Obulumi buno obw’ekyewuunyo mu bulago ne mu maaso (Eagle Syndrome)? Ka twogere ku nsonga eno!

Oluusi owulira obulumi obw’ekyewuunyo, obunyiiza mu bulago, mu maaso, oba mu mumiro? Tosobola kutegeera bulungi kigenda mu maaso, era wali owuliddeko ng’obulumi buno bweyongera bw’omira, ng’oyogera oba ng’otambuza omutwe okuva ku ludda olumu okudda ku lulala? Olwo kino kintu ekiyinza okuba ekikulu ennyo gy’oli. Embeera eno tugiyita Eagle Syndrome . Wadde erinnya lino liyinza okuwulikika ng’ekyewuunyisa katono, mu butuufu mbeera ya bujjanjabi.

Kale, obulwadde bw’empungu kye ki?

Mu ngeri ennyangu, Eagle Syndrome mbeera eruma ereetebwa okuwanvuwa kw’enkola yo eya styloid oba okugonza kw’omusuwa gwa stylohyoid , ne gukaluba era nga gulinga amagumba.

Teebereza wansi wa buli emu ku matu go, waliwo akagumba akatono akagonvu akayitibwa enkola ya styloid. Ekyo ky’ekyo enkola ya styloid . Waliwo ekitundu ky’omubiri ekiva ku ggumba lino okutuuka ku ggumba lya hyoid mu maaso g’ensingo yo ekiyitibwa stylohyoid ligament . Omusuwa guno mu budde obutuufu gulina okuba nga guwanvuwa nga kapiira. Naye mu bantu abalina obulwadde bwa Eagle syndrome, omusuwa guno oluusi guyinza okufuuka omunene ennyo n’okukaluba , ng’eggumba.

Otegedde kati? Eggumba lino erigoloddwa oba omusuwa ogukalubye bwe gutandika okunyigiriza obusimu oba emisuwa egiyita mu kitundu ekyo w’otandika okuwulira obubonero.

Obulwadde buno obw’empungu butera kwenkana wa?

Kino mu butuufu bulwadde bwa bulumi obutatera kulabika nnyo . Kikwata abantu abatakka wansi wa 0.16% ku bantu bonna. Ekyo tekiwera omu ku bantu lukumi.

Wabula mu bantu nga 4% , eggumba lino eriyitibwa enkola ya styloid liyinza okuba nga liwanvu okusinga erya bulijjo. Ku kigero, eggumba lino lirina obuwanvu bwa sentimita nga 2.5 (ekitono ku yinsi emu). Enkola ya styloid empanvu y’eyo esinga sentimita 3 (esukka katono yinsi). Wabula si buli muntu alina eggumba lino eriwanvuye nti ajja kufuna obubonero bw’obulwadde bwa Eagle syndrome. Ekitundu kitono nnyo ku bo bokka be bajja okufuna obulumi buno.

Ekirala, abakyala emikisa gy’okufuna embeera eno emirundi esatu okusinga abasajja. Businga kuzuulibwa mu bantu abali mu myaka 30 oba 40.

Bubonero ki obulaga obulwadde bwa Eagle Syndrome?

Obubonero businziira ku busimu n’emisuwa ki ebinyigirizibwa enkola yo eya styloid oba stylohyoid ligament.

Buno bwe bubonero obuyinza okulabibwa okutwaliza awamu:

• Obulumi mu maaso, mu bulago oba mu mumiro . Obulumi buno buyinza okuba obubi ng’olya, ng’owunya, ng’oyogera oba ng’okyusa omutwe.
• Okuwulira ekintu ekikutte mu mumiro . Kiyinza okuwulira ng’empiso oba akapiira akatono akasibye.
• Okukaluubirirwa okumira emmere (dysphagia) .
• Okuwulira okukuba mu matu (tinnitus) . Kiwulikika ng'eddoboozi "erikuba".
• Okulumizibwa omutwe .
• Okuziyira .

Abantu bangi abalina obulwadde bwa Eagle syndrome bayinza okuba n’enkola ya styloid ewanvuye ku njuyi zombi ez’omutwe. Kyokka, ekyewuunyisa, abasinga obungi bafuna obulumi ku ludda lumu lwokka .

Obulumi bw’obulwadde bwa Eagle syndrome buwulira butya?

Ku bantu abamu, obulumi buno buyinza okufaananako n’obulumi bw’embeera y’obusimu eyitibwa glossopharyngeal neuralgia . Singa obusimu obuyitibwa glossopharyngeal nerve , obusimu obukulu obuli mu bulago bwo, bunyigirizibwa enkola ya styloid, oyinza okufuna obulumi obw’amaanyi obulinga obw’amasannyalaze mu tonsils zo oba emabega w’olulimi lwo. Obulumi buno oluusi busobola okubumbulukuka okutuuka ku kutu kwo.

Abalala boogera ku bulumi bw’obusimu obujja n’obulwadde bwa Eagle syndrome ng’obulumi obuddamu, obusongovu, obuzibu, era obuwunya mpola .

Kiki ekivaako obulwadde bwa Eagle Syndrome?

Nga bwe twayogeddeko emabegako, obubonero bubaawo ng’enkola ya styloid ewanvuye oba eggumba erigonvu eriyitibwa stylohyoid ligament linyiga ku busimu oba emisuwa egy’omusaayi mu mutwe gwo n’ensingo. Wabula wakyaliwo endowooza ez’enjawulo mu bakugu ku nsonga yennyini lwaki eggumba lino liwanvuwa oba omusuwa ne gugonza.

Mu 1937, Dr. Watt Eagle, eyawa obulwadde buno erinnya, yagamba nti oluusi oluvannyuma lw’okuggyibwako tonsillectomy, omusuwa gwa stylohyoid gufuuka amagumba , kwe kugamba, gukaluba ng’amagumba.

Ebirala ebiyinza okuvaako bino mulimu:

• Yinfekisoni ezimu.
• Obuvune mu bulago.
• Emisuwa gifiirwa elasticity nga bwe tukaddiwa.

Bizibu ki ebiyinza okuva mu bulwadde bwa Eagle Syndrome?

Wadde nga kino tekitera kubaawo, oluusi enkola eno eya styloid empanvu esobola okunyigiriza emisuwa eminene, gamba ng’emisuwa gyo egy’omusaayi . Emisuwa gy’omusaayi (carotid arteries) gye misuwa emikulu egitambuza omusaayi mu bwongo bwo.

Kino bwe kibaawo, oyinza okuwulira obulumi wansi w’amaaso go. Oba, oyinza okufuna obubonero obufaananako n’okulumbibwa omusaayi mu kiseera ekitono (TIA) , okusannyalala okutono, oba wadde okusannyalala okujjuvu . Mu bino mulimu:

• Okuzimba ku ludda olumu olwa ffeesi (hemiparesis) .
• Okuziyira .
• Okulaba okutali kwa maanyi .
• Okubulwa amagezi oba okuzirika (syncope) ..
• Enkyukakyuka mu kwogera (nga ebigambo okutabula) .

Ekikulu: Mu bulwadde bwa Eagle syndrome, obubonero buno butera okuba obw’ekiseera ekigere. Kwe kugamba, zibula oluvannyuma lw’akaseera. Naye oluusi ziyinza okulaga embeera y’obujjanjabi ey’amaanyi ennyo (okugeza, okusala oba okulumwa omusuwa).

Bw’oba ​​olina obubonero bw’okusannyalala, genda mu ddwaaliro erikuli okumpi oba kuba ambyulensi ey’amangu mu bwangu. Kino si kintu kya kulwawo!

Obulwadde bwa Eagle Syndrome buzuulibwa butya?

Omusawo wo ajja kusooka kukwata byafaayo bya bujjanjabi mu bujjuvu (nga okulongoosa omutwe oba ensingo oba obubenje bwonna obwaliwo emabegako) n’oluvannyuma akukebere omubiri .

Oluusi, omusawo ayinza okuwulira enkola eno ey’okukola sitayiro empanvu mu ngeri etaali ya bulijjo ng’awulira ensingo yo. Oba, bayinza okuwulira munda mu kamwa ko, awali tonsils zo, ne babuuza oba owulira obulumi bwonna eyo.

Naye, okuzuula obulungi enkola eno etali ya bulijjo eya styloid oba stylohyoid ligament , okukebera okw’enjawulo okw’okukuba ebifaananyi kulina okukolebwa. Mu bino mulimu:

• CT scan (Computed Tomography - CT scan) : Kino kikozesa omuddirirwa gwa X-rays okukuba ebifaananyi by’enkola yo eya styloid n’omusuwa gwa stylohyoid. Ebifaananyi bino biteekebwa wamu okukola ekifaananyi eky’ebitundu bisatu (3D), omusawo wo asobole okulaba obulungi oba enkola yo eya sitayiro egoloddwa.
• CT Angiogram (Computed Tomography Angiogram - CT angiogram) : Kino kifaananyi kya X-ray eky’emisuwa. Omusawo ayinza okulagira okukeberebwa kuno singa ateebereza nti enkola yo eya styloid oba ligament enyigiriza emisuwa, gamba ng’omusuwa gwo ogwa carotid.

Mbeera ki endala eziyinza okukyamulwa nti ziyitibwa Eagle Syndrome?

Kikulu nnyo okugoba embeera endala ezireeta obubonero obufaananako n’obw’obulwadde bwa Eagle syndrome. Omusawo ayinza okulagira okukeberebwa okusobola okugaana embeera zino:

• Embeera z'okuzimba omutwe n'ensingo : okugeza , sinusitis , tonsillitis , insertion tendinitis .
• Obuzibu bw’ekiwanga (TMJ) : Buno buzibu mu kinywa ky’akawanga.
• Obulwadde bw'obusimu obuyitibwa Glossopharyngeal neuralgia .
• Obulwadde bw'obulumi mu myofascial .
• Kookolo w'omutwe n'ensingo .
• Obulumi bw'omutwe obuva ku migraine .
• Ebizibu by'amannyo .

Obulwadde bwa Eagle Syndrome bujjanjabwa butya?

Omusawo ayinza okukuwa eddagala okufuga obulumi. Oba, bayinza okukuwa amagezi okulongoosebwa okukendeeza ku nkola yo ey’okukola sitayiro (styloidectomy) . Obujjanjabi businziira ku bubonero bwo bwe buli obw’amaanyi n’okumanya oba oli mulungi okulongoosebwa.

Eddagala erikozesebwa mu kujjanjaba lye lino:

• Eddagala eriweweeza ku bulumi (eddagala eriweweeza ku bulumi) .
• Eddagala eriweweeza ku kweraliikirira : Lino era likozesebwa ku bulumi obumu obw’obusimu.
• Empiso za steroid : Kikendeeza ku kuzimba n’okuzimba.
• Empiso za lidocaine : zikendeeza ku bulumi okumala akaseera.
• Eddagala eriziyiza okuzimba eritali lya steroid (NSAIDs) liyinza okumira ng’omusawo awandiikiddwa oba nga tolina .

Okulongoosa (Okulongoosa mu ngeri ya Styloidectomy):

Obulwadde bwa Eagle syndrome busobola okuwona ddala ng’olongooseddwa okuddaabiriza enkola yo eya styloid. Omusawo alongoosa asobola okukola okulongoosa kuno mu emu ku ngeri bbiri:

1. Enkola ya Intraoral/Transoral : Mu nkola eno, omusawo alongoosa ayingira mu nkola ya styloid okuva munda mu kamwa ko. Ekirungi ekiri mu nkola eno kiri nti tewali nkovu ya bweru . Wabula kizibu katono omusawo alongoosa okugituukako obulungi okusinga enkola endala.

2. Enkola ya Extraoral/Transcervical : Mu nkola eno, omusawo akukola akatundu akatono mu bulago okusobola okutuuka ku nkola ya styloid. Wadde ng’enkola eno esobozesa omusawo alongoosa okutuuka butereevu ku bitundu by’omubiri, okulongoosebwa kutwala ekiseera kiwanvu era oluvannyuma lw’okulongoosebwa kulekawo enkovu .

Omusawo ajja kukunnyonnyola enkola ki esinga okukukwatako okusinziira ku ngeri gy’ozuddemu.

Bizibu ki ebiva mu kulongoosa styloidectomy?

Okulongoosa kwonna kulina akabi akamu. Okwonooneka kw’ebitundu by’omubiri ng’olongooseddwa kiyinza okuvaako enkovu n’okukwatibwa yinfekisoni mu mumiro. Bino biyinza okuba eby’amaanyi singa tebijjanjabwa.

Okulaba omusawo alongoosa alina obumanyirivu mu kulongoosa omutwe n’ensingo kiyinza okukendeeza ku bulabe bw’ebizibu bino.

Omuwendo gw’abawona obulwadde bwa Eagle Syndrome guli gutya?

Omuwendo gw'abawona mulungi nnyo . Abantu nga 80% abalongoosebwa styloidectomy bafuna okugonjoola ddala obubonero . Ku bantu abasinga obungi, obulumi n’obutabeera bulungi bisobola okuddukanyizibwa n’eddagala eriweweeza ku bulumi eritali ku ddagala n’eddagala eriwandiikiddwa abasawo.

Kiki ekibaawo singa obulwadde bwa Eagle Syndrome bulekebwa nga tebujjanjabiddwa?

Singa tojjanjabwa, oyinza okugenda mu maaso n’obubonero. Eno si mbeera ejja kutereera ku bwayo.

Kyokka, kikulu okukijjukira kino. Olw’okuba enkola yo eya styloid egonvuwa n’ebifo bya calcium, oba ewanvuye, tekitegeeza nti olina obulwadde bwa Eagle syndrome. Ate era, abantu abamu abalina enkola ya styloid empanvu n’obubonero bw’obulwadde bwa Eagle syndrome bayinza okulongoosebwa, naye obubonero bwabwe buyinza obutatereera.

Eno y'ensonga lwaki kikulu nnyo okulaba omusawo alina obumanyirivu mu kuzuula n'okuddukanya embeera eno . Kubanga oluusi kiyinza okuba ekizibu okuzuula ani ddala eyandiganyuddwa mu kulongoosebwa. Omusawo ajja kukubuulirira ku bujjanjabi obukusaanira.

Obulwadde bwa Eagle Syndrome busobola okuziyizibwa?

Mu butuufu tewali ky’oyinza kukola okuziyiza obulwadde bwa Eagle syndrome obutabaawo. Kyokka, okulongoosebwa okuggyawo enkola ya styloid kiyinza okumalawo ddala obubonero bwo .

Bibuuzo ki bye nnina okubuuza omusawo wange?

Osobola okubuuza omusawo ebibuuzo nga:

• Kiki ekisinga okuvaako enkola yange eya styloid okuwanvuwa?
• Enkola yange eya styloid enyigiriza obusimu obukulu oba emisuwa gy’omusaayi?
• Bubonero ki bwe nsobola okusuubira okuva mu busimu obunyigirizibwa?
• Nnaaba nneetaaga okulongoosebwa, oba nsobola okukiwonya n’eddagala?
• Bw’oba ​​olongoosebwa, kikolebwa kitya?

Mu bulwadde bwa Eagle syndrome, ne bw’ofuna sentimita ntono ez’ebitundu ebigonvu kiyinza okukuleetera okuwulira obulumi obw’amaanyi ne kiba nti kizibu okukyusa omutwe oba okukyusa enneeyisa yo mu maaso. Naye amawulire amalungi gali nti okubeera n’obubonero bw’obulwadde bwa Eagle syndrome tekiteekwa kuba kya bulijjo kyo ekipya. Obulwadde bwa Eagle syndrome mbeera esobola okujjanjabibwa. Omusawo ajja kukubuulirira oba weetaaga eddagala oba okulongoosebwa.

Obubaka Obutwala Awaka

Kale, bw’oba ​​olina obulumi obutasalako, obutannyonnyolwa mu bulago, mu maaso oba mu mumiro, okukaluubirirwa okumira, oba okuwulira ng’ekintu ekikusibye mu mumiro, tomala gasimbira ekkuuli. Kiyinza okuba nga kya Eagle Syndrome.

Wadde nga eno embeera etali ya bulijjo, esobola okuwona ddala singa ezuulibwa era n’ejjanjabwa obulungi . Tosattira naye bw’oba ​​olina obubonero, mazima ddala wandibadde olaba omusawo akuwe amagezi. Oluusi eddagala eryangu liyinza okuyamba okumalawo obulumi, oba okulongoosebwa okutonotono kuyinza okukuyamba okuwona mu bujjuvu. Ekisinga obukulu kwe kumanya ekituufu ekikuviirako obulumi n’okufuna obujjanjabi obutuufu.

` Eagle Syndrome, okulumwa ensingo, okulumwa mu maaso, okulumwa emimiro, enkola ya styloid, stylohyoid ligament, okukaluubirirwa okumira