Multi-lock humeral intramedullary nail: enkulaakulana mu kujjanjaba okumenya ebibegabega .

Okwanjula

Okumenyeka kw’ebibegabega kuyinza okuba obuvune obunafuya obukosa okutambula kw’omuntu n’omutindo gw’obulamu. Ekirungi, enkulaakulana mu kulongoosa amagumba ereetedde okukola obukodyo bw’okujjanjaba obuyiiya, gamba ng’omusumaali ogw’omu lubuto ogw’ekika kya multi-lock humeral intramedullary nail. Mu kiwandiiko kino, tujja kwetegereza ebifaananyi, emigaso, n’okukozesa omusumaali ogw’omu lubuto ogw’ebikonde ebingi, nga gulaga omulimu gwagwo mu kwongera ku ngeri okumenya kw’ebibegabega gye kujjanjaba.

Ebirimu .

1. Okutegeera okumenya kw’ebibegabega .

2. Enyanjula mu kusalira emisumaali mu mubiri .

3. Omusumaali ogw’omulundi ogw’omulundi ogw’amaanyi ogw’omu nnyindo: okulambika .

4. Ebirungi ebiri mu kusumagira emisumaali egy’omu lubuto mu bitundu bingi

5. Enkola y’okulongoosa n’enkola y’okussaamu .

6. Okuddaabiriza n'okudda engulu .

7. Cases ezisaanira multi-lock humeral intramedullary nail .

8. Okugerageranya n’enkola endala ez’obujjanjabi .

9. Ebizibu n’ebintu ebiyinza okuleeta akabi .

10. Enkulaakulana mu multi-lock humeral intramedullary nailing .

11. Endagiriro n’obuyiiya mu biseera eby’omu maaso .

12. Emboozi z'obuwanguzi n'obujulizi bw'abalwadde .

13. Mu bufunzi

Okutegeera okumenya kw’ebibegabega .

Okumenyeka kw’ebibegabega kuyinza okubaawo olw’ensonga ez’enjawulo, gamba ng’okulumwa, okugwa, oba obuvune obuva ku mizannyo. Ziyinza okuzingiramu ebitundu by’ekibegabega eby’enjawulo, omuli n’ekiwujjo (eggumba ly’omukono ogw’okungulu), scapula (ekibegabega), oba ekiwuka ekiyitibwa clavicle (collarbone). Okumenyeka kw’ebibegabega kuyinza okuleeta obulumi obw’amaanyi, okutambula okutono, n’obutabeera mu ntebenkevu mu kiwanga.

Enyanjula mu kusalira emisumaali mu mubiri .

Intramedullary nailing ye nkola y’okulongoosa etera okukozesebwa okujjanjaba okumenya amagumba amawanvu. Kizingiramu okuyingiza omuggo ogw’ekyuma, ogumanyiddwa ng’omusumaali ogw’omu lubuto, mu mwala gw’eggumba ogw’omu medullary. Omusumaali guwa obutebenkevu n’okuwagira eggumba eryamenyeka, nga kyanguyiza enkola y’okuwona.

Omusumaali ogw’omulundi ogw’omulundi ogw’amaanyi ogw’omu nnyindo: okulambika .

Omusumaali ogw’omu lubuto ogw’ebizibiti ebingi (multi-lock humeral intramedullary nail) kye kimu ku bikozesebwa eby’enjawulo ebikoleddwa mu ngeri ey’enjawulo okusobola okujjanjaba okumenya kw’ebibegabega nga kuzingiramu ekiwujjo. Ewa enkola eziwera ez’okusiba, ekisobozesa okulongoosa n’okunyweza. Omusumaali gutera kukolebwa mu kyuma kya titanium oba ekyuma ekitali kizimbulukuse, nga kiwa amaanyi n’okukwatagana n’ebiramu.

Ebirungi ebiri mu kusumagira emisumaali egy’omu lubuto mu bitundu bingi

• Enhanced stability : Omusumaali ogw’omu lubuto ogw’ebizibiti ebingi gugaba okutebenkera okulungi ennyo eri humerus ekutuse, okutumbula okukunga nga bukyali n’okukendeeza ku bulabe bw’obutakwatagana.

• Improvement Fixation : Enkola z'okusiba eziwera zisobozesa okunyweza okukoleddwa ku mutindo, okukakasa okukwatagana okutuufu n'okuziyiza okutambuza okuteekebwamu.

• Minimal Invasive : Enkola y’okulongoosa omusumaali ogulimu ebikonde ebingi erimu okutemebwa okutono, ekivaamu okukendeeza ku kwonooneka kw’ebitundu ebigonvu n’okuwona amangu.

• Okukuuma omusaayi : Enteekateeka y’omusumaali esobozesa okukuuma obulungi omusaayi okutuuka ku ggumba eryamenyeka, okwanguyiza enkola y’okuwona.

  
  

Enkola y’okulongoosa n’enkola y’okussaamu .

Enkola y’okulongoosa ey’okuteeka omusumaali ogw’omusuwa ogw’omu lubuto ogw’ebizibiti ebingi guzingiramu emitendera egiwerako. Oluvannyuma lw’okusalako obutonotono, omusawo alongoosa omusumaali mu mwala gwa medullary ogwa humerus, n’agukwataganya n’ebitundu by’amagumba ebikutuse. Olwo omusumaali gunywezebwa ne sikulaapu ezisiba, ne gukuwa obutebenkevu n’okunyweza.

Okuddaabiriza n'okudda engulu .

Oluvannyuma lw’okulongoosebwa, enteekateeka enzijuvu ey’okuddaabiriza abantu kyetaagisa okusobola okuwona obulungi. Obujjanjabi bw’omubiri bukola kinene nnyo mu kuzzaawo entambula, amaanyi, n’enkola y’ekinywa ky’ebibegabega. Omusumaali ogw’omu lubuto ogw’ebizibiti ebingi gusobozesa okukunga amangu n’okusitula obuzito, okwanguyiza enkola y’okuddaabiriza.

Cases ezisaanira multi-lock humeral intramedullary nail .

Omusumaali ogw’omu lubuto ogw’ekika kya multi-lock intramedullary gusaanira okumenya ku bibegabega eby’enjawulo, omuli:

• Okumenyaamenya kw’omugongo ogw’okumpi .

• Okumenyeka kw’ekikondo ky’omugongo .

• Okumenya okumenya okuzibu era okutali kwa bulijjo .

• Emenyeka n’eggumba erikola amagumba .

  
  

Okugerageranya n’enkola endala ez’obujjanjabi .

Bw’ogeraageranya n’enkola endala ez’obujjanjabi nga okunyweza okw’ebweru oba okunyweza pulati, okukuba emisumaali egy’omu lubuto egy’ebizibiti ebingi kiwa ebirungi ebiwerako. Ewa okutebenkera okunywezeddwa, okunyweza okulungi, n’enkola etali ya kuyingirira nnyo. Omusumaali era gusobozesa okukunga abantu nga bukyali era gukendeeza ku bulabe bw’okuzibuwalirwa okukwatagana n’enkola endala ez’obujjanjabi.

Ebizibu n’ebintu ebiyinza okuleeta akabi .

Wadde ng’omusumaali ogw’omu lubuto ogw’ebizibiti ebingi gutwalibwa ng’enkola y’obujjanjabi etali ya bulabe era ennungi, waliwo ebizibu ebiyinza okubaawo ebikwatagana n’enkola. Mu bino mulimu okukwatibwa obulwadde, okulemererwa okuteekebwa mu mubiri, obutakwatagana, malalignment, n’obusimu oba emisuwa gy’omusaayi okwonooneka. Wabula olw’enkola entuufu ey’okulongoosa n’okulabirira oluvannyuma lw’okulongoosebwa, ebizibu bino bisobola okukendeezebwa.

Enkulaakulana mu multi-lock humeral intramedullary nailing .

Enkulaakulana mu tekinologiya w’amagumba egenda mu maaso n’okuvuga obuyiiya mu kusumagira emisumaali egy’omu nnyindo egy’ebizibiti mingi. Okunoonyereza okugenda mu maaso kussa essira ku kulongoosa dizayini y’emisumaali, okutumbula enkola z’okusiba, n’okulongoosa ebiva mu balwadde okutwalira awamu. Enkulaakulana zino zigenderera okwongera okutumbula obuwanguzi mu kulongoosa n’okumatizibwa kw’abalwadde.

Endagiriro n’obuyiiya mu biseera eby’omu maaso .

Ebiseera eby’omumaaso eby’okukuba emisumaali mu nseke y’omusuwa multi-lock humeral intramedullary nailing bisuubiza okwongera okukulaakulana. Abanoonyereza banoonyereza ku kugatta ebintu ebiyinza okuvunda, tekinologiya ow’omulembe ow’okukuba ebifaananyi, n’okukola dizayini z’ebintu ebiteekebwa mu mubiri nga bayita mu kukozesa okukuba ebitabo mu ngeri ya 3D. Ebiyiiya bino birina obusobozi okukyusa enkola y’okumenya ebibegabega.

Emboozi z'obuwanguzi n'obujulizi bw'abalwadde .

Abalwadde abafunye emisumaali egy’omu lubuto egy’omubisi (multi-lock humeral intramedullary nailing) batera okutegeeza ebirungi ebivaamu n’okulongoosa omutindo gw’obulamu. Emboozi zaabwe ez’obuwanguzi n’obujulizi bulaga emigaso gy’enkola eno, gamba ng’okukendeeza ku bulumi, okulongoosa mu kibegabega, n’okudda amangu mu mirimu gya buli lunaku.

Mu bufunzi

Omusumaali ogw’omu lubuto ogw’ebizibiti ebingi gukiikirira enkulaakulana ey’amaanyi mu kujjanjaba okumenya kw’ebibegabega. Olw’engeri gye yasibira emirundi mingi, okutebenkera okunywezeddwa, n’enkola etali ya kuyingirira nnyo, enkola eno ey’obuyiiya egaba abasawo abalongoosa amagumba n’ekintu eky’omuwendo eky’okutuuka ku bivaamu ebirungi n’okuzzaawo omulimu mu balwadde abalina okumenya kw’ebibegabega.