Ofaayo ku mawuggwe go? Tuyige ku bulwadde bw'amawuggwe amaddugavu!

Ffenna tukimanyi nti emirimu egimu girina akabi akatono. Naye waliwo emirimu egimu, obulabe bwagwo obutalabika, era nga bweyolekera oluvannyuma lw’akaseera. Ekimu ku bulwadde obwo bwe "black lung disease". Abantu abakola mu birombe by’amanda naddala batera okukwatibwa embeera eno. Buno si bulwadde obuva mu bwangu, naye mpolampola bugenda bweyoleka.

Obulwadde bw’amawuggwe g’abaddugavu kye ki?

Mu ngeri ennyangu, obulwadde bw’amawuggwe amaddugavu mbeera ng’amawuggwe gazimba n’okufuna enkovu olw’okussa obutundutundu bw’enfuufu obulungi obusangibwa mu birombe by’amanda. Abasawo era bagiyita ``Coal Workers' Pneumoconiosis''. Teebereza bwe tussa, obutundutundu buno obutono obw’enfuufu buyingira mu mawuggwe gaffe. Enfuufu eno bw’ekuŋŋaanyizibwa okumala ekiseera, etandika okwonoona amawuggwe. Nga ekiwundu ekitono bwe kireka enkovu, enfuufu eno nayo ereeta enkovu (`(fibrosis)`) mu mawuggwe. Kino kye kivaako obuzibu mu kussa.

Bw’ogwa ku ddaala, okiwulira amangu ago. Naye obulwadde buno obw’amawuggwe obuddugavu si bwe butyo. Obubonero oluusi bulabika oluvannyuma lw’emyaka ng’ossa enfuufu y’amanda. Naye okwonooneka kw’amawuggwe olw’obutundutundu obwo obutono obw’enfuufu si kwa maanyi.

Obulwadde bw’amawuggwe omuddugavu bulina ebika bibiri ebikulu.

Obulwadde buno bulina ebika bibiri ebikulu, okusinziira ku bbanga lye wamala mu kirombe ky’amanda n’enfuufu mmeka gye wassa. Zombi zireeta obuzibu mu kussa.

1. Obulwadde bw’amawuggwe obuddugavu obwangu: Buno bwe bubaawo obutundutundu obutono obuddugavu mu mawuggwe go. Bw’otunuulira X-ray oba CT scan, ziringa obutundutundu obutono obuddugavu. Mu mbeera eno, kikulu nnyo okugoberera ddala ebiragiro by’omusawo, okumira eddagala lyo mu ngeri entuufu, okwewala okwongera okukwatibwa enfuufu y’amanda, n’okukeberebwa abasawo buli kiseera n’okukeberebwa amawuggwe. Gy’okoma okukwata amangu embeera eno ennyangu, gy’okoma okukunyuma. Eno y’ensonga lwaki kikulu okwekebejjebwa buli kiseera.

2. Obulwadde bw’amawuggwe obuddugavu obuzibu: Mu kino, enkovu mu mawuggwe zisingako era ziyinza okusaasaana mu kitundu ekinene eky’amawuggwe. Wadde enkovu eno tesobola kuwona ddala, waliwo obujjanjabi obuyinza okuyamba okukendeeza ku buzibu bw’owulira. Abasawo era embeera eno bagiyita `(Progressive Massive Fibrosis)`.

Obulwadde buno butera kwenkana wa?

Obulwadde bw'amawuggwe obuddugavu kika kya bulwadde bw'amawuggwe obuyitibwa ``interstitial lung disease''. Obulwadde buno obwa ``interstitial lung disease'' bulwadde obutatera kulabika. Wabula obulwadde bw’amawuggwe obuddugavu bubeera mu basima amanda bokka. Mu bo, obulwadde buno butera okubeerawo. Wadde nga kimanyiddwa okumala emyaka mingi nti obulwadde buno buva ku nfuufu y’amanda, ebitundu nga 16% ku basima amanda bakyalina obulwadde buno. Eky’ennaku, ebitundu bino ku buli kikumi byeyongera.

Bubonero ki obulaga obulwadde bw’amawuggwe omuddugavu?

Oyinza okutandika okuwulira obubonero oluvannyuma lw’emyaka ng’ofunye enfuufu y’amanda. Oyinza obutaba na bubonero bwonna mu kusooka. Naye ng’olina embeera eno (Coal Workers’ Pneumoconiosis), obubonero buno busobola okweyongera mpolampola okumala ekiseera. Obubonero obukulu bwe buno:

• Okuwulira ng’onyiga mu kifuba.
• Kifuuka kizibu ng’okola dduyiro oba ng’okola emirimu egy’amaanyi.
• Okukaluubirirwa okussa. Kati oyinza okuwulira ng’omukka gukutte ne bw’oba ​​okola emirimu egya bulijjo gye wali okola edda nga tofubye.
• Okusesema. Oluusi okusesema kuno kuyinza okuwerekerwako omusulo omuddugavu.

Omusawo bw’aba akukebera, ayinza okulaba eddoboozi ery’okuwuuma oba okuwuuma mu kifuba ng’ossa. Wadde ng’oyinza obutasobola kumanya okuva ebweru nti olina amawuggwe amaddugavu, okukebera nga X-ray kuyinza okuyamba omusawo wo okuzuula oba mawuggwe amaddugavu oba obulwadde obulala obw’amawuggwe ng’otunuulira obubonero ebitongole mu mawuggwe go.

Kiki ekivaako amabala gano amaddugavu ku mawuggwe?

Tetusobola kulaba butundutundu bwa nfuufu bwonna bwe tussa Naye obutundutundu buno obutonotono obw’enfuufu mu birombe by’amanda bubaamu kaboni . Ate era okusinziira ku kifo w’okolera mu kirombe n’ekika ky’olwazi lw’osima, enfuufu eno era eyinza okubaamu ekintu ekiyitibwa silika .

Bw’ossa enfuufu y’amanda, obutundutundu buno obutono obw’enfuufu bugenda nnyo mu mawuggwe go. Abaserikale baffe abaserikale b'omubiri bamanyi bino nga "bintu eby'ebweru." Kale, enkola egezaako okugoba obutundutundu buno. Okuddamu kuno kw’abaserikale b’omubiri kuleeta okuzimba n’enkovu mu mawuggwe, ekisembayo okuvaako obubonero bw’obulwadde bw’amawuggwe omuddugavu.

Amawuggwe go gaddugala ng’onywa enjaga?

Okunywa sigala ekintu kyonna si kirungi eri amawuggwe go. Si kikulu oba njaga (oba enjaga), sigala, sigala, kyonna. Bw’onywa sigala, ossa obutundutundu obulimu obutwa, ebinyiiza amawuggwe, n’ebirungo ebireeta kkansa.

Okunywa sigala kiyinza okwonoona amawuggwe go. Era kyongera ku bulabe bw’okufuna obuzibu mu kussa ng’okusesema okutambula obutasalako, obulwadde bw’amawuggwe, COPD (obulwadde bw’amawuggwe obutawona), ne kookolo w’amawuggwe. Wabula okunywa sigala tekireeta bulwadde bwa Coal Workers’ Pneumoconiosis. Obulwadde buno obw’amawuggwe obw’enjawulo buva ku amanda gokka.

Vaping kifuula amawuggwe go amaddugavu?

Okufaananako n’okunywa sigala, vaping eyonoona amawuggwe, naye tekireeta mawuggwe gaddugavu. Wabula okunywa sigala (n’okunywa sigala) kiyinza okwongera obubonero bw’amawuggwe amaddugavu.

Naye vaping ejja n’akabi kaayo. Bw’okola vape, okozesa `vape pen` (era emanyiddwa nga `e-cigarette`) okubugumya amazzi ne gafuuka `vapor` n’ogassa (kiyinza okuba taaba, enjaga, oba ekintu ekirala kyonna). Bw’okola vape, obutundutundu bw’ossa nabwo buleeta abaserikale b’omubiri mu mawuggwe go. Naye tebuyitibwa bulwadde bwa mawuggwe obuddugavu. Kiyinza okuleeta enkovu mu mawuggwe, okwonooneka kw’ebitundu by’omubiri, n’embeera ey’amaanyi eyitibwa `(EVALI)` (e-cigarette oba vaping-associated lung injury).

Obulwadde bw’amawuggwe obuddugavu busiigibwa?

Nedda, obulwadde bw’amawuggwe obuddugavu tebusiigibwa. Tosobola kugikwata ku muntu mulala, era tosobola kugikwata ku muntu mulala. Era si bulwadde bwa ``genetic``. Engeri yokka ey’okufuna obulwadde bw’amawuggwe amaddugavu kwe kusima amanda.

Kino kiva ku kawuka oba obuwuka?

Wadde oyinza okuwulira ng’olwadde obulwadde bw’amawuggwe amaddugavu, si yinfekisoni ereetebwa akawuka oba obuwuka. Ng’omubiri gwo bwe guddamu ebintu ebigwira nga akawuka ne bakitiriya, n’abaserikale b’omubiri bo bakola olw’obutundutundu bw’enfuufu bwe wassa mu kirombe ky’amanda. Mu kusooka, okuddamu kuno kw’abaserikale b’omubiri kuyinza okukuleetera okuwulira ng’olina omusujja oba ssennyiga.

Bizibu ki ebiva mu bulwadde bw’amawuggwe amaddugavu?

Waliwo embeera endala eziwerako ez’amaanyi (ebizibu) ebiyinza okubaawo olw’obulwadde buno:

• Akafuba (TB) .
• Omutima okulemererwa
• Kookolo w’amawuggwe

Obulwadde bwa Coal Workers’ Pneumoconiosis buzuulibwa butya?

Bw’oba ​​olina obuzibu mu kussa, omusawo ajja kukubuuza ku byafaayo byo eby’obujjanjabi n’ebyafaayo by’omulimu gwo. Bajja kukola okukebera omubiri. Bwe kiba kyetaagisa era bajja kulagira okukeberebwa abasawo.

Bikebere ki ebikolebwa okuzuula embeera eno?

Singa okukebera ekifuba oba okukebera kompyuta (CT scan) kulaga nti oyinza okuba n’amawuggwe amaddugavu, omusawo ayinza okulagira okukeberebwa okuwerako (okukebera enkola y’amawuggwe) okulaba engeri amawuggwe go gye gakola obulungi. Ebigezo bino bikulu okuzuula engeri amawuggwe amaddugavu gye gakosezzaamu amawuggwe go. Ttiimu yo ey’abasawo esobola okutunuulira ebipimo bino oluvannyuma okwekenneenya oba obujjanjabi bukola oba embeera yo yeeyongera okwonooneka.

Ttiimu yo ey'abasawo eyinza n'okulagira okukeberebwa omusaayi okw'enjawulo okuyitibwa "omukka gw'omusaayi ogw'emisuwa" okukebera oba omukka gwa oxygen omutono. Bw’oba ​​weekenneenyezebwa okuliyirira olw’obulwadde bw’amawuggwe omuddugavu, okukebera kuno kuyinza okukolebwa emirundi ebiri: omulundi gumu ng’otudde n’owummudde, n’omulundi gumu ng’omaze okukola dduyiro nga bwe kisoboka.

Obulwadde bw’amawuggwe bw’abaddugavu bujjanjabwa butya?

Obujjanjabi bw’obulwadde bw’amawuggwe omuddugavu bugendereddwamu kukendeeza ku buzibu bw’owulira bwokka, tebusobola kuwonya bulwadde buno ddala.Okukyusa amawuggwe oluusi kuyinza okuwonya amawuggwe amaddugavu. Okugatta ku ekyo, omusawo wo ayinza okuddukanya obubonero bw’amawuggwe amaddugavu ng’akozesa ebintu nga:

• Okussa ekkomo ku kukwatibwa amanda.
• Gezaako okuziyiza okwongera okunyiiga kw’amawuggwe go (lekera awo okunywa sigala n’okunywa sigala, funa eddagala lyo mu budde).
• Eddagala erikuuma emikutu gy’empewo nga miggule n’okukendeeza ku kuzimba (bronchodilators).
• Okuddaabiriza amawuggwe (`(Okuddaabiriza amawuggwe)`).
• Okuwa omukka gwa oxygen.

Kiki kye nsuubira singa mba n’embeera eno?

Okufuna okuzuulibwa ng’obulwadde bw’amawuggwe omuddugavu kiyinza okukutwalira ekiseera okukkaanya naddala ng’otalina bubonero bwonna. Embeera eno ejja kubeera naawe obulamu bwo bwonna.

Bw’oba ​​olina obulwadde bw’amawuggwe obuddugavu obuzibu, oyinza okuba n’obubonero obusingawo era nga weetaaga okulaba omusawo emirundi mingi. Oyinza n’okwetaaga omukka gwa oxygen ogw’okugatta. Okutwalira awamu, okunoonyereza kulaga nti obulwadde bw’amawuggwe obuddugavu bukendeeza ku bulamu bw’abantu emyaka nga 12.6.

Nsobola okudda ku mulimu?

Bw’oba ​​olina obulwadde bw’amawuggwe amaddugavu, si kirungi okugenda mu maaso n’okukola omulimu oguzingiramu enfuufu y’amanda ennyingi. Omusawo wo asobola okukuyamba okusaba pulogulaamu ya `Part 90 program`, ekuyamba okukyusa n'odda ku mulimu ogulina ``enfuufu entono.`` Okusinziira ku ngeri obubonero bwo gye buli obw'amaanyi, oyinza okusobola okukola emirimu emirala. Ate era kiyinza okukwetaagisa okuwummula ku mulimu ng’ate towulira bulungi.

Obulwadde bw’amawuggwe obuddugavu busobola okuziyizibwa?

Yee, obulwadde bw’amawuggwe obuddugavu busobola okuziyizibwa. Okugeza ebibiina nga OSHA (Occupational Safety and Health Administration) mu Amerika bitaddewo emitendera okuyamba okuziyiza endwadde z’amawuggwe g’abaddugavu. Bw’oba ​​okolera mu kirombe ky’amanda oba okumpi nayo, mukama wo alina okussa mu nkola enkola ezikendeeza ku bungi bw’enfuufu y’amanda mu kifo w’okolera n’okulongoosa empewo. Bwe kiba kisoboka, okwambala masiki ya ffeesi ekwatagana obulungi (egezeseddwa) kiyinza okukuyamba okukuuma enfuufu.

Bw’omala okukola, olina okusigala ng’oyambadde masiki okutuusa lw’oggyayo engoye z’okolera. Ggyako masiki nga tonnanaaba era onaabe bulungi obutundutundu bwa koolaasi bwonna okuva ku mutwe n’olususu. Kirungi okwambala masiki ne bw’oba ​​oyoza engoye z’omulimu.

Ani ali mu bulabe obw’amaanyi obw’okulwala obulwadde bw’amawuggwe obuddugavu?

Ekisinga okuleeta obulwadde bw’amawuggwe g’abaddugavu kwe kukola mu birombe by’amanda. Naye, bw’oba ​​oli (oba obadde) omusimi w’amanda, ebintu bino wammanga byongera ku bulabe bwo:

• Bw’oba ​​onywa sigala.
• Bw’oba ​​obadde ofunye enfuufu esukkiridde ng’okola.
• Bw’oba ​​okoze mu birombe by’amanda okumala emyaka mingi.
• Bw’oba ​​okoze mu bitundu omuli enfuufu y’amayinja oba silika omungi mu kirombe.

Nze nneerabirira ntya?

Bw’oba ​​olina obulwadde bw’amawuggwe amaddugavu, olina okussa ekkomo ku bintu ebiyinza okwongera okunyiiza amawuggwe go. Kuno kw’ogatta:

• Lekera awo okunywa sigala. Kino kyetaagisa nnyo eri obulamu bwo obuliwo kati n’obw’omu maaso. Naye si kyangu. Bw’oba ​​olina COPD era ng’onywa sigala, yogerako n’omusawo wo ku ngeri gy’oyinza okufunamu obuyambi okulekera awo. Ate era, weewale okubeera n’abantu abalala abanywa sigala (`secondhand smoke`) nga bwe kisoboka.
• Weewale ebirombe by’amanda. Okussa obutundutundu bw’amanda ne silika obusingawo kijja kwongera okusajjuka embeera yo.
• Faayo ku mbeera y’obudde. Okusingira ddala, kebera omuwendo gw’omutindo gw’empewo (AQI), ogutera okuloopebwa n’okuteebereza kw’obudde. Singa AQI "si nnungi eri ebibinja ebizibu" oba ekisinga obubi, gezaako okusigala mu nnyumba okutuusa lw'etereera - era yambala masiki bw'oba ogenda ebweru.
• Weewale okukwatibwa yinfekisoni. Obulwadde bw’okussa buyinza okwonoona embeera yo. Funa eddagala lyo erigema ssennyiga, pneumococcal pneumonia, ne COVID-19 mu budde. Ekirala, lowooza ku ky’okwambala masiki mu maaso ng’ogenda ebweru mu sizoni ya ssennyiga.
• Dduyiro, naye weegendereze. Yogerako n’omusawo wo ku dduyiro z’osobola okukola, engeri gy’osaanidde okwesika, n’engeri gy’oyinza okumanya oba weesika nnyo.
• Tegeka ku bbugumu erya flare-ups. Tewali ayagala kulowooza ku kulwala ng’owulira bulungi. Naye okubeera n’enteekateeka y’engeri gy’onooddukanyaamu obulwadde bw’okubumbulukuka kiyinza okukuyamba okwewala okunoonya obuyambi bw’abasawo ng’owulira ng’oli wansi ddala.

Ddi lwe nnina okulaba omusawo wange?

Omusawo wo ajja kwagala okukulaba okwekebejjebwa buli kiseera. Era ye muntu asinga okubuuza ku ddi n’awa w’osaanidde okunoonya obuyambi bw’abasawo.

Bibuuzo ki bye nnina okubuuza omusawo wange?

• Embeera yange mbi etya?
• Eddagala ki lye nneetaaga? Waliwo ebizibu byonna ebivaamu?
• Waliwo engeri gye nnyinza okukola dduyiro nga sirina bulabe?
• Mirundi emeka gye nnina okwekebeza obulwadde bw’amawuggwe amaddugavu?
• Nkole ntya singa mba nfunye ekizibu ky’okubumbulukuka?
• Nze nneetaaga okukyusibwa amawuggwe?

Ddi lwe nnina okugenda mu kisenge ky’abalwadde ab’amangu (ER)?

Bw’oba ​​olina okussa okutono okupya oba okutali kwa bulijjo, oba emimwa gyo, emikono oba ebigere bwe bifuuka bbululu (cyanosis), genda mangu omusawo ow’amangu.

Obulwadde bw’amawuggwe g’abaddugavu kafuba?

Nedda, obulwadde bw’amawuggwe omuddugavu si kafuba (TB). Akafuba bulwadde obuva ku buwuka obuyitibwa Mycobacterium tuberculosis. Busiigibwa, naye si kyangu kusaasaana wakati w’abantu.

Bw’oba ​​n’obulwadde bw’amawuggwe amaddugavu, abaserikale b’omubiri banafuwa, n’olwekyo emikisa gy’okufuna akafuba. Obumu ku bubonero bw’akafuba n’obulwadde bw’amawuggwe omuddugavu bufaanagana: okusesema, okulumwa mu kifuba, n’okufulumya omusulo. Naye obulwadde bw’amawuggwe omuddugavu si yinfekisoni. Bw’oba ​​olina obulwadde bw’amawuggwe amaddugavu nga tolina kafuba, ebiseera ebisinga tojja kufuna musujja oba okutuuyana ekiro.

Obulwadde bw’amawuggwe omuddugavu bulemu?

Kisinziira ku bintu ebiwerako. Mu nsi nga Amerika, obulemu nsonga ya mateeka. Ekibuuzo ekikulu wano kiri nti: Kati osobola okukola omulimu gwe wakola ng’osima amanda? Omusawo ajja kwetaaga okuloopa obungi bw’olina obulwadde bw’amawuggwe obuddugavu, obubonero bwo bwe buli, n’engeri gy’osobola okubufuga n’eddagala. Okusobola okufuna emiganyulo gy’obulwadde bw’amawuggwe g’abaddugavu, abasimi balina okukeberebwa okw’enjawulo okuyitibwa `413b examination.` Kino kigezo ekikolebwa abasawo abatendeke mu ngeri ey’enjawulo okukebera abasima amanda.

Oluusi, oyinza okuwulira ng’abantu bangi nnyo abakubuulira engeri y’okukolamu omulimu gwo. Naye tewali muntu yenna agwanidde kulwala olw’embeera ezitali za bukuumi. Eno y'ensonga lwaki amateeka galiwo - okukuyamba okukola obulungi. Ne bwe wabaawo kaweefube ono yenna ow’obukuumi ku mirimu, nga 16% ku basima amanda (ekyo 1 ku buli 6) bafuna obulwadde bw’amawuggwe obuddugavu.

Ne bw’oba ​​owulira bulungi ng’okozesa eddagala n’enkyukakyuka mu bulamu bw’omuntu, obulwadde bw’amawuggwe obuddugavu buyinza okuba obuzibu obuzibu okukkiriza naddala ng’olabye mikwano gyo ne banno nga babuyitamu. Bw’oba ​​waakazuulibwa, oba ng’obubonero bwo bweyongera era ng’olina obuzibu okugumira embeera eno, laba omusawo. Asobola okwekenneenya obulamu bwo n‟okuteesa ku bibiina ebiyamba n‟okuyingira mu nsonga eziyinza okukuyamba.

N’ekisembayo, jjukira (Obubaka bw’Okutwala Awaka) .

Obulwadde bw’amawuggwe amaddugavu mbeera ya maanyi, ey’obulamu bwonna, ereetebwa okussa enfuufu okuva mu birombe by’amanda. Engeri esinga okubuziyiza kwe kugoberera enkola z’obukuumi n’okukendeeza ku nfuufu.

• Bw’oba ​​okola mu mulimu ogukwata ku koolaasi, bulijjo beera mwegendereza obukuumi bwo. Yambala masiki entuufu mu maaso era ogoberere ebiragiro by’obukuumi ebiweereddwa kkampuni.
• Bw’ofuna obubonero, genda mangu omusawo amagezi. Okuzuula amangu n’okujjanjaba kiyinza okuyamba okuziyiza okwongera okukula kw’obulwadde n’ebizibu.
• Weewale ddala okunywa sigala. Kijja kwongera okwonoona obulamu bw’amawuggwe go.
• Goberera ddala ebiragiro by’omusawo n’enkola z’obujjanjabi.

Obulamu bwo buvunaanyizibwa bwo. N’olwekyo, kikulu nnyo okukimanya kino n’okukola ebyetaagisa.

` Obulwadde bw'amawuggwe omuddugavu, Obulwadde bw'amawuggwe obw'abakozi b'amanda, obulwadde bw'amawuggwe, amanda, enfuufu, obulwadde bw'okussa