Ntegeera okutya n’okweraliikirira maama oba taata by’awulira ng’alaba ekintu ekyewuunyisa ku mubiri gw’omwana we omuto. Naddala omwana omuwere bw’afuna amabala aga bbululu-kakobe ku lususu lwe mu bwangu, kiyinza okweraliikiriza ennyo. Embeera eno mu by'obujjanjabi gye tuyita "Blueberry Muffin Rash." Erinnya lino liyinza okuwulikika ng’eryewuunyisa, naye kikulu okulimanya kubanga wayinza okubaawo ensonga eziwerako ez’amaanyi ezigiviirako.
‘Blueberry muffin rash’ eno kye ki?
Mu ngeri ennyangu, eno mbeera ya lususu eyinza okukwata abalongo n’abaana abawere abato. Kiyitibwa ‘blueberry muffin rash’ kubanga amabala galabika ng’ennyiriri za bbululu-kakobe ku muffin wa blueberry. Ziyinza okulabika ng’ebitundu ebyekulungirivu oba ng’ebizimba ebigulumivu ku lususu.
Ekikulu nti ebitundu bino tebiri ku lususu, wabula birabika nga byatondebwa munda mu lususu . Kino si kizimba kya bulijjo.
Waliwo ensonga ssatu enkulu lwaki amabala gano gayinza okulabika:
1. Extramedullary hematopoiesis: Mu budde obwabulijjo, omusaayi gwaffe gukolebwa mu busimu bw’amagumba. Wabula olw’embeera z’obujjanjabi ezimu, obutoffaali obukola omusaayi butandika okukuŋŋaanyizibwa ne bukola ebibinja ebweru w’obusimu bw’amagumba, gamba nga mu lususu. Ebibinja by’obutoffaali bino bye birabika ng’amabala.
2. Okuvaamu omusaayi mu lususu (Purpura): Ekika kino eky’embalabe eya kakobe kiyinza okubaawo ng’omusaayi gukulukuta mu bitundu by’olususu olw’okwonooneka kw’emisuwa oba obunafu mu nkola y’okuzimba omusaayi.
3. Okusaasaana kw’obutoffaali bwa kookolo (Metastasis): Mu bika bya kookolo ebimu, obutoffaali bwa kookolo busobola okusaasaana ku lususu okuva mu bitundu by’omubiri ebirala ne buleeta ebizimba nga bino.
Embeera z’obujjanjabi ezisinga ezisibukako ezireeta bino byonna ebisatu tezitera kubaawo. Ekirala, omwana wo ajja kutera okuba n’obubonero obulala wamu n’amabala gano. Amabala gano tegajja kuwona ku bwabyo. N’olwekyo, ‘blueberry muffin rash’ kabonero ka maanyi akalaga nti omwana wo yeetaaga okujjanjabibwa mu bwangu.
Biki ebikulu ebiyinza okuvaako kino?
Teweeraliikiriranga, tujja kwogera bulungi ku biti ebikulu eby’ensonga ezikosa kino, kimu ku kimu.
TORCH Yinfekisoni
TORCH kifupi kya bibinja bya yinfekisoni eziwerako ezikwata omwana ali mu lubuto oba omwana omuwere mu lubuto. Yinfekisoni zino zisobola okusiigibwa okuva ku maama okudda ku mwana ng’ali lubuto, ng’azaala oba ng’amaze okuzaala.
TORCH kitegeeza:
- T - Obulwadde bwa Toxoplasmosis
- O - Yinfekisoni endala - okugeza kabootongo, ekifuba, parvovirus B19
- R- Rubella
- C - Akawuka ka Cytomegalovirus (CMV) .
- H - Akawuka ka Herpes simplex (HSV) .
Ng’oggyeeko yinfekisoni zino, omwana ayinza n’okulaga obubonero obulala ng’omusujja, okukaluubirirwa okulya, jaundice, obuzito obutono ng’azaalibwa, obutawulira bulungi, n’ekibumba n’ennywanto okugaziwa (hepatosplenomegaly).
Kino kiraga nti kikulu nnyo okugenda ew’omusawo mu budde n’okukeberebwa okwetaagisa ng’oli lubuto. Okuyita mu kino, osobola okumanya nga bukyali oba olina yinfekisoni ez’ekika kino oba olina obutafaali obuziyiza endwadde.
Ebizimba Ebimu ne Kookolo
Ebika bya kookolo ebimu eby’abaana nabyo bisobola okuvaako ‘blueberry muffin rash’ eno. Zino mbeera za bbula nnyo.
- Obulwadde bwa Histiocytosis
- Leukemia (kookolo w’omusaayi) .
- Obulwadde bwa mastocytosis
- Obulwadde bw’obusimu obuyitibwa neuroblastoma
- Obulwadde bwa Rhabdomyosarcoma
- Disient myeloproliferative disorder - Kino kitera nnyo naddala mu baana abalina obulwadde bwa Down syndrome.
Embeera zino ziyinza okuwerekerwako obubonero ng’okukoowa ennyo, omusujja, okugejja, okufuuka omumyufu (olw’okubulwa omusaayi), okuzimba ennywanto z’omusaayi, n’okukaluubirirwa okussa.
Ebizibu ebirala ebikwata ku kukola omusaayi (Extramedullary Hematopoiesis) .
Nga bwe twayogeddeko emabegako, amabala gano nago gava ku extramedullary hematopoiesis. Ebimu ku bintu ebirala ebivaako kino bye bino:
- Obulwadde bw’omusaayi mu mwana omuwere: Okumenya amangu obutoffaali obumyufu obw’omwana olw’ensonga ng’obutakwatagana mu kika ky’omusaayi ekya ABO wakati wa maama n’omwana.
- Hereditary spherocytosis: Embeera ey’obuzaale ereeta enkyukakyuka mu nkula y’obutoffaali obumyufu.
- Twin-to-twin transfusion syndrome: Omusaayi obutatambula bwenkanya wakati w’abalongo abagabana nnabaana emu.
Abasawo bazuula batya ekizibu ekituufu?
Omusawo w’omwana wo ajja kusooka kwekebejja omwana wo n’obwegendereza era akebere obubonero obulala. Olwo, bajja kuteesa ku kukebera okuwerako okuzuula ekituufu ekivaako.
| Ekigezo | Bye Kkebera? |
|---|---|
| Okukebera omusaayi | Okubala omusaayi mu bujjuvu (CBC), okukebera yinfekisoni n’ebirala ebitali bya bulijjo mu musaayi. |
| Okukebera omusulo | Obubonero bw’obulwadde obumu n’embeera z’obujjanjabi. |
| Taapu y’omugongo/Okufumita mu kisambi | Kebera amazzi g’omu bwongo (CSF) okunoonya obubonero obulaga nti olina obulwadde. |
| Okukebera olususu | Okukebera oba leukemia oba obutoffaali bwa kookolo obulala. |
| Okukebera obusigo bw’amagumba | Okunoonya obulwadde bwa leukemia, ebirala ebitali bya bulijjo mu musaayi, yinfekisoni, ne kookolo. |
| Okukebera eddoboozi mu lubuto | Okukebera ekibumba n’ennywanto ebinene n’ebizimba nga neuroblastoma. |
Singa kiteeberezebwa nti alina obulwadde bwa TORCH, omusawo ayinza n’okuteesa ku maama okukeberebwa okukwatagana.
Bujjanjabi ki obukolebwa ku kino?
Kino kizibu abantu bangi kye balina. Jjukira nti obujjanjabi bw’obulwadde bwa ‘blueberry muffin rash’ kwe kujjanjaba embeera eyaliwo eyabuleeta. Kwe kugamba, olw’okuba amabala gano kabonero, twetaaga okujjanjaba embeera eyaliwo eyavaako obubonero obwo.
Okugeza nga:
- Singa ekivaako kiba kya TORCH infection, eddagala eritta obuwuka, eritta obuwuka, oba eddagala eritta akawuka liweebwa.
- Singa ekivaako kookolo nga neuroblastoma, okulongoosa, eddagala eriweweeza ku bulwadde, obujjanjabi bw’abaserikale b’omubiri, oba obujjanjabi obw’amasannyalaze kiyinza okwetaagisa.
Ttiimu y’abasawo b’omwana wo ejja kukunnyonnyola enteekateeka y’obujjanjabi esinga obulungi eri omwana wo, n’olwekyo tolwawo kwogera nabo ku bibuuzo byonna oba ebikweraliikiriza by’oyinza okuba nabyo.
Ddi lw’osaanidde okulaba omusawo mu bwangu?
Eky'okuddamu kyokka ku kino kiri nti "Mangu ddala!"
Bw’olaba akatundu aka bbululu-kakobe oba ekizimba nga kino ku mubiri gw’omwana wo, tokibuusa maaso. Omwana wo bw’aba yafuna dda obujjanjabi mu ddwaaliro, tegeeza omusawo oba nnansi mu bwangu. Bw’oba oli waka, twala mangu omwana wo mu ddwaaliro erikuli okumpi erya Emergency Treatment Unit (ETU).
Wadde embeera eno tetera kubaawo, eyinza okuba akabonero akalaga nti waliwo ekintu eky’amaanyi ekituuse ku mubiri gw’omwana wo. Kino kiyinza okutiisa ennyo, naye ekisinga obukulu kwe butatya n’okukola amangu. Ttiimu y’abasawo ejja kuzuula mangu ekivaako omwana wo era ejja kuwa omwana wo obujjanjabi obusinga obulungi.
Obubaka Obutwala Awaka
- Blueberry Muffin Rash si kuzimba ku lususu lwokka, kiyinza okuba akabonero k’embeera ey’amaanyi esirikidde.
- Ekintu eky’enjawulo kwe kuba nti amabala gano galabika nga gakola munda mu lususu so si waggulu waalwo.
- Bw’olaba amabala ag’ekika kino ku lususu lw’omwana wo, tolwawo era amangu ago ogalaga omusawo oba genda mu ddwaaliro ekikola ku by’obujjanjabi obw’amangu (ETU).
- Kikulu nnyo okunoonya amagezi amatuufu mu basawo n’okukeberebwa ng’oli lubuto okuziyiza oba okuzuula yinfekisoni nga TORCH nga bukyali.
- Yogera mu lwatu ne ttiimu yo ey’abasawo ku nteekateeka yo ey’okuzuula obulwadde n’obujjanjabi. Bajja kukuwa obuyambi ggwe n’omwana wo bwe mwetaaga.
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