Intramedullary nail kye ki?Intramedullary nailing kwe kulongoosa okuddaabiriza eggumba eryamenyese n’okulikuuma nga linywevu. Amagumba agasinga okuteekebwa mu nkola eno ge kisambi, ekisambi, ekisambi n’omukono ogwa waggulu. Omusumaali oba omuggo ogw’olubeerera guteekebwa wakati mu ggumba. Kijja kukuyamba okusobola okuteeka obuzito ku th

Okuteekebwa mu nnabaana byuma bya bujjanjabi bikulu ebikozesebwa mu kulongoosa omugongo gw’omumwa gwa nnabaana okuzzaawo okutebenkera, okumalawo okunyigirizibwa kw’obusimu n’okulongoosa enkola y’omulwadde. Ekitundu kino kinnyonnyola ebintu ebiteekebwa mu nnabaana kye biruwa, engeri gye bikolamu, n’ensonga lwaki bikozesebwa mu nkola z’omugongo ez’omulembe. Kikwata ku nsengeka y’omugongo gw’omumwa gwa nnabaana, ebiraga okulongoosa ebya bulijjo, ebika by’ebintu ebikulu ebiteekebwamu, ebintu nga titanium ne PEEK , n’enkola ez’okulongoosa eza bulijjo. Ebisuubirwa mu kudda engulu, obulabe obuyinza okuvaamu, n’ebivaamu eby’ekiseera ekiwanvu nabyo byogerwako, okuyamba abasawo abalongoosa, abagula ebyuma eby’obujjanjabi, n’abakugu mu by’obulamu okutegeera obulungi eby’okugonjoola ebizibu by’okussa omumwa gwa nnabaana n’okusalawo mu bujjanjabi.

Ebintu ebiteekebwa mu mugongo bye byuma eby’obujjanjabi ebikozesebwa okutebenkeza, okuwagira oba okuzzaawo ensengekera y’omugongo nga balongoosebwa. Ekitundu kino kinnyonnyola kiki ebiteekebwa mu mugongo, ebika byabyo ebikulu, ebikozesebwa, ebiraga obujjanjabi, okukozesebwa mu kulongoosa, emigaso, n’obulabe obuyinza okuva mu kulongoosa omugongo okw’omulembe guno.

Enkola y’ekiwanga ekikoleddwa mu seminti nkola ekakakasiddwa ey’okunyweza mu kulongoosa okukyusa ebinywa, nga bakozesa seminti w’amagumba okutuuka ku kutebenkera okw’amangu okw’ebyuma wakati w’ekintu ekissiddwa n’eggumba. Ekitundu kino kinnyonnyola emisingi gyakyo egy’okunyweza, ebiraga obujjanjabi, ebirungi, obuzibu, n’engeri ebitundu by’omubiri ebikoleddwa mu seminti gye bigeraageranyizibwamu n’enkola ezitaliimu seminti mu nkola y’amagumba ey’omulembe guno.

Okumenya kw’omugongo mu bitundu by’omubiri (intertrochanteric fracture of the femur), era okumanyiddwa nga intertrochanteric fracture, kwe kumenya kwa ‘extra-articular capsule fracture’. Ebikulu ebiraga okumenya wakati w’emisuwa (intertrochanteric fracture) kwe kulumwa ennyo mu kitundu n’okuzimba, ecchymosis ey’amaanyi, obutasobola kw’omulwadde kuyimirira oba kutambula, obumpi obw’amaanyi