Ese Kugwa Kwakaboneye? Ibimenyetso, Impamvu, n’Uko Uvuzwa

Ese kugwa kwakaboneye ni ukwangirika kw’igice kimwe cyangwa byinshi by’amagufa agize uruti rw’akaguru kawe. Iyi mpanuka ibaho iyo amagufa yo mu rutugu rwawe asenyutse cyangwa akavunika burundu, akenshi biterwa no guhindukira gitunguranye, kugwa, cyangwa igitero gikomeye.

Urutigo rwawe rugizwe n’amagufa atatu akorana nk’ibice by’igice kimwe. Tibia na fibula bivuye mu gice cyo hasi cy’akaguru kawe, hamwe n’igifu cya talus kivuye mu kirenge cyawe, byose bihuza kugira ngo bigire uru rugo rw’ingenzi. Iyo ibone ryose ryasenyutse cyangwa rivunika, abaganga babivuga ko ari ukwangirika kw’uruti rw’akaguru.

Ni ibihe bimenyetso by’ukugwa kw’akaguru?

Uzamenya ko hari ikintu gikomeye cyabaye ku rutugu rwawe ako kanya. Kubabara biterwa no kugwa kw’akaguru akenshi biba ako kanya kandi bikaba bikomeye cyane, akenshi bivugwa ko ari ukubabara cyane cyangwa kubabara buri kanya.

Dore ibimenyetso by’ingenzi bigaragaza ko uruti rwawe rushobora kuba rwavunikiye:

• Kubabara cyane bikomeza iyo ugerageje gushyira umurengwe ku kirenge cyawe
• Kubyimbagira bikwirakwira vuba mu gice cy’uruti rw’akaguru
• Kwishima bishobora kugaragara ako kanya cyangwa mu masaha
• Urutigo rwawe rugaragara rwavunitse cyangwa rugaragara ruri mu buryo butari bwo
• Ntushobora gushyira umurengwe ku kirenge cyawe nta kubabara bikomeye
• Kubabara cyangwa gukonja mu kirenge cyawe cyangwa mu myanya y’intoki
• Guhondagura cyangwa gutobora umuziki igihe ikibazo cyabaga

Rimwe na rimwe ibimenyetso bishobora gutera urujijo kuko gutobora bikomeye bishobora kumera nk’ukugwa kw’akaguru. Itandukaniro nyamukuru ni ubukana bw’ububabare n’ubushobozi bwawe bwo kutambuka uko bisanzwe. Niba urimo kwibaza niba rwavunitse, bihora byiza kubimenya.

Mu bihe bidasanzwe, ushobora kubona icyo twita kuvunika gufunguye, aho igifu kivunika kinyura mu ruhu rwawe. Iyi ni ubutabazi bwo kwa muganga bukenewe ako kanya. Ushobora kandi kubona ko ukirenge cyawe kimeze nk’ubukonje cyangwa kigaragara gikaze, ibyo bishobora gusobanura ko amaraso yagize ingaruka.

Ni iyihe mityari y’amagufa yavunitse?

Si byose kuvunika kw’amagufa ari kimwe, kandi gusobanukirwa ubwoko butandukanye bushobora kugufasha gusobanukirwa neza icyabaye ku mpanuka yawe. Abaganga basobanura kuvunika kw’amagufa hashingiwe ku magufa yavunitse n’uburemere bw’ibyangiritse.

Ubwoko busanzwe harimo:

• Kuvunika kwa malleolus yo hanze - kuvunika kw’igifu cy’inyuma (fibula)
• Kuvunika kwa malleolus yo imbere - bigira ingaruka ku gifu cy’imbere (tibia)
• Kuvunika kwa malleolus y’inyuma - bireba igice cy’inyuma cya tibia
• Kuvunika kwa bimalleolar - kuvunika kw’amagufa abiri y’uruti rw’akaguru
• Kuvunika kwa trimalleolar - bireba amagufa atatu y’uruti rw’akaguru

Kuvunika bisanzwe bisobanura ko igifu cyasenyutse ariko kikaba cyagumye aho cyari, mu gihe kuvunika kwimuwe bibaho iyo ibice by’igifu byimukira mu mwanya wabyo usanzwe. Abaganga nabo bareba niba kuvunika ari kwizera cyangwa kutazira, ibyo bigira ingaruka ku buryo uruti rwawe ruzakira n’ubuvuzi ukeneye.

Ubundi kuvunika bimwe bifatwa nk’ibikomeye kurusha ibindi. Kuvunika kwa trimalleolar, kurugero, akenshi bisaba kubagwa kuko bigira ingaruka ku gukomera kw’uruti rw’akaguru. Muganga wawe azakoresha X-rays na CT scan kugira ngo amenye neza ubwoko bwa kuvunika ufite.

Ese ni iki gituma akaguru kavunika?

Kuvunika kw’amagufa yo mu rutugu akenshi bibaho iyo uruti rwawe rusunikiwe kure y’aho rukwiye kuba. Ibi bishobora kuba mu mimerere myinshi ya buri munsi, kandi ntukeneye kuba umukinnyi kugira ngo ugire iyi mpanuka.

Impamvu zisanzwe harimo:

• Guhindukira cyangwa gutobora uruti rwawe ugiye, cyane cyane ku butaka butari buringaniye
• Kugwa uvuye ku buhagarike ubwo aribwo bwose, harimo no guturuka ku muhanda nabi
• Impanuka zo mu mikino, cyane cyane mu bikorwa bisaba gukubita cyangwa guhindura icyerekezo vuba
• Impanuka z’imodoka cyangwa izindi mpanuka zikomeye
• Ibisasu bya buhoro ku rutugu rwawe bivuye ku bintu biremereye
• Kujya mu mwobo cyangwa mu kibaya utari utegereje

Rimwe na rimwe icyagaragara nk’impanuka ntoya gishobora gutera kuvunika. Urutigo rwawe rushobora kuvunika kubintu byoroshye nko guturuka ku ntambwe nabi cyangwa gufata ukirenge cyawe mu kibaya kiri mu muhanda. Ikintu nyamukuru ni uguturuka ku buryo n’imbaraga zishyirwa ku rutugu rwawe mu gihe cy’impanuka.

Mu bihe bidasanzwe, kuvunika kw’amagufa bishobora kuba buhoro buhoro mu gihe kubera ibikorwa byisubiramo. Ibi ni byo bisanzwe mu bakinnyi cyangwa abantu bamara amasaha menshi bahagaze. Hariho kandi kuvunika kwa pathological bibaho iyo indwara z’amagufa zibangamira amagufa y’uruti rw’akaguru, bituma bishobora kuvunika kubera ibikomere bito.

Ni ryari ukwiye kubona muganga kubera kugwa kw’akaguru?

Ukwiye gushaka ubutabazi bwo kwa muganga ako kanya niba ukekako uruti rwawe rushobora kuba rwavunitse. Mu gihe imvune zimwe z’uruti rw’akaguru zishobora gutegereza, kuvunika bikeneye isuzuma ryihuse kugira ngo birinde ingaruka kandi bigatuma bikira neza.

Jya kwa muganga ako kanya niba ubona ibimenyetso by’uburwayi:

• Ntushobora gushyira umurengwe ku kirenge cyawe nta kubabara bikomeye
• Urutigo rwawe rugaragara rwavunitse cyangwa ruri mu buryo butari bwo
• Ubona igifu kinyura mu ruhu rwawe
• Ukirenge cyawe kumera nk’ubukonje, kimeze nabi, cyangwa kigaragara gikaze cyangwa kibisi
• Wumvise guhondagura cyangwa gutobora umuziki igihe ikibazo cyabaga
• Ububabare bukomeye ku buryo wumva ugiye gucika intege cyangwa kuruka

Ndetse niba ibimenyetso byawe bigaragara bidakomeye, birakwiye kubimenya mu masaha 24 niba ugira ikibazo cyo kutambuka uko bisanzwe cyangwa niba ububabare budakira uburuhukira kandi ukanakonjesha. Rimwe na rimwe kuvunika bishobora kuba bito, kandi icyumvikana nk’igikomere kibi gishobora kuba igifu kivunikiye.

Ntugerageze “kugenda” cyangwa gutegereza ngo urebe niba bizakira ubwabyo. Kuvunika kw’uruti rw’akaguru bitavuwe bishobora gutera ibibazo by’igihe kirekire mu kugenda, indwara z’amagufa, n’ububabare buhoraho. Ubuvuzi bwihuse buhora butanga umusaruro mwiza.

Ni ibihe bintu byongera ibyago byo kugwa kw’akaguru?

Mu gihe uwo ari we wese ashobora kuvunika uruti rw’akaguru, ibintu bimwe bishobora gutuma iyi mpanuka ibaho cyane. Gusobanukirwa ibi bintu byongera ibyago bishobora kugufasha gufata ingamba zo kwirinda, nubwo wibuka ko impanuka zishobora kubaho kuri uwo ari we wese.

Ibintu byongera ibyago byawe harimo:

• Kuba ufite imyaka irenga 50, iyo amagufa aba ashaje
• Kugira osteoporosis cyangwa izindi ndwara zibangamira amagufa
• Kwitabira imikino ikomeye nka basketball, football, cyangwa skiing
• Kugira imvune zabanje z’uruti rw’akaguru cyangwa kudakomera kw’uruti rw’akaguru
• Kuba ufite ibiro byinshi, ibyo bisunika cyane uruti rw’akaguru
• Guta imiti imwe igira ingaruka ku bukomere bw’amagufa
• Kugira diyabete cyangwa ibibazo by’amaraso

Abagore bafite ibyago byinshi byo kugira kuvunika kw’amagufa, cyane cyane nyuma y’imyaka y’ubukure iyo ubukomere bw’amagufa bugabanuka. Niba ufite akazi gasaba kugenda cyane ku butaka butari buringaniye cyangwa kuzamuka, ushobora kandi kugira ibyago byinshi.

Indwara zimwe z’imyororokere zishobora gutuma amagufa aba afite intege nke, nubwo ibi ari bito. Itabi rigira ingaruka ku gukira kw’amagufa kandi bishobora gutuma kuvunika kubaho cyane. Inkuru nziza ni uko byinshi muri ibi bintu byongera ibyago bishobora gucungwa binyuze mu guhindura imibereho no kuvurwa neza kwa muganga.

Ni iyihe ngaruka zishoboka zo kugwa kw’akaguru?

Kuvunika kw’amagufa yo mu rutugu byinshi bikira neza uko bikwiye kuvurwa, ariko ni ingenzi gusobanukirwa ingaruka zishoboka kugira ngo ubashe kureba ibimenyetso by’uburwayi. Kumenya hakiri kare no kuvura ingaruka bishobora gukumira ibibazo by’igihe kirekire.

Ingaruka zishoboka zishobora kuba:

• Indwara z’amagufa zikura mu rutugu rw’akaguru nyuma y’imyaka
• Ububabare buhoraho cyangwa gukomera bitakira burundu
• Dukuri, cyane cyane niba ukeneye kubagwa
• Amaraso akabura kubera kudakora
• Kwangirizwa kw’imitsi bituma ubabara cyangwa intege nke
• Amagufa akira mu mwanya utari wo
• Kudahuza, aho amagufa adakira hamwe neza

Ibyago byo kugira ingaruka muri rusange biri hejuru mu kuvunika bikomeye cyangwa niba ubuvuzi butinze. Gukurikiza amabwiriza ya muganga wawe neza, cyane cyane ku bijyanye no kudashyira umurengwe no gukora imyitozo ngororamubiri, bigabanya cyane ibyago byo kugira ibibazo.

Zimwe mu ngaruka zikomeye ariko zidasanzwe harimo compartment syndrome, aho kubyimbagira bigabanya amaraso, na complex regional pain syndrome, ibyo bisaba ubutabazi bwo kwa muganga ako kanya. Itsinda ryawe ry’ubuvuzi rizakukurikirana hafi kugira ngo ribone ibimenyetso byose by’ingaruka mu gihe cy’ubukira bwawe.

Ese kugwa kw’akaguru bishobora kwirindwa gute?

Mu gihe udashobora kwirinda impanuka zose, hari intambwe ushobora gufata kugira ngo ugabanye ibyago byo kugwa kw’amagufa yo mu rutugu. Ingamba nyinshi zo kwirinda zibanda ku kugira amagufa akomeye no kwirinda ibibazo aho imvune z’uruti rw’akaguru zibaho cyane.

Dore ingamba zikomeye zo kwirinda:

• Kambara inkweto zikwiye zifite uruti rw’akaguru rukomeye kubikorwa byawe
• Komeza inzu yawe ikozwe neza kandi idafite ibibazo byo kugwa
• Koresha amaboko ku ndunduro n’ibikoresho byo gufata mu bwiherero
• Kugira amagufa akomeye binyuze mu gufata calcium na vitamine D
• Kora imyitozo ngororamubiri buri gihe kugira ngo wongere ubushobozi bwawe bwo kubona ibintu n’ubukomeye bw’amagufa
• Kuba witonze cyane ku butaka bufite urubura cyangwa butari buringaniye
• Simbura inkweto zashaje zitagikora neza

Niba witabira imikino, imyitozo ikwiye n’ubumenyi bw’ubuhanga bishobora kugufasha kurinda uruti rw’akaguru. Tegereza amaboko cyangwa guhambira niba ufite amateka y’ibibazo by’uruti rw’akaguru. Buri gihe ushushe mbere y’imyitozo ngororamubiri kandi utege amatwi umubiri wawe igihe wumva unaniwe.

Kubantu bakuze, imyitozo yo kubona ibintu neza no kwirinda kugwa bishobora kuba ingirakamaro cyane. Ibizamini by’amaso buri gihe biragaragaza ko ushobora kubona ibintu neza, kandi gusubiramo imiti na muganga wawe bishobora kugaragaza ibyo bishobora kugira ingaruka ku bushobozi bwawe bwo kubona ibintu cyangwa ubukomere bw’amagufa.

Ese kugwa kw’akaguru kupimwa gute?

Gupima kugwa kw’akaguru bitangira muganga wawe asuzumye imvune yawe kandi akabaza uko byabaye. Azareba uruti rwawe, azagerageza amagufa, kandi azagerageza ubushobozi bwawe bwo kugerageza ukirenge cyawe no gushyira umurengwe.

Ibikoresho by’ingenzi byo gupima harimo:

• Isuzuma rya muganga kugira ngo arebe uko byangiritse, kubyimbagira, n’aho kubabara
• X-rays kuva mu mpande nyinshi kugira ngo abone amagufa neza
• CT scan kubera kuvunika bikomeye bisaba amafoto arambuye
• MRI niba hari ibibazo by’umubiri bikeneye kuvurwa hamwe n’igifu kivunikiye
• Ibizamini byo kugerageza kugira ngo arebe uko uruti rw’akaguru rukomera

Muganga wawe azakoresha ikintu cyitwa Ottawa Ankle Rules kugira ngo afashe gufata icyemezo cy’uko X-rays zikenewe. Ibi ni amabwiriza areba aho ububabare bwawe buri niba ushobora kugenda. Kuvunika kw’amagufa byinshi bigaragara neza kuri X-rays, nubwo rimwe na rimwe hari ibindi bintu bikenewe.

Mu bihe bimwe na bimwe, muganga wawe ashobora gutegeka bone scan niba akekako kuvunika kw’amagufa bitagaragara kuri X-rays zisanzwe. Igikorwa cyo gupima gisanzwe cyoroshye, kandi uzamenya niba uruti rwawe rwavunitse mu masaha make ugiye kwa muganga.

Ese kuvunika kw’akaguru kuvurwa gute?

Ubuvuzi bwo kuvunika kw’akaguru biterwa n’ibintu byinshi, harimo amagufa yavunitse, niba ibice byimuwe, n’ubuzima bwawe muri rusange. Intego ni ubugingo bwo gufasha amagufa yawe gukira mu mwanya ukwiye kugira ngo uruti rwawe rukore neza.

Ubuvuzi butari ubuvuzi harimo:

• Guhindura ibintu byimuwe nta kubagwa
• Guhambira cyangwa gufata kugira ngo amagufa agume mu mwanya ukwiye
• Inkoni cyangwa amagare kugira ngo wirinde gushyira umurengwe ku rutugu
• Imiti yo kugabanya ububabare n’imiti igabanya ububabare
• Imibereho ngororamubiri iyo gukira bitangiye

Niba kuvunika kwawe ari kwizera kandi amagufa agikomeye, ushobora gukenera gusa guhambira cyangwa inkweto zo kugenda. Uzabikoresha mu mezi 6-8 mu gihe igifu gikira. Muganga wawe azakora X-rays buri gihe kugira ngo arebe ko byose bikomeza kuba mu mwanya ukwiye.

Kubagwa biba ngombwa iyo amagufa yimuwe cyane, iyo amagufa menshi avunika, cyangwa iyo kuvunika bigira ingaruka ku gukomera kw’uruti rw’akaguru. Mu gihe cyo kubagwa, umuganga wawe ashobora gukoresha ibyuma, imisumari, cyangwa imiyoboro kugira ngo afashe amagufa mu mwanya.

Uko ubuvuzi bwo murugo bukorwa mu gihe cyo gukira kuvunika kw’akaguru

Gucunga ubuvuzi bwawe murugo bigira uruhare rukomeye mu buryo uruti rwawe rukira. Gukurikiza amabwiriza ya muganga wawe neza bizafasha guhamya umusaruro mwiza kandi bigabanye ibyago byo kugira ingaruka.

Ingamba z’ingenzi zo kwita murugo harimo:

• Komeza uruti rwawe rurebwa hejuru y’umutima igihe uburuhukira
• Koresha igikonjesha iminota 15-20 inshuro nyinshi buri munsi kugira ngo ugabanye kubyimbagira
• Fata imiti uko yagenewe
• Komeza guhambira cyangwa inkweto zawe zimeze neza kandi zikaba zikomeye
• Kurikiza amabwiriza yo kudashyira umurengwe neza
• Kora imyitozo yagenewe kugira ngo ugume ufite amaraso
• Kureba ibimenyetso by’ingaruka nko kubabara cyangwa kubyimbagira bikomeye

Mu minsi mike ya mbere, kuruhuka ni akazi kawe gakomeye. Umubiri wawe ukeneye imbaraga zo gukiza igifu kivunikiye, ntukirengagize kuruhuka. Koresha inkoni cyangwa ibindi bikoresho byo kugenda uko byagenewe, nubwo byaba bigoye.

Ibiryo bikwiye bishyigikira gukira kw’amagufa, rero gerageza gufata proteine, calcium, na vitamine D. Komeza wishire amazi kandi wirinde itabi cyangwa inzoga nyinshi, kuko ibyo bishobora kugabanya gukira kw’amagufa. Shyira inzu yawe mu buryo bworoshye kugira ngo ubone ibyo ukeneye kugira ngo wirinde kugenda ukeneye.

Uko wakwitegura gusura muganga

Kwitabira gusura kwa muganga bizafasha guhamya ko uboneye cyane ibyo ukeneye kandi ko ubuvuzi bwawe buhora bumeze neza. Gutegura neza kandi bifasha itsinda ryawe ry’ubuvuzi kugufasha neza.

Mbere yo gusura kwawe, kora ibi bikurikira:

• Andika uko imvune yawe yabaye
• Andika imiti yose n’ibindi bintu ufasha
• Andika impinduka zose mu bubabare, kubyimbagira, cyangwa kugenda kuva ku gusura kwawe kwa nyuma
• Tegura ibibazo ku bijyanye n’igihe cyo gukira n’amabwiriza
• Zana umuntu ufasha niba ukeneye ubufasha bwo kugenda
• Tegura ikarita yawe y’ubwisungane n’ibyangombwa byawe

Ntukabe ikibazo cyo kubaza ibyo utumva. Ibibazo bisanzwe birimo igihe ushobora gusubira ku kazi cyangwa imikino, ibimenyetso bikwiye kukuhangayikisha, n’uko wahindura ibikorwa bya buri munsi. Andika amabwiriza y’ingenzi kugira ngo utabyibagirwa nyuma.

Niba ugira ibibazo ku guhambira, inkweto, cyangwa inkoni, bivuge ako kanya. Rimwe na rimwe impinduka ntoya zishobora kugira akamaro mu kwishima no gukira. Itsinda ryawe ry’ubuvuzi rishaka kugufasha kugira umusaruro mwiza, rero vuga ibyo uhangayikishijwe cyangwa ibibazo ufite.

Icyo wakuramo ku kugwa kw’akaguru

Kugwa kw’akaguru ni imvune ikomeye isaba ubuvuzi bukwiye, ariko uko bikwiye kuvurwa, abantu benshi barakira neza kandi bagasubira mu bikorwa byabo bisanzwe. Ikintu nyamukuru cyo gukira neza ni ugukira vuba no gukurikiza amabwiriza ya muganga wawe neza.

Wibuke ko gukira bisaba igihe, akenshi ibyumweru 6-12 kugira ngo igifu gikire, hagakurikiraho igihe cyongeyeho kugira imbaraga n’ubushobozi bwo kugenda. Buri muntu akura ku muvuduko we, rero ntugerageze kugereranya ubuvuzi bwawe n’abandi cyangwa kwihutisha uburyo.

Ikintu cy’ingenzi cyane ushobora gukora ni ukwihangana nawe ubwawe no kwiringira uburyo bwo gukira. Mu gihe kugwa kw’akaguru bishobora kuba bigoye kandi bikabangamira ubuzima bwawe, gukurikiza ubuvuzi bukwiye buhora butanga umusaruro mwiza. Komeza ube umunyamahoro, kurikiza gahunda yawe y’ubuvuzi, kandi ntutinye kuvugana n’itsinda ryawe ry’ubuvuzi ku kibazo icyo aricyo cyose.

Ibibazo byakajagajwe cyane ku bijyanye no kugwa kw’akaguru

Q1: Ni igihe kingana iki kugira ngo akaguru kavunikiye gakire burundu?

Kuvunika kw’amagufa yo mu rutugu byinshi bisaba ibyumweru 6-8 kugira ngo igifu gikire bihagije kugira ngo bakureho guhambira cyangwa inkweto. Ariko, gukira burundu harimo imbaraga n’ubushobozi bwo kugenda bishobora gufata amezi 3-6 cyangwa birenga, cyane cyane niba ukeneye kubagwa. Igihe cyo gukira cyawe giterwa n’ibintu nka myaka yawe, ubuzima muri rusange, ubukana bw’igifu kivunikiye, n’uko ukurikiza amabwiriza y’ubuvuzi.

Q2: Nshobora gutwara imodoka mfite akaguru kavunikiye?

Ntukwiye gutwara imodoka mu gihe uri mu guhambira cyangwa inkweto, cyane cyane niba biri ku kirenge cyawe cy’iburyo cyangwa niba utwara imodoka ifite ibyuma byo guhindura. Ndetse no kugira kuvunika kw’akaguru k’ibumoso, guhambira bishobora kubangamira gutwara imodoka neza. Abaganga benshi bagira inama yo gutegereza kugeza igihe uvuye mu guhambira kandi ushobora gutwara imodoka neza mbere yo gusubira gutwara imodoka.

Q3: Nzagira indwara z’amagufa nyuma yo kugwa kw’akaguru?

Mu gihe indwara z’amagufa ari ingaruka zishoboka z’igihe kirekire, ntibibaho kuri buri wese uvunika uruti rw’akaguru. Ibyago byawe biri hejuru niba kuvunika byagize ingaruka ku rufatiro rw’uruti rw’akaguru cyangwa niba amagufa adakira neza. Gukurikiza ubuvuzi bukwiye no gukora imyitozo ngororamubiri bigabanya cyane ibyago byo kugira indwara z’amagufa nyuma.

Q4: Ni ryari nshobora gusubira mu mikino nyuma yo kugwa kw’akaguru?

Gusubira mu mikino bisanzwe bifata amezi 3-6 nyuma yo kugwa kw’akaguru, bitewe n’ubukana bw’igifu kivunikiye n’ibisabwa n’imikino yawe. Ukeneye kurangiza imyitozo ngororamubiri kandi ugaragaze ko uruti rwawe rwabonye imbaraga, gukomera, n’ubushobozi bwo kugenda mbere y’uko muganga wawe akwemera gukora imikino.

Q5: Ese bisanzwe kugira kubyimbagira nyuma y’amezi menshi igifu kivunikiye gikize?

Kubyimbagira bimwe bishobora gukomeza amezi menshi nyuma y’igifu kivunikiye, cyane cyane mu mpera z’umunsi cyangwa nyuma yo guhagarara igihe kirekire. Ibi bisanzwe kuko umubiri wawe ukomeza gukira no guhinduka. Ariko, niba kubyimbagira ari bikomeye, bibabaza, cyangwa bikomeza kurushaho kuba bibi, banza uvugane na muganga wawe kugira ngo uhagarike ingaruka.