Ibimenyetso byo kwisatura mu gikombamazi: Ibyo ububabare mu gikumwe bushobora gusobanura

Waguye ku ntoki zawe, kandi ubu hejuru mu gikumwe kwawe kubabaza. Byashobora kuba ari ukwirushya. Ariko kandi byashobora kuba ikintu kigoranye kumenya. Kwisatura mu gikombamazi ni ugusatura igice cy'urwara rw'igikumwe ruto. Uru rubavu ruri mu bwongoshori bwawe kandi rufasha cyane mu gukora kw'igikumwe cyawe.

Ni ikihe kintu cyitwa Gikombamazi?

Gikombamazi ni rumwe mu mfuruka umunani mito yo mu bwongoshori bwawe. Yicaye hejuru mu gikumwe cyawe kandi ihagarara ku gukora kw'igikumwe. Burigihe utegera, upfuna, cyangwa uhindura imbaho y'ibintu, uru rubavu rukora cyane. Itanga urubavu rushushye hamwe na metacarpal y'igikumwe, rukemerera kugenda mu byerekezo byinshi. Ndetse no gusatura gato hano bishobora kwangiza imirimo ya burimunsi kuruta uko wabitekerezaga.

Kwisatura kwa Gikombamazi bigize kimwe cya mbere kugeza ku icumi na kimwe ku ijana by'ubusatura bwose bw'urwara rw'umwongoshori. Rimwe na rimwe bibaho hamwe n'ibindi bikomere nk'ubusatura bwa Bennett cyangwa ubw'umwongoshori. Kwisatura kwa Gikombamazi kwonyine birabaho, nubwo bimeze, kandi bibaha agaciro gakomeye.

Kwisatura mu Gikombamazi bimeze bite?

Ikimenyetso cyingenzi cyane ni uburibwe bwibanda hejuru mu gikumwe cyawe. Ushobora kubibona iyo uteyeho ku rubavu rw'inyama hafi y'urwara rwawe, kitwa thenar eminence. Ububabare bugaragara ahantu runaka aho kugenda hose mu bwongoshori.

Dore ibimenyetso bisanzwe bishobora kwerekeza kuri kwisatura mu gikombamazi:

• Uburibwe bwibanda hejuru mu gikumwe
• Ububabare cyangwa intege nke iyo uteye kugira ngo ufate ikintu cyangwa ukoze ikimenyetso cya 'OK'
• Kwiyongera kw'ibintu hirya no hino ku gikumwe, nubwo rimwe na rimwe bishobora kuba byoroheje
• Kwishushubanya mu gice cyo hasi cy'igikumwe cyangwa bwongoshori
• Ububabare burushaho kuba bwire aribyo byose cyangwa uhindura intoki zawe
• Uburibwe mu mwanya w'inshuro, iyo ni umwanya muto wo ku ruhande rwa bwongoshori bwawe

Birashoboka ko waba ukishobora kugenda igikumwe cyawe, ari cyo gituma ibi kwisatura bisanzwe bisanzwe. Kugenda birashoboka, ariko akenshi biba byoroheje kandi bibabaza. Bamwe bayihanganira nk'ukwirushya gukomeye, cyane cyane iyo kwiyongera kw'ibintu byoroheje.

Mu bihe bidakunda kuba, ibimenyetso bishobora kugaragara cyane. Kwiyongera kw'ibintu bikomeye, kwigaragaza neza, no kwangirika bikomeye kw'agahinda kose byose byagaragara ku gusatura kwaguye. Bamwe na bo kandi bagira igicucu cyangwa ububabare mu gikumwe cyangwa intoki. Ibi bishobora kuba iyo kwisatura ikoze ku mishatsi iri hafi, harimo mishatsi ihuriro inyura muri kanal ya karpali.

Iki gikomere kibaho gute?

Ibisatura byinshi byo mu Gikombamazi bibaho nyuma yo kugwa ku ntoki zahagaze. Abaganga rimwe na rimwe babyita igikomere cya FOOSH, bisobanura 'kugwa ku ntoki zahagaze'. Iyo uguye gutyo, ingufu ziroha mu Gikombamazi zigakandamiza Gikombamazi hagati y'umugongo n'urwara rwo mu kuboko.

Kwikubita kugororotse ku gikumwe nabyo bishobora kubibabaza. Ibi bikunda kuba mu mikino yo kwirwanaho cyangwa gukoresha imodoka, aho igukubita ku rukangarwanda ishobora gutera ingufu kigereke ruremye.

Kuki ibi bisatura bikunze kubura kenshi?

Ikibazo cya buri munsi cy'urwara rw'umwongoshori gikunze kubura kwisatura mu Gikombamazi. Imikono y'inkanda y'ibice by'urwara rw'umwongoshori irashobora guhisha umurongo wa kwisatura. Ubushakashatsi bwerekanako ibibazo bisanzwe bibona ibi bisatura kugeza ku ijana na cumi n'umunani ku ijana. Ibyo bisobanura ko umubare munini wa kwisatura mu Gikombamazi utagaragara ku rwego rwa filime isanzwe.

Ibibazo byihariye nk'ibyo Bett, Robert's, cyangwa umwongoshori bishobora gufasha kwerekana urwara neza. Ariko, niba hari ukugorana, CT scan ni cyo gikurikiraho. CT scans zitanga amafoto y'imyanya igaragaza neza, ishobora kugaragaza na kwisatura nto, itaguye.

Cone beam CT ni uburyo bushya bw'imikorere bugenera amafoto y'uburyo bwo hejuru hamwe n'ubwinshi bwo kwirukana imirasire.

Bihinduka bite niba kwisatura mu Gikombamazi bidafashwe?

Kwihanganira kwisatura mu Gikombamazi bidafashwe bishobora gutera ingorane mu gihe. Ikintu cyiza cyane gikunze kubaho ni indwara y'igice cya posttraumatic. Ubushakashatsi bwerekana ko kugeza ku ijana na mirongo ine na batanu ku ijana by'abantu bafite kwisatura mu Gikombamazi bashobora kugira indwara mu gihe cy'ikibazo, n'ubwo bafashijwe neza. Badafashijwe, icyo kintu kiriyongera.

Izindi ngorane zishobora kuba harimo:

• Ububabare bukomeye hejuru mu gikumwe
• Intego y'intege nke mu gufata no mu gufata ingufu
• Kutiyongera, aho ibice by'urwara bidakomeye hamwe
• Kwikubita kw'urwara rwa flexor carpi radialis hafi y'ahantu hakomeye
• Syndrome ya karpali kubera kwiyongera cyangwa kwisatura kwaguye kwi mishatsi ihuriro inyura mu mishatsi ihuriro

Aya ngorane bikunze kuba byinshi mu bwoko bw'ubusatura runaka, cyane cyane ubw'inyuma aho ibice bito by'urwara byaguye kandi bikanga gusubirana. Kwimenya hakiri kare bitanga itandukaniro ry'ingenzi mu kwirinda ibyo bikurikirana.

Bavura bate kwisatura mu Gikombamazi?

Ubuvuzi burashingiye ku bwoko n'ubwoko bw'ubusatura. Ku busatura bwikose, aho ibice by'urwara bikomeye, umukindo wa spica w'igikumwe cyangwa urukuta ruryohe rwakoreshejwe amezi ane kugeza ku icyenda birashoboka. Ibi bikomeza igikumwe n'urwara rw'umwongoshori kugira ngo urwara rushobore kwishyira hamwe.

Ku busatura bwaguye, aho ibice by'urwara byaguye kuri milimetero ebyiri, kuvura buri gihe bifuzwa. Uburyo bwo kuvura burimo kugereka hamwe n'imishatsi mito cyangwa gufunga urwara hamwe n'amasaro. Intego ni ugusubiza urubavu rwiza kugira ngo igikumwe kibeho neza mu gihe kirekire.

Nyuma y'igihe cy'imyanya y'imyanya, imyitozo yo gutunganya isubiza inyuma ububasha no kugenda. Abantu benshi bagarura ububasha bw'igikumwe n'urwara rw'umwongoshori nyuma y'amezi atandatu kugeza ku icyenda nyuma yo gutangira kuvura.

Nuko ugomba kubona muganga ryari?

Niba wagize kugwa cyangwa kwikubita kandi ukumva ububabare bukomeye hejuru mu gikumwe cyawe, birakwiriye ko wibazaho. Ibi birushaho kuba aribyo cyane niba ububabare butavuguruka nyuma y'iminsi mike, cyangwa niba gufata bigaragara nk'intege nke cyangwa bibabaza. Gabanya muganga wawe niba ibibazo bisanzwe by'urwara byagaragaye nk'ibishobora kuba, ariko ububabare burakomeza. Gusaba CT scan byafasha kumenya kwisatura ishobora kubura.

Kumenya hakiri kare bituma umara amezi menshi ububabare bukwiruka kandi bifasha kurinda ububasha bw'igihe kirekire bw'igikumwe cyawe.