Ese icyo ari cyo? Ibimenyetso, Intandaro, n'Ubuvuzi

Ese icyo ni umukondo wuzuye amazi ugaragara hafi y'ingingo cyangwa imitsi, cyane cyane ku ijosi n'amaboko. Iyi miborere yoroheje kandi yuzuye amazi asa n'ikijyambere kandi nta cyago cyangwa akaga ku buzima bwawe.

Tekereza kuri ese icyo nk'uburyo umubiri wawe bwo gukora igice gito aho hari umuvuduko mwinshi ku ngingo. Nubwo bishobora kugaragara nk'iby'ubwoba igihe ubimenye bwa mbere, iyi miborere iri mu ndwara zihura n'abaganga benshi, kandi akenshi iba ari ikibazo cy'ubwiza kuruta ubutabazi bwihuse.

Ni ibihe bimenyetso bya ese icyo?

Ikimenyetso cyihuse cya ese icyo ni umukondo ugaragara ugaragara buhoro buhoro igihe kinini. Uyu mukonde akenshi aba yoroheje kandi asa n'aho ari mworoshye iyo umukandagiyeho, nubwo imiborere imwe ishobora kumvikana nk'ikomeye bitewe n'amazi arimo.

Dore ibimenyetso bisanzwe ushobora kugira:

• Umudugudu ufite ishusho y'umuringa cyangwa oval ugaragara neza munsi y'uruhu rwawe
• Uburyo bworoshye, buhumuza buhinduka gato iyo bukandagiweho
• Ubunini bushobora guhinduka kuva ku bunini bw'ibishyimbo kugeza ku bunini bw'umupira wa golf
• Kubabara gato cyangwa kudakunda, cyane cyane nyuma yo gukoresha ingingo zangiritse
• Ubukorerwe mu ngingo hafi, cyane cyane mu gitondo
• Kugira uburibwe cyangwa kubabara mu gihe umukondo usunika imitsi iri hafi
• Intege nke mu gukomera kw'intoki iyo umukondo uri ku ijosi ryawe

Ese icyo cyinshi nta bubabare, ariko ushobora kubona kudakunda iyo umukondo usunika imitsi iri hafi cyangwa ikabangamira imiterere y'ingingo. Ibimenyetso bikunze kuza no kugenda, kandi ushobora kubona ko umukondo uhindura ubunini bitewe n'ibikorwa byawe.

Mu bihe bitoroshye, ese icyo bishobora gutera igitutu kinini ku mitsi, bigatuma habaho uburibwe buhoraho, kubabara, cyangwa intege nke z'imitsi mu gice cyangiritse. Nubwo bidafite akaga, ibi bimenyetso bisaba ubutabazi bwihuse kugira ngo birinde ingaruka z'igihe kirekire.

Ni iyihe mitype ya ese icyo?

Ese icyo igereranywa hashingiwe aho itera ku mubiri wawe. Aho itera akenshi igena ibimenyetso uzagira n'uburyo bwo kuvura muganga ashobora kugutegurira.

Ubwoko busanzwe harimo:

• Ese icyo cy'ejosi ry'intoki: Iterera inyuma y'intoki, akenshi hafi y'ingingo ya scapholunate
• Ese icyo cy'intoki yo hasi: Iterera ku ruhande rw'intoki, akenshi hafi y'umutsi wa radial
• Ese icyo cy'intoki: Igaragara ku ntoki zawe, akenshi hafi y'ingingo cyangwa ku mutsi
• Ese icyo cy'ikirenge n'akaguru: Iterera hafi y'ingingo y'akaguru cyangwa hejuru y'ikirenge
• Ese icyo cy'ivi: Iterera inyuma y'ivi, ikora icyo rimwe na rimwe bitwa Baker's cyst

Ese icyo cy'intoki ni cyo kiba cyane, kigize hafi 60-70% bya ese icyo yose. Ese icyo cy'intoki yo hasi ni ingenzi cyane kubikurikirana kuko biherereye hafi y'imitsi minini n'imitsi, bigatuma bishobora kuba bifite ibimenyetso.

Gake, ese icyo bishobora gutera ahantu hatamenyekanye nka ku rutugu, ku kuboko, cyangwa ndetse imbere mu ngingo aho bitagaragara hanze. Iyi miborere iri mu ngingo ni mike cyane ariko ishobora gutera ububabare bw'ingingo n'ubukorwe nta mukonde ugaragara hanze.

Ese icyo gitera iki?

Intandaro nyayo ya ese icyo ntiyumvikana neza, ariko itera iyo amazi ya synovial asisiga ingingo asohotse agakusanyiriza mu gice kimwe. Tekereza kuri yo nk'umupira muto wuzuye amazi asanzwe umubiri wawe ukora kugira ngo ingingo zigume zikora neza.

Ibintu byinshi bishobora gutera iterambere rya ese icyo:

• Ingingo cyangwa imitsi ikomeretse kubera imikorere isubiramo cyangwa gukoresha cyane
• Ikindi gikomere ku ngingo, umutsi, cyangwa imitsi muri ako gace
• Uburwayi bw'ingingo cyangwa izindi ndwara z'ingingo ziterwa n'uburibwe
• Kwambara no gukura kw'ingingo uko ugenda ukura
• Gutangira mu muryango, kuko ese icyo rimwe na rimwe biba mu miryango
• Imbaraga z'igitsina, aho abagore bashobora kubirwara kurusha abagabo

Ese icyo cyinshi igaragara nta kintu cyangiritse cyangwa gikomere. Umubiri wawe ukora amazi ya synovial kugira ngo ingingo zigume zimeze neza, kandi rimwe na rimwe aya mazi ashobora gukusanyiriza hanze y'ingingo, akora umukondo.

Mu bihe bitoroshye, ese icyo bishobora gutera nyuma y'ubukomere bukomeye ku ngingo, nko kuvunika cyangwa gukomeretsa cyane. Iyi miborere nyuma y'ubukomere ishobora kumara amezi cyangwa imyaka kugira ngo igaragare nyuma y'ubukomere bwa mbere, bigatuma isano iba idasobanutse.

Ni ryari ukwiye kubona muganga kubera ese icyo?

Nubwo ese icyo cyinshi ari nta cyago kandi bidakeneye ubutabazi bwihuse, ibimenyetso bimwe na bimwe bikwiye gutuma utegura gahunda yo kubona muganga. Buri gihe ni byiza ko umukondo mushya ugenzurwa kugira ngo hamenyekane icyo ari cyo kandi hakurikiranwe izindi ndwara.

Ukwiye kubona umukozi w'ubuzima niba ufite:

• Umudugudu ukura vuba uhindura ubunini vuba mu minsi cyangwa mu byumweru
• Ububabare bukomeye buvangira ibikorwa bya buri munsi cyangwa ibitotsi
• Kubabara, kubabara, cyangwa intege nke mu gice cyangiritse
• Gukora ingingo nabi cyangwa ubukorerwe bukomeye
• Ibimenyetso by'indwara nko gutukura, ubushyuhe, cyangwa umuriro
• Umudugudu ukomeye, udashobora kugenda utoroheye cyangwa utoroshye
• Ubwoba ubwo aribwo bwose ku isura cyangwa kumva umukondo

Ntugatinye gushaka ubuvuzi niba umukondo ubangamira ubushobozi bwawe bwo gukora, imyitozo ngororamubiri, cyangwa gukora imirimo ya buri munsi neza. Nubwo umukondo atari mubisha, uburyo bwo kuvura bushobora gufasha gusubiza imikorere no kugabanya ububabare.

Shaka ubutabazi bwihuse niba ufite ububabare bukomeye butunguranye muri ako gace, ibimenyetso by'indwara, cyangwa niba utakaza ubwenge cyangwa imikorere y'intoki cyangwa intoki zawe. Nubwo bidafite akaga, ibi bimenyetso bishobora kugaragaza ingaruka zikeneye ubuvuzi bwihuse.

Ni ibihe bintu byongera ibyago bya ese icyo?

Kumva ibyago byawe bishobora kugufasha kumenya impamvu ese icyo gishobora kuba cyaragaragaye niba ushobora kubirwara ukundi mu gihe kizaza. Nubwo umuntu wese ashobora kubirwara, ibintu bimwe na bimwe bibitera cyane.

Ibyago by'ingenzi harimo:

• Imyaka: Biba cyane hagati y'imyaka 15 na 40, nubwo bishobora kubaho mu myaka yose
• Igitsina: Abagore bafite amahirwe menshi yo kubirwara kurusha abagabo inshuro eshatu
• Gukoresha ingingo buri gihe: Ibikorwa bikubiyemo imikorere isubiramo y'intoki cyangwa amaboko
• Ikindi gikomere ku ngingo: Amateka y'ubukomere ku ntoki, amaboko, cyangwa izindi ngingo zikunze kwangirika
• Uburwayi bw'ingingo: Ububabare bw'ingingo buterwa na osteoarthritis cyangwa rheumatoid arthritis
• Amateka y'umuryango: Kugira abavandimwe bafite ese icyo byongera amahirwe yawe
• Imibereho imwe: Imibereho isaba imikorere isubiramo y'amaboko cyangwa gufata

Abakinnyi bakora siporo zikubiyemo imikorere isubiramo y'intoki, nka gymnastics, tennis, cyangwa golf, bashobora kugira ibyago byinshi byo kubirwara. Ariko kandi, iyi miborere ishobora kandi kugaragara mu bantu bafite ubuzima buhagaze, igaragaza ko urwego rw'ibikorwa rwose ntabwo ari rwo rugena ibyago.

Icyo dukunda ni uko abantu bamwe babirwara inshuro nyinshi mu buzima bwabo, abandi ntibabirwara na rimwe. Ibi bigaragaza ko imiterere y'umuntu n'imiterere y'umuryango bigira uruhare runini mu kumenya uko umuntu yandura, nubwo abashakashatsi bagikora ubushakashatsi ku mpamvu abantu bamwe bafite amahirwe menshi yo kubirwara.

Ni iyihe ngaruka zishoboka za ese icyo?

Ese icyo cyinshi kiguma ari nta cyago mu gihe cyose cyabaho kandi ntikitera ingaruka zikomeye. Ariko, kumva ibibazo bishoboka bishobora kugufasha gukurikirana umukondo wawe neza no kumenya igihe ukwiye gushaka ubutabazi bundi.

Ingaruka zishoboka harimo:

• Igititu ku mitsi gitera uburibwe buhoraho cyangwa kubabara
• Kugabanuka kw'ubushobozi bwo kugenda mu ngingo zangiritse
• Ububabare buhoraho buvangira ibikorwa bya buri munsi
• Intege nke z'imitsi ziterwa n'igitutu cy'imitsi igihe kirekire
• Ibibazo by'ubwiza bigira ingaruka ku kwiyubaha
• Ibintu bigabanya imikorere mu kazi cyangwa mu bikorwa byo kwidagadura
• Ubukorerwe bw'ingingo buterwa no kwirinda kugenda

Igititu ku mitsi ni cyo kibazo gikomeye cyane, cyane cyane kuri ese icyo cy'intoki yo hasi gishobora gusunika imitsi ikomeye hafi y'intoki yawe. Niba bitavuwe, igitutu cy'imitsi igihe kirekire gishobora gutera uburibwe buhoraho cyangwa intege nke, nubwo bidafite akaga.

Mu bihe bitoroshye, ese icyo bishobora kwangirika byihuse, bigatera ububabare bw'igihe gito n'uburibwe uko amazi akwirakwira mu mubiri. Nubwo ari ikintu giteye ubwoba, ibi bisanzwe bikira byonyine uko umubiri wawe usubiza amazi, nubwo umukondo ushobora kongera kugaragara nyuma.

Abantu bamwe babona ububabare buhoraho cyangwa ubukorerwe nubwo bavuwe neza, cyane cyane niba umukondo wari uhari igihe kirekire mbere yo kuvurwa. Ibi bishimangira akamaro ko kuvura imiborere itera ibimenyetso aho gutegereza igihe kirekire kugira ngo ikire yonyine.

Ese icyo birashobora gukumirwa?

Ikibabaje ni uko nta buryo bwo gukumira ese icyo buhamye kuko akenshi biba nta kintu cyangiritse cyangwa gikomere. Ariko, kwita neza ku ngingo zawe no kwirinda umuvuduko utari ngombwa kuri zo bishobora kugufasha kugabanya ibyago.

Dore imwe mu ngamba rusange zishobora gufasha:

• Koresha uburyo bwiza bwo gukora, cyane cyane niba ukora imirimo isubiramo
• Fata ibiruhuko buri gihe mu gihe cy'ibikorwa bisunika intoki cyangwa amaboko yawe
• Komeza ubuzima bwiza bw'ingingo binyuze mu myitozo ngororamubiri yoroheje n'imikino yo gushimangira
• Kwita ku bikomere by'ingingo vuba kandi gukurikiza ubuvuzi bwategetswe
• Kwita neza ku burwayi bw'ingingo cyangwa uburwayi bw'uburibwe
• Koresha ibikoresho byo kurinda mu gihe cy'imikino cyangwa ibikorwa bishobora gutera ubukomere bw'ingingo

Nubwo ibi bishobora kudakwemerera kutazagira ese icyo, bishyigikira ubuzima bwiza bw'ingingo kandi bishobora kugabanya amahirwe y'indwara ziterwa no gukora ese icyo. Wibuke ko abantu benshi babirwara nubwo bitaye neza ku ngingo zabo.

Niba warigeze kugira ese icyo, nta buryo bwihariye bwo kubikumira, kuko bishobora kugaruka nubwo byavuwe neza. Shyira imbaraga mu gukomeza ubuzima bwiza bw'ingingo no gukurikirana imiborere mishya cyangwa ibimenyetso bigaragara igihe kinini.

Ese icyo bipimwa bite?

Kumenya ese icyo bisanzwe bitangira hakoreshejwe isuzuma ry'umubiri aho muganga azareba kandi akumva umukondo. Abaganga benshi bafite ubunararibonye bashobora kumenya ese icyo hashingiwe ku isura yayo n'aho iherereye.

Mu gihe cy'isuzuma, muganga azareba ibintu by'ingenzi byinshi:

• Ubunini, ishusho, n'uburyo bw'umukondo
• Niba umukondo uhinduka uko imitsi igenda
• Ubushobozi bwawe bwo kugenda mu ngingo zangiritse
• Ibimenyetso by'igitutu ku mitsi cyangwa intege nke z'imitsi
• Igihe umukondo umaze uhari n'impinduka zose mu bunini

Isuzuma rimwe ryoroshye muganga ashobora gukora ni transillumination, aho akoresha umucyo ukomeye mu mukonde. Ese icyo yuzuye amazi meza bizemerera umucyo kunyuramo, bikora isura y'umucyo ifasha kwemeza icyo ari cyo.

Niba icyo ari cyo kitagaragara neza mu isuzuma ry'umubiri gusa, muganga ashobora kugutegurira ibizamini by'amashusho. Ultrasound akenshi iba ari yo mbere kuko idakomeretsa kandi ishobora kugaragaza neza imiterere yuzuye amazi y'umukondo ndetse inerekana isano yayo n'ingingo cyangwa imitsi iri hafi.

Mu bihe bimwe na bimwe, cyane cyane iyo umukondo uri ahantu hatamenyekanye cyangwa udafite ibimenyetso bisanzwe, muganga ashobora gutegeka MRI scan. Ibi bitanga amashusho arambuye y'imiterere yoroheje kandi bishobora gufasha gutandukanya ese icyo n'izindi mitype y'imiborere cyangwa udukoko.

Gake, niba hari ubwoba ku cyo ari cyo, muganga ashobora kugutegurira aspiration, aho akoresha umwenge muto wo gukurura amazi mu mukonde. Amazi asanzwe akomeye, meza, asa n'ikijyambere yemeza icyo ari cyo kandi ashobora kandi gufasha kugabanya ibimenyetso by'igihe gito.

Ni ubuhe buvuzi bwa ese icyo?

Ubuvuzi bwa ese icyo biterwa niba bitera ibimenyetso n'uburyo bigira ingaruka ku buzima bwawe bwa buri munsi. Abaganga benshi bagira inama yo gutangira gukurikirana no gukoresha uburyo bworoshye, cyane cyane kuri miborere mito, idatera ububabare.

Uburyo nyamukuru bwo kuvura harimo:

• Gukurikirana: Gukurikirana umukondo gusa niba utatera ibibazo
• Guhindura ibikorwa: Kwirinda imikorere irushaho kuba mbi
• Splinting: Gukoresha umukandara wo kuruhuka ingingo zangiritse
• Aspiration: Gukurura amazi hamwe n'umwenge
• Injisi ya Steroid: Ongera umuti ugabanya ububabare nyuma yo gukurura
• Kubaga: Gukuraho umukondo n'isano yayo n'ingingo

Hafi 40-50% bya ese icyo bizakira byonyine igihe kinini, niyo mpamvu abaganga benshi bagira inama yo kureba no gutegereza mbere. Ubu buryo bukora neza cyane kuri miborere mito, idatera ububabare idabangamira imikorere.

Aspiration ishobora gufasha vuba kandi nta gukomeretsa, ariko imiborere isubira mu gihe cya 50-80% kuko isano n'ingingo igumyeho. Muganga ashobora kugutegurira ubu buryo niba ukeneye gufashwa by'igihe gito mu birori by'ingenzi cyangwa ibikorwa.

Kubaga bitanga umubare muke cyane wo gusubira, hamwe n'amahirwe yo gutsinda ya 85-95%, ariko bikubiyemo igihe kinini cyo gukira n'ingaruka zishoboka. Muganga azakugira inama yo kubaga kugira ngo akureho imiborere itera ububabare buhoraho, ibangamira imikorere, cyangwa ikomeza kugaruka nyuma y'ubundi buvuzi.

Uko wakwitwara mu rugo

Niba uhisemo gukurikirana umukondo wawe cyangwa utegereje gahunda yo kubona muganga, uburyo bwinshi bwo kwitwara mu rugo bushobora kugufasha kuguma utekanye no kwirinda ko umukondo urushaho kuba mubi.

Uburyo bwiza bwo kwita mu rugo harimo:

• Gushyiraho igikombe icyumweru cyangwa iminota 15 inshuro nyinshi buri munsi kugira ngo ugabanye ububabare
• Gufata imiti igabanya ububabare nka ibuprofen cyangwa acetaminophen
• Gukoresha umukandara w'intoki cyangwa umukandara mu gihe cy'ibikorwa biterwa n'ububabare
• Kwima imikorere isubiramo isa nko kubabaza umukondo
• Imikino yoroheje yo kugenda kugira ngo wirinde ubukorerwe bw'ingingo
• Komeza ako gace meze neza kandi ukomeze ukurebe impinduka

Ntugerageze 'gukanda' cyangwa kwangiza ese icyo wenyine, kuko bishobora gutera indwara, ububabare bwinshi, cyangwa kwangiza imiterere iri hafi.

Witondere ibikorwa bisa nko gutuma umukondo wawe ukura cyangwa ugatera ububabare, kandi gerageza guhindura ibyo bikorwa niba bishoboka. Abantu benshi basanga ibimenyetso byabo bihinduka bitewe n'ibikorwa, impinduka z'ikirere, cyangwa umunaniro.

Komeza inyandiko yoroshye y'ibimenyetso byawe, ugaragaze igihe umukondo usa n'ukomeye, muto, cyangwa ububabare. Aya makuru ashobora kuba afite akamaro mu gihe uganira ku buryo bwo kuvura n'umukozi w'ubuzima wawe kandi afasha gukurikirana niba umukondo uhagaze cyangwa uhinduka igihe kinini.

Uko wakwitegura gahunda yawe yo kubona muganga

Kwitunganya mbere yo kubona muganga bituma uhabwa agaciro kenshi mu gihe cyawe hamwe n'umukozi w'ubuzima kandi bimufasha gukora isuzuma ryiza n'ibyifuzo byo kuvura.

Mbere y'igahunda yawe, kora ibi bintu by'ingenzi:

• Igihe wabonye umukondo bwa mbere n'uko wahindutse
• Ibikorwa cyangwa ubukomere bishobora kuba bifitanye isano n'iterambere ryabwo
• Ibimenyetso ufite, harimo ububabare, ubukorerwe, cyangwa kubabara
• Imiti ufashe ubu, harimo n'ibindi
• Ubuvuzi warigeze kugerageza n'ingaruka zabyo
• Uko umukondo ubangamira ibikorwa byawe bya buri munsi, akazi, cyangwa ibikorwa byo kwidagadura
• Amateka y'umuryango w'imiborere isa cyangwa ibibazo by'ingingo

Andika ibibazo ushaka kubaza, nko kumenya niba umukondo uzakira wenyine, uburyo bwo kuvura buhari, cyangwa igihe ushobora gukenera kubagwa. Ntugatinye kubaza icyo ari cyo cyose gikubabaza.

Tekereza kuzana umuntu wo mu muryango cyangwa inshuti ishobora kugufasha kwibuka amakuru yavuzwe mu gihe cy'igahunda. Kugana kwa muganga bishobora kuba bibi, kandi kugira ubufasha bishobora gufasha kwemeza ko usobanukiwe neza amahitamo yawe.

Niba bishoboka, wirinde gutegura gahunda yawe nyuma y'ibikorwa bishobora gutuma umukondo usa n'ukomeye cyangwa ufite ibimenyetso, kuko bishobora kugira ingaruka ku isuzuma. Ariko, ubwira muganga wawe niba ibikorwa bimwe na bimwe bikomeza kuba bibi.

Icyo wakuramo kuri ese icyo

Ese icyo ni imiborere isanzwe, idakomeye itera hafi y'ingingo n'imitsi, cyane cyane ku ntoki n'amaboko. Nubwo bishobora kugaragara nk'iby'ubwoba igihe ubimenye bwa mbere, iyi miborere yuzuye amazi ntabwo ari mibi kandi akenshi ikira yonyine nta buvuzi.

Ikintu cy'ingenzi cyo kwibuka ni uko ese icyo atari kanseri kandi gake cyane biterwa n'ingaruka zikomeye. Abantu benshi babana neza n'imiborere yabo imyaka myinshi, bashaka ubuvuzi gusa niba bibabaje cyangwa bigira ingaruka ku bikorwa bya buri munsi.

Ufite uburyo bwo kuvura buhamye, kuva ku gukurikirana gusa kugeza ku kubaga, bitewe n'ibimenyetso byawe n'ibyo ukunda. Gukorana n'umukozi w'ubuzima bishobora kugufasha kumenya uburyo bwiza kuri wewe.

Nturetse ubwoba cyangwa isoni bikubuza gushaka isuzuma rya muganga niba uhangayikishijwe n'umukondo uwo ari wo wose ku mubiri wawe. Kumenya hakiri kare bitanga amahoro yo mu mutima kandi bituma uhabwa uburyo bwiza bwo kuvura niba bikenewe.

Ibibazo bikunze kubaho kuri ese icyo

Ese icyo bishobora guhinduka kanseri?

Oya, ese icyo ntibishobora guhinduka kanseri. Ni imiborere yuzuye amazi idakomeye idafite ubushobozi bwo guhinduka mubisha. Ariko, buri gihe ni byiza ko umukondo mushya ugenzurwa n'umukozi w'ubuzima kugira ngo hamenyekane icyo ari cyo kandi hakurikiranwe izindi ndwara.

Ese umukondo wanjye uzakira wenyine?

Hafi 40-50% bya ese icyo bikira byihuse mu mezi cyangwa imyaka nta buvuzi. Nta buryo bwo kumenya ese icyo kizakira neza, ariko abantu benshi basanga imiborere yabo igabanuka cyangwa ikagenda burundu mu gihe cy'ibikorwa bike cyangwa kuruhuka kw'ingingo.

Ese ni byiza kwirengagiza ese icyo?

Niba ese icyo yawe ari nto, idatera ububabare, kandi idabangamira ibikorwa byawe, bisanzwe ari byiza kuyikurikirana aho kuyivura vuba. Ariko, ukwiye kubona muganga niba umukondo ukura vuba, ugatera ububabare, cyangwa ugatera kubabara cyangwa intege nke mu gice cyangiritse.

Ese nashobora gukumira ese icyo kudakira nyuma yo kuvurwa?

Ikibabaje ni uko nta buryo bwo gukumira ese icyo kudakira, nubwo byavuwe neza. Imiborere ishobora kugaruka nyuma y'amezi cyangwa imyaka, cyane cyane nyuma yo gukurura. Kubaga bitanga umubare muke cyane wo gusubira, ariko nubwo kubaga ntibyizeza ko umukondo utazakira.

Ese ese icyo biba mu miryango?

Bisa nkaho hari igice cy'imiterere y'umuryango mu iterambere rya ese icyo, kuko rimwe na rimwe biba cyane mu miryango imwe. Ariko, kugira umuntu wo mu muryango ufite ese icyo ntibisobanura ko uzabirwara, kandi abantu benshi bafite imiborere nta mateka y'umuryango w'iyi ndwara.