Uburwayi Bwa Arthrite

Osteoarthritis, ubwoko bwa arthritis busanzwe, burimo kwambara kwa cartilage ikingira amagufa mu bice byawe by'ingingo. Rheumatoid arthritis ni indwara aho ubudahangarwa bw'umubiri bugaba igitero ku ngingo, bitangirira ku gice cy'imbere cy'ingingo.

Arthritis ni kubyimba no kubabara kw'ingingo imwe cyangwa nyinshi. Ibimenyetso by'ingenzi bya arthritis ni kubabara kw'ingingo no gukakara, bisanzwe bikomeza uko umuntu akura. Ubwoko busanzwe bwa arthritis ni osteoarthritis na rheumatoid arthritis.

Osteoarthritis itera cartilage — umubiri ukomeye, woroshye ukingira impera z'amagufa aho bahura bakabaka ingingo — kwangirika. Rheumatoid arthritis ni indwara aho ubudahangarwa bw'umubiri bugaba igitero ku ngingo, bitangirira ku gice cy'imbere cy'ingingo.

Umunyu wa acide urique, ubaho iyo hari acide urique nyinshi mu maraso yawe, ushobora guteza gout. Amazi cyangwa indwara zihishe, nka psoriasis cyangwa lupus, bishobora guteza izindi ngingo za arthritis.

Uburyo bwo kuvura butandukanye bitewe n'ubwoko bwa arthritis. Intego nyamukuru yo kuvura arthritis ni kugabanya ibimenyetso no kunoza ubuzima.

Ibishimisha cyane ibimenyetso n'ibibonwa by'igicurane bireba ingingo. Bitewe n'ubwoko bw'igicurane, ibimenyetso n'ibibonwa bishobora kuba birimo: -Kubabara -Ubugufi -Kubyimbagira -Umutuku

• Kugabanuka kw'ubushobozi bwo kugenda

Ubwoko bubiri nyamukuru bw'igicurane — osteoarthritis na rheumatoid arthritis — byangiza ingingo mu buryo butandukanye.

Ubwoko bwa arthritis busanzwe cyane, osteoarthritis, burimo kwangirika kw'ingingo bitewe n'imyambarire n'ibyago — igisutso gikomeye, cyoroshye ku mpera z'amagufa aho bigira ingingo. Cartilage irinda impera z'amagufa kandi imerera neza imiterere y'ingingo, ariko kwangirika bihagije bishobora gutuma amagufa asya ku yindi, ibyo bikaba biteza ububabare n'ikibazo cyo kugenda. Iyi myambarire n'ibyago bishobora kumara imyaka myinshi, cyangwa bishobora kwihuta bitewe n'imvune cyangwa indwara y'ingingo.

Osteoarthritis inateza impinduka mu magufa no kwangirika kw'imiterere ihuza ibinyamisogwe ku gufa kandi ifata ingingo hamwe. Niba cartilage mu ngingo yangiritse cyane, uruhu rw'ingingo rushobora kubyimba no kubyimba.

Muri rheumatoid arthritis, ubudahangarwa bw'umubiri bugaba igitero ku ruhu rw'ingingo, uruhu rukomeye rwakikuje ibice byose by'ingingo. Uruhu (synovial membrane) rubyimba kandi rubyimba. Icyorezo cy'indwara gishobora gucika burundu cartilage n'igufu mu ngingo.

Ibintu byongera ibyago byo kurwara arthrite birimo:

• Amateka y'umuryango. Ubwoko bumwe na bumwe bwa arthrite buri mu miryango, bityo ushobora kuba ufite ibyago byinshi byo kurwara arthrite niba ababyeyi bawe cyangwa bene wanyu barwaye iyo ndwara.
• Imyaka. Ibyago byo kurwara arthrite yo mu bwoko butandukanye — harimo osteoarthritis, rheumatoid arthritis na gout — byiyongera uko umuntu akura.
• Ibitsina byawe. Abagore bafite ibyago byinshi kurusha abagabo byo kurwara rheumatoid arthritis, mu gihe abantu benshi barwaye gout, ubundi bwoko bwa arthrite, ari abagabo.
• Umuntu yakomerekeye mu ngingo mbere. Abantu bakomerekeye mu ngingo, wenda mu gihe bakinaga siporo, bafite ibyago byinshi byo kurwara arthrite muri iyo ngingo.
• Umuntu wumubyibuho ukabije. Gutwara ibiro byinshi byongera umuvuduko ku ngingo, cyane cyane amaguru, ibitugu n'umugongo. Abantu bafite umubyibuho ukabije bafite ibyago byinshi byo kurwara arthrite.

Uburwayi bukabije bw'amagufa, cyane cyane ububangamiye intoki cyangwa amaboko, bishobora kugorana gukora imirimo ya buri munsi. Uburwayi bw'amagufa mu bice by'umubiri byikomeza ku biremerezo bishobora gutuma udashobora kugenda neza cyangwa ukicara utaryamye. Mu bimwe mu bihe, amagufa ashobora kubura uburyo bwayo buhoro buhoro.

Mu gupima umubiri,abaganga bareba ibihombo byawe niba byifubitse, byatukura kandi bishyushye. Bazashaka kandi kureba uko ushobora kugenda neza ibihombo byawe.

Ubushakashatsi bw’imiti itandukanye y’umubiri bushobora gufasha kumenya ubwoko bwa arthrite ushobora kuba ufite.Imiti isanzwe icukumbuwe irimo amaraso,umushishi n’umuti w’ibihombo. Kugira ngo babone igice cy’umuti w’ibihombo,abaganga basukura kandi bagatumba ako gace mbere yo gushyira igishishwa mu kibanza cy’ibihombo kugira ngo bakureho umuti.

Ubu bwoko bw’ibizamini bushobora kugaragaza ibibazo biri mu kihombo bishobora kuba byateje ibimenyetso byawe.Ingero zirimo:

• Ama rayons X. Gukoresha urwego ruto rw’imirasire kugira ngo ubone amagufwa, ama rayons X ashobora kwerekana igihombo cy’umuti, igihombo cy’amagufwa n’amagufwa y’amagufwa. Ama rayons X ashobora kutagaragaza igihombo cya arthritic mu gihe cyambere, ariko akenshi akoreshwa mu gukurikirana iterambere ry’indwara.
• Computerized tomography (CT). Abasoma CT bafata ama rayons X aturuka mu mbuga nyinshi zitandukanye kandi bahuza amakuru kugira ngo bakore ibice by’imbere by’imbere. CT ishobora kubona amagufwa n’imiterere yoroheje ibayikikuje.
• Magnetic resonance imaging (MRI). Guhuza amajwi ya radiyo hamwe n’ikinyabiziga gikomeye, MRIs ishobora gutanga amashusho arambuye y’ibice by’imbere by’imiterere yoroheje nka cartilage, tendons na ligaments.
• Ultrasound. Iyi ikoranabuhanga ikoresha amajwi y’umuvuduko ukabije kugira ngo ibone imiterere yoroheje, cartilage n’ibintu birimo amazi hafi y’ibihombo (bursae). Ultrasound ikoreshwa kandi mu kuyobora gushyira igishishwa kugira ngo hakurweho umuti w’ibihombo cyangwa gushyira imiti mu kihombo.