Reversed Femoral & Gama Intramedullary Ebikozesebwa mu kukola emisumaali

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NEDDA.	REF	Okunnyonnyola	Qty.
1	1200-0401 ku ssimu	Omukono gwa Drill	1
2	1200-0402 ku ssimu	Omukono gwa Drill	1
3	1200-0403 ku ssimu	Omukono gwa Drill	1
4	1200-0404 ku ssimu	Open Wrench	1
5	1200-0405 ku ssimu	Drill Bit Ø4.5 nga erina Stopper	1
6	1200-0406	Ekintu ekisima Ø4.5	1
7	1200-0407 ku ssimu	Sikulukuvu wa Hex SW3.5	1
8	1200-0408 ku ssimu	Gague y’obuziba 0-90mm	1
9	1200-0409 ku ssimu	K-waya ya	2
10	1200-0410 ku ssimu	K-waya eriko obuwuzi	2
11	1200-0411 ku ssimu	Ekintu ekiyitibwa Drill Bit	1
12	1200-0412 ku ssimu	Ekisengejja ekikalu Ø9	1
13	1200-0413 ku ssimu	Ekisengejja ekikalu Ø10	1
14	1200-0414 ku ssimu	Ekisengejja ekikalu Ø11	1
15	1200-0415 ku ssimu	Ekisengejja ekikalu Ø12	1
16	1200-0416 ku ssimu	Ekisengejja ekikalu Ø13	1
17	1200-0417 ku ssimu	AWL	1
18	1200-0418 ku ssimu	Ekisumuluzo	1
19	1200-0419 ku ssimu	Okuyungibwa okw’amangu T-handle	1
20	1200-0420 ku ssimu	Ennyondo	1
21	1200-0421 ku ssimu	T-handle Solid Reamer (Ekiwujjo Ekinywevu).	1
22	1200-0422 ku ssimu	Emikono gya saati	1
23	1200-0423 ku ssimu	Emikono gya saati	1
24	1200-0424 ku ssimu	Ekifo Forcep	1
25	1200-0425 ku ssimu	Emikono gya saati	1
26	1200-0426	Emikono gya saati	1
27	1200-0427 ku ssimu	Taapu	1
28	1200-0428 ku ssimu	Ekiyungo ekitali kya bulijjo	1
29	1200-0429 ku ssimu	Ekifo Forcep	1
30	1200-0430 ku ssimu	Ebbaala y'omulagirizi	1
31	1200-0431 ku ssimu	Hex Key Ekinene	1
32	1200-0432 ku ssimu	Ekisumuluzo kya Hex Ekitono	1
33	1200-0433 ku ssimu	Okukaka Cone Omumpi	1
34	1200-0434 ku ssimu	Okukaka Cone Omuwanvu	1
35	1200-0435 ku ssimu	Ekiyungo	1
36	1200-0436 ku ssimu	Ekiyungo	1
37	1200-0437 ku ssimu	Omukono gw’Omulagirizi	1
38	1200-0438 ku ssimu	Bolt	1
39	1200-0439 ku ssimu	Bolt	1
40	1200-0440 ku ssimu	Waya ya Guider	1
41	1200-0441 ku ssimu	Bokisi ya Aluminiyamu	1

Reversed Femoral & Gamma Intramedullary Nail Instrument Set: Ekitabo Ekikwata ku Musumaali Ekijjuvu

Bwe kituuka ku kujjanjaba okumenyeka kw’ekisambi, okukuba emisumaali mu misuwa (intramedullary nailing) efuuse enkola emanyiddwa ennyo mu basawo abalongoosa amagumba. Mu bika by’emisumaali egy’enjawulo egy’omu kifuba, emisumaali egy’omu kifuba egy’emabega n’egya gamma gifunye okufaayo okunene olw’ebirungi byabwe ebingi. Mu kitundu kino, tugenda kwetegereza emisumaali gino kye giri, emigaso gyagyo, ebikozesebwa ebyetaagisa okulongoosebwa, n’ebintu ebirala ebikwatagana.

Ebirimu

• Okwanjula

• Anatomy y’eggumba ly’omugongo

• Omusumaali oguyitibwa Intramedullary Nail kye ki?

• Emisumaali egy’omu kifuba (reversed Femoral and Gamma Intramedullary Nails): Biki?

• Emigaso gy’emisumaali egy’omu kifuba egy’okudda emabega ne Gamma Intramedullary Nails

• Ebiraga nti waliwo emisumaali egy’omu kifuba n’egya Gamma egy’okudda emabega

• Ebiziyiza okuzimba emisumaali egy’omu kifuba (Reversed Femoral and Gamma Intramedullary Nails).

• Enkola y’okulongoosa emisumaali egy’omu kifuba egy’okudda emabega ne Gamma Intramedullary Nails

• Ebikozesebwa Ebyetaagisa Okukuba emisumaali mu kifuba ne Gamma Intramedullary

• Okulabirira n’okuddaabiriza oluvannyuma lw’okulongoosebwa

• Ebizibu Ebiyinza okuva mu Kukuba emisumaali mu kifuba ne Gamma Intramedullary Nailing

• Mu bufunzi

• Ebibuuzo ebibuuzibwa

Okwanjula

Okumenya eggumba kuyinza okuba okusoomoozebwa okujjanjaba olw’obunene bw’eggumba n’ensengekera y’omubiri enzibu. Okukozesa emisumaali egy’omu bitundu by’omubiri (intramedullary nails) kweyongedde okwettanirwa abasawo abalongoosa amagumba olw’emigaso mingi gye girina okusinga engeri endala ez’obujjanjabi. Mu kiwandiiko kino, tujja kwetegereza enkozesa y’emisumaali egy’omu kifuba n’egya gamma egy’okudda emabega, emigaso gyagyo, enkola y’okulongoosa eyeetaagisa, ensengeka y’ebikozesebwa eyeetaagisa, n’ebizibu ebiyinza okuvaamu.

Anatomy y’eggumba ly’omugongo

Nga tonnagenda mu maaso n’okunoonyereza ku kukuba emisumaali mu nnyindo, kyetaagisa okutegeera ensengekera y’eggumba ly’ekisambi. Eggumba ly’omugongo lye ggumba erisinga obuwanvu era erisinga amaanyi mu mubiri gw’omuntu, okuva ku kinywa ky’ekisambi okutuuka ku kinywa ky’okugulu. Enkomerero y’ekisambi eky’okumpi ekwatagana n’eggumba ly’ekisambi, ate enkomerero ey’ewala ekwatagana n’eggumba ly’ekisambi ery’ekigere.

Omusumaali oguyitibwa Intramedullary Nail kye ki?

Omusumaali oguyitibwa intramedullary nail gwe muggo omuwanvu era omugonvu ogw’ekyuma oguyingizibwa mu kitundu ekirimu ekituli eky’eggumba ekiyitibwa medullary canal. Omuggo guno gutera okukolebwa mu titanium oba ekyuma ekitali kizimbulukuse era nga gukoleddwa okutebenkeza eggumba nga liwona. Okukuba emisumaali mu misuwa (intramedullary nailing) kutera okukozesebwa ku kumenya amagumba amawanvu, gamba ng’ekisambi n’ekisambi.

Emisumaali egy’omu kifuba (reversed Femoral and Gamma Intramedullary Nails): Biki?

Emisumaali egy’omu kifuba egy’emabega (reversed femoral and gamma intramedullary nails) bye bika by’emisumaali egy’omu kifuba egyakozesebwa mu kumenya ekisambi. Emisumaali gy’ekisambi egy’emabega gikoleddwa okuyingizibwa mu kisambi okuva ku nkomerero y’eggumba ery’ewala, ekikontana n’oludda lw’okuyingiza omusumaali ogw’ekinnansi ogw’omu kifuba. Ate emisumaali gya gamma giyingizibwa okuva ku nkomerero y’omugongo ogw’okumpi era nga gikoleddwa okukoona munda mu ggumba.

Emigaso gy’emisumaali egy’omu kifuba egy’okudda emabega ne Gamma Intramedullary Nails

Okukozesa emisumaali egy’omu kifuba egy’okudda emabega n’egya gamma mu misuwa kiwa emigaso egiwerako okusinga obukodyo obw’ekinnansi obw’okukuba emisumaali mu misuwa. Emigaso gino mulimu:

• Okukendeeza ku budde bw’okulongoosa n’okufiirwa omusaayi

• Ebisale ebitonotono

• Okwonooneka okutono ku bitundu ebigonvu ebyetoolodde okumenya

• Okusooka okusitula obuzito n’okudda mu nkola

• Okukwatagana obulungi kw’ekifo ekimenyese

Ebiraga nti waliwo emisumaali egy’omu kifuba n’egya Gamma egy’okudda emabega

Emisumaali egy’omu kifuba egy’emabega (reversed femoral and gamma intramedullary nails) gitera okukozesebwa ku kumenya ekisambi mu balwadde ab’emyaka gyonna omuli abantu abakulu n’abaana. Zino za mugaso nnyo mu kujjanjaba emmese ezisangibwa wakati mu kikondo ky’ekisambi oba ezo ezigenda mu bitundu by’omugongo ogw’okumpi oba ogw’ewala.

Ebiziyiza okuzimba emisumaali egy’omu kifuba (Reversed Femoral and Gamma Intramedullary Nails).

Wadde ng’okukuba emisumaali mu kisambi (reversed femoral and gamma intramedullary nailing) kuwa emigaso egiwerako, tezisaanira balwadde bonna. Ebiziyiza enkola zino mulimu:

• Emenyeka ezisangibwa okumpi n’ekinywa ky’ekisambi oba ekinywa ky’okugulu

• Obulwadde bw’amagumba obw’amaanyi oba obuzibu obulala mu magumba obukosa amaanyi g’amagumba

• Obutasobola kugumiikiriza kulongoosebwa olw’embeera z’obujjanjabi ezisirikitu

Enkola y’okulongoosa emisumaali egy’omu kifuba egy’okudda emabega ne Gamma Intramedullary Nails

Enkola y’okulongoosa okukuba emisumaali mu kifuba n’okudda emabega (reversed femoral and gamma intramedullary nailing) erimu emitendera egiwerako. Okusooka, omulwadde ateekebwa wansi w’obujjanjabi obw’okubudamya, era ng’amenyese alabika nga bakozesa enkola ya fluoroscopy oba obukodyo obulala obw’okukuba ebifaananyi. Ekiddako, basala akasala akatono ku nkomerero y’ekisambi ey’ewala oba ey’okumpi, okusinziira ku kika ky’omusumaali ogukozesebwa. Olwo omusumaali guyingizibwa mu mwala gw’omubiri (medullary canal) ne gulung’amibwa mu kifo kyagwo nga bakozesa ebikozesebwa eby’enjawulo. Omusumaali bwe gumala okubeera mu kifo ekituufu, bateekebwamu sikulaapu ezisiba okunyweza omusumaali ku ggumba.

Ebikozesebwa Ebyetaagisa Okukuba emisumaali mu kifuba ne Gamma Intramedullary

Okukola reversed femoral ne gamma intramedullary nailing kyetaagisa ebikozesebwa eby’enjawulo. Seti eno etera okubeeramu:

• Ebiwujjo ebiyitibwa intramedullary reamers

• Ebyuma ebiyingiza emisumaali n’okugitunuulira

• Waya ezilungamya ne sikulaapu ezisiba

• Ebikozesebwa mu kutegeka eggumba n’ebitundu ebigonvu ebyetoolodde ekifo we bamenyese

Okulabirira n’okuddaabiriza oluvannyuma lw’okulongoosebwa

Oluvannyuma lw’okulongoosebwa, abalwadde batera okwetaaga okuweebwa ekitanda mu ddwaaliro ennaku eziwera. Ekigere kiyimirizibwa nga bakozesa ekintu ekiyitibwa cast oba brace, era eddagala eriweweeza ku bulumi liweebwa nga bwe kyetaagisa. Abalwadde batera okuweebwa amagezi okwewala okussa obuzito ku kigere ekikosebwa okumala wiiki eziwera kisobozese okuwona obulungi. Obujjanjabi bw’omubiri buyinza okusemba okuyamba okuddamu okufuna amaanyi n’okutambula okutambula mu kigere ekikoseddwa.

Ebizibu Ebiyinza okuva mu Kukuba emisumaali mu kifuba ne Gamma Intramedullary Nailing

Nga bwe kiri ku nkola yonna ey’okulongoosa, okukuba emisumaali mu kifuba n’okudda emabega mu kifuba (gamma intramedullary nailing) kuyinza okuleeta akabi n’ebizibu ebimu. Mu bino biyinza okuli:

• Ekirwadde

• Okuzimba omusaayi

• Okwonooneka kw’obusimu oba emisuwa

• Okulemererwa kw’okusimba oba okusenguka

• Okulwawo oba obutakwatagana kw’okumenya

Mu bufunzi

Okukuba emisumaali mu kisambi (reversed femoral and gamma intramedullary nailing) kizuuse ng’enkola ezimanyiddwa ennyo mu kujjanjaba okumenya kw’ekisambi. Obukodyo buno buwa ebirungi ebiwerako okusinga okukuba emisumaali mu nnyindo mu ngeri ey’ekinnansi, omuli okukendeeza ku budde bw’okulongoosa, okusala obutonotono, n’okuwona amangu. Wabula tezisaanira balwadde bonna era zitwala obulabe n’ebizibu ebimu. Okulonda omulwadde n’obwegendereza n’enkola y’okulongoosa kikulu nnyo okusobola okutuuka ku bivaamu ebirungi.

Ebibuuzo ebibuuzibwa

1. Kitwala bbanga ki okuwona okuva ku reversed femoral oba gamma intramedullary nailing?

• Ebiseera by’okuwona bisobola okwawukana okusinziira ku buzibu bw’okumenya n’obulamu bw’omulwadde okutwalira awamu. Okutwalira awamu, abalwadde abasinga basobola okusuubira nti tebajja kuva ku bigere okumala wiiki eziwera era bayinza okwetaagisa okumala emyezi egiwerako nga bajjanjabwa omubiri okusobola okuddamu amaanyi gonna n’okutambula mu bbanga.

1. Okukuba emisumaali mu kisambi oba gamma intramedullary kiruma?

• Abalwadde bayinza okufuna obulumi n’obutabeera bulungi oluvannyuma lw’okulongoosebwa, ekiyinza okuddukanyizibwa n’eddagala eriweweeza ku bulumi omusawo ly’abalagira.

1. Waliwo asobola okukolebwako emisumaali egy’omu kifuba oba gamma intramedullary nailing?

• Nedda, obukodyo buno tebusaanira balwadde bonna. Omusawo wo ajja kwekenneenya embeera yo n’ebyafaayo by’obujjanjabi okuzuula oba oli mulungi ku nkola zino.

1. Okulongoosa kutwala bbanga ki?

• Okulongoosa kutera okutwala wakati w’essaawa 1-2, naye kino kiyinza okwawukana okusinziira ku buzibu bw’okumenya n’ensengekera y’omubiri gw’omulwadde ssekinnoomu.

1. Waliwo obujjanjabi obulala bwonna okusinga okukuba emisumaali mu kisambi oba gamma intramedullary nailing?

• Yee, waliwo obujjanjabi obuwerako obw’okumenya ekisambi, omuli okunyweza ebweru, okukuba emisumaali mu ngeri ey’ekinnansi mu nnyindo, n’okukendeeza mu lujjudde n’okunyweza munda. Omusawo ajja kukukuwa amagezi ku nkola y’obujjanjabi esinga obulungi okusinziira ku byetaago byo ssekinnoomu n’embeera gy’olimu.