Omusango Okukubaganya ebirowoozo .
Ku Dhaka Central International Medical College & Hospital e Bangladesh,Ttiimu ya Spine Surgical yamalirizza ekizimbe ekizimbe . Okulongoosa okutereeza obulwadde bwa scoliosis ku mulwadde omukyala ow’emyaka 16, Raisa (erinnya lyakyusibwa olw’okwekuuma). Enkola eno yakozesa ekintu ekiyitibwa 6.0mm omugongo pedicle screw ekintu ekiteekebwa . combined with compatible spinal implants okuzzaawo omugongo okulaganya n’okutebenkera.
Omusango guno gulaga engeri ey'omulembe . Enkola ya spinal pedicle screw system esobola okuyamba amalwaliro mu Bangladesh okutuuka ku kulongoosa okulema okwesigika n’okutebenkeza omugongo okumala ebbanga eddene eri abalwadde abato.
Ensonga y'omusango .
Erinnya ly’omulwadde: Raisa (erinnya ly’omuntu)
Emyaka: Emyaka 16
Ekikula ky'omuntu: Omukazi .
Okuzuula obulwadde: Obulwadde bwa Scoliosis obutiini nga bulina omugongo ogw’amaanyi .
Raisa yayanjudde n’okulema kw’omugongo okulabika n’okweraliikirira eby’okwewunda, awamu n’okutabuka omugongo oluusi n’oluusi n’obukoowu oluvannyuma lw’okukola emirimu gya buli lunaku. Okukebera n’okukuba ebifaananyi mu malwaliro byakakasa nti obulwadde bwa structural scoliosis bwetaaga okulongoosebwa.
Okukebera n’okuteekateeka nga tebannaba kulongoosa .
Nga tebannaba kulongoosa, ttiimu y’omugongo e Dhaka yakola okwekenneenya okujjuvu, omuli:
Okuyimirira mu x-rays ezijjuvu okupima cobb angles .
Okukebera okukyukakyuka kw’enkulungo n’okukyusakyusa .
Okukebera obusimu .
Okukebera obusobozi bw’okukula n’embeera y’obulamu okutwaliza awamu .
Oluvannyuma lw’okukubaganya ebirowoozo mu ngeri ez’enjawulo, abasawo abalongoosa baamaliriza nti okutereeza okulema kw’omugongo nga bakozesa ekintu ekikwata ku sikulaapu y’omugongo eya mm 6.0 . Enkola eno yalondebwa okuwa:
Okutereeza okw’ebitundu bisatu okw’okukoona kw’omugongo .
rigid segmental fixation nga okozesa ebikulukusi bya pedicle n’emiggo .
Okulongoosa mu bbalansi ya coronal ne sagittal .
Ekizimbisibwa ekinywevu okusobola okuwagira okuyungibwa okw’ekiseera ekiwanvu n’okudda engulu .
Okukuba ebifaananyi nga tebannaba kulongoosa .
Okukuba ebifaananyi nga tebannaba kulongoosa kwalaga nti:
marked lateral curvature y’omugongo gw’ekifuba .
Enzirukanya y’omugongo n’okugulumiza embiriizi .
Ebibegabega ebitakwatagana n’okulaganya kw’omuti .
Ebizuuliddwa bino byakakasa obwetaavu bw’okutereeza obulema bw’omugongo obw’emabega n’okuyungibwa nga tukozesa ekizimba kya pedicle screw–rod construct ..
![X-ray nga tannalongoosebwa nga tannalongoosebwa mulwadde wa Scoliosis ow’emyaka 16 mu Dhaka, Bangladesh-CzMediTech]( "Preoperative full-spine X-ray of a 16-year-old scoliosis patient in Dhaka, Bangladesh-czmeditech")
X-ray nga tebannaba kulongoosa nga tebannalongoosebwa nga balaga obulwadde bwa thoracolumbar scoliosis mu mulwadde ow’emyaka 16 okuva e Dhaka, Bangladesh.
Okulongoosa mu bufunze .
Mu kiseera ky’okulongoosa okutereeza obulwadde bwa Scoliosis, ttiimu y’abalongoosa yakozesa 6.0mm spinal pedicle screw instrument eteekeddwa okuteeka ebikulukusi by’ebikoola ku mitendera mingi okuyita ku bulema. Enkola eno yasobozeseddwa:
Okunyweza okuyingiza . Ebikulukusi by’ebikoola ebiyitibwa polyaxial mu bitundu by’omugongo ebiyitibwa pedicle screws .
Okwegatta kw’emiggo egy’omugongo okuyunga ebikulukusi .
Okukozesa enkola ezitereeza (Derotation, Translation, and Rod Contouring) .
Okutuuka ku kulongoosa, okutereeza okugenda mu maaso kw’ekikopo kya scoliotic .
Omusawo alongoosa omugongo ogw’omusulo yalaga okumatizibwa okw’amaanyi n’ekintu ekikwata ku sikulaapu y’omugongo eya mmita 6.0 n’okuteekebwamu ebintu ebikwatagana ne kkampuni yaffe. Enkola eno yakkiriza okutereeza okw’ebitundu bisatu okw’obulema n’okutebenkeza okukakanyavu kw’ebitundu ebikozesebwa.
Kino pedicle screw–rod construct etera okukozesebwa mu scoliosis ne complex spinal deformity surgeries kubanga egaba:
Okunyweza okw’amaanyi okw’ekitundu .
Okufuga okutuufu ku kukwatagana kw’omugongo .
Okukuuma amaanyi ag’okutereeza okwesigika mu mugongo gwonna .
Okukuba ebifaananyi oluvannyuma lw'okulongoosebwa .
Okukuba ebifaananyi oluvannyuma lw’okulongoosebwa kwalaze nti:
Okulongoosa ennyo mu kukwatagana kw’omugongo .
Okukendeeza ku kukoona n’okugulumiza embiriizi .
Ebibegabega ebitebenkedde n'omuti gw'omubiri .
Mu bujjanjabi, Raisa yalaze nti:
Embeera y’obusimu enywevu .
Okufuga obulumi obumatiza .
mpolampola okudda mu kuyimirira n'okutambula n'obuwagizi .
Enyimirira erongooseddwa n’endabika y’okwewunda .
Mu kugoberera ennyo, omulwadde yagenda mu maaso n’okuwona obulungi, era ebyavaamu mu kusooka byalaga nti enteekateeka ennungi ey’ekiseera ekiwanvu ey’okutebenkeza omugongo n’omutindo gw’obulamu.
![Postoperative X-ray eraga omugongo ogutereezeddwa nga gutereezeddwa oluvannyuma lw'okulongoosa obulwadde bwa scoliosis mu Bangladesh-CzMediTech .]( "Postoperative X-ray showing corrected spinal alignment after scoliosis surgery in Bangladesh-czmeditech")
Implant specifications ezikozesebwa mu mbeera eno .
Ebintu bino wammanga bye byakozesebwa mu kiseera ky’okukola:
6.0 Sikulufu ya Polyaxial Pedicle .
6.0 Crosslink-I (SW3.5) .
![6.0mm Spinal Pedicle Screw Ekintu Ekiteekebwamu n'Ebikozesebwa mu Kulongoosa Scoliosis-CzMediTech1]( "6.0mm spinal pedicle screw instrument set and implants used for scoliosis correction-czmeditech1")
Ebitundu bino byakolagana n’emiggo egy’omugongo okusobola okuwa enzimba y’omugongo ey’emabega enywevu esaanira okutereeza obulwadde bwa scoliosis mu myaka gy’obutiini.
Instrument Set Overview .
Omu Spinal Pedicle screw instrument set ekozesebwa mu Dhaka Central International Medical College & Hospital erimu:
Ebikozesebwa mu kuyingiza sikulaapu pedicle .
Ebikozesebwa mu kupima omuggo, okubeebalama, n’okuyingiza .
Ebikozesebwa mu kusala n'okuyunga .
Ebikozesebwa mu kutegeka amagumba n’okukendeeza .
![6.0mm Spinal Pedicle Screw Ekintu Ekiteekeddwamu n'Ebikozesebwa mu Kulongoosa Scoliosis-CzMediTech2]( "6.0mm spinal pedicle screw instrument set and implants used for scoliosis correction-czmeditech2")
Enteekateeka yaayo ey’okukola obulungi eyamba abasawo abalongoosa mu Bangladesh n’ebitundu ebirala okukola ennongoosereza enzibu ey’obulwadde bwa scoliosis mu ngeri ennungi era ey’obukuumi, okukendeeza ku budde bw’okulongoosa n’okuwagira okuteekebwako sikulaapu okutuufu.
Obukulu mu bujjanjabi bw’okulongoosa omugongo mu Bangladesh .
Omusango guno gulaga nti nga kiwagirwa enkola ey’omulembe eya 6.0mm spinal pedicle screw system, amalwaliro mu Bangladesh gasobola:
Okuwa abalwadde abatiini okutereeza obulwadde bwa scoliosis .
Okutuuka ku kulongoosa obulema obwesigika n’okuyungibwa .
Okulongoosa ebiva mu kwewunda n’emirimu eri abalwadde abato n’amaka gaabwe .
ku malwaliro, abagaba n'abalongoosa omugongo abanoonya . Enkola z’okusikula kw’omugongo (spinal pedicle screw systems) ezisaanira okulongoosebwa mu bitundu by’omubiri (scoliosis) n’okulongoosa omugongo okulala, omusango guno guwa obujulizi obw’ensi entuufu obw’okukola obulungi.
Okumaliriza & Okutuukirira .
Okulongoosa okutereeza obulwadde bwa Scoliosis okulungi eri omuwala ow’emyaka 16 mu Dhaka kiraga obukulu bwa:
bw’oba oyagala okumanya ebisingawo ku musango guno oba . 6.0mm spinal pedicle screw instrument set , tukusaba otuukirire okumanya ebikwata ku bikozesebwa mu bujjuvu, teekawo ensengeka n'obuyambi bw'obujjanjabi.
Tukwasaganye okumanya ebikwata ku nsonga zonna n'omugongo pedicle screw solutions .
FAQ .
1. Okulongoosa okutereeza obulwadde bwa Scoliosis kye ki?
Scoliosis correction surgery ye nkola ekozesa ebiteekebwamu nga pedicle screws ne rods okugolola n’okutebenkeza omugongo ogutali gwa bulijjo ogukooneddwa. Mu mbeera eno okuva mu Bangladesh, enkola ya 6.0mm spinal pedicle screw system yakozesebwa okutereeza obulema n’okuwagira okuyungibwa kw’omugongo.
2. Lwaki enkola ya 6.0mm spinal pedicle screw system yalondebwa omulwadde ono?
Enkola ya 6.0mm pedicle screw system egaba ennanga ey’amaanyi mu mibiri gy’omugongo era esobozesa okutereeza okw’ebitundu bisatu okutebenkedde, ekintu ekikulu ennyo naddala mu kulongoosa obulwadde bwa scoliosis mu myaka gy’obutiini nga kyetaagisa okunyweza okwesigika n’okuyungibwa okw’ekiseera ekiwanvu.
3. Okulongoosa obulwadde bwa scoliosis tekuliiko bulabe eri abatiini?
Bwe kikolebwa ttiimu y’okulongoosebwa omugongo alina obumanyirivu ng’erina okuteekebwamu okusaanidde n’okulondoola, okutwalira awamu okulongoosa obulwadde bwa scoliosis tekuliiko bulabe eri abatiini. Mu mbeera eno eya Dhaka, omulwadde ow’emyaka 16 yawona bulungi n’okukwatagana kw’omugongo okutebenkedde era nga tewali buzibu bupya mu busimu.
4. Okudda engulu kutwala bbanga ki oluvannyuma lw’okulongoosa okutereeza obulwadde bwa scoliosis?
Abalwadde abasinga batandika okutuula ne batambula nga bayambibwa mu nnaku ntono nga bamaze okulongoosebwa. Okuwona okusooka kutera okutwala wiiki eziwera, ate okuyungibwa kw’amagumba mu bujjuvu n’okuddamu okukola okumala ebbanga eddene kiyinza okutwala emyezi 6–12, okusinziira ku myaka, obuzibu bw’okulema n’okuddaabiriza.
5. Migaso ki egy’okukozesa pedicle screw–rod construct mu kulongoosa obulwadde bwa scoliosis?
Ekizimbisibwa kya pedicle screw–rod kiwa okunyweza okw’amaanyi okw’ekitundu, okufuga okutuufu okw’okukwatagana kw’omugongo n’okulabirira okwesigika kw’amaanyi agatereeza, agayamba okutuuka ku kulongoosa okulungi okw’enkokola, omugongo okutebenkedde n’okutebenkera okw’ekiseera ekiwanvu.
6. Bizibu ki ebirondoolebwa oluvannyuma lw’okulongoosebwa obulwadde bwa scoliosis?
Abalongoosa balondoola obulwadde, okuvaamu omusaayi, okusumululwa oba okukutuka, enkyukakyuka mu busimu n’okuwona obubi ebiwundu. Nga olina enkola ey’okulongoosa n’okugoberera n’obwegendereza, obulabe bw’okuzibuwalirwa ennyo bukendeezebwa.
7. Scoliosis esobola okuddamu oluvannyuma lw’okulongoosebwa?
Oluvannyuma lw’okuyungibwa okunywevu okutuukirizibwa era omugongo guwonye okwetoloola ekizimbisibwa kya pedicle screw–rod, akabi k’okuddamu okw’amaanyi okutwalira awamu kali wansi. Wabula, ebifaananyi ebigobererwa buli kiseera kirungi naddala mu balwadde abakula.
8. Ekika kino eky’okulongoosa obulwadde bwa scoliosis kisangibwa mu Bangladesh?
Yee. Nga bwe kiragibwa mu mbeera eno okuva e Dhaka, okutereeza obulwadde bwa scoliosis obw’omulembe nga tukozesa enkola ya 6.0mm spinal pedicle screw system yakolebwa dda mu Bangladesh ttiimu z’omugongo ez’enjawulo mu malwaliro agalina ebikozesebwa.
