Katuyige ku kwonooneka okuva mu butabeera na mukka gwa oxygen mu bwongo (Hypoxic and Anoxic Brain Injury)

Ffenna tumanyi engeri gye kyetaagisa okussa okusobola okuwangaala. Bwe kityo bwe kiri ne ku bwongo bwaffe. Obutoffaali bw'obwongo bwetaaga okuweebwa omukka gwa oxygen buli kiseera . Lowooza, singa oxygen agenda mu bwongo esalibwako okumala eddakiika 4 oba okusingawo, obutoffaali bw’obwongo butandika okufa. Kino kiyinza okuleeta okwonooneka kw’obwongo okw’amaanyi ennyo, oluusi okutasobola kuddamu. Leero twogera ku kabi kano, naye ffenna twetaaga okumanya embeera eno.

Okwonooneka kw’obwongo obutaba na mukka gwa hypoxic ne anoxic kye ki?

Amannya gano gombi gayinza okuwulikika nga gazibu katono, naye mu butuufu gangu nnyo. Ka tulabe.

Obwongo bukozesa kimu kya kutaano eky’omukka gwa oxygen mu mubiri gwaffe. Obwongo tebusobola kukola bulungi nga tebulina mukka gwa oxygen, buweereza obubaka nga buyita mu busimu n’okukuuma buli kimu mu mubiri nga kikola bulungi.

• Hypoxic Brain Injury: Kino kye kiseera omukka gwa oxygen ogutuuka ku bwongo bwe gukendeera. Tekikoma ddala, naye kitono nnyo okusinga ku muwendo ogwetaagisa.
• Obuvune bw’obwongo obutali bwa mukka: Kino kisingako okuba eky’amaanyi. Wano, obwongo buggyibwako ddala omukka gwa oxygen.

Oluusi abasawo ebigambo bino babikozesa wamu. Kyokka zombi mbeera eziyinza okwonoona obwongo obw’amaanyi. Omuntu bw’amala ebbanga ddene nga talina mukka gwa oxygen, asobola okugenda mu kkoma oba n’okufa obwongo.

Kiki ekivaako obwongo obutaba na mukka gwa oxygen?

Oxygen supply to the brain eyinza okusalibwako oba okukendeera olw’ensonga ezitali zimu , ezimu ku zo tuyinza n’obutamanya.

Bubonero ki obulaga embeera eno?

Okubulwa okutegeera ebiseera ebisinga kuyinza okubaawo mu sikonda 15 oluvannyuma lw’obutaba na mukka gwa oxygen mu bwongo. Okugatta ku ekyo, obubonero buno nabwo busobola okulabika mu bwangu.

• Okwogera ebigambo ebisongovu oba obutasobola kugatta bigambo
• Okutabulwa, okubulwa okujjukira
• Okugwa mu maaso
• Emimwa n’olususu okufuuka bbululu/enzirugavu
• Okussa okutali kwa maanyi nnyo oba okw’amangu
• Ebitundu by’amaaso ebigaziye
• Obutaddamu linnya
• Okukonziba

Kino abasawo bakizuula batya?

Ebiseera ebisinga, omulwadde bw’aleetebwa mu ETU ne bamubuuza ekyaliwo (okugeza, okubbira mu mazzi, okuziyira emmere), abasawo baba n’ekirowoozo ekirungi. Naye okusobola okuzuula obuvune obwo obutuufu, bakola ebigezo ebitonotono.

• CT scan oba MRI scan: Bino bisobola okunoonya okwonooneka kw’ebitundu by’obwongo, gamba ng’okuzimba.
• EEG (Electroencephalogram): Kino kipima enkola y’amasannyalaze mu bwongo. Kino kiyamba okuzuula engeri obwongo gye bukola.
• Angiography: Okukebera kuno kukolebwa okulaba oba waliwo ebizibikira mu misuwa egigaba omusaayi mu bwongo.
• Evoked potentials test: Kino kigezesa oba obwongo buddamu okuwulira ng’okulaba, okuwulira n’okukwata.

Kijjanjabwa kitya?

Eno mbeera ya bujjanjabi ya mangu. Bw’omala okuleetebwa mu ddwaaliro, abasawo bajja kufuba okuwa obwongo omukka ogumala mu bwangu. Era bajja kukuwa eddagala erifuga puleesa n’okukuba kw’omutima.

Obujjanjabi bwawukana okusinziira ku buzibu bw’embeera y’omulwadde. Ebiseera ebisinga, omulwadde aweebwa ekitanda mu ddwaaliro ly’abalwadde abayi (ICU) n’ayungibwa ku kyuma ekiyamba okussa.

Mu mbeera ezimu ez’amaanyi, bakozesa obujjanjabi obw’enjawulo obuyitibwa Therapeutic Hypothermia .

Buno bujjanjabi buno obunyogoza omubiri kye ki?

Buno bujjanjabi bwa njawulo nnyo. Ekikolebwa wano kwe kukozesa emifaliso egy’enjawulo okufuga n’okukkakkanya ebbugumu ly’omubiri okutuuka ku diguli 32-34 okumala essaawa nga 24. Olwo omubiri ne guzzibwa mpolampola mu bbugumu erya bulijjo. Okunoonyereza kuzudde nti kino kiyinza okukendeeza ku kuzimba n’okwonoona obwongo. Era kiyamba okukuuma obwongo nga kikendeeza ku mukka gwa oxygen n’amaanyi ebyetaagisa obutoffaali bw’obwongo.

Ebiyinza okuvaamu okumala ebbanga eddene oluvannyuma lw’okuwona

Omuntu ne bw’amala okuddamu okutegeera oluvannyuma lw’okufuna obuvune obw’amaanyi ku bwongo, wayinza okubaawo ebizibu ebiwangaala. Bino biyinza okuba eby’omubiri, mu birowoozo oba mu nneeyisa.

• Ebikosa omubiri: Okulumwa omutwe, okubulwa bbalansi ng’otambula, obuzibu mu kulaba, okukonziba , okukaluubirirwa okwogera n’okumira, okubulwa omubiri okuwulira, enkyukakyuka mu ngeri y’okwebaka.
• Ebikosa ebirowoozo n‟enneeyisa: okubulwa okujjukira, okwennyamira, okukaluubirirwa okussa ebirowoozo byo ku kintu ekimu, okutabulwa, obutasobola kulowooza mu ngeri entegeerekeka, enkyukakyuka mu buntu (okuwulira nga toli muntu y’omu gwe wali), n’okunyiiga.

Okudda engulu kisoboka kitya?

Engeri omuntu gy’atereera kisinziira ku bintu ebiwerako:

• Obwongo bwamala bbanga ki nga tebulina mukka gwa oxygen?
• Okwonooneka kw’obwongo kwa maanyi kwenkana wa?
• Akabenje we kaagudde wali wa myaka emeka? (Abali wansi w’emyaka 50 batera okuwona)
• Wamala bbanga ki mu kkoma?

Ebiseera ebisinga obuvune obutonotono busobola okuwona ddala nga tebufunye buzibu bwa bbanga ddene. Kyokka obuvune obw’amaanyi busobola okutwala emyezi oba n’emyaka okuwona. Oluusi, okuwona mu bujjuvu kuyinza obutabaawo.

Akabenje ak’ekika kino kayinza katya okuziyizibwa?

Singa omuntu azirika n’omutima gwe n’alekera awo okukuba, CPR (Cardiopulmonary Resuscitation) , nga eno ye masaagi y’omutima n’okussa okuva mu kamwa okutuuka mu kamwa, esobola okuyamba okukuuma omusaayi n’omukka gwa oxygen oguwera mu bwongo okutuusa ng’obuyambi bw’abasawo butuuse. Kino kiyinza okukendeeza ennyo ku bulabe bw’okwonooneka okw’amaanyi ku bwongo. Okuyiga engeri y’okukolamu CPR kiyinza okuyamba okutaasa obulamu.

Okugatta ku ekyo, goberera emitendera gino egy’obukuumi:

• Weewale obubenje obuva ku mazzi. Beera bulindaala ne bwe baba nga abaana bali mu bbaafu.
• Teeka ebyuma ebizuula omukka n’ebyuma ebizuula omukka gwa kaboni mu maka go.
• Omuntu bw’aba amaze okumira obutwa, mutwale mu ddwaaliro mu bwangu. Bwe kiba kyetaagisa, osobola okukuba essimu mu National Poison Information Center mu ddwaaliro ly’eggwanga erya Colombo okufuna amagezi.