Ese uri kubabara ikirenge cyawe? Bishobora kuba ari Tarsal Coalition!

Ese wowe cyangwa umwana wawe mugira ububabare kenshi mu birenge byanyu, cyane cyane mu gice cy'akaguru? Ese wumva bidasanzwe kandi bitameze neza iyo ugenda? Noneho wenda ni ingenzi cyane ko umenya iyi ndwara yitwa "tarsal coalition" tugiye kuvugaho uyu munsi. Ntugahangayike, ibi ntabwo bikunze kubaho cyane, ariko ni byiza kubimenya.

Iyi Tarsal Coalition ni iki? Reka tubisobanukirwe mu buryo bworoshye.

Noneho, reka tubanze turebe ayo magufwa ya "tarsal". Amagufwa ya tarsal ni itsinda ry'amagufwa aherereye inyuma y'ikirenge cyawe, aho agatsinsino kawe gahurira n'akaguru kawe. Ameze nk'utubuye duto dufatanye. Aya magufwa arafatanye kandi akorana kugira ngo afashe ibirenge byacu gukora neza, kugenda, kwiruka no gusimbuka.

Noneho, "ihuriro" ni iki? Mu magambo make, ihuriro rya tarsal ni igihe amagufwa abiri cyangwa menshi ya tarsal ahurira hamwe mu buryo budasanzwe, agafatana. Tekereza nawe, ubusanzwe hagomba kubaho ingingo nto hagati y'aya magufwa, kugira ngo abashe kugenda neza. Ariko muri iki gihe, amagufwa mashya, cartilage, cyangwa uturemangingo tw'imitsi bikura hagati y'ayo magufwa, bigahuza amagufwa abiri. Ni nk'aho ikiraro kirimo gushingwa.

Ese ibi ni imiterere y'umubiri? Cyangwa hari izindi mpamvu?

Akenshi, iyi ndwara yitwa tarsal coalition iterwa n'ibintu bigize genetike**. Ni ukuvuga ko ishobora guterwa n'akantu gato gasanzwe mu mikurire y'amagufwa y'amaguru mu gihe umwana akiri mu nda. Ibyo bivuze ko ishobora no kuba iy'uruhererekane rw'amagufwa.

Ariko, si ngombwa ko biba ari imiterere y'uturemangingo. Hari igihe,

• Bitewe n'ubwandu ,
• Kubera imvune ikomeye ku kuguru,
• Ihuriro rya Tarsal rishobora no kubaho mu gihe umuntu akuze bitewe n'indwara nka rubagimpande .

Ni nde urebwa cyane n'iki kibazo?

Indwara ya Tarsal ikunze kugaragara cyane mu bana no mu rubyiruko . Ibimenyetso bikunze kugaragara hagati y'imyaka 9 na 16, kuko amagufwa asanzwe afatanye agenda aba menshi, agakomera kandi akagira ububabare bwinshi.

Ariko, bamwe mu bantu bakuru bashobora no kugira iyi ndwara ku nshuro ya mbere, cyangwa se ikaba yarabayeho kuva mu bwana kandi ntigaragaze ibimenyetso, ariko ishobora kugaragara nyuma.

Bivugwa ko ari ikintu gikunze kugaragara ku buryo kigira ingaruka hagati ya 1% na 6% by'abaturage. Ibyo ntibivuze ko ari ikintu gisanzwe. Ariko, hafi kimwe cya kabiri cy'abantu bafite iki kibazo bashobora kugira iki kibazo mu birenge byombi (bilateral tarsal coalition).

Ni izihe ngaruka Tarsal Coalition igira ku mubiri? Ni ibihe bimenyetso?

Si abantu bose bafite tarsal coalition bafite ibimenyetso. Hari abantu bashobora kubaho ubuzima bwabo bwose nta bubabare cyangwa ngo bagire ikibazo. Rero rimwe na rimwe abantu ntibaba bazi ko barwaye.

Ariko, ku bantu bahura n'ibimenyetso, bishobora kuva ku bubabare bworoheje kandi busanzwe kugeza ku bubabare bukomeye cyane ku buryo udashobora kugenda . Ibimenyetso by'ingenzi bishobora kugaragara ni ibi bikurikira:

• Ububabare cyangwa ubukana munsi y'akaguru, hagati mu kaguru, cyangwa inyuma y'ukuguru . Nk'aho ukuguru kwafashe.
• Ibirenge birebire bituma kugenda bigorana. Ibi byongera ibyago byo kuvunika akaguru.
• Ububabare bushobora kwiyongera iyo ukoze imyitozo ngororamubiri, wiruka cyangwa usimbuka. Bushobora kugabanuka nyuma yo kuruhuka gato, hanyuma bukagaruka iyo wongeye gukora cyane.
• Hari igihe ibi bimenyetso bigaragara mu buryo butunguranye nyuma yo gukomereka gato ku kaguru .

Igihe ibi bimenyetso bigaragariraho kiratandukanye bitewe n'umuntu ku giti cye. Ku bantu bamwe, ububabare butangira bakiri bato, bafite hagati y'imyaka 10-15. Ku bandi, ibi bimenyetso bigaragara gusa iyo bamaze gukura.

Ese hari ubwoko bw'ihuriro rya tarsal?

Yego, hari ubwoko butandukanye bw'ibi. Ni ukuvuga ko ubwoko butandukanye bitewe n'aho igufwa ridasanzwe rihurira. Irikunze kugaragara ni:

• Habaho isano hagati y'igufwa rikuru ryo ku kaguru kawe (talus bone) n'igufwa ry'agatsinsino (calcaneus bone) .
• Cyangwa, habaho isano hagati y'igufwa ry'agatsinsino (igufwa rya calcaneus) n'igufwa ryo mu jisho riri imbere yaryo .

Izi ni zo nyoni zikunze kugaragara cyane. Byongeye kandi, hari izindi nyoni ziboneka gake cyane.

Ni gute umuganga asuzuma ibi? (Isuzuma)

Niba ubabara amaguru, ikintu cya mbere muganga azakora ni ugusuzuma neza ukuguru kwawe n'akaguru. Bazakubaza ibibazo bijyanye n'aho bibabaza, uko bibabaza, n'igihe bibabaza.

Hanyuma, kugira ngo bemeze ko indwara yanduye, bazategeka ko hakorwa ibizamini byinshi byihariye byo gupima . Ibi ni ibi bikurikira:

• Imirasire ya X: Ibi bishobora kuguha ishusho isobanutse neza y'amagufwa yo ku kuguru kwawe. Hari igihe iyi mibanire idasanzwe igaragara neza kuri X-ray.
• CT scan (computer tomography scan): Ibi bitanga ishusho irambuye cyane kurusha X-ray. CT scan ikunze gukoreshwa mu gusuzuma tarsal coalition. Ishobora kwerekana neza isano iri hagati y'amagufwa.
• MRI (Magnetic Resonance Imaging): Nubwo X-rays na CT scans bigaragaza ahanini amagufwa, MRI ishobora gutanga ishusho nziza y'uturemangingo tworoshye dukikije igufwa. Hari igihe iki kizamini gishobora no kuba ngombwa.

Wibuke ko umuganga ari we ugena ibi bizamini ukeneye muri ibi.

Ni ubuhe buryo bwo kuvura ibi?

Igishimishije ni uko tarsal coalition isaba kuvurwa gusa iyo iteye ibimenyetso . Iyo nta bubabare cyangwa kubabara bihari, ubusanzwe ubuvuzi ntibuba bukenewe.

Iyo ibimenyetso bigaragaye, hashobora kuba inama yo kuvura indwara itari ukubaga cyangwa kubaga, bitewe n'uburemere bw'indwara.

Uburyo bwo kuvura butari ubwo kubaga

Intambwe ya mbere ni ukugerageza kugenzura ubu bubabare nta kubagwa.

• Kuruhuka: Guhagarika by'agateganyo ibikorwa byongera ububabare (nko kwiruka, gusimbuka) bishobora kugabanya umuvuduko ku magufwa no kugabanya ububabare. Ubusanzwe, uzabwirwa kuruhuka mu gihe cy'ibyumweru 3 kugeza kuri 6.
• Inshinge: Hari igihe inshinge za steroide zishobora gutangwa kugira ngo ugabanye ububabare. Izi nshinge zishyirwa mu ngingo ibabara.
• Imitsi y'amaguru: Insinga z'inkweto n'ibishyigikizo byazo bishobora gufasha gutuza ibirenge no kugabanya ububabare. Ibi byakozwe ku giti cyawe kugira ngo bikwirane n'ibirenge byawe.
• Guhagarika inkweto cyangwa icyuma: Inkweto y'agateganyo cyangwa plaster ya Paris (POP) ishobora gukoreshwa mu guhagarika amaguru no kugabanya umuvuduko w'inyongera ku magufwa ya tarsal.
• Kugabanya ibiro: Niba ububabare bwawe bwiyongera uko ibiro by'umubiri wawe byiyongera, vugana na muganga maze utegure gahunda yo kugabanya ibiro ikubereye.

Uburyo bwo kuvura indwara zo kubaga

Iyo uburyo bwo kuvura butari ubwo kubaga budashoboye kugabanya ububabare, cyangwa niba indwara ikomeye, muganga ashobora kukugira inama yo kubagwa.

• Gucamo ibice: Ubu ni bwo buryo bukunze gukoreshwa cyane mu kubaga tarsal coalition. Bukubiyemo gukuraho igufwa ritameze neza (coalition) hanyuma rikayisimbuza ingingo cyangwa imitsi yakuwe mu kindi gice cy'umubiri wawe. Abantu benshi bashobora kongera gukora neza mu kuguru kwabo nyuma y'uku kubagwa.
• Guhuza: Iyo ikibazo gikomeye cyane, cyangwa ingingo yangiritse bitewe n'ibintu nka rubagimpande, kubagwa byitwa fusion bishobora gukorwa. Ibi bikubiyemo guhuza burundu amagufwa yangiritse, kugabanya kugenda. Ibi bishobora gusaba gukoresha vis, staples, cyangwa ibyuma . Ibi bifasha amagufwa kuguma mu mwanya mwiza kandi bikagabanya ububabare.

Bigenda bite iyo idavuwe?

Ku bantu bamwe, ububabare n'imibabaro bishobora kuba bikomeye cyane ku buryo bishobora kubabuza gukora ibikorwa bakunda (nk'imikino cyangwa kugenda n'amaguru). Iyo bitavuwe, uko igihe kigenda, ikirenge gishobora gukomera no kugorana kugenda.Kubwibyo, niba ufite ibimenyetso, ni byiza kujya kwa muganga.

Ese ibibazo bishobora kubaho nyuma yo kubagwa?

Kimwe no kubagwa ukundi kose, hari ingaruka zishobora kubaho. Zimwe mu ngorane zishobora kubaho nyuma yo kubagwa tarsal coalition zirimo:

• Kwandura
• Kubumba amaraso (Hematoma)
• Gukira nabi kw'ibikomere
• Gukira nabi kw'amagufwa
• Gukomereka k'imitsi
• Amaraso agwa mu mitsi
• Impinduka mu miterere y'amano (amano ya Flail cyangwa amenyo ya hammer)
• Gukomera cyangwa intege nke mu mano yawe

Ariko ntugire ikibazo, abaganga barimo gukora uko bashoboye kose kugira ngo bagabanye izi ngaruka.

Ibintu ugomba kwibuka mu gihe ubana na Tarsal Coalition

Niba ufite iyi ndwara, mu gihe ubonye ibimenyetso bya mbere, hagarika ibikorwa byose bishobora kuyitera. Akenshi, kuruhuka birahagije. Ariko niba ububabare bukomeje, gana muganga. Ashobora kukugira inama yo gutera inshinge cyangwa gukoresha imiti yo kuvura amagufwa kugira ngo bigufashe kugenzura ububabare bwawe.

Bifata igihe kingana iki kugira ngo umuntu akire nyuma yo kubagwa?

Igihe cyo gukira kiratandukanye bitewe n'umuntu ku giti cye. Ubusanzwe, bifata hagati y'amezi 6 na 12 kugira ngo ukire neza nyuma yo kubagwa tarsal coalition. Ariko, iki gihe gishobora kuba kirekire bitewe n'imyaka yawe, uburemere bw'indwara, ndetse niba ufite izindi ndwara, nka rubagimpande. Uburyo bwiza bwo gukira vuba ni ugukurikiza amabwiriza ya muganga wawe neza.

Ese hari uburyo bwo gukumira ibi?

Indwara ya Tarsal ikunze kuba iy’uturemangingo, bityo ntishobora kwirindwa burundu . Ariko, iyo ibimenyetso bigaragaye, bishobora gukemurwa neza. Gusuzuma hakiri kare no kuvurwa neza bishobora gufasha gukumira ko iyo ndwara irushaho gukomera.

Ni iki twagombye kwitega niba hari ihuriro ry’ingabo za tarsal?

Nubwo abantu benshi bafite iyi ndwara, ibimenyetso bigaragara mu bwana cyangwa ingimbi. Hari abantu bashobora kutazigera bagaragaza ibimenyetso. Kubwibyo, si abantu bose bafite iyi ndwara bameze kimwe.

Ese nshobora gukina siporo?

Gukora siporo bishobora kugorana gato ku bantu bafite tarsal coalition. Ariko, ntabwo bishoboka gukina siporo . Niba umuganga yemeje ko ufite iyi ndwara, baza umuganga wawe siporo ushobora gukora n'iyo udashobora gukora, n'amabwiriza ugomba kugira. Ushobora kuba ushobora gukora siporo zidatera ingaruka mbi (nk'uko woga).

Ikintu cy'ingenzi ugomba kuvuga

Ububabare buterwa n'imitsi ya tarsal bushobora kubabaza cyane, rimwe na rimwe bugatuma ugira ingaruka ku mirimo yawe ya buri munsi. Hari igihe bifata igihe kugira ngo ubumenye. Ariko, ku bw'amahirwe, hari uburyo bwiza bwo kubumenya no kubuvura. Ubu buryo bwo kuvura bushobora kugufasha kugenzura ibimenyetso byawe no kunoza ubuzima bwawe.

Niba wowe cyangwa umwana wawe afite ububabare bukabije cyangwa amaguru ye adakira, ntubyirengagize, hita ubonana na muganga kugira ngo akugire inama. Hanyuma, hashobora gukorwa gahunda yo kuvura ikubereye. Ntugahangayike, hamwe n'inama z'abaganga zikwiye, iyi ndwara ishobora gukemurwa neza!

Kugongana kwa Tarsal , Ububabare bw'ibirenge, Ububabare bw'akaguru, Ibirenge birebire, Indwara z'ibirenge by'abana, Imibanire y'amagufwa, Kubagwa