Proximal Humeral Greater Tuberosity Locking Plate: Okuddamu okujjuvu .
Ensengekera y’amagumba ey’okumpi (proximal humerus) ye nsengekera y’amagumba enkulu ekola kinene nnyo mu nkola y’ekitundu eky’okungulu. Okumenya mu kitundu kino kuyinza okuleetawo okukosa ennyo emirimu n‟obulemu. Mu myaka egiyise, okukulaakulanya ebipande ebisiba kikyusizza enzirukanya y’okumenyaamenya okw’okumpi (proximal humeral fractures). Proximal humeral greater tuberosity locking plate (PHGTLP) kika kya locking plate ekifunye obuganzi mu myaka egiyise olw’ebivaamu ebirungi ennyo mu bujjanjabi. Mu kiwandiiko kino, tujja kuwa okwekenneenya okujjuvu okwa PHGTLP, omuli ensengekera yaayo, ebiraga, obukodyo bw’okulongoosa, ebivaamu, n’ebizibu.
Ensengekera y’omubiri .
Ekirungo ekiyitibwa proximal humerus kirimu ebitundu bina: omutwe gw’omumwa gwa nnabaana, tuberosity esingako, lesser tuberosity, ne humeral shaft. Ekirungo ekinene (Greater Tuberosity) kye kikula ky’amagumba ekisangibwa ku mabbali g’omutwe gw’omugongo, era kiwa ekifo ekigattibwako ebinywa by’omugongo (rotator cuff muscles). PHGTLP ekoleddwa okunyweza okumenya kwa tuberosity enkulu, ebitera okubeera mu kumenyeka kw’omugongo okw’okumpi.
Ebiraga .
PHGTLP eragiddwa okuddukanya okumenya kw’omugongo ogw’okumpi nga kuzingiramu tuberosity esingako. Okumenya kuno kutera okukwatagana n’obuvune ku kifuba eky’okuzimbulukuka era kuyinza okuvaako okukosebwa okw’amaanyi mu kukola. PHGTLP egaba okunyweza okunywevu, ekisobozesa okukunga amangu n’okuddaabiriza.
Enkola y'okulongoosa .
Enkola y’okulongoosa PHGTLP erimu okukendeeza okuggule n’okunyweza munda. Omulwadde ateekebwa mu ntebe ya bbiici oba mu mbeera ya decubitus ey’ebbali, era ekifo we balongooseza kitegekebwa n’ebisenge ebitaliimu buwuka. Okusalako okuwanvu (longitudinal incision) kukolebwa ku tuberosity esinga obunene, era okumenya kukendeera. Olwo PHGTLP eteekebwa ku ludda olw’ebbali olw’omutwe gw’omugongo, era sikulaapu ziyingizibwa okuyita mu pulati mu ggumba. Epulati egaba okunyweza okunywevu, ekisobozesa okukunga abantu nga bukyali n’okuddaabiriza.
Ebivaamu .
PHGTLP eragiddwa okuba n’ebivaamu ebirungi ennyo mu bujjanjabi mu kuddukanya okumenyaamenya kw’omugongo ogw’okumpi. Okunoonyereza okuwerako kulaga emiwendo mingi egy’okugatta okumenya, ebiva mu mirimu emirungi, n’emiwendo gy’ebizibu ebitono. Mu kwekenneenya okutegekeddwa kw’okunoonyereza 11, PHGTLP yakwatagana n’omuwendo gw’ebibiina by’abakozi ogwa 95%, omuwendo gw’ebivaamu ebirungi oba ebirungi ennyo ogw’emirimu 92%, n’omuwendo gw’ebizibu 6%.
Ebizibu ebiva mu .
Ebizibu ebikwatagana ne PHGTLP mulimu okusitula ebituli mu sikulaapu, okulemererwa okuteekebwa mu mubiri, okutali kwa kibiina, n’okukwatibwa obulwadde. Ebizibu ebibaawo biba bitono, era ebisinga biba biddukanyizibwa nga biddukanya bulungi. Mu kwekenneenya okutegekeddwa kw’okunoonyereza 11, ekizibu ekyasinga okutawaanya kyali kya screw perforation, ekyaliwo mu bitundu 2.2%.
Mu bufunzi
PHGTLP nkola nnungi era etali ya bulabe eri okuddukanya okumenya kw’omugongo ogw’okumpi okuzingiramu akawuka ka tuberosity akanene. Epulati egaba okunyweza okunywevu, ekisobozesa okukunga abantu nga bukyali n’okuddaabiriza. PHGTLP eragiddwa okuba n’ebivaamu ebirungi ennyo eby’obujjanjabi nga waliwo emiwendo gy’ebizibu ebitono. Okukozesa PHGTLP kulina okulowoozebwako mu kuddukanya okumenyaamenya okw’okumpi (proximal humeral fractures).
Ebibuuzo ebibuuzibwa .
It takes how long to recover from proximal humeral fractures managed with PHGTLP?
Obudde bw’okuwona businziira ku bintu ebiwerako, gamba ng’obuzibu bw’okumenya, emyaka gy’omulwadde, n’embeera z’obujjanjabi ezaaliwo edda. Okutwaliza awamu, abalwadde abasinga obungi basobola okusuubira okudda mu mirimu egya bulijjo mu myezi 6-12 oluvannyuma lw’okulongoosebwa.
Okukozesa PHGTLP kikwatagana n‟ebizibu byonna eby‟ekiseera ekiwanvu?
Ebizibu eby’ekiseera ekiwanvu ebikwatagana ne PHGTLP tebitera kubaawo. Wabula abalwadde balina okumanya obulabe bw’okulemererwa okuteekebwa mu mubiri, ekiyinza okubaawo nga wayise emyaka egiwerako oluvannyuma lw’okulongoosebwa. Okugoberera buli kiseera n’omusawo ajjanjaba kiyinza okuyamba okuzuula ebizibu byonna ebiyinza okubaawo n’okubikolako mu bwangu.
PHGTLP esobola okukozesebwa mu mbeera zonna ez’okumenyaamenya okw’okumpi (proximal humeral fractures)?
Nedda, PHGTLP ekoleddwa mu ngeri ey’enjawulo okunyweza okumenya kw’ennywanto ennene. Mu mbeera ng’okumenya kuzingiramu ebitundu ebirala eby’omugongo ogw’okumpi, enkola endala ez’okulongoosa ziyinza okwetaaga okulowoozebwako.
Obudde ki obw’okuwona eri abalwadde abalongoosebwa PHGTLP?
Obudde bw’okuwona bwawukana okusinziira ku buzibu bw’okumenya, emyaka gy’omulwadde, n’embeera yonna ey’obujjanjabi eyaliwo edda. Abalwadde abasinga obungi basobola okusuubira okudda mu mirimu egya bulijjo mu myezi 6-12 oluvannyuma lw’okulongoosebwa.
Abalwadde bayinza batya okulongoosa okuwona kwabwe oluvannyuma lw’okulongoosebwa PHGTLP?
Abalwadde basobola okulongoosa okuwona kwabwe nga bagoberera enteekateeka y’okuddaabiriza ekoleddwa omusawo waabwe ajjanjaba. Kino kiyinza okuzingiramu okujjanjaba omubiri, okukola dduyiro okulongoosa enkola n‟amaanyi, n‟obukodyo bw‟okuziyiza obulumi. Kikulu nnyo okugoberera ebiragiro byonna eby’oluvannyuma lw’okulongoosebwa ebiweebwa omusawo ajjanjaba okulaba ng’awona bulungi.
Mu kumaliriza, PHGTLP nkola ya bulabe era ekola obulungi mu kuddukanya okumenyaamenya kw’omugongo ogw’okumpi okuzingiramu akawuka ka tuberosity akanene. Epulati egaba okunyweza okutebenkedde, ekisobozesa okukunga amangu n’okuddaabiriza, era eragiddwa okuba n’ebivaamu ebirungi ennyo eby’obujjanjabi n’emiwendo gy’ebizibu ebitono. Abalwadde balina okukubaganya ebirowoozo ku nkozesa ya PHGTLP n’omusawo waabwe ajjanjaba okuzuula oba nga y’enkola esaanidde ku kumenya kwabwe okwetongodde. Nga balina okuddukanya obulungi n’okugoberera, abalwadde basobola okusuubira okudda mu mirimu egya bulijjo ne banyumirwa omutindo omulungi ogw’obulamu oluvannyuma lw’okulongoosa okumenya kw’omugongo ogw’okumpi nga bakozesa PHGTLP.
