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

Okulonda okunyweza munda okusinziira ku kukyusa ebiyungo

Mu kiseera kino, okutwalira awamu kirowoozebwa nti okunyweza omusumaali munda mu ngeri ey’ekituli olw’okumenya ensingo y’ekisambi kulina ebirungi eby’obudde obutono obw’okulongoosebwa, okulumwa okutono n’okusaasaanya ssente entono, naye abalwadde abakadde abasinga obungi bawerekerwako obulwadde bw’amagumba, n’olwekyo okutebenkera kw’okunyweza munda kulina okulowoozebwako mu bujjuvu. Ku balwadde abamenya ensingo y’ekisambi nga tebatebenkedde, beetaaga okumala ebbanga eddene ku kitanda, era abamanyi bangi balowooza nti tebasobola kugumira buzito nga bukyali, ekikosa ennyo omutindo gw’obulamu bw’abalwadde. Okugatta ku ekyo, waliwo okusobola okumenya obutakwatagana n’okufa kw’omutwe gw’ekisambi.Okukyusa ekisambi kuyinza okugonjoola ddala ebizibu ebikulu eby’okumenya ensingo y’ekisambi obutakwatagana n’okufa kw’emisuwa gy’omutwe gw’ekisambi mu balwadde abakadde, era kisobola okwewala ebizibu nga puleesa, obulwadde bw’okussa n’okukwatibwa omusulo nga bwe kisoboka.

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

Ebizibu ebiwangaala eby’abalwadde abalina okunyweza munda mu bulago bw’ekisambi okusinga biba bya nonunion ne avascular necrosis of femoral head. Abamanyi abamu balowooza nti emirimu gy’okusitula obuzito mu mutendera ogw’omu makkati n’ogw’olubereberye gye gisinga okukwata ku kumenya kw’ensingo y’ekisambi oluvannyuma lw’okulongoosebwa, era okubeera ku kitanda okumala ebbanga eddene oluvannyuma lw’okulongoosebwa kiyinza okukendeeza ku kusikirizibwa okutuuka ku nkomerero y’okumenya n’okuwa embeera ennywevu okusobola okuwona obulungi okumenya. Okukendeeza amangu, okunyweza munda okwesigika, okukendeeza ku kusaanyaawo omusaayi mu kitundu n’okulongoosa mu kufuyira omusaayi mu kitundu kiyinza bulungi okukendeeza ku kubeerawo kw’okufa kw’emisuwa gy’omutwe gw’ekisambi oluvannyuma lw’okumenya ensingo y’ekisambi.

Okukubaganya ebirowoozo ku kusika kw’omugongo (femoral neck fractures).

Bulijjo okusika omuguwa nga tebannalongoosebwa kubadde kuwakana. Ekigendererwa kyayo ekikulu kwe kumalawo obulumi, okukendeeza ku ntambula y’ekitundu ky’omubiri ekikoseddwa, n’okukendeeza ku busobozi bw’okusengulwa oba okweyongera kw’okusengulwa ku nkomerero y’okumenya. Naye abantu abamu balowooza nti okusika okutali kwa magezi kujja kuleetera puleesa y'ekinywa ky'ennyondo okweyongera, n'oluvannyuma kikose omusaayi okwetooloola omutwe gw'ekisambi, kwe kugamba, 'stuffing effect', bwe kityo ne kyongera ku bungi bw'okufa kw'emisuwa gy'omutwe gw'ekisambi.

Okunoonyereza kulaga nti omuwendo gw’okufa kw’omutwe gw’ekisambi guli 27.8% mu abo abatalina kusika nnyo ate 42% mu abo abalina okusika okusukkiridde. Okugatta ku ekyo, okunoonyereza okumu kulaga nti okukuuma ekitundu ekikoseddwa mu kifo ekitaliimu kuzimbulukuka (rotational neutral position) nga 30 flexion of hip joint, 30 flexion of knee joint ne 10 abduction mu kiseera ky’okusika kiyinza okukendeeza ku puleesa mu hip joint cavity n’okwongera omusaayi mu mutwe gw’ekisambi. Olw’ensonga eno, waliwo lipoota z’abasawo nti okusika kw’omusuwa gw’omugongo (tibial tuberosity traction) kugenda mu maaso okumala wiiki 3 oluvannyuma lw’okunyweza omusumaali mu ngeri ey’ekituli, era obuzito bw’okusika buba kkiro 1.5, okusobola okukuuma ekitundu ekikoseddwa mu mbeera ey’okuzimbulukuka (rotational neutral position) ey’okufukamira kw’ekiwanga 30, okufukamira kw’okugulu 30 n’okuwamba 10.

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

Total hip replacement nkola ya kulongoosa ekozesa artificial prosthesis okukyusa ekitundu ky’ekisambi kyonna ekyonoonese, ekigonjoola obulungi ebizibu by’okumenya ensingo y’ekisambi mu bakadde, gamba nga fracture nonunion ne femoral head necrosis ekiva ku kutaataaganyizibwa kw’omusaayi n’okusannyalala kw’amagumba. Naye olw’enkola enzibu ey’okulongoosa, ekiseera ekiwanvu eky’okulongoosebwa n’okulumwa okunene mu kulongoosa, akabi k’okulongoosebwa eri abalwadde abakadde kali waggulu, era wabaawo omuwendo ogugere ogw’okusengulwa kw’ennyondo oluvannyuma lw’okulongoosebwa.

Okukyusa omutwe gw’ekisambi mu ngeri ey’ekikugu kisobola bulungi okukendeeza ku buvune obuva mu kulongoosebwa n’okukendeeza ku budde bw’abalwadde okuddaabiriza oluvannyuma lw’okulongoosebwa, naye waliwo ebizibu ebimu nga okwambala kwa acetabular mu bbanga eggwanvu, ekijja okukosa enkola y’ekisambi ky’abalwadde oluvannyuma lw’okulongoosebwa.

Okulonda ebitundu by’omubiri ebikoleddwa mu seminti okusinziira ku biologic

Abalwadde abakadde batera okuba nga bazibuwalirwa obulwadde bw’amagumba, n’olwekyo wakyaliwo okusika omuguwa oba okulonda eddagala eriyitibwa bone cement femoral prosthesis oba biological femoral prosthesis.

Seminti w’amagumba asobola okuwa amaanyi amalungi ag’okuluma mu kiseera ekisookerwako, era asobola okukwatagana n’ekisenge ky’ekisambi ekirimu amagumba amabi, abalwadde abakadde ne basobola okuddamu okukola kw’ekiwanga ky’ekisambi nga bukyali n’okukendeeza ku bizibu ebirala eby’enkola. Wabula era kigambibwa nti obulwadde bw’okuteekebwamu seminti w’amagumba buyinza okubaawo nga balongoosa ekisenge kya seminti w’amagumba, ekivaamu okufa okungi nga balongooseddwa n’oluvannyuma lw’okulongoosebwa naddala mu balwadde abalina obuzibu bw’omutima n’amawuggwe nga tebannalongoosebwa, era okuddamu okubikola okumala ebbanga eddene kizibu nnyo.

Okulongoosa omubiri (biological prosthesis) kuyinza okwewala obulwadde bw’okuteekebwamu seminti amagumba n’okukendeeza ku budde bw’okulongoosebwa. Naye, biological femoral prosthesis yeetaaga nti omukono gw’ekiwanga gulina okukwatagana obulungi ne metaphysis ne medullary cavity of femoral shaft, bwe kitaba ekyo kijja kuleetera prosthesis okusumululwa n’okubbira mu bbanga eritali ly’ewala oba mu bbanga eggwanvu, naddala Dorr C chimney femoral medullary cavity, ekitera okuvaamu ebizibu nga periprosthetic fracture n’obutabeera mu ntebenkevu mu kiseera ky’okulongoosebwa n’oluvannyuma lw’okulongoosebwa.

Ku CZMEDITECH EKITUNDU

Nga bavugibwa okukkiriza nti buli muntu ku nsi eno agwanidde obuweereza obulungi mu by’obulamu. CZMEDITECH ekola n’obwagazi okuyamba abalala okubeera nga tebatya. Twenyumiriza mu balwadde abaaganyulwa ennyo era nga balina obulamu obulungi olw’ebintu byaffe n’ebigere byaffe bwe bagaziye ne batuuka mu mawanga amalala agasukka mu 70, abalwadde, abasawo n’abakozi bannaffe gye beesigamye CZMEDITECH okugenda mu maaso. Buli ddagala ly’amagumba erikolebwa ffe lituukana n’omutindo ogw’awaggulu.

Olugendo luno olw’enjawulo twalutandika n’okuteekebwamu amagumba emyaka 13 egiyise. Mu nkola eno, layini y’okufulumya ebadde ya njawulo mu bintu ebiteekebwa mu mubiri olw’... omugongo, okukosebwa, cranial-maxillofacial mu maaso, okuzimba omubiri (prosthesis)., ebikozesebwa eby’amasannyalaze, . ebinyweza eby’ebweru, okukebera ebinywa n’okukebera okulabirira ebisolo , wamu n’okulabirira... ebikozesebwa mu kulongoosa ebikwatagana nabyo.

Ebintu byaffe byonna ebisookerwako biva mu basuubuzi ab’omutindo ogw’awaggulu mu ggwanga n’ebweru w’eggwanga. Bwe kituuka ku mutindo, tetuwonya ssente mu misoni yaffe ey’okusigala nga tuli mu maaso eddaala, nga bwe tutyo ne tussaawo ekifo kyaffe eky’okugezesa okulaba ng’ebintu ebisookerwako biba bituufu. Ebyuma byaffe byonna ebikola biyingizibwa okuva mu USA, Germany, Japan ne top brands mu Domestic okukakasa nti buli kintu kye twakola kituufu.

Ebiseera bingi n’amaanyi biteekebwa mu kunoonyereza ku nnongoosereza n’okussaako ekintu ekisembayo. Tulina ttiimu y’abakugu mu kunoonyereza, ttiimu y’okufulumya ne ttiimu ya QC okulaba ng’omutindo gusinga n’obuwagizi bwa ttiimu yaffe ey’okutunda okugonjoola ebizibu byonna n’okuwa empeereza esinga obulungi oluvannyuma lw’okutunda.

Nga twagala nnyo okukkiriza kwaffe, buli kiseera tusika ensalo z’okumanya kwaffe okuwa eby’omutindo ogwa waggulu, eby’obuyiiya eby’okugonjoola ebizibu eri bakasitoma baffe bonna mu nsi yonna era tukola kaweefube atasalako ku bulamu bw’abantu.