Ese ufite ububabare nk'ubu mu magufwa yawe? Bishobora kuba ari ukuvunika umutwe!

Urabizi, rimwe na rimwe iyo dukina siporo, dukora akazi gakomeye, cyangwa tuvuye ku kazi, dutangira kumva ububabare budasanzwe mu kuguru cyangwa ku kuboko kwacu, sibyo? Ubwo bubabare busa n'aho burimo kwiyongera, kandi busa n'aho butazigera bushira? Niba ari uko bimeze, icyo ngiye kukubwira kizaba ingenzi cyane kuri wowe. Uyu munsi, tugiye kuvuga ku ndwara yitwa stress fracture .

Kuvunika kw'imitsi ni iki?

Muri make, kuvunika kw'igufwa ni akantu gato kari mu igufwa ryawe. Uku ni ukuvunika kw'igufwa, bivuze ko igufwa rivunika. Ariko si ikintu kinini cyavunikamo kabiri. Nk'uko izina ribigaragaza, iyi ndwara ibaho iyo igufwa rihuye n'umuvuduko ukabije mu gihe kirekire.

Hari igihe abaganga babyita 'imvune zikabije' . Urabyumva? Bivuze ko akenshi ziba iyo ukoresheje igice kimwe cy'umubiri wawe kenshi, ukora ubwoko bumwe bw'imyitozo. Ushobora no kuba warumvise byitwa 'imvune zo mu mutwe' . Ibyo biterwa nuko hari agace gato mu igufwa, nk'umusatsi ku mutwe wawe.

Ni hehe hakunze kugaragara imvune zo mu mutwe?

Uku kuvunika kw'imihangayiko akenshi biba mu magufwa y'umubiri aremereye , cyane cyane mu gice cyo hasi cy'umubiri wawe. Aya ni yo magufwa atwara uburemere bw'umubiri wawe wose iyo uhagaze kandi ugenda. Akunze kugaragara muri:

• Igice cyo hasi cy'ukuguru kwawe: ni ukuvuga igufwa ry'uruti rw'umugongo (`tibia`) n'igufwa rito ku rundi ruhande (`fibula`).
• Mu birenge byawe: cyane cyane ku kaguru no ku gatsinsino, ndetse n'amagufwa ahuza amano yawe (metatarsals).
• Mu gatsinsino kawe: Ni ukuvuga, mu igufwa ryitwa `calcaneus`.

Aha niho hakunze kugaragara cyane. Ariko, nubwo hakunze kugaragara gake, kuvunika kw'imitsi bishobora no kugaragara ahandi hantu. Urugero:

• Umugongo wawe wo hasi (uruti rw'umugongo).
• Mu kibuno.
• Ku maboko no ku maboko.

Ni gute ibi byangiritse mu mihangayiko bikunze kubaho?

Mu by’ukuri, izi ni imvune zikunze kugaragara ku bakinnyi n’abakora akazi gakomeye k’ingufu. Nk’uko abahanga babivuga, imvune zo mu mutwe zifata hafi 20% by’imvune zose ziterwa na siporo. Tekereza rero uburyo zikunze kugaragara.

Ni ibihe bimenyetso by'ihungabana riterwa n'imihangayiko? Ubyumva ute?

Ibimenyetso by'ingenzi by'ihungabana ryo mu mutwe ni ibi bikurikira:

• Ububabare: Iki ni cyo kintu cy'ingenzi. Ububabare butangira iyo ukoze imyitozo ngororamubiri kandi bukiyongera buhoro buhoro.
• Ububabare budashira nyuma yo guhagarika gukora: Hari igihe ububabare bushobora gukomeza ndetse na nyuma yo guhagarika gukora.
• Kumva ububabare nubwo waba uruhuka:Hari abantu bashobora kumva ububabare bwinshi iyo basinziriye cyangwa ndetse bahagaze gusa.
• Ububabare: Ushobora kumva ububabare bukomeye nubwo ukora ku igufwa ryangiritse buhoro buhoro.
• Kubyimba: Aho ububabare bubera na ho bushobora kubyimba.

Ku bantu benshi, ububabare buragabanuka iyo bahagaritse gukora imyitozo ngororamubiri. Ariko, bitewe n'aho stress vunitse, ushobora kumva ububabare igihe cyose. Kubera ko ibi bikunze kugaragara mu maguru no mu birenge, ububabare burushaho kwiyongera iyo umuntu agenda, ahagaze, cyangwa ashyira uburemere ku igufwa ryagize ikibazo.

Akenshi uzumva ko ububabare buri hafi y’aho bwavunitse. Urugero, niba wavunitse ikirenge, ikirenge cyose gishobora kubabara, ariko agace gakikije igufwa ryangiritse ni ko kazaba kababaza cyane kandi gashobora kubabaza cyane ku buryo utabikoraho.

Kuki habaho uku kuvunika kw'imitsi?

Gucika intege mu gihe cy'ihungabana bikunze kwitwa imvune zikabije , cyangwa imvune ziterwa no gukoreshwa cyane. Muri make, bibaho iyo igufwa rihuye n'ihungabana rikabije mu gihe kirekire kandi ridafite umwanya uhagije wo gukira nyuma yo gukora imyitozo ngororamubiri. Gucika intege mu gihe cy'ihungabana ntibikunze kubaho mu buryo butunguranye. Bikura buhoro buhoro. Bishobora kubaho iyo ukomeje gukora ubwoko bumwe bw'ingendo (urugero, iyo witoza siporo cyangwa ukora akazi kamwe umunsi wose ku kazi).

Bitangira nk'ububyimbirwe ku buso bw'igufwa. Abaganga babyita 'stress reaction.' Ni nk'aho igufwa ririmo gukomereka imbere. Iyo iyo stress reaction idakize, kandi hakabaho igitutu gikomeje kuri ako gace, igufwa rishobora kwangirika no kuvunika umutwe. Uko igihe kigenda gihita, iyo ndwara isa n'iy'ibikomere ishobora gukwirakwira mu igufwa, igatuma igufwa ricika intege kugeza rivunitse burundu. Ni bwo stress reaction ihinduka stress vunitse.

Dore zimwe mu mpamvu zikunze gutera kuvunika kw'imitsi:

• Gukomeza gukora imyitozo nta kuruhuka bihagije.
• Gutangira siporo nshya cyangwa imyitozo ngororamubiri nta myitozo ikwiye, ubuyobozi, cyangwa ibikoresho bikwiye. Tekereza, uramutse utangiye kwiruka ibirometero byinshi buri munsi, cyangwa ukongera gutembera ukabikora ubudasiba nta kuruhuka, amagufwa y'amaguru yawe ashobora kudashobora kwihanganira stress nshya.
• Kongera urwego rw'imyitozo yawe mu buryo butunguranye (kongera imyitozo ngororamubiri, imyitozo, cyangwa indi myitozo ngororamubiri mu buryo butunguranye).
• Guhindura ubuso ukoreraho imyitozo cyangwa aho ukorera (urugero: umuntu wiruka mu nzira yo mu nzu atangira kwiruka mu muhanda, cyangwa akajya mu bundi buryo aho akorera ku buso bukomeye nk'ubwa sima).
• Gukora cyangwa kwitoza udafite ibikoresho bikwiye ni nko kwiruka udafite inkweto.
• Kwibanda ku mukino umwe bakiri bato. Hari abana bato bakina umukino umwe umwaka wose, nta kiruhuko kiri hagati yabo. Aba bana bafite amahirwe menshi yo kuvunika umutwe kurusha abana bakina imikino itandukanye.

Ni nde uri mu kaga gakomeye ko kuvunika umutwe?

Abakinnyi bakina siporo zishyira igitutu kinini ku gice cyo hasi cy'umubiri wabo bari mu kaga gakomeye ko kurwara izi ndwara. Muri zo harimo:

• Kwiruka (kwiruka kure no gukina siporo)
• Umupira w'amaguru
• Tenisi
• Imyitozo ngororamubiri (imyitozo ngororamubiri ishobora no kugira stress vunitse mu biganza no mu maboko)
• Imbyino

Byongeye kandi, hari indwara zimwe na zimwe zishobora kongera ibyago byo kuvunika umutwe:

• Osteoporosis: Ibi bituma amagufwa acika intege. Hari igihe abaganga bita imvune ziterwa n'iyi ndwara 'imvune zidahagije'.
• Ubusembwa bw'ikirenge: Ubusembwa bw'ikirenge kinini.
• Ibirenge birebire.
• Ibirenge birebire.
• Kubura Vitamine D.
• Kubyibuha birenze urugero cyangwa umubyibuho ukabije.
• Indwara zo kurya.

Ni gute abaganga basuzuma ikibazo cyo kuvunika kw'imitsi?

Umuganga azasuzuma ikibazo cyo kuvunika kw'imitsi binyuze mu isuzuma ry'umubiri . Bashobora kandi gukoresha ibizamini byo gufata amashusho kugira ngo bemeze ko ikibazo cyavunitse kandi bafate amafoto y'icyo cyavunitse.

Muganga azasuzuma aho urimo kubabara. Menya neza ko wasobanuye icyo wakoraga ubwo wumvaga ububabare bwa mbere n'ibindi bimenyetso.

Muganga ashobora kugusaba guhagarara ku kuguru kumwe hanyuma ukagenda ukundi, cyangwa gusimbuka gato. Ibi bizamufasha gusobanukirwa aho ushobora kugira ikibazo cyo kuvunika umutwe n'uburyo bigira ingaruka ku ngendo zawe zisanzwe.

Ni ibihe bipimo bifasha mu gusuzuma indwara?

Muganga wawe ashobora gukoresha ibi bizamini kugira ngo afate amafoto y'amagufwa yawe:

• Imirasire ya X: Ariko ibuka ko hari igihe kuvunika kw'imitsi bishobora kutagaragara neza kuri X-ray niba ari bishya.
• MRI (Magnetic Resonance Imaging - MRI): Ibi bikunze kugaragaza neza imvune z'imihangayiko, ndetse n'utuvungukira duto mu igufwa.
• Gupima CT (Computed Tomography - CT scan): Ibi bishobora no gufata amafoto arambuye y'igufwa.
• Gupima amagufwa y'umubiri wose:Iki ni ikizamini cyihariye gifasha kubona ahantu hari ikibazo mu magufwa.

Ni gute kuvunika kw'imitsi bivurwa?

Muganga wawe azagusaba ubuvuzi bushingiye ku gace kavunitsemo n'uburemere bw'ibimenyetso byawe. Uburyo busanzwe bwo kuvura ni ubu:

• Kuruhuka: Iki ni cyo kintu cy'ingenzi cyane. Ugomba guhagarika imyitozo ngororamubiri - cyane cyane siporo cyangwa ibikorwa byateye kuvunika.
• Gushyira urubura mu gitambaro: Siga urubura cyangwa agapaki gakonje ku igufwa ryakomeretse. Zingira agapaki k'urubura mu gitambaro gito kugira ngo wirinde ko uruhu rugera aho rugera. Muganga wawe azakubwira igihe ugomba gushyira urubura mu gitambaro n'inshuro zingahe ku munsi.
• Imiti igabanya ububabare: Imiti igabanya ububabare idakoresha steroide (NSAIDs) (urugero: ibuprofen) na acetaminophen (urugero: Panadol) ishobora gufasha kugabanya ububabare no kubyimba. Muganga wawe ashobora kandi kukugira inama yo gukoresha patch ya lidocaine kugira ngo ushyireho ibinure hafi y'aho imvune yavunitse. Wibuke ko utafata imiti igabanya ububabare mu gihe kirenze iminsi 10 utabanje kugisha inama muganga.
• Kuzamura imvune yawe: Gerageza gukomeza gushyira igufwa ryakomeretse hejuru y’urugero rw’umutima wawe uko bishoboka kose. Urugero, niba imvune y’umuvuniko iri mu kuguru cyangwa ku kirenge cyawe, ushobora kuruhukira ukuguru kwawe ku musego mu gihe uryamye.
• Gukanda: Ibi bifasha kugabanya kubyimba bigabanya amaraso atembera mu igufwa ryakomeretse. Shyira igitambaro cyo gukanda cyangwa ugipfuke ku gice cyavunitse.
• Kudakora: Ushobora gukenera kwambara plaster ya Paris (cast), inkweto cyangwa inkweto zidasanzwe, kugira ngo ushyigikire imvune kandi ugabanye umuvuduko kuri yo.
• Ibibando: Muganga wawe ashobora kukugira inama yo gukoresha ibibando kugira ngo ugabanye ibiro ku igufwa ryakomeretse.

Ese kuvunika kw'imitsi bisaba kubagwa?

Abantu benshi ntibakeneye kubagwa kugira ngo bavunike stress. Muganga wawe ashobora kukugira inama yo kubagwa niba imvune idakira neza cyangwa niba ufite ibimenyetso bikomeye cyane. Hari igihe, kubagwa bishobora kuba ngombwa niba imvune iri mu igufwa rishobora guteza izindi ngorane (nk'ingingo yo mu kibuno).

Umuganga ubaga azakora igikorwa cyitwa 'internal fixation' . Muri iki gikorwa, bazashyiramo udupira, imisumari, cyangwa ibyuma kugira ngo bafatanye igufwa ryawe kugeza rikize. Muganga wawe n'umuganga wawe bazagusobanurira icyo utegereje n'igihe bizatwara kugira ngo ukire.

Nzumva meze neza vuba gute nyuma yo kuvurwa?

Uzatangira kumva umeze neza igihe uzaba uhagaritse gushyira igitutu ku igufwa ryakomeretse ugatangira kuvura ibimenyetso.Ariko, nubwo waba wumva umeze neza, ntukongere gukora imyitozo ngororamubiri, siporo, cyangwa ngo ukore kugeza igihe muganga azakubwiriye. Bizatwara nibura ibyumweru bike kugira ngo igufwa ryawe rire kandi ushobora gusubira mu myitozo ngororamubiri. Iyo utangiye gukora imyitozo ngororamubiri vuba cyane, kuvunika bishobora kugaruka cyangwa bikarushaho kuba bibi.

Ni gute wakwirinda kuvunika kw'imitsi?

Gukurikiza izi ntambwe bishobora gufasha kwirinda kuvunika kw'imitsi:

• Hagarika gukora imyitozo ngororamubiri cyangwa imyitozo ukimara kumva ububabare. Ntukigere "wikinira ububabare."
• Shyushya mbere yo gukora imyitozo ngororamubiri hanyuma ukonje nyuma yo gukora imyitozo ngororamubiri.
• Koresha ibikoresho bikwiye kuri buri siporo n'imyitozo ngororamubiri (urugero: inkweto nziza).
• Ugomba gukurikiza indyo yuzuye n'imyitozo ngororamubiri.
• Jya kwa muganga ukimara kumva ububabare cyangwa ibindi bimenyetso.

Bifata igihe kingana iki kugira ngo umuntu akire stress vunitse?

Abantu benshi bazakenera kuruhuka nibura ibyumweru bike nyuma yo kuvunika umutwe, kandi bashobora gukenera kwirinda siporo n'indi mirimo ngororamubiri mu gihe cy'amezi menshi.

Igihe cyose wumva ububabare, igufwa riracyari ritoroshye muri ako gace kandi rishobora kongera kuvunika ahantu hamwe. Ubusanzwe kuvunika kw'imitsi bifata ibyumweru 6 kugeza kuri 8 kugira ngo bikire. Hagarika ibikorwa byateye kuvunika kw'imitsi kugeza igihe bikize.

Muganga azakubwira igihe ugomba kuruhuka siporo no gukora imyitozo ngororamubiri.

Ni gute nakwiyitaho nyuma yo kuvunika umutwe?

Ntugasubire gukora imyitozo ngororamubiri kugeza igihe muganga agutegetse. Iyo wongeye gushyira igitutu ku igufwa ryawe ritarakira, ushobora kongera gukomereka.

• Baza muganga wawe igihe ntarengwa cyo kongera urwego rw'ibikorwa byawe.
• Vugana na muganga mbere yo gutangira gahunda nshya y'imyitozo ngororamubiri cyangwa gutangira akazi gasaba imyitozo ngororamubiri yo ku rwego rwo hejuru kurusha uko wari usanzwe ubikora.
• Niba uri umuntu wiruka, ambara inkweto zo kwiruka zikubereye neza. Ugomba gusimbuza inkweto zawe zo kwiruka buri kilometero 300 (nk'ibirometero 480).
• Gerageza gukora ibikorwa bitagira ingaruka nyinshi (urugero: koga, kugendera ku igare).

Ni ryari ngomba kujya kwa muganga?

Jya kwa muganga ukimara kubona ibimenyetso bishya, nko kubabara cyangwa kubyimba. Nubwo waba udafite stress vunitse, muganga wawe ashobora gusuzuma imvune yawe akanakugira inama yo kuyivura kugira ngo wirinde izindi ngorane zikomeye.

Umva umubiri wawe niba wumva ububabare mu gihe cy'imyitozo ngororamubiri na nyuma yayo. Ububabare ni cyo kimenyetso cya mbere cy'uko ugomba guhagarara ukaruhuka.Mu guhagarika gukora imyitozo ngororamubiri no kujya kwa muganga ukimara kumva ububabare n'ibindi bimenyetso, ushobora kwirinda ko habaho kuvunika kw'imitsi.

Ese ngomba kujya mu Ishami ryita ku Buvuzi bwihutirwa (ETU) ?

Niba waragize impanuka (ihungabana), jya mu cyumba cy’ubutabazi bwihuse.

Niba utekereza ko igufwa ryawe ryavunitse, ugomba kujya kwa muganga vuba bishoboka. Jya mu cyumba cy’ubutabazi bw’ibanze niba ufite kimwe muri ibi bimenyetso:

• Ububabare bukabije cyane.
• Niba udashobora kwimura igice cy'umubiri wawe.
• Iyo igice cy'umubiri gisa n'ikidasanzwe cyangwa gisa n'aho cyavuye mu mwanya wacyo.
• Niba ushobora kubona igufwa ryawe binyuze mu ruhu rwawe.
• Kubyimba.
• Niba hagaragaye ibikomere bishya hamwe n'ibi bimenyetso.

Ni ibihe bibazo ngomba kubaza muganga wanjye?

Dore ibibazo byiza:

• Ese mfite ikibazo cyo kuvunika umutwe cyangwa ikindi gikomere?
• Ni ubuhe bwoko bw'ubuvuzi nkeneye?
• Ese nkeneye kubagwa?
• Nkwiye kwirinda siporo cyangwa imyitozo ngororamubiri igihe kingana iki?
• Ni gute nakongera buhoro buhoro urugero rw'imyitozo yanjye mu gihe nta kibazo cyo kongera gutangira imyitozo?

Ese ushobora kugenda ufite ikibazo cyo kuvunika umutwe? Ese bizakira byonyine?

Ushobora kuba udashobora kugenda neza cyangwa udashobora kugenda neza bitewe n'ikibazo cyo kuvunika umutwe. Biterwa n'igufwa ryavunitse n'uburemere bw'ibimenyetso byawe. Muganga wawe azakubwira ubwoko bw'ingendo zitekanye kugeza ukize. Ntukiruke, ntusimbuke, ntukore siporo, cyangwa ngo ukore imyitozo ngororamubiri igoye utabanje kuvugana na muganga wawe.

Gucika intege kw'imihangayiko yose bigomba gusuzumwa no kuvurwa na muganga. Nubwo kuruhuka no gukira ari byo bikunze kugaragara, ugomba gusuzumwa no gusuzumwa na muganga mbere yo gusubira mu mikino cyangwa indi mirimo ngororamubiri.

Niba ubonye ibimenyetso byo kuvunika kw'imitsi, gana muganga. Uko ubimenyeshwa vuba, ni ko igufwa ryawe ritangira gukira vuba. Muganga wawe azagusobanurira impamvu yavunitse imitsi n'uburyo bwo kwirinda imvune zizaza.

Hanyuma, ubutumwa bw'ingenzi cyane (Ubutumwa bwo kujyana mu rugo)

Gucika intege mu mutwe ni kimwe mu bikomere bikunze kugaragara ku bakinnyi n'abantu bakora siporo. Birumvikana ko ubabara iyo umenye ko umukino ukunda, cyangwa se gahunda yawe y'imyitozo, ishobora kuba yaragize uruhare muri iki gikomere. Ariko, ntukihutire gukira. Amagufwa n'umubiri wawe bikeneye igihe cyo gukira.

Jya kwa muganga ako kanya ukimara kumva ibimenyetso by'uko wavunitse umutwe. Ashobora gusuzuma imvune yawe no kukugira inama yo kugufasha gusubira mu kibuga, mu kibuga, cyangwa gukurikiranwa vuba kandi mu mutekano. Ikintu cy'ingenzi ni ugutega amatwi umubiri wawe.

Kuvunika kw'igufwa, Kuvunika kw'amagufwa, Ibikomere bya siporo, Kubabara ibirenge , Kubabara amaguru, Gukomereka cyane, Ubuzima bw'amagufwa