Icyamaze cy'Ikibuno? Ibimenyetso, Impamvu, n'Ubuvuzi

Icyamaze cy'ikibuno ni uburwayi aho uruti rw'ikibuno rwawe ruhinduka rikomeye kandi rugatera ububabare, bigatuma bigorana kugerageza ukuboko kwawe uko bisanzwe. Ibi bibaho iyo imyanya iri hafi y'uruti rw'ikibuno rwawe igira uburibwe kandi ikaba ikomeye, nk'aho ikibuno cyawe 'cyafunze'.

Izina ry'ubwo burwayi mu mvugo y'abaganga ni adhesive capsulitis. Nubwo bishobora gutera ubwoba iyo bibaye, icyamaze cy'ikibuno ni ikintu gisanzwe kandi gisanzwe gikira ubwacyo nyuma y'igihe, nubwo bishobora gufata amezi cyangwa imyaka kugira ngo bikire burundu.

Icyamaze cy'Ikibuno ni iki?

Icyamaze cy'ikibuno kiba iyo igice gikikije uruti rw'ikibuno rwawe kibyimba kandi kikaba gikomeye. Tekereza kuri icyo gice nk'umufuka woroshye usanzwe ufasha ikibuno cyawe kugenda neza mu buryo bwose.

Iyo icyamaze cy'ikibuno kibaye, uwo mufuka uhinduka ukomeye kandi ukaba ukomeye, ugakora ibice by'udusembwa tw'udukoma twitwa adhesions. Ibyo bice bigabanya uko ikibuno cyawe gishobora kugenda, bigatera ububabare n'ubukomeye.

Ubu burwayi busanzwe buca mu byiciro bitatu bitandukanye. Icyiciro cya mbere kigizwe no kwiyongera kw'ububabare n'ubukomeye, icyiciro cya kabiri gikomeza ubukomere ariko ububabare bugabanuka, kandi icyiciro cya gatatu kigaragaza iterambere rirambuye mu kugenda.

Ni ibihe bimenyetso by'Icyamaze cy'Ikibuno?

Ibimenyetso by'ingenzi by'icyamaze cy'ikibuno bigenda bigaragara buhoro buhoro kandi bishobora kugira ingaruka ku mirimo yawe ya buri munsi. Uzamenya ko ibyo bihinduka bigenda buhoro buhoro mu mezi cyangwa mu mezi, aho kuba byihuse.

Ibimenyetso bisanzwe birimo:

• Ububabare bukomeye mu kibuno, busanzwe bubi cyane nijoro
• Ubukomere bukabije butuma bigorana guhagurutsa ukuboko kwawe
• Gukora ikibazo cyo kugera inyuma cyangwa hejuru
• Ububabare buva mu kuboko kwawe bugera ku kuboko
• Gukora ikibazo cyo kuryama ku ruhande rw'ububabare
• Gutakaza buhoro buhoro ubushobozi bwo kugenda kw'ikibuno mu buryo bwose

Ububabare busanzwe burakabije cyane mu cyiciro cya mbere cy'ubwo burwayi. Abantu benshi babivuga nk'ububabare buhoraho, bukomeye bushobora kubyuka nijoro, cyane cyane iyo basinzira ku kibuno cyababaye.

Uko uburwayi bugenda, ububabare bushobora kugabanuka, ariko ubukomere bushobora kwiyongera. Ushobora kubona ko imirimo yoroshye nko kwambara umwenda, kugera ku bintu biri hejuru, cyangwa gufunga bra bigoranye cyane.

Ni iyihe mitype y'Icyamaze cy'Ikibuno?

Hariho imitype ibiri y'ingenzi y'icyamaze cy'ikibuno, kandi gusobanukirwa uwo mitype ufite bishobora kugufasha gusobanukirwa impamvu yabaye. Ubu bwoko bwombi butera ibimenyetso bisa ariko bufite impamvu zitandukanye.

Icyamaze cy'ikibuno cya mbere kiba nta mpamvu isobanutse cyangwa imvune. Uyu ni wo mitype usanzwe kandi akenshi aba asa n'aho aturutse ahantu, nubwo bishobora kuba bifitanye isano n'impinduka z'imisemburo cyangwa ibintu by'umurage.

Icyamaze cy'ikibuno cya kabiri kiba nyuma y'imvune, kubagwa, cyangwa ubundi burwayi. Uyu mitype akenshi ufitanye isano n'imvune z'ikibuno, kudakora ukuboko igihe kirekire, cyangwa uburwayi bumwe na bumwe nka diyabete cyangwa indwara z'umwijima.

Ni iki gituma icyamaze cy'ikibuno kiba?

Impamvu nyamukuru y'icyamaze cy'ikibuno ntisobanuwe neza, ariko hari ibintu byinshi bishobora kongera amahirwe yo kurwara ubu burwayi. Uburyo umubiri wawe uhangana n'uburyo bwo kwivura bigira uruhare mu iterambere ry'imiterere ikomeye kandi ikomeye igabanya ubushobozi bwo kugenda kw'ikibuno.

Ibintu byinshi bishobora gutera icyamaze cy'ikibuno:

• Diyabete, ikongera cyane ibyago byawe
• Indwara z'umwijima, zombi zikora cyane n'izikora gake
• Impinduka z'imisemburo, cyane cyane mu bagore bari mu gihe cyo gucura
• Imvune y'ikibuno cyangwa kubagwa mbere
• Kudakora ukuboko igihe kirekire kubera imvune cyangwa uburwayi
• Indwara zifata umubiri wose nka rhumatoïde
• Indwara z'umutima cyangwa stroke zigira ingaruka ku kugenda kw'ukuboko

Imyaka igira uruhare runini, icyamaze cy'ikibuno kenshi gikunda kugaragara mu bantu bari hagati y'imyaka 40 na 60. Abagore bafite amahirwe menshi yo kurwara ubu burwayi kurusha abagabo, bishobora kuba biterwa n'imisemburo.

Rimwe na rimwe icyamaze cy'ikibuno gishobora kuba nyuma y'imvune ntoya ushobora kutazi. Imvune itera uburibwe, kandi niba ikibuno cyawe kidakora neza mu gihe cyo gukira, igice gishobora kuba gikomeye kandi gikomeye.

Ni ryari ukwiye kubona muganga kubera icyamaze cy'ikibuno?

Ukwiye kubona muganga niba ufite ububabare bukomeye mu kibuno n'ubukomeye butuma bigorana gukora imirimo yawe ya buri munsi. Kumenya hakiri kare bishobora kugufasha gukumira ubundi burwayi no gutangira ubuvuzi bukwiye.

Shaka ubufasha bw'abaganga niba ubona:

• Ububabare mu kibuno buramara ibyumweru birenga
• Gutakaza cyane ubushobozi bwo kugenda kw'ikibuno
• Ububabare butuma uburara buhoraho
• Gukora ikibazo cyo gukora imirimo ya buri munsi nko kwambara cyangwa kugera ku bintu
• Ibimenyetso birushaho kuba bibi nubwo uruhuka kandi ukoresha imiti igabanya ububabare

Nubwo icyamaze cy'ikibuno atari uburwayi bw'amahoro, kubona ubuvuzi bukwiye bishobora kugufasha gucunga ibimenyetso byawe neza. Muganga wawe ashobora kandi gukumira ubundi burwayi bushobora gutera ibimenyetso bisa, nka rotator cuff tears cyangwa arthrite.

Ni ibihe bintu byongera ibyago by'Icyamaze cy'Ikibuno?

Gusobanukirwa ibintu byongera ibyago byawe bishobora kugufasha gufata ingamba zo kwirinda icyamaze cy'ikibuno cyangwa kukimenya hakiri kare niba kibaye. Hari ibintu byongera ibyago udashobora guhindura, mu gihe hari ibindi ushobora gucunga.

Ibintu byongera ibyago udashobora guhindura birimo:

• Imyaka iri hagati y'imyaka 40 na 60
• Kuba umugore
• Kugira diyabete, cyane cyane diyabete yo mu bwoko bwa mbere
• Kuba waragize icyamaze cy'ikibuno mu kindi kibuno
• Amateka y'umuryango w'icyamaze cy'ikibuno

Ibintu byongera ibyago ushobora guhindura birimo:

• Kudacunga neza isukari mu maraso mu gihe ufite diyabete
• Indwara z'umwijima zitavuwe
• Kudakora ukuboko igihe kirekire
• Ubuzima butameze neza butuma ikibuno kidakora neza

Niba ufite diyabete, gucunga neza isukari mu maraso bishobora kugabanya ibyago byawe cyane. Abantu bafite diyabete bafite amahirwe menshi hagati ya kabiri na kane yo kurwara icyamaze cy'ikibuno, kandi ubu burwayi busanzwe bukabije kandi buramara igihe kirekire mu barwaye diyabete.

Ni ibihe bibazo bishobora kubaho kubera icyamaze cy'ikibuno?

Nubwo icyamaze cy'ikibuno gisanzwe gikira ubwacyo, hari ibibazo byinshi bishobora kubaho, cyane cyane niba ubu burwayi budacunguwe neza. Ibyo bibazo bishobora kugira ingaruka ku mikorere y'ikibuno cyawe mu gihe kirekire n'imibereho yawe.

Ibibazo bishobora kubaho birimo:

• Gutakaza burundu ubushobozi bwo kugenda kw'ikibuno
• Ububabare buhoraho buramba nubwo ubushobozi bwo kugenda busubira
• Intege nke y'imikaya no kugabanuka kubera kudakora
• Iterambere ry'icyamaze cy'ikibuno mu kindi kibuno
• Gukora ikibazo cyo gusubira ku mirimo ya mbere
• Ibibazo by'inyongera mu ijosi, umugongo, cyangwa ikindi kuboko kubera gusimbuza

Inkuru nziza ni uko abantu benshi basubiza ubushobozi bwo kugenda kw'ikibuno, nubwo bishobora gufata imyaka 1-3. Ariko kandi, bamwe bashobora kugira ubukomere bucye cyangwa ububabare bucye nubwo uburwayi bumaze gukira.

Gake, abantu bashobora kurwara complex regional pain syndrome, uburwayi bw'ububabare buhoraho bushobora kugira ingaruka ku kuboko kose. Ibi bishobora kubaho cyane niba icyamaze cy'ikibuno gikabije cyangwa niba wirinde kugerageza ukuboko kwawe kubera ububabare.

Icyamaze cy'ikibuno gishobora kwirindwa gute?

Nubwo udashobora kwirinda burundu icyamaze cy'ikibuno, cyane cyane niba ufite ibintu byongera ibyago nka diyabete, hari intambwe ushobora gufata kugira ngo ugabanye ibyago byawe. Kubungabunga ubushobozi bwo kugenda kw'ikibuno no gucunga uburwayi buriho ni ingamba z'ingenzi.

Ingamba zo kwirinda harimo:

• Kugira isukari mu maraso icuzwe neza niba ufite diyabete
• Kuguma ukora imyitozo ngororamubiri no kubungabunga ubushobozi bwo kugenda kw'ikibuno binyuze mu kugenda buri gihe
• Kuvura indwara z'umwijima vuba kandi neza
• Kwima amatsiko yo kudakora ukuboko igihe kirekire
• Gukora imyitozo yo kwagura ikibuno niba uri mu kaga
• Gushaka ubuvuzi vuba kubera imvune z'ikibuno

Niba wabagiwe cyangwa ufite imvune isaba kudakora ukuboko kwawe, korana n'itsinda ry'abaganga kugira ngo utangire kugenda buhoro buhoro igihe cyose bishoboka. Nubwo ari utugendo duto bishobora kugufasha gukumira igice cy'ikibuno kudakora neza.

Imikino ngororamubiri isanzwe irimo kugenda kw'ikibuno, nko koga cyangwa yoga yoroshye, ishobora kugufasha kubungabunga ubushobozi bwo kugenda kw'ikibuno. Ariko kandi, wirinde gukora cyane cyangwa gukora ibikorwa byo hejuru bishobora kubabaza ikibuno cyawe.

Icyamaze cy'ikibuno kivurwa gute?

Kuvura icyamaze cy'ikibuno bigamije kugabanya ububabare no kubungabunga ubushobozi bwo kugenda kw'ikibuno. Uburyo busanzwe buhinduka bitewe n'icyiciro cy'ubwo burwayi urimo.

Ubuvuzi busanzwe burimo:

• Imiti igabanya ububabare kugira ngo igabanye ububabare n'uburyo
• Ubuvuzi bw'umubiri kugira ngo bungabunge kandi bunoze ubushobozi bwo kugenda kw'ikibuno
• Ubuvuzi bw'ubushyuhe n'ubukonje kugira ngo ubu babare bugabanuke
• Imikino yoroshye yo kwagura
• Injuru z'imiti ya corticosteroid kubera ububabare bukabije n'uburyo

Kubera ibibazo bikomeye, ubundi buvuzi bushobora kuba:

• Kubagwa mu gihe cyo kubagwa kugira ngo hagabanywe adhesions
• Kubagwa kwa arthroscopic kugira ngo hakurweho udusembwa
• Hydrodilatation, aho amazi ashyirwa kugira ngo agerageze uruti rw'ikibuno

Abantu benshi barakira neza ubuvuzi busanzwe, nubwo bisaba kwihangana kuko ubu burwayi bushobora gufata amezi cyangwa imyaka kugira ngo bukire burundu. Muganga wawe azakorana nawe kugira ngo abone ubuvuzi bukwiye bushingiye ku bimenyetso byawe n'uko ubu burwayi bugira ingaruka ku buzima bwawe bwa buri munsi.

Uko wakwitaho mu rugo mu gihe ufite icyamaze cy'ikibuno

Guhangana n'icyamaze cy'ikibuno mu rugo bigizwe no gucunga ububabare, kugenda buhoro buhoro, no guhindura imibereho. Ikintu nyamukuru ni ukubona uburyo bukwiye hagati yo kuruhuka no gukora kugira ngo wirinde kongera ibimenyetso.

Ingamba zo kuvura mu rugo zirimo:

• Shyiraho ubukonje iminota 15-20 iyo ububabare buriyongereye
• Koresha ubushyuhe mbere yo kwagura kugira ngo imikaya irorohe
• Fata imiti igabanya ububabare nk'uko byategetswe
• Kora imyitozo yo kugenda buri munsi
• Kuryama ufite ibyuya byinshi kugira ngo ukuboko kwawe gushyigikirwe
• Irinde ibikorwa byongera ububabare bwawe

Kwagura buhoro buhoro ni ingenzi cyane mu kubungabunga ubushobozi bwo kugenda ufite. Imikino yoroshye nko gutambagira amaboko, kwagura ku rukuta, no kwagura mu muryango bishobora kugufasha gukumira ubukomere.

Witondere uko uryamye, kuko abantu benshi bafite icyamaze cy'ikibuno bagira ikibazo cyo gusinzira. Gukoresha ibyuya kugira ngo ukuboko kwawe kwababaye gushyigikirwe cyangwa kuryama muri recliner bishobora kugufasha gusinzira neza.

Wibuke ko kuvura mu rugo bigomba gushimangira, bitasimbuza, ubuvuzi bw'abaganga. Niba ibimenyetso byawe birushaho kuba bibi cyangwa ntibikira ukoresheje ubuvuzi bwo mu rugo, hamagara muganga wawe.

Uko wakwitegura ku muhango wawe w'umuganga

Kwitunganya ku muhango wawe bishobora kugufasha gukoresha neza igihe cyawe na muganga wawe kandi bikaguha amakuru n'ubuvuzi ukeneye. Gutegura neza bigira uruhare mu gufasha muganga wawe gupima neza.

Mbere y'umuhango wawe:

• Andika ibimenyetso byawe byose n'igihe byatangiye
• Andika ibikorwa cyangwa imyitozo yongera cyangwa igabanya ibimenyetso
• Zana urutonde rw'imiti n'ibindi byose ukoresha
• Tegura ibibazo ku burwayi bwawe n'uburyo bwo kuvura
• Tekereza kuzana umuntu ugushigikira no kugufasha kwibuka amakuru

Ibibazo by'ingenzi byo kubaza muganga wawe:

• Ndiri mu cyiciro ki cy'icyamaze cy'ikibuno?
• Bishobora gufata igihe kingana iki kugira ngo bikire?
• Ni ubuhe buvuzi bukwiye kuri njye?
• Ni ibihe bikorwa nkwiye kwirinda?
• Ni ryari nkwiye guhamagara muganga kubera impinduka mu bimenyetso byanjye?

Ntugatekereze kubabaza ibisobanuro niba utumva ikintu. Muganga wawe arashaka kugufasha gucunga uburwayi bwawe neza, kandi gutumanaho neza ni ingenzi kugira ngo ubone ibyiza.

Icyemezo cy'ingenzi ku cyamze cy'ikibuno

Icyamaze cy'ikibuno ni uburwayi busanzwe butera ububabare bukomeye n'ubukomeye, ariko ni ingenzi kwibuka ko busanzwe bukiza nyuma y'igihe n'ubuvuzi bukwiye. Nubwo inzira yo gukira ishobora kuba ndende, abantu benshi basubiza ubushobozi bwo kugenda kw'ikibuno.

Ibintu by'ingenzi byo kwibuka ni ukubona ubuvuzi bukwiye, gukurikiza gahunda yawe y'ubuvuzi buri gihe, no kwihangana mu nzira yo gukira. Gutangira hakiri kare bishobora kugufasha gucunga ibimenyetso kandi bishobora gukumira ibibazo bimwe na bimwe.

Niba ufite ibintu byongera ibyago nka diyabete, gukorana n'itsinda ry'abaganga kugira ngo ubone ubuvuzi bukwiye bishobora kugufasha kugabanya ibyago byo kurwara icyamaze cy'ikibuno cyangwa kugira ibibazo niba ubaye ufite.

Ibibazo byakunda kubaho ku cyamaze cy'ikibuno

Icyamaze cy'ikibuno kiramara igihe kingana iki?

Icyamaze cy'ikibuno gisanzwe kiramara imyaka 1-3, gicamo ibice bitatu. Icyiciro cy'ububabare gisanzwe kiramara amezi 2-9, gikurikirwa n'icyiciro cy'ubukomeye kiramara amezi 4-12, hanyuma kikarangira n'icyiciro cyo gukira kiramara amezi 12-42. Ariko kandi, bamwe bashobora kugira ibimenyetso igihe kirekire, cyane cyane niba bafite diyabete.

Icyamaze cy'ikibuno gishobora kuba mu bibuno byombi icyarimwe?

Birakomeye ko bibuno byombi bigira icyamaze icyarimwe. Ariko kandi, niba warigeze ufite icyamaze cy'ikibuno mu kibuno kimwe, ufite ibyago byinshi byo kugira icyamaze cy'ikibuno mu kindi kibuno mu gihe runaka. Ibi bisanzwe bibaho nyuma y'imyaka aho kuba icyarimwe.

Nzasubiza ubushobozi bwo kugenda kw'ikibuno cyanjye?

Abantu benshi basubiza ubushobozi bwo kugenda kw'ikibuno, benshi bagaruka ku kugenda bisanzwe. Ariko kandi, bamwe bashobora kugira ubukomere bucye cyangwa ububabare bucye nubwo uburwayi bumaze gukira. Uko gukira bishobora gutandukana bitewe n'ibintu nka myaka, ubuzima rusange, n'uko ukurikiza gahunda yawe y'ubuvuzi.

Icyamaze cy'ikibuno kimwe na rotator cuff tear?

Oya, ibi ni uburwayi butandukanye, nubwo rimwe na rimwe bishobora kuba hamwe. Icyamaze cy'ikibuno gifata igice cy'uruti kandi giterwa n'ubukomeye mu buryo bwose, mu gihe rotator cuff tears ifata imikaya n'udusembwa. Muganga wawe ashobora kubona itandukaniro hagati y'ubu burwayi binyuze mu isuzuma n'amashusho niba ari ngombwa.

Umuvuduko cyangwa ibintu by'amarangamutima bishobora gutera icyamaze cy'ikibuno?

Nubwo umuvuduko udatera icyamaze cy'ikibuno, ushobora gutera ubukomere bw'imikaya kandi ushobora kugira ingaruka ku buryo umubiri wawe uhangana n'uburyo bwo kwivura. Bamwe babona ibimenyetso byabo birushaho kuba bibi mu bihe by'umuvuduko. Gucunga umuvuduko binyuze mu mikino yo kuruhuka, imyitozo ngororamubiri, no gusinzira bihagije bishobora kugufasha gucunga ibimenyetso.