Ese wavunitse igufwa riri hejuru y'agatsinsino kawe? Reka tuvuge kuri iyi Talus Fracture!

Ese wigeze ugonga ukuguru kwawe mu buryo butunguranye, akaguru kakabyimba kandi kakababara, ndetse ntushobora no kugenda? Niba ari byo, ushobora kuba waravunitse talus, igufwa ry'ingenzi mu kaguru kawe. Uyu munsi, turaganira ku cyo kuvunika talus ari cyo, uko bibaho, n'icyakorwa kuri byo.

Igufwa rya Talus ni iki? Ni ingenzi ku rugero rungana iki?

Mu magambo make, talus yawe ni igufwa rito ariko ry'ingenzi cyane mu kirenge cyawe rihuza akaguru kawe n'ukuguru kwawe. Tekereza nawe, amagufwa abiri maremare yo mu kaguru ko hasi (tibia na fibula) arafatanya kugira ngo akore akaguru kawe. Iyi ngingo niyo igufasha kuzamura ikirenge cyawe no kumanuka.

Nanone, igufwa rya talus riba hejuru y'igufwa ry'agatsinsino (calcaneus). Aya magufwa yombi ahurira hamwe agakora ingingo yitwa subtalar joint. Iyi ngingo niyo igufasha kwimura ikirenge cyawe uva ku ruhande ujya ku rundi, imbere no hanze.

Igufwa rya talus rikora ikindi kintu cy'ingenzi. Ni ukuvuga ko rifasha kwimura uburemere bw'umubiri wawe ukagera ku kirenge unyuze mu kaguru. Iri gufwa rigizwe ahanini n'urugingo rworoshye kandi runyerera rwitwa cartilage . Iyi cartilage ni yo ituma amagufwa agenda neza adakora ku yandi. Rero, ushobora kubona akamaro k'igufwa rya talus ku kugenda no guhagarara kw'akaguru. Niyo mpamvu iyo igufwa rya talus ryavunitse, rishobora kugabanya cyane ingendo zawe no kugorana gukora imirimo ya buri munsi.

Ni ubuhe bwoko bwa Talus Fractures?

Igufwa rya talus rishobora kuvunika ahantu hatandukanye no mu buryo butandukanye. Reka turebe ubwoko bumwe na bumwe bw'ingenzi:

• Ijosi rya Talus Fracture: Ubu ni bwo bwoko bukunze kugaragara bwo kuvunika kwa talus. "Ijosi" rya talus ni ryo hagati mu igufwa. By'umwihariko, ijosi ni agace gato kari hagati y' "umubiri" wa talus - igice kiri hafi y'akaguru, munsi ya tibia - n' "umutwe" - igice kiri hasi cyane ku kaguru.
• Kuvunika kw'inyuma: Kuvunika kw'inyuma ni igice cy'igufwa rya talus. Uku kuvunika gukunze kubaho iyo akaguru kahindukiye gahita gahindukira inyuma. Rimwe na rimwe byitwa "kuvunika kw'abakoresha snowboarder" kuko bikunze kugaragara mu bakoresha snowboarder.
• Kuvunika kw'imitsi: Ibi bibaho iyo umutsi (nk'umutsi uhuza amagufwa) cyangwa umutsi (nk'umutsi uhuza imitsi n'igufwa) ufatanye n'igufwa rya talus ukuruwe mu buryo butunguranye, bigatuma agace gato k'igufwa rya talus kava aho rifatanye.
• Kuvunika kw'imitsi: Iyi ni imitsi mito cyane mu igufwa rya talus. Ikunze kubaho bitewe no gukoresha igufwa rya talus cyane cyangwa guhangayika gukabije ku igufwa. Urugero, ibi bishobora kubaho ku biruka intera ndende.

Ni gute imvune zo mu gitereko (talus fractures) zishyirwa mu byiciro?

Abaganga bashyira mu byiciro ibi byavunitse bakurikije uburyo ibice by'amagufwa byavunitse biva mu mwanya wabyo usanzwe.

• Amagufwa adahinduka cyane cyangwa adahindagurika: Nubwo igufwa rya talus ryavunitse, ibice by'amagufwa ntabwo byavuye cyane aho byari biri. Akenshi biba biri ku murongo, hafi ya byose.
• Gucika intege: Muri ibi, igufwa ryavunitse kandi ibice byaryo byavuye aho byari bisanzwe .
• Kuvunika kw'igufwa cyangwa kuvunika ku buryo bugaragara: Iyi ni indwara ikomeye cyane. Aha ngaha, igufwa ryavunitse rica mu ruhu rikagaragara. Muri iki gihe, hari amahirwe menshi yo kwangirika kw'imitsi, imitsi n'imitsi bikikije. Nanone, mikorobe zishobora kwinjira zigatera indwara.

Ni ibihe bimenyetso by'igufwa rya talus ryavunitse?

None se, ni ibihe bimenyetso byabyo niba ufite ikibazo nk'iki cyo kuvunika kw'ikirenge? Ikintu cy'ingenzi ni ububabare bukomeye bw'akaguru no kubyimba. Tekereza, tuvuge ko uguye mu buryo butunguranye uvuye hejuru, cyangwa ukagira impanuka y'igare. Hanyuma ukagira ububabare bukabije mu gace k'akaguru, kandi ukuguru kwawe kukabyimba.

Ni iki kindi gishobora kubaho?

• Biba bigoye kugenda. Ushobora no kunanirwa gukandagira hasi.
• Sinshobora gushyira ibiro ku kuguru kwanjye.
• Gukomereka bishobora kubaho.
• Iyo uyikozeho n'ukuboko kwawe , wumva ubabaye.
• Hari abantu bashobora kurwara udusebe nk'udusebe twavunitse . Nubibona, ntugahangayike, ariko ni byiza guhita ubonana na muganga.

Igikuru ni ukwihutira gushaka inama kwa muganga mu gihe uhuye n'ibi bimenyetso.

Uku kuvunika kwa talus bibaho gute?

Uku kuvunika kwa talus akenshi guterwa n'imvune zikoresha imbaraga nyinshi .

• Impanuka z'imodoka, impanuka za moto.
• Igwa iturutse uburebure bunini. Tekereza nk'umuntu ugwa avuye ku giti, cyangwa ava mu nyubako ndende.
• Ibi bishobora no kubaho mu gihe cy'imikino (imvune za siporo) . Nkuko byavuzwe mbere, ibi bikunze kugaragara cyane mu bakina snowboarding.
• Hari igihe, gusa kuzunguza akaguru kaweAriko, uduce duto dushobora gucika ku nkengero z'agace k'umubiri. Ariko, ubusanzwe ibi ntabwo bikomeye nk'imvune zibaho mu mpanuka nini.

Ni gute abaganga basuzuma indwara ya talus vunitse?

Iyo ugiye kwa muganga ufite imvune nk'iyi, abanza gusuzuma akaguru n'ikirenge witonze. Bazareba niba hari ibibyimba, ibisebe, n'ibisebe cyangwa ibikomere ku ruhu. Byongeye kandi:

• Bazagusaba kuzunguza intoki zawe kugira ngo barebe niba hari ibyangiritse mu mitsi .
• Bazasuzuma umuvuduko w'amaraso yawe kandi barebe neza ko amaraso yawe ari meza .
• Bazasuzuma niba hari amazi yibumbiye mu mitsi y'amaguru yawe. Ibi byitwa compartment syndrome . Iyi ni indwara iteje akaga kuko ishobora gutuma ukuguru kwawe kubura ibyiyumvo n'imikorere.
• Bitewe n'ubwoko bw'impanuka, izindi mvune nazo zizagenzurwa.

Hanyuma, muganga ashobora gutegeka ko hakorwa ibizamini nk'ibi bikurikira:

• X-ray: Ibi bishobora kwerekana ibintu byinshi, nko kumenya niba talus yawe yaravunitse, niba ibice by'amagufwa biri ahantu heza, umubare w'ibice biriho, n'aho imvune iri.
• CT Scan (Computed Tomography - CT scan): Hari igihe X-ray yonyine ishobora kutagaragaza ingano yuzuye y'aho imvune yavunitse. CT scan ishobora gufata amashusho arambuye y'ukuguru kwawe. Ibi bishobora gufasha cyane mu gusuzuma neza ubukana bw'imvune n'uburyo imvune yavunitse.

Ivuniko rya talus rivurwa rite?

Uburyo bwo kuvura imvune ya talus butandukana bitewe n'ubwoko bw'imvune n'uburemere bw'imvune.

Ubwa mbere, uzashyirwa ku kuguru no ku kaguru kawe kugira ngo bikubuze kubyimuka.

Hanyuma, iyo imvune ihamye kandi ibice by'amagufwa bifatanye neza, kubagwa bishobora kuba bidakenewe. Muri ibyo bihe, muganga ashobora kukugira inama ikurikira:

• Gutera: Ingufu ishyirwa ku kuguru no ku kaguru kugira ngo ifatanye kugeza amagufwa akize. Ubusanzwe iyi ngufu ikoreshwa mu gihe cy'ibyumweru 6-8 . Muri iki gihe, ugomba kwitonda cyane kugira ngo udashyira umutwaro mwinshi ku kuguru kwawe.
• Gusubiranamo: Nyuma yo gukuraho ibumba, uzahabwa imyitozo yihariye izagufasha kugarura imbaraga n'imikorere myiza mu kuguru no ku kaguru. Ibi bizakorwa uyobowe n'umuganga w'imitsi.

Ariko, kubagwa ni byiza ku ndwara nyinshi zo mu bwoko bwa talus.Kubera ko izi mvune akenshi ziterwa n’ihungabana rikomeye, hari amahirwe menshi y’uko ibice by’amagufwa bishobora kwimurwa. Iyo ibice by’amagufwa bitakiri mu mwanya wabyo, umuganga ubaga ibirenge n’akaguru azababaga kugira ngo asubire mu mwanya wabyo.

• Gufungura no Gushyira Imbere mu Mutwe (ORIF): Iyo igufwa ryavunitsemo ibice byinshi, muganga ashobora gukora igikorwa cyitwa ORIF. Muri ubu buryo, umuganga agabanya uruhu, agasubiza ibice by'amagufwa mu mwanya wabyo, agakoresha ibyuma n'imisumari kugira ngo afatanye igufwa kugeza rikize.
• Umuti ufata amagufwa yo hanze: Hari igihe kubagwa kwa ORIF bishobora kudashoboka ako kanya bitewe no kubyimba cyane nyuma yo gukomereka. Muri ibyo bihe, muganga ashobora gukoresha umuti ufata amagufwa yo hanze. Muri iki gihe, muganga ashyira uduce duto mu magufwa yawe anyuze mu ruhu maze akaduhuza n'uduti twabugenewe inyuma kugira ngo dufate by'agateganyo uduce tw'amagufwa mu mwanya watwo. Nyuma yo kubyimba kugabanuka, muganga ashobora kongera kugerageza kubagwa kwa ORIF.

Ni izihe ngorane zishobora kubaho iyo zitavuwe cyangwa zitavuwe neza?

Iyo imvune ya talus idavuwe neza, cyangwa idakize neza, hashobora kubaho ingorane . Izi zishobora kuba ibibazo by'igihe kirekire rimwe na rimwe.

• Nyuma y’ihungabana: Nkuko twabiganiriyeho mbere, igufwa rya talus rikunze kuba ryuzuyemo agahu. Iyo talus yakomeretse, agahu kayikikije na ko karangirika. Iyo ubuso bw’aka gahu kabaye ubw’urutabire kandi bugakomera, gucika no kwangirika bitangira kugaragara mu ngingo. Uko igihe kigenda gihita, ibi bishobora gutera rubagimpande, bishobora gutera ububabare n’ubukomere buhoraho.
• Malunion: Ibi bivuze ko igufwa ryavunitse ryakize nabi, mu buryo butari bwo . Ibi iyo bibaye, bishobora gutera ibibazo by'igihe kirekire nko guhindura imiterere y'ikirenge, kugorwa no kugenda, no kubabara.
• Kutagira aho bahurira: Ibi bivuze ko igufwa ryavunitse ritakize neza nyuma y'igihe kirekire, nubwo ryavuwe . Ibi bibaye, bishobora kuba ngombwa ko ubagwa bundi bushya.
• Necrosis y'imitsi cyangwa osteonecrose: Uburyo amaraso agera kuri talus bugorana. Iyo habaye kuvunika, cyane cyane mu ijosi, iyi mitsi y'amaraso ishobora kwangirika kandi amaraso agera ku igufwa ashobora kugabanuka cyangwa gucika burundu.Ibi nibibaho, uturemangingo tw’amagufwa ntituzabona ogisijeni n’intungamubiri maze tugatangira gupfa. Ibi byitwa avascular necrosis. Ibi bigabanya intege z’amagufwa kandi amaherezo bishobora gusenyuka. Iki nacyo ni ikibazo gikomeye cyane.

Uburyo bwo gukira bumeze bute? Ni iki nkwiye kwitega?

Nyuma yo kubagwa, uzumva ububabare. Muganga wawe azakwandikira imiti igabanya ububabare . Iyi ishobora kuba imiti igabanya ububabare ikoreshwa mu kugabanya ububabare (NSAIDs), cyangwa imiti igabanya ububabare mu gace utuyemo.

Iyo igufwa ryawe rya talus rimaze gukira, muganga wawe azakohereza mu buvuzi bw'umubiri cyangwa ubuvuzi bw'umubiri. Ibi ni ingenzi cyane. Iyi myitozo izagufasha kugarura imikorere, gutuza no gukomera ku kaguru kawe.

Iyo wongeye gutangira kugenda, ushobora kubanza kwambara inkweto zidasanzwe cyangwa gukoresha inkoni. Ntuzashobora guhita ushyira uburemere bwose ku kuguru kwawe. Bishobora gufata amezi menshi.

Umuganga azafata X-ray rimwe na rimwe kugira ngo arebe niba igufwa ryakize neza kandi niba ibyuma bifatanye naryo biri mu mwanya waryo.

Ni iki giteganyijwe mu gihe kirekire ku ndwara yo kuvunika kwa talus?

Waba ugiye kubagwa cyangwa utarabazwe, ukuguru kwawe kuzaba kuri cast cyangwa string. Muri icyo gihe, ntuzashobora kubyikorera cyangwa ngo ukugendeho. Bitewe n'uburemere bw'imvune yawe, ushobora kwambara cast mu gihe cy'ibyumweru 8 kugeza kuri 12, cyangwa birenga .

Uko imvune iba ikomeye cyane, ni ko icyuma kirushaho kuba kirekire. Ndetse na nyuma yuko igufwa rikize, bamwe bashobora gukomeza kugira ububabare, kunanuka no kubyimba ku kaguru . Ariko, iyo habayeho kuvurwa neza no gukora imyitozo ngororamubiri, abantu benshi bashobora gusubira mu mirimo yabo isanzwe igihe muganga wabo azabaha uruhusa.

Ni ryari nzashobora gusubira ku kazi?

Ibi kandi bizatandukana bitewe n'uburemere bw'imvune yawe n'imiterere y'akazi kawe. Ubusanzwe, ntuzashobora gusubira ku kazi byibuze ibyumweru bibiri . Niba ukora umunsi wose wihagazeho (urugero: umukozi wo mu iduka, umwarimu), ushobora kutazongera gusubira ku kazi byuzuye mu gihe cy'umwaka wose .

Ese ushobora gutembera ku igufwa rya talus ryavunitse?

Ibi biterwa n'ubwoko bw'imvune ya talus ufite. Gucika intege kwa talus akenshi ni imvune ikomeye. Bishobora gutuma habaho gutakaza imikorere no kudakora neza mu ngingo z'akaguru n'ibirenge. Ibi bishobora kugira ingaruka ku bushobozi bwawe bwo kugenda no ku bushobozi bwawe bwo gutwara ibiro ku kirenge cyawe. Kubwibyo, ntukagerageze kugenda ku kuguru kwavunitse nta nama za muganga.

Bifata igihe kingana iki kugira ngo imvune ya talus ikire?

Bitewe n'uburemere bw'impanuka, ushobora kumara amezi atatu cyangwa arengaho.Ushobora gukenera kwambara ishitingi. Ububabare, kubyimba no gukomera bishobora gukomeza nubwo ishitingi imaze gukurwaho. Bishobora gufata igihe kirekire kugira ngo ikire neza kandi isubire uko isanzwe.

Ububabare bwo kuvunika kwa talus bumeze bute?

Gukomereka kwa talus ni imvune ikomeye. Abayibonye bavuga ko ibabaza cyane .

Ni gute wakosora igufwa rya talus ryavunitse?

Hari imvune ntoya za talus zishobora kuvurwa hakoreshejwe icyuma gikozwe mu cyuma hanyuma hagakurikiraho imyitozo yo kuvura. Ariko, imvune nyinshi za talus zisaba kubagwa kugira ngo hakorwe neza ibice by'amagufwa.

Kuvunika kwa talus ni imvune ibabaza ikunze kubaho bitewe n’impanuka ikomeye, nko mu modoka cyangwa kugwa uvuye uburebure. Niba wavunitse talus, ugomba guhita ubonana na muganga. Ibi akenshi bisaba kubagwa. Bitewe n’uburemere bw’imvune, ushobora gukenera kwambara icyuma mu gihe cy’ibyumweru bibiri (ku mvune nto) kugeza ku byumweru 12 cyangwa birenga. Nubwo kuvunika talus bishobora kubabaza, ubuvuzi bukwiye bushobora gufasha gukira no kugarura ubuzima bwawe busanzwe vuba bishoboka.

Ibintu by'ingenzi cyane ugomba kwibuka (Ubutumwa bwo kujyana mu rugo)

Noneho rero, ukurikije ibyo twavuze, ibi ni byo bintu by'ingenzi ugomba kwibuka:

• Gukomereka kw'inyuma y'umutwe bishobora kuba imvune ikomeye , bityo niba ufite ibimenyetso , shaka ubufasha bwa muganga byihutirwa.
• Ibi akenshi bisaba kubagwa.
• Igihe cyo gukira gishobora gufata amezi menshi , kandi ugomba kwitonda ntushyire ibiro ku kuguru muri icyo gihe.
• Imyitozo yo kuvura indwara ni ingenzi cyane mu gukira. Iyo ikozwe neza ni bwo ushobora kongera gukora neza mu kuguru kwawe.
• Iyo itavuwe, hashobora kubaho ingorane zikomeye nka rubagimpande, malunion, cyangwa avascular necrosis .
• Nubwo ibi bishobora kuba ibintu bigoye kandi bibabaza, iyo umuntu avuwe neza kandi agakira neza, abantu benshi bashobora gukira neza. Kubwibyo, ni ngombwa gukomeza gukomera.

Niba ufite ikindi kibazo kuri ibi, ntutindiganye kubaza muganga wawe. Komeza ugire ubuzima bwiza!

Talus , kuvunika, akaguru k'ikirenge, ikirenge, ububabare, kubyimba, kubagwa, plaster, gusana