Ddi lwe weetaaga okulongoosebwa okumenya?

Okumenya ebiseera ebisinga kuwerekerwako obuvune ku bitundu by’omubiri ebirala. Mu nkola yonna ey’obujjanjabi, abalwadde balina okujjanjabibwa okutwaliza awamu.

Ensengeka y’okukulembeza

• Taasa obulamu

• Taasa ebitundu by’omubiri

• Teeka ebiyungo

• Omulimu gw’okuddamu okuzimba

  
  

Okulongoosa mu bwangu: emisingi gy’obujjanjabi bw’obuvune bw’emisuwa, okumenya okuggule n’okumenya okuggaddwa.

• Okukendeeza okuggule n’okunyweza munda nga bukyali (mu ssaawa 6) .

• 48h

• 3 ~ 7d: Kijja kwongera ku kubeerawo kwa ARDS n’ebizibu ebirala.

• 7 ~ 10d: Endocrine reaction yakendeera [okuzimba kwakendeera, okuzimba ne kubula].

• Wiiki ezisukka mu 2: obuzibu bw’okulongoosebwa bweyongera ate n’emirimu gy’oluvannyuma lw’okulongoosebwa gikendeera.

Okumenya amagumba g’omu bulago

• Ekiziyiza ky’okumenya bwe kilumya omusuwa ogw’omu kifuba, emisuwa n’omukono gw’omukono, kikkirizibwa nti kizibu kya maanyi era kisaana okulongoosebwa mu bwangu.

Okumenya kw’omugongo (proximal humeral fracture).

• Bwe wabaawo okudda kwa elastic kubaawo oluvannyuma lw’okukendeeza mu ngalo-omusuwa gwa biceps longus, ng’obubonero bw’obusimu bw’omugongo bulabika.

Okumenya kw’ekinywa ky’omugongo (humeral shaft).

• Obubonero bw’obuvune bw’obusimu obuyitibwa radial nerve injury bwe bumala okuzuulibwa mu kwekebejja omubiri, okulongoosebwa kujja kukolebwa mu bwangu.

Okumenya kw’omugongo ogw’ewala

• Okumenya okw’ekika kino kuyinza okuvaako obuvune bwonna ku busimu oba emisuwa obuyita mu kiwanga ky’enkokola. 

• Okukutuka kw’emisuwa tekutera kubaawo, naye wayinza okubaawo okusika omuguwa oba okunyigirizibwa. 

• Fascial space syndrome-okusala amangu n’okukendeeza ku puleesa.

Obuvune bwa olecranon, omutwe ogwa radial n’ekinywa ky’enkokola ekizibu

• Okulongoosa omalirize mu wiiki emu.

• 1 ~ wiiki 2 okulongoosebwa taboo obudde-myositis ossificans.

• Okulongoosebwa mu wiiki 2.

  
  

Okumenya emikono egy’omu maaso emirundi ebiri

• Oba open fracture erina okulongoosebwa mu 6 ~ 8h oluvannyuma lw'obuvune.

• Okulwawo okulongoosebwa kuyinza okwongera ku bulabe bw’okutondebwa kw’omutala gw’amagumba wakati wa ulna ne radius.

Okumenya kwa radius ey’ewala

• Bwe bakeberebwa omubiri ne bakizuula nti obuvune bw’omusuwa gwa extensor pollicis longus n’obubonero bw’okunyigirizibwa kw’obusimu obw’omu makkati bwalabika-okulongoosebwa amangu.

Okumenya omukono

• Okukendeeza amangu n’okunyweza munda kussiddwako essira ku kumenya kwombi okuggule n’okuggaddwa naddala eri abo abazibu olw’obuvune bw’emisuwa, obusimu oba emisuwa, okulongoosebwa kulina okukolebwa mu bwangu.

  
  

Okumenya ekisambi

• Okumenya ekisambi kutera okugattibwa n’okumenya mu bitundu ebirala, ekijja okuvaako obutabeera mu ntebenkevu mu musaayi.

  
  

• Enkola y’obujjanjabi bw’okumenya ekisambi okuzibu: 30min, 3 okusalawo

• Okunoonyereza amangu mu kulongoosa okukomya okuvaamu omusaayi

• Okunyweza ekisambi (C-shaped forceps oba external fixator) kuggwa mu 10 ~ 15min.

• Oluvannyuma lw’okwetegereza okumala 10 ~ 15min, omulwadde akyalina hemodynamic instability-operation.

• Ku balwadde abalina stable hemodynamics, okulongoosa kulina okukolebwa mu nnaku 7, oba 7 ~ 14 ennaku.

Okumenya kw’ekisambi okumpi-okumenya wakati w’ennyindo

• Embeera y’omulwadde okutwalira awamu bw’emala okufugibwa, okunyweza munda, DHS, DCS ne PFN, kulina okukolebwa.

Okumenya kw’ekisambi okumpi-okumenya ensingo y’ekisambi

• Okumenya ensingo y’ekisambi naddala okumenya mu nnyindo, kuyinza okuteeka mu kabi omusaayi gw’omutwe gw’ekisambi, kale kyetaagisa okuggulawo okukendeeza n’okunyweza munda amangu ddala nga bwe kisoboka.

• Okunyweza munda: < emyaka 65

• Okukyusa ebinywa: > Emyaka 65

• Singa okulongoosa mu bwangu tekisoboka, okuboola ebinywa n’okusiba omusaayi mu bitundu by’omubiri (intra-articular hematoma) bisobola okukolebwa, era ekiwanga ky’ekisambi kisobola okukuumibwa mu mbeera ya semi-flexion ne external rotation posture.

Okumenya ekisambi eky’ewala

• Abalwadde abalina obuvune obw’amaanyi mu bitundu ebigonvu, okumenya ebiggule, oba obuzibu mu kulongoosebwa nga bukyali-Super-articular external fixator.

• Obujjanjabi obw’amangu obw’okulongoosa obuvune obwetongodde-—DCS, retrograde intramedullary nail.

  
  

Okumenya kwa Patella

• Embeera y’omulwadde okutwalira awamu ebeera nnywevu, era embeera z’olususu ez’omu kitundu zikkiriza, okulongoosebwa kulina okukolebwa mu bwangu.

Okumenya kw’ekisambi okumpi (proximal tibial fracture).

• Salawo ekika ky‟obutabanguko obuva ku buvune

• Obuvune bw’amaanyi amangi butera okuwerekerwako obuvune obw’amaanyi mu bitundu ebigonvu. Kimanyiddwa olw’okuzimba ebitundu by’omubiri, okuvaamu ebizimba, okunyiga olususu n’okukutuka kw’olususu. Okulongoosa kulina okwongezebwayo mu kiseera kino. Mu kiseera kye kimu, obulwadde bwa fascial space syndrome n’obuvune bw’emisuwa n’obusimu birina okuggyibwamu.

Okumenya ekikondo ky’omugongo (tibial shaft).

• The particularity of anatomy-obukulu bw’okubikka ebitundu ebigonvu.

• Omutendera ogusooka: mu ssaawa 8h

• External fixator etwalibwa nga esooka okulonda okujjanjaba amangu.

• Obuwagizi bwa gypsum

• Okusika kw’omugongo (calcaneal traction).

• Omutendera II: wiiki nga 2.

• Tewaaliwo bulwadde bwa nkola obweyoleka n’obuvune obw’amaanyi.

• Tewali kuzimba oba kufuluma mu kiwundu.

• Ebizimba bikalu, okuzimba kukendeera era obubonero bw’amagumba osobola okubukwatako.

• Olususu olunyirira, layini z’olususu zirabika.

Okumenya kw’ekisambi eky’ewala (pilon) .

Ebiva mu bujjanjabi bw’okumenya kwa Pilon bisinziira ku mutindo gw’okuddamu okuzimba ebinywa n’embeera y’okubikka ebitundu ebigonvu.

Ekiseera ekisinga obulungi eky’okulongoosebwa kisinziira ku mbeera y’ebitundu ebigonvu:

• Omutendera ogusooka: okulongoosebwa kwakolebwa mu 6 ~ 8h, okwamala 2 ~ 3h.

• Okulwawo: Ennaku 7 ~ 10, okuzimba kwabula era enviiri z’olususu ne zirabika.

Emisingi ena egy’ennono egirina okugobererwa mu kuddamu okuzimba mu kulongoosa okw’omutendera gumu:

• Okuddamu okuzimba fibula

• Okuddamu okuzimba ekitundu ky’omubiri ekiyitibwa tibial articular surface

• Okusimba amagumba

• Okuwagira ebbakuli y’amagumba

Okumenya enkizi

• Okumenya enkizi kwe kumenya mu bitundu by’omubiri (intra-articular fracture).

• Ekigendererwa ky’obujjanjabi kwe kuzzaawo ensengekera y’omubiri eya bulijjo ey’ennyondo.

• Ekiseera ky’okulongoosebwa kisinziira ku mbeera y’ebitundu ebigonvu.

• Ekiseera ekituufu eky’okulongoosebwa kwe kuba nti okuzimba n’ebizimba tebinnalabika mu kifo we bamenyese.

Okumenya ebigere

• Lino lye jjinja ly’ebigere abantu kwe bayinza okuyimirira n’okutambula. Okuzzaawo ensengekera y’omubiri eya bulijjo ey’ekigere kikola kinene nnyo mu kuyimirira n’okutambula kw’abantu.

• Nga bwe kiri ku kumenya enkizi, ekiseera ky’okulongoosebwa kisinziira ku ddaala n’embeera y’okuzimba kw’ebitundu ebigonvu.

Okumenya omugongo

• Singa omubiri gwonna gubeera nga gutebenkedde, ekitundu ekimenyese ekisenguddwa kirina okulongoosebwa amangu ddala singa wabaawo obubonero bw’obusimu.

  
  

Engeri y'okugulamu ebyuma ebiteekebwa mu magumba n'ebikozesebwa mu kulongoosa amagumba?

A CZMEDITECH , tulina layini y’ebintu ebijjuvu ennyo eby’ebiteekebwa mu kulongoosa amagumba n’ebikozesebwa ebikwatagana, ebintu omuli okuteekebwamu omugongo, emisumaali egy’omu lubuto (intramedullary nails)., essuuka y’okulumwa, ebbakuli y’okusiba, cranial-maxillofacial mu maaso, okuzimba omubiri (prosthesis)., ebikozesebwa eby’amasannyalaze, ebinyweza eby’ebweru, okukebera ebinywa, okulabirira ebisolo n’ebikozesebwa byabwe ebibiwagira.

Okugatta ku ekyo, twewaddeyo okugenda mu maaso n’okukola ebintu ebipya n’okugaziya layini z’ebintu, tusobole okutuukiriza ebyetaago by’okulongoosa eby’abasawo n’abalwadde bangi, era n’okufuula kkampuni yaffe okuvuganya ennyo mu mulimu gwonna ogw’ensi yonna ogw’okussaamu amagumba n’ebikozesebwa.

Tutwala ebweru w’eggwanga mu nsi yonna, kale osobola tukwatagane ku email address song@orthopedic-china.com okufuna quote ku bwereere, oba weereza obubaka ku WhatsApp okufuna eky'amangu +86- 18112515727 .

Bwoba oyagala okumanya ebisingawo,nyiga CZMEDITECH okumanya ebisingawo.