Oluusi owulira obulumi obw’ekyewuunyo mu kitundu ky’ekisambi oba wansi mu lubuto ng’odduka, ng’olinnya amadaala oba n’okuyimirira kwokka? Obumanyirivu buno osanga bumanyidde ddala naddala ng’oli munnabyamizannyo. Ekimu ku biyinza okuvaako obulumi buno y’embeera eyitibwa Osteitis Pubis. Naye teweeraliikiriranga, ebiseera ebisinga tekiba kya maanyi. Kino ka twogere mu ngeri ennyangu buli muntu gy’asobola okutegeera.
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Osteitis Pubis kye ki?
Mu ngeri ennyangu, Osteitis Pubis kizimba, kwe kugamba, okuzimba, ekiwanga ekiri wakati mu kisambi kyaffe. Mu by'obusawo ekiwanga kino tukiyita Pubic Symphysis . Wano oludda olwa ddyo ne kkono olw’omugongo gwaffe we luyungiddwa wakati. Teebereza, ebintu bingi, gamba ng’ebinywa byaffe eby’omu lubuto n’ebinywa by’ekisambi, bikwatagana okwetooloola ekiwanga kino. Kale, ekiwanga kino bwe kizimba, obulumi bubaawo.
Embeera eno esinga kuva ku kukozesa ekisusse/okunyigirizibwa okuva mu kutambula okuddiŋŋana. Abantu abazannya emizannyo egy’okudduka, okukuba ebikonde oba okukyusakyusa mu ngeri ey’amangu (nga omupiira oba hockey) batera okufuna embeera eno. Kyokka era kiyinza okubaawo mu batali bannabyamizannyo.
Obubonero bwe buliwa?
Akabonero akakulu era akasinga okweyoleka ak’obulwadde bwa Osteitis Pubis bwe bulumi. Obulumi buno busobola okuwulirwa mu ngeri ez’enjawulo. Oluusi kiwulira ng’obulumi obuzibu ne bw’oba otudde. Obulumi buno bweyongera ng’otambula oba ng’okola dduyiro.
Ka twekenneenye nnyo obubonero buno bwe buli mu kipande wansi.
| Obubonero | Okunnyonnyola |
|---|---|
| Obulumi mu kifuba | Obulumi obulabika nga butandikira mu kitundu ky’ekisambi ne busaasaana ebweru. |
| Obulumi mu lubuto | Obulumi wakati mu lubuto olwa wansi. |
| Obulumi obweyongera ng’otambula | Obulumi obweyongera ng’odduka, ng’osamba oba ng’okyusa endagiriro mu bwangu. |
| Obulumi nga okola emirimu gya buli lunaku | Okuwulira obulumi ng’otambula, ng’olinnya amadaala, ng’osesema oba n’okusesema. |
| Eddoboozi lya ‘click’ oba ‘pop’ | Okuwulira oba okuwulira eddoboozi lya ‘click’ okuva mu kiwanga ng’ofukamira oba ng’okyusa ebifo. |
Obulumi buno bwa maanyi nnyo ne kiba nti abantu abamu, engeri gye batambulamu ekyuka. Mu kugezaako okumalawo obulumi, okutambula kuyinza okufuuka okutambula okutambulatambula .
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Ensonga enkulu lwaki kino kibaawo, nga bwe nnagambye emabegako, okunyigirizibwa buli kiseera ku kitundu ky’ekisambi. Kino kitera nnyo naddala mu bannabyamizannyo.
- Emizannyo: Embeera eno eyinza okubaawo olw’okunyigirizibwa okuteekebwa ku binywa by’omu kifuba, ebitundu ebiyunga, n’ebinywa mu mizannyo ng’omupiira, hockey, ttena, n’okudduka ebanga eddene.
- Okulongoosebwa: Tekitera nnyo, obubonero buno buyinza okulabika oluvannyuma lw’okulongoosebwa mu kitundu ky’ekisambi.
- Okuzaala: Ekirala abakyala abamu bayinza okufuna embeera eno nga bamaze okuzaala. Kyokka emisango gino gyombi tegitera kubaawo nnyo okusinga egyo egyekuusa ku mizannyo.
Okuzuula obulwadde buno kukolebwa kutya?
Mu butuufu okuzuula embeera eno kiyinza okuba ekizibu katono kubanga waliwo embeera endala ezireeta obubonero bwe bumu (e.g., yinfekisoni z’omusulo, okunyigirizibwa kw’ebinywa, sports hernia).
Kale bw’olaba omusawo ajja kusooka kukubuuza ku bubonero bwo n’engeri obulumi gye bwatandika. Olwo, ajja kugezaako okugaana embeera endala ez’obujjanjabi.
Ekiddako, okukeberebwa omubiri kujja kukolebwa. Kino kizingiramu okwekenneenya ekisambi n’olubuto olwa wansi, okussaako entambula ezimu n’okunyigiriza okulaba oba waliwo obulumi bwonna. Waliwo ebigezo eby’enjawulo ebiwerako ku kino.
- Pubic Spring Test: Omusawo ajja kunyiga mpola ku kisambi kyo okuva mu maaso, waggulu ddala w’eggumba ly’omu kifuba. Singa wabaawo obulumi bwonna obw’amaanyi, kiyinza okuba akabonero k’okuzimba kuno.
- Lateral Compression Test: Kino kizingiramu okusika amagumba g’ekisambi okuva ku njuyi zombi. Singa wabaawo obulumi, kitegeeza nti ekiwanga eky’omu makkati tekinywevu oba kizimba.
- Okugezesebwa kwa FABER:Wano, okugulu kwo kufukamidde mu ngeri ya ffiga ‘4’ ne kwekebejjebwa. Singa entambula eno ereeta obulumi mu maaso g’ekisambi, ekyo nakyo kabonero ka Osteitis Pubis.
Ebigezo by’okukuba ebifaananyi
Oluvannyuma lw’okukeberebwa omubiri, okukebera ebifaananyi kukolebwa okukakasa nti omuntu azuuliddwa n’okukebera obulungi embeera y’omunda.
- X-ray: Kino kiyinza okunoonya ebintu ng’enkyukakyuka mu magumba, okugaziwa kw’ennyondo, n’okukaluba kw’amagumba.
- MRI (Magnetic Resonance Imaging): Engeri esinga okuzuula embeera eno kwe kukebera MRI. Kisobola okulaba obulungi ebintu ebitalabika ku X-ray, gamba ng’okuzimba amagumba n’ebitundu by’omubiri amangu, n’amazzi okukuŋŋaanyizibwa mu kiwanga.
- CT (Computed Tomography) Scan: Kino kiyamba okufuna ekifaananyi ekikwata ku magumba mu bujjuvu ennyo. Kikozesebwa singa MRI eba nzibu okukola oba nga kyetaagisa okutegeera okusingawo.
- Bone Scan: Okukebera kuno kukwata nnyo mu kuzuula obuzibu mu magumba obuva ku mbeera nga yinfekisoni, okulumwa oba kookolo.
Kijjanjabwa kitya?
Amawulire agasinga obulungi ge nsobola okukuwa gali nti Osteitis Pubis esobola okuwona ddala ng’okozesa obudde n’okugiddukanya obulungi.
Emirundi egisinga tekikwetaagisa kulongoosebwa. Obujjanjabi obusinga obulungi era obw'omutindo ku kino kwe kuwummula n'okujjanjaba omubiri .
Omusawo omutendeke asobola okukuyamba okunyweza ebinywa byo obutaddamu kufuna buvune. Omusawo wo n’omusawo w’omubiri bwe bamala okukuwa OK, osobola okuddamu okukola emirimu gyo egy’emizannyo. Kino kiyinza okutwala wonna okuva ku wiiki ntono okutuuka ku myezi 3-6.
Bino wammanga bye bitera okukolebwa ku kino:
- Mukyusakyusa mu kusiiga ebbugumu ne ice mu kifo ekiruma.
- Okussa ekkomo ku kukola emirimu gy’omubiri.
- Wummula ddala okuva ku mizannyo okutuusa ng’obulumi butereera.
- Okumira eddagala eriweweeza ku bulumi nga Ibuprofen, Naproxen, ne Acetaminophen ng’omusawo bw’akulagidde.
Ebintu bino bwe bitayamba, omusawo ayinza okukuwa empiso ya steroid okukendeeza ku kuzimba. Bayinza n’okuteesa ku bujjanjabi obutayingira mu mubiri obuyitibwa Extracorporeal Shock Wave Therapy (ESWT).
Ddi lwe kyetaagisa okulongoosebwa?
Wadde ng’abantu abasinga obungi tebeetaaga kulongoosebwa, okulongoosebwa kuyinza okulowoozebwako mu mbeera zino wammanga:
- Singa obulumi bumala emyezi egisukka mu 6.
- Singa obulumi buyitiridde okutambula.
- Bw’oba tosobola kwenyigira mu mizannyo.
Kati, abasawo bangi balongoosa kuno nga bakozesa enkola etali ya kuyingirira nnyo.Kino kitegeeza nti mu kifo ky’okusala ekitundu ekinene, ttanka ennyimpi eriko kkamera (endoscope) eyisibwa mu butuli obutonotono obuwerako era ekitundu ekizimba ne kiggyibwamu. Kino kivaamu obudde obutono obw’okuwona n’obulumi obutono.
Okwewala otya embeera eno?
Bw’oba oli mu bulabe bw’embeera eno, osobola okukola emitendera okugiziyiza. Okunyweza ebinywa mu kitundu ky’ekisambi n’okwongera okukyukakyuka kiyinza okukendeeza ku bulabe bw’obuvune mu mizannyo.
Wano waliwo dduyiro ezigenda okuyamba mu kino:
- Okunyweza ebinywa by’ebisambi n’ebisambi (hip adductors).
- Okunyweza ebinywa by’omugongo ogwa wansi.
- Okunyweza ebinywa by’olubuto.
- Okunyweza ebinywa by’omugongo n’eby’omugongo.
- Okugolola.
- Okuwuga.
Bw’oba okolagana n’omutendesi oba omusawo w’omubiri, osobola okufuna obulagirizi ku dduyiro omutuufu okuziyiza embeera eno.
Obubaka Obutwala Awaka
- Osteitis Pubis buzimba bw’ekiwanga ekiri wakati mu kisambi. Kino kireeta obulumi mu kitundu ky’ekisambi oba wansi mu lubuto.
- Embeera eno etera okubeera mu bannabyamizannyo, era ekisinga okuvaako kwe kunyigirizibwa okuyitiridde n’okutambula okuddiŋŋana.
- Okukeberebwa omusawo n’okukeberebwa ebifaananyi nga MRI kyetaagisa nnyo okuzuula obulwadde.
- Obujjanjabi obukulu kwe kuwummula, okujjanjaba omubiri n’okukendeeza ku bulumi. Okulongoosa tekitera kwetaagisa.
- Bw’oba olina obulumi obutasalako nga buno, kakasa nti olaba omusawo ) alina ebisaanyizo n’okukeberebwa okutuufu nga tonnaba kwejjanjaba.
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