Gusheshe mu gice cy’igitugu ni iki? Ibimenyetso, Intandaro, n’Ubuvuzi

Gusheshe mu gice cy’igitugu ni udukoko duto two mu gice cy’igitugu, dutera gahoro gahoro bitewe n’imbaraga zisubiramo cyangwa gukoresha cyane. Tekereza kuri dukoto duto cyane rigaragara iyo uhindagura igikoresho cy’impapuro inshuro nyinshi. Aya makosa mato cyane akunze kwibasira amagufa y’ibiremereye mu birenge, amaguru, n’ibicengeri, cyane cyane mu bakinnyi ba siporo n’abantu bakora imyitozo.

Bitandukanye n’amagufa yavunitse kubera impanuka, gusheshe mu gice cy’igitugu bigusanga buhoro buhoro mu byumweru cyangwa amezi. Igice cy’igitugu cyawe kigerageza kwivura ubwa kabiri kuva ku isuku ya buri munsi, ariko rimwe na rimwe ibyangirika bibaho vuba kurusha uko umubiri wawe ushobora kubikemura. Inkuru nziza ni uko, hamwe no kwitaho neza no kuruhuka, gusheshe mu gice cy’igitugu bikira burundu mu bihe byinshi.

Ni ibihe bimenyetso byo gusheshe mu gice cy’igitugu?

Ikimenyetso nyamukuru cyo gusheshe mu gice cy’igitugu ni ububabare butangira buke kandi bukaza buhoro buhoro uko ibikorwa byiyongera. Ushobora kubona ububabare buke mu gihe cy’imyitozo, bugahita bugenda iyo uhagaritse, ariko uko iminsi igenda, ububabare burakomera kandi bugakomeza.

Dore ibimenyetso by’ingenzi ushobora kugira:

• Ububabare bukomeye, bukomera mu gihe cy’ibikorwa byo gutwara umubiri nk’ugenda, kwiruka, cyangwa gusimbuka
• Ububabare burahita bugenda iyo uhagaritse ariko bugasubira iyo usubiye mu bikorwa
• Kubabara iyo ukoze ku gice runaka cy’igitugu
• Kubyimbagira gato hafi y’aho byangiritse
• Ububabare burakomeza buhoraho, ndetse no mu gihe cyo kuruhuka cyangwa nijoro

Mu bihe bidasanzwe, ushobora kugira ibimenyetso bikomeye. Bamwe bagira ububabare bukomeye, butuma bidashoboka gutwara umubiri ku gice cyangiritse. Abandi babona kubyimbagira cyangwa ibikomere byinshi hafi y’aho igitugu cyavunitse. Ibi bimenyetso bishobora kugaragaza ko gusheshe mu gice cy’igitugu byakomeje kuba ikibazo gikomeye, bisaba ubufasha bw’abaganga vuba.

Ni iki gituma gusheshe mu gice cy’igitugu bibaho?

Gusheshe mu gice cy’igitugu bibaho iyo amagufa yawe adashobora gukomeza akazi ko kuvura gakenewe kubera umunaniro usubiramo. Amagufa yawe ahora asenya kandi akubaka ubwayo, ariko iyi mibanire yoroheje ihungabana iyo ushyiraho ibyifuzo byinshi cyane vuba.

Intandaro zisanzwe zirimo:

• Kwiyongera k’umuvuduko w’imyitozo ngororamubiri, igihe, cyangwa kenshi
• Ibikorwa byinshi bisubiramo nk’ugenda, basketball, cyangwa gymnastics
• Uburyo bubi bwo kwitoza cyangwa ibikoresho bibi
• Ubutaka bukomeye bwo kwitoza nk’isimenti cyangwa asphalte
• Ibihe bibi byo kuruhuka hagati y’imyitozo ikomeye
• Ibibazo by’imikorere y’umubiri nk’amaguru y’amaguru cyangwa amagufa maremare atuma umunaniro udasanzwe

Zimwe mu ntandaro zidakunze kugaragara ariko zikomeye zigomba kwitabwaho. Kubura intungamubiri, cyane cyane ibyo mu calcium na vitamine D, bishobora kugabanya amagufa yawe kandi bikayatera gusheshe mu gice cy’igitugu. Impinduka z’imisemburo, cyane cyane mu bagore bafite imihango idasanzwe, zishobora kandi kugira ingaruka ku bushyire bw’amagufa no gukira.

Mu bihe bidasanzwe, uburwayi bw’umubiri butera gusheshe mu gice cy’igitugu. Osteoporosis ituma amagufa aba afite intege nke kandi ashobora kuvunika vuba. Imiti imwe nka corticosteroids ishobora kugabanya amagufa uko iminsi igenda. Indwara z’imirire zigira ingaruka ku mirire n’imisemburo zigira uruhare mu kwiyongera kw’ibyago.

Ni ryari ukwiye kubona muganga kubera gusheshe mu gice cy’igitugu?

Ukwiye kubona umuganga niba ufite ububabare bw’amagufa buhoraho budakira nyuma y’iminsi mike yo kuruhuka. Kumenya hakiri kare no kuvura bituma gusheshe mu gice cy’igitugu bidahinduka ikibazo gikomeye, gisaba igihe kinini cyo gukira.

Shaka ubufasha bw’abaganga niba ufite ububabare bukubananira gukora imirimo ya buri munsi cyangwa gusinzira. Ntukirengagize ububabare bukomera uko iminsi igenda, nubwo bugaragara buke. Muganga wawe ashobora kumenya niba ufite gusheshe mu gice cy’igitugu cyangwa ikindi kibazo gifite ibimenyetso bisa.

Fata ubufasha bw’abaganga vuba niba utashobora gutwara umubiri ku gice cyangiritse cyangwa niba ufite ububabare bukomeye. Ibi bimenyetso bishobora kugaragaza ko gusheshe mu gice cy’igitugu byakomeje kuba ikibazo gikomeye. Kandi shaka ubufasha bw’abaganga vuba niba ubona kubyimbagira cyane, guhinduka, cyangwa kubabara mu gice kibabaza.

Ni ibihe bintu byongera ibyago byo gusheshe mu gice cy’igitugu?

Ibintu byinshi bishobora kukugiraho ingaruka yo kugira gusheshe mu gice cy’igitugu. Gusobanukirwa ibi bintu byongera ibyago bigufasha gufata ingamba zo kwirinda no kumenya igihe ushobora kuba ufite ibyago byinshi.

Ibintu bifitanye isano n’imyitozo ngororamubiri birimo:

• Kwitabira imikino ikomeye nk’imikino yo kwiruka, basketball, cyangwa imyitozo ya gisirikare
• Kugira ibibazo by’imikorere y’umubiri nk’amaguru y’amaguru, amagufa maremare, cyangwa itandukaniro ry’uburebure bw’amaguru
• Kwambara inkweto zishaje cyangwa zitakubereye mu gihe cy’imyitozo
• Kwitoza ku butaka bukomeye budafite uburyo bwo kugabanya ingaruka
• Kuba mushya mu mikino cyangwa gahunda y’imyitozo

Ibintu by’umubiri bigira uruhare runini. Abagore bafite ibyago byinshi kubera impinduka z’imisemburo zishobora kugira ingaruka ku bushyire bw’amagufa, cyane cyane abafite imihango idasanzwe cyangwa indwara z’imirire. Imyaka irakomeye, haba mu bakinnyi ba siporo bakiri bato cyane amagufa yabo akiri mu kizamuka n’abantu bakuze bafite amagufa afite intege nke.

Ibintu bidakunze kugaragara ariko bikomeye birimo uburwayi bw’umubiri n’imiti. Abantu bafite osteoporosis, rheumatoid arthritis, cyangwa gusheshe mu gice cy’igitugu mbere bafite ibyago byinshi. Gukoresha imiti ya corticosteroids cyangwa imiti imwe yo kuvura indwara z’ubwonko igihe kirekire bishobora kugabanya amagufa. Gake, indwara zo mu muryango zigira ingaruka ku miterere y’amagufa cyangwa imiterere yabyo bishobora gutera gusheshe mu gice cy’igitugu nubwo ari imyitozo mike.

Ni ibihe bibazo bishoboka byo gusheshe mu gice cy’igitugu?

Gusheshe mu gice cy’igitugu byinshi bikira burundu nta bibazo by’igihe kirekire iyo bivuwe neza. Ariko, kwirengagiza imvune cyangwa gusubira mu bikorwa vuba bishobora gutera ibibazo bikomeye bisaba igihe kinini cyo gukemura.

Ikibazo gisanzwe ni uguhinduka ikibazo gikomeye. Iyo ukomeza gushyira umuvuduko ku gice cyavunitse, gishobora kuvunika burundu. Ibi bihindura imvune ntoya ikira mu byumweru 6-8 mu kibazo gikomeye gisaba amezi yo gukira ndetse na byanze bikunze kubagwa.

Ibindi bibazo bishoboka birimo:

• Gukira gake cyangwa kudakira, aho igitugu kidakira neza
• Ububabare buhoraho buhoraho nubwo igitugu cyakize
• Gusubira gusheshe mu gice cy’igitugu ahantu hamwe
• Imvune z’imikorere mu bindi bice by’umubiri kubera impinduka mu buryo bw’imikorere
• Ibibazo by’amagufa cyangwa arthritis mu bihe bikomeye

Ibibazo bidasanzwe ariko bikomeye bishobora kubaho mu bwoko bumwe bwa gusheshe mu gice cy’igitugu. Gusheshe mu gice cy’igitugu mu bice bifite ibyago byinshi nk’umutwe wa femur (ahantu hameze nk’ibicengeri) cyangwa igitugu cy’ikirenge gishobora kugira amaraso make, bigatera urupfu rw’igitugu cyangwa kugwa. Gusheshe mu gice cy’igitugu mu mugongo bishobora gutera igitutu ku mitsi cyangwa kudakomera. Ibi bihe bikunze gusaba kubagwa no kuvugurura cyane.

Gusheshe mu gice cy’igitugu bishobora kwirindwa gute?

Kwivura kwibanda ku gutegura amagufa yawe n’imikaya ugahunga ibintu bitera imvune ziterwa no gukoresha cyane. Ikintu nyamukuru ni uguha umubiri wawe umwanya wo guhita ukora ibyo usabwa aho guhindura ibintu byose mu buryo budasanzwe.

Kora amategeko 10% iyo wiyongereye ku rwego rw’imyitozo. Ibi bivuze kongera umuvuduko w’imyitozo, igihe, cyangwa kenshi ku gipimo kitarenze 10% buri cyumweru. Amagufa yawe akeneye umwanya wo gukomera mu gusubiza umunaniro mushya, kandi ubu buryo buhoro buhoro butuma ubu buryo bukorwa neza.

Ingamba z’ingenzi zo kwirinda zirimo:

• Kwambara inkweto zikubereye neza zikubereye umukino wawe n’uburyo bw’amaguru yawe
• Kwitoza imikino itangiza umubiri nk’koga cyangwa kugenda kuri velo
• Kwinjiza iminsi yo kuruhuka muri gahunda yawe y’imyitozo
• Kurya indyo yuzuye irimo calcium na vitamine D
• Kumva umubiri wawe no guhita uravura ububabare aho kugerageza gukomeza
• Gukorana n’abatoza kugira ngo ubone uburyo bukwiye

Witondere cyane ubutaka bwo kwitoza n’ibikoresho. Hindura hagati y’ubutaka butandukanye aho bishoboka, kandi hindura inkweto zishaje buri gihe. Tekereza gukoresha ibikoresho byo kugabanya ingaruka niba witoreza cyane ku butaka bukomeye. Izi mpinduka ntoya zishobora kugabanya umunaniro usubiramo ku magufa yawe.

Gusheshe mu gice cy’igitugu bipimwa bite?

Kumenya gusheshe mu gice cy’igitugu bikunze gutangira muganga yumvise ibimenyetso byawe neza kandi akareba ahantu hababaza. Azakubaza ibyerekeye urwego rw’imyitozo yawe, impinduka z’imyitozo, n’igihe ububabare bwatangiye. Ibizamini by’umubiri bibanda ku kubona ahantu hababaza no kureba uko ububabare busubiza imikorere n’umuvuduko.

X-rays ni ikizamini cya mbere cy’amashusho muganga wawe asaba, ariko akenshi ntibigaragaza gusheshe mu gice cy’igitugu mu ntangiriro. Udukoko duto dushobora kutaragaragara kuri X-rays zisanzwe mu byumweru bike nyuma y’ibimenyetso. Ntugatangazwe niba X-ray yawe igaragara neza nubwo ufite ububabare bukomeye.

Iyo X-rays zitanga ibisubizo bitumvikana, muganga wawe ashobora kugusaba ibizamini by’amashusho byoroshye:

• MRI scans zishobora kubona gusheshe mu gice cy’igitugu mu minsi mike nyuma y’ibimenyetso
• Bone scans zigaragaza ahantu hakomeye ibikorwa by’amagufa no gukira
• CT scans zitanga amashusho arambuye y’imitako y’amagufa n’iterambere ryo gukira

Mu bihe bimwe na bimwe, muganga wawe ashobora gukoresha ibizamini byihariye kugira ngo akureho ibindi bibazo. Ibizamini by’amaraso bishobora kugenzura uburwayi bw’amagufa cyangwa kubura intungamubiri. Gake, biopsy y’igitugu ishobora kuba ikenewe niba hari impungenge z’ibibazo bidasanzwe by’amagufa cyangwa indwara zisa na gusheshe mu gice cy’igitugu.

Ni ubuhe buvuzi bwa gusheshe mu gice cy’igitugu?

Ubuvuzi nyamukuru bwa gusheshe mu gice cy’igitugu ni kuruhuka, bituma igitugu cyawe gifata umwanya wo gukira neza. Gusheshe mu gice cy’igitugu byinshi bikira burundu mu byumweru 6-12 hamwe no kwitaho neza no guhindura ibikorwa. Igihe nyacyo cyo gukira gituruka ku hantu havunitse n’igihe utangiye kuvurwa.

Muganga wawe ashobora kugusaba kwirinda ibikorwa byateye gusheshe mu gice cy’igitugu kugeza gukize. Ibi ntibisobanura kuruhuka mu buriri, ahubwo guhindura ibikorwa bitangiza igitugu cyangiritse. Koga, imyitozo y’amaboko, cyangwa kugenda kuri velo buhoro buhoro bishobora kuba amahitamo meza mu gihe cyo gukira.

Uburyo bwo kuvura bukunze kuba:

• Guhindura ibikorwa cyangwa kuruhuka burundu mu bikorwa bitera ibibazo
• Kuvura ububabare hamwe n’imiti yo mu rugo nka ibuprofen cyangwa acetaminophen
• Gushyiraho igikombe icyumweru ku minota 15-20 inshuro nyinshi ku munsi kugira ngo ugabanye ububabare no kubyimbagira
• Gusubira mu bikorwa buhoro buhoro iyo ububabare buhagaritse kandi gukira byemejwe
• Ubuvuzi bw’umubiri kugira ngo ubone uburyo bukwiye bw’imikorere y’umubiri

Gusheshe mu gice cy’igitugu bimwe bisaba ubufasha bundi. Gusheshe mu gice cy’igitugu mu bice bifite amaraso make bishobora gusaba kubagwa kugira ngo gukira byihute. Muganga wawe ashobora kugusaba ibikoresho byo gukangurira amagufa bikoresha umuriro cyangwa ultrasound kugira ngo byongere ubukomezi bw’amagufa. Gake, gusheshe mu gice cy’igitugu bidakira hamwe no kuvura bisanzwe bishobora gusaba kubagwa hamwe n’imishumi cyangwa ibyuma.

Uko wakwitwara mu rugo mugihe ufite gusheshe mu gice cy’igitugu

Kwita mu rugo bigira uruhare mu gufasha gusheshe mu gice cy’igitugu gukira neza. Ikintu cy’ingenzi cyane ushobora gukora ni gukurikiza amabwiriza ya muganga wawe, ndetse nubwo utangiye kumva neza. Gusubira mu bikorwa vuba niyo mpamvu isanzwe ituma gusheshe mu gice cy’igitugu bidakira neza cyangwa bigasubira.

Ibanda ku kugumana ubuzima bwawe rusange hamwe n’ibikorwa bitangiza igitugu cyangiritse. Imikino yo mu mazi ni myiza kuko itanga inyungu z’umutima nta ngaruka. Imikino yo gukomeza amaboko ishobora kugufasha kuguma ufite ubuzima bwiza mu gihe igice cyo hasi cyakira.

Shigikira gukira kwawe hamwe n’izi ngamba zo mu rugo:

• Shyiraho igikombe icyumweru ku minota 15-20 inshuro nyinshi ku munsi kugira ngo ugabanye ububabare no kubyimbagira
• Shyira hejuru igice cyangiritse iyo uruhuka kugira ngo ugabanye kubyimbagira
• Fata imiti yo kugabanya ububabare nk’uko muganga wawe yabitegetse
• Kurya ibiryo birimo calcium na vitamine D kugira ngo ushigikire gukira kw’amagufa
• Kuryama bihagije, kuko niho amagufa asana cyane
• Kwirinda kunywa itabi n’inzoga nyinshi, bishobora kugabanya gukira kw’amagufa

Kora isuzuma ry’ibimenyetso byawe neza mu gihe cyo gukira. Ububabare bugomba kugabanuka buhoro buhoro mu byumweru bike byo kuruhuka. Hamagara muganga wawe niba ububabare bukomera, budakira nyuma y’ibyumweru bike byo kuruhuka, cyangwa niba ufite ibimenyetso bishya nk’kubyimbagira cyane cyangwa kudashaka gutwara umubiri.

Uko wakwitegura ku muhango wawe kwa muganga

Kwitoza ku muhango wawe bifasha kwemeza ko ubona ubuvuzi bwiza kandi buhamye. Tangira wandike neza igihe ububabare bwawe bwatangiye n’ibikorwa bigaragara ko bibyiza cyangwa bibikomeza. Iyi ngingo ifasha muganga wawe gusobanukirwa uko imvune yawe imeze.

Andika urwego rw’imyitozo yawe n’impinduka zihoraho mu myitozo yawe. Shyiramo amakuru yerekeye imikino mishya, kwiyongera kw’umuvuduko w’imyitozo, inkweto zitandukanye, cyangwa impinduka ku butaka bwo kwitoza. Andika kandi imvune zabanje mu gice kimwe n’uko zavuwe.

Zana amakuru akomeye ku muhango wawe:

• Urutonde rw’imiti ukoresha n’ibindi
• Amakuru yerekeye indyo yawe isanzwe na calcium
• Amakuru yerekeye amateka yawe y’imihango (ku bagore)
• Amateka y’umuryango w’ibibazo by’amagufa cyangwa gusheshe mu gice cy’igitugu
• X-rays zabanje cyangwa ibizamini by’amashusho by’aho byangiritse

Tegura ibibazo ubaze muganga wawe ku kibazo cyawe. Ushobora kwifuza kumenya igihe gukira bizatwara, ibikorwa byiza mu gihe cyo gukira, n’uko wakwirinda gusheshe mu gice cy’igitugu mu gihe kizaza. Ntutinya kubabaza ibyerekeye uburyo bwo kuvura ububabare cyangwa igihe utegereje gusubira mu bikorwa byawe bisanzwe.

Ni iki cy’ingenzi cyo kumenya ku gusheshe mu gice cy’igitugu?

Gusheshe mu gice cy’igitugu ni imvune zisanzwe ziterwa no gukoresha cyane zisubiza neza iyo zimenyekanye hakiri kare kandi zivuwe neza. Ikintu cy’ingenzi cyo kwibuka ni uko kuruhuka no kwihangana ari byo byiza mu gukira. Nubwo ari ikibazo guhagarika ibikorwa ukunda, gufata umwanya wo gukira neza birinda ibibazo bikomeye.

Kumva umubiri wawe kandi ntukirengagize ububabare bw’amagufa buhoraho, cyane cyane niba uherutse kongera urwego rw’imyitozo yawe. Kuvura hakiri kare bisobanura gukira vuba kandi ibisubizo byiza. Abantu benshi basubira mu bikorwa byabo basanzwe nta bibazo by’igihe kirekire iyo bakurikije gahunda yabo y’ubuvuzi neza.

Kwivura ni byiza cyane iyo bigeze ku gusheshe mu gice cy’igitugu. Gutegura imyitozo buhoro buhoro, ibikoresho bikwiye, imirire yuzuye, no kuruhuka bihagije hagati y’imyitozo bishobora kwirinda gusheshe mu gice cy’igitugu kenshi. Amagufa yawe akomeye kandi ashobora guhinduka iyo ahabwa umwanya n’ibikenewe kugira ngo agume akazima.

Ibibazo byakunda kubazwa ku gusheshe mu gice cy’igitugu

Bitwara igihe kingana iki kugira ngo gusheshe mu gice cy’igitugu gikire?

Gusheshe mu gice cy’igitugu byinshi bikira mu byumweru 6-12 hamwe no kuruhuka neza no kwitaho. Igihe nyacyo cyo gukira gituruka ku hantu havunitse, igihe kuvura bitangiye, n’ubuzima bwawe rusange. Gusheshe mu gice cy’igitugu mu bice bifite amaraso menshi bikira vuba kurusha ibyo mu bice bifite amaraso make. Gukurikiza amabwiriza ya muganga wawe ni ingenzi kugira ngo ugumane muri icyo gihe.

Wabasha kugenda ufite gusheshe mu gice cy’igitugu?

Ubushobozi bwo kugenda biterwa n’aho gusheshe mu gice cy’igitugu biherereye n’uburemere bwacyo. Abantu benshi bafite gusheshe mu gice cy’igitugu mu birenge cyangwa mu maguru bashobora kugenda intera ngufi bafite ububabare, ariko ibi ntibisobanura ko bagomba kubikora. Gukomeza gushyira umuvuduko ku gice cyavunitse bishobora kubuza gukira kandi bigatera kuvunika burundu. Muganga wawe azakugira inama y’uko ukeneye inkoni cyangwa niba ushobora gutwara umubiri mu gihe cyo gukira.

Ni iki gitandukanya gusheshe mu gice cy’igitugu n’ububabare bw’amaguru?

Gusheshe mu gice cy’igitugu biterwa n’ububabare bw’amagufa buherereye ahantu runaka ushobora kugaragaza n’urutoki rumwe, mu gihe ububabare bw’amaguru busanzwe butera ububabare buri hose ku gice cy’igitugu. Ububabare bwa gusheshe mu gice cy’igitugu burakomeza uko ibikorwa byiyongera kandi bushobora gukomeza no mu gihe cyo kuruhuka uko bigenda. Ububabare bw’amaguru busanzwe burahita bugenda iyo uhindutse kandi ntabwo buhoraho mu gihe cyo kuruhuka. Ariko, ububabare bw’amaguru butaravuwe burashobora rimwe na rimwe guhinduka gusheshe mu gice cy’igitugu.

Gusheshe mu gice cy’igitugu bigaragara kuri X-rays buri gihe?

Oya, gusheshe mu gice cy’igitugu akenshi ntibigaragara kuri X-rays mu byumweru 2-4 nyuma y’ibimenyetso. Gusheshe mu gice cy’igitugu mu ntangiriro ni udukoko duto cyane tudashobora kuboneka kuri X-rays zisanzwe. Niba muganga wawe akekako ufite gusheshe mu gice cy’igitugu ariko X-ray yawe igaragara neza, ashobora gusaba MRI cyangwa bone scan, bikaba byoroshye cyane kubona gusheshe mu gice cy’igitugu mu ntangiriro.

Nzabona gusheshe mu gice cy’igitugu mu gihe kizaza?

Kugira gusheshe mu gice cy’igitugu bimwe byongera ibyago byo kubona ibindi, ariko ibyo byago bigabanuka cyane iyo ukoze ku ntandaro. Niba gusheshe mu gice cy’igitugu byatewe n’amakosa yo kwitoza, ibikoresho bibi, cyangwa kubura intungamubiri, gukosora ibyo bintu bigabanya ibyago byawe mu gihe kizaza. Abakinnyi ba siporo benshi basubira mu mikino ikomeye nta bibazo byo gusubira gusheshe mu gice cy’igitugu iyo bakoze impinduka mu myitozo yabo n’imibereho.