Wali owuliddeko nti enkola y’omubiri gwaffe yennyini ey’okwekuuma, ‘eggye’ eririna okutukuuma endwadde eziva ebweru, oluusi libula ne litandika okulumba obutoffaali bwaffe obulungi? Ekyo kye tuyita buyita obulwadde bw’abaserikale b’omubiri (autoimmune disease). Wadde nga guno mulamwa muzibu, leero tugenda kugyogerako mu ngeri ennyangu ennyo, mu ngeri gy’osobola okutegeera.
Obulwadde buno obw’abaserikale b’omubiri (autoimmune disease) kye ki ddala?
Lowooza ku kino, omubiri gwaffe gulinga ensi. Waliwo eggye ery’obukugu okukuuma eggwanga lino. Eggye lino lye baserikale baffe abaserikale b'omubiri . Omulimu omukulu ogw’eggye lino kwe kuzuula abalabe abagwira, kwe kugamba, obuwuka nga akawuka ne bakitiriya, okubulwanyisa n’okutukuuma endwadde. Eby'okulwanyisa eby'enjawulo bye bakozesa mu lutalo luno biyitibwa antibodies .
Kyokka omuntu bw’aba n’obulwadde bw’abaserikale b’omubiri, abaserikale b’omubiri be bagenda mu maaso. Kiringa amagye okukyamusa bannansi baabwe bennyini nti balabe. Olw’akabenje kano, abaserikale b’omubiri batandika okukola obutoffaali obuziyiza endwadde (obuyitibwa autoantibodies ) obulumba obutoffaali bwaffe, ebitundu by’omubiri, n’ebitundu by’omubiri byaffe ebiramu.
Mu ngeri ennyangu, obulwadde obuyitibwa autoimmune disease mbeera omukuumi w’omubiri gwaffe yennyini mw’afuuka omulabe waffe.
Kati abasawo bazudde ebika by’endwadde ezisoba mu 100 ez’abaserikale b’omubiri. Ebimu ku bino bikosa ekitundu kimu kyokka, ate ebirala bisobola okukosa omubiri gwonna.
Endwadde ki ezisinga okulwala obusimu obuziyiza endwadde?
Wadde nga waliwo ebika by’endwadde zino bingi, naye waliwo ntono ezitera okuwulirwa n’okulabibwa mu ggwanga lyaffe. Ka tuzitunuulire.
| Erinnya ly’Obulwadde | Ennyonyola ennyimpimpi |
|---|---|
| Obulwadde bw’endwadde z’enkizi (RA) . | Mu mbeera eno, abaserikale b’omubiri balumba obuwuka obwetoolodde ennyondo, ne kivaako okuzimba, okulumwa ennyo, era okukkakkana ng’ennyondo eyonoonese enkalakkalira. |
| Lupus (Obulwadde bwa Lupus Erythematosus - SLE) . | Lupus asobola okulumba ebitundu by’omubiri wonna mu mubiri. Businga kukwata nnyondo, amawuggwe, obutoffaali bw’omusaayi, obusimu n’ensigo. |
| Ssukaali ow’ekika kya 1 | Kino kilumba n’okusaanyaawo obutoffaali obukola insulini mu lubuto, ne kiremesa omubiri okukola insulini. |
| Endwadde z’olususu (Psoriasis) . | Mu mbeera eno, abaserikale b’omubiri balaga obubonero bw’obutoffaali bw’olususu okwawukana amangu, ekivaako ebitundu ebya ffeeza, ebirimu ebikuta okukola ku lususu. |
| Obulwadde bw’okusannyalala (MS) . | Abaserikale b’omubiri balumba obutoffaali bw’obusimu mu bwongo n’omugongo ne kireeta obubonero ng’obulumi, obutalaba bulungi, okuzirika, n’okukankana kw’ebinywa. |
| Endwadde z’ekibumba (Obulwadde bwa Hashimoto / Graves) . | Mu mbeera eno, obuwuka obuziyiza endwadde bulumba endwadde ya thyroid. Oluusi okukola obusimu kuyinza okukendeera (hypothyroidism) oba okweyongera (hyperthyroidism). |
Lwaki kino kigenda mu maaso? Ensonga ze ziruwa?
Mu butuufu, bannassaayansi n’okutuusa kati tebamanyi bulungi kiki ekivaako obulwadde bw’abaserikale b’omubiri, naye waliwo ebintu ebiwerako ebilowoozebwa nti bye bivaako obulwadde buno.
- Ensengekera y’obuzaale: Endwadde ezimu ezikwatibwa obusimu obuziyiza endwadde zisobola okusiigibwa okuva ku mulembe okudda ku mulala. Singa omuntu mu maka go alina obulwadde buno, oba mu bulabe bwa maanyi okubufuna. Kyokka okubeera n’obuzaale tekitegeeza nti ojja kufuna obulwadde buno.
- Yinfekisoni: Kiteeberezebwa nti oluvannyuma lw’okukwatibwa akawuka oba obuwuka obumu, abaserikale b’omubiri tebakola bulungi era obulwadde obw’ekika kino busobola okutandika.
- Ensonga z’obutonde: Ebintu ng’okunywa sigala n’okukwatibwa eddagala ery’obutwa ery’enjawulo nabyo bisobola okukosa kino.
- Eddagala erimu: Wadde nga teritera kunywa, eddagala erimu liyinza okutaataaganya abaserikale b’omubiri. Bulijjo yogerako n’omusawo wo ku ddagala ly’omira.
Ate era endwadde z’abaserikale b’omubiri (autoimmune diseases) zisinga kubeera mu bakyala okusinga abasajja. Omugejjo kye kimu ku bintu ebirala ebiyinza okuvaako akabi.
Obubonero bwe buliwa?
Obubonero bw’endwadde z’abaserikale b’omubiri (autoimmune diseases) bwa njawulo nnyo. Zaawukana okusinziira ku kitundu ekikoseddwa n’ekika ky’obulwadde. Kyokka, endwadde ezisinga obungi ezikwata ku busimu obuziyiza endwadde zirina ebintu ebiwerako ebifaanagana.
- Okulumwa ennyondo n’okuzimba
- Obukoowu
- Okuloota ebirooto ebibi ennyo
- Ebizimba ku lususu
- Obulumi mu lubuto oba obuzibu mu kugaaya emmere
- Endwadde ezizimba
- Okutwalira awamu okuwulira nga tolina bulungi
Obubonero buno bujja ne bugenda. Wayinza okubaawo ebiseera by’okubumbulukuka n’ebiseera by’okusonyiyibwa.
Kino omusawo akizuula atya?
Okuzuula obulwadde bw’abaserikale b’omubiri oluusi kiyinza okuba ekizibu katono era nga kitwala obudde bungi, kubanga obubonero buno bufaananako n’obw’endwadde endala eza bulijjo.
Bw’ogenda okulaba omusawo wo, ajja kusooka kukubuuza ekibuuzo ekikwata ku bubonero bwo, ebyafaayo by’obujjanjabi bw’amaka n’ebirala Olwo, ajja kukuwa amagezi okukeberebwa okuwerako okukakasa nti ozudde.
- Okukebera omusaayi: Eno y’enkola enkulu. Mu bino mulimu okukebera antinuclear Antibody (ANA) okukebera obutoffaali obuziyiza endwadde mu musaayi obulumba obutoffaali bw’omubiri, okukebera ESR ne CRP , okukebera okuzimba mu musaayi, n’okubala omusaayi mu bujjuvu (CBC).
- Okukebera ebifaananyi: Okukebera nga X-ray, ultrasound scan, ne MRI scan kusobola okuzuula ebitundu by’omubiri oba ennyondo ebyonooneddwa.
Omusawo ajja kutuuka ku kuzuula okutuufu ng’agatta ebyava mu kukeberebwa kuno n’obubonero bwo.
Kijjanjabwa kitya?
Tewali ddagala lya ndwadde za autoimmune yet . Naye teweeraliikiriranga. Waliwo obujjanjabi bungi obulungi obuliwo leero obuyinza okuyamba okufuga endwadde zino, okukendeeza ku bubonero, n’okukuyamba okubeera n’obulamu obwa bulijjo.
Waliwo ebigendererwa bibiri ebikulu eby’obujjanjabi:
1. Okufuga abaserikale b’omubiri abakola ennyo: Ku kino, omusawo ayinza okukuwa eddagala nga steroids n’eddagala eddala eryetongodde erikendeeza ku mirimu gy’abaserikale b’omubiri (eddagala eriziyiza abaserikale b’omubiri).
2. Okuddukanya obubonero: Obujjanjabi businziira ku bubonero, gamba ng’eddagala eriweweeza ku bulumi, ebizigo ku bizibu by’olususu, empiso za insulini ku bbula lya insulini, n’empeke z’obusimu ku bbula ly’obusimu bwa thyroid.
Ng’oggyeeko eddagala, okukola enkyukakyuka mu bulamu nakyo kikulu nnyo.
- Okulya emmere ennungi
- Okwenyigira mu dduyiro akusaanira
- Okufuna otulo n’okuwummula ekimala
- Okuddukanya situleesi
Bino byonna bijja kukuyamba nnyo okuddukanya embeera yo. Ekisinga obukulu kwe kusigala ng’okwatagana n’omusawo wo n’ogoberera ddala ebiragiro bye.
Obubaka Obutwala Awaka
- Obulwadde bw’abaserikale b’omubiri (autoimmune disease) bwe buba ng’abaserikale bwo bennyini balumba ebitundu by’omubiri gwo ebiramu mu nsobi.
- Endwadde zino zirina ebika ebisoba mu 100, nga obulwadde bw’endwadde z’enkizi, lupus, sukaali ow’ekika ekisooka, ne psoriasis bye bisinga okubeerawo.
- Wadde ng’ekivuddeko ekituufu tekinnazuulibwa, obuzaale, yinfekisoni, n’obutonde bw’ensi biyinza okubaako kye bikola.
- Okuzuula obulwadde buno kiyinza okutwala obudde era kyetaagisa okukeberebwa omusaayi n’okukeberebwa ebirala.
- Wadde endwadde zino tezisobola kuwona ddala, zisobola okuddukanyizibwa obulungi ennyo nga zikozesebwa eddagala n’okukyusa mu bulamu.
- Bw’oba olina okubuusabuusa oba obubonero bwonna ku nsonga eno, kakasa nti weebuuza ku musawo akuwe amagezi.
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