Kino kye kivaako obulumi emabega w’enkizi? Ka tuyige ku (Os Trigonum Syndrome)!

Wali owuliddeko obulumi obw’ekyewuunyo oba okunywezebwa emabega w’enkizi? Obulumi buno bulabika bweyongera naddala ng’ogezaako okuyimirira ku bigere, oba ng’odduka oba ng’obuuka? Bwe kiba bwe kityo, omulamwa gwe tugenda okwogerako leero gujja kuba mukulu nnyo gy’oli. Embeera eno tugiyita `(Os Trigonum Syndrome)` . Wadde erinnya lino lya kyewuunyo katono, eno mbeera eyinza okubaawo mu bantu abamu.

`(Obulwadde bwa Os Trigonum Syndrome)` kye ki? Ka tukitegeere mu ngeri ennyangu!

Mu ngeri ennyangu, `(Os Trigonum Syndrome)` bulumi obubeera emabega w’enkizi yo, kwe kugamba, ku kiyungo ky’enkizi. Ekisinga okuvaako kino kwe kugatta, akatundu k’eggumba akatono emabega w’eggumba ly’enkizi (`(talus bone)`). Eggumba lino ery’enjawulo liyitibwa `(os trigonum)` . Kale, ekibinja ky’obubonero obuleetebwa eggumba lino kye tuyita `(Os Trigonum Syndrome)`. Kyangu nnyo, nedda?

Kino kiyitibwa ekintu ekirala, oyinza okuba nga wali owuliddeko:

• `(Posterior ankle impingement syndrome)`: Kino kitegeeza nti waliwo okunyiga oba okugwa emabega w’enkizi. `(Emabega)` kitegeeza emabega, `(okukuba)` kitegeeza okutomera.
• Hindfoot impingement syndrome: Kino nakyo kitegeeza ekintu ekifaananako bwe kityo, okunyigirizibwa emabega w’engalo y’ekigere.
• `Nutcracker-type impingement`: Kino kiyinza okuwulikika ng'erinnya erisesa, naye kitegeeza nti eggumba ery'enjawulo (`(os trigonum)`) linyigirizibwa ku njuyi zombi, nga bwe tumenya empeta, bwe kinyigirizibwa ku njuyi zombi. Kyova olaba nga kiyitibwa kino.
• `(Obulwadde bw'okugwa kw'amagulu okw'emabega)`
• `(Obulwadde bw'okunyigirizibwa kw'ennyindo)`

Ekisinga obukulu kiri nti eggumba lino ery’enjawulo eriyitibwa `(os trigonum)` lya buzaale . Ekyo kitegeeza nti eggumba lino liyinza okubaawo ng’omuntu azaalibwa. Kiyinza okuba mu kigere kimu kyokka, oba kiyinza okuba mu magulu gombi. Eggumba lino ery’enjawulo liyungibwa ku ggumba eddene ery’enkizi n’ekitundu ekinene ekiyitibwa `(cartilage)`. N’olwekyo, tetambulatambula. Teebereza, ku kigero, wakati wa 15% ne 30% ku bantu balina eggumba lino `(os trigonum)` . Naye ekyewuunyisa, si buli muntu alina eggumba lino nti alaga obubonero. Abantu bangi tebamanyi na nti balina eggumba lino ery’enjawulo!

Ani asinga okulwala obulwadde bwa ``Os Trigonum Syndrome''?

Eggumba lino erya `(os trigonum)` okusobola okuleeta obulumi, ebiseera ebisinga wateekwa okubaawo ekika ky'obuvune (`(trauma)`) ku kitundu ky'enkizi. Kwe kugamba, ekintu ng’okugwa okw’amangu oba akabenje. Oba, embeera eno era eyinza okuva ku `(okunyigirizibwa okuddiŋŋana)`, nga kino kwe kunyigirizibwa okuddiŋŋana ku mugongo gw’enkizi .

Ng’ekyokulabirako, lowooza ku:

• Abazinyi ba baleedi : Batera okuyimirira ng’ebigere bitunudde wansi, ekiteeka puleesa ennene ku mugongo gw’enkizi.
• Abazannyi b’omupiira : Bwe bakuba omupiira (emizannyo gy’okusamba), ebigere byabwe bulijjo bisonga wansi.
• Abaddusi/abatambula wansi: Era mu butamanya bateeka puleesa ennyingi ku mugongo gw’enkizi.

Abantu abeenyigira mu mirimu egyo bali mu bulabe obw'okulwala ``Posterior ankle impingement'' oba ``Os Trigonum Syndrome''.

Lwaki okugwa kw’enkizi okw’emabega kubaawo?

Nga bwe twayogeddeko emabegako, ``Os Trigonum Syndrome'' ebaawo omuntu alina eggumba eryo ery'enjawulo bw'afuna obuvune mu kitundu eggumba eryo we likwatagana. Ng’ekyokulabirako, ekintu ng’enkizi okunyiga .

Okugatta ku ekyo, kino era kiyinza okuva ku kunyigirizibwa buli kiseera ku kisambi. Fumiitiriza:

• Omuzinyi bulijjo bw’ayimirira ku bigere.
• Omuzannyi w’omupiira bw’asigala ng’akuba omupiira.
• Omuddusi bw’asika n’okugulu kwe (`(okusika okuva emabega w’enkizi)`).

Olw’obuvune oba okukozesa ekisusse, eggumba eryongezeddwayo litandika okusika oba okusika okuva we likwatagana. Kino kiyinza okuvaako ebitundu ebigyetoolodde okugolola n’okukutuka. Wano we wabaawo obubonero ng’okuzimba, okuzimba, n’obulumi .

Bubonero ki obwa `(Os Trigonum Syndrome)`?

Ebiseera ebisinga, abantu abalina eggumba lya ``os trigonum`` tebamanyi na kulimanya, kubanga terireeta buzibu bwonna.

Naye bw'oba olina ``Os Trigonum Syndrome'', oyinza okulaba obubonero nga buno emabega w'enkizi yo:

• Obulumi : Obulumi buwulira naddala ng’osika ekigere ekinene oba ng’osonga engalo wansi.
• Reduced range of motion : Kifuuka kizibu okutambuza ekigere waggulu ne wansi obulungi, okuva ku ludda olumu okudda ku lulala.
• Okukaluba : Enkizi ewulira ng’enywezeddwa.
• Okuzimba : Omugongo gw’enkizi guyinza okuzimba.
• Okunyirira ng’okwatako: Kiruma ne bw’okikwatako .

Abantu abamu bakyusa engeri gye batambulamu, gye baddukamu, gye bakuba ebikonde oba gye bazina okusobola okwewala obulumi buno. Oluusi kino bakikola nga bakimanyi, oluusi bakikola nga tebamanyi.

Kyokka, embeera y’obutonde bw’ekigere bwe ekyusiddwa mu ngeri eno, obutabeera bulungi n’obulumi bisobola okubaawo mu bitundu by’omubiri ebirala . Okugeza, omuzinyi wa baleedi alina ``Os Trigonum Syndrome`` ayinza okukyusa ekigere munda oba ebweru ng'ayimiridde ku nsonga z'obugere. Kyokka ekiseera bwe kigenda kiyitawo, kino kiyinza okuvaako obulumi mu bigere, ebigere, amaviivi oba mu bisambi.

Abasawo bazuula batya obulwadde bwa Posterior Ankle Impingement?

Bw’oba ​​olina obulumi mu kisambi, omusawo ajja kugoberera emitendera egiwerako okuzuula oba olina embeera eno:

1. Ojja kubuuzibwa ebibuuzo : Obubonero bwo bwe buliwa, mirimu ki egireeta obulumi, n’ebirala.

2. 2. .Okwogera ku byafaayo byo eby’obujjanjabi: obuvune obw’emabega, endwadde endala.

3. Kebera ekigere n’enkizi : Golola, fukamira, n’okuzingulula ekigere olabe ekika ky’entambula ekivaako obulumi.

Obubonero bw’obulwadde bwa Os Trigonum Syndrome buyinza okufaananako n’embeera endala, gamba ng’okulumwa omusuwa gwa Achilles oba okumenya talus . N’olwekyo, omusawo wo ajja kutera okulagira okukeberebwa ebifaananyi okukakasa nti Os Trigonum eriwo n’okugaana ebivaako ebirala. Mu bino biyinza okuli:

• Okukebera mu X-ray (`(X-ray)`) .
• Okukebera MRI (`(MRI)`) .
• Okukebera CT (`(CT scan)`)
• Okukebera eddoboozi ery’amaanyi (`(Ultrasound)`) .

Ebigezo bino bisobola okulaba obulungi oba eggumba eryongezeddwayo liriwo era oba lyonoonye ebitundu ebigyetoolodde.

`(Posterior Ankle Impingement)` ejjanjabwa etya?

Obujjanjabi bw’okunyiga kuno emabega w’enkizi butandika n’enkola ennyangu ennyo, ezitali za kulongoosa. Enzijanjaba zino zisobola okukolebwa nga zigatta wamu:

• Wummulako ennaku ntono okuva ku mirimu egireeta obulumi.
• Dduyiro w’awaka oba okujjanjaba omubiri : Bino bisobola okuyamba okutereeza embeera y’enkizi n’okunyweza ebinywa by’ekigere n’ekigere.
• Okusiiga ice emirundi egiwerako olunaku : Kino kiyinza okukendeeza ku kuzimba.
• Okwambala bbuutu ey’enjawulo ey’okutambula okukendeeza ku ntambula y’enkizi : Kino kiyamba ekiwundu okuwona.
• Eddagala eriziyiza okuzimba eritali lya steroid (NSAIDs) : Likendeeza ku bulumi n’okuzimba.
• Empiso za steroid : Oluusi, singa obulumi buba buyitiridde, abasawo bakuwa amagezi okukozesa empiso zino.

Abantu bangi bafuna obuweerero nga bakozesa obujjanjabi buno obwangu. Kyokka singa obubonero tebutereera oluvannyuma lw’emyezi egiwerako ng’ojjanjabiddwa naddala ng’oli munnabyamizannyo eyeenyigira mu mulimu ogumu buli kiseera, kiyinza okwetaagisa okulongoosebwa.

Okulongoosa kuzingiramu okuggyawo os trigonum n’ebitundu ebyonooneddwa ebikyetoolodde. Kino kiyinza okukolebwa mu ngeri ya arthroscopically (enkola nga kkamera n’ebikozesebwa biyingizibwa nga biyita mu bitundu ebitonotono ebisala) oba ng’okusala okuggule . Ekiseera ky’okuwona kiba nga omwezi gumu oba ebiri. Ebiseera ebisinga bannabyamizannyo basobola okudda mu mizannyo gyonna mu myezi mukaaga.

Tuziyiza tutya kino `(Posterior Ankle Impingement)` okubaawo?

Mu butuufu, tewali ngeri yonna gye tuyinza kuziyiza kutondebwa kwa ggumba eryo ery'enjawulo eriyitibwa ``os trigonum''. Kintu ekibeerawo nga bazaalibwa. Naye bw’oba ​​olina emu (oba bbiri!), okwegendereza obuvune mu bisambi, n’okubeera ewala n’emirimu egisonga buli kiseera engalo zo wansi , osobola okukendeeza ku bulabe bw’okufuna obulwadde buno.

Omuntu alina `(Os Trigonum Syndrome)` ayinza okusuubira ebiseera eby'omu maaso eby'engeri ki?

Tewali kintu kya kutya! Abantu abasinga abalina `(Os Trigonum Syndrome)` bawona bulungi nga bawummudde n'obujjanjabi obutalongoosebwa . Naye ekintu ekimu ky’olina okujjukira nti singa oddamu okukola omulimu ogwaleeta obubonero, obubonero buyinza okuddamu okulabika. Kale kirungi n’okwegendereza katono.

Nnyinza ntya okukuuma enkizi zange?

Ebintu bino ebitonotono bikuume mu birowoozo okukuuma enkizi yo obutafuna buvune:

• Yambala engatto ezikwatagana obulungi n’omulimu gw’okola. Suula engatto enkadde ezikaddiye.
• Weewale ebifo ebitali bituufu oba ebirimu ebinnya. Okugeza, emisinde egy’okukka ng’odduka, ennimiro ezitali za bwenkanya oba ezirimu ebinnya ng’ozannya omupiira, oba wansi ezimenyese mu situdiyo z’amazina.
• Bw’oba ​​otera okunyiga enkizi, lowooza ku ky’okukozesa akaguwa oba akatambi ak’enjawulo okutebenkeza enkizi.
• Mpolampola yongera ku maanyi ga dduyiro wo. Ng’ekyokulabirako, bw’oba ​​tozannyangako mupiira, totandika mangu okuzannya okumala essaawa ssatu olunaku. Tandika obutonotono era mpolampola yongera ku budde n’amaanyi.
• Yiga era weegezeemu obukodyo obutuufu naddala ng’odduka, ng’osamba omupiira, n’okuzina.
• Wuliriza omubiri gwo. Ekintu bwe kiba kiruma, lekera awo okukikola.
• Buguma bulungi nga tonnaba kukola mirimu gyonna, era ogolole bulungi oluvannyuma lw’okukola.

Njawulo ki eriwo wakati w’okukuba enkizi mu maaso (anterior Ankle Impingement) ne Posterior Ankle Impingement?

Wadde bino byombi biwunya enkizi, bibeera mu bifo bibiri.

• Obulwadde bwa Posterior ankle impingement syndrome (obwo bwe twayogeddeko leero) bubaawo emabega w’enkizi yo . Bw’osonga ekigere wansi, ebitundu ebiri mu kitundu kino binyiga ne bireeta obulumi. Okubeera n’eggumba eryo ery’enjawulo eriyitibwa os trigonum kyongera ku mikisa gy’obubonero buno.
• Obulwadde bwa Anterior ankle impingement syndrome bubaawo mu maaso g'enkizi yo . Kiva ku bitundu by’amagumba eby’enjawulo (bone spurs) ebikula mu maaso g’ekiwanga ky’enkizi, oba wansi w’eggumba ly’ekisambi.

Mu ngeri ennyangu, mu ``Posterior ankle impingement`` obulumi buva emabega w'enkizi, ate mu ``Anterior ankle impingement`` obulumi buva mu maaso g'enkizi.

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

``Os Trigonum Syndrome`` mbeera ereeta obulumi mu mugongo gw'enkizi. Kiva ku kitundu ky’eggumba eky’enjawulo ekibeerawo ng’azaalibwa. Businga kubeera mu baddusi, abazinyi, n’abo abazannya emizannyo ng’omupiira.

Bw’oba ​​olina obulumi bw’enkizi obw’ekika kino, kakasa nti ogenda ew’omusawo akuwe amagezi. Olwo osobola okumanya ddala obujjanjabi obukusaanira n’engeri y’okulabirira embeera eno. Jjukira nti tobuusa maaso wadde obulumi obutono!

Labirira enkizi zo, sigala nga oli mulamu bulungi!

` Obulumi mu kisambi, os trigonum, okukuba enkizi emabega, eggumba ery’enjawulo, obuvune mu mizannyo, okulumwa ebigere, obujjanjabi bw’omubiri