Sindrome Ya Compartment Ya Imbabura Idashira

Iguhuha ryo gukoresha umubiri (Chronic exertional compartment syndrome) ni uburwayi bw'imikaya n'imijyana iterwa no gukora imyitozo, butera ububabare, kubyimba, rimwe na rimwe no kubura ubushobozi mu mikaya ibyo bireba y'amaguru cyangwa intoki. Umuntu wese arashobora kurwara iyi ndwara, ariko igaragara cyane mu rubyiruko rukina siporo n'abakinnyi bakora imyitozo ikubiyemo kugonga kenshi.

Iguhuha ryo gukoresha umubiri rishobora kuvurwa ritakoreshejwe ubutabire hamwe no guhindura imyitozo. Niba ubuvuzi budakoreshejwe ubutabire budafashije, muganga wawe ashobora kugutegurira kubagwa. Kubagwa birafasha abantu benshi kandi bishobora gutuma usubira mu mikino yawe.

Amaboko yawe afite ibice byihariye by'imikaya (ibice). Urugero, ukuguru kwawe kw'epfo kugira ibice bine. Ibihombo by'imikaya bikunze kubaho mu gice kimwe cy'umugongo w'umubiri, akenshi ukuguru kw'epfo. \n\nIbimenyetso n'ibibonwa bishobora kuba birimo:\n\n* Kubabara, gutwika cyangwa gucika intege mu gice cy'umugongo\n* Gukomera mu gice cy'umubiri kibangamiwe\n* Kubabara cyangwa guhindagurika mu gice cy'umubiri kibangamiwe\n* Intege nke z'umubiri zibangamiwe\n* Kugwa kw'ikirenge, mu bihe bikomeye, niba amaguru ari yo abangamiwe\n* Rimwe na rimwe, kubyimba cyangwa kubyimba kubera umukaya\n\nUbubabare buterwa na syndrome ya compartment ikunze kubaho ikunze gukurikira iyi shusho:\n\n* Itangira buri gihe nyuma y'igihe runaka, intera cyangwa imbaraga zo gukora imyitozo nyuma yo gutangira gukora imyitozo umubiri ubwo\n* Bikomeza kuba bibi uko ukora imyitozo\n* Bigabanuka cyangwa bihagarara burundu mu minota 15 uhagaritse igikorwa\n* Mu gihe, igihe cyo gukira nyuma yo gukora imyitozo gishobora kwiyongera\n\nGuhagarika burundu imyitozo cyangwa gukora imyitozo itoroshye bishobora kugabanya ibimenyetso byawe, ariko impumuro ikunze kuba igihe gito. Iyo utangiye kwiruka, kurugero, ibyo bimenyetso bisanzwe bisubira.

Niba ufite ububabare budasanzwe, kubyimba, intege nke, gutakaza ubwumva cyangwa kubabara kenshi mugihe ukora imyitozo ngororamubiri cyangwa imikino, vugana na muganga wawe.

Rimwe na rimwe, syndrome ya compartment exertion chronic ikunanywe na shin splints, ikintu gisanzwe cyane cyateza ububabare mumaguru mu rubyiruko rukora cyane imyitozo ikomeye yo gutwara ibiro, nko kwiruka. Niba utekereza ko ufite shin splints kandi ububabare budakira ubwawe, vugana na muganga wawe.

Impamvu y'indwara ya chronic exertional compartment syndrome ntiyumvikana neza. Iyo ukora imyitozo ngororamubiri, imikaya yawe irakura. Niba ufite chronic exertional compartment syndrome, umutsi ugabanya imikaya ikozwe (fascia) ntukura hamwe n'imikaya, bigatera igitutu n'ububabare mu gice cy'umugongo cyangiritse.

Ibintu bimwe na bimwe birongera ibyago byo kwibasirwa na syndrome ya chronic exertional compartment, birimo:

• Imyaka. Nubwo abantu b'imyaka yose bashobora kwibasirwa na syndrome ya chronic exertional compartment, iyi ndwara igaragara cyane mu bakinnyi b'abagabo n'abagore bari munsi y'imyaka 30.
• Ubwoko bw'imyitozo. Gukora imyitozo ikubiyemo kugonga kenshi — nko kwiruka — birongera ibyago byo kwibasirwa n'iyi ndwara.
• Kwiyereka cyane. Gukora imyitozo cyane cyangwa kenshi bishobora kandi kongera ibyago byo kwibasirwa na syndrome ya chronic exertional compartment.

Sindrome ya chronic exertional compartment ntabwo ari uburwayi buhitana, kandi akenshi ntiterwa ibibazo bikomeye igihe ubonye ubuvuzi bukwiye. Ariko kandi, ububabare, intege nke cyangwa ukubabara bikunze kugaragara kuri syndrome ya chronic exertional compartment bishobora kukubuza gukomeza imyitozo ngororamubiri cyangwa siporo yawe ku rwego rumwe rukomeye.

Ibibazo bindi bifitanye isano n'imyitozo ngororamubiri birakunda kurenza syndrome ya chronic exertional compartment, ku buryo muganga wawe ashobora kubanza kugerageza gukuraho ibindi bintu bishobora kuba intandaro—nk'ububabare bw'amagufa cyangwa fractures ziterwa no gukoresha cyane—mbere yo kujya mu bipimo byihariye.

Ibisubizo by'isuzuma ngororamubiri rya syndrome ya chronic exertional compartment bikunze kuba bisanzwe. Muganga wawe ashobora gukunda kukusuzuma nyuma yo gukora imyitozo kugeza aho ibimenyetso bigaragarira. Muganga wawe ashobora kubona umunsibo w'imikaya, ububabare cyangwa umuvuduko mu gice kibangamiwe.

Ubushakashatsi bw'amashusho bushobora kuba burimo:

Magnetic resonance imaging (MRI). MRI isanzwe y'amaguru yawe ishobora gukoreshwa mu gusuzuma imiterere y'imikaya iri mu byumba no gukuraho ibindi bintu bishobora kuba intandaro y'ibimenyetso byawe.

MRI ijyanye n'ikoranabuhanga rihanitse ishobora gufasha mu gusuzuma umubare w'amazi ari mu byumba. Amashusho afatwa uhagaze, mu gihe ugenda uhindura ikirenge cyawe kugeza aho ibimenyetso bigaragarira, ndetse na nyuma y'imyitozo. Ubu bwoko bwa MRI bwagaragaye ko ari bwo buryo bwiza mu gusobanura syndrome ya chronic exertional compartment, kandi bishobora kugabanya ubukenekere bw'isuzuma ry'umuvuduko mu byumba ryangiza.

Niba ibisubizo by'ubushakashatsi bw'amashusho bitagaragaza fracture iterwa no gukoresha cyane cyangwa ikindi kintu kimwe giterwa no kubabara, muganga wawe ashobora kugutekerezaho gupima umuvuduko uri mu byumba by'imikaya yawe.

Iki kizamini, cyakunze kwitwa gupima umuvuduko mu byumba, ni cyo kizamini cyiza cyo gusobanura syndrome ya chronic exertional compartment. Iki kizamini kigizwe no gushyira umugozi cyangwa catheter mu gikaya cyawe mbere na nyuma y'imyitozo kugira ngo hafatwe ibipimo.

Kubera ko ari uburyo bw'ubuganga bw'ubuzima burimo ububabare buke, gupima umuvuduko mu byumba ntibikorwa ubusanzwe keretse amateka yawe y'ubuzima n'ibindi bipimo bigaragaza ko ufite iyi ndwara.

• Magnetic resonance imaging (MRI). MRI isanzwe y'amaguru yawe ishobora gukoreshwa mu gusuzuma imiterere y'imikaya iri mu byumba no gukuraho ibindi bintu bishobora kuba intandaro y'ibimenyetso byawe.

  MRI ijyanye n'ikoranabuhanga rihanitse ishobora gufasha mu gusuzuma umubare w'amazi ari mu byumba. Amashusho afatwa uhagaze, mu gihe ugenda uhindura ikirenge cyawe kugeza aho ibimenyetso bigaragarira, ndetse na nyuma y'imyitozo. Ubu bwoko bwa MRI bwagaragaye ko ari bwo buryo bwiza mu gusobanura syndrome ya chronic exertional compartment, kandi bishobora kugabanya ubukenekere bw'isuzuma ry'umuvuduko mu byumba ryangiza.

• Near infrared spectroscopy (NIRS). Near infrared spectroscopy (NIRS) ni uburyo bushya bupima umubare w'oxygène uri mu maraso yawe mu mubiri ubangamiwe. Iki kizamini gikorerwa uhagaze na nyuma y'imyitozo ngororamubiri. Ibi bifasha kumenya niba igice cyawe cy'imikaya gifite umusaruro muke w'amaraso.

Uburyo bwo kuvura indwara ya chronic exertional compartment syndrome burimo uburyo budakoresha imiti n'uburyo bukoresha imiti. Ariko kandi, uburyo budakoresha imiti busanzwe bugira akamaro gusa iyo uhagaritse cyangwa ugabanyije cyane igikorwa cyateye iyo ndwara.

Umuganga wawe ashobora kubanza kugutegurira imiti igabanya ububabare, fizioterapi, ibintu byo mu nkweto z'abakinnyi (orthotics), gusimbuka cyangwa kuruhuka imyitozo ngororamubiri. Guhindura uko ugera hasi n'amaguru iyo urimo kwiruka cyangwa gusiganwa bishobora kandi kugufasha. Ariko kandi, uburyo budakoresha imiti busanzwe ntabwo butanga inyungu irambye kuri chronic exertional compartment syndrome nyakuri.

Injisiya za botulinum toxin A (Botox) mu mitsi y'ukuguru zishobora kandi gufasha kuvura chronic exertional compartment syndrome, ariko hakenekwa ubushakashatsi bwinshi kuri ubu buryo bwo kuvura. Umuganga wawe ashobora gukoresha injeksiyo zituma utumva ububabare mbere kugira ngo afashe gupima agace kageramiwe no kumenya umwanya wa Botox ukeneye.

Uburyo bwo kubaga bwitwa fasciotomy ni bwo buryo bwiza bwo kuvura chronic exertional compartment syndrome. Burimo guca umutsi udapfukama ukingira buri gice cy'imitsi igeramiwe. Ibi bigabanya umuvuduko.

Rimwe na rimwe, fasciotomy ishobora gukorwa hakoreshejwe ibikomere bito, ibyo bishobora kugabanya igihe cyo gukira no kugutuma usubira mu mikino yawe cyangwa imirimo yawe vuba.

Nubwo kubaga ari byiza kuri benshi, ntabwo ari ubusembwa kandi, rimwe na rimwe, bishobora kutavanaho burundu ibimenyetso bijyana na chronic exertional compartment syndrome. Ingaruka mbi z'ubwo bubaga zishobora kuba harimo kwandura, kwangirika burundu kw'imitsi, kubabara, intege nke, kwishima no gukomeretsa.

Kugira ngo tugabanye ububabare bwa syndrome ya chronic exertional compartment, gerageza ibi bikurikira:

• Koresha ibikoresho byo kugenderaho cyangwa wambare inkweto nziza zo gukina siporo.
• Hagarika imyitozo ngororamubiri ikubabaza, cyane cyane witondere imyitozo itoroshya cyane nk'ugusiganwa ku magare cyangwa imashini ya elliptical. Urugero, niba gusiganwa ku maguru bigutera ububabare mu birenge, gerageza koga. Cyangwa gerageza gusiganwa ku maguru ahantu hatoroshye.
• Kora imyitozo yo kwagura umugingo ubabara nyuma yo gukora imyitozo ngororamubiri.