Wakutuse enkokola yo? Ka tuyige buli kimu ku dislocated elbow!

Kuba akafaananyi ng’ogwa mu bwangu, oba ng’ozannya emizannyo, omukono gwo gusibira ku ttaka mu ngeri enkyamu. Amangu ago, owulira obulumi obutagumiikiriza nga buva mu nkokola yo, era nga tosobola na kutambuza mukono gwo. Bw’otunuulira enkokola yo, enkula yaayo ekyuse era erabika ya kyewuunyo. Kino kye tuyita buyita "dislocated elbow." Kino ddala kitiisa era kiruma. Kale leero, tugenda kwogera ku ky'okukola mu mbeera nga eno, ne kiki ddala.

Mu ngeri ennyangu, okubuuka kuno okw’enkokola kye ki?

Enkokola yaffe si kiwanga kyokka. Kifo kikulu nnyo amagumba asatu we gakwatagana. Ekiwanga kyonna mu mubiri gwaffe kifo amagumba abiri oba okusingawo we gagattira wamu. Ekiyungo ky’enkokola kikolebwa amagumba gano asatu:

• Eggumba ly’omukono ogwa waggulu (Humerus): Lino lye ggumba empanvu okuva ku kibegabega kyo okutuuka ku nkokola.
• Ulna: Eggumba eddene eriri munda mu mukono gwo ogw’omu maaso (ku ludda lw’engalo entono).
• Radius: Eggumba eridduka okuva ku ludda lw’engalo ensajja okutuuka ku ludda lw’omukono ogw’omu maaso.

Enkokola ekutuse, amagumba gano asatu, olw’okukubwa oba okugwa, bwe gava mu kifo kyago ekituufu ne gaawukana ku ndala. Kiringa ddulaaya eva ku ggaali y’omukka. Kino bwe kibaawo, tosobola kutambuza mukono gwo era owulira obulumi obw’amaanyi.

Ekisinga obukulu, eggumba bwe lifuluma mu ngeri eno, era liyinza okwonoona ebitundu ebigonvu ebyetoolodde enkokola. Kino kitegeeza nti:

• Ebinywa
• Obusimu obuyitibwa nerves
• Emisuwa (Tendons).
• Emisuwa gy’emisuwa
• Emisuwa gy’omusaayi

Olw’okuba ebintu bino byonna biyinza okuba eby’obulabe, bw’oba ​​olina n’okuteebereza okutono nti olina okunyiga enkokola, olina okugenda mu ddwaaliro mu kitongole ky’abalwadde ab’amangu (ETU) mu bwangu. Togezaako, olw’ensonga yonna, kuzzaawo nkokola yo mu kifo kyayo, oba wekka oba n’omuntu omulala.

Bika ki ebikulu eby’okubuuka mu nkokola?

Abasawo bagabanya okunyiga enkokola nga basinziira ku nsonga bbiri enkulu. Ekimu kwe kuba nti eggumba lifulumye wala. Ekirala kye kigero ky’okwonooneka kw’ebitundu ebibyetoolodde. Kino okusobola okwanguyirwa okutegeera, ka tukitunuulire bwe tuti.

Bubonero ki obw’okunyiga enkokola?

Bw’oba ​​n’enkokola ekutuse, oyinza okufuna obubonero bumu oba obusingawo ku buno:

• Obulumi obutagumiikiriza, obw’amaanyi mu kitundu ky’enkokola.
• Okuzimba kw'enkokola .
• Okukyuka langi ya bbululu/kakobe ku lususu okwetoloola enkokola.
• Endabika y’enkokola ekyuka , ekitegeeza nti kiyinza okulabika ng’omukono gugoloddwa.
• Obutasobola kutambula, kufukamira oba kugolola mukono.
• Okuwunya oba okuziyira mu ngalo (kino kiyinza okubaawo singa obusimu bwonoonese).
• Okuwulira obunafu mu ngalo.

Ensonga ki enkulu eziviirako kino?

Enkokola okusobola okuva mu socket yaayo, yeetaaga okuteekebwako amaanyi ag’amaanyi agamala. Ebisinga okuvaako obulwadde buno bye bino:

• Okugwa: Naddala nga tugwa nga tugolodde emikono. Bwe tunaatera okugwa, otomatika tussa emikono gyaffe mu maaso ne tugiteeka ku ttaka okukuuma omubiri gwaffe. Kino kiyinza okubaawo olw’okunyigirizibwa ku nkokola mu kiseera ekyo.
• Obubenje bw’emmotoka: Kino kiyinza okuva ku kugwa n’okwonooneka kw’omukono ng’emmotoka ekubye.
• Obubenje mu mizannyo: Embeera eno esobola okubaawo ng’ozannya emizannyo egy’amaanyi nga rugby n’omupiira, oba singa ogwa okuva mu kifo ekikyamu ng’ozannya emizannyo nga jjiimu.

Ani ali mu bulabe obw’amaanyi obw’okusannyalala kw’enkokola?

Wadde ng’akabi kano kasobola okutuuka ku muntu yenna, eri abantu abamu akabi kano kasingako katono.

• Abazannyi: Naddala eri abo abazannya emizannyo egizingiramu okukwatagana ennyo.
• Abantu abasukka mu myaka 65: Bw’ogenda okaddiwa, otera okugwa olw’amagumba okunafuwa n’okubulwa bbalansi.
• Abaana abali wansi w’emyaka 16: Amagumba n’ennyondo z’abaana bikyakula, n’olwekyo batera okugwa ku bubenje.
• Abantu abalina embeera ezinafuya ennyondo zaabwe: Okugeza, abantu abalina embeera nga Ehlers-Danlos syndrome ne joint hypermobility syndrome balina ennyondo ezikyukakyuka okusinga eza bulijjo, ekyongera obulabe bw’okusengulwa kw’ennyondo.
• Abantu abakozesa ennyo enkokola zaabwe: Eri abo abakola emirimu egirimu okutambula okuddiŋŋana oba eri abo abakozesa ennyo enkokola zaabwe mu mizannyo (e.g. abateebi).

Kino okisanga otya Omusawo?

Bw’ogenda mu ddwaaliro, omusawo ky’agenda okusooka okukola kwe kukebera omukono gwo. Bajja kutunuulira enkula y’enkokola yo, banoonye okuzimba n’okunoonya ebiwundu. Era bajja kukubuuza engeri akabenje gye kaaguddemu n’obubonero bw’olaba. Okunnyonnyola ekyaliwo mu ngeri entegeerekeka obulungi nga bw’osobola kijja kuyamba nnyo mu kuzuula obulwadde.

Bigezo ki ebiyinza okukolebwa?

Oluvannyuma lw’okukeberebwa omubiri, omusawo ayinza okukuwa amagezi okukebera ekimu oba ebisingawo ku bino okuzuula obunene bwennyini obwonooneddwa munda.

• X-ray: Kino kisinga kukozesebwa okuzuula oba eggumba lisesese oba limenyese.
• MRI scan (Magnetic Resonance Imaging): Kino kiyinza okulaba obulungi okwonooneka kw’ebitundu ebigonvu ebyetoolodde amagumba, gamba ng’emisuwa, emisuwa, n’ebinywa.
• CT Scan (Computed Tomography): Singa eggumba liba lizibu, kino kiyinza okuyamba okufuna ekifaananyi ky’eggumba ery’ebitundu bisatu n’okutegeera obulungi engeri gye lyamenyekamu.
• Ultrasound scan: Kino oluusi kikozesebwa okulaba oba emisuwa gyonoonese.

Ojjanjaba otya enkokola ekutuse?

Obujjanjabi obusinga obukulu era obusooka ku kunyiga enkokola kwe kuzza ekiwanga ekinyiga mu kifo kyaakyo. Kino abasawo bakiyita okukendeeza okuggaddwa .

Eno y’engeri omusawo gy’agenda okuddamu okutereeza ekiwanga kyo. Okusooka, bajja kukuwa eddagala eriweweeza ku bulumi okuziyiza obulumi. Era bayinza okukuteeka wansi w’eddagala erikkakkanya. Oluvannyuma, n’obwegendereza bungi, bajja kuddamu okusengeka amagumba okudda mu kifo kyabyo nga bakozesa akakodyo ak’enjawulo.

Oluvannyuma lw’okuddaabiriza ekiwanga, kyetaagisa okwongera obujjanjabi okutuusa ng’ekiwundu kiwonye:

• Okuziyiza: Omusipi oba omusipi (omusipi ogukwata omukono mu kifo) oyinza okuteekebwa okukuuma enkokola obutatambula okutuusa lw’ewona.
• Eddagala: Omusawo ajja kukuwa eddagala erituufu okukendeeza ku bulumi n’okuzimba. Tomira ddagala eriweweeza ku bulumi ku bubwo okumala ennaku ezisukka mu 10 nga tewebuuzizza ku musawo.
• Okuwummula: Olina okwewala emirimu gyonna egikuteeka puleesa ku nkokola. Olina okwewala ddala okusitula obuzito oba okuzannya emizannyo okutuusa lw’owona.

Ddi lwe kyetaagisa okulongoosebwa?

Ebiseera ebisinga, enkokola ekutuse tekyetaagisa kulongoosebwa. Kyokka, kiyinza okwetaagisa okulongoosebwa mu mbeera zino wammanga:

• Singa akabenje kavuddeko amagumba okumenyeka oba okwonooneka ennyo obusimu oba emisuwa.
• Singa omusawo aba tasobola kuddamu kulongoosa kiwanga mu ngalo (closed reduction).
• Singa okubuuka kuba kuzibu nnyo oba kwa maanyi.

Kitwala bbanga ki okuwona?

Kino kisinziira ku bunene bw’okwonooneka kw’ofunye.

• Okuseeseetula okwangu kuyinza okuwona mu wiiki ntono. Ebiseera ebisinga omukono gujja kwetaaga okutambula okumala wiiki emu oba bbiri. Oluvannyuma lw’ekyo, obujjanjabi bw’omubiri bujja kwetaagisa okuzzaawo entambula mu mukono. Omusawo ajja kukuyigiriza dduyiro okufukamira, okugolola n’okunyweza omukono gwo.
• Okusesema okuzibu oba okw’amaanyi kujja kutwala ekiseera kiwanvu okuwona, oboolyawo emyezi egiwerako. Omusawo wo ajja kukunnyonnyola kino.

Ekisinga obukulu kwe kwewala emizannyo oba emirimu emizito okutuusa lw’owona mu bujjuvu. Bw’okola bw’otyo, emikisa mingi nnyo okuddamu okufuna obuvune.

Waliwo engeri y’okuziyiza akabi kano?

Bulijjo tetusobola kuziyiza bubenje, naye waliwo bye tuyinza okukola okukendeeza ku bulabe.

Bw’oba ​​olina n’okuteebereza okutono nti onyize enkokola, genda mu ddwaaliro mu kitongole ky’abalwadde ab’amangu (ETU) mu bwangu. Bw’ofuna obujjanjabi obutuufu, osobola okuwona amangu n’odda mu bulamu obwa bulijjo.