Olina obuzibu ku ggumba lyo? Ka twogere ku bulwadde bwa Osteonecrosis of the Jaw (ONJ)!

Wali ofunyeeko ekiwundu mu kamwa ekitawona oluvannyuma lw’okuggyibwako amannyo oba okulongoosebwa amannyo, ne kireka eggumba ly’akawanga nga lyeyolekera? Oba olina obulumi buli kiseera, obutannyonnyolwa n’okuzimba mu kamwa naddala mu kitundu ky’akawanga? Eno eyinza okuba embeera gye tugenda okwogerako leero eyitibwa Osteonecrosis of the Jaw (ONJ) ​​, embeera etasuubirwa katono naye nga nkulu nnyo okugimanya. Tofaayo, ka tukyogereko mu ngeri ennyangu.

Onoychomycosis eno ey’akawanga (ONJ) ​​kye ki?

Mu ngeri ennyangu, ONJ bwe buba obutoffaali obuli mu ggumba lyo ery’akawanga bwe bufa . Kino kiri bwe kityo kubanga eggumba terifuna musaayi gumala. Lowooza ku kino, buli kitundu ky’omubiri gwaffe kyetaaga omusaayi okusobola okuwangaala. N’olwekyo singa omusaayi ogugenda mu kitundu ky’eggumba ly’akawanga gukoma, obutoffaali obuli eyo bujja kutandika okufa mpola. Abasawo era embeera eno bagiyita “obulwadde bw’amagumba .” "Osteo" kitegeeza eggumba, ate "necrosis" kitegeeza okufa. Oluusi era kiyitibwa "avascular necrosis," ekitegeeza okufa olw'obutaba na musaayi okuyita mu misuwa.

Ekitera okubaawo, ekiwundu ekitono oba ekituli kikolebwa mu nnyindo, ne kibikkula eggumba ly’akawanga. Kino bwe kibikkulwa, eggumba litandika okufa kubanga teririna musaayi.

Embeera eno ya bulijjo etya?

ONJ mu butuufu si ya bulijjo bwetyo. Wabula kiyinza okulabibwa mu bantu abamira ebika by’eddagala ebimu (tujja kubyogerako oluvannyuma) erikozesebwa okunyweza amagumba ng’eddagala eriwonya ebika bya kookolo ebimu (metastatic cancer). Kino kitegeeza nti abalwadde ba kookolo nga babiri ku buli 100 abamira eddagala eryo balina omukisa okulifuna. Abantu abatalina kookolo era abatamira ddagala ng’eryo nabo basobola okumufuna, naye tekitera kubaawo nnyo.

ONJ ne osteomyelitis kintu kimu?

Bino byombi mbeera eziruma ezikosa eggumba ly’akawanga. Naye ONJ ne osteomyelitis bintu bibiri eby’enjawulo. Osteomyelitis bulwadde bw’amagumba obuva ku bakitiriya oba ffene. Obulwadde buno bwe butuuka ku ggumba ly’akawanga, busobola okuleeta obubonero obufaananako ne ONJ. Wabula, osteomyelitis etera okuleeta omusujja , so nga ONJ ebiseera ebisinga tebukola. Abasawo basobola okuzuula yinfekisoni nga bakola omusaayi gwokka.

Kale kino kye kimu n’obulwadde bw’amagumba?

Nedda, eyo mboozi ya njawulo. Osteoradionecrosis mbeera eyinza okuva mu bantu ababadde bafunye obujjanjabi bw’amasannyalaze (radiation therapy) ku kookolo w’omutwe oba mu bulago. Obujjanjabi bw’amasannyalaze (radiation therapy) busobola okwonoona emisuwa egigaba omusaayi mu magumba. Olwo amagumba ne gafa nga tegaliimu musaayi. Kino kituufu naddala ng’obadde oggyiddwako erinnyo oluvannyuma lw’okujjanjabwa n’amasannyalaze.

Bubonero ki obw’okufa kw’amagumba g’akawanga?

Bw’oba ​​nga waakakolebwako ekintu ku mannyo go (e.g., okuggyamu amannyo, okujjuza amannyo), oyinza okulumwa mu kitundu we kyakolebwa. Abantu abamu bayinza obutaba na bubonero bwonna mu kusooka.

Obubonero obutera okulabika ku ONJ mulimu:

• Obulumi bw’akawanga
• Amannyo agasumuluddwa
• Amabwa mu kamwa - naddala ago agatawona
• Amazzi agava mu nnyindo n’akamwa nga galinga amasira
• Ennyindo ezizimba
• Oluusi eggumba ly’akawanga libikkulwa nga liyita mu nnyindo (Exposed bone) .

Teebereza, olina erinnyo eryaggyibwamu, oba nga balongooseddwa akatono ku linnyo. Naye ekitundu bwe kiba nga tekiwonye bulungi ne bwe kiba nga kimaze wiiki eziwera, ate nga waliwo ekitundu ky’eggumba ekivaamu, kiyinza okuba nga kya ONJ.

Lwaki obulwadde bwa onychomycosis bw’akawanga (ONJ) ​​bubaawo?

ONJ etera okubaawo oluvannyuma lw’okuggyibwako amannyo, okuteekebwamu amannyo oba okulongoosebwa amagumba amalala. Mu budde obwabulijjo, ebitundu by’ennyindo birina okuwona amangu ne bibikka eggumba. Wabula mu ONJ kino tekibaawo era eggumba ly’akawanga libikkulwa. Olwo, eggumba eryabikkulwa liggyibwako omusaayi, era obutoffaali bw’amagumba butandika okufa.

Naye, si bulijjo nnyo, ONJ esobola okukula nga tewali nsonga yonna eyeeyolese.

Ani ali mu bulabe obw’amaanyi obw’okukwatibwa ONJ?

Wadde omuntu yenna asobola okulwala ONJ, abantu abamu bali mu bulabe bwa maanyi.

• Bisphosphonates: Lino kika kya ddagala eriweebwa okukendeeza ku kuggwaamu amagumba n’okunyweza amagumba. Abantu abamira eddagala lya bisphosphonates mu misuwa (IV) okukendeeza ku kwonooneka kw’amagumba okuva ku kookolo agenda mu bitundu ebirala n’okuziyiza okumenyaamenya bali mu bulabe bwa maanyi. Okunoonyereza kulaga nti abantu abamira eddagala lya bisphosphonates ery’omu kamwa ku mbeera ng’obulwadde bw’amagumba balina akabi katono.
• Okubeera ng’alina emyaka egisukka mu 65 egy’obukulu.
• Obujjanjabi bwa Chemotherapy.
• Okubeera n’obulwadde bwa sukaali (Diabetes Mellitus).
• Okumenya mu maaso oba okulumwa.
• Obulwadde bw’amannyo naddala obulwadde bw’amannyo obw’amaanyi.
• Okukozesa eddagala lya corticosteroids okumala ebbanga eddene.
• Yinfekisoni ezimu ez’akawuka, gamba nga shingles.
• Okunywa sigala.
• Okwambala amannyo ag’ekinnansi (naddala agatakwatagana bulungi).

Embeera eno eya ONJ ezuulibwa etya?

Omusawo w’amannyo oba omusawo w’omu kamwa ayinza okuteebereza ONJ okusinziira ku bubonero bwo.Ekisinga obukulu kwe kulaba omusawo w’amannyo amangu ddala ng’owulira ng’olina ekizibu naddala ng’olina ebintu eby’obulabe ebyogeddwako waggulu.

Singa eggumba ly’akawanga liba limaze wiiki ezisukka mu 8 nga liri mu mbeera, kabonero akakulu akalaga nti ONJ. Gy’okoma okuzuulibwa amangu n’okujjanjabibwa, gy’okoma okutaasa eggumba ly’akawanga n’amannyo.

Mitendera ki egy’obulwadde bwa ONJ?

ONJ esobola okwawulwamu emitendera ena (0 okutuuka ku 3). Omutendera 0 gwe gusinga obutaba gwa maanyi, ate omutendera 3 gwe gusinga okuba ogw’amaanyi. Omusawo ajja kukubuulira omutendera gw’olina ng’ozuuliddwa.

• Omutendera 0: Omira eddagala lya bisphosphonates eriweebwa mu misuwa, olina obulumi mu bbwa, naye nga tolina ggumba lya bbwa lirabika. Tewali bubonero bulala bwa ONJ. Ku mutendera guno, obubonero bwo buyinza okuba nga buva ku bulwadde obulala obw’ennyindo, gamba ng’obulwadde bw’amanyo .
• Omutendera 1: Eggumba ly’akawanga libikkulwa, naye nga tewali bulumi wadde obubonero obulala.
• Omutendera 2: Eggumba ly’akawanga liri mu mbeera, era waliwo obubonero bw’obulumi, ennyindo okuzimba, n’okukwatibwa yinfekisoni.
• Omutendera 3: Obubonero bwonna obw’omutendera ogw’okubiri buliwo, kw’ogatta okufa kw’amagumba okusaasaana mu nnyindo n’ebitundu ebirala ebya ffeesi.

Embeera eno eya ONJ ejjanjabwa etya?

ONJ ejjanjabwa abasawo abalongoosa amannyo n’abasawo b’amannyo, abakugu mu mbeera enzibu ez’amannyo n’akawanga. Enkola z’obujjanjabi zaawukana okusinziira ku mutendera gw’obulwadde buno.

Obujjanjabi bw’omutendera 0

Mu mutendera guno omusawo alondoola obubonero n’ayamba okubufuga.

• Eddagala eritta obuwuka
• Okunaaba mu kamwa eddagala eritta obuwuka
• Eddagala eriweweeza ku bulumi

Obujjanjabi bw’omutendera 1

Wano, omusawo asikambula obutoffaali bw’amagumba obufu obubikkuddwa. Kino kiyitibwa "okusalako." Kino kiziyiza amagumba okwongera okufa era kiyamba ennyindo okuwona waggulu w’eggumba. Olwo ojja kuweebwa eddagala eritta obuwuka, eddagala eriweweeza ku bulumi n’eddagala ery’enjawulo ery’okunaaba mu kamwa.

Obujjanjabi bw’omutendera ogw’okubiri n’ogw’okusatu

Mu mutendera guno, kyetaagisa okulongoosebwa okuggyamu eggumba ly’akawanga eryafudde n’amannyo agagakwatako. Ebitundu ebimu ebiramu nabyo biggyibwamu okukakasa nti tewali butoffaali bulwadde busigalawo. Mu mutendera ogw’okusatu, okulongoosebwa okw’enjawulo kuyinza okukolebwa okuggyamu eggumba erifudde eryasaasaana mu nnyindo. Oluvannyuma lw’okulongoosebwa, ojja kwetaaga okukozesa eddagala ery’enjawulo ery’okunaaba mu kamwa, eddagala eritta obuwuka n’eddagala eriweweeza ku bulumi.

Tusobola okwekuuma okuva ku ONJ?

Yee, okutuuka ku ddaala eritali limu kisoboka.

• Kuuma obulamu obulungi mu kamwa: Bbulawuzi, bbulawuzi, n’enviiri buli lunaku.Kikulu nnyo okugenda mu maaso n’okukeberebwa amannyo.
• Bw’oba ​​olina obulwadde bw’ennyindo, bujjanjabe bulungi.
• Ekisinga obukulu: Bw’oba ​​omira eddagala eriziyiza amannyo (e.g. bisphosphonates), kakasa nti otegeeza omusawo w’amannyo. Olwo asobola okulonda obujjanjabi obutayingirira nnyo ebizibu by’amannyo go. Okugeza bw’oba ​​weetaaga okuggyibwamu erinnyo, kirungi mu kifo ky’ekyo okole eddagala ly’emirandira .

Jjukira nti okutegeeza omusawo w’amannyo ku ddagala ly’omira kiyinza okukendeeza ennyo ku bulabe bw’okulwala ONJ.

Ebiseera by’omu maaso biba bitya eri omuntu alina ONJ?

Okuzuula amangu n’okujjanjaba kiyinza okuyamba okuziyiza ONJ okweyongera n’okukuuma eggumba ly’akawanga. Mu biseera ebisooka, abantu bangi bawona nga bafunye obujjanjabi obutalongoosebwa. Kyokka singa obulwadde buno buba buzibu, buyinza okuvaako okufiirwa eggumba ly’akawanga n’amannyo.

Ddi lw’osaanidde okulaba omusawo?

Bw’oba ​​olina obubonero buno, laba omusawo naddala omusawo w’amannyo mu bwangu:

• Okuvaamu omusaayi, okumyuuka oba okuzimba ennyindo.
• Okukaluubirirwa okumira emmere.
• Obulumi bw’akawanga.
• Amannyo agasumuluddwa.

Bibuuzo ki by’osaanidde okubuuza omusawo wo?

Osobola okubuuza omusawo ebibuuzo nga bino:

• Kiki kye nnyinza okukola okwekuuma ONJ?
• Emirundi emeka gye nnina okuyonja amannyo?
• Lwaki nakola ONJ?
• Nze ndi mu mutendera ki ogwa ONJ?
• Nnaaba nneetaaga okulongoosebwa?

N’ekisembayo, ebintu by’olina okujjukira...

Okufiirwa amannyo n’eggumba ly’akawanga kintu kya ntiisa. Naye bw’oba ​​oli mu bulabe bwa ONJ olw’obujjanjabi bwa kookolo oba ensonga endala, kikulu okukolagana n’omusawo w’amannyo gwe weesiga. Omusawo w’amannyo asobola okukuyigiriza engeri y’okukuuma obuyonjo bw’omu kamwa obulungi awaka. Era zisobola okujjanjaba obuzibu bw’amannyo n’ennyindo nga tezongereza bulabe bwa ONJ.

Bw’ofuna obubonero bwonna obutali bwa bulijjo ng’okulumwa ensaya, amannyo okutambula, okukaluubirirwa okulya, okwogera oba okumira, laba omusawo w’amannyo amangu ago. Okukola amangu kiyinza okuyamba nnyo mu kukuuma amannyo, amagumba, n’ennyindo.

` Okufa kw’amagumba g’akawanga, ONJ, okulumwa ensaya, obuzibu mu mannyo, obulwadde bw’ennyindo, bisphosphonates, obujjanjabi bwa kookolo