Ggwe oba omwana wo otera okulumwa ebigere naddala mu bitundu by’enkizi? Kiwulira nga kya kyewuunyo katono era nga tekinyuma ng’otambula? Olwo mpozzi kikulu nnyo gyoli okumanya embeera eno eyitibwa "tarsal coalition" gyetugenda okwogerako leero. Tofaayo, kino si kya bulijjo nnyo, naye kirungi kino okukimanya.
Omukago guno ogwa Tarsal kye ki? Ka tukitegeere mu ngeri ennyangu ennyo.
Okay, ka tusooke tulabe amagumba gano "tarsal" kye gali. Amagumba g’omugongo kibinja ky’amagumba agasangibwa emabega w’ekigere kyo, mu kifo ekisinziiro kyo we kisisinkanira enkizi yo. Ziringa obuyinja obutonotono obugattibwa wamu. Amagumba gano gakwatagana era gakolagana okuyamba ebigere byaffe okukola obulungi, okutambula, okudduka n’okubuuka.
Kati, "omukago" kye ki? Mu ngeri ennyangu, omukago gw’omugongo (tarsal coalition) gwe magumba gano abiri oba okusingawo aga tarsal bwe gakwatagana mu ngeri etali ya butonde, nga ganywerera wamu. Lowooza ku kino, mu budde obwabulijjo wakati w’amagumba gano wandibaddewo obuyungo obutonotono, gasobole okutambula mu ddembe. Naye mu mbeera eno, amagumba amapya, amagumba oba ebitundu ebirimu obuwuzi bikula wakati w’amagumba ago, ne bigatta amagumba ago gombi. Kiringa omutala ogukolebwa.
Kino kya buzaale? Oba waliwo ensonga endala?
Ebiseera ebisinga, embeera eno eyitibwa tarsal coalition eva ku nsonga z’obuzaale**. Kwe kugamba, kiyinza okuva ku butabeera bulungi mu nkula y’amagumba g’amagulu ng’omwana akyali mu lubuto. Ekyo kitegeeza nti era kiyinza okuba eky’obusika.
Naye, bulijjo tekiteekwa kuba kya buzaale. Oluusi,
- Olw'obulwadde buno , .
- Olw’obuvune obw’amaanyi ku kigere,
- Tarsal coalition era esobola okubaawo mu bukulu olw'embeera y'obujjanjabi nga arthritis .
Ani asinga okukosebwa embeera eno?
Omukago gwa Tarsal gusinga kulabibwa mu baana n'abavubuka abakulu . Obubonero butera okutandika okulabika wakati w’emyaka 9 ne 16, ng’amagumba agagattibwa mu ngeri etaali ya bulijjo geeyongera okugonza, okukaluba n’okulumwa ennyo.
Wabula abantu abakulu abamu nabo bayinza okufuna embeera eno omulundi ogusooka, oba eyinza okuba nga yaliwo okuva mu buto era nga teraga bubonero, naye eyinza okulabika oluvannyuma.
Kigambibwa nti kya bulijjo nnyo nga kikwata wakati wa 1% ne 6% ku bantu. Ekyo tekitegeeza nti kya bulijjo bwe kityo. Wabula nga kitundu ku bantu abalina embeera eno bayinza okuba n’ekizibu kino mu bigere byombi (bilateral tarsal coalition).
Tarsal Coalition ekola ki ku mubiri? Obubonero bwe buliwa?
Si buli muntu alina tarsal coalition nti alina obubonero. Abantu abamu basobola okuwangaala obulamu bwabwe bwonna nga tebalina bulumi wadde obutabeera bulungi. Kale oluusi abantu tebamanyi na nti bagirina.
Kyokka, eri abo abafuna obubonero, buyinza okuva ku bulumi obutono, obutasalako okutuuka ku bulumi obw’amaanyi ennyo nga tosobola kutambula . Obubonero obukulu obuyinza okulabibwa bwe buno:
- Obulumi oba okukaluba wansi w’enkizi, wakati mu kigere, oba emabega w’ekigere . Nga ekigere bwe kikutte.
- Ebigere ebipapajjo bizibuwalira okutambula. Kino nakyo kyongera obulabe bw’okunyiga enkizi.
- Obulumi buyinza okweyongera ng’okola dduyiro, ng’odduka oba ng’obuuka. Kiyinza okukka oluvannyuma lw’okuwummulako akaseera katono, n’oluvannyuma n’edda ng’ozzeemu okukola.
- Oluusi, obubonero buno bulabika mangu oluvannyuma lw’okufuna obuvune obutonotono ku kigere .
Ekiseera obubonero buno we bulabika kyawukana okusinziira ku muntu. Ku bantu abamu, obulumi butandikira ku myaka emito, ku myaka nga 10-15. Abalala obubonero buno bulabika nga bamaze okutuuka mu bukulu.
Waliwo ebika by’omukago gwa tarsal?
Yee, waliwo ebika bya kino eby’enjawulo. Kwe kugamba, ebika byawukana okusinziira ku kifo eggumba eritali lya bulijjo we lyegatta. Ebisinga okumanyibwa bye bino:
- Akakwate kakolebwa wakati w’eggumba eddene mu kisambi kyo (eggumba lya talus) n’eggumba ly’ekisinziiro (eggumba lya calcaneus) .
- Oba, akakwate kakolebwa wakati w’eggumba ly’ekisinziiro (eggumba lya calcaneus bone) n’eggumba erya navicular eriri mu maaso gaalyo .
Bino bye bika ebisinga okulabibwa. Okugatta ku ekyo, waliwo ebika ebirala ebitalabika nnyo.
Omusawo akizuula atya kino? (Okuzuula obulwadde)
Bw’oba olina obulumi mu magulu, omusawo ky’asooka okukola kwe kwekenneenya ekigere n’enkizi n’obwegendereza. Bajja kukubuuza ebibuuzo ku kifo we kiruma, engeri gye kiruma, ne ddi lwe kiruma.
Oluvannyuma, okukakasa nti bazuuliddwa, bajja kulagira okukeberebwa ebifaananyi eby’enjawulo ebiwerako . Bino bye bino:
- X-rays: Zino zisobola okukuwa endowooza enkambwe ku magumba agali mu kigere kyo. Oluusi akakwate kano akatali ka bulijjo kasobola okulabibwa obulungi ku X-ray.
- CT scan (computed tomography scans): Kino kiwa ekifaananyi ekikwata ku nsonga eno mu bujjuvu okusinga X-ray. CT scan etera okukozesebwa okuzuula omukago gwa tarsal. Kiyinza okulaga enkolagana wakati w’amagumba mu ngeri etegeerekeka obulungi ennyo.
- MRI (Magnetic Resonance Imaging): Wadde nga X-ray ne CT scan okusinga ziraga amagumba, MRI esobola okuwa ekifaananyi ekirungi eky’ebitundu ebigonvu ebyetoolodde eggumba. Oluusi okukebera kuno nakyo kiyinza okwetaagisa.
Jjukira nti omusawo y’asalawo ki ku kukeberebwa kuno kw’olina okwetaaga.
Bujjanjabi ki obukolebwa ku kino?
Ekisinga obulungi nti omukago gwa tarsal gwetaaga obujjanjabi singa guba guleeta obubonero bwokka . Singa tewabaawo bulumi oba obutabeera bulungi, ebiseera ebisinga tebwetaagisa bujjanjabi.
Singa obubonero bubaawo, obujjanjabi obutali bwa kulongoosa oba bwa kulongoosa buyinza okuteesebwako, okusinziira ku buzibu bw’embeera.
Obujjanjabi obutali bwa kulongoosa
Ekisooka kwe kugezaako okufuga obulumi buno nga tolongooseddwa.
- Okuwummula: Okuyimiriza okumala akaseera emirimu egyongeza obulumi (nga okudduka, okubuuka) kiyinza okukendeeza ku puleesa ku magumba n’okukendeeza ku bulumi. Ebiseera ebisinga, ojja kugambibwa okuwummula okumala wiiki nga 3 ku 6.
- Empiso: Oluusi osobola okugikuba empiso za steroid okukendeeza ku bulumi. Bino bifukibwa butereevu mu kiwanga ekiruma.
- Orthotics: Ebintu ebiyingiza engatto n’ebiwanirira ebigere bisobola okuyamba okutebenkeza ebigere n’okukendeeza ku bulumi. Zino zikoleddwa ku mutindo okutuuka ku bigere byo.
- Boot oba cast immobilization: Boot oba plaster of Paris (POP) cast ey’ekiseera eyinza okukozesebwa okuziyiza ekigere n’okukendeeza ku puleesa endala ku magumba g’omugongo.
- Okugejja: Singa obulumi bweyongera ng’omubiri gweyongera, yogerako n’omusawo era okole enteekateeka y’okugejja ekukolera.
Obujjanjabi bw’okulongoosa
Singa obujjanjabi obutali bwa kulongoosa bulemererwa okufuga obulumi, oba embeera bw’eba ya maanyi, omusawo ayinza okukuwa amagezi okulongoosebwa.
- Okusalako: Kino kye kisinga okulongoosebwa ku tarsal coalition. Kizingiramu okuggyawo eggumba (coalition) eryagattibwa mu ngeri etaali ya bulijjo n’ossaamu ebitundu oba ebinywa ebiggiddwa mu kitundu ekirala eky’omubiri gwo. Abantu abasinga basobola okuddamu okukola emirimu gyabwe egya bulijjo mu kigere oluvannyuma lw’okulongoosebwa kuno.
- Fusion: Singa embeera eba ya maanyi nnyo, oba singa ekiwanga kyonoonese olw’ebintu ng’endwadde z’enkizi, bayinza okulongoosebwa okuyitibwa fusion. Kino kizingiramu okuyunga amagumba agakoseddwa wamu enkalakkalira, ne kikoma ku kutambula. Kino kiyinza okuzingiramu okukozesa sikulaapu, ebisiba, oba ebipande by’ebyuma . Kino kiyamba okukuuma amagumba mu mbeera ennungi n’okukendeeza ku bulumi.
Kiki ekibaawo singa kirekebwa nga tekijjanjabiddwa?
Ku bantu abamu, obulumi n’obutabeera bulungi biyinza okuba eby’amaanyi ennyo ne biyinza okubalemesa okukola emirimu gye banyumirwa (nga okuzannya oba okutambula). Singa tekijjanjabwa, ekiseera bwe kigenda kiyitawo, ekigere kiyinza okukaluba n’okukaluubirirwa okutambula.N’olwekyo bw’oba olina obubonero, kirungi okugenda ew’omusawo.
Ebizibu bisobola okubaawo oluvannyuma lw’okulongoosebwa?
Nga bwe kiri ku kulongoosa kwonna, waliwo akabi akazingirwamu. Ebimu ku bizibu ebiyinza okuvaamu oluvannyuma lw’okulongoosebwa omukago gw’omugongo (tarsal coalition) mulimu:
- Ekirwadde
- Okuzimba omusaayi (Hematoma) .
- Ebiwundu okuwona obubi
- Amagumba okuwona obubi
- Obuvune mu busimu
- Okuzimba omusaayi mu misuwa
- Enkyukakyuka mu nkula y’engalo (Flail toes oba hammertoes) .
- Okukaluba oba okunafuwa mu bigere byo
Naye teweeraliikiriranga, abasawo bakola kyonna ekisoboka okukendeeza ku bulabe buno.
Ebintu by’olina okujjukira ng’obeera ne Tarsal Coalition
Bw’oba olina embeera eno, ku kabonero akasooka ak’obubonero, lekera awo omulimu gwonna oguyinza okuba nga gwe gukuleetera. Ebiseera ebisinga, okuwummula kuba kumala. Naye obulumi bwe busigala, laba omusawo. Ayinza okukuwa amagezi okukukuba empiso oba eddagala eritereeza omubiri okuyamba okufuga obutabeera bulungi.
Kitwala bbanga ki okuwona oluvannyuma lw’okulongoosebwa?
Ebiseera by’okuwona byawukana okusinziira ku muntu. Mu budde obutuufu, kitwala wakati w’emyezi 6 ne 12 okuwona mu bujjuvu okuva mu kulongoosebwa kw’omukago gwa tarsal. Kyokka ekiseera kino kiyinza okuwanvuwa okusinziira ku myaka gyo, obuzibu bw’obulwadde buno, n’okumanya oba olina embeera endala, gamba ng’endwadde z’enkizi. Engeri esinga obulungi ey’okuwona amangu kwe kugoberera ddala ebiragiro by’omusawo.
Waliwo engeri y’okuziyiza kino?
Omukago gwa Tarsal gutera okuba ogw’obuzaale, n’olwekyo teguyinza kuziyizibwa ddala . Kyokka singa obubonero bubaawo, busobola okuddukanyizibwa obulungi. Okuzuula amangu obulwadde n’obujjanjabi obutuufu kiyinza okuyamba okuziyiza embeera eno okweyongera.
Kiki kye tulina okusuubira singa wabaawo omukago gwa tarsal?
Wadde abantu bangi balina embeera eno, obubonero buno bulabika mu buto oba mu myaka gy’obuvubuka. Abantu abamu bayinza obutaba na bubonero. N’olwekyo, si buli muntu alina embeera eno nti y’omu.
Nsobola okuzannya emizannyo?
Okuzannya emizannyo kiyinza okusoomoozebwa katono eri abantu abalina omukago gwa tarsal. Kyokka, tekisoboka kuzannya mizannyo . Omusawo bw’aba akakasizza nti olina embeera eno, buuza omusawo wo ku mizannyo gy’osobola n’egy’otosobola kukola, n’obukwakkulizo bw’osaanidde okuba nabwo. Oyinza okusobola okukola emizannyo egitakwata nnyo (nga okuwuga).
Ekisinga obukulu ky’olina okwogera
Obulumi obuva ku mukago gwa tarsal buyinza okukunyiiza ddala, oluusi ne butuuka n’okukosa emirimu gyo egya bulijjo. Oluusi kitwala akaseera okukitegeera. Naye, ekirungi, waliwo engeri ennungi ez’okukitegeera n’okukijjanjaba. Obujjanjabi buno busobola okukuyamba okufuga obubonero bwo n’okutumbula omutindo gw’obulamu bwo.
Ggwe oba omwana wo bw’oba olina obulumi obutasalako oba okukaluba mu magulu, tokibuusa maaso, laba omusawo mu bwangu akuwe amagezi. Olwo, enteekateeka y’obujjanjabi esobola okukolebwa ekusaanira. Teweeraliikiriranga, ng’olina amagezi amatuufu ag’abasawo, embeera eno esobola okuddukanyizibwa obulungi!
` Tarsal Collision, Okulumwa ebigere, Okulumwa enkizi, Ebigere ebipapajjo, Endwadde z’ebigere mu baana, Okuyungibwa kw’amagumba, Okulongoosebwa











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