Ngaba unengxaki yomhlathi wakho? Makhe sithethe nge-Osteonecrosis of the Jaw (ONJ)!

Ngaba wakha waba nesilonda emlonyeni wakho esingapholiyo emva kokukhutshwa kwezinyo okanye utyando lwamazinyo, nto leyo eshiya umhlathi wakho utyhilekile? Okanye ngaba unentlungu engapheliyo, engachazekiyo kunye nokudumba emlonyeni wakho, ingakumbi kwindawo yomhlathi? Le isenokuba yimeko esiza kuthetha ngayo namhlanje ebizwa ngokuba yi -Osteonecrosis of the Jaw (ONJ) , imeko engalindelekanga kodwa ebaluleke kakhulu ukuba uyiqaphele. Ungakhathazeki, masithethe ngayo ngokulula.

Yintoni le onychomycosis yomhlathi (ONJ)?

Ngamafutshane, i-ONJ kuxa iiseli ezikwithambo lomhlathi wakho zisifa . Oku kungenxa yokuba ithambo alifumani unikezelo lwegazi olwaneleyo. Cinga ngako, lonke ilungu lomzimba wethu lifuna igazi ukuze liphile. Ngoko ke ukuba unikezelo lwegazi kwinxalenye yomhlathi luyema, iiseli apho ziya kuqala ukufa kancinci kancinci. Oogqirha bakwabiza le meko ngokuthi "i-osteonecrosis ." Igama elithi "Osteo" lithetha ithambo, kwaye elithi "necrosis" lithetha ukufa. Ngamanye amaxesha likwabizwa ngokuba yi- "avascular necrosis," elithetha ukufa ngenxa yokunqongophala konikezelo lwegazi ngemithambo yegazi.

Okuqhele ukwenzeka kukuba kubekho inxeba elincinci okanye umngxuma kwiintsini, nto leyo eveza umhlathi. Xa oku kubonakalisiwe, ithambo liqala ukufa kuba lingenalo igazi.

Ixhaphake kangakanani le meko?

I-ONJ ayiqhelekanga kangako. Nangona kunjalo, inokubonwa kubantu abasebenzisa iintlobo ezithile zamayeza (siza kuthetha ngawo kamva) asetyenziselwa ukuqinisa amathambo njengonyango lweentlobo ezithile zomhlaza (umhlaza osasazekayo). Oku kuthetha ukuba malunga nezibini kwi-100 yezigulana zomhlaza ezisebenzisa la mayeza zinethuba lokufumana loo mhlaza. Abantu abangenawo umhlaza kwaye abawusebenzisiyo loo mayeza nabo banokuba nawo, kodwa awuxhaphakanga kangako.

Ngaba i-ONJ kunye ne-osteomyelitis ziyafana?

Zombini ezi ziimeko ezibuhlungu ezichaphazela umhlathi. Kodwa i-ONJ kunye ne -osteomyelitis zizinto ezimbini ezahlukeneyo. I-Osteomyelitis lusulelo lwamathambo olubangelwa yibhaktheriya okanye ifungi. Xa olu sulelo lufikelela kumhlathi, lunokubangela iimpawu ezifana neze-ONJ. Nangona kunjalo, i-osteomyelitis idla ngokubangela umkhuhlane , ngelixa i-ONJ idla ngokungabangeli. Oogqirha banokufumanisa usulelo kuphela ngokwenza uvavanyo lwegazi.

Ngaba oku kuyafana ne-osteoradionecrosis?

Hayi, yimbali eyahlukileyo leyo. I-Osteoradionecrosis yimeko enokuvela kubantu abaye bafumana unyango lwemitha yomhlaza wentloko okanye wentamo. Unyango lwemitha lungonakalisa imithambo yegazi ehambisa igazi emathanjeni. Amathambo ayafa emva koko ngaphandle kwegazi. Oku kuyinyani ngakumbi ukuba ukhe wakhutshwa izinyo emva konyango lwemitha.

Zithini iimpawu zokufa kwethambo lomhlathi?

Ukuba kutshanje ukhe wenziwa into ethile emazinyweni akho (umz., ukukhutshwa kwezinyo, ukuvalwa kwezinyo), usenokuba neentlungu kwindawo apho kwenziwe khona. Abanye abantu basenokungabi nazo iimpawu ekuqaleni.

Iimpawu eziqhelekileyo ze-ONJ ziquka:

• Intlungu yomhlathi
• Amazinyo akhululekileyo
• Izilonda zomlomo - ingakumbi ezo zingapholiyo
• Ukuphuma kobovu obufana nobovu kwiintsini nasemlonyeni
• Iintsini ezidumbileyo
• Ngamanye amaxesha umhlathi ubonakala ngeentsini (ithambo eliveziweyo)

Khawucinge nje, ukhutshwe izinyo, okanye wenze utyando oluncinci kwizinyo. Kodwa ukuba indawo leyo ayikaphili kakuhle emva kweeveki ezimbalwa, kwaye kukho iqhekeza lethambo eliphuma kuyo, isenokuba yi-ONJ.

Kutheni kukho i-onychomycosis yomhlathi (ONJ) ​​​​?

I-ONJ idla ngokuvela emva kokukhutshwa kwezinyo, ukufakwa kwamazinyo, okanye olunye utyando lwethambo lomhlathi. Ngokwesiqhelo, izicubu zeentsini kufuneka ziphiliswe ngokukhawuleza kwaye zigqume ithambo. Nangona kunjalo, kwi-ONJ, oku akwenzeki kwaye ithambo lomhlathi liyavela. Emva koko, ithambo eliveziweyo liyavalwa ukuhamba kwegazi, kwaye iiseli zamathambo ziqala ukufa.

Nangona kunjalo, kunqabile kakhulu ukuba i-ONJ ikhule ngaphandle kwesizathu esicacileyo.

Ngubani osengozini enkulu yokuba ne-ONJ?

Nangona nabani na enokuba ne-ONJ, abanye abantu basengozini enkulu.

• IiBisphosphonates: Ezi luhlobo lwamayeza anikwa ukunciphisa isantya sokulahleka kwamathambo nokuqinisa amathambo. Abantu abasebenzisa ii-bisphosphonates ngemithambo yegazi (IV) ukunciphisa umonakalo wamathambo obangelwa ngumhlaza osasazekayo kunye nokuthintela ukwaphuka kwamathambo basengozini enkulu. Izifundo zibonise ukuba abantu abasebenzisa ii-bisphosphonates zomlomo kwiimeko ezifana ne -osteoporosis banomngcipheko omncinci.
• Ukuba uneminyaka engaphezu kwama-65 ubudala.
• Unyango lwe-chemotherapy.
• Ukuba nesifo seswekile (iDiabetes Mellitus).
• Ukuphuka kobuso okanye ukwenzakala.
• Isifo se-Periodontal, ingakumbi i-periodontitis enzima.
• Ukusetyenziswa kwexesha elide kwe-corticosteroids.
• Ezinye izifo ezibangelwa ziintsholongwane, ezifana neengcongconi.
• Ukutshaya.
• Ukunxiba amazinyo okufakelwa (ingakumbi lawo angalinganiyo kakuhle).

Ifunyaniswa njani le meko ye-ONJ?

Ugqirha wakho wamazinyo okanye ugqirha womlomo unokurhanela i-ONJ ngokusekelwe kwiimpawu zakho.Eyona nto ibalulekileyo kukubona ugqirha wamazinyo kwangoko xa uziva ukuba unengxaki, ingakumbi ukuba unezinto ezinokubangela umngcipheko ezikhankanyiweyo apha ngasentla.

Ukuba umhlathi ubonakale ngaphezulu kweeveki ezisi-8, luphawu oluphambili lwe-ONJ. Okukhona ufunyaniswa ukhawuleza kwaye unyangwa, kokukhona amathuba okuba umhlathi namazinyo akho asindiswe.

Zithini izigaba zesifo se-ONJ?

I-ONJ inokwahlulwa ibe ngamanqanaba amane (0 ukuya kwi-3). Inqanaba 0 lelona linzima kakhulu, kwaye inqanaba 3 lelona linzima kakhulu. Ugqirha wakho uza kukuxelela ukuba leliphi inqanaba onalo xa uxilongwa.

• Inqanaba 0: Uthatha i-bisphosphonates ngemithambo yegazi, uneentlungu zomhlathi, kodwa akukho thambo lomhlathi libonakalayo. Akukho zimpawu ze-ONJ. Kweli nqanaba, iimpawu zakho zinokubangelwa sisifo seentsini esinye, njenge -periodontitis .
• Inqanaba loku-1: Umhlathi uyabonakala, kodwa akukho ntlungu okanye ezinye iimpawu.
• Inqanaba lesi-2: Umhlathi uyavela, kwaye kukho iimpawu zentlungu, iintsini ezivuvukileyo, kunye nosulelo.
• Inqanaba lesi-3: Zonke iimpawu zenqanaba lesi-2 zikho, kwaye ukufa kwamathambo kusasazeka kwiisinus nakwezinye iindawo zobuso.

Inyangwa njani le meko ye-ONJ?

I-ONJ inyangwa ngoogqirha botyando lomlomo kunye noogqirha bamazinyo, abagxile kwiimeko ezinzima zamazinyo kunye nemihlathi. Iindlela zonyango ziyahluka ngokuxhomekeke kwinqanaba lesifo.

Unyango lweSigaba 0

Ngeli nqanaba, ugqirha ujonga iimpawu aze ancede ekuzilawuleni.

• Ii-antibiotics
• Ukuhlamba umlomo nge-antiseptic
• Izithomalalisi zentlungu

Unyango lweSigaba 1

Apha, ugqirha ukhupha iiseli zamathambo ezifileyo eziveziweyo. Oku kubizwa ngokuba yi- "debridement." Oku kuthintela ukufa kwamathambo okungakumbi kwaye kunceda iintsini ziphilise phezu kwethambo. Emva koko uza kunikwa amayeza okubulala iintsholongwane, amayeza okudambisa iintlungu, kunye nokuhlamba umlomo okukhethekileyo.

Unyango lweSigaba sesi-2 kunye neSigaba sesi-3

Kule nqanaba, kufuneka utyando ukuze kususwe umhlathi ofileyo kunye namazinyo anamathele kuwo. Kukhutshwa nezinye izicwili eziphilileyo ukuqinisekisa ukuba akukho ziseli zigulayo eziseleyo. Kwinqanaba lesi-3, kunokwenziwa utyando olwahlukileyo ukuze kususwe ithambo elifileyo elisasazeke kwiingxondorha zempumlo. Emva kotyando, kuya kufuneka usebenzise isicoci somlomo esikhethekileyo, ii-antibiotics, kunye neentlungu.

Ngaba singazikhusela kwi-ONJ?

Ewe, kunokwenzeka ngandlela ithile.

• Gcina umlomo wakho usempilweni: Ibhrashi, ifloss, kunye nefloss yonke imihla.Kubaluleke kakhulu ukuqhubeka nokuya kuhlolwa amazinyo.
• Ukuba unesifo seentsini, masinyangwe ngendlela efanelekileyo.
• Okubaluleke kakhulu: Ukuba uthatha amayeza okulwa nokufunxa (umz. i-bisphosphonates), qiniseka ukuba uxelele ugqirha wakho wamazinyo. Unokukhetha unyango olungangenisi kakhulu kwiingxaki zakho zamazinyo. Umzekelo, ukuba ufuna ukukhupha izinyo, kungcono wenze unyango lweengcambu endaweni yoko.

Khumbula, ukwazisa ugqirha wakho wamazinyo ngamayeza owasebenzisayo kunokunciphisa kakhulu umngcipheko we-ONJ.

Ikamva limphathele ntoni umntu one-ONJ?

Ukuxilongwa kwangoko kunye nonyango kunokunceda ukuthintela i-ONJ ukuba ingabi mandundu kwaye kugcinwe umhlathi. Kwinqanaba lokuqala, abantu abaninzi bayaphila ngonyango olungelulo utyando. Nangona kunjalo, ukuba isifo siba sibi kakhulu, sinokukhokelela ekulahlekelweni ngumhlathi kunye namazinyo.

Ufanele uye nini kugqirha?

Ukuba unayo nayiphi na kwezi mpawu, bonana nogqirha, ingakumbi ugqirha wamazinyo, ngoko nangoko:

• Ukopha, ukuba bomvu, okanye ukudumba kweentsini.
• Ubunzima bokuginya ukutya.
• Intlungu yomhlathi.
• Amazinyo akhululekileyo.

Yeyiphi imibuzo omele uyibuze ugqirha wakho?

Ungabuza ugqirha imibuzo efana nale:

• Ndingenza ntoni ukuze ndizikhusele kwi-ONJ?
• Ndifanele ndihlambe amazinyo kangaphi?
• Kutheni ndiphuhlise i-ONJ?
• Ndikwesiphi isigaba se-ONJ?
• Ngaba ndiza kufuna utyando?

Okokugqibela, izinto ekufuneka uzikhumbule...

Ukulahlekelwa ngamazinyo kunye nethambo lomhlathi yinto eyoyikisayo. Kodwa ukuba usengozini ye-ONJ ngenxa yonyango lomhlaza okanye ezinye izizathu, kubalulekile ukusebenzisana nogqirha wamazinyo othembekileyo. Ugqirha wakho wamazinyo angakufundisa indlela yokugcina ucoceko lomlomo lulungile ekhaya. Banokunyanga iingxaki zamazinyo neentsini ngaphandle kokwandisa umngcipheko wakho we-ONJ.

Ukuba ufumana naziphi na iimpawu ezingaqhelekanga ezifana neentlungu zomhlathi, amazinyo axegayo, ubunzima bokutya, ukuthetha, okanye ukuginya, bonana nogqirha wamazinyo ngoko nangoko. Ukwenza izinto ngokukhawuleza kunokunceda kakhulu ekukhuseleni amazinyo akho, amathambo kunye neentsini.

Ukufa kwamathambo omhlathi , i-ONJ, iintlungu zomhlathi, iingxaki zamazinyo, isifo seentsini, ii-bisphosphonates, unyango lomhlaza