Lwaki oluusi amagumba gakutuka ne ku bintu ebitonotono? (Pathologic Fracture) Ka tuyige ku nsonga eno.

Kuba akafaananyi ng’otambula munda mu nnyumba yo ekigere ne kikutte ku nsonda ya kapeti oba ku ddaala ettono. Oba katugambe nti okubye ekigere ky’entebe n’amaanyi katono. Mu budde obwabulijjo, eggumba eddene mu mukono oba ku kigere kyaffe terikutuka ku kintu ng’ekyo, nedda? Kyokka amagumba g’abantu abamu ganafuwa katono, kale n’akatono ng’ako kayinza okugamenya. Ekyo kye twogerako leero (Pathologic Fracture).

Kino (Pathologic Fracture) kye ki?

Mu ngeri ennyangu, Pathologic Fracture kwe kumenya amagumba . Naye kino tekikoma ku kubaawo. Amagumba go ganafuye olw’embeera endala ey’obujjanjabi mu mubiri gwo, ekigafuula okumenya okusinga amagumba aga bulijjo. Oluusi abasawo nabo kino bakiyita Pathologic Fracture.

Lowooza ku kugwa okwangu, akabenje akatono ng’ozannya emizannyo, oba n’okukosebwa okutono omubiri kwe gusobola okugumira mu budde obwa bulijjo, kiyinza okuleeta okumenya kw’obulwadde mu muntu alina amagumba aganafuye. Kiringa ekitundu ky’omuti oguvunze oguyinza okukutuka ne bwe gunyigirizibwa akatono.

Bika ki eby’amagumba ebisinga okukosebwa kino?

Embeera eno eyitibwa pathologic fracture, mu butuufu esobola okubaawo mu ggumba lyonna mu mubiri. Wabula kisinga kulabibwa mu magumba mu butonde aganywevu ennyo era nga tegamenya mangu . Okugeza nga:

• Vertebrae : Gano ge magumba amatono agakola omugongo gwaffe.
• Ekisambi (Pelvis).
• Humerus : Lino lye ggumba eriri mu kitundu eky’okungulu eky’omukono okuva ku kibegabega okutuuka ku nkokola.
• Femur : Eggumba erisinga obuwanvu era erisinga amaanyi mu mubiri gwaffe.
• Tibia : Eggumba ddene ery’ekigere okuva ku kugulu okutuuka ku kisambi.
• Fibula : Eggumba erigonvu erigenda nga likwatagana n’ekisambi.

Mu budde obwabulijjo, ne bw’oseerera katono ng’okola emirimu gy’awaka oba ng’ofiirwa bbalansi ng’okka amadaala, amagumba gano amanene mu mikono n’amagulu gaffe tegatera kukutuka. Kyokka, bw’oba ​​olina embeera y’obujjanjabi enafuya amagumba go, ne bwe wabaawo ekintu ekitono ng’ekyo kiyinza okuvaako okumenya amagumba .

Oluusi, kiyinza okwetaagisa okulongoosebwa okuddaabiriza eggumba eryamenyese. Oba, okulongoosebwa kuyinza okwetaagisa okuziyiza okumenya kw’obulwadde nga tekunnabaawo. Omusawo ajja kukuwa amagezi ku bujjanjabi obulala ku mbeera eno ereetera amagumba go okunafuwa. Ekiseera ekitwala okuwona kisinziira ku ggumba ki erimenyese n’ekigireetedde.

Bubonero ki obulaga nti omuntu alina Pathologic Fracture?

Obubonero bw’okumenya kwa Pathologic Fracture bufaanagana nnyo n’obw’okumenya okwa bulijjo. Bbo bali:

• Obulumi : Obulumi obw’amaanyi obutagumiikiriza buyinza okubaawo.
• Okuzimba : Ekitundu eggumba we limenyese kijja kuzimba.
• Obugonvu: Obulumi buwulira ng’okwatibwako oba ng’onyigiddwa.
• Obutasobola kutambula mu ngeri eya bulijjo : Ekitundu ky’omubiri ekikosebwa tekisobola kutambula oba kukozesebwa mu ngeri ya bulijjo.
• Okunyiga oba okukyusa langi y’olususu : Oluusi kiyinza okulabika nga kya bbululu/kakobe.
• Obulema oba ekizimba : Ekifaananyi oba ekizimba ekitali kya bulijjo kiyinza okulabibwa mu kifo we kyamenyese.

Ekisinga obukulu nti ne bw’oba ​​olina obubonero buno, olina okunoonya amagezi g’abasawo okumanya ddala oba Pathologic Fracture oba nedda, era kiki ekivaako.

Lwaki kino kibaawo? (Pathologic Fracture) Ebivaako

Ekisinga okuvaako Pathologic Fracture, nga tomanyi na, kubeerawo kw’embeera y’obujjanjabi mu mubiri gwo efuula amagumba go okunafuwa mu ngeri etali ya butonde . Ebibiri ku bisinga okuvaako kino kwe kuzimba amagumba n’ebizimba by’amagumba.

Olw’obulwadde bw’amagumba

Obulwadde bw'amagumba bulwadde nga amagumba gagenda gafuuka ga porous ne gakutuka mpolampola . Kiringa nga baakafukibwamu ebituli okuva munda. Kino kifuula amagumba obutaba ga maanyi era ne gatera okukutuka. Abantu bangi bakizuula nti balina obulwadde bw’amagumba oluvannyuma lw’okumenya eggumba. Kino kiri bwe kityo kubanga mu kusooka wayinza obutabaawo bubonero bwa bulwadde buno obweyoleka .

Abakyala n’abantu abasukka mu myaka 65 naddala bali mu bulabe bw’okulwala obulwadde bw’amagumba. Oyinza okuba nga wali owulidde nti bajjajjaffe bamenya omukono oba okugulu ne bwe bagwa katono. Emu ku nsonga enkulu eziviirako ekyo kwe kuzimba amagumba.

Olw’ebizimba by’amagumba oba ebiwundu

Ekizimba kye kibinja ekigumu eky’obutoffaali obutali bwa bulijjo obukolebwa wonna mu mubiri gwaffe. Ebimu ku bino biyinza okuba nga bya kookolo (malignant), ate ebirala biyinza okuba nga tebirina kookolo (benign). Ebiwundu by’amagumba si bizimba bigumu, wabula obutoffaali obutali bwa bulijjo obunafuya eggumba.

A (Pathologic Fracture) esobola okubaawo singa ekizimba oba ekiwundu kikula munda mu ggumba, oba singa kisaasaana okutuuka ku ggumba okuva awalala. Olwo enkula y’obutonde n’amaanyi g’eggumba ne binafuwa.

• Ebizimba ebibi: Bw’oba ​​olina kookolo w’amagumba (sarcoma), asobola okukula mu ggumba lyenyini. Wabula kisinga kusaasaana mu magumba okuva mu kitundu ekirala eky’omubiri (e.g., amabeere, amawuggwe, enseke) (okusaasaana kw’amagumba).
• Ebizimba by’amagumba ebitali bya bulabe: Bino bizimba ebitaliimu butoffaali bwa kookolo, wabula bikula mu magumba. Waliwo ebika eby’enjawulo. Ekika kyonna ku bino kiyinza okunafuya eggumba (pathologic fracture).

Ozuula otya mu butuufu embeera eno?

Omusawo ajja kukuzuula nti olina Pathologic Fracture.Okukebera omubiri n’okukebera ebifaananyi eby’enjawulo bikolebwa.

Waakiri ekimu ku bigezo bino eby’okukuba ebifaananyi kijja kukolebwa okwekenneenya eggumba lyo erifunye obuvune n’ebitundu ebiriraanyewo:

• X-rays : Zino zisobola okulaga bulungi amagumba agamenyese.
• MRI Scan (MRI - Magnetic Resonance Imaging) : Kino tekikusobozesa kulaba magumba gokka, wabula n’ebitundu ebigonvu ebikwetoolodde n’ebintu ng’ebizimba.
• CT scan (Computed Tomography scan) : Kino era kisobola okufulumya ebifaananyi ebikwata ku magumba n’ebitundu ebibyetoolodde.

Okusinziira ku kivuddeko okumenya, kiyinza okwetaagisa okwongera okukeberebwa. Okugeza nga:

• Okukebera omusaayi okuzuula kookolo : Kebera obubonero bwa kookolo.
• Biopsy : Okukwata akatundu akatono ak’ebitundu by’omubiri oba ebitundu by’omubiri n’obikebera wansi wa microscope.
• Bone density test (DXA scan) : Kino kikulu nnyo naddala okukebera oba waliwo obulwadde bw’amagumba.

Ojjanjaba otya obulwadde bwa (Pathologic Fracture)?

Obujjanjabi bw'obulwadde bwa Pathologic Fracture businziira ku ggumba ki erimenyese n'ekigireeta . Okufaananako n’okumenya okulala kwonna, obujjanjabi buno bwe bukozesebwa ku Pathologic Fractures:

• Okuziyiza okutambula: Oyinza okwetaaga okwambala ekyuma ekiyitibwa cast oba splint. Ebbanga ly’olina okwambala emu lijja kusinziira ku kika ky’eggumba erimenyese. Abantu abasinga bajja kwetaaga okwambala ekiwujjo okumala wiiki eziwera. Oyinza n’okukwetaagisa okukuba ebifaananyi bya X-ray okukebera oba eggumba liwona bulungi.
• Okulongoosebwa: Ebimu ku bimenyese eby’obulwadde byetaaga okulongoosebwa. Omusawo alongoosa `ateeka` eggumba eryamenyese n'alitereeza mu kifo okutuusa lwe liwona ne lidda wamu. Enkola esinga okukozesebwa ye `okunyweza munda`. Kino kitegeeza nti omusawo alongoosa ayingiza obupande bw’ebyuma, sikulaapu oba ppini mu ggumba. Oluusi bino bisobola okusigala mu kifo kyabyo obulamu bwonna. Abantu abamu bayinza okwetaaga okulongoosebwa okulala okusobola okuziggyamu oluvannyuma.
• Obujjanjabi bw’amasannyalaze: Singa omusawo asobola okuzuula ekizimba oba ekiwundu ng’eggumba terinnakutuka, osobola okuweebwa obujjanjabi obw’amasannyalaze okulisaanyawo. Emisinde gino gisaanyaawo okukula okutali kwa bulijjo mu ggumba era ne kisobozesa obutoffaali bw’amagumba obulamu okuddamu okukula. Obujjanjabi bw’amasannyalaze (radiation therapy) era busobola okuweebwa oluvannyuma lw’okulongoosebwa olw’okumenya kw’amagumba (pathologic fracture) okuva ku kookolo w’amagumba.
• Okujjanjaba embeera eno: Kino kikulu nnyo.Oyinza n’okwetaaga obujjanjabi obulala okujjanjaba embeera oba ekizimba ekyavaako okumenya. Okugeza bw’oba ​​olina kookolo, ojja kwetaaga okukolagana n’omusawo akola ku bulwadde bwa kookolo. Omusawo ajja kukunnyonnyola ky’osuubira n’engeri y’obujjanjabi gy’ogenda okwetaaga.

Ebizibu ebirala ebiyinza okuva ku Pathologic Fracture

Okumenya kw’obulwadde, okufaananako n’okumenya okulala, kuyinza okuleeta ebizibu ebimu. Ebimu ku byo bye bino:

• Obulwadde bwa Acute Compartment Syndrome (ACS): Kino bwe kiba nga puleesa munda mu kinywa yeeyongera era omusaayi ne gusalako. Kino kiyinza okuvaako ebinywa n’obusimu okwonooneka enkalakkalira.
• Malunion: Amagumba agamenyese bwe gatakwatagana bulungi nga gawona.
• Nonunion: Eggumba eritadda wamu mu bujjuvu oba ekitundu.

Kitwala bbanga ki (Pathologic Fracture) okuwona?

Ekiseera ekitwala Pathologic Fracture okuwona kisinziira ku bintu ebiwerako:

• Eggumba ki eryamenyeka?
• Kiki ekivaako amagumba okumenya?
• Bujjanjabi bwa ngeri ki bwe wali weetaaga?
• Obaddeko obuvune obulala?

Ebiseera ebisinga kitwala emyezi egiwerako eggumba eryamenyese okuwona. Yogerako n’omusawo wo oba omusawo akulongoosa ku kiseera ekituufu ekituukagana n’embeera yo entongole. Ekiseera kyo eky’okuwona nakyo kijja kusinziira ku mbeera eyaliwo eyavaako okumenya. Ne bwe kiba nti eggumba eryamenyese liwonye, ​​embeera ng’okuzimba amagumba, ebizimba by’amagumba ebitali bya bulabe oba kookolo biyinza okwetaagisa ekiseera ekirala okujjanjaba.

Ebika by’okumenyaamenya bisobola okuziyizibwa?

Yee, kiyinza okuziyizibwa okutuuka ku ddaala eritali limu. Singa omusawo wo asobola okuzuula ekizimba, ekiwundu oba obubonero bw’obulwadde bw’amagumba ng’eggumba terinnamenya, waliwo emikisa mingi nti okumenya kw’amagumba kuyinza okuziyizibwa. Oluusi, ebizimba n’embeera ezinafuya amagumba bisobola okuvaako obulumi ng’eggumba terinnakutuka. Kino kiyitibwa "empending pathological fracture," ekitegeeza "okumenya amagumba okuyinza okubaawo mu bbanga ttono." Bw’owulira obulumi bw’amagumba obupya , laba omusawo amangu ago.

Oluusi, okulongoosa (okuyitibwa prophylactic fixation) kuyinza okukolebwa okuggyawo ekizimba oba ekiwundu nga eggumba terinnakutuka. Bw’oba ​​olina obulwadde bw’amagumba oba embeera endala ekosa amagumba, omusawo ayinza okukuwa amagezi okukozesa eddagala n’obujjanjabi obulala okunyweza amagumba go n’okukendeeza ku bulabe bw’okumenya.

Kikulu okwekebejjebwa omusawo omulundi gumu mu mwaka (oba emirundi omusawo gy’akugamba).Ekirala, bw’ofuna obubonero bwonna obupya, gamba ng’okulumwa okwetooloola eggumba oba okulumwa ng’olinyiga, tegeeza omusawo amangu ago. Bw’oba ​​olowooza nti oli mu bulabe, buuza omusawo wo ku kukebera obuzaale bwa kookolo oba okukebera amagumba, ekiyinza okuzuula obulwadde bw’amagumba nga bukyali.

Ddi lw’osaanidde okugenda mu ddwaaliro mu bwangu? (Mu mbeera ey’amangu)

Bw’oba ​​olowooza nti olina eggumba eryamenyese naddala ng’olina obubonero buno, genda mu kisenge ky’abalwadde ab’amangu mu bwangu :

• Obulumi obw’amaanyi ennyo.
• Bw’oba ​​tosobola kutambuza kitundu kya mubiri gwo.
• Singa ekitundu ky’omubiri kirabika nga kya kyewuunyo, oba nga kirabika nga tekikyali mu kifo.
• Singa eggumba lirabika nga liyita mu lususu.
• Singa wabaawo okuzimba.
• Singa ebiwundu ebipya biba birabika wamu n’obubonero buno.

Ebibuuzo by’olina okubuuza omusawo wo

Osobola okubuuza omusawo ebibuuzo nga bino:

• Eggumba ki erimenyese?
• Kino Pathologic Fracture oba ekika ekirala eky’okumenya?
• Nnaa kwetaaga obujjanjabi obulala?
• Mbeera ki ey’obujjanjabi eyavaako okumenya kuno?
• Nnina kookolo?

Okumenya eggumba bulijjo kitiisa. Kiyinza n’okusingawo okutiisa bwe kibaawo olw’embeera y’obujjanjabi gy’otomanyi. Omusawo ajja kukunnyonnyola ekyaviirako amagumba okumenya, engeri gy’oyinza okuyamba omubiri gwo okuwona, n’obujjanjabi obwetaagisa okufuga ekizibu ekivaako amagumba.

Totya kubuuza bibuuzo. Gy’okoma okutegeera embeera y’obulamu bwo, gy’okoma okwekkiririzaamu mu kwolekagana n’ebyo ebigenda okubaawo.

Nsembayo (Obubaka Obutwala Awaka)

Pathologic Fracture mbeera ya maanyi nnyo. Kyokka, kisobola okuddukanyizibwa nga kizuuliddwa bulungi n’okukijjanjaba . Ekisinga obukulu kwe kufaayo ku bulamu bw’amagumba go n’okugenda mu basawo singa ofuna obubonero bwonna obutali bwa bulijjo. Beera muggule eri omusawo wo, buuza ebibuuzo byo, era goberera enteekateeka yo ey’obujjanjabi. Ojja kusobola okugumira embeera eno obulungi.

` Pathologic Fracture, Okumenya amagumba, Amagumba amanafu, Osteoporosis, Ebizimba by’amagumba, Kookolo w’amagumba, Obulamu bw’amagumba