Eggumba lyo ery’akawanga ligenda lisaanuuka mpola? (Condylar Resorption) Leero tugenda kwogera ku nsonga eno!

Wali okirabye ng’akawanga k’abantu abamu aka wansi kalabika nga kabbira mu katono, oba akalevu kaabwe tekalabika n’akatono? Mpozzi nga waliwo obulumi mu kitundu ky’akawanga, oba wadde eddoboozi ng’oyasamya akamwa. Ensonga emu eyinza okuba emabega w’ebintu bino kwe kusaanuuka kw’eggumba ly’akawanga lye twogerako leero, embeera eyitibwa (Condylar Resorption) . Tofaayo, kino tujja kukyogerako mu ngeri ennyangu, mu ngeri gy’osobola okutegeera.

Kino (Condylar Resorption) kye ki?

Mu ngeri ennyangu, Condylar Resorption ye Temporomandibular Joints (TMJs) ezikola nga tuggulawo n’okuggalawo emimwa gyaffe bwe zisaanuuka mpolampola, ne zikaddiwa, ne zibula. Mandibular condyles zino bye bitundu ebikulu ebigatta akawanga kaffe aka wansi ( the mandible) ku kiwanga ku njuyi zombi. Kale bino bwe bisaanuuka, akawanga kaffe aka wansi kakendeera ne kagenda munda, nga kalinga akakendedde. Enkyukakyuka eno oluusi esobola okubaawo amangu, mu myezi mitono gyokka , oba eyinza okutwala emyaka .

Ani asinga okulwala embeera eno?

Lowooza ku kino: Lipoota z’abasawo ziraga nti embeera eno (Condylar Resorption) etera okubeerawo mu bawala n’abakyala emirundi mwenda okusinga abasajja. Kitera nnyo naddala mu bawala abato abali wakati w’emyaka 10 ne 20. N’olwekyo bw’oba ​​olina omuntu ow’omu maka oba omuntu gw’omanyi mu myaka gino, kirungi kino okukimanyaako katono.

(Condylar Resorption) ekosa etya omubiri gwaffe?

Kino ddala kiyinza okuleeta enjawulo nnene mu ndabika n'enkula ya ffeesi yaffe . Oyinza okukiraba nti akawanga aka wansi kakendedde, ekirevu tekirabika bulungi nnyo, era nga ne bbalansi ya ffeesi ekyuse. Si ekyo kyokka, naye kino (Condylar Resorption) era kiyinza okuleeta obuzibu obukwatagana n’ekiwanga ky’akawanga ekiyitibwa (Temporomandibular Joint Disorders - TMD) . Kino kitegeeza nti ebinywa n’emisuwa okwetoloola ekinywa ky’akawanga bizimba ne bizimba, ekiyinza okuvaako okulumwa omutwe, okulumwa ensaya, obutasobola kuggulawo n’okuggala akamwa obulungi, n’amaloboozi agava mu kinywa ky’akawanga ng’olya .

Lwaki kino (Condylar Resorption) kibaawo? Biki ebivaako?

Okay, kati katulabe lwaki eggumba ly’akawanga lisaanuuka bwe liti. Waliwo ensonga eziwerako eziyinza okukosa kino.

• Endwadde ezimu ez’abaserikale b’omubiri (autoimmune diseases ) ndwadde nga mu zo enkola y’omubiri gwaffe ey’okwekuuma mu bukyamu elumba obutoffaali bwaffe obulamu. Eby'okulabirako mulimu obulwadde bw'endwadde z'enkizi , scleroderma , ne systemic lupus erythematosus .
• Obulwadde bw’okufa kw’emisuwa: Eno mbeera obutoffaali bw’amagumba mwe bufiira olw’obutaba na musaayi mu magumba.
• Enkyukakyuka mu busimu : Obutakwatagana mu busimu naddala mu kiseera ky’okukula mu myaka gy’obutiini buyinza okukosa abawala abato.
• Obulwadde mu kinywa ky’akawanga.
• Nga ekizibu ky’ebintu nga obujjanjabi bw’okulongoosa amannyo oba okulongoosa akawanga , kino tekituuka ku buli muntu.
• Embeera z'ennyondo ezivunda nga obulwadde bw'amagumba .
• Obulwadde bw'endwadde z'enkizi obukola .
• Obubenje ku bbwa, ng’okugwa ng’ozannya n’okukuba akawanga.

Oluusi embeera eno esobola okubaawo nga tewali nsonga yonna eraga nti evudde ku nsonga eno . Abasawo bakiyita idiopathic condylar resorption . Naye mbeera ya bbula nnyo.

Bubonero ki omuntu alina obulwadde bwa Condylar Resorption bw’alaga?

Akabonero akasinga okulabika mu kuddamu okunywera omubiri (condylar resorption) kwe kukyuka mu nkula n'endabika ya ffeesi . Akabonero akakulu kwe kuba nti akawanga n’akalevu birabika nga byabbira ne bibbira. Okugatta ku ekyo, obubonero nga:

• Okukoowa ennyo .
• Okulumizibwa omutwe .
• Obulumi mu kitundu ky’akawanga, amaloboozi aga ‘clicking’ oba ‘popping’ nga oggulawo n’okuggalawo akamwa .
• Amannyo okuzimba oba okuzibikira, kitegeeza nti amannyo tegakwatagana bulungi.
• Okuluma ennyo .
• Okuluma okuggule kye kifo ekiri wakati w’amannyo aga waggulu n’aga wansi ng’akamwa kaggaddwa , ekitegeeza nti amannyo tegasisinkana bulungi.

Abasawo bazuula batya mu butuufu embeera eno?

Bw’oba ​​olina obubonero buno, kirungi okugenda ew’omusawo. Omusawo ajja kukubuuza ku bubonero bwo era akukebere omubiri. Bayinza n’okubuuza ku:

• Your complete health history , endwadde endala zonna eziriwo kati, n’eddagala ly’omira.
• Waliwo omuntu yenna mu maka alina endwadde z’abaserikale b’omubiri oba endwadde endala ezikwatagana ne kino (Condylar Resorption).
• Ebikwata ku bulamu bwo , emizannyo, n’emirimu gyo.
• Ebikwata ku ddagala ly'omira mu kiseera kino .

Oluvannyuma, okukebera ebifaananyi okw’enjawulo kuyinza okukolebwa okulaba obulungi akawanga, amannyo, n’ensengeka y’amagumba mu maaso. Ebigezo bino bisobola okulaba obulungi oba eggumba ly’akawanga lisaanuuka era ku kigero ki.

• Okukeberebwa mu X-ray .
• Okukebera CT scan .
• Okukebera MRI .

Abasawo b’amannyo (naddala abalongoosa amannyo) bayinza okusobola okuddukanya embeera eno.Oyinza okwetaaga obuwagizi n‟okubuulirirwa kw‟abantu abawerako, gamba ng‟ omusawo w‟endwadde z‟enkizi , omusawo w‟endwadde z‟enkizi, oba omusawo w‟amaka go (Primary Care Providers - PCPs) . Era kiyinza okwetaagisa okutandika okukozesa eddagala erimala ebbanga eddene okusobola okufuga omutindo gw’amagumba agagwa nga tonnalongoosebwa.

Bujjanjabi ki obuweebwa obulwadde bwa Condylar Resorption?

Enkola z’obujjanjabi zisinziira ku ngeri ffeesi yo gy’olimu, emyaka gy’olina, obuzibu bw’embeera eno, n’embeera endala ez’obulamu. Tofaayo, waliwo obujjanjabi ku kino.

• Eddagala eriziyiza okuzimba : Lino liyinza okuyamba okukendeeza ku kusaasaana kw’obulwadde n’okufuga obulumi.
• Bite splints oba night guards : Abantu abamu basena amannyo ekiro (Bruxism) , era bino bisobola okukozesebwa okukendeeza ku kwonooneka kw’amannyo gaabwe. Bino biba ng’ekibikka eky’obukuumi ekiteekebwa waggulu w’amannyo gaabwe.
• Condylectomy : Eno nkola ya kulongoosa eggyamu enkwaso z’omumwa gwa wansi, n’edda mu ngeri y’akawanga okugiyamba okukola obulungi n’okulongoosa endabika ya ffeesi.
• Okulongoosa amannyo : Okugeza, ebisiba n’ebikwata amannyo bisobola okukozesebwa okutereeza amannyo agakoonagana n’amannyo agafulumye.
• Orthognathic surgery : Kuno kulongoosa okusinga okuzibu. Kizingiramu okuddamu okutereeza ensaya eza waggulu n’eza wansi okusobola okuzzaawo bbalansi mu ffeesi. Era kiyinza okukolebwa nga kikwataganye n’okulongoosa TMJ okuddamu okuzimba.

Kitwala bbanga ki okuwona oluvannyuma lw’okulongoosebwa?

Kiyinza okutwala wiiki nga 6 ku 12 okuwona mu bujjuvu oluvannyuma lw’okulongoosebwa nga Condylectomy ne Orthognathic surgery. Olina okulya emmere ey’amazzi mu wiiki bbiri oba nnya ezisooka, kuba olina okuwa akawanga ko ekiwummulo. Akawanga ko bwe katandika okuwona, osobola okutandika okulya emmere ennyogovu mpolampola . Buli kimu olina okukikola okusinziira ku biragiro by’omusawo.

Obulabe bw’okuddamu okuyungibwa kw’omubiri (condylar resorption) busobola okukendeezebwa?

Tewali ngeri ntegeerekeka ey’okuziyiza okuddamu okuyingira mu mubiri (condylar resorption). Kyokka, kikulu nnyo okulaba omusawo oba omusawo w’amannyo buli kiseera, okwogera ku nkyukakyuka oba obuzibu bwonna bw’olaba mu bbwa oba amannyo, n’okukeberebwa buli kiseera . Kino kijja kukuyamba okuzuula obuzibu bwonna nga bukyali.

Biki ebivaamu okumala ebbanga eddene singa tebijjanjabwa?

Singa amannyo oba akawanga gasimbulwa emabega olw’obulwadde bwa Condylar Resorption, kwe kugamba, singa tegateekebwa bulungi, ebizibu ebiwangaala nga:

• Amannyo okumenya n'okubutuka .
• Nga bulijjoOkulumwa omutwe n’okulumwa ensaya.
• Obulumi mu bulago n'omugongo .
• Obulumi bw'amannyo .
• Kiyinza okuba ekizibu okuzibula akamwa, okulya, oba n’okwogera .
• Enkyukakyuka ez'amaanyi mu ndabika ya ffeesi .
• Obulumi obutawona mu kiwanga (TMJ) .

Bw’oba ​​olina obubonero buno (Condylar Resorption), laba omusawo mu bwangu. Obujjanjabi nga bukyali busobola okukendeeza oba okuziyiza ebizibu bino bingi. N’olwekyo, totya era tolwawo, wabula funa amagezi g’abasawo.

Ddi lwe nsobola okudda ku mulimu/okusoma oluvannyuma lw’okulongoosebwa?

Ebiseera by’okuwona oluvannyuma lw’okulongoosebwa byawukana okusinziira ku muntu. Abantu abasinga basobola okudda ku mulimu oba ku ssomero mu wiiki nga bbiri . Kyokka, bw’oba ​​n’omulimu ogukuzitoowerera, kiyinza okukutwalira ekiseera ekiwanvu okutereera mu bujjuvu. Kirungi okusaba omusawo akuwe amagezi ku bbanga ly’osaanidde okusimbula ne ddi lw’osobola okuddamu okukola emirimu gya bulijjo.

Embeera eno etunuuliddwa etya?

Condylar resorption si mbeera ya bulabe eri obulamu oba okutta. Osobola okubeera n’embeera eno nga tofunye bujjanjabi. Kyokka, singa tojjanjabwa, enkyukakyuka mu ndabika yo mu maaso, mu bbwa, n’amannyo zijja kusigala nga bwe ziri , era ziyinza n’okweyongera okwonooneka ng’ekiseera kigenda kiyitawo.

Abantu bangi baba n’ebivaamu ebirungi ennyo, ebimatiza oluvannyuma lw’okulongoosebwa olw’okuddamu okusikiriza omubiri (condylar resorption). Akawanga bwe kakwatagana obulungi, enkula ya ffeesi yo ey’obutonde eddawo era obuzibu ku mannyo oba akawanga ne buziyizibwa. Bw’oba ​​osazeewo obutalongoosebwa, oba embeera yo bw’eba si ya maanyi, yogerako n’omusawo wo ku ngeri y’okukendeeza ku bulumi n’obubonero obulala (e.g., eddagala eriweweeza ku bulumi, okukyusa mu mmere).

Nnyinza ntya okwerabirira? Kiki kye nsobola okukola awaka?

Bw’oba ​​olina obulumi oba obuzibu mu bbwa olw’obulwadde bwa Condylar Resorption, gezaako ebintu bino awaka okuyamba okumalawo obumu ku bubonero bwo:

• Siiga ebbugumu ennyogovu (nga akatambaala akabuguma) oba ice packs mu kitundu ky’akawanga ko. Toleka ice pack ng’eyaka okumala eddakiika ezisukka mu 10 omulundi gumu. Yimirirako singa owulira nga munnyogovu nnyo. Siiga ekipapula ky’ebbugumu ekinnyogovu okumala eddakiika nga 15 omulundi gumu, emirundi nga ena olunaku.
• Wa akawanga ko akaseera akawummulamu . Akawanga bwe kakuluma, lya emmere ennyogovu (omuceere, enva endiirwa ezifumbiddwa, ssupu). Ennyama gifumbe mpola okutuusa lw’efuuka ennyogovu. Mu kifo ky’ebibala n’enva endiirwa ebibisi, bifumbe, n’onywa omubisi. Weewale ennyama enzibu okukamula, emigaati (e.g., toast), n’emmere enkalu, ewunya (e.g., crackers, toffee). Weewale okukamula ggaamu .
• Gezaako eddagala eriweweeza ku bulumi . Eddagala eriziyiza okuzimba eritali lya steroid (NSAIDs) lisangibwa ku ddagala lino ku ddagala, gamba nga aspirin.Eddagala eriweweeza ku bulumi eritali ku ddagala nga aspirin, ibuprofen (amannya ga kkampuni: Advil®, Motrin®), ne naproxen (amannya ga kkampuni: Aleve®) liyinza okuyamba ku kulumwa omutwe n’obulumi bw’akawanga. Wabula bw’oba ​​olina embeera endala yonna ey’obujjanjabi (e.g., gastritis, kidney disease), kakasa nti obuuza omusawo wo nga tonnamira ddagala lino. Goberera ddala ebiragiro ebiri ku ccupa/empeke, era tomira ddagala lino okumala wiiki ezisukka mu bbiri nga tolina lukusa lwa musawo.

Ddi lwe nnina okulaba omusawo?

Bw’oba ​​olina obubonero buno, laba omusawo awatali kulwa:

• Singa omutwe gwo gutera okukuluma, nga gweyongera, oba nga gukosa emirimu gyo egya bulijjo okutuuka ku ssa ly’olemererwa okukola .
• Singa obulumi bw’akawanga, ensingo oba omugongo bweyongera .
• Bw’oba ​​olina amannyo agakuluma oba ng’owulira ng’erinnyo lyo likutuse/likutuka .
• Bwoba olina obuzibu mu kulya oba okunywa olw'obulumi mu bbwa oba mu maaso .

Ebintu ebikulu bye twayiga mu mboozi eno (Take-Home Message)

Okay, kale kati olina okutegeera okulungi ku bye twogeddeko leero (Condylar Resorption). Bino bye bimu ku bintu ebikulu by’olina okujjukira:

• Condylar resorption mbeera ng’ekitundu ky’eggumba ly’akawanga (naddala eggumba ly’akawanga) kisaanuuka mpolampola ne kiggwaawo. Kino kiyinza okuvaako ffeesi okukyukakyuka, okulumwa ennyondo z’akawanga, n’okukaluubirirwa okulya.
• Embeera eno esinga kubeera mu bawala abato .
• Wayinza okubaawo ensonga nnyingi; ebintu nga endwadde ezimu ez’abaserikale b’omubiri, enkyukakyuka mu busimu, obubenje, n’ebirala Oluusi, tewali nsonga ntegeerekeka esobola kuzuulibwa.
• Bw’olaba obubonero ng’okukyuka mu ngeri ey’amangu mu ffeesi, akawanga aka wansi okudda emabega, okulumwa ensaya, oba eddoboozi ery’okubuuka ng’oggulawo akamwa , laba omusawo amangu ddala .
• Tewali kyeraliikiriza, waliwo obujjanjabi ku kino. Embeera eno esobola okuddukanyizibwa n’eddagala, okusiba ebisiba, era nga kiyinzika okulongoosebwa.
• Okuzuula amangu n’okujjanjaba kiyinza okuyamba okuziyiza ebizibu bingi ebimala ebbanga eddene. Kale tokwatibwa nsonyi oba okutya okunoonya amagezi mu basawo. Si ggwe wekka!

` Okufiirwa amagumba g’akawanga, okuddamu okunyiga amannyo, ekinywa kya temporomandibular, TMJ, okulumwa ensaya, enkyukakyuka mu maaso, okuggya amannyo