Yu dɔn ɛva gɛt sɔri na yu mɔt we nɔ de wɛl afta yu pul yu tut ɔ yu dɔn ɔpreshɔn yu tit, ɛn yu jawbon de na do? Ɔ yu kin gɛt pen ɛn swɛlin ɔltɛm, we yu nɔ kin ɛksplen, mɔ na di say we yu de? Dis kin bi wan kɔndishɔn we wi go tɔk bɔt tide we dɛn kɔl Osteonecrosis of the Jaw (ONJ) , wan kɔndishɔn we nɔr kin ɛkspɛkt smɔl bɔt we rili impɔtant fɔ no bɔt. Nɔ wɔri, lɛ wi tɔk bɔt am simpul wan.
Wetin na dis onychomycosis of di jaw (ONJ)?
Fɔ tɔk am simpul wan, ONJ na we di sɛl dɛn na yu jawbon day . Dis na bikɔs di bon nɔ de gɛt inof blɔd. Tink bɔt am, ɔl pat na wi bɔdi nid blɔd fɔ mek i kɔntinyu fɔ liv. So if di blɔd we de go na wan pat pan di jawbon stɔp, di sɛl dɛn we de de go bigin fɔ day smɔl smɔl. Dɔktɔ dɛn kin kɔl dis sik bak “ɔstiɔnɛkrɔsis .” "Osteo" min bon, ɛn "necrosis" min day. sכmtεm dεn kin kכl am bak "avascular necrosis," we min se i de day biכs di bכdi nכ de pas tru di bכdi.
Wetin kin apin na we smɔl wund ɔ ol kin fɔm na di gɔm, we kin mek di jawbon kɔmɔt na do. We dis de kɔmɔt na do, di bon kin bigin fɔ day bikɔs i nɔ gɛt blɔd.
Aw dis sik kin kɔmɔn?
ONJ na rili nɔto so kɔmɔn tin. Bɔt yu kin si am pan pipul dɛm wae de tek sɔm kayn mɛrɛsin (wi go tɔk bɔt dɛm leta) wae dɛn kin yuse fɔ mek dɛn bon strɔng as tritmɛnt fɔ sɔm kayn kansa (mɛtastatik kansa). Dis min se, lɛk tu pan ɛvri 100 pipul dɛn we gɛt kansa we de tek dɛn kayn mɛrɛsin ya, gɛt chans fɔ gɛt am. Pipul wae nɔr gɛt kansa ɛn nɔr de tek dɛn kayn mɛrɛsin ya kin gɛt am bak, bɔt e nɔr kin bɔrku.
ONJ en osteomyelitis na di sem tin?
Dɛn tu tin ya na tin dɛn we kin mek pɔsin fil pen ɛn we kin afɛkt di jawbon. Bɔt ONJ ɛn ɔstiomyelitis na tu difrɛn tin dɛn. Osteomyelitis na bon infεkshכn we baktri כ fכn de kכz. We dis infεkshכn rich di jawbone, i kin mek yu gεt simptom dεm we lεk ONJ. Bɔt bɔku tɛm, ɔstiomyelitis kin mek pɔsin gɛt fiva , bɔt ONJ nɔ kin mek i gɛt fiva. Dɔktɔ dɛn kin jɔs no if pɔsin gɛt infekshɔn bay we dɛn du blɔd tɛst.
So dis na di sem tin wit osteoradionecrosis?
Nɔ, dat na difrɛn stori. Osteoradionecrosis na wan sik wae kin kam pan pipul dɛm wae dɔn gɛt redyushɔn tɛrapi fɔ ed ɔr nɛk kansa. Radieshɔn tɛrapi kin pwɛl di blɔd vesel dɛn we de gi blɔd to di bon dɛn. Dɔn di bon dɛn kin day we dɛn nɔ gɛt blɔd. Dis kin bi mɔ if dɛn dɔn pul yu tut afta dɛn dɔn tek di raytin tritmɛnt.
Wetin na di sayn dɛm wae de sho se yu jaw bon de day?
If dɛn jɔs dɔn du sɔntin to yu tit (e.g., fɔ pul yu tut, fɔ ful yu tut), yu kin gɛt pen na di say we dɛn du am. Sɔm pipul dɛn nɔ kin gɛt ɛni sayn fɔs.
Di kɔmɔn sayn dɛm fɔ ONJ na:
- Jaw pen we de mek pɔsin fil pen
- Tit dɛn we lɔs
- Mɔt sos - mɔ di wan dɛn we nɔ de wɛl
- Dischaj we tan lɛk pus frɔm di gam ɛn mɔt
- Di gɔm dɛn we dɔn swel
- sכmtεm di jawbon de kכmכt tru di gכm (Exposed bone) .
Imajin, dɛn pul yu tut, ɔ dɛn du smɔl ɔpreshɔn pan yu tut. Bɔt if di eria nɔ wɛl fayn ivin afta sɔm wiks, ɛn wan pat pan bon de we de kɔmɔt pan am, i kin bi ONJ.
Wetin mek onychomycosis of di jaw (ONJ) kin apin?
Bɔku tɛm, ONJ kin apin afta dɛn dɔn pul yu tut, put dɛn tit, ɔ ɔda ɔpreshɔn pan yu jawbone. Nɔmal wan, di gɔm tisu fɔ wɛl kwik ɛn kɔba di bon. Bɔt insay ONJ, dis nɔ kin apin ɛn di jawbon kin kɔmɔt na do. Dɔn, di bon we de na do nɔ kin gɛt blɔd flɔ, ɛn di bon sɛl dɛn kin bigin fɔ day.
Bɔt, na smɔl tɛm nɔmɔ, ONJ kin divɛlɔp we nɔ gɛt ɛni klia kɔz.
Udat de pan ay risk fɔ gɛt ONJ?
Pan ɔl we ɛnibɔdi kin gɛt ONJ, sɔm pipul dɛn kin gɛt mɔ risk.
- Bisphosphonates: Dis na wan kayn mɛrɛsin we dɛn kin gi fɔ slo di bon dɛn we de lɔs ɛn fɔ mek di bon dɛn strɔng. Pipul dεm we de tek bisphosphonates intravenously (IV) fכ ridyus bon dεm we de kכz fכ mεtastas kεnsar εn fכ mek dεn nכ frakt, de pan hכy risk. Stɔdi dɔn sho se pipul dɛm wae de tek ɔral bisphosphonates fɔ kɔndishɔn lɛk ɔstioporosis kin gɛt smɔl risk.
- Bikɔs i dɔn pas 65 ia.
- Kimotɛrapi tritmɛnt.
- Fɔ gɛt dayabitis (Diabetes Mellitus).
- Wan fes we brok ɔ wund.
- Pɛriɔdɔnt sik, mɔ di siriɔs periodɔntaytis.
- Yuz kɔtikosterɔyd fɔ lɔng tɛm.
- Sɔm vayral infɛkshɔn, lɛk shingles.
- Fɔ smok.
- We yu wɛr denchɔ (espɛshali di wan dɛn we nɔ fit fayn).
Aw dɛn kin no dis ONJ kɔndishɔn?
Yu dɛntist ɔ ɔral sajin kin sɔprayz ONJ bay di sayn dɛm we yu gɛt.Di tin we impɔtant pas ɔl na fɔ go to dɛntist jɔs lɛk aw yu fil se yu gɛt prɔblɛm, mɔ if yu gɛt di tin dɛn we kin mek yu gɛt prɔblɛm.
If di jawbon dɔn de fɔ pas 8 wik, na di men sayn fɔ ONJ. Di kwik we dɛn no se yu gɛt di sik ɛn trit yu, na di mɔ yu go sev yu jawbon ɛn yu tit.
Wetin na di stej dɛm fɔ ONJ sik?
ONJ kin sheb to fכ stej dεm (0 to 3). Stej 0 na di wan we nɔ kin rili bad, ɛn stej 3 na di wan we nɔ kin rili bad. Yu dɔktɔ go tɛl yu us stej yu gɛt we dɛn no se yu gɛt di sik.
- Stej 0: Yu de tek bisfosfonat we yu de put insay yu bɛlɛ, yu gɛt pen na yu jaw, bɔt yu nɔ gɛt jaw bon we de na do. No ɔda sayn nɔ de fɔ ONJ. Na dis stej, yu kin gɛt ɔda sik na yu gɔm, lɛk periodontitis .
- Stej 1: Di jawbon de na do, bɔt nɔr de fil pen ɔr ɔda sayn dɛm.
- Stej 2: Di jawbon de na do, ɛn sayn dɛn de fɔ se i de fil pen, di gam dɛn dɔn swel, ɛn i gɛt infekshɔn.
- Stej 3: Ɔl di simptom dɛm fɔ stej 2 de, plus bon day dɔn spre to di sayn dɛm ɛn ɔda pat dɛm na di fes.
Aw dɛn kin trit dis ONJ kɔndishɔn?
ONJ na ɔral sajin ɛn prostɔdɔntist dɛn de trit am, we spɛshal pan kɔmpleks dɛnt ɛn jaw kɔndishɔn dɛn. Di tritmɛnt we dɛn kin pik kin difrɛn difrɛn wan bay di stej we di sik de.
Tritmɛnt fɔ Stej 0
Insay dis stej, di dɔktɔ kin wach di sik dɛn ɛn ɛp fɔ kɔntrol dɛn.
- Antibayɔtiks
- Antiseptik fɔ was yu mɔt
- Di tin dɛn we de mek pɔsin nɔ fil pen
Tritmɛnt fɔ Stej 1
Na ya, di dɔktɔ de skrap di day bon sɛl dɛn we de na do. Dɛn kɔl dis "debridement." dis de mek di bon dεm nכ de day mכr εn i de εp di gכm dεm fכ hεl oba di bon. Dɔn dɛn go gi yu antibayɔtik, mɛrɛsin fɔ mek yu fil pen, ɛn spɛshal wata fɔ was yu mɔt.
Tritmɛnt fɔ Stej 2 ɛn Stej 3
insay dis stej, dεn nid כpεrayshכn fכ pul di dεd jawbon εn di tit dεm we tay pan am. Dɛn kin pul sɔm wɛlbɔdi tisu dɛn bak fɔ mek shɔ se nɔ sik sɛl nɔ de. insay stej 3, dεn kin du wan sεparat כpεrayshכn fכ pul di dεd bon we dεn spre to di nos kכva dεm. Afta yu dɔn ɔpreshɔn, yu go nid fɔ yuz spɛshal tin fɔ was yu mɔt, antibayɔtik, ɛn mɛrɛsin fɔ mek yu fil pen.
Wi kin protɛkt wisɛf frɔm ONJ?
Yɛs, te to sɔm mak i pɔsibul.
- Mek yu mɔt gɛt gud wɛlbɔdi: Brush, flos, ɛn flos ɛvride.I rili impɔtant fɔ kɔntinyu fɔ go fɔ chɛk yu tit.
- If yu gɛt gɔm sik, mek dɛn trit am fayn.
- Di tin we impɔtant pas ɔl: If yu de tek anti-rɛsɔptiv mɛrɛsin (e.g. bisphosphonates), mek shɔ se yu tɛl yu dɛntist. Dɔn i kin pik tritmɛnt dɛn we nɔ kin ambɔg yu tit prɔblɛm dɛn. Fɔ ɛgzampul, if yu nid fɔ pul yu tut, i bɛtɛ fɔ mek yu du tritmɛnt fɔ yu rut kanal insted.
Mɛmba se, fɔ tɛl yu dɛntist bɔt di mɛrɛsin dɛn we yu de tek kin ridyus di risk fɔ gɛt ONJ bad bad wan.
Wetin di fiuja go gɛt fɔ pɔsin we gɛt ONJ?
If yu no di sik kwik kwik wan ɛn trit yu, dat kin ɛp fɔ mek ONJ nɔ wɔs ɛn fɔ mek di jawbon nɔ pwɛl. Na di fɔs tɛm, bɔku pipul dɛn kin wɛl wit tritmɛnt we nɔ gɛt ɔpreshɔn. Bɔt if di sik kam tranga, i kin mek i lɔs in jawbon ɛn in tit.
Ustɛm yu fɔ go to dɔktɔ?
If yu gɛt ɛni wan pan dɛn sayn ya, go to dɔktɔ, mɔ to dɛntist, wantɛm wantɛm:
- Blɔd, rɛd, ɔ swel na di gɔm.
- I nɔ izi fɔ swɛla it.
- Jaw pen we de mek pɔsin fil pen.
- Tit dɛn we lɔs.
Us kwɛstyɔn dɛn yu fɔ aks yu dɔktɔ?
Yu kin aks di dɔktɔ kwɛstyɔn dɛn lɛk dɛn wan ya:
- Wetin a kin du fɔ protɛkt misɛf frɔm ONJ?
- Aw ɔltɛm a fɔ klin mi tit?
- Wetin mek a bin divɛlɔp ONJ?
- Us stej na ONJ a de insay?
- Yu tink se a go nid ɔpreshɔn?
Fɔ dɔn, tin dɛn fɔ mɛmba...
Fɔ lɔs yu tit ɛn yu jawbon na tin we de mek yu fred. Bɔt if yu de pan denja fɔ gɛt ONJ bikɔs ɔf kansa tritmɛnt ɔ ɔda rizin, i impɔtant fɔ wok wit dɛntist we yu kin trɔst. Yu dɛntist kin tich yu aw fɔ kip yu mɔt fayn fayn wan na os. Dɛn kin trit prɔblɛm wit yu tut ɛn gam bak we nɔ go mek yu gɛt ONJ.
If yu gɛt ɛnitin we nɔ kɔmɔn lɛk yu jaw pen, yu tit we nɔ de kɔmɔt, i nɔ izi fɔ it, tɔk, ɔ swɛla, go to dɛntist wantɛm wantɛm. If yu du sɔntin kwik kwik wan, dat kin ɛp yu fɔ protɛkt yu tit, yu bon, ɛn yu gɔm.
` Jaw bon day, ONJ, jaw pen, dental prɔblɛm, gɔm sik, bisphosphonates, kansa tritmɛnt
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