Gucika kw'inyuma ni iki? (Gucika kw'inyuma) - Reka twige kuri ibi mu buryo bworoshye!

Ese wigeze ugwa ugakomereka bikomeye ku kuboko cyangwa ukuguru? Cyangwa wavunitse igufwa ubwo wakinaga cricket, ugakubitwa n'umupira, cyangwa ukagira impanuka y'imodoka? Ahari muganga yakubwiye iby'" imvune yo kunyura mu kirenge ." Ibi bivuze iki koko? Reka tubiganireho mu buryo burambuye , nk'aho urimo ubwira inshuti yawe.

'Gucika intege kw'umubiri' ni iki mu by'ukuri?

Mu magambo make, kuvunika kw'igufwa ni ukuvunika kw'igufwa rimwe . Tekereza igufwa ryawe nk'inkoni ndende. Kuvunika bibaho ku buryo bugororotse ugereranyije n'uburebure bw'inkoni, cyangwa hejuru yayo. Ni nk'umuntu uca inkoni mo kabiri. Ibi byitwa kandi kuvunika burundu , kuko umurongo wavunitse unyura mu igufwa ryose.

Ubwo bwoko bw'imvune bukunze kugaragara mu magufwa maremare y'umubiri wacu. Dore ingero nke:

• Femur (igice cyo hejuru cy'ukuguru kwawe)
• Tibia (igufwa rinini riri imbere y'ukuguru kwawe)
• Fibula - igufwa rito riherereye ku ruhande rw'umugongo
• Igufwa ryo hejuru ry'ukuboko (`Humerus` - igufwa riva ku rutugu rwawe kugeza ku nkokora yawe)
• Amagufwa yo mu gahanga (`Radius` na `Ulna` - amagufwa abiri kuva ku nkokora kugeza ku kuboko)
• Clavicle (igufwa ry'umugongo)

Ni izihe mpamvu nyamukuru zitera ubu bwoko bw'imvune?

Uku kuruhuka, byitwa 'transverse fractures', bikunze kubaho bitewe n'impanuka cyangwa ihungabana . Tekereza ikintu nk'ukugwa gitunguranye, impanuka y'imodoka, cyangwa gukomereka bikomeye mu gihe ukina.

Hari igihe kubagwa bisaba kugira ngo hakosorwe imvune nk'iyi. Ariko kuri bamwe, agapira cyangwa icyuma bishobora gufasha igufwa kuguma mu mwanya waryo. Igihe bifata kugira ngo rikire neza biterwa n'ubwoko bw'igufwa ryavunitse n'uburyo imvune yabayeho. Abantu benshi bafata amezi menshi kugira ngo bakire neza iyi ndwara.

Ese 'transverse fracture' na 'transverse process fracture' ni kimwe?

Aha niho bishobora gutera urujijo. Nubwo amazina 'transverse fracture' na 'transverse process fracture' asa, aya ni ubwoko bubiri butandukanye bw'amagufwa fracture .

'Ivunika rya transverse' twavuze ni ugucika kw'uburebure bw'igufwa. Nubwo ibi bishobora kubaho ku igufwa iryo ari ryo ryose, akenshi bibaho ku magufwa maremare, nko mu mpanuka itunguranye nko kugwa.

Ariko, 'gucika kw'imikorere inyuranyije n'umurongo' ni ugucika kw'umugongo.Indi mvune. Uruti rw'umugongo rwacu rugizwe n'amagufwa mato yitwa vertebrae. Aya magufwa afite utugufwa duto ku mpande zombi, twitwa transverse processes. Ivunika ry'aya magufwa ryitwa transverse process fracture. Ibi bishobora no kubaho mu mpanuka. Rimwe na rimwe, bitewe na osteoporosis (indwara aho amagufwa acika intege kandi agacika intege), aya magufwa ashobora kuvunika tutabizi. Nubwo aya magufwa ashobora kugaragara ahantu hose mu ruti rw'umugongo, akunze kugaragara cyane mu gice cyo hasi cy'umugongo (lumbar spine).

Ni irihe tandukaniro riri hagati ya 'transverse fracture' na 'oblique fracture'?

Ibi byombi ni ubwoko bw'imvune zinyura mu igufwa. Ariko hari itandukaniro rito.

• Mu gihe cyo kuvunika kw'igufwa, imvune iba iri ku igufwa, ni ukuvuga ko iba igororotse ku burebure bw'igufwa.
• Mu 'Kuvunika kwa Oblique ', imvune inyura hejuru y'igufwa, ni ukuvuga mu mfuruka.

Ariko, uko wakwita kose imvune yawe, icy'ingenzi ni ukubonana na muganga vuba bishoboka no kuyisuzumisha .

Uku kuvura kw'ivuko rinyuze mu kirere (transverse fracture) bikunze kugaragara gute? Ni nde ufite amahirwe menshi yo kurwara?

'Imvune zifata amagufwa' ni zo zikunze kugaragara cyane mu kuvunika amagufwa , cyane cyane mu magufwa maremare. Zishobora gushikira umuntu uwo ari we wese. Ziterwa ahanini n'impanuka n'imvune.

Niba ukunda kugwa, uba ufite amahirwe menshi yo kuvunika ubwo bwoko bw'amagufwa. Nanone, abantu bafite indwara ya osteoporosis (amagufwa afite intege nke) bafite ibyago byinshi byo kuvunika, harimo no kuvunika kw'amagufwa anyura mu buryo bw'ibanga.

Ni ibihe biranga 'ivunika rya transverse'?

Uramutse ufite ubu bwoko bw'imvune, ushobora kugira ibimenyetso nk'ibi:

• Ububabare bukomeye: Bubabaza neza aho imvune yabereye.
• Kubyimba: Ahantu hakomeretse harabyimba.
• Ububabare: Ububabare buriyongera iyo ukozeho cyangwa ukanda ku gace kavunitse.
• Kudashobora kwimuka nk'uko bisanzwe: Iyo igice cy'umubiri, nk'ukuboko cyangwa ukuguru, cyavunitse, biragorana kukimuka cyangwa kugikoresha nk'uko bisanzwe.
• Gukomereka cyangwa guhinduka ibara: Ushobora kubona udusebe cyangwa ibara ry'ubururu aho wakomeretse.
• Ipfundo cyangwa ipfundo: Hari igihe igice cyavunitse gishobora kugaragara nk'aho gipfunyitse, gikuruwe, cyangwa kizamuwe nk'ipfundo.

Ibiruhuko byo 'Gufungura' n' 'Gufunga' ni iki?

Muganga wawe azashyira aho imvune ivunitse mu byiciro bibiri: 'ifunguye' cyangwa 'ifunze'.

• "Kuvunika gufungutse" ni igihe igice cy'igufwa ryavunitse gisohoka mu ruhu rwawe. Ibi ni bibi gato kuko bishobora gutera indwara.Amahirwe yo kurwara ni menshi, kandi bifata igihe kirekire kugira ngo umuntu akire.
• 'Kuvunika gufunze' ni igihe igufwa ryavunitse ariko uruhu ntirwangirike kandi igufwa ntirigaragare. Ibi nabyo ni bibi cyane, ariko ibyago byo kwandura ni bike.

Ni iki gitera kuvunika kw'ingingo "zirukanywe" n' "zidakamwe"?

Aya ni andi magambo abiri abaganga bakoresha.

• 'Gucika intege' ni igihe ibice by'igufwa byavunitse bisunitswe, bigatera icyuho hagati yabyo. Mu by'ukuri, ibice by'igufwa birakururwa . Ubwo bwoko bw'imvune bukunze gusaba kubagwa kugira ngo bugororoke.
• 'Ivunika ritavunitse' naryo ni imvune aho igufwa rivunika, ariko ibice byavunitse ntibigenda cyane kandi ntibinasenyuke. Biracyari ku murongo.

Ni gute abaganga basuzuma aho imvune yavuye mu buryo bw'umwimerere? (Isuzuma)

Umuganga azakora isuzuma ry’umubiri kugira ngo amenye ubwoko bw’imvune. Byongeye kandi, bashobora gukora ibizamini byo gufata amashusho nka:

• X-ray: Ubu ni bwo buryo bwonyine bwo kureba neza niba hari icyavunitse n'ingano y'ibyangiritse byakozwe.
• MRI (Magnetic Resonance Imaging): Hari igihe muganga aba akeneye kumenya ishusho yuzuye y'ingingo zikikije igufwa, nk'imitsi, ingingo zihuza, n'izindi ngingo, kugira ngo arebe niba hari icyangiritse. Muri ibyo bihe, MRI ishobora gukorwa.
• Gupima CT: Niba ukeneye kubagwa, umuganga uzabaga azakenera ishusho isobanutse neza kandi irambuye y'ibyangiritse ku magufwa. Gupima CT bishobora gukorwa iyo X-ray idasobanutse neza no gutegura uburyo bwo kubaga.

Ivuniko ryo mu kibuno rivurwa gute?

Uburyo bwo kuvura imvune yawe inyura hejuru biterwa n'uburemere bwayo. Intego nyamukuru ni ugufasha ibice by'amagufwa yavunitse gukira neza. Kugira ngo babigereho, abaganga bakoresha uburyo bwo kuvura nka:

Kugabanya urujya n'uruza (Immobilisation)

Niba imvune yawe idakomeye cyane, bivuze ko ibice by'amagufwa bitaratandukanye cyane (`non-displaced`), ushobora gukenera kwambara agapira cyangwa ikariso kugira ngo agace kagume kadahinduka. Agapira gasanzwe kamara ibyumweru bitatu kugeza kuri bitanu. Agapira kamara igihe kirekire, nk'ibyumweru bitandatu kugeza ku munani. Ariko, uzakenera gupimwa X-ray buri gihe kugira ngo umenye neza ko igufwa rikize neza.

'Kugabanya amafaranga byafunzwe'

Ku magufwa akomeye cyane, aho ibice by'amagufwa bivanwa, hakoreshwa uburyo bwo kugabanya amagufwa mu buryo bufunze kugira ngo agarurwe mu mwanya wabyo.Bigomba gukorwa. Ibi si ukubaga. Muganga azagufata, akande, akanagukurura inyuma kugira ngo ahuze ibice by'amagufwa byavunitse imbere. Kugira ngo amenye neza ko nta bubabare wumva mu gihe akora ibi, azakora kimwe muri ibi:

• Agakoresho ko kugabanya ububabare gatangwa kugira ngo gafashe gusa aho imvune yavunitse.
• Imiti igabanya ububabare itangwa kugira ngo iruhure umubiri wose.
• Cyangwa, uzahabwa ikinya rusange, kizagutera gusinzira burundu ku buryo nta kintu na kimwe uzumva.

Nyuma y'uko amagufwa ateguwe muri ubu buryo, hashyirwamo agapira cyangwa plaster.

Kubaga imvune zinyuranyije n'umurongo - Gufata imbere mu mubiri

Ku mvune zikomeye cyane , ni ngombwa kubagwa . Umuganga azasubiza ibice byavunitse mu mwanya wabyo ukwiye kandi akoreshe inkoni z'icyuma kugira ngo abifatanye kugeza bikize. Ibi byitwa 'internal fixation' . Mu gihe inkoni z'icyuma ziri mu mwanya wazo, ntugomba gukoresha icyo gice cy'umubiri wawe cyane kugeza igihe igufwa rikize.

Hari uburyo butandukanye bwo 'gufata imbere':

• Inkoni: Inkoni y'icyuma ishyirwa mu igufwa, kuva hejuru kugeza hasi.
• Amasahani n'amasufe: Amasahani y'icyuma ashyirwamo kugira ngo afatanye ibice by'amagufwa kandi agafatanywa ku igufwa hakoreshejwe amasufe.
• Insinga n'imigozi: Iyo hari uduce tw'amagufwa duto cyane ku buryo tudashobora gukwirana n'ibindi bikoresho byo gufunga, insinga n'imigozi bikoreshwa kugira ngo bifatanye. Ibi bikunze gukoreshwa hamwe n'inkoni cyangwa amasahani.

Hari abantu baba bafite ibi bice by'icyuma mu mibiri yabo ubuzima bwabo bwose. Ku bandi, bizaba ngombwa ko babagwa kugira ngo babikuremo nyuma.

Ubu buryo bwo kubaga "transverse fracture" akenshi bukorwa nk'ubuvuzi bwo hanze , bivuze ko ushobora gutaha uwo munsi. Ariko, niba urimo kubagwa igufwa rinini nka femur, uzakenera kumara iminsi mike mu bitaro.

Nyuma yo kubagwa, igice cy'umubiri gifite igufwa ryavunitse kizakenera guhagarara. Ushobora gushyiramo igitambaro cyo gukingira , agapira ko gukingira, cyangwa icyuma cyo gukingira. Icyo gihe ni bwo ushobora gutangira gushyira uburemere kuri icyo gice no kugikoresha nk'uko byari bisanzwe.

Ni iyihe miti ikoreshwa mu kuvura? Ese nkwiye guhangayikishwa n'imiti igabanya ubukana bw'indwara ziterwa no ku ...?

NSAIDs (nka aspirine na ibuprofen), zikunze gukoreshwa mu kugabanya ububabare, zishobora gutera kuva amaraso n'izindi ngorane nyuma yo kubagwa. Kubwibyo, umuganga wawe azakubwira imiti ushobora gufata kugira ngo ugabanye ububabare nyuma yo kubagwa.

Ingaruka mbi ku miti ya NSAID:

* Kuva amaraso

* Ibisebe byo mu gifu (`Ibisebe`)

* Kubabara mu nda

* Ingorane zo mu mara

Ni izihe ngorane zishobora guterwa no kuvura imvune zinyuze mu buryo bwa transverse?

Ingorane zikurikira zishobora kubaho nyuma yo kubagwa:

• Indwara yo mu cyumba cy’umubiri (ACS): Umuvuduko w’amaraso ukabije mu mitsi, amaraso adakora neza, ndetse n’imitsi n’imitsi bishobora kwangirika burundu.
• ``Malunion``: Indwara aho igufwa ryavunitse ritakira neza, ahubwo rigakura rigakururana.
• Kutagira aho bihurira: Amagufwa ntakira neza, cyangwa ngo akire na gato.
• Kwandura amagufwa (Osteomyelitis): Iyo igufwa rimenetse mu ruhu, nk'uko bigenda mu 'gucika kw'amagufwa', hari ibyago byinshi byo kwandura bagiteri.
• Izindi mvune zo mu mutima: Igufwa ryavunitse rishobora no kwangiza imitsi, imitsi, imitsi y'amaraso, imitsi n'imitsi biyikikije.

Nzumva meze neza nyuma y'igihe kingana iki?

Bishobora gufata ibyumweru bike kugira ngo ibimenyetso byawe bishire. Bitewe n'uko wabazwe n'igufwa ryavunitse, ushobora kongera gutangira kwimuka mu byumweru bike.

Ariko, niba ufite ububabare budashobora kugabanuka, hita ubonana na muganga.

Ni gute wagabanya ibyago byo kuvunika kw'inyuma?

Kurikiza izi ntambwe zoroshye kugira ngo ugabanye ibyago byo kwangirika kw'ubu bwoko bw'impanuka:

• Buri gihe wambara umukandara wawe w'intebe iyo uri mu modoka.
• Ambara ibikoresho byo kwirinda bikenewe mu gihe ukina siporo cyangwa urimo gukora indi mirimo.
• Komeza isuku mu rugo no mu kazi kawe ukureho ibintu bishobora gutuma ugwa, hamwe n'ibintu bishobora gutuma ugwa.
• Mu gihe ufata ikintu kiri hejuru, koresha igikoresho gikwiye aho kuzamuka ku ntebe, ku meza, cyangwa ku meza.
• Kurikiza indyo n'imyitozo ngororamubiri bifasha mu kubungabunga ubuzima bwiza bw'amagufwa .
• Niba ufite imyaka irenga 50, cyangwa niba hari umuntu wo mu muryango wawe ufite indwara yo kubura amaraso , ganira na muganga wawe ku bijyanye no gupima ubucucike bw'amagufwa .
• Niba ugorwa no kugenda cyangwa ushobora kugwa cyane, koresha inkoni yo gukuba ('inkoni' cyangwa 'walker') .

Ese kuvunika kw'inyuma bishobora kwirindwa?

Ubwo bwoko bw'imvune akenshi buterwa n'ibintu bigoye kwirinda, nko kugwa no kugorwa. Ariko, niba ugorwa no kugenda, gukoresha inkoni bishobora kugufasha kwirinda kugwa.

Abagore bafite ibyago byinshi byo kurwara indwara ya osteoporosis nyuma y'imyaka 50. Kubwibyo, ni byiza kuganira na muganga wawe ku bijyanye n'ikizamini cyo gupima ubucucike bw'amagufwa, gishobora kugaragaza osteoporosis mbere yuko ivunika.

Ni iki wakwitega mu gihe wavunitse amaguru?

Niba ufite imvune ifata amaguru yombi, ushobora kwitega ko uzakira neza . Ariko, uzakenera ubuvuzi bw'umubiri kugira ngo bugufashe kugarura imbaraga n'uburyo bwo kugenda mu gice cy'umubiri wakomeretse. Abantu benshi ntibagira ingaruka z'igihe kirekire nyuma yo kuvunika nk'uku.

Bifata igihe kingana iki kugira ngo imvune ihindukire?

Igihe bifata kugira ngo ukire biterwa n'uburemere bw'imvune yawe n'ubuvuzi wahawe. Abantu benshi bifata amezi menshi kugira ngo bakire neza.

Hari ibintu byinshi bigira ingaruka ku gihe bifata kugira ngo umubiri wawe ukire, bityo vugana na muganga wawe cyangwa umuganga wawe ku gihe cyiza cyo kuvura imvune yawe.

Ese sinzashobora kujya ku kazi/ku ishuri?

Igihe utazashobora kujya ku kazi, ku ishuri, cyangwa mu bindi bikorwa bizaterwa n'igufwa ryavunitse ndetse niba ufite ibindi bikomere.

Mu gihe uri gukira, vugana n'umuganga wawe ubaga cyangwa umuganga mbere yo kongera gukora imyitozo ngororamubiri iyo ari yo yose.

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

Niba utekereza ko ufite imvune ifata igufwa - cyangwa ikindi kintu cyose cyavunitse igufwa - ugomba kujya kwa muganga vuba bishoboka . Jya mu cyumba cy’ubutabazi bw’ibanze vuba niba ufite kimwe muri ibi bimenyetso:

• Ububabare bukabije cyane.
• Niba udashobora kwimura igice cy'umubiri wawe ushobora kwimura ubusanzwe.
• Niba igice cy'umubiri wawe gisa n'ikidasanzwe cyangwa gisa n'aho cyahindutse ugereranije n'aho cyari kiri.
• Niba ushobora kubona igufwa binyuze mu ruhu rwawe.
• Kubyimba.
• Niba hagaragaye ibikomere bishya hamwe n'ibindi bimenyetso.

Cyane cyane niba waragize ikibazo cy'ihungabana, jya mu cyumba cyita ku barwayi b'ingorabahizi ako kanya.

Ni ibihe bibazo by'ingenzi ugomba kubaza muganga?

Iyo ugiye kwa muganga, ntukibagirwe kubaza ibi bibazo:

• Ni irihe gufwa ryavunitse?
• Ese mfite 'transverse fracture' cyangwa ubundi bwoko bw'imvune?
• Ese nkeneye kubagwa?
• Bizatwara igihe kingana iki kugira ngo umuntu akire?
• Ni ryari nshobora kongera gukora imyitozo ngororamubiri isanzwe?

Amaherezo, ibintu byo kwibuka (Ubutumwa bwo kujyana mu rugo)

Ushobora gukira neza nyuma yo kuvunika kw'inyuma., nubwo byaba ari ukubagwa. Icy'ingenzi ni ukubikora buhoro buhoro mu gihe cyo gukira, kandi ugakurikiza amabwiriza ya muganga neza . Niba ugize stress ukajya ku kazi udaha umubiri wawe ikiruhuko, hari amahirwe ko hazabaho ingorane kandi igufwa ryavunitse rigakomeza kwangirika.

Baza muganga wawe uburyo wakomeza kugira amagufwa yawe akomeye kandi akagira ubuzima bwiza. Niba ufite imyaka irenga 50 cyangwa ufite amateka yo kurwara indwara ya osteoporosis mu muryango wawe, ni ngombwa kandi ko ukorerwa ibizamini by’ubucucike bw’amagufwa buri gihe.

Kuvunika , kuvunika kw'igufwa, kuvunika kw'igufwa, kuvura kuvunika, kubaga amagufwa, ubuzima bw'amagufwa, impanuka