Amagumba go nago gakuluma? Kiyinza okuba Bone Marrow Edema!

Wali owuliddeko ng'amagumba galumwa oba ekiwanga ekizimba n'okwebuuza nti, "Kino kiki?" Oluusi ekivaako ebintu bino kiyinza okuba ekintu kye tutalowooza wadde. Leero tugenda kwogera ku mbeera gy'oyinza obutawulirako, naye nga kikulu okumanya. Eyo mbeera eyitibwa `Bone Marrow Edema`.

Obulwadde bw’amagumba (Bone Marrow Edema) kye ki?

Okay, ka tusooke tulabe Bone Marrow Edema (BME) kye ki. Mu ngeri ennyangu, kwe kuzimba kw’ebitundu ebigonvu ebiri munda mu magumba gaffe ebiyitibwa obusigo bw’amagumba . Omanyi obusigo bw’amagumba kitundu ekiringa sipongi. Mu busimu bw’amagumba mwe muva obutoffaali obusibuka mu musaayi omubiri gwaffe bwe gwetaaga. Kale, ‘edema’ kizimba ekiva ku kukuŋŋaanyizibwa kw’amazzi. Abantu abamu era bakiyita ‘ebiwundu by’obusimu bw’amagumba’.

Ebiseera ebisinga, embeera eno eyitibwa `BME` ezuulibwa nga `MRI` scan ekoleddwa olw'ensonga endala. Ekyo kitegeeza nti kiyinza okuzuulibwa mu butanwa ng’ojjanjabwa embeera endala. `BME` oluusi esobola okuleeta obulumi obw'amaanyi . Naye ekirungi nti ebiseera ebisinga, kijja kugenda ku bwakyo okumala ekiseera. Mu kiseera ky’obujjanjabi, abasawo bajja kufuba okufuga obubonero bwo.

Bika ki ebikulu ebya `BME`?

Kati ka tulabe ebika ebikulu ebya `BME` zino bye biruwa. Mu butuufu waliwo ebika bibiri ebikulu.

Ekimu ye `BME` eyokubiri.

Ekibaawo mu mbeera eno nti olina embeera endala ey’obujjanjabi ereeta BME. Okugeza bw’oba ​​olina embeera nga Osteoarthritis, oyinza okuba ne BME ng’ekizibu ekiva mu ekyo. Mu mbeera ey’ekika kino, oluusi oyinza okuba n’obubonero, oba nga tolina bubonero bwonna. Y’ensonga lwaki nnagambye emabegako nti kiyinza okusangibwa mu butanwa ng’okola MRI ku kintu ekirala.

Endala ye Spontaneous oba Primary `BME`.

Ekibaawo mu mbeera eno nti abasawo tebasobola kufuna nsonga ntegeerekeka evuddeko `BME`. Naye olina obulumi obw’enjawulo obukwatagana nabwo. Kino era kiyitibwa `Bone Marrow Edema Syndrome (BMES) .` Ka twogere ku nsonga eno mu bujjuvu katono.

Njawulo ki eri wakati wa `BME` ne `Bone Marrow Edema Syndrome (BMES)`?

Okay, kale enjawulo ki eri wakati wa `BME` ne `Bone Marrow Edema Syndrome (BMES)`?

Mu ngeri ennyangu, `BMES` kika kya `BME` ekitali kya bulijjo . Ekituufu ekivaako kino tekimanyiddwa. Ebiseera ebisinga, embeera eno elabibwa mu basajja abali wakati w’emyaka 30 ne 60.Mukasera kano. Okunoonyereza okumu kulaga nti embeera eno eyitibwa `BMES`, eyinza okuba nga yeekuusa ku bizibu by'obulamu nga kolesterol omungi (`hyperlipidemia`) n'obutaba na vitamiini D. Kiyinza okubeera mu ggumba limu lyokka oba mu magumba amangi. Businga kulabibwa mu bitundu by’omubiri ebya wansi, gamba ng’amagulu.

Ekikulu kiri nti, wadde nga `BMES` ekwatagana ne `BME`, mbeera ya njawulo. Omusawo wo ajja kukozesa enkola ez'enjawulo okuzuula n'okujjanjaba `BMES`.

Ani asinga okukulaakulanya `BME` eno?

Kale ani asinga okukulaakulanya `BME` eno?

Mu butuufu, omuntu yenna asobola okulwala BME, awatali kulowooza ku myaka, ggwanga oba kikula ki. Wabula bw’oba ​​olina embeera z’obujjanjabi zino wammanga, akabi k’okufuna BME kasingako katono:

• Ebika by’endwadde z’enkizi
• Kookolo w’amagumba
• Obulwadde bw’amagumba (e.g. Osteomyelitis) .
• Osteoporosis (obulwadde obugonza amagumba) .

Biki ebivaako `BME`?

Kati ka tulabe ebivaako `BME` okubeerawo. Mu butuufu waliwo ensonga eziwerako. Ka tubikubaganye ebirowoozo kimu ku kimu.

Olw’obulwadde bwa kookolo

Ebika bya kookolo ebimu bisobola okuleeta `BME`. Okugeza nga:

• `Obulwadde bwa Acute Myeloid Leukemia (AML)`
• Bone metastasis (okusaasaana kwa kookolo mu magumba) .
• Chondrosarcoma (kookolo w’obutoffaali bw’amagumba) .
• Ewing sarcoma (kookolo abeera mu magumba oba mu bitundu ebigonvu) .
• Osteosarcoma (kookolo w’amagumba) .
• Era kiyinza okuva ku bujjanjabi bw’amasannyalaze (radiation therapy) ku kookolo.

Olw’embeera z’okuvunda

BME era esobola okubaawo ng’obulamu bw’ebitundu by’omubiri gwaffe bweyongera okwonooneka okumala ekiseera. Okusinga:

• Osteoarthritis (owulidde ku kino, ekyo ekikuluma ng’amaviivi ng’ogenda okaddiwa)
• Tendinopathy (Ebizibu ebikwatagana n’emisuwa) .

Olw’okukwatibwa yinfekisoni

BME era esobola okuva ku yinfekisoni mu magumba oba ennyondo:

• Obulwadde bw’amagumba (e.g. Osteomyelitis) .
• Septic arthritis (obulwadde obuva ku bakitiriya okuyingira mu binywa) .

Olw’okukosa omusaayi (embeera z’omusaayi) .

Oluusi, singa ebitundu by’omubiri eby’enjawulo mu mubiri tebifuna musaayi oba omukka gwa oxygen gumala, `BME` nayo esobola okubaawo:

• `Avascular necrosis` (oluusi eyitibwa `osteonecrosis` - kino kye kiseera omusaayi ogugenda mu magumba bwe gubula era ebitundu byago ne bifa)
• Charcot foot (ekizibu ekiva mu bigere mu bantu abalina endwadde nga sukaali) .

Olw’embeera z’enkyukakyuka mu mubiri

Embeera eno eya `BME` era esobola okuva ku kutaataaganyizibwa okumu mu nkola z'omubiri gwaffe ez'okukyusakyusa emmere:

• `Cushing syndrome` (embeera eva ku kweyongera kw’obusimu bwa cortisol mu mubiri) .
• `Hyperparathyroidism` (okukola ennyo kw’endwadde za parathyroid) .
• Mastocytosis (okukuŋŋaanyizibwa okuyitiridde kw’ekika ky’obutoffaali obuyitibwa mast cells) .
• Obuzibu bw’eby’obuggagga bw’omu ttaka n’amagumba obuva ku bulwadde bw’ekibumba obutawona
• Osteomalacia (okugonza amagumba mu bantu abakulu - era kiyinza okuva ku bbula lya vitamin D) .
• Osteoporosis (okugonza amagumba), naddala mu bisambi n’amaviivi
• Obutabeera na vitamiini D

Olw’okuzimba ebinywa n’amagumba

BME era esobola okulabibwa olw’okuzimba mu magumba gaffe, emisuwa, ebinywa, n’obusimu:

• Obulwadde bwa Ankylosing Spondylitis (AS) .
• Enthesitis (okuzimba emisuwa n’emisuwa gye bikwata ku magumba) .
• Psoriatic arthritis (okuzimba kw’ennyondo okuwerekera ku psoriasis) .
• Obulwadde bw’endwadde z’enkizi (kino nakyo kizimba nnyondo) .
• Sacroiliitis (okuzimba ekiwanga wakati w’eggumba ly’omugongo n’eggumba ly’omu kifuba) .

Olw'obubenje n'obuvune (Trauma) .

Kino abantu bangi kye bayiseemu. BME era esobola okuva ku bintu ng’akabenje, okugwa, oba obuvune obulala ng’ozannya emizannyo:

• `ACL (Anterior Cruciate Ligament) tears` (okukutuka kw’omusuwa omukulu mu kugulu - kino kitera okubaawo mu bannabyamizannyo)
• `Obulwadde bw'obulumi mu kitundu ekizibu (CRPS)`
• `Compression fractures` (okumenya amagumba mu kunyigirizibwa naddala mu mugongo) .
• Okukutuka kw’ekisambi, ekivaamu okufa kw’ebitundu by’amagumba (osteonecrosis) .
• Obuvune obulala obw’amagumba oba mu binywa naddala obukwata ku kisambi, ekisambi, okugulu oba omugongo
• Stress fractures (enjatika ennungi mu magumba eziva ku kukola ennyo), naddala mu kisambi, ekigere, ekisambi oba okugulu. Ng’ekyokulabirako, bw’oba ​​omuddusi w’ebanga eddene, kino kiyinza okubaawo.

Bubonero ki obwa `BME`?

Okay, kale obubonero ki omuntu alina `BME` bw'alaga?

Akabonero akakulu kwe kulumwa mu ggumba oba okwetooloola. Kino kye kintu abantu abasinga kye basooka okulaba. Okugatta ku ekyo, oyinza n’okulaba ebintu nga:

• Joint effusion (amazzi agalinga amazzi agajjuza ekiwanga) .
• Ebinyondo ebibuguma (okuwulira nga bbugumu okusinga ebitundu ebirala nga bikwatibwako) .

Naye jjukira nti abantu abamu basobola okuba ne BME ne batalaga bubonero bwonna . Y’ensonga lwaki oluusi kizuulibwa mu butanwa.

Oyinza otya okuzuula embeera ya `BME`?

Omusawo azuula atya mu butuufu embeera eno eya `BME`?

Okusooka, omusawo wo ajja kukukebera omubiri. Bajja kukubuuza ku bubonero bwo n’ebyafaayo byo eby’obujjanjabi. Nga bwe nnagambye emabegako, BME etera okuzuulibwa ng’erina embeera endala ezikwatagana nayo.

Omusawo wo bw’aba ateebereza nti BME, ayinza okukusaba okukeberebwa ebimu, gamba nga:

• Okukebera omusaayi: Bino binoonya obubonero bw’okuzimba mu mubiri.
• Okukebera obusigo bw’amagumba: Kino kizingiramu okutwala akatundu akatono ku busimu bw’amagumba n’okakebera.
• `DEXA (DXA) scan`: Kino kikebera oba `Osteoporosis` (obulwadde obugonza amagumba).
• MRI (Magnetic Resonance Imaging) Scan: Kino kigezo kikulu nnyo okuzuula obulwadde bwa BME. Kisobola okulaba obulungi amazzi agali mu busimu bw’amagumba.
• Okukebera mu ngeri ya Ultrasound.

Jjukira nti okuzimba obusimu bw’amagumba (BME) emirundi mingi tekulabika bulungi ku X-ray oba CT scan eya bulijjo.

`BME` ekwatibwa etya?

Kati ka tulabe obujjanjabi ki obuliwo ku `BME`.

Amawulire amalungi gali nti ebiseera ebisinga, BME ejja kugenda ku bwayo okumala ekiseera . Naye kijja kutwala ekiseera. Omusawo wo osanga ajja kukugamba owummuleko , mpozzi okumala emyezi mitono.

Okusobola okuyamba okuddukanya obubonero bwo, omusawo ayinza n’okukuwa amagezi ku bintu nga:

• Eddagala eriweweeza ku bulumi n’eddagala eriziyiza okuzimba (`Nonsteroidal anti-inflammatory drugs - NSAIDs`). Okugeza, eddagala lya Ibuprofen.
• Obujjanjabi bw’omubiri: Kino kiyamba okunyweza ebinywa n’okuzzaawo enkola y’ennyondo.

Obujjanjabi mu mbeera ez’amaanyi

Naye singa embeera ya BME eba ya maanyi nnyo, oba singa kiba kizibu okufuga n’obujjanjabi obwa bulijjo, omusawo ayinza n’okulowooza ku bino wammanga:

• Empiso za steroid: Zino osobola okuziweebwa butereevu mu kitundu omulumizibwa okukendeeza ku buzimba.
• Okuloongoosa.

Singa kyetaagisa okulongoosebwa, omusawo ayinza okuteesa ku nkola eyitibwa `Core decompression surgery.` Kino kizingiramu okusima obutuli obutonotono obuwerako mu ggumba erikoseddwa. Ebituli bino bikendeeza puleesa munda mu ggumba ne bikendeeza ku bulumi.

Okusobola okukubiriza obusigo bw’amagumba okukula obulungi, omusawo alongoosa ayinza n’okukola ebintu nga:

• Singa BME ebaddewo olw’ensonga nga kookolo, okukyusa obusimu bw’amagumba nga okozesa obutoffaali obusibuka mu mubiri kiyinza okuteesebwako.
• Ebinnya ebisimiddwa nabyo bisobola okujjula n’amagumba agasimbiddwa.

Oyinza okusuubira okuwona amangu otya ng’ovudde ku bujjanjabi?

Nsobola okusuubira amangu ebivaamu oluvannyuma lw'okufuna obujjanjabi bwa `BME`?

Kino ddala kisinziira ku kiki ekyakuleetera BME, embeera yo bw’eri ey’amaanyi, n’obujjanjabi bw’ofuna. Ebiseera ebisinga obubonero bugenda mu myezi 4 ku 12 . Naye oluusi BME esobola okumala emyaka ebiri oba n’okusingawo. Kale olina okuba omugumiikiriza.

Obulabe bw’okulwala BME busobola okukendeezebwa?

Kale waliwo kye tuyinza okukola okukendeeza ku bulabe bw'okufuna `BME'?

Mu butuufu, tewali ky’oyinza kukola okukendeeza ku bulabe bwo obw’okufuna BME. Naye okunoonya amagezi g'abasawo amangu ddala ng'ofunye obubonero kiyinza okukuyamba okutandika amangu obujjanjabi . Ekyo kikulu nnyo.

Kiki ky'osuubira singa oba olina `BME`? Okola otya okwerabirira?

Kiki ky'osuubira singa oba olina `BME`? Olina okwerabirira otya?

Nga bwenagambye emabegako, `BME` mbeera etera okutereera n'obudde , kale tofaayo nnyo ku nsonga eyo.

Ekisinga obukulu kwe kuwa amagumba go aga BME ekiwummulo ekinene era ogoberere ddala ebiragiro by’omusawo wo. Eddagala lyo limira nga bwe likulagidde, wummulamu, era kola dduyiro w’okujjanjaba omubiri bwe kiba kyetaagisa.

Ddi lwe nneetaaga okuddamu okulaba omusawo?

Ddi lw’osaanidde okuddamu okulaba omusawo?

Bw’ofuna ekimu ku bino wammanga, kakasa nti ogenda ew’omusawo:

• Si kibi singa obubonero bwo bukomawo oba ne bweyongera .
• Bw’oba ​​olina ekikweraliikiriza ku bizibu byonna ebiyinza okuva mu bujjanjabi bw’omira.
• Singa tewali kulongooka oba ebivaamu birabibwa oluvannyuma lw’ekiseera ng’ajjanjabwa.

Mu mbeera ng’eyo, omusawo asobola okukuwa amagezi ku bujjanjabi obulala obuyinza okukuyamba.

Kale, bubaka ki obukwata ku take -home okuva mu mboozi eno?

Bone Marrow Edema (BME) mbeera ebaawo ng’amazzi gakuŋŋaanyiziddwa mu magumba gaffe. Kiyinza okuva ku bintu ebitali bimu, omuli kookolo, yinfekisoni, embeera z’okuzimba, n’obubenje. Akabonero akakulu kwe kulumwa amagumba. Abasawo bakozesa okukebera omusaayi, MRI, ne ultrasound okuzuula obulwadde buno. Obujjanjabi buno mulimu okuwummula, eddagala eriweweeza ku bulumi n’okujjanjaba omubiri. Ekisinga obukulu, BME mbeera etera okuggwaawo okumala ekiseera. N’olwekyo, kikulu okugenda ew’omusawo amangu ddala nga bwe kisoboka singa obubonero bulabika, n’okuwummula obulungi n’okujjanjabibwa. Tosattira naye era tokibuusa maaso!

` Okuzimba kw’obusimu bw’amagumba, Obulumi bw’amagumba, MRI, BME, Okuzimba kw’ennyondo, Obubonero bw’amagumba, Okuzimba kw’obusimu bw’amagumba Sinhala