Kuvunika kw'imitsi yo mu gice cy'imbere cy'ikirenge hamwe n'ivunika ry'imitsi yo mu gice cy'imbere cy'ikirenge bikunze kugaragara mu mvune zikoresha imbaraga nyinshi, aho 54% ari ukuvunika gufunguye. Ubushakashatsi bwakozwe mbere bwagaragaje ko 8.4% by'imvune zo mu gice cy'imbere cy'ikirenge zifitanye isano no kuvunika kw'imitsi yo mu gice cy'imbere cy'ikirenge, mu gihe 3.2% by'abarwayi bavunika imitsi yo mu gice cy'imbere cy'ikirenge bavunika imitsi yo mu gice cy'imbere cy'ikirenge. Biragaragara ko guhuza imitsi yo mu gice cy'imbere cy'ikirenge n'ivunika ry'imitsi atari ibintu bidasanzwe.
Bitewe n’uko imvune nk’izo zikoresha imbaraga nyinshi, akenshi habaho kwangirika gukomeye kw’ingingo zoroshye. Mu by’ukuri, sisitemu y’icyuma n’imigozi ifite ibyiza byo gufunga imbere mu gihe havunitse ibice bya plate, ariko niba ibice byoroshye byo mu gace bishobora kwihanganira gufunga imbere hakoreshejwe sisitemu y’icyuma n’imigozi nabyo ni ikintu cy’ingenzi mu kuvura. Kubwibyo, ubu hari amahitamo abiri akunze gukoreshwa mu gufunga imbere ibice bya plate bya tibial hamwe n’ibyavunitse mu gice cya tibial:
1. Uburyo bwa MIPPO (Minimally Invasive Plate Osteosynthesis) bufite plate ndende;
2. Udupira two mu nda y'umusumari + uruziga rwo mu gitereko.
Amahitamo yombi avugwa mu nyandiko, ariko ubu ntaho byumvikanyweho ku bijyanye n'umuvuduko wo gukira kw'imvune, igihe cyo gukira kw'imvune, uburyo amaguru yo hasi ahagaze, n'ingorane. Kugira ngo ibi bikemuke, intiti zo mu bitaro bya kaminuza byo muri Koreya zakoze ubushakashatsi bwo kugereranya.
Ubushakashatsi bwakorewe ku barwayi 48 bafite imvune zo mu gice cy’imbere cy’umugongo hamwe n’imvune zo mu gice cy’imbere cy’umugongo. Muri bo, 35 bavuwe hakoreshejwe uburyo bwa MIPPO, bashyiramo icyuma gifunganye ku ruhande kugira ngo gikorwe, naho 13 bavuwe hakoreshejwe vis zo mu gice cy’imbere cy’umugongo hamwe n’uburyo bwo gukoza inzara mu gice cy’imbere cy’umugongo.
▲ Urubanza rwa 1: Gufata imbere kw'icyuma cya MIPPO. Umugabo w'imyaka 42, wagize impanuka y'imodoka, yavunitse umugozi ufunguye (ubwoko bwa Gustilo II) ndetse no kuvunika kwa tibial plate compression (ubwoko bwa Schatzker IV).
▲ Urugero rwa 2: Udupira two mu bwoko bwa Tibial plateau + ibyuma byo mu bwoko bwa suprapatellar intramedullary. Umugabo w'imyaka 31, wagize impanuka y'imodoka, yavunitse umugozi ufunguye (ubwoko bwa Gustilo IIIa) ndetse n'udupira two mu bwoko bwa tibial plateau duhurirana (ubwoko bwa Schatzker I). Nyuma yo gukuraho ibikomere no kuvura ibikomere bidafite umuvuduko (VSD), igikomere cyashyizwemo uruhu. Udupira tubiri twa 6.5mm twakoreshejwe mu kugabanya no gushyiraho umugozi, hagakurikiraho ibyuma byo mu bwoko bwa tibial plateau bishyirwamo umugozi unyuze mu buryo bwa suprapatellar.
Ibisubizo bigaragaza ko nta tandukaniro rigaragara hagati y’uburyo bubiri bwo kubaga mu bijyanye n’igihe cyo gukira kw’imvune, igihe cyo gukira kw’imvune, uburyo amaguru yo hasi ahagaze, n’ingorane.
Kimwe no guhuza imvune zo mu gice cy'ikirenge n'imvune zo mu kirenge cyangwa imvune zo mu gice cy'ikirenge hamwe n'imvune zo mu ijosi ry'ivi, imvune zo mu gice cy'ikirenge ziterwa n'ingufu nyinshi zishobora gutera imvune mu gice cy'ivi cyegeranye. Mu buvuzi, kwirinda gusuzuma nabi ni cyo kintu cy'ingenzi mu gusuzuma no kuvura. Byongeye kandi, mu guhitamo uburyo bwo gupima, nubwo ubushakashatsi buriho bugaragaza ko nta tandukaniro rigaragara, hari ingingo nyinshi zigomba kwitabwaho:
1. Mu gihe habaye imvune mu gice cy’imbere cy’umugongo aho gufata uruziga byoroshye bigoye, hashobora kwitabwaho gukoresha icyuma kirekire gifite MIPPO kugira ngo gifashe neza igice cy’imbere cy’umugongo, kugarura imiterere y’ingingo no kugena imiterere y’amaguru yo hasi.
2. Mu gihe habaye imvune zoroshye mu gice cy’imbere cy’umugongo, iyo habaye gukata ibice bito cyane, hashobora kugerwaho uburyo bwo kugabanya no gufunga imisumari. Muri ibyo bihe, hashobora kwitabwaho gushyiraho imisumari ikurikirwa no gushyiraho imisumari ifata umugongo w’umu ...
Igihe cyo kohereza ubutumwa: Werurwe-09-2024
