Omutima ogutera okulumwa? Kiyinza okuba obulwadde bwa gastroesophageal reflux disease (GERD)!

Bwe nnali mu yunivasite, nnalina mukwano gwange ow’oku lusegere ayitibwa Chamari. Chamari yatera okwemulugunya olw’okulumwa olubuto n’okulumwa omutima oluvannyuma lw’okulya naddala ng’alya emmere ennungi ey’eby’akawoowo ey’e Sri Lanka oba ng’amaze okulya ekyeggulo. Yalowooza nti butagaaya mmere yokka. Naye ekiseera bwe kyagenda kiyitawo, omutima gwamuluma nnyo ne gutuuka n’okumutaataaganya otulo ekiro.

"Doctor Priya, buli kiro nfuna omuliro mu kifuba. Nfuna amazzi agawooma okuwooma mu kamwa. Ne bwe nnywa eddagala erya bulijjo, terujja kutereera," Chamari bwe yambuuza olunaku lumu.

Mu bukkakkamu nannyonnyola Chamari nti: "Chamari, ky'obadde osimbira ekkuuli, ng'olowooza nti butagaaya mmere bwa bulijjo, mbeera eyitibwa GERD (Gastroesophageal Reflux Disease) . Eno mbeera asidi w'olubuto mw'akulukuta n'adda waggulu mu mumiro. Buno bulwadde bwa bulijjo nnyo mu bavubuka ennaku zino. Naye teweeraliikiriranga, busobola okufugibwa ddala n'enkyukakyuka entonotono mu bulamu n'... obujjanjabi obutuufu."

🚨 Red Flags ezeetaaga okujjanjabibwa mu bwangu

Wadde ng’okudda mu asidi ebiseera ebisinga tekiba kya bulabe eri obulamu, olina okugenda ew’omusawo mu bwangu singa ofuna obubonero bwonna ku buno wammanga obw’amaanyi:

• Obuzibu obw’amaanyi mu kumira emmere oba amalusu oba obulumi ng’omira (Dysphagia/Odynophagia).
• Okugejja amangu awatali nsonga (Unexplained Weight Loss).
• Okusesema ennyo oba okusesema omusaayi.
• Omusulo omuddugavu (alimu ttaala) (akabonero akalaga omusaayi mu lubuto oba mu nnywanto).

Lwaki GERD ebaawo? Ensonga nnyangu

Ku nkulungo y’omumwa gwaffe n’olubuto waliwo ekinywa ekiringa empeta ekiyitibwa LES (Lower Esophageal Sphincter) . Kikola nga "valve" eggulawo mu ludda lumu lwokka.

Bwe tulya, vvaalu eno egguka okusobozesa emmere okuyita mu lubuto, n’oluvannyuma n’eggalawo nnyo ng’emmere emaze okuyita, ekiziyiza asidi ow’amaanyi mu lubuto okukulukuta okudda waggulu mu mumiro.

Naye singa olw’ensonga ezimu vvaalu eno eya LES enafuwa oba n’eteggalawo mu kiseera ekituufu, asidi w’olubuto asobola bulungi okukulukuta mu nnywanto. Kino kiyitibwa acid reflux .

Waliwo ensonga enkulu eziwerako lwaki vvaalu eno efuuka enafu:
1. Hiatal Hernia: Ekitundu eky’okungulu eky’olubuto kifuluma mu kifuba nga kiyita mu kinnya mu nnabaana ekivaako vvaalu obutakola bulungi.
2. Omugejjo n’olubuto: Valiva egguka nnyo olw’okunyigirizibwa okweyongera mu lubuto.
3. Endya enkyamu: Okulya emmere ennene omulundi gumu n’okugalamira amangu ddala ng’omaze okulya.
4. Omwenge, okunywa sigala n’ebiragalalagala:Okunywa sigala kuwummuza vvaalu ya LES, era eddagala eriweweeza ku bulumi eritali ku ddagala nga ibuprofen nalyo liyinza okwonoona ebisenge by’olubuto.

Okukebera abasawo okuzuula obulwadde bwa acid reflux

Abasawo bawa amagezi okwekebeza bino wammanga okusobola okuzuula obulungi embeera eno:

• Upper Endoscopy: Tubu erimu kkamera entono eyingizibwa mu kamwa okwekenneenya ebisenge by’omumwa gwa nnabaana oba bizimba, ebiwundu oba obubonero bwa kookolo.
• Ambulatory pH Monitoring: Okukebera okukolebwa nga tukozesa ekyuma ekitono ekipima obungi bwa asidi akulukuta mu mumiro mu bbanga lya ssaawa 24.
• Esophagram (barium x-ray): Okukebera kuno kukozesa okukebera kwa barium swallow okukuba x-ray z’omumwa gwa nnabaana okuzuula okufunda oba okuwunya.

Oyinza otya okufuga obulwadde bwa acid reflux?

Okusobola okuwona obulwadde buno enkalakkalira, enkyukakyuka mu bulamu n’obujjanjabi bw’eddagala byombi birina okuba nga bikwatagana: