Olina ekibuuzo ku alergy? Jjangu twogere ku musawo wa allergy!

Era owulira nga weewuunya katono bw’olya emmere ezimu? Oba okaluubirirwa okussa ng’ossa mu nfuufu entono? Oluusi ebintu bino birabika nga bya bulijjo naye eri abantu abamu biyinza okuba ebizibu ebinene. Wano we twetaaga obuyambi bw'omusawo akola alergy . Leero, ka twogere ku ‘allergist’ ono y’ani ne by’akola.

Ani omusawo wa alergy?

Mu ngeri ennyangu, omusawo akola alergy ye musawo mukugu mu ndwadde ezikosa abaserikale baffe abaserikale b’omubiri . Lowooza ku kino: tulina eggye ettono ery’abaserikale mu mibiri gyaffe eriyitibwa abaserikale b’omubiri. Kino kye kitukuuma obutakwatibwa ndwadde. Kyokka oluusi enkola eno etandika okuyitirizanga. Awo we wava ebizibu.

Waliwo obuzibu bw’abaserikale b’omubiri obuwerako abasawo bano bwe basinga kujjanjaba:

• Alergy n’obuzibu bwa alergy: Bino bibaawo ng’abaserikale baffe abaserikale basusse okukola ekintu kye tulya, kye tussa, oba kye tukwatako. Okugeza abantu abamu bafuna ekizimba oluvannyuma lw’okulya enseenene, ate abalala batandika okusesema oluvannyuma lw’okukwata ku kkabwa.
• Asima: Kino emikutu gy’empewo mu mawuggwe gaffe bwe gizimba. Abantu abalina asima bayinza okukaluubirirwa mu kussa mu bwangu olw’ebintu ebimu ebibaviirako, gamba ng’enfuufu, omukka oba ennyonta.
• Obuzibu obusookerwako obw’obutafaali obuziyiza endwadde: Buno buzibu katono. Zino ndwadde za buzaale. Kino kireetera abaserikale baffe abaserikale obutakola bulungi. Endwadde zino zirimu ebika ebisoba mu 200.

Ani Omusawo wa Allergy mu Baana?

Kati oyinza okuba nga weebuuza oba ebizibu bino nabyo bisobola okukosa abaana abato. Yee, abalongo, abaana, n’abavubuka abakulu nabo basobola okufuna alergy, asima, n’obuzibu mu baserikale b’omubiri. Wano omusawo w’abaana alergy w’abazuula n’abajjanjaba. Alinga omusawo wa alergy eri abantu abakulu, naye essira aliteeka nnyo ku baana.

Njawulo ki eriwo wakati w’omusawo akola ku alergy n’omusawo akola ku by’obusimu obuziyiza endwadde?

Kino nakyo kibuuzo abantu bangi kye babuuza. Tutera okukozesa ekigambo ‘allergist’ okutegeeza omusawo ajjanjaba ebintu nga alergy ne asima, ate oluusi n’ajjanjaba endwadde z’abaserikale b’omubiri. Olwo, ‘omusawo w’obusimu obuziyiza endwadde’ ye muntu y’omu. Wabula oluusi ‘omusawo w’abaserikale b’omubiri’ ayinza okusinga okussa essira ku kujjanjaba endwadde z’abaserikale b’omubiri, oba okukola okunoonyereza kw’abasawo ku baserikale b’omubiri. Ebiseera ebisinga, bano ababiri bantu abali mu mulimu gumu, kwe kugamba, abantu abalina ebisaanyizo ‘Allergist/Immunologist’ .

Abasawo bano abakola alergy bakola ki?

Omusawo akola alergy azuula n’okujjanjaba ebizibu by’abaserikale b’omubiri gwo. Bino by’asobola okukola:

• Okukebera alergy: Kino kijja kukebera oba olina alergy ku bintu ng’emmere, obukuta (obuva mu muddo, emiti, n’omuddo), ebiwuka by’ebisolo by’omu nnyumba , n’ekikuta.
• Asima azuulibwa nga bakebera enkola y’amawuggwe.
• Eddagala oba ebyuma biwandiikibwa okuziyiza, okujjanjaba oba okukendeeza ku buzibu bwa alergy ne asima. Ng’ekyokulabirako, abantu abamu bayinza okwetaaga okukozesa ebyuma ebissa.
• Tujja kukuwa amagezi ku nkyukakyuka z’olina okukola mu bulamu bwo okwewala ebikuleetera alergy oba asima.
• Obujjanjabi bw’abaserikale b’omubiri, gamba ng’amasasi agakwata alergy, buweebwa okukendeeza ku alergy. Kino kizingiramu okussa omubiri mpolampola ekirungo ekivaako alergy.
• Obuzibu bw’obusimu obuziyiza endwadde buzuulibwa.
• Bw’oba ​​obeera n’obuzibu bw’abaserikale b’omubiri, tukuwa amagezi ku ngeri y’okwekuumamu yinfekisoni .
• Intravenous immunoglobulin (IVIG) eweebwa ng’eddagala erijjanjaba endwadde ezimu ez’abaserikale b’omubiri.
• Bwoba olina allergy eri eddagala eryetaagisa, enkola eyitibwa ``Drug desensitization'' ekolebwa osobole okumira eddagala eryo awatali bulabe.

Bika ki eby’endwadde abakugu mu by’allergy bye bajjanjaba?

Zino zezimu ku mbeera z’obujjanjabi ezisinga okujjanjabibwa abasawo bano:

• Obulwadde bw’amaaso obuva ku allergy (allergy mu maaso) .
• Allergic rhinitis/hay fever, era emanyiddwa nga ‘hay fever’.
• Anaphylaxis, allergy ey’amaanyi ey’amangu
• Angioedema, okuzimba wansi w’olususu
• Obulwadde bwa asima
• Alergy y’eddagala
• Eczema bulwadde bwa lususu.
• Obuzibu bwa Eosinophilic (nga ekika ky’obutoffaali obweru obuyitibwa ‘eosinophil’ kyeyongera) .
• Alergy y’emmere
• Okunyiiga kw’olususu, era okumanyiddwa nga ‘hives/urticaria’.
• Alergy y’okulumwa ebiwuka
• Alergy ku latex
• Okukwatibwa yinfekisoni za sinus enfunda eziwera

Lwaki twetaaga okulaba omusawo akola alergy?

Oyinza n’okwagala okulaba omusawo nga ono olw’ensonga zino wammanga:

• Kebera oba olina alergy oba asima.
• Funa obujjanjabi ku alergy oba asima.
• Bw’oba ​​olina obulwadde bw’abaserikale b’omubiri, buddukanya.

Ddi lwe tusaanidde okulaba omusawo akola alergy?

Bw’oba ​​olina obubonero buno, mazima ddala laba omusawo akola alergy. Oba buuza omusawo wo ow’amaka (Primary Care Physician) oba weetaaga okulaba omusawo omukugu ng’oyo.

"Tulina okweraliikirira katono ku bubonero buno?"

• Singa ofuna alergy ey’amaanyi – gamba ng’ebizimba, okuzimba mu maaso oba olulimi, oba okukaluubirirwa okussa.
• Olina alergy naye tomanyi bulungi kiki ekizikuleetera. Okugeza, manya oba kibaawo ng’olya emmere ezimu oba ng’okwatagana n’enfuufu.
• Bw’oba ​​osanga obuzibu okufuga alergy oba asima, ne bw’oba ​​okyusizza eddagala n’engeri gy’obeera mu bulamu.
• Singa alergy oba asima eba ekulemesa okugenda mu bulamu bwo obwa bulijjo, okugenda ku mulimu oba okukola ebintu by’onyumirwa.
• Bw’oba ​​otera okuwunya, okusesema, oba okuwulira ng’ossa bulungi – naddala ng’omaze okukola dduyiro oba ekiro.
• Bw’oba ​​olwala buli kiseera, oba singa obulwadde obwa bulijjo ng’omusujja butwala ekiseera kiwanvu okuwona, kino kiyinza okutegeeza nti abaserikale b’omubiri banafu.

Alergy zikeberebwa zitya?

Omusawo wa alergy asobola okukozesa okukebera okw’enjawulo okuzuula ekika kya alergy ky’olina. Bino bye bimu ku byo:

• Okukebera okufumita/okukunya olususu: Kino kizingiramu okumira akatono ku kirungo ekiteeberezebwa okuba ekivaako alergy n’okikunya n’olususu lwo. Oluvannyuma, banoonya eky’okukola, gamba ng’okumyuuka n’okuzimba. Kino kigezo kyangu nnyo, eky’amangu.
• Okukebera omusaayi:Mu kino, omusaayi gwo guggyibwako ne gukeberebwa mu laabu okulaba oba olina alergy yonna eri ekintu ekimu.
• Ebigezo ebisomooza emmere: Kino kigezo ekyetaagisa okwegendereza. Mu kino, omusawo ajja kuleeta mpolampola emmere gy’olowooza nti olina alergy, ate ng’atunuulira nnyo okulaba oba olina alergy. Kino kisaana okukolebwa nga balabirirwa abasawo.

Ng’oggyeeko okukebera kuno okwa alergy, bino wammanga biyinza n’okubaawo ng’ogenda ew’omusawo:

• Okukebera enkola y’amawuggwe (spirometry, okukebera enkola y’amawuggwe): Kino kikebera engeri amawuggwe go gye gakola obulungi. Okukebera kuno kuyamba okuzuula n’okuddukanya asima.
• Akuyigiriza engeri y’okukozesaamu ebyuma by’obujjanjabi: Omusawo asobola okukuyigiriza engeri y’okukozesaamu obulungi ebyuma ng’empiso z’epinephrine (oluusi eziyitibwa ‘Epipen’) ku alergy ey’amaanyi, ebyuma ebissa, n’ebiwunyiriza ku asima.

Oyinza otya okufuuka omusawo wa allergy?

Kino nakyo kiyinza okuba ekintu ky’oyagala okumanya. Okufuuka omusawo wa alergy mu Sri Lanka, olina okusooka okufuna diguli y’obusawo (MBBS) okuva mu ssomero ly’obusawo. Oluvannyuma lw’ekyo, olina okumaliriza okutendekebwa n’okutendekebwa oluvannyuma lw’okutendekebwa ng’omusawo ow’enjawulo. Oluvannyuma lw’ekyo, olina okufuna okutendekebwa okw’ekikugu (MD) mu by’obujjanjabi obw’omunda oba obw’abaana. Oluvannyuma lw’okutendekebwa okwo, osobola okufuna okutendekebwa okulala okw’enjawulo (post-MD training/fellowship) mu kisaawe kya Allergy ne Immunology, n’oyita ebigezo ebikwatagana n’ofuuka allergist. Ekyo kitegeeza nti kino kintu ekyetaaga okukolebwa n’okwewaayo okunene n’obudde.

N’ekisembayo, ebintu ebitonotono by’olina okujjukira

Alergy, asima, n’endwadde z’abaserikale b’omubiri mbeera eziyinza okukosa obulamu bwaffe obwa bulijjo, oluusi ne zireetawo ebizibu eby’amaanyi. Naye tosattira . Omusawo akola ku alergy asobola okukuyamba okuzuula ebikuleetera alergy oba asima, okukuwa obujjanjabi okufuga obubonero bwo, n’okukuwa amagezi ku nkyukakyuka mu bulamu bwo okwewala ebikuleetera okulwala asima.

"Mu ngeri ennyangu, abasawo bano bakuyamba okutegeera embeera yo, okubeera nayo obulungi, n'obutagireka kutaataaganya bulamu bwo."

Kale, bw’oba ​​olowooza nti olina ekizibu kino, tomala biseera n’olaba omusawo. Olwo osobola okubeera n’obulamu obulungi era obw’obutebenkevu.

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