Humeral Omusumaali ogw'omunda mu ggumba Box: Obulagirizi Obusembayo
Bwe kituuka ku kulongoosa amagumba, kyetaagisa okuba n’ebikozesebwa ebituufu mu ngalo okulaba ng’abalwadde bavaamu ebirungi. Ekimu ku bikozesebwa ng’ebyo ye humeral intramedullary nail box, nga kino kye kimu ku bikozesebwa ebikoleddwa okuyamba okuyingiza omusumaali oguyingira mu ggumba ly’omugongo.
Mu kitabo kino, tujja kwetegereza ennyo ekibokisi ky’emisumaali ekiyitibwa humeral intramedullary nail box n’ebitundu byayo eby’enjawulo, awamu n’enkozesa yaakyo, emigaso gyayo, n’okuddaabiriza.
1. Enyanjula
Ekibokisi ky’emisumaali egy’omu kifuba (humeral intramedullary nail box) ye bikozesebwa ebijjuvu ebikozesebwa okuyingiza omusumaali mu ggumba ly’omugongo. Ekibokisi ky’emisumaali kitera okubaamu ebikozesebwa ebitali bimu ebiyamba mu kuyingiza omusumaali, omuli waya ezikulembera, ebisala emisumaali, n’ebyuma ebisima.
Okukozesa omusumaali ogw’omu kifuba mu kumenya amagumba (humerus fractures) nkola ekkirizibwa nnyo era egaba ebirungi ebirungi mu kuwona amagumba n’okuwona omulwadde. Okukozesa ekibokisi ky’emisumaali ekiyitibwa humeral intramedullary nail box kiyamba okulaba ng’ekivaamu kituuka bulungi nga awa omusawo alongoosa ebikozesebwa ebyetaagisa okukola enkola eno mu butuufu era nga tewali bulabe.
2. Ebitundu by’Ekibokisi kya Humeral Omusumaali ogw'omunda mu ggumba
Ekibokisi ky’emisumaali ekimanyiddwa nga humeral intramedullary nail box kirimu ebitundu bino wammanga:
2.1. Waya ezilungamya
Waya ezilungamya zikozesebwa okuyamba okulungamya omusumaali okuyita mu mwala oguyingira mu ggumba ly’omumwa gwa nnabaana. Waya elungamya etera okuba ekintu ekisooka okukozesebwa mu kiseera ky’enkola eno, era ekola ng’ekkubo omusumaali we gugoberera.
2.2.2.2. Abasala ebisolo
Reamers zikozesebwa okugaziya omukutu oguyingira mu ggumba ly’omugongo (intramedullary canal). Ebiwujjo biyingizibwa nga biyita mu waya elungamya, era biyamba okukola ekkubo eddene omusumaali we guyinza okugoberera.
2.3. Okutendekebwa (drills).
Drills zikozesebwa okukola ekituli mu nkomerero z’eggumba lya humerus eririraanye n’ery’ewala. Ebituli biwa ekkubo ly’okuyingiza Sikulufu ezisiba ezinyweza omusumaali mu kifo.
2.4. Omusumaali ogw'omunda mu ggumba
Omusumaali ogw’omu nnyindo kye kitundu ekikulu eky’ekibokisi ky’omusumaali ogw’omu kifuba. Omusumaali guyingizibwa nga guyita mu waya elungamya ne gukka wansi mu mwala ogw’omu lubuto (intramedullary canal) ogw’eggumba ly’omugongo. Omusumaali bwe gumala okubeera mu kifo, Sikulufu ezisiba ziyingizibwa nga ziyita mu bituli ebitondebwawo ebisero okunyweza omusumaali mu kifo.
2.5. Sikulufu y’omukka
Sikulufu ekozesebwa okuyingiza Sikulufu ezisiba mu ggumba ly’omugongo. Sikulufu etera okuba ne dizayini ya T-handle ekuwa enkwata ennungi era esobozesa okuyingiza obulungi sikulaapu.
3. Enkozesa y’Ekibokisi kya Humeral Omusumaali ogw'omunda mu ggumba
Enkozesa y’ekibokisi ky’emisumaali ekiyitibwa humeral intramedullary nail box kizingiramu emitendera gino wammanga:
Enteekateeka nga tonnalongoosebwa: Omusawo agenda kukebera X-ray z’omulwadde n’ebyafaayo by’obujjanjabi okuzuula ekkubo erisinga obulungi ery’okukola ku nkola eno.
Okubudamya: Omulwadde ajja kuweebwa eddagala eribudamya okukakasa nti basigala nga tebalumwa mu kiseera ky’okulongoosebwa.
Okusala: Omusawo agenda kusala mu lususu okulaga eggumba lya humerus.
Okuyingiza waya ezikulembera: Omusawo alongoosa ajja kuyingiza waya elungamya ng’ayita mu mwala ogw’omu lubuto (intramedullary canal) ogw’eggumba ly’omugongo.
Reaming: Omusawo alongoosa ajja kukozesa reamers okugaziya omukutu gw’omumwa gwa nnabaana.
Okuyingiza omusumaali: Omusumaali ogw’omu lubuto gujja kuyingizibwa nga guyita mu waya elungamya ne gukka wansi mu mwala gw’omumwa gwa nnabaana.
Okuyingiza sikulaapu: Omusawo alongoosa ajja kukozesa ebyuma ebisima okukola ebituli mu nkomerero z’eggumba ly’omugongo ogw’okumpi n’ogw’ewala, olwo akozese sikulaapu okuyingiza Sikulufu ezisiba okunyweza omusumaali mu kifo.
Okuggalawo: Omusawo alongoosa ajja kuggalawo ekifo ekisaliddwa n’emisono oba ebisiba.
4. Emigaso gy’Ekibokisi kya Humeral Omusumaali ogw'omunda mu ggumba
Ekibokisi ky’emisumaali ekiyitibwa humeral intramedullary nail box kirimu emigaso egiwerako omuli:
4.1.1. Okulongoosa mu butuufu bw’okulongoosa
Ekibokisi ky’emisumaali egy’omu kifuba (humeral intramedullary nail box) kirimu ebikozesebwa ebitali bimu ebiyamba mu kuyingiza omusumaali ogw’omu kifuba, ekiyamba okukakasa nti okulongoosa kutuufu era nga kutuufu.
4.2.2. Okukendeeza ku budde bw’okulongoosebwa
Okukozesa ekibokisi ky’emisumaali ekiyitibwa humeral intramedullary nail box kiyinza okuyamba okukendeeza ku budde bw’okulongoosa, kubanga bbokisi eno erimu ebikozesebwa byonna ebyetaagisa mu kulongoosa.
4.3. Ebiva mu Mulwadde Ebirongooseddwa
Okukozesa omusumaali ogw’omu kifuba mu kumenya amagumba (humerus fractures) nkola ekkirizibwa nnyo era egaba ebirungi ebirungi mu kuwona amagumba n’okuwona omulwadde.
5. Okulabirira Ekibokisi kya Humeral Omusumaali ogw'omunda mu ggumba
Ekibokisi ky’emisumaali ekiyitibwa humeral intramedullary nail box kyetaaga okuddaabirizibwa obulungi okukakasa nti kiwangaala era nga kikola bulungi. Amagezi gano wammanga gasobola okuyamba okukuuma ekibokisi ky’emisumaali:
Okwoza buli kiseera: Ebikozesebwa mu bbokisi y’emisumaali birina okuyonjebwa n’okutta obuwuka buli kiseera okuziyiza obuwuka okusaasaana.
Okutereka obulungi: Ekibokisi ky’emisumaali kirina okuterekebwa mu kifo ekikalu, ennyonjo era ennyogovu okutangira ebikozesebwa okwonooneka.
Okukebera buli kiseera: Ebikozesebwa mu bbokisi y’emisumaali birina okwekebejjebwa buli kiseera okulaba oba tebirina bubonero bwa kwambala oba okwonooneka.
6. Okumaliriza
Ekibokisi ky’emisumaali ekiyitibwa humeral intramedullary nail box kintu kikulu nnyo eri abasawo abalongoosa amagumba abalongoosa okumenya amagumba. Ekibokisi kino kirimu ebikozesebwa ebitali bimu ebiyamba mu kuyingiza omusumaali mu misuwa, ekiyamba okukakasa nti okulongoosa kutuufu era nga kutuufu, kikendeeza ku budde bw’okulongoosebwa, n’okulongoosa ebiva mu mulwadde. Okuddaabiriza obulungi ekibokisi ky’emisumaali kyetaagisa nnyo okulaba ng’ewangaala era nga kikola bulungi.
