Umuntu Agize Akaguru Kaguye? Ibimenyetso, Impamvu, n’Uko Kavurwa

Akaguru kaguye ni ukubura amagufa mu kaguru kamwe cyangwa byinshi, harimo umugufa wo mu itako (femur), umugufa wo mu rutugu (tibia), cyangwa umugufa muto uri hafi yawo (fibula). Iyi mimerere ibaho iyo aya magufa yacitse cyangwa akamenyekana kubera imbaraga cyangwa igitero gikomeye kurusha uko igufa rishobora kwihanganira.

Nubwo gutekereza ku kaguru kaguye bishobora gutera ubwoba, amagufa menshi y’amaguru akira neza afashijwe n’ubuvuzi bukwiye n’igihe. Amagufa y’amaguru yawe akomeye kandi arahamye, yagenewe gutera umubiri wawe ibiro no kwihanganira ibikorwa bya buri munsi.

Ni ibihe bimenyetso by’akaguru kaguye?

Ikimenyetso cy’ingenzi cy’akaguru kaguye ni ububabare bukabije buzamuka iyo ugerageje gushyira umubiri kuri ako kaguru cyangwa ukakigendagereza. Uzamenya ko hari ikibazo gikomeye kuko ububabare busanzwe burakaze kandi buhita.

Dore ibimenyetso by’ingenzi byerekana ko ushobora kuba ufite akaguru kaguye:

• Ububabare bukabije buzamuka iyo ugiye kugendagereza cyangwa ugushyiraho igitutu
• Kubura ubushobozi bwo gushyira umubiri ku kaguru kaguye
• Igufa rigaragara rihindagurika cyangwa rifite ishusho idasanzwe
• Kubyimbagira hafi y’aho wakomerekeye
• Kwibagirwa bihita
• Kubabara iyo ukozeho gake
• Kumva ijwi ry’amagufa ahondagura cyangwa akagongana iyo ugiye kugendagereza
• Kubabara cyangwa kutumva neza mu birenge cyangwa mu myanya y’intoki

Rimwe na rimwe, cyane cyane ku magufa yacitse gato, ibimenyetso bishobora kuba bike. Ushobora kumva ububabare buhoraho wumva ko ari ikibyimba cyangwa imikaya yamenetse. Niba ububabare bw’akaguru kawe bukomeje iminsi irenga umwe cyangwa ibiri nyuma yo gukomereka, birakwiye ko ukijyanisha kwa muganga.

Ni izihe mpande z’amagufa y’amaguru yacitse?

Amagufa y’amaguru ashobora gukomereka mu buryo butandukanye bitewe n’umugufa wamenetse n’uburyo umugufa wamenetse. Gusobanukirwa ubwoko bwabyo bishobora kugufasha kuganira neza n’abaganga bawe ku kibazo cyawe.

Ubwoko nyamukuru burimo:

• Amagufa y’itako yacitse: Amagufa y’itako yamenetse, akenshi asaba kubagwa kubera ubunini n’ubukomeye bw’igufu
• Amagufa y’urutugu yacitse: Amagufa manini y’urutugu yamenetse, akenshi aterwa n’imikino cyangwa kugwa
• Amagufa mato y’urutugu yacitse: Amagufa mato ari iruhande rw’umugufa munini w’urutugu yamenetse, rimwe na rimwe aba ari hamwe n’amagufa y’urutugu yamenetse
• Amagufa yamenetse buhoro buhoro: Uduce duto tw’amagufa twamenetse buhoro buhoro kubera umunaniro ukabije cyangwa gukoresha cyane
• Amagufa yamenetse cyane: Amagufa yamenetse cyane aho igufa rihita rigaragara
• Amagufa yamenetsemo ibice byinshi: Amagufa yamenetsemo ibice byinshi

Muganga wawe azamenya ubwoko nyabwo akoresheje X-rays no gusuzuma umubiri. Buri bwoko busaba uburyo butandukanye bwo kuvura, ariko byose bishobora gukira neza bifashijwe n’ubuvuzi bukwiye.

Ni iki gituma akaguru kagwa?

Amagufa y’amaguru menshi agwa iyo igufa ry’akaguru ryahuye n’imbaraga zirengeje ubushobozi bwarwo. Ibi bishobora kuba byihuse mu mpanuka cyangwa buhoro buhoro mu gihe kirekire kubera umunaniro ukabije.

Impamvu zisanzwe zirimo:

• Kugwa uva hejuru cyangwa ku gicucu gikomeye
• Impanuka z’imodoka cyangwa iz’amagare
• Imikino ikomeretsa, cyane cyane imikino ihuriramo abantu benshi
• Ibisasu byakomerekeje akaguru mu gihe cy’imikino
• Kugenda nabi mu gihe cyo kwiruka cyangwa gusimbuka
• Gukoresha cyane ibikorwa byisubiramo nk’ugukina umupira w’amaguru

Zimwe mu mpamvu zidakunze kugaragara ariko zikomeye:

• Amagufa adakomeye kubera osteoporosis, bituma amagufa yacika vuba
• Indwara z’amagufa zigabanya ubukomere bw’amagufa
• Uburwayi bwa kanseri bwafashe amagufa
• Imiti imwe n’imwe igira ingaruka ku magufa mu gihe kirekire

Rimwe na rimwe, icyo utekereza ko ari ikintu gito gishobora gutuma igufa rimenekana niba amagufa yawe asanzwe adakomeye kubera uburwayi, imiti, cyangwa ibindi bibazo by’ubuzima.

Ni ryari ukwiye kujya kwa muganga ufite akaguru kaguye?

Ugomba gushaka ubuvuzi bw’ihutirwa niba ukeka ko ufite akaguru kaguye, cyane cyane niba ufite ububabare bukabije cyangwa udashobora gushyira umubiri ku kaguru kawe. Ntugagerageze ‘kugenda uko biri’ cyangwa gutegereza ngo urebe niba bizakira ubwabyo.

Hamagara 911 cyangwa ujye mu bitaro byihuse niba ubona:

• Igufa rigaragara
• Akaguru kawe kagira ishusho idasanzwe cyangwa kagakomera mu buryo budasanzwe
• Utumva cyangwa udashobora kugendagereza ikirenge cyangwa intoki
• Ikirenge cyawe kimeze nk’igikonje cyangwa kigaragara nk’icyatukura
• Ufite ububabare bukabije budakira n’aho uhagaritse

Ndetse n’aho ibimenyetso byawe bigaragara nk’ibidafite akaga, birakwiye kujya kwa muganga mu masaha 24 niba ufite ububabare buhoraho, kubyimbagira, cyangwa ugira ikibazo cyo gushyira umubiri ku kaguru nyuma yo gukomereka. Ubuvuzi bwa vuba busanzwe butanga umusaruro mwiza kandi bushobora gukumira ingaruka.

Ni ibihe bintu byongera ibyago byo kugira akaguru kaguye?

Nubwo umuntu wese ashobora kugira akaguru kaguye, hari ibintu bimwe na bimwe bishobora kongera amahirwe yo kugira iyi mimerere. Gusobanukirwa ibyo bintu bishobora kugufasha gufata ingamba zikwiye.

Ibintu byongera ibyago byo kugira akaguru kaguye birimo:

• Kuba ufite imyaka irenga 65, aho amagufa asanzwe aba adakomeye
• Osteoporosis cyangwa amagufa adakomeye
• Kwitabira imikino ikomeye cyangwa ihuriramo abantu benshi
• Kuba warakomerekeye mu kaguru mbere
• Imiti imwe n’imwe nka steroids zigabanya ubukomere bw’amagufa
• Kunywisha itabi, bigabanya ubukomere bw’amagufa
• Kunywisha inzoga nyinshi bigira ingaruka ku buzima bw’amagufa
• Kubura intungamubiri, cyane cyane calcium na vitamine D

Bimwe mu bintu bidasanzwe ariko bikomeye byongera ibyago birimo:

• Indwara z’umuzuko zigira ingaruka ku bukomere bw’amagufa
• Ibibazo by’imisemburo bigira ingaruka ku miterere y’amagufa
• Indwara z’impyiko cyangwa umwijima
• Ubuvuzi bwa kanseri bugabanya ubukomere bw’amagufa

Kugira ibyago ntibisobanura ko uzagira akaguru kaguye, ariko kubimenya bishobora kugufasha wowe na muganga wawe gufata ibyemezo byiza bijyanye no kwirinda no kwita ku buzima bw’amagufa.

Ni izihe ngaruka zishoboka z’akaguru kaguye?

Amagufa menshi y’amaguru akira neza nta ngaruka z’igihe kirekire, ariko birakomeye gusobanukirwa ingaruka zishoboka kugira ngo uzimenye hakiri kare kandi ushake ubuvuzi bukwiye.

Ingaruka zisanzwe ushobora guhura nazo zirimo:

• Gukira gake cyangwa amagufa adakira neza
• Kwibagirwa aho igufa ryamenetse cyangwa hafi y’ibikoresho byo kubaga
• Kubabara cyangwa kugabanuka kw’ubushobozi bwo kugendagereza ingingo
• Intege nke z’imikaya cyangwa kubura imikaya kubera kudakora imyitozo
• Ububabare buhoraho cyangwa arthrite iza nyuma
• Itandukaniro mu burebure bw’amaguru nyuma yo gukira

Ingaruka zidakunze kugaragara ariko zikomeye zisaba ubuvuzi bw’ihutirwa:

• Compartment syndrome, aho igitutu cyiyongera mu mikaya
• Ibibyimba by’amaraso mu mitsi y’amaguru, cyane cyane mu gihe uri mu buriri
• Kwibagirwa imitsi cyangwa imiyoboro y’amaraso
• Fat embolism, aho ibinure binjira mu maraso
• Osteomyelitis, indwara ikomeye y’amagufa

Itsinda ry’abaganga bazakukurikirana kuri izi ngaruka kandi bazakugira inama ku bimenyetso byo kwitondera mu gihe cyo gukira. Ingaruka nyinshi zishobora gukumirwa cyangwa kuvurwa neza iyo zimenyekanye hakiri kare.

Uko wakwirinda akaguru kaguye

Nubwo udashobora kwirinda impanuka zose, hari intambwe ushobora gufata kugira ngo ukomeze amagufa yawe kandi ugabanye ibyago byo kugira amagufa y’amaguru yacitse. Ibyinshi muri ibyo bintu binonosora ubuzima bwawe muri rusange.

Dore uburyo bwiza bwo kurinda amaguru yawe:

• Komeza amagufa yawe akomeye ukora imyitozo ngororamubiri
• Komeza ubone calcium na vitamine D bihagije
• Kambara ibikoresho bikwiranye byo kwirinda mu mikino
• Komeza inzu yawe ikinguranye kandi ukureho ibintu bishobora gutera kugwa
• Koresha inkweto zikwiranye zifite urugero rwiza
• Kwirinda kunywa inzoga nyinshi
• Kureka kunywa itabi, kuko bigabanya ubukomere bw’amagufa
• Koresha uburyo bwo gusuzuma amagufa yawe niba uri mu kaga

Ku bantu bakuze, izindi ngamba zo kwirinda zirimo:

• Kwinjiza ibikoresho byo gufata mu bwiherero no ku ndirimbo
• Kugerageza imyitozo yo kubungabunga umubiri
• Kureba imiti ishobora kongera ibyago byo kugwa
• Kugira isuzuma ry’amaso buri gihe kugira ngo ubone neza

Izi ngamba zo kwirinda ziba zikomeye cyane uko ugenda ukura cyangwa niba ufite ibibazo by’ubuzima bigira ingaruka ku bukomere bw’amagufa.

Uko akaguru kaguye gasuzumwa

Kusuzuma akaguru kaguye bisanzwe bitangira muganga yumvise uko wakomerekeye kandi agasuzuma akaguru kawe neza. Azareba ibimenyetso by’amagufa yacitse kandi azagerageza ubushobozi bwawe bwo kugendagereza no gushyira umubiri ku kaguru.

Uburyo bwo gusuzuma busanzwe burimo:

• Gusuzuma umubiri, kureba ububabare, kubyimbagira, n’amagufa yacitse
• X-rays kuva mu mpande nyinshi kugira ngo urebe igufa neza
• Kureba imitsi y’amaraso n’imikorere y’imitsi mu birenge
• Ibibazo ku rwego rw’ububabare n’ibimenyetso

Rimwe na rimwe, bishobora kuba ngombwa gukora ibizami by’inyongera:

• CT scans ku magufa yamenetse cyane cyangwa iyo X-rays zidashyira ahagaragara
• MRI scans kugira ngo urebe ko nta kibazo cy’imikaya cyangwa amagufa yamenetse buhoro buhoro
• Ibizami by’amagufa ku magufa yamenetse buhoro buhoro adagaragara kuri X-rays

Muganga wawe ashobora kandi gutegeka ibizami by’amaraso niba akeka ko hari ibibazo by’ubuzima bishobora kugira ingaruka ku gukira kw’amagufa. Intego ni ukumenya neza icyabaye ku igufa ryawe kugira ngo ashobore gukora gahunda y’ubuvuzi ikubereye.

Uko akaguru kaguye kavurwa

Uburyo bwo kuvura akaguru kaguye biterwa n’ubwoko, aho kaguye, n’uburemere bw’igikomere. Intego nyamukuru y’abaganga ni ugushyira amagufa yacitse hamwe, kuyagumisha aho ari mu gihe akomeza gukira, no gusubiza akaguru kawe imikorere isanzwe.

Uburyo bwo kuvura budakoresheje kubaga burimo:

• Gupfuka cyangwa guhambira akaguru kugira ngo kidakora
• Inkoni cyangwa ibikoresho byo kugendera kugira ngo wirinde gushyira umubiri ku kaguru
• Imiti igabanya ububabare kugira ngo ugabanye ububabare
• Ubuvuzi bw’umubiri kugira ngo ukomeze imbaraga n’ubushobozi bwo kugendagereza

Kubaga bishobora kuba ngombwa kuri:

• Amagufa yamenetse cyane aho igufa rigaragara
• Amagufa yamenetsemo ibice byinshi
• Amagufa adashobora gushyirwa hamwe gusa no guhambira
• Amagufa akomerekeje ingingo

Uburyo bwo kubaga bushobora kuba harimo ibyuma, imisumari, imirongo, cyangwa ibindi bikoresho byo guhambira amagufa hamwe. Umuganga wawe azasobanura uburyo bukwiye ku bwoko bwawe bw’igufu ryamenetse.

Igihe cyo gukira gitandukanye cyane, kuva mu byumweru 6-8 ku magufa yamenetse gake kugeza ku mezi menshi ku magufa yamenetse cyane asaba kubagwa. Igihe cyawe cyo gukira kiterwa n’imyaka yawe, ubuzima bwawe muri rusange, n’uko ukurikiza amabwiriza y’ubuvuzi.

Uko wakwita ku kaguru kawe mu rugo mu gihe cyo gukira

Kwita ku buzima bwawe mu rugo bigira uruhare rukomeye mu gukira kw’akaguru kawe. Gukurikiza amabwiriza y’abaganga bawe neza bishobora gufasha mu gukira neza no kwirinda ingaruka.

Intambwe z’ingenzi zo kwita ku buzima mu rugo zirimo:

• Kunywa imiti yatanzwe neza nk’uko byategetswe
• Komeza ahantu wapfukishijwe cyangwa aho wabagiwe hatagira umwanda kandi hakama
• Kweza akaguru kawe mu gihe uri kuruhuka kugira ngo ugabanye kubyimbagira
• Koresha ubukonje nk’uko byategetswe kugira ngo ugabanye ububabare no kubyimbagira
• Kubahiriza amabwiriza yo gushyira umubiri ku kaguru
• Kwitabira gahunda zose zo gukurikirana no kuvurwa

Ibimenyetso by’ingenzi byo kwitondera mu rugo:

• Ububabare buzamuka budakira n’imiti
• Kubyimbagira bikomeza kwiyongera
• Guhinduka kw’irangi cyangwa ubushyuhe bw’uruhu
• Impumuro mbi iva ku gipfukisho cyangwa aho wabagiwe
• Kubabara cyangwa kutumva neza bitari byo mbere

Ntuzuzagira ikibazo cyo kuvugana na muganga wawe niba ubona ibyo bimenyetso. Kugira ingamba vuba bishobora gukumira ko ibibazo bito biba ibibazo bikomeye.

Uko wakwitegura gusura muganga

Kwitoza neza kugira ngo ujye kwa muganga bishobora kugufasha kubona ubuvuzi bwiza kandi ubashe kubona ibisubizo by’ibibazo byawe byose. Ibi ni ingenzi cyane mu gihe ufite igikomere gishobora gusaba ubuvuzi buhoraho.

Mbere yo kujya kwa muganga, kora ibi bikurikira:

• Amakuru arambuye y’uko wakomerekeye
• Urutonde rw’imiti yose ukoresha
• Amateka yawe y’ubuzima, harimo amagufa yamenetse mbere
• Amakuru y’ubwisungane n’irangamuntu
• Urutonde rw’ibibazo ushaka kubabaza

Ibibazo by’ingenzi byo kubabaza muganga wawe:

• Akaguru kanjye kazamara igihe kingana iki gukira?
• Ni ibihe bikorwa nakwirinda mu gihe cyo gukira?
• Ni ryari nzasubira ku kazi cyangwa mu bikorwa bisanzwe?
• Ni ibihe bimenyetso byo kwitondera byamfata ngo mpamagare?
• Nzakenera ubuvuzi bw’umubiri, kandi ni ryari bugatangire?
• Hariho ingaruka z’igihe kirekire nakwitega?

Zana umuntu wo mu muryango cyangwa inshuti niba bishoboka, kuko bashobora kugufasha kwibuka amakuru y’ingenzi no kugufasha mu gihe gishobora kuba kigoye.

Icyo ugomba kumenya ku magufa y’amaguru yacitse

Akaguru kaguye ni ikibazo gikomeye gisaba ubuvuzi bukwiye, ariko ubufasha bukwiye, abantu benshi barakira neza kandi bagasubira mu bikorwa byabo bisanzwe. Ikintu nyamukuru ni ugukira vuba no gukurikiza gahunda yawe y’ubuvuzi neza.

Wibuke ko gukira bisaba igihe, kandi urugendo rwo gukira rwa buri wese rutandukanye. Bamwe barakira vuba kurusha abandi, kandi ibyo ni ibisanzwe. Umubiri wawe ukora akazi gakomeye ko gusana no gukomeza igufa ryamenetse.

Komeza ube umunyamahoro kandi wihangane muri uwo mujyo. Fata umwanya wo gukora ibyo ushobora gukora, nko kunywa imiti yawe, kwitabira gahunda, no gukurikiza amabwiriza yo gukora imyitozo. Ubukorera bwawe ubu buzagufasha gukira neza kandi ukagira ingaruka nke mu gihe kizaza.

Ibibazo byakunze kubaho ku magufa y’amaguru yacitse

Akaguru kaguye kamara igihe kingana iki gukira?

Amagufa y’amaguru yamenetse gake asaba ibyumweru 6-12 kugira ngo akire bihagije kugira ngo ukore ibikorwa bisanzwe, nubwo gukira burundu bishobora gufata amezi menshi. Amagufa yamenetse cyane cyangwa asaba kubagwa ashobora gufata amezi 3-6 cyangwa arenga. Imyaka yawe, ubuzima bwawe muri rusange, n’ubwoko bw’igufu ryamenetse bigira ingaruka ku gihe cyo gukira.

Nshobora kugenda n’akaguru kaguye?

Ntugombwa kugenda n’akaguru kaguye kugeza muganga yawe aguhaye uruhushya. Kugenda hakiri kare bishobora gutuma amagufa yacitse atandukana kandi bikabuza gukira. Muganga wawe azagenda yongerera ibikorwa byo gushyira umubiri ku kaguru uko igufu rikira kandi rikaba rikomeye bihagije kugira ngo rifashe umubiri wawe ibiro.

Ese akaguru kanjye kaguye kazaba kadakomeye nyuma yo gukira?

Akaguru kaguye kakize neza gasanzwe kaba gakomeye nk’uko kaba kimeze mbere yo gukomereka, rimwe na rimwe kikaba gikomeye kurushaho aho kaguye. Ariko kandi, imikaya yo hafi ishobora kuba idakomeye kubera kudakora imyitozo mu gihe cyo gukira. Ubuvuzi bw’umubiri bufasha gusubiza imbaraga z’imikaya n’ubushobozi bwo kugendagereza ingingo kugira ngo akaguru kawe gasubire mu mikorere isanzwe.

Ni iki kibaho niba ntavura akaguru kaguye?

Akaguru kaguye katavuwe gishobora gutera ingaruka zikomeye zirimo guhinduka burundu, ububabare buhoraho, arthrite, no kubura ubushobozi bwo gukora. Igufu rishobora gukira nabi, bigatera ibibazo by’igihe kirekire mu kugenda no kugenda. Amagufa amwe adakize ashobora kandi kwangiza imitsi cyangwa imiyoboro y’amaraso.

Ese ni ibisanzwe kugira ububabare nyuma y’amezi akaguru kaguye kakize?

Ububabare buke cyangwa kubabara bishobora kuba ibisanzwe mu mezi menshi nyuma y’igufu ry’akaguru ryamenetse, cyane cyane mu gihe cy’imbeho cyangwa ibikorwa byiyongereye. Ariko kandi, ububabare bukomeye buhoraho, kubyimbagira, cyangwa ibibazo byo gukora bigomba gusuzuma muganga wawe, kuko bishobora kugaragaza ingaruka zisaba ubuvuzi.