Olususu lwaffe bwe lumala ebbanga eddene nga tuli mu musana, oyinza okuba nga wakirabye nti oluusi wabaawo obutundutundu obutono, obukalu, obulimu ebikuta. Abantu abamu era bino babiyita ‘ebifo eby’okwokya omusana’. Mu ngeri y’obusawo, bino biyitibwa `(Actinic Keratosis)`. Leero tugenda kwogera ku bujjanjabi obw’enjawulo ennyo eri bino n’eddagala erikozesebwa. Kino tekifaananako bizigo byo ebya bulijjo by’osobola okukozesa awaka, kintu kya njawulo nnyo.
Aminolevulinic Acid kye ki?
Mu ngeri ennyangu, kino kya njawulo eky’okugonjoola ensonga. Kikozesebwa wamu n’obujjanjabi bw’ekitangaala. Kwe kugamba, omusawo asooka kusiiga ddagala lino ku bifo ebyo ebikalu ku lususu lwo. Olwo, ekisengejjero kifuula obutoffaali bwokka obutali bwenkanya mu bifo ebyo okuwulikika ennyo ekitangaala. Olususu olulamu terukosebwa nnyo.
Oluvannyuma lw’essaawa ntono, omusawo ayaka ettaala ey’enjawulo eya bbululu ku kitundu ekijjanjabiddwa. Kino kisaanyaawo obutoffaali obutali bwa bulijjo obufuuse obuwulize eri ekitangaala. Enkola eno yonna eyitibwa Photodynamic Therapy (PDT) . Kitunuulira n’okusaanyaawo obutoffaali obulina obuzibu bwokka nga tekikosa lususu lulamu.
Ebintu by’olina okubuulira omusawo nga tonnafuna bujjanjabi
Nga tannatandika bujjanjabi buno, omusawo yeetaaga okuba n’ekifaananyi ekitegeerekeka obulungi ku bulamu bwo. N’olwekyo, bw’oba olina obukwakkulizo bwonna ku buno wammanga, kakasa nti obyogerako.
- Bw’oba olina obuzibu bw’okuvaamu omusaayi.
- Bw’oba olina embeera etali ya bulijjo eyitibwa porphyria.
- Singa olususu lwo luba luwunya nnyo, oba ng’olina embeera endala ez’olususu.
- Bwoba olina alergy ku `Aminolevulinic Acid` oba eddagala erikwatagana nalyo eriyitibwa `(porphyrins).`
- Bw’oba olina alergy yonna ku ddagala eddala lyonna, emmere, oba ebikuuma.
- Bw’oba oli lubuto, oba ng’ogezaako okufuna olubuto.
- Bwoba oli maama ayonsa.
Obujjanjabi buno bukola butya?
Eno nkola entegeke nnyo, ekolebwa mu ddwaaliro oba mu ddwaaliro. Waliwo emitendera ebiri emikulu egy’okukola kino.
1. Omutendera ogusooka: Bw’ogenda okulaba omusawo, ajja kusiiga eddagala lino erya `Aminolevulinic Acid` ku bitundu ebirimu obuzibu ku lususu lwo. Kino kikolebwa n’obwegendereza bungi. Olwo ajja kukuleka oddeyo eka.
2. Omutendera 2: Oluvannyuma lw’essaawa 14 ku 18 (omusawo ajja kukubuulira ddala ddi kino lwe kiri), ojja kwetaaga okudda mu ddwaaliro. Olwo omusawo ajja kwaka ettaala ey’enjawulo eya bbululu ku kifo ekijjanjabiddwa okumala eddakiika ntono.
Obujjanjabi buno butera okumalirizibwa mu kiseera kimu. Wabula oluusi bwe kiba kyetaagisa, obujjanjabi buno buyinza okwetaaga okuddamu oluvannyuma lwa wiiki 8.
Ekisinga obukulu, lino si ddagala ly’osobola okutwala awaka n’okozesa. Enkola yonna ebeerawo wansi w’obulabirizi bw’abasawo.
Watya singa mu butanwa nnywa eddagala erisukkiridde?
Kino kiweebwa mu ddwaaliro, kale emikisa gya kino okubaawo mitono nnyo. Wabula singa ekintu nga kino kibaawo, kwe kugamba, bw’oba oteebereza nti olina okukozesa eddagala erisukkiridde, kuba ku ssimu mangu ekitongole kya National Poisons Information Center mu ddwaaliro ly’eggwanga erya Colombo National Hospital . Oba genda mu kitongole ekijjanjaba abalwadde ab’amangu (ETU) mu ddwaaliro erikuli okumpi.
By’olina okusinga okwegendereza ng’ojjanjabwa!
Olususu lwo lujja kuba luwulikika nnyo ekitangaala mu kiseera ky’obujjanjabi buno. N’olwekyo, olina okwewala okussa olususu lwo mu musana obutereevu oba amataala agayakaayakana mu nnyumba okumala essaawa 40 ng’omaze okusiiga eddagala lino .
- Bw’oba olina ddala okufuluma ebweru, yambala enkoofiira eriko emimwa emigazi , engoye ez’emikono emiwanvu, era obikke bulungi olususu lwo.
- Okukozesa eddagala eriziyiza omusana tekikuuma mbeera eno entongole ekwata ekitangaala. Kino kintu ky’olina okukuuma mu birowoozo.
- Weewale ddala ku nsibuko z’ekitangaala eky’obutonde ng’ettaala z’omusana n’ebitanda by’okusiiga enviiri.
Eddagala eddala eriyinza okukwatagana n’eddagala lino
Waliwo eddagala eddala eriyinza okufuula olususu lwo okulumwa ekitangaala, gamba nga Aminolevulinic Acid. Singa okozesa eddagala eddala ng’omira obujjanjabi buno, olususu lwo luyinza okwongera okuwunya. N’olwekyo kikulu nnyo okutegeeza omusawo wo ku ddagala lyonna ly’omira.
| Ekika ky’eddagala | Eby’okulabirako |
|---|---|
| Ebimu ku ddagala erifulumya amazzi | Ekirungo kya Chlorothiazide, Ekirungo kya Hydrochlorothiazide |
| Eddagala erimu eriwonya ssukaali | Glipizide, Ekirungo kya Glyburide |
| Eddagala erimu eritta obuwuka | Ebirungo ebiyitibwa fluoroquinolones, Tetracyclines, Ebirungo ebiyitibwa Sulfonamides |
| Eddagala eriwonya endwadde z’obwongo ezimu (Phenothiazines) . | Ekirungo kya Chlorpromazine, Ekirungo kya Prochlorperazine |
| Lala | Ebizigo n’empeke ezirimu St. John’s Wort, vitamiini A, ne vitamiini E |
Biki ebiyinza okuvaamu?
Nga bwe kiri ku bujjanjabi bwonna, waliwo ebizibu ebiyinza okuvaamu. Ebimu biba bya maanyi, ate ebirala biba bigonvu. Kikulu okumanya enjawulo wakati wa bino.
| Okugabanya ebizibu ebivaamu | |
|---|---|
| Ebintu by’olina okubuulira omusawo wo mu bwangu | |
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| Ebintu ebitera obutaba bya maanyi, naye nga birina okuloopebwa eri omusawo singa bisigala | |
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Bw’olaba ekintu kyonna ekitali kya bulijjo ekitali ku lukalala luno, tolwawo kwogera n’omusawo wo ku nsonga eyo.
Obubaka Obutwala Awaka
- Aminolevulinic Acid ye solution ekozesebwa mu bujjanjabi obw’enjawulo ku bitundu by’olususu ebyonooneddwa omusana (Actinic Keratosis).
- Obujjanjabi buno bukolebwa mu mitendera ebiri, nga bulabirirwa ddala abasawo, mu ddwaaliro oba mu ddwaaliro.
- Kikulu okutegeeza omusawo wo ku ddagala eddala lyonna ly’omira n’embeera z’obujjanjabi bwo.
- Kikulu nnyo okukuuma olususu okuva ku musana n’ekitangaala ekisusse okumala essaawa 40 ng’omaze okujjanjabwa. Ekyuma ekiziyiza omusana ekya bulijjo tekijja kumala ku kino.
- Bw’oba ofuna alergy yonna ey’amaanyi oba okunyiiga ennyo ku lususu, genda mangu omusawo amagezi.
- Goberera ebiragiro by’omusawo n’enteekateeka z’okugoberera.
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