Omutima gwo gulina ebinywa bibiri mu vvaalu y’omusuwa gw’omusaayi? (Bicuspid Aortic Valve) Ka twogere ku nsonga eno!

Oluusi owulira ng’okooye oba ng’okooye? Oba wali wali ofunye omusawo n'akuteeka ekyuma ekiwuliriza mu kifuba n'ayogera ekintu nga, "Mmm... mpulira eddoboozi (murmur) ettono eryewuunyisa nga liva ku mutima gwo"? Ekivaako kino kiyinza okuba enkyukakyuka entonotono mu mutima gwo gye wazaalibwa nayo. Tofaayo, leero twogera ku mbeera eya bulijjo eyitibwa Bicuspid Aortic Valve.

Mu ngeri ennyangu, eno Bicuspid Aortic Valve kye ki?

Okay, kino ka tukitegeere bwe tuti. Mu mutima gwaffe mulimu obuuma obukulu buna. Bino biba ng’emiryango egiggukira mu ludda lumu lwokka. Ku zino, eyo esindika omusaayi mu aorta, omusuwa omukulu ogutambuza omusaayi ogulimu omukka gwa oxygen okuva ku mutima okutuuka mu mubiri gwonna, guyitibwa aortic valve. Mu budde obwabulijjo, mu muntu omulamu obulungi, vvaalu eno ey’omusuwa eba n’obuwundo obutonotono busatu (cusps oba leaflets). Ebifuba bino ebisatu biggula era ne biggala mu ngeri entegeke ennyo okufuga okutambula kw’omusaayi. Kyokka mu muntu alina embeera eyitibwa bicuspid aortic valve, vvaalu eno erina ebiwaawaatiro bibiri mu kifo ky’essatu . Eno mbeera ya buzaale. Kale, okuva bwe kiri nti waliwo ebiwujjo bibiri byokka, vvaalu eno esobola okukaluubirirwa katono okuggulawo n’okuggalawo obulungi. Kino kiyinza okuvaako ebizibu bibiri ebikulu: 1. Aortic Stenosis (okufunda kwa vvaalu): Olw’okuba vvaalu tegguka bulungi, wabaawo ekifo kitono omutima we guyinza okusindika omusaayi mu mubiri. Kino kireetera omutima okukola ennyo. 2. Aortic Regurgitation (omusaayi okudda emabega): Olw’okuba vvaalu teggalawo bulungi, omusaayi ogumu ogusindikibwa mu mubiri gukulukuta ne gudda mu mutima. Oyinza okumala emyaka nga tolina bubonero bwonna. Naye ekiseera bwe kigenda kiyitawo, okunyigirizibwa kuno okw’enjawulo kuyinza okuleeta obuzibu ku mutima gwo.

Embeera eno ya maanyi etya?

Si buli muntu alina Bicuspid Aortic Valve nti ajja kufuna obuzibu obw’amaanyi. Naye abantu nga omu ku buli basatu ajja kufuna ebizibu okumala ekiseera. Eno y’ensonga lwaki kikulu okwekebejjebwa buli kiseera n’okukeberebwa singa omusawo akugamba nti olina embeera eno. Si kya bulijjo nga bw’oyinza okulowooza. Kikwata ebitundu 1% ku 2% ku bantu b’ensi yonna. Era kisinga emirundi ebiri mu basajja okusinga mu bakazi. Abantu abalina embeera z’obuzaale ezimu, gamba nga Turner syndrome, nabo bali mu bulabe bwa maanyi. Ekisinga obulungi kiri nti ng’okozesa tekinologiya ow’omulembe ow’ennaku zino, osobola okuzuula embeera eno n’enkyukakyuka zaayo ezitali za maanyi nga tonnalaba na bubonero. Era bw’ofuna obujjanjabi obutuufu, osobola okuwangaala obulamu obujjuvu, obulamu obulungi, era obuwanvu.

Bubonero ki obulaga kino?

Abantu bangi okumala emyaka nga tebalina bubonero bwonna. Kyokka, omulimu gwa vvaalu bwe gweyongera okwonooneka, obubonero butandika okulabika. Mu baana abato n’abaana abawere, singa embeera eba ya maanyi, obubonero nga langi ya bbululu/enzirugavu ey’olususu (` cyanosis` ) n’okukaluubirirwa okulya oba okweyongera okugejja biyinza okulabika nga wayiseewo akaseera katono nga bamaze okuzaalibwa. Obubonero obusinga okulabibwa mu bantu abakulu bwe buno:

Kiki ekivaako kino? Kiba kya nsikirano?

Ekituufu ekivaako `Aortic valve` eno tekinnazuulibwa. Kino kibeerawo ng’omutima gw’omwana ali mu lubuto gukula mu ntandikwa y’olubuto. Embeera eno esobola okutambulira mu maka okutuuka ku ddaala eritali limu (obusika) . Kwe kugamba, singa omuntu mu maka go ag’okumpi (maama, taata, muganda wo, omwana) aba n’embeera eno, naawe oyinza okuba n’akabi akatono. N’olwekyo omuntu yenna mu maka go bw’aba alina obulwadde bw’omutima obw’ekika kino, kikulu nnyo okubutegeeza omusawo wo. Olwo bw’aba ayagala, naawe osobola okukeberebwa.

Bizibu ki ebiyinza okubaawo singa tebijjanjabwa?

Singa tebajjanjabwa mu budde, ebizibu eby’amaanyi bisobola okubaawo.

• Omutima okulemererwa: Okufunda kwa vvaalu (stenosis) kireetera omutima okukola ennyo. Kino kiyinza okuvaako ekinywa ky’omutima okugonza n’okugaziwa, okukkakkana nga tekisobola kusiba musaayi bulungi. Ebintu nga okunywa sigala ne kolesterol omungi bisobola okwanguya enkola eno.
• Okukutuka kw’emisuwa gy’omusuwa n’okusalasala: Abantu nga omu ku buli basatu abalina bbulawuzi y’omusuwa gw’omusaayi (bicuspid aortic valve) bali mu bulabe bw’omusuwa omunene ogw’omusuwa oguli waggulu wa vvaalu, okugaziwa. Okufaananako bbaatule bw’efuuwa ennyo, ebisenge by’omusuwa guno binafuwa ne bitandika okubumbulukuka. Kino kiyitibwa aortic aneurysm. Singa kinene nnyo, kiyinza okukutuka (okukutuka) oba okukutuka (okukutuka) amangu ago. Eno mbeera ya mangu eyinza okutta omuntu era nga yeetaaga okujjanjabibwa mu bwangu .

Obulwadde buno buzuulibwa butya?

Ebiseera ebisinga, omusawo ajja kusooka kwekengera okwemulugunya kw’omutima ng’awulira eddoboozi eritali lya bulijjo (`okwemulugunya kw’omutima`) ng’awuliriza ekifuba kyo n’ekyuma ekiwuliriza. Oluvannyuma lw’ekyo, omusawo ajja kulagira okukeberebwa okw’enjawulo okuwerako okulaba ensengeka n’enkola y’omutima gwo. Ebigezo ebikulu bye bino:

• Echocardiogram (echo): Eno ye scan y’omutima mu ddoboozi ery’omwanguka. Kisobola okulaba obulungi omuwendo gw’ebipapula mu vvaalu, engeri gye bikolamu, n’okumanya oba waliwo okukulukuta oba okufunda.
• CT scan (Computed Tomography scan): Kino kisobola okufulumya ebifaananyi eby’ebitundu bisatu eby’omutima n’omusuwa gw’omusaayi.
• Heart MRI (Magnetic Resonance Imaging): Okukebera kuno kukozesebwa okufuna ebifaananyi ebisingawo ebikwata ku mutima ne valve.

Bujjanjabi ki bw’oyinza okukozesa?

Wadde ng’eddagala erimu, gamba nga beta-blockers, liyinza okuyamba okufuga obubonero, terisobola kuwonya ddala kizibu kya vvaalu. Abantu nga 4 ku buli 5 abalina Bicuspid Aortic Valve bajja kwetaaga okulongoosebwa mu kiseera ekimu mu bulamu bwabwe. Okulongoosa kuyinza okuddaabiriza vvaalu yo oba okugikyusa n’ossaamu empya. Ttiimu yo ey’abasawo ejja kuteesa naawe ku bujjanjabi obusinga obulungi gy’oli, okusinziira ku mbeera yo, emyaka gyo, n’obulamu bwo okutwalira awamu.

Ebika by’okulongoosa

Ensangi zino, mu kifo ky’okulongoosa omutima ogw’ekinnansi, waliwo enkola ez’omulembe nga okulongoosa okutali kwa maanyi nnyo ne TAVR (Transcatheter Aortic Valve Replacement), ekyusa vvaalu ng’eyita mu musuwa. Enkola zino zirina ebiseera ebitono eby’okudda engulu.

Okudda engulu n’ebiseera eby’omu maaso biri bitya?

Abantu 98% abalongoosebwa valve bawona bulungi, era obulamu bwabwe tebukosebwa. Kino kitegeeza nti ne bw’oba ​​olina embeera ya Bicuspid Aortic Valve, ng’olina obujjanjabi obutuufu n’okulabirira abasawo , osobola okubeera obulamu obuwanvu, obulungi ng’omuntu omulala yenna. Ekisinga obukulu kwe kugenda mu ssaawa zo ez’okugoberera buli kiseera n’omusawo wo. Oluvannyuma lw’okulongoosebwa, ebiseera ebisinga olina okugenda okwekebejjebwa waakiri omulundi gumu mu mwaka.

Ddi lwe weetaaga okuweebwa ekitanda mu ddwaaliro mu bwangu? (Ddi lw’olina okugenda mu ETU)

Obubonero bw’okukutuka kw’emisuwa bwa bulabe nnyo. Bw’ofuna obubonero bumu oba obusingawo ku buno, kuba ku ssimu 911 mu bwangu okufuna ambyulensi oba genda mu ddwaaliro erikuli okumpi mu kitongole ky’abalwadde ab’amangu (ETU).

• Obulumi obw’amangu, obw’amaanyi, obukutuse mu kifuba oba mu mugongo.
• Olususu olukwatagana, olutuuyana.
• Okuziyira.
• Okuzirika.
• Omutima okukuba.
• Okuziyira n’okusiiyibwa.
• Okukaluubirirwa ennyo mu kussa.

Bicuspid Aortic Valve, Obulwadde bwa Heart Valve, Aortic Stenosis, Aortic Regurgitation, Okulongoosa omutima, Obulumi mu kifuba, Okussa obumpi