So worehyia ɔhaw ahorow wɔ wo hwene dompe no ho? Momma yɛnka Osteonecrosis of the Jaw (ONJ) ​​ho asɛm!

So woanya kuru bi wɔ w’anom a ɛnsa bere a wɔayi wo sẽ anaa wɔayɛ wo sẽ oprehyɛn akyi, na ɛma wo hwene dompe da adi pɛn? Anaasɛ wote ɛyaw ne ɔfe a wuntumi nkyerɛkyerɛ mu bere nyinaa wɔ w’anom, titiriw wɔ w’anom? Eyi betumi ayɛ tebea bi a yɛbɛka ho asɛm nnɛ a wɔfrɛ no Osteonecrosis of the Jaw (ONJ) ​​, tebea a ɛnyɛ nea wɔnhwɛ kwan kakra nanso ɛho hia yiye sɛ yɛma yɛn ani da hɔ. Mma ɛnhaw wo, momma yɛnka ho asɛm tiawa.

Dɛn ne saa onychomycosis a ɛwɔ anom (ONJ) ​​yi?

Sɛ yɛbɛka no tiawa a, ONJ yɛ bere a nkwammoaa a ɛwɔ wo hwene mu no wuwu . Nea enti a ɛte saa ne sɛ dompe no nnya mogya a ɛdɔɔso. Susuw ho hwɛ, yɛn nipadua no fã biara hia mogya na ama atumi atra ase. Enti sɛ mogya a ɛkɔ anom dompe no fã bi gyae a, nkwammoaa a ɛwɔ hɔ no befi ase awuwu nkakrankakra. Nnuruyɛfo nso frɛ tebea yi sɛ “nnompe mu yare .” "Osteo" kyerɛ dompe, na "necrosis" kyerɛ owu. Ɛtɔ da bi a wɔsan frɛ no "avascular necrosis," a ɛkyerɛ owu esiane mogya a ennya fa mogya ntini mu nti.

Nea ɛtaa ba ne sɛ kuru ketewaa bi anaa tokuru bi ba anom, na ɛma anom dompe no da adi. Sɛ eyi da adi a, dompe no fi ase wu efisɛ enni mogya.

Saa tebea yi abu so dɛn?

ONJ nyɛ nea abu so saa ankasa. Nanso, wobetumi ahu wɔ nnipa a wɔnom nnuru ahorow bi (yɛbɛka ho asɛm akyiri yi) a wɔde hyɛ nnompe mu den sɛ kokoram ahorow bi (metastatic cancer) ayaresa mu. Eyi kyerɛ sɛ kokoram ayarefo 100 biara a wɔnom nnuru a ɛtete saa no mu bɛyɛ baanu wɔ hokwan sɛ wobenya bi. Nnipa a wonni kokoram na wɔnnom nnuru a ɛtete saa nso betumi anya bi, nanso ɛntaa nsi koraa.

So ONJ ne nnompe mu yare yɛ ade koro?

Eyinom abien nyinaa yɛ tebea horow a ɛyɛ yaw a ɛka anom dompe no. Nanso ONJ ne osteomyelitis yɛ nneɛma abien a ɛsono emu biara. Osteomyelitis yɛ nnompe mu yare a mmoawa anaa fungi na ɛde ba. Sɛ saa ɔyare mmoawa yi du anom dompe no mu a, ebetumi de sɛnkyerɛnne ahorow a ɛte sɛ ONJ aba. Nanso, nnompe mu yare taa ma obi nya atiridii , bere a ONJ ntaa nyɛ saa. Nnuruyɛfo betumi ahu ɔyare mmoawa bi denam mogya mu nhwehwɛmu a wɔbɛyɛ nkutoo so.

Enti so eyi ne osteoradionecrosis yɛ ade koro?

Dabi, ɛno yɛ asɛm foforo. Osteoradionecrosis yɛ tebea a ebetumi aba nnipa a wɔde mframa a wɔde sa yare a wɔde sa ti anaa kɔn mu kokoram no mu. Mframa a wɔde sa yare no betumi asɛe mogya ntini a ɛde mogya kɔ nnompe no mu no. Afei nnompe no wuwu a mogya nka ho. Eyi te saa titiriw sɛ wɔayi wo sẽ wɔ mframa a wɔde sa yare no akyi a.

Dɛn ne sɛnkyerɛnne ahorow a ɛkyerɛ sɛ anom nnompe awu?

Sɛ nnansa yi ara wɔayɛ wo sẽ (sɛ nhwɛso no, wo sẽ a woyi, wo sẽ a wɔde ahyɛ mu ma) a, ebia wobɛte ɛyaw wɔ baabi a wɔyɛɛ no. Ebia nnipa binom rennya yare no ho sɛnkyerɛnne biara mfiase no.

ONJ ho sɛnkyerɛnne a ɛtaa ba no bi ne:

• Anom yaw
• Nse a ɛyɛ mmerɛw
• Ano mu akuru - titire dee ennye yare
• Nsu a ɛte sɛ akisikuru a efi anom ne anom
• Ntini a ɛho ahonhon
• Ɛtɔ da bi a, anom dompe no fa anom (Exposed bone) .

Fa no sɛ, wɔayi wo sẽ, anaasɛ wɔayɛ wo sẽ oprehyɛn ketewaa bi. Nanso sɛ beae no nnyaa ayaresa yiye wɔ adapɛn pii akyi mpo, na dompe bi apue afi mu a, ebetumi ayɛ ONJ.

Dɛn nti na onychomycosis of the jaw (ONJ) ​​ba?

ONJ taa ba bere a wɔayiyi ne sẽ, wɔde sẽ ahyɛ mu, anaa wɔayɛ anom dompe oprehyɛn foforo akyi. Mpɛn pii no, ɛsɛ sɛ anom ntini no sa ntɛmntɛm na ɛkata dompe no so. Nanso, wɔ ONJ mu no, eyi nsi na anom dompe no da adi. Afei, mogya ntumi nkɔ dompe a ɛda adi no mu, na nnompe mu nkwammoaa fi ase wuwu.

Nanso, ɛntaa mma koraa sɛ ONJ betumi anya bi a biribiara a ɛda adi sɛ ɛde ba.

Hena na ɔwɔ asiane kɛse mu sɛ obenya ONJ?

Ɛwom sɛ obiara betumi anya ONJ de, nanso nnipa binom wɔ asiane kɛse mu.

• Bisphosphonates: Eyinom yɛ nnuru bi a wɔde ma nnompe a ɛyera brɛoo na ɛhyɛ nnompe mu den. Nnipa a wɔde bisphosphonates fa ntini mu (IV) de tew nnompe a kokoram a ɛkɔ mmeae afoforo de ba no so na wɔasiw akisikuru ano no wɔ asiane kɛse mu. Nhwehwɛmu ahorow ada no adi sɛ nnipa a wɔnom bisphosphonates a wɔnom ma tebea horow te sɛ nnompe mu yare no asiane no sua.
• Sɛ́ wadi boro mfe 65.
• Nnuru a wɔde sa yare.
• Asikreyare a obi wɔ (Diabetes Mellitus).
• Anim a abubu anaasɛ opira.
• Nsõ mu yare, titiriw ntini mu yare a emu yɛ den.
• Corticosteroids a wɔde di dwuma bere tenten.
• Nyarewa bi a efi mmoawa mu, te sɛ shingles.
• Sigaretnom.
• Nsõ a wɔde hyɛ (titiriw nea ɛnhyɛ yiye).

Ɔkwan bɛn so na wohu ONJ tebea yi?

Ebia wo sẽ ho oduruyɛfo anaa ano oprehyɛn ho ɔbenfo begyina wo sɛnkyerɛnne ahorow so asusuw sɛ ONJ wɔ hɔ.Ade a ɛho hia sen biara ne sɛ wobɛkɔ sẽ ho oduruyɛfo nkyɛn bere a wote nka sɛ wowɔ ɔhaw bi ara pɛ, titiriw sɛ wowɔ asiane ahorow a yɛaka ho asɛm wɔ atifi hɔ no a.

Sɛ wɔde anom dompe no ada adi bɛboro adapɛn 8 a, ɛyɛ ONJ ho sɛnkyerɛnne titiriw. Dodow a wohu yare no ntɛm na wɔsa wo yare no, dodow no ara na wubetumi agye wo hwene dompe ne wo sẽ nkwa.

Dɛn ne ONJ yare no fã ahorow?

Wobetumi akyekyɛ ONJ mu ayɛ no afã anan (0 kosi 3). Ɔfã 0 na emu nyɛ den koraa, na ɔfã 3 na emu yɛ den sen biara. Wo duruyɛfo bɛkyerɛ wo gyinabea a wowɔ bere a wɔahu sɛ wowɔ yare no.

• Ɔfã 0: Worenom bisphosphonates a wɔde fa ntini mu, wo hwene mu yɛ wo yaw, nanso wo hwene dompe biara nni hɔ a ɛda adi. ONJ ho sɛnkyerɛnne foforo biara nni hɔ. Saa bere yi de, ebia anom yare foforo te sɛ anom yare .
• Ɔfã 1: Anom dompe no da adi, nanso ɛyaw anaa sɛnkyerɛnne foforo biara nni hɔ.
• Ɔfã 2: Anom dompe no da adi, na sɛnkyerɛnne ahorow wɔ hɔ a ɛkyerɛ sɛ ɛyaw, anom a ɛho ahonhon, ne ɔyare mmoawa.
• Ɔfã 3: Ɔfã 2 no ho sɛnkyerɛnne nyinaa wɔ hɔ, ne nnompe a ewuwu no atrɛw akɔ ntini ne anim afã afoforo.

Ɔkwan bɛn so na wɔsa ONJ tebea yi?

Nnuruyɛfo a wɔyɛ anom oprehyɛn ne nsensan ho animdefo a wɔn ho akokwaw wɔ nsensan ne anom tebea horow a emu yɛ den mu na wɔsa ONJ yare. Ɛsono ayaresa a wobetumi apaw a egyina faako a yare no kɔ so.

Ayaresa a wɔde ma Ɔfã 0

Wɔ saa bere yi mu no, oduruyɛfo no hwɛ sɛnkyerɛnne ahorow no so na ɔboa ma wodi so.

• Nnuru a ekum ɔyare mmoawa
• Nnuru a ekum ɔyare mmoawa a wɔde hohoro ano
• Nnuru a ɛma ɛyaw ano brɛ ase

Ayaresa a Wɔde Ma Ɔfã 1

Ɛha yi, oduruyɛfo no twitwiw nnompe mu nkwammoaa a awuwu a ɛda adi no. Wɔfrɛ eyi "debridement." Eyi mma nnompe no nwu bio na ɛboa ma ntini no sa yare wɔ dompe no so. Afei wɔbɛma wo nnuru a ekum ɔyare mmoawa, nnuru a wɔde kum ɛyaw, ne aduru titiriw bi a wɔde hohoro w’ano.

Ayaresa a wɔde ma Ɔfã 2 ne Ɔfã 3

Wɔ saa fã yi mu no, ɛho hia sɛ wɔyɛ oprehyɛn de yi anom dompe a awu ne sẽ a ɛbata ho no. Woyi ntini bi a ɛwɔ apɔwmuden nso na ama wɔahwɛ ahu sɛ nkwammoaa a wɔyare biara renka. Wɔ ɔfã 3 mu no, wobetumi ayɛ oprehyɛn foforo de ayi dompe a awu a atrɛw akɔ hwene mu no afi hɔ. Sɛ woyɛ oprehyɛn wie a, ebehia sɛ wode aduru soronko bi a wɔde hohoro w’ano, nnuru a ekum ɔyare mmoawa, ne nnuru a wɔde kum ɛyaw di dwuma.

So yebetumi abɔ yɛn ho ban afi ONJ ho?

Yiw, ɛde besi baabi no, ebetumi aba.

• Kura w’ano akwahosan pa mu: Brush, floss, ne floss da biara.Ɛho hia yiye sɛ wobɛkɔ so akɔhwɛ wo sẽ.
• Sɛ wowɔ anom yare a, ma wɔnsa no yiye.
• Nea ɛho hia sen biara: Sɛ worenom nnuru a ɛko tia ntini (e.g. bisphosphonates) a, hwɛ hu sɛ wobɛka akyerɛ wo sẽ ho oduruyɛfo. Afei obetumi apaw ayaresa a ɛnyɛ den pii ama wo sẽ ho haw ahorow. Sɛ nhwɛso no, sɛ ɛho hia sɛ woyi wo sẽ a, ɛbɛyɛ papa sɛ wobɛyɛ ntini mu aduru mmom.

Kae sɛ, sɛ wobɔ wo sẽ ho oduruyɛfo amanneɛ wɔ nnuru a worenom no ho a, ebetumi atew asiane a ɛwɔ hɔ sɛ wubenya ONJ no so kɛse.

Dɛn na daakye bɛyɛ ama obi a ɔwɔ ONJ?

Sɛ wohu yare no ntɛm na wɔsa no a, ebetumi aboa ma ONJ anyɛ kɛse na akora anom dompe no so. Wɔ mfiase no, nnipa pii ho tɔ wɔn denam ayaresa a wɔnyɛ oprehyɛn so. Nanso, sɛ yare no mu yɛ den a, ebetumi ama anom dompe ne ne sẽ ayera.

Bere bɛn na ɛsɛ sɛ wokɔ oduruyɛfo nkyɛn?

Sɛ wowɔ saa sɛnkyerɛnne yi bi a, kɔ oduruyɛfo nkyɛn ntɛm ara, titiriw ntini ho oduruyɛfo:

• Mogya a ɛtɔ, ɛyɛ kɔkɔɔ, anaa ɛho ahonhon wɔ anom.
• Ɛyɛ den sɛ wobɛmene aduan.
• Anom yaw.
• Nse a ɛyɛ mmerɛw.

Nsɛm bɛn na ɛsɛ sɛ wubisa wo duruyɛfo?

Wubetumi abisa oduruyɛfo no nsɛm te sɛ eyinom:

• Dɛn na metumi ayɛ de abɔ me ho ban afi ONJ ho?
• Mpɛn ahe na ɛsɛ sɛ mehohoro me sẽ?
• Dɛn nti na minyaa ONJ?
• ONJ stage bɛn na mewɔ mu?
• So ebehia sɛ wɔyɛ me oprehyɛn?

Awiei koraa no, nneɛma a ɛsɛ sɛ yɛkae...

Sɛ wohwere wo sẽ ne wo hwene dompe a, ɛyɛ ade a ɛyɛ hu. Nanso sɛ wowɔ asiane mu sɛ wobɛnya ONJ esiane kokoram ayaresa anaa nneɛma afoforo nti a, ɛho hia sɛ wo ne ntini ho oduruyɛfo a wogye wo di yɛ adwuma. Wo sẽ ho oduruyɛfo betumi akyerɛ wo sɛnea wobɛma w’ano atew yiye wɔ fie. Wobetumi nso asa sẽ ne anom haw ahorow a ɛremma asiane a ɛwɔ hɔ sɛ wubenya ONJ no nkɔ soro.

Sɛ wuhu sɛnkyerɛnne biara a ɛyɛ soronko te sɛ wo hwene mu yaw, wo sẽ a ɛho ayɛ hare, ɛyɛ den sɛ wubedidi, wobɛkasa, anaa wobɛmene a, kɔ wo sẽ ho oduruyɛfo nkyɛn ntɛm ara. Sɛ woyɛ ade ntɛm a, ebetumi aboa kɛse ma woabɔ wo sẽ, wo nnompe, ne wo hwene ho ban.

` Anom nnompe owu, ONJ, anom yaw, nsensan ho haw, anom yare, bisphosphonates, kokoram ayaresa