Mu myaka ya vuba aha, umubare w’abavunika wariyongereye, bigira ingaruka zikomeye ku buzima n’akazi k’abarwayi. Kubwibyo, ni ngombwa kwiga uburyo bwo kwirinda imvune mbere y’igihe.
Kuba igufwa ryavunitse
Ibintu byo hanze:Gucika intege biterwa ahanini n'ibintu byo hanze nk'impanuka z'imodoka, imyitozo ngororamubiri ikomeye cyangwa ingaruka. Ariko, ibi bintu byo hanze bishobora kwirindwa mu kwitonda mu gihe utwaye imodoka, mu gihe urimo gukora siporo cyangwa indi mirimo ngororamubiri, no gufata ingamba zo kwirinda.
Ibintu bitera imiti:Indwara zitandukanye zisaba imiti, cyane cyane ku barwayi bageze mu za bukuru bakoresha imiti kenshi. Irinde gukoresha imiti irimo steroide, nka dexamethasone na prednisone, ishobora gutera osteoporosis. Ubuvuzi bwo gusimbuza imisemburo ya tiroyide nyuma yo kubagwa udukoko twa tiroyide, cyane cyane mu rugero rwo hejuru, nabwo bushobora gutera osteoporosis. Gukoresha imiti igabanya ubukana nka adefovir dipivoxil igihe kirekire bishobora kuba ngombwa ku ndwara ya hepatite cyangwa izindi ndwara za virusi. Nyuma yo kubagwa kanseri y'ibere, gukoresha imiti igabanya ubukana bwa aromatase igihe kirekire cyangwa ibindi bintu bisa n'imisemburo bishobora gutuma amagufwa agabanuka. Imiti igabanya ubukana bwa proton pump, imiti igabanya diyabete nka thiazolidinedione, ndetse n'imiti igabanya igicuri nka phenobarbital na phenytoin nabyo bishobora gutera osteoporosis.
Kuvura imvune
Uburyo bwo kuvura imvune mu buryo burambye burimo ibi bikurikira:
Ubwa mbere, kugabanya amafaranga hakoreshejwe intoki,ikoresha uburyo nko gukurura, gukoresha, kuzunguza, gukanda, nibindi kugira ngo isubize ibice byavunitse mu mwanya wabyo usanzwe cyangwa mu mwanya wabyo usanzwe.
Icya kabiri,gufunga, ibisanzwe bikubiyemo gukoresha udupira duto, plaster casts,orthoses, gufata uruhu, cyangwa gufata amagufwa kugira ngo hagumane aho imvune yavunitse nyuma yo kugabanuka kugeza igihe izakira.
Icya gatatu, kuvura imiti,ubusanzwe ikoresha imiti ifasha mu gutuma amaraso atembera neza, kugabanya kubyimba no kubabara, no gutuma indwara ya callus ivuka kandi igakira. Imiti ituma umwijima n'impyiko birushaho kumererwa neza, ikomeza amagufwa n'imitsi, igatunga qi n'amaraso, cyangwa igatuma amaraso atembera neza ishobora gukoreshwa mu koroshya imikorere y'ingingo.
Icya kane, imyitozo ngororamubiri,ikubiyemo imyitozo ngororamubiri yigenga cyangwa iy’ubufasha mu gusubiza ingingo mu buryo zikora, imbaraga z’imitsi, no gukumira gucika intege kw’imitsi no kwangirika kw’amagufwa, bigafasha gukira kw’imvune no gukira kw’imikorere y’umubiri.
Ubuvuzi bwo Kubaga
Ubuvuzi bwo kubaga imvune bukubiyemo ahaninigufunga imbere, gufunga inyuma, nagusimbuza ingingo ku bwoko bwihariye bw'imvune.
Gufata inyumaikwiriye kuvunika kw'inyuma n'ukw'inyuma, kandi muri rusange ikoreshwa mu gukurura cyangwa gukurura inkweto zo kuzunguruka inyuma mu gihe cy'ibyumweru 8 kugeza kuri 12 kugira ngo hirindwe ko urugingo rwo hanze ruzunguruka no gukuraho urugingo rwafashwe. Bifata amezi agera kuri 3 kugeza kuri 4 kugira ngo uruhuke, kandi hari umubare muto cyane w'indwara zo kutagira aho zihurira cyangwa zo kutagira aho zihurira n'urugingo cyangwa kutagira aho zihurira n'urugingo. Ariko, hari amahirwe yo kwimuka mu ntangiriro z'urugingo, bityo bamwe mu bantu bashyigikira ikoreshwa ry'insinga zo mu nda. Ku bijyanye no gukurura inyuma kw'urugingo, ntabwo ikoreshwa gake kandi ikoreshwa gusa ku bana bato.
Gushyiraho imbere:Muri iki gihe, ibitaro bifite indwara zifata imiti ifunganye n’ifata imbere mu mubiri biyobowe n’imashini za X-ray, cyangwa ifata imbere mu mubiri. Mbere yo kubagwa, hakorwa ifata n’intoki kugira ngo hemezwe ko imiterere y’umubiri yagabanutse mbere yo gukomeza kubagwa.
Osteotomy:Osteotomy ishobora gukorwa ku magufwa agoranye gukira cyangwa ashaje, nko kubaga osteotomy hagati y’amaguru cyangwa subtrochanteric osteotomy. Osteotomy ifite ibyiza byo kubaga byoroshye, kugabanya kugabanya urugingo rwangiritse, kandi ikaba nziza mu gukira kw'imvune no gukira neza.
Kubaga ingingo zisimbura ingingo:Ibi birakwiriye abarwayi bageze mu za bukuru bafite imvune zo mu ijosi ry’impyiko. Ku ndwara yo mu mutwe w’impyiko idafatana cyangwa iy’imitsi mu gihe cy’imvune zo mu ijosi ry’impyiko, niba igisebe cyacitse ku mutwe cyangwa mu ijosi, hashobora gukorwa ubugororangingo bwo gusimbuza umutwe w’impyiko. Niba igisebe cyangiritse acetabulum, hakenewe kubagwa uburyo bwose bwo gusimbuza ikibuno.
Igihe cyo kohereza ubutumwa: Werurwe-16-2023
