Omusumaali gw’ekisambi ogukyusiddwa

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CZMEDITECH Omusumaali gw’omu kifuba ogukyusiddwa

Okwanjula

Omuwendo gw‟okumenya mu kitundu ky‟omugongo ogw‟okumpi (proximal femoral area) gweyongedde olw‟omuwendo gw‟abakadde abalina obulwadde bw‟amagumba n‟obubenje bw‟ebidduka mu bavubuka abakulu okweyongera.

Emenyeka ezikwata ku kitundu ky’omubiri (trochanteric area) zigabanyizibwa okusinziira ku nkola y’okugabanya mu kibiina kya Orthopedic Trauma Association nga AO/OTA 31-A, ekizirambika ng’okumenya kw’ekisambi okw’ebweru w’enkwaso. Emenyese zino zaawulwamu ebibinja A1, A2 ne A3. Okumenya kwa A1 kwangu, kwa bitundu bibiri, so ng’ate okumenya kwa A2 kulina ebitundu ebingi. Okumenya kwa A3 kuliko enkola z’okumenya okw’okudda emabega (reverse oblique) n’okumenya (transverse fracture patterns).

Waliwo ebika bibiri ebikulu eby’okuteekebwa mu mubiri ebisobola okujjanjaba okumenya kuno, kwe kugamba, okuteekebwa mu misuwa egy’ebweru n’okuteekebwa mu misuwa [1–3]. Newankubadde nga ekintu ekisinga okukozesebwa extramedullary implant ye dynamic hip screw, erimu sliding neck screw eyungiddwa ku plate mu lateral femoral cortex, abawandiisi abasinga bategeezezza nti ekyuma kino tekisaanira AO/OTA 31-A3 reverse oblique oba transverse fractures olw’okulemererwa okunyweza ennyo. Bwe kityo, obujjanjabi bw’okumenya kw’ekisambi kuno okutali kwa nkalakkalira kukyali kusoomoozebwa, era lipoota z’obujjanjabi ezikwata ku kukuba emisumaali mu kisambi mu misuwa olw’okumenya kw’omugongo mu ngeri ey’okudda emabega (reverse obliquity intertrochanteric fractures) ntono mu muwendo.

Reversed Femoral Nail: Obulagirizi obujjuvu

Mu kulongoosa amagumba, okumenya ekisambi kitera okubaawo. Emisumaali gy’omu kifuba gitera okukozesebwa okutereeza okumenya ng’okwo. Omusumaali gw’omu kifuba ogukyusiddwa (reversed femoral nail) nkola mpya era ey’obuyiiya ey’okutereeza okumenya naddala mu balwadde abakadde. Mu kitundu kino, tujja kwogera ku buli kimu ekiriwo okumanya ku misumaali gy’ekisambi egyakyusibwa, omuli emigaso gyazo, ebiraga, n’ebizibu ebiyinza okuvaamu.

Omusumaali gw’ekisambi ogudda emabega kye ki?

Omusumaali gw’ekisambi ogudda emabega (reversed femoral nail) kyuma kya magumba ekikozesebwa okujjanjaba okumenya ekisambi. Buno bukodyo bupya nnyo nga buzingiramu okuyingiza omusumaali okuva wansi w’ekisambi okudda waggulu, ekintu ekikontana n’enkola eya bulijjo. Omusumaali guyingizibwa nga guyita mu kasala akatono mu kiyungo ky’okugulu ne guteekebwa mu kifo nga bakozesa sikulaapu ku nkomerero zombi.

Ebiraga emisumaali gy’ekisambi egy’okudda emabega

Enkola ya reversed femoral nail ya mugaso nnyo mu mbeera ezimu, gamba nga:

• Abalwadde abakadde abalina amagumba agatali manywevu

• Abalwadde abalina okumenya kw’ekisambi okw’ewala

• Abalwadde abalina okumenya kw’omubiri (subtrochanteric fracture).

• Abalwadde abalina okumenya mu kitundu kya metaphyseal

Mu mbeera zino, enkola ya reversed femoral nail eyinza okuba enkola ennungi okusinga obukodyo obwa bulijjo.

Emigaso gy’emisumaali gy’ekisambi egy’okudda emabega

Emisumaali gy’ekisambi egy’okudda emabega giwa emigaso egiwerako okusinga obukodyo obwa bulijjo. Mu bino mulimu:

• Okukendeeza ku musaayi ogufiirwa mu kiseera ky’okulongoosebwa

• Obuvune obutono ku bitundu ebigonvu ebibyetoolodde

• Obulumi obutono n’ekiseera ky’okuwona amangu

• Obulabe obutono obw’okukwatibwa obulwadde

• Okukendeeza ku bulabe bw’obutagatta (embeera eggumba mwe liremererwa okuwona obulungi) .

Enkola y’Omusumaali mu Femoral Reversed

Enkola ya reversed femoral nail efaananako n’okulongoosa femoral nail okwa bulijjo, nga waliwo enjawulo ntono enkulu. Okulongoosa kuno kukolebwa mu ngeri ya general anesthesia, era omulwadde n’ateekebwa ku mugongo ng’amagulu ge gawanvuye.

Ttiimu y’abalongoosa ejja kukola akatundu akatono waggulu ddala w’ekiwanga ky’okugulu era eyingize waya elungamya okuyita mu kugulu n’okulinnya mu kisambi. Waya elungamya ejja kukozesebwa okulungamya omusumaali mu kifo kyagwo. Olwo omusumaali guyingizibwa nga guyita mu kiyungo ky’okugulu ne gulinnya mu kifuba, nga ku nkomerero zombi kuteekebwako sikulaapu okugukwata mu kifo kyagwo.

Ebizibu Ebiva mu Misumaali gy’Ekisambi egy’okudda emabega

Okufaananako n’enkola zonna ez’okulongoosa, emisumaali gy’ekisambi egy’okudda emabega girina akabi akamu. Mu bino mulimu:

• Okukwatibwa yinfekisoni mu kifo we balongoosebwa

• Okumenya ekisambi nga balongoosebwa

• Okwonooneka kw’obusimu

• Okwonooneka kw’emisuwa

• Eggumba okulemererwa okuwona obulungi

Abalwadde abakozeseddwa omusumaali gw’omu kifuba ogwa reversed femoral nail balina okulondoola obulungi engeri gye badda engulu era obubonero bwonna obutali bwa bulijjo babuloopa omusawo waabwe mu bwangu.

Okuwona okuva ku Reversed Femoral Nails

Okuwona okuva mu nkola y’omusumaali gw’ekisambi ogukyusiddwa kifaananako n’okuwona okuva mu kulongoosa omusumaali gw’omu kifuba ogwa bulijjo. Abalwadde bayinza okufuna obulumi n’okuzimba mu kifo we balongoosezza, ebiyinza okuddukanyizibwa n’eddagala eriweweeza ku bulumi n’okuwummula. Abalwadde bajja kwetaaga okukozesa emiggo oba ekyuma ekitambula okumala ekiseera oluvannyuma lw’okulongoosebwa okwewala okuzitowa ku kigere ekikoseddwa.

Abalwadde balina okugoberera n’obwegendereza ebiragiro by’omusawo waabwe okulaba nga bawona mu bujjuvu era mu bwangu.

Ebibuuzo ebibuuzibwa ku misumaali egy’omu kifuba egy’okudda emabega

1. Kiseera ki eky’okuwona ng’alongoosa enkola y’okuzza omusumaali mu kifuba?

   Obudde bw’okuwona bwawukana okusinziira ku mulwadde n’obunene bw’okulongoosebwa, naye abalwadde abasinga basobola okusuubira okudda mu mirimu gya bulijjo mu wiiki 6-12.

2. Enkola ya reversed femoral nail eruma?

   Wayinza okubaawo obulumi n’obutabeera bulungi oluvannyuma lw’okulongoosebwa, naye kino osobola okukiddukanya n’eddagala eriweweeza ku bulumi.

3. Waliwo asobola okukola reversed femoral nail procedure?

   Nedda, enkola ya reversed femoral nail procedure tesaanira balwadde bonna. Omusawo wo ajja kwekenneenya embeera zo ssekinnoomu okuzuula oba y’esinga obulungi gy’oli.

4.  Omusumaali gw’ekisambi ogukyusiddwa gumala bbanga ki mu kifo kyagwo?

   Omusumaali gutera okulekebwa mu kifo kyagwo okumala emyezi 6-12 okusobozesa eggumba okuwona obulungi.

5. Omusumaali gw’ekisambi ogukyusiddwa gusobola okuggyibwamu?

   Yee, omusumaali osobola okuguggyamu ng’eggumba liwonye. Omusawo wo ajja kwekenneenya oba kyetaagisa okuggyawo era ateese naawe ku bulabe n’emigaso.

Mu bufunzi

Emisumaali gy’ekisambi egy’okudda emabega giwa emigaso egiwerako okusinga obukodyo obwa bulijjo obw’okutereeza okumenya kw’ekisambi. Enkola eno ya mugaso nnyo mu balwadde abakadde oba abalina ebika by’okumenya. Wadde nga waliwo ebizibu ebiyinza okuva mu nkola eno, emigaso gitera okusinga obulabe. Abalwadde abakoleddwako omusumaali gw’omu kifuba ogukyusiddwa (reversed femoral nail procedure) balina okugoberera n’obwegendereza ebiragiro by’omusawo waabwe okulaba nga bawona mu bujjuvu era mu bwangu.

Mu bufunze, omusumaali gw’ekisambi ogukyusiddwa (reversed femoral nail) nkola mpya era ey’obuyiiya ey’okutereeza okumenya kw’ekisambi era ng’ewa emigaso egiwerako okusinga obukodyo obwa bulijjo. Bw’oba ​​ofuna okukutuka kw’ekisambi, yogera n’omusawo wo omanye oba enkola ya reversed femoral nail ekusaanira.