Mu myaka yashize, indwara zo kuvunika zagiye ziyongera, bigira ingaruka zikomeye ku buzima no ku barwayi.Kubwibyo, birakenewe kwiga kubyerekeye uburyo bwo kwirinda kuvunika hakiri kare.
Kubaho kuvunika amagufwa
Impamvu zo hanze:Kumeneka biterwa ahanini nimpamvu zo hanze nkimpanuka zimodoka, imyitozo ngororamubiri ikomeye cyangwa ingaruka.Nyamara, ibyo bintu byo hanze birashobora gukumirwa mugira amakenga mugihe utwaye imodoka, kwitabira siporo cyangwa indi myitozo ngororamubiri, no gufata ingamba zo kubarinda.
Impamvu z'imiti:Indwara zitandukanye zisaba imiti, cyane cyane kubarwayi bageze mu zabukuru bakoresha ibiyobyabwenge.Irinde gukoresha ibiyobyabwenge birimo steroid, nka dexamethasone na prednisone, bishobora gutera osteoporose.Ubuvuzi bwa tiroyide ya tiroyide nyuma yo kubagwa tiroyide nodule, cyane cyane muri dosiye nyinshi, birashobora no gutera osteoporose.Gukoresha igihe kirekire imiti igabanya ubukana nka adefovir dipivoxil irashobora gukenerwa kuri hepatite cyangwa izindi ndwara ziterwa na virusi.Nyuma yo kubagwa kanseri y'ibere, gukoresha igihe kirekire gukoresha inibitori ya aromatase cyangwa ibindi bintu bisa na hormone bishobora gutera gutakaza amagufwa.Inhibitori ya proton, imiti igabanya ubukana nka thiazolidinedione, ndetse n’imiti igabanya ubukana nka fenobarbital na fenytoin nayo ishobora gutera osteoporose.
Kuvura kuvunika
Uburyo bwo kuvura konservateur kuvunika ahanini burimo ibi bikurikira:
Icyambere, kugabanya intoki,ikoresha tekinike nko gukwega, manipulation, kuzunguruka, massage, nibindi kugirango igarure ibice byavunitse byimuwe muburyo busanzwe bwa anatomique cyangwa hafi ya anatomique.
Icya kabiri,gukosorwa, mubisanzwe bikubiyemo gukoresha uduce duto, plaster,orthose, gukurura uruhu, cyangwa gukurura amagufwa kugirango ugumane umwanya wavunitse nyuma yo kugabanuka kugeza ikize.
Icya gatatu, kuvura imiti,ubusanzwe ikoresha ibiyobyabwenge mugutezimbere gutembera kwamaraso, kugabanya kubyimba nububabare, no guteza imbere no gukira kwa callus.Ibiyobyabwenge byongera umwijima nimpyiko, bikomeza amagufwa nimitsi, bigaburira qi namaraso, cyangwa bigatera umuvuduko wa meridian bishobora gukoreshwa kugirango byorohereze imikorere yingingo.
Icya kane, imyitozo ikora,ikubiyemo imyitozo yigenga cyangwa ifashwa kugirango igarure urwego rwimikorere, imbaraga z imitsi, kandi irinde imitsi atrophy na osteoporose, byorohereza gukira kuvunika no gukira kwimikorere.
Ubuvuzi bwo kubaga
Ubuvuzi bwo kubaga kuvunika ahanini burimogukosora imbere, gukosorwa hanze, nagusimburana hamwe kubwoko bwihariye bwimvune.
Gukosora hanzeikwiranye no kuvunika no hagati kandi mubisanzwe birimo gukwega cyangwa kurwanya inkweto zo kuzunguruka hanze ibyumweru 8 kugeza 12 kugirango wirinde kuzunguruka hanze no kwinjiza ingingo zanduye.Bifata amezi agera kuri 3 kugeza kuri 4 kugirango ukire, kandi haribibazo bike cyane byo kudahuza umutwe cyangwa umutwe wa femorale.Ariko, haribishoboka kwimurwa mugihe cyambere cyo kuvunika, abantu bamwe rero bashyigikiye ikoreshwa ryimbere.Kubijyanye na plaster yo hanze, ntabwo ikoreshwa gake kandi igarukira kubana bato gusa.
Gukosora imbere:Kugeza ubu, ibitaro bifite imiterere bifashisha kugabanya no gukosora imbere bayobowe nimashini za X-ray, cyangwa kugabanya gufungura no gukosora imbere.Mbere yo kubagwa imbere, kugabanya intoki bikorwa kugirango hemezwe kugabanuka kwavunitse mbere yo gukomeza kubagwa.
Osteotomy:Osteotomy irashobora gukorwa kubintu bigoye-gukira cyangwa kuvunika bishaje, nka osteotomy intertrochanteric osteotomy cyangwa osteotomy subtrochanteric.Osteotomy ifite ibyiza byo kubaga byoroshye kubagwa, kugabanya igihimba cyanduye, kandi ni byiza gukira kuvunika no gukira neza.
Kubaga gusimburana hamwe:Ibi birakwiriye kubarwayi bageze mu zabukuru bafite kuvunika ijosi.Kuri noncionis cyangwa avascular necrosis yumutwe wigitsina gore muvunika ijosi rya femorale ishaje, niba igikomere kigarukira kumutwe cyangwa ijosi, kubaga umutwe wumugore birashobora kubagwa.Niba igikomere cyangije acetabulum, harasabwa kubagwa rwose gusimbuza ikibuno.
Igihe cyo kohereza: Werurwe-16-2023
