Ese umugongo wawe nawo urababara? Reka twige kuri ubu bubabare budasanzwe bw'umugongo (Vertebrogenic Low Back Pain)?

Kimwe mu bibazo bikomeye abantu benshi bafite muri iyi minsi ni ububabare bw'umugongo. Hari igihe ushobora gutekereza ko iki atari ikintu ukwiye guhangayikishwa nacyo, ariko mu by'ukuri hari ubwoko bumwe bw'ububabare bw'umugongo budasanzwe gato, ni ukuvuga butandukanye n'ubundi bubabare busanzwe bw'umugongo. Rero, uyu munsi tugiye kuvuga ku bwoko bumwe bw'ububabare bw'umugongo budasanzwe. Kubimenya neza bizagufasha cyane.

Ubu bubabare bw'umugongo wo hasi bwitwa Vertebrogenic ni iki?

Muri make, ububabare bwo mu mugongo wo hasi buterwa no kwangirika kw'imitsi yo mu mugongo . Noneho ushobora kuba wibaza ibyo bice byo mu mugongo ari byo.

Tekereza, umugongo wawe ugizwe n'amagufwa mato afatanye hejuru y'andi, twita vertebrae. Iyo hari undi mugongo uri hejuru y'undi, haba hari ikintu kimeze nk'umufariso hagati, twita intervertebral disc , cyangwa disiki gusa. Iyi disiki niyo ituma umugongo ugondama ugana inyuma no inyuma, kandi inakira imitsi iza inyuma iyo dusimbuka twiruka. Hagati y'uwo mugongo n'iyi disiki, hari uturemangingo tubiri duto tumeze nk'igipfundikizo cyo kurinda, cyitwa vertebral endplates . Rero, niba ibi byangiritse mu buryo ubwo aribwo bwose, niho ubu bubabare bw'umugongo butangirira.

Kuki ibi bitandukanye n'ibindi bibabaza umugongo?

Yego, ibi biratandukanye gato. Akenshi iyo dutekereje ku bubabare bw'umugongo, dutekereza ku kintu cyabaye bitewe n'imvune cyangwa ikintu nk'indwara ya rubagimpande. Ariko impamvu nyamukuru y'ubu bubabare bw'umugongo (Vertebrogenic) ni ukwangirika kw'imitsi yo mu ruti rw'umugongo twavuze mbere.

Mu bihe byashize, abaganga bakunze gutekereza ko impamvu yo kubabara umugongo bidashira ari indwara yo kubabara mu mitsi cyangwa rubagimpande. Ariko nyuma, abashakashatsi bavumbuye ko hari imitsi iri mu mitsi yacu yumva ububabare, kandi iyo irakaye, ububabare bushobora kubaho. Ubwo buvumbuzi bwagaragaje ko hashobora kubaho izindi mpamvu zitera ububabare mu mugongo. Ibyo bivuze ko atari ububabare bwose bw'umugongo buterwa n'indwara yo kubabara mu mitsi cyangwa rubagimpande.

Iyi ndwara ikunze kugaragara gute?

Mu by’ukuri, biragoye kuvuga neza umubare w’abantu bafite ubu bubabare bw’umugongo (vertebrogenic). Bivugwa ko abantu barenga miliyoni 30 mu gihugu nka Amerika bafite ububabare bw’umugongo buhoraho. Ariko, ntabwo birazwi neza umubare wabo bafite ubu bubabare bw’umugongo (vertebrogenic). Ibi biterwa nuko abaganga bashobora gusa kubona impamvu nyayo itera hafi 20% by’ububabare bw’umugongo. Abandi 80% bashyirwa mu byiciro by’ububabare bw’umugongo butari ubwa buri wese .

Ni ibihe bimenyetso by'ibi?

Abantu bafite ubu bubabare bw'umugongo (vertebrogenic) bakunze kuvuga ububabare bukabije hagati mu mugongo wabo. Bumera nk'ububabare bukabije kandi bukabije. Kuri bamwe, ubu bubabare buvugwa nk'ububabare . Ni ukuvuga ko ubu bubabare bwumvikana mu gace gatandukanye n'aho bukomoka.

Akenshi ubu bubabare buriyongera:

• Iyo wicaye ahantu hamwe igihe kirekire.
• Iyo ukora imyitozo ngororamubiri .
• Iyo ugondamye imbere .

Ibi bimenyetso bisa cyane n'iby'indwara yo kugabanya imbibi z'amadisiki ku buryo na muganga rimwe na rimwe ashobora kwibeshya ko kimwe ari ikindi. Ikindi kandi, hari abantu bashobora kugira indwara zombi icyarimwe .

Ibindi bintu bizana n'ibibazo bya disiki

Niba imitsi yo mu mugongo wo hasi yangiritse kandi ukaba ufite disiki yangiritse, ushobora kugira ibindi bimenyetso. Muri ibyo bihe:

• Ushobora kumva urimo gucika intege mu ngingo zawe.
• Hari ahantu hari ikibazo .
• Intege nke mu ngingo.

Ibi bimenyetso bibaho kuko disiki ishobora gutera imyakura no gukomeretsa imitsi iri hafi aho. Ibi ntibibaho buri gihe, ariko birashoboka.

Ni iki gitera ibi?

Nkuko twabivuze mbere, impamvu nyamukuru y'ubu bubabare bw'umugongo (vertebrogenic) ni ukwangirika kw'imitsi yo mu ruti rw'umugongo. Bityo rero, hari impamvu nyinshi zishobora gutuma iyi mitsi yo mu ruti rw'umugongo yangirika:

• Kwangirika kwa buri munsi: Ni nk'uko kwangirika kwa buri munsi uterwa no gukoresha imashini.
• Umubyibuho ukabije: Iyo ibiro by'umubiri byiyongera, umugongo nawo ugomba kwihanganira ubwo buremere.
• Uburebure bwiyongera: Abantu barebare bashobora no kugira igitutu kinini ku mugongo wabo.
• Imirimo isaba imbaraga nyinshi: Abantu baterura ibintu biremereye, bahagarara igihe kirekire, kandi bakora mu mwanya umwe bari mu kaga gakomeye.
• Niba hari umuntu wo mu muryango ufite amateka yo kurwara umutwe udashira (Amateka y'umuryango): Hashobora no kubaho ingaruka z'uturemangingo.
• Kunywa itabi: Kunywa itabi bishobora kugira ingaruka ku mitsi y'amaraso mu mubiri no kugabanya ingano y'amaraso agera muri utwo duce.
• Ihungabana cyangwa kugwa: Ingaruka zikomeye zitunguranye zishobora no kwangiza utwo duce.

Ni gute umuganga asuzuma ibi?

Iyo ugiye kwa muganga ufite ububabare bw'umugongo, ikintu cya mbere azakora ni ukugusuzuma umubiri wose.Kimwe. Bazagukora ku mugongo wawe, bagusabe kunama no kuzunguruka mu byerekezo bitandukanye kugira ngo barebe aho ubabara cyane. Bazakubaza kandi ibimenyetso byawe ndetse niba hari umuntu wo mu muryango wawe wigeze kugira ibibazo by'umugongo nk'ibi.

Hanyuma, niba muganga wawe atekereje ko hari ikibazo mu mugongo wawe, ashobora gutegeka ko hakorwa ibizamini byo gufata amashusho . Ikintu cya mbere gikunze gukorwa ku bubabare bw'umugongo ni X-ray y'umugongo wawe . Bitewe n'amakuru yabonetse, muganga ashobora gukenera andi makuru. Niba ari uko bimeze, ashobora gusaba ko hakorwa CT scan (Computed Tomography scan) cyangwa MRI scan (Magnetic Resonance Imaging scan) . MRI scans akenshi zishobora kugaragaza ibimenyetso byo kubyimba kw'umusemburo w'amagufwa ndetse n'impinduka cyangwa kwangirika kw'imitsi yo mu mugongo.

Ni ubuhe buryo bwo kuvura?

Inkuru nziza ni uko hari uburyo butandukanye bwo kuvura ubu bubabare bw'umugongo (vertebrogenic). Muganga ashobora kugufasha guhitamo uburyo bwiza bwo kuvura.

• Imiti igabanya ububabare idakoresha steroide (NSAIDs): Iyi ni yo miti dusanzwe dufata kugira ngo turwanye ububabare no kubyimba. Urugero, harimo aspirine, ibuprofen, na naproxen. Iyi miti igomba gukoreshwa nk'uko muganga yabigutegetse.
• Ubuvuzi bw'umubiri: Ubu buvuzi nabwo ni ingenzi cyane. Umuvuzi w'umubiri azakwigisha imyitozo yihariye no kunanura imitsi bizagukomeza umugongo kandi bigabanya ububabare. Nubikora neza, uzabona impumuro nziza.
• Imiti igabanya imitsi: Hari igihe imitsi ikikije umugongo wawe ifunze, iyi miti ishobora gutangwa kugira ngo iruhure. Ariko, kubera ko ishobora kugutera gusinzira kandi ikaba yagutera kwibasirwa iyo ikoreshejwe buri gihe, abaganga bayitanga igihe gito gusa.
• Uburyo bwa Intracept® (gukura imitsi yo mu bwonko bwa basivertebral): Tuvuge ko wagerageje ubundi buryo bwo kuvura (nk'ubusatsi, ubuvuzi bw'umubiri) mu gihe cy'amezi atandatu kandi ububabare bw'umugongo bwawe butari burushaho kugabanuka. Muri icyo gihe, muganga ashobora kukugira inama yo gukoresha uburyo bwihariye bwitwa Intracept®. Ibi bikubiyemo gukoresha igikoresho cyiza cyane no gushyira ubushyuhe mu kwangiza (gukura) imitsi itwara ububabare (imitsi yo mu bwonko ya basivertebral) iri mu mugongo. Ibi bihagarika ibimenyetso by'ububabare biva kuri iyo mitsi kujya mu bwonko, kandi ububabare buragabanuka.

Icy'ingenzi: Ubu buryo bwose bwo kuvura bugomba gukorwa gusa ku nama no kugenzurwa na muganga. Ntugafate imiti cyangwa ngo ugire imyitozo ngororamubiri wenyine.

Bizatwara igihe kingana iki kugira ngo umuntu akire iyi ndwara? (Outlook)

Hari uburyo bwinshi bwo kuvura abantu bafite ububabare bw'umugongo bwo mu mugongo kurusha mbere hose. Ibyo ni byiza. Ariko, bishobora gufata igihe kugira ngo umenye neza indwara . Nanone, ushobora kugerageza uburyo butandukanye bwo kuvura kugeza ubonye uburyo bukwiye. Ushobora kutabona uburyo bukwiye ako kanya.

Mu mibare, uburyo bwiza bwo kuvura ubu bubabare bw'umugongo (vertebrogenic) ni uburyo twavuze mbere (basivertebral nerve ablation) . Ariko, niba ushaka kubona ubu buvuzi binyuze mu bwishingizi, ushobora kubanza kugaragaza ko ubundi buryo busanzwe bwo kuvura (nk'uburibwe bugabanya ububabare, physiotherapy) bwananiwe. Muganga wawe ashobora kugufasha muri ibi, kandi ashobora no kukwigisha uburyo bwo kugabanya ububabare mu gihe cyo kuvurwa.

Wakwirinda ute ibi? (Kwirinda)

Kubera ko ubu bubabare bw'umugongo (vertebrogenic) akenshi ari igice gisanzwe cy'umubiri wacu ushaje, biragoye kuburinda burundu . Ariko hari ibintu bike dushobora gukora kugira ngo tugabanye ibyago byacu:

• Komeza kugira ibiro bikwiranye n'uburebure bwawe: Uko ibiro by'umubiri wawe byiyongera, niko umuvuduko w'umugongo wawe urushaho kwiyongera.
• Imyitozo ngororamubiri buri gihe: Ni ingenzi cyane gukora imyitozo yo gukomeza ingingo z'umubiri, cyane cyane iyo mu mugongo no mu nda.
• Kurambura umubiri buri gihe: Niba ufite akazi gasaba kwicara ahantu hamwe igihe kirekire, ni byiza guhaguruka ukanura umubiri wawe gato, ugendagenda, nibura rimwe mu isaha.
• Irinde kunywa itabi: Kunywa itabi bishobora kubangamira gukira kw'umubiri.

Ni ryari ngomba kujya kwa muganga?

Ububabare busanzwe bw'umugongo bugomba kugabanuka mu minsi mike cyangwa icyumweru. Ariko, niba ufite kimwe muri ibi bimenyetso , ugomba kujya kwa muganga vuba :

• Kubabara umugongo utaragabanuka nyuma y'ibyumweru bibiri cyangwa bitatu.
• Kubabara umugongo bidashira nubwo wamaze gufata umuti cyangwa ukaruhuka.
• Niba wumva ububabare bw'umugongo bugenda burushaho kwiyongera .
• Niba ubonye ibimenyetso nko kuribwa mu biganza , gucika intege , cyangwa intege nke mu biganza cyangwa ibirenge byawe.
• Haguruka, niba wumva kugenda bikugora .
• Niba ufite ibindi bimenyetso nko kugira umuriro no kugabanya ibiro hamwe no kubabara umugongo.

Amaherezo, ikintu cy'ingenzi cyane (Ubutumwa bwo kujyana mu rugo)

Kubabara umugongo bishobora kugira ingaruka zikomeye ku buzima bwacu bwa buri munsi. Bishobora kubabaza cyane atari iyo tugiye ku kazi, mu mirimo yo mu rugo, cyangwa mu mikino, ahubwo no iyo twicaye gusa. Cyane cyane iyo dufite ububabare budashira nk'ubu budashobora kugabanuka iyo tuvuwe buri gihe, bushobora kubabaza cyane ndetse rimwe na rimwe bugatuma tubura icyizere.

Wibuke: Niba ufite ububabare bukabije mu mugongo, bushobora kuba ari ububabare bwo mu mugongo wo hasi. Rero, ntugire ubwoba cyangwa ngo ugire impungenge, ariko vugana na muganga kugira ngo aguhe ibimenyetso by'indwara zawe n'uburyo bwiza bwo kuvura. Nutangira kuvurwa neza vuba bishoboka, uzabasha gukuraho ubu bubabare no kongera kwishimira akazi kawe!

Ububabare bw'umugongo wo hasi , ububabare bw'umugongo, ububabare bw'umugongo, imiterere y'ingingo z'umugongo, gukuraho imitsi yo mu mugongo, ububabare bw'umugongo, ububabare bw'umugongo