Oli munnabyamizannyo azannya cricket, volleyball, oba abasuula effumu? Olwo osanga omanyi obulumi obuva munda mu nkokola yo. Obuvune buno butera nnyo mu mizannyo egirimu okusuula ekintu n’omukono. Oluusi obulumi buno buyinza okuba obw’amaanyi ennyo ne busobola okukomya emizannyo gyo. Olwaleero twogera ku kulongoosa okw’enjawulo okujja okutaasa mu biseera ng’ebyo era okutaasa ebiseera by’abazannyi bangi eby’omu maaso. Okwo kwe kulongoosa "Tommy John".
Mu ngeri ennyangu, okulongoosebwa Tommy John kye ki?
Kyangu nnyo. Okulongoosa Tommy John kwe kulongoosa okuddaabiriza omusuwa ogw’enjawulo mu nkokola yo. Mu by’obujjanjabi, kino tukiyita okulongoosa kwa UCL (Ulnar Collateral Ligament) okulongoosa okukyusa .
Lowooza ku kiyungo kyo eky’enkokola ng’ekiyungo ky’oluggi. Waliwo emiguwa ku njuyi zombi eza hingi eno egigikwata mu kifo nga tegitambula mu ngeri eteetaagisa, nedda? Mu ngeri y’emu, waliwo bbandi ey’amaanyi munda mu nkokola ekuuma ekinywa ky’enkokola nga kinywevu, kye tuyita `(Ulnar Collateral Ligament)` oba `(UCL)`.
Mu ngeri y’emu, bw’osuula ekintu nga kiriko puleesa ennene ku mukono enfunda n’enfunda (naddala abakuba emipiira egy’amangu mu cricket, abazannyi ba baseball, abasuula effumu), omusuwa guno ogwa `(UCL)` gusobola okugololwa mpolampola, okukutuka n’okwonooneka. Okulongoosa kuno kukolebwa okuddaabiriza omusuwa ogwo ogwonooneddwa.
Kale lwaki kino bakiyita ‘Tommy John’?
Waliwo emboozi ennyuvu ennyo emabega wa kino. Okulongoosa kuno kwafuna erinnya okuva ku muzannyi wa baseball omututumufu mu Amerika ayitibwa Tommy John . Yali muzannyi wa bowling. Mu 1974, omusuwa guno ogwa ``UCL`` mu nkokola ye gwakutuka nnyo. Mu kiseera ekyo, kyali kintu ekyandikomekkerezza omupiira gwe. Wabula abasawo baamulongoosa ne bamuwonya enkokola. Oluvannyuma lw’okuwummula omwaka nga gumu, Tommy John yaddamu okuzannya obulungi. Okuva olwo, okulongoosa kuno kumanyiddwa nga "Tommy John surgery".
Ddala nneetaaga okulongoosebwa kuno?
Kino kizibu abantu bangi kye boolekagana nabyo. Bw’oba munnabyamizannyo ow’okwesanyusaamu yekka, oyinza okuwonya embeera eno ng’owa enkokola yo ekiwummulo ekinene n’obujjanjabi obulala.
Wabula bw’oba oli munnabyamizannyo ow’okuvuganya oba ow’ekikugu ng’omulimu gwe gwonna gwesigamye ku busobozi buno obw’okusuula, okulongoosebwa kuno kuyinza okuba okwetaagisa gy’oli. Ebintu ebikulu ebisuubirwa mu kulongoosa kuno bye bino:
- Okutebenkeza enkokola yo.
- Okukendeeza ku bulumi.
- Okuzzaawo ebanga ly’entambula mu nkokola.
Mu kiseera ky’okulongoosebwa, omusawo akulongoosa akozesa omusuwa omulamu okuva awalala mu mubiri gwo okudda mu kifo kya UCL eyonoonese. Kino kiyitibwa okusimba (graft). Ensimbi eno eyungibwa ku ggumba ly’omukono ogwa waggulu (humerus) n’eggumba ly’omukono ogw’omu maaso (ulna) okukola nga UCL empya.
Oteekateeka otya nga tonnalongoosebwa?
Omusawo ajja kukunnyonnyola buli kimu ky’olina okukola nga tonnalongoosebwa. Ebiseera ebisinga, ojja kwetaaga okukola bino wammanga:
- Okukebera omubiri mu bujjuvu okulaba oba oli mulamu bulungi okusobola okulongoosebwa.
- Okukebera omusaayi okuwerako .
- Okukebera ebifaananyi, gamba nga X-ray , CT scan , oba MRI scan , kiyinza okwetaagisa okusobola okwekenneenya obulungi embeera y’enkokola.
- Okukebera ECG okukebera enkola y’omutima.
- Okukeberebwa amannyo okukendeeza ku bulabe bw’okukwatibwa obulwadde oluvannyuma lw’okulongoosebwa.
Kikulu nnyo: Kakasa nti otegeeza omusawo wo ku ddagala lyonna, vitamiini , oba eddagala ly’ebimera ly’omira. Eddagala erimu liyinza okwetaaga okuyimirizibwa ng’ebula ennaku ntono okulongoosebwa.
Omusawo ajja kukuwa amagezi ku bbanga ly’osaanidde okulekera awo okulya n’okunywa olunaku olumu ng’olina okulongoosebwa. Ebiseera ebisinga, ojja kwetaaga okulekera awo okulya n’okunywa ng’ebula essaawa nga 12 okulongoosebwa.
Kiki ekibaawo mu kiseera ky’okulongoosebwa?
Nga okulongoosebwa tekunnatandika, omusawo ajja kukussa wansi w’eddagala eribudamya abantu bonna oleme kuwulira bulumi bwonna ng’olongooseddwa.
Okulongoosa kutera kubaawo mu mitendera gino:
1. Okutunula munda mu nkokola: Okusooka, omusawo alongoosa asobola okuyingizaamu kkamera entono (arthroscopy) okukebera oba waliwo ebirala ebyonooneddwa munda mu nkokola.
2. Okufuna Graft: Okukola ligament empya, ekitundu kya yinsi 6-7 eky’omusuwa omulamu kiggyibwa awalala mu mubiri gwo. Kino kitera okuggyibwa ku mukono gwo ogw’omu maaso. Oluusi, n’omusuwa gw’omugongo guyinza okuggyibwa emabega w’okugulu kwo .
3. 3. .Okwoza: Ebitundu byonna ebyonooneddwa munda mu nkokola biggyibwamu.
4. Okuteekateeka amagumba: Ekiddako, ebituli bibiri bisimibwa mu ggumba ly’omukono ogw’omu maaso (ulna) ate ebituli bisatu ne bisimibwa mu kitundu ky’eggumba ly’omukono ogwa waggulu (humerus) eringa Y.
5. Okuyingiza omusuwa omupya: Omusuwa ogwaggyibwako emabegako ``graft`` guyisibwa mu bituli bino ne gunyweza ng’omusuwa omupya. Oyinza okukozesebwa obuuma obutonotono okuginyweza ku ggumba.
6. Okuddaabiriza okulala: Singa obusimu bw’omugongo oba ebitundu ebirala eby’enkokola byonooneddwa mu kiseera kino, nabyo bijja kuddaabirizibwa.
7. Okulongoosa okuggwa: N’ekisembayo, ekiwundu ky’olususu kitunga nga kiggaddwa ne kibikkibwako bbandi ennyonjo. Oluvannyuma lw’okulongoosebwa, bateekebwako akaguwa okuziyiza enkokola okutambula.
Okulongoosa kuno kutera okutwala wakati w'eddakiika 60 ne 90 .
Migaso ki n’akabi akali mu kulongoosebwa?
Okufaananako n’okulongoosa kwonna, okulongoosebwa kwa Tommy John kulina emigaso gyakwo awamu n’obulabe obumu.
| Emigaso | Obulabe |
|---|---|
| Obusobozi bw’abazannyi abasinga obungi (80%-95%) okudda obulungi mu kuzannya. | Okukwatibwa yinfekisoni mu kifo we balongoosebwa. |
| Obugumiikiriza busobola okulongoosebwa ng’osuula ekintu. | Okuzirika olw’okwonooneka kw’obusimu mu nkokola (ulnar nerve). |
| Omukisa gw’okuddamu okulongoosebwa omusuwa gwe gumu guli mutono nnyo. | Okwonooneka kw’emisuwa. |
| Okusumululwa oba okwambala kw’omusuwa omupya ogwateekebwa (graft). |
Okuwona kuli kutya oluvannyuma lw’okulongoosebwa?
Jjukira nti kiyinza okutwala omwaka ogusukka mu gumu okuwona mu bujjuvu oluvannyuma lw’okulongoosebwa Tommy John. Luno lugendo luwanvu nga lwetaagisa obugumiikiriza.
Omusawo wo n’omusawo w’omubiri bajja kukuwa enteekateeka y’okudda engulu ekusaanira. Mu ngeri entuufu kiyinza okulabika bwe kiti:
| Ebiseera ebigere | Kiki ekigenda mu maaso? |
|---|---|
| Wiiki ezisooka | Olina okwambala akaguwa akagumu okusobola okuziyiza enkokola yo. |
| Wakati w’emyezi 1-2 | Kyusa odde ku ‘hinged splint’. Dduyiro z’okujjanjaba omubiri zitandika. |
| Wakati w’emyezi 3-4 | Singa ofuna olukusa okuva eri omusawo, osobola okutandika okwegezaamu mu kusuula mu ngeri etali ya maanyi nnyo. |
| Wakati w’emyezi 6-9 | Ojja kusobola okwetaba mu kutendekebwa nga olina obukwakkulizo. Kikulu nnyo okugoberera ddala ebiragiro. |
| Wakati w’emyezi 12-18 | Singa tewabaawo bizibu, ojja kufuna olukusa lw’abasawo okwetaba mu bujjuvu mu mpaka zino. |
Ddi lw’olina okulaba omusawo
Bw’ofuna obubonero buno bwonna oluvannyuma lw’okulongoosebwa, olina okuyita omusawo mu bwangu .
- Obulumi mu kifuba
- Okukaluubirirwa okussa
- Omusujja ogusukka mu 39 Celsius (102 Fahrenheit) .
- Obubonero bw’okukwatibwa obulwadde ng’okuvaamu omusaayi oba amazzi agalinga amasira agava mu kiwundu ekyalongoosebwa, okuzimba, okuwunya obubi, n’okuwulira ebbugumu mu ngeri etaali ya bulijjo.
- Obulumi obupya oba obweyongera mu nkokola, omukono oba omukono.
- Obulumi buno buba bwa maanyi nnyo nga tebusobola kufugibwa ne bw’okozesa eddagala eriweweeza ku bulumi.
Jjukira nti bw’ofuna obulumi mu kifuba oba okukaluubirirwa okussa, genda butereevu mu kitongole ky’abalwadde ab’amangu (ETU) mu ddwaaliro erikuli okumpi awatali kulwa. Bino biyinza okuba obubonero bw’embeera ey’amaanyi.
Okulongoosebwa Tommy John kye kisinga okukola obulungi ku buvune obukomya emizannyo mu biseera eby’emabega. Wadde ng’obudde bw’okuwona buwanvu, ng’ogumiikiriza era ng’ogoberera ddala ebiragiro by’omusawo, osobola okudda obulungi mu kisaawe ky’okuzannya. Bw’oyanguwa n’otandika okutendekebwa ng’omusawo tannakuwa okay, oyinza okwongera okulongoosebwa n’okubeera wala n’emizannyo okumala ekiseera ekiwanvu n’okusingawo. Kale obugumiikiriza kye kisumuluzo wano.
Obubaka Obutwala Awaka
- Okulongoosa Tommy John kulongoosa kwa buwanguzi nnyo okuddaabiriza okwonooneka kw’omusuwa gw’omusipi (UCL) munda mu nkokola.
- Kino kikulu nnyo naddala eri abazannyi abakugu abazannya emizannyo gy’okusuula nga cricket ne baseball.
- Kiyinza okutwala omwaka ogusukka mu gumu okuwona mu bujjuvu oluvannyuma lw’okulongoosebwa, era obugumiikiriza n’okwewaayo kyetaagisa nnyo.
- Okugoberera ddala ebiragiro by’omusawo n’omusawo w’omubiri y’engeri esinga obulungi ey’okudda obulungi mu mizannyo.
- Tobuusa maaso bubonero obulabula ng’okulumwa mu kifuba, okukaluubirirwa okussa, n’omusujja ogw’amaanyi ng’omaze okulongoosebwa. Noonya abasawo amagezi mu bwangu.
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