Ese urutoki rwawe rurambitse nk'ijosi ry'injangwe? Reka twige ku busembwa bw'ijosi rya Swan.

Hari igihe ushobora kuba warabonye, ​​cyangwa warabonye, ​​urutoki cyangwa intoki nyinshi zigonze mu buryo budasanzwe. Nk'ijosi ry'injangwe. Ibi ni byo twita mu buvuzi (Swan Neck Deformity) . Uyu munsi turaganira ku byo ibi ari byo koko, impamvu bibaho, n'icyakorwa kuri byo.

Muri make, Swan Neck Deformity ni indwara igira ingaruka ku mitsi n'ingingo mu rutoki rwawe. Icyo bibaho ni uko ingingo iri ku mutwe w'urutoki rwawe igenda yihuta imbere , bivuze imbere. Ingingo yo hagati iragenda yihuta . Tekereza nk'inyuguti 'S'. Izina ryayo riboneka kuko risa n'ijosi ry'ingwe.

Igitandukanye n'ibi (Swan Neck Deformity) ni indwara yitwa (Boutonniere Deformity) . Muri ibi, ingingo yo hagati iragonda imbere naho ingingo iri ku mpande z'urutoki iragonda inyuma. Iyo imitsi itandukanye mu rutoki rwawe yangiritse, imbaraga zoroshye zikurura ingingo zishobora guhinduka. Ni bwo intoki zitangira gutonda mu buryo butandukanye nk'ubu. Abantu benshi barwara iyi ndwara (Swan Neck Deformity) bitewe n'indwara yo kubyimba nka (Rheumatoid Arthritis). Ariko kuri bamwe, ishobora no guterwa n'imvune. Abantu bafite indwara zimwe na zimwe zo mu bwonko nabo bashobora kurwara (Swan Neck Deformity).

Ni ibihe bimenyetso by'indwara yo kubura ijosi rya Swan?

Ikimenyetso nyamukuru cy'iyi ndwara ni uko ingingo z'intoki zawe ziba zigoramye ku buryo budasanzwe. Iyo ufite ubu busembwa, urutoki rwawe cyangwa intoki zawe ziba zimeze gutyo nubwo zaba zikiri. Iyi ndwara ishobora kwiyongera uko igihe kigenda gihita. Ushobora kugorwa no kunanura cyangwa kunama urutoki rwafashwe, ndetse ushobora no kugorwa no gukoresha ukuboko kwawe.

Ushobora kumenya ubusembwa bw'ijosi rya Swan urebye ishusho yihariye ya 'S' ku rutoki:

• Igice cya kure kiri hafi y'umusumari cyaragose imbere kandi cyazamutse nk'impinga y'umusozi.
• Igice cyo hagati gisubira inyuma kandi kimanuka nk'ikibaya.

Ibindi bimenyetso bishoboka ni ibi bikurikira:

• Gukomera mu ngingo z'intoki kwiyongera uko igihe kigenda gihita.
• Ukumva uhuha cyane iyo ugerageje gukoresha urutoki rwawe.
• Kumva ububabare iyo ugerageza kunama cyangwa gukoresha urutoki.
• Ingorane zo gukoresha ukuboko .

Kuki ibi bibaho? Ni izihe mpamvu zitera ubusembwa bw'ijosi rya Swan?

Mu by’ukuri hashobora kuba hari impamvu nyinshi zibitera.

• Indwara ya rubagimpande : cyane cyane izifata ingingo z'amabokoIbi akenshi biterwa n'indwara zo kubyimba nka rubagimpande . Indwara ya rubagimpande na yo ishobora kuba impamvu. Izi ndwara zangiza ingingo zoroshye zo mu rutoki kandi zigatuma imitsi icika intege.
• Indwara z'imitsi ihuza intoki : Indwara zimwe na zimwe zifata intoki zawe, nka scleroderma na lupus, zishobora kwangiza ingirangingo zoroshye no gutuma imitsi icika intege.
• Gucika intege kw'imitsi: Indwara zimwe na zimwe zo mu bwonko, nko gukomereka mu bwonko cyangwa indwara yo mu bwonko, zishobora gutera imitsi gucika intege ku bushake. Ibi bishobora gutuma imwe mu mitsi yo mu rutoki ifungana cyane, bigatera ubusumbane.
• Ibikomere Bitewe n'Ihungabana: Ibikomere ku rutoki, nko gukomereka, kuvunika, cyangwa gukomereka kw'imitsi (nk'urutoki rwa Mallet) , bishobora gutera iyi ndwara. Bishobora kandi guterwa no gucika cyangwa gukuraho imitsi imwe n'imwe mu rutoki (Swan Neck Deformity).

Ingingo z'intoki zihinduka ubusembwa muri ubu buryo iyo hari ikintu cyangiritse mu buryo bworoshye bufasha ingingo z'intoki kunama no kugororoka - tubyita 'uburyo bwo kongerera imbaraga' . Ubu ni uburyo bugoye cyane. Imitsi n'imitsi bikorana, nk'udukingirizo n'udupira, ku ngingo z'intoki. Kubera ko ibi bice byose bikorana kandi bikaringaniza, kwangirika kw'igice kimwe bigira ingaruka ku zindi ngingo mu buryo butandukanye. Iyo imbaraga zikurura mu cyerekezo kimwe ku ngingo imwe zigabanuka, imbaraga zikurura mu kindi cyerekezo ku yindi ngingo zishobora kwiyongera. (Swan Neck Deformity) Akenshi bitangirira mu ngingo imwe, hanyuma izindi ngingo zigahinduka mu buryo bumwe.

Hari uburyo butatu bw'ingenzi ibi bishobora kubaho:

• Niba umutsi wo hejuru w'urutoki rwawe wangiritse cyangwa wacitse intege.
• Iyo umutsi uri munsi y'urutoki (Volar Plate Ligament) wangiritse cyangwa wacitse intege.
• Gucika intege bibaho iyo imitsi yo mu rutoki ifashe cyane ikagabanuka.

Ni gute umuganga abimenya?

Muganga azasuzuma urutoki rwawe cyangwa intoki zawe kugira ngo arebe niba ufite ubumuga mu ijosi rya swan. Bazareba aho ushobora kunama no kwagura ingingo, n'uburyo ikomera. Bazanabaza amateka y'ubuzima bwawe, indwara zidakira ufite, cyangwa imvune zishobora kuba zarateye iyo ndwara.

Wenda ushobora no gukora ibizamini nk'ibi:

• (X-rays) cyangwa (MRI) scan - kugira ngo harebwe niba hari ibikomere cyangwa rubagimpande.
• Gupima amaraso - Kugira ngo bifashe mu gusuzuma indwara ziterwa n'ububyimbirwe.

Ni iki cyakorwa kugira ngo iki kibazo kivurwe?

Abaganga bakunze kugerageza gukosora ibi (Swan Neck Deformity) binyuze mu kuvura intoki no kuziba urutoki (ni ukuvuga gushyira inkingi ku rutoki). Umuganga w’intoki ashobora kuguha ubwoko butandukanye bw’udupira tw’intoki no gukosora ingingo zitandukanye buhoro buhoro. Bashobora kandi kukwigisha imyitozo yoroshye y’intoki ushobora gukora mu rugo.

Ariko, niba ingingo zawe zikomeye cyane cyangwa niba ufite imvune ikeneye gusanwa, ushobora kubagwa . Mu gihe cyo kubagwa, muganga wawe ashobora kuba akeneye kurekura ingingo zimwe na zimwe agasana izindi. Cyangwa se, imitsi yawe ishobora kuba igomba kwimurwa kugira ngo wongere imbaraga ku ngingo zawe z'intoki. Nyuma yo kubagwa, ushobora kuba wambaye agapira ko gupfuka intoki no gukomeza kuvurwa n'intoki.

Ni iki nakwitega muri iki kibazo?

Kuvura bishobora kunoza ikibazo no gusubiza uburyo urutoki rukora. Ibisubizo biba byiza cyane cyane iyo ikibazo cyasuzumwe hakiri kare kandi kikavurwa hakiri kare. Ariko, no kubagwa bishobora kudashobora gukosora burundu ikibazo. Niba ufite indwara idakira itera, birashoboka ko ishobora kongera kugaruka.

Nakora iki ku ruhande rwanjye?

Waba uri kuvurwa muri rusange cyangwa kubagwa, ubuvuzi bw'intoki ni ingenzi cyane kugira ngo ukire igihe kirekire. Ibi ni ukuri cyane cyane iyo ufite ikibazo cy’uburwayi gitera ubumuga bw'ijosi ry'injangwe. Gukomeza gukoresha ubuvuzi bw'intoki nyuma yo kuvurwa ni bwo buryo bwiza bwo kugera ku musaruro mwiza.

Ubuvuzi bw'ubumuga bw'ijosi ry'ingwe akenshi buterwa no kuvura ikibazo cyayo. Rimwe na rimwe bishobora kugorana, bitewe n'ikibazo cyayo. Urugero, imvune yakomeretse rimwe ishobora gusanwa no kubagwa, ariko indwara zidakira nka rubagimpande zisaba kuvurwa ubuzima bwose.

Muganga wawe azakora uko ashoboye kose kugira ngo acunge ibintu bitandukanye bigira uruhare mu gutuma Swan Neck Deformity ihinduka. Azaguha kandi inama z'uburyo wakwirinda ko iyi ndwara ikomeza kwiyongera no kugaruka. Azakubwira kandi ibintu ushobora gukora mu rugo kugira ngo ukomeze gukora no kugenda uko bishoboka kose, nubwo intoki zawe zaba zisa n'izitandukanye gato.

None se, ni ibihe bintu tugomba kwibuka muri ibi byose?

• Ubusembwa bw'ijosi rya Swan ni ubusembwa aho urutoki rugoramye mu ishusho ya 'S', nk'ijosi ry'iswan. Ibi bibaho iyo umutwe w'urutoki ugose imbere n'ingingo yo hagati igose inyuma.
• Ibi akenshi biterwa n'indwara zo mu bwonko nka rubagimpande , ariko bishobora no guterwa n'imvune, izindi ndwara zifata ingirangingo, ndetse n'indwara z'imitsi.
• Ibimenyetso by'ingenzi ni ugukomera k'urutoki, ijwi ryo 'gukanda' iyo rugikubita, ububabare, no kugorwa no gukoresha ikiganza.
• Ibi bishobora kuvurwa binyuze mu isuzuma rya muganga, wenda X-ray cyangwa MRI .
• Ubuvuzi bw'intoki , gukubagura intoki , ndetse rimwe na rimwe no kubagwa ni bwo buryo bw'ingenzi bwo kuvura.
• Ni ngombwa cyane gutangira kuvurwa hakiri kare. Nanone, kuvura neza ikibazo cyavutse no gukomeza kuvurwa n'intoki ni ingenzi kugira ngo umuntu akire.

Niba ufite ibi bimenyetso, ni byiza gushaka inama kwa muganga nta guhangayika. Guhabwa ubufasha bwihuse bishobora gutanga umusaruro mwiza cyane.

Ubusembwa bw'ijosi rya Swan , Kwagura urutoki, Rubagimpande, Indwara z'ingingo, Ubuvuzi bw'amaboko, Ububabare bw'intoki