Oli muzannyi wa cricket, musuubuzi wa ffumu oba muzannyi wa ttena? Olwo osanga teweetaaga kweraliikirira bulumi bwa nkokola, nedda? Oluusi ekisinga okuvaako obulumi buno gwe musuwa ogukutuse mu nkokola. Wano we wava emboozi ya ‘Tommy John surgery’ ekyusa ebiseera by’abazannyi bangi eby’omu maaso. Kino ka twogere mu bigambo ebyangu, A okutuuka ku Z.
Mu ngeri ennyangu, okulongoosebwa Tommy John kye ki?
Okulongoosa Tommy John kulongoosa okuddaabiriza omusuwa munda mu nkokola yo oguyitibwa Ulnar Collateral Ligament (UCL) . Era kiyitibwa okulongoosa kwa `UCL`.
Lowooza ku UCL nga kapiira akanywevu akakwata ekiyungo ky’enkokola. Bwe tukozesa enkokola yaffe mu ngeri y’emu emirundi n’emirundi naddala nga tukuba bowling ku sipiidi oba nga tusuula effumu, omusuwa guno guyinza okwonooneka. Embeera eno esinga kulabibwa mu:
- Omupiira gwa Baseball
- Omupiira gwa Softball
- Omubisi gw’enjuki
- Omupiira (naddala abazannyi abasuula omupiira)
- Ku bazannya ttena n’emizannyo gya racket egy’engeri eno.
Bw’oba munnabyamizannyo ow’okwesanyusaamu, ebiseera ebisinga, obuvune buno busobola okuwona ng’owummudde n’obujjanjabi obwangu. Wabula bw’oba munnabyamizannyo mukugu, ekitegeeza nti omulimu gwo gwonna guli mu muzannyo guno, obuvune buno buyinza okuba enkomerero y’omupiira gwo. Wano w'olina okulongoosebwa `UCL` okutaasa omulimu gwo ogw'okuzannya.
Mu kulongoosa kuno, omusawo aggya omusuwa omulamu okuva mu kitundu ekirala eky’omubiri gwo (emirundi mingi okuva mu mukono gwo ogw’omu maaso oba emabega w’okugulu) n’agukozesa okuddamu okuzimba omusuwa ogwonooneddwa mu nkokola yo. Omusuwa ogutwalibwa mu ngeri eno guyitibwa ‘graft’ . Oluusi, bwe kiba tekisoboka kufuna emu okuva mu mubiri gwo, omusuwa okuva eri oyo agugaba guyinza okukozesebwa. Omusuwa guno omupya gwegattira ku ggumba ly’omukono ogwa waggulu (humerus) n’eggumba ly’omukono ogwa wansi (ulna) ery’enkokola yo, ne gukola ng’omusuwa omupya ogwa `UCL`.
Oluvannyuma lw’okulongoosebwa kuno:
- Enkokola yo egenda etereera.
- Obulumi bukendeera.
- Obuwanvu bw’entambula mu ngalo buddizibwa.
Mu mbeera ezimu, mu kifo ky’okukola ekintu ekijjuvu, ekyuma eky’enjawulo ekiyitibwa ‘internal brace’ kiyingizibwa mu nkokola okunyweza ekiwujjo.
Lwaki kiyitibwa ‘Tommy John’? Emboozi ki eri emabega waakyo?
Eno mboozi nnyuvu nnyo. Okulongoosa kuno kwatuumibwa erinnya lya Tommy John, omuzannyi wa baseball omututumufu mu Amerika. Yali muzannyi wa bowling omukugu. Mu 1974, omusuwa gwe ogwa UCL mu nkokola gwe gwakutuka ddala. Mu kiseera ekyo, obuvune obw’engeri eyo bwali butegeeza nti omulimu gw’ebyemizannyo guweddewo.
Kyokka abasawo baagezezzaako okumulongoosa okupya okuddaabiriza enkokola. Oluvannyuma lw’okulongoosebwa, yasubwa sizoni yonna eya 1975. Wabula buli omu yeewuunyizza, yakomawo mu kisaawe mu 1976 n’azannya bulungi okusinga bwe kyali kibadde. Olw'okudda obulungi, okulongoosebwa kwa `UCL` okuva olwo kwayitibwa `Tommy John surgery.'
Oteekateeka otya nga tonnalongoosebwa?
Omusawo w’amagumba ajja kukunnyonnyola engeri entuufu ey’okwetegekera okulongoosebwa. Mu budde obutuufu, ojja kwetaaga okukola bino wammanga:
- Okukebera omubiri mu bujjuvu: Kakasa nti oli mulamu bulungi okusobola okulongoosebwa.
- Okukebera omusaayi: Manya ku mirimu gy’omubiri emikulu n’embeera y’obulwadde.
- Okukebera ebifaananyi: Oyinza okulagirwa okukebera X-ray , CT scan , oba MRI scan okulaba ddala ekyonooneddwa enkokola yo.
- E.C.G. (Electrocardiogram): Kebera oba omutima gwo gukola bulungi.
- Okukebera amannyo: Okuziyiza yinfekisoni z’omu kamwa okusaasaana mu musaayi n’okukosa ekifo we balongoosebwa oluvannyuma lw’okulongoosebwa.
Kikulu nnyo okubuulira omusawo wo ku ddagala lyonna, vitamiini oba eddagala ly’omuddo ly’omira . Eddagala erimu (naddala eryo erikendeeza ku kuzimba omusaayi) liyinza okwetaaga okuyimirizibwa ng’ebula ennaku ntono okulongoosebwa.
Omusawo ajja kukuwa amagezi ku bbanga ly’osaanidde okulekera awo okulya n’okunywa olunaku olusooka okulongoosebwa. Ebiseera ebisinga, olina okulekera awo okulya n’okunywa ng’ebula essaawa 12 okulongoosebwa.
Kiki ddala ekibaawo mu kiseera ky’okulongoosebwa?
Nga tebannatandika kulongoosa, omusawo ajja kukuwa eddagala eribudamya abantu bonna . Kino kitegeeza nti ojja kuba weebase ddala. Kale tojja kuwulira bulumi bwonna mu kiseera ky’okulongoosebwa.
Okulongoosa kutera kugoberera emitendera gino:
1. Okukebera ebinywa: Oluusi omusawo ajja kukozesa kkamera entono okutunula munda mu kinywa ky’enkokola. Kino kiyitibwa okukebera ebinywa . Kino kiyinza okuyamba okuzuula n’okujjanjaba obuvune obulala obw’omunda ng’oddaabiriza omusuwa.
2. Okukungula omusuwa: Singa kyetaagisa okusimbuliza, omusawo ajja kuggya ekitundu ky’omusuwa ekiwanvu yinsi 6-7 okuva mu kitundu ekirala eky’omubiri gwo (ebiseera ebisinga okuva mu mukono ogw’omu maaso oba emabega w’okugulu).
3. Okuggyawo ebitundu ebyonooneddwa: Emisuwa egyonooneddwa, egyakutuse n’ebitundu ebirala ebiteetaagisa munda mu nkokola byozebwa ne biggyibwamu.
4. 4. .Okufumita amagumba: Ekiddako, ebituli bibiri bisimibwa mu ggumba lya ulna ate ebituli bisatu ne bisimibwa mu ggumba lya humerus mu ngeri ya "Y".
5. Okuyingiza omusuwa omupya: Omusuwa (graft) ogwaggyibwako emabegako guyisibwa mu bituli bino ne gunyweza ng’omusuwa omupya. Oluusi bagisiba ku magumba n’obusikula obutonotono okusobola okuginyweza.
6. Okuddaabiriza ebyonoonese ebirala: Singa obusimu obuli mu nkokola (ulnar nerve) bwonoonese oba wabaawo obuzibu obulala, nabwo buddabirizibwa mu kiseera kino eky’okulongoosebwa.
7. Okutunga ebiteme: N’ekisembayo, ebitundu ebisaliddwa mu lususu biggalwa n’emisono. Oluvannyuma zibikkibwako akaguwa akayonjo ne bateekebwako akaguwa akagumu okulemesa omukono.
Okulongoosa kuno kutera okutwala essaawa nga emu n’ekitundu, naye ekiseera kino kiyinza okwawukana okusinziira ku bunene bw’emisuwa egyonooneddwa n’okumanya oba waliwo obuzibu obulala.
Migaso ki n’akabi akali mu kulongoosa kuno?
Okufaananako n’okulongoosa kwonna, okulongoosebwa kwa Tommy John kulina emigaso n’akabi.
| Emigaso | Obulabe |
|---|---|
| Abazannyi bangi basobola okudda obulungi mu muzannyo guno. | Okukwatibwa yinfekisoni mu kifo we balongoosebwa. |
| Obulumi ng’ozannya bowling oba okusuula buyinza okubula n’okugumiikiriza ne kweyongera. | Obusimu obwonoonebwa mu ngalo oba mu nkokola, ekivaako okuzirika. |
| Oluvannyuma lw’okulongoosebwa obulungi, emikisa gy’okuddamu okulongoosebwa ku musuwa gwe gumu giba mitono nnyo. | Okwonooneka kw’emisuwa. |
| Omuwendo gw’obuwanguzi guli waggulu nnyo (wakati wa 80% - 95%). | Omusuwa (graft) ogwakasimbibwa gusumululwa oba gukaddiwa okumala ekiseera. |
Obudde bw’okuwona buli butya oluvannyuma lw’okulongoosebwa?
Kino kye kitundu ekisinga okukaluba era ekisinga obukulu mu lugendo. Kiyinza okutwala omwaka n’okusoba okuwona mu bujjuvu okuva mu kulongoosebwa Tommy John n’adda mu mizannyo egy’okuvuganya. Luno lugendo lwetaaga obugumiikiriza. Olina okugoberera ddala ebiragiro ebikuweereddwa omusawo n’omusawo w’omubiri.
Enteekateeka yo ey’okudda engulu eyinza okulabika ng’eno:
| Omulundi | Ebigenda mu maaso n’ebyetaaga okukolebwa |
|---|---|
| Wiiki ezisooka | Olina okwambala akaguwa akagumu okusobola okukuuma omukono nga tegutambula. Tosobola kutambuza nkokola yo n’akatono. |
| Wakati w’emyezi 1-2 | Ekiwanirizi ekikaluba kiggyibwawo ne kiteekebwako ekyuma ekiyitibwa hingi splint okusobozesa enkokola okufukamira okutono. Obujjanjabi bw’okujjanjaba omubiri butandika mu kiseera kino. |
| Wakati w’emyezi 3-4 | Omusawo ajja kulondoola okuwona kwo era singa buli kimu kitambula bulungi, oyinza okukkirizibwa okutandika okukola emirimu emitono ennyo, gamba ng’okusuula omupiira. Naye ku magezi g’omusawo gokka. |
| Wakati w’emyezi 6-9 | Ojja kusobola okwetaba mu kutendekebwa okutono, naye ojja kuba okyalina okwewala dduyiro n’enkola ezimu ez’okutendekebwa. |
| Wakati w’emyezi 12-18 | Singa enkola y’okudda engulu ewedde nga tewali buzibu bwonna, omusawo ajja kukukkiriza okudda mu mpaka ezijjuvu. Ekiseera kino kiyinza okwawukana okusinziira ku mutindo omubiri gwo bwe guwona n’omuzannyo. |
Jjukira nti obugumiikiriza kye kisumuluzo mu lugendo luno. Okufubutuka, obutagoberera bulungi biragiro, n’obutagoberera bulungi biragiro bisobola okuviirako omuntu okwongera okufuna obuvune, okulongoosebwa ennyo, n’okumala ebbanga eddene nga takola mizannyo.
Ddi lw’osaanidde okulaba omusawo mu bwangu?
Bw’ofuna obubonero bwonna ku buno wammanga oluvannyuma lw’okudda eka okuva mu kulongoosebwa, kuba essimu y’omusawo wo mu bwangu oba genda mu ddwaaliro erikuli okumpi mu kitongole ky’abalwadde ab’amangu (ETU) .
- Obulumi mu kifuba
- Okukaluubirirwa okussa
- Omusujja (okusukka 102 Fahrenheit/39 Celsius) .
- Okuvaamu omusaayi omungi okuva mu kifo we balongoosezza
- Obubonero bw’obulwadde mu kifo we balongoosezza (e.g., amasira, okuzimba ennyo, okuwunya, okumyuuka, oba okuwulira ng’ebbugumu liri mu bbugumu) .
- Obulumi obupya oba obweyongera mu nkokola, omukono oba engalo
- Olina obulumi obw’amaanyi bw’otosobola kubufuga ne bw’oba olina eddagala eriweweeza ku bulumi lye bakuwadde.
Okulongoosa Tommy John kulongoosa kwa kyewuunyo okuwa bannabyamizannyo abakugu omukisa ogw’okubiri. Naye obuwanguzi bwayo ebitundu 90% businziira ku ngeri gy’ogumiikiriza n’okwewaayo mu nkola y’okuddaabiriza oluvannyuma lw’okulongoosebwa.
Obubaka Obutwala Awaka
- Okulongoosa Tommy John kulongoosa kwa buwanguzi nnyo naddala eri bannabyamizannyo, abaayonoonye omusuwa gwa UCL munda mu nkokola.
- Kitwala omwaka ogusukka mu gumu okuwona oluvannyuma lw’okulongoosebwa kuno, era obujjanjabi bw’omulwadde bw’omubiri kyetaagisa nnyo mu kiseera ekyo.
- Tegeeza mangu omusawo wo ku bubonero bwonna obutali bwa bulijjo (obulumi obw’amaanyi, omusujja, okuzimba) obubaawo oluvannyuma lw’okulongoosebwa.
- Bwe bagoberera ddala ebiragiro by’omusawo n’omusawo w’omubiri, abantu bangi basobola okuddayo obulungi mu kisaawe ky’okuzannya.











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