Olina obulumi mu kugulu oba mu nkokola? Ka tuyige ku bigezo bino ebya (Valgus) ne (Varus).

Oluusi tuyinza okuwulira obulumi mu maviivi oba mu bikoona mu bwangu, nedda? Oba tuyinza okufuna akabenje akatono ng’okuseerera n’okugwa nga tuzannya oba nga tutambula ne tutandika okuwulira obulumi mu kitundu ekyo. Bw’ogenda ew’omusawo mu biseera ng’ebyo, ajja kukola ebigezo ebimu okuzuula obuvune bwo bwe buli era wa ddala w’okwonooneka. Ebigezo bibiri ebikulu bwe bityo bye bino: `(Valgus Stress Test)` ne `(Varus Stress Test). Ka twogere ku bino mu ngeri ennyangu.

Ebigezo bino ebya `(Valgus)` ne `(Varus)` bye biruwa? Mu ngeri ennyangu...

Mu ngeri ennyangu, bino ebikebera situleesi ebya ``Valgus'' ne ``Varus'' nkola omusawo wo gy'akozesa okuzuula okwonooneka kw'emisuwa mu kugulu oba enkokola yo naddala emisuwa egy'omusingo.

Teebereza omusawo wo ng’akutte okugulu oba enkokola, ng’agitambuza ng’adda n’emabega, ng’asika puleesa okulaba oba owulira obulumi bwonna oba ekintu ekirala kyonna ekitali kya bulijjo. Kino kye kitundu ekikulu eky’okugezesebwa kuno. Ebiseera ebisinga, okukebera kuno kukolebwa ku maviivi n’ebikoona. Naye si bulijjo nnyo, engalo zo oba enkizi nazo ziyinza okukeberebwa.

Ebigezo bino okusinga bitunuulira okwonooneka kw'emisuwa gyo egy'omusingo . Ffenna tulina emisuwa gino egy’omusingo mu maviivi ne mu bikoona byaffe.

• Munda mu kugulu, kwe kugamba, ku ludda olutunudde munda ng’amagulu gombi gagattibwa wamu, waliwo omusuwa oguyitibwa `(MCL - Medial Collateral Ligament)`. Mu ngeri y’emu, waliwo `(MCL)` eno ku ludda lw’enkokola olusemberera munda mu mubiri.
• Ku ludda olw’ebweru w’okugulu, kwe kugamba, oludda olubikkulwa ng’amagulu gaawukanye, waliwo omusuwa oguyitibwa `(LCL - Lateral Collateral Ligament)`. Waliwo ne `(LCL)` eno ebweru w'enkokola.

Ebigezo bino ebya `(Valgus)` ne `(Varus)` bigezo byangu ebiyinza okukolebwa mu ofiisi y'omusawo, awatali bikozesebwa bya njawulo oba okusisinkana okw'enjawulo. Bino osobola okubikola mu kukeberebwa okusooka ng’ogenda ew’omusawo okulumwa okugulu, okulumwa enkokola oba oluvannyuma lw’akabenje. Naye oluvannyuma lw’okukebera kuno, mazima ddala ojja kwetaaga okukola `(Imaging Tests)` emu oba eziwera okukakasa okwonooneka kw’emisuwa oba obuzibu obulala bwonna. Oluusi, bw’oba ​​weetaaga okuddaabiriza ebyonoonese munda mu kiwanga kyo ng’olongoosebwa, era oyinza okwetaaga okukola `(Arthroscopy)`.

Ebigezo bino bikolebwa ddi? Obubonero bwe buliwa?

Bw'oba olina obulumi mu kugulu oba mu nkokola, oba bw'oba ofunye akabenje n'okugulu oba omukono, omusawo ayinza okukola okukebera kwa ``Valgus'' oba ``Varus''. Ebigezo bino bisobola okukebera oba ebyonoonese ku ``Collateral Ligaments'' eziwanirira ennyondo zo.

Ekikulu: Obuvune bw’emisuwa bwe bumu ku buvune obusinga okulabibwa mu bannabyamizannyo. Obuvune bw’emisuwa tubuyita okunyiga.Era kiyitibwa ``Maziga'' . Wadde ng’okunyiga okusinga kuba kutono, okukutuka kw’emisuwa oluusi kuyinza okuba obuvune obw’amaanyi.

• `(Valgus Stress Test)` okusinga etunuulira okwonooneka kwa `(MCL)` yo.
• `(Varus Stress Test)` etunuulira okwonooneka kwa `(LCL)` yo.

Singa omusuwa gwo gumu gwonoonese, oyinza okufuna obubonero nga buno:

• Okukyuka langi ya bbululu oba okukyusa langi mu kifo ekifunye obuvune.
• Kiwulira ng’ekiwanga kisumuluddwa, ng’ekitali kya maanyi kimala .
• Obulumi .
• Okuwulira oba okuwulira eddoboozi "okunyiga" oba "okunyiga" .
• Okuzimba .
• Bwe kiba kigere, kizibu okuyimirira ng’olina obuzito ku kyo , ate bwe kiba nkokola, kizibu okutambuza omukono gwo .
• Okuwulira obunafu mu kiwanga ekyo.

Ani akola ebigezo bino ebya `(Valgus)` ne `(Varus)`?

Kyangu nnyo. Omusawo wo akola okukebera kuno mu kisenge kye. Tekyetaagisa bikozesebwa bya njawulo oba okugenda mu kifo eky’enjawulo.

Ddala ebigezo bino bikolebwa bitya?

Ebigezo bino ebya `(Valgus)` ne `(Varus)` bye bikolwa ebiddiriŋŋana ebikolebwa okukebera obubonero bwo n'ewala w'osobola okutambuza ekiwanga kyo (Range of Motion). Ebigezo bino byangu nnyo, era wano waliwo emitendera:

1. Okusooka, ojja kukolebwa okugalamira ku mugongo .

2. Olwo omusawo ajja kusitula omukono oba okugulu kwo waggulu katono okusinga omubiri gwo gwonna .

3. Ekiddako, omusawo ajja kukusiiga puleesa entono waggulu ddala w’okugulu oba enkokola.

• Mu ``Valgus Stress Test'', zisika munda, kwe kugamba, nga zigenda wakati mu mubiri gwo .
• Mu ``Varus Stress Test'', zisindikibwa ebweru, ekitegeeza okuva ku mubiri gwo .

Bw’oba ​​ng’okola okukebera kuno ku kugulu kwo, osanga omusawo ajja kukikola emirundi ebiri – omulundi gumu ng’okugulu kwo kufukamidde katono, ate omulundi omulala ng’okugulu kwo kugoloddwa.

Enfo zino ez’enjawulo ne puleesa ziteeka akazito akatono ku misuwa gyo. Entambula zino zifaanagana nnyo n’okunyigirizibwa kw’ofuna ng’okozesa okugulu oba enkokola ku lunaku olwa bulijjo.

Omusawo bw’anaakutambuza okugulu oba enkokola, mazima ddala ajja kukubuuza oba owulira obulumi bwonna . Era ajja kufaayo nnyo oba owulira eddoboozi lya "click" oba owulira ekintu kyonna n'omukono gwo. Kino kijja kubayamba okutegeera wa n’engeri omusuwa gwo gye guyinza okukutukamu.

Njawulo ki eriwo wakati w'ebigezo bya `(Valgus)` ne `(Varus)`?

Ebigezo bino ebibiri mu butuufu bifaanagana nnyo. Enjawulo yokka eri nti omusawo ajja kutunuulira ku mabbali g’okugulu oba enkokola yo alabe oba waliwo okwonooneka kw’emisuwa.

• ``(Valgus)`` mu ngeri y'obusawo kitegeeza okusengulwa okwolekera wakati w'omubiri gwo, kwe kugamba, munda.Erinnya ly'okukebera kuno ye ``Valgus Stress Test'', omusawo mw'asika okugulu oba enkokola yo munda, ng'ayolekera omubiri gwo.
• ``(Varus)`` lye linnya eriweebwa nti omubiri gwo gusindikibwa ebweru, kwe kugamba, nga gwolekera ebweru . Kino kikontana ne ``(Valgus)``. Mu ``(Varus Stress Test)``, omusawo akussa puleesa ku kugulu oba enkokola ebweru, okuva ku mubiri gwo.

Nze kye nneetaaga okuteekateeka ekintu kyonna nga sinnaba kukeberebwa kuno?

Nedda, teweetaaga kwetegekera bigezo bino ebya ``(Valgus)`` oba ``(Varus)``. Ekintu kyokka ky’olina okukola kwe kulaba omusawo amangu ddala nga bwe kisoboka singa oba olina obuvune ku kugulu oba enkokola, oba ng’olina obubonero obupya mu binywa byo.

Kiki kye nsuubira mu kiseera ky’okugezesebwa?

Fuba okusigala ng’owummudde nga bwe kisoboka ng’omusawo akutambuza okugulu oba enkokola.

Olw’okuba ebigezo bino ebya ``(Valgus)`` ne ``(Varus)`` biba bya ntambula za mubiri, olina okubuulira omusawo wo buli kimu ky’owulira – naddala singa entambula yonna ekuluma oba etanyuma.

Obulumi bwonna, obutabeera bulungi, oba obubonero obulala bw’owulira ng’okeberebwa bujja kuyamba omusawo okutegeera emisuwa gyo gye gyonoonese, oba obuvune obulala bw’oyinza okuba nabwo.

Kiki ekigenda okubaawo oluvannyuma lw’okugezesebwa kuno?

Ebiseera ebisinga okukebera Valgus ne Varus gwe mutendera gwokka ogusooka mu kujjanjaba obuvune mu bbulawuzi. Singa omusawo awulira oba awulira ekintu kyonna ekitali kya bulijjo mu kiseera ky’okukeberebwa, ayinza okulagira okukeberebwa ebifaananyi ebirala oba okutandika obujjanjabi okuyamba okumalawo obubonero bwo.

Oluvannyuma lw’okukeberebwa valgus oba varus, oyinza okwetaaga okukeberebwa waakiri omulundi gumu ogw’okukuba ebifaananyi . Ebigezo bino bikuba ebifaananyi by’omunda mu kiwanga kyo era bisobola okunoonya okwonooneka kw’emisuwa oba ebitundu ebirala. Ebigezo ebisinga okukozesebwa mu kukwata ebifaananyi bye bino:

• Ebifaananyi bya X-ray
• Okukuba ebifaananyi mu ngeri ya magineeti (MRI) .
• Okukebera mu ngeri ya Ultrasound

Omusawo ajja kukubuulira okukeberebwa kw’ebifaananyi kw’olina okukola n’ekika ky’obuvune bwe banoonya.

Oyinza okwetaaga okukeberebwa enkizi okutunula munda mu kugulu oba enkokola okulaba ekikyamu oba okukiddaabiriza. Okukebera ebitundu by’omubiri (arthroscopy) nkola ya kulongoosa etali ya maanyi nnyo ng’okozesa kkamera entono okutunula munda mu kiwanga kyo. Okulongoosa okusinga okukebera ebinywa kukolebwa ku musingi gw’abalwadde abatali balwadde, ekitegeeza nti osobola okudda eka ku lunaku lwe lumu.

Waliwo akabi konna mu bigezo bino ebya `(Valgus)` ne `(Varus)`?

Nedda, tewali bulabe bwonna eri maviivi oba ebikoona byo ng'okola okukebera kwa ``Valgus'' oba ``Varus''.

Oyinza okuwulira obulumi oba obutabeera bulungi ng’okeberebwa. Wabula ne bw’oba ​​olina obuvune ku misuwa, tolina kuwulira bulumi bwa maanyi ng’omusawo akola okukebera.

Naye jjukira nti ebigezo bya `(Valgus)` ne `(Varus)` si bye byokka by'osaanidde okukola. Si ngeri ntuufu ey’okuzuula oba waliwo obuvune oba okwonooneka. Wabula zino ddaala lya mugaso erisooka omusawo lw’alina okukwata okusobola okumanya obuvune bwo bwe buli. Ebigezo by’okukuba ebifaananyi bye biddamu ebisinga okukakafu, y’ensonga lwaki olina okuba n’okugezesebwa kw’ebifaananyi waakiri okumu oluvannyuma lw’okugezesebwa kwa `(Valgus)` oba `(Varus)`.

Biki ebivaamu bye nfuna? Bambuulira ki?

Ebyava mu bigezo bya `(Valgus)` ne `(Varus)` si bivudde butereevu ng'ebimu ku bigezo by'obadde nabyo emabegako. Kwe kugamba, mu kifo ky’okuwa ekigero ekigere oba ennamba entongole, okukebera kuno kuwa omusawo wo endowooza ennungi oba wayinza okubaawo obuvune ku kiwanga kyo n’obuvune obwo bwe buli obw’amaanyi.

Bino bisinga kufaanana bibuuzo "kituufu oba kikyamu" , so si bizibu bya kubala nga biriko eky'okuddamu ekikakafu. Omusawo wo ajja kugabanya okukeberebwa kwo nga "positive" singa azuula ekintu kyonna ekiraga nti olina obuvune ku misuwa egy'omusingo. Ekivuddemu "negative" kitegeeza nti omusawo teyawulira oba teyawulira kintu kyonna kya bulijjo mu kiseera ky'okukeberebwa.

Ekikulu: Ekivaamu ekibi tekitegeeza nti tolina buvune. Kitegeeza kyokka nti omusawo teyasanga kintu kyonna kya bulijjo mu kukeberebwa, ka kibeere ``Valgus'' oba ``Varus''. Oyinza okuba ng’okyalina omusuwa ogwakutuse, oba oyinza okuba ng’olina obuvune obw’ekika ekirala.

Ddi lwe nnina okuyita omusawo wange?

Singa obubonero bwo, gamba ng’okulumwa oba okuzimba bweyongera oluvannyuma lw’ennaku ntono, laba omusawo.

Genda mangu mu kisenge ky’abalwadde ab’amangu singa ofuna obubonero buno:

• Obulumi obw'amaanyi ennyo .
• Singa okuzimba kweyongera okusajjuka .
• Bw'olaba langi ekyukakyuka .
• Bwoba tosobola kutambuza kugulu oba enkokola n'akatono .

Ebintu by'olina okujjukira (Obubaka bw'okutwala awaka)

Okukebera situleesi ``(Valgus)`` ne ``(Varus)`` mitendera gya mangu, egyangu egyasooka egiyamba abasawo okuzuula oba waliwo obuvune ku misuwa mu kugulu oba mu nkokola yo. While they dont provide a definitive answer , basobola okuyamba okulungamya emitendera egiddako mu kuzuula n’okujjanjaba obuvune bwo.

Bw’oba ​​ofunye obuvune mu kugulu oba enkokola – naddala nga tosobola kuzikozesa oba kuzitambuza – laba omusawo oba genda mu kisenge eky’amangu amangu ago. Okufaayo ku bulamu bwo kye kintu ekisinga obukulu!

` Obulumi mu kugulu, Okulumwa enkokola, Obuvune mu misuwa, Okukebera situleesi, Okukebera Valgus, Okukebera Varus, Obuzibu mu binywa