Obulumi mu ngalo? Kiyinza okuba embeera ng’amagumba abiri mu ngalo gaseeyeeya (Scapholunate Dissociation)!

Oluusi owulira ekintu ekyewuunyisa oba ekiruma mu ngalo? Mpozzi obulumi buno bwatandika ng’ogudde, ng’ositula ekintu ekizito, oba ng’ozannya emizannyo. Ebiseera ebisinga, tulowooza nti, "Oo, kibeera kiwujjo kyokka." Naye oluusi, eno eyinza okuba embeera eyeetaaga okufaayo ennyo. Ekyo kye tugenda okwogerako leero, embeera ebeerawo mu ngalo eyeetaaga okwekenneenya mu bujjuvu katono.

Okuseeseetula kuno kw’eggumba ly’omu ngalo kye ki? (Okukutuka kw’ebirungo ebiyitibwa Scapholunate) .

Mu ngeri ennyangu, kino `(Scapholunate Dissociation)` bwe kiba nti amagumba amatono abiri mu ngalo yaffe, eggumba lya `Scaphoid` n'eggumba lya `Lunate`, gatambula katono okuva we galina okuba, ne gakola ekituli, oba `ekituli`, wakati waago. Okubeera omutuufu, amagumba gano gombi gayungibwa ku ndala n’omusuwa ogw’amaanyi ennyo, gwe tuyita `Scapholunate Interosseous Ligament (SLIL). Mu kabenje akamu naddala ng'omukono gukyuse ne gugwa, `omusuwa` guno guyinza okukutuka. Wano akakwate akaliwo wakati w’amagumba gombi we kasumululwa, ne gatandika okutambula. Bw’okozesa engalo yo, amagumba gano gombi gagenda wala, oba `gakutuka`.

Kino kiringa ekikonde ekisibiddwa wamu emiguwa ebiri. Kasita ekikonde kiba kinywevu, emiguwa gyombi gibeera wamu, naye ekikonde bwe kisumululwa, emiguwa gyombi gigenda gyawukana.

Ani asinga okulwala embeera eno?

Mu butuufu, embeera eno eyitibwa `(Scapholunate Dissociation)` esobola okubaawo mu muntu yenna, awatali kufaayo ku kikula, ggwanga, oba eddiini. Kyokka akabi akasinga obunene kali ku abo abagwa ku ngalo n’amaviivi . Teebereza ng’otambula mu kkubo n’oseerera amangu ago, olwo ne tussa emikono ku ttaka mu ngeri ey’otoma okwetaasa. Awo akabenje kano we kasinga okubaawo.

Embeera eno ya bulijjo etya?

Nga bwe tulaba, bwe tutunuulira okunyiga kw’engalo okulala, embeera eno eya `(Scapholunate Dissociation)` esobola okulabibwa mu bitundu nga 5% (`5%`) eby’emisango . Era, okumenya okumu mu kitundu ky’engalo naddala okw’ekika kye tuyita ``distal radius fractures``, kwe kugamba, eggumba eddene mu ngalo bwe limenyeka okumpi n’engalo, kuyinza okulabibwa mu bitundu nga 40% (`40%`) eby’abalwadde abalina embeera eno eya `(SL dissociation)` . Waliwo okumenya okw’enjawulo, nga ``okumenya kwa ddereeva``, nga kino kitera okulabibwa.

Lwaki kino kigenda mu maaso? Ensonga ze ziruwa?

Nga bwe nnagambye emabegako, ekisinga okuvaako kino kitera kuba ``kugwa ku mukono ogugoloddwa`` . Okubeera omutuufu, bw’ogwa n’oteeka omukono gwo ku ttaka n’oguteekako obuzito, puleesa esobola okukutula ``scapholunate interosseous ligament (SLIL)``.

Ng’oggyeeko ekyo, wayinza okubaawo ensonga endala eziwerako:

• Okukwata siteeringi n’amaanyi ng’olina akabenje k’emmotoka, gamba ng’emmotoka: Omusuwa guno guyinza okwonooneka olw’okukubwa ku mukono ng’otomeragana mu bwangu.
• Embeera ezimu ez’obuzaale: Okugeza, embeera nga `Hereditary Spastic Paraparesis`.
• Obuzibu bw’emisuwa egy’obuzaale: Abantu abamu bazaalibwa nga balina emisuwa egy’amaanyi mu binywa byabwe. Kino nakyo kisinga kubatuukako.
• Obulwadde bw’enkizi: Buno bulwadde obuleeta okuzimba ennyindo. Obulwadde buno era busobola okuvaako emisuwa okunafuwa ekiyinza okuvaako embeera eno.

Bubonero ki obulaga kino? Kiwulira kitya?

Bw'oba olina embeera eyitibwa ``Scapholunate Dissociation'', mu bujjuvu ojja kufuna bino wammanga:

• Obulumi emabega w’engalo naddala ng’okwata ekintu ekinywevu (`strong gripping motion`) : okugeza, ng’oggulawo ekifundikwa ky’eccupa oba ng’okwata enkoba y’oluggi.
• Obunafu mu maanyi g’okukwata: Obutasobola kukwata bintu bulungi nga bwe kyali edda.
• Okuzimba n’okunyirira okwetooloola engalo: Ekitundu ekyetoolodde engalo kizimba era kiruma okukwatako.
• Obulumi ng’ogolola engalo: Kikuluma ng’okyusizza omukono.
• Oluusi oyinza okuwulira eddoboozi "okunyiga" nga liva ku mukono gwo.

Jjukira nti obubonero buno tebulabika kye kimu ku buli muntu. Abantu abamu bafuna obulumi bungi, abamu butono. N’olwekyo, bw’oba ​​owulira ekintu kyonna ekitali kya bulijjo mu ngalo, kirungi okugenda ew’omusawo.

Omusawo akizuula atya kino?

Bw’ogenda okulaba omusawo, bajja kusooka kukubuuza ku bubonero bwo. Obulumi buno bumaze bbanga ki, bwatandika butya era bweyongera ddi? Oluvannyuma bajja kukebera engalo yo balabe oba waliwo obulumi, okuzimba oba okunyirira.

Okugatta ku ekyo, omusawo ayinza okukola ebigezo nga:

• Scaphoid Shift Test: Mu kukebera kuno, omusawo assa omukono gwe waggulu ku ggumba lyo erya scaphoid n’atambuza engalo yo. Okukebera kuno kukebera obutebenkevu bw’eggumba lya scaphoid.
• X-ray: Kino kiyinza okulaga engeri ekituli gye kiri ekinene wakati w’amagumba ga scaphoid ne lunate (scapholunate gap). Ebiseera ebisinga, ekituli kino kiba milimita 2 (mm 2) oba wansi. Naye mu mbeera y’okukutuka kwa SL, ekituli kino kiyinza okuba milimita 5 (mm 5) oba okusingawo. Oluusi, osobola okulaba ekintu ekiyitibwa "akabonero k'empeta" ku X-ray. Kino kibeera kikwatagana bulungi n’eggumba lya scaphoid.
• Okugezesebwa kwa MRI (Magnetic Resonance Imaging):MRI esobola okulaga bulungi nnyo oba omusuwa gw’amagumba oguyitibwa scapholunate interosseous ligament (SLIL) gukutuse. Kisobola okufuna ekifaananyi ekirungi eky’ebitundu ebigonvu ebyetoolodde eggumba.
• Arthroscopy: Kino kizingiramu okusala akatundu akatono ennyo n’oyingiza kkamera (scope) okuyita mu kyo okutunula munda mu kiwanga. Kino kikusobozesa okulaba butereevu ebyonoonese ku misuwa. Oluusi, obujjanjabi busobola okukolebwa mu kiseera kye kimu n’okukebera ebinywa.

Kino kikwatibwa kitya? (Obujjanjabi)

Bw’oba ​​ojjanjaba embeera eyitibwa `Scapholunate Dissociation`, ebintu ebisooka okukola bye bino:

• Eddagala eriweweeza ku bulumi: Eddagala liweebwa okukendeeza ku bulumi.
• Okusiba engalo: Ensigo ey’enjawulo ekozesebwa okuziyiza engalo n’engalo ensajja. Kino kiyamba emisuwa egyonooneddwa okuwona.

Olwo, omusawo wo kirabika ajja kukusindika ew’omusawo omukugu mu mikono. Embeera eno etera okwetaagisa okulongoosebwa omukono mu wiiki mukaaga ng’omuntu afunye obuvune.

Mu kiseera ky’okulongoosebwa, ojja kuweebwa eddagala eribudamya (ekitegeeza nti ojja kuba weebase ddala), oba ojja kuweebwa eddagala eribudamya mu kitundu (ekitegeeza nti ojja kuzirika kwokka). Mu kiseera ky’okulongoosebwa, omusawo ajja:

• Akatundu akatono akasaliddwa emabega w’engalo.
• Ebitundu ebyonooneddwa biggyibwamu ne byozebwa.
• Olwo, okuziba ekituli wakati w’amagumba ga scaphoid ne lunate, kwe kugamba, okuzza amagumba gombi awamu, okozesa ekintu ng’omusuwa oguggiddwa awalala mu mubiri gwo, omusono oba sikulaapu ey’ekyuma.
• N’ekisembayo, ekitundu ekisaliddwamu kitungibwa ne kiddamu okutungibwa wamu.

Kiki kye nnyinza okukola okukendeeza ku bulabe buno?

Okukendeeza ku bulabe bwa `(Scapholunate Dissociation)`, ekisinga obukulu kwe kukola emitendera okwekuuma obutagwa. Osobola okukola ebintu nga:

• Okwenyigira mu dduyiro alongoosa bbalansi, okukwatagana n’amaanyi.
• Okuggyawo obulabe bw’olugendo mu maka. Okugeza, kebera oba emiguwa giyidde, amataala amabi, ne rugs.
• Bwe kiba kyetaagisa, kozesa ekyuma ekiyamba ng’omuggo oba ekitambulira.
• Okwambala engatto empanvu, ennywevu, ennungi ezisika.

Kiki kye nsuubira singa mba n’embeera eno? (Ebizibu ebivaamu)

Bw’oba ​​tofuna bujjanjabi bwa SL dissociation mangu, ebizibu nga bino biyinza okubaawo:

• Obulumi obutawona: Oyinza okuba ng’olina obulumi mu ngalo obutasalako.
• Obulwadde bw’enkizi obuzimba: Endwadde z’enkizi ziyinza okukula ng’ekiwanga kizimba.
• Obutabeera mu ntebenkevu mu binywa: Engalo eyinza okuwulira ng’etambula nga tefugibwa.
• Okukendeeza ku maanyi g’okukwata: Oyinza obutasobola kukwata bulungi bintu.
• Scapholunate Advanced Collapse (SLAC) Ankle: Eno embeera y’endwadde z’enkizi ezivunda ekivaako ekinywa ky’engalo okukoowa. Kino kiyinza okukuluma ennyo.

Kinatwala bbanga ki okuwona singa mba nfunye (Scapholunate Dissociation)? (Endowooza)

Bw’oba ​​olongoosezza SL dissociation, ojja kwetaaga okwambala cast okumala wiiki ntono oluvannyuma. Omusawo bw’amala okugiggyawo, obujjanjabi bw’omubiri bujja kuyamba engalo yo okuddamu amaanyi. Bw’ofuna obujjanjabi obutuufu n’obujjanjabi obw’omubiri, olina okusobola okudda mu mirimu gyo egya bulijjo mu myezi mitono.

Nkola ntya okwerabirira n’obulwadde bwa Scapholunate Dissociation?

Oluvannyuma lw’okujjanjaba SL dissociation, yogerako n’omusawo wo ku bika by’emirimu ne dduyiro by’osobola okukola awatali bulabe. Waliwo pulogulaamu ezenjawulo ez’okukola dduyiro eziyinza okukuyamba okuddamu okufuna amaanyi n’okutambula mu bbanga mu ngalo yo. Tosukka ku ekyo omusawo ky’akugamba n’okola ebintu ebikaluba ennyo ku mukono gwo.

Obubaka Obutwala Awaka

Okay, kale `Scapholunate Dissociation` gye twayogeddeko, amagumba amatono abiri agali mu ngalo, `Scaphoid` ne `Lunate`, bwe gatambula okuva mu kifo, ne gakola ekituli wakati waago. Ekisinga okuvaako kino kwe kwonooneka kwa `Ligament` egatta amagumba gano abiri. Kino kitera okubaawo ng’ogudde ng’ogolodde omukono.

Obubonero obukulu kwe kulumwa engalo, okuzimba, okunyirira, n’okukendeera kw’amaanyi g’okukwata. Omusawo akozesa okukebera nga scaphoid shift test, X-rays, MRIs, ne arthroscopy okuzuula kino.

Okulongoosa emirundi mingi y’obujjanjabi obusinga obulungi. Abantu abasinga obungi bwe bafuna obujjanjabi obutuufu n’obujjanjabi obw’omubiri, basobola okudda mu mirimu gyabwe egya bulijjo mu myezi mitono. N’olwekyo bw’oba ​​olina obulumi obutasalako oba obutabeera bulungi mu ngalo, kikulu okugenda ew’omusawo n’ofuna amagezi okusinga okukitwala nti kunyiga kwokka.

` Engalo, Obulumi mu ngalo, Amagumba g’omukono, Emisuwa, Scapholunate Dissociation, Okumenya, Okulongoosebwa