Kubagwa mu gice cy'akaguru cy'inyuma ni iki? Impamvu, uburyo bwo kubaga & Gukira

Kubagwa mu gice cy'akaguru cy'inyuma ni uburyo bwo mu buvuzi bwo gukora ku magufa yangiritse, imitsi, imitsi, cyangwa urugingo rw'amaguru yawe. Muganga wawe ashobora kubikugiraho inama igihe imiti isanzwe nk'ikiruhuko, kuvura umubiri, cyangwa imiti itatanze umusaruro uhagije wo kugabanya ububabare cyangwa gusubiza imikorere ikwiye mu gice cy'akaguru kawe cy'inyuma.

Tekereza ku gice cy'akaguru kawe cy'inyuma nk'urugingo rugoye ruhuza ukuguru kwawe n'ukuguru kwawe. Iyo uru rugingo rwangiritse biturutse ku mvune, kubabara mu ngingo, cyangwa izindi ngorane, kubagwa birashobora gufasha gusubiza umutekano n'imigendekere yacyo kugirango wongere kugenda, kwiruka, no kwimuka neza.

Kubagwa mu gice cy'akaguru cy'inyuma ni iki?

Kubagwa mu gice cy'akaguru cy'inyuma bikubiyemo uburyo butandukanye bwo gukemura ibibazo biri mu gice cy'akaguru kawe cy'inyuma. Ubwoko busanzwe burimo arthroscopy (gukoresha kamera ntoya gukora ku gice), gukora ku magufa yavunitse (gukora ku magufa yavunitse), kongera kubaka imitsi (kongera kubaka imitsi yatobotse), no gusimbuza cyangwa guhuza urugingo kubera kubabara mu ngingo bikabije.

Urugingo rw'akaguru kawe cy'inyuma niho amagufa atatu ahurira: tibia na fibula biva mu kuguru kwawe, n'igufa rya talus riva mu kuguru kwawe. Aya magufa afatanye n'imitsi kandi akaba afite urugingo. Iyo kimwe muri ibi bice byangiritse, kubagwa birashobora kuba ngombwa kugirango wongere gusubiza imikorere isanzwe.

Ubwoko bwihariye bwo kubagwa ukeneye buterwa n'ikibazo cyawe. Uburyo bumwe ni buto, mugihe abandi basaba guca ibice binini kugirango bigere kandi bikore ahantu hangiritse.

Kuki kubagwa mu gice cy'akaguru cy'inyuma bikorwa?

Kubagwa mu gice cy'akaguru cy'inyuma biba ngombwa iyo urugingo rw'akaguru kawe cy'inyuma cyangwa ibice byegereye byangiritse cyane ku buryo bitakira neza. Muganga wawe mubisanzwe azagerageza imiti itari iy'ububaji mbere, ariko kubagwa birashobora kuba uburyo bwiza iyo kwita ku buzima bitagikora.

Dore impamvu nyamukuru zituma ushobora gukenera kubagwa mu gice cy'akaguru cy'inyuma, kuva ku ngorane zisanzwe kugeza ku zikomeye:

• Umututu ukomeye wo ku kuguru ugizwe n'ibice by'amagufa byinshi cyangwa guhinduka kw'ijoro
• Kutagira umutuzo w'akaguru ku buryo buhoraho biturutse ku mikaya y'imbavu yakomeretse inshuro nyinshi
• Arthritis ikomeye itera ububabare buhoraho no gukakara
• Umututu wa Achilles utavura neza
• Kwinjira mu kaguru aho amagufa yongera urugendo
• Ubumuga bwa Osteochondral (kwangirika kw'igifu n'igufa riri hasi)
• Ubumuga bukomeye bugira ingaruka ku buryo ugenda
• Ibimeme cyangwa ibibyimba imbere mu gice cy'akaguru

Umuvuzi w'amagufa azasuzuma neza uko urugero rwawe rumeze kandi asobanure impamvu kubagwa bikwiye mu rubanza rwawe. Intego ni ukugabanya ububabare, gusubiza imikorere, no kugufasha gusubira mu bikorwa byawe bisanzwe.

Ni iki gikorerwa kubagwa ku kaguru?

Uburyo bwo kubaga butandukanye cyane bitewe n'icyo gikeneye gusanwa mu kaguru kawe. Kubagwa kenshi ku kaguru bikorwa hakoreshejwe anesthesia rusange, bivuze ko uzaba uryamye rwose mugihe cyo kubagwa.

Ibi nibyo bikunda kuba mugihe cyo kubagwa ku kaguru:

1. Kubagwa kwa Arthroscopic: Umuganga wawe akora ibice bito kandi akoresha kamera nto kugirango ayobore isanwa imbere mu gice cyawe
2. Gusanwa kw'umututu: Amagufa yavunitse arasubizwa kandi agashyirwaho na screws, plates, cyangwa pins
3. Gusana imikaya y'imbavu: Imikaya y'imbavu yakomeretse irasanwa cyangwa igasimbuzwa hakoreshejwe ibice biva mu bindi bice by'umubiri wawe
4. Gusimbuza urugingo: Urugero rwangiritse rusimburwa n'ibice by'ubukorano
5. Guhuza urugingo: Amagufa ahuzwa burundu kugirango hakurweho urugendo rubabaza

Kubagwa birashobora gufata amasaha hagati ya rimwe n'ayandi menshi, bitewe n'uburyo urubanza rwawe rumeze. Itsinda ryawe ry'abaganga bazagukurikiranira hafi mugihe cyose cyo kubagwa kugirango barebe ko ufite umutekano kandi wishimye.

Nyuma yo kubagwa, uzajyanwa mu cyumba cyo koroheramo aho abaganga bazakureba uko ubyuka mu burozi. Kubagwa urugingo rw'akaguru akenshi bikorwa ku buryo umuntu asubira mu rugo uwo munsi.

Uburyo bwo kwitegura kubagwa urugingo rw'akaguru?

Kwitegura kubagwa urugingo rw'akaguru bikubiyemo intambwe z'ingenzi kugira ngo hazaboneke umusaruro mwiza. Muganga wawe azatanga amabwiriza yihariye, ariko aha hari ibyo ushobora kwitegura.

Mu byumweru bibanza kubagwa, uzakenera gukora ibintu bike by'ingenzi:

• Kureka gufata imiti imwe n'imwe nk'imiti igabanya amaraso nk'uko byategetswe na muganga wawe
• Gutegura umuntu uzakujyana mu rugo nyuma yo kubagwa
• Gutegura urugo rwawe kugira ngo ukire ufite ibintu byoroshye kugera kuri byo
• Gukora ibizamini byose bya mbere yo kubagwa nk'ibizamini by'amaraso cyangwa X-ray
• Kuziririza (kwirinda kurya cyangwa kunywa) mu gihe cyagenwe mbere yo kubagwa
• Koga ukoresheje isabune irwanya mikorobe mu ijoro ryo kubagwa cyangwa mu gitondo cyo kubagwa
• Kwambara imyenda yoroshye, yagutse itazabangamira imyenda yo gupfuka

Muganga wawe ashobora kandi kugusaba gutangira imyitozo ya fiziterapi mbere yo kubagwa kugira ngo ukomeze imitsi ikikije. Ibi byitegura birashobora gufasha kwihutisha gukira kwawe nyuma.

Ntugatinye kubaza ikipe yawe ibibazo byose bijyanye n'inzira yo kwitegura. Barashaka ko wumva ufite icyizere kandi witeguye igikorwa cyawe.

Uburyo bwo gusoma ibisubizo byo kubagwa urugingo rw'akaguru?

Nyuma yo kubagwa urugingo rw'akaguru, muganga wawe azasobanura icyakozwe mu gihe cy'igikorwa n'icyo babonye. Bitandukanye n'ibizamini byo muri laboratori bifite ibisubizo by'imibare, ibyavuye mu kubagwa bikunda gusobanurwa mu buryo bw'ibyakozwe n'uburyo kubagwa kwagenze neza.

Muganga wawe azaganira ku ngingo nyinshi z'ingenzi zijyanye n'ibisubizo byo kubagwa kwawe:

• Ibice byihariye byakoreshejwe cyangwa byubatswe bundi bushya
• Niba imirimo yose yari iteganyijwe yarangiye neza
• Ibyavumbuwe bitunguranye byagaragaye mugihe cyo kubaga
• Uburyo imitsi yawe yakiriye ubuvuzi bwo kubaga
• Igihe giteganyijwe cyo gukira mu byiciro bitandukanye
• Ibyabaye bitunguranye byabaye mugihe cyo kubaga

Umuvuzi wawe ushobora no kukwereka amafoto mbere na nyuma y'ubuvuzi niba yarafashwe mugihe cyo kubaga. Ibi birashobora kugufasha gusobanukirwa neza icyakozwe kugirango imiterere y'akaguru kawe itungane.

Wibuke ko ibisubizo byuzuye byo kubaga kwawe bitazagaragara ako kanya. Birashobora gufata amezi menshi kugirango ubone inyungu zuzuye mugihe akaguru kawe gakira kandi ugarura imbaraga no kugenda.

Ni gute wakwihutisha gukira nyuma yo kubaga akaguru?

Gukira kwawe nyuma yo kubaga akaguru ni ngombwa kimwe no kubaga ubwako. Gukurikiza amabwiriza y'umu chirurgien wawe neza birashobora gutuma ugira itandukaniro rinini mugihe ukira neza kandi ukagaruka vuba mubikorwa bisanzwe.

Hano hari intambwe zingenzi zo gushyigikira inzira yo gukira:

• Gukomeza akaguru kawe hejuru y'urwego rw'umutima mugihe uruhutse kugirango ugabanye umubyimbirwe
• Koresha urubura nkuko byategetswe kugirango ucunge ububabare no kubyimba
• Fata imiti yategetswe neza nkuko byategetswe
• Gukomeza ahantu hakoreweho kubaga hasukuye kandi humye
• Witabe gahunda zose zo gukurikirana n'umu chirurgien wawe
• Tangira imiti y'umubiri mugihe byemerewe n'umuganga wawe
• Kugenda ukazamura urwego rw'ibikorwa mugihe gukira kugenda neza
• Irinde gushyira uburemere ku kaguru kawe kugeza byemerewe

Igihe cyo gukira gitandukanye cyane bitewe nubwoko bwo kubaga ndetse n'inzira yawe yo gukira. Uburyo bworoshye bwo gukoresha imashini bushobora gutuma ugaruka mubikorwa bisanzwe muminsi 6-8, mugihe imirimo yubatswe igoye ishobora gufata amezi 4-6 cyangwa arenga.

Uburyo wiyemeje gukurikiza gahunda yo gukira bigira uruhare rugaragara ku musaruro wawe wa nyuma. Kwihangana muri iki gihe ni ngombwa kugira ngo ugereranye ibisubizo byiza by'igihe kirekire.

Mbese ni iyihe myanzuro myiza yo kubagwa urugingo rw'akaguru?

Umusaruro mwiza wo kubagwa urugingo rw'akaguru ni urwo rukemura neza ikibazo cyawe cyihariye mu gihe rugufasha gusubira ku rwego rwawe rwifuzwa rw'ibikorwa. Intsinzi isa n'itandukanye kuri buri wese, bitewe n'imyaka yawe, urwego rw'ibikorwa, n'uburwayi bwasabye kubagwa.

Ku bantu benshi, ibisubizo byiza birimo kugabanya cyane ububabare, kunoza imbaraga z'urugingo rw'akaguru, no gusubiza ubushobozi bwo kugenda. Ukwiriye kuba ushobora kugenda neza, kwitabira ibikorwa ukunda, kandi ukumva ufite icyizere mu bushobozi bw'urugingo rw'akaguru rwo kugushyigikira.

Ariko, ni ngombwa kugira ibyiringiro bifatika. Nubwo abantu benshi bagera ku musaruro mwiza, gusubira rwose ku rwego rwo mbere yo gukomereka ntibishoboka buri gihe, cyane cyane nyuma yo gukomereka bikomeye cyangwa mu gihe cyo kurwara umugongo bikabije.

Mbese ni izihe mpamvu zishobora gutera ingorane mu kubagwa urugingo rw'akaguru?

Kimwe n'ubundi buryo bwo kubaga, kubagwa urugingo rw'akaguru bifite ibyago runaka ukwiriye gusobanukirwa mbere yo gukomeza. Ingorane nyinshi ni gake zibaho, ariko kuzimenya bifasha gufata icyemezo gifitiye inyungu kandi ukamenya ibimenyetso byo kwitondera mu gihe cyo gukira.

Impamvu nyinshi zirashobora kongera ibyago byo kugira ingorane mu gihe cyangwa nyuma yo kubagwa urugingo rw'akaguru:

• Ukunywa itabi, bigira ingaruka ku gukira kandi bikongera ibyago byo kwandura
• Indwara ya diyabete cyangwa izindi ndwara zigira ingaruka ku mikorere y'amaraso
• Imyaka y'ubukure, ishobora gutinda gukira
• Umubyibuho ukabije, ushyira igitutu cyinshi ku gice cyabagiwe
• Imirire mibi idashyigikira gusana imitsi
• Gufata imiti imwe nka steroid
• Kubagwa urugingo rw'akaguru mbere cyangwa kwandura
• Indwara z'imitsi yo ku ruhande zigira ingaruka ku mikorere y'amaraso

Umuvuzi wawe uzasuzuma ibi bintu bigushyira mu kaga mu gihe cyo kugusuzuma mbere yo kubagwa. Mu bihe byinshi, hari intambwe zishobora guterwa kugira ngo zigabanye ibyago, nk'uko gushyira ubuzima bwawe mu buryo bwiza mbere yo kubagwa cyangwa guhindura uburyo bwo kubaga.

Ntukemere ko ibi byago biguca intege ngo ureke kubagwa bikwiye. Umuvuzi wawe azatanga inama yo kubagwa gusa niba yemera ko inyungu ziruta ibyago bishoboka mu miterere yawe yihariye.

Ese ni byiza kubagwa akaguru cyangwa kubyirinda?

Icyemezo cyo kubagwa akaguru cyangwa kubyirinda giterwa rwose n'uburwayi bwawe bwihariye, ibimenyetso, n'uko bigira ingaruka ku buzima bwawe. Nta gisubizo rusange gikoreshwa kuri buri wese.

Kubagwa birashobora kuba igisubizo cyiza niba urimo guhura n'ububabare buhoraho bugabanya ibikorwa byawe bya buri munsi, kutagira umutuzo mu kaguru bigushyira mu kaga ko gukomereka, cyangwa kwangirika kw'ingingo bigenda byiyongera uko igihe kigenda.

Ku rundi ruhande, kwirinda kubagwa birashobora kuba byiza niba ibimenyetso byawe bishobora gucungwa n'imiti isanzwe, niba ufite ibyago bikomeye byo mu buvuzi bituma kubagwa bigira akaga, cyangwa niba inyungu zishoboka zitarenga ibyago n'igihe cyo gukira.

Umuvuzi wawe w'amagufwa azagufasha gupima ibi bintu bitewe n'imimerere yawe. Bazatekereza ku myaka yawe, urwego rw'ibikorwa, ubuzima muri rusange, n'intego zawe bwite mugihe batanga inama zabo.

Ni izihe ngaruka zishobora guterwa no kubagwa akaguru?

Nubwo kubagwa akaguru muri rusange bifite umutekano, ni ngombwa gusobanukirwa ingaruka zishobora guterwa kugirango ufate icyemezo gifitiye inyungu kandi umenye ibimenyetso byo kwitondera mugihe cyo gukira. Ingaruka nyinshi ntizisanzwe, ariko zirashobora kubaho.

Dore ingaruka zishobora guterwa, zateguwe kuva ku zisanzwe kugeza ku zitabaho:

• Udukoko mu gice cyabagirijwe dukeneye imiti yica udukoko cyangwa kubagwa bundi bushya
• Amaraso avuye mu mitsi yo mu maguru, cyane cyane mu gihe cyo kutagira icyo ukora
• Gukira bitinze cyangwa kutunga kw'amagufa
• Ukwangirika kw'imitsi bitera ububabare cyangwa kumva urugero
• Urubabare rurambye cyangwa umugaga nubwo habayeho kubagwa
• Ibibazo by'ibikoresho bya screws, plates, cyangwa implants
• Uko umubiri wifata ku miti yo gutera urugimbu cyangwa ibikoresho byakoreshejwe
• Indwara y'ububabare bukomeye mu gice runaka (indwara idasanzwe y'ububabare burambye)

Itsinda ryanyu ry'abaganga bazaganira namwe kuri ibi byago kandi basobanure uburyo bakora kugirango babigabanye. Ibibazo byinshi bishobora kuvurwa neza nibibaye.

Ni ngombwa gukurikiza amabwiriza yose nyuma yo kubagwa no kumenyesha muganga wawe ibimenyetso byose bibangamiye ako kanya. Kumenya no kuvura ibibazo hakiri kare akenshi bituma habaho ibisubizo byiza.

Ni ryari nkwiriye kubona muganga kubera impungenge zo kubagwa urugingo rw'akaguru?

Ukwiriye guhamagara umuganga wabaguzi cyangwa itsinda ry'ubuvuzi ako kanya niba ubonye ibimenyetso bimwe na bimwe byo kwitondera mugihe cyo gukira. Gukora vuba bishobora gukumira ibibazo bito guhinduka ibibazo bikomeye.

Hamagara muganga wawe ako kanya niba ubonye kimwe muri ibi bimenyetso:

• Ibimenyetso byo kwandura nk'umuriro, umutuku wiyongera, cyangwa amashyira ava mu gice cyabagirijwe
• Urubabare rukabije rurushaho kuba rubi aho kuba rwiza
• Kumva urugero cyangwa ububabare butagabanuka
• Ukubyimba kwiyongera aho kugabanuka
• Icano ryanyu rihinduka ubururu cyangwa rigahora cyane
• Kutabasha gukora icano ryanyu cyangwa umugaga ukabije
• Itandukana ry'igice cyabagirijwe
• Urubabare mu gituza cyangwa guhumeka bigoranye (ibimenyetso by'amaraso avuye)

Ntugire impungenge zo kubuza itsinda ryanyu ry'ubuvuzi ibibazo cyangwa impungenge. Bakunda kukugenzura bakabona ko byose bimeze neza kuruta kurenganya ikibazo cy'ingenzi.

Ku kwitabwaho bisanzwe, witabire gahunda zose z'amasaha yagenwe kabone n'iyo wumva umeze neza. Uru ruzinduko rutuma umuganga ubaga akurikirana uko ukira kandi akavuga ku bibazo byose mbere yuko biba ibibazo.

Ibikunze kubazwa ku kubagwa urugingo rw'akaguru

Q.1 Ese kubagwa urugingo rw'akaguru ni byiza ku bufi?

Kubagwa urugingo rw'akaguru bishobora kugira akamaro kanini ku bufi, cyane cyane iyo imiti isanzwe itatanze umuti uhagije. Uburyo bwo kubaga bwiza bushingiye ku buryo ubufi bwawe bumeze kandi urugingo rw'akaguru rwawe rwakomeretse cyane.

Ku bufi bworoshye kugeza buringaniye, kubaga hakoreshejwe ibikoresho bishobora gukuraho amagufwa yiyongereye no gukura ingingo zangiritse, akenshi bitanga uburibwe buhoraho. Ku bufi bukomeye, gusimbuza urugingo rw'akaguru cyangwa kubaga bifasha gukuraho uburibwe mugusimbuza ahahurira ingingo cyangwa guhuza amagufwa burundu.

Q.2 Ese kubagwa urugingo rw'akaguru bitera ibibazo by'igihe kirekire?

Abantu benshi ntibagira ibibazo by'igihe kirekire nyuma yo kubagwa urugingo rw'akaguru, cyane cyane iyo bakurikiza gahunda yabo yo gukira neza. Ariko, abantu bamwe bashobora kugira ubukana buhoraho, kutumva neza rimwe na rimwe, cyangwa kubangamirwa n'ibikorwa ugereranije n'uko bari mbere yo gukomereka.

Ibyago byo kugira ibibazo by'igihe kirekire biterwa n'ibintu nk'ubwoko bwo kubaga bwakozwe, imyaka yawe, urwego rw'ibikorwa, n'uko ukira neza. Umuganga ubaga azavuga ibyiringiro bifatika bishingiye ku miterere yawe yihariye.

Q.3 Kubagwa urugingo rw'akaguru bifata igihe kingana iki kugira ngo bikire burundu?

Gukira burundu nyuma yo kubagwa urugingo rw'akaguru mubisanzwe bifata amezi 3-6, nubwo ibi bitandukanye cyane bitewe n'ubwoko bw'uburyo bwakoreshejwe n'inzira yawe yo gukira. Uburyo bworoshye bwo kubaga hakoreshejwe ibikoresho birashobora gukira mu byumweru 6-8, mugihe imirimo igoye yo kubaka ishobora gufata amezi 6-12.

Ushobora kuzagenda ubona impinduka buhoro buhoro muri iki gihe, hamwe n'intambwe zikomeye nk'ukugenda utagendera ku mbago no gusubira mu mikino zibera mu bihe bitandukanye. Umuganga wawe ubaga azatanga igihe cyihariye gishingiye ku kubagwa kwawe.

Q.4 Mbasha kugenda neza nyuma yo kubagwa akaguru?

Abantu benshi bashobora gusubira mu kugenda neza nyuma yo kubagwa akaguru, nubwo igihe biterwa n'uburyo bwawe bwihariye bwo kubagwa n'imikurire yo gukira. Imikorere yoroheje ishobora gutuma ugenda neza mu byumweru 6-8, mugihe kubagwa bikomeye bishobora gufata amezi 3-4.

Umuganga wawe ubaga azagenda yongera ibikorwa byawe byo gushyira uburemere ku kaguru uko gukira kugenda kurushaho. Imyitozo ngororamubiri igira uruhare runini mu kugufasha gusubirana uburyo busanzwe bwo kugenda no kwizera imbaraga z'akaguru kawe.

Q.5 Biba bite nintabasha kubagwa akaguru nkuko byategetswe?

Niba uhisemo kutabagwa akaguru nkuko byategetswe, ibimenyetso byawe birashoboka ko bizakomeza kandi bishobora kuzagenda birushaho kuba bibi uko igihe kigenda. Ingaruka zihariye ziterwa n'uburwayi bwawe, ariko zishobora kuba zirimo kubabara bikomeza, kutagira imbaraga zihagije, kwangirika kurushaho kw'ingingo, cyangwa guhinduka buhoro buhoro.

Ariko, kwirinda kubagwa ntabwo buri gihe bigira ibibazo. Abantu bamwe bafata neza ibimenyetso byabo hamwe n'imiti idakoresha kubagwa, guhindura ibikorwa, n'ibikoresho bifasha. Muganga wawe ashobora kugufasha gusobanukirwa icyo wakwitega niba uhisemo gukoresha uburyo butagendera ku kubagwa.