Abantu bangi balowooza nti okunywa katono olunaku, oba okunywa n’emikwano omulundi gumu mu wiiki, si kibi. Naye omanyi obulabe obwo obutono obwo obw’omwenge bwe buyinza okukola ku kibumba omukozi w’omubiri gwo asirise? Leero twogera ku kuzimba ekibumba okuva ku mwenge, embeera emanyiddwa mu by’obujjanjabi nga ‘Alcohol-Induced Hepatitis’.
Obulwadde bw’ekibumba obuva ku mwenge kye ki?
Mu ngeri ennyangu, ‘Hepatitis’ kizimba ekibumba. Kino kifaananako n’okumyuuka n’okuzimba ebibaawo nga tufunye obuvune ku mubiri gwaffe. Okuzimba kuno kitegeeza nti wabaddewo okwonooneka kw’obutoffaali bw’ekibumba oba yinfekisoni. Kino kiyinza okubaawo ensonga eziwerako. Ebika by’akawuka eby’enjawulo, obutwa obw’obulabe eri omubiri, n’ebirala Okunywa omwenge ekisusse nakyo kye kisinga okuvaako kino.
Oluusi kiyinza okuba embeera ey’akaseera obuseera ebaawo oluvannyuma lw’okunywa ennyo olunaku lumu. Wabula singa eno efuuka embeera etawona mu muntu asigala ng’anywa omwenge, kiyinzika nnyo okuleeta okwonooneka okw’amaanyi ku kibumba ekitasobola kuddabirizibwa.
Lwaki omwenge gukola kino ku kibumba?
Lowooza ku nsonga eno, buli ky’olya n’okunywa ekibumba kyo kye kiyonjebwa ne kirongoosebwa nga tekinnayingizibwa mu mubiri gwo. Ekibumba kiringa ekisengejja mu mubiri gwaffe. Bino byonna bikola, okwawula ebiriisa n’okuggyawo obutwa.
Bw’onywa omwenge nagwo gugenda mu kibumba kino. Naye omwenge si kiriisa eri ekibumba, butwa butereevu . Ekibumba bwe kimenya omwenge, eddagala eddala ery’obutwa livaamu.
Bw’onywa omwenge omungi okumala ebbanga eddene, kwe kugamba, mu muntu alina obuzibu mu kunywa omwenge, ekibumba kizitoowererwa obutwa buno. Ekibumba bwe kitasobola kukwata masavu n’obutwa ebisukkiridde, bitandika okwonoona obutoffaali bw’ekibumba. Mu kwanukula okwonooneka kuno, omubiri guvaamu okuzimba oba okuzimba okwogeddwako waggulu. Ddala omubiri gugezaako okuwonya ekiwundu n’okukomya okwongera okwonooneka.
Naye ekizibu kiri nti, omwenge bwe gweyongera okumira, okuzimba kuno kweyongera. Ekibumba bwe kyeyongera okuzimba, obutoffaali bwakyo butandika okufa.
Ani asinga okubeera mu bulabe bw’embeera eno?
Abantu abamaze emyaka nga banywa ennyo omwenge ebiseera ebisinga be basinga okubeera mu bulabe. Naye si buli muntu alina obulwadde buno nti agwa mu kiti ekyo. Emibiri gy'abantu abamu gikwatibwa nnyo omwenge. Zikyayinza okwonoona ekibumba kyabwe ne bwe zinywa ekigero ekya bulijjo. Abalala bayinza obutafuna mbeera eno ne bwe baba banywa nnyo.
Enkyukakyuka mu buzaale ku kinoKiyinza okukosa. Singa omuntu mu maka go alina ebyafaayo by’okunywa omwenge oba obulwadde bw’ekibumba, naawe oba mu bulabe bwa maanyi. Ekikula ky’abantu nakyo kikola kinene wano. Okutwalira awamu abasajja bagumiikiriza katono omwenge okusinga abakyala.
Naye tewali n'omu ku ffe asobola kugamba mu by'obujjanjabi nti, "Si kibi okunywa omuwendo guno." Kubanga eri abantu abamu, ne bwe banywa omwenge omutono ennyo guyinza okuvaako embeera eno ey’amaanyi eyitibwa hepatitis ne cirrhosis.
Bubonero ki obulaga obulwadde buno?
Bw’oba olina obulwadde buno mu ntandikwa, oyinza obutaba na bubonero bwonna. Naye embeera bw’egenda yeeyongera okwonooneka, ojja kutandika okuwulira ebintu bino.
| Okugabanya obubonero | |
|---|---|
| Obubonero nga obulwadde tebunnaba kweyongera (early stage) . | |
| Okuwulira obulumi oba okunyigirizibwa mu kitundu kya waggulu ekya ddyo eky’olubuto, ekibumba we kiri. | Ekibumba kiyinza okuwulira nga kizimba era nga kigazi oba kiyinza okulabika. |
| Olubuto olufulumye kitegeeza okuwulira ng’ojjudde mu lubuto. | Okubulwa okwagala okulya n’okugejja. |
| Ekikeeto. | Okuyita mu musulo ogwa langi enzirugavu, ogw’amazzi. |
| Obubonero obubeerawo ng’embeera eno efuuse ya maanyi era n’ekosa enkola y’ekibumba | |
| Omusujja. | Omutima okukuba. |
| Okufuuka okwa kyenvu kw’enjeru z’amaaso (jaundice). | Okuvaamu omusaayi amangu okuva ku buvune obutonotono n’okufuuka bbululu mu bifo ku mubiri (thrombocytopenia). |
| Okutaataaganyizibwa mu kujjukira n’okutegeera (hepatic encephalopathy). | Okuwulira obukoowu obuyitiridde buli kiseera n’okukoowa. |
Olina okunywa mmeka okusobola okufuna obulwadde buno?
Tewali nkola ya sayizi emu ekwata ku bonna ku kino. Naye ebibalo biraga nti abantu abanywa ennyo buli lunaku okumala ebbanga eddene bali mu bulabe bwa maanyi. Ekifuula "okunywa ennyo omwenge" nakyo kya njawulo eri abasajja n'abakazi.
- Ku basajja: Okunywa ebyokunywa nga bina ebya mutindo olunaku oba okunywa ebyokunywa ebisukka mu 14 mu wiiki.
- Ku bakyala: Okunywa egiraasi nga ssatu olunaku oba egiraasi ezisukka mu 7 mu wiiki.
Okunywa ennyo omwenge nakyo kye kivaako kino. Abasajja banywa egiraasi ezisukka mu 5 omulundi gumu, ate abakazi banywa ezisukka mu 4. Kino bw’okikola waakiri emirundi etaano mu mwezi, ekyo nakyo kitwalibwa ng’okunywa ennyo. Ne bw’onywa mu ngeri eno okumala akaseera katono, gamba ng’emyezi mukaaga, kyongera nnyo emikisa gy’okufuna obulwadde buno.
Omusawo azuula atya obulungi obulwadde buno?
Bw’ogenda okulaba omusawo, ajja kusooka kukubuuza ku byafaayo by’obulamu bwo n’okukozesa omwenge. Singa bateebereza nti olina obuzibu mu kunywa omwenge, bajja kukebera okulaba oba ebitundu ebirala bikosebwa. Waliwo ebigezo ebiwerako ebiyinza okukolebwa okuyamba ku kino.
- Okukebera omusaayi: Okubala omusaayi mu bujjuvu (CBC) kusobola okukebera embeera z’obujjanjabi ez’enjawulo. Okukebera enkola y’ekibumba nakyo kikolebwa okukebera oba enziyiza z’ekibumba zirinnye.
- Okukebera ebifaananyi: Okukebera nga ultrasound, FibroScan®, CT scan, oba MRI scan kuyinza okukolebwa okukebera oba ekibumba kizimba oba kyonoonese.
- Okukebera ekibumba: Mu mbeera ezimu, omusawo ayinza okwetaaga okuggya akatundu akatono ennyo mu kibumba n’akakebera mu microscope okukakasa obulwadde.
Kijjanjabwa kitya?
Tewali ddagala lya njawulo eriyinza kuweebwa butereevu ku bulwadde buno. Obujjanjabi bwokka era obusinga obulungi kwe kulekera ddala okunywa omwenge.
Naye okulekera awo omwenge mu bwangu ku bubwo kiyinza okuba eky’akabi. Kiyinza okuleeta ebizibu eby’amaanyi (obubonero bw’okuggwaamu) ku mubiri. Eno y’ensonga lwaki kino olina okukikolaNga balabirirwa abasawo .
Wadde omusawo ajja kukuyamba okugoba omwenge, naye era ajja kujjanjaba ebizibu byonna ebiyinza okuva ku mwenge.
Obujjanjabi obulala mulimu:
- Endya: Okunywa omwenge n’okwonooneka kw’ekibumba bisobola okuvaako ebintu ng’okubulwa okwagala okulya n’okuziyira, ekiyinza okuvaako endya embi. Omusawo ajja kukuwa emmere entuufu n’ebirungo ebiyamba omubiri. Mu mbeera enzibu, oyinza okuweebwa okuliisa mu ttanka mu ddwaaliro.
- Eddagala eriyitibwa steroids ery’ekiseera ekitono: Abamu ku balwadde ab’amaanyi baweebwa eddagala lya steroids okumala akaseera katono okukendeeza ku kuzimba mu kibumba n’okuyamba obutoffaali okuddamu okukola.
Embeera eno esobola okukyusibwa? Kinatwala bbanga ki okuwona?
Yee, kino kisobola okuwona ku kigero ekinene. Naye waliwo akakwakkulizo kamu kokka ku kyo. Ekyo kwe kulekera ddala okunywa omwenge.
Singa obulwadde buno tebuba bwa maanyi nnyo, ekibumba kisobola okudda engulu oluvannyuma lw’okulekera awo okunywa. Abantu abatalekera awo kunywa omwenge basobola okweyongera okufuna obulwadde bwa cirrhosis n’okulemererwa kw’ekibumba, ekibumba bwe kyonooneka ddala. Ebitundu by’enkovu ebyatondebwa edda mu kibumba tebisobola kudda mabega. Naye osobola okukomya okwongera okwonooneka n’otaasa ekibumba kyo ekisigadde.
Kino kyetaaga okuyimirizibwa ddala, obulamu bwonna. Ekyo bw’onookola, mazima ddala ojja kudda engulu.
Mu bujjuvu, abantu abalekera awo okunywa omwenge oluvannyuma lw’okuzuulibwa nti balina obulwadde buno balaga okulongoosa okw’amaanyi mu bulamu bwabwe mu myezi 6 ku 12 . Emisango emitono gisobola okuwona ddala.
Njawulo ki eriwo wakati w’obulwadde bw’ekibumba obuva ku mwenge n’obulwadde bwa cirrhosis?
Tobuzaabuza byombi. Obulwadde bwa Cirrhosis gwe mutendera ogusembayo, ogusinga okuba ogw’amaanyi ogw’obulwadde bw’ekibumba.
Mu ngeri ennyangu, obulwadde bw’ekibumba obw’ekiseera ekiwanvu (okuzimba) buleetera obutoffaali bw’ekibumba okweyongera okufa ne bukyusibwamu ebitundu by’enkovu. Ekitundu ekinene eky’ekibumba bwe kibikkibwa mu bitundu by’enkovu eby’ekika kino, embeera eno eyitibwa cirrhosis. Ekitundu kino eky’enkovu kikosa omusaayi okutambula mu kibumba, ekigireetera obutasobola kukola bulungi biriisa n’okusengejja obutwa. Oluvannyuma ekibumba kisobola okulemererwa ddala ne kituuka n’okufa.
Obulwadde bw’ekibumba obuva ku mwenge buba bwa bulabe okuyimirira ku kkubo erigenda mu bulwadde bwa cirrhosis. Kiddamu, naye singa kibuusibwa amaaso, ekiddako ye cirrhosis etakyukakyuka.
Obubaka Obutwala Awaka
- Obulwadde bw’ekibumba obuva ku mwenge kwe kuzimba ekibumba ekiva ku kunywa omwenge omungi. Kino bwe kifuuka ekitali kya bulijjo, kiyinza okuleeta ekibumba okwonooneka enkalakkalira.
- Mu ntandikwa, obubonero buno mulimu obutayagala mmere n’obulumi ku ludda olwa ddyo olw’olubuto, naye bwe gugenda gukula, obubonero obw’amaanyi nga jaundice, olususu okufuuka bbululu, n’okubulwa amagezi bulabika.
- Obujjanjabi bwokka era obusinga obulungi eri obulwadde buno kwe kulekera ddala okunywa omwenge. Kino kisaana okukikola ng’abasawo bakiwabula.
- Singa olekera awo okunywa, ekibumba kisobola okudda engulu singa obulwadde tebuba bwa maanyi. Wabula bw’ogenda mu maaso n’okunywa, ojja kwolekagana n’embeera ezitta abantu ng’obulwadde bwa cirrhosis.
- Bw’oba ggwe oba omuntu gw’omanyi alina ekizibu ky’okunywa omwenge ekisusse n’obubonero obulagiddwa wano, laba omusawo mu bwangu . Okuzuula amangu n’okujjanjaba kiyinza okutaasa obulamu bwo.
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