Enkyukakyuka Ennene mu Pinhole Entono - Okulaba mu bujjuvu Tekinologiya wa Spinal Endoscopy

Gye buvuddeko, Dr. Cong Yu, omumyuka w'omusawo omukulu ow'ekitongole ky'amagumba mu ddwaaliro ekkulu erya Eastern Theatre Command, yakola "okulongoosa omugongo mu bujjuvu" eri Mwami Zong. Okulongoosebwa okwali kutono ennyo kwasobozesa omwami Zong eyali alina endwadde z’omugongo, okuwona amangu n’adda ku mulimu nga wayiseewo akaseera katono ng’amaze okulongoosebwa.

Saasuubirangako nti okulongoosa kujja kuba kirungi nnyo. Nali mpulira obwangu bw'okumalawo okunyigirizibwa kw'obusimu mu kiseera ky'okulongoosebwa," "Mwami Zong, 56, bwe yategeezezza mu ssanyu."

Kigambibwa nti omwami Zong yalina obubonero bw’okulumwa omugongo ogwa wansi n’amagulu emyaka 5 egiyise. Oluvannyuma lw’okukyalira abasawo ab’amannya mu bifo eby’enjawulo, abakugu mu kuwakanya ne bamuwa amagezi okulongoosebwa. Olw’okutya okulongoosebwa, embeera ya Mwami Zong ebadde elwawo emirundi n’emirundi. Emyezi esatu egiyise, obulumi bwe obw’omugongo ogwa wansi bwaddamu okweyongera, nga buwerekerwako obulumi obutagumiikiriza mu kitundu kye ekya wansi ekya kkono. Yali tasobola kutambula era nga tasobola kwebaka mu bulumi ne bwe yali agalamidde, ekintu ekyali tekigumiikiriza. Yaddamu okunoonya obujjanjabi mu malwaliro agawerako, ng’asuubira nti obubonero bwe obw’obutabeera bulungi bujja kumujjanjaba mu ngeri etali ya maanyi nnyo. Oluvannyuma yajja mu ddwaaliro ly’abakugu mu kulongoosa omugongo erya Dr. Congyu, omukugu mu by’amagumba mu ddwaaliro ekkulu erya Eastern Theatre Command n’afuna obujjanjabi. Oluvannyuma lw’okufuna omulwadde, Dr. Cong Yu yeekenneenya obubonero bwa Mwami Zong, obubonero, n’ebikwata ku bifaananyi, era n’azuula obulwadde bwa lumbar disc herniation n’okusannyalala kw’omugongo. Okusinziira ku mbeera ya Mwami Zong n’okwagala kwe okulongoosebwa, yaweebwa ekitanda mu Disitulikiti y’amagumba 23.

Oluvannyuma lw’okuyingizibwa mu ddwaaliro, okukeberebwa omubiri kwalaga nti omwami Zong yalina obugonvu mu kitundu ky’omugongo okuva ku L5 okutuuka ku S1, ng’alina obuzibu obw’amaanyi mu ntambula y’omugongo n’enkola y’enkola y’omubiri gw’omubiri ogwa wansi. Okugezesebwa kw’okusitula amagulu amagolokofu nga tannalongoosebwa kwali 20 ° zokka, era amaanyi g’ebinywa by’ekigere kye ekya kkono nago gaakosebwa.

Ku bikwata ku mbeera ya Mwami Zong, Dayirekita Cong Yu yeekenneenyezza nti ekitundu ekiyitibwa nucleus pulposus ekimanyiddwa ennyo nga kigatta wamu n’okukula kw’osteophyte kinyigiriza obusimu mu mwala gw’omugongo, ekivaamu obubonero ng’okulumwa omugongo ogwa wansi n’amagulu, okuzirika, n’okukendeera kw’amaanyi g’ebitundu by’omubiri ebya wansi. Nga tuwummuza okunyigirizibwa kw’obusimu kwokka kwe tusobola okuziyiza okwongera okwonooneka kw’obusimu n’okuwa embeera z’obusimu okuddamu okukola. Singa enkola z’okulongoosa ez’ekinnansi zikozesebwa, kyetaagisa okuggyawo ebinywa by’omugongo, era ekifo we balongoosebwa kiba kinene, ng’omusaayi guyitiridde okuvaamu mu kulongoosebwa n’okuwona okumala ebbanga ddene oluvannyuma lw’okulongoosebwa.

Oluvannyuma lw'empuliziganya emala n'okwetegekera nga tannalongoosebwa, Dr. Cong Yu yamaliriza bulungi okulongoosa mu kitundu ng'akozesa "Full Visualization Spinal Endoscopy Technology (I See)". Mu kiseera ky’okulongoosebwa, Mwami Zong yali asobola bulungi okulaba okukendeeza ku bulumi okwaleetebwa okuggyibwako ekitundu ekiyitibwa nucleus pulposus ekyali kifulumye. Obudde bw’okulongoosebwa bwali butono, ekifo we baasala kyali kya mmita 7 zokka, era nga tewali mazzi gafuluma oluvannyuma lw’okulongoosebwa. Yasobodde okutambulatambula ku lunaku olwokubiri oluvannyuma lw'okulongoosebwa, ekiyinza okunnyonnyolwa nga "akatuli akatono aka ppini akagonjoola ekizibu ekinene".

Okujjanjaba endwadde z’omugongo ezitayingirira nnyo mu kitongole ky’amagumba mu ddwaaliro ekkulu erya Eastern Theatre Command, kintu kya kikugu. Obukodyo obutayingira mu mubiri nga intervertebral foramen endoscopy, UBE, ne MisTLIF bubadde bukolebwa bulijjo, nga bugattibwa wamu n’okukebera okwetongodde ku mbeera y’omulwadde, okusobola okuwa eby’okulonda ebirala eby’obujjanjabi obw’okulongoosa. Era tujja kusigala nga tukozesa tekinologiya atayingirira nnyo okusobola okuwa abantu bonna empeereza y’obujjanjabi ey’omutindo ogwa waggulu, ey’omulembe, era ennungi.

Ebikwata ku Tekinologiya w’okulaba mu bujjuvu Spinal Endoscopy (Ndaba Tekinologiya)

Minimally Invasive Spine Surgery (MISS) kitegeeza tekinologiya n’enkola z’okuzuula n’okujjanjaba endwadde z’omugongo nga tuyita mu nkola ezitali za kinnansi ez’okulongoosa n’okukozesa ebikozesebwa eby’enjawulo eby’okulongoosa, ebyuma oba engeri. Yavaayo n’okukozesa tekinologiya w’obusawo asinga okuba ow’omulembe, tekinologiya omuyiiya akyagenda mu maaso n’okuvaayo, era obukodyo obutayingirira nnyo buwuniikiriza. Waliwo ekintu eky’amaanyi mu tterekero eddene erya MISS, nga kino kye kitundu ekiyitibwa percutaneous endoscopic lumbar discectomy (PELD), ekifunzibwa nga intervertebral foramen endoscope.

Essomero ly’ennono erya tekinologiya w’okukebera enseke z’omugongo (intervertebral foramen endoscopy technology) lyakulaakulana okuva mu ndowooza y’okuyingira mu nsonga, kale enkola y’okuteeka ttanka y’okuboola n’okubumba emikutu gy’omugongo (intervertebral foramen shaping) yeesigamye nnyo ku X-ray fluoroscopy okulambulula ekifo ky’ekifo, ekizibu era ekikosa ennyo abalwadde n’abasawo abalongoosa olw’obusannyalazo bwa X-ray.

Era I See tekinologiya, era amanyiddwa nga fully visualized spinal endoscopic technology, asobozesa okulaba obutereevu okutondebwa kw’omugongo wakati w’omugongo wansi w’endoscopy, okukendeeza ennyo ku muwendo gw’endowooza n’okutuuka n’okutuuka ku ndowooza 1-2. Engeri ya tekinologiya ono y’enkyukakyuka mu bufirosoofo bw’okulongoosa: okukozesa okulongoosa mu endoscopic ng’enkola y’okulongoosa, okutuuka ku endoscopization ennungi ey’enkola z’okulongoosa. Okusuula obuzibu bw’okulongoosa okw’ekinnansi okw’okuyingira mu nsonga z’omugongo (intervertebral foramen endoscopic intervention surgery) nga kyetaagisa okuddamu okukebera fluoroscopy.

Okutwaliza awamu, ebirungi ebiri mu tekinologiya ow’okulaba omugongo mu bujjuvu (I See technology) bye bino wammanga:

1. Okukendeeza nnyo ku X-ray fluoroscopy nga balongoosa, okukendeeza ku budde bw’okulongoosa, okulongoosa obukuumi bw’okulongoosa, n’okukuuma abalwadde n’abasawo abalongoosa;

. Kiba kitono nnyo okuyingira mu mubiri era tekyetaagisa kufulumya mazzi oluvannyuma lw’okulongoosebwa. Ku lunaku olwokubiri oluvannyuma lw’okulongoosebwa, omulwadde asobola okutambula n’asiibulwa, ekikendeeza ku kusula mu ddwaaliro n’okusobozesa omulwadde okudda mu bulamu n’okukola amangu;

3. Yakuuma ebitundu by’entambula y’omugongo gw’omugongo; Obutaayonoona nnyondo za lumbar facet, okwewala obutabeera mu ntebenkevu oluvannyuma lw’okulongoosebwa kw’ebitundu ebikwatagana eby’okulongoosa;

4. Tekinologiya ono awa emikisa gy’obujjanjabi eri abalwadde bangi abatasobola kugumiikiriza kulongoosebwa mu lwatu oba okubudamya abantu bonna (abalwadde abakadde, abo abalina endwadde ez’amaanyi ezisibukako);

5. Bbeeyi ya wansi, ssente ntono, okukekkereza nnyo ssente za yinsuwa y’obujjanjabi.