Weetaaga omusawo alabirira amagumba n’ennyondo? Ka twogere ku Musawo w'amagumba / Omusawo w'amagumba!

Leero tugenda kwogera ku mulamwa ogukulu eri abantu bangi. Oluusi owulira obulumi mu mubiri gwo, obulumi mu binywa oba nga tolina buzibu bwonna ng’otambula? Ekyo bwe kibaawo kye tuyita ani? Leero twogera ku musawo omukugu ajja okutuyamba mu biseera ng’ebyo - oyo ye musawo w’amagumba, oba nga ffenna bwe tumumanyi, omusawo ayitibwa Orthopaedic Surgeon. Abamu era bamuyita Omusawo w’amagumba.

Ono Omusawo w’amagumba y’ani?

Mu ngeri ennyangu, omusawo alongoosa amagumba musawo mukugu mu kujjanjaba ebizibu n’obuzibu bw’ebinywa n’amagumba, omuli amagumba, ennyondo, ebinywa, n’emisuwa . Ziyinza okukuyamba okugoba obulumi, okutambula obulungi n’okukola obulungi.

Ebizibu bino eby’ebinywa n’amagumba bye biruwa?

Kino kiyinza okulabika ng’ekigambo ekinene, naye kyangu. Kitegeeza obuzibu mu bitundu by’omubiri gwaffe ebituyamba okutambula n’okutambula. Lowooza ku mubiri gwaffe ng’ekyuma ekikoleddwa ebitundu ebimu. Ebimu ku bitundu ebikulu ebya "ekyuma" kino y'enkola y'ebinywa n'amagumba:

• Amagumba: Gano ge gakola amagumba g’omubiri gwaffe.
• Cartilage: Ekitundu ekiringa omutto wakati w’ennyondo ekiziyiza amagumba okusikagana.
• Ennyondo: Ebifo amagumba abiri we gakwatagana (e.g. okugulu, enkokola).
• Emisuwa: Ebizimbe eby’amaanyi ebiringa bbandi ebigatta amagumba awamu.
• Ebinywa: Ebitundu ebiyamba omubiri okutambula n’okukonziba.
• Obusimu: Obusimu obutambuza obubaka okuva mu bwongo mu mubiri gwonna, ne butusobozesa okuwulira obulumi n’okukwata.
• Emisuwa: Bbandi ez’amaanyi ezigatta ebinywa ku magumba.

Singa wabaawo ekizibu mu kitundu kyonna ku bino, kiyinza okutwalibwa ng’ekizibu ky’ebinywa n’amagumba.

Endwadde za ngeri ki omusawo alongoosa amagumba gy’ajjanjaba?

Abasawo bano bajjanjaba endwadde n’embeera ez’enjawulo. Wano waliwo ebyokulabirako ebitonotono:

• Endwadde z’enkizi: Obulumi obuva ku kuvunda kw’ennyondo naddala obulwadde bw’amagumba.
• Ebizimba by’ebitundu ebigonvu ebitali bya bulabe.
• Kookolo w’amagumba.
• Bursitis - Okuzimba kw’ensawo ezijjudde amazzi okumpi n’ennyondo.
• Obulema obuzaalibwa nabwo: Okugeza, obulwadde bw’okusannyalala kw’ebigere n’ekisambi.
• Obulumi mu bulago n’omugongo ogwa wansi.
• Obulumi bw’amagumba: Ebintu ng’okumenya amagumba.
• Obuvune mu mizannyo.
• Okunyiga n’okunyigirizibwa.
• Tendinitis - Okuzimba kw’omusuwa.
• Scoliosis - Okukoona kw’omugongo.

Njawulo ki eriwo wakati w’omusawo w’endwadde z’enkizi n’omusawo w’amagumba?

Abantu bangi balina ekizibu kino. Abasawo bano bombi mu butuufu bakuguse mu ndwadde ezikwata ku magumba, ennyondo n’ebinywa byaffe. Zombi zijjanjaba endwadde ezimu ng’endwadde z’enkizi, okulumwa omugongo, n’okuzimba amagumba. Kyokka, waliwo enjawulo ntono enkulu.

• Abasawo abalongoosa amagumba balongoosa . Okutwalira awamu abakugu mu by’endwadde z’enkizi tebalongoosa.
• Omusawo alongoosa amagumba essira asinga kulissa ku bizibu ebiva ku buvune, obulema obuzaalibwa nabwo, n’endwadde ezivunda olw’okukozesa omubiri okumala ebbanga eddene .
• Ate omusawo w’endwadde z’enkizi ajjanjaba embeera ezireetebwa endwadde z’enkola ezikwata omubiri gwonna. Bino bitera okuva ku buzibu mu baserikale b’omubiri. Eby’okulabirako mulimu lupus, vasculitis, endwadde z’enkizi, n’endwadde ezimu ezitatera kubaawo mu nsikirano.

Kyokka oluusi abasawo bano bombi bakolera wamu okujjanjaba abalwadde. Okugeza bw’oba ​​olina obulwadde bw’enkizi, omusawo w’enkizi n’omusawo w’amagumba basobola okukolera awamu okukuwa obujjanjabi obusinga obulungi.

Kiki ddala omusawo alongoosa amagumba akola?

Abasawo abamu abalongoosa amagumba bajjanjaba embeera z’amagumba ez’enjawulo (generalists). Kino kitegeeza nti tebakoma ku kitundu kimu ekigere. Abalala bafuna okutendekebwa okulala mu kitundu ekimu era ne bakuguka mu kujjanjaba embeera ezikwata ku kitundu ekyo.

Bino bye bimu ku bikozesebwa mu kujjanjaba amagumba:

• Okulongoosa ebigere n’enkizi.
• Okulongoosa emikono n’ebitundu ebya waggulu.
• Okulongoosa okukyusa ebinywa.
• Orthopedic oncology - Okujjanjaba ebizimba ne kookolo w’amagumba n’ebitundu ebigonvu.
• Obulumi bw’amagumba - obuvune obw’amaanyi ng’okumenya amagumba.
• Okulongoosa amagumba mu baana - Obuzibu bw'amagumba n'ennyondo mu baana.
• Okulongoosa omugongo.
• Eddagala ly'emizannyo - obuvune n'obuzibu mu bannabyamizannyo.

Abasawo bano ab’amagumba bafuna kutendekebwa kwa ngeri ki mu by’obusawo?

Luno si lugendo lwangu. Okufuuka omusawo w'amagumba kyetaagisa okutendekebwa mu by'obusawo okumala emyaka nga 14 .

• Ekisooka, diguli ya ssaayansi ey’emyaka ena (diguli esooka).
• Olwo emyaka ena egy’okusoma obusawo. Kino kiyinza okuba diguli y’obusawo ey’ekinnansi, nga eno ye M.D. (Doctor of Medicine), oba obuyigirize bw’amagumba, nga eno ye D.O. (Doctor of Osteopathy) diguli. Bano aba D.O. abasawo balowooza mu ngeri ey’enjawulo ku birowoozo by’omuntu, omubiri, n’omwoyo, era bagoberera enkola y’okujjanjaba ‘omuntu yenna’.
• Ekiddako, olina okumaliriza diguli y’amagumba, ebiseera ebisinga emala emyaka etaano. Wano w’ofunira obumanyirivu obw’omugaso mu mbeera y’eddwaliro n’oyiga ku kulongoosa n’obujjanjabi obw’enjawulo.
• Bw’oba ​​oyagala okukola subspecialize mu mulimu omulala, nga bwe kyayogeddwa waggulu, ojja kuba olina okumaliriza omwaka omulala oba ebiri ogw’okutendekebwa okw’enjawulo (fellowship).

Bino byonna bwe bimala okukolebwa, basobola okufuuka abasawo b’amagumba abakakasibwa olukiiko olufuzi. Ekyo era balina okuyita ebigezo eby’enjawulo. Oluvannyuma lw’ekyo, balina okugenda mu maaso n’okuyiga ebintu ebipya n’okuzza obuggya okumanya kwabwe mu by’obusawo (okugenda mu maaso n’okusoma obusawo).

Ddi lwe nnina okulaba omusawo alongoosa amagumba?

Bw’oba ​​olina obubonero buno bwonna, kiyinza okuba ekirungi okugenda ew’omusawo w’amagumba:

• Singa wabaawo eddoboozi lya ‘kiri kiri’ oba eddoboozi lya ‘tok’ ng’enkulungo ekwatagana ekankanibwa.
• Singa wabaawo okuzimba oba okumyuuka (okuzimba) ku kiwanga.
• Bwoba olina obulumi mu binywa .
• Bw'owulira ng'ozirika oba ng'owunya .
• Bw’oba ​​olina entambula ezikugirwa olw’obulumi.
• Bw'owulira ng'omubiri gwo gunywezeddwa oba okukaluba .

Bw’oba ​​olina obubonero nga buno, kirungi n’ogenda ew’omusawo nga tobubuusa maaso.

Kiki kye nsuubira ku ssaawa yange esooka?

Okay, katugambe nti wamala kugenda kulaba musawo. Ku lunaku olusooka, bino bye biyinza okutera okubaawo:

• Omusawo ajja kwogera naawe ku bubonero bwo, ebyafaayo byo eby’obujjanjabi, n’engeri gy’obeera . Bajja kukubuuza ebibuuzo ku bizibu by’olina, ebbanga ly’omaze ng’obifuna, ne ddi lwe bitera okweyongera.
• Omubiri gwo gujja kwekebejjebwa. Bajja kukola okukebera omubiri naddala okukwata ku kiwanga ekikoseddwa mu ngeri ez’enjawulo . Era bajja kukebera okulaba oba ekitundu ekyo kizimba, kimyufu oba kiruma okukwatako.
• Oyinza okusabibwa okukeberebwa, gamba nga X-ray, okukebera embeera y’amagumba go.
• Annyonnyola engeri gy’ozuddemu obulwadde.
• Ekiddako, bajja kukubuulira ku bujjanjabi obuteeseddwa .

Oluusi, bw’oba ​​weetaaga okutunula ennyo, kyetaagisa okukebera CT oba MRI.Kiyinza okukolebwa mu ngeri entuufu. Bino bisobola okulabirira obulungi si magumba gokka, wabula n’ebitundu ebigonvu ng’amagumba n’emisuwa. Mu mbeera eyo, kiyinza obutasoboka kumanya bulungi bulwadde bwe buli era n’enteekateeka y’obujjanjabi bw’eri ku lunaku olusooka. Mu kiseera kino, omusawo ajja kukuwa amagezi okukendeeza ku bubonero.

Okusisinkana omusawo w’amagumba kitegeeza nti ddala ojja kuba olina okulongoosebwa?

Nedda, tewali kintu ng’ekyo n’akatono! Eyo ndowooza nkyamu abantu bangi gye balina. Kasita tuwulira ekigambo "omusawo alongoosa," tutya nti tujja kuba tulina okulongoosebwa.

Abasawo abalongoosa amagumba bakuguse mu bukodyo obutali bwa kulongoosa n’obulongoosa. Okulongoosa kuyinza okuba nga kwe kusooka okulondebwa ku buvune bw’amagumba oba embeera z’obuzaale.

Kyokka, ku mbeera endala ezisinga obungi, abasawo basooka kugezaako bujjanjabi obutali bwa kulongoosa. Oluusi kyetaagisa obujjanjabi obusukka mu bumu okusobola okufuna obuweerero obw’olubeerera. Kitera okugezaako obujjanjabi obuwerako mu kiseera kye kimu. Singa tewali n’emu ku bujjanjabi buno ekendeeza ku bubonero bwo, lw’osaanidde okulowooza ku ky’okulongoosebwa. Ne mu kiseera ekyo, omusawo wo ajja kukunnyonnyola ebikwata ku nsonga eyo, akabi akali mu byo, n’emigaso gy’alimu.

Bujjanjabi ki obutali bwa kulongoosa obukozesebwa abasawo abalongoosa amagumba?

Okay, ka tulabe ekiyinza okukolebwa awatali kulongoosebwa. Waliwo obujjanjabi bungi nga buno:

• Ebikozesebwa eby’enjawulo: ebisiba, ebisiba (nga omusipi oguwaniridde ku mukono), pulasita wa Paris (ebisuula - tubiyita POPs) oba ebisiba (ebisiba - emiguwa egy’ekiseera egikwata amagumba oba ennyondo mu kifo).
• Empiso z’ennyondo: Eddagala lya steroid, gamba nga cortisone, okukendeeza ku bulumi n’okuzimba. Oluusi, empiso eziyitibwa viscosupplementation, ezifuyira ekizigo mu kiwanga, zisobola okukozesebwa.
• Eddagala eritali lya opioid: Eddagala nga Paracetamol oba Ibuprofen (lino lirina okumira ng’omusawo bw’alagira).
• Obujjanjabi bw’omubiri: Dduyiro n’obujjanjabi obw’enjawulo okusumulula ebinywa ebinywezeddwa, okunyweza ebinywa n’okwongera okutambula kw’ennyondo.
• Obujjanjabi bw’emirimu: Bukuyamba okukola emirimu egya bulijjo, gamba ng’okwambala n’okulya, nate mu ngeri ennyangu singa giba gizibu olw’obulwadde.
• Enzijanjaba ya plasma erimu obutoffaali obuyitibwa platelet-rich plasma (PRP): Kino kizingiramu okwawula obusimu obuyitibwa platelets ku musaayi gwo n’obukuba empiso okudda mu kifo ekizibu. Kino kikyali bujjanjabi bwa kugezesa ku mbeera ezimu.
• Enkola y’okusiba omubiri:Ebintu ebiyingizibwa mu ngatto ebya custom biyamba okuteeka ekigere mu kifo ekituufu. Bino bisobola okuyamba okukendeeza ku bulumi bw’ebigere.

Bika ki eby’okulongoosa abasawo abalongoosa amagumba bye bakola?

Kati katulabe ekika ky’okulongoosa abasawo bano kye bakola. Ekika ky’okulongoosebwa ekikusaanira kisinziira ku mbeera gy’olina. Wano waliwo ebyokulabirako ebitonotono.

Enkola y’ebigere n’enkizi

• Okuddaabiriza emisuwa gya Achilles
• Okulongoosa okutereeza bunion - eggumba erifuluma mu kigere ekinene.
• Okulongoosa engalo - embeera ng’obugere bufukamidde.
• Plantar fasciitis release surgery - olw'obulumi mu kigere.
• Okukyusa enkizi zonna oba okuyungibwa

Okulongoosa emikono n’ebitundu ebya waggulu

• Okulongoosa obulwadde bwa carpal tunnel syndrome (Carpal tunnel release) - ku kuzimba emikono.
• Dupuytren's contracture surgery - embeera nga engalo teziyinza kugaziwa.
• Ganglion cyst removal - Ekizimba ekijjudde amazzi ekikolebwa mu kitundu ky’engalo.
• Rotator cuff surgery - okuddaabiriza omusuwa ogwakutuse mu kibegabega.
• Trigger finger surgery - Embeera engalo gy’ewulira ng’esibye ng’efukamidde n’ewanvuwa.

Okukyusa ebiyungo n’okuddamu okuzimba

• Okukyusa ekisambi kyonna
• Okukyusa okugulu kwonna n’ekitundu
• Okukyusa ebibegabega byonna awamu
• Enkola ezitali za bulijjo, gamba ng’okukyusa enkokola oba engalo

Okulabirira abafunye obuvune mu magumba

• Okuddaabiriza okusengulwa
• Okunyweza okumenya - nga okozesa waya ne pulati.
• Obujjanjabi bw’obutakwatagana, malunion, oba osteomyelitis oluvannyuma lw’okumenya.
• Okulongoosa okuddamu okuzimba okuddaabiriza amagumba agamenyese ennyo oba ennyondo eyonoonese ennyo.

Okulongoosa omugongo

• Laminectomy - Okuggyawo ekitundu ky’omugongo okumalawo okunyigirizibwa kw’obusimu.
• Spinal decompression - Okukendeeza ku puleesa ku busimu.
• Spinal fusion - Okulongoosa okutebenkeza omugongo nga ogatta omugongo abiri oba okusingawo.

Enkola y’obuvune mu mizannyo

• Okulongoosa meniscus - okuddaabiriza eggumba eryakutuse mu kugulu.
• Okuddaabiriza omusuwa ogw’omu maaso (ACL) - okuddaabiriza omusuwa omukulu mu kugulu.
• Okuddaabiriza okukutuka kwa Rotator cuff
• Okulongoosa ekisambi olw’amaziga ga labral

N’ekisembayo, ebintu ebitonotono by’olina okujjukira (Obubaka bw’okutwala awaka) .

Kale, omusawo w’amagumba y’omuntu ayamba abantu ab’emyaka gyonna n’ebizibu ebikwata ku magumba gaabwe, ennyondo n’ebinywa byabwe. Abamu bakuguse mu bintu ebimu, gamba ng’emikono, amagulu, n’omugongo. Bw’oba ​​ogenda ew’omusawo wo, beera mwetegefu okwogera ku bubonero bwo, endwadde z’oyiseemu, n’obujjanjabi bw’ogezezzaako.

Jjukira nti okulaba omusawo w’amagumba tekitegeeza nti bulijjo olina okulongoosebwa.

Ziwa abantu bangi obujjanjabi obutali bwa kulongoosa ng’okukuba empiso n’okujjanjaba omubiri. N’olwekyo, bw’oba ​​naawe ofuna obulumi oba obutabeera bulungi mu mubiri gwo oba mu binywa, tolwawo kulaba musawo alongoosa amagumba n’ofuna amagezi.

` Omusawo w’amagumba, Omusawo w’amagumba, Endwadde z’amagumba, Endwadde z’ennyondo, Obuzibu mu binywa n’amagumba, Obulumi bw’omugongo, Obulumi bw’okugulu, Okulongoosebwa