Mu mubiri gwo guli musaayi mmeka? Ka tuyige ku kukebera obuzito bw'omusaayi mu ngeri ennyangu!

Wali weebuuzizzaako omusaayi gw’olina mu mubiri gwo? Kino si nsonga ya kumanya kwokka, oluusi kiyinza okukubuulira amawulire amakulu ennyo agakwata ku bulamu bwo. Ekyo kye tuyita ``Blood Volume Test'', okukebera okupima obungi bw'omusaayi. Kino mu butuufu ``Nuclear Medicine Test'', ekitegeeza nti ekozesa ekintu ekitono eky'amasannyalaze okutunuulira enkola y'omubiri. Tofaayo, kino tekirina bulabe nnyo. Ka twogere ku nsonga eno mu bujjuvu, okay?

Mu butuufu omusaayi kitegeeza ki?

Newankubadde nga tugamba nti "omusaayi," munda mu gwo mulimu ebintu ebya buli ngeri. Okubeera omutuufu, bino bye bino:

• Plasma: Kino kye kitundu ky’omusaayi eky’amazzi. Tokyewuunya, amazzi gasukka mu bitundu 90%!
• Platelets: Buno butoffaali butono obuyamba omusaayi okuzimba. Zikulu nnyo mu kukomya okuvaamu omusaayi ng’ofunye obuvune.
• Obutoffaali obumyufu: Buno bulinga emipiira egy’ekyekulungirivu. Bino bye bitwala omukka gwa oxygen mu bitundu by’omubiri gwonna.
• Obutoffaali bw’omusaayi obweru: Buno bulinga abakuumi b’omulambo. Bano be batukuuma obutakwatibwa buwuka na yinfekisoni.

Obadde okimanyi nti wadde nga platelets zino n’obutoffaali obweru bikulu nnyo, bikola ebitundu ebitakka wansi wa 1% ku bungi bw’omusaayi gwaffe gwonna. ``Blood Volume Test`` okusinga kupima obungi bwa plasma n'obutoffaali obumyufu. Eno y’ensonga lwaki oluusi kiyitibwa ``Plasma Volume Test`` oba ``Red Cell Mass Test``.

Omuwendo gw’omusaayi mu mubiri gwaffe gufugibwa gutya?

Eno nkola ya kyewuunyo nnyo. Omubiri gwaffe buli kiseera gukola n’okusaanyaawo obutoffaali obumyufu. Obusigo bwaffe obw’amagumba bukola obutoffaali obumyufu , era ekibumba kyaffe kibusaanyaawo. Naye enkola eno egenda mpola katono. Teebereza, singa ofiirwa omusaayi mungi olw’obulwadde obumu, akabenje oba obuvune, kiyinza okutwala ennaku, mpozzi emyezi, okukola obutoffaali obumyufu obupya.

Naye okufuga plasma kwangu nnyo. Kubanga plasma esinga kuba mazzi. Omubiri gufuna amazzi gagwo mu mazzi ge tunywa n’emmere gye tulya. Amazzi nago gabula nga gayita mu musulo, omusulo, entuuyo n’okussa. Bw’oba ​​mulamu bulungi, ensigo zo zikuuma amazzi gano nga gali mu bbalansi.

Bintu ki ebikosa obungi bw’omusaayi? Mu budde obwabulijjo yandibadde ya ssente mmeka?

Omubiri gw’omuntu omukulu gutera okubaamu omusaayi nga liita 5. Wabula omuwendo guno guyinza okwawukana olw’ensonga ezitali zimu. Oluusi omuwendo gw’omusaayi guyinza okuba omungi ennyo (Hypervolemia) oba omutono ennyo (Hypovolemia).

Okwongera ku bungi bw’omusaayi (Hypervolemia) .

Ebimu ku bintu ebiyinza okuleeta embeera eno bye bino:

• Embeera z’omutima ezimu (Congestive Heart Failure) .
• Okulya omunnyo omungi (sodium) .
• Ebizibu by’ekibumba okugeza okulemererwa kw’ekibumba n’obulwadde bw’ekibumba
• Ekibumba okulemererwa

Omuwendo gw’omusaayi bwe gweyongera (Hypervolemia), obubonero nga:

• Okuzimba mu lubuto n’obutabeera bulungi (Ascites) .
• Okulemererwa kw’omutima okuzimba
• Puleesa ya Musaayi
• Okukaluubirirwa okussa olw’amazzi okujjula amawuggwe
• Okuzimba (Edema) – Ebiseera ebisinga amagulu, enkizi, engalo , oba ffeesi zizimba.

Okukendeera kw’omusaayi (Hypovolemia) .

Waliwo ensonga bbiri enkulu eziviirako omusaayi okukendeera:

• Okuvaamu omusaayi (obuvune, okulongoosebwa, okuvaamu omusaayi munda) .
• Okubulwa amazzi mu mubiri – Kino kitegeeza obutaba na mazzi gamala mu mubiri.

Singa omusaayi gwo gukendeera mu bwangu, osobola okugenda mu mbeera ey'akabi eyitibwa ``Hypovolemic Shock.'' Kino omubiri gwaffe lwe gukola bino wammanga okusasula omusaayi ogukendedde mu mubiri:

• Akendeeza ku puleesa.
• Ayongera ku kukuba kw’omutima.
• Ayongera ku sipiidi y’okussa.

Singa obungi bw’omusaayi bweyongera okukendeera, ebitundu byaffe eby’omunda n’obwongo buyinza okwonooneka okutasobola kuddamu. Kale kino si kya kusaaga!

Waliwo akakwate wakati w’obungi bw’omusaayi ne puleesa?

Mazima ddala waliwo! Puleesa eri munda mu misuwa gyaffe y’ereetera omusaayi okutambula mu buli kitundu n’obutoffaali mu mubiri. Omuwendo gw’omusaayi bwe gukendeera, puleesa nayo ekendeera. Olwo omubiri gugezaako okuddamu okutambula kw’omusaayi nga guleetera emisuwa okukonziba. Naye omusaayi bwe guba gwa maanyi (Severe Hypovolemia), omubiri tegusobola kugufuga.

Mu ngeri y’emu, omusaayi bwe gweyongera, gugolola emisuwa gyaffe (emisuwa n’emisuwa), ekyongera puleesa. Hypervolemia etera okubaawo ng’omubiri tegusobola kufuga bungi bwa mazzi olw’ekibumba oba ekibumba obutakola bulungi.

Kino (Blood Volume Test) kikolebwe ddi?

Abasawo bakozesa okukebera kuno naddala ku balwadde abali mu bifo ebijjanjabirwamu abalwadde abayi . Okugeza nga:

• Abantu abafiiriddwa omusaayi mungi
• Abantu abaggwaamu amazzi mu mubiri
• Abantu abalina obulwadde bw’omutima
• Abantu abalina obulwadde bw’ekibumba oba ekibumba
• Abantu abalina okwokya okw’amaanyi
• Abantu bali mu kutya

Ng’oggyeeko kino, waliwo n’ebiseera ebirala abasawo we bakozesa okukebera kuno.

• Kebera oba ofunye obulwadde bw’okubulwa omusaayi.
• Funa ekivaako okuzirika ennyo (syncope).
• Kebera puleesa ne puleesa eya orthostatic hypotension.
• Nga okugezesebwa kwa ``Presurgical Screening'' nga tebannaba kulongoosebwa kumu.

Okugezesebwa kuno kukolebwa wa?

Kino kiyinza okukolebwa ng'oli ku kitanda ky'eddwaaliro, oba kiyinza okukolebwa mu ddwaaliro ``Nuclear Medicine Department''.

Kino (Blood Volume Test) kikola kitya? Kizibu nnyo?

Nedda, si kizibu bwe kityo. Mu ngeri ennyangu, kigenda bwe kiti:

Okusobola okupima obungi bw’omusaayi mu mubiri gwo, omuwendo ogugere ogw’ekintu ekiyitibwa radioactive iodine tracer kifukibwa mu musuwa gwo. Tracers nga zino zisobozesa abasawo okutunuulira emirimu gy’omubiri egimu.

Oluvannyuma lwa kino ``(Tracer)`` okutabulwa obulungi n'omusaayi gwo, omusawo akuggyako omusaayi n'apima obusannyalazo obuli mu kyo.

Omuwendo gw’omusaayi gwo gubalirirwa nga okozesa ensengekera y’okubala ennyangu nga eno: `C1V1 = C2V2`.

Kino kitegeeza nti:

• `C1` ye nsengekera y'obusannyalazo mu `(Tracer)` eyafukibwa.
• `V1` ye voliyumu ya `(Tracer)` efuyiddwa.
• `C2` ye bungi bw'obusannyalazo mu musaayi gwo oluvannyuma lwa `(Tracer)` okutabulwa obulungi n'omusaayi gwo.
• `V2` bwe bungi bw'omusaayi mu mubiri gwo (kye tugezaako okunoonya).

Teebereza bwe tugabira omubiri eddagala erimanyiddwa, tubala obungi bw’omusaayi gwonna nga tutunuulira obungi bwe gutabula n’omusaayi ne gufuuka omugonvu.

Naye okumanya oba obungi bw’omusaayi obupimiddwa mu ngeri eno bwa bulijjo, bungi oba butono gy’oli, olina okugugeraageranya n’obungi bw’omusaayi gwo ogwa bulijjo. Omuwendo gw’omusaayi gwa buli muntu gwa njawulo. Omuwendo gw’omusaayi gwo ogwa bulijjo gubalibwa okusinziira ku buwanvu bwo, obuzito bwo n’ekikula kyo.

Olina okwetegeka otya nga tonnakeberebwa?

Omusawo wo ajja kukubuulirira ku nsonga eno. Okutwalira awamu, kirungi obutalya oba tonywa kintu kyonna okumala essaawa ntono nga tonnakeberebwa.

Ku lunaku lw’okukeberebwa, olina okwewala okunywa ebyokunywa ebirimu caffeine (nga kaawa ne caayi). Caffeine ddagala eriweweeza ku musulo, ekitegeeza nti ayongera okufulumya omusulo n’okuggya amazzi mu mubiri. Eddagala erimu nalyo lirimu ekirungo kya caffeine. N’olwekyo, kiba kirungi okwogera n’omusawo ku ddagala ly’omira nga tonnakeberebwa n’obuuza oba lyetaaga okukyusibwa, bwe kiba kyetaagisa.

Kiki ekibaawo nga tebannaba kugezesebwa?

Omukugu ajja kupima obuwanvu bwo n’obuzito bwo. Oluvannyuma, layini eyingira mu misuwa (IV) ejja kuyingizibwa mu musuwa mu mukono gwo, mu ngalo oba mu kisambi. Kino kyuma ekiringa kannyula.

Kiki ekibaawo ng’okola ekigezo?

Ebintu bino wammanga bibaawo mu kiseera ky’okugezesebwa:

• Ojja kukolebwa okugalamira ku mmeeza y’ebigezo.
• Omukugu ono akuba empiso y’ekintu ekiyitibwa Iodine-131 Human Serum Albumin (HSA) ng’ayita mu layini ya IV.
• Olwo olina okulinda eddakiika nga 12 `(Tracer)` okutabula obulungi n'omusaayi.
• Oluvannyuma lw’ekyo, omusaayi oguwerako guggyibwako, nga buli luvannyuma lwa ddakiika mukaaga, ne gusindikibwa mu laboratory.
• Okugezesebwa kwonna kutera okutwala eddakiika ezitasussa 90.

Oluvannyuma lw’okugezesebwa?

Omukugu ajja kuggyawo IV, olwo osobole okudda eka. Ebimu ku bikozesebwa mu kulondoola amasannyalaze (radioactive tracer) bijja kufulumizibwa mu musulo gwo, ate ebisigadde bijja kumenyeka mu butonde munda mu mubiri gwo.Olina okunywa amazzi amangi ng’omaze okukeberebwa, ekijja okuyamba tracer okuva mu mubiri gwo amangu.

Waliwo akabi konna akali mu kino?

• Si kirungi okukeberebwa kuno bw’oba ​​oli lubuto oba ng’oyonsa. N’olwekyo, omusawo ayinza okwagala okukebera olubuto nga tannakeberebwa.
• Waliwo emikisa mitono egy’okulwala alergy. Olina okutegeeza omusawo wo bw’oba ​​olina alergy yonna eri ayodini, ebisusunku oba amagi. Bw’oba ​​olina alergy yonna, omusawo ayinza okukyusa mu kukeberebwa okwewala alergy.
• Ekirungo kya iodine ekiyitibwa radioactive iodine ``(Tracer)`` kisobola okwonoona endwadde yo eya thyroid. Kino okukiziyiza, omusawo ajja kukuwa empeke ya ayodini nga tonnakeberebwa. Endwadde yo eya thyroid bw’emala okunyiga ayodini, ekoma okunyiga ayodini akola amasannyalaze.

Ebyavaamu byogera ki? Obakola ki?

Ebinaava mu kukeberebwa bijja kulaga oba omusaayi gwo gwa bulijjo, mutono oba mungi. Omusawo asobola okukozesa amawulire gano okwekenneenya embeera yo n’okusalawo obujjanjabi obwetaagisa.

Mu ngeri ennyangu, ``Blood Volume Test'' epima oba omuwendo gw'omusaayi mu mubiri gwo gwa bulijjo oba nedda. Enkyukakyuka mu bungi bw’omusaayi zikwatagana n’endwadde nnyingi, era ziyinza okuvaako ebizibu eby’amaanyi. Okukebera kuno kutera okukolebwa ku balwadde abali mu bifo eby’abalwadde abayi. Kiyinza okubayamba amazzi gaabwe okudda mu mbeera eya bulijjo, n’okubayamba okudda engulu amangu.

Obubaka Obutwala Awaka

• ``Blood Volume Test'' kwe kukebera okupima omuwendo gwonna ogw'omusaayi mu mubiri gwo.
• Kino okusinga kitunuulira obungi bwa plasma n’obutoffaali obumyufu.
• Okweyongera kw’omusaayi (Hypervolemia) n’okukendeera kw’omusaayi (Hypovolemia) byombi bisobola okuleeta obuzibu mu bulamu.
• Abasawo bakozesa okukebera kuno okuzuula embeera z’obujjanjabi ez’enjawulo n’okuteekateeka obujjanjabi naddala mu mbeera ez’amangu.
• Wadde ng’okugezesa kuno kukozesa ebintu ebitonotono ebikola amasannyalaze (Radioactive Tracer), tekirina bulabe. Wabula tekisaanira bamaama abali embuto n’abayonsa.
• Bw’oba ​​olina alergy yonna, tewerabira okutegeeza omusawo nga bukyali.

Kale, bino bye bintu ebikulu byolina okumanya ku `(Blood Volume Testing)`. Bwoba olina ekibuuzo ekirala kyonna ku nsonga eno, totya kubuuza musawo wo, okay?

` Omuwendo gw’omusaayi, Omuwendo gw’omusaayi, Okukebera obuzito bw’omusaayi, Hypervolemia, Hypovolemia, Plasma, Obutoffaali obumyufu, Okukebera ebyobulamu