Ffenna tussa buli lunaku. Naye tetumanyi bintu bimeka ebiri mu mpewo gye tussa bye tutasobola kulaba. Obadde okimanyi nti waliwo ekika ky’ekikuta ekiyitibwa `Aspergillus`, nga obuwuka bwayo bulengejja buli wamu mu mpewo eno? Ebiseera ebisinga, kino tekireetera muntu mulamu buzibu bwonna, kubanga enkola y’omubiri gwaffe ey’okwekuuma tegigikkiriza kuyingira. Naye eri abantu abamu naddala abalina endwadde z’amawuggwe oba abalina abaserikale b’omubiri abanafu, kino kiyinza okuba ekizibu ekinene. Eyo y'embeera gye twogerako leero, eyitibwa `Aspergillosis`.
Mu ngeri ennyangu, obulwadde bwa Aspergillosis kye ki?
`Aspergillosis` yinfekisoni mu mubiri gwaffe ereetebwa ekika ky'ekikuta ekiyitibwa `Aspergillus`. Buno bulwadde bwa ffene. Ekikuta ky’ekika kino kitera okusangibwa mu butonde bwaffe naddala mu bifo ng’ettaka, kasasiro w’amakoola amakalu, n’entuumu za nnakavundira. Oluusi, ekikuta eky’ekika kino kisobola okukula mu bifo ebinyogovu munda mu maka, ne mu bisengejja by’ebyuma ebifuuwa empewo (AC) ebitannaba kuyonjebwa bulungi.
Bwe tussa, obuwuka obuyitibwa spores bw’ekikuta kino buyingira mu mawuggwe gaffe nga buyita mu nnyindo zaffe. Abaserikale b’omubiri gw’omuntu omulamu bategeera era ne basaanyaawo abalumbaganyi bano. Naye emibiri gy'abantu abamu kino tegisobola. Wano we wabaawo embeera eyitibwa `Aspergillosis`. Kino kirina ebika ebikulu ebiwerako. Ebimu birabika nga alergy, ate ebirala bikoma ku mawuggwe. Naye ekika ekisinga okuba eky’obulabe ye `Aspergillosis` eyingira mu mubiri, esaasaana mu mubiri gwonna.
Abantu bangi beebuuza oba kino "kikuta ekiddugavu." Nedda, kika kya kikuta kya njawulo (Stachybotrys chartarum). Naye byombi bika bya kikuta ebisangibwa mu butonde era nga bisobola okulwaza abantu abamu.
Ani asinga okulwala obulwadde buno? Ani ali mu kabi?
Si buli muntu nti afuna obulwadde bwa Aspergillosis. Waliwo ebibinja ebimu eby’akabi ku kyo. Kwe kugamba, abantu abatera okulwala singa bakwatibwa ekikuta kino. Bw’oba oli mu kimu ku bibinja bino, kikulu nnyo okwegendereza naddala ku nsonga eno.
| Ekibinja ky’akabi | Ennyinyonnyola ennyangu |
|---|---|
| Abantu abalina asima oba alergy endala | Amawuggwe gaabwe n’emikutu gy’empewo mu butonde biba biwulikika. Obuwuka bwa Aspergillus bwe buyingira, omubiri gusukkiridde okukola. Kino kiyinza okuvaako embeera ya alergy eyitibwa Allergic Bronchopulmonary Aspergillosis (ABPA) . |
| Abantu abalina obulwadde bw’amawuggwe obutawona | Abantu abaali bafunye akafuba (TB) era nga balina ebituli mu mawuggwe, oba abalina endwadde nga COPD (Chronic Obstructive Pulmonary Disease), oba Sarcoidosis, balina ebitundu ebyonooneddwa mu mawuggwe gaabwe. Ekikuta kya Aspergillus kisobola bulungi okusenga mu bifo bino ne kikola omupiira gwa ffene. Kino kiyitibwa Aspergilloma . |
| Abantu abalina abaserikale b’omubiri abanafu ennyo | Kino kye kibinja ekisinga okuba eky’obulabe era ekiri mu bulabe. Olw’okuba enkola y’omubiri (abaserikale) nnafu, ekikuta kisobola bulungi okuyingira mu mubiri, ne kiyingira mu musaayi okuva mu mawuggwe, ne kisaasaana mu bitundu ebirala ng’obwongo, ensigo, n’omutima. Kino kiyitibwa obulwadde bwa Invasive Aspergillosis . Eby’okulabirako ku kino mulimu:
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Bubonero ki obulaga obulwadde buno?
Obubonero bw’obulwadde bwa aspergillosis bwawukana okusinziira ku kika ky’obulwadde n’ekitundu ky’omubiri ekikwatibwa. Zitera okufaananako obubonero bw’obulwadde bw’okussa obwa bulijjo, ekizibuwalira okuzuula.
| Ekika ky’obulwadde bwa aspergillosis | Obubonero obutera okulabika |
|---|---|
| Ekika kya alergy (ABPA) . |
|
| Ekikuta (Aspergilloma) . | |
| Obulwadde bwa Aspergillosis obuyingira mu mubiri |
Buno bulwadde busiigibwa?
Nedda `Aspergillosis` si bulwadde obuyinza okusiigibwa okuva ku muntu omu okudda ku mulala. Kiva ku kussa obuwuka obuyitibwa mold spores obubeera mu butonde. N’olwekyo, tosobola kukwata bulwadde buno ng’oli kumpi n’omulwadde.
Omusawo azuula atya obulwadde buno?
Kino omusawo ajja kukiteebereza okusinziira ku bubonero bwo n’ebyafaayo by’obulamu bwo (okugeza, olina asima oba ogenda mu bujjanjabi bwa kookolo?). Bagenda kukola okukeberebwa okuwerako okukakasa nti bazudde obulwadde buno.
- X-ray oba CT scan mu kifuba: Kino kiyinza okunoonya obubonero obutali bwa bulijjo, ebituli, oba ekizimba ekiyitibwa ``Aspergilloma'' mu mawuggwe.
- Okukuza amalusu: Sampuli y’amalusu go aggyibwako ne gakeberebwa mu laabu okulaba oba ekikuta kya Aspergillus kikulamu. Era kyekebejjebwa wansi wa microscope okulaba oba waliwo obutundutundu bwonna obuyitibwa filamentous obutundutundu mu ntuuyo.
- Okukebera omusaayi: Singa kiteeberezebwa nti waliwo ekika ekiyingira mu musaayi, omusaayi gukeberebwa okulaba oba tegulina buziyiza oba antigens ezikwata ku kikuta kya Aspergillus. Kino kiyinza okuyamba okuzuula amangu obulwadde buno.
- Biopsy: Akatundu akatono akaggibwa mu mawuggwe oba mu kitundu ekiteeberezebwa okuba nga kalina akawuka ne kakeberebwa mu microscope okulaba oba waliwo okuyingira kw’amasira.
- Okukebera alergy: Okukebera olususu oba omusaayi kiyinza okuzuula oba omubiri gwo gulina allergy eri Aspergillus.
Obujjanjabi bwe buruwa? Kino kisobola okuwona?
Obujjanjabi bw’obulwadde bwa aspergillosis businziira ku kika ky’obulwadde bw’olina, obuzibu bwabwo n’obulamu bwo okutwalira awamu.
1. Eddagala eritta obuwuka obuleeta endwadde
Buno bwe bujjanjabi obukulu. Eddagala lino likola nga lisaanyawo ffene ali munda mu mubiri. Eddagala nga `Voriconazole`, `Isavuconazole`, `Amphotericin B` litera okukozesebwa ku kino. Ezimu ku zino ziweebwa ng’empeke okumira, ate ezimu ziweebwa ng’empiso mu musuwa nga mulimu omunnyo. Ekiseera ky’obujjanjabi kiyinza okuva ku wiiki ntono okutuuka ku myezi egiwerako, oba n’obulamu bwonna.
2. Eddagala eriyitibwa steroids (Corticosteroids) .
Bino bikozesebwa okujjanjaba obulwadde bw’ennyindo obuva ku allergy (ABPA) . Mu kifo ky’okutta ekikuta, eddagala lino lifuga okuzimba okuyitiridde n’okuddamu kwa alergy ebiva ku kikuta mu mubiri. Empeke nga `Prednisolone` ziweebwa ku kino.
3. Okulongoosa
Singa wabaawo ekizimba kimu eky’ekikuta (`Aspergilloma`) mu mawuggwe era nga kireeta obuzibu ng’okuvaamu omusaayi okugenda mu maaso, balongoosebwa okuggyawo amawuggwe gonna agalimu ekizimba. Kino kisobola okuwonya ddala obulwadde buno.
Ekisinga obukulu kwe kumira eddagala omusawo ly’akulagidde ddala mu kiseera ky’olagiddwa. Singa olekera awo okumira eddagala wakati, obulwadde buyinza okudda.
Oyinza otya okwekuuma obulwadde buno?
Ekikuta kya Aspergillus kiri buli wamu mu butonde, kale tekisoboka kukyewala 100% of the time. Naye bw’oba oli mu kibinja eky’akabi ennyo, waliwo by’oyinza okukola okukendeeza ku buzibu bw’olina:
- Weewale ebifo ebirimu enfuufu: Weewale ebifo ebizimbibwa, ebifo eby’okumenya, n’enguudo ezirimu enfuufu nga bwe kisoboka.
- Weegendereze okulima ensuku: Emirimu ng’okusima ettaka, okukola entuumu za nnakavundira, n’okusala omuddo bisobola okufulumya obuwuka bw’ebikuta mu bbanga. Bw’oba okola emirimu egy’ekika kino, kakasa nti oyambala masiki ya N95 ey’omutindo omulungi .
- Fuga obunnyogovu mu maka go: Bwe wabaawo ebifo ebinyogovu munda mu maka go oba ebifo ebirimu ebikuta ebimera ku bisenge, biddaabirize mangu. Kakasa nti ebifo ng’ekinabiro n’effumbiro biyingira bulungi.
- Kuuma ebyuma ebifuuwa empewo (AC) n’ebisengejja empewo nga biyonjo: Ebisengejja bino bitera okukula ekikuta, n’olwekyo biyonje buli kiseera okusinziira ku biragiro by’ababikola.
Ddi lwe nnina okulaba omusawo? Ngenda ddi mu ETU?
Bw’oba oli mu kimu ku bibinja by’akabi ebyogeddwako waggulu era n’ofuna obubonero obukwatagana n’amawuggwe (okusesema, okukaluubirirwa okussa, omusujja), .Laba omusawo wo mu bwangu.
Bw’oba olina obubonero buno wammanga obulabula , genda mu ddwaaliro erikuli okumpi Emergency Department (ETU) awatali kulwa.
- Omusujja ogw’amaanyi ennyo (okusukka 103 Fahrenheit/40 Celsius) .
- Okussa obubi ennyo
- Okuvaamu omusaayi omungi ng’osesema
- Okutabulwa, okutabulwa , oba enkyukakyuka mu nneeyisa
- Okukonziba
- Okukyuka langi ya bbululu mu mimwa oba olususu (kano kabonero akalaga obutaba na mukka gwa oxygen mu musaayi - `Cyanosis`)
Obubaka Obutwala Awaka
- `Aspergillus` kika kya kikuta ekitera okubeera mu butonde bwaffe. Ebiseera ebisinga tekikosa bantu balamu.
- Obulabe businga ku abo abalina endwadde z’amawuggwe eziriwo (asima, COPD) n’abo abalina abaserikale b’omubiri abanafuye (abalwadde ba kookolo, abasimbibwa ebitundu by’omubiri).
- Obubonero buyinza okufaananako n’obw’obulwadde bw’okussa obutera okukwatibwa, n’olwekyo bw’oba oli mu kibinja eky’akabi, beera mwegendereza obubonero.
- Obulwadde buno tebusiigibwa kuva ku muntu omu okudda ku mulala.
- Waliwo obujjanjabi obukola obulungi. Okuzuula obulwadde buno nga bukyali n’okubujjanjaba obulungi ng’omusawo bw’alagira kiyinza okuyamba okufuga n’okuwonya obulwadde buno.
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