Wali olowoozezzaako ku maviivi go ng’otambula, ng’odduka, oba ng’olinnya amadaala? Tetulowooza nnyo ku mulimu mungi akagumba ako akatono akali mu maaso g’amaviivi gaffe, enkokola y’okugulu, bwe kakola, nedda? Naye bwe tufuna obulumi obutono mu maviivi lwe tutegeera omugaso gwayo. Kale leero, ka twogere ku kneecap eno, oba patella nga bwekiyitibwa mu by’obusawo, mu bigambo ebyangu.
Mu ngeri ennyangu, kino kneecap (Patella) kye ki?
Ensigo y’okugulu lye ggumba eriri mu maaso g’ekiwanga kyo eky’okugulu. Ffenna tukimanyi nga "kneecap." Lino lye ggumba lya sesamoid erisinga obunene mu mubiri gwaffe. Kati osanga weebuuza eggumba lya sesamoid kye ki. Liba ggumba eriyingidde mu musuwa. Kiringa omuwemba.
Akagumba kano akatono kakulu nnyo eri omubiri gwaffe. Kikola emirimu ebiri emikulu:
1. Okuyamba okugaziya okugulu: Ennyondo zino ez’okugulu ziyamba ebinywa ebinene ebiri mu maaso g’ekisambi kyo, quadriceps , okugolola n’okugaziya ekigere kyo.
2. Okukuuma ekinywa ky’okugulu: Okugulu kiyungo kizibu nnyo. Ensigo y’okugulu ekola ng’engabo ekuuma ekiwanga kino okuva ku bulabe obw’ebweru n’okugwa.
Okugatta ku ekyo, ennyondo zino ez’amaviivi nazo zikola ng’ekiwanirizi ky’ebinywa ebikulu bingi, emisuwa, n’emisuwa egyetoolodde amaviivi gaffe.
Kino kisangibwa wa? Kifaanana kitya?
Ekitundu ekiyitibwa patella kisangibwa mu maaso g’okugulu, nga kibikka ekinywa ky’okugulu. Okubeera omutuufu, kiringa omutala wakati w’ekisambi kyo n’okugulu wansi w’okugulu kwo.
Bw’otunuulira enkula yaayo, ya oval nga wansi alina ensonga katono. Omusingi gwayo gukwatagana n'ekinywa ky'ekisambi ekiyitibwa quadriceps muscle nga kiyita mu kinywa kya quadriceps tendon . Era entikko yaayo eri wansi w’okugulu, eyungibwa ku tibia, eggumba eddene eriri munda mu kisambi kyo, olw’omusuwa gw’omugongo (patellar ligament) .
Kati bw’oba olina obulumi mu kugulu, bw’ogenda ew’omusawo ayinza okukubuuza oba obulumi buli munda oba wabweru w’okugulu. Ebigambo bino eby’obujjanjabi bitera okukozesebwa okuyamba abasawo okuzuula ekifo ekituufu ekizibu kyo we kiri. Okugeza bw’oba olina okumenya amagumba , bajja kukozesa ebigambo bino okunnyonnyola ekifo ekituufu eggumba we lyonoonese.
Okugulu kw’omuntu omukulu kutera kuba kwa yinsi nga emu n’ekitundu obuwanvu ate yinsi emu n’ekitundu obugazi.
Endwadde ki n’embeera ki ezitera okukwata ku kugulu?
Obulumi mu maaso g’okugulu butera nnyo. Ebiseera ebisinga, obulumi buno buva ku kwonooneka kw’okugulu oba ebizimbe ebigyetoolodde. Ka tulabe ezimu ku mbeera ezisinga okubeerawo.
| Kakwakkulizo | Ennyinyonnyola ennyangu |
|---|---|
| Obulwadde bw’obulumi mu kifuba (patellofemoral pain syndrome). | Kino era kiyitibwa "okugulu kw'omuddusi." Buba bulumi obubeera wansi oba okwetooloola ekifuba. Kiyinza okubaawo mu bantu abazannya emizannyo egirimu okudduka, okubuuka oba okukozesa amadaala ennyo. |
| Okuseeseetula kw’ebitundu by’omubiri (patellar dislocations). | Akabenje oba okugwa okw’amangu kiyinza okuviirako okugulu okusengulwa ddala okudda ku bbali okuva we kalina okubeera. Eno embeera eruma nnyo. |
| Obutabeera mu ntebenkevu mu bitundu by’omubiri (Patellar instability). | Ensigo y’okugulu etera okulabika ng’efuluma mu kisenge mwe muli.Okugulu kuwulira nga tekunywevu. |
| Okumenyaamenya ebitundu by’omubiri ebiyitibwa Patella | Okumenya kw’okugulu olw’okugwa oba okukubwa obutereevu ku kugulu. |
| Obulwadde bwa Patellar tendinitis | Kino era kiyitibwa "okugulu kw'omubuuzi." Omusuwa ogugatta enkovu y’okugulu ku ggumba ly’omugongo guzimba era guluma. Kisinga kubeera mu bantu abazannya emizannyo egy’okubuuka (volleyball, basketball). |
Enjawulo wakati w’okugulu okuseeseetula n’okusereba (subluxation).
Abantu abamu bayinza okulowooza nti okutambula okutono kw’okugulu kuba kuseeseetula, naye mu butuufu kiyinza okuba embeera eyitibwa patellar subluxation .
Mu ngeri ennyangu, subluxation kwe kuseeseetula kw’okugulu. Kino kitegeeza nti eggumba lifuuse terinywevu munda mu kiwanga, nga litambula katono okusinga we lirina okuba, naye nga terivudde ddala mu kifo. Lowooza ku ddulaaya y’emmeeza etambula katono okuva ku ggaali y’omukka, naye nga tevudde mu kifo kyayo ddala.
Mu kiseera kino oyinza okuba ng’osobola okutambula, naye okugulu kwo kuyinza okuwulira nga tekunywevu era nga kusibye. Oluusi oyinza okuwulira eddoboozi lya "click" ng'ofukamidde okugulu. Embeera eno eyinza okuva ku kabenje oba ekiwanga ekisumuluddwa.
Bw’oba olina obubonero obupya nga buno mu kugulu, era ng’olina obuzibu mu kutambula, mazima ddala olabe omusawo.
Enkolagana wakati w’obulwadde bw’amagumba n’obulumi bw’okugulu
Obulwadde bw’amagumba mbeera ng’amagumba gagonvuwa, ne ganafuwa era nga gamenya mangu. Obulwadde buno busobola okukwata eggumba lyonna mu mubiri gwo omuli n’amaviivi go.
Abantu bangi tebamanyi nti balina obulwadde bw’amagumba okutuusa lwe bamenya eggumba, ne bwe baba baguddeko katono, kubanga tebulaga bubonero bwonna obw’enjawulo mu ntandikwa.
Abakyala n’abantu abasukka mu myaka 50 naddala bali mu bulabe bw’okulwala obulwadde bw’amagumba. Bw’oba oli mu bulabe, yogerako n’omusawo wo ku ky’okukeberebwa amagumba. Kisobola okuzuula obulwadde buno nga tebunnavaako kumenya.
Omusawo akebera atya ennyondo z’okugulu?
Okukebera okusinga okulumwa okugulu kwe kukebera okuyitibwa patella reflex test . Kino oyinza okuba nga wali okirabye.
Omusawo ajja kukukuba okugulu, wansi ddala w’okugulu, n’ennyondo ey’enjawulo. Okusikirizibwa okw’amangu eri omusuwa gwo kujja kuleetera okugulu kwo okuwuubaala mu maaso nga tofugibwa. Kino kijja kukuwa endowooza ku ngeri obusimu bwo gye bukolamu.
Kino kiyinza okukolebwa ng’ekimu ku bitundu by’okukeberebwa kw’abasawo okwa bulijjo oba singa kiteeberezebwa nti waliwo obuzibu ku nkola y’obusimu.
Naye bw’oba ofunye akabenje oba okugulu okumenyese, omusawo ajja kwetaaga okukebera ebifaananyi.
- Ebifaananyi bya X-ray
- Okukuba ebifaananyi mu ngeri ya magineeti (MRI) .
- Okukebera CT
Bujjanjabi ki obutera okukozesebwa ku bizibu by’okugulu?
Ebiseera ebisinga, okuggyako ng’olina obuvune oba obulumi mu kugulu, teweetaaga bujjanjabi bwa njawulo ku bulumi bw’okugulu. Kyokka, singa wabaawo ekizibu, enkola z’obujjanjabi zitera okufaanagana.
- Okwambala akaguwa:Omusawo ayinza okukuwa amagezi okwambala akaguwa okufuga entambula y’okugulu n’okugiyamba okuwona.
- Okuwummula: Kikulu nnyo okwewala emirimu egyavaako akabenje (e.g. okudduka, okubuuka) okumala akaseera.
- Obujjanjabi bw’omubiri: Dduyiro akolebwa okunyweza ebinywa ebyetoolodde okugulu n’okuzza okugulu mu nkola ya bulijjo.
- Obujjanjabi bw’awaka: Osobola okukola ebintu ng’okusiiga ice okukendeeza ku bulumi n’okuzimba n’okumira eddagala eriweweeza ku bulumi omusawo ly’akulagidde.
Obujjanjabi bw’okumenya okugulu (Fracture) .
Bw’oba olina eggumba eryamenyese, obujjanjabi bujja kusinziira ku kika ky’okumenya n’ekivuddeko. Oyinza okwetaaga okwambala pulasita wa Paris (cast) okulemesa okugulu kwo. Mu kumenya okumu okw’amaanyi, kiyinza okwetaagisa okulongoosebwa okuddamu okutereeza eggumba eryamenyese. Buuza omusawo wo ku budde bw’okuwona embeera yo.
Obujjanjabi bw’obulwadde bw’amagumba
Ebintu nga bino biyamba okufuga obulwadde bw’amagumba n’okunyweza amagumba.
- Okukola dduyiro.
- Ebirungo ebiyamba ku vitamiini ne minerali (naddala calcium ne vitamin D).
- Eddagala eriwandiikiddwa omusawo.
Emirundi egisinga, enteekateeka ennungi ey’okukola dduyiro n’endya emala okuziyiza obulwadde bw’amagumba. Yogerako n’omusawo akukole enteekateeka y’obujjanjabi ekusaanira.
Tukuuma tutya ennyondo z’okugulu nga nnungi?
Okukuuma emmere ennungi n’enteekateeka y’okukola dduyiro kyetaagisa nnyo okukuuma amagumba go n’obulamu okutwalira awamu. Ekirala, kakasa nti ebintu bino obifaako okwekuuma obubenje.
- Bulijjo yambala omusipi ng’otambulira mu mmotoka.
- Yambala ebyuma ebituufu eby’okwekuuma (e.g. ebikuuma amaviivi) ng’ozannya emizannyo n’emirimu emirala.
- Kuuma amaka go n’ekifo w’okolera nga biyonjo ng’oggyawo ebintu ebiyinza okukugwa oba omuntu omulala.
- Bw’oba okwata ekintu ekiri waggulu mu nnyumba, bulijjo kozesa ekintu ekituufu, gamba ng’amadaala. Tolinnyangako ku ntebe oba ku mmeeza.
- Goberera enteekateeka y’endya n’okukola dduyiro ennungi eri obulamu bw’amagumba go.
- Bw’oba olina obuzibu okutambula oba ng’oli mu bulabe bwa maanyi obw’okugwa, kozesa ekiwanirira ng’omuggo.
Ensigo y’okugulu eyinza okuba eggumba ettono, naye ekola emirimu mingi. Ye bridge esinga obukulu wakati w’okugulu kwo okwa waggulu n’okwo okwa wansi. Kale okulabirira obulamu bwo okutwalira awamu kikwata butereevu ku maanyi g’amagumba go.
Obubaka Obutwala Awaka
- Patella ggumba ttono naye nga ddene nnyo era nga lyetaagisa nnyo mu kutambuza ekigere n’okukuuma ekinywa ky’okugulu.
- Obulumi bw’okugulu butera nnyo. Ebiseera ebisinga, kiva ku buzibu ku kugulu.
- Okugulu kuliko ebika bibiri: okuseeseetula n’okuseeseetula. Mu mbeera zombi, kikulu okunoonya amagezi g’abasawo.
- Obulwadde bw’amagumba busobola okunafuya amagumba go omuli n’amaviivi go nga tolaga bubonero bwonna.
- Endya ennungi, dduyiro n’okuziyiza obubenje bisobola okukuyamba okukuuma amaviivi go nga malamu bulungi. Bw’oba olina obulumi bw’okugulu obutasalako, laba omusawo amangu ago.

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