuri ni ubwoko bwa 'Gucika intege kw'umugongo'. Akenshi biba ku bana bari munsi y'imyaka itatu. Kimwe n'izindi mvune zo mu mizingo, biterwa n'imbaraga zizunguruka, ariko akenshi zigira ingaruka ku igufwa ry'uruti rw'umugongo ('Tibia') . Hari igihe ibi bishobora kubaho iyo umwana aguye mu gihe agenda cyangwa yiruka.

Uku kuvunika kw'imitsi kugaragara kungana iki?

Gucika intege mu buryo bw’imitsi mu by’ukuri ntabwo bikunze kubaho cyane. Akenshi biterwa n’impanuka zikomeye n’imvune, bityo ntibikunze kubaho cyane nk’ubundi bwoko bw’imvune.

Ni nde ufite amahirwe menshi yo kugira ubwo bwoko bw'imvune?

Umuntu wese ashobora kuvunika igufwa, kandi kuvunika kw'imitsi bishobora kuba kuri buri wese. Ibi bikunze guterwa n'impanuka. Ariko, iyo uguye kenshi, uba ufite amahirwe menshi yo kuvunika nk'uku. Nanone, abantu barwaye indwara ya osteoporosis bafite ibyago byinshi byo kuvunika ubwoko bwose bw'imitsi, harimo n'imitsi ya spiral.

Ni ibihe bimenyetso by'ivunika ry'umugongo rishobora kugaragara?

Ubu bwoko bw'imvune bukunze kugaragaza ibimenyetso bikurikira:

• Ububabare bukabije
• Kubyimba
• Ubugwaneza iyo bukozweho
• Kudashobora kwimura igice cy'umubiri gisanzwe gishobora kwimurwa
• Gukomereka cyangwa guhindura ibara ry'uruhu
• Muri ako gace hagaragara isura ifite ubusembwa cyangwa ikibyimba kitari gisanzwe.

Ibiruhuko byo 'Gufungura' n' 'Gufunga' ni iki?

Muganga wawe azashyira imvune yawe mu byiciro 'bifunguye' cyangwa 'bifunze'.

• Iyo imvune ifunguye , igufwa ryawe rica mu ruhu. Ibi bifata igihe kirekire kugira ngo bikire, kandi hari ibyago byinshi byo kwandura indwara n'izindi ngorane.
• Iyo imvune ifunze , igufwa riravunika ariko ntirimeneke uruhu. Ibi biracyari bikomeye, ariko ibyago byo kugira ibibazo biri hasi ugereranyije n'imvune ifunguye.

Kuvunika kw'inyuma ni iki?

Amagambo 'Gutaruka' cyangwa 'kutataruka' ni amagambo muganga azakoresha mu gusobanura imvune yawe.

• Gucika kw'igufwa ni igihe ibice by'amagufwa byavunitse bivanyweho, bigasiga icyuho kikikije aho byavunitse.
• Mu gihe igufwa ritavunitse, riracyavunitse, ariko ibice ntibirava kure cyane.

Amagufwa yavuye mu myanya ndangagitsina akunze kubagwa.

Ni iki gitera uku kuvunika kw'imitsi?

Ubwoko ubwo aribwo bwose bw'ingaruka zitera igufwa kwiheta bushobora gutera ubu bwoko bw'imvune. Akenshi bibaho iyo ukuboko kwawe, ukuguru, cyangwa umubiri wawe bikuriwe mu buryo butunguranye mu mwanya wako usanzwe. Zimwe mu mpamvu zikunze kugaragara ni izi:

• Kugwa (urugero: kugwa ku madarajya, uturutse hejuru)
• Impanuka z'ibinyabiziga
• Imvune mu mikino (urugero: umupira w'amaguru, rugby, basketball)
• Impanuka zo mu kazi

Tekereza umuntu aramutse anyerera agakubita ikiganza cye hasi maze umubiri we ukazunguruka ugana ku rundi ruhande, igufwa rye mu kiganza rishobora kuvunika gutya.

Ni gute muganga asuzuma neza ikibazo cyo kuvunika kw'umugongo?

Umuganga azabanza kugukorera isuzuma ry’umubiri . Hanyuma, azagutegeka ibizamini byinshi byo gufata amashusho .

Ni ibihe bizamini biri gukorwa kuri ibi?

Nyuma yo gusuzumwa umubiri, kimwe cyangwa byinshi muri ibi bizamini bishobora gukorwa:

• X-ray: X-ray ishobora kwerekana neza niba hari aho yacitse, niba ari uruziga cyangwa ubundi bwoko, ndetse n'ingano y'ibyangiritse.
• Ishusho ya Magnetic Resonance (MRI): Muganga wawe ashobora gusaba ko ukorerwa isuzuma rya MRI. Ibi bishobora gutanga ishusho yuzuye y'ibyangiritse ku magufwa n'ingingo zikikije. Ibi ni ingenzi cyane kugira ngo harebwe niba hari ibyangiritse ku mitsi, ingingo zihuza umubiri, n'ingingo.
• CT scan: Niba ukeneye kubagwa, umuganga wawe cyangwa umuganga wawe azakenera kumenya neza ingano y’ibyangiritse byakorewe ku magufwa yawe. CT scan ishobora gufata ishusho irambuye y’amagufwa yawe n’ingingo zikikije kuruta X-ray.

Ivuniko ry'umugongo rivurwa rite?

Uburyo bwo kuvura imvune yawe yo mu ruziga buterwa n'uburemere bw'imvune yavunitse mbere n'ubwoko bw'igufwa ryavunitse. Amagufwa yavunitse agomba gukira no kugaruka hamwe. Bitewe n'uburyo yangiritse n'icyateye imvune, muganga wawe ashobora gukoresha uburyo butandukanye bwo kuvura.

Kubuza kugenda

Niba imvune yawe idakabije cyane, bivuze ko ibice by'amagufwa bitaratandukanye cyane (`non-displaced`), ushobora gukira ukoresheje agapira cyangwa icyuma gusa. Agapira gasanzwe kamara ibyumweru bitatu kugeza kuri bitanu. Agapira gashobora kumara igihe kirekire, akenshi ibyumweru bitandatu kugeza ku munani. Ariko, uzakenera kongera gukorerwa X-ray kugira ngo umenye neza ko igufwa rikize neza.

Kugabanya amagufwa nta kubagwa (Kugabanya amagufwa mu buryo bufunze)

Ku mvune zikomeye kurushaho, uburyo bwitwa 'closed reduction' bukoreshwa mu guhuza amagufwa. Ubu si ukubaga. Muganga afata ibice by'amagufwa yavunitse akabisubiza mu mwanya wabyo ari hanze. Muri ubu buryo, uzahabwa kimwe muri ibi bikurikira kugira ngo bigufashe kugabanya ububabare:

• Akamaro ko kugabanya ububabare kazagabanya gusa agace gakikije aho imvune yavunitse.
• Imiti igabanya ububabare kugira ngo iruhure umubiri wose.
• Anesthesia rusange izagutera gusinzira mu gihe cyose cy'igikorwa.

Nyuma y'uku 'kugabanya ubwiherero', muganga azagushyiraho agapira cyangwa plaster.

Kubagwa kw'imvune zo mu ruziga

Ku mvune zikomeye cyane, ni ngombwa kubagwa. Umuganga azasubiza amagufwa yawe mu mwanya wayo, ayashyire mu mwanya wayo, kugira ngo akire hamwe. Akenshi, ibi bikorwa binyuze mu gufunga imbere . Ibi bivuze ko umuganga azashyira ibice by'icyuma mu igufwa ryawe akabigumana mu mwanya waryo kugeza rikize. Hari ubwoko butandukanye bwo gufunga imbere:

• Inkoni: Inkoni inyuzwa mu igufwa, kuva hejuru kugeza hasi.
• Amasahani n'ibisumizi: Amasahani y'icyuma akoreshwa mu gufata ibice by'amagufwa.
• Insinga n'imigozi: Insinga n'imigozi bikoreshwa mu gufata ibice bito by'amagufwa hamwe kurusha ibindi bikoresho byo gufata. Ubusanzwe bikoreshwa hamwe n'inkoni cyangwa amasahani.

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

Gufata hanze

Ushobora kandi kuba wakwifashisha icyuma gikingira inyuma . Umuganga w’inzobere azashyira vis cyangwa udupira mu igufwa ryawe ryavunitse ku mpande zombi z’umubiri wawe maze abishyire ku gikoresho cyangwa icyuma gikingira inyuma y’umubiri wawe. Ubusanzwe iki gikorwa kiba kimara igihe gito. Kikorwa kugira ngo gituze imvune no kuyiha umwanya wo gukira mbere yuko icyuma gikingira imbere gikorwa.

Guteranya amagufwa

Niba imvune yawe yo mu ruziga yacitse ahantu henshi, cyangwa niba igufwa ritakira neza, ushobora gukenera guterwa igufwa . Umuganga w’inzobere azashyiramo izindi nyama z’igufwa hanyuma ashyiremo igufwa ryavunitse. Hanyuma, akenshi hamwe no gushyira imbere mu mubiri, ibice bifatwa hamwe kugeza igihe igufwa rikuriye. Inyama z’iyi nyama zishobora gukurwa ahantu hatandukanye:

• Uturutse ahandi ku mubiri wawe - akenshi uba hejuru y'igufwa ryawe ry'ikibuno.
• Kuva ku wundi muterankunga (`umuterankunga wo hanze`).
• Igice cyo gusimbuza cy'ubukorano.

Kubaga imvune zo mu mutwe akenshi ni igikorwa cyo kwa muganga utari mu bitaro . Ibi bivuze ko bitewe n'uko imvune yavunitse, ugomba kujya mu rugo uwo munsi. Ariko, niba ubaga igufwa rinini, nka femur cyangwa tibia, ushobora gukenera kuguma mu bitaro umunsi umwe cyangwa ibiri.

Nyuma yo kubagwa, igufwa ryavunitse riba ritagishobora kugenda. Ushobora gukenera kwambara igipfundikizo, agapira ko gupfuka, cyangwa icyuma mbere yo kongera kugishyiramo uburemere cyangwa kugikoresha nk'uko wabikoraga mbere yo kuvunika.

Ni uwuhe muti utangwa kuri ibi?

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

Ni izihe ngorane zishobora guterwa no kuvura kuvunika kw'umugongo?

Kubagwa kw'ivunika ry'umugongo bishobora guteza ingorane nka:

• Indwara yo mu cyumba cy’umubiri (ACS): Umuvuduko w’imitsi uriyongera, amaraso anyura mu ngingo aracika, kandi imitsi n’imitsi bishobora kwangirika burundu.
• Malunion: Amagufwa yavunitse adahuye neza iyo akize.
• Kutagira aho bihurira: Amagufwa ntakura neza kandi neza.
• Kwandura amagufwa (Osteomyelitis): Niba ufite imvune ifunguye (aho igufwa rica mu ruhu), uba uri mu kaga ko kwandura indwara ya bagiteri.
• Izindi mvune zo mu mutima: Gucika intege bishobora kwangiza imitsi, imitsi, imitsi y'amaraso, imitsi n'imitsi ikikije aho wakomeretse.

Nanone, imiti ya NSAID ishobora gutera ingaruka mbi:

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

Nzumva meze neza nyuma y'igihe kingana iki?

Bishobora gufata ibyumweru byinshi kugira ngo ibimenyetso byawe bishire. Bitewe n'ubwoko bw'ikibagwa wagombaga kubagwa kugira ngo usane imvune yawe yo mu mutwe n'igufwa ryavunitse, ugomba kuba ushobora kongera kwimura umubiri wawe buhoro buhoro mu byumweru bike.

Icy'ingenzi: Niba ufite ububabare bukomeye budashobora kwihanganira kandi budashira, hamagara muganga wawe ako kanya.

Ni gute twakwirinda kuvunika nk'uku?

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

• Buri gihe wambare umukandara wawe w'intebe igihe utwaye imodoka.
• Ambara ibikoresho by'umutekano bikwiye kuri buri gikorwa na siporo.
• Komeza urugo rwawe n'aho ukorera nta bintu bitari ngombwa bishobora kugutera igisitaza cyangwa guhungabanya abandi.
• Buri gihe koresha ibikoresho cyangwa ibikoresho bikwiye mu gihe uterura ibintu ubikuye mu nzu. Ntuzigere uzamuka ku ntebe, ameza, 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 amarasoNiba ari uko bimeze, ganira na muganga wawe ku bijyanye no gupima ubucucike bw'amagufwa.

Ese kuvunika kw'umugongo bishobora kwirindwa?

Gucika intege mu mizi akenshi biterwa no kugwa, impanuka, cyangwa imvune za siporo, bityo nta kintu kinini cyakorwa kugira ngo bikumirwe. Ariko, gukurikiza ingamba z’umutekano zavuzwe haruguru bishobora kugabanya ibyago.

Ni iki wakwitega mu gihe wavunitse mu buryo bw'uruziga?

Niba ufite ikibazo cyo kuvunika mu buryo bw'uruziga, ushobora kwitega ko uzakira neza.

Uzakenera ubuvuzi bw'umubiri kugira ngo wongere imbaraga n'ubushobozi bwo kugenda mu gice cy'umubiri cyakomeretse.

Bizatwara igihe kingana iki kugira ngo ibi bikire?

Igihe bifata kugira ngo ukire biterwa n'uburemere bw'imvune yawe n'ubuvuzi ukeneye. Abantu benshi bamara amezi menshi kugira ngo bakire imvune yavunitse.

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

Ntushobora kujya ku kazi cyangwa ku ishuri?

Ibikomere byawe byihariye n'amagufwa yawe yavunitse bizagena igihe uzagira utari ku kazi, ku ishuri, no mu bindi bikorwa.

Mu gihe uri gukira, vugana n'umuganga wawe ubaga cyangwa umuganga mbere yo kongera gukora imyitozo ngororamubiri iyo ari yo yose.

Amaherezo ku bijyanye no kuvunika kw'umugongo ...

Icyizere cy'uko imvune nyinshi zo mu mutwe zizaba nziza. Nubwo wabazwe, ugomba gukira neza. Bitewe n'uburemere bw'imvune yawe, ushobora kwirinda ibikorwa bimwe na bimwe nyuma yo gukira. Vugana na muganga wawe cyangwa umuganga wawe ku buryo bwiza bwo kwirinda imvune n'imvune mu gihe kizaza.

Ni ryari tugomba kujya mu bitaro byihutirwa?

Niba utekereza ko ufite imvune yo mu mutwe - cyangwa indi mvune iyo ari yo yose - ugomba kujya kwa muganga ako kanya. Jya mu cyumba cyita ku barwayi barembye niba ufite kimwe muri ibi bimenyetso bikurikira:

• Ububabare bukomeye.
• Kudashobora kwimura igice cy'umubiri gisanzwe gishobora kwimurwa.
• Iyo igice cy'umubiri cyahindutse cyane mu isura cyangwa kivuye mu mwanya wacyo usanzwe.
• Niba amagufwa yawe agaragara binyuze mu ruhu rwawe.
• Kubyimba.
• Niba hari ibikomere bishya bigaragara hamwe n'ibindi bimenyetso.

Niba ufite imvune ikomeye (ihungabana), jya mu cyumba cy’ubutabazi bwihuse.

Ni ibihe bibazo ugomba kubaza muganga?

Iyo ugiye kwa muganga, ushobora kubaza ibibazo nk'ibi:

• Ni irihe gufwa ryavunitse?
• Ese mfite imvune yo mu mutwe cyangwa indi mvune?
• Ese nkeneye kubagwa?
• Bizatwara igihe kingana iki kugira ngo umuntu akire?
• Ni ryari nshobora kongera gutangira imyitozo ngororamubiri?

Gukomereka kw'imitsi ni imvune iteye ubwoba, ariko muganga wawe n'umuganga wawe bazagusubiza ibirenge byawe vuba bishoboka. Ntukihutire gukira. Gira intambwe imwe ku yindi, kandi wihe umwanya wo gukira. 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 ufite amateka y'indwara ya osteoporosis mu muryango wawe.

Incamake (Ubutumwa bwo kujyana mu rugo)

Gucika kw'umugongo ni ukuvunika kw'igufwa aho imbaraga zizunguruka zigenda nk'ingufu. Bikunze guterwa no kugwa no kugonga impanuka za siporo. Ibimenyetso bishobora kuba ububabare bukabije, kubyimba no kunanirwa kugenda. Ubuvuzi burimo gusigwa no kubagwa. Ikintu cy'ingenzi ni ugushaka inama z'abaganga vuba niba ufite imvune nk'iyi. Iyo uvuwe neza kandi ukaruhuka, ushobora gukira neza. Ntugatinye rero, ariko ntutinde!

Kuvunika , kuvunika kw'imitsi, kuvunika kw'imitsi, kubagwa amagufwa, gukira amagufwa, impanuka, imvune za siporo