PFNA Intramedullary Nail: Ekitabo ekikwata ku buli kimu
Mu by’amagumba, okujjanjaba okumenya ekisambi kukyali mulimu gwa kusoomoozebwa. Wadde ng’obukodyo obw’enjawulo obw’okulongoosa bukoleddwa okumala ekiseera, okukuba emisumaali mu misuwa (intramedullary nailing) kweyolekera ng’ekintu ekimanyiddwa ennyo. Omusumaali oguyitibwa Proximal Femoral Nail Antirotation (PFNA) kika kya musumaali oguyingira mu misuwa ogufunye okufaayo okunene olw’okukola obulungi mu kujjanjaba okumenya ekisambi. Mu kiwandiiko kino, tujja kuwa obulagirizi obujjuvu ku PFNA intramedullary nail, nga tukwata ku buli kimu okuva ku ngeri gye yakolebwamu okutuuka ku ngeri gye yalongoosebwamu, okulabirira oluvannyuma lw’okulongoosebwa, n’ebizibu ebiyinza okuvaamu.
1. Enyanjula
Okumenya ekisambi kye kisinga okuvaako endwadde n’okufa mu bantu abakadde. Olw’omuwendo gw’abantu abakaddiye, omuwendo gw’abamenyese mu bisambi gusuubirwa okweyongera okumala ekiseera. Obujjanjabi bw’okumenya ekisambi bukulu nnyo, kubanga buyinza okukosa ennyo omutindo gw’obulamu bw’omulwadde. Okukuba emisumaali mu misuwa (intramedullary nailing) efuuse enkola ey’okulongoosa emanyiddwa ennyo mu kujjanjaba okumenya ekisambi olw’obulungi bwayo n’obukuumi bwayo. Mu bika by’emisumaali egy’enjawulo egy’omu misuwa, PFNA intramedullary nail efunye okufaayo okunene.
2. Omusumaali gwa PFNA Intramedullary Nail kye ki?
Omusumaali oguyitibwa PFNA intramedullary nail kika kya intramedullary nail nga gukoleddwa okutebenkeza n’okunyweza okumenya kw’ekisambi. Kye kyuma ekinywevu, eky’omu maaso, n’eky’omutwe (cephalomedullary device) ekiyingizibwa okuyita mu mwala gw’ekisambi ogw’okumpi. Omusumaali gwa PFNA guwa obutebenkevu mu kifo we gumenyese nga gusobozesa okugabana emigugu wakati w’omusumaali n’eggumba. Era kikendeeza ku bulabe bw’okulemererwa kw’ekintu ekisimbibwa n’okusumululwa nga kiwa obutebenkevu obutakyukakyuka.
3. Enteekateeka ya PFNA n’Ebikozesebwa
Omusumaali gwa PFNA oguyitibwa intramedullary nail gukolebwa mu titanium oba titanium alloy, nga guno gukwatagana n’ebiramu era guwa amaanyi amalungi n’okuwangaala. Omusumaali gulina ekyuma ekiyitibwa helical blade ku nkomerero y’okumpi, ekikoleddwa okukwatagana n’omutwe gw’ekisambi n’okuwa okutebenkera mu kuzimbulukuka. Ekyuma kino era kirina enkola eziyiza okuzimbulukuka, ekiziyiza omusumaali okutambula munda mu kisambi. Enkomerero y’omusumaali ey’ewala erina enkola y’okusiba, esobozesa okunyweza ewala n’okunyweza mu kisenge.
4. Ebiraga okulongoosebwa kwa PFNA
Omusumaali oguyitibwa PFNA intramedullary nail gusinga kukozesebwa mu kujjanjaba okumenya kw’ekisambi okutali kunywevu mu bitundu by’omubiri (intertrochanteric ne subtrochanteric hip fractures). Era ekozesebwa mu kujjanjaba ebimu ku bimenya ensingo y’ekisambi. Okusalawo okukozesa okulongoosa omusumaali mu PFNA mu misuwa kisinziira ku bintu eby’enjawulo ng’emyaka gy’omulwadde, omutindo gw’amagumba, ekika ky’okumenya, n’omusawo alongoosa by’ayagala.
5. Enkola y’okulongoosa PFNA Intramedullary Nailing
Enkola y’okulongoosa ey’okukuba emisumaali mu misuwa (PFNA intramedullary nailing) erimu emitendera egiwerako. Enkola eno etera okukolebwa mu bujjanjabi obw’okubudamya obw’enjawulo oba obw’omugongo. Omulwadde ateekebwa ku mmeeza y’okumenya, era n’ekintu ekiyitibwa fluoroscope kikozesebwa okulungamya okuyingiza omusumaali.Enkola y’okulongoosa ey’okusiba emisumaali mu mubiri mu misuwa (PFNA intramedullary nailing) erimu emitendera egiwerako. Enkola eno etera okukolebwa mu bujjanjabi obw’okubudamya obw’enjawulo oba obw’omugongo. Omulwadde ateekebwa ku mmeeza y’okumenya, era nga bakozesa ekyuma ekiyitibwa fluoroscope okulungamya okuyingiza omusumaali. Enkola y’okulongoosa erimu okusala okutono okukolebwa ku kitundu ekinene ekiyitibwa trochanter, ekisobozesa okutuuka ku proximal femur. Olwo waya elungamya eyingizibwa okuyita mu kifo ekisaliddwamu n’eyisibwa wansi mu mwala gw’ekisambi wansi w’obulagirizi bwa fluoroscopic. Olwo omukutu gw’ekisambi ogw’okumpi (proximal femoral canal) gusiigibwa okutuuka ku sayizi esaanidde, era omusumaali gwa PFNA ogw’omu kifuba ne guteekebwamu. Ekyuma ekiyitibwa helical blade kiyingizibwa mu mutwe gw’ekisambi, era enkola y’okusiba eyingizibwa mu kisambi eky’ewala okusobola okuwa obutebenkevu bw’ekyekulungirivu.
6. Okulabirira oluvannyuma lw’okulongoosebwa oluvannyuma lw’okulongoosebwa PFNA
Oluvannyuma lw’okulongoosebwa omusumaali mu PFNA, omulwadde atera okukuumibwa ku kitanda okumala ennaku ntono. Ekitundu ekikoseddwa kiyimirizibwa n’akaguwa oba akasuuliddwa okumala wiiki eziwera okutumbula okuwona. Omulwadde aweebwa amagezi okwewala emirimu gy’okusitula obuzito okumala emyezi mitono kisobozese okuwona obulungi. Obujjanjabi bw’omubiri butera okutandikibwa nga bukyali okulongoosa entambula y’ennyondo n’amaanyi g’ebinywa.
7. Ebizibu bya PFNA n’okuddukanya
Okufaananako n’enkola yonna ey’okulongoosa, PFNA intramedullary nailing etambuza obulabe obumu n’ebizibu ebiyinza okuvaamu. Ebizibu bino mulimu okukwatibwa yinfekisoni, okulemererwa okuteekebwa mu mubiri, okulumwa obusimu, okulumwa emisuwa, n’obutagatta. Wabula, okutwalira awamu omuwendo gw’ebizibu by’okukuba emisumaali mu misuwa gya PFNA mutono nnyo. Enzirukanya y’ebizibu bino etera okuzingiramu okulongoosa okuddamu okutunula oba obujjanjabi obw’okukuuma, okusinziira ku buzibu bw’ekizibu.
8. PFNA vs. Emisumaali Emirala egy’omu Nnyindo
Bw’ogeraageranya n’ebika ebirala eby’emisumaali egy’omu misuwa, omusumaali ogw’omu misuwa ogwa PFNA gulina ebirungi ebiwerako. Ekimu ku birungi ebikulu ebiri mu musumaali gwa PFNA y’enkola yaago ey’okuziyiza okukyukakyuka, eyamba omutwe gw’ekisambi okutebenkera mu kuzimbulukuka. Era kisobozesa okugabana emigugu wakati w’omusumaali n’eggumba, ekikendeeza ku bulabe bw’okulemererwa kw’omusumaali. Omusumaali gwa PFNA nagwo mwangu nnyo okuyingiza era gulina obulabe obutono obw’okufuna ebizibu.
9. Ebirungi ebiri mu PFNA Intramedullary Nailing
PFNA intramedullary nailing erina ebirungi ebiwerako okusinga obukodyo obulala obw’okulongoosa okujjanjaba okumenya ekisambi. Ekimu ku birungi ebikulu kwe kukola obulungi mu kujjanjaba okumenya kw’ekisambi okutali kunywevu mu bitundu by’omubiri (intertrochanteric ne subtrochanteric hip fractures). Omusumaali gwa PFNA era gusobozesa okukungaanya amangu n’okumala akaseera katono mu ddwaaliro bw’ogeraageranya n’obukodyo obulala obw’okulongoosa. Era erina akabi akatono ak’okulemererwa kw’ekintu ekisimbibwa era kiwa ebivaamu ebirungi mu nkola.
10. Ebizibu ebiri mu kukola emisumaali mu PFNA Intramedullary Nailing
Wadde nga PFNA intramedullary nailing erina ebirungi ebiwerako, naye era erina ebizibu ebimu. Ekimu ku bikulu ebizibu bye bizibu ebiyinza okuvaamu ebizibu, gamba ng’okulemererwa kw’ekintu ekisimbibwa, okukwatibwa yinfekisoni, n’okulumwa obusimu. Omusumaali gwa PFNA nagwo gwa bbeeyi nnyo bw’ogeraageranya n’obukodyo obulala obw’okulongoosa.
11. Ebiva mu PFNA Intramedullary Nail n’emiwendo gy’obuwanguzi
Okunoonyereza kulaga nti PFNA intramedullary nailing evaamu ebirungi n’obuwanguzi mu kujjanjaba okumenya ekisambi. Emiwendo gy’obuwanguzi bw’okukuba emisumaali mu PFNA giva ku bitundu 70% okutuuka ku bitundu 90%, ng’ebivaamu ebirungi mu mirimu bitegeezebwa mu mbeera ezisinga obungi. Omusumaali gwa PFNA nagwo gulina omuwendo omutono ogw’okulongoosebwa okuddamu okutunula n’okulemererwa okuteekebwamu.
12. PFNA mu balwadde abakadde
Okumenya ekisambi kusinga kubeera mu bantu abakadde, era PFNA intramedullary nailing evuddeyo ng’enkola ey’okulongoosa emanyiddwa ennyo ey’okujjanjaba okumenya ekisambi mu balwadde abakadde. Omusumaali gwa PFNA gulagiddwa okuba n’ebivaamu ebirungi mu muwendo guno, nga gulina ebizibu ebitono ate nga gumala ekiseera kitono mu ddwaaliro.
13. Okukulaakulanya mu biseera eby’omu maaso
Omusumaali gwa PFNA oguyitibwa intramedullary nail gukyusiddwamu emirundi egiwerako okuva lwe gwatandikibwawo, n’ekigendererwa eky’okulongoosa mu ngeri gye gukolamu n’okukendeeza ku bulabe bwagwo. Ebimu ku bikyusiddwa mulimu enkyukakyuka mu dizayini ya helical blade, okulongoosa mu nkola y’okusiba, n’okukyusa mu buwanvu n’obuwanvu bw’omusumaali. Okukola ebintu ebipya, nga titanium alloys ne biodegradable materials, nayo enoonyezebwa okutumbula omulimu gw’omusumaali gwa PFNA.
14. Okumaliriza
Mu bufunze, omusumaali oguyitibwa PFNA intramedullary nail nkola ya kulongoosa emanyiddwa ennyo mu kujjanjaba okumenya ekisambi naddala mu bantu abakadde. Omusumaali gwa PFNA guwa ebivaamu ebirungi, nga gulimu ebizibu ebitono ate nga mu ddwaaliro gumala ekiseera kitono. Kyokka okufaananako n’enkola yonna ey’okulongoosa, erimu obulabe obumu n’ebizibu ebiyinza okuvaamu. Okukola ebintu ebipya n’okukyusa mu dizayini y’omusumaali kirabika kijja kulongoosa omulimu gw’omusumaali gwa PFNA mu biseera eby’omu maaso.
Ebibuuzo ebibuuzibwa
Omusumaali oguyitibwa PFNA intramedullary nail kye ki?
Omusumaali oguyitibwa PFNA intramedullary nail gwe musumaali ogulongoosebwa nga gukozesebwa okujjanjaba okumenya ekisambi. Kiyingizibwa mu mwala gw’ekisambi ne kiwa omutwe gw’ekisambi okutebenkera.
Omusumaali gwa PFNA ogw’omu lubuto guyingizibwa gutya?
Omusumaali gwa PFNA ogw’omu lubuto guyingizibwa nga guyita mu kitundu ekitono ekisaliddwa ku kitundu ekinene ekiyitibwa trochanter. Waya ekulagirira eyingizibwa mu mwala gw’ekisambi, era omukutu ne gusiigibwa mu sayizi esaanira. Olwo omusumaali gwa PFNA ne guteekebwamu, era enkola y’okusiba n’ekola mu kisambi eky’ewala.
Birungi ki ebiri mu musumaali oguyitibwa PFNA intramedullary nail?
Omusumaali gwa PFNA oguyitibwa intramedullary nail gulina ebirungi ebiwerako omuli enkola yaago ey’okuziyiza okuzimbulukuka, okugabana omugugu, n’obwangu okuguyingiza. Era kikola bulungi mu kujjanjaba okumenya kw’ekisambi okutali kunywevu era kisobozesa okutambula amangu.
Bizibu ki ebiyinza okuva mu kukuba emisumaali mu PFNA mu misuwa?
Ebizibu ebiyinza okuva mu kukuba emisumaali mu PFNA mu misuwa mulimu okukwatibwa yinfekisoni, okulemererwa kw’ekintu ekisimbibwa, okulumwa obusimu, okulumwa emisuwa, n’obutagatta.
Obuwanguzi bwa PFNA intramedullary nailing buli ki?
Emiwendo gy’obuwanguzi bw’okukuba emisumaali mu misuwa gya PFNA giva ku bitundu 70% okutuuka ku bitundu 90%, ng’ebivaamu ebirungi mu mirimu bitegeezebwa mu mbeera ezisinga obungi.
