Wali owuliddeko omuntu ali mu kifo ekijjanjabirwamu abalwadde abayi (ICU) ng’afuna obuzibu mu kussa n’okusibibwa ku kyuma ekissa? Mpozzi nga kituuse ku omu ku bo. Ensonga enkulu lwaki kino kitera okubaawo y’embeera y’obulamu ey’amaanyi gye tugenda okwogerako eyitibwa ARDS. Erinnya lino liyinza okuwulikika ng’eritiisa katono naye teweeraliikiriranga. Tujja kukinnyonnyola mu ngeri ennyangu gy’osobola okutegeera.
Ddala ARDS kye ki?
Mu ngeri ennyangu, ARDS eyonoona nnyo amawuggwe go. Lowooza ku mawuggwe go ng’ebitundu bibiri ebya sipongi. Mu budde obwabulijjo, bwe tussa, sipongi zino zijjula empewo. Naye mu ARDS, obusawo obutono obw’empewo obuli munda mu mawuggwe gano (obuyitibwa alveoli) butandika okujjula amazzi.
Kati teebereza, sipongi bw’enyiga amazzi, tewabaawo kifo mpewo ndala kugiyingira. Ekintu kye kimu kituuka ku mawuggwe. Amazzi bwe gajjula mu kifo ky’empewo, amawuggwe tegasobola kujjula mpewo bulungi. N’ekyavaamu, omusaayi tegufuna mukka gwa oxygen ogwetaagisa. Mu busawo, embeera eno tugiyita `(hypoxia)` . Kino kya bulabe nnyo.
Kubanga omukka gwa oxygen yeetaagibwa nnyo ebitundu ebirala byonna mu mubiri gwaffe, okugeza obwongo, omutima, n’ensigo, okusobola okukola. Oxygen bw’abulwa, ebitundu ebyo bitandika okukola obubi kimu ku kimu.
Abasawo batera okugabanya ARDS mu mitendera esatu - emitono, egy’ekigero, n’egya maanyi. Kino kizuulibwa nga ogeraageranya omuwendo gwa oxygen mu musaayi gwo n’omuwendo gwa oxygen gw’olina okuwa ebweru okuzza omutindo ogwo ku mutindo omutuufu.
ARDS etera okubaawo ng’omuntu aweereddwa ekitanda olw’obulwadde obulala, obulwadde oba akabenje ak’amaanyi. Kyokka singa ofuna obubonero buno ne bw’oba toweereddwa ddwaaliro, kikulu okugenda mu ddwaaliro mu bwangu.
Bubonero ki obukulu obulaga embeera eno?
Obubonero bwa ARDS buyinza okwawukana okusinziira ku kivaako, obuzibu bw’embeera eno, n’embeera yonna ey’omutima oba amawuggwe gy’olina edda. Kyokka waliwo obubonero obumu obutera okulabika.
| Obubonero | Okunnyonnyola |
|---|---|
| Okukaluubirirwa ennyo mu kussa | Kiwulira nga kizibu nnyo okussa, ng’olinga azirika. |
| Okussa okw’amangu era okw’amaanyi | Omuwendo gw’omukka gweyongera. Olina okufuba ennyo okusobola okussa buli mukka. |
| Okukuba kw’omutima | Omutima gwange guwulira nga gukuba nnyo. |
| Emimwa gya bbululu n’enjala | Omukka gwa oxygen mu musaayi bwe gukka wansi mu ngeri ey’akabi, emimwa n’enjala bitandika okufuuka bbululu. Kino kya mangu. |
ARDS etera okukula mu ssaawa oba ennaku okuva ku kintu ekivaako ekizibu kino, era embeera eyinza okufuuka ey’amaanyi amangu ddala.
Biki ebivaako ARDS?
ARDS si bulwadde obubeerawo ku bwabwo. Kibaawo nga kiva ku mbeera endala ey’obujjanjabi oba akabenje. Katutunuulire ebimu ku bikulu ebivaako wansi.
| Ensonga | Ennyinyonnyola ennyangu |
|---|---|
| Obulwadde bwa Sepsis | Kino kye kisinga okuvaako obulwadde bwa ARDS. Mu ngeri ennyangu, yinfekisoni ey’amaanyi (e.g. pneumonia ) mu mubiri efuuka etafugibwa era esaasaana mu mubiri gwonna. |
| Okufuuwa emmere/amazzi mu mawuggwe | Singa emmere oba ekyokunywa oba ebiri mu lubuto biyita mu butanwa mu nnyindo ne biyingira mu mawuggwe, kiyinza okuleeta okwonooneka okw’amaanyi mu mawuggwe ne kivaako ARDS. |
| Okuwaayo omusaayi mu bungi | Singa yuniti z’omusaayi ezisukka mu 15 ziweebwa omubiri mu bbanga ttono, wabaawo akabi k’okulwala ARDS. |
| Akawuka ka COVID-19 | Abalwadde abalina obulwadde bwa COVID-19 obw’amaanyi bayinza okufuna obulwadde bwa ARDS. |
| Obulwadde bw’olubuto | Olw’okuzimba ennyo oba okukwatibwa yinfekisoni mu lubuto. |
| Obubenje obw’amaanyi oba okwokya | Okwonooneka kw’amawuggwe oba ebitundu by’omubiri ebirala okuva ku kabenje akanene oba okwokya. |
| Okussa omukka ogw’obutwa | Amawuggwe okwonooneka olw’okussa omukka gw’eddagala ogw’obutwa oba omukka oguyitiridde. |
| Eddagala Okusukkiridde | Okukozesa ebiragalalagala nga cocaine ne heroin ekisusse. |
| Okubbira mu mazzi | Bw’obbira mu mazzi, amazzi okuyingira mu mawuggwe gayinza okuleeta obulabe obw’amaanyi. |
Ani ali mu bulabe obweyongedde?
Abantu abaweebwa edda ebitanda olw’obulwadde oba akabenje be bali mu bulabe obw’amaanyi obw’okukwatibwa obulwadde bwa ARDS. Kyokka si buli muntu ali mu ddwaaliro nti akifuna. Waliwo ebintu ebirala ebiwerako ebyongera ku bulabe:
- Okubeera ng’alina emyaka egisukka mu 65 egy’obukulu.
- Okukozesa taaba (okunywa sigala).
- Omuze gw’okukozesa ebiragalalagala oba omwenge.
- Okubeera n’obulwadde bw’amawuggwe obwaliwo edda.
Ebizibu ebirala ebiyinza okuva ku ARDS
ARDS tekosa mawuggwe gokka. Kiyinza okuleeta ebizibu eby’enjawulo ng’oli mu ddwaaliro n’oluvannyuma lw’okudda eka.
- Okuzimba omusaayi: Okuzimba omusaayi kuyinza okutondebwa munda mu misuwa naddala mu magulu. Kino tukiyita ``okuzimba emisuwa emizito - DVT``.
- Okugwa kw’amawuggwe: Amawuggwe agonoonese gayinza okukutuka (pneumothorax) olw’okunyigirizibwa kw’ekyuma ekissa.
- Delirium: Obulwadde bw’okuwuguka.
- Okulemererwa kw’ebitundu by’omubiri ebingi: Okulemererwa kw’ebitundu by’omubiri ng’obwongo, omutima n’ensigo mu kiseera kye kimu.
- Obunafu bw’ebinywa: Ebinywa binafuwa olw’okubeera ku kitanda okumala ennaku.
- Enkovu z’amawuggwe: Ebitundu by’enkovu bisobola okutondebwawo ng’amawuggwe gawona (lung fibrosis).
- Ebizibu by‟eby‟omwoyo: Oluvannyuma lw‟okwolekagana n‟ekintu eky‟entiisa bwe kiti, embeera ng‟obuzibu bw‟okunyigirizibwa oluvannyuma lw‟okukosebwa (PTSD), okweraliikirira, n‟okwennyamira bisobola okubaawo.
Kino abasawo bakitegeera batya?
Olw’okuba obubonero bwa ARDS bufaananako n’endwadde endala ez’omutima oba ez’amawuggwe, abasawo bakola okukebera okuwerako okukakasa oba ARDS.
- X-ray y’ekifuba: Okulaba amazzi agali mu mawuggwe.
- Okukebera omusaayi: Pima omukka gwa oxygen mu musaayi era omanye obuzibu bwa ARDS.
- Echocardiogram: Sikaani ya ultrasound okutunuulira enkola y’omutima.
- ECG (Electrocardiogram): Laba enkola y’amasannyalaze g’omutima.
- Pulse Oximetry: Okulondoola obutasalako omuwendo gwa oxygen nga tukozesa ekyuma ekitono ekissiddwa ku ngalo.
- CT scan: Funa ebisingawo ebikwata ku mawuggwe.
- Okukebera ebiva mu kussa: Funa ekivaako obulwadde buno.
Kijjanjabwa kitya?
Ekigendererwa ekikulu eky’obujjanjabi bwa ARDS kwe kwongera ku mukka gwa oxygen mu musaayi n’okutangira ebitundu by’omubiri ebirala okulemererwa. Kino okukikola, abalwadde mazima ddala beetaaga ekyuma ekissa empewo n’obujjanjabi bwa oxygen .
Obujjanjabi buno bwonna bubeera mu kifo ekirabirira abalwadde abayi (ICU), nga buli kiseera kilabirirwa abasawo abakugu n’abakozi ba ba nnamusa.
Okugatta ku ekyo, abasawo bakola ebintu ebirala ebiwerako okukendeeza ku bizibu ebivaamu.
- Eddagala erikkakkanya obulumi liweebwa okufuga obulumi n’obutabeera bulungi.
- Omulwadde afuulibwa mu mbeera ey’okusitama okusinga okubeera mu mbeera ey’okwegolola. Kino kisobozesa omukka gwa oxygen okukulukuta amangu mu mawuggwe.
- Eddagala eriweweeza ku musaayi liweebwa okuziyiza omusaayi okuziyira.
- Eddagala erifulumya amazzi liweebwa okuggya amazzi agasukkiridde mu mubiri n’amawuggwe.
- Okujjanjaba oba okuziyiza yinfekisoni bwe zibaawoEddagala eritta obuwuka liweebwa.
- Obujjanjabi bw’omubiri bukozesebwa okuziyiza ebinywa okunafuwa.
Kitwala bbanga ki okuwona n’endowooza?
Obudde bwe butwala businziira ku buzibu bw’obulwadde n’obwangu bw’amawuggwe okuwona. Mu budde obutuufu, kiyinza okutwala emyezi mukaaga okutuuka ku mwaka omuntu okuddamu okukola amawuggwe ge aga bulijjo oluvannyuma lwa ARDS. Kyokka abantu abamu tebawona mu bujjuvu.
Emiwendo gy’abawona obulwadde bwa ARDS kati gyeyongedde nnyo. Singa bajjanjabwa nga bukyali, wakati wa 55% ne 70% bawangaala. Kyokka omuwendo guno gukendeera singa obujjanjabi bulwawo oba ebitundu ebirala bwe bitandika okulemererwa.
Okudda engulu lugendo luwanvu. Abantu abasinga basobola okussa ku lwabwe oluvannyuma lw’okuggyibwa mu kyuma ekiyamba okussa. Abamu batereera ddala. Abalala bayinza okuba n’ebizibu by’amawuggwe ebimala ebbanga eddene. Bajja kwetaaga okugenda mu maaso n’okulondoolebwa omusawo w’amawuggwe.
Jjukira nti okumala ebiseera mu kifo awajjanjabirwa abalwadde abayi kiseera kizibu nnyo eri omulwadde n’ab’omu maka. Obuwagizi bw’ab’omu maka go n’emikwano bujja kuba bukulu nnyo gy’oli mu lugendo lwo olw’okudda engulu.
Obubaka Obutwala Awaka
- ARDS mbeera ya maanyi, eyinza okutta omuntu, ereetebwa amazzi okujjuza ensawo z’empewo ez’amawuggwe.
- Buno si bulwadde obubeerawo ku bwabwo; ebiseera ebisinga kiva ku mbeera endala ey’obujjanjabi, gamba ng’obulwadde bwa sepsis, ekifuba oba obubenje obw’amaanyi.
- Obubonero obukulu kwe kussa obubi ennyo, okussa amangu, n’omukka gwa oxygen omutono mu musaayi.
- Obujjanjabi buweebwa mu Intensive Care Unit (ICU) nga buyambibwako ebyuma ebissa n’omukka gwa oxygen.
- Okudda engulu kuyinza okutwala emyezi oba n’omwaka, era lugendo luwanvu era lugumiikiriza.
- Bw’oba ggwe oba omuntu gw’omanyi afuna obuzibu obw’amaanyi mu kussa, kyetaagisa okugenda mu ddwaaliro mu kitongole ekijjanjaba abalwadde ab’amangu (ETU) mu bwangu.
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