Ububabare Bw'Amavi

Kubabara kwa mugongo ni ikibazo gisanzwe kibangamiye abantu b'ingeri zose. Kubabara kwa mugongo bishobora guterwa n'imvune, nko gucika kw'ingingo cyangwa gucika kw'umwenda. Indwara - zirimo uburwayi bw'amagufa, igicuri n'indwara zandura - zishobora kandi guteza ububabare bw'amaguru.

Ubundi bwoko bwinshi bw'ububabare buke bw'amaguru bushobora kuvurwa neza hifashishijwe uburyo bwo kwita ku buzima bwite. Umuti wo kuvura umubiri n'udupfukamunwa by'amaguru bishobora kandi gufasha kugabanya ububabare. Ariko rero, hari igihe umugongo wawe ushobora gusaba kuvurwa.

Ububabare bw'amavi aho bubabaye n'uburemere bwabwo bishobora guhinduka bitewe n'icyo kibazo cyatewe. Ibimenyetso n'ibibonwa rimwe na rimwe bifatanije n'ububabare bw'amavi birimo: Kubyimba no gukakara Urubobo n'ubushyuhe iyo ukozeho Intege nke cyangwa kudakomera Gududubya cyangwa guhantuka Kudakora neza ukuguru Kanda muganga wawe niba: Udashobora gushyira umubare ku mavi yawe cyangwa ukumva nk'aho ivi ryawe ritakomera cyangwa ridafite imbaraga Ufite kubyimba cyane mu mavi Udashobora gukorakora cyangwa gukomanga ivi ryawe Ubona ikosa rigaragara mu kuguru kwawe cyangwa mu ivi Ufite umuriro, uherekejwe n'ubururu, ububabare no kubyimba mu ivi Ufite ububabare bukabije mu ivi buherekejwe n'imvune

Hamagara muganga wawe niba:

• Udashobora gushyira umubare ku ivi ryawe cyangwa ukumva nk'aho ivi ryawe ritajya ahabona cyangwa ridashobora gukomeza
• ufite kubyimba k' ivi cyane
• Udashobora kwagura cyangwa kugerageza ivi ryawe rwose
• ubona ikosa rigaragara mu kuguru kwawe cyangwa mu ivi
• ufite umuriro, uherekejwe n' uburibwe, ububabare no kubyimba mu ivi
• ufite ububabare bukabije mu ivi buherekejwe n' imvune

Kubabara amaguru bishobora guterwa n'imvune, ibibazo bya mekaniki, ubwoko bw'indwara z'amagufa n'ibindi bibazo.

Umujinya wa anterior cruciate (ACL) ni umwe mu migi y'ingenzi ifasha gukomera uruhuri rw'amaguru. ACL ihuza ipfundo ry'umugongo (femur) n'igitugu (tibia). Akenshi iracika mu mikino isaba guhagarara cyangwa guhindura icyerekezo imburagihe — nko mu mupira w'amaguru, umupira w'amaguru, tenisi na volleyball.

Meniscus ni igice gifite ishusho ya C cy'umubiri ukomeye, woroshye, ukora nk'umwanya hagati y'igitugu n'umugongo. Ishobora gucika iyo utwikira ukuguru imburagihe mugihe urimo kubyikiraho.

Imvune y'amaguru ishobora kugira ingaruka ku mizi, imitsi cyangwa imifuka yuzuye amazi (bursae) izengurutse uruhuri rw'amaguru hamwe n'amagufa, umubiri n'imizi bigize uruhuri ubwayo. Zimwe mu mvune z'amaguru zikunze kugaragara harimo:

• Imvune ya ACL. Imvune ya ACL ni ukwangirika kw'umujinya wa anterior cruciate (ACL) — umwe mu migi ine ihuza igitugu cyawe n'umugongo. Imvune ya ACL ikunze kugaragara cyane mu bantu bakina umupira w'amaguru, umupira w'amaguru cyangwa indi mikino isaba guhindura icyerekezo imburagihe.
• Amagufa yaciwe. Amagufa y'amaguru, harimo n'igitugu (patella), ashobora gucika mu gihe cyo kugwa cyangwa impanuka z'imodoka. Nanone, abantu bafite amagufa yaciwe n'osteoporose rimwe na rimwe bashobora gukomereka mu kuguru gusa no gukandagira nabi.
• Meniscus yaciwe. Meniscus ni umubiri ukomeye, woroshye, ukora nk'umwanya hagati y'igitugu cyawe n'umugongo. Ishobora gucika iyo utwikira ukuguru imburagihe mugihe urimo kubyikiraho.
• Kubabara mu maguru. Zimwe mu mvune z'amaguru ziterwa no kubabara mu mifuka mito mito yuzuye amazi ikomeza hanze y'uruhuri rw'amaguru kugira ngo imitsi n'imizi zitembere neza ku ruhuri.
• Patellar tendinitis. Tendinitis itera uburibwe no kubabara mu mizi imwe cyangwa nyinshi — imyenda ikomeye, ifite ibara ry'umutuku ihuza imitsi n'amagufa. Ubu buribwe bushobora kubaho iyo hari imvune ku mutsi wa patellar, uvana ku gitugu (patella) kugeza ku gitugu kandi ukwemerera gutera, kwiruka no gusimbuka. Abakinnyi, abasimburuka, abagendera kuri velo, n'abakora imikino yo gusimbuka n'ibikorwa bashobora kurwara patellar tendinitis.

Bimwe mu bintu bya mekaniki bishobora gutera kubabara mu maguru harimo:

• Umujinya ucika. Rimwe na rimwe imvune cyangwa kwangirika kw'igugu cyangwa umubiri bishobora gutuma igice cy'igugu cyangwa umubiri kigwa mu mwanya w'uruhuri. Ibi bishobora kutazana ibibazo keretse iyo umujinya ucika ubangamira imiterere y'uruhuri rw'amaguru, muri uru rubanza ingaruka ni nk'ikaramu ifunze mu muryango.
• Iliotibial band syndrome. Ibi bibaho iyo umugozi ukomeye w'umubiri uvana hanze y'ikibero kugeza hanze y'ukuguru (iliotibial band) uhinduka ukomeye ku buryo ukubita ku gice cy'inyuma cy'umugongo wawe. Abakinnyi bakora intera ndende n'abagendera kuri velo ni bo bakunze kurwara iliotibial band syndrome.
• Igitugu cyavuye ku mwanya wacyo. Ibi bibaho iyo igice cy'igugu gifata imbere y'ukuguru (patella) kivuye ku mwanya wacyo, akenshi hanze y'ukuguru. Mu bimwe mu bihe, igitugu gishobora kuguma kitari ku mwanya wacyo kandi uzabona ko cyavuye ku mwanya wacyo.
• Kubabara mu kirenge cyangwa mu kirenge. Niba ufite ububabare mu kirenge cyangwa mu kirenge, ushobora guhindura uburyo ugenda kugira ngo urinde uruhuri rwababara. Ariko ubu buryo bwo kugenda bushobora gushyira umuvuduko mwinshi ku ruhuri rw'amaguru kandi bugatera kubabara mu maguru.

Hariho ubwoko burenze 100 bw'indwara z'amagufa. Ubwoko bushobora kugira ingaruka ku maguru harimo:

• Osteoarthritis. Rimwe na rimwe yitwa indwara y'amagufa, osteoarthritis ni yo ndwara y'amagufa ikunze kugaragara. Ni indwara iterwa no kwambara no gukuraho ikibaho mu maguru yawe iyo umubiri ukoresha n'imyaka.
• Rheumatoid arthritis. Ubwoko bukaze cyane bw'indwara z'amagufa, rheumatoid arthritis ni indwara y'umubiri ubwayo ishobora kugira ingaruka kuri buri ruhuri mu mubiri wawe, harimo n'amaguru. Nubwo rheumatoid arthritis ari indwara ikaze, ikunze guhinduka mu buryo bukomeye kandi ishobora no kuza no kugenda.
• Gout. Ubwoko bw'indwara z'amagufa buva mu mwinjiriro ya acide ya uric mu ruhuri. Nubwo gout ikunze kugira ingaruka ku rutugu rukuru, ishobora kandi kuba mu maguru.
• Pseudogout. Akenshi yitiranywa na gout, pseudogout iterwa n'imyunyu irimo calcium itera mu mazi y'uruhuri. Amaguru ni yo ruhuri akunze kugira ingaruka kuri pseudogout.
• Septic arthritis. Rimwe na rimwe uruhuri rw'amaguru rushobora kwandura, bigatera kubyimba, kubabara no kuba umutuku. Septic arthritis ikunze kubaho hamwe na fiive, kandi akenshi nta mvune ibaho mbere y'uko ububabare butangira. Septic arthritis ishobora vuba kwangiza cyane umubiri w'amaguru. Niba ufite ububabare mu maguru hamwe n'ibimenyetso bya septic arthritis, reba muganga wawe vuba.

Patellofemoral pain syndrome ni ijambo rusange rivuga ububabare buva hagati y'igitugu n'umugongo uri munsi yacyo. Ikunda kugaragara mu bakinnyi; mu rubyiruko, cyane cyane abafite igitugu kidakurikira neza mu mwanya wacyo; no mu bakuze, akenshi barwara iyi ndwara kubera indwara y'amagufa y'igitugu.

Ibibazo byinshi bishobora kongera ibyago byo kugira ibibazo by'amavi, birimo:

• Umurire ukabije. Kumera ibiro birenze urugero cyangwa kuba mu ndwara y'ubunini bw'umubiri byongera umuvuduko ku mavi yawe, ndetse no mu mirimo isanzwe nko kugenda cyangwa kuzamuka no kumanuka. Byongera kandi ibyago byo kurwara osteoarthritis binyuze mu kwihutisha kwangirika kw'umusego w'amavi.
• Kubura ubushobozi bw'imikaya cyangwa imbaraga. Kubura imbaraga n'ubushobozi bw'imikaya bishobora kongera ibyago byo gukomereka amavi. Imikaya ikomeye ifasha gukomeza no kurinda amavi yawe, kandi ubushobozi bw'imikaya bushobora kugufasha kugera ku rugero rwuzuye rw'imikorere.
• Siporo zimwe na zimwe cyangwa imirimo. Siporo zimwe na zimwe zishyira umuvuduko ukabije ku mavi yawe kurusha izindi. Gukina ski ya alpine ifite inkweto zikomeye kandi zishobora gutera impanuka, gusimbuka no guhindura ibyerekezo muri basketball, no gukubita amavi kenshi iyo ugenda cyangwa wiruka byose byongera ibyago byo gukomereka amavi. Imikorere isaba gukoresha amavi kenshi nk'iy'ubwubatsi cyangwa ubuhinzi nayo ishobora kongera ibyago.
• Umuvune wabanje. Kugira umuvune wabanje ku mavi byongera ibyago byo kongera gukomereka amavi.

Si ububabare bwose bw'amavi ari bwo bukomeye. Ariko imvune zimwe na zimwe z'amavi n'ibibazo by'ubuzima, nka osteoarthritis, bishobora gutera ububabare buzamuka, kwangirika kw'ingingo n'ubushobozi buke niba bitavuwe. Kandi kugira imvune y'ivi - kabone niyo yaba nto - bituma bishoboka ko uzagira imvune nk'izo mu gihe kizaza.

N'ubwo atari buri gihe bishoboka gukumira ububabare bw'amavi, ibitekerezo bikurikira bishobora kugufasha kwirinda imvune no kwangirika kw'ingingo:

• Kwirinda ibiro birenze. Komereza ku kurema ibiro bikwiye; ni kimwe mu bintu byiza ushobora gukorera amavi yawe. Buri kilo cyiyongereye gishyira umuvuduko mwinshi ku ngingo zawe, bikongera ibyago byo gukomereka no kurwara osteoarthritis.
• Kuba ufite ubushobozi bwo gukina siporo yawe. Kugira ngo utegure imikaya yawe ku mirimo isabwa mu mikino, fata umwanya wo kuyitoza.
• Kwitoza neza. Kora uburyo n'imikorere y'imikino yawe cyangwa ibikorwa byawe ari byiza uko bishoboka. Amashuri ava ku mwarimu w'umwuga ashobora gufasha cyane.
• Komeza, ugume uhinduka. Imikaya idakomeye ni imwe mu mpamvu nyamukuru itera imvune z'amavi. Uzagira akamaro mu kubaka imikaya yawe ya quadriceps na hamstrings, imikaya iri imbere n'inyuma y'amaguru yawe ifasha gutera inkunga amavi yawe. Imikino yo kubona ubwenge n'ubushishozi ifasha imikaya iri hafi y'amavi yawe gukorana neza. Kandi kubera ko imikaya ikomeye ishobora kandi gutera imvune, gukora imyitozo yo kwaguka ni ingenzi. Gerageza gushyiramo imyitozo yo kugira umubiri uhinduka mu myitozo yawe.
• Kuba wumva neza imyitozo. Niba ufite osteoarthritis, ububabare bw'amavi buhoraho cyangwa imvune zisubira, ushobora kuba ukeneye guhindura uburyo ukora imyitozo. Tekereza guhindura kujya koga, siporo mu mazi cyangwa ibindi bikorwa bidakoresha imbaraga nyinshi - byibuze iminsi mike mu cyumweru. Rimwe na rimwe, kugabanya ibikorwa bikoresha imbaraga nyinshi bizatanga impumuro. Komeza, ugume uhinduka. Imikaya idakomeye ni imwe mu mpamvu nyamukuru itera imvune z'amavi. Uzagira akamaro mu kubaka imikaya yawe ya quadriceps na hamstrings, imikaya iri imbere n'inyuma y'amaguru yawe ifasha gutera inkunga amavi yawe. Imikino yo kubona ubwenge n'ubushishozi ifasha imikaya iri hafi y'amavi yawe gukorana neza. Kandi kubera ko imikaya ikomeye ishobora kandi gutera imvune, gukora imyitozo yo kwaguka ni ingenzi. Gerageza gushyiramo imyitozo yo kugira umubiri uhinduka mu myitozo yawe.

Mu gupima umubiri, muganga wawe ashobora gukora ibi bikurikira:

• Kusuzuma ivi ryawe niba hari kubyimba, ububabare, ubushyuhe, n'ibikomere biboneka.
• Kureba aho ugeza ukuguru kwawe kw'iburyo mu buryo butandukanye.
• Gukanda cyangwa gukurura urugingo kugira ngo asuzume imiterere y'ibice by'ivi ryawe.

Mu bimwe mu bihe, muganga wawe ashobora kugusaba gukora ibizamini nkibi bikurikira:

• X-ray. Muganga wawe ashobora kubanza kugusaba gukora X-ray, ishobora gufasha mu kumenya amagufwa yavunitse n'indwara ziterwa no gukura kw'ingingo.
• Computerized tomography (CT) scan. CT scan ikoresha amashusho ya X-ray aturuka mu bice bitandukanye kugira ngo akore amashusho y'ibice by'umubiri wawe. CT scan ishobora gufasha mu kumenya ibibazo by'amagufwa n'amagufwa yavunitse. Ubwoko bwihariye bwa CT scan bushobora kumenya neza indwara ya gout nubwo ingingo idafite umuriro.
• Ultrasound. Iyi ikoranabuhanga ikoresha amajwi kugira ngo ikore amashusho y'igihe nyacyo y'ibice byoroshye biri mu ivi ryawe no hafi yaryo. Muganga wawe ashobora gushaka ko wimura ivi ryawe mu myanya itandukanye mu gihe cy'isuzuma rya ultrasound kugira ngo asuzume ibibazo byihariye.
• Magnetic resonance imaging (MRI). MRI ikoresha amajwi ya radiyo n'amakadiri akomeye kugira ngo ikore amashusho ya 3D y'imbere y'ivi ryawe. Iki kizamini gifasha cyane mu kumenya imvune z'imiterere yoroshye nka ligaments, tendons, cartilage na muscles.

Niba muganga wawe akeka ko hari ubwandu cyangwa umuriro, ushobora gukora ibizamini by'amaraso, rimwe na rimwe ugahabwa uburyo bwitwa arthrocentesis, aho umwimerere muto uvanwa mu ngingo y'ivi ukoresheje umusego, ukajyanwa muri laboratwari kugira ngo usuzumwe.

Ubuvuzi buzahinduka bitewe n'icyo gituma ugira ububabare mu ivi. Imiti Muganga wawe ashobora kwandika imiti ifasha kugabanya ububabare no kuvura ibibazo bitera ububabare mu ivi ryawe, nka rhumatoïde arthritis cyangwa gout. Ukwongerera imbaraga Imitsi ikikije ivi ryawe izayikomeza. Muganga wawe ashobora kugutegurira gukora imyitozo ngororamubiri cyangwa imyitozo itandukanye yo kongerera imbaraga bitewe n'ikibazo cyihariye gitera ububabare. Niba ukora imyitozo ngororamubiri cyangwa ukina siporo, ushobora kuba ukeneye imyitozo yo gukosora imiterere y'imigendekere ishobora kuba igira ingaruka ku mavi yawe no gushyiraho ubuhanga bwiza mu gihe ukina siporo cyangwa ukora imyitozo ngororamubiri. Imyitozo yo kunoza uburyo bwo kugenda no kubungabunga umubiri na byo ni ingenzi. Ibikoresho byo gushyigikira ibirenge, rimwe na rimwe bifite ibice byo hejuru ku ruhande rumwe rw'agatsinsino, bishobora gufasha gukuraho igitutu ku ruhande rw'ivi rwagizweho ingaruka cyane na osteoarthritis. Mu bihe bimwe na bimwe, ubundi bwoko bw'ibikoresho byo gushyigikira bishobora gukoreshwa mu kurinda no gushyigikira uruti rw'ivi. Injuru Mu bihe bimwe na bimwe, muganga wawe ashobora kugutegurira gutera imiti cyangwa ibindi bintu mu rujobe rwawe. Ingero zirimo: Corticosteroids. Gutera imiti ya corticosteroid mu rujobe rw'ivi ryawe bishobora gufasha kugabanya ibimenyetso by'indwara ya arthritis kandi bigatanga ubuvuzi bw'ububabare bushobora kumara amezi make. Izi njuru ntizikora ku bantu bose. Hyaluronic acid. Icyuya gikaze, gisa n'icyuya gisanzwe gukuraho umwanda mu magufa, hyaluronic acid ishobora guterwa mu ivi ryawe kugira ngo yorohereze kugenda no kugabanya ububabare. Nubwo ibyavuye mu bushakashatsi bitandukanye ku bijyanye n'ingaruka z'ubu buvuzi, kugabanya ububabare bw'urushinge rumwe cyangwa urukurikirane rw'imishinge bishobora kumara igihe kigera ku mezi atandatu. Platelet-rich plasma (PRP). PRP irimo ibintu byinshi bitandukanye byongerera imbaraga bigaragara ko bigabanya kubabara no guteza imbere gukira. Ubushakashatsi bumwe bwagaragaje ko PRP ishobora kugirira akamaro abantu bamwe bafite osteoarthritis, ariko hakenewe ubundi bushakashatsi. Ubuvuzi Niba ufite ikibazo gishobora gusaba ubuvuzi, akenshi ntabwo ari ngombwa kubagwa ako kanya. Mbere yo gufata icyemezo, tekereza ku byiza n'ibibi byo kuvurwa nta buvuzi n'ubusanzwe bwo kuvugurura ugereranije n'icyo ukunda kurusha ibindi. Niba uhisemo kubagwa, amahitamo yawe ashobora kuba ari aya: Arthroscopic surgery. Bitewe n'ikibazo cyawe, muganga wawe ashobora kuba ashobora gusuzuma no gusana ibibazo byawe mu rujobe akoresheje camera ya fiber-optic n'ibikoresho birebire, bito byinjizwa mu duce duto duto tw'ivi ryawe. Arthroscopy ishobora gukoreshwa mu gukuraho ibintu byoroshye mu rujobe rw'ivi ryawe, gukuraho cyangwa gusana cartilage yangiritse (cyane cyane niba ari yo itera ivi ryawe gufunga), no gusana imiyoboro y'imitsi yarasenyutse. Ubuvuzi bwo gusimbuza igice cy'ivi. Muri ubu buvuzi, umuganga wawe asimbuza igice cyangiritse cyane cy'ivi ryawe ibice byakozwe mu muringa na pulasitike. Ubu buvuzi busanzwe bushobora gukorwa mu duce duto, bityo ushobora gukira vuba kurusha uko wakira ubwo kuvura kugira ngo usimbuze ivi ryawe ryose. Gusimbuza ivi ryose. Muri ubu buvuzi, umuganga wawe akuraho igufwa n'umwanda wangiritse mu gice cy'umutwe, mu gice cy'ibirenge no mu ivi, hanyuma akasimbuza uruti rw'igikoresho gikozwe mu muringa, pulasitike nziza n'ibindi bintu. Osteotomy. Ubu buvuzi burimo gukuraho igufwa mu gice cy'umutwe cyangwa mu gice cy'ibirenge kugira ngo uhuze neza ivi kandi ugabanye ububabare bwa arthritis. Ubu buvuzi bushobora kugufasha gutinda cyangwa kwirinda kuvurwa kugira ngo usimbuze ivi ryose. Amakuru y'inyongera Arthroscopy Gusimbuza ivi Gusaba gahunda Hari ikibazo mu makuru yagaragajwe hepfo kandi usubiremo ifishi. Kuva muri Mayo Clinic kugeza muri inbox yawe Kwiyandikisha ubuntu kandi ugume uzi ibyavuye mu bushakashatsi, inama z'ubuzima, ingingo z'ubuzima zigezweho, n'ubuhanga mu gucunga ubuzima. Kanda hano kugira ngo ubone icyitegererezo cya email. Imeri 1 Icyaha Agasanduku k'imeli ni ngombwa Icyaha Kora imeri ikwiye Menya byinshi ku ikoreshwa ry'amakuru rya Mayo Clinic. Kugira ngo tugutange amakuru akwiye kandi afatika, kandi twumve amakuru afatika, dushobora guhuza amakuru yawe ya email n'amakuru y'imikorere ya website hamwe n'andi makuru dufite kuri wewe. Niba uri umurwayi wa Mayo Clinic, ibi bishobora kuba birimo amakuru y'ubuzima abarindwe. 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