Oteekwa okuba nga wawulira bamaama baffe, bataata baffe, bajjajjaffe, ne bajjajjaffe nga bagamba nti, "Oo, omubiri gwange kati munafu," ne "Amagumba gange gakutuse." Mu butuufu, bwe tukaddiwa, amaanyi g’omubiri gwaffe gakendeera, n’amaanyi g’amagumba gaffe gakendeera mpolampola. Oluusi, embeera eno bw’efuuka ey’amaanyi, ne bw’ogwa katono oba n’okuva ku kitanda kiyinza okuvaako obulabe obw’amaanyi ennyo obw’okumenya omukono oba okugulu. Embeera eno amagumba mwe ganafuwa n'okumenya eyitibwa osteoporosis . Kale, leero tugenda kwogera ku kiraasi y’eddagala enkulu ennyo abasawo gye bakozesa okufuga obunafu bw’amagumba obw’ekika kino.

Mu ngeri ennyangu, bino bisphosphonates bye biruwa?

Bisphosphonates kibiina kya ddagala erikozesebwa okujjanjaba embeera ng’obulwadde bw’amagumba obukendeeza ku bugumu bw’amagumba n’amaanyi. Kino kitegeeza nti tewali ddagala limu eririna erinnya lino, wabula nga ligatta eddagala eriwerako. Ng’oggyeeko obulwadde bw’amagumba, abasawo era bawandiika eddagala lino ku mbeera ezimu ezirimu ekirungo kya calcium ekinene mu musaayi mu ngeri ey’akabi (hypercalcemia).

Katutunuulire ebika by’eddagala ebikulu wansi w’omutendera guno. Bino bijja mu ngeri bbiri enkulu. Emu ya kamwa (empeke ezimira mu kamwa), ate endala ya mu misuwa (IV) (amazzi agaweebwa mu musuwa).

Eddagala lino likwata litya omubiri?

Kino okusobola okukitegeera, tulina okusooka okutegeera katono ku ngeri amagumba gaffe gye gakolamu. Lowooza ku magumba gaffe ng’ekizimbe ekiddabirizibwa buli kiseera. Mu butonde emibiri gyaffe gimenyeka ne giggyamu eggumba erikadde era erinafuye. Enkola eno eyitibwa okuddamu okuyingiza amagumba.Mu kiseera kye kimu, eggumba eppya erisingako amaanyi mu bitundu mwe lyaggyibwamu. Kasita enkola zino ebbiri zibeera mu bbalansi, amagumba gaffe gasigala nga ganywevu.

Kyokka bwe tukaddiwa naddala oluvannyuma lw’abakyala okuva mu nsonga, bbalansi eno ebula. Ekibaawo eggumba erikadde limenyeka mangu nnyo okusinga eggumba eppya bwe litondebwa. Ekivaamu amagumba gagenda gagonvuwa mpolampola, gafuuka ga butuli era ne ganafuwa.

Bisphosphonates zikozesebwa mu mbeera ki?

Abasawo okusinga bateesa ku ddagala lino ku mbeera zino wammanga:

• Obulwadde bw’amagumba mbeera ebeerawo mu bakyala nga bavudde mu nsonga.
• Obulwadde bw’amagumba mu basajja.
• Okuziyiza okubeerawo kw’obulwadde bw’amagumba.
• Obulwadde bw’amagumba obuva ku kusigala nga bakozesa eddagala nga steroids (glucocorticoids).
• Obulwadde bwa Paget obw’amagumba bulwadde amagumba mwe gakula mu ngeri etaali ya bulijjo.
• Fuga ebizibu ebibaawo ku bika bya kookolo ebimu (e.g. Multiple Myeloma) n’obutoffaali bwa kookolo bwe busaasaana mu magumba (Bone Metastasis).
• Okufuga obulwadde bwa kookolo obuyitibwa hypercalcemia (okweyongera kwa calcium mu musaayi olw’obulwadde bwa kookolo).

Eddagala lino nkozese ntya? Kino kikulu nnyo!

Kikulu nnyo okugoberera ebiragiro bino ddala okusobola okufuna omugaso omujjuvu ogw’eddagala lino n’okukendeeza ku buzibu obuvaamu.

Eddagala ly’omu kamwa

Engeri y’okumira empeke zino ya njawulo nnyo. Olina okugoberera ddala ebiragiro by’omusawo.

• Empeke eno olina okugimira ku makya, nga tonnalya oba kunywa kintu kyonna (ku lubuto njereere) .
• Empeke eno erina okumira n’egiraasi y’amazzi ejjudde (amazzi amayonjo) yokka . Kikugirwa nnyo okumira eddagala lino n’ebintu nga caayi, kaawa, amata oba ebyokunywa ebibala.
• Ekisinga obukulu: Bw’omala okumira eddagala, olina okutuula oba okuyimirira waakiri okumala eddakiika 30 ku 60 . Tosigama, togalamira, oba tosula olw’ensonga yonna.
• Ensonga lwaki kino kiri bwekityo eri nti eddagala lino liyinza okwonoona omumwa gwa nnabaana. Obulabe obwo buggwaawo ng’oyimiridde kubanga eddagala liyita mangu mu lubuto.
• Si kirungi kulya oba kunywa kintu kirala kyonna mu kiseera kino eky’eddakiika 30-60. Oluvannyuma lw’obudde obwo okuggwaako, osobola okulya ekyenkya nga bulijjo.

IV Eddagala

Kino tosobola kukikola waka. Obujjanjabi buno buweebwa mu ddwaaliro oba mu ddwaaliro. Okusinziira ku mbeera yo, empiso eno (infusion) etera okukuwa omulundi gumu mu mwaka oba buli luvannyuma lwa myezi mitono.

Nga omira eddagala lino, omusawo ajja kutera okukuwa amagezi okulya emmere erimu ekirungo kya calcium (amata, yogati, kkeeki, ebyennyanja ebitono) n’okumira eddagala lya vitamin D , kuba byombi byetaagisa nnyo mu magumba amagumu.

Biki ebiva mu bisphosphonates?

Nga bwe kiri ku ddagala lyonna, wayinza okubaawo ebizibu ebimu ebivaamu. Naye teweeraliikiriranga, abasinga batono.

Side effects ezitatera kubaawo nnyo naye nga zisaana okumanyibwa

Wadde bino biba bitono nnyo , kikulu okubimanya.

• Osteonecrosis of the jaw: Obulabe buno butono nnyo naddala oluvannyuma lw’okulongoosebwa ng’okuggyamu amannyo. N’olwekyo bw’oba ​​omira eddagala lino, tegeeza omusawo w’amannyo buli lw’omulaba.
• Atypical femur fractures: Kino tekitera kubaawo mu bantu abamira eddagala lino okumala ebbanga eddene (emyaka egisukka mu 3-5).
• Ebizibu by’amaaso: Okuzimba (uveitis, scleritis) mu bitundu by’eriiso eby’enjawulo kuyinza okubaawo.

Oyagala kuddamu kulaba musawo ddi?

Bw’oba ​​omira eddagala lino, kikulu okulaba omusawo buli luvannyuma lwa kiseera okukebera oba eddagala lino likola era oba waliwo ebizibu ebivaamu. Oyinza n’okusindikibwa ew’omusawo omukugu mu magumba (Endocrinologist oba Rheumatologist).

Omusawo ayinza n’okukuwa amagezi okukebera DXA olabe amagumba go bwe gali amanene.

Eky’enjawulo: Bw’oba ​​omaze emyaka egisukka mu esatu ng’okozesa eddagala lino n’ofuna obulumi obupya mu kisambi oba mu kisambi, tokibuusa maaso era tegeeza omusawo mu bwangu.