Ese amagufwa yose atatu y'akaguru yaravunitse? Reka tuvuge kuri iyi Trimalleolar Fracture!

Tekereza ko wahise uzunguruka akaguru kawe umanuka ku madarajya, ukina siporo, cyangwa ugenda mu muhanda. Ibyo byatumye wumva ububabare bukabije kandi ntushobora no gushyira ikirenge hasi. Ikintu gikomeye cyane gishobora kubaho mu gihe nk'iki ni ukuvunika akaguru. Ariko, 'Trimalleolar Fracture' iragoye gato kandi isaba kwitabwaho cyane. None rero uyu munsi, reka tubiganireho mu buryo bworoshye, mu buryo ushobora gusobanukirwa.

Mu magambo make, iyi Trimalleolar Fracture ni iki?

Iri zina rishobora kumvikana nk'irigoye gato, ariko ibisobanuro byaryo biroroshye cyane. Trimalleolar bivuga 'tatu'. Ibi bivuze ko amagufwa yose atatu y'ingenzi agize ingingo y'akaguru kawe avunika icyarimwe.

Utuguru twacu duterwa no guhuzwa kw'impera z'amagufwa abiri mu kaguru ko hasi. Reka turebe ibyo ari byo.

• Tibia: Iri ni igufwa rinini kandi rikomeye riri mu kaguru ko hasi. Ku mpera yaryo yo hasi, rifite ibice bibiri bigize akaguru.
• Medial Malleolus: Iki ni ikibyimba cy'amagufwa ushobora kumva imbere mu kaguru kawe.
• Posterior Malleolus: Iki ni igice kiri inyuma y'igufwa ry'akaguru.

• Fibula: Iri ni igufwa rito rigenda ribangikanye na fibula, ku ruhande rw'inyuma.
• Malleolus yo mu ruhande: Iki ni ikibyimba cy'amagufwa kiri inyuma y'akaguru kawe ushobora gufata n'ukuboko kwawe.

Rero, muri 'Trimalleolar Fracture', ibi bice uko ari bitatu - medial malleolus, lateral malleolus, na posterior malleolus - biravunitse. Ni nk'igitereko gishyigikira amaguru kuvunika impande zose uko ari eshatu icyarimwe.

Ese iki ni imvune ikomeye?

Yego, iki ni imvune ikomeye kandi igoye kuruta gukomereka ku kaguru gusa. Ariko ntugahangayike, iyo ivuwe neza, ishobora gukira burundu. Hari impamvu nyinshi zishobora gutuma ibi biba bikomeye:

• Kubagwa bishobora kuba ngombwa: Kenshi, kubagwa birakenewe kugira ngo hakorwe ubwo bwoko bw'imvune.
• Igihe cyo gukira: Kubera ko amagufwa yose uko ari atatu agomba gukira, ushobora kutabasha gukanda ikirenge cyawe mu gihe cy'amezi menshi. Ibi bivuze ko bizakugora gukora imirimo ya buri munsi, kujya ku kazi no gutwara imodoka.
• Kwangirika kw'ingingo zikikije: Iyo igufwa ryavunitse, imitsi n'imitsi biyikikije na byo bishobora kwangirika, ibyo bikaba byakongera igihe cyo gukira.
• Ingaruka zo kurwara rubagimpande: Hari amahirwe menshi yo kurwara rubagimpande muri iyo ngingo y'akaguru mu gihe kizaza.
• Kunanirwa: Nubwo umuntu yakira neza, hari abantu bashobora kunanirwa gato iyo bagenda igihe runaka.

Ni iki gitera ubu bwoko bw'itandukana?

Hari impamvu nyinshi z'ingenzi zitera iki kibazo. Reka turebere hamwe izo ari zo.

Ni irihe tandukaniro riri hagati ya Trimalleolar na Bimalleolar fractures?

Ushobora kuba warigeze kumva ibyerekeye 'Bimalleolar Fracture'. Itandukaniro riri hagati y'ibyo byombi rirasobanutse neza.

• Gucika kw'ingingo ya Bimalleolar: Muri ibi, amagufwa abiri ari ku mpande zombi z'ikirenge (`medial` na `lateral malleolus`) ni yo yavunitse.
• Gucika kw'igufwa rya Trimalleolar: Muri iki gihe, uretse amagufwa abiri, igice cy'inyuma cy'igufwa ry'akaguru (`posterior malleolus`) nacyo kiravunitse. Ibi bivuze ko hari imvune eshatu.

Ibimenyetso ni ibihe?

Iyo gutandukana nk'uku bibaye, utangira kumva ibi bimenyetso ako kanya.

• Ububabare butunguranye budashobora kwihanganira.
• Kudashobora gushyira ikirenge hasi cyangwa kugenda kuri uko kuguru.
• Kubyimba mu gice cy'akaguru (wenda kubyimba gukabije).
• Ifite ibisebe, igaragara nk'ubururu hafi y'akaguru.
• Hari igihe ushobora kubona imiterere y'amagufwa kugeza aho ibice by'amagufwa bigaragara.

Umuganga avura ate ibi?

Iyo ugiye kwa muganga, muganga azabanza kuguha imiti igabanya ububabare. Hanyuma, azafata X-ray kugira ngo yemeze ko yavunitse kandi arebe ko ari mbi cyane. Ushobora kandi gukenera CT scan cyangwa MRI scan kugira ngo ubone ishusho isobanutse neza.

Ubu buryo bwo kuvura ubu bwoko bw'imvune akenshi busaba kubagwa. Ubu buryo bwitwa Open Reduction Internal Fixation (ORIF).

Kubaga ORIF ni iki?

Ibi bivuze:

1. Kugabanya uruhu: Umuganga ubaga uruhu, agashyira ahagaragara ibice by'amagufwa byavunitse, hanyuma akabishyira mu mwanya wabyo ukwiye.

2. Gufata imbere: Ibice by'amagufwa bishyirwa imbere hakoreshejwe ibyuma, vis, cyangwa insinga kugira ngo bitazongera kugenda.

Nyuma y'uku kubagwa, uzakenera kwambara icyuma cyangwa icyuma cyihariye cyo gukingira ku kuguru kwawe kugeza igihe igufwa rizakira.

Igihe cyo gukira n'ibintu ugomba kumenya

Iki ni cyo gihe kigoye abantu benshi, kuko gisaba kwihangana n'igihe.

Ni ryari nzashobora kugenda nyuma yo kubagwa?

Ubusanzwe, muganga wawe ntakwemerera gushyira ibiro ku kuguru kwawe kwakomeretse cyangwa ngo akushyire hasi byibuze ibyumweru 6 nyuma yo kubagwa. Ibi ni ngombwa kugira ngo amagufwa akire. Nyuma yibyo, ushobora gutangira kugenda buhoro buhoro ukoresheje ibiro ku kuguru kwawe ukoresheje umuhanga mu by'umubiri.

Ese nzashobora gusubira ku kazi?

Ibi biratandukanye bitewe n'akazi ukora.

• Ukuguru kugomba guhora hejuru, nibura mu byumweru bibiri bya mbere nyuma yo kubagwa.
• Bishobora kugorana kugenda n'amaguru mu gihe cy'ibyumweru 6, bityo kujya no kuva mu biro bishobora kuba ikibazo.
• Kubera ko ufata imiti igabanya ububabare, rimwe na rimwe bishobora kugorana kwibanda ku kazi.

Kubwibyo, ni byiza kuvugana na muganga wawe ugatangira gukora imyitozo ngororamubiri ku gihe kikunogeye.

Ni ryari uzabasha gutwara imodoka?

Ibi bishobora gufata amezi menshi . Ntushobora gutwara imodoka igihe icyuma gisanzwe kiri mu mwanya wacyo. Ndetse na nyuma yo kukivanaho, uzategereza kugeza igihe wongeye kugira imbaraga no kugenzura akaguru kawe. Iyo utwaye imodoka vuba cyane, ushobora kongera kugira impanuka.

Iyo ukeneye kubonana na muganga byihutirwa

Mu gihe cyo gukira, niba ugaragaje kimwe muri ibi bimenyetso bikurikira, menyesha muganga wawe ako kanya cyangwa ujye mu bitaro bikuru byihutirwa (ETU) biri hafi yawe.

• Niba wumva ufite umuriro cyangwa ufite ibicurane.
• Iyo amazi ameze nk'ibibyimba arimo kuva mu gikomere cyo kubagwa.
• Niba agace gakikije igikomere gatukura, kabyimbye, kandi kababaza cyane ku buryo katabikoraho.
• Niba utekereza ko wongeye kugwa kandi ukababara ukuguru kwawe.

Ibi bishobora kuba ibimenyetso by'ubwandu, bityo ni ngombwa cyane gushaka ubuvuzi vuba.