Omusujja ogw’ekyewuunyo ogusiigibwa ebisolo? Ka twogere ku bulwadde bwa Brucellosis!

Oluusi owulira ng’onafuye awatali nsonga? Oba ennyondo zo ziruma, owulira omusujja, otuuyana, naye gugenda oluvannyuma lw’ennaku ntono ate ne gukomawo? Singa obubonero buno busigalawo, buyinza okuba obulwadde bwe tutayogerako nnyo, naye nga kirungi okumanya. Emu ku bulwadde obwo ye Brucellosis.

Obulwadde bwa Brucellosis kye ki?

Mu ngeri ennyangu, obulwadde bwa brucellosis bulwadde obuva ku kika kya bakitiriya ekiyitibwa Brucella . Obubonero buno mulimu omusujja, okulumwa ennyondo n’okutuuyana. Kyokka obubonero buno tebujja ne bugenda omulundi gumu, era oluusi bujja ne bugenda ng’obudde buyise.

Brucellosis bulwadde bwa zoonotic, ekitegeeza nti busibuka mu bisolo . Era kimanyiddwa n’amannya amalala, gamba nga ‘omusujja ogw’amaanyi’, ‘omusujja gwa Malta’, ne ‘omusujja gw’e Mediterranean’.

Ani asinga okulwala obulwadde bwa brucellosis?

Obulwadde buno obuyitibwa brucellosis busangibwa mu mawanga mangi okwetoloola ensi yonna. Oli mu bulabe bwa maanyi okukwatibwa obuwuka buno obwa `Brucella` singa:

• Omuntu akola n'ebisolo , ng'omusawo w'ebisolo.
• Bw’oba ​​okolera ku faamu oba ku ddundiro ly’amata.
• Bw’oba ​​okolera mu dduuka ly’ennyama, mu kifo awasalirwa ennyama oba omuntu akwata ennyama embisi.
• Bw’oba ​​muyizzi oba oteekateeka ennyama y’ebisolo ebiyiggibwa.
• Bwoba okolera mu laabu ekebera obuwuka bwa `Brucella`.
• Bw’oba ​​olya ennyama etafumbiddwa bulungi oba ng’okozesa amata agatali malongooseemu (e.g. amata, kkeeki, yogati).

Kino kya bulijjo kitya?

Bw’otunuulira ensi yonna, abantu nga 500,000 be bakwatibwa obulwadde bwa brucellosis buli mwaka. Wabula mu mawanga nga America, kino kitono katono, abantu nga 100-200 bokka be bakwatibwa buli mwaka. Wadde nga tewali bibalo bituufu ku ngeri gye kiri mu nsi yaffe, akabi kano kayinza okubaawo mu abo abakolagana n’ebisolo.

Obulwadde bwa brucellosis bukola ki ku bantu?

Lowooza ku kino, obuwuka buno obuyitibwa `Brucella` bwa makubo nnyo. Kiyingira mu mubiri gwo nga kiyita mu kamwa, mu nnyindo, amaaso, oba n’ekiwundu ekitono mu lususu lwo . Olwo, kigenda mu nnywanto zo oba ebitundu ebirala ne kitandika mpola okweyongera. Okuva awo, obuwuka buno busobola okusaasaana kumpi mu kitundu kyonna eky’omubiri gwo. Buyinza n’okugenda mu bifo ng’omutima gwo, ekibumba, obwongo, n’amagumba , gye biyinza okuzimba ne bitandika okwonooneka.

Bubonero ki obulaga kino?

Kiyinza okutwala wiiki bbiri oba nnya, oba n’okusingawo, obubonero okulabika ng’omaze okukwatibwa obuwuka bwa Brucella.Obubonero buno busobola okujja ne bugenda okumala emyezi, wadde emyaka. Bino bye bimu:

• Okubeera n’omusujja.
• Okutuuyana (oluusi kiyinza okuwunya ng’ekikuta).
• Obulumi mu binywa naddala mu bisambi, amaviivi oba wansi w’omugongo.
• Okugejja mu ngeri etategeerekeka.
• Okulumizibwa omutwe .
• Obulumi mu lubuto.
• Okuwulira ng’oyagala okulya oba olubuto olutabuse.
• Embeera z‟obwongo ng‟okwennyamira.
• Ennywanto z’amazzi zigaziwa era nga ziruma.
• Okwewulira okutwalira awamu nga tolina mirembe n’obutabeera bulungi.

Kiki ekivaako kino?

Obulwadde bwa Brucellosis buva ku bika bya bakitiriya ebya `Brucella` ebiwerako. Ebikulu bye bino: `B. okuggyamu olubuto`, `B. canis`, `B. melitensis` (ekika ekisinga okukwata abantu) ne `B. suis`. Ebisolo bitambuza obuwuka buno obwa `Brucella`. Ekyo kitegeeza nti ebisolo bino bye bitambuza obuwuka buno. Ka tulabe ebisolo ebyo bye biruwa:

• Ente
• Embuzi
• Embizzi
• Empeewo
• Moose, Elk - Wadde ebisolo bino tebiri mu Sri Lanka, bisangibwa mu bitundu by’ensi ebirala.
• Endiga
• Embwa - Yee, embwa nazo zisobola okusiiga obulwadde buno naddala ekika kya `B. canis`.
• Engamiya

Obulwadde bwa brucellosis busiigibwa butya?

Obulwadde bwa Brucellosis busaasaana nga bukwatagana n'ebisolo ebirina obulwadde buno oba okuyita mu mata agatali malongooseemu . Waliwo engeri eziwerako gy’oyinza okufunamu obulwadde buno:

• Nga onywa amata agatali ga pasteurized (amabisi) oba okulya amata agatali ga pasteurized nga cheese ne ice cream. Amata agava mu bisolo ebirina obulwadde buno gasobola okubeeramu obuwuka buno. Wabula obuwuka buno busaanawo mu nkola eyitibwa pasteurization. N’olwekyo, ekisolo ne bwe kiba nga kirina obulwadde bwa brucellosis, tekiba kya bulabe okunywa amata g’embuzi, ente, endiga oba ag’eŋŋamira agafumbiddwa.
• Nga okwata ku bitundu by’omubiri oba amazzi g’omubiri gw’ekisolo ekirimu akawuka. Obuwuuka bwa Brucella busobola okuyingira mu mubiri gwo nga buyita mu kakwate akatono oba akasala ku lususu lwo, oba nga buyita mu maaso go, ennyindo oba akamwa.
• Nga ossa obuwuka bwa Brucella. Osobola okussa obutundutundu bwa Brucella obufulumye mu mpewo okuva mu bitundu ebirabika oba omusaayi gw’ekisolo ekirimu akawuka. Obulabe buno buba bungi singa okolagana ne Brucella mu laabu, okuteekateeka ennyama y’ebisolo by’omu nsiko, okukola ku faamu, mu kifo awasalirwa ensolo oba mu kyuma ekipakira ennyama.
• Nga balya ennyama efumbiddwa bulungi.

Okusiiga obulwadde bwa brucellosis okuva mu bantu okudda mu bantu tekitera nnyo, naye wabaddewo abalwadde abawerako abategeezeddwa:

• Okuva ku maama ali olubuto okutuuka ku mwana ali mu lubuto.
• Nga oyonsa.
• Okuva mu kwegatta (naye kino tekitera kubaawo nnyo).

Buno bulwadde bwa kwegatta (STI)?

Nedda, obulwadde bwa brucellosis tebutwalibwa ng’obulwadde bw’ekikaba (STI). Wabaddewo batono nnyo abategeezeddwa nti balina obulwadde bwa brucellosis obusaasaana nga buyita mu kwegatta.

Abasawo kino bakizuula batya?

Omusawo azuula obulwadde bwa brucellosis ng’abuuza ku bubonero bwo n’oluvannyuma n’akebera omusaayi gwo, ebitundu by’omubiri oba sampuli endala okulaba obubonero bwa obuwuka bwa Brucella. Olw’okuba obubonero bw’obulwadde bwa brucellosis bufaananako n’obw’endwadde endala, omusawo ayinza n’okukeberebwa okugaana endwadde endala.

Engeri esinga okukakasa nti omuntu alina obulwadde bwa Brucella kwe kukuza obuwuka buno okuva mu mazzi oba ebitundu by’omubiri. Wabula Brucella buwuka obukula mpola, n’olwekyo kiyinza okukutwalira wiiki eziwera okukakasa nti olina obulwadde buno. Oyinza okwetaaga okukeberebwa omusaayi ogusukka mu gumu mu wiiki eziwera okukebera obubonero bwa Brucella.

Ebigezo bya ngeri ki ebikolebwa?

Omusawo ayinza okukola ebigezo bino wammanga okuzuula oba olina obulwadde bwa brucellosis:

• Okukebera omusaayi: Omusawo ajja kuggya omusaayi mu musuwa oguli mu mukono gwo ng’akozesa empiso. Laabu ejja kukebera obubonero bwa obuwuka bwa Brucella (antibodies, antigens, oba DNA) mu musaayi guno, oba guyinza okukula okumala ekiseera (culture).
• Okukebera amazzi g’omubiri amalala: Sampuli z’amazzi okuva mu mazzi g’omugongo, amazzi g’ennyondo oba ebitundu ebirala eby’omubiri gwo oyinza okutwalibwa okunoonya n’okukuza Brucella.
• Tissue biopsy: Sampuli y’obusigo bw’amagumba go oba ebitundu ebirala oyinza okutwalibwa okunoonya obubonero bwa Brucella n’okugikula.
• Okukuba ebifaananyi: Okusinziira ku bitundu by’omubiri gwo ebikoseddwa, omusawo ayinza okulagira okukeberebwa nga X-ray, CT scans, MRIs, bone scans, ultrasounds, oba echocardiograms. Bino bikuba ebifaananyi by’omubiri gwo munda okulaba oba waliwo enkyukakyuka yonna mu magumba oba mu bitundu by’omubiri byo.

Kino kikwatibwa kitya?

Omusawo wo ajja kujjanjaba obulwadde bwa brucellosis ng'agatta ebika by'eddagala eritta obuwuka ebitakka wansi wa bibiri . Ojja kwetaaga okumira eddagala lino okumala waakiri wiiki 6 ku 8. Okusinziira ku mbeera yo, obujjanjabi obulala (okugeza, okufulumya amasira mu bitundu ebirimu obuwuka oba okuddukanya ebizibu) nabyo biyinza okwetaagisa.

Eddagala ki erikozesebwa ku bulwadde bwa brucellosis?

Eddagala eritta obuwuka abasawo lye bawandiika okujjanjaba obulwadde bwa brucellosis lye lino:

• `(Streptomycin)` oba `(Gentamicin)`
• `(Rifampin)`
• `( Doxycycline ( Ekirungo kya Doxycycline) ) `
• `(Eddagala lya Trimethoprim/sulfamethoxazole - TMP/SMX)`
• `(Eddagala lya Ciprofloxacin)`

Ekisinga obukulu kwe kumira eddagala lino ddala nga bwe likulagidde omusawo, mu ddoozi entuufu, okumala ebbanga lyonna ly’omala ng’ojjanjabiddwa. Bwe kitaba ekyo, obulwadde buno buyinza okuddamu.

Oyinza otya okuddukanya obubonero?

Wadde omira eddagala eriragiddwa okutta obuwuka, osobola n’okuddukanya obumu ku bubonero bw’obulwadde bwa brucellosis, gamba ng’okulumwa ennyondo n’omusujja, awaka. Buuza omusawo wo oba waliwo eddagala lyonna eritali ku ddagala (OTC) oba obujjanjabi obulala bw’osobola okukozesa ku bubonero bwo era oba tebulina bulabe gy’oli.

Kino kiyinza kitya okuziyizibwa?

Osobola okukendeeza ku bulabe bw’okufuna obulwadde bwa brucellosis ng’ogoberera enkola z’obukuumi bw’emmere n’okwambala engoye ezikuuma ng’okola n’ebisolo. Okugeza nga:

• Tonywa mata agatali ga pasteurized, era tolya mmere ekoleddwa mu mata agatali ga pasteurized.
• Yambala eby’okwerinda ebituufu ng’okola n’ebisolo n’ebitundu by’ebisolo. Kino kiyinza okuzingiramu ggalavu, epulaani oba endabirwamu ezikuuma. Abantu abakola mu maduuka g’ennyama, abasawo b’ebisolo, abayizzi, abalimi, abakola mu bifo ebisala ensala, n’abakozi mu laabu y’abasawo balina okwegendereza naddala.
• Fumba ennyama ku bbugumu eritali lya bulabe. Ekirala bulijjo naaba bulungi mu ngalo, ebikozesebwa n’ebipande by’okusala ng’omaze okuteekateeka emmere. Ennyama y’ebisolo esobola okubeeramu obuwuka bwa Brucella.

Jjukira nti ne mu nsi yaffe abantu abamu mu byalo banywa amata ge baakayiwa awaka nga tebagabugumya. Ekyo si kintu kirungi n’akatono. Kisinga bulabe okukozesa amata gokka agafumbiddwa obulungi oba agafuuse pasteurized.

Kiki ekibaawo singa ofuna obulwadde bwa brucellosis? (Okuteebereza)

Abantu abasinga abalina obulwadde bwa brucellosis bawona ddala nga bajjanjabwa eddagala eritta obuwuka. Naye kiyinza okutwala akaseera. Oyinza okwetaaga okumira eddagala eritta obuwuka okumala wiiki, oba n’emyezi, okukakasa nti obuwuka bwonna obuli mu mubiri gwo buweddewo.

Oluusi, obulwadde bwa brucellosis busobola okuddamu ng’obujjanjabi buwedde. Kino kituufu naddala bw’oba ​​tomira ddagala eritta obuwuka nga bwe liragiddwa ddala. Obubonero obumu, gamba ng’endwadde z’enkizi, buyinza okusigala nga bujjanjabiddwa. Singa obulwadde bwa brucellosis buleeta ebizibu, oyinza okwetaaga eddagala oba obujjanjabi obw’enjawulo.

Bizibu ki ebiyinza okuva mu kino?

Obulwadde bwa Brucellosis butera okuvaamu ebizibu singa bulekebwa okumala ebbanga eddene nga tebujjanjabiddwa. Ebizibu bino mulimu:

• Endwadde z'enkizi ezigenda mu maaso .
• Ekibumba ekigazi (Hepatomegaly) oba ennywanto egaziye (Splenomegaly).
• Embeera eyitibwa `(Chronic Hepatosplenic Suppurative Brucellosis - CHSB) . Wano ebizimba (ensawo z’amasira) we bikula mu nnywanto yo n’ekibumba. Kino kiyinza okubaawo nga wayise emyaka oluvannyuma lw'okukwatibwa obulwadde bwa `Brucella`.
• Yinfekisoni n’okuzimba kw’omutima gwo `(Endocarditis)` , yinfekisoni z’obwongo oba ebibikka obwongo `(Encephalitis oba Meningitis)` , yinfekisoni z’omugongo `(Spondylitis)` , yinfekisoni z’amagumba `(Osteomyelitis)` oba yinfekisoni z’omugongo ogwa wansi `(Sacroiliitis)` .
• Obulwadde bwa Epididymo-orchitis buzimba ensigo ne vas deferens mu basajja.
• Okuvaamu olubuto.

Brucella mu bantu asobola okuwona?

Yee, yinfekisoni za Brucella mu bantu zisobola okuwona n’eddagala eritta obuwuka. Kyokka ebizibu ebimu bisobola okuleeta okwonooneka okumala ebbanga eddene.

Obulwadde bwa brucellosis busobola okuleeta okufa?

Si kya bulijjo nnyo omuntu okufa obulwadde bwa brucellosis. Omuwendo gw’abafa olw’obulwadde bwa brucellosis guli wakati wa 1% ne 2% zokka ku balwadde bonna.

Nkola ntya okwerabirira ng’omuntu alina obulwadde bwa brucellosis?

Singa omusawo akugamba nti olina obulwadde bwa brucellosis, ne bw’oba ​​owulira bulungi, mira eddagala lyonna nga bwe likulagidde era okumala ebbanga lyonna. Singa olekera awo okumira amangu eddagala eritta obuwuka, obulwadde bwa brucellosis busobola okuddamu. Bw’ofuna obubonero obupya oba singa obubonero bwo bweyongera, tegeeza omusawo amangu ago.

Ddi lwe nnina okulaba omusawo?

Bw’oba ​​olina obubonero bw’obulwadde bwa brucellosis naddala ng’omulimu gwo oba by’oyagala ennyo bikuteeka mu bulabe bw’okukwatibwa obulwadde buno, kakasa nti ogenda ew’omusawo.

Ddi lw’osaanidde okugenda mu kitongole ekijjanjaba abalwadde ab’amangu (ETU) ?

Bw’oba ​​olina obubonero buno obw’amaanyi, genda mangu mu kisenge ky’abalwadde ab’amangu:

• Omusujja ogw’amaanyi ennyo (okusukka 103 Fahrenheit / 39.4 Celsius).
• Obulumi obw’amaanyi mu lubuto.
• Okutabulwa oba enkyukakyuka endala mu birowoozo.

Bibuuzo ki by’osaanidde okubuuza omusawo?

Bw’ogenda okulaba omusawo, kiba kirungi n’obuuza ebibuuzo bino:

• Obujjanjabi butwala bbanga ki?
• Eddagala ndimira ntya?
• Nsobola ntya okuddukanya obubonero bwange awaka?
• Ddi lwe nnandiddako okugoberera naawe?
• Bubonero ki bwe nnina okugenda mu ER?

Obubaka Obusembayo Okutwala Awaka

Obulwadde bwa Brucellosis bulwadde bwa bakitiriya obusobola okutandika mpola nnyo, okumala ebbanga eddene, era si bwa bulijjo nnyo. Obubonero bwayo bufaananako n’endwadde endala nnyingi, n’olwekyo kikulu okugenda ew’omusawo okuzuula obulungi n’okujjanjaba. Obulwadde bwa Brucellosis butera obutaba bwa maanyi nnyo. Naye kiyinza okukosa amagumba go n’ebitundu by’omunda, n’olwekyo kikulu okufaayo ennyo ku bubonero bwo. Bw’ofuna obubonero obupya oba bw’oba ​​weeraliikirira ekintu ky’olina edda, tolwawo kutuukirira musawo wo.

` Brucellosis, endwadde z’ebisolo, yinfekisoni za bakitiriya, omusujja, okulumwa ennyondo, amata agatali ga pasteurized