Osteochondritis dissecans (os-tee-o-kon-DRY-tis DIS-uh-kanz) ni uburwayi bw’ingingo aho igufwa riri munsi y’umusego w’ingingo ripfa kubera kubura amaraso. Icyo gufwa n’umusego byashobora gucika, bigatera ububabare kandi bikaba byabangamira imiterere y’ingingo.
Osteochondritis dissecans iba cyane mu bana n’abangavu. Ishobora gutera ibimenyetso nyuma yo gukomeretsa ingingo cyangwa nyuma y’amezi menshi y’imikino, cyane cyane imikino ikomeye nko gusimbuka no kwiruka, ikora ku ngingo. Iyi ndwara iba cyane mu ivi, ariko kandi iba mu maboko, mu birenge n’izindi ngingo.
Abaganga bagabanya osteochondritis dissecans hakurikijwe ubunini bw’ubukomere, niba igice cyaciweho kimwe cyangwa byose, niba igice gikomeza kuba ahantu hamwe. Niba igice cy’umusego n’igufwa byaciwe bikomeza kuba ahantu hamwe, ushobora kugira ibimenyetso bike cyangwa nta bimenyetso na bimwe. Ku bana bato bagifite amagufwa akura, ubwo bukomeye bushobora kwivura ubwabwo.
Kubaga bishobora kuba ngombwa niba igice cyaciwe kigenda kikajya hagati y’ibice byimuka by’ingingo yawe cyangwa niba ufite ububabare buhoraho.
Bitewe n'uruti rwagizweho ingaruka, ibimenyetso n'ibibonwa bya osteochondritis dissecans bishobora kuba birimo: Kubabara. Iki kimenyetso cy'osteochondritis dissecans gikunze kugaragara gishobora guterwa n'imikino ngororamubiri - kugenda ku ndunduro, kuzamuka umusozi cyangwa gukina siporo. Kubyimba no kubabara. Uruhu rwo mu karere k'uruti rwawe rushobora kubyimba kandi rugatera ububabare. Uruti rurakanda cyangwa rurakinga. Uruti rwawe rushobora guhindagurika cyangwa guhagarara ahantu hamwe niba igice cyacitse kigize hagati y'amagufa mu gihe cyo kugenda. Intege nke z'uruti. Ushobora kumva nk'aho uruti rwawe "ruri kugenda" cyangwa rugenda rugabanya imbaraga. Kugabanuka kw'ubushobozi bwo kugenda. Ushobora kutamenya neza uko wakosora urugingo rwagizweho ingaruka. Niba ufite ububabare buhoraho cyangwa ububabare mu ivi, mu kuboko cyangwa mu rundi ruti, reba muganga wawe. Ibindi bimenyetso n'ibibonwa bikwiye gutuma uhamagara cyangwa usura muganga wawe birimo kubyimba kw'uruti cyangwa kudakora uruti mu buryo bwuzuye.
Niba ufite ububabare cyangwa ububabare buhoraho mu ivi, mu kuboko cyangwa mu zindi ngingo, reba muganga wawe. Ibindi bimenyetso n'ibibonwa bikwiye gutuma uhamagara cyangwa usura muganga wawe birimo kubyimba kw'ingingo cyangwa kudakora ingingo mu buryo bwuzuye.
Intandaro ya osteochondritis dissecans ntiiramenyekana. Kugabanuka kw'amaraso ajya ku mpera y'igice cy'igitugu cyangiritse bishobora guterwa no gukomeretswa kenshi - ibice bito, byinshi by'imvune nto zititaweho, zangiza igitugu. Hashobora kubaho igice cy'umuzuko, bituma bamwe bagira amahirwe yo kurwara iyi ndwara.
Osteochondritis dissecans ikunze kugaragara cyane mu bana n'abangavu bari hagati y'imyaka 10 na 20 bakunda gukora siporo cyane.
Osteochondritis dissecans irashobora kongera ibyago byo kuzarwara osteoarthritis muri uwo mubiri.
Abangavu n'abahungu bitabira imikino yateguwe bashobora kungukirwa no kwigishwa ingaruka ku ngingo zabo zishobora guterwa no gukoresha cyane. Kumenya uburyo bukwiye n'amayeri y'umukino wabo, gukoresha ibikoresho bikwiranye byo kwirinda, no kwitabira imyitozo yo gushimangira imitsi n'imyitozo yo gutuma ingingo zikomeye bishobora kugabanya ibyago byo gukomereka.
Mu gupima umubiri, muganga wawe azakanda ku kiyengo kibangamiwe, akareba ahari uburibwe cyangwa ububabare. Mu bimwe mu bihe, wowe cyangwa muganga wawe muzaba mushobora kumva igice cyaturitse kiri mu kiyengo cyawe. Muganga wawe azareba kandi izindi nzego ziri hafi y’ikiyengo, nka ligamente. Muganga wawe azakusaba kandi kugerageza kugendagenda ukigendagenda mu miyoboro itandukanye kugira ngo arebe niba ikiyengo gishobora kugenda neza mu muvuduko wasanzwe. Ibipimo byo kubona ishusho Muganga wawe ashobora gutegeka kimwe cyangwa byinshi muri ibi bipimo: X-rays. X-rays ishobora kwerekana ibibazo mu guhuza amagufwa. Magnetic resonance imaging (MRI). Ukoresheje amajwi ya redio n’ikinyabiziga gikomeye cya magnétique, MRI ishobora gutanga amashusho arambuye y’imiterere ikomeye n’iyoroheje, harimo igufwa na cartilage. Niba X-rays isa nkaho ari nziza ariko ugifite ibimenyetso, muganga wawe ashobora gutegeka MRI. Computerized tomography (CT) scan. Ubu buryo buhuza amashusho ya X-ray yafashwe mu miyoboro itandukanye kugira ngo bukore amashusho y’ibice by’imbere. CT scan zemerera muganga wawe kubona igufwa mu buryo burambuye, ibyo bishobora gufasha kumenya aho ibice byaturitse biri mu kiyengo.
Ubuvuzi bwa osteochondritis dissecans bugamije gusubiza uko ingingo yagize ikibazo ikora neza no kugabanya ububabare, ndetse no kugabanya ibyago bya osteoarthritis. Nta buvuzi bumwe na bumwe bukorera buri wese. Mu bana bagikura, ibyago byo mu gufata amagufwa bishobora gukira nyuma y'igihe cyo kuruhuka no kurinda. Ubuvuzi: Mbere na mbere, muganga wawe ashobora kugutegurira uburyo bwo kuvura budakoresha imiti, bushobora kuba: Kuruhuka ingingo yawe. Irinde ibikorwa byangiza ingingo yawe, nko gusimbuka no kwiruka niba ikibazo kiri ku ivi ryawe. Ushobora gukenera gukoresha inkoni igihe runaka, cyane cyane niba ububabare bugutera kugendagenda. Muganga wawe ashobora kugutegurira gukoresha igipfuko, igitambaro cyangwa umugozi wo gufata ingingo mu gihe cy'ibyumweru bike. Fizioterapi: Akenshi, iyi terapi irimo gukora imyitozo yo kwagura, imyitozo yo kugerageza ingingo n'imyitozo yo gukomeza imitsi itera ingingo. Fizioterapi ikunze kugirwa inama nyuma y'ubuganga. Ubuganga: Niba ufite igice cy'ingingo yawe kidakomeye, niba agace kagize ikibazo kikiriho nyuma y'uko amagufwa yawe aretse gukura, cyangwa niba uburyo bwo kuvura budakoresha imiti butabashije kugufasha nyuma y'amezi ane kugeza kuri atandatu, ushobora gukenera kubagwa. Ubwoko bw'ubuganga buzakorwa buzaterwa n'ingano n'icyiciro cy'imvune n'uko amagufwa yawe ameze. Saba gahunda yo kubonana na muganga
Urashobora kubanza kuvugana na muganga wawe w'umuryango, ushobora kukwerekeza kwa muganga w'inzobere mu kuvura imikino cyangwa kubaga amagufwa.Icyo ushobora gukora Andika ibimenyetso byawe nigihe byatangiye. Bandika amakuru y'ubuvuzi y'ingenzi, harimo izindi ndwara ufite amazina y'imiti, amavitamini cyangwa ibindi bintu ufashe. Bandika impanuka cyangwa imvune uheruka kugira zishobora kuba zarangirije umugongo wawe. Niba bishoboka, jyana umuntu wo muryango wawe cyangwa inshuti. Umuntu ujyanye nawe ashobora kugufasha kwibuka ibyo muganga ababwiye. Andika ibibazo ugomba kubabaza muganga kugira ngo ukoreshe neza igihe cyanyu cy'ibyiringiro. Ku bijyanye na osteochondritis dissecans, ibibazo by'ibanze ugomba kubabaza muganga birimo: Ni iki gishobora kuba cyarateye ububabare bw'ingingo zanjye? Hariho izindi mpamvu zishoboka? Nkeneye ibizamini byo kuvura? Ni ubuhe buvuzi ugerageza? Niba ugerageza imiti, ni iyihe mpinduka ishobora kubaho? Nzagomba gufata imiti igihe kingana gute? Ndabasha kubagwa? Kuki cyangwa kuki bitaba byo? Hariho amabwiriza ngomba gukurikiza? Ni iki cyo gukora njye ubwanjye? Ni iki nakora kugira ngo ndinde ibimenyetso byanjye bitazongera kugaruka? Ntuzuza kubabaza ibindi bibazo. Icyo utegereje ku muganga wawe Muganga wawe arashobora kukubaza ibibazo byinshi, nka: Ibimenyetso byawe byatangiye ryari? Ingingo zawe zifunitse? Zifunga cyangwa zigwa? Hari ikintu cyatuma ibimenyetso byawe bigenda cyangwa bikomeza? Ububabare bwawe bukubangamira gute? Warakomerekeje iyo ngingo? Niba aribyo, ryari? Ukina imikino? Niba aribyo, ni iyihe? Ni iyihe miti cyangwa uburyo bwo kwita ku buzima bwite wagerageje? Hari ikintu cyagufashije? Byakozwe na Mayo Clinic Staff
Umuhakana: Kanama ni urubuga rw'amakuru y'ubuzima kandi ibisubizo byayo ntibigize inama z'ubuvuzi. Jya ubona umuganga ufite uruhushya rwo gukorera hafi yawe mbere yo gukora impinduka izo ari zo zose.