He raruraru tōu ki tō kauae? Me kōrero tātou mō te Osteonecrosis o te Kauae (ONJ)!

Kua pāngia koe e te mate i roto i tō waha, kāore e ora i muri i te tango niho, i te pokanga niho rānei, ā, ka waiho tō kauae kia kitea? He mamae tonu, he pupuhi hoki tō waha, kāore i te whakamāramatia, inā koa i te rohe kauae? Tērā pea he mate tēnei ka kōrerohia e tātou i tēnei rā, ko te Osteonecrosis o te Kauae (ONJ) , he mate kāore i te tūmanakohia engari he mea nui kia mōhio koe. Kaua e manukanuka, me kōrero noa iho.

He aha tēnei mate onychomycosis o te kauae (ONJ)?

Ki te kī ngāwari, ko te ONJ te wā e mate ai ngā pūtau o tō kauae . Nā te mea kāore te wheua e whiwhi toto nui ana. Whakaarohia, me toto ia wāhanga o tō tātou tinana kia ora ai. Nō reira, ki te mutu te rere o te toto ki tētahi wāhanga o te kauae, ka tīmata mārire te mate o ngā pūtau o reira. Ka karangahia hoki tēnei āhuatanga e ngā tākuta ko "osteonecrosis ." Ko te tikanga o "Osteo" ko te wheua, ā, ko te tikanga o "necrosis" ko te mate. I ētahi wā ka kiia hoki ko "avascular necrosis," ko te tikanga ko te mate nā te korenga o te rere o te toto mā roto i ngā uaua toto.

Ko te mea e tupu pinepine ana ko te puta o tētahi patunga iti, o tētahi kōhao rānei i roto i ngā kapia, ka kitea te kauae. Ina kitea tēnei, ka tīmata te mate o te wheua nā te mea kāore he toto e rere ana ki roto.

He pēhea te noa o tēnei āhuatanga?

Kāore i te tino noa te ONJ . Heoi, ka kitea i roto i te hunga e tango ana i ētahi momo rongoā (ka kōrerohia e tātou i muri mai) e whakamahia ana hei whakapakari i ngā wheua hei rongoā mō ētahi momo mate pukupuku (mate pukupuku metastatic). Ko te tikanga o tēnei, tata ki te rua i roto i te 100 o ngā tūroro mate pukupuku e tango ana i aua rongoā ka whai tūponotanga ki te pāngia e taua mate. Ka taea hoki e te hunga kāore he mate pukupuku, ā, kāore e tango ana i aua rongoā te pāngia e taua mate, engari he iti ake te noa.

He rite tonu te ONJ me te osteomyelitis?

He mate mamae ēnei e rua e pā ana ki te kauae. Engari he rerekē ngā mea e rua o te ONJ me te osteomyelitis . Ko te Osteomyelitis he mate wheua i puta mai i te huakita, i te harore rānei. Ina tae tēnei mate ki te kauae, ka puta pea ngā tohu rite ki te ONJ. Heoi, he maha ngā wā ka puta te kirika i te osteomyelitis , engari kāore te ONJ e puta. Ka taea anake e ngā tākuta te tautuhi i te mate mā te mahi i ngā whakamātautau toto.

Nō reira, he rite tonu tēnei ki te osteoradionecrosis?

Kāo, he kōrero rerekē tēnā. Ko te Osteoradionecrosis he mate ka puta i roto i te hunga kua whiwhi i te rongoā irahiko mō te mate pukupuku o te upoko, o te kaki rānei. Ka taea e te rongoā irahiko te kino i ngā oko toto e tuku toto ana ki ngā wheua. Kātahi ka mate ngā wheua me te kore toto. He pono rawa tēnei mēnā kua tangohia tō niho i muri i te rongoā irahiko.

He aha ngā tohu o te matenga o te koiwi kauae?

Mena kua oti kē te tango i ō niho i ngā wā tata nei (hei tauira, te tango niho, te whakakī niho rānei), tera pea ka mamae koe i te wāhi i tangohia ai. Tērā pea kāore he tohu o ētahi tāngata i te tīmatanga.

Ko ngā tohu noa o te ONJ ko:

• Mamae kauae
• Ngā niho wetekina
• Ngā mate waha - inā koa ko ērā kāore e ora
• He rerenga wai mai i ngā kapia me te waha, he rite ki te whewhe
• Ngā kapia pupuhi
• I ētahi wā ka kitea te kauae mā roto i ngā kapia (wheua kua kitea)

Whakaarohia, kua tangohia tō niho, kua pokangahia rānei tētahi niho iti. Engari, ki te kore te wāhi i ora pai ahakoa kua maha ngā wiki, ā, kei te piri mai tētahi wheua i waho, tera pea he ONJ.

He aha te take e puta ai te onychomycosis o te kauae (ONJ)?

He maha ngā wā ka puta te ONJ i muri i te tango niho, te whakatō niho, te pokanga kauae rānei. I te nuinga o te wā, me tere te ora o te kiko o te kapia, ā, ka kapi i te wheua. Heoi, i roto i te ONJ, kāore tēnei e tupu, ā, ka kitea te kauae. Kātahi ka kore te toto e rere ki te wheua e kitea ana, ā, ka tīmata te mate o ngā pūtau wheua.

Heoi, he tino onge te whanaketanga o te ONJ me te kore he take e kitea ana.

Ko wai kei te nui ake te mōrearea ki te whakawhanake i te ONJ?

Ahakoa ka taea e te tangata katoa te pāngia e te ONJ, he nui ake te mōrearea o ētahi tāngata.

• Ngā Bisphosphonates: He momo rongoā ēnei e hoatu ana hei whakaroa i te ngaronga o te wheua, hei whakapakari hoki i ngā wheua. Ko te hunga e tango ana i ngā bisphosphonates mā te uaua (IV) hei whakaiti i te kino o te wheua i puta mai i te mate pukupuku horapa me te ārai i ngā whatiwhatinga he nui ake te mōrearea. Kua whakaatuhia e ngā rangahau he iti ake te mōrearea o te hunga e tango ana i ngā bisphosphonates ā-waha mō ngā āhuatanga pēnei i te osteoporosis .
• Neke atu i te 65 tau te pakeke.
• Te maimoatanga chemotherapy.
• He mate huka (Diabetes Mellitus) tō te tangata.
• He whati, he whara rānei o te mata.
• Te mate periodontitis, ina koa te periodontitis kino.
• Te whakamahinga roa o ngā corticosteroids.
• Ko ētahi mate huaketo, pērā i te herpes zoster.
• Te momi hikareti.
• Te mau niho rūpahu (ina koa ko ngā mea kāore e tau tika ana).

Me pēhea te tautuhi i tēnei mate ONJ?

Tērā pea ka whakapae tō tākuta niho, tō taote niho rānei mō te ONJ i runga i ō tohumate.Ko te mea nui ko te toro atu ki te taote niho i te wā tonu e kite ana koe he raruraru tōu, inā koa mēnā kei a koe ngā āhuatanga mōrearea kua whakahuatia ake nei.

Mena kua neke atu i te 8 wiki te roa o te kitea o te kauae, he tohu matua tēnei mō te ONJ. Ko te wawe o te tātaritanga me te maimoatanga i a koe, ko te nui ake o te tūponotanga ka ora tō kauae me ō niho.

He aha ngā wāhanga o te mate ONJ?

E whā ngā wāhanga o te ONJ (0 ki te 3). Ko te wāhanga 0 te mea tino kino, ā, ko te wāhanga 3 te mea tino kino. Mā tō tākuta koe e kī atu ko tēhea wāhanga kei a koe ina tātaritatia koe.

• Wāhanga 0: Kei te tango koe i ngā bisphosphonates werohanga-ā-uaua, kei te mamae tō kauae, engari kāore he wheua kauae e kitea ana. Kāore he tohu kē atu o te ONJ. I tēnei wā, tera pea nā tētahi atu mate kapia i puta ai ō tohu, pērā i te periodontitis .
• Wāhanga 1: Kua kitea te kauae, engari kāore he mamae, kāore hoki he tohu kē atu.
• Wāhanga 2: Ka kitea te kauae, ā, ka kitea ngā tohu o te mamae, te pupuhi o ngā kapia, me te mate pukupuku.
• Wāhanga 3: Kei te kitea ngā tohu katoa o te wāhanga 2, ā, kua horapa te mate o te wheua ki ngā ihu me ētahi atu wāhanga o te mata.

Me pēhea te rongoā mō tēnei mate ONJ?

Ka rongoatia te ONJ e ngā taote pokanga waha me ngā tākuta niho whakapūmau, he tohunga rātou ki ngā āhuatanga uaua o ngā niho me te kauae. He rerekē ngā whiringa maimoatanga i runga i te wāhanga o te mate.

Te Maimoatanga mō te Wāhanga 0

I tēnei wā, ka aroturukihia e te tākuta ngā tohu, ā, ka āwhina ki te whakahaere i aua tohu.

• Ngā rongoā paturopi
• Horoi waha paturopi
• Ngā rongoā mamae

Te Maimoatanga mō te Wāhanga 1

I konei, ka waruhia e te tākuta ngā pūtau wheua mate e kitea ana. Ka kiia tēnei ko te "debridement." Ka ārai tēnei i te mate o te wheua, ā, ka āwhina i te whakaora o ngā kapia i runga i te wheua. Kātahi ka hoatu he rongoā paturopi, he rongoā whakamamae, me te horoi waha motuhake ki a koe.

Te Maimoatanga mō te Wāhanga 2 me te Wāhanga 3

I tēnei wāhanga, me pokanga hei tango i te kauae mate me ngā niho e piri ana ki a ia. Ka tangohia hoki ētahi kiko hauora hei whakarite kia kore he pūtau mate e toe ana. I te wāhanga 3, ka taea te mahi pokanga motuhake hei tango i te wheua mate kua horapa ki ngā pūkahukahu ihu. Whai muri i te pokanga, me whakamahi koe i tētahi horoi waha motuhake, i ngā rongoā paturopi, me ngā rongoā whakamamae.

Ka taea e tātou te tiaki i a tātou anō mai i te ONJ?

Ae, ki tētahi whānuitanga ka taea.

• Kia mau tonu te hauora o te waha: Paraia, mirohia, me te miro i ia rā.He mea tino nui kia haere tonu ngā tirotiro niho.
• Mena he mate kapia tōu, me rongoā tika.
• Ko te mea nui: Mena kei te tango koe i ngā rongoā ārai-resorptive (hei tauira, ngā bisphosphonates), me whakamōhio atu ki tō tākuta niho. Kātahi ka taea e ia te whiriwhiri i ngā maimoatanga iti ake te whakaekenga mō ō raruraru niho. Hei tauira, ki te hiahia koe ki te tango i tētahi niho, he pai ake te mahi i te maimoatanga pakiaka .

Kia maumahara, mā te whakamōhio atu ki tō tākuta niho mō ngā rongoā e tangohia ana e koe ka tino whakaiti i te mōrearea o te ONJ.

He aha te āhua o te heke mai mō te tangata whai ONJ?

Mā te tātaritanga me te maimoatanga wawe ka āwhina i te ārai i te kino haere o te ONJ, ā, ka tiakina hoki te kauae. I ngā wāhanga tōmua, he tokomaha ka ora mā te maimoatanga kore-pokanga. Heoi, ki te kaha rawa te mate, ka ngaro pea te kauae me ngā niho.

Āhea koe me toro atu ki te tākuta?

Mena kei a koe ētahi o ēnei tohu, me toro atu ki te tākuta, inā koa ki te taote niho:

• Te toto, te whero, te pupuhi rānei o ngā kapia.
• Te uaua ki te horomi i te kai.
• Mamae te kauae.
• Ngā niho wetekina.

He aha ngā pātai me pātai atu koe ki tō tākuta?

Ka taea e koe te pātai atu ki te tākuta i ngā pātai penei:

• He aha taku e taea ai hei tiaki i ahau mai i te ONJ?
• Kia pēhea te auau o taku horoi i ōku niho?
• He aha i puta ai te ONJ ki ahau?
• Kei roto ahau i tēhea wāhanga o te ONJ?
• Me pokanga ahau?

Hei whakamutunga, ngā mea hei maumahara...

He mea whakamataku te ngaronga o ngā niho me te kauae. Engari ki te mea kei te mōrearea koe ki te ONJ nā te maimoatanga mate pukupuku, nā ētahi atu take rānei, he mea nui kia mahi tahi koe me tētahi tākuta niho pono. Ka taea e tō tākuta niho te whakaako i a koe ki te pupuri i te akuaku waha pai i te kāinga. Ka taea hoki e rātou te rongoā i ngā raruraru niho me te kapia me te kore e whakanui ake i tō mōrearea ki te ONJ.

Ki te pāngia koe e ētahi tohu rerekē pēnei i te mamae o te kauae, te marere o ngā niho, te uaua ki te kai, ki te kōrero, ki te horomi rānei, me toro atu ki te taote niho tonu. Mā te tere o te mahi ka nui te āwhina ki te tiaki i ō niho, ō wheua, me ō kapia.

Te mate o te wheua kauae, te ONJ, te mamae o te kauae, ngā raruraru niho, te mate kapia, ngā bisphosphonates, te maimoatanga mate pukupuku