Amagumba go tegafuna musaayi gumala? Kino kiyitibwa Avascular Necrosis oba Osteonecrosis!

Wali owuliddeko ku kiki ekibaawo ng’amagumba go gakendedde omusaayi? Kiwulikika nga kitiisa katono, si bwe kiri? Naye kintu kye tulina okumanya. Mu ngeri ennyangu, amagumba gaffe bwe gatafuna musaayi gwe geetaaga, ebitundu by’amagumba bitandika okufa mpola. Ekyo kye tuyita avascular necrosis oba osteonecrosis. Kino tunaayogera mu bujjuvu?

Lwaki kino kituuka ku magumba gaffe? Obulwadde bwa Avascular Necrosis kye ki?

Lowooza ku kino, okufaananako buli katoffaali mu mubiri gwaffe, amagumba gaffe geetaaga omukka gwa oxygen n’ebiriisa okusobola okubeerawo n’okusigala nga ganywevu. Ani asitula bino? Omusaayi. Amagumba gaffe si bitundutundu bya mayinja byokka. Zino bitundu biramu ebigenda bizzibwa obuggya buli kiseera, nga obutoffaali obukadde bufa ate n’obutoffaali obupya ne butondebwawo. Okufaananako n’okuddaabiriza ennyumba, bbugwe omukadde bamenyebwa ne bazimba omupya, ekintu ekibaawo munda mu magumba. Kino tukiyita okuddaabiriza amagumba . Kati lowooza ku nsonga eno, kiki ekibaawo singa olw’ensonga ezimu omusaayi ogugenda mu magumba gano guzibikira oba ne guyimirira? Ng’ekimera bwe kiwotoka nga tekifunye mazzi, n’amagumba tegafuna mmere na mukka gwa oxygen bye geetaaga. Olwo okukola obutoffaali bw’amagumba obupya kukendeera, naye obutoffaali obukadde bweyongera okufa. Oluvannyuma lw’akaseera, ekitundu ky’eggumba ekitafuna musaayi kinafu, ne kikutuka, era okukkakkana nga kimenyese. Ng’enku ezibadde zirya enseenene. Ekyo kye tuyita (Avascular Necrosis).

Embeera eno ya bulijjo etya? Ani asinga okukikulaakulanya?

Mu butuufu kino si kya bulijjo nnyo, naye nakyo si kya butabeerawo. Ng’ekyokulabirako, mu nsi nga Amerika, kigambibwa nti abantu nga 10,000 ku 20,000 omwaka bafuna embeera eno. Kino kiyinza okutuuka ku muntu yenna ow’emyaka gyonna, awatali kufaayo ku kikula ki. Wabula abantu abali wakati w’emyaka 30 ne 40 bali mu bulabe obusingako katono. Kino kitegeeza nti abavubuka, abali mu myaka egy’okukola nabo balina okufaayo ku nsonga eno.

Obulwadde bwa Avascular Necrosis businga kubeera wa?

Wadde ng’obulwadde buno busobola okukwata ekiwanga kyonna mu mubiri, businga kulabibwa mu kiwanga ky’ekisambi . Wano okugulu kwo we kwegatta ku kisambi kyo. Okugatta ku ekyo, kiyinza okukosa ebifo ebirala ebiwerako. Bino bye bino:

• Enkizi
• Eggumba ly’akawanga
• Amaviivi
• Omukono ogwa waggulu - humerus n’ebibegabega

Lowooza ku kino, ekisambi kye kimu ku binywa ebikulu ebisitula obuzito mu mubiri gwaffe. Kale singa wabaawo ekizibu nga kino eyo, kiyinza okukuzibuwalira okutambula oba n’okuyimirira.

Lwaki kino (Avascular Necrosis) kibaawo? Biki ebivaako?

Mu ngeri ennyangu, ekintu kyonna ekiyimiriza omusaayi okugenda mu magumba kiyinza okuvaako kino. Oluusi, nga 20% ku misango, tewali nsonga ntegeerekeka esobola kuzuulibwa . Naye ebikulu ebivaako bisobola okwawulwamu ebibinja bibiri: 1. Traumatic Avascular Necrosis: Kino kibaawo ng’eggumba limenyese oba ekiwanga bwe kikutuse mu kabenje. Olwo emisuwa egigabira eggumba giyinza okwonooneka. 2. Obulwadde bwa Avascular Necrosis obutali bwa buvune:Kino kibaawo ng’omusaayi ogugenda mu magumba gukosebwa, oba olw’obulwadde obulala oba olw’eddagala ly’omira. Eky’enjawulo wano kiri nti kino bwe kibaawo, kitera okukosa ennyondo ze zimu ku njuyi zombi ez’omubiri . Okugeza bw’oba ​​olina obulwadde bwa avascular necrosis mu kibegabega kyo ekya ddyo, emikisa mingi nti nabwo bujja kubaawo mu kibegabega kyo ekya kkono.

Bika ki eby’okumenya ebisinga okuvaako obulwadde bwa Traumatic Avascular Necrosis?

Kino tekibaawo ku buli kumenya, naye okumenya okumu kuli mu bulabe bwa maanyi.

• Okumenya ekisambi n’okuseeseetula : Kigambibwa nti abantu nga 20% basobola okulwala obulwadde bwa avascular necrosis naddala ng’ekiwanga ky’ekisambi kikutuse. Kino kiri bwe kityo kubanga emisuwa emikulu egigabira omusaayi mu ggumba ly’ekisambi gibeera mu bitundu ebizibu ennyo.

Endwadde ki n’ebizibu ebirala ebivaako Nontraumatic Avascular Necrosis?

Waliwo ebintu ebiwerako ebiyinza okuvaako kino:

• Osteoporosis : Obulwadde obuleetera amagumba okumenya. Naddala mu bakyala abakadde (n’abasajja abamu), obulwadde bwa avascular necrosis busobola okukula mu bwangu mu kugulu. Kino era kiyitibwa `(SPONK - Spontaneous Osteonecrosis of the Knee)`.
• Obuzibu mu musaayi: Ng’ekyokulabirako, endwadde nga sickle cell anemia . Mu ndwadde zino, enkula y’obutoffaali obumyufu ekyuka ne busobola okusibira mu misuwa emitono .
• Ssukaali : Abantu abalina ssukaali nabo bali mu bulabe bwa maanyi kubanga ssukaali asobola okwonoona emisuwa.
• Obujjanjabi bwa kookolo : Obujjanjabi bwa kookolo obumu naddala obw’amasannyalaze , busobola okwonoona emisuwa mu kitundu ekyo, ekivaako okuzimba emisuwa.
• Obulwadde bw’okukendeeza ku bunkenke : Abavubi mu nnyanja ennene bwe balinnya mangu, ebiwujjo by’empewo bisobola okutondebwa mu musaayi ne bizibikira emisuwa.
• Akawuka ka siriimu
• Lupus: Buno bulwadde bwa baserikale b’omubiri.
• Okukyusa ebitundu by’omubiri: Obulabe buno nabwo bubaawo naddala oluvannyuma lw’ebintu ng’okusimbuliza ekibumba. Emu ku nsonga lwaki kino kivaako lye limu ku ddagala erikozesebwa.

Bintu ki mu bulamu bwaffe ebyongeza akabi kano?

Emize egimu nagyo giyinza okwongera ku bulabe bw’okufuna kino (Avascular Necrosis).

• Omwenge oguyitiridde: Okunywa omwenge omungi kiyinza okwongera okutereka amasavu mu musaayi n’okuzibikira emisuwa.
• Okunywa sigala: Okunywa sigala nakyo kya bulabe nnyo eri emisuwa.
• Okukozesa eddagala lya corticosteroids okumala ebbanga eddene: Okugeza, eddagala nga `(Prednisone).` Lino ddagala eriweebwa ku ndwadde nnyingi. Wabula bw’omira okumala ebbanga eddene ate nga mu ddoozi nnyingi, ebizibu eby’ekika kino bisobola okubaawo.

Bubonero ki obulaga obulwadde bwa Avascular Necrosis?

Obubonero tebulabika omulundi gumu. Oyinza obutalaba kintu kyonna okumala wiiki oba emyezi. Ekiseera bwe kigenda kiyitawo, obubonero buno bulabika:

• Obulumi obujja ne bugenda: Obulumi obujja ne bugenda naddala nga puleesa essiddwa ku ggumba erikoseddwa, ate ne bukka nga puleesa eggiddwawo.
• Obulumi n’okukaluba okweyongera mpolampola: Kiyinza okumuluma katono mu kusooka, naye oluvannyuma obulumi buyinza okweyongera era kiyinza okuba ekizibu okutambuza ekiwanga.
• Entambula y’ekiwanga ekoma: Okugeza, mu mbeera y’ekibegabega, kizibu okusitula omukono. Mu nsonga y’ekisambi, kifuuka kizibu okufukamira oba okugolola ekigere.
• Okulema: Bw’oba ​​n’embeera eno mu kiwato oba mu kugulu, oyinza okukonziba ng’otambula.
• Obuzibu okulinnya amadaala, okuyimirira n’okutambula.

Bw’oba ​​olina obubonero buno bumu oba obusingawo, olina okulaba omusawo .

Abasawo bazuula batya obulwadde bwa Avascular Necrosis?

Bw’ogenda ew’omusawo ajja kusooka kukubuuza ku bubonero bwo n’okukwekebejja. Olwo bayinza okukola ekigezo kimu oba ebisingawo ku bino wammanga:

• X-rays: Zisobola okunoonya ebintu ng’okumenya n’endwadde z’enkizi. Wabula, Avascular Necrosis eyinza obutazuulibwa ku X-rays mu mitendera egy’olubereberye.
• MRI (Magnetic Resonance Imaging - MRI): Kino kye kigezo ekisinga obulungi era ekisinga okubeera ekizibu okuzuula obulwadde bwa Avascular Necrosis. MRI esobola okulaba bulungi n’enkyukakyuka entonotono mu magumba, ne mu bitundu omusaayi we gukendedde.

Obulwadde bwa Avascular Necrosis bujjanjabwa butya?

Obujjanjabi businziira ku kwonooneka kw’amagumba go.

Singa okwonooneka kw’amagumba kuba kutono, ku magumba amatono agatali gazito:

Mu mbeera zino, kiyinza obuteetaagisa kulongoosebwa. Omusawo ayinza okukuwa amagezi ku bintu nga:

• Packs ennyogovu n’ezibuguma (Cold packs, Heat treatment): Kikendeeza ku bulumi n’okuzimba.
• Okuwummula: Kikulu nnyo okuwummuza ekiwanga ekikosebwa.
• Eddagala eriziyiza okuzimba eritali lya steroid (NSAIDs): Eddagala eriweweeza ku bulumi, nga ibuprofen, lifuga obulumi n’okuzimba.
• Obujjanjabi bw’omubiri:Dduyiro n’obujjanjabi obulala okukendeeza ku bulumi mu binywa n’okwongera ku bbanga ly’otambula.
• Ebiyamba okutambula: Kozesa ebiyamba okutambula ng’emiggo n’emiggo okukendeeza ku buzito ku kiwanga ekikoseddwa.

(Avascular Necrosis) Singa embeera eba ya maanyi, okulongoosa:

Emirundi mingi naddala bwe kiba mu kiwanga ekizitowa ng’ekisambi (avascular necrosis), kyetaagisa okulongoosebwa . Waliwo ebika by’okulongoosa ebiwerako ebiyinza okukolebwa:

• Core Decompression: Mu nkola eno, omusawo alongoosa akola obutuli obutonotono (cores) obuwerako mu ggumba erikoseddwa. Kino kiyamba okukendeeza puleesa munda mu ggumba n’okuyamba emisuwa emipya okukula. Oluusi , okusimbibwa amagumba oba empiso endala zikozesebwa okwanguya okuwona amagumba. Kino kituuka ku buwanguzi singa obulwadde buzuuliddwa nga bukyali.
• Okukyusa ekiyungo: Kino kizingiramu okuggyawo ekiyungo ekyonoonese n’okikyusa n’ossaamu ekiyungo eky’ekikugu. Hip Replacements ne Knee Replacements zilongoosa bbiri ezituuse ku buwanguzi ennyo (nga 95%) ezimalawo obulumi n’okuyamba abantu abalina Avascular Necrosis okuddamu okutambula obulungi.

Obulwadde bwa Avascular Necrosis busobola okuziyizibwa?

Oluusi kino tekisobola kuziyizibwa naddala nga kivudde ku kabenje. Naye waliwo bye tuyinza okukola okukendeeza ku bulabe:

• Okulekera awo okunywa sigala: Kino mazima ddala kintu ky’osaanidde okukola.
• Omwenge gukendeeze ku kunywa: Kirungi okugukendeeza nga bwe kisoboka.
• Okufuga omuwendo gwa kolesterol: Kolesterol okweyongera mu musaayi si kirungi ku misuwa.
• Bw’oba ​​omira eddagala lya corticosteroids olw’obulwadde obutawona, yogerako n’omusawo wo ku ky’okukendeeza ku ddoozi. Tolekera awo kumira ddagala lyo oba okukyusa ddoozi nga tosoose kubuuza musawo.

Obulwadde bwa Avascular Necrosis busobola okuwona ddala?

Ebyembi, tewali ddagala lya Avascular Necrosis. Obujjanjabi busobola okufuga okukula kw’obulwadde n’okukendeeza ku bulumi. Abantu bangi okukkakkana nga beetaaga okulongoosebwa naddala okulongoosebwa okukyusa ennyondo. Abantu abalina obulwadde bwa Avascular Necrosis nabo basobola okufuna obulwadde bw’amagumba obw’amaanyi oluvannyuma lw’ekiseera.

Ddi lwe nnina okulaba omusawo?

Avascular necrosis bulwadde obugenda bweyongera mpolampola okumala ekiseera. Bw’oba ​​ozuuliddwa ng’olina embeera eno, olina okufaayo ennyo ku bubonero bwo naddala obulumi n’okukaluubirirwa okutambula. Laba omusawo mu bwangu bw’oba ​​olina ekimu ku bino wammanga:

• Obulumi obutaggwaawo ne bw’omala okuwummula oba okumira eddagala eriweweeza ku bulumi.
• Obulumi buno buba bwa maanyi nnyo ne kiba nti kizibu okutambula oba okutambula.
• Bwoba oli limping nga tolina nsonga .

Bibuuzo ki bye nnina okubuuza omusawo wange?

Kirungi okubuuza ebibuuzo bino ng’ogenda okulaba omusawo:

• Lwaki nnafuna obulwadde bwa Avascular Necrosis?
• Enkola ki ey’obujjanjabi esinga okunsinga?
• Bizibu ki ebiva mu bujjanjabi buno?
• Obulabirizi bwa ngeri ki obw‟okugoberera bwe nneetaaga oluvannyuma lw‟okujjanjabibwa?

Avascular Necrosis mbeera eruma nnyo era etta omuntu. Bw’oba ​​olina embeera y’obujjanjabi eyongera obulabe bw’okufuna embeera eno, oba bw’oba ​​omira eddagala eryongeza obulabe, yogerako n’omusawo wo. Asobola okukunnyonnyola obubonero bw’obulwadde bwa Avascular Necrosis. Okuzuula amangu obulwadde n’okujjanjaba kiyinza okuyamba okukendeeza ku kukula kw’embeera eno.

Ebintu ebikulu by'olina okujjukira (Take-Home Message)

Okay, kale ka tufunze ebimu ku bintu by'olina okujjukira okuva mu bye twogeddeko:

• Obulwadde bwa Avascular Necrosis bwe buba ng’omusaayi ogugenda mu magumba gukoma, ekivaako amagumba okufa.
• Kino kisinga kukosa kisambi , naye era kiyinza okukosa ebitundu ng’amaviivi n’ebibegabega.
• Kino kiyinza okuva ku bintu ng’okumenya amagumba, endwadde ezimu (e.g. sukaali, lupus), eddagala erimu (e.g. corticosteroids), okunywa omwenge ekisusse, n’okunywa sigala .
• Bw’oba ​​olina obubonero ng’okulumwa ennyo, okukaluba kw’ennyondo oba okukonziba, laba omusawo.
• MRI scan y’engeri esinga okuzuula kino.
• Obujjanjabi buzingiramu okuwummula, eddagala, okujjanjaba omubiri , era mu mbeera ez’amaanyi, okulongoosa (Core Decompression, Joint Replacement) kiyinza okwetaagisa.
• Wadde nga kino tekisobola kuwona ddala, obulwadde buno busobola okufugibwa singa bumanyibwa nga bukyali ne butandika okubujjanjaba.

Bw’oba ​​olina ekibuuzo ekirala kyonna ku nsonga eno, tolwawo kwogera na musawo wo. Sigala nga oli mulamu bulungi!