Ni iki cyitwa Vertebroplasty? Intego, Uburyo & Ibivamo

Vertebroplasty ni uburyo butagoye cyane aho abaganga batera sima y'ubuvuzi mu gice cyavunitse cyangwa cyacitse cy'umugongo wawe. Ubu buvuzi bukorerwa abarwayi bafashwa gufata igufwa kandi bushobora kugabanya cyane kubabara umugongo guterwa no kuvunika. Ubu buryo busanzwe bufata isaha imwe kandi butanga ubufasha igihe ubuvuzi busanzwe butagize icyo bugeraho.

Vertebroplasty ni iki?

Vertebroplasty ni uburyo bwihariye bwo kuvura umugongo bukoresha sima y'amagufwa mu gukomeza imigongo yangiritse. Muganga wawe akoresha uburyo bwo kugaragaza amashusho kugira ngo yitondere guterera uruvange rwa sima yihariye mu igufwa ryavunitse binyuze mu rusinga ruto.

Sima ikomera vuba imbere y'umugongo wawe, ikora ubufasha bw'imbere butuma igufwa rifata. Ubu buryo busa no kuziba icyuho muri beto kugira ngo yongere gukomera. Ubu buryo bwa mbere bwakozwe mu myaka ya za 1980 kandi bwafashije ibihumbi by'abantu kongera kugira ubushobozi bwo kugenda no kugabanya ububabare.

Abarwayi benshi bahita bumva ububabare bugabanuka, nubwo bamwe bashobora kubona impinduka buhoro buhoro mu minsi mike. Sima iba igice cy'iteka ryose cy'umugongo wawe, itanga ubufasha bw'igihe kirekire kugira ngo birinde ko umugongo uvurwa wongera gusenyuka.

Kuki vertebroplasty ikorwa?

Vertebroplasty ikorwa cyane cyane mu kuvura imigongo ibabaza yavunitse mu mugongo wawe itarakira neza n'ubuvuzi busanzwe. Uku kuvunika kugaragara cyane cyane ku bantu bafite umugongo utagira imbaraga, aho amagufwa agera aho acika intege kandi akajya avunika.

Muganga wawe ashobora kugusaba ubu buryo igihe umaze iminsi cyangwa amezi wumva umugongo wawe ubabaza cyane ntugire icyo uhindukaho. Ububabare akenshi buriyongera iyo uhagaze, ugenda, cyangwa wimuka, kandi bushobora kugabanya cyane ibikorwa byawe bya buri munsi.

Usibye imvune ziterwa na osteoporose, vertebroplasty ishobora no gufasha ku mvune ziterwa na kanseri yagiye mu mugongo cyangwa ibibyimba bitari bya kanseri byangiza imiterere y'amagufa. Mu bindi bihe, abaganga bayikoresha mu gukomeza imigongo mbere yuko ivunika ku barwayi bafite amagufa acitse intege.

Ubu buryo buhinduka uburyo bwo gukemura ikibazo iyo kuruhuka ku gitanda, imiti igabanya ububabare, no kwifashisha ibikoresho bifasha umugongo bitatanze igisubizo gihagije nyuma y'ibyumweru 6-8. Itsinda ryawe ry'ubuvuzi rizagenzura neza niba vertebroplasty ikwiriye kubera ikibazo cyawe.

Ni iki uburyo bwa vertebroplasty bumaze?

Vertebroplasty ikorwa akenshi nk'uburyo bwo kuvurwa hanze y'ivuriro mu bitaro cyangwa mu ivuriro ryihariye. Uzarushaho guhumurizwa kandi uhabwe imiti igabanya ububabare, nubwo uzaguma uri maso mu gihe cyo kuvurwa.

Muganga wawe azagushyira hasi ku meza yo kuvuriraho kandi akoreshe amashusho ya X-ray akomeza kugufasha mu buryo bwose. Bazahanagura kandi bagarure uruhu ruri inyuma yawe, hanyuma bakinjize umuti ugabanya ububabare ahantu havurirwa.

Ibi nibyo bibaho mu gihe cyo kuvurwa nyamukuru:

1. Urubuto ruto rwinjizwa witonze mu ruhu rwawe no mu misitsi yinjira mu mugongo wavunitse
2. Muganga wawe akoresha amashusho ya X-ray y'igihe nyacyo kugirango yemeze ko urubuto rwashyizwe neza
3. Sima y'ubuvuzi yinjizwa buhoro buhoro binyuze mu rurubuto mu gufa
4. Sima yuzura ahantu hari hagati y'umugongo wavunitse
5. Urubuto ruvanwaho igihe sima itangiye gukomera

Ubu buryo bwose busanzwe bufata iminota 45 kugeza ku isaha kuri buri mugongo. Niba ufite imvune nyinshi, muganga wawe ashobora kuvura imigongo myinshi mu gihe kimwe, ibyo byongera igihe cyo kuvurwa.

Ni gute witegura vertebroplasty yawe?

Kitegura kubagwa vertebroplasty bitangira iminsi myinshi mbere y'igikorwa cyawe hamwe n'imiti y'ingenzi n'imibereho myiza. Muganga wawe azatanga amabwiriza yihariye yagenewe ibibazo by'ubuzima bwawe n'imiti ukoresha ubu.

Bizaba ngombwa guhagarika gufata imiti ituma amaraso ataguma mu mubiri neza nka warfarin, aspirine, cyangwa clopidogrel iminsi myinshi mbere y'igikorwa. Itsinda ryawe ry'ubuvuzi rizakubwira neza igihe nyacyo cyo guhagarika buri muti kandi niba ukeneye izindi nzira z'agateganyo.

Dore intambwe z'ingenzi zo kwitegura ugomba gukurikiza:

• Tegura umuntu uzagutwara mu rugo nyuma y'igikorwa
• Ntukarye cyangwa ngo unywe ikintu icyo aricyo cyose mu masaha 8 mbere yo guhura na muganga
• Fata imiti yawe isanzwe ufata amazi make cyane keretse niba ubitegetswe
• Wambare imyenda yoroshye, yagutse byoroshye guhindura
• Kura impeta, amaso y'ubwenge, n'amenyo mbere y'igikorwa
• Menyesha itsinda ryawe ibyerekeye allergie iyo ari yo yose, cyane cyane ku mabara atandukanye cyangwa imiti

Itsinda ryawe ry'ubuvuzi rizareba kandi ibyavuye mu bushakashatsi bwawe bw'amashusho aheruka kandi rishobora gutuma utumiza X-rays cyangwa MRI scans zigezweho. Ibi bibafasha gutegura uburyo nyabwo kandi bakemeza ko vertebroplasty igikomeje kuba uburyo bwiza bwo kuvura indwara yawe.

Ni gute usoma ibisubizo byawe bya vertebroplasty?

Intsinzi nyuma ya vertebroplasty igaragarira cyane mu kugabanya ububabare bwawe no kunoza ubushobozi bwawe bwo gukora ibikorwa bya buri munsi. Abantu benshi barwara babona kugabanuka gukomeye kw'ububabare mu masaha 24-48, nubwo bamwe bahita babona ubufasha nyuma y'igikorwa.

Muganga wawe azakoresha ubushakashatsi bw'amashusho kugirango yemeze ko sima yuzuye neza vertebra yavunitse kandi igakomera igufwa. X-rays yo gukurikirana akenshi yerekana sima nk'agace kera cyane mu gice kivurwa, bigaragaza gushyirwa neza.

Uburyo bwo gupima ububabare akenshi bukoresha urwego rwa 0 kugeza kuri 10, aho 0 bisobanura ko nta bubabare burimo naho 10 bikaba bisobanura ububabare bukomeye. Abarwayi benshi bavuga ko ububabare bwabo bugabanuka kuva kuri 7-8 mbere yo kubagwa bukagera kuri 2-3 nyuma yaho. Gukuraho ububabare burundu ntibiba bishoboka buri gihe, ariko kuzamura bikomeye ni ibisanzwe.

Itsinda ryawe ry'ubuvuzi rizanasuzuma imikorere yawe n'iterambere ry'imikorere mu gihe cyo gusubira kwa muganga. Kuba ushobora kugenda intera ndende, gusinzira neza, no gukora imirimo yo mu rugo byoroshye ni ibimenyetso byiza by'imikorere neza y'ubuvuzi.

Ni gute wakongera imbaraga mu gukira kwawe nyuma yo kubagwa vertebroplasty?

Kongera imbaraga mu gukira nyuma ya vertebroplasty byibanda ku korohereza sima gukomera neza mu gihe ugaruka buhoro buhoro mu bikorwa bisanzwe. Mu masaha 24 ya mbere ni ingenzi kugira ngo gukira neza no gushimangira sima.

Bizaba ngombwa ko uryama ugaramye ku mugongo wawe mu isaha imwe cyangwa ebyiri nyuma yo kubagwa kugira ngo wirinde ko sima ivamo. Muri iki gihe, sima y'ubuvuzi ikomeza gukomera no guhuzwa n'igice cy'amagufa yawe.

Dore umurongo w'igihe cyo gukira n'amabwiriza y'ingenzi:

• Amasaha 24 ya mbere: Irinda kuzamura ibintu biremereye no kugabanya kwegamira cyangwa kwigunga
• Iminsi 2-7: Kongera buhoro buhoro kugenda n'ibikorwa byoroheje bya buri munsi
• Icyumweru 2-4: Gusubukura ibikorwa bisanzwe ariko wirinda imyitozo ikomeye
• Ukwezi 1-3: Gusubira buhoro buhoro mu bikorwa byo mu mubiri bikomeye uko byemewe
• Buri gihe: Gukurikiza inama z'abaganga bawe ku buvuzi bwa osteoporosis

Gucunga ububabare mu gihe cyo gukira mubisanzwe bikubiyemo imiti itangwa itagomba kwandikwa na muganga nka acetaminophen cyangwa ibuprofen. Muganga wawe azatanga ubuyobozi bwihariye ku gihe cyo gusubukura imiti iyo ari yo yose igabanya amaraso wari ufata mbere yo kubagwa.

Ni ibihe bintu byongera ibyago byo gukenera vertebroplasty?

Ibintu byinshi byongera amahirwe yo kurwara imvune ziterwa no guhuzagurika bishobora gusaba vertebroplasty. Kumva ibyo bintu byongera ibyago birashobora kugufasha gufata ingamba zo kwirinda no kuganira impungenge zawe n'umuganga wawe.

Osteoporose ni yo mpamvu ikomeye cyane y'ibyago, cyane cyane ikora ku bagore bamaze guca imbyaro n'abantu bakuze. Iyi ndwara ituma amagufa aba afite imyenge kandi akaba macye, bigatuma no kugwa guto cyangwa kwimuka bishobora gutera imvune.

Dore ibintu by'ibanze byongera ibyago byo kuvunika:

• Ubukure bwinshi, cyane cyane hejuru y'imyaka 65
• Igitsina gore bitewe n'impinduka za hormone nyuma yo guca imbyaro
• Gukoresha imiti ya corticosteroid igihe kirekire
• Amateka y'umuryango ya osteoporose cyangwa imvune
• Umunywa w'itabi no kunywa inzoga nyinshi
• Imibereho idakora imyitozo ngororamubiri ifite imyitozo ngororamubiri nke yo gushyigikira ibiro
• Imirire mibi, cyane cyane kubura kalisiyumu na vitamine D

Indwara zimwe na zimwe z'ubuvuzi nazo zongera ibyago byo kuvunika, harimo rheumatoid arthritis, hyperparathyroidism, n'indwara zo mu gifu zikora ku mikorere y'intungamubiri. Kanseri ikwirakwira mu magufa igaragaza ikindi kintu cyongera ibyago byo kuvunika kw'amagufa y'umugongo.

Ni izihe ngaruka zishoboka za vertebroplasty?

Vertebroplasty muri rusange ifatwa nk'inzira itagira ingaruka, ariko nk'ubundi buvuzi, ifite ibyago bimwe na bimwe bishoboka n'ingaruka. Ingaruka nyinshi ni nke kandi zirashobora gucungwa iyo zibayeho.

Ingaruka ntoya zisanzwe zirimo kubabara umugongo by'igihe gito, kubabara imitsi, no kuva amaraso make ya sima atatera ibimenyetso. Ibi bibazo mubisanzwe bikemuka mu minsi mike kugeza ku byumweru bitagize indi miti.

Dore ingaruka zishoboka, zateguwe kuva ku zisanzwe kugeza ku nke:

• Uburibwe bw'agateganyo bwiyongera bumara amasaha 24-48
• Ukuva amaraso guto cyangwa gusa n'ibibara ku gice cyashyizwemo urushinge
• Uduce duto twa sima dusohoka ariko ntutere ibimenyetso
• Udukoko ku gice cyakoreweho ubuvuzi (ntarengwa)
• Ukwangirika kw'imitsi biturutse ku gusohoka kwa sima (ntarengwa cyane)
• Imvune nshya mu nsinga zikikije (ntarengwa)
• Uko kwitwara kwa allergie ku mabara akoreshwa cyangwa imiti (ntarengwa)

Ingorane zikomeye nk'ukwibasirwa kw'umugongo cyangwa ubumuga bwo kutagenda ni ntarengwa cyane iyo ubuvuzi bukorwa n'inzobere zifite ubunararibonye. Itsinda ry'abaganga bakurikirana neza uko umubiri wawe witwara mu gihe cy'ubuvuzi no nyuma yaho kugira ngo bakemure vuba ibibazo byose bishobora kuvuka.

Ni ryari nkwiriye kubona umuganga nyuma yo gukorerwa vertebroplasty?

Abantu benshi bakira neza nyuma ya vertebroplasty, ariko ni ngombwa kumenya igihe cyo kuvugana n'umuganga wawe. Ibimenyetso bimwe na bimwe bisaba ubufasha bwihutirwa bw'abaganga, mu gihe ibindi bisaba gukurikiranwa buri gihe.

Vugana n'umuganga wawe ako kanya niba wumva uburibwe bukomeye butunguranye mu mugongo, intege nke zishya mu maguru, ubumuga bwo kutumva, cyangwa kugorwa no kugenzura uruhago rwawe cyangwa imyanya myibarukiro. Ibi bimenyetso bishobora kwerekana ingorane zikomeye ariko ntarengwa zisaba isuzuma ryihutirwa.

Dore ibihe bisaba kuvugana n'abaganga vuba:

• Urubavu rurenze 101°F (38.3°C) rushobora kwerekana indwara y'udukoko
• Uburibwe bukomeye buruta mbere yo gukorerwa ubuvuzi
• Ubumuga bushya bwo kutumva cyangwa kuribwa mu maguru yawe cyangwa ibirenge
• Ukubyimba cyangwa gutukura cyane ku gice cyateweho urushinge
• Kugorwa no kugenda cyangwa ibibazo bishya byo kutaringaniza
• Kuruka cyangwa isesemi bihoraho

Ku bibazo bitihutirwa nk'iyongerwa rito ry'uburibwe, ibibara bito, cyangwa ibibazo rusange bijyanye no koroherwa kwawe, urashobora kuvugana n'ibiro by'umuganga wawe mu masaha asanzwe y'akazi. Abaganga benshi bakunda ko uhamagara aho guhangayika ku bimenyetso bisanzwe byo koroherwa.

Ibice bibazwa kenshi kuri vertebroplasty

Q.1 Ese vertebroplasty ni nziza ku kuvunika kw'amagufa ya osteoporotic?

Yego, vertebroplasty irashobora kugira akamaro kanini mu kuvura kuvunika kw'amagufa ya osteoporotic bibabaza bitarakira n'imiti isanzwe. Ubushakashatsi bwerekana ko 70-90% by'abarwayi bagira igabanuka rikomeye ry'ububabare mu minsi mike nyuma y'iyi nzira.

Ubu buvuzi bukora neza cyane iyo amagufa yavunitse vuba (mu mezi 6-12) kandi akaba ateza ububabare bukomeye bugabanya ibikorwa bya buri munsi. Ariko, muganga wawe azasuzuma neza niba inyungu ziruta ibyago bishingiye ku miterere yawe yihariye n'ubuzima bwawe muri rusange.

Q.2 Ese vertebroplasty irinda kuvunika kw'amagufa mu gihe kizaza?

Vertebroplasty ikomeza igice cy'umugongo cyavuwe kandi bituma bitashoboka ko yongera kuvunika ahantu hamwe. Ariko, ntibibuza ko amagufa mashya avunika mu tundi duce tw'umugongo, cyane cyane niba osteoporose yo hasi itavuwe.

Ubushakashatsi bumwe buvuga ko hariho akaga gato ko kuvunika kw'amagufa mu duce twegereye ahantu havuriwe, nubwo ibi bikiri ingingo yo gukomeza gukora ubushakashatsi. Ikintu cy'ingenzi ni ukuvura ubuzima bw'amagufa yawe yo hasi ukoresheje imiti, imyitozo, n'imibereho ihinduka hamwe n'inzira ya vertebroplasty.

Q.3 Ububabare buva muri vertebroplasty bumara igihe kingana iki?

Urubavu rw'ububabare buva muri vertebroplasty akenshi burambye, aho abarwayi benshi bagumana impinduka zigaragara mu myaka nyuma y'iyi nzira. Simento iba igice cy'iteka ry'umugongo wawe, itanga ubufasha bw'imiterere burambye.

Ariko, ibisubizo by'igihe kirekire birashobora gutandukana bitewe n'ubuzima bw'umugongo wawe muri rusange niba amagufa mashya avuka mu tundi duce. Gukurikiza inama za muganga wawe ku kuvura osteoporose no kwita ku mugongo bifasha kugumana inyungu za vertebroplasty uko igihe kigenda.

Q.4 Nshobora gukorerwa vertebroplasty ku bice byinshi by'umugongo?

Yego, abaganga bashobora kuvura imitsi myinshi y'umugongo mu gihe kimwe cyo kuvura niba ufite imvune nyinshi zikugiraho ububabare. Ariko, kuvura imitsi myinshi icyarimwe bishobora kongera ibyago byo kugira ibibazo no gutinda gukira.

Itsinda ryawe ry'abaganga rizagena uburyo bwizewe bushingiye ku mubare, aho ziherereye, n'uburemere bw'imvune zawe. Rimwe na rimwe basaba gukora ibikorwa mu byiciro, bakavura imvune zikomeye mbere na mbere hanyuma bagakora ibindi bikorwa nyuma niba bibaye ngombwa.

Q.5 Ni iki gitandukanya vertebroplasty na kyphoplasty?

Ubu buryo bwombi bukubiyemo guterwa sima mu mitsi y'umugongo yavunitse, ariko kyphoplasty ikubiyemo intambwe yongeraho yo gufura agahuhura gato imbere muri vertebra mbere yo guterwa sima. Iri huhura ryongera umwanya by'agateganyo kandi rishobora gufasha kugarura uburebure bumwe bwa vertebra.

Kyphoplasty mubisanzwe ihenda cyane kandi bitwara igihe kirekire kurusha vertebroplasty, ariko ubu buryo bwombi butanga ibisubizo bisa byo kugabanya ububabare. Muganga wawe azagusaba uburyo bukwiye bushingiye ku miterere y'imvune zawe, ubuzima bwawe muri rusange, n'intego zo kuvura.