Lwaki omusaayi mu mubiri gukendeera mu bwangu? Ka twogere ku Aplastic Crisis

Wali olabye oba owuliddeko embeera abantu abamu naddala abaana abato mwe bafiirwa omusaayi mu bwangu, ne bawulira nga bakooye nnyo, era oluusi eyinza okutta obulamu bwabwe? Eyo y’emu ku mbeera ez’amaanyi ze tugenda okwogerako leero, eyitibwa aplastic crisis . Wadde erinnya lino liyinza okuwulikika ng’eritiisa katono, bwe tuba nga tulimanyi, embeera eno tusobola bulungi okugigumira.

Kiki ddala ekizibu kino ekya aplastic?

Mu ngeri ennyangu, obuzibu bw’amagumba (aplastic crisis) bwe buba obusimu bw’amagumba mu mubiri gwaffe bwe bulekera awo okukola obutoffaali obupya obw’omusaayi mu bwangu . Kati oyinza okuba ng'olowooza nti, "Kale kiki ekibaawo singa okukola obutoffaali obumyufu kuyimirira?" Obutoffaali buno obumyufu bwe butambuza omukka gwa oxygen mu mibiri gyaffe gyonna. N’olwekyo bwe zilekera awo okukola, omuwendo gw’obutoffaali obumyufu mu mubiri gukendeera nnyo, ekivaako okukendeera kw’omusaayi okw’amaanyi . Eno mbeera eyinza okutta omuntu.

Obuzibu bwa aplastic butera okukwata abantu abalina obuzibu mu musaayi nga sickle cell anemia . Ekisinga okuvaako kino kwe kukwatibwa akawuka aka bulijjo akayitibwa Parvovirus B19 . Tewewuunya, wadde akawuka kano kakwata abantu bangi, obuzibu bwa aplastic bubaawo ng’abantu abalina obuzibu mu musaayi bafunye akawuka kano. Embeera eno esinga kubeera mu baana abato naddala abalongo. Naye waliwo amawulire amalungi, waliwo obujjanjabi ku kino nga okuteekebwamu omusaayi n’okussa mu misuwa immunoglobulin (IVIG) .

Buno bulwadde bukwata buli muntu?

Nedda, si bwe kiri n’akatono. Nga bwe nnagambye emabegako, Parvovirus B19 kawuka ka bulijjo nnyo. Wabula si buli muntu alina akawuka kano nti afuna obuzibu bwa aplastic. Kino kibaawo ng’omuntu alina obulwadde obumu obw’omusaayi alina akawuka ka Parvovirus B19.

Abalongo, abawere, n’abaana abalina obulwadde bwa sickle cell anemia be basinga okubeera mu bulabe. Abantu abalina embeera endala ezireeta okusaanyaawo obutoffaali obumyufu n’okukendeeza ku musaayi (hemolytic anemia) nabo bali mu bulabe obw’okulwala ekizibu ky’okusannyalala singa bakwatibwa akawuka ka parvovirus B19. Ezimu ku bukwakkulizo buno mulimu:

• Obulwadde bwa Spherocytosis obw’obuzaale
• Obulwadde bwa hemoglobin C
• Obulwadde bwa Thalassemia
• Obulwadde bw’obutaba na G6PD
• Obutabeera na Pyruvate Kinase
• Obulwadde bw’okukendeera kw’omusaayi obuva ku busimu obuziyiza endwadde
• Obulwadde bwa Hemoglobinuria obw’ekiro obuyitibwa Paroxysmal
• Obulwadde bwa Elliptocytosis obw’ensikirano

Ggwe oba omwana wo bw’oba ​​olina obulwadde bw’omusaayi obw’ekika kino, kikulu nnyo okufaayo ennyo ku kino.

Bubonero ki obulaga obuzibu bw’okusannyalala (aplastic crisis)?

Abantu abakulu, awamu n’abaana n’abaana abawere, abalina obuzibu bw’okusannyalala, batera okuba n’obubonero obukwata ku kukendeera kw’omusaayi okw’amaanyi. Abalongo n’abaana abato bayinza okuba nga bafuuse bafuuse oba okunyiiga okusinga bulijjo. Okugeza, omwana wo bw’aba akaaba nnyo, nga talina ky’ayagala, oba ng’alabika ng’anyiiga buli kiseera, kino kiyinza okuba akabonero akalaga ekintu ng’ekyo.

Bino bye bimu ku bubonero obukulu obulaga nti obulwadde buno:

• Obukoowu: Okuwulira ng’okooye nnyo, nga tosobola kukola kintu kyonna.
• Omusujja: Ebbugumu ly’omubiri liyinza okutuuka ku diguli 38 (diguli 101) oba okusingawo.
• Okuziyira: Kiwulira ng’omutwe guwuuta, era amaaso go gayinza n’okufuuka bbululu.
• Okussa obubi / okussa obubi: Okussa obubi ne bw’oba ​​otambula katono, okuwulira ng’okooye nnyo ng’olinnya amadaala.
• Omutima gukuba mu ngeri etali ya bulijjo oba ey’amangu: Omutima guyinza okuba nga gukuba mangu okusinga bulijjo, oba guyinza okuba nga tegukuba mu ngeri etategeerekeka era nga tegukuba mu ludda lumu.
• Pallor: Olususu, emimwa, ennyindo oba emisumaali gifuuka gya bbululu okusinga bulijjo. Eno ye langi erabibwa nga waliwo ebbula ly’omusaayi.

Bw’olaba obubonero buno obumu oba obusingawo naddala nga ggwe oba omwana wo olina obuzibu mu musaayi, kikulu nnyo okugenda ew’omusawo amangu ddala .

Lwaki ekizibu kino ekya aplastic kibaawo? Kiki ekivaako?

Ekigambo "aplastic" kitegeeza nti ekintu mu mubiri gwo kikomye okukola. Ekyo kye kibaawo mu kizibu kino ekya aplastic. Obusigo bwo obw’amagumba tebusobola kukola butoffaali bumyufu bulamu. Ensonga lwaki ekyo kiri bwe kityo ye Parvovirus B19 gye nnayogeddeko emabegako. Akawuka kano kagenderera butereevu obutoffaali obumyufu obutakuze obutannaba kukula. Kibwonoona.

Omubiri gwaffe gufuna ebintu ng’obutoffaali obumyufu, obutoffaali obumu obweru, ne plasma okuva mu busimu bw’amagumba. N’olwekyo okukola obutoffaali obumyufu obutasalako bwe kukoma, ofuna okukendeeza ku musaayi okw’amaanyi . Teebereza, kino kye kibaawo ng’ekkolero ly’omusaayi mu mubiri gwaffe liremye okukola mu bwangu.

Bizibu ki ebiyinza okuva mu mbeera eno?

Obuzibu bwa aplastic buyinza okuvaako ebizibu eby’enjawulo naddala mu bantu abalina obulwadde bwa sickle cell anemia . Bino nabyo bya maanyi nnyo.

• Obuzibu bw’okuzibikira emisuwa (VOC) okumala ebbanga eddene:VOC bulumi bwa mangu, obw’amaanyi obubaawo mu bantu abalina obulwadde bw’okubulwa omusaayi mu sickle cell. Obulumi buno busobola okumala ebbanga eddene olw’obuzibu bwa aplastic.
• Obulwadde bwa Myocarditis: Buno buzimba ku binywa by’omutima, nga buno buba buzimba.
• Okukwata enseke: Obutoffaali obumyufu obutali bwa bulijjo busibira mu nnywanto, ekivaako enseke okugaziwa.
• Glomerulonephritis: Buno bulwadde bwa kibumba nga singa tebujjanjabwa bulungi, buyinza okuvaako ekibumba okulemererwa.

Kyova olaba nga tugamba nti kikulu nnyo okubeera nga omanyi embeera eno.

Kino abasawo bakitegeera batya?

Ggwe oba omwana wo bw’alaga obubonero buno, bw’olaba omusawo, ajja kusooka kukubuuza ku bubonero bwo. Olwo ajja kumukebera omubiri. Okugatta ku ekyo, okukeberebwa okuwerako kuyinza okukolebwa okukakasa embeera eno:

• Complete Blood Count (CBC): Kino kikebera omuwendo gw’obutoffaali obumyufu, obutoffaali obweru, n’obutoffaali obuyitibwa platelets mu mubiri. Mu buzibu bwa aplastic, omuwendo gw’obutoffaali obumyufu guba mutono nnyo.
• Omuwendo gw’obutoffaali obuyitibwa reticulocytes: Reticulocytes butoffaali obumyufu obutakuze. Okukebera kuno kupima obutoffaali obumyufu obupya obukolebwa obusimu bw’amagumba. Mu buzibu bwa aplastic, omuwendo guno nagwo mutono nnyo.
• Parvovirus B19 test: Okukebera kuno kukolebwa okukakasa oba olina akawuka kano.

Oluvannyuma lw’okukeberebwa kuno, omusawo asobola okukubuulira mu butuufu oba ddala kino kizibu kya aplastic oba kirala.

Bujjanjabi ki obukolebwa ku kino?

Obujjanjabi obusinga ku bulwadde bwa aplastic crisis kwe kuteekebwamu omusaayi . Kino kitegeeza okuwa omusaayi okuva ebweru. Kino kiyinza okuzzaawo amangu obutoffaali obumyufu mu mubiri obutono. Okugatta ku ekyo, obujjanjabi obuyitibwa Intravenous Immunoglobulin (IVIG) buweebwa. Kino kiweebwa mu mubiri nga kiyita mu musuwa (IV).

Abalwadde abasinga bawona mu nnaku 10 ku 14 nga batandise okujjanjabibwa. Ekirala ekirungi nti omuntu bw’amala okukwatibwa akawuka ka parvovirus B19, afuna obutafaali obuziyiza akawuka kano obulamu bwe bwonna. Kino kitegeeza nti obulabe bw’okuddamu okufuna obuzibu bwa aplastic okuva mu kawuka bukendeera nnyo.

Waliwo engeri y’okuziyiza obuzibu bwa aplastic?

Mu butuufu kizibu katono okwogera. Kubanga, obuzibu bwa aplastic bubaawo ng’omuntu alina obuzibu mu musaayi alina akawuka ka parvovirus B19 . Parvovirus B19 kawuka ka bulijjo nnyo, era tewali ddagala ligema n’okutuusa kati.

Naye, ku lwa ggwe n’omwana woBw’oba ​​olina obuzibu mu musaayi nga sickle cell anemia, kikulu okubuuza omusawo ky’oyinza okukola okukendeeza ku bulabe bw’okukwatibwa akawuka ka parvovirus B19. Okugeza ebintu ebyangu ng’okubeera ewala n’ebifo omujjudde abantu n’okunaaba engalo enfunda eziwera bisobola okukuwa obukuumi obumu.

Kiki ekigenda okubaawo oluvannyuma lw’embeera eno? (Okuteebereza)

Okuteebereza kye kisuubirwa okuva mu mbeera yo. Abantu abalina obuzibu bwa aplastic batera okuwona mu nnaku 10 ku 14 nga batandise okujjanjabibwa. Kyokka, abantu abamu bayinza okuba n’ebizibu by’okusannyalala ebiddirira. N’olwekyo kikulu okufaayo ku bubonero n’okugoberera ebiragiro by’omusawo.

Nsaanidde kwerabirira ntya? / Nnalabirira ntya omwana wange?

Obuzibu bwa aplastic kye kimu ku bizibu bingi ebiyinza okuva ku ndwadde z'omusaayi nga sickle cell anemia . Oyinza obutasobola kuziyiza parvovirus B19, naye waliwo ebintu by’oyinza okukola okukuuma obulamu bwo okutwalira awamu:

• Okukeberebwa buli kiseera: Bw’osigala ng’okwatagana buli kiseera n’omusawo wo omukulu, osobola okuzuula ebizibu eby’amaanyi eby’obujjanjabi nga tebinnabaawo.
• Kendeeza ku bulabe bw’okukwatibwa obulwadde: Yogerako n’omusawo wo ku ngeri gy’oyinza okwekuumamu yinfekisoni eza bulijjo nga ssennyiga n’omusujja.
• Lya emmere ennungi: Lya emmere ennungi era onywe egiraasi z’amazzi nga 8-10 olunaku.
• Dduyiro: Okukola emirimu gy’omubiri buli kiseera kiyinza okulongoosa embeera yo n’obulamu bwo. Naye, gitwale mpola, wummulako ng’owulira ng’okooye, era jjukira okunywa amazzi amangi.

Ebintu bino biyamba okukuuma abaserikale b’omubiri gwo nga banywevu ate ne bikuyamba okusigala ng’oli mulamu okutwaliza awamu.

Ddi lwe nnina okulaba omusawo?

Obuzibu bwa aplastic mbeera ya mangu mu by’obujjanjabi.

Singa ggwe oba omwana wo olina obuzibu mu musaayi nga sickle cell anemia , era n’ofuna enkyukakyuka ez’amangu mu bulamu bwo, gamba ng’okuwulira nga munafu oba okukoowa ennyo , olina okulaba omusawo wo amangu ddala, awatali kulwa. Gy’okoma okutandika amangu obujjanjabi, gy’okoma okunyuma.

Bibuuzo ki bye nnina okubuuza omusawo?

Bw’oba ​​ggwe oba omwana wo olina ekizibu ky’okusannyalala, osobola okubuuza omusawo ebibuuzo nga bino:

• Nze/omwana wange nditereera ddi?
• Mikisa ki nti nze/omwana wange ajja kuddamu okufuna ekizibu nga kino?
• Biki bye nsaanidde okwegendereza naddala nga mbeera n’embeera eno?

Kikulu nnyo okubuuza ebibuuzo nga bino n’okugogola okubuusabuusa kwo.

Obuzibu bwa aplastic ne aplastic anemia kintu kimu?

Yee, wadde ng’embeera zino zombi zikwatagana n’okukendeera kw’obutoffaali obumyufu, waliwo enjawulo wakati w’ebintu bino byombi.

Obuzibu bw’obutoffaali obukola omusaayi (Aplastic crisis) kwe kukendeera okw’amangu, okw’amangu mu muwendo gw’obutoffaali obumyufu.

Aplastic anemia mbeera egenda ekula mpolampola oluvannyuma lw’ekiseera. Mu kino, si butoffaali bumyufu bwokka wabula n’ebika by’obutoffaali ebirala (obutoffaali obweru, platelets) biyinza okukendeera.

Mu ngeri ennyangu, Aplastic Crisis kizibu kya kaseera buseera, eky’amaanyi. Aplastic Anemia kizibu ekiwangaala, ekikwata ku busimu bw’amagumba.

N’ekisembayo, obubaka obutwala awaka

Okay, kale nsuubira kati olina okutegeera okulungi ku bye twogeddeko leero, Aplastic Crisis. Kino kizibu kya maanyi ekiyinza okukwata abantu abalina endwadde z'omusaayi nga Sickle Cell Anemia . Ekibaawo, obusigo bw’amagumba g’omwana wo oba omwana wo bukoma mangu okukola obutoffaali obumyufu, ekivaako okukendeeza ku musaayi ogw’amaanyi ekiyinza okutta obulamu.

Ebizibu by’okusannyalala biyinza okuba eby’entiisa kubanga obubonero buno buyinza okujja mu bwangu ne buba bwa maanyi. Ekirungi abasawo basobola okugujjanjaba nga baguteeka mu musaayi n’eddagala.

Bw’oba ​​ggwe oba omwana wo mulina obuzibu mu musaayi obukuteeka ggwe oba omwana wo mu bulabe obw’amaanyi obw’okulwala ekizibu ky’okusannyalala, buuza omusawo wo obubonero obuyinza okulaga nti waliwo ekizibu. Oyinza obutasobola kuziyiza kizibu kya aplastic, naye ojja kumanya eky’okukola singa kibaawo. Okumanyisa okwo kye kintu ekisinga obukulu.

` Obuzibu bwa Aplastic, Obutoffaali Obumyufu, Obusigo bw’amagumba, Okukendeera kw’omusaayi, Parvovirus B19, Okukendeera kw’omusaayi mu Sickle Cell