Enkola ya Suprapatellar Omusumaali gw’omugongo

Enkola ya Suprapatellar Tibial Nail: Obulagirizi obujjuvu

Okumenya ekisambi (tibia) buvune bwa bulijjo obutera okwetaagisa okulongoosebwa. Emu ku nkola z’okulongoosa ezisinga okwettanirwa kwe kukozesa emisumaali egy’omu misuwa. Enkola ya suprapatellar approach tibial nail nkola eyongedde okwettanirwa mu myaka egiyise olw’ebirungi byayo ebiwerako. Mu kiwandiiko kino, tujja kwogera ku suprapatellar approach tibial nail mu bujjuvu, omuli ebirungi byayo, ebiraga, enkola y’okulongoosa, okuddukanya oluvannyuma lw’okulongoosebwa, n’ebizibu ebiyinza okuvaamu.

Ebirimu

1. Okwanjula

2. Ensengekera y’omubiri (Anatomy of the Tibia).

3. Ebiraga nti Suprapatellar Approach Tibial Nail

4. Ebirungi ebiri mu Suprapatellar Approach Tibial Nail

5. Okuteekateeka nga tonnalongoosebwa

6. Enkola y’okulongoosa ku Suprapatellar Approach Tibial Nail

7. Enzirukanya y’emirimu oluvannyuma lw’okulongoosebwa

8. Ebizibu Ebiyinza okubaawo

9. Okugeraageranya n’Obukodyo Obulala

10. Mu bufunzi

11. Ebibuuzo ebibuuzibwa

1. Enyanjula

Ensigo y’emu ku magumba amawanvu agasinga okukutuka mu mubiri. Okumenyeka kw’ekisambi kutera okwetaagisa okulongoosebwa olw’obulabe obw’amaanyi obw’okugatta obubi n’obutakwatagana. Emisumaali egy’omu misuwa gifuuse omutindo gwa zaabu mu kujjanjaba okumenya kw’ekisambi olw’ebirungi byazo bingi omuli okulongoosa okutebenkera n’okuwona amangu.

Enkola ya suprapatellar approach tibial nail nkola eyongedde okwettanirwa mu myaka egiyise olw’ebirungi byayo ebiwerako ku bukodyo obulala. Ekiwandiiko kino kigenderera okuwa obulagirizi obujjuvu ku suprapatellar approach tibial nail.

2. Ensengeka y’omubiri (Anatomy of the Tibia).

Nga tonnaba kwogera ku nkola ya suprapatellar approach tibial nail, kyetaagisa okutegeera ensengekera y’omubiri gw’omugongo. Tibia y’esinga obunene ku magumba abiri amawanvu agali mu kigere ekya wansi era nga yeetikka obuzito bw’omubiri obusinga obungi. Enkomerero y’omugongo ogw’okumpi (proximal end of the tibia) ekwatagana n’ekisambi okukola ekinywa ky’okugulu, ate enkomerero ey’ewala ekwatagana ne fibula ne talus okukola ekinywa ky’enkizi.

Ekitundu ky’omugongo (tibia) kirina omukutu oguyitibwa intramedullary canal ogugenda mu buwanvu bwagwo. Omukutu gugazi ku nkomerero ey’okumpi era gufunda nga gwolekera enkomerero ey’ewala. Omukutu guno we bayingizibwa omusumaali ogw’omu lubuto (intramedullary nail).

3. Ebiraga nti Suprapatellar Approach Tibial Nail

Omusumaali gw’omugongo oguyitibwa suprapatellar approach tibial nail gulagibwa okujjanjaba okumenya kw’amagulu okw’enjawulo, omuli:

• Okumenya kw’omugongo ogw’okusatu ogw’ewala

• Okumenya kw’ekisambi okumpi (proximal tibial fractures).

• Okumenya kw’ekisenge ky’omugongo (tibial shaft).

• Okumenya okw’ekika kya oblique

• Okumenya mu ngeri ya spiral

• Okumenya okukosebwa

• Okumenya nga kuliko ekikyamu ekinene mu kitundu ky’omubiri ekiyitibwa cortical

4. Ebirungi ebiri mu Suprapatellar Approach Tibial Nail

Omusumaali gwa suprapatellar approach tibial nail gukuwa ebirungi ebiwerako ku bukodyo obulala, omuli:

• Okulongoosa mu kukendeeza okumenya: Enkola ya suprapatellar esobozesa okulaba obulungi ekifo we bamenyese, ekivaako okukendeeza okulongoosa mu kumenya.

• Okukendeera kw’omusaayi: Enkola ya suprapatellar erimu okusalako ebitundu ebigonvu ebitono, ekivaako okukendeeza ku kufiirwa omusaayi mu kiseera ky’okulongoosebwa.

• Okukendeeza ku bulabe bw’okukwatibwa: Enkola ya suprapatellar ekendeeza ku bulabe bw’okukwatibwa nga yeewala ekinywa ky’okugulu, ekiyinza okuvaako obuwuka.

• Okukendeeza ku bulabe bw’okulumwa omusuwa gw’omugongo: Enkola ya suprapatellar yeewala omusuwa gw’omugongo, ekikendeeza ku bulabe bw’okulumwa ekizimbe kino ekikulu.

• Okuwona amangu: Abalwadde abalongoosebwa emisumaali egy’ekika kya suprapatellar approach tibial nail batera okuwona amangu era nga bamala ekiseera kitono mu ddwaaliro bw’ogeraageranya n’abo abalongoosebwa obukodyo obulala.

5. Okwetegeka nga tonnalongoosebwa

Nga tebannalongoosebwa mu ngeri ya suprapatellar approach tibial nail, abalwadde bajja kulongoosebwa mu ngeri eziwerako nga tebannalongoosebwa. Kino kijja kuzingiramu ebyafaayo by’obusawo mu bujjuvu, okwekebejja omubiri, n’okunoonyereza ku bifaananyi nga X-ray, CT scans, oba MRI scans okwekenneenya obunene n’ekifo we yamenyese.

Abalwadde bayinza n’okukeberebwa omusaayi nga tebannalongoosebwa n’okunoonyereza okulala mu laboratory okwekenneenya obulamu bwabwe okutwalira awamu n’okuzuula embeera yonna ey’obujjanjabi eyaliwo nga tennaba kulongoosebwa eyinza okukosa okulongoosebwa kwabwe n’okuwona.

Kikulu abalwadde okutegeeza omusawo waabwe alongoosa eddagala lyonna lye bamira, omuli eddagala eritali ku ddagala n’ebirungo ebiyamba omubiri, kubanga eddagala erimu liyinza okwetaaga okuyimirizibwa nga tebannalongoosebwa olw’obulabe bw’okuvaamu omusaayi oba ebizibu ebirala.

Abalwadde era bayinza okuweebwa amagezi okulekera awo okunywa sigala n’okwewala omwenge mu wiiki ezikulembera okulongoosebwa, kubanga ebintu bino bisobola okutaataaganya enkola y’okuwona n’okwongera ku bulabe bw’okufuna ebizibu.

6. Enkola y’okulongoosa ku Suprapatellar Approach Tibial Nail

Okulongoosa omusumaali gw’omugongo (suprapatellar approach tibial nail surgery) kutera kukolebwa mu bujjanjabi obw’okubudamya era kuyinza okutwala essaawa eziwerako okuggwa. Enkola y’okulongoosa erimu emitendera gino wammanga:

1. Omulwadde ateekebwa ku mmeeza y’okulongoosebwa ng’agalamidde, ng’okugulu okukosebwa kugulumiziddwa era nga kuwagirwa ekintu ekikwata amagulu.

2. Akatundu akatono kasalibwa mu lususu waggulu ddala w’olususu, era waya elungamya eyingizibwa mu lususu ne mu mulyango oguyingira mu lususu (intramedullary canal of the tibia).

3. Reamer ekozesebwa okuteekateeka omwala okuyingiza omusumaali.

4. Olwo omusumaali guyingizibwa nga guyita mu kifo we batemye ne gulagirwa mu mwala nga bakozesa ekyuma ekikebera ekitangaala.

5. Omusumaali bwe gumala okubeera mu kifo kyagwo, ziyingizibwa sikulaapu ezisiba nga ziyita mu musumaali ne ziyingira mu ggumba okugunyweza mu kifo kyagwo.

6. Olwo ekifo ekisaliddwamu ne kiggalwa, era ekigere ne kitambulukuka nga bakozesa ekintu ekiyitibwa cast oba brace.

7. Enzirukanya y’emirimu oluvannyuma lw’okulongoosebwa

Oluvannyuma lw’okulongoosa omusumaali mu ngeri ya suprapatellar approach tibial, abalwadde bajja kumala ennaku eziwera mu ddwaaliro okulondoola n’okuddukanya obulumi. Bagenda kuweebwa amagezi okukuuma okugulu okukosebwa nga kuli waggulu n’okwewala okuliteekako obuzito okumala wiiki eziwera.

Abalwadde era bagenda kuweebwa dduyiro okukola okuyamba okunyweza ebinywa ebyetoolodde okugulu n’okuziyiza okukaluba. Obujjanjabi bw’omubiri era buyinza okusemba okuyamba abalwadde okuddamu okutambula n’amaanyi gonna mu kigere ekikoseddwa.

Abalwadde bagenda kuweebwa eddagala eriweweeza ku bulumi n’eddagala eritta obuwuka nga bwe kyetaagisa okusobola okuddukanya obulumi n’okuziyiza okukwatibwa obulwadde. Enteekateeka z‟okugoberera zijja kuteekebwateekebwa okulondoola enkola y‟okuwona n‟okukebera oba waliwo ebizibu byonna.

8. Ebizibu Ebiyinza okubaawo

Nga bwe kiri ku kulongoosa kwonna, waliwo obulabe n’ebizibu ebiyinza okuva mu kulongoosa omusumaali gw’omugongo (suprapatellar approach tibial nail surgery). Mu bino biyinza okuli:

• Ekirwadde

• Okuvaamu omusaayi

• Okwonooneka kw’obusimu

• Okuzimba omusaayi

• Okulwawo okuwona

• Obutagatta oba obutakwatagana bulungi bwa kumenya

• Okulemererwa kwa Hardware

Kikulu abalwadde okukubaganya ebirowoozo ku bulabe buno n’omusawo waabwe alongoosa n’okugoberera ebiragiro byonna ebiweebwa nga tebannaba kulongoosa n’oluvannyuma lw’okulongoosebwa okukendeeza ku bulabe bw’ebizibu.

9. Okugeraageranya n’Obukodyo Obulala

Omusumaali gw’omugongo oguyitibwa suprapatellar approach tibial nail y’emu ku bukodyo obuwerako obukozesebwa okujjanjaba okumenya kw’omugongo. Obukodyo obulala mulimu omusumaali gw’omugongo oguyitibwa infrapatellar approach tibial nail, retrograde tibial nail, n’okunyweza pulati ne sikulaapu.

Wadde nga buli nkola erina ebirungi n’ebibi, omusumaali gw’omusuwa ogw’ekika kya suprapatellar approach tibial nail gukuwa ebirungi eby’enjawulo ebiwerako, omuli okulongoosa mu kukendeeza ku kumenya, okukendeeza ku kufiirwa omusaayi, n’okukendeeza ku bulabe bw’okukwatibwa yinfekisoni n’okulumwa emisuwa gy’omugongo.

10. Okumaliriza

Omusumaali gwa suprapatellar approach tibial nail nkola ya kulongoosa emanyiddwa ennyo mu kujjanjaba okumenya kw’omugongo. Ewa ebirungi ebiwerako okusinga obukodyo obulala, omuli okulongoosa okukendeeza ku kumenya, okukendeeza ku kufiirwa omusaayi, n’okukendeeza ku bulabe bw’okukwatibwa yinfekisoni n’okulumwa emisuwa gy’omugongo.

Kyokka, nga bwe kiri ku kulongoosa kwonna, waliwo akabi n’ebizibu ebiyinza okuvaamu, era kikulu abalwadde okulowooza ennyo ku ngeri gye bayinza okukolamu n’okubikubaganyaako ebirowoozo n’omusawo waabwe abalongoosa basobole okusalawo mu ngeri entuufu.

11. Ebibuuzo ebibuuzibwa

1. Okulongoosa omusumaali mu tibial enkola ya suprapatellar kutwala bbanga ki?

   
   

   Okulongoosa kuno kutera okutwala essaawa eziwerako okuggwa.

   
   

2. Kitwala bbanga ki okuwona okuva mu kulongoosebwa kw’omusumaali mu ssimu (suprapatellar approach tibial nail surgery)?

   
   

   Ebiseera by’okuwona biyinza okwawukana okusinziira ku bunene bw’okumenya n’obusobozi bw’omulwadde ssekinnoomu okuwona, naye mu bujjuvu kitwala emyezi egiwerako eggumba okuwona mu bujjuvu.

   
   

3. Obuwanguzi bw’okulongoosa emisumaali gy’omugongo (suprapatellar approach tibial nail surgery) bwe buliwa?

   
   

   Okutwalira awamu obuwanguzi bw’okulongoosa buba bungi, naye buyinza okwawukana okusinziira ku mbeera y’omulwadde ssekinnoomu n’obunene bw’okumenya.

   
   

4. Nnaaba nneetaaga obujjanjabi bw’omubiri oluvannyuma lw’okulongoosebwa omusumaali gw’omutwe (suprapatellar approach tibial nail)?

   
   

   Obujjanjabi bw’omubiri buyinza okukuyamba okuddamu okutambula n’amaanyi gonna mu kigere ekikoseddwa.

   
   

5. Waliwo engeri yonna etali ya kulongoosa mu kujjanjaba okumenya kw’ekisambi?

   
   

   Mu mbeera ezimu, enkola ezitali za kulongoosa nga okusuula oba okusiba enviiri ziyinza okukozesebwa okujjanjaba okumenya kw’ekisambi, naye kino kijja kusinziira ku mbeera y’omulwadde ssekinnoomu.