Kuvunika kw'ingingo mu gice cya kure ni kimwe mu bikomere bikunze kugaragara mu buvuzi, bishobora kugabanywamo ibice byoroheje n'ibikomeye. Ku mvune zitari zakuwe mu mwanya wazo, gufunga byoroshye no gukora imyitozo ikwiye bishobora gukoreshwa mu gukira; icyakora, ku mvune zakuwe mu mwanya wazo cyane, gufunga intoki, gufunga igice cyangwa plaster bigomba gukoreshwa; ku mvune zangiritse ku buryo bugaragara kandi bukomeye ku gice cy'ingingo, ubuvuzi bwo kubaga burakenewe.
IGICE CYA 01
Kuki radius ya kure ikunze kuvunika?
Kubera ko impera y'ubugari bw'umurambararo ari yo ihinduka hagati y'igufwa ridafite igufwa n'igufwa rito, iba idafite imbaraga nyinshi. Iyo umurwayi aguye agakora hasi, imbaraga zikagera ku kuboko ko hejuru, impera y'ubugari bw'umurambararo iba ari yo ihinduka ryinshi, bigatuma habaho kuvunika. Ubwo bwoko bw'imvune bukunze kugaragara ku bana, kuko amagufwa y'abana aba ari mato kandi adakomeye bihagije.
Iyo ukuboko gukomeretse mu mwanya wagutse n'ikiganza cy'ukuboko kikavunika, byitwa fracture ya radius yagutse (Colles), kandi abarenga 70% muri bo ni abameze batyo. Iyo ukuboko gukomeretse mu mwanya wagutse n'inyuma y'ukuboko ikavunika, byitwa fracture ya radius yagutse (Smith). Ubusembwa bumwe na bumwe busanzwe bwo ku kuboko bukunze kubaho nyuma yo kuvunika kwa radius ya kure, nko kubura imiterere ya "silver fork", "gun bayonet", nibindi.
IGICE CYA 02
Ni gute kuvunika kw'imitsi yo mu gice cya kure cy'umugezi bivurwa?
1. Kugabanya ubukana + gufunga sima + amavuta yihariye yo kwisiga mu buvuzi gakondo bw'Abashinwa bo muri Honghui
Ku bwinshi bw'ibyavunitse mu gice cya kure cy'umugongo, ibisubizo bishimishije bishobora kuboneka binyuze mu kugabanya neza intoki + gufunga plaster + gukoresha ubuvuzi gakondo bw'Abashinwa.
Abaganga b'amagufwa bagomba gufata imyanya itandukanye yo guhagarara nyuma yo kugabanuka hakurikijwe ubwoko butandukanye bw'imvune: Muri rusange, imvune za Colles (ubwoko bwo kwaguka kwa radius distal fracture) zigomba guhagarara kuri 5°-15° y'aho ukuboko guhagarara no kugabanuka k'umugongo ntarengwa; Smith Vune (vune ya radius distal fracture) yashyizwe mu guhagarara k'ukuboko no ku kuboko. Vune ya Barton yo mu mugongo (imvune y'ubuso bw'ingingo y'umugongo no ku kuboko) yashyizwe mu mwanya wa dorsiflexion w'urugingo rw'ukuboko no ku kuboko, kandi guhagarara k'urugingo rwa Barton rwo mu mugongo byari mu mwanya wa palmar flexion w'urugingo rw'ukuboko no ku kuboko. Suzuma DR buri gihe kugira ngo usobanukirwe aho imvune iherereye, kandi ukore uburyo imishumi mito y'urugingo ihagaze ku gihe kugira ngo ukomeze guhagarara neza k'urugingo ruto.
2. Gufata urushinge rwo mu ruhu
Ku barwayi bamwe bafite ikibazo cyo kudakomera neza, gufunga plasta byoroshye ntibishobora kugumana neza aho imvune iri, kandi gufunga urushinge rwo ku ruhu muri rusange ni byo bikoreshwa. Iyi gahunda yo kuvura ishobora gukoreshwa nk'uburyo butandukanye bwo gufunga inyuma, kandi ishobora gukoreshwa hamwe n'udukingirizo two gufunga inyuma cyangwa udukingirizo two gufunga inyuma, byongerera cyane imbaraga impera yavunitse mu gihe habayeho imvune nke, kandi bifite imiterere yoroshye kuyikora, kuyikuraho byoroshye, kandi bigira ingaruka nke ku mikorere y'urugingo rw'umurwayi rwagize ikibazo.
3. Ubundi buryo bwo kuvura, nko kugabanya igice cy'amaraso mu buryo bufunguye, gushyiramo ibice by'imbere mu gikoresho, n'ibindi.
Ubu bwoko bw'iyi gahunda bushobora gukoreshwa ku barwayi bafite ubwoko bugoye bw'imvune n'ibikenewe cyane mu mikorere. Amahame yo kuvura ni ukugabanya imiterere y'umubiri w'imvune, gushyigikira no gufata ibice by'amagufwa byakuwe mu myanya, guteranya amagufwa afite inenge, no gufasha hakiri kare. Ibikorwa by'imikorere kugira ngo wongere imikorere mbere yo gukomereka vuba bishoboka.
Muri rusange, ku ndwara nyinshi za radius ya distal, ibitaro byacu bikora uburyo bwo kuvura busanzwe nko kugabanya intoki + gufunga plaster + gukoresha plaster gakondo yo mu bwoko bwa Honghui, nibindi, bishobora gutanga umusaruro mwiza.
IGICE CYA 03
Amabwiriza yo kwirinda nyuma yo kugabanya kwangirika kwa radius ya distal:
A. Witondere urwego rw'uburibwe mu gihe ukosora imvune zo mu gice cya kure. Urwego rw'uburibwe rugomba kuba rukwiye, rutagomba kuba rurerure cyane cyangwa ngo rurerure cyane. Iyo rurerure cyane, bigira ingaruka ku miyoboro y'amaraso igera ku gice cya kure, bishobora gutuma igice cya kure kidakora neza. Iyo uburibwe burerure cyane ku buryo budashobora gutuma igice cya kure kidakora neza, ihindagurika ry'amagufwa rishobora kongera kubaho.
B. Mu gihe cyo gukomeretsa imvune, si ngombwa guhagarika burundu imirimo, ahubwo ni ngombwa no kwita ku myitozo ngororamubiri ikwiye. Nyuma y'uko imvune imaze igihe idakora, hagomba kongerwamo imyitozo y'ibanze y'ukuboko. Abarwayi bagomba gukomeza gukora imyitozo buri munsi, kugira ngo barebe ko imyitozo izatanga umusaruro. Byongeye kandi, ku barwayi bafite imashini zifata imvune, uburyo imashini zifata imvune zishobora guhindurwa bitewe n'ubukana bw'imyitozo.
C. Nyuma yuko imvune ya radius yo mu gice cya kure irangiye, witondere uko amaguru n'amaboko byayo bifata n'ibara ry'uruhu. Iyo amaguru n'amaboko byo mu gice cya kure cy'umurwayi bikonje kandi bikagira ubukonje, ibyiyumvo bikagabanuka, kandi ibikorwa bikaba bike cyane, ni ngombwa gusuzuma niba biterwa no gufunga cyane, kandi ni ngombwa gusubira mu bitaro kugira ngo bikosorwe ku gihe.
Igihe cyo kohereza: Ukuboza-23-2022
