Okumenya kwa Scaphoid
Okumenya kw’amagumba g’omukono (scaphoid fracture) kwe kusinga okumenya amagumba g’omukono, nga kikola ebitundu nga 70% ku kumenya amagumba gonna ag’omukono. Olw’ekifo kyayo eky’enjawulo mu mubiri munda mu nteekateeka y’amagumba g’omukono, okumenya kw’amagumba amapya aga scaphoid kutera okusubwa mu kuzuula obulwadde. Ekirala, okugabibwa kw’emisuwa okw’enjawulo okwa scaphoid kuleetera abalwadde okufuna ebizibu nga obutakwatagana, okufa kw’emisuwa (AVN), n’obutabeera mu ntebenkevu mu mikono mu mitendera egy’oluvannyuma. Mu bujjanjabi, okumenya kwa scaphoid kuzibu okujjanjaba era kutera okulekawo ebivaamu ng’okulumwa engalo okutambula obutasalako, okutambula obutasalako, n’endwadde z’enkizi oluvannyuma lw’okukosebwa.
Omulimu ogw’enjawulo ogw’omubiri (Anatomical Role) ogwa Scaphoid
Scaphoid lye ggumba erisinga obuwanvu mu lunyiriri lw'omukono ogw'okumpi, nga lifaanana ng'eryato ettono (hevaako erinnya 'scaphoid'). Kibuna wakati w’ennyiriri z’omukono ogw’okumpi n’ogw’ewala, nga kikola kinene mu kutebenkeza n’okuyunga ennyiriri zombi. Entambula z’engalo eza bulijjo, omuli okufukamira, okugaziya, okukyama mu bbanga (radial deviation), n’okukyama kw’engalo (ulnar deviation), byonna bisinziira ku ntambula ekwatagana eya scaphoid. Oluvannyuma lw’okumenyeka, biomechanics y’ekiwanga kyonna eky’engalo etaataaganyizibwa.
Okugaba Emisuwa Emigumu
Scaphoid efuna omusaayi okusinga okuva mu matabi g’omusuwa ogw’ekika kya radial artery, nga guyingira okuva mu dorsal ridge ne distal pole:
Ebitundu nga 70–80% eby’omusaayi ogukulukuta guyingira nga guyita mu kifuba eky’ewala, ne gukulukuta okudda emabega okuliisa ekikondo eky’okumpi.
Amatabi matono gokka ge gayingira butereevu mu kikondo eky’okumpi.
Implications:
Okumenya gye kukoma okubeera okumpi n’ekikondo eky’okumpi, obulabe bw’okutaataaganyizibwa kw’emisuwa gye bukoma okuba obunene.
Omusaayi bwe gumala okutaataaganyizibwa, akatundu ak’okumpi (proximal fragment) katera nnyo okubeera ne AVN n’obutakwatagana.
Enkola eya bulijjo ey’Obuvune
Enkola esinga okubeera ey’obuvune kwe kugwa ku mukono ogugoloddwa (FOOSH) .Bwe bagwa, abantu ssekinnoomu mu butonde bagolola omukono ne basaasaanya engalo okunyiga okukubwa n’engalo. Enkola eno ey’okulumwa ennyo efunye okufaayo okunene mu bujjanjabi n’okunoonyereza, era eyogerwako nnyo n’enfupi FOOSH.
Okulwawo okuzuula obulwadde bwa Scaphoid Fracture
Okumenya kwa Scaphoid kutera kuva ku buvune bwa FOOSH. Mu mbeera entono, obubonero buyinza okukoma ku bulumi obutonotono mu ngalo, ekivaako abalwadde okulagajjalira okunoonya obujjanjabi. Ne bwe baba nga bakubiddwa X-rays (AP ne lateral views), okumenya kuyinza obutalabika mangu. Abalwadde bayinza okuddayo oluvannyuma lw’emyezi nga balumwa engalo okugenda mu maaso, mu kiseera ekyo okukuba ebifaananyi kulaga nti bamenyese obulwadde bwa scaphoid obutawona —ekilwawo ennyo okuzuula obulwadde n’okubulwa eddirisa ly’obujjanjabi erisinga obulungi.
Ebikulu ebiteeso ku kuzuula obulwadde:
Okukuba ebifaananyi bya X-ray kulina okukolebwa ku buvune bwonna obw’engalo, omuli n’okulaba scaphoid nga kiteeberezebwa nti yamenyese.
Singa X-rays ziba negativu naye nga n’okuteebereza kusigalawo, immobilization erina okusiigibwa, oluvannyuma okuddamu okukuba ebifaananyi oluvannyuma lwa wiiki 2.
Okuyimiriza nga bukyali kiyinza okukola ng’ekipimo ky’okuzuula n’okujjanjaba.
Enkola z’Obujjanjabi
Okunyweza okw’ebweru
Emenyese empya, ezitasenguddwa zisobola okujjanjabibwa n’okuziyiza okutambula. Wabula okunyweza kulina okuba okukaluba okukakasa nti kuwona. Standard plaster oba resin splints ziyinza okulemererwa okufuga okutambula kw’engalo n’omukono ogw’omu maaso, ekikendeeza ku kutebenkera.
Okuziyiza okutambula kwa Plaster Cast:
Engalo ensajja ey’omukono omuwanvu spica cast:
Kilagibwa ku kumenya okw’ekitundu kimu kya kusatu okw’okumpi (akabi ka AVN akasinga obunene), layini z’okumenya okwesimbye/okuserengese, n’emisango egy’okuzuula obulwadde mu kusooka.
Aziyiza enkokola ku 90°, omukono ogw’omu maaso, engalo, n’engalo ensajja.
Ewa obutebenkevu obusingako nga emalawo okukyukakyuka kw’omukono ogw’omu maaso.
Engalo ensajja ey’omukono omumpi spica cast:
Esaanira okumenya okw’okusatu okw’ewala, okumenya kwa tuberosity, n’okumenya kwa wakati mu kiwato okunywevu (omutendera ogw’oluvannyuma).
Ewa obuweerero obusingako naye nga tegunywevu nnyo.
Okunyweza munda
Sikulufu y’okunyigiriza etaliiko mutwe (Sikulufu ya Herbert) .
Mu kiseera kino omutindo gwa zaabu ogw’okumenya ekiwato kya scaphoid.
Herbert Cannulated Okunyigiriza Sikulufu
Sikulufu ya Herbert eriko emisuwa eriko ebikuubo
Kirschner Wire (K-waya) Okunyweza
Enkola ey’ekinnansi naye nga ya mugaso, etera okuba ey’okugattako.
Ebirungi : ebikyukakyuka, ebitali bya bbeeyi, okutaataaganyizibwa okutono kw’emisuwa.
Ebizibu : tebinywevu nnyo, kyetaagisa okunyweza ebweru, akabi k’okukwatibwa yinfekisoni, okuggyibwawo kyetaagisa oluvannyuma lw’okuwona..
Ebiraga : okumenya kw’abaana, okunyweza okumala akaseera mu comminution, adjunct to screw fixation.
Cannulated Screw Eriko obuwuzi obutonotono
Cannulated Screw Eriko obuwuzi obutonotono
Scaphoid Obutakwatagana
Olw’okubeera n’emisuwa egy’enjawulo, ekiwato kya scaphoid n’okumenya okw’okumpi bitera okutabuka ne AVN.
Obujjanjabi : Okusimba amagumba (okutali kwa misuwa oba okuteekebwamu emisuwa) nga kugatta wamu n’okunyweza munda (Herbert screw oba K-wire). Okuteeka graft mu ngeri entuufu n’okuzzaawo engulu mu ngeri ennungi (smooth articular surface restoration) kikulu nnyo. Mu mbeera ezimu, radial styloidectomy kiyinza okwetaagisa singa okulabika kw’amagumba kukwata mu kiseera ky’okutambula kw’engalo.
Global Top 10 Herbert Screw Suppliers ne CZMEDITECH Okulaba ebintu
Obujjanjabi bw’okumenya kwa scaphoid bukulu nnyo —si kuzzaawo nkola ya mukono gwokka naye era n’okukuuma omutindo gw’obulamu bw’abalwadde n’obusobozi bw’okukola. Okulonda ekyuma ekituufu eky’okunyweza munda kikulu nnyo mu kuziyiza ebizibu, okutuuka ku kunyweza okutuufu, n’okutumbula okuddaabiriza.
Mu bintu eby’enjawulo ebiteekebwa mu mubiri, aba... Herbert Screw esinga okulabika olw’engeri gye yakolebwamu ey’enjawulo n’engeri gye yakola mu bujjanjabi ekakakasiddwa, ekigifuula ekimu ku byuma ebikulu mu kuddukanya okumenya kw’enkwaso.
Top 10 Herbert Screw Suppliers Ensi Yonna Ensengeka
| Erinnya lya |
Kkampuni |
Logo |
| 1 |
DePuy Ebikozesebwa mu kukola ebintu |
![Herbert Cannulated Okunyigiriza Sikulufu]() |
| 2 |
Stryker |
![Herbert Cannulated Okunyigiriza Sikulufu]() |
| 3 |
Zimmer Biomet |
![Herbert Cannulated Okunyigiriza Sikulufu]() |
| 4 |
Arthrex |
![Herbert Cannulated Okunyigiriza Sikulufu]() |
| 5 |
Smith & Muganda wa Muganda |
![Herbert Cannulated Okunyigiriza Sikulufu]() |
| 6 |
Ekibiina ky’abasawo ekya Wright |
![Herbert Cannulated Okunyigiriza Sikulufu]() |
| 7 |
Acumed |
![Herbert Cannulated Okunyigiriza Sikulufu]() |
| 8 |
aap Okuteeka AG mu mubiri |
![Herbert Cannulated Okunyigiriza Sikulufu]() |
| 9 |
Enkola y’okulongoosa (Orthofix). |
![Herbert Cannulated Okunyigiriza Sikulufu]() |
| 10 |
CZMEDITECH EKITUNDU |
![Herbert Cannulated Okunyigiriza Sikulufu]() |
CZMEDITECH Ebintu Ebikolebwa mu Sikulufu ya Herbert
Ng’omukulembeze w’Abachina mu kukola n’okugaba ebintu ebiteekebwa mu magumba, CZMEDITECH egaba ekitabo ekijjuvu ekya Herbert Screws ezikoleddwa ku kumenya amagumba n’obuvune obulala obutono mu magumba.
Ebikulu Ebirimu:
Dizayini y’okunyigiriza etaliiko mutwe: ekakasa okunyweza okunywevu ate ng’ekendeeza ku kunyiiga kw’amagumba g’omubiri.
Okutebenkera kw’ebiramu okw’amaanyi: okunyigirizibwa okw’ebitundutundu okwesigika kutumbula okugatta okugumu.
Ebintu by’osobola okulonda: bisangibwa mu kyuma ekitali kizimbulukuse eky’omutindo gw’obusawo ne titanium alloy, nga bikwatagana bulungi nnyo n’ebiramu n’okugumira okukulukuta.
Okukwatagana okutali kwa maanyi nnyo: kusaanira enkola zombi ez’okuyita mu lususu n’okuggulawo.
Ebikwata ku bintu ebingi: obuwanvu n’obuwanvu obw’enjawulo okukola ku byetaago by’obujjanjabi eby’enjawulo.
Ebirungi ebiri mu bujjanjabi:
Yanguyiza okuwona amangu era okwesigika mu kumenya kwa scaphoid naddala mu kumenya ekiwato n’ebikondo ebiriraanyewo mu bulabe obw’amaanyi.
Kisobozesa okutambula kw’engalo nga bukyali, okukendeeza ku kukaluba n’okulongoosa okuddamu okukola.
Kikendeeza nnyo obulabe bw’obutakwatagana ne AVN bw’ogeraageranya n’enkola ez’ennono ez’okunyweza.
Ebintu bya CZMEDITECH
