Omanyi omusuwa guno ogw’omuwendo ogw’omusaayi mu bulago? (Vertebral Artery) Ka twogere mu bujjuvu!

Ffenna tufaayo nnyo ku bulamu bwaffe obw’omubiri. Kikulu nnyo naddala okumanya ebikwata ku nkola y’emisuwa egaba omusaayi mu bwongo bwaffe n’omugongo. Leero tugenda kwogera ku kika ekimu eky’omusuwa omukulu ennyo bwe kityo. Kino kye tuyita `(Vertebral Arteries)`. Mu butuufu, bino bifaanana ng’omusaayi oguliisa ekitundu eky’okungulu eky’omubiri gwaffe.

Bino `(Emisuwa gy'omugongo)` bye biruwa? Mu butuufu bakola ki?

Mu ngeri ennyangu, `Vertebral Arteries` misuwa emikulu ebiri egy’omusaayi egisangibwa mu bulago bwaffe egitwala omusaayi mu bwongo n’omugongo (obusimu obukulu obuyita mu mugongo). Yee, waliwo bbiri, emu ku ludda olwa kkono ate endala ku ludda olwa ddyo. Erinnya `Vertebral` liva ku kuba nti emisuwa gino gitambula ku mugongo gwaffe, amagumba g'omugongo. Emisuwa gino ebiri gyegatta ku musingi gw’ekiwanga ne gikola omusuwa omunene oguyitibwa `Basilar Artery`. Enkola eno yonna era tugiyita `Ensengekera ya Vertebrobasilar`.

Kale, omulimu omukulu ogwa bino kwe kuwa obwongo bwaffe omukka gwa oxygen n’ebiriisa bye byetaaga . Obadde okimanyi nti ebitundu 20% ku musaayi gwonna ogugenda mu bwongo bwaffe guweebwa ``Vertebral Arteries`` zino . Ebitundu 80% ebisigadde biweebwa omusuwa omulala omukulu mu bulago oguyitibwa ``Carotid Artery``. N’olwekyo teebereza engeri bino gye biri ebikulu!

Zino `(Vertebral Arteries)` zifulumya amatabi amatono mangi. Ekisinga obunene ku byo kiyitibwa `(Posterior Inferior Cerebellar Artery)`. Guno gwe gumu ku misuwa emikulu esatu egigabira omusaayi mu `(Cerebellum)` yaffe, kwe kugamba, akatundu akatono ak'obwongo (the cerebellum). Kino `(Cerebellum)` kikulu nnyo. Kiyamba okufuga ebintu bingi mu mubiri gwaffe, gamba nga bbalansi, entambula, okwogera, n’okulaba.

Kale, zino ``Vertebral Arteries'' zisangibwa wa?

Zino ebbiri `(Vertebral Arteries)` zitandikira ku `(Subclavian Arteries)` wansi w'eggumba lyaffe ery'omu bulago, kwe kugamba, wansi w'eggumba lya ``clavicle``. Zino `(Subclavian Arteries)` zitandikira ku ``Aorta``, nga guno gwe musuwa ogusinga obunene mu mubiri gwaffe. ``Aorta`` y'eyo etambuza omusaayi okuva ku mutima okutuuka mu mubiri gwonna. Okubeera omutuufu, ``Subclavian Artery`` ku ludda olwa ddyo etandikira ku ``Brachiocephalic Artery`` eva mu ``Aorta``. ``Subclavian Artery`` ku ludda olwa kkono etandikira butereevu ku ``Aorta``.

Olwo bino ebibiri `(Vertebral Arteries)`, okwawukana, bigenda waggulu ku ludda olwa kkono ne ddyo olw’omugongo gwaffe mu bulago. Emisuwa gino gibikkiddwa ebinywa ebiyitibwa `(Suboccipital muscles)` wansi w'ekiwanga. Ekitundu kino era tukiyita `(Suboccipital triangle)`.

Bitundu ki eby’enjawulo eby’omusuwa gw’omugongo mu kkubo lyagwo?

Kilowoozeeko ng’ekkubo eddene. Ku luguudo olwo kuliko nkulungo ez’enjawulo n’ebitundu eby’enjawulo. Bw'etyo kino `(Vertebral Artery)` bwe kyawulwamu ebitundu bina (`segments`) okusinziira ku kitundu kye kitambulira. Ka tulabe kye bali:

• Ekitundu kya V1 (pre-foraminal): .Kino kye kitundu ekisooka ekitandikira ku ``Subclavian Artery''. Kino kigenda emabega wa ``Carotid Artery'', omusuwa omulala omukulu mu bulago.
• Ekitundu kya V2 (foraminal): Ekitundu kino kigenda waggulu wamu n’emisuwa gy’omugongo (emisuwa egitwala omusaayi emabega) n’obusimu. Omusuwa guno ogwa ``Vertebral Artery`` guyingira nga guyita mu kifo ekiggule ekiyitibwa ``Transverse Foramen`` mu mugongo gwa C6 (i.e. omugongo ogw'omukaaga mu bulago) ne gufuluma nga guyita mu mugongo gwa C2 (omugongo ogwokubiri wansi w'ekiwanga).
• Ekitundu kya V3 (extradural oba extraspinal): Ekitundu kino kikoona era ne kikyukakyuka katono nga kiyita ku mugongo gwa C1 (era oguyitibwa ``Atlas'', nga lino lye ggumba erisinga waggulu mu mugongo) ne liyingira mu kiwanga.
• Ekitundu kya V4 (intradural oba intracranial): Kino kye kitundu ekisembayo okuyingira mu kiwanga. Olwo `(Vertebral Arteries)` eza ddyo ne kkono zigatta ne zikola `(Basilar Artery)` eyayogeddwako emabegako.

Olabye emisuwa gino gye gizibu ennyo okutuusa omusaayi mu bwongo bwaffe?

Endwadde ki n’obuzibu ki ebiyinza okukosa `(Vertebral Arteries)`?

Okay, kati ka tulabe obuzibu obw’engeri ki emisuwa gino egy’omuwendo gye giyinza okuleeta.

Ebiseera ebisinga, obuzibu buva ku kuzimba amasavu ne kolesterol mu misuwa gino, gye tuyita `(plaque)`. Kino kiringa obucaafu n’ebisasiro ebikuŋŋaana mu payipu y’amazzi okumala ekiseera. Embeera eno tugiyita `(atherosclerosis)` . Singa `(plaque)` eno ezimba nnyo, omusuwa guyinza okuzibikira ddala.

`(Atherosclerosis)` bwekula mu `(Vertebral Arteries)` bweti, eyitibwa `(Vertebral Artery Stenosis)`. Ekyo kitegeeza nti omusuwa gufunda. Kiki ekiyinza okuvaako kino?

• Ebizimba by’omusaayi bisobola okutondebwawo. Okutambula kw’omusaayi kuyinza okuzibikira mu bitundu bino ebifunda era omusaayi ne gukola.
• Okusasika kw'omusaayi mu bwongo okumala akaseera kiyinza okuleeta ``Transient Ischemic Attack - TIA''. Kino era tukiyita ''mini stroke''.
• Stroke eyinza okubaawo. Kino kiyinza okubaawo singa omusaayi oguzimba guzibikira ddala omusuwa mu bwongo.
• Embeera eyitibwa ``Vertebrobasilar insufficiency'' esobola okubaawo. Kino kitegeeza nti obwongo tebufuna musaayi gumala.

Ng’oggyeeko kino, waliwo embeera endala ezikosa emisuwa gino:

• Okusala emisuwa gy’omumwa gwa nnabaana: Kino kikutuka mu bbugwe oba omusuwa gw’omugongo oba ogw’omugongo mu bulago. Kino kiyinza okubaawo nga kiva ku buvune, oba mu bantu abalina obuzibu obumu obw’ebitundu ebiyunga (nga Fibromuscular Dysplasia) abanafuye emisuwa.
• `(Rotational Vertebral Artery Stenosis)`: Eno mbeera etali ya bulijjo. Kitera okubaawo nga `(Vertebral Artery)` enyigirizibwa olw'okukula kw'eggumba okuteetaagibwa, ne kiziyiza omusaayi okutambula mu bwongo. Kino era kiyitibwa `(Bowhunter's Syndrome)` kubanga okunyigirizibwa kuno oluusi kweyongera mu kiseera ky'ekifo ky'okukuba obusaale.

Kale tukuuma tutya bino eby'omuwendo `(Vertebral Arteries)` nga biramu?

Kino kye kintu ekisinga obukulu. Singa tukola enkyukakyuka entonotono mu bulamu bwaffe, tusobola okukendeeza ennyo ku bulabe bw’okufuna embeera nga `(Vertebral Artery Stenosis)`. Laba oba osobola okukola ebintu bino:

• Sigala ng’okola ennaku ezisinga mu wiiki. Ekyo kitegeeza okukola dduyiro. Ne bw’otambulako akaseera katono kirungi.
• Lya emmere eyamba omutima. Emmere erimu amasavu amatono, kolesterol n’omunnyo y’esinga obulungi. Lya nnyo enva endiirwa, ebibala, emmere ey’empeke n’emmere erimu ebiwuziwuzi ebingi.
• Kuuma omugejjo omulungi. Okukuuma obuzito obusaanira obuwanvu bwo kikulu nnyo.
• Bw’oba ​​olina embeera nga ssukaali, puleesa oba kolesterol omungi, zifuge bulungi. Goberera ddala ebiragiro by’omusawo wo.
• Bw’oba ​​onywa sigala, mazima ddala lekera awo. Okunywa sigala kya bulabe nnyo eri emisuwa.

Jjukira nti ebintu bino biyamba okukuuma si ``Vertebral Arteries'' zo zokka wabula n'enkola y'emisuwa gy'omubiri gwonna nga nnungi.

Ddi lw’osaanidde okulaba omusawo?

Waliwo obubonero obumu, bwe bulabika, olina okulaba omusawo amangu ddala, kuba buyinza okuba obubonero bw’embeera ey’amaanyi.

• Obubonero bw’okusannyalala: Okusingira ddala, .
• Okuziyira okw’amaanyi
• Okufiirwa bbalansi mu mubiri (obutakwatagana) .
• Okulaba emirundi ebiri oba okubulwa okulaba
• Okusannyalala
• Bwoba otera okugwa awatali nsonga `(Unexplained falls)`

Bw’oba ​​ggwe oba omuntu gw’omanyi afuna kino, tomala biseera era genda mangu omusawo amagezi. Gy’okoma okujjanjaba amangu embeera nga `(Stroke)`, ebivaamu gye bikoma okuba ebirungi.

Kale, ka tujjukire ensonga ezisinga obukulu okuva mu bye twogeddeko? (Obubaka Obutwala Awaka)

Kati okimanyi nti ``Vertebral Arteries`` gye twogeddeko leero nkola nkulu nnyo ey'emisuwa egigabira omusaayi mu bwongo bwaffe n'omugongo. Okukuuma bino nga biramu kyetaagisa nnyo mu nkola ennungi ey'enkola yaffe eya ``Nervous system``.

Vertebral Artery Stenosis oba Vertebrobasilar insufficiency, kiva ku kuzimba ebikuta mu misuwa. Kino kiziyiza omusaayi okutambula n’okwongera ku bulabe bw’okulwala obulwadde bwa stroke ne TIA.

Naye amawulire amalungi gali nti tusobola okukendeeza ennyo ku bulabe buno nga tukola enkyukakyuka mu bulamu obulungi. Engeri ezisinga obulungi ez’okukola kino kwe kulya emmere ennungi, okukola dduyiro buli kiseera , okwewala okunywa sigala, n’okuddukanya embeera z’obujjanjabi eziriwo (nga ssukaali ne puleesa) .

Kale, faayo ku bulamu bwo. Kubanga tewali kintu kya muwendo okusinga obulamu!

`omusuwa gw’omugongo, omusaayi okutuuka ku bwongo, emisuwa gy’ensingo, okusannyalala, okusannyalala, okufunda kw’emisuwa, okutereka kolesterol