Olubuto lwo lweyongera obunene? Kiyinza okuba nga kiva ku kuzimba amazzi (ascites).

Wali owuliddeko ng’olubuto lwo lufuukuuse, nga luzitowa nnyo, n’engoye z’oyambala owulira nga zinywezeddwa mangu? Mpozzi obuzito bw’omubiri gwo bweyongedde mangu kkiro emu oba bbiri mu nnaku ntono. Kino si kweyongera kwa bulijjo, kino kiyinza okuba nga kiva ku mbeera eyitibwa ‘ascites’, nga eno mbeera ng’olubuto lujjula amazzi. Kino kitera okulabika ng’akabonero k’obulwadde obulala obw’amaanyi mu mubiri gwaffe. Kale ka twogere ku nsonga eno simply leero.

Ddala Ascites kye ki?

Mu ngeri ennyangu, ascites kwe kukuŋŋaanyizibwa kw’amazzi agasukkiridde mu lubuto lwo oba mu lubuto lwo. Kino kiyinza okubaawo mpolampola, oba kiyinza okubaawo omulundi gumu.

Teebereza, waliwo oluwuzi olugonvu okwetooloola ebitundu ebiri munda mu lubuto lwaffe, gamba ng’olubuto, ebyenda, ekibumba, n’ensigo. Kino tukiyita peritoneum. Kirina layers bbiri. Mu budde obwabulijjo, wakati wa layeri zino ebbiri wabaawo amazzi matono nnyo, ebitundu by’omubiri ne bisobola okutambula amangu nga tebikubagana. Naye mu mbeera y’okusannyalala, amazzi agatali ga bulijjo gakuŋŋaanyizibwa wakati wa layeri zino ebbiri. Olwo olubuto lwe lugaziwa n’owulira ng’omunda mu lubuto mulimu akapiira k’amazzi.

Laba oba naawe olina engeri zino.

Obubonero obukulu obw’okusannyalala kwe kwongera obunene bw’olubuto mu bwangu n’obuzito bw’omubiri okweyongera amangu mu nnaku bbiri oba ssatu. Abantu abamu era bayinza okufuna okuzimba amagulu (edema).

Lwaki olubuto lwange mpulira nga lujjudde amazzi? Ensonga enkulu ze ziruwa?

Ekisinga era ekisinga okuvaako ascites ye cirrhosis of the liver . Kino kitegeeza nti obutoffaali bw’ekibumba busaanawo ne bukyusibwamu ebitundu ebiyitibwa fibrous tissue (enkovu) ebiremesa ekibumba okukola obulungi. Naye kino si kye kyokka ekivaako.

Wayinza okubaawo ensonga endala:

• Omutima okulemererwa okuzimba
• Okulemererwa kw’ekibumba
• Kookolo w’ebitundu by’olubuto n’ekisambi
• Akafuba
• Tekitera nnyo, obulwadde bw’ekibumba obuyitibwa nephrotic syndrome nabwo buyinza okuba nga bwe buvaako.

Ascites ekula etya olw’obulwadde bwa cirrhosis mu kibumba?

Kino kyetaaga okunnyonnyolwako katono. Teebereza nti waliwo omusuwa omukulu ogutambuza omusaayi mu kibumba kyaffe, oguyitibwa omusuwa oguyitibwa portal vein. Ekibumba bwe kifuuka ekizimba, kwe kugamba, ekibumba bwe kifuna enkovu, emisuwa gino gizibikira. Olwo puleesa munda mu musuwa guno yeeyongera nnyo. Mu busawo, kino kiyitibwa portal hypertension .

Puleesa eno bwe yeeyongera, ensigo zaffe zifuna akabonero akakyamu okukuuma omunnyo (sodium) n’amazzi mu mubiri. Ekiseera bwe kigenda kiyitawo, omunnyo n’amazzi ebikuumibwa mu ngeri eno, olw’obuzito obwo obweyongedde, bitandika okukulukuta okuva mu misuwa ne bikuŋŋaanyizibwa mu lubuto. Eno y’engeri olubuto gye lujjula amazzi.

Ani ali mu bulabe obw’amaanyi obw’okulwala obulwadde bwa ascites?

Omuntu yenna alina ekibumba ekyonoonese ekiyinza okuvaako obulwadde bwa cirrhosis aba mu bulabe obw’okulwala ekibumba. Embeera ng’ezo mulimu:

• Endwadde ezikwatagana n’ekibumba ekirimu amasavu (Metabolic dysfunction-associated steatohepatitis - MASH) .
• Obuzibu mu kunywa omwenge
• Obulwadde bw’akawuka ka Hepatitis B ne Hepatitis C
• Endwadde abaserikale b’omubiri mwe balumba ekibumba (Autoimmune hepatitis) .
• Endwadde z’ekibumba eziva ku buzaale nga hemochromatosis ne Wilson’s disease

Bizibu ki ebiyinza okuva mu bulwadde bwa ascites?

Ascites si kuzimba lubuto lwokka. Kiyinza okuleeta ebizibu ebirala eby’amaanyi mu bulamu.

Omusawo kino akizuula atya?

Bw’ogenda okulaba omusawo ajja kusooka kukubuuza ku bubonero bwo n’okukeberera olubuto. Osobola okufuna endowooza enkambwe oba mu lubuto mulimu amazzi ng’ogakuba n’olugalo.

Olwo, okukakasa embeera entuufu, ebigezo bino wammanga bisobola okukolebwa:

• Ultrasound oba CT scan: Sikaani ez’ekika kino zisobola okulaba obulungi ebintu ng’obungi bw’amazzi mu lubuto n’embeera y’ekibumba.
• Paracentesis: Kino kizingiramu okuyingiza empiso ennyimpi ennyo mu lubuto n’oggyamu amazzi amatono mu lubuto. Amazzi gano gasobola okukeberebwa okulaba oba galimu obutoffaali bwa kookolo oba obuwuka. Okukebera kuno kikulu nnyo okuzuula ekituufu ekivaako ascites.

Bujjanjabi ki obuweebwa obulwadde bwa ascites?

Ekigendererwa ekikulu ng’ojjanjaba obulwadde bw’okusannyalala kwe kukendeeza ku mazzi agakuŋŋaanyizibwa mu lubuto n’okugaziyiza okuddamu okukuŋŋaanyizibwa.

Enkola z’obujjanjabi ezisookerwako

• Okufuga omunnyo (sodium): Abasawo basooka kuwa magezi kukendeeza ku munnyo gw’olya. Oyinza okugamba nti olina okulya omunnyo ogutakka wansi wa miligiraamu 2000 buli lunaku. Kino kitegeeza nti olina okukendeeza ku munnyo gw’oteeka mu mmere yo era weewalire ddala emmere erimu omunnyo ogukwese, gamba ng’ebibala ebikalu, ebikuta, ssoosi, sosegi, emmere gy’ogula mu dduuka, n’emmere epakibwa.
• Eddagala erifulumya omusulo (empeke z’amazzi): Eddagala lino lireetera ensigo okufulumya amazzi n’omunnyo ebisukkiridde mu mubiri nga biyita mu musulo.
• Okujjanjaba obulwadde obusirikitu: Singa ekivaako ascites ye kookolo, okubujjanjaba nakyo kijja kukendeeza ku mazzi agali mu lubuto.

Oluusi obujjanjabi buno buyinza obutamala...

Abantu abamu kibazibuwalira okufuga asidi w’olubuto ne bwe bamala okufuga omunnyo n’okunywa empeke z’amazzi. Mu mbeera ng’ezo, balina okuddukira mu nkola endala ez’obujjanjabi.

• Paracentesis: Kino kikebera era kijjanjaba. Enkola eno eggyamu amazzi amangi mu lubuto ng’ekozesa empiso. Wadde nga kino kiwa obuweerero obw’amangu, kiyinza okwetaagisa okuddibwamu kubanga amazzi gasobola okuddamu okuzimba.
• Enkola ya TIPS (Transjugular intrahepatic portosystemic shunt): Eno nkola esingako katono okukaluba. Kizingiramu okukola akatundu akatono akayitibwa bypass (shunt) wakati w’omusuwa oguyitibwa portal vein, oguli ku puleesa eyeyongedde, n’omusuwa omulala ogutambuza omusaayi okuva mu kibumba. Kino kisobozesa omusaayi okukwata ekkubo eppya nga guyita mu kibumba, ne guyita ku kizimba ekikendeeza puleesa n’okukendeeza ku mazzi agali mu lubuto.
• Okukyusa ekibumba: Ku bantu abalina obulwadde bwa cirrhosis obw’amaanyi ennyo mu kibumba, kiyinza okwetaagisa okukyusa ekibumba ng’ekisembayo.

Ddi lw’osaanidde okulaba omusawo?

Bw’oba ​​olina embeera nga cirrhosis of the liver, laba omusawo mu bwangu singa olaba obubonero buno wammanga:

• Singa obuzito bw’omubiri gwo bweyongera mu bwangu.
• Bw’owulira ng’olubuto lwo lweyongera obunene.
• Bw’oba ​​olina obuzibu mu kussa.

Singa obubonero buno bubaawo, genda mu ddwaaliro mu kitongole ekijjanjaba abalwadde ab’amangu (ETU) mu bwangu awatali kulwawo:

• Omusujja
• Obulumi obw’amaanyi ennyo mu lubuto