Views: 0 Omuwandiisi: Omuwandiisi w'omukutu Publish Time: 2025-11-25 Origin: Ekibanja
Okunoonyereza ku mbeera: okumenya kwa kkono okwa intertrochanteric okujjanjabwa n’omusumaali ogw’omu lubuto mu Peru .
Gye buvuddeko, ttiimu y’abasawo b’amagumba eyakulemberwa Dr. Carlos Rivera mu ddwaaliro lya Santa Rosa Municipal Hospital e Lima, Peru , yamaliriza bulungi Okukendeeza okuggaddwa n’okulongoosa okunyweza munda mu kumenya kwa kkono okw’omu makkati. Omulwadde alaze enkulaakulana etali ya kukyukakyuka oluvannyuma lw’okulongoosebwa n’okukubiriza okuwona amangu mu nkola.
Omusango guno gulaga obukulu bw’okuzuula amangu, okulonda okutuufu okw’okuteekebwamu, n’obukodyo bw’okulongoosa obutayingira mu mubiri mu kuddukanya okumenya kw’ekisambi eky’abakadde —okusoomoozebwa okw’obujjanjabi okweyongera mu nsi yonna.
Oluvannyuma lw’okwekenneenya ennyanjula y’omulwadde ey’obujjanjabi, ebizuuliddwa mu X-ray, comorbidities, n’embeera y’emirimu okutwalira awamu, omusawo omukulu alongoosa Dr. Rivera yafundikira nti Okukendeeza okuggaddwa n’okunyweza nga tukozesa omusumaali ogw’omu lubuto ogw’omu lubuto (intertan intramedullary nail) kyandiwadde eky’okugonjoola ekisinga okutebenkedde era nga kinyuma mu ngeri ya biomechanic.
Okusalawo kuno kwasinziira ku bwetaavu bwa:
Okuziyiza Okuziyiza amaanyi ag’enzitowerera .
Okunyweza okw’amaanyi okw’okumpi okw’amaanyi era okuwangaala .
Okunyigirizibwa okufugibwa mu kifo awamenyeka .
Okuteekebwamu okutali kwa maanyi nnyo okukendeeza ku buvune bw’okulongoosa .
Kino kyetaagisa nnyo naddala eri abalwadde abakadde, ng’okukunga abantu nga bukyali kuyinza okulongoosa ennyo ebivaamu n’okukendeeza ku bizibu ng’ekifuba, okuzimba omusaayi, n’okumala ebbanga nga tebitambula.
Omulwadde, Ms. Ana Marisol Vásquez , omukyala ow’emyaka 82 ng’alina ebyafaayo by’obujjanjabi bwa puleesa y’emisuwa , eyanjuddwa mu ddwaaliro oluvannyuma lw’okugwa mu maka. Yategeezezza nti obulumi obw’amaanyi mu kisambi ku kkono n’obutasobola kugejja ddala.
Okukebera omubiri kwalaze nti:
Obulema obulabika okwetoloola ekisambi kya kkono .
markedly limited range of motion .
Obugonvu mu kitundu kya intertrochanteric .
Alignment ya wansi etali ya bulijjo .
Okukuba ebifaananyi eby’okukuba ebifaananyi (radiographic imaging) kwakakasa okumenya kwa kkono okwa kkono , okwetaaga okulongoosa mu budde okuzzaawo obutebenkevu n’okutambula.
X-ray nga tebannaba kulongoosa nga balaga okumenya kwa kkono okwa kkono wakati mu mulwadde omukadde, Lima Peru .

Postoperative X-ray eraga intertan intramedullary nail fixation of left intertrochanteric fracture, Peru .
Mu kulongoosebwa, Dr. Rivera yategeezezza nti CZMEDITECH INTRAMEDULLARY Omusumaali gwawa obutebenkevu obw’ekika kya biomechanical obw’ekika ekya waggulu n’okuteekebwamu obulungi.
Ebikulu ebirungi ebitunuuliddwa mulimu:
dual cephalocervical screws enywezeddwa okuziyiza okuzimbulukuka .
Okulongoosa mu kunyigirizibwa okw’ekyekulungirivu okubuna layini y’okumenya .
Okunyweza okunywevu Okukendeeza ku bulabe bw’okugwa kwa Varus .
N’okugabanya amaanyi okutumbula okuwona amagumba .
Ensonga y’omusumaali eyabadde efuuse enkokola era nga zisiigiddwa langi yasobozesa ekintu ekisimbibwa okuseeyeeya okuyita mu mwala gwa medullary nga tewali kuziyiza kitono, ne kikendeeza ku buvune bw’ebitundu by’omubiri.
Ebikulukusi bya titanium alloy cephalic eby’amaanyi ennyo byakakasa nti bikwatagana bulungi n’ebiramu n’okuwangaala okw’ekiseera ekiwanvu.
Ekitabo ekiweereddwayo ekya Intertan Instrument Set kiweereddwa:
Okuteeka Wirewire mu ngeri entuufu .
Smooth reaming n'okuyingiza omusumaali .
Okutunuulira okutuufu okuteeka sikulaapu .
Obudde obumpi obw’okulongoosebwa .
Okukendeeza ku kukwatibwa fluoroscopy .
Kino kyayamba okukendeeza okunywevu n’okunyweza okwesigika, okutuukiriza ebyetaago by’obulamu eby’engeri y’okumenya.
Okulongoosa kuno kwakozesa enkola ya CZMEDITECH Intertan Intramedullary Nail System wamu n’ekintu kyayo ekigatta.
Omusumaali ogw'omu lubuto ogw'omunda .
Bw’oba oyagala okumanya ebisingawo ku kkeesi eno ey’okulongoosa oba okunoonyereza ku bikwata ku nkola yaffe ey’emisumaali egy’omu lubuto mu bujjuvu, nsaba obeere wa ddembe okututuukirira. Ttiimu yaffe ejja kukuwa obuyambi obw’ekikugu mu bujjuvu n’eby’okuddamu eby’ekikugu.→ .
Oluvannyuma lw’okunyweza, omulwadde yatandika okukunga abantu nga bukyali. Obulumi bwawummuzibwa nnyo, okukwatagana kw’ebitundu by’omubiri kwaddamu, era ebifaananyi ebigobererwa byakakasa okuteeka mu kifo ekinywevu eky’okuteekebwamu n’obubonero bw’okuwona kw’okumenya okugenda mu maaso.
Omusango guno gulaga nti enkola ya intertan egaba okunyweza okwesigika n’ebivaamu ebirungi mu balwadde abakadde —n’abo abalina obulwadde bw’amagumba.
Amannya gonna ag’eddwaliro, amannya g’abasawo, n’amawulire g’omulwadde agakozesebwa mu lipoota eno ge mannya ag’obulimba olw’ebigendererwa by’okwolesa byokka.
Omulwadde ono yali mukyala wa myaka 82 ng’alina omutindo gw’amagumba amatono ate nga ya kkono intertrochanteric fracture. Omusumaali ogw’omu lubuto ogw’omu lubuto (Tintertan intramedullary nail) gukuwa dizayini ya cephalomedullary ey’omuggundu n’ebikulukusi ebiri mu cephalocervical, okuwa okutebenkera okw’amaanyi okw’enzitowererwa n’okunyigirizibwa okufugibwa mu kifo eky’okumenya, ekirungi ennyo okukungaanya nga bukyali mu balwadde b’ekisambi eky’abakadde.
Omusumaali gwa Czmeditech Intertan Intramedullary gugatta ebikulukusi bya cephalocervical dual nga biriko ensonga y’omusumaali eriko tapered ate nga erongooseddwa. Dizayini eno eyongera ku bugonvu bw’okuyita mu mwala gwa medullary, ekendeeza ku kwonooneka kw’ebitundu ebigonvu, erongoosa okuziyiza okusumululwa kw’ebintu ebiteekebwamu, era eyamba okutuuka ku kwegatta okwesigika mu magumba mu kumenyeka okw’omu makkati okutali kwa ntebenkevu.
Ekintu ekiweereddwayo ekya Intertan Intramedullary Nail Instrument okuva mu CZMEDITECH kiwa ebiragiro ebituufu, ebyuma ebikuba emisumaali n’ebyuma ebitunuulira. Kino ekigatta dizayini kyangu emitendera egy’okulongoosebwa, kyakakasa okuteeka sikulaapu mu ngeri entuufu wansi wa fluoroscopy era ne kiyamba mu kulongoosa okutambula obulungi ku ttiimu ya Dr. Carlos Rivera.
Oluvannyuma lw’okukendeeza okuggaddwa n’okunyweza omusumaali ogw’omu lubuto ogw’omunda, omulwadde yatuuka ku kunyweza okumenya okunywevu n’okuwona okukola amangu. Obulumi bwawummuzibwa nnyo, okukwatagana kw’ebitundu by’omubiri kwaddamu era okukuba ebifaananyi okugoberera kwakakasa ekifo ekirungi eky’okuteekebwamu n’okuwona kw’okumenya okugenda mu maaso.
Omusumaali ogw’omu lubuto ogw’omunda gusinga kulagibwa ku kumenya wakati w’ebitundu ebinywevu era ebitali binywevu n’ebitundu ebimu eby’omu kifuba ebikutukamu eby’omu kifuba. Enteekateeka yaayo eya cephalomedullary esobozesa okukola ku nkola enzibu ey’okumenya ekisambi eky’okumpi, naye ekiraga ekisembayo kulina okwekenneenya omusawo alongoosa amagumba okusinziira ku nsengekera y’omubiri n’omutindo gw’amagumba.
Ebikulukusi bibiri ebiyitibwa cephalocervical screws byongera ku kitundu ky’okukwatagana mu mutwe n’ensingo y’ekisambi, byongera okufuga okukyusakyusa n’okugwa kwa Varus n’okusobozesa okunyigirizibwa okufugibwa okuyita mu layini y’okumenya. Kino kiyamba okukuuma okukendeera n’okukendeeza ku bulabe bw’okusala oba okufiirwa okunyweza mu ggumba ly’amagumba.
Sikulufu z’omutwe mu nkola y’emisumaali mu CZMEDITECH intertan intramedullary zikolebwa mu titanium alloy ey’amaanyi amangi. Ekintu kino kiwa obulungi obulungi bw’ebiramu, okuziyiza okukulukuta n’amaanyi g’obukoowu obw’ekiseera ekiwanvu, ekikendeeza ku bulabe bw’okwambala ekikeerezi oba ebizibu ebiva mu kusimbibwa.
Yee. CZMEDITECH ekuwa emisumaali egy’omu lubuto egy’enjawulo egy’omu lubuto n’ebivuga ebikwatagana. Okusinziira ku bwetaavu bw’obujjanjabi obw’ekitundu, abagaba n’amalwaliro basobola okulonda sayizi ez’omutindo oba okukubaganya ebirowoozo ku bikwata ku nkola n’okuteekawo ensengeka okutuukiriza ebyetaago byabwe eby’okulongoosa amagumba.
Ku balwadde abakadde, kyetaagisa okufuga obulwadde obukwatagana nga puleesa, okulongoosa akabi k‟okubudamya, okukendeeza ku buvune bw‟okulongoosa n‟okutandika okukunga abantu nga bukyali wansi w‟obukuumi. Okunyweza okw’omunda okutebenkedde n’omusumaali ogw’omu lubuto (intertan intramedullary nail) kiwagira okusitula obuzito nga bukyali era kiyamba okukendeeza ku bizibu ebikwatagana n’okuwummula kw’ekitanda okumala ebbanga.
Omusango guno ogwa Lima, Peru gulaga nti omusumaali gwa CZMEDITECH Intertan Intramedullary gusobola okuwa okunyweza okwesigika n’ebivaamu ebirungi mu nkola y’obujjanjabi entuufu. Ku basaasaanya n’amalwaliro ag’ensi yonna, lipoota z’emisango ng’ezo ez’ensi yonna ziyamba okuzimba obwesige mu nkola y’ebintu, omutindo gw’ebikozesebwa n’obuyambi obw’ekikugu okuva mu CZMEDITECH.
Ebintu ebikolebwa .