Oluusi owulira ng’ozibye oba nga tolina bulamu mu mikono n’amagulu wamu n’okulumwa ensingo oba omugongo? Oluusi owulira ng’ogenda okubulwa bbalansi, oba okaluubirirwa okukola emirimu emizibu, gamba ng’okusiba essaati? Bw’oba olina obubonero buno, ekivaako kiyinza okuba eky’amaanyi okusinga bw’olowooza. Leero twogera ku mbeera eyitibwa ' myelopathy ' ereeta obubonero buno.
Obulwadde bwa Myelopathy kye ki?
Mu ngeri ennyangu, obulwadde bwa myelopathy mbeera ebaawo ng’omugongo gwaffe gunyigiriziddwa . Lowooza ku kino, omugongo wa busimu bukulu nnyo okuva ku bwongo bwaffe okutuukira ddala wansi ku mugongo gwaffe. Kiringa ‘cable’ enkulu ey’omubiri gwaffe. Obubaka obuva mu bwongo butwalibwa mu mubiri gwonna, nga mw’otwalidde n’ebitundu by’omubiri, era obubaka bw’omubiri butwalibwa okudda mu bwongo nga buyita mu mugongo guno. Okusobola okukuuma ‘akaguwa’ kano ak’omuwendo, waliwo ekibikka ekikoleddwa mu magumba, amagumba, n’ebitundu ebikyetoolodde, ekiyitibwa omukutu gw’omugongo .
Olw’ensonga ezimu, ekifo ekiri munda mu mwala guno bwe kifunda era omugongo ne gutandika okunyigirizibwa, empuliziganya y’obubaka etaataaganyizibwa. Ekyo kye tuyita obulwadde bwa myelopathy.
Abantu bangi batabula embeera zombi eza myelopathy ne myopathy . Naye byombi bya njawulo ddala. Myelopathy mbeera ekosa obusimu mu mugongo . Myopathy mbeera ekosa ebinywa .
Obulwadde bw’emisuwa (myelopathy) bwawulwamu ebika ebikulu ebiwerako okusinziira ku kifo we bukwatibwa mu mugongo.
| Ekika ky’obulwadde bwa myelopathy | Ekitundu ekikoseddwa |
|---|---|
| Obulwadde bwa Cervical Myelopathy | Okukosa omugongo mu kitundu ky’ensingo. (Kino kye kika ekisinga okumanyibwa.) |
| Obulwadde bw’emisuwa mu kifuba | Ku ddaala ly’ekifuba, ekitegeeza nti omugongo mu mugongo ogwa wakati n’ogw’okungulu gukosebwa. |
| Obulwadde bwa Lumbar Myelopathy | Okukosa omugongo ogwa wansi. Eno mbeera ya bbula nnyo kubanga omugongo mu budde obutuufu tegudduka wansi bwe gutyo. |
Biki ebivaako obulwadde bwa myelopathy?
Waliwo ensonga eziwerako lwaki omugongo guyinza okunyigirizibwa. Ebibiri ku bisinga okuvaako embeera zino ze mbeera eziyitibwa arthritis ne spondylosis . Bino biva ku mugongo oba omugongo gwaffe okugwa mpolampola nga bwe tukaddiwa. Okwambala kuno kuyinza okukyusa enkula y’amagumba n’okufunda omukutu gw’omugongo. Embeera eno ebeerawo naddala mu bulago eyitibwa Cervical Spondylotic Myelopathy .
Okugatta ku ekyo, waliwo ensonga endala:
- Bone spur: Akatundu akatono ak’eggumba kasobola okuva mu mugongo ne kanyiga ku mugongo oba obusimu obugukutabikira.
- Obubenje: Obulwadde bwa myelopathy buyinza okubaawo mu bwangu olw’obuvune ku mugongo, gamba ng’okugwa oba akabenje k’emmotoka. Kino tukiyita obulwadde bwa acute myelopathy .
- Embeera endala ez’obujjanjabi: Endwadde ezikendeeza ku busimu ng’endwadde z’enkizi , ebizimba by’omugongo, oba obulwadde bwa Parkinson nazo zisobola okuvaako obulwadde bw’emisuwa okukula mpolampola oluvannyuma lw’ekiseera. Kino kiyitibwa obulwadde bwa chronic myelopathy .
Bubonero ki obulaga obulwadde bwa myelopathy?
Obubonero bw’obulwadde bwa myelopathy bukula mpolampola. Wadde nga mu kusooka ziyinza okuba nga tezigonvu, ekiseera bwe kigenda kiyitawo zisobola okweyongera. Obubonero obukulu bw’oyinza okulaba bwe buno:
- Obulumi mu bulago, mu mugongo, mu mikono oba mu magulu.
- Okuwulira ng’ebitundu by’omubiri ebizimba, okwokya oba okubulwa okuwulira .
- Okubulwa bbalansi ng’otambula, okuwulira ng’owuubaala.
- Obuzibu okukwasaganya entambula z’omubiri.
- Okukaluubirirwa okukola emirimu emirungi egy’omu ngalo , gamba ng’okuwandiika, okusiba essaati, oba okusiba emiguwa gy’engatto.
- Okuwulira okuzimba n’okunafuwa mu mikono n’amagulu.
- Obulwadde bwe bugenda bweyongera, oyinza okufuna omusulo n’okufulumya omusulo nga tofugibwa .
Bw’oba olina obubonero buno, tobubuusa maaso . Kikulu okunoonya amagezi mu bwangu mu basawo.
Ozuula otya mu butuufu obulwadde bwa myelopathy?
Bw’ogenda okulaba omusawo, ky’agenda okusooka okukola kwe kuwuliriza obubonero bwo n’okukeberebwa omubiri. Oluvannyuma lw’ekyo, bayinza okuteesa ku kukeberebwa okuwerako okukakasa nti omuntu azuuliddwa n’okugaana embeera endala.
| Okukeberebwa abasawo | Kiki ekisuubirwa okuva mu kyo? |
|---|---|
| Okukeberebwa mu X-ray | Kebera oba waliwo ebizibu ebirala ng’okumenya oba okumenya omugongo. |
| Okukebera MRI (Magnetic Resonance Imaging) . | Kino kye kigezo ekisinga obulungi. Osobola okulaba bulungi buli kimu, omuli omugongo, obusimu, ne disiki eziri wakati w’omugongo. Osobola okumanya ddala omugongo we guli n’obungi bwe gunyigirizibwa. |
| Okukebera ebitundu by’omubiri (myelography). | Okukebera kuno kukolebwa ku bantu abatasobola kuyingira mu kyuma kya MRI (okugeza, abalina ebyuma ebikuba omukka). Amazzi ag’enjawulo (dayi) gafukibwa mu mugongo era X-rays mu kiseera ekituufu (fluoroscopy) ne zikozesebwa okuzuula ebitundu ebirimu obuzibu mu mugongo. |
| Ebigezo by’amasannyalaze | Ebigezo nga electromyogram (EMG) bikebera enkola y’obusimu n’engeri ebinywa gye bibukwatamu. |
Bujjanjabi ki obw’obulwadde bwa myelopathy?
Obujjanjabi businziira ku kika ky’obulwadde bwa myelopathy bw’olina, ekibuleeta n’obuzibu bw’obubonero bwo.
Obujjanjabi Obutali bwa Kulongoosa
Mu mbeera ezisooka oba singa obubonero tebuba bwa maanyi nnyo, omusawo ayinza okukuwa amagezi okukozesa obujjanjabi obutali bwa kulongoosa.
- Obujjanjabi bw’omubiri: Dduyiro ono ayamba okunyweza ebinywa by’omugongo n’ensingo n’okukendeeza ku puleesa ku mugongo.
- Ensigo y’ensingo: Kino kiyamba okukendeeza ku ntambula y’ensingo, okukendeeza ku bulumi, n’okuziyiza embeera okweyongera.
- Eddagala: Eddagala eriweweeza ku bulumi nga NSAIDs (Non-steroidal anti-inflammatory drugs) liweebwa okukendeeza ku bulumi n’okuzimba. Oluusi, singa obulumi buba bwa maanyi, empiso za steroid ziweebwa butereevu mu kitundu ekikosebwa.
Obujjanjabi bw’Okulongoosa
Singa obubonero buba bwa maanyi naddala nga wabaawo okubulwa obuyinza bw’ekibumba oba ekyenda, oba ekintu ng’ekizimba oba akatundu k’amagumba bwe kyetaaga okuggyibwamu, okulongoosa kye kisinga okugonjoola. Okulongoosa kuyinza okumalawo puleesa ku mugongo n’okuwa obuweerero obw’olubeerera.
| Erinnya ly’okulongoosebwa | Ekyo ekimala okubaawo |
|---|---|
| Okusalako laminectomy | Ekitundu ky’eggumba ly’omugongo (lamina) ekivaako okunyigirizibwa kw’omugongo kiggyibwamu, ne kisobozesa omugongo okusigala nga gwa bwereere. |
| Okulongoosa laminoplasty | Nga tebaggyiddwawo ddala ggumba, hingi ekolebwa ku ludda olumu, ne kikola ekifo ng’okuggulawo oluggi. Kino kikolebwa ku magumba g’ensingo gokka. |
| Okuyungibwa kw’omugongo | Omugongo abiri oba okusingawo gunywezeddwa wamu, ne gutebenkeza omugongo. Kino kikendeeza nnyo ku bulumi. |
Okuwona oluvannyuma lw’okujjanjabibwa
Ekisinga obukulu mu myelopathy kwe kumanya obulwadde buno nga bukyali n'otandika okujjanjabibwa . Kubanga singa omugongo gunyigirizibwa nnyo, obusimu buyinza okwonooneka okutakyuka.Kiyinza okubaawo. N’olwekyo, waliwo okusobola nti n’okutambula kw’ebitundu by’omubiri kuyinza okubula enkalakkalira. N’olwekyo, bw’oba olina obubonero obwogeddwako mu kitundu kino, totya, era genda ew’omusawo akumanye. Bw’ofuna obujjanjabi obw’amangu, omutindo gw’obulamu bwo gusobola okukuumibwa obulungi.
Obubaka Obutwala Awaka
- Obulwadde bwa myelopathy si buzibu bwa binywa, wabula buzibu bwa busimu obuva ku kunyigirizibwa kw’omugongo.
- Tobuusa maaso bubonero ng’okulumwa ensingo oba omugongo nga buwerekerwako okuzirika, obunafu, okukaluubirirwa okutambula, oba okukaluubirirwa okukola emirimu emirungi egy’emikono.
- Bw’oba olina ekimu oba ebisingawo ku bubonero buno, laba omusawo amangu ddala akuwe amagezi.
- Okuzuula amangu n’okujjanjaba kiyinza okuziyiza obusimu okwonooneka okw’olubeerera.
- Okusinziira ku kivaako n’obuzibu, waliwo obujjanjabi obulungi okuva ku dduyiro n’eddagala okutuuka ku kulongoosa.
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