Wali owuliddeko okuwunya okuva mu bulago okutuuka ku kibegabega n’okukka ku mukono gwo? Oboolyawo obulumi buno bweyongera bw’omala ebbanga ng’okola mu maaso ga kompyuta, ng’osula mu bukyamu oba ng’ositula ebintu ebizito. Wadde abantu bangi balowooza nti obulumi buno mu bulago bwa bulijjo, oluusi buyinza okuba akabonero k’obuzibu obw’amaanyi obw’omunda. Kale, okuzuula ekituufu ekivaako obulumi obw’ekika kino obw’ensingo, waliwo okukebera okwangu ennyo naye nga kukulu omusawo kw’asobola okukola. Leero twogera ku 'Spurling Test '.
Mu ngeri ennyangu, ekigezo kya Spurling kye ki?
Okukebera Spurling kwe kukebera omubiri mu ngalo omusawo gw’akola okuzuula ekikuleetera okulumwa ensingo. Si kukebera musaayi oba sikaani. Kituumiddwa erinnya lya Roy Spurling, omusawo w’obusimu eyasooka okuleeta okukebera kuno mu 1944.
Kikola ku ndowooza ennyangu ennyo. Teebereza obusimu obuva mu kimu ku bitundu by’omugongo mu bulago bwo bunyiga olw’ensonga ezimu. Mu kukebera kuno, omusawo agezaako okuwa ensingo yo entambula ennungi ennyo, efugibwa enyiga obusimu obwo, n’alaba oba obulumi bw’otera okuwulira bukomawo . Mu ngeri endala, kino kye kikolebwa okuleeta obubonero. Singa kibaawo, omusawo asobola okufuna endowooza ennungi ku kifo ekizibu we kiri.
Kitegeeza ki singa okukeberebwa kulaga nti alina obulwadde buno?
Okugezesebwa bwe kumala, ebivaamu biyinza okuba ‘Positive’ oba ‘Negative’.
Ekirungi ekivaamu kitegeeza nti omusawo bw’akyusa ensingo yo mu kkubo erigere n’akunyiga mpola, owulira obulumi, okuwunya oba obutabeera bulungi nga bulijjo bw’owulira ku mukono gwo.
Ekivaamu ekirungi nga kino kitera okutegeeza nti ekikolo ky’obusimu ekiva mu kimu ku bitundu by’omugongo mu bulago bwo kinyigirizibwa. Mu ngeri y’obusawo, embeera eno tugiyita ‘Cervical Radiculopathy’ .
Wayinza okubaawo ensonga eziwerako lwaki obusimu buyinza okunyiga mu ngeri eno:
- Herniated Disk : Okubeera omutuufu, omutto (disk) ogulinga jelly wakati w’omugongo abiri gubumbulukuka ne gunyiga ku busimu.
- Enkyukakyuka mu magumba: Enkyukakyuka mu mugongo (endwadde z’enkizi) ezibeerawo n’emyaka ziyinza okuvaako okukula kw’amagumba amapya okunyigiriza ku busimu.
- Ebizimba oba enkovu:Okuzimba oba enkovu ezibeerawo oluvannyuma lw’akabenje kiyinza okuvaako obusimu okunyigirizibwa.
- Okusannyalala kw’ebinywa okw’amaanyi : Obusimu nabwo busobola okunyiga olw’okusika omuguwa kw’ebinywa okuyitiridde mu bulago.
Bw’olowooza ku byafaayo byo eby’obujjanjabi n’obubonero obulala, omusawo asobola okutuuka ku nkomerero ennungi ku bulwadde bwo ng’afunye ebirungi okuva mu kukebera kuno okwa Spurling.
Omusawo akola atya okukebera kuno?
Abantu abamu bayinza okutya katono nga bawulira ku kukebera kuno. Naye kikolebwa n’obwegendereza bungi era nga kifugibwa. Bw’owulira obulumi bwonna, okukebera kujja kuyimirizibwa mangu.
Wano waliwo emitendera gy’olina okutera okukola kino:
1. Omutendera 1: Omusawo ajja kukutuula mu ntebe era ng’omutwe gwo gugoloddwa, ssaako puleesa mpola waggulu ku mutwe. Kino kiyitibwa okugezesebwa kw'okunyigiriza okw'omusingi . Bw’oba towulira bulumi bwonna oba obutabeera bulungi mu kiseera kino, osobola okugenda ku mutendera oguddako.
2. Omutendera 2: Kati omusawo ajja kuserengesa ensingo yo katono ng’ayolekera oludda olulumi lwe luli . Okugeza obulumi bwe buba bugenda wansi ku mukono gwo ogwa ddyo, ajja kukulengezza omutwe katono ku ddyo.
3. Omutendera ogw’okusatu: Ng’omutwe gulengejja mu mbeera eno, kabona addamu okunyigiriza mpola waggulu ku mutwe.
Puleesa eno bw’eteekebwako, bw’owulira obulumi obwo obumanyiddwa, okuwunya, oba okuwulira amasannyalaze kw’obadde owulira bulijjo, wansi ku kibegabega oba omukono, okukeberebwa kuba ‘kirungi’. Kasita owulira ekyo, omusawo ayimiriza okukebera. Singa tewali bulumi buwulirwa, ekivaamu kiba ‘negative’.
Kikulu nnyo: Tolina kugezaako kukebera kuno awaka oba okubeera n’omuntu omulala okukukolera. Kino kisaana kukolebwa musawo alina ebisaanyizo yekka. Bw’okikola mu bukyamu kiyinza okwonoona ensingo.
Biki ebirala ebikolebwa ng’oggyeeko okugezesebwa kwa Spurling?
Ekigezo kya Spurling kigezo kya njawulo nnyo okuzuula obusimu obunywezeddwa. Kino kitegeeza nti bwe kiba ‘positive’, kisinga kuba nti obusimu obunywezeddwa bubaawo. Kyokka, si kugezesebwa kwa maanyi nnyo. Kino kitegeeza nti olw’okuba ekigezo ‘negative’, tekiyinza kwogerwa na bukakafu 100% nti tolina buzibu. Kisoboka okuba ng’obulumi buva ku nsonga endala.
N’olwekyo, omusawo ayinza n’okukola ebigezo ebirala ebiwerako eby’omubiri okusobola okufuna ekifaananyi ekijjuvu. Wano waliwo ebigezo ebirala eby’engeri eno.
| Erinnya ly’okugezesebwa | Engeri y'okukikola mu ngeri ennyangu n'okuba 'positive'. |
|---|---|
| Akabonero k’okuwamba ebibegabega (Obuweerero). | Ojja kusabibwa okusitula omukono ku ludda lw’omutwe gwo oguli mu bulumi. Singa obulumi bwo bukendeera ng’okikola, okukeberebwa kuba ‘Positive’. |
| Okugezesebwa kw’okuwugulaza ensingo | Omusawo ajja kukukwata omutwe wansi w’akalevu n’emabega w’omutwe gwo n’agusika mpola waggulu. Singa obulumi bwo bukendeera mu kiseera kino, okukeberebwa kuba ‘positive’. |
| Akabonero ka L'hermitte | Singa, bw’ofukamira omutwe wansi (okwolekera ekifuba kyo), owulira ng’amasannyalaze gakubwa ku mugongo oba emikono n’amagulu, okugezesebwa kuba ‘Positive’. |
| Akabonero ka Hoffman | Omusawo ajja ‘kusika’ mpola omusumaali gw’olugalo lwo olwa wakati. Singa engalo ensajja n’engalo ensajja bifukamira mu ngeri eyeetongodde, okukeberebwa kuba ‘positive’. |
| Okugezesebwa kwa Adson | Omutwe gwo gujja kukyusibwa ku ludda lw’obulumi, ekirevu kyo kijja kusitulwa, era ojja kusabibwa okussa omukka omungi. Mu kiseera kino omusawo ajja kukebera omukka gwo ku mukono gwo. Singa omukka guyimirira, okugezesebwa kuba ‘Positive’. |
Bw’akuŋŋaanya amawulire okuva mu kukeberebwa kuno n’akusindika okwongera okukeberebwa, gamba nga MRI scan, bwe kiba kyetaagisa, omusawo wo ajja kusalawo obujjanjabi obusinga okukusaanira.
Obubaka Obutwala Awaka
- Okukebera kwa Spurling kwe kukebera omubiri okwangu okukolebwa omusawo okukebera oba obusimu bunyigirizibwa obuleeta obulumi obuva mu bulago okukka ku mukono.
- Okukebera ‘positive’ kitegeeza nti waliwo obukakafu obw’amaanyi obulaga nti obusimu mu bulago bwo bunyigirizibwa.
- Okukebera kuno kitundu kimu kyokka ku kuzuula obulwadde. Omusawo wo ajja kulowooza ku bivudde mu kunoonyereza kuno awamu n’obubonero bwo, ebyafaayo by’obujjanjabi, n’okukeberebwa okulala.
- Togezaako kukola kukebera kuno awaka olw’ensonga yonna. Lirina okukolebwa omusawo alina ebisaanyizo yekka.
- Bw’oba ofuna obulumi, okukaluba oba obutabeera bulungi mu bulago, ekibegabega oba omukono, tokibuusa maaso era mazima ddala genda ew’omusawo akuwe amagezi n’obujjanjabi obutuufu.
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