Ubumenyi Bumwe ku nzara zo mu nda

Mu myaka ya vuba aha, bitewe n’uko abaturage bakuze, umubare w’abavunika amenyo y’imbere mu kibuno wariyongereye uko umwaka utashye. Dukurikije imibare ituzuye, mu 1990 habayeho abarwayi bagera kuri miliyoni 1.66 bavunika amenyo y’ikibuno batewe n’indwara ya osteoporosis ku isi yose, kandi uyu mubare witezweho kugera kuri miliyoni 6.26 mu 2050.

Abarwayi bageze mu za bukuru bafite imvune zo mu gice cyo hafi y’ikirenge bahura n’umuvuduko mwinshi w’impfu bitewe n’imiterere y’umubiri n’ingorane zitandukanye. Muri bo, igipimo cy’impfu zo mu gice cyo hagati cy’ikirenge kiri hagati ya 15%–20%.

Kuvunika kw'ikibuno hagati y'imitsi ni ubwoko busanzwe bw'imvune yo mu kibuno ku barwayi bageze mu za bukuru, cyane cyane abafite uburwayi bwa osteoporosis. Mu buryo bunyuranye, abarwayi bakiri bato bakunze kugira imvune nyinshi ziterwa n'ihungabana.

Kubaga imvune zo mu nda zivanze n'imitsi bikubiyemo amahitamo atandukanye:
Gufata imitsi yo mu kibuno (Extramedullary fixation), urugero nka dynamic hip screw (DHS), dynamic condylar screw, nibindi.
Gufata intramedullary, nkoGammaNubuzima, PUrusenda rwo mu kibuno rw'imbere(PFN), hafiinzara zo mu gitsinakurwanya urujya n'uruza rw'imitsi (PFNA), Intertan, n'ibindi. 

Uyu munsi turashaka kumenyekanishaUrusenda rw'imbere mu nda ruhuzaikoranabuhanga.
Akamaro gakomeye kaTitanium FemoralNail iri mu mwanya wayo wo hagati y’imitsi, itanga inkunga yo mu mitsi kandi ikarinda kugwa cyane, kandi ibi hafi ya byose ntibishingiye ku kuba cortex yo ku ruhande ifite ubushobozi bwo kuyishyigikira.
Byongeye kandi, ahantu intramedullary iherereye hamwe n'ukuboko gugufi mu buryo bw'imitekerereze bitanga inyungu za biomechanical kandi bishobora kugabanya ibyago byo kunanirwa kw'ibikoresho byo gushyira imbere mu mubiri. Hagati aho, sisitemu yo gushyira imbere mu mubiri ntabwo ikunze gutera coxa vara nubwo cortex yo hagati yatakaje inkunga. Kubwibyo, kugabanya no gushyiraho ahantu hatandukanye ku mvune nto za trochanter zitaravunika muri rusange ntabwo ari byiza.

PFNAUrusumari rwo mu nda
Urusumari rw'umutwe wa PFNA rukoresha uburyo bwo gufunga icyuma gifunga. Icyuma gifite ubuso bunini n'umurambararo w'imbere wiyongera buhoro buhoro. Iyo gikozwe mu igufwa, icyuma gifunga gishobora kuzenguruka ubwacyo, kikagira ingaruka ku igufwa, bityo kikarinda uburemere bw'amagufwa no kugera ku mikoranire ya hafi hagati y'icyuma n'igufwa.
Ibi byongera imbaraga zo gufata icyuma gifata. Hagati aho, bitanga ubushobozi bwo kwirinda kuzunguruka no kudahindagurika kw'inguni, bishobora kugabanya ubwiyongere bw'ubumuga nka coxa vara.

InterzanUrusumari rwo mu nda
Intertan ni igisekuru gishya cyaUrusenda rw'abagore mu ndaYagenewe by'umwihariko kuvunika kwa femur hagati ya trochanteric. Igice cyayo cyo ku ruhande rw'imbere ni trapezoidal, yigana imiterere y'igice cyo ku ruhande rw'ingingo, bigatuma inzara zihura neza n'umwobo wa medullary kandi zigahuza n'imiterere ya biomechanical ya femur yo ku ruhande rw'imbere.
Hagati aho,Urusenda rw'abagore rwa Intertanishobora kubungabunga cyane igufwa ry'urukuta rw'inyuma rwa trochanter nini mu gihe cyo kubagwa no kongera ubushobozi bwo kurwanya kuzunguruka no guhangayika mu ruhande rumwe.

Ubwoko bwombi bw'inzara zo mu nda zikoresha imiterere iteye nk'iy'inyuma, ishobora gukwirakwiza neza imihangayiko.vis zo gufunga za kurezishyirwa kure cyane y'inkongoro y'umukara, bityo bigabanya ibyago byo kuvunika mu gice cyo hagati cy'umukara.

Niba ushaka kumenya byinshi kuriUmusumari uhuza igitsina cy'umugore,wisanzuye kubikoraTwandikire; itsinda ryacu rizaguha ubufasha bw'inzobere n'ibisubizo.