Views: 143 Omuwandiisi: Omuwandiisi w'omukutu Publish Time: 2022-09-14 Origin: Ekibanja
Omusuwa gw’omumwa gwa nnabaana ebyuma ebikozesebwa mu kulongoosa omugongo ebirongoosebwa mu bulago okusobola okunyweza n’okuwagira omugongo gw’omumwa gwa nnabaana. Zikozesebwa okujjanjaba embeera ez’enjawulo, omuli okuvunda disc disease, spinal stenosis, ne herniated discs. Mu kitundu kino, tujja kwogera ku bika eby’enjawulo eby’okuteekebwamu omugongo gw’omumwa gwa nnabaana, enkozesa yaabyo, n’enkola z’okulongoosa ezizingirwamu.
Omumwa gwa nnabaana ogusimbibwa mu mugongo gukozesebwa okujjanjaba embeera ez’enjawulo ezikwata ku bulago n’omugongo gw’omumwa gwa nnabaana. Ebyuma bino eby’obujjanjabi bikoleddwa okusobola okunyweza n’okuwagira omugongo gw’omumwa gwa nnabaana, ekisobozesa abalwadde okuddamu okutambula n’okukendeeza ku bulumi.
Omugongo gw’omumwa gwa nnabaana kye kitundu eky’okungulu eky’omugongo, nga kirimu omugongo musanvu (C1-C7). Ennywanto zino zaawulwamu disiki z’omugongo (intervertebral discs), ezikola ng’ebinyiganyiga (shock absorbers) era nga zisobozesa okukyukakyuka kw’omugongo. Omugongo gw’omumwa gwa nnabaana guvunaanyizibwa ku kuwagira obuzito bw’omutwe n’okukuuma omugongo.
Okuteekebwa kw’omugongo gw’omumwa gwa nnabaana kwetaagibwa ng’omugongo gw’omumwa gwa nnabaana tegunywevu oba nga waliwo okunyigirizibwa ku mugongo oba ebikoola by’obusimu. Kino kiyinza okuva ku mbeera ez’enjawulo, omuli obulwadde bwa disiki obuvunda, okusannyalala kw’omugongo, disiki ezikutuse, n’okumenya.
Waliwo ebika by’omugongo ebiwerako eby’omumwa gwa nnabaana, nga buli kimu kirina enkozesa n’emigaso gyakyo.
Epulati y’omumwa gwa nnabaana ey’omu maaso (anterior cervical plate) ye pulati entono ey’ekyuma eyungibwa ku maaso g’omugongo gw’omumwa gwa nnabaana nga guliko sikulaapu. Epulati eno egaba obutebenkevu ku mugongo ate amagumba gakwatagana.
Okukyusa disiki y’omumwa gwa nnabaana kizingiramu okuggyawo disiki ey’omugongo eyonoonese n’ogikyusaamu n’ossaamu disiki ey’ekikugu. Enkola eno esobola okuyamba okukuuma entambula mu mugongo n’okukendeeza ku bulabe bw’obulwadde bw’ekitundu ekiriraanyewo.
Okuyungibwa kw’omumwa gwa nnabaana emabega kizingiramu okugatta ebinywa bibiri oba okusingawo awamu nga tukozesa ebikuta by’amagumba n’ebikulukusi eby’ebyuma. Enkola eno etera okukozesebwa okujjanjaba obulwadde bwa spinal stenosis ne degenerative disc.
Okusalako ebitundu by’omugongo mu nnabaana kizingiramu okuggyawo ekitundu ky’omubiri gw’omugongo okumalawo puleesa ku mugongo oba ebikoola by’obusimu. Olwo ekikuta kya strut kikozesebwa okutebenkeza omugongo.
Occipito-cervical fusion nkola erimu okugatta omusingi gw’ekiwanga okutuuka ku mugongo gw’omumwa gwa nnabaana ogwa waggulu. Enkola eno etera okukozesebwa okujjanjaba embeera ng’endwadde z’enkizi.
Laminoplasty nkola erimu okutondawo ekifo ekisingawo mu kisenge ky’omugongo nga kiddamu okukola lamina (ekisenge ky’amagumba g’omugongo). Enkola eno esobola okuyamba okumalawo puleesa ku mugongo n’ebikoola by’obusimu.
Nga tonnalongoosebwa mumwa gwa nnabaana, waliwo ebintu ebiwerako ebirina okulowoozebwako. Mu bino mulimu emyaka gy’omulwadde,nga tebannaba kulongoosa mumwa gwa nnabaana, waliwo ebintu ebiwerako ebirina okulowoozebwako. Mu bino mulimu emyaka gy’omulwadde, obulamu okutwalira awamu, obuzibu bw’embeera ye, n’obulabe obuyinza okubaawo n’emigaso gy’enkola eno. Kikulu abalwadde okukubaganya ebirowoozo mu bujjuvu n’omusawo waabwe okuzuula oba omugongo gw’omumwa gwa nnabaana gwe gusinga okujjanjaba embeera yaabwe entongole.
Okuteekateeka okulongoosa omugongo gw’omumwa gwa nnabaana kiyinza okuzingiramu emitendera egiwerako omuli okukebera omusaayi, okukuba ebifaananyi n’okukebera omubiri. Abalwadde nabo bayinza okwetaaga okulekera awo okumira eddagala erimu oba ebirungo ebiyamba omubiri nga tebannalongoosebwa. Kikulu abalwadde okugoberera obulungi ebiragiro by’omusawo waabwe okukakasa nti balongoosebwa mu ngeri ey’obukuumi era ennungi.
Enkola y’okulongoosa omugongo gw’omumwa gwa nnabaana ejja kusinziira ku kika ky’ekintu ekiteekebwamu n’embeera y’omulwadde entongole. Okutwalira awamu, enkola eno ejja kuzingiramu okusala mu bulago n’okutuuka ku mugongo gw’omumwa gwa nnabaana. Olwo disiki oba omugongo ogwonooneddwa kijja kuggyibwawo, era ekintu ekissiddwamu kijja kuteekebwamu ne kinywezebwa mu kifo kyakyo. Ekintu ekisimbibwa bwe kinaaba kiwedde, okusala kujja kuggalwa, era omulwadde ajja kusengulwa agende mu kifo we banaakoma.
Okuwona okuva mu kulongoosa omugongo gw’omumwa gwa nnabaana kiyinza okutwala wiiki oba emyezi egiwerako, okusinziira ku bunene bw’okulongoosa n’obulamu bw’omulwadde okutwalira awamu. Abalwadde bayinza okwetaaga okwambala ekyuma ekikuuma obulago oba enkokola okumala ekiseera okuyamba okuwanirira ensingo yaabwe n’okutumbula okuwona. Obujjanjabi bw’omubiri n’okuddaabiriza nabyo biyinza okwetaagisa okuyamba abalwadde okuddamu okutambula n’amaanyi mu bulago n’omubiri ogwa waggulu.
Nga bwe kiri ku kulongoosebwa kwonna, waliwo akabi akayinza okuvaamu n’ebizibu ebikwatagana n’okulongoosa omugongo gw’omumwa gwa nnabaana. Mu bino osobola okussaamu yinfekisoni, okuvaamu omusaayi, okwonooneka kw’obusimu, n’okulemererwa okuteekebwamu omubiri. Kikulu abalwadde okuteesa ku bulabe buno n’omusawo waabwe nga tebannalongoosebwa.
Endowooza ey’ekiseera ekiwanvu eri abalwadde abalongoosebwa omugongo gw’omumwa gwa nnabaana ejja kusinziira ku bintu eby’enjawulo, omuli emyaka, obulamu okutwalira awamu, n’obunene bw’okulongoosebwa kwabwe. Okutwaliza awamu, abalwadde abasinga bafuna enkulaakulana ey’amaanyi mu bubonero bwabwe era basobola okudda mu mirimu gyabwe egya bulijjo mu myezi mitono nga bamaze okulongoosebwa.
Omumwa gwa nnabaana ogusimbibwa mu mugongo gwe nkola enkulu ey’obujjanjabi eri abalwadde abalina embeera z’omugongo ez’enjawulo ez’omumwa gwa nnabaana. Nga ziwa omugongo okutebenkera n’okuwagira, ebyuma bino bisobola okuyamba abalwadde okuddamu okutambula n’okukendeeza ku bulumi. Wadde nga waliwo akabi akayinza okubaawo n’ebizibu ebiyinza okuva mu kulongoosa omugongo gw’omumwa gwa nnabaana, emigaso gitera okusinga obulabe. Bw’oba olowooza ku kulongoosa omugongo gw’omumwa gwa nnabaana, kikulu okukubaganya ebirowoozo ku ngeri gy’oyinza okukolamu n’omusawo wo n’okusalawo mu ngeri ey’amagezi.
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