Gucika kw'ikirenge cy'imbere akenshi bisaba kugabanya incision no gufunga imbere, haba hakoreshejwe screw gusa cyangwa hakoreshejwe ibyuma bivanze n'amapine.
Ubusanzwe, imvune ifatwa by'agateganyo hakoreshejwe agapira ka Kirschner hanyuma igafatwa n'akabuto ko gufunga gafite imigozi ibiri, gashobora no guhuzwa n'umugozi wo gufunga. Hari abahanga bakoresheje utubuto twuzuye kugira ngo bavure imvune zo hagati y'akaguru, kandi imikorere yatwo ni myiza kuruta utw'utubuto tw'igice. Ariko, uburebure bw'utubuto twuzuye ni mm 45, kandi dufatanye n'imiterere y'umubiri, kandi abarwayi benshi bazagira ububabare mu kaguru ko hagati bitewe n'aho imiterere y'imbere igeze.
Dr Barnes, wo mu ishami rishinzwe ihungabana ry’amagufwa mu bitaro bya Kaminuza ya St Louis muri Amerika, yizera ko vis zo gukanda zidafite umutwe zishobora gukosora imvune zo mu kaguru ku buryo bunoze ku gice cy’amagufwa, bikagabanya ububabare buterwa no gukanda imbere, kandi bigafasha gukira kw’imvune. Kubera iyo mpamvu, Dr Barnes yakoze ubushakashatsi ku kamaro k’vis zo gukanda zidafite umutwe mu kuvura imvune zo mu kaguru, bwasohotse vuba aha mu kinyamakuru Injury.
Ubushakashatsi bwakorewe ku barwayi 44 (imyaka 45, 18-80) bavuwe indwara zo kuvunika imbere mu kaguru bakoresheje vis zidafite umutwe mu bitaro bya Kaminuza ya Saint Louis hagati ya 2005 na 2011. Nyuma yo kubagwa, abarwayi bafunzwe bambaye ibyuma, ibyuma cyangwa ibyuma kugeza igihe hagaragaye ibimenyetso byerekana ko imvune yavunitse mbere yo kuzamuka umubiri wose.
Inyinshi mu mvune zatewe no kugwa mu mwanya wazo, izindi zikaba zaratewe n’impanuka za moto cyangwa siporo n'ibindi (Imbonerahamwe ya 1). 23 muri bo bavunitse imitsi ibiri, 14 bavunitse imitsi itatu, abandi 7 basigaye bavunitse imitsi imwe (Ishusho ya 1a). Mu gihe cyo kubagwa, abarwayi 10 bavuwe hakoreshejwe vis imwe idafite umutwe kubera imvune zo hagati z’imitsi, mu gihe abandi 34 basigaye bafite vis ebyiri zidafite umutwe (Ishusho ya 1b).
Imbonerahamwe ya 1: Uburyo imvune zatewe
Ishusho ya 1a: Kuvunika k'akaguru kamwe; Ishusho ya 1b: Kuvunika k'akaguru kamwe byavuwe n'ibisuguti bibiri bidafite umutwe.
Mu gihe cy’ibyumweru 35 (ibyumweru 12-208), habonetse ibimenyetso by’uko imvune yavunitse ku barwayi bose. Nta murwayi wagombaga gukuraho screw kubera ko screw yari yavuyemo, kandi umurwayi umwe gusa ni we wagombaga gukuraho screw kubera ubwandu bwa MRSA mbere yo kubagwa mu gice cyo hasi cy’umubiri ndetse na cellulitis nyuma yo kubagwa. Byongeye kandi, abarwayi 10 bagiraga ububabare buke iyo bakubitaga agahanga ku kaguru k’imbere.
Bityo, abanditsi banzuye ko kuvura imvune zo mu kaguru hakoreshejwe utugozi two gukanda tudafite umutwe byatumye imvune zikira neza, imikorere y’akaguru irushaho kumera neza, ndetse n’ububabare bugabanuka nyuma yo kubagwa.
Igihe cyo kohereza ubutumwa: 15 Mata 2024
