Humerus Intramedullary Nail: Ekyokugonjoola ekirungi mu kujjanjaba okumenya kw’omugongo

Okumenya eggumba erya humerus, eggumba eriri mu mukono ogwa waggulu, kuyinza okukosa ennyo emirimu gy’omuntu egya bulijjo n’omutindo gw’obulamu bwe. Okujjanjaba okumenya kuno kyetaagisa okulowooza ennyo ku bintu eby’enjawulo, omuli ekika ky’okumenya, ekifo, n’engeri omulwadde gy’ali. Enkola emu ey’okulongoosa eyongedde okwettanirwa mu myaka egiyise kwe kukozesa omusumaali oguyitibwa humerus intramedullary nail. Ekitundu kino kinoonyereza ku migaso, enkola y‟okulongoosa, obulabe, n‟okuddaabiriza ebikwatagana n‟enkola eno ey‟obujjanjabi.

Okwanjula

Bwe wabaawo okumenya mu kisambi, kiyinza okuvaako obulumi obw’amaanyi, obutatambula bulungi, n’okulemererwa okukola. Enkola z’obujjanjabi ez’ekinnansi, gamba ng’okusuula oba okusiiga, zirina obuzibu bwazo, era okunoonya eby’okugonjoola ebisingawo okukola obulungi kyavaako okukola omusumaali ogw’omu kifuba (humerus intramedullary nail).

Omusumaali oguyitibwa Humerus Intramed kye ki ?ullary Nail

Omusumaali oguyitibwa humerus intramedullary nail kye kyuma eky’obujjanjabi ekikoleddwa okutebenkeza n’okutumbula okuwona kw’okumenya mu kitundu ky’omugongo. Kibaamu omuggo omuwanvu ogw’ekyuma oguyingizibwa mu makkati g’eggumba agalimu ekituli, ne guwa obutebenkevu n’okuwanirira mu kiseera ky’okuwona. Omusumaali guno gutera kukolebwa mu kyuma kya titanium oba stainless steel era nga gujja mu sayizi ez’enjawulo okusobola okusikiriza ensengekera y’omubiri gw’omulwadde ez’enjawulo.

Ebiraga nti waliwo omusumaali gwa Humerus Intramedullary Nail

Emisumaali egy’omu kifuba (humerus intramedullary nails) gitera okukozesebwa mu kujjanjaba okumenya kw’omumwa gwa midshaft ne proximal humeral. Zikola nnyo naddala ku kumenya okwetaaga okunyweza okunywevu, gamba ng’okumenya okutebenkedde oba okumenya okukwatagana n’okusengulwa okw’amaanyi. Okugatta ku ekyo, enkola eno esaanira abalwadde abalina omutindo gw’amagumba omubi oba nga baagala embeera etali ya buzito.

Enkola y’okulongoosa omusumaali gwa Humerus Intramedullary Nail

Enteekateeka nga tonnalongoosebwa

Nga tonnalongoosebwa, okuteekateeka obulungi nga tonnalongoosebwa kikulu nnyo. Kuno kw’ogatta okwekenneenya mu bujjuvu engeri y’okumenya, obulamu bw’omulwadde okutwalira awamu, n’obuvune bwonna obukwatagana nabyo. X-rays, CT scans, oba MRI ziyinza okukozesebwa okufuna okutegeera okulungi ku mpisa z’okumenya n’okuteekateeka enkola y’okulongoosa okusinziira ku ekyo.

Okuteeka Omulwadde mu kifo

Mu kiseera ky’okulongoosebwa, omulwadde atera okubeera mu ntebe ya bbiici oba mu mbeera ya lateral decubitus. Okulonda kisinziira ku musawo alongoosa ky’ayagala n’ekifo we bamenyese. Okuteeka mu kifo ekituufu kikakasa okutuuka obulungi mu kifo ekimenyese era kyanguyiza okuyingiza omusumaali.

Okusala n’Okutuuka

Basalako ku kifo we balongoosezza okusobola okutuuka ku ggumba eryamenyese. Obuwanvu n’ekifo we batemye bisinziira ku kika ky’okumenya n’ekifo we kiri ku mabbali g’omugongo. Okukwata n’obwegendereza ebitundu ebigonvu kyetaagisa okukendeeza ku buvune n’okukendeeza ku bulabe bw’okukwatibwa obulwadde.

Okuyingiza Omusumaali

Oluvannyuma lw’okukola ekifo we bayingira, omusawo alongoosa ayingiza omusumaali oguyitibwa humerus intramedullary nail mu mulyango gw’omugongo. Obulagirizi bwa fluoroscopic bukozesebwa okukakasa nti ekifo kituufu era nga kikwatagana bulungi. Omusumaali gugenda mu maaso nga guyita mu ggumba, ne guddamu okusengeka ebitundutundu byonna ebisenguddwa, era ne guzzaawo ensengekera y’omubiri entuufu

Okuteeka Sikulufu z’okusiba

Omusumaali bwe gumala okuteekebwa obulungi, bateekebwamu sikulaapu ezisiba okunyweza omusumaali munda mu ggumba. Sikulufu zino ziwa obutebenkevu obw’enjawulo era ziziyiza entambula y’okuzimbulukuka oba ey’ekyekulungirivu kw’ebitundutundu ebimenyese. Omuwendo n’okuteekebwa kwa sikulaapu bisinziira ku ngeri gye bimenyamu n’omusawo alongoosa by’ayagala.

Okuggalawo Ebiwundu

Oluvannyuma lw’omusumaali ne sikulaapu okubeera obulungi mu kifo kyabyo, ekifo ekisaliddwa kiggalwa nga bakozesa emisono oba ebisiba. Okuggala ebiwundu obulungi kyetaagisa okutumbula okuwona n’okukendeeza ku bulabe bw’okukwatibwa obuwuka. Oluvannyuma ekifo we balongoosezza bakisiba, era ne basiigako bbandi oba eddagala eritaliiko buwuka.

Ebirungi ebiri mu Humerus Intramedullary Nail

Okukozesa omusumaali oguyitibwa humerus intramedullary nail kiwa ebirungi ebiwerako okusinga enkola z’obujjanjabi ez’ekinnansi. Ebimu ku bikulu ebivaamu mulimu:

1. Okutebenkera n’okukwatagana: Omusumaali guwa okunyweza okunywevu, ekisobozesa okukwatagana obulungi kw’ebitundutundu by’okumenya, ekitumbula okuwona okulungi.

2. Okutaataaganyizibwa kw’ebitundu ebigonvu okutono: Bw’ogeraageranya n’obukodyo bw’okusiiga, okukuba emisumaali mu misuwa kizingiramu okusalako obutonotono n’okutaataaganyizibwa kw’ebitundu ebigonvu okutono, ekikendeeza ku bulabe bw’ebizibu.

3. Okukungaanya amangu: Omusumaali guwa obutebenkevu obumala okusobozesa okutambula amangu n’okuddaabiriza, okutumbula okuwona amangu n’okuzzaawo emirimu.

4. Okukendeeza ku bulabe bw’okukwatibwa: Enkola enzigale ey’okukuba emisumaali mu misuwa ekendeeza ku bulabe bw’okukwatibwa yinfekisoni mu kifo we balongoosebwa bw’ogeraageranya n’enkola z’okukendeeza mu kuggulawo n’okunyweza munda.

Ebizibu n’Obulabe

Wadde ng’okutwalira awamu okulongoosa emisumaali egy’omu kifuba (humerus intramedullary nail surgery) tekirina bulabe era kikola bulungi, waliwo ebizibu n’obulabe ebiyinza okuva mu nkola eno. Kikulu okumanya bino ebisoboka nga tonnafuna bujjanjabi. Ebimu ku bizibu ebivaamu mulimu:

Ekirwadde

Enkola yonna ey’okulongoosa erimu akabi k’okukwatibwa obulwadde. Wadde ng’emiwendo gy’okukwatibwa obulwadde butono nnyo nga bakuba emisumaali mu kifuba, obukodyo obutuufu obutazaala n’okulabirira oluvannyuma lw’okulongoosebwa bikulu nnyo okukendeeza ku bulabe buno. Singa omuntu alina obulwadde, kiyinza okwetaagisa obujjanjabi obutuufu obw’eddagala eritta obuwuka era nga kiyinzika okuba nga n’okulongoosebwa.

Malunion oba Nonunion

Mu mbeera ezimu, okumenya kuyinza obutawona bulungi, ekivaamu obutakwatagana (obutakwatagana bulungi) oba obutakwatagana (obutawona). Ensonga ng’omutindo gw’amagumba omubi, obutatambula bulungi, oba okutambula ennyo bisobola okuvaako ebizibu bino. Okulondoola ennyo, okukyalira okugoberera buli kiseera, n‟okuyingira mu nsonga mu budde bisobola okuyamba okukola ku nsonga zino singa zibaawo.

Okulemererwa okuteekebwa mu mubiri

Tekitera kubaawo, ekintu ekisimbibwa mu mubiri ekikozesebwa okukuba emisumaali mu nnyindo kiyinza okulemererwa. Kino kiyinza okubaawo olw’okumenya kw’ekintu ekisimbibwa, okusumululwa oba okusenguka. Okulonda obulungi ekyuma ekiteekebwa mu mubiri, enkola y’okulongoosa, n’okulabirira oluvannyuma lw’okulongoosebwa bisobola okukendeeza ku bulabe bw’okulemererwa kw’ekintu ekisimbibwa.

Obuvune mu Busimu

Mu kiseera ky’okulongoosebwa, wabaawo akabi akatono ak’okulumwa obusimu, ekiyinza okuvaako obuzibu mu kuwulira oba okukola emirimu. Abasawo abalongoosa beegendereza okwewala obusimu obutakosebwa, gamba ng’okusalasala n’obwegendereza n’okumanya obulungi ensengekera y’omubiri. Obubonero bwonna obukwata ku busimu bulina okuloopebwa mu bwangu eri ttiimu y’abasawo okwekenneenya n’okubujjanjaba.

Okuddaabiriza n’okudda engulu

Oluvannyuma lw’okulongoosebwa omusumaali mu kitundu ky’omubiri ekiyitibwa humerus intramedullary nail, enteekateeka ey’okuddaabiriza abantu mu ngeri enzijuvu yeetaagibwa nnyo okusobola okuwona obulungi. Enteekateeka y‟okuddaabiriza entongole eyinza okwawukana okusinziira ku buzibu bw‟okumenya n‟ensonga z‟omulwadde. Okukunga abantu nga bukyali, okukola dduyiro ow’okutambula mu ngeri ennyangu, n’okukola dduyiro ow’okunyweza biyingizibwa mpolampola okuzzaawo emirimu n’okutumbula amaanyi g’ebinywa. Ebiseera by‟okujjanjaba omubiri, nga bikulemberwa omusawo omukugu, bikola kinene nnyo mu nkola y‟okudda engulu.

Okunoonyereza ku mbeera n’ebyafaayo by’obuwanguzi

Abalwadde bangi bafunye ebirungi nga balongooseddwa omusumaali mu kitundu ky’omubiri ekiyitibwa humerus intramedullary nail. Okunoonyereza okumu kwakwata ku muntu ow’emyaka 45 ng’amenya ekinywa ky’omugongo ekyasengulwa. Oluvannyuma lw’okulongoosebwa n’omusumaali ogw’omu kifuba, omulwadde yatuuka ku kukwatagana okulungi ennyo mu kumenya, n’addamu okutambula mu bujjuvu, era n’adda ku ddaala lye yali akola nga tannafuna buvune mu myezi mukaaga.

Okugerageranya n’Obujjanjabi Obulala

Bw’oba ​​olowooza ku ngeri y’obujjanjabi bw’okumenya kw’omugongo, kikulu okugeraageranya emigaso n’obuzibu bwa buli nkola. Wadde ng’okukozesa omusumaali ogw’omu kifuba (humerus intramedullary nail) kuwa ebirungi bingi, gamba ng’okutebenkera, okukuŋŋaanya amangu, n’okutaataaganyizibwa okutono mu bitundu ebigonvu, kiyinza obutaba kituufu eri buli muntu amenyese oba omulwadde. Enkola endala, gamba ng’okusiiga oba okunyweza ebweru, ziyinza okwettanirwa mu mbeera ezimu. Okwebuuza ku musawo omukugu mu by’amagumba kijja kuyamba okuzuula enkola y’obujjanjabi esinga okutuukirawo okusinziira ku mbeera z’omuntu kinnoomu.

Mu bufunzi

Mu kumaliriza, okukozesa omusumaali ogw’omu kifuba (humerus intramedullary nail) kizuuse ng’enkola ennungi era eyeesigika ey’obujjanjabi eri okumenya kw’omugongo. Enkola eno ey’okulongoosa etuwa okunyweza okunywevu, etumbula okukungaanya amangu, era etuwa ebirungi ebiwerako okusinga enkola ez’ekinnansi. Wadde nga waliwo obulabe n’ebizibu ebiyinza okuva mu nkola eno, enteekateeka entuufu ey’okulongoosa, obukodyo obw’obwegendereza, n’okulabirira oluvannyuma lw’okulongoosebwa bisobola okuyamba okukendeeza ku kweraliikirira kuno. Singa baddaabiriza mu ngeri entuufu n’okulondoola ennyo, abalwadde basobola okufuna okuwona obulungi n’okuddamu obusobozi bwabwe obw’okukola.