Top 5 hot issues of femoral neck fracture, banno bakolagana ne kino!

Okulonda okunyweza okw’omunda okusinziira ku kukyusa ekinywa .

Mu kiseera kino, okutwalira awamu kirowoozebwa nti okunyweza omusumaali ogw’omusumaali ogw’ekituli olw’okumenya ensingo y’ekisambi kulina ebirungi by’obudde obw’okulongoosebwa obumpi, okulumwa okutono n’omuwendo omutono, naye abalwadde abasinga obungi abakadde bawerekerwako obulwadde bw’amagumba, n’olwekyo okutebenkera kw’okunyweza okw’omunda kulina okulowoozebwako mu bujjuvu. Ku balwadde abatali banywevu mu bulago bw’ekisambi, beetaaga okusigala ku kitanda okumala ebbanga eddene, era abamanyi bangi balowooza nti tebasobola kugumira buzito nga bukyali, ekintu ekikosa ennyo omutindo gw’obulamu bw’abalwadde. Okugatta ku ekyo, waliwo okusobola okumenya nonunion ne femoral head necrosis.Okukyusa hip kuyinza okugonjoola ddala ebizibu ebikulu eby’okumenya ensingo y’omu kifuba nonunion ne avascular necrosis of femoral head mu balwadde abakadde, era kiyinza okwewala ebizibu nga pressure sore, okussa n’okukwatibwa omusulo nga bwe kisoboka.

Okunoonyereza ku budde bw’okusitula obuzito oluvannyuma lw’okunyweza munda .

Ebizibu eby’ekiseera ekiwanvu eby’abalwadde abalina okunyweza okw’omunda mu bulago bw’ekisambi okusinga biba nonunion ne avascular necrosis of femoral head. Abamanyi abamu balowooza nti emirimu gy’okugejja mu mutendera ogw’omu makkati n’egyasooka gisinga kukwata ku kumenya ensingo y’ekisambi oluvannyuma lw’okulongoosebwa, era okusigala mu buliri okumala ebbanga eddene oluvannyuma lw’okulongoosebwa kiyinza okukendeeza ku kusikirizibwa okutuuka ku nkomerero y’okumenya n’okuwa embeera esinga okubeera ennywevu okuwona obulungi okumenya. Okukendeeza okutuufu nga bukyali, okunyweza okw’omunda okwesigika, okukendeeza ku kusaanyaawo omusaayi mu kitundu n’okulongoosa mu kufukirira omusaayi mu kitundu kiyinza okukendeeza obulungi okubeerawo kw’obulwadde bw’emisuwa gy’omu kifuba oluvannyuma lw’okumenya ensingo y’ekisambi.

Okukubaganya ebirowoozo mu kulongoosa okumenya ensingo y’ekisambi .

Okusika omuguwa nga tebannaba kulongoosa bulijjo kibaddemu okusika omuguwa. Ekigendererwa kyayo ekikulu kwe kumalawo obulumi, okukendeeza ku ntambula y’ekitundu ekikoseddwa, n’okukendeeza ku busobozi bw’okusengulwa oba okusajjuka kw’okusengulwa ku nkomerero y’okumenya. Naye, abantu abamu balowooza nti okusika okutali kwa magezi kujja kuleetera okweyongera kwa puleesa y’ekinywa ky’ekiwanga, n’oluvannyuma okukosa omusaayi okwetoloola omutwe gw’ekisambi, kwe kugamba, 'Stuffing effect', bwe kityo ne kyongera ku buzito bw’obulwadde bwa avascular necrosis of the femoral head.

Okunoonyereza kulaga nti omuwendo gw’omutwe gw’ekisambi (femoral head necrosis rate) guli 27.8% mu abo abatalina kisusse ate 42% mu abo abalina okusika okusukkiridde. Okugatta ku ekyo, okunoonyereza okumu kulaga nti okukuuma ekitundu ekikoseddwa mu mbeera y’obutafaali obutambula (rotational neutral position) ey’okufukamira 30 mu kiwanga, okufukamira 30 mu kiwanga ky’okugulu n’okuwambibwa 10 mu kiseera ky’okusika kiyinza okukendeeza ku puleesa mu kiwanga ky’omu kiwato n’okwongera ku musaayi gw’omutwe gw’ekisambi. Olw’ensonga eno, waliwo lipoota z’obujjanjabi nti okusika kw’omugongo gw’omugongo kugenda mu maaso okumala wiiki 3 oluvannyuma lw’okunyweza emisumaali egy’ekituli, era obuzito bw’okusika buba kkiro emu n’ekitundu, okusobola okukuuma ekitundu ekikosebwa mu kifo ekiziyiza okufukamira 30 eky’ekiwanga ky’omu kiwato, 30 okunyiga ekinywa ky’okugulu n’okuwamba 10.

Okulonda wakati w’okukyusa ekisambi kyonna n’okukyusa omutwe gw’ekisambi .

Total hip replacement nkola ya kulongoosa ekozesa prosthesis ey’ekikugu okukyusa ebitundu by’ekisambi ebyonooneddwa, ekigonjoola obulungi ebizibu by’okumenya ensingo y’ekisambi mu bakadde, gamba ng’okumenya okugatta n’okufa kw’omutwe gw’ekisambi ekiva ku kutaataaganyizibwa kw’omusaayi n’okuzimba amagumba. Naye olw’enkola enzibu ey’okulongoosebwa, okulongoosebwa okumala ebbanga eddene n’okulumwa okunene, akabi k’okulongoosebwa eri abalwadde abakadde kali waggulu, era waliwo omuwendo gw’ebinywa ebimu ebiseeseetula oluvannyuma lw’okulongoosebwa.

Okukyusa omutwe gw’ekisambi eky’obutonde kuyinza okukendeeza obulungi ku buvune bw’okulongoosa n’okukendeeza ku budde bw’okuddaabiriza oluvannyuma lw’okulongoosebwa, naye waliwo ebizibu ebimu nga okwambala kw’obusannyalazo mu bbanga eggwanvu, ekijja okukosa enkola y’ekisambi oluvannyuma lw’okulongoosebwa kw’abalwadde.

Okulonda kwa seminti okusinziira ku biologic prostheses .

Abalwadde abakadde batera okuzibuwalirwa obulwadde bw’amagumba, n’olwekyo wakyaliwo okusika omuguwa ku oba okulonda amagumba seminti femoral prosthesis oba biological femoral prosthesis.

Sementi y’amagumba esobola okuwa amaanyi amalungi ag’okuluma mu mutendera ogusooka, era esobola okukwatagana n’ekisenge ky’amagulu g’omu kifuba n’amagumba amabi, abalwadde abakadde basobole okuzzaawo enkola y’ekiwanga nga bukyali n’okukendeeza ku bizibu ebirala eby’enkola. Wabula era kibadde kigambibwa nti obulwadde bw’okuteeka seminti mu magumba buyinza okubaawo mu kiseera ky’okulongoosa ekiwanga kya seminti w’amagumba, ekivaamu okufa okw’amaanyi mu kiseera ky’okulongoosebwa n’oluvannyuma lw’okulongoosebwa naddala mu balwadde abalina obuzibu mu kunywa omutima nga tebannalongoosebwa, era okuddamu okutunula mu bbanga eggwanvu kizibu nnyo.

Obulwadde bw’omubiri obuyitibwa biological prosthesis busobola okwewala obulwadde bwa seminti obuyitibwa bone cement implantation syndrome ne bukendeeza ku budde bw’okulongoosebwa. However, biological femoral prosthesis requires that the prosthesis handle should be well matched with the metaphysis and medullary cavity of femoral shaft, otherwise it will lead to the loosening and sinking of the prosthesis in the near future or in the long term, especially Dorr C chimney femoral medullary cavity, which is prone to complications such as periprosthetic fracture and instability during and after okulongoosa.

Ku CZMEDITECH .

Nga kivugibwa okukkiriza nti buli muntu ku nsi eno agwanidde obuweereza bw’ebyobulamu obulungi. Czmeditech ekola n'obwagazi okuyamba abalala okubeera nga tebatya. Twenyumirizaamu ng’abalwadde abaganyulwa nnyo era nga balina obulamu obulungi olw’ebintu byaffe era ebigere byaffe bwe bigaziwa okutuuka ku nsi endala ezisukka mu 70, abalwadde, abasawo n’ababeezi bonna gye beesigama ku CZMEDITECH Okugenda mu maaso. Buli orthopedic implant ekolebwa ffe etuukana n’omutindo ogw’awaggulu.

Olugendo olw’ekitalo twalutandikiddewo n’okuteekebwamu amagumba emyaka 13 egiyise. Mu nkola eno, layini y’okufulumya ebadde ya njawulo mu kuteekebwamu Omugongo ., okukosebwa, Omutwe-Maxillofacial ., Prosthesis ., Ebikozesebwa mu maanyi, . Abatereeza eby’ebweru ., Okukebera ebinywa n’okukwata . Obulabirizi bw’ebisolo , awamu n’ekitongole kya . Ebikozesebwa mu kulongoosa ebikwatagana.

Ebintu byaffe byonna ebisookerwako biva mu basuubuzi ab’omutindo ogw’awaggulu mu ggwanga n’ebweru w’eggwanga. Bwe kituuka ku mutindo, tetusigaza ssente mu misoni yaffe okusigala nga tugenda mu maaso, nga mu ngeri eyo tuteekawo laabu yaffe ey’okugezesa okukakasa omutindo gw’ebintu ebisookerwako. Ebyuma byaffe byonna ebikola ebintu biyingizibwa okuva mu USA, Germany, Japan n’ebika eby’oku ntikko mu ggwanga okukakasa obutuufu bwa buli kintu kye twakola.

Ebiseera bingi n’amaanyi biteekebwa mu kunoonyereza ku kulongoosa n’okuteeka ekintu ekisembayo. Tulina ttiimu y’okunoonyereza ey’ekikugu, ttiimu y’okufulumya ebintu ne ttiimu ya QC okulaba ng’omutindo ogusinga n’obuyambi bwa ttiimu yaffe ey’okutunda okugonjoola ebizibu byonna n’okuwa empeereza esinga obulungi oluvannyuma lw’okutunda.

Nga twagala nnyo enzikiriza yaffe, buli kiseera tusika ekkomo ly’okumanya kwaffe okw’okuwa eby’okugonjoola eby’omutindo ogwa waggulu, eby’obuyiiya eri bakasitoma baffe bonna mu nsi yonna era ne kikola kaweefube atasalako eri obulamu bw’abantu.