Olina ekizimba omusaayi mu musuwa mu mukono gwo? (Axillo-Subclavian Vein Thrombosis) - Ka twogere ku nsonga eno!

Oluusi owulira obulumi obw’amangu mu mukono gwo, okuzimba oba langi ya bbululu? Oba omukono gwo guwulira nga guzitowa oba nga guzitowa? Buno si bubonero bwa kubuusa maaso. Kiyinza okuba nga kizimba omusaayi mu musuwa omunene mu mukono gwo oba mu nnyindo. Mu ngeri y’obusawo, kino tukiyita (Axillo-Subclavian Vein Thrombosis) oba (ASVT) . Teweeraliikiriranga, kino tujja kukyogerako mu ngeri ennyangu gy’osobola okutegeera.

Kino kye ki (Axillo-Subclavian Vein Thrombosis)?

Mu ngeri ennyangu, Axillo-Subclavian Vein Thrombosis (ASVT) bwe buba ng’omusaayi gukola oba mu musuwa ogw’omu kibegabega , omusuwa omunene mu kibegabega kyo, oba mu musuwa ogw’omu kibegabega, omusuwa mu nnyindo yo. Lowooza ku misuwa gyo ng’emidumu gy’amazzi. Singa olubavu oba ekitundu ky’ennyama okumpi n’omusuwa guno kinyigirizibwa, kiyinza okuziyiza omusaayi okutambula ne kivaako okuzimba omusaayi.

Embeera eno etera okuva ku buvune ku mukono gwo ogwa waggulu, oba situleesi ku mukono gwo olw’okutambula okuddiŋŋana. Abantu abamu bakiyita Paget-Schroetter syndrome , ate abalala bakiyita effort-induced thrombosis , ekitegeeza "okuzimba omusaayi okuva ku kufuba."

Kino (Deep Vein Thrombosis - DVT) tekitera kubaawo?

Yee, oyinza okuba n’ekizibu ekyo. (ASVT) mu butuufu kika kya mbeera eyitibwa (Deep Vein Thrombosis) oba (DVT) . (DVT) kwe kuzimba omusaayi mu musuwa ogw’omunda mu mubiri. Naye ebiseera ebisinga bwe twogera ku (DVT) tuba twogera ku bikuta by’omusaayi ebitondebwa mu magulu. Zitera okuva ku bintu ng’omugejjo, obutakola mirimu gya mubiri, okukaddiwa oba endwadde endala ezikwatagana n’emisuwa.

Kyokka okuzimba omusaayi mu ngalo ekiyitibwa ASVT, kitera okubaawo nga kiva ku kabenje oba ng’okozesa omukono okumala ebbanga eddene. Obubonero n’obujjanjabi bw’embeera zino ebbiri oluusi buyinza okuba obw’enjawulo.

Ani asinga okulwala kino (ASVT)?

Wadde omuntu yenna asobola okufuna embeera eno, abantu abamu bali mu bulabe bwa maanyi. Mu bino mulimu:

• Bulijjo akola, okutwalira awamu nga mulamu bulungi .
• Abavubuka abali wakati w'emyaka 15 ne 45 .
• Abantu abazannya emizannyo (e.g. abazannyi ba fast bowlers mu cricket, abawuzi, abasitula obuzito) oba abantu abakola nga emikono gyabwe giwanise obutasalako (e.g. abasiiga langi, abakozi b’amasannyalaze, abantu abakola emirimu gy’okusitula obuzito). Lowooza, bw’okola ng’emikono gyo giwanise n’okuginyiga mu ngeri y’emu, puleesa eteekebwa ku misuwa egyo.
• Abantu abalina obuzibu obumu obw'okuzimba omusaayi mu buzaale .

Waliwo ebika bya (ASVT) eby’enjawulo?

Yee, waliwo ebika bibiri ebikulu ebya (ASVT):

1. ASVT enkulu:Kino kye kika ekisinga okumanyibwa, ekiva ku kutambula kw’omukono okw’amaanyi, okuddiŋŋana.

2. Secondary ASVT: Kino kiva ku byuma ebimu eby’obujjanjabi ebiteekebwa mu kifuba kyo ekya waggulu. Okugeza nga:

• (Central venous catheter) (ekyuma ekiyingizibwa mu musuwa omukulu) .
• (Defibrillator) (ekyuma ekizzaawo enkola y’omutima) .
• (Pacemaker) (ekyuma ekifuga okukuba kw’omutima) .
• (Medication port) (Ekyuma ekitono ekiteekebwa wansi w’olususu okugaba eddagala) .

Ebyuma bino era bisobola okuvaako emisuwa okuzibikira n’okuzimba omusaayi.

(ASVT) ya bulijjo etya?

Mu butuufu, ASVT si mbeera ya bulijjo nnyo. Okusinziira ku bibalo, kibeera mu muntu omu oba babiri ku buli 100,000 buli mwaka. Wabula ebitundu 10% ku 20% byokka ku DVT zonna mu kitundu eky’okungulu ziva ku ASVT. Kale, okusinziira ku ndowooza eyo, muwendo gwa maanyi nnyo.

Bubonero ki obw’obulwadde bwa (ASVT)?

Bw’oba ​​olina ASVT, oyinza okufuna obubonero bumu oba obusingawo ku buno:

• Obulumi mu ngalo: Butandika mangu, oluusi nga buyitiridde.
• Emisuwa egirabika mu ngalo: Emisuwa giyinza okulabika nga gibumbulukuka olw’omusaayi okukendeera.
• Langi y’olususu eya bbululu (Cyanosis): Olususu ku ngalo luyinza okufuuka bbululu. Kino kitegeeza nti waliwo ebbula lya oxygen.
• Okuwulira ng’omukono guzitowa oba ng’okooye: Oyinza okusanga obuzibu okusitula oba okutambuza omukono.
• Okuzimba omukono mu bwangu: Omukono gutandika okuzimba amangu.

Ekikulu, mu mbeera ezimu (10% - 20%) ekizimba kino eky’omusaayi kisobola okukutuka okuva mu musuwa, ne kiyita mu musaayi, ne kigenda mu mawuggwe. Kino kiyitibwa Pulmonary Embolism (PE) . Eno mbeera ya bulabe nnyo . Kiyinza okwonoona ennyo amawuggwe, era kiyinza n’okutta obulamu. N’olwekyo, bw’otandika okufuna obubonero buno bwonna, mazima ddala wandibadde olaba omusawo nga tomala biseera.

Lwaki kino (ASVT) kibaawo?

Nga bwe twagambye emabegako, ekisinga okuvaako kwe kutambula kw’omukono okuddiŋŋana. Teebereza, buli kiseera oba ositula obuzito oba ng’ozannya emizannyo. Olwo ebinywa ebyetoolodde ekibegabega kyo n’enkwaso bisobola okukoowa ne bizimba. Ebinywa bino ebizimba bisobola okunyigiriza emisuwa egy’omusaayi eyo (naddala emisuwa egy’omu kifuba oba egy’omu kifuba).

Ekiseera bwe kigenda kiyitawo, puleesa eno esobola okwonoona ekisenge ky’emisuwa n’ekola ebitundu by’enkovu. Olwo omusuwa ne gufunda okuva munda, ne gukendeeza ku musaayi oguyinza okuguyitamu. Kino kiyinza okuvaako omusaayi okutambula obubi n’obulabe bw’okuzimba omusaayi okweyongera. Embeera eno oluusi eyitibwa Thoracic Outlet Syndrome (TOS).Era kiyitibwa. Kitegeeza nti ekifo ekiri mu kitundu eky’okungulu eky’ekifuba (thoracic outlet) kifunda, ekivaako okunyigirizibwa ku misuwa n’obusimu.

Oluusi, ASVT eyinza okuva ku butabeera bwa bulijjo mu mbavu esooka, oba enkyukakyuka mu binywa oba emisuwa okwetoloola emisuwa mu kitundu ky’enkwaso n’ebibegabega.

Omusawo azuula atya obulwadde buno (ASVT)?

Bw’ogenda ew’omusawo ng’olina obubonero obwogeddwako emabegako, ajja kusooka kukukebera. Omusawo ajja kusobola okulaba ebintu ng’okuzimba mu ngalo, enkyukakyuka mu langi, n’emisuwa egy’okubumbulukuka mu kaseera katono.

Oluvannyuma, kiyinza okwetaagisa okukola ebigezo ebitonotono okukakasa nti:

• (Duplex ultrasound): Kino kitera okuba ekigezo ekisooka okukolebwa. Ekozesa amaloboozi okutunuulira entambula y’omusaayi munda mu misuwa n’okulaba oba waliwo ebizimba omusaayi. Kino kigezo ekitaliimu bulumi era kyangu.
• Catheter-guided venography: Oluusi okukebera kuno kukolebwa. Mu kukebera kuno, akatundu akatono akagonvu (catheter) kayisibwa mu musuwa okutuuka we kirowoozebwa nti omusaayi gukutte, era langi ey’enjawulo n’efuyira mu musuwa nga bayita mu musuwa. Olwo ne bakubwa X-ray okulaba omusuwa we guzibiddwa n’obunene bw’ekizimba.
• (CTA - computerized tomography angiography): Kino kifaananako ne CT scan, naye kitunuulira nnyo emisuwa. Era kikolebwa nga bakuba langi.
• (MRA - magnetic resonance angiography): Okukebera okukozesa MRI scan okutunuulira emisuwa.

Ebigezo bino bisobola okuzuula ddala oba embeera (ASVT) eriwo, gy’eri, n’engeri gy’eri ey’amaanyi.

Bujjanjabi ki obuweebwa (ASVT)?

Ekisinga obulungi, waliwo obujjanjabi obukola obulungi ku ASVT. Obujjanjabi obukulu buyitibwa thrombolysis oba thrombolytic therapy .

Kino kizingiramu okukuba eddagala erisaanuusa ekizimba ky’omusaayi ne kiggyawo, nga bwe kyayogeddwako emabegako, butereevu mu musuwa omusaayi we gubeera nga guyita mu ttanka entono (catheter) . Kino kisaanuusa ekizimba omusaayi ne kiddamu okutambula kw’omusaayi mu musuwa.

Oluusi, obujjanjabi buno (thrombolysis) buwerekerwako ekintu ekiyitibwa (thrombectomy) . Kwe kugamba, okuggyawo ekizimba ky’omusaayi, mu ngeri ey’ebyuma oba okuyita mu kulongoosa okutonotono.

Oluvannyuma lw’obujjanjabi buno, ojja kuweebwa eddagala erigonza omusaayi , nga Warfarin oba eddagala eddala ery’omulembe, okumala emyezi egiwerako okuziyiza okuzimba omusaayi okuddamu okukola. Kikulu nnyo okumira eddagala lino okumala ekiseera kyennyini omusawo ky’akugamba.

Ng’oggyeeko ekyo, omusawo era ajja kukuwa amagezi gano wammanga:

• Kendeeza ku kukozesa omukono ogukosebwa okutuusa ng’obubonero bukendedde ddala.
• Emikono gyo gikuume nga giwanvuye katono bwe kiba kisoboka (okusitula emikono).
• Obujjanjabi bw’omubiriLaba ku. Kino kijja kukuyamba okuddamu okutambula n’amaanyi mu ngalo.
• Yambala omukono ogw’okunyigiriza (nga akagatto akanywevu) ku mukono ogukoseddwa. Kino kijja kuyamba okukendeeza ku kuzimba n’okulongoosa entambula y’omusaayi.

Okulongoosa kinaaba kyetaagisa?

Mu mbeera ezimu, yee. Okulongoosa kuyinza okulagirwa okuggyawo ddala ekizibiti n’okukendeeza ku bulabe bw’okuddamu okukola ebizimba. Okulongoosa kuno kuzingiramu okuggyawo ekizibiti. Okugeza, ekitundu ky’olubavu olusooka oba ekitundu ky’ennyama ekivaako okuzibikira kiyinza okuggyibwamu. Kino kisobozesa omusaayi okutambula mu ddembe mu musuwa.

Kiki kye tuyinza okukola okutangira enkulaakulana ya (ASVT)?

Wadde nga tekisobola kuziyizibwa ddala, waliwo ebintu ebiwerako bye tuyinza okukola okukendeeza ku bulabe:

• Bulijjo tambula mpola ebinywa mu mikono gyo era weenyige dduyiro ng'okugolola .
• Tokola nnyo binywa byo buli kiseera .
• Bw’oba ​​ositula obuzito oba ng’okola dduyiro ow’amaanyi, wummulako wakati .
• Buli lwe kiba kisoboka, gezaako okukola n’omukono gwo ogutafuga . (e.g. bw’oba ​​wa mukono gwa ddyo, kozesa omukono gwo ogwa kkono bwe kiba kisoboka).

Embeera ejja kuba etya oluvannyuma lw’okujjanjabibwa?

Abantu abasinga abalina ASVT bakola bulungi nnyo oluvannyuma lw’okujjanjabwa. Okunoonyereza kulaga nti singa obulwadde buno buzuulibwa ne bujjanjabwa nga bukyali, amangu ddala ng’obubonero butandise, wabaawo obuwanguzi bwa bitundu 90% ku 95% .

Kyokka, abantu abamu bayinza okufuna ekizibu ekiyitibwa Post-thrombotic Syndrome (PTS) . Mu kino, obubonero ng’okulumwa okumala ebbanga eddene, okuzitowa, n’okuzimba mu mukono ogukoseddwa biyinza okusigalawo. N’olwekyo, kikulu okugoberera ebiragiro by’omusawo ne bw’oba ​​omaze okujjanjabwa.

Ddi lwe tusaanidde okulaba omusawo mu bwangu?

Bw’olaba obubonero bwonna obusooka obwa ASVT, funa amagezi mu basawo mu bwangu . Tolwawo naddala ng’ofunye ekimu ku bino wammanga:

• Obulumi mu kifuba
• Okuzirika mu mikono oba amagulu gombi
• Obuzibu mu kussa (okusannyalala) .

Bino biyinza okuba obubonero bw’embeera ey’akabi nga Pulmonary Embolism (PE).

(ASVT) Bwe kiba bwe kityo, bibuuzo ki by’osaanidde okubuuza omusawo?

Singa omusawo akugamba nti olina ASVT, kirungi okubuuza ebibuuzo nga bino:

• Nkyukakyuka ki mu bulamu bwe nsobola okukola okukendeeza ku bulabe bw’okuzimba omusaayi?
• Nsobola okweyongera okukola dduyiro n’okukola emirimu gy’emikono?
• Kiki kye nnyinza okukola okuziyiza okuzimba omusaayi okuddamu okutondebwa?
• Okwetaaga okumala bbanga ki ng’omira eddagala erigonza omusaayi?

Ekintu ekisinga obukulu okujjukira (Take-Home Message)

Nsuubira nti kati otegedde bulungi bye twayogeddeko leero (Axillo-Subclavian Vein Thrombosis - ASVT). Mu bufunze:

• (ASVT) kizimba kya musaayi ekikolebwa mu musuwa omunene mu mukono gwo oba mu nnyindo.
• Kino kitera okubaawo kubanga omukono gukozesebwa mu ngeri etasalako era ekooya.
• Oyinza okukiteebereza singa ofuna obubonero ng’okulumwa amangu, okuzimba, n’olususu olwa bbululu mu ngalo.
• Thrombolysis (eddagala erisaanuusa ebizimba) ne thrombectomy (okuggyawo ebizimba) bye bisinga okujjanjaba.
• Ekisinga obukulu kwe kuzuula obulwadde buno nga bukyali n’otandika okubujjanjaba. Bw’okola bw’otyo, olina emikisa mingi nnyo okuwona mu bujjuvu.

Bw’oba ​​olina obubonero buno totya era olabe omusawo awatali kulwa. Sigala nga oli mulamu bulungi!

` axillo-subclavian vein thrombosis, ASVT, okuzimba omusaayi, emisuwa gy’omukono, okulumwa ebibegabega, okuzimba omukono, DVT, Pulmonary Embolism, Paget-Schroetter syndrome