Ese imvune ya Sacral ni iki? Ibimenyetso, Impamvu, n'Ubuvuzi

Imvune ya sacral ni agace gato k'uruhu gacitse cyangwa umwobo uri hasi y'umugongo, hejuru gato y'umutwe w'umugongo. Imyanya myinshi ya sacral nta kibazo iba ifite kandi ni uko abantu bamwe baba baremwe.

Iyi myanya mito iboneka kuri 3-8% by'abana bavutse kandi isanzwe iboneka mu isuzuma rya buri munsi ry'abana. Nubwo abenshi batagira ikibazo, gusobanukirwa icyo ari cyo bishobora kugufasha guhumurizwa no kumenya igihe ukwiye gushaka ubuvuzi.

Ese imvune ya sacral ni iki?

Imvune ya sacral ni agace gato k'uruhu gacitse gaherereye mu gice cya sacral, aricyo gice cyo hasi cy'umugongo aho umugongo uhura n'umutwe w'umugongo. Tekereza ko ari nk'umufuka muto cyangwa umwobo uba ubayeho mu gihe cy'iterambere ry'umwana mu nda.

Iyi myanya isanzwe iba ifite ubunini butarenga milimetero 5 kandi ikaba ari imyobo mito. Imyinshi ni ibyo abaganga bita imvune za sacral “zisanzwe”, bisobanura ko ari mito, idafite ubujyakuzimu, kandi idahura n'ikintu cyose kiri mu mubiri.

Ushobora kandi kumva abaganga bavuga imyobo ya sacral cyangwa imvune za pilonidal, nubwo ayo mazina rimwe na rimwe ashobora kugaragaza ubundi buryo butandukanye. Ikintu nyamukuru gikwiye kwibukwa ni uko imvune nyinshi za sacral zidafite ikibazo.

Ese ibimenyetso by'imvune ya sacral ni ibihe?

Imvune nyinshi za sacral nta bimenyetso zigira na gato. Uzabona gusa umwobo muto ku ruhu, kandi iyo ni yo ntandaro isanzwe.

Ariko rero, hari igihe ushobora kubona ibimenyetso by'inyongera bishobora kugaragaza ko imvune ihura n'ibice biri munsi. Dore ibyo ukwiye kwitondera:

• Uruto rw'ubwoya bukura mu mvune cyangwa hafi yayo
• Agatsiko k'uruhu cyangwa ikintu gito kiri hafi y'imvune
• Urubobo cyangwa kubyimba muri ako gace
• Ibisohora cyangwa ibintu bivuye mu mvune
• Ibara ry'ubururu bw'uruhu ruri hafi
• Imvune isa n'ifite ubujyakuzimu cyangwa bunini butasanzwe (burenze mm 5)
• Imvune iherereye hejuru ku mugongo, kure y'umutwe w'umugongo

Ibyo bimenyetso by'inyongera ntibisobanura ko hari ikibazo gikomeye, ariko bigaragaza ko muganga agomba kubireba neza. Akenshi, ndetse n'imvune ifite ibyo bimenyetso iba idafite ikibazo.

Ese ubwoko bw'imvune za sacral ni ubuhe?

Abaganga basanzwe bagabanya imvune za sacral mu byiciro bibiri by'ingenzi hashingiwe ku buryo zimeze n'ibibazo zishobora gutera.

Imvune zisanzwe za sacral ni zo zikunze kugaragara kandi zifatwa nk'izidafite ikibazo. Izi mvune ni nto (munsi ya mm 5), zidafite ubujyakuzimu, kandi ziri muri santimetero 2.5 uvuye ku mutwe w'umugongo. Ntizigira ubwoya, amatsiko y'uruhu, cyangwa ibindi bimenyetso bidasanzwe.

Imvune zikomeye za sacral zifite kimwe cyangwa ibindi bimenyetso bituma abaganga bashaka gukora iperereza. Ibi bishobora kuba binini kurusha mm 5, biherereye hejuru ku mugongo, cyangwa bifite ibimenyetso bifatanye nka tufts y'ubwoya, amatsiko y'uruhu, cyangwa ibara ritamenyekanye. Nubwo imvune nyinshi zikomeye zidafite ikibazo, zifite amahirwe make yo guhura n'umugongo cyangwa ibice biri hafi.

Hari kandi ubwoko buke cyane bwitwa dermal sinus tract, ari bwo muyoboro ujyana kuva ku ruhu ujya ku mugongo. Ibi bibaho munsi ya 1% by'imvune zose za sacral ariko bisaba ubuvuzi kuko bishobora gutera indwara.

Ese icyateye imvune ya sacral ni iki?

Imvune za sacral iba mu ntangiriro cyane z'inda iyo umugongo w'umwana n'ubwonko bigeze gutera imbere. Ibi bibaho mu byumweru bike nyuma yo gusama, mbere y'uko uzi ko utwite.

Uburyo burimo neural tube, ari bwo buryo buhinduka umugongo n'ubwonko. Rimwe na rimwe, impinduka nto mu buryo iyi tube ifunga zishobora gutera umwobo muto ku ruhu. Tekereza ko ari nk'impinduka nto mu mushinga w'ubwubatsi ugizwe n'ibice byinshi.

Mu bihe byinshi, nta kintu runaka cyateye. Ntabwo ari ikintu wakoze cyangwa utakoze mu gihe cyo gutwita, kandi ntibijyanye n'amateka y'umuryango wawe cyangwa imibereho yawe. Ni impinduka isanzwe iba mu gihe cy'iterambere.

Gake cyane, imvune za sacral zishobora gufatanya n'ibibazo bigira ingaruka ku iterambere ry'umugongo, nka spina bifida occulta cyangwa tethered cord syndrome. Ariko, ibyo bihuza bidafite akamaro kandi bisanzwe bigira ibindi bimenyetso cyangwa ibintu uretse imvune ubwayo.

Ni ryari ukwiye kubona muganga kubera imvune ya sacral?

Niba ubona imvune ya sacral ku mwana wawe wavutse, ni byiza kubivuga na muganga wawe mu ruzinduko rwawe rwakurikiyeho, ariko si ikibazo cyihutirwa. Abaganga benshi bazabibona mu isuzuma rya buri munsi ry'abana bavutse.

Ukwiye kuvugana na muganga wawe vuba niba ubona ibyo bimenyetso bishishikaje:

• Imvune isa n'ivuza amazi cyangwa ibyuya
• Aho imvune iri iba umutuku, ibyimba, cyangwa ishushe
• Umwana wawe arwara indwara nk'umuriro
• Imvune isa n'iyongera ubujyakuzimu cyangwa bunini uko iminsi igenda
• Ubona ibimenyetso bishya by'ubwonko nko kudakora neza k'amaguru cyangwa impinduka mu guhagarika inkari cyangwa imyanda

Ku bantu bakuru babanye n'imvune ya sacral nta kibazo, gukurikirana bisanzwe bihagije. Ariko rero, niba ugize ibimenyetso bishya nkubabara, ibintu bivuye mu mvune, cyangwa indwara zisubira, ni byiza kubimenyesha muganga.

Ese ibyago byo kugira imvune ya sacral ni ibihe?

Imvune za sacral ntabwo zigira ibyago bisobanutse mu buryo busanzwe kuko ari impinduka ziterwa n'iterambere ziba mu buryo butunguranye mu gihe cy'inda. Ariko rero, hari imikorere abaganga babonye.

Bisa nkaho bikunze kugaragara mu bantu bamwe, nubwo ibyo bitandukaniro ari bito. Ubushakashatsi bumwe buvuga ko bishobora kugaragara cyane mu bantu bo mu Burayi, ariko ibyo ntibyemeranywaho na buri bushakashatsi.

Igitsina ntigira uruhare runini, kuko imvune za sacral ziba ku gipimo kimwe ku bahungu n'abakobwa. Amateka y'umuryango na yo asa n'atagaragaza ubusobanuro bukomeye, bisobanura ko kugira imvune ya sacral ntibyongera cyane amahirwe y'abana bawe kuyigira.

Igihe cy'iterambere ry'umugongo mu gihe cyo gutwita ni cyo kintu nyamukuru, kandi uwo mucyo ntabwo uri kugenzura. Neural tube ifunga hakiri kare mu gihe cyo gutwita, mbere y'icyumweru cya 4, iyo abantu benshi batanazi ko batwite.

Ese ibibazo bishoboka by'imvune za sacral ni ibihe?

Imvune nyinshi za sacral ntizigera ziterwa n'ibibazo mu buzima bw'umuntu. Ariko rero, ni byiza gusobanukirwa ibibazo bike kugira ngo umenye ibyo ukwiye kwitondera.

Ikibazo gikunze kugaragara, nubwo ari gito, ni indwara. Ibi bishobora kubaho niba imvune ifite ubujyakuzimu buhagije bwo gufata bagiteri cyangwa niba ihura n'ibice biri munsi. Ibimenyetso byaba birimo umutuku, kubyimba, ubushyuhe, ibintu bivuye mu mvune, cyangwa umuriro.

Mu bihe bike cyane, imvune ya sacral ishobora guhura n'umugongo binyuze mu cyitwa dermal sinus tract. Ibi bibaho munsi ya 1% by'imvune, ariko bishobora gutera indwara zikomeye nka meningitis niba bagiteri zizamuka mu muyoboro. Ni yo mpamvu abaganga bita ku bimenyetso bimwe na bimwe.

Ibibazo bike cyane birimo:

• Tethered cord syndrome, aho umugongo uhambiriye nabi kandi ukururwa
• Imikaya cyangwa ibibyimba by'umugongo (dermoid cyangwa epidermoid cysts)
• Indwara zikunze kugaragara z'inzira y'inkari niba hari ibibazo by'umugongo bifatanye
• Ibintu bivuye mu mvune cyangwa indwara ya pilonidal mu gice cya sacral

Ibyo bibazo ni bike cyane ku buryo abantu benshi bafite imvune za sacral batazigera bagira ibibazo. Ikintu nyamukuru ni isuzuma rikwiye iyo imvune iboneka bwa mbere no kwitondera ibimenyetso bishya uko iminsi igenda.

Ese imvune ya sacral imenyekanwa ite?

Kumenya imvune ya sacral bisanzwe bitangira hakoreshejwe isuzuma ry'umubiri. Muganga wawe azareba ubunini bw'imvune, ubujyakuzimu, aho iherereye, n'ibimenyetso bifatanye nka ubwoya cyangwa impinduka z'uruhu.

Ku mvune zisanzwe za sacral ari nto, zidafite ubujyakuzimu, kandi ziri hafi y'umutwe w'umugongo nta bimenyetso bishishikaje, nta bipimo by'inyongera bikenewe. Muganga wawe ashobora kukuhumuriza ko ibyo nta kibazo bifite hashingiwe ku isuzuma ry'umubiri gusa.

Ariko rero, niba muganga wawe abona ibimenyetso by'ibintu bikomeye, ashobora kugusaba gukora ultrasound y'ako gace. Iki kizamini kidakomeretsa gishobora gufasha kumenya niba imvune ihura n'ibice biri munsi niba umugongo usa neza.

Mu bihe bimwe na bimwe, cyane cyane niba ultrasound igaragaza ibibazo cyangwa niba hari ibimenyetso by'ubwonko, MRI ishobora gusabwa. Ibi bitanga amashusho arambuye y'umugongo n'ibice biri hafi. Ariko rero, ubwo buryo bwo gupima bukeneye gusa mu kigero gito cy'imvune.

Igihe cy'ibyo bipimo bikunze kuba bishingiye ku myaka y'umwana wawe. Ultrasounds ikora neza cyane ku bana bato cyane kuko amagufwa yabo ataraba akomeye, bituma byoroshye kubona ibice by'umugongo.

Ese ubuvuzi bw'imvune za sacral ni ubuhe?

Imvune nyinshi za sacral ntizisaba ubuvuzi na gato. Niba muganga wawe yemeza ko ari imvune isanzwe nta bimenyetso bishishikaje, inama isanzwe ni ugukomeza kugira isuku muri ako gace no gukurikirana impinduka zose.

Ku mvune zigaragaza ibimenyetso by'indwara, ubuvuzi bugamije gukuraho indwara hakoreshejwe imiti yo kurwanya bagiteri n'ubuvuzi bw'ibikomere. Muganga wawe azakuyobora mu kugumisha ako gace ari isuku kandi ari kumye mu gihe indwara irangiye.

Mu bihe bike cyane aho amashusho agaragaza guhura n'umugongo cyangwa ibindi bibazo, ubuvuzi bushingiye ku bisubizo byabuze. Ibi bishobora kuba birimo:

• Kubaga niba hari dermal sinus tract ihura n'umugongo
• Kugisha inama umuganga w'ubwonko ku bibazo byose by'umugongo
• Gukurikirana buri gihe hakoreshejwe ibizamini by'amashusho
• Ubuvuzi bw'umubiri niba hari ibibazo by'ubwonko bifatanye

Inkuru nziza ni uko nubwo ubuvuzi bukenewe, ibisubizo muri rusange byiza cyane, cyane cyane iyo ibibazo byamenyekanye kandi bikemuwe hakiri kare. Abana benshi bakomeza kubaho ubuzima busanzwe, bwiza.

Uko witwara imvune ya sacral murugo

Kwita ku mvune isanzwe ya sacral murugo biroroshye kandi bikubiyemo ibikorwa by'isuku isanzwe. Komeza kugira isuku muri ako gace mu gihe cyo koga, ukaraba neza n'amazi n'isabune yoroheje.

Komeza ako gace kari kumye nyuma yo koga, kuko amazi afunze mu mvune ashobora gutera ibibazo by'uruhu cyangwa indwara. Urashobora gukoma ako gace neza n'igitambaro cyiza.

Komeza urebe impinduka zose mu buryo imvune igaragara, nko gutukura, kubyimba, ibintu bivuye mu mvune, cyangwa ububabare bushya. Nubwo ibyo bintu bidafite akamaro, kubibona hakiri kare bituma ubuvuzi bworoshye niba bukenewe.

Ku bana bato n'abana bato, guhindura diapering buri gihe n'isuku nziza ni ingenzi cyane kuko diapering ishobora kugira bagiteri. Komeza ako gace kari isuku kandi kari kumye mu gihe cyo guhindura diapering.

Ntukwiye gushyira amavuta cyangwa ubuvuzi bw'inyongera ku mvune keretse muganga wawe abisabye. Mu by'ukuri, ni byiza kwirinda gushyira ikintu icyo ari cyo cyose mu mvune ubwayo, kuko bishobora gutera bagiteri.

Uko ukwiye kwitegura uruzinduko rwawe kwa muganga

Mbere y'uruzinduko rwawe, icara umwanya urebe imvune ya sacral kandi wandike amakuru ashobora gufasha muganga wawe. Reba ubunini bwayo, ubujyakuzimu, niba hari ibimenyetso bifatanye nka ubwoya cyangwa impinduka z'uruhu.

Andika ibibazo cyangwa impungenge ufite ku mvune. Ibibazo bisanzwe birimo niba bizatera ibibazo mu buzima bwa nyuma, niba bikeneye ubuvuzi, n'ibimenyetso ukwiye kwitondera murugo.

Niba ufite amafoto y'imvune, cyane cyane niba ubona impinduka uko iminsi igenda, uzayazane. Rimwe na rimwe, ibyanditswe by'amashusho bishobora gufasha muganga wawe mu isuzuma.

Tegura inkuru ngufi y'igihe wabonye imvune bwa mbere niba hari ibimenyetso bifatanye nko kuva, gutukura, cyangwa ububabare. Ku bana bato, bandika niba imvune yari ihari kuva bavutse cyangwa yabaye nyuma.

Ntugate umwanya wo gusaba muganga wawe gusobanura ikintu udasobanukiwe. Ibibazo ku bijyanye n'igihe kirekire, ibikorwa byo kwirinda, nigihe ukwiye gushaka ubuvuzi byose ni byiza kandi ni ingenzi kugira amahoro yo mu mutima.

Icyo ukwiye kumenya ku mvune za sacral

Ikintu gikomeye cyo kwibuka ku mvune za sacral ni uko imvune nyinshi zidafite ikibazo kandi ntizisaba ubuvuzi. Ni impinduka isanzwe mu buryo abantu bamwe baba baremwe mu gihe cy'iterambere.

Nubwo ari byiza guhangayika iyo ubona imvune ya sacral bwa mbere, cyane cyane ku mwana wavutse, humura umenye ko abantu benshi babana n'izo mvune ubuzima bwabo bwose nta kibazo bagira.

Ikintu nyamukuru ni ukugira imvune isuzumwe neza n'umukozi w'ubuzima ushobora kumenya niba ari imvune isanzwe idafite ikibazo cyangwa niba hari ibindi bikwiye gukurikiranwa. Iyo ubonye icyo gihumurizwa, ushobora kwibanda ku kunezererwa n'ubuzima nta guhangayika.

Komeza urebe impinduka zose mu buryo imvune igaragara cyangwa ibimenyetso bishya, ariko ntukareke guhangayika kubibazo bike bikomeye kurenza kumenya ko ibibazo bikomeye ari bike cyane. Hamwe n'ubuyobozi bw'abaganga bukwiye, ushobora kwizera mu gucunga iki kibazo.

Ibibazo bikunze kubaho ku mvune za sacral

Ese imvune ya sacral y'umwana wanjye izakira yonyine?

Imvune za sacral ni ibintu biramba bidakira uko iminsi igenda. Ariko rero, bishobora kuba bitagaragara uko umwana wawe akura kandi agira imikaya n'amavuta menshi muri ako gace. Imvune ubwayo isigara, ariko ikunze kuba itagaragara uko imyaka igenda.

Ese imvune za sacral zishobora gutera ububabare bw'umugongo mu buzima bwa nyuma?

Imvune zisanzwe za sacral ntiziterwa n'ububabare bw'umugongo cyangwa ibindi bimenyetso mu buzima bwose. Niba umuntu ufite imvune ya sacral agize ububabare bw'umugongo, akenshi biterwa n'ibindi bintu bisanzwe nko gucika intege kw'imikaya, imyanya mibi, cyangwa impinduka ziterwa n'imyaka mu mugongo, aho kuba imvune ubwayo.

Ese hari ibikorwa byo kwirinda ku bana bafite imvune za sacral?

Abana bafite imvune zisanzwe za sacral bashobora kwitabira ibikorwa byose bisanzwe, harimo siporo n'imikino. Nta mipaka yo koga, siporo zikomeye, cyangwa ibindi bikorwa. Imvune ntigira umugongo uhangayikishijwe n'imvune.

Ese nkwiye guhangayika niba imvune ya sacral y'umwana wanjye yanduye?

Nubwo indwara mu mvune za sacral ari nke, zigomba gusuzumwa na muganga vuba. Ibimenyetso by'indwara birimo gutukura, kubyimba, ubushyuhe, ibintu bivuye mu mvune, cyangwa umuriro. Indwara nyinshi zikira neza hakoreshejwe imiti yo kurwanya bagiteri, ariko ni ingenzi gushaka ubuvuzi aho kugerageza kubuvura murugo.

Ese ni byiza gukaraba imbere mu mvune ya sacral?

Ukwiye kugumisha ako gace kari hafi y'imvune kari isuku hakoreshejwe koga bisanzwe, ariko wirinda kugerageza gukaraba imbere mu mvune ubwayo. Gukaraba neza n'isabune n'amazi mu gihe cyo koga bisanzwe bihagije. Wirinda gukoresha utwenda cyangwa ibindi bintu byo gukaraba imbere mu mvune, kuko bishobora gutera bagiteri cyangwa gutera ibibazo.