Waliwo ekizimba mu kifuba kyo? Kyandiba nga (Bronchogenic Cyst)? Ka twogere ku nsonga eno!

Wali weebuuzizzaako oba oyinza okuba n’akazimba akatono akakula munda mu kifuba kyo nga totegedde wadde? Oluusi, kiyinza okumala emyaka nga tekirina bubonero bwonna. Olwaleero, tugenda kwogera ku mbeera eyitibwa Bronchogenic Cysts, ebeerawo ng’ozaalibwa naye ng’oluusi ziyinza okuleeta obuzibu nga zikula.

Ebizimba ebiva mu nnyindo (Bronchogenic Cysts) kye ki?

Mu ngeri ennyangu, Bronchogenic Cysts bizimba ebijjudde amazzi ebikolebwa mu kifo ekiri wakati mu kifuba kyo, kye tuyita mu by’obusawo Mediastinum. Lowooza ku kino, Mediastinum eno kye kitundu ky’ekifuba kyo ekikwata ebitundu ebikulu ng’ebimu ku misuwa eminene, omusuwa gwo, n’omusuwa gwo omukulu ogw’okussa, Trachea. Era kye kitundu ekyawula amawuggwe go.

Ekikulu nti bino ``Bronchogenic Cysts'' mbeera ya kuzaalibwa . Kino kitegeeza nti osobola okuba n’ebizimba bino mu mubiri gwo ng’ozze mu nsi eno. Kyokka ebiseera ebisinga, tezireeta buzibu bwonna mu buto.

Abantu bangi bakizuula nti balina ekizimba nga kino mu butanwa, bwe bakeberebwa X-ray mu kifuba oba sikaani endala olw’ensonga endala. Oluusi tewabaawo bubonero bwonna okumala emyaka 30 oba 40, era obuzibu butandika okuvaayo ng’ekizimba kikula katono. Kale, kya bulijjo okuwulira ng’osattira katono ng’okizudde mu bwangu nti olina ekizimba mu kifuba. Naye teweeraliikiriranga, waliwo obujjanjabi ku kino.

Bubonero ki obulaga obulwadde bwa Bronchogenic Cysts?

Wadde ng’ebizimba bino bitera okubaawo nga tebirina bubonero bwonna, abantu abamu bayinza okufuna obubonero, gamba nga:

• Okusesema ennyo
• Obuzibu okumira, ng'embeera gye tuyita ``Dysphagia''.
• Omusujja ogutera okubeerawo
• Okuwuuma kw’eddoboozi
• Okwongera ku sipiidi y’okussa n’okussa okutali kwa maanyi, ekiyitibwa `(Tachypnea)`
• Okuwuuma (okufuuwa enduulu) .

Obubonero buno busobola okulabika ku myaka gyonna. Naye emirundi egisinga obubonero buno bulabika ng’ekizimba kinene ne kitandika okunyigiriza ku payipu yo ey’empewo (trachea) oba payipu y’emmere (esophagus). Ebizimba bino ebiyitibwa bronchogenic cysts bisobola okukula okuva ku sentimita 2 okutuuka ku 15 (nga yinsi emu ku 5). Oluusi ebizimba bino bifuna obuwuka, ekiyinza n’okuleeta obubonero.

Lwaki ebizimba bino ebiva mu nnyindo bikola?

Ebizimba bino bitondebwa mu kiseera ky’okukula kw’omwana mu lubuto , kwe kugamba, ng’omwana akyali mu lubuto. Naye abasawo n’okutuusa kati tebannaba kutegeera bulungi kiki ddala ekizireeta.

Bizibu ki ebiva mu mbeera eno?

Zino `(Bronchogenic Cysts)` ziyinza okukuleetera obuzibu mu kussa n'okumira. Ebizimba bino nabyo bisobola okukwatibwa obuwuka. Naye,Ekizibu ekisinga okuba eky’obulabe kwe kuba nti emikisa mitono nnyo ebizimba bino okufuuka kookolo, y’ensonga lwaki kikulu okwegendereza kino.

Abasawo bazuula batya obulwadde bwa Bronchogenic Cysts?

Ebiseera ebisinga, bino `(Bronchogenic Cysts)` bizuulibwa mu butanwa, mu kiseera kya `(imaging test)` ekolebwa olw'ensonga endala. Okugeza nga:

• Oluusi okukebera omwana nga tannazaalibwa osobola okuzuula oba alina ekizimba eky’ekika kino.
• Singa ggwe oba omwana wo mukukebera X-ray mu kifuba ng’ekimu ku bigenda okukeberebwa bulijjo, ekizimba kino nakyo kiyinza okulabika.

Kiki ekibaawo singa ekizimba nga kino kizuulibwa nga kikeberebwa okukuba ebifaananyi?

Kyawukana okusinziira ku mbeera. Okugeza singa okukebera omwana mu ultrasound ng’oli lubuto kizuula nti omwana wo alina Bronchogenic Cyst, omusawo wo ajja kulondoola ekizimba kino mu nkula yonna ey’omwana.

Singa ggwe oba omwana wo muzuuliddwa ng’olina ekizimba eky’ekika kino, omusawo ayinza okulagira okukeberebwa nga bino okwongera okukakasa:

• CT scan (Computed Tomography - CT scan): Kino kikozesa X-ray ne kompyuta okukuba ebifaananyi ebikwata ku kitundu ekiyitibwa mediastinum, ekitundu ekiri wakati mu kifuba kyo oba eky’omwana wo.
• Esophagram: Kino kizingiramu okukuba ebifaananyi ebiwerako mu X-ray ku nnywanto yo oba omwana wo ng’omaze okunywa amazzi ag’enjawulo (contrast fluid).
• MRI (Magnetic Resonance Imaging - MRI): MRI esobola okufulumya ebifaananyi ebitegeerekeka obulungi, ebikwata ku kitundu eky’omu makkati, ekitundu ekiri wakati mu kifuba.

Ojjanjaba otya ekizimba kya `(Bronchogenic Cyst)`?

Ebiseera ebisinga, abasawo bagamba nti `(Bronchogenic Cyst)` eno bamulongooseemu. Kino kiri bwe kityo kubanga okuggyawo ekizimba kiyinza okukendeeza ku bulabe bw’ebizibu bye twayogeddeko. Kyokka n’enkola y’obujjanjabi eyinza okukyuka okusinziira ku mbeera.

Obujjanjabi nga oli lubuto

Omusawo wo ow’okuzaala-omusawo w’abakyala ajja kukutunuulira nnyo ekizimba kino. Singa ekizimba kiba kinene nnyo, oluusi osobola okukolebwa akakodyo akatono nga omwana tannazaalibwa (mu nnabaana), kwe kugamba, ng’akyali munda mu lubuto, okuggya amazzi mu kizimba . Kino kijja kuyamba okukendeeza ku puleesa ku mutima gw’omwana olw’ekizimba.

Tekitera nnyo, zino `(Bronchogenic Cysts)` zisobola okukula nga zinene ne ziziyiza omukutu gw'empewo gw'omwana. Singa kino kibaawo, omusawo wo ayinza okukuwa amagezi ku nkola ey’enjawulo eyitibwa `EXIT procedure` (Ex-utero Intrapartum Treatment) mu kifo ky’okuzaala okwa bulijjo (okuzaala mu bukyala) oba `(C-section).` Mu kino, ojja kuweebwa eddagala eribudamya.

Mu nkola eno eya ``EXIT procedure'', omusawo alongoosa asala mu nnabaana wo n'aggyawo omutwe gw'omwana, ensingo, n'ekifuba ekya waggulu ng'ayita mu kifo ekyo. Omwana bw’aba akyafuna omukka gwa oxygen ng’ayita mu nnabaana yo, omusawo alongoosa asala mu mubiri gw’omwana n’aggyamu ekizimba. Oluvannyuma lw’okuggyawo ekizimba, omusuwa gw’omu nnabaana gusalibwa, omusawo wo ow’okuzaala aggyayo ddala omwana ng’ayita mu kifo kye kimu ekyasalibwa emabegako.

Obujjanjabi bw’abaana abaakazaalibwa

Omwana wo omuwere ayinza obuteetaaga bujjanjabi bwa mangu. Wabula omusawo w’abaana omwana wo ajja kuba atunuulidde obubonero obuyinza okuva ku kizimba ekiyitibwa bronchogenic cyst. Kino kijja kukeberebwa mu kiseera ky’okukyalira omwana wo buli kiseera ng’alabirira omwana omulungi.

Obujjanjabi bw’abaana abawere, abaana n’abantu abakulu

Ku bantu abali mu myaka gino, omusawo ayolekedde okukuwa amagezi okulongoosebwa. Waliwo enkola bbiri enkulu ez’okulongoosa ezikozesebwa ku kino:

• Okusala ekifuba: Mu nkola eno, omusawo akulongoosa akusala mu lubuto, mu mugongo oba wakati w’embavu zo n’aggyamu ekizimba ng’ayita mu kyo.
• Okulongoosa ekifuba nga bayambibwako vidiyo (VATS): Mu nkola eno, omusawo ayingiza kkamera entono (ekyuma ekiyitibwa thoracoscope) mu kifuba okuzuula ekizimba n’okukiggyamu nga tasalako kinene. Eno nkola mpya nnyo era ya mulembe.

Waliwo ebizibu byonna ebiva mu bujjanjabi?

Yee, okulongoosa okuggyawo Bronchogenic Cyst kuyinza okuleeta ebizibu ebimu. Si buli muntu nti bino ajja kubifuna, naye kikulu okubimanya.

• Obutabeera bulungi mu nnyimba z’omutima (Arrhythmia). Kino kiyinza okukosa abantu abakulu abakadde ennyo.
• Okuzimba omusaayi n’okusannyalala nabyo bisinga kubeera mu bantu abakadde.
• Okunyiga ebiwundu.
• Pneumothorax oba okugwa kw’ensawo z’empewo mu mawuggwe (atelectasis).
• Okwonooneka kw’endwadde ezitwetoolodde, ebitundu by’omubiri, obusimu oba emisuwa.
• Okuvaamu omusaayi kitegeeza okuvaamu omusaayi okuva munda mu mubiri.
• Okukendeera kw’omukka gwa oxygen mu musaayi (Hypoxemia).
• Obulumi obuva ku kifuba (post-thoracotomy pain syndrome) bulumi obumala ebbanga eddene nga bumala emyezi oluvannyuma lw’okulongoosebwa.
• Yinfekisoni z’enkola y’okussa, okugeza ekifuba.
• Obulwadde bwa yinfekisoni mu kifo we balongoosebwa.

Ebizibu bino biyinza okwawukana okusinziira ku kika ky’okulongoosebwa kw’olongoosezza. Omusawo akulongoosa ajja kukunnyonnyola bulungi ebizibu bino ebiyinza okuvaamu nga tonnalongoosebwa.

Obulwadde bwa Bronchogenic Cysts busobola okuziyizibwa?

Oh nedda, tewali ngeri yonna gye tuyinza kuziyiza bino kutondebwa. Kubanga bino bitondebwa mu kiseera ky’omutendera gw’embuto.

Kiki kye nsuubira singa mba nnina ekizimba ekiyitibwa Bronchogenic Cyst?

Omusawo wo buli luvannyuma lwa kiseera ajja kukola okukebera ebifaananyi okulondoola embeera y’ekizimba. Singa ekizimba kifuuka kinene ekimala okukosa obulamu bwo oba obw’omwana wo, kiyinza okukuyamba okulongoosebwa okukiggyamu.

Nsaana okulaba omusawo ku ssaawa mmeka?

Singa ggwe oba omwana wo mufuna obubonero buno, laba omusawo mu bwangu:

• Okuwuuma mu ddoboozi okutagenda kugenda
• Okukaluubirirwa okumira
• Okukaluubirirwa okussa

Omusawo ajja kukola okukebera okwetaagisa okuzuula oba ekivaako obubonero buno ``Bronchogenic Cyst''.

Bronchogenic cysts kika kya kizimba ekikula mu mawuggwe g’omwana. Oluusi zisobola okuzuulibwa nga bakubwa ‘ultrasound scan’ ng’oli lubuto. Wabula ebizimba bino bisobola okukula nga totegedde okumala emyaka okutuusa ggwe oba omwana wo lwe batandika okulaga obubonero. Kya bulijjo okuwulira okweraliikirira nga bakugambye nti olina ekizimba mu kifuba ekiyinza okuba nga kikuleetera obuzibu mu kussa oba embeera ey’amaanyi ennyo, gamba nga kookolo. Omusawo wo ajja kutegeera enneewulira zo. Ggwe oba omwana wo muyinza okwetaaga okulongoosebwa okuggyamu ekizimba. Bwe kiba bwe kityo, omusawo ajja kukuwa amagezi okulongoosebwa okukusinga obulungi.

Ebintu by'olina okujjukira okuva mu kiwandiiko kino (Obubaka bw'okutwala awaka)

Okay, kale kati olina okutegeera okulungi ku bye tubadde twogera: Bronchogenic Cysts. Mu ngeri ennyangu, bino kika kya kizimba ekizaalibwa era nga kikolebwa wakati mu kifuba.

• Ebiseera ebisinga, buyinza obutabaawo bubonero, naye singa bweyongera okusajjuka, kiyinza okuvaako ebintu ng’okusesema, okukaluubirirwa okumira, n’okukaluubirirwa okussa.
• Kitera okuzuulibwa mu butanwa. Kikakasibwa n'okukeberebwa nga `(CT scan)` ne `(MRI)`.
• Obujjanjabi butera okuzingiramu okulongoosa okuggyamu ekizimba. Kino kiyinza okuziyiza ebizibu ebiyinza okubaawo mu biseera eby’omu maaso.
• Ekisinga obukulu kwe kunoonya amagezi g’abasawo awatali kulonzalonza singa ggwe oba omwana wo mulina obubonero buno. Gy’okoma okukitegeera amangu, gye kikoma okwanguyirwa okukijjanjaba.

Kale, tusuubira nti amawulire gano gaakuyamba. Sigala nga oli mulamu bulungi!

` Bronchogenic cyst, ebizimba mu kifuba, endwadde z’okussa, endwadde ezizaalibwa, mediastinal cyst, obulamu bw’abaana, okulongoosebwa