Jack, umusore w'imyaka 22 ukunda umupira w'amaguru, akina umupira w'amaguru n'inshuti ze buri cyumweru, kandi umupira w'amaguru wabaye igice cy'ingenzi mu buzima bwe bwa buri munsi. Mu mpera z'icyumweru gishize ubwo yakinaga umupira w'amaguru, Zhang yaguye ku bw'impanuka, ababara cyane ku buryo atashoboraga guhaguruka, atashoboraga kugenda, nyuma y'iminsi mike yoroherwa mu rugo cyangwa ububabare, atashoboraga guhagarara, yoherejwe mu ishami ry'ubuvuzi bw'amagufwa ry'ibitaro n'inshuti ye, umuganga yasuzumwe kandi avugurura MRI y'ivi, yasuzumwe nk'urubavu rw'imbere rw'umugongo rw'ijosi, akaba ari ngombwa ko ajyanwa mu bitaro kugira ngo abagwe mu buryo budakabije.
Nyuma yo kurangiza ibizamini mbere yo kubagwa, abaganga bateguye gahunda ihamye yo kuvura indwara ya Jack, maze bahitamo kongera kubaka ACL bakoresheje uburyo bwo gupima arthroscopic hakoreshejwe tendon ya autologous popliteal nyuma yo kuvugana na Jack byuzuye. Ku munsi wa kabiri nyuma yo kubagwa, yashoboye kugwa hasi kandi ibimenyetso byo kubabara mu ivi bye byaragabanutse cyane. Nyuma yo gukora imyitozo ngororamubiri, Jack azahita ashobora gusubira mu kibuga vuba.
Gucika burundu k'uruhande rw'inyuma rw'umutsi wo mu gice cy'imbere cy'inyuma bibonwa mu buryo bwa mikorosikopi
Igufwa ry'imbere nyuma yo kongera kubakwa n'umutsi w'inyuma w'inyuma
Muganga yakoreye umurwayi kubaga imitsi yo mu mutwe igabanya ubukana bw'imitsi itera indwara
Umutsi wo mu gice cy'imbere cy'ivi (ACL) ni umwe mu mitsi ibiri inyura hagati mu ivi, ihuza igufwa ry'ikibero n'igufwa ry'ivi kandi igafasha mu gutuma ingingo y'ivi ikomera. Ibikomere bya ACL bikunze kubaho mu mikino isaba guhagarara cyane cyangwa guhindura icyerekezo gitunguranye, gusimbuka no kugwa hasi, nko gukina umupira w'amaguru, basketball, rugby no kumanuka mu misozi. Ibisanzwe birimo ububabare butunguranye, bukomeye no gukubita cyane. Iyo imvune ya ACL ibaye, abantu benshi bumva "gukanda" mu ivi cyangwa bumva ikintu gicitse mu ivi. Ivi rishobora kubyimba, kumva ridafite aho rihuriye, kandi rikagira ingorane zo gushyigikira ibiro byawe kubera ububabare.
Mu myaka ya vuba aha, imvune za ACL zabaye imvune ikunze kugaragara mu mikino, hibandwa cyane ku myitozo ngororamubiri myiza. Uburyo bwo gusuzuma iyi mvune burimo: gufata amateka, gusuzuma umubiri, no gusuzuma amashusho. MRI ubu ni bwo buryo bw'ingenzi bwo gufata amashusho ku mvune za ACL muri iki gihe, kandi uburyo bwo gusuzuma MRI mu cyiciro cy’ubukana burenze 95%.
Gucika kwa ACL bigira ingaruka ku buryo ingingo y'ivi idahindagurika, bigatera kutumvikana no kunyeganyega iyo ingingo igonganye, ikagenda ikura kandi ikazunguruka, kandi nyuma y'igihe runaka, akenshi bitera imvune za meniscus na cartilage. Muri iki gihe, hazabaho ububabare bw'ivi, kugenda ku rugero ruto cyangwa se "guhagarara" mu buryo butunguranye, ntibishobora kwimura ibyiyumvo, bivuze ko imvune iba itoroshye, nubwo wabazwe kugira ngo usanwe, gusana imvune hakiri kare biragoye, ingaruka nazo ziba mbi cyane. Impinduka nyinshi ziterwa no kudakomera kw'ivi, nko kwangirika kwa meniscus, osteophytes, kwangirika kwa cartilage, nibindi, ntabwo zishobora guhinduka, bigatuma habaho urukurikirane rw'izindi ngaruka, kandi bikongera ikiguzi cyo kuvurwa. Kubwibyo, kongera kubaka imitsi yo mu ivi nyuma yo gukomereka kwa ACL ni byiza cyane, kugira ngo ingingo y'ivi igaruke neza.
Ni ibihe bimenyetso by'imvune ya ACL?
Inshingano y'ibanze ya ACL ni ukugabanya kwimuka kw'imbere kwa tibia no kubungabunga uburyo izenguruka. Nyuma yo gucika kwa ACL, tibia igenda imbere mu buryo butunguranye, umurwayi ashobora kumva adakomeye kandi ahindaguritse mu ngendo za buri munsi, siporo cyangwa ibikorwa byo kuzenguruka, ndetse rimwe na rimwe akumva ko ivi ridashobora gukoresha imbaraga zaryo kandi ridafite imbaraga.
Ibimenyetso bikurikira ni ibisanzwe ku mvune za ACL:
①Kubabara mu ivi, biri mu ngingo, abarwayi bashobora gutinya kwimuka bitewe n'ububabare bukabije, bamwe mu barwayi bashobora kugenda cyangwa gukomeza imyitozo ngororamubiri idakomeye bitewe n'ububabare bworoheje.
② Kubyimba ivi, bitewe no kuva amaraso mu ngingo y'ivi, akenshi biba mu minota cyangwa amasaha nyuma y'imvune y'ivi.
Kugabanya kwaguka kw'ivi, gucika kw'imitsi, igituza cy'imitsi gihindukirira intercondylar fossa imbere kugira ngo bitere uburibwe. Abarwayi bamwe bashobora kugira kwaguka cyangwa kwikubita ku rugero ruto bitewe n'imvune ya meniscus. Iyo bivanze n'imvune y'imitsi, rimwe na rimwe bigaragazwa no kugabanya kwaguka.
Kudakomera kw'ivi, bamwe mu barwayi bumva ivi ritameze neza mu gihe cyo gukomereka, bagatangira kumva ivi rihindagurika (ni ukuvuga kumva amagufwa acitse nk'uko abarwayi babisobanura) iyo bongeraga kugenda nyuma y'icyumweru kimwe cyangwa bibiri nyuma y'imvune.
⑤ Kutagenda neza kw'ingingo y'ivi, biterwa na synovitis iteye ubwoba bigatera kubyimba no kubabara mu ngingo y'ivi.
Muganga yavuze ko uburyo bwo gusana imitsi yo mu ivi nyuma yo gucika, kandi uburyo busanzwe bwo kuvura ni ugutera imitsi yo mu ivi mu buryo bwa arthroscopic kugira ngo hongerwe imitsi mishya, ikaba ari uburyo budatera indwara nyinshi. Imitsi yo mu ivi yatewe ni yo ikundwa kurusha imitsi yo mu ivi ya autologous, ifite ibyiza byo gukata amaguru make, ingaruka nke ku mikorere, kudakwanga, no gukira amagufwa yo mu ivi byoroshye. Abarwayi bafite uburyo bworoshye bwo kuvura nyuma yo kubagwa bagenda ku nkoni muri Mutarama, bakava ku nkoni muri Gashyantare, bagenda bafite inkunga yakuweho muri Werurwe, basubira mu mikino rusange mu mezi atandatu, kandi basubira ku rwego rwabo rwa mbere yo gukomereka mu mwaka umwe.
Igihe cyo kohereza: Gicurasi-14-2024
