Ese ufite igufwa ryavunitse mu kaguru ko hasi? (Tibia na Fibula Fracture) Reka tubiganireho!

Yewe! Bite se niba ukubise ukuguru ahantu runaka, cyangwa ukagira impanuka, ukavunika igufwa ryo hasi? Ibyo biragoye kubyumva, si byo se? Iyo habayeho imvune nk'iyi, akenshi, tibia n'irindi gupfuka ku ruhande birashobora kuvunika. Uyu munsi, turaganira kuri izi mvune za tibia na fibula . Kubera ko iki ari imvune ikomeye, ni ngombwa cyane gushaka inama kwa muganga vuba.

Kuvunika kwa Tibia na Fibula ni iki?

Mu magambo make, hari amagufwa abiri y'ingenzi mu kuguru kwawe, munsi y'ivi no hejuru y'akaguru. Rimwe ni tibia , rizwi kandi ku izina ry'igufwa ry'umugongo. Irindi ni fibula yoroshye gato , rizwi kandi ku izina ry'igufwa ry'inyana. Iyo rimwe cyangwa ayo magufwa yombi yavunitse, tuyita tibia na fibula fracture.

Akenshi, aya magufwa avunika nyuma y’impanuka ikomeye, nko mu modoka cyangwa kugwa uvuye ku burebure. Kubera ko aya magufwa yombi yegeranye, birashoboka cyane ko yombi avunika mu mpanuka imwe. Ariko, birashoboka ko rimwe gusa rivunika, ibyo bikaba bidakunze kubaho. Iki ni imvune ikomeye kandi ugomba guhita ugana kwa muganga. Ushobora gukenera kubagwa kugira ngo igufwa rikomeze , hanyuma ukabona ubuvuzi bw’umubiri kugira ngo ugarure uburyo busanzwe bwo gukoresha ukuguru kwawe. Ariko uko igihe kigenda gihita, tibia na fibula yawe bigomba gukira burundu.

Ubwoko bw'imvune za tibia na fibula

Noneho reba, abaganga bashyira aya magufwa mu byiciro bakurikije uburyo yavunitse. Ni ukuvuga, bareba ibintu nk'imiterere y'aho yavunitse, imiterere y'aho yavunitse, n'ibindi.

Ubwoko bushingiye ku miterere y'umurongo wacitse:

• Gucika kw'igufwa: Gucika kw'igufwa mu buryo bugororotse, bunyura mu buryo bwambukiranya.
• Kuvunika kw'igufwa: Kuvunika kw'igufwa.
• Kuvunika kw'umugongo: Kuvunika aho igufwa rizunguruka, mu buryo bw'umugongo. Ibi bibaho nk'aho ukuguru kwahindukiye.
• Gucika kw'igice: Igufwa ryavunitse ahantu habiri, igice kiri hagati kigatandukana.
• Kuvunika kw'igufwa: Kuvunika kw'igufwa aho rivunikamo ibice bito, nk'aho ryavunitse.

Ubwoko bushingiye ku buryo igufwa ryavunitse:

• Gucika kw'igufwa cyangwa kuvunika kw'igufwa: Ibi birushaho kuba bibi kuko igufwa ricika rikameneka mu ruhu, bigatuma habaho kwandura kw'igufwa.
• Kuvunika kw'umuvuduko w'igufwa: Ibi ntibiterwa n'impanuka imwe ikomeye. Biterwa n'umuvuduko muto ukomeza gushyirwa ku igufwa, uko igihe kigenda gihita bigatera akantu gato mu igufwa. Ibi bishobora kubaho ku biruka.
• Kuvunika kw'inyuma:Iyo imitsi cyangwa imitsi ifatanye n'igufwa ikuruwe mu buryo butunguranye, agace gato k'igufwa karacika.

Andi moko yihariye:

• Ivunika rya tibia: Muri ibi, tibia iravunika hafi y'ivi, ibyo bikaba byanangiza ingingo y'ivi.
• Gucika kw'amagufwa (gucika kw'amagufwa n'amagufwa yakuwe mu magufwa): Iyo igufwa ryavunitse, ibice bibiri byavunitse biratandukana, bigatera icyuho kinini hagati yabyo. Ibi bivuze ko ibice by'amagufwa bitajyanye neza.
• Ivunika rya tibia na fibula ritari ryakuwe mu mwanya waryo: Aha igufwa riracyavunitse, ariko ibice byavunitse ntibigeze bizenguruka cyane, kandi nta mpinduka nini igaragara mu miterere yaryo.
• Gucika intege mu gice cyo hagati: 'Distal' bivuga impera y'igufwa iri kure cyane y'igice cyo hagati cy'umubiri wacu (igihimba). 'Distal tibia fracture' ni ukuvunika kwa tibia ahagana ku kaguru, bivuze ko iri hafi y'igice cyo hasi cy'ukuguru.
• Gucika kw'igufwa: 'Proximal' bivuga impera y'igufwa ryegereye igice cyo hagati cy'umubiri (igihimba). 'Proximal fibula fracture' ni ukucika kw'igufwa aho fibula ihurira n'ivi, ni ukuvuga hafi y'inyuma.

Ni ibihe bimenyetso by'uku kuvunika kw'ivuniko?

Noneho reka turebe ibimenyetso bigaragara kuri ubu bwoko bw'imvune.

• Ububabare bukomeye: Iki ni cyo kintu cy'ingenzi. Ububabare bushobora kuba bukomeye cyane ku buryo udashobora no kwimura ukuguru kwawe.
• Kubyimba (edema): Ahantu hakomeretse habyimba cyane.
• Ububabare: Bibabaza cyane iyo bikozweho cyangwa bikandagiwe.
• Kudashobora kwimura ukuguru nk'uko bisanzwe: Ushobora kudashobora guhagarara, kugenda, cyangwa se no kwimura ukuguru kwawe.
• Gukomereka cyangwa guhindura ibara ry'uruhu: Uruhu rwo ku gice cyakomeretse rushobora guhinduka ubururu cyangwa umuhengeri.
• Ubusembwa cyangwa ishusho isa n'ibibyimba: Hari igihe ukuguru gushobora kurambuka mu buryo budasanzwe, cyangwa igufwa rigasa n'aho rigaragara nk'ikibyimba aho ryavunitse.

Ni iki gitera izi mvune?

Ni izihe mpamvu nyamukuru zitera uku kuvunika kw'imitsi?

Akenshi, ibi bibaho nyuma y'impanuka ikomeye (Ihungabana) . Bivuze ko:

• Impanuka z'ibinyabiziga: Ibintu nk'impanuka z'imodoka n'amagare.
• Kugwa: Kugwa uturutse hejuru, nko kunyerera no kugwa.
• Ibikomere bya siporo: Bishobora kubaho muri siporo zimwe na zimwe, cyane cyane siporo yo gukubitana.

Ikindi kintu ni uko, niba amagufwa yawe afite intege nke, urugero, niba ufite indwara nka osteoporosis , ushobora kuvunika igufwa byoroshye nubwo wagwa gato. Osteoporosis ni indwara ituma amagufwa ananuka kandi agacika intege. Abantu benshi ntibazi ko bafite iyi ndwara kugeza igihe bavunikiye igufwa.

Ni gute wasuzuma imvune y'amagufwa?

Iyo ufite imvune nk'iyi, ni gute muganga ashobora kumenya neza ko ari imvune?

Ubwa mbere, muganga azagusuzuma, arebe niba hari ububabare, kubyimba, ndetse niba ushobora kwimura ukuguru kwawe.

Nyuma y'ibyo, ibizamini byo gufata amashusho birakorwa nta kabuza.

Niba winjiye mu cyumba cy’ubutabazi bw’ibanze (ER) cy’ibitaro nyuma y’impanuka, itsinda ry’abaganga rizabanza gusuzuma imvune zawe zishobora kuguhitana hanyuma rizishyire imbere kugira ngo zivurwe. Nyuma yuko ubuzima bwawe bumeze neza ni bwo bazagukorera ibizamini kugira ngo bemeze ko wavunitse.

Ni ibihe bizamini bikorwa kuri ibi?

Kugira ngo umenye neza niba ufite imvune, ushobora gukenera gukora kimwe cyangwa byinshi muri ibi bizamini:

• Imirasire ya X: Iki ni cyo kizamini gikunze kugaragara cyane. Imirasire ya X irashobora kwerekana neza amagufwa yo mu kaguru ko hasi yavunitse, aho yavunitse, ndetse niba hari ibice by'amagufwa byakuweho.
• Gupima MRI (Magnetic Resonance Imaging): Ibi ntibikorwa buri gihe. Ariko rimwe na rimwe, niba ushaka gusuzuma neza ibyangiritse ku magufwa n'imitsi n'imitsi biyikikije, muganga wawe ashobora kugutegeka gukora MRI.
• Gupima CT (Computed Tomography): Gupima CT bishobora gutanga ishusho isobanutse neza kandi irambuye y’amagufwa n’ingingo zikikije kurusha gupima X-ray. Ibi ni ingirakamaro cyane ku baganga mbere yo kubaga.

Uburyo bwo kuvura imvune ya tibia/fibula

Noneho reka turebe uko twavura iyi ndwara ya tibia/fibula.

Uburyo bwo kuvura buterwa n'ubwoko bw'imvune, icyayiteye, n'urugero rw'ibyangiritse ku igufwa. Hari uburyo butandukanye bwo kuvura:

• Kudakora neza: Niba imvune idakabije cyane, bivuze ko ibice by'amagufwa bitaratandukanye cyane (bitavanywe mu mwanya wabyo), ushobora gukenera gushyirwaho agapira cyangwa ifuro ku kuguru kwawe kugira ngo bitagenda. Nyuma yo gusigwa byombi, uzakenera kongera gukorerwa X-ray kugira ngo urebe neza ko amagufwa ahagaze neza.
• Gufunga igufwa: Iyo igufwa ryavunitse cyane kandi ibice bikaba bitari mu mwanya waryo, ubu buryo busaba gukurura no gusunika ibice by'amagufwa byavunitse bigasubizwa mu mwanya wabyo nta kubagwa. Hanyuma hashyirwaho icyuma gifunga.
• Gufata imbere: Ubu ni uburyo bwo kubaga. Umuganga agarura ibice by'amagufwa byavunitse mu mwanya wabyo akabifatanya. Ibi bikubiyemo gukoresha amasahani, imisumari, cyangwa inkoni . Hanyuma amagufwa arahuza agakira.
• Gufata inyuma:Aha, umuganga ubaga ashyira vis mu igufwa ryavunitse ku mpande zombi hanyuma agafata vis ku gitereko cyo hanze (igitereko cyangwa bracket). Ibi bikunze gukorwa iyo igufwa ryavunitsemo ibice byinshi cyangwa uruhu rukangirika cyane.
• Ubuvuzi bw'umubiri: Nyuma yo kubagwa, cyangwa nyuma yo gukuraho ibumba, uzakenera gukorana n'umuvuzi w'umubiri kugira ngo wongere imbaraga, ubworoherane, no kugenda neza muri uko kuguru.

Ingorane zishobora kubaho mu gihe cyo kuvurwa

Mu gihe cyo kuvura imvune, cyane cyane iyo ijyanye no kubagwa, hari ingorane zimwe na zimwe zishobora kubaho. Reka tubimenye kandi.

• Indwara yo mu cyumba cy’amaguru (ACS): Umuvuduko uri mu mitsi y’amaguru uriyongera, bigatuma amaraso atembera neza. Ibi bishobora kwangiza imitsi n’imitsi burundu. Ibi ni ibintu byihutirwa.
• Malunion: Iyo amagufwa yavunitse akize, ashobora kudakwirana neza, bigatuma ukuguru kugabanuka cyangwa kugorama.
• Kutagira aho bihurira: Hari igihe ibice by'amagufwa bishobora kudahurira hamwe burundu, cyangwa se kwivanga bishobora gutinda cyane.
• Osteomyelitis: Niba ufite imvune ifunguye, ni ukuvuga aho igufwa ryamenetse mu ruhu, uba uri mu kaga ko kwandura bagiteri.
• Izindi mvune zo mu mutima: Gucika intege bishobora no kwangiza imitsi, imitsi, imitsi y'amaraso, imitsi n'imitsi ikikije aho wakomeretse.

Icyo wakwitega mu gihe cyo gukira n'igihe bizatwara kugira ngo gukira

Nyuma yo kuvurwa, ibimenyetso byawe bishobora kugenda neza buhoro buhoro mu byumweru byinshi. Bitewe n'ubwoko bw'ikibagwa wakorewe ndetse niba amagufwa abiri yo hasi y'ukuguru kwawe yaravunitse, ushobora kuba ushobora kwimura ukuguru kwawe no kugenda mu byumweru bike. Niba ububabare budashira cyangwa bukomeje, jya kwa muganga wawe ako kanya. Abantu benshi bakira neza ubwo bwoko bw'imvune.

Bifata igihe kingana iki kugira ngo iyi mvune ikire?

Biterwa n'uburemere bw'imvune yawe n'ubuvuzi wahawe. Ubusanzwe bifata amezi ane kugeza kuri atandatu kugira ngo imvune ya tibia cyangwa fibula ikire neza.

Ariko, hari izindi mpamvu nyinshi zishobora kugira ingaruka ku buryo umubiri wawe ukira vuba, bityo ni byiza kubaza muganga wawe cyangwa umuganga wawe igihe cyo gukira gikwiriye ikibazo cyawe.

Ni gute wagabanya ibyago byo kuvunika amagufwa?

Hari ibintu byinshi twakora kugira ngo tugabanye ibyago by'impanuka nk'izi:

• Buri gihe mwambare umukandara w'imodoka iyo uri mu modoka.
• Iyo ukina siporo iyo ari yo yose cyangwa ukora akazi ako ari ko koseAmbara ibikoresho byo kwirinda bikwiye.
• Irinde gushyira ibintu mu rugo rwawe cyangwa aho ukorera bishobora gutuma ugwa. Komeza ushyire ibidukikije mu isuku.
• Mu gihe ufata ikintu mu nzu , koresha ibikoresho bikwiye. Ntukigere uzamuka ku ntebe cyangwa ku meza kugira ngo ufate ikintu.
• Niba ufite imyaka irenga 50, cyangwa niba hari umuntu wo mu muryango wawe urwaye indwara y'amagufwa, ganira na muganga wawe ku bijyanye no gupima ubucucike bw'amagufwa .
• Niba ugorwa no kugenda cyangwa ufite ibyago byinshi byo kugwa, koresha inkoni cyangwa icyuma gikuyobora.

Ni ryari ugomba kujya mu cyumba cy’ubutabazi bw’ibanze?

Niba utekereza ko ufite igufwa ryavunitse mu kaguru ko hasi, cyangwa irindi gufwa iryo ari ryo ryose, ugomba kujya kwa muganga vuba bishoboka. Niba ufite kimwe muri ibi bimenyetso, jya kwa muganga wihutirwa vuba:

• Ububabare bukomeye.
• Kudashobora kwimura ukuguru nk'uko bisanzwe.
• Niba ukuguru kugaragara nk'aho kudasanzwe, cyangwa niba bisa nkaho byasimbutse aho biri.
• Iyo uruhu rwatobowe kandi igufwa rigagaragara.
• Kubyimba.
• Ibi bimenyetso biherekezwa no kugaragara kw'ibikomere bishya.

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

Ibibazo byo kubaza muganga

Iyo ugiye kwa muganga wawe, byaba byiza ubajije ibibazo nk'ibi:

• Ni irihe gufwa ryavunitse?
• Ni ubuhe bwoko bw'imvune mfite?
• Ese nkeneye kubagwa?
• Bizatwara igihe kingana iki kugira ngo umuntu akire?
• Ni ryari nshobora kongera gukora no gukina siporo nk'uko bisanzwe?

Ese ushobora gutembera ku igufwa ryavunitse mu gice cy'imbere cy'umutwe cyangwa mu gice cy'imbere cy'umutwe?

Iyo igufwa ryo mu kuguru ko hasi ryavunitse, niba ushobora kugenda cyangwa kwimura ukuguru kwawe biterwa n'igufwa ryavunitse, ubwoko bwavunitse, n'uko impanuka yagenze.

Igufwa ryawe rito, igufwa rigufi riri ku ruhande rw'igufwa ryawe ry'umugongo, ntabwo ari igufwa ritwara ibiro. Niyo mpamvu hari abantu bashobora kugenda bafite igufwa ryavunitse. Ariko, ntukirengagize ububabare bw'amaguru cyangwa ibindi bimenyetso. Nubwo waba ushobora kugenda, ugomba kujya kwa muganga cyangwa kujya mu cyumba cyita ku barwayi b'inkomere ako kanya kugira ngo bagupime imvune.

Ariko, niba tibia yawe yavunitse, birashoboka ko utazashobora guhagarara, kugenda, cyangwa gushyira ibiro ku kuguru kwawe. Ibi biterwa nuko tibia ari yo igufwa rikuru ritwara ibiro mu mubiri. Rero, ntukirengagize ububabare cyangwa ngo wirengagize ibimenyetso.

Niba waragize impanuka kandi ukaba urimo kubona ibi bimenyetso, jya mu cyumba cy’ubutabazi bwihuse.

Amaherezo, ibintu byo kwibuka

Igufwa ryavunitse mu gice cyo ku ruhande rumwe cyangwa fibula (igufwa ry'urubavu ku rundi ruhande) rikunze kubaho mu mpanuka, nko kugwa. Bishobora kuba ihungabana rikomeye, cyane cyane iyo udashobora guhagarara, kugenda, cyangwa gukoresha ukuguru kwawe nk'uko bisanzwe. Ushobora gukenera kubagwa, hagakurikiraho kuvurwa no gukora imyitozo ngororamubiri, hanyuma ugakira igihe. Ariko izere ko abantu benshi bakira neza igufwa ryavunitse. Ikintu cy'ingenzi ni ukwihutira gushaka ubuvuzi mu gihe ugize impanuka no gukurikiza amabwiriza ya muganga nk'uko bagusaba.

Kuvunika kwa tibia , Kuvunika kwa fibula, Kuvunika kw'amaguru, Ubwoko bw'imvune, Kuvura kuvunika, Kubaga amagufwa, Ubuvuzi bw'umubiri