Okumenya enseke .

Obulwadde bw’okukutuka kw’omugongo (clavicle fractures) buli 30-60 ku buli bantu 100,000, ng’omugerageranyo gw’abasajja n’abakazi guli nga 2:1, nga gukola ebitundu 5% ku 10% ku kumenya kwonna ate 44% ku buvune bw’ebibegabega. Engo lye ggumba erisooka okuyita mu mubiri gw’omuntu, era okufuuka kwalyo kutandika mu wiiki ey’okutaano ey’obulamu bw’omubiri ogw’omu lubuto, era lye ggumba lyokka ery’ekika kya tubular ewanvu eri amagumba nga likozesa amagumba mu mubiri (intramembranous osteogenesis). Ekifo kino ekiyitibwa primitive ossification center kisangibwa wakati mu kitundu ekiyitibwa clavicle era nga kivunaanyizibwa ku kukula kw’enkwaso okutuuka ku myaka 5 egy’obukulu. Waliwo epiphyseal plate egenda ekula ku buli emu ku nkomerero ez’omunda n’ez’ebweru ez’ekiwujjo, naye emirundi mingi ekifo eky’omu makkati kyokka eky’okufuuka amagumba kye kisobola okulabibwa mu kulaba X-ray. Epiphyseal plate ey’omu makkati y’evunaanyizibwa ku bitundu 80% eby’obuwanvu bw’ekiwujjo, era ekifo kyayo eky’okufuuka amagumba ebiseera ebisinga tekitandika kulabika okutuusa nga kiwezezza emyaka 13 ku 19, era tekikwatagana na clavicle okutuuka ku myaka 22 ku 25 egy’obukulu. N’olwekyo, bw’oba ​​ozuula okuseeseetula kw’omubiri (sternoclavicular dislocation) mu balwadde abato, kikulu okugwawula ku buvune bwa epiphyseal obw’omu makkati (medial clavicular epiphyseal).

Ensengeka y’omubiri ekola .

Engo eba nga egolokofu nga etunuuliddwa mu maaso, naye nga S-shaped bw’ogitunuulira waggulu, ng’ekoona mu mugongo n’omu makkati ku ludda lw’omu lubuto. Ekitundu kyayo eky’omusalaba kikyuka okuyita ku kisenge ekiwanvu, nga eky’ebweru 1/3 kifunda okusobola okusikiriza ebinywa n’omusuwa okusika; 1/3 eya wakati efuuka tubular, nga ekendedde diameter ate nga egumu n’eggumba erisingako obunene okusinga endala, okusobola okusikiriza axial pressure ne tension n’okukuuma obusimu bw’emisuwa wansi waakyo; 1/3 ey’omunda ya rhombic era ekwatagana n’omugongo n’olubavu olusooka olw’ebitundu by’omubiri eby’amaanyi (Figure 1). Okunoonyereza ku anatomical kulaga nti clavicle esinga obunafu wano olw’enjawulo mu nkula mu makkati n’ebweru 1/3. Okugatta ku ekyo, kisangibwa mu bbali eri ekinywa ky’omu kifuba ekiyimirira era tekirina bukuumi bwa binywa by’ebinywa, ekifuula ekifo ekisinga okubeera eky’omutawaana okumenya, nga bwe kiragibwa okwetegereza okw’obujjanjabi.

Enkola y’obuvune .

Ku kumenyeka kw’omugongo mu bantu abakulu, enkola esinga okumanyibwa ku buvune ku kumenya kw’omugongo (clavicle fractures) emabegako yalowoozebwa okuba nga yava ku kugwa ng’omukono guli mu mbeera egaziyiziddwa ennyo, naye Stanley et al. yazuula nti enkola eno ey’obuvune yakola ebitundu 6.3% byokka ku kumenya wakati mu nnyindo n’ebitundu 5.9% eby’okumenya kw’engo ey’ewala, era mu balwadde bonna, enkola esinga okumanyibwa yava mu maanyi obutereevu agakola ku kiyungo ky’ekibegabega enkola esinga okumanyibwa mu balwadde bonna kwe maanyi obutereevu ku kiyungo ky’ekibegabega, ebiseera ebisinga nga tewali kusengukira mu kibegabega oba nga waliwo okuserengeta okw’amaanyi kwokka.

Mu mbeera y’okugwa n’engalo mu kifo ekigaziyiziddwa ennyo, okumenya kutera okuva ku kukosebwa kw’amaanyi ag’ebweru ag’okubiri okutuuka ku kugwa. Ekika ekirala eky’okumenya olw’obutabanguko obutali butereevu bwe buba nga empalirizo ey’ebweru ekola ku kibegabega, ekivaako ekiwujjo okukuba n’olubavu olusooka, ekivaamu okutondebwawo kw’okumenya okw’ekyekulungirivu mu 1/3 wakati w’ekiwujjo. Okugatta ku ekyo, olw’obubenje bw’ebidduka obutera okubeerawo mu myaka egiyise, olw’okukosebwa okw’amaanyi mu kabenje k’emmotoka, omusipi gukola amaanyi mu kibegabega, ekitera okuvaamu okumenya wakati oba okuserengeta wakati mu kiwujjo, abantu kye bayita okumenya omusipi gw’entebe. Oboolyawo olw’okuba effujjo ly’okulumwa litera okuba ddene, ekika kino eky’okumenya kitera okutali kwa kibiina okusinga okumenya kwa bulijjo okw’ekiwuka ekiyitibwa clavicle.

Obujjanjabi

okumenya kw’ekiwuka ekiyitibwa clavicle ekiri wakati: .

Splint Fixation:Okunyweza okumenya kwa Clavicle kukyali 'Gold Standard'. Ebipande mulimu 3.5mm LC-DCP, 3.5mm reconstruction plates, LCP locking plates, n’engeri ezimu ez’enjawulo ez’obubaawo. Ebirungi ebiri mu splints mulimu: okunyigirizibwa kw’emmeeme eziyita mu bbanga (transverse fractures); okunyweza ebikutuse ebiserengese oba ebiwujjo n’ebikulukusi ebisika nga bigattiddwa wamu n’ebisiba ebiziyiza; okufuga obulungi okukyusakyusa; okunyweza okunyweza okumenya kw’emirimu gy’omulwadde egya buli lunaku; n’eky’okuba nti ebiseera ebisinga ebisiba tebyetaagisa kuggyibwamu (bwe biba birina okuggyibwamu okutuusa nga wayise emyezi 12 ku 18).

Distal Clavicle Fracture: .

Clavicle hook splint nkola ya kunyweza butereevu, ebirungi byayo omuli okuteeka okwangu okw’okunyweza okw’omunda, okulabirira okutuufu okw’okuddamu okuteeka, tewali kutaataaganyizibwa kwa kiyungo kya acromioclavicular, n’okutebenkera okukwatagana okw’okunyweza okw’omunda awatali kuseerera mu bitundu ebikyetoolodde nga bwe kiri ku ppini ya Kyphotic ey’ekinnansi.

okumenya kw’omugongo ogw’okumpi: .

Ebiwandiiko bigamba nti obujjanjabi obutali bwa kulongoosa bwe businga okwettanirwa ku kika kino eky’okumenya, nga kirimu buleeki ya cervical-wrist sling. Okunyweza okw’omunda okusalako kuyinza okulowoozebwako singa wabaawo obuvune bw’obusimu bw’emisuwa, oba singa okumenya kusengulwa emabega ekireetera omulwadde okufuna obuzibu okussa oba okumira, oba singa tewabaawo bubonero ng’obwo naye okukuba ekifaananyi kiraga nti okumenya okusengulwa kuba kuziyiza ku nsengeka y’emabega enkulu n’okuddamu okuteekebwa mu kifo. Singa okunyweza tekisoboka, ekiwuka ekiyitibwa proximal clavicle kiyinza okuggyibwamu bwe kiba kyetaagisa.

Ebizibu ebiva mu .

• No Healing:Ebiwandiiko eby’emabega byalaga nti omuwendo ogutali gwa kuwonya gwa 0.9% ku 4% ku kumenya kw’omugongo, era okunoonyereza okwakakolebwa ku mbeera y’obunene kwazuula nti omuwendo gwennyini ogutali gwa kuwonya guli waggulu nnyo okusinga omuntu gw’ayinza okusuubira.

• Deformity Healing: Endowooza y’ekinnansi eri nti okuwonya okulema kw’ekikuta kizibu kyokka eky’obulungi era nti bwe wabaawo obutawona oluvannyuma lw’okulongoosebwa, ekivaamu kisinga kukkiriza bulema okubeerawo. Naye, okwetegereza okwakakolebwa kulaga nti okukendeeza ku kifuba ekisukka mu sentimita 15 kitera okuvaako obulumi n’okukoma ku kutambula mu mutendera ogw’oluvannyuma. Okugatta ku ekyo, abamanyi abamu bateesezza 'clavicle shaping' ennyangu mu kujjanjaba okuwona okulema, naye enkola eno si ya magezi. Okuggyawo ekikuta ekifuluma kyokka kiyinza okufuula ekiwujjo okugonvuwa era ne kyongera nnyo obulabe bw’okumenya, era okuva obulema bw’enkwaso bwe kweyolekera mu bipimo bisatu, 'smoothing' enkwaso mu nnyonyi ey’okwebungulula yokka tejja kulongoosa ddala bulema. N’olwekyo, enkola eyesigika ennyo efaananako n’okujjanjaba obutakwatagana: okuggyawo ekikuta ky’amagumba ekisukkiridde nga bwe kisoboka oluvannyuma lw’okusala, okutebenkeza okunyweza okw’omunda n’okusimba amagumba okw’omutendera gumu. Kya lwatu nti omulwadde alina okutegeezebwa ku bulabe bw’obutagatta nga tannalongoosebwa.

• Obuvune bw’obusimu bw’emisuwa:Obuyinza bw’okulumwa obusimu bw’emisuwa oluvannyuma lw’okumenya ekikoligo buba wansi mu mitendera egy’olubereberye, era obuvune obw’okubiri tebutera kubaawo olw’okusengulwa kw’okumenya olw’ekifo ky’obusimu bw’emisuwa okweyongera oluvannyuma lw’okumenya, ate mu biseera ebikeerezi, okukula kw’ebikuta by’amagumba kuyinza okuleeta obubonero bw’okusibira. Kino bwe kibaawo, okukendeeza ku buzito bw’omubiri (surgical decompression) kutera okwetaagisa.

• Obulwadde bw’endwadde z’enkizi obulumi:okulwala endwadde z’enkizi oluvannyuma lw’okumenya ekiwuka ekiyitibwa clavicle kitera okubaawo mu kiwanga kya acromioclavicular oluvannyuma lw’okumenya 1/3 ow’ebweru ow’engo, okusinga olw’okusaanawo kw’ekiwanga kino olw’effujjo mu kiseera ky’okulumwa, n’ekitundu olw’okumenyaamenya okw’okungulu kw’ennywanto. Singa okuggalawo tekukola, ewala sentimita emu ey’ekiwuka ekiyitibwa clavicle erina okusalibwako, era okulabirira mu kulongoosebwa kulina okukolebwa okukuuma omusipi gwa rostral-clavicular.

  
  

Engeri y'okugulamu amagumba agateekebwamu amagumba n'ebikozesebwa mu kuzimba amagumba) .

A CZMEDITECH , tulina ekintu ekijjuvu ennyo eky'ebintu ebiteekebwa mu kulongoosa amagumba n'ebikozesebwa ebikwatagana, ebintu omuli Ebisimbibwa omugongo ., Emisumaali egy'omu lubuto ., Ekipande ky’okulumwa obuvune ., Essowaani y’okusiba ., Omutwe-Maxillofacial ., Prosthesis ., Ebikozesebwa mu maanyi ., Abatereeza eby’ebweru ., Okukebera ebinywa ., Obulabirizi bw’ebisolo n’ebikozesebwa byabwe ebibayamba.

Okugatta ku ekyo, twewaddeyo okukola ebintu ebipya obutasalako n’okugaziya layini z’ebintu, okusobola okutuukiriza ebyetaago by’okulongoosa eby’abasawo n’abalwadde abawera, era n’okufuula kkampuni yaffe okuvuganya ennyo mu nsi yonna ey’amagumba n’amakolero g’amagumba.

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