Olaba ttivvi n’ogenda okusituka, obulumi obw’amaanyi ne bukukuba wansi mu mugongo ng’omulabe. Oba owulira ‘click’ mu mugongo ng’ositula ensawo y’emmere okuva wansi, era okuva awo, owulira obulumi obukuleetera obutasobola kutambula. Wali ofunyeeko ekintu nga kino? Abantu bangi kino bakiyita "slipped disc." Mu by’obujjanjabi, embeera eno tugiyita herniated disc . Ka tulabe kiki ddala kye kiri, lwaki kibaawo, ne kiki ekiyinza okukolebwa ku nsonga eyo.
Mu ngeri ennyangu, herniated disc kye ki?
Kino okusobola okukitegeera, tulina okusooka okumanya katono ku mugongo gwaffe. Omugongo gwaffe gukoleddwa mu magumba amatonotono 24 agayitibwa vertebrae, nga gatumbidde waggulu ku kirala. Wakati w’amagumba gano, okufaananako ekyuma ekikuba encukwe mu mmotoka, waliwo omutto omugonvu oguyitibwa intervertebral disc.
Disiki eno erina ebitundu bibiri:
1. Ekitundu eky’omunda: Kigonvu nnyo nga jelly. Kino kiyitibwa `(Nucl EUS Pulposus)`.
2. Ekitundu eky’ebweru: Jelly eno yeetooloddwa ekibikka ekikaluba era ekinywevu ekiyitibwa ``Annulus Fibrosus``.
Disiki efunye obuzibu (herniated disc) bwe buba, olw’ensonga ezimu (okugeza, akabenje, okusitula ekintu ekizito), ekibikka eky’ebweru ekikaluba ekya disiki ne kikutuka ne jelly munda n’ekulukuta. Kilowoozeeko ng’okusika donut ejjudde jjaamu era jjaamu n’ayiwa. Jelly efuluma bw’enyiga omugongo oguli okumpi oba obusimu obugufuluma, obubonero ng’obulumi obutagumiikiriza, okuziyira n’obunafu butandika okulabika.
‘Herniated Disk’ ne ‘Bulging Disk’ bintu bibiri eby’enjawulo?
Yee, waliwo enjawulo entono wakati w’embeera zino ebbiri. Wadde abantu bangi batabula ebintu bino byombi, ekivaako n’engeri gye bibaawo bya njawulo. Obubonero buno buyinza okufaanagana ennyo.
Mu ngeri ennyangu, mu disiki erimu herniated, disiki ebibikka amaziga ne jelly bifuluma. Mu disiki efuumuuka, disiki tekutuka, wabula efuumuuka olw’emyaka oba ensonga endala, era n’efuluma ddala.
Enjawulo eno ka tugitegeere bulungi okuva ku kipande ekiri wansi.
| Okunnyonnyola | Disiki eriko enkokola (Herniated Disk). | Disiki efuumuuka |
|---|---|---|
| Ensonga | Ebiseera ebisinga kiva ku kabenje oba situleesi ey’amaanyi. | Embeera ey’okuvunda ejja mpolampola n’emyaka. |
| Engeri gye kibaawo | Ekibikka eky’ebweru ekya disiki kikutuka, ate jelly munda n’ekulukuta ebweru. | Disiki efuukuuse era efuluma ddala (tewali kukutuka). |
| Omuwendo gwa disiki ezikoseddwa | Kitera okukosa disiki emu omulundi gumu. | Disiki eziwera zisobola okukosebwa mu kiseera kye kimu. |
| Emyaka egisinga okumanyibwa | Wakati w’emyaka 30-50 (esinga kubeera mu basajja). | Businga kubeerawo oluvannyuma lw’emyaka 40. |
Bubonero ki obulaga kino?
Oluusi herniated disc eyinza obutaba na bubonero . Kyokka emirundi mingi obubonero bujja kubaawo. Obubonero buno businziira ku kifo ekitundu ekiyitibwa herniated disc we kiri n’obunene bw’okunyigirizibwa kw’obusimu.
Obubonero obutera okulabika bwe buno:
- Obulumi obw’amaanyi, obw’okwokya oba obulinga okukubwa amasannyalaze.
- Okuzirika oba okuwunya mu kitundu omulumizibwa n’omukono oba okugulu okukwatagana nabyo.
- Obunafu bw’ebinywa okwetoloola ekitundu ekiruma.
- Ebiseera ebisinga obubonero buno bulabika ku ludda lumu lwokka olw’omubiri.
Okusinziira ku kifo obulumi we bubeera
- Omugongo gw’omugongo: Kino kye kika ky’obulumi bw’omugongo obusinga okubeerawo . Obulumi butandikira mu mugongo ogwa wansi, .Kisobola okubumbulukuka wansi mu bisambi, wansi emabega w’ekisambi, n’oluusi okutuukira ddala ku kigere. Kiwulira ng'amasannyalaze agakubiddwa . Obulumi buno obw’enjawulo era tubuyita ‘Sciatica’.
- Mu bulago (Cervical Spine): Obulumi buyinza okutandika mu bulago ne busaasaana wansi ku kibegabega okutuuka ku mukono, n’oluusi okutuuka ku ngalo .
Obulumi buno bweyongera ng’okola, ng’oyimiridde, ng’otudde naddala ng’osesema oba ng’osesema. Kino kiri bwe kityo kubanga puleesa ku busimu obunywezeddwa yeeyongera mu kiseera ekyo. Ebiseera ebisinga obulumi bukendeera katono ng’owummudde.
Obubonero obw’amangu
Wadde ng’embeera eno etera okuddukanyizibwa awaka, bw’oba olina obubonero buno wammanga, buyinza okuba obubonero obw’embeera ey’amangu . Mu mbeera ng’ezo, olina okugenda mu ddwaaliro mu kitongole ky’abalwadde ab’amangu (ETU) mu bwangu.
- Obulumi mu mukono oba ekigere, nga buwerekerwako obunafu obw’amaanyi mu kitundu ekyo.
- Okubeera n’omusujja oba yinfekisoni.
- Okufiirwa okuwulira mu bitundu by’ekyama oba okwetooloola enseke.
- Obutasobola kufuga nkola ya kyenda oba ekibumba (Obutakola bulungi mu kibumba oba ekyenda).
Bino biyinza okuba obubonero obw’okwonooneka okw’amaanyi ku mugongo, n’olwekyo tobibuusa maaso.
Kino okisanga otya Omusawo?
Bw’oba olina obubonero buno, ekisinga obulungi kwe kulaba omusawo.
1. Ekigezo ky’omubiri
Omusawo ajja kusooka kukubuuza ku bulumi bwo era akukebere. Mu kukebera kuno,
- Zinyiga ebitundu ebiruma mu mugongo oba mu bulago.
- Ojja kugambibwa okugalamira ku kitanda okole ebintu ng’okugolola amagulu n’okugafukamira.
- Akebera enkola y’obusimu (reflexes) mu kugulu n’enkizi.
- Amaanyi g’ebinywa mu mikono n’amagulu gakeberebwa.
- Abagamba okutambulira ku bigere n’ebigere.
Emirundi egisinga, obulwadde buno busobola okuzuulibwa obulungi n’okukeberebwa kuno okw’omubiri.
2. Ebigezo ebirala bwe kiba kyetaagisa
Oluusi, omusawo ayinza okukuwa amagezi okwongera okukeberebwa okusobola okuzuula embeera endala ez’obujjanjabi oba okuzuula obusimu bwennyini obunyiga.
- X-ray: Disiki eriko enkokola tesobola kulabibwa ku X-ray eya bulijjo, naye esobola okuyamba okuzuula oba obulumi buva ku nsonga endala, gamba ng’okumenya oba ekizimba.
- MRI Scan: `(Magnetic Resonance Imaging)` kye kigezo ekikozesa ekifo kya magineeti okufulumya ebifaananyi bya 3D ebitegeerekeka obulungi ennyo eby’omugongo ne disiki. Eno y’engeri esinga obulungi ey’okulaba ddala ekifo ekiyitibwa herniated disc we kiri n’obusimu ki bw’enyiga.
- CT Scan: Okugezesa:Computerized Tomography (CT) nkola ekola ebifaananyi ebisalasala eby’omugongo nga ekuŋŋaanya omuwendo omunene ogwa X-rays.
- EMG/NCS: `(Electromyogram and Nerve Conduction Studies)` bye bigezo ebikozesebwa okuzuula oba obusimu bwonoonese oba bunyiize. Kino kizingiramu okusindika obubaka bw’amasannyalaze obutono ennyo eri ebinywa n’obusimu n’okupima emirimu gyabyo.
Kinatwala bbanga ki okuwona? Obujjanjabi bwe buruwa?
Wadde nga kino kiyinza okuwulikika ng’entiisa, amawulire amalungi gali nti embeera ezisinga obungi ezikwata ku disiki eziyitibwa herniated disc ziwona ku bwazo mu wiiki oba emyezi mitono, nga tekyetaagisa kulongoosebwa.
Ebintu by’osobola okukola okusobola okuwona amangu:
1. Okuwummula: Weewale ebintu ebikyongera obulumi, gamba ng’okusitula obuzito, okufukamira, n’okusigala mu mbeera y’emu okumala ebbanga.
2. Eddagala: Osobola okumira eddagala eriweweeza ku bulumi n’eddagala eriweweeza ku kuzimba ng’omusawo bw’akulagidde.
3. Paaka ennyogovu n’eyokya: Paaka za ice nnungi okukendeeza ku bulumi n’okuzimba mu nnaku bbiri ezisooka. Oluvannyuma lw’ennaku bbiri, osobola okukozesa ‘hot packs’ okuwummuza ebinywa.
4. Okujjanjaba omubiri: Obulumi bwe bumala okukka, omusawo ajja kukusindika ew’omusawo w’omubiri. Dduyiro anyweza ebinywa by’omugongo n’olubuto n’okukuyigiriza ennyimiririra entuufu asobola okuyamba okutangira embeera eno okuddamu.
Singa obujjanjabi buno obwangu tebuwa buweerero, omusawo ayinza okukuwa amagezi okukozesa empiso za steroid oba, si bulijjo nnyo, okulongoosebwa.
Obubaka Obutwala Awaka
- Bw’oba olina obulumi obw’amangu, obw’amaanyi mu mugongo oba mu bulago nga buwerekerwako obulumi obw’okukuba amasasi oba okwokya obukulukuta wansi ku mukono/ekigere kyo, kiyinza okuba nga kirimu disiki evuddemu.
- Ebiseera ebisinga, embeera eno ewona ddala ng’owummudde, eddagala eryangu eriweweeza ku bulumi, n’okujjanjaba omubiri.
- Bw’ofuna okuziyira mu magulu/emikono, okubulwa obuyinza bw’ekyenda/ekyenda, oba okubulwa okuwulira mu kitundu kyo eky’ekyama, bino biba bya mangu era olina okugenda mu ddwaaliro mu kitongole ky’abalwadde ab’amangu (ETU) mu bwangu.
- Bulijjo laba omusawo akuwe amagezi n’obujjanjabi obutuufu, okusinga okwekebera ng’otunula ku yintaneeti.

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