Ingabe unenkinga ngethambo lakho lomhlathi? Ake sixoxe nge-Osteonecrosis of the Jaw (ONJ)!

Wake waba nesilonda emlonyeni wakho esingapholi ngemva kokukhishwa kwezinyo noma ukuhlinzwa kwamazinyo, okushiye umhlathi wakho uvulekile? Noma ingabe unobuhlungu obungapheli, obungachazeki kanye nokuvuvukala emlonyeni wakho, ikakhulukazi endaweni yomhlathi? Lesi kungaba yisimo esizokhuluma ngaso namuhla esibizwa ngokuthi i-Osteonecrosis of the Jaw (ONJ) , isimo esingalindelekile kodwa esibaluleke kakhulu okufanele usiqaphele. Ungakhathazeki, ake sixoxe ngaso kalula.

Iyini le onychomycosis yomhlathi (ONJ)?

Kalula nje, i-ONJ yilapho amaseli asemhlathini wakho efa . Lokhu kungenxa yokuthi ithambo alitholi igazi elanele. Cabanga ngakho, yonke ingxenye yomzimba wethu idinga igazi ukuze iphile. Ngakho-ke uma igazi lingena engxenyeni yomhlathi liyeka, amaseli lapho azoqala ukufa kancane kancane. Odokotela babiza lesi simo ngokuthi "i-osteonecrosis ." Igama elithi "Osteo" lisho ithambo, kanti elithi "necrosis" lisho ukufa. Ngezinye izikhathi libizwa nangokuthi "i-avascular necrosis," okusho ukufa ngenxa yokuntuleka kwegazi emithanjeni yegazi.

Okuvame ukwenzeka ukuthi inxeba elincane noma imbobo yakheke ezinsinini, okuveza umhlathi. Uma lokhu kuvezwa, ithambo liqala ukufa ngoba alinawo ugesi wegazi.

Sivame kangakanani lesi simo?

Empeleni i-ONJ ayivamile kangako. Kodwa-ke, ingabonakala kubantu abathatha izinhlobo ezithile zemithi (sizoxoxa ngayo kamuva) esetshenziselwa ukuqinisa amathambo njengokwelapha izinhlobo ezithile zomdlavuza (umdlavuza osakazeka kabanzi). Lokhu kusho ukuthi cishe iziguli ezimbili kweziyi-100 zomdlavuza ezithatha imithi enjalo zinethuba lokuyithola. Abantu abangenayo umdlavuza futhi abangayithathi imithi enjalo nabo bangayithola, kodwa ayivamile kakhulu.

Ingabe i-ONJ kanye ne-osteomyelitis ziyinto efanayo?

Zombili lezi zimo ezibuhlungu ezithinta umhlathi. Kodwa i-ONJ kanye ne -osteomyelitis ziyizinto ezimbili ezihlukene. I-Osteomyelitis ukutheleleka kwamathambo okubangelwa amagciwane noma isikhunta. Uma lokhu kutheleleka kufinyelela emhlathini, kungabangela izimpawu ezifana ne-ONJ. Kodwa-ke, i-osteomyelitis ivame ukubangela umkhuhlane , kanti i-ONJ ngokuvamile ayibangeli. Odokotela bangaxilonga ukutheleleka kuphela ngokwenza ukuhlolwa kwegazi.

Ngakho-ke lokhu kufana ne-osteoradionecrosis?

Cha, leyo indaba ehlukile. I-Osteoradionecrosis yisimo esingakhula kubantu abaye bathola ukwelashwa ngemisebe yomdlavuza wekhanda noma wentamo. Ukwelashwa ngemisebe kungalimaza imithambo yegazi ehambisa igazi emathanjeni. Amathambo abe esefa ngaphandle kwegazi. Lokhu kuyiqiniso ikakhulukazi uma uke wakhishwa izinyo ngemva kokwelashwa ngemisebe.

Ziyini izimpawu zokufa kwethambo lomhlathi?

Uma usanda kwenziwa okuthile emazinyweni akho (isib., ukukhishwa kwezinyo, ukugcwalisa izinyo), ungase uzwe ubuhlungu endaweni lapho kwenziwe khona. Abanye abantu bangase bangabi nazimpawu ekuqaleni.

Izimpawu ezivamile ze-ONJ zifaka:

• Ubuhlungu bomhlathi
• Amazinyo axegayo
• Izilonda zomlomo - ikakhulukazi lezo ezingapholi
• Ukuphuma kobomvu okufana nobomvu ezinsinini nasemlonyeni
• Izinsini ezivuvukile
• Ngezinye izikhathi umhlathi uvezwa ngezinsini (ithambo eliveziwe)

Cabanga nje, ukhishwe izinyo, noma uhlinzwe kancane ezinyweni. Kodwa uma indawo ingakapholi kahle ngisho nangemva kwamasonto, futhi kukhona ithambo eliphuma kuyo, kungaba yi-ONJ.

Kungani kwenzeka i-onychomycosis yomhlathi (ONJ) ​​​​?

I-ONJ ivame ukwenzeka ngemva kokukhishwa kwezinyo, ukufakelwa kwamazinyo, noma olunye ukuhlinzwa kwethambo lomhlathi. Ngokuvamile, izicubu zezinsini kufanele zelapheke ngokushesha futhi zimboze ithambo. Kodwa-ke, ku-ONJ, lokhu akwenzeki futhi ithambo lomhlathi liyavezwa. Ngemuva kwalokho, ithambo eliveziwe liyancishiswa ukugeleza kwegazi, futhi amangqamuzana ethambo aqala ukufa.

Kodwa-ke, akuvamile kakhulu ukuthi i-ONJ ikhule ngaphandle kwesizathu esisobala.

Ubani osengozini enkulu yokuthola i-ONJ?

Nakuba noma ubani angaba ne-ONJ, abanye abantu basengozini enkulu.

• Ama-Bisphosphonates: Lawa uhlobo lomuthi olunikezwa ukunciphisa ijubane lokulahlekelwa amathambo nokuqinisa amathambo. Abantu abathatha ama-bisphosphonates ngemithambo yegazi (IV) ukunciphisa umonakalo wamathambo obangelwa umdlavuza osabalalayo nokuvimbela ukuphuka kwamathambo basengozini enkulu. Ucwaningo luye lwabonisa ukuthi abantu abathatha ama-bisphosphonates ngomlomo ezimweni ezifana ne -osteoporosis banengozi encane.
• Ukuba neminyaka engaphezu kwengu-65 ubudala.
• Ukwelashwa ngamakhemikhali.
• Ukuba nesifo sikashukela (i-Diabetes Mellitus).
• Ukuphuka kobuso noma ukulimala.
• Isifo se-periodontal, ikakhulukazi i-periodontitis enzima.
• Ukusetshenziswa isikhathi eside kwe-corticosteroids.
• Ezinye izifo ezibangelwa amagciwane, njenge-shingles.
• Ukubhema.
• Ukugqoka amazinyo okufakelwa (ikakhulukazi lawo angalingani kahle).

Lesi simo se-ONJ sitholakala kanjani?

Udokotela wakho wamazinyo noma udokotela ohlinzayo womlomo angase asole i-ONJ ngokusekelwe ezimpawini zakho.Into ebaluleke kakhulu ukubona udokotela wamazinyo ngokushesha nje lapho uzizwa unenkinga, ikakhulukazi uma unezici eziyingozi ezibalwe ngenhla.

Uma ithambo lomhlathi selivezwe isikhathi esingaphezu kwamasonto ayisishiyagalombili, kuyisibonakaliso esibalulekile se-ONJ. Uma usheshe watholakala futhi welashwa, kulapho amathuba okusindisa khona umhlathi wakho namazinyo akho.

Yiziphi izigaba zesifo se-ONJ?

I-ONJ ingahlukaniswa ngezigaba ezine (0 kuya ku-3). Isigaba 0 yisona esibucayi kakhulu, kanti isigaba 3 yisona esibucayi kakhulu. Udokotela wakho uzokutshela ukuthi yisiphi isigaba onaso uma uxilongwa.

• Isigaba 0: Uthatha ama-bisphosphonates ngemithambo yegazi, uzwa ubuhlungu bomhlathi, kodwa awukho umhlathi oveziwe. Azikho ezinye izimpawu ze-ONJ. Kulesi sigaba, izimpawu zakho zingase zibangelwe esinye isifo sezinsini, njenge -periodontitis .
• Isigaba 1: Umhlathi uyabonakala, kodwa akukho buhlungu noma ezinye izimpawu.
• Isigaba sesi-2: Umhlathi uyavezwa, futhi kuba nezimpawu zobuhlungu, izinsini ezivuvukele, kanye nokutheleleka.
• Isigaba 3: Zonke izimpawu zesigaba 2 zikhona, kanye nokufa kwamathambo kusakazekele ema-sinuses nakwezinye izingxenye zobuso.

Lesi simo se-ONJ selashwa kanjani?

I-ONJ yelashwa odokotela abahlinzayo bomlomo kanye nodokotela bamazinyo, abangochwepheshe ezimweni eziyinkimbinkimbi zamazinyo kanye nemihlathi. Izinketho zokwelapha ziyahlukahluka kuye ngesigaba sesifo.

Ukwelashwa Kwesigaba 0

Phakathi nalesi sigaba, udokotela uqapha izimpawu futhi uyasiza ekuzilawuleni.

• Ama-antibiotic
• Ukuhlanza umlomo okulwa namagciwane
• Imithi yokunciphisa ubuhlungu

Ukwelashwa Kwesigaba 1

Lapha, udokotela ususa amangqamuzana amathambo afile avele obala. Lokhu kubizwa ngokuthi "ukususwa kwezicubu." Lokhu kuvimbela ukufa kwamathambo okuqhubekayo futhi kusiza izinsini ukuba ziphilise phezu kwethambo. Uzobe usunikezwa ama-antibiotic, imithi yokubulala ubuhlungu, kanye nomuthi wokuhlanza umlomo okhethekile.

Ukwelashwa Kwesigaba 2 kanye Nesigaba 3

Kulesi sigaba, kudingeka ukuhlinzwa ukuze kususwe umhlathi ofile kanye namazinyo anamathele kuwo. Ezinye izicubu ezinempilo nazo ziyasuswa ukuqinisekisa ukuthi awekho amangqamuzana agulayo asele. Esigabeni sesi-3, kungase kwenziwe ukuhlinzwa okuhlukile ukuze kususwe ithambo elifile elisakazekele emigodini yamakhala. Ngemva kokuhlinzwa, kuzodingeka usebenzise umuthi wokuhlanza umlomo okhethekile, ama-antibiotic, kanye nemithi yokubulala ubuhlungu.

Singazivikela yini ku-ONJ?

Yebo, ngezinga elithile kungenzeka.

• Gcina impilo yomlomo iphilile: Ibhulashi, i-floss, kanye ne-floss nsuku zonke.Kubaluleke kakhulu ukuqhubeka nokuya kohlolwa kwamazinyo.
• Uma unesifo sezinsini, thola ukwelashwa ngendlela efanele.
• Okubaluleke kakhulu: Uma uthatha imithi yokulwa nokumuncwa (isib. ama-bisphosphonates), qiniseka ukuthi utshela udokotela wakho wamazinyo. Angakhetha ukwelashwa okungangenisi kakhulu izinkinga zakho zamazinyo. Isibonelo, uma udinga ukukhishwa kwezinyo, kungcono ukwenza ukwelashwa ngezimpande zomsele esikhundleni salokho.

Khumbula, ukwazisa udokotela wamazinyo wakho ngemithi oyiphuzayo kunganciphisa kakhulu ingozi ye-ONJ.

Liyini ikusasa ngomuntu one-ONJ?

Ukuxilongwa kusenesikhathi kanye nokwelashwa kungasiza ekuvimbeleni i-ONJ ukuthi ingabi yimbi kakhulu futhi kulondolozwe umhlathi. Ezigabeni zokuqala, abantu abaningi bayalulama ngokwelashwa ngaphandle kokuhlinzwa. Kodwa-ke, uma lesi sifo siba sibi kakhulu, singaholela ekulahlekelweni umhlathi namazinyo.

Kufanele ubonane nini nodokotela?

Uma unezinye zalezi zimpawu, bheka udokotela, ikakhulukazi udokotela wamazinyo, ngokushesha:

• Ukopha, ukubomvu, noma ukuvuvukala kwezinsini.
• Ubunzima bokugwinya ukudla.
• Ubuhlungu bomhlathi.
• Amazinyo axegayo.

Yimiphi imibuzo okufanele uyibuze udokotela wakho?

Ungabuza udokotela imibuzo efana nale:

• Yini engingayenza ukuze ngizivikele ku-ONJ?
• Kufanele ngihlanze amazinyo ami kangaki?
• Kungani ngathuthukisa i-ONJ?
• Ngikusiphi isigaba se-ONJ?
• Ingabe ngizodinga ukuhlinzwa?

Okokugcina, izinto okufanele uzikhumbule...

Ukulahlekelwa amazinyo kanye nethambo lomhlathi kuyinto eyesabekayo. Kodwa uma usengozini yokuthola i-ONJ ngenxa yokwelashwa komdlavuza noma ezinye izizathu, kubalulekile ukusebenza nodokotela wamazinyo omethembayo. Udokotela wakho wamazinyo angakufundisa ukuthi ungagcina kanjani inhlanzeko yomlomo ekhaya. Bangaphinde baphathe izinkinga zamazinyo nezinsini ngaphandle kokwandisa ingozi yakho yokuthola i-ONJ.

Uma uhlangabezana nanoma yiziphi izimpawu ezingavamile njengobuhlungu bomhlathi, amazinyo axegayo, ubunzima bokudla, ukukhuluma, noma ukugwinya, bona udokotela wamazinyo ngokushesha. Ukwenza isinyathelo ngokushesha kungasiza kakhulu ekuvikeleni amazinyo akho, amathambo nezinsini.

Ukufa kwamathambo omhlathi , i-ONJ, ubuhlungu bomhlathi, izinkinga zamazinyo, isifo sezinsini, ama-bisphosphonates, ukwelashwa komdlavuza