Oluusi olina obulumi mu kiwato, okugulu oba ekibegabega ekitaggwaawo ne bw’omira eddagala litya? Oyinza okusanga obuzibu okutambula oba n’okulinnya amadaala. Kino kiyinza okuba nga kiva ku kuba nti omusaayi ogugenda mu kitundu ky’eggumba eriri munda mu kiwanga gusaliddwako ne gufa. Mu ngeri y’obusawo, kino tukiyita Avascular Necrosis (AVN) , oba Osteonecrosis . Wadde erinnya lino liyinza okuba nga lizibu katono, kikulu ggwe okutegeera embeera eno mu ngeri ennyangu.
Obulwadde bwa Avascular Necrosis (AVN) kye ki?
Mu ngeri ennyangu, eno mbeera ng'amagumba gaffe "gaziyira." Lowooza ku kino, okufaananako buli katoffaali mu mubiri gwaffe, amagumba geetaaga omukka gwa oxygen n’ebiriisa okusobola okubeerawo, okusigala nga bigumu, n’okukula ebipya. Bino bireetebwa omusaayi. Kiki ekibaawo singa, olw’ensonga ezimu, omusaayi ogugenda mu kitundu ky’eggumba gukoma ddala oba ku kigero ekinene? Ng’omuti bwe gufa nga tegulina mazzi, ekitundu ekyo eky’eggumba kitandika okufa mpolampola nga tekifunye mmere yonna. Kino kye tuyita AVN.
Eggumba lino erifudde linafuwa okumala ekiseera, ne litandika okumenyekamenyeka, ne likutuka. Singa kino kibaawo okwetooloola ekiwanga, ekiwanga kyennyini kiyinza okugwa. Wadde embeera eno esobola okukosa eggumba lyonna mu mubiri, esinga kubeera mu:
- Hip joint: Enkomerero y’eggumba ly’ekisambi erya waggulu.
- Ekiyungo ky’okugulu: Enkomerero eya wansi ey’eggumba ly’ekisambi.
- Ekiyungo ky’ekibegabega: Enkomerero y’eggumba ly’omukono erya waggulu.
Kino si kintu ekibaawo mu bwangu. Embeera egenda yeeyongera mpolampola okumala ekiseera. N’olwekyo, kikulu nnyo okukizuula n’okukijjanjaba nga bukyali .
Bubonero ki obulaga embeera eno?
Obubonero bwa AVN tebulabika mangu. Zikula mpolampola mu wiiki, oluusi emyezi. Mu kusooka kiyinza obutabaawo bulumi. Kyokka embeera eno bw’egenda yeeyongera okwonooneka, obubonero buno buyinza okulabika.
| Obubonero | Okunnyonnyola |
|---|---|
| Obulumi mu binywa | Mu kusooka, obulumi butandika ng’ekiwanga kiri wansi w’omugugu, gamba ng’oyimiridde oba ng’otambula. Oluvannyuma, obulumi buno buyinza okubaawo ne bw’oba oyimiridde oba nga weebase ekiro. |
| Obuzibu okufukamira n’okugaziya ekiyungo | Waliwo obulumi n’obutabeera bulungi ng’ofukamidde oba ng’ogaziya ekitundu ky’omubiri. Ekiwanga kiyinza n’okuwulira ng’ekikwatiddwa. |
| Okulemagana | Naddala singa ekisambi oba okugulu kwo kukosebwa, oyinza okutandika okutambula ng’olina ekizibu mu butamanya. Kino omubiri gwo kye gukola okwewala obulumi. |
| Obuzibu mu mirimu egya buli lunaku | N’ebintu ebyangu ng’okulinnya amadaala, okuyimirira, n’okutambula bifuuka emirimu egy’obulumi era emizibu. |
Lwaki kino kigenda mu maaso? Ensonga ze ziruwa?
Waliwo ensonga ezitali zimu lwaki omusaayi okutambula mu magumba gusobola okuyimirira. Ensonga zino tujja kuzikubaganyaako ebirowoozo nga tuzigabanyaamu ebika bibiri ebikulu.
Olw'akabenje (Traumatic AVN)
Kino kye kisinga okuvaako. Singa ofuna akabenje ak’amaanyi n’omenya eggumba (okumenya) oba n’okutuka ekiwanga (okukutuka), emisuwa emigonvu egigasa omusaayi mu ggumba giyinza okwonooneka. Obulabe buno buba bungi naddala mu mbeera ng'okumenya ekisambi . Omusaayi bwe gumala okusalibwako, eggumba litandika okufa mpola.
Olw’embeera endala ez’obujjanjabi oba ebivaako (Nontraumatic AVN) .
Embeera eno esobola okubaawo awatali kabi konna. Katutunuulire ebimu ku bigikosa wansi. Singa AVN ekula olw’ensonga ng’eyo, esobola okukosa enjuyi zombi ez’omubiri. Okugeza, singa kikwata ekibegabega ekya ddyo, kisoboka okuba nti n’ekibegabega kya kkono kikosebwa.
| Ekivaako/Ensonga y’akabi | Ennyinyonnyola ennyangu |
|---|---|
| Okukozesa eddagala lya steroid okumala ebbanga eddene | Corticosteroids , nga Prednisone, ze zisinga okuvaako kino, kubanga zisobola okwongera ku masavu mu musaayi n’okufunda emisuwa. |
| Okunywa omwenge ekisusse | Obulabe buno era buba bungi eri abo abanywa omwenge ekisusse okumala ebbanga eddene. Omwenge era gusobola okuleeta obutundutundu bw’amasavu mu musaayi okweyongera ne guzibikira emisuwa. |
| Okunywa sigala | Okunywa sigala kiyinza okuvaako emisuwa okufunda n’okulemesa omusaayi okutambula. |
| Embeera z’obujjanjabi ezimu | AVN eyinza okuva ku ndwadde nga sickle cell anemia, lupus , okukwatibwa akawuka ka siriimu , n’obujjanjabi obw’amasannyalaze ku kookolo. |
| Okusimbuliza ebitundu by’omubiri | Obulabe buno era bweyongera olw’eddagala (naddala steroids) eriweebwa okutangira omubiri okugaana ekitundu ekyo oluvannyuma lw’okusimbuliza ekitundu ky’omubiri. |
| Obulwadde bw’okukendeeza ku bunkenke | Eno mbeera eyinza okubaawo mu bavubi mu nnyanja ennene. Bw’ofuluma amangu ennyo, ebiwujjo by’empewo bisobola okutondebwa mu musaayi gwo ne biziba emisuwa. |
Omusawo kino akizuula atya?
Bw’otubuulira ku bubonero bwo, omusawo ajja kusooka kukubuuza ku byafaayo byo eby’obujjanjabi, eddagala ly’omira, n’engeri gy’obeera (omwenge, okunywa sigala). Olwo ajja kwekenneenya omubiri gwo.
Naye engeri esinga okukakasa obulwadde buno kwe kukozesa MRI (Magnetic Resonance Imaging) scan . Kizibu okuzuula embeera eno mu ntandikwa ng’okozesa X-ray buli kiseera. Kino kiri bwe kityo kubanga enkyukakyuka mu X-rays zirabika oluvannyuma lw’okwonooneka okw’amaanyi ku ggumba. Kyokka, MRI scan esobola okuzuula omusaayi ogukendedde mu ggumba era n’enkyukakyuka ezitali za maanyi mu ggumba nga bukyali.
Bujjanjabi ki obukolebwa ku kino?
Obujjanjabi businziira ku bintu bingi omuli obunene bw’amagumba go, omutendera gw’obulwadde, emyaka gyo, n’obulamu bwo okutwalira awamu. Ebigendererwa ebikulu eby’obujjanjabi kwe kukomya amagumba okwongera okwonooneka, okukendeeza ku bulumi n’okukuuma ennyondo nga zikola.
Obujjanjabi obutali bwa kulongoosa
Singa obulwadde buno buzuulibwa nga bukyali, osobola okugezaako okubufuga nga tolongooseddwa n’ebintu bino:
- Okuwummula: Okusitula obuzito ku kiwanga ekikoseddwa, ekitegeeza okukendeeza ku kutambula ekisusse, okudduka n’okubuuka.
- Eddagala eriweweeza ku bulumi: Ebintu ng’eddagala eriziyiza okuzimba eritali lya steroid (NSAIDs) eriweebwa omusawo bisobola okuyamba okukendeeza ku bulumi n’okuzimba.
- Obujjanjabi bw’omubiri: Dduyiro anyweza ebinywa ebyetoolodde ekiwanga n’okuyamba okukuuma ebinywa nga bitambula.
- Ebiwanirira ng’emiggo: Singa ekisambi oba okugulu kikosebwa, okukozesa emiggo kiyinza okukendeeza ku buzito ku kiwanga.
- Cold/Heat packs: Zino zisobola okuyamba okumala akaseera obulumi.
Obujjanjabi bw’okulongoosa
Singa okwonooneka kw’eggumba kuba kungi, oba singa obujjanjabi obwo waggulu tebusobola kulifuga, kiyinza okwetaagisa okulongoosebwa.
| Okuloongoosa | Kiki ekituuka ku kyo? |
|---|---|
| Okukendeeza ku bunkenke mu musingi (Core Decompression). | Kino kizingiramu okusima ekituli ekitono (cores) kimu oba ebisingawo mu ggumba eryonoonese. Kino kikendeeza puleesa munda mu ggumba, ne kisobozesa emisuwa emipya okutondebwawo n’okulongoosa entambula y’omusaayi. Kino kikola bulungi mu ntandikwa y’obulwadde. |
| Okusimba amagumba | Eggumba eryafudde lilongoosebwa ne liteekebwamu ekitundu ky’eggumba ekirungi okuva mu kitundu ekirala eky’omubiri gwo oba eggumba okuva mu muntu eyamuwaddeyo. |
| Okukyusa Ebiyungo | Singa okwonooneka kw’eggumba kuba kwa maanyi, oba ekiwanga kyennyini kiba kigudde, ekiwanga ekyonoonese kiggyibwawo ddala ne kikyusibwamu ekiyungo eky’ekikugu ekikoleddwa mu kyuma oba ekiveera. Okukyusa ekisambi/okugulu kitera okukolebwa. |
Ebiseera by’omu maaso biba bitya eri omuntu alina AVN?
Ekisooka okwogera kiri nti Avascular Necrosis si mbeera eyinza okutta omuntu . Tekijja kukosa bulamu bwo. Kyokka, kiyinza okukosa ennyo omutindo gw’obulamu bwo. Obulumi buno buyinza okukaluubiriza okukola emirimu gya buli lunaku, okutambula n’okukola.
Ate era, AVN bw’ekola okwonooneka kw’amagumba, eggumba eriri mu kiwanga liyinza okukaddiwa, ekivaako obulwadde bw’amagumba obw’amaanyi . Mu mbeera ng’ezo, oluvannyuma kiyinza okwetaagisa okulongoosebwa okukyusa ebinywa.
Ddi lwe nnina okulaba omusawo?
Kino kye kitundu ekisinga obukulu. Abantu bangi tebafaayo ku bulumi bw’ennyondo, nga balowooza nti kya bulijjo. Wabula bw’oba olina obubonero buno, olina okulaba omusawo.
Bw’oba olina obulumi ng’otambula oba ng’otambuza omubiri gwo, ate nga tebugenda ne bw’owummudde oba ng’omira eddagala eriweweeza ku bulumi, oba bw’owulira ng’okoonagana awatali nsonga, laba omusawo awatali kulwa era ofune amagezi.
Jjukira nti embeera nga eno gy’ekoma okutegeerwa amangu, obujjanjabi gye bukoma okukola obulungi, n’okwonooneka kw’eggumba gye kukoma okukendeera, era n’omutindo gw’obulamu bwo gye gukoma okukuumibwa obulungi.
Obubaka Obutwala Awaka
- Obulwadde bwa Avascular Necrosis (AVN) bwe buba ng’omusaayi ogugenda mu magumba gukoma, ekivaako amagumba okufa.
- Ennyondo z’ekisambi, okugulu n’ebibegabega ze zisinga okukosebwa.
- Akabonero akakulu kwe kulumwa ennyondo nga kweyongera mpolampola nga tekukendeera ne bw’owummudde.
- Obubenje, okukozesa eddagala lya steroid okumala ebbanga eddene, okunywa omwenge ekisusse, n’embeera ezimu ez’obujjanjabi bisobola okuvaako kino.
- Bw’oba olina obulumi mu binywa oba okulemagana nga totegedde, tokibuusa maaso era mazima ddala olabe omusawo.
- Okuzuula obulwadde buno nga bukyali n’okubujjanjaba kiyinza okutangira obulwadde buno okweyongera.
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