Yu bin gɛt redyushɔn tritmɛnt fɔ ed ɛn nɛk kansa? Yu tink se i kin afɛkt yu bon dɛn? Lɛ wi lan bɔt (Osteoradionecrosis - ORN)!

Yu dɔn ɛva gɛt pen, swel, ɔ wund insay yu mɔt ɔ yu jaw afta yu dɔn du redyushɔn tɛrapi fɔ kansa na yu ed ɔ yu nɛk? I kin bi se na tɛm fɔ mek yu lan bɔt wan sik we dɛn kɔl ɔsteoradionecrosis. Nɔ wɔri, wi go tɔk bɔt am ditayli ɛn insay wan rili simpul we.

Wetin na Ɔstiɔradionɛkrɔsis (ORN)?

Fɔ tɔk am simpul wan, ɔstiɔradionɛkrɔsis (ORN) na di day we di bon sɛl dɛn day bikɔs ɔf di raytin. Na wan kɔndishɔn we kin apin as sayd ɛfɛkt fɔ redyushɔn tɛrapi fɔ kansa, mɔ di ed ɛn nɛk kansa. Mɛmba se sɔntɛnde di raytin we dɛn kin yuz fɔ kil di kansa sɛl dɛn kin pwɛl di bon sɛl dɛn we gɛt wɛlbɔdi bak. I kin apin sɔm mɔnt ɔ ivin sɔm ia afta dɛn dɔn gɛt redyushɔn tɛrapi.

dis kכndyushכn kin afekt di lכw jaw bon (mandibular osteoradionecrosis). כltu, i kin apin pan eni bon we dεn bin dכn εkspos to rεdyushכn, lεk di כp jaw bon (maxillary osteoradionecrosis) כ di fכnt pat pan di spayna (vεrbral osteoradionecrosis). Na smɔl tɛm nɔmɔ, dis sik kin afɛkt di skel bak, bɔt i kin siriɔs smɔl.

Rεdyushכn tεrapi εn bon hεlth - wetin mek dis kin apin?

Naw, lɛ wi si wetin mek dis kin apin. Raydyushɔn kin pwɛl di dilik blɔd vesel dɛn we de gi blɔd to di bon dɛn. Jɔs lɛk ɛni ɔda pat na wi bɔdi, bon dɛn nid gud blɔd fɔ mek dɛn go gɛt wɛlbɔdi ɛn fɔ wɛl kwik kwik wan if dɛn pwɛl.

Jɔs tink, jɔs lɛk aw tik kin dray we wata nɔ de, if bon nɔ gɛt bɛtɛ blɔd, insɛf go lɔs in layf ɛn bigin fɔ day.

Wetin kin apin we dis blɔd nɔ de wok fayn?

• di bon dεm εn di tisu dεm we de rawnd dεm kin izi fכ gεt infεkshכn.
• I nɔ pɔsibul fɔ mɛn fayn fayn wan.
• I dɔn bigin fɔ day smɔl smɔl.

Wi jaw eria kin rili sɔfa fɔ dis. Dis na bikɔs i nɔ kin izi fɔ mek di raytin nɔ rich di jawbon we dɛn de du raytin tritmɛnt fɔ ed ɛn nɛk kansa. כlso, di risk fכ dis `(ORN)` de inkrεs mכr bay di baktri dεm we nכmal wan de liv na wi mכt.

Radieshɔn we de pwɛl insay di mɔt kin mek tin dɛn lɛk:

• di bon dεm we de kכmכt (we min se di bon de kכmכt tru di gכm dεm).
• Wan wan tɛm i kin pen ɛn swel na di jaw .
• Fɔ gɛt wund we nɔ de wɛl .

Aw dis sik kin kɔmɔn?

Akɔdin to di American Head & Neck Cancer Society, ɔsteoradionecrosis kin apin bitwin 4% ɛn 8% pan pipul dɛm wae gɛt ed ɛn nɛk kansa.

Wetin na di sayn dɛm fɔ ɔstiɔradionɛkrɔsis (ORN)?

Naw lɛ wi si us sayn dɛm wae yu kin gɛt pan dis kayn tin. If yu gɛt wan ɔ mɔ pan dɛn tin ya, i go fayn fɔ mek yu go to dɔktɔ.

• Sɔm ɔ ɔlsa na di ɔdasay na di gɔm, nɛk, ɔ jaw.
• Pen.
• De swɛl.
• Infεkshכn (lεk pus).
• di tit dεm we nכ de fit tכgeda fayn fayn wan (malocclusion).
• Wan tin we pɔsin kin fil we i de tingling ɔ tikl .
• bon fragmεnt dεm we de kכmכt frכm insay di mכt.
• sכmtεm, כnda di chin, di skin kin brok εn di bon kin kכmכt (dεn kin kכl dis bak ``fistula`').
• Jawbone we dɔn brok.
• di tayt we di jaw mכsul dεm tayt we de mek di mכt nכ de opin fayn fayn wan (trismus).

Wetin mek ɔstiɔradionɛkrɔsis (ORN) kin apin?

Di men tin we kin mek i apin na di tritmɛnt we dɛn kin gi di ed ɛn nɛk we dɛn kin yuz raytin. Dis kכndyushכn kin kכmכn spεshal pan pipul dεm we dεn gεt rεdyushכn dכz we pas 60 Grey (Gy) yunit. (Gy na wan yunit fɔ mɛzhɔ fɔ redyushɔn).

Osteoradionecrosis `(ORN)` Risk Factors - Udat kin gɛt am mɔ?

Sɔm pipul dɛn kin gɛt dis sik pas ɔda pipul dɛn. Si if dɛn tin ya apin to yu:

• Nɔ fɔ klin yu mɔt fayn (nɔ fɔ brus yu tit fayn, nɔ fɔ tek kia ɔf yu ɔral hajɛns).
• If dɛn nɔ bin adrɛs di prɔblɛm dɛn we gɛt fɔ du wit di tit (lɛk di kaviti ɛn di sik we de na di gɔm) fayn fayn wan bifo dɛn bigin fɔ gi di tritmɛnt wit redyushɔn.
• If yu gɛt dray mɔt (xerostomia) afta yu gɛt raytin tɛrapi.
• If ɛni aksidɛnt ɔ injuri de na di jaw afta dɛn dɔn trit am wit raytin, mɔ insay di fɔs ia.
• If dɛn pul tut frɔm say we dɛn bin dɔn gɛt raytin bifo.

Mɛmba se dis kɔndishɔn fɔ ɔstiɔradionɛkrɔsis kin apin ivin sɔm ia afta dɛn dɔn gɛt raytin tritmɛnt fɔ ed ɛn nɛk kansa.

Aw dɛn kin no dis?

Osteoradionecrosis (ORN) kin apin sɔm ia afta dɛn dɔn gɛt raytin. If yu dɔktɔ saspek dis, i go du gud gud wan fɔ chɛk yu ed ɛn nɛk. I go kɔntak bak di redyushɔn ɔnkɔlɔjis we gi yu di redyushɔn tɛrapi fɔ no di ɔl doz fɔ di redyushɔn we yu gɛt.

Us tɛst dɛn kin ɛp fɔ no if pɔsin gɛt di sik?

Fɔ mek yu no se yu gɛt di sik, yu dɔktɔ kin tɛl yu fɔ du tɛst lɛk:

• X-ray we dɛn kin du fɔ mɛn dɛn tit.
• dεn de du CT skan fכ di jaw (CT - kכmpyuta tכmografi skan).
• Dɛn kin du bayɔpsi fɔ chɛk fɔ si if di kansa dɔn kam bak.

Wetin na di tritmɛnt dɛm fɔ dis?

Di tritmɛnt fɔ ɔsteoradionecrosis (ORN) de dipen pan aw yu sik de bɔku ɛn aw i siriɔs. De tin wae impɔtant pas ɔl na fɔ bigin tritmɛnt kwik kwik wan.Di kwik we yu bigin fɔ tek tritmɛnt, na di mɔ yu go gɛt chans fɔ wɛl. Ɔspitul ɛn nɔ ɔspitul tritmɛnt dɛn de fɔ dis.

Ɔspitul manejmɛnt

Bɔku ɔpreshɔn dɛn de we dɛn kin du fɔ dis sik:

• Surgical debridement: Dis na we dɔktɔ de pul di bon ɛn tisu we dɔn day ɔ we gɛt di sik, jɔs lɛk we i de klin bad say.
• Fri flap rikostrɔkshɔn ɔpreshɔn: Dis na ɔpreshɔn we kɔmpleks smɔl. I min fɔ tek blɔd vesel, tisu, ɛn sɔntɛm wan pat pan bon frɔm ɔda pat na yu bɔdi (fɔ ɛgzampul, yu leg ɔ an) ɛn transplant am na di say we yu jaw dɔn pwɛl.
• ALTFL (Anterolateral Thigh Fascia Lata Rescue Flap): Dis na wan kayn fri flap bak. insay dis prosidכs, dεn de tek wan strip fכ kכnektiv tisu (fascia) frכm di bak pat pan di tכŋ εn transplant am. dis tisu de gεt bכku vaskulεrayz, we de alaw di εria we dεn dכn pwεl fכ gεt כksijεn εn nyutriεnt dεm. Stɔdi dɛn we dɛn jɔs dɔn du dɔn sho se dis we fɔ du tin kin rili wok fɔ pipul dɛn we gɛt ORN.
• Komplit bon graftin: Dɛn kin yuz dis tradishɔnal ɔspitul we bɔku bɔdi dɔn day, mɔ na di ɔnda jaw. insay dis prosidכs, dεn kin pul di bon we dεn dכn kכmplit wan εn dεn kin graf wan fri flap we gεt bon insay in ples. Pan ɔl we dis kin wok fayn, na big ɔpreshɔn. I kin mek i de na ɔspitul fɔ lɔng tɛm ɛn i kin mek i wɛl fɔ lɔng tɛm. So, dɔktɔ dɛn kin tray fɔ no ɛn trit dis sik kwik kwik wan.

Manejmɛnt we nɔ gɛt ɔpreshɔn

Tritmɛnt dɛn de bak we nɔto ɔpreshɔn:

• Antibayɔtik: If infekshɔn de na di bon ɔ di tisu dɛn we de rawnd am, yu dɔktɔ go gi yu antibayɔtik.
• PENTOCLO: Dis na wan kɔmbaynshɔn fɔ sɔm mɛrɛsin dɛn: pentoxifylline, tocopherol (vitamin E), ɛn clodronate. Pentoxifylline de wok bay we i de mek di blɔd flɔ to di bon we dɔn pwɛl. Tocopherol (vitamin E) de ɛp fɔ mek di imyun sistɛm strɔng ɛn mek di blɔd nɔ klɔt. Klɔdronɛt de ɛp fɔ mek di bon dɛn nɔ lɔs mɔ. sכmtεm dεn kin gi pεntoksifilin εn tokofεrol we dεn nכ gεt klodronat (dεn kכl dis PENTO).
• Haypabarik ɔksijɛn tɛrapi (Haypabarik ɔksijɛn - HBO - tritmɛnt):Sɔm dɔktɔ dɛn kin yuz dis tritmɛnt fɔ mek di bɔdi wɛl kwik kwik wan. Insay dis, dɛn kin put yu insay wan spɛshal chɛmba ɛn mek yu blo klin ɔksijɛn. di כksijεn lεvεl insay di chεmba de bכku tri tεm pas di nכmal envayroment. Di men gol na fɔ ad inof ɔksijɛn to di blɔd fɔ mek di tisu dɛn we dɔn pwɛl. Bɔt difrɛn opinion de bitwin di mɛdikal kɔmyuniti bɔt dis ``Hyperbaric oxygen`` tritmɛnt. Pan ɔl we dɛn kin yuz am as standad tritmɛnt na sɔm sɛnta dɛn, dɛn stil nɔ gɛt ɛni kɔntrol stɔdi we dɔn sho se i dɔn wok fayn.

Yu tink se dɛn kin ebul fɔ protɛkt ɔstiɔradionɛkrɔsis (ORN)?

Nɔr kin bi ɔltɛm yu kin ebul fɔ avɔyd dis sik, bɔt bifo yu bigin fɔ trit yu ed ɔr nɛk wit raytin, yu dɔktɔ go tɔk to yu bɔt aw fɔ ridyus dis prɔblɛm.

Bifo yu bigin fɔ tek tritmɛnt wit raytin, yu fɔ du dɛn tin ya:

• Go to dɛntist , mek dɛn klin yu mɔt fayn fayn wan, ɛn mek dɛn chɛk yu kɔmplit wan .
• Gɛt ɛni tritmɛnt fɔ yu tit (lɛk fɔ ful-ɔp, fɔ pul yu tut).
• Start fɔ trit fluoride ɛvride .

Yu fɔ du dɛn tin ya we yu de trit yu wit raytin ɛn afta yu dɔn du am:

• Mek yu gɛt gud ɔral hajɛns (brɔsh yu tit tu tɛm ɛvride, klin bitwin yu tit dɛn).
• Ridyus di it ɛn drink dɛn we gɛt shuga .
• Si yu dɛntist ɔltɛm fɔ chɛk-ap ɛn klin yu mɔt.
• Gɛt tritmɛnt fɔ ɛni nyu prɔblɛm wit yu tit kwik kwik wan .
• Kɔntinyu fɔ trit fluoride ɛvride .

Aw kwik ɔstiɔradionɛkrɔsis (ORN) kin skata?

Bɔrku tɛm, ɔstiɔradionɛkrɔsis (ORN) kin kam smɔl smɔl. I kin tek sɔm ia fɔ mek yu gɛt di sik.

Yu tink se dɛn kin mɛn ɔstiɔradionɛkrɔsis (ORN)?

Pan ɔl we di dɔktɔ dɛn we de du ɔpreshɔn nɔ kin ebul fɔ mek di bon we dɔn day gɛt layf bak, di rayt tritmɛnt kin mek di ɔstiɔradionekrɔsis (ORN) nɔ go bifo. Dɛn kin se if dɛn bigin fɔ trit am kwik, dɛn kin stɔp di sik pan 96% pan di kes dɛm .

So, if yu gɛt ɔstiɔradionɛkrɔsis (ORN), fɔ bigin tritmɛnt kwik na yu bɛst chans fɔ gɛt sakrifays. Yu ɔpreshɔn kin shɔt, ɛn yu kin wɛl kwik kwik wan. Di kwik we yu de trit (ORN), na di bɛtɛ.

Osteoradionecrosis (ORN) Prɔgnosis we pɔsin kin gɛt

Osteoradionecrosis (ORN) na wan sik we dɛn kin trit bad bad wan. Di kayn tritmɛnt we yu nid fɔ gɛt dipen pan usay di bon we dɔn pwɛl, aw di bon dɔn day, ɛn us tritmɛnt yu dɔn tray bifo.

Jɛnɛral wan, di smɔl say we di bon dɛn dɔn pwɛl, na di mɔ di chans fɔ mek i wɛl we dɛn nɔ du big ɔpreshɔn. Sɔm kes dɛm fɔ ORN nɔ kin ansa to smɔl tritmɛnt dɛm ɛn kin go bifo to bon infɛkshɔn (ɔstiomyelitis) ɔ bon fraktrɔs. If na so i bi, di dɔktɔ dɛn we de du ɔpreshɔn kin nid fɔ du big (fri flap) ɔpreshɔn.

Ustɛm a fɔ go to dɔktɔ?

If yu bin dɔn gɛt redyushɔn tɛrapi to yu ed ɔ nɛk bifo ɛn yu bigin fɔ gɛt sɔm sayn dɛn lɛk pen, swel, ɔ brus, go to yu dɔktɔ wantɛm wantɛm. Dɛn kin kɔnfɔm se yu gɛt ɔstiɔradionɛkrɔsis (ORN) ɛn bigin ɛni tritmɛnt we yu nid kwik kwik wan.

Us kwɛstyɔn dɛn a fɔ aks mi dɔktɔ?

If yu ɔ pɔsin we yu lɛk dɔn gɛt ɔstiɔradionɛkrɔsis (ORN), yu kin aks yusɛf dɛn kwɛstyɔn ya:

• Aw fa dis bon nɛkrɔsis dɔn skata?
• Us tritmɛnt opshɔn dɛn a gɛt?
• Yu tink se a go nid ɔpreshɔn?
• Wetin na mi lukin-grɔn (curability)?

Fɔ dɔn, mɛmba (Take-Home Message) .

Osteoradionecrosis (ORN) na wan siriɔs sayd ɛfɛkt we redyushɔn tɛrapi kin gɛt to di ed ɛn nɛk. I kin tek sɔm ia fɔ mek di sayn dɛn de sho. Pan ɔl we ORN nɔ kin "krɔs" kɔmplit wan, dɛn kin ebul fɔ manej am wit tritmɛnt. Di tin dɛn we kin apin kin dipen pan usay di bon we dɔn pwɛl, aw di bon dɔn day, ɛn aw i bad.

If yu gɛt pen, swel, yu bon, ɔ ɔda sayn dɛn we de sho se yu gɛt ɔstiɔradionekrɔsis, go to dɔktɔ wantɛm wantɛm. Dɛn kin tɛl yu fɔ gi yu di rayt tritmɛnt ɛn ɛp yu fɔ kɔntrol yu sik. Fɔ kip yu mɔt fayn fayn wan ɛn fɔ go to yu dɛntist ɔltɛm impɔtant fɔ mek yu nɔ gɛt dis sik kwik kwik wan ɛn no am kwik kwik wan.

` Osteoradionecrosis, ORN, redyushɔn tɛrapi sayd ifɛkt, jaw bon sik, kansa tritmɛnt, bon day, ɔral wɛlbɔdi