Ibintu ukeneye kumenya kuri Tommy John Surgery

Uri umukinnyi wa cricket, utera icumu, cyangwa umukinnyi wa tennis? Ubwo rero ntugomba guhangayikishwa n'ububabare bw'inkokora, sibyo? Hari igihe impamvu nyamukuru y'ubu bubabare iba ari ukugwa kw'imitsi mu nkokora. Ni bwo havuka ikiganiro cya 'kubagwa kwa Tommy John', gihindura ahazaza h'abakinnyi benshi. Reka tubiganireho mu magambo yoroshye, kuva kuri A kugeza kuri Z.

Mu magambo make, kubaga Tommy John ni iki?

Kubaga Tommy John ni ukubaga gusana umutsi uri imbere mu nkokora yawe witwa Ulnar Collateral Ligament (UCL) . Nanone byitwa `UCL` surgery.

Tekereza kuri UCL nk'umukandara ukomeye ufatana inkokora. Iyo dukoresheje inkokora yacu mu buryo bumwe inshuro nyinshi, cyane cyane iyo dukubita imipira vuba cyangwa dutera umuhunda, iyi mitsi ishobora kwangirika. Iyi ndwara ikunze kugaragara muri:

• Umupira wa baseball
• Umupira wa Softball
• Icumu
• Umupira w'amaguru (cyane cyane abakinnyi batera umupira)
• Ku bakina tenisi n'imikino isa nayo.

Niba uri umukinnyi w’imikino ngororamubiri, akenshi iyi mvune ishobora gukira ukoresheje ikiruhuko no kuvurwa byoroshye. Ariko, niba uri umukinnyi w’umwuga, bivuze ko umwuga wawe wose uri muri uyu mukino, iyi mvune ishobora kuba iherezo ry’umwuga wawe wo gukina. Icyo gihe ni bwo ugomba kubagwa 'UCL' kugira ngo ukize umwuga wawe wo gukina.

Muri ubu buvuzi, muganga wawe afata umutsi muzima uva mu kindi gice cy'umubiri wawe (akenshi uva mu kuboko kwawe cyangwa inyuma y'ivi ryawe) akawukoresha mu kongera kubaka umutsi wangiritse mu nkokora yawe. Umutsi ufatwa muri ubu buryo witwa 'graft' . Hari igihe, niba bidashoboka kuwukura mu mubiri wawe, umutsi uva ku muntu utanga ushobora gukoreshwa. Uyu mutsi mushya ufata ku igufwa ryo hejuru ry'ukuboko (humerus) n'igufwa ryo hasi ry'ukuboko (ulna) ry'ukuboko kwawe, bigatuma ukora nk'umutsi mushya wa 'UCL'.

Nyuma y'uku kubagwa:

• Inkokora yawe iri gutuza.
• Ububabare buri kugabanuka.
• Ingano y'imikorere mu kiganza irasubizwa.

Mu bihe bimwe na bimwe, aho gukora imashini yuzuye, igikoresho cyihariye cyitwa 'internal brace' gishyirwa mu nkokora kugira ngo gikomeze imashini.

Kuki yitwa 'Tommy John'? Inkuru iri inyuma yayo ni iyihe?

Iyi ni inkuru ishimishije cyane. Ubu buvuzi bwitiriwe Tommy John, umukinnyi w’icyamamare w’umunyamerika wa baseball. Yari umuhanga mu guterura. Mu 1974, umugozi we wa UCL mu nkokora we waracitse burundu. Icyo gihe, imvune nk'iyo yasobanuraga iherezo ry’umwuga we wa siporo.

Ariko, abaganga bagerageje kubagwa bundi bushya kugira ngo basane inkokora ye. Nyuma yo kubagwa, yabuze shampiyona yose ya 1975. Ariko abantu bose baratunguwe nuko yagarutse mu kibuga mu 1976 kandi akina neza kurusha mbere hose. Kubera ko yagarutse neza, kubagwa kwa 'UCL' kuva icyo gihe byitwa 'Tommy John surgery'.

Witegura ute mbere yo kubagwa?

Umuganga wawe w’amagufwa azagusobanurira neza uburyo bwo kwitegura kubagwa. Ubusanzwe, uzakenera gukora ibi bikurikira:

• Isuzuma ryuzuye ry'umubiri: Menya neza ko ufite ubuzima bwiza buhagije bwo kubagwa.
• Gupima amaraso: Menya imikorere y'umubiri n'uko ubwandu buhagaze.
• Ibizamini byo gufata amashusho: Gupima X-ray , CT scan , cyangwa MRI scan bishobora gutangwa kugira ngo harebwe neza uko inkokora yawe yangiritse.
• E.C.G. (Electrocardiogram): Reba niba umutima wawe ukora neza.
• Gusuzumisha amenyo: Kurinda indwara zo mu kanwa gukwirakwira mu maraso no kugira ingaruka ku hantu ho kubagwa nyuma yo kubagwa.

Muganga wawe azakubwira igihe ugomba kureka kurya no kunywa umunsi umwe mbere yo kubagwa. Ubusanzwe, ugomba kureka kurya no kunywa amasaha 12 mbere yo kubagwa.

Ni iki mu by'ukuri kibaho mu gihe cyo kubagwa?

Mbere yuko ubagwa utangira, umuganga w’indwara zo gusinziriza azaguha imiti igabanya ububabare . Ibi bivuze ko uzaba usinziriye rwose. Bityo rero ntuzumva ububabare ubwo ari bwo bwose mu gihe cyo kubagwa.

Ubusanzwe kubagwa bikurikira ibi bikurikira:

1. Arthroscopy: Hari igihe muganga akoresha kamera nto kugira ngo arebe imbere mu nkokora. Ibi byitwa arthroscopy . Ibi bishobora gufasha gusuzuma no kuvura izindi mvune zo imbere mu gihe cyo gusana imitsi.

2. Gusarura inshinge: Niba bikenewe ko umuganga agufata agace k'imitsi kangana na santimetero 1.8-1.8 mu kindi gice cy'umubiri wawe (ubusanzwe kava ku kuboko cyangwa inyuma y'ivi).

3. Gukuraho ingingo zangiritse: Imitsi yangiritse n'izindi ngingo zitari ngombwa ziri mu nkokora zirasukurwa kandi zigakurwaho.

4.Gutobora amagufwa: Hanyuma, hacukurwa imyobo ibiri mu igufwa rya ulna n'imyobo itatu mu igufwa rya humerus mu ishusho ya "Y".

5. Gushyiramo umugozi mushya: Umugozi wakuweho mbere (graft) unyura muri iyi myobo ugashyirwamo umugozi mushya. Hari igihe ufatanywa ku magufwa ukoresheje utugozi duto kugira ngo ukomere.

6. Gusana ibindi byangiritse: Iyo imitsi yo mu nkokora (umutsi wo mu kibuno) yangiritse cyangwa hari ibindi bibazo, nayo irasanwa muri iki gikorwa cyo kubaga.

7. Kudoda imisemburo: Amaherezo, imisemburo ikorerwa ku ruhu ifunze n'imishoro. Hanyuma ipfukwaho irangi risukuye hanyuma hagashyirwaho agapira gakomeye kugira ngo ukuboko kugume kugenda.

Ubusanzwe ubu buvuzi bumara isaha imwe n'igice, ariko iki gihe gishobora gutandukana bitewe n'ingano y'aho imitsi yangiritse ndetse niba hari ibindi bibazo.

Ni izihe nyungu n'ingaruka z'ubu buvuzi?

Nk’uko bigenda ku kubagwa kose, kubagwa kwa Tommy John bifite ibyiza n’ibyago.

Igihe cyo gukira kimeze gite nyuma yo kubagwa?

Iki ni cyo gice kigoye kandi cy'ingenzi cyane cy'urugendo. Bishobora gufata umwaka urenga kugira ngo uruhuke neza nyuma yo kubagwa kwa Tommy John no gusubira mu mikino yo guhatana. Uru rugendo rusaba kwihangana. Ugomba gukurikiza amabwiriza atangwa na muganga wawe n'umuganga w'imitsi neza.

Gahunda yawe yo gukira ishobora kumera gutya:

Ni ryari ugomba guhita ubonana na muganga?

Niba ubonye kimwe muri ibi bimenyetso bikurikira nyuma yo kuva kubagwa, hamagara muganga wawe ako kanya cyangwa ujye mu bitaro bikuru by’ubutabazi bw’ibanze (ETU) biri hafi yawe.

• Kubabara mu gatuza
• Guhumeka bigoranye
• Umuriro (uri hejuru ya 102 Fahrenheit/39 Selisiyusi)
• Kuva amaraso menshi cyane aho babazwe
• Ibimenyetso by'ubwandu aho bakorewe ubuvuzi (urugero: amabyi, kubyimba cyane, impumuro mbi, gutukura, cyangwa kumva ufite ubushyuhe)
• Ububabare bushya cyangwa bukomeje kwiyongera mu nkokora, mu kiganza, cyangwa mu ntoki
• Ufite ububabare bukomeye udashobora kugenzura nubwo waba warahawe imiti igabanya ububabare.

Kubaga Tommy John ni igikorwa gitangaje giha abakinnyi babigize umwuga amahirwe ya kabiri. Ariko intsinzi yacyo iterwa na 90% n'uburyo wihangana kandi witanze mu gikorwa cyo kugarura ubuzima nyuma yo kubagwa.