Naawe olina obuzibu mu kussa? Kiba kintu kigwira mu mawuggwe go? Ka twogere ku bulous Emphysema!

Oluusi owulira ng’omukka gukukendeddeko katono, ng’ekifuba kikunyiga? Oba olina okusesema nga kweyongera obubi ku makya, oba owulira ng’okooye? Bino biyinza obutaba bubonero bwa musujja gwokka. Ziyinza okuba obubonero bw’embeera y’amawuggwe eyitibwa Bullous Emphysema , gy’osaanidde okweraliikirira. Kale, ka twogere ku nsonga eno mu bujjuvu katono leero, nga bw’oyogera ne mukwano gwo, okay?

Bullous Emphysema kye ki?

Mu ngeri ennyangu, Bullous Emphysema kika kya bulwadde bw’amawuggwe obuyitibwa emphysema . Emphysema ebaawo ng’ebisenge by’obusawo obutonotono obw’empewo munda mu mawuggwe go obuyitibwa alveoli , byonoonese. Jjukira nti enseke zino ze zisinga okukola omulimu omukulu ogw’okuyingiza omukka gwa oxygen n’okufulumya kaboni dayokisayidi nga tussa.

Kati, mu bullous emphysema, ekibaawo nti ebisenge by’emisuwa egyo byonoonebwa, ne bizimba ne bikola ensawo ennene ez’empewo, nga bbaluuni. Zino tuziyita bullae . Bullae zino zisobola okuba ennene okusinga sentimita.

Ekizimba kino bwe kikolebwa, kitaataaganya obusobozi bw’amawuggwe okukola obulungi. Kifuuka kizibu eri enseke okuwanyisiganya omukka gwa oxygen ne carbon dioxide. Embeera eno esobola okubaawo mu mawuggwe agamu oba gombi. Kyokka ekizimba kino ne bwe kiba nga kikolebwa mu mawuggwe agamu, kiyinza okutaataaganya obusobozi bw’amawuggwe amalala okufuuwa ekitegeeza okussa. Oluusi, singa ekizimba kino kifuuka kinene nnyo, amawuggwe gayinza okugwa, ne galeeta embeera eyitibwa Vanishing Lung Syndrome . Wadde nga kino kiyinza okuleeta okwonooneka kw’amawuggwe okw’olubeerera, obujjanjabi obutuufu busobola okufuga embeera eno n’okwongera ku bulamu bwo.

Ani asinga okulwala embeera eno?

Mu butuufu, omuntu yenna asobola okufuna obulwadde bwa bulllous emphysema, ka kibeere myaka, ggwanga, oba kikula ki. Kyokka, kisinga kukwatagana n’obulwadde bw’amawuggwe obutawona (COPD) , obulwadde bw’amawuggwe obuva ku kunywa sigala. Ate era bw’oba ​​olina embeera z’obuzaale ezimu, akabi kwo kaba kasinga. Okugeza nga:

• Obutabeera na ddagala lya Alpha-1 antitrypsin
• Obulwadde bwa Ehlers-Danlos
• Obulwadde bwa Marfan syndrome

Okugatta ku ekyo, abantu abalina akawuka ka Human Immunodeficiency Virus (HIV) nabo bali mu bulabe obw’okufuna obulwadde bwa bullous emphysema.

Kino kya bulijjo kitya? Lwaki kino kibaawo?

Mu nsi yonna, abantu abasoba mu 5% n’abantu abakulu abasukka mu 12% abasukka emyaka 30 bategeezebwa nti balina obulwadde bwa bullous emphysema. Era y’esinga okutta abantu mu mawanga nga Amerika. Kale, kino si kintu kya kutwalibwa ng’ekitono.

Kati ka tulabe lwaki kino kibaawo.

Ekisinga okuvaako bullous emphysema kwe kunywa sigala . Obuzimba obutawona obuva ku mukka gwa sigala kwonoona ebisenge by’ennywanto zo. Kino kireetera ensawo z’empewo okugaziwa, ne kiremesa entambula ya oxygen ne carbon dioxide.

Ng’oggyeeko okunywa sigala, waliwo n’ebirala ebivaako:

• Okunywa sigala wa crack cocaine oba enjaga.
• Okukozesa eddagala mu misuwa.
• Embeera z’obuzaale ezoogeddwako waggulu nazo zisobola okuvaako ebisenge by’ennywanto okunafuwa n’okwonooneka, ekivaako obulwadde bwa bullous emphysema.

Bubonero ki obulaga kino?

Akabonero akakulu era akasinga okulabika mu bullous emphysema kwe kussa obubi . Kino kitegeeza nti owulira ng’omukka gukutte, si ng’okooye katono, ng’olinnya amadaala, naye oluusi ne bw’oba ​​oyimiridde buyimiridde.

Waliwo obubonero obulala obutera okulabika:

• Okuwulira obulumi mu kifuba oba okunyiga.
• Okusesema (kino kitera okubeera ekibi ku makya).
• Okuwulira ng’okooye era ng’okooye buli kiseera (Obukoowu).
• Emmere tewooma.
• Ekikeeto.
• Obuzibu mu kussa.

Wabula abantu abamu bayinza okuba n’obulwadde bwa bullous emphysema naye nga tebalaga bubonero bwonna. Singa ebiwuka ebiyitibwa bullae bifuuka binene nnyo, tubiyita giant bullae , olwo obubonero buyinza okweyongera.

Bw’olaba omusawo, ajja kunoonya obubonero nga buno ng’akukebera:

• Ekifuba ekiringa ekipipa.
• Engalo eziriko ebikonde.
• Okuwulira omutima gwo nga gukuba nnyo olw’obulwadde bwa puleesa mu mawuggwe.
• Okuzimba (Edema).
• Okuwunya.

Kino okitegeera otya ddala?

Omusawo ajja kusooka kukubuuza ku bubonero bwo, ebyafaayo by’obulamu bwo, n’okumanya oba waliwo omuntu yenna mu maka go eyabadde n’embeera ezifaananako bwe zityo. Olwo bajja kukola okukebera omubiri.

Singa oteeberezebwa okuba n’obulwadde bwa bulllous emphysema, omusawo wo ajja kulagira okukeberebwa amawuggwe (PFT) . Ebigezo bino bikebera engeri amawuggwe go gye gatambuzaamu empewo n’okumanya oba obusimu obuyitibwa bullae bulemesa empewo okutambula.

Ng’ekimu ku bigezo bino, spirometryOsobola okukeberebwa. Kino kizingiramu okussa ng’oyita mu ttanka n’oyingira mu kyuma (spirometer). Kino kipima empewo gy’eyingira n’okufuluma mu mawuggwe go ng’ossa n’okufuluma.

Okugatta ku ekyo, omusawo ayinza okukuwa amagezi okukebera ebifaananyi okusobola okukebera oba emisuwa egyagazi oba egyonooneddwa. Mu bino biyinza okuli:

• X-ray y’ekifuba: Kino kiyinza okuyamba okuzuula oba waliwo ebiwuka ebiyitibwa bullae ne we biri mu mawuggwe.
• CT scan: Kino kiyinza okuyamba okuzuula ekifo ekituufu ekizimba we kiri, omuwendo n’obunene.

Ebigezo ebirala biyinza okuteesebwako, okugeza:

• Okukebera omusaayi: Kebera oba omukka gwa kaboni dayokisayidi gukuŋŋaana mu mawuggwe, ekifuula omusaayi okuba asidi (kino kiyitibwa respiratory acidosis ), oba omukka gwa oxygen omutono.
• Okubala omusaayi mu bujjuvu (CBC): Akebera oba hemoglobin eri wansi.
• Electrocardiogram (EKG): Okukebera oba tewali buzibu bwonna ku mutima obuva ku bulwadde bw’amawuggwe, gamba ng’okukula kw’omusuwa gwa ddyo oba okugaziwa kw’emisuwa gya ddyo .

Omusawo wo asobola n’okukebera oba olina obuzibu bwa Alpha-1 antitrypsin ng’ayita mu kukebera omusaayi.

Waliwo eddagala erijjuvu eriwonya kino?

Ebyembi, tewali ddagala lya bullous emphysema. Kino kitegeeza nti bwe kimala okukula, tekisobola kudda mabega. Naye teweeraliikiriranga! Waliwo obujjanjabi obusobola okukuyamba okubeera n’obubonero n’okukomya obulwadde buno okweyongera.

Kale obujjanjabi bwe buruwa?

Okusobola okuyamba okufuga obubonero bwo, omusawo ayinza okukuwa eddagala eriyitibwa bronchodilators . Bino bitera okufuuwa nga bayita mu kyuma ekissa . Bronchodilators zikola nga ziwummuza ebinywa mu mifulejje gyo, ne zikwanguyira empewo okuyita mu mawuggwe go, n’okukendeeza ku buzibu bw’okussa.

Teebereza, eddagala lino likola ng’okugaziya oluguudo olulimu omugotteko katono, ne kibanguyira mmotoka okuyitamu.

Bw’oba ​​olina obubonero obw’amaanyi oba ng’olina obulwadde bw’amawuggwe, oyinza n’okuweebwa eddagala eritta obuwuka oba eddagala eritta obuwuka eriyitibwa corticosteroids okumala akaseera katono.

Singa omukka gwa oxygen guba mutono, omusawo ayinza okukuwa amagezi ku bujjanjabi bwa oxygen obw’okugatta , obuzingiramu okuwa omubiri gwo omukka ogw’enjawulo ng’oyita mu ttanka eteekebwa munda mu nnyindo oba masiki eteekeddwa ku maaso.

Oluusi naddala ng’oyogera bw’otyoSinga wabaawo ebiwuka ebinene (giant bullae), singa obuzibu mu kussa buba bwa maanyi nnyo, oba singa wabaawo ebizibu ebirala ebiva ku bulwadde buno, okugeza:

• Amawuggwe agagwa (Pneumothorax) .
• Okusesema omusaayi (Hemoptysis) .
• Yinfekisoni z’amawuggwe

Ebintu nga bino bwe bibaawo, oyinza okwetaaga okulongoosebwa.

Ebika by’okulongoosa obulwadde bwa bullous emphysema:

• Bullectomy: Mu nkola eno, omusawo alongoosa aggyayo bulla (ensawo y’empewo) mu mawuggwe go. Kino kiyinza okukolebwa nga okulongoosa okuggule (Thoracotomy) oba nga enkola etali ya kuyingirira nnyo (Video-assisted thoracic surgery - VATS).
• Bronchoscopic lung volume reduction (BLVR): Mu nkola eno etali ya kuyingirira nnyo, omusawo alongoosa ayingiza vvaalu mu mawuggwe go n’akendeeza ku kitundu ky’amawuggwe mu bugenderevu.
• Okulongoosa okukendeeza ku bunene bw’amawuggwe (LVRS): Mu kino, omusawo aggyawo ebitundu by’amawuggwe ebyonooneddwa olwo ebitundu ebisigaddewo bisobole okukola obulungi.

Singa tewali n’emu ku bujjanjabi buno ekola, era bwe kiba nga kisaanidde, omusawo ayinza okukusindika okukusimbuliza amawuggwe .

Obulabe buno buyinza butya okukendeezebwa?

Ekisinga obulungi ky’oyinza okukola okukendeeza ku bulabe bw’okufuna obulwadde bwa bullous emphysema kwe butanywa ssigala, oba bw’oba ​​onywa sigala, okulekera awo. Yogerako n’omusawo wo ku ngeri gy’oyinza okukuyamba okulekera awo okunywa sigala. Tukimanyi nti si kyangu, naye kigwana olw'obulamu bw'amawuggwe go.

Kiki ky’osaanidde okusuubira ng’obeera n’embeera eno?

Bullous emphysema mbeera ya bulamu obulamu bwonna. Kino kitegeeza nti amawuggwe go bwe gamala okwonooneka, tegajja kutereera mu bujjuvu. Kyokka gy’okoma okutandika amangu obujjanjabi, gy’okoma okukomya embeera eyo okweyongera. N’olwekyo, kikulu okugenda mu basawo amagezi mu bwangu bw’oba ​​olina obubonero.

Nze nneerabirira ntya?

Osobola okuddukanya obubonero bwo n’obeera obulungi. Okufuna obujjanjabi obutuufu ekikugwanira kiyinza okutumbula ennyo omutindo gw’obulamu bwo.

Era kikulu okusigala nga oli mulamu bulungi n’okwewala ebizibu eby’amaanyi eby’obulamu. Kale, yogerako n’omusawo wo ku bika by’eddagala ly’oyinza okwetaaga, gamba ng’eddagala erigema ssennyiga, eddagala erigema COVID, n’eddagala eriweweeza ku Pneumococcus .

Nsaana okulaba omusawo ku ssaawa mmeka?

Bw’olaba obubonero bwonna obw’obulwadde bwa bullous emphysema, oba bw’ofuna obubonero obupya, kakasa nti ogenda ew’omusawo.

Bw’oba ​​olina obubonero buno wammanga, kyetaagisa okugenda ew’omusawo amangu ddala:

• Langi ya bbululu oba enzirugavu eri emimwa gyo oba enjala (cyanosis).
• Okukaluubirirwa okusigala ng’oli bulindaala mu birowoozo.
• Okwongera okukaluubirirwa okussa.
• Omutima okukuba amangu (Tachycardia).

Okussa obubi kiyinza okuba ekintu ekitiisa. Bw’oba ​​olina obulwadde bwa bullous emphysema, oyinza okuwulira ng’olwaana okussa buli kiseera. Jjukira nti okunywa sigala kye kisinga okuvaako. Ate era, embeera z’obuzaale ezimu ziyinza okwongera ku bulabe bwo. Okulekera awo okunywa sigala kye kintu ekisinga obulungi ky’oyinza okukola okukomya bullous emphysema okweyongera. Omusawo asobola okukuwa amagezi ku bujjanjabi obuyinza okukuyamba okussa obulungi n’okufuula obulamu bwo obwa bulijjo okuddukanyizibwa.

Jjukira ekintu ekisinga obukulu (Take-Home Message)

Okay, kale bino bye bimu ku bintu ebikulu bye twogeddeko leero okukuyamba okujjukira:

• Bullous emphysema mbeera nga ensawo z’empewo mu mawuggwe zoonoonese ne zikola ensawo z’empewo ennene (bullae).
• Okunywa sigala kye kisinga okuvaako kino, n’olwekyo kikulu nnyo okwewala okunywa sigala.
• Bw’oba ​​olina obubonero ng’okukaluubirirwa okussa, okusesema obutasalako, oba okulumwa mu kifuba, kakasa nti ogenda mu basawo amagezi.
• Wadde nga tewali ddagala lyonna eriwonya kino, waliwo obujjanjabi obulungi obufuga obubonero n’okutangira obulwadde buno okweyongera.
• Okuzuula amangu obulwadde n’okubujjanjaba kiyinza okutumbula omutindo gw’obulamu bwo.

Kale, bw’oba ​​ggwe oba omuntu gw’omanyi alina obubonero buno, totya era olabe omusawo akuwe amagezi. Sigala nga oli mulamu bulungi!

` Bullous emphysema, obulwadde bw’amawuggwe, obuzibu mu kussa, okunywa sigala, COPD, bullae, alveoli