Amafundo ki agaluma agalabika mu mubiri gwonna? Ka tuyige ddala ku bulwadde bwa Myofascial Pain Syndrome

Oluusi owulira obulumi obw’ekitalo mu kifo kye kimu mu bulago, mu kibegabega oba mu mugongo? Kiwulira ng’ekikonde ekinywezeddwa mu ngalo, era bw’okisika, obulumi bweyongera? Kino kiyinza obutaba kuzimba binywa byokka. Leero twogera ku mbeera abantu bangi gye batawaanyizibwa, naye nga tebamanyi bulungi. Oyo ye Myofascial Pain Syndrome .

Mu ngeri ennyangu, obulwadde bwa Myofascial Pain Syndrome kye ki?

Wadde erinnya lino liyinza okuwulikika nga lizibu katono, mu butuufu emboozi nnyangu nnyo. "Myo" kitegeeza ebinywa. "Fascial" kitegeeza oluwuzi olugonvu olwetoolodde ebinywa bino, oluyitibwa fascia . Kale, tuyita Myofascial Pain Syndrome embeera eruma okumala ebbanga eddene ereetebwa okuzimba ebinywa bino n’oluwuzi olubyetoolodde.

Teebereza omubiri gwo nga gulinga emicungwa.

• Ebikuta by’emicungwa lwe lususu lwo.
• Ekikuta ky’emicungwa ekiri munda bye binywa byo.
• Kati, oluwuzi olwo olweru olugonvu okwetooloola ekikuta ky’emicungwa luyitibwa fascia .

Fascia eno, oluwuzi, yeetoolodde buli fiber, ebinywa, n’ekibinja ky’ebinywa mu binywa byaffe era kikola ng’ekiwanirizi. Olususu luno olwa fascia n’ebinywa bwe binywezebwa olw’ensonga ezimu, amafundo agaluma, oba bye tuyita mu by’obusawo trigger points , bibaawo awo. Obulumi buno tebukoma awo, naye oluusi busobola okusaasaana ne mu bitundu ebirala.

Abantu abasinga obungi obulumi buno babuwulira mu kifo kimu. Kyokka abantu abamu bayinza okufuna obulumi buno mu bifo ebiwerako. Kyokka, ebiseera ebisinga kisinga kubeera ku ludda olwo olumu.

Embeera eno ya bulijjo etya?

Myofascial Pain Syndrome mbeera ya bulijjo nnyo okusinga bw’oyinza okulowooza. Abakugu bateebereza nti abantu nga 85% ku bantu bonna bali mu bulabe bw’okufuna embeera eno mu kiseera ekimu mu bulamu bwabwe. Ekyo kitegeeza nti abantu munaana ku buli kkumi abakwetoolodde bayinza okukifuna.

Obulumi buwulira butya? Obubonero bwe buliwa?

Obulumi obufunibwa mu mbeera eno buyinza okwawukana okusinziira ku muntu. Oluusi obulumi buyinza okujja mu bwangu, mu bwangu. Emirundi emirala, kiyinza okuwulira ng’obulumi buli kiseera era obuzibu .

Ka twawule bulungi obubonero obukulu.

Ng’oggyeeko obubonero buno obukulu, n’ebizibu ebirala eby’obulamu bisobola okubaawo n’embeera eno.

• Okulumizibwa omutwe
• Obuteebaka oba okutaataaganyizibwa mu tulo
• Okukoowa
• Okweraliikirira n’Okwennyamira
• Obukoowu

Waliwo ebika by’ebintu ebiziyiza?

Yee, amafundo gano agaluma, oba ebifo ebisitula, bisobola okwawulwamu ebika bina ebikulu.

• Active Trigger Point: Kino kye kifuba ekikulu ekiruma. Kisangibwa munda mu kinywa. Bw’onyiga ku kifo ekyo, kiyinza okukuleetera obulumi oba okusaasaana mu binywa byonna.
• Latent Trigger Point: Kino kifuba "ekisula". Kino kitegeeza nti ebiseera ebisinga tekireeta bulumi, wabula kiyinza okutandika okukola mu kiseera ekimu.
• Secondary Trigger Point: Kino kibaawo mu kinywa ekirala ekitali ekyo ekirina primary active trigger point, naye mu kinywa ekikwatagana. Oluusi byombi bisobola okuba nga bikola mu kiseera kye kimu.
• Satellite Trigger Point: Kino kifuba ekifuuka ekitakola kubanga kikolebwa mu kitundu kye kimu ne Trigger Point endala.

Lwaki embeera eno ebaawo?

Abakugu bakyagezaako okuzuula lwaki abantu abamu batera okufuna embeera eno okusinga abalala, kyokka ensonga enkulu eziwerako zizuuliddwa.

• Obuvune mu binywa: Obuvune ku kinywa obuva ku kabenje oba nga bazannya emizannyo.
• Entambula enfunda n’enfunda: Okugeza omuntu asigala akuba ennyondo, oba omuntu asigala ng’awandiika ku kompyuta.
• Ennyimiririra embi: Okutuula oba okuyimirira mu mbeera y’emu okumala ebbanga eddene naddala ng’oyimiridde obubi.

Ng’oggyeeko bino ebikulu ebivaako embeera eno, waliwo n’ebintu ebirala eby’obulabe ebyongera obulabe bw’embeera eno:

• Obunafu bw’ebinywa.
• Okubeera n’ekiseera ekiwanvu ng’ebinywa tebikola (e.g., okubeera n’okugulu mu cast).
• Okukola oba okubeera mu mbeera ennyogovu.
• Situleesi ey’amaanyi (kino kireeta okusika omuguwa kw’ebinywa).
• Obusimu obunyiganyiziddwa.
• Ebizibu by’obusimu oba mu nkyukakyuka y’emmere ng’obulwadde bwa thyroid, n’obulwadde bw’obusimu obuva ku ssukaali.
• Obutabeera na vitamiini nga vitamiini D ne folate.
• Yinfekisoni ezitawona.

Omusawo azuula atya obulwadde buno?

Myofascial Pain Syndrome mbeera etera okuzuulibwa obubi n’okusubwa kubanga obubonero bwayo bufaanagana nnyo n’obw’embeera endala ezikwata ku busimu, amagumba, emisuwa oba emisuwa.

Omusawo ajja kukukebera ebinywa. Bajja kuwulira ku bbandi ezinywezeddwa ne trigger points. Singa ekifo ekiziyiza (trigger point) kizuulibwa ne kinyigirizibwa, era n’owulira obulumi obusindikiddwa awo oba mu bbanga ttono, ekyo kye kikulu ekiraga okuzuula obulwadde.

Tewali kukebera musaayi oba sikaani (X-rays, MRI) ezikwata ku kino. Ate era, tewali kumyuuka kulabika, kuzimba, oba bbugumu eritali lya bulijjo mu mbeera eno.

Omusawo ayinza okukuwa amagezi okukeberebwa ebirala okusobola okugaana embeera endala ez’obujjanjabi. Ayinza n’okukubuuza ebibuuzo nga:

• Obulumi owulira wa?
• Osobola okunnyonnyola obulumi (nga okulumwa, okukuba)?
• Obulumi buno bubaawo mirundi emeka?
• Kiki ky’oyinza okukola okukendeeza ku bulumi?
• Kiki ekyeyongera obulumi?
• Waliwo akabenje konna akabaddewo gye buvuddeko?
• Okola mulimu ki? Entambula za ngeri ki z’olina okukola?

Bujjanjabi ki obukolebwa ku kino?

Ekirungi, waliwo obujjanjabi obuwerako okuddukanya embeera eno. Engeri esinga obulungi ey’okutuuka ku bivaamu ebisinga obulungi kwe kulaba omusawo amangu ddala nga bwe kisoboka, ng’obulumi tebunnafuuka bwa maanyi era ng’ebintu ebivaako bivaamu.

Obujjanjabi busobola okwawulwamu ebitundu bisatu ebikulu:

1. Obujjanjabi mu ofiisi

2. Eddagala

3. Eddagala erikolebwa awaka

Obujjanjabi nga balabirirwa omusawo

Omusawo ayinza okukuwa amagezi ku bujjanjabi buno obumu oba okugatta awamu.

• Obujjanjabi bw’omubiri: Okukozesa dduyiro n’obukodyo obw’enjawulo okunyweza, okugolola n’okuwummuza ebinywa.
• Okukuba empiso enkalu: Okuyingiza empiso ennyimpi ennyo mu trigger points okukendeeza ku kunywezebwa kw’ebinywa, okwongera okutambula kw’omusaayi n’okumalawo obulumi.
• Empiso z’ekifo ekiziyiza obulumi: Okufuyira eddagala eriweweeza ku bulumi (e.g. Lidocaine ) mu kifo ekiziyiza obulumi n’empiso okumalawo obulumi.
• Enkola ya "Spray and stretch": Fuuyira amazzi aganyogoza ku kifo ekiziyiza era ogolole mpola ekinywa.
• Obujjanjabi bwa Ultrasound: Bukozesa amaloboozi okuyingira mu binywa n’okumalawo obulumi.
• TENS (Transcutaneous electrical nerve stimulation): Okufuga obulumi nga osiiga paadi ku lususu n’okusindika obubonero bw’amasannyalaze aga vvulovumenti entono okutuuka ku bifo ebisitula obulumi.
• Ebintu ng’okukuba eddagala n’okuwummulamu nabyo bisobola okuyamba okulongoosa otulo n’okukendeeza ku kweraliikirira.

Obujjanjabi bw’eddagala

Omusawo ayinza okukuwa eddagala ery’ekika kino:

• Eddagala eriweweeza ku bulumi
• Eddagala eriziyiza okuzimba ( NSAIDs ) .
• Ebiwummuza ebinywa
• Ebika bya Steroids
• Eddagala eriweweeza ku kweraliikirira (Bino era biyamba okufuga obulumi) .
• Eddagala eriweweeza ku bulwadde okutumbula omutindo gw’otulo

Ebintu by’osobola okukola awaka

Ebintu bino by’osobola okukola awaka bisobola okukuwa obuweerero obw’amaanyi okuva mu bulumi.

• Compresses ennyogovu n’eyokya: Kozesa ice packs okukendeeza ku kuzimba ate heat packs okuwummuza ebinywa.
• Dduyiro: Dduyiro ow’omukka anyweza ebinywa, agolola ebinywa, n’okwongera ku mukka gwa oxygen kikulu nnyo.
• Obukodyo bw’okuwummulamu:Ebintu nga yoga, dduyiro w’okussa ennyo, n’okufumiitiriza biwummuza ebinywa ne bikendeeza ku situleesi.
• Enkyukakyuka mu mmere: Kikulu nnyo okwewala emmere eyongera okuzimba mu mubiri.
• Okunaaba n’amazzi agabuguma.
• Masaagi mu ngeri ey’obwegendereza.

Obulwadde bwa Myofascial Pain Syndrome ne Fibromyalgia kintu kimu?

Ekibuuzo kino abantu bangi bakibuuza kubanga obulumi n’ebivaako bifaanagana mu mbeera zombi. Kyokka, zino mbeera bbiri ez’obujjanjabi ez’enjawulo ddala .

Ka tutegeere enjawulo eno okuva ku kipande kino wammanga.

Embeera eno esobola okuziyizibwa?

Wadde ng’embeera eno tesobola kuziyizibwa bulijjo, waliwo ebintu ebiwerako by’osobola okukola okukendeeza ku bulabe.

• Funa otulo otulungi: Funa otulo otumala era nga owummudde buli lunaku.
• Kendeeza ku situleesi: Weenyigire mu mirimu ng’okufumiitiriza ne yoga.
• Dduyiro buli kiseera.
• Weewale okulumwa ebinywa: Okugeza, ensawo gy’ositula ku kibegabega nzito nnyo? Kebera olabe oba kinyigiriza ebinywa by’ebibegabega byo.
• Lya emmere ennungi.
• Nywa amazzi agamala.

Okusingira ddala, weewale emmere zino!

Emmere ezimu eyongera okuzimba mu mubiri. Okuzimba bwe kweyongera, obulumi bwa Myofascial Pain Syndrome nabwo bweyongera. Emmere zino zikendeeze nga bwe kisoboka.

• Emmere esiike: (e.g. French fries, chips) .
• Emmere y’amata n’amata: (amata, kkeeki, yogati) .
• Emmere erimu ebirungo ebirongooseddwa n’obuwunga: (omugaati, pasta, keeki, pizza)
• Margarine, butto, amafuta g’enva endiirwa
• Emmere n’ebyokunywa ebirimu ssukaali omungi: (ebyokunywa ebirimu ssukaali, emmere enwoomu) .
• Ennyama emmyufu: (ente, steaks) .
• Ebiwoomerera n’ebirungo ebikolebwa mu ngeri ey’ekikugu: (Emmere erongooseddwa) .
• Ennyama etegekeddwa: (sosegi, hot dogs) .

Kiyinza okuba ekizibu okukomya bino byonna omulundi gumu, naye fuba okubiggyawo mu mmere yo emu ku emu.