Ese igikumwe cyawe cyavunitse? (Gukomeretsa igikumwe) Ntugatinye, reka tubimenye!

Mu gihe dukora imirimo yacu ya buri munsi, ni ibisanzwe ko rimwe na rimwe ugira impanuka nto. Wenda nawe wavunitse urugingo. Cyane cyane iyo bigeze ku gukomereka kw'urutoki, ububabare no kubyimba bishobora kubabaza cyane, si byo se? Uyu munsi rero turaganira kuri iyi ndwara yitwa Gumb Sprain mu buryo burambuye.

Gukomereka kw'igikumwe ni iki?

Mu magambo make, gucika kw'igikumwe ni ukurambura cyangwa gucika kw'imitsi mu gikumwe cyawe, inyama ihuza amagufwa abiri ku ngingo. Akenshi, iyi ndwara ibaho iyo Ulnar Collateral Ligament (UCL) yangiritse , iherereye imbere mu gikumwe cyawe, hafi y'ingingo ya metacarpophalangeal (MCP). Urugero, tekereza, niba igikumwe cyawe gihise gisubira inyuma, kiva ku kuboko kwawe, cyangwa kikizunguruka mu bundi buryo budasanzwe, ushobora gucika.

Uku gukomereka, kimwe n'izindi ndwara, bishobora kuva ku gukururwa gato kugeza ku gucika burundu kw'imitsi, ndetse bikaba byanayitandukanya n'igufwa. Iyi ndwara rimwe na rimwe yitwa "Igikumwe cya Skier" cyangwa "Igikumwe cya Gamekeeper."

Ni ubuhe bwoko bw'imitsi yo gukomereka kw'igikumwe?

Abaganga bashyira ibi bikomere mu byiciro hakurikijwe uburemere bwabyo. Hari ubwoko butatu bw'ingenzi:

• Icyiciro cya 1: Uku ni ugukomereka guke cyane . Imitsi iba yararambuye cyane, ariko ntabwo yacitse.
• Icyiciro cya 2: Uku ni ugukomereka ku rugero ruciriritse . Aha, igice cy'imitsi kiracitse.
• Icyiciro cya 3: Iki ni cyo gikomere gikomeye cyane . Ishinya rishobora gucika burundu cyangwa rikavanwa ku gice cyaryo cyometseho ku igufwa. Gucika cyane nk'uku bishobora gusaba ubuvuzi bwihuse, ndetse no kubagwa.

Ese igikumwe cyanjye cyaravunitse? Ese cyavunitse? Namenya nte neza?

Gucikamo igikumwe n'igikumwe bishobora gutera ububabare, kubyimba no gukomereka. Ariko, hari itandukaniro. Igikumwe gicitse akenshi kibabaza cyane , kandi igikumwe gishobora kuba gifite isura mbi cyangwa kigasa n'aho kidafite isura. Ushobora kandi kumva ikintu nk'ikinya.

Niba ufite ububabare, kubyimba, cyangwa gukomereka mu gikumwe cyawe nyuma y’impanuka nko kugwa, ugomba kujya kwa muganga . Biragoye kumenya niba ari ukuvunika cyangwa gukomereka. Kubwibyo, ni byiza kugira umuganga w’inararibonye ugusuzume, kandi nibiba ngombwa, agupime X-ray kugira ngo amenye neza ikibazo kirimo.

Ni irihe tandukaniro riri hagati yo gukomereka no gukomereka?

Nubwo byombi bibabaza, hari itandukaniro rito.

• Gukomereka , nk'uko twabiganiriyeho mbere, ni ugukomereka kw'imitsi ihuza amagufwa y'ingingo.
• Gukomereka ni ugukomereka k'imitsi cyangwa ku mitsi ihuza imitsi n'igufwa.

Niba ufite ububabare mu gikumwe cyawe, gana muganga. Azagusuzuma, kandi nibiba ngombwa, aguhe ibizamini nka X-ray , musculoskeletal ultrasound , cyangwa MRI (Magnetic Resonance Imaging) kugira ngo hamenyekane niba hari kuvunika, gucika intege, cyangwa imitsi yacitse.

Ni nde ufite ibyago byinshi byo gukomereka igikumwe?

Umuntu wese, mu kigero icyo ari cyo cyose, ashobora gukomeretsa igikumwe cye. Ariko, hari abantu bafite ibyago byinshi byo kurwara iyi ndwara.

• Abakinnyi: Iyi ngaruka ni nyinshi cyane cyane ku bantu bakina siporo yo gufata no gutera umupira (urugero: baseball, basketball, volleyball, football).
• Abantu bafite ibyago byinshi byo kugwa: Abantu bakuze bakunda kugwa kenshi, cyangwa abafite ibibazo byo kuringaniza imiterere, nabo bafite ibyago byinshi.

Mu by’ukuri, gukomereka igikumwe ni imvune ikunze kugaragara .

Ni ibihe bimenyetso by'uko umuntu akomeretse igikumwe?

Ibimenyetso biterwa n'uburemere bw'ikibyimba. Ibimenyetso biratandukanye bitewe n'ibice bitatu twavuze mbere.

Icyiciro cya 1 (gukomereka byoroheje)

• Ububabare ku gice cyo hasi cy'igikumwe cyangwa ububabare iyo ukandagiye .
• Kubyimba mu gikumwe cyangwa mu gice cyo hasi cyacyo.
• Kubona igisebe (ubururu) mu nsi y'igikumwe.

Hari igihe abantu bafite imitsi mike bashobora kutababara cyane ako kanya nyuma y’imvune.

Icyiciro cya 2 (Uburibwe buri hagati)

• Imikorere mike n'intera nto y'urutoki.
• Ububabare bukomeye ku gice cyo hasi cy'igikumwe n'ububabare iyo ukandagiye .
• Kubyimba mu gikumwe cyangwa mu gice cyo hasi cyacyo.
• Kubona igikomere ku nsi y'igikumwe.

Icyiciro cya 3 (gukomereka gukomeye)

• Ububabare bukomeye ku gice cyo hasi cy'igikumwe n'ububabare iyo ukandagiye .
• Kumva udafite icyo uvuze cyangwa udakora neza mu ngingo y'igikumwe.
• Kugorwa no gufata ikintu hagati y'igikumwe n'urutoki rw'icyitegererezo.
• Kumva nk'ikibyimba mu gikumwe. Ibi bishobora kubaho iyo umugozi w'inyuma (UCL) wacitse burundu. Impera y'umugozi wacitse ishobora kumva nk'ikibyimba kiri munsi y'uruhu.
• Kubyimba mu gikumwe cyangwa mu gice cyo hasi cyacyo.
• Kubona igikomere ku nsi y'igikumwe.

Ni izihe mpamvu zitera gucika kw'ibikumwe?

Impamvu nyamukuru ituma igikumwe gikomereka ni imbaraga zitunguranye kandi zikomeye zituma igikumwe gipfukama kiva ku kuboko, umugongo, cyangwa kizunguruka mu bundi buryo budasanzwe . Ibi bikunze kubaho iyo ukuboko kurambuye kugonze hasi.

Bikunze kandi kugaragara iyo umuntu ukina ski aguye afite inkingi yo ku rubura . Niyo mpamvu nanone byitwa "Skier's Thumb".

Hari igihe abantu bakora ibikorwa bisubiramo (urugero: siporo zimwe na zimwe, imirimo imwe n'imwe) isaba gufata ibintu cyangwa kubizunguza igihe kirekire bashobora kwangirika kw'imitsi no gucika intege. Iyi ndwara y'igihe kirekire izwi kandi nka "Gamekeeper's Thumb."

Ni gute abaganga basuzuma ikibazo cy'igikumwe?

Iyo ugiye kwa muganga, babanza kukubaza uko imvune yagenze, igihe yabereye, n'ibimenyetso byawe . Hanyuma, bazakora isuzuma ry'umubiri kugira ngo barebe uburyo ingingo y'igikumwe cyawe ihagaze neza n'aho ububabare buturuka. Ibi bizafasha kumenya niba ari ukuvunika n'uburemere bwabyo. Bashobora kandi gutegeka ko bapima amashusho, nk'uko byavuzwe mbere.

Ibipimo byo gusuzuma indwara

Nyuma yo gusuzumwa umubiri, muganga ashobora gutegeka ko hakorwa ibizamini nk'ibi kugira ngo arebe niba hari izindi mvune cyangwa kugira ngo amenye neza uburemere bw'ikibyimba:

• Imirasire ya X:
• Ibi bishobora gufata amafoto arambuye y'amagufwa. Ibi bishobora gufasha kumenya niba ububabare bwawe n'ibibyimba biterwa no kuvunika.
• Nanone, ushobora kugenzura niba umutsi uri gukurura bigatuma imvune ivunika , ari na yo mpamvu umutsi uva mu igufwa hamwe n'agace gato k'igufwa.
• X-ray y'umuvuduko: Ibi bisaba ko muganga ashyira igitutu gito ku gikumwe cyawe cyakomeretse mu gihe afata X-ray. Ibi bishobora gutanga amakuru arambuye ku buryo ingingo ya MCP ihagaze neza . Iyo igitutu giteye ububabare, muganga ashobora no gutera umuti utera ububabare (anesthetic) mu gace kari hafi y'igikumwe.

• MRI (Ishusho ya Magnetic Resonance):
• MRI ishobora gufata amashusho arambuye y’imbere mu mubiri idakoresheje imirasire. Ishobora kubona utuntu duto tw’amagufwa tutagaragara kuri X-ray isanzwe, ndetse n’utundi duto tw’imitsi yoroshye (nk’urugero rw’aho umuntu yacitse cyangwa imitsi ikomeretse). Aya makuru afasha muganga gutegura uburyo bwo kuvura no gufata icyemezo niba kubagwa ari ngombwa.

• Ultrasound y'imitsi n'amagufwa:
• Ibi bikoresha amajwi kugira ngo bifate amafoto y'umubiri. Muganga wawe ashobora gutegeka ko usuzuma ingingo zoroshye zikikije ingingo. Ibi bishobora gufasha kumenya niba imitsi yacitse igice, yacitse burundu, cyangwa niba amazi arimo kwegerana. Ibi bishobora gufasha kumenya uburemere bw'imvune n'uburyo bwiza bwo kuyivura.

Wavura ute igikumwe cyavunitse?

Uburyo bwo kuvura buterwa n'uburemere bw'ikibyimba.

Uburyo bwo kuvura indwara zoroshye zo mu mutwe (Icyiciro cya 1)

Ibi bishobora kuvurwa mu rugo hakurikijwe uburyo bwa PRICE (Uburinzi, Kuruhuka, Urubura, Gukanda, Kuzamuka).

• Uburinzi: Ambara agapira k'igikumwe mu gihe cy'iminsi mike kugira ngo ugabanye aho wakomeretse. Ibi bishobora kugurwa muri farumasi cyangwa kuri interineti.
• Kuruhuka ukuboko kwawe: Irinde gukoresha ukuboko kwawe kwakomeretse nibura amasaha 48 nyuma y'imvune. Ibi biroroshye kubikora niba ufite agapfundikizo. Niba udafite agapfundikizo, irinde gukoresha ukuboko/igikumwe cyawe mu buryo ubwo aribwo bwose butera ububabare.
• Gushyira urutoki rwawe mu ibara ry'urubura: Shyira urubura ku gikumwe cyawe no ku kiganza cyawe vuba bishoboka nyuma yo gukomereka. Ibi bishobora gufasha kugabanya kubyimba. Gukoresha urubura bishobora gufasha mu guhangana n'ububabare. Zingira agace k'urubura mu gitambaro hanyuma ukabisiga mu buryo bw'uruziga ahantu hababara mu gihe cy'iminota itatu kugeza kuri itanu inshuro nyinshi ku munsi. Hari igihe kwiyuhagira mu ibara ry'urubura nabyo bishobora gufasha - kwinika igikumwe cyawe n'ikiganza mu mazi y'urubura mu gihe cy'iminota itatu kugeza kuri itanu. Ariko, witondere kutabikoresha cyane ushobora kugira ubukonje.
• Gukoresha igitambaro cyo gukanda: Zingira igikumwe cyakomeretse ukoresheje igitambaro cyo gukanda . Hari udupira two gukanda igikumwe na two dufite ubwo buryo bwo gukanda. Ibi bishobora kandi kugabanya kubyimba.
• Kuzamura ukuboko kwawe: Iyo uruhutse, shyira ukuboko kwawe hejuru y'umutima wawe uko bishoboka kose.
• Gufata imiti igabanya ububabare: Imiti igabanya ububabare itangwa na muganga, nka aspirine na ibuprofen, ishobora gufasha mu kugabanya ububabare no kubyimba.

Niba ububabare n'ibibyimba bitagabanutse nyuma y'iminsi ibiri yo kuruhuka no kuvurwa mu rugo, jya kwa muganga .

Uburyo bwo kuvura indwara zo mu kigero cy'ububabare (Icyiciro cya 2)

• Kwambara igikumwe cya Spica Splint cyangwa Cast: Muganga wawe ashobora kukugira inama yo kwambara agapira cyangwa cast kugira ngo igikumwe cyawe kidakora kugeza gikize. Bitewe n'uburemere bw'agapira, ushobora kugashyira mu mwanya wacyo kugeza igihe muganga wawe azakubwiye ko ukarikuraho.
• Shyira urutoki rwawe n'ikiganza cyawe muri barafu: Shyira urubura vuba bishoboka nyuma yo gukomereka. Ibi bishobora gufasha kugabanya kubyimba.
• Kunywa imiti igabanya ububabare: Koresha imiti igabanya ububabare ushobora kugura muri farumasi.
• Imyitozo yo kunanura imitsi:Igikumwe gishobora gukomera kuko kidakora neza. Kubwibyo, muganga wawe ashobora kukugira inama yo gukora imyitozo yo kunanura imitsi kugira ngo wongere kugira urutoki rwawe. Kurikiza amabwiriza ya muganga wawe yerekeye igihe cyo gutangira iyi myitozo.

Uburyo bwo kuvura indwara zikomeye (Icyiciro cya 3)

• Kubagwa: Iyo umutsi ucitse burundu, akenshi ubagwa. Hariho uburyo butandukanye bwo kubaga, nko kongera gufata umutsi ku igufwa, gukosora aho wavunitse hakoreshejwe agakoresho ko gufunga igufwa, agapira cyangwa uruziga.
• Kwambara ishitingi cyangwa agashitingi: Nyuma yo kubagwa, uzakenera kwambara ishitingi cyangwa agashitingi mu gihe cy'ibyumweru 6 kugeza kuri 12 kugira ngo igikumwe cyawe gikire.
• Ubuvuzi bw'Imirimo/Ubuvuzi bw'Imikorere: Iyo igikumwe cyawe kimaze gukira nyuma yo kubagwa, itsinda ry'abaganga bazakubwira gukora imyitozo yihariye kugira ngo bigufashe kugarura imbaraga n'ubushobozi bwo gukora mu gikumwe cyawe no mu kiganza cyawe.

Ese ugomba kujya kwa muganga niba uvunitse igikumwe cyawe?

Twese rimwe na rimwe tubabara, ariko ububabare buhoraho si ubusanzwe. Niba wakomeretse igikumwe cyawe, kandi ukumva ububabare nyuma yo kuruhuka iminsi mike no gusiga urubura, ugomba kujya kwa muganga . Ashobora gukora ibizamini kugira ngo arebe niba hari igikomere gikomeye kurushaho, cyangwa ashobora kukwandikira agapira ko gufunga igikumwe cyawe kugira ngo gikomere.

Bifata igihe kingana iki kugira ngo igikumwe gikomereke?

Igihe bifata kugira ngo ibi bibeho giterwa n'uburemere bw'ikibyimba. Ikibyimba gito (Icyiciro cya 1) gikunze gukira mu byumweru bine kugeza kuri bitandatu, ariko gusa iyo uhagaritse igikumwe ukoresheje agapira cyangwa icyuma kandi ukirinda ibikorwa bishobora kugitera umujinya.

Bishobora gufata amezi menshi kugira ngo igikomere gikomeye (Icyiciro cya 3) gikire neza kandi ubashe gukoresha igikumwe cyawe nk'uko bisanzwe. Ibi biterwa nuko igikomere gikomeye gikunze kubagwa, hagakurikiraho gucibwamo ibice, ndetse no kuvurwa n'imitsi.

Nigute nakwita ku gikumwe cyavunitse?

Kurikiza amabwiriza ya muganga wawe neza. Kubera ko imitsi ifata igihe kugira ngo ikire, gerageza kwirinda ibikorwa na siporo bikoresha amaboko yawe byibuze mu gihe cy'ukwezi.

Ni gute wakwirinda gucika kw'ibikumwe?

Hari ibintu byinshi ushobora gukora kugira ngo wirinde gukomereka kw'igikumwe:

• Mbere yo gukora imyitozo ngororamubiri cyangwa siporo iyo ari yo yose ikoresha amaboko yawe , rambura imitsi yo mu biganza byawe n'intoki zawe neza .
• Ambara ibikoresho byo kwirinda mu gihe ukina siporo.
• Imyitozo ngororamubiri ahantu harambuye kugira ngo wirinde kugwa.
• Ambara inkweto zikubereye neza kandi urebe neza ko imigozi y'inkweto zawe iziritse neza. Ibi bizagabanya amahirwe yo kuzifunga.
• Mu gihe urimo gusiganwa ku rubura, niba ugiye kugwa, rekura inkingi zawe zo gusiganwa ku rubura , ntuzifate cyane.
• Niba ufite ibyago byinshi byo kugwa, koresha icyuma gifasha mu kugenda nk'inkoni cyangwa icyuma gifasha mu kugenda.

Ni iki giteganyijwe ku ndwara yo gukomereka kw'igikumwe?

Gukomereka k'urutoki byoroshye (Icyiciro cya 1) n'ibiciriritse (Icyiciro cya 2), iyo bivuwe no kuruhuka neza no guhagarika kugenda k'urutoki, akenshi bikira neza nta ngorane z'igihe kirekire.

Ubushakashatsi bwinshi bwerekana ko kubagwa kw'imitsi ikomeye (yo mu cyiciro cya 3) yo mu kibuno (UCL) muri rusange bitanga umusaruro. Imitsi yo mu cyiciro cya 3 yo mu kibuno idavuwe mu buryo bwo kubagwa akenshi itera kudahagarara neza .

Ese gukomereka igikumwe bishobora gutera ingorane?

Ingorane zishobora guterwa n’uburemere bw’ivunika n’imitsi yangiritse. Zimwe mu ngorane zishobora guterwa no gupfuka igikumwe harimo:

• Ububabare budakira mu gikumwe.
• Imitsi yo mu gikumwe.
• Kudakomera kw'ingingo y'igikumwe.
• Kugabanuka kw'imbaraga zo gukanda .
• Kwangirika kw'imitsi bitewe no kubagwa.
• Kugabanuka k'uburyo bwo kugenda mu gice cy'igikumwe.

Ni ryari ngomba kujya kwa muganga?

Niba ufite ibimenyetso byo gucika igikumwe, nko kubabara igikumwe no kudahagarara neza kw'ingingo, gana muganga .

Niba ufite igikumwe gikomeretse, bwira muganga wawe niba hari ibimenyetso bishya bikubangamiye.

Reka twibuke (Ubutumwa bwo kujyana mu rugo)

Mu gihe twese dukora ubuzima bwacu bwa buri munsi, twese dushobora guhura n'impanuka ntoya no kugwa. Gukomereka k'urutoki ni kimwe mu bikomere bisanzwe. Niba ukomeretse k'urutoki, ntutinye kujya kwa muganga. Ni ngombwa kumenya niba ari ugukomereka gusanzwe, ikintu gikomeye kurushaho, cyangwa ikindi gikomere. Bizagufasha kandi kubona gahunda yo kuvura kugira ngo igikumwe cyawe gisubire ku murongo. Rero, witondere!

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