Kino kizimba omusaayi mu mutwe ogw’akabi? Kino kiyinza okuba nga kya Cavernous Sinus Thrombosis?

Wali ofunye obuvune obutonotono mu maaso oba obuzibu mu sinus ekyakuleetera okulumwa ennyo omutwe? Wali ofunyeeko amaaso agazimba n’okukaluubirirwa okulaba? Ebintu bino oluusi tubibuusa amaaso, naye biyinza okuba eby’akabi ennyo era nga byetaaga obujjanjabi obw’amangu. Leero twogera ku mbeera ey’amaanyi abantu bangi gye batamanyi, eyitibwa Cavernous Sinus Thrombosis .

Obulwadde buno obuyitibwa cavernous sinus thrombosis kye ki?

Mu ngeri ennyangu, Cavernous Sinus Thrombosis bwe buzimba omusaayi mu bifo ebitonotono ebiri munda mu mutwe gwo, naddala emabega w’amaaso go, wansi w’obwongo bwo obuyitibwa Cavernous Sinus . Lowooza ku sinus zino ng’empuku entonotono emisuwa mingi mwe gikwatagana. Emisuwa mingi emikulu egikulukuta omusaayi mu maaso go n’obwongo giyita mu gino. Omusuwa gwa jugular vein , omusuwa omukulu mu bulago bwo, nagwo gukwatagana n’emisuwa gino egy’empuku. Kale, singa ekizimba ky’omusaayi kikolebwa mu gumu ku misuwa gino (ekitera okuva ku yinfekisoni), ekizimba ekyo kiziyiza omusaayi okufuluma mu bwongo bwo. Kino kya bulabe nnyo, kubanga kiyinza okukosa obwongo, amaaso n’obusimu okumala ebbanga eddene. Eno mbeera eyinza okutta obulamu singa tebujjanjabwa mangu.

Embeera eno ya bulijjo etya?

Mu butuufu embeera eno eyitibwa Cavernous Sinus Thrombosis tetera kubaawo nnyo. Kwe kugamba, si kintu ekitera okulabibwa. Kizibu okwogera ddala abalwadde bameka abaloopebwa buli mwaka, mutono nnyo. Naye amawulire amalungi gali nti oluvannyuma lw’okuzuula eddagala eritta obuwuka , omuwendo gw’abantu abaloopebwa ku bulwadde buno gukendedde nnyo. Olw’okuba yinfekisoni zino ezisinga okuvaako omusaayi guno okuziyira, zisobola okuwonyezebwa n’eddagala eritta obuwuka, kati yinfekisoni ezo tezitera kufuuka za maanyi.

Bubonero ki obulaga kino? Oyinza otya okukitegeera?

Ekisinga okuba eky’obulabe ku kino kwe kuba nti obubonero buno busobola okweyongera amangu ddala. Obumu ku bubonero obukulu obusooka kwe kulumwa omutwe ennyo. Kino tekifaananako kulumwa mutwe okwa bulijjo. Y’emu etakka ne bw’omala okumira eddagala eriweweeza ku bulumi, era yeeyongera okusajjuka buli lunaku. Kiyinza okujja mu bwangu era mu ngeri ey’amaanyi, oba okweyongera mpolampola okumala ennaku eziwera. Obulumi buno businga kuwulira okwetoloola eriiso erimu, okwetooloola amaaso gombi oba emabega w’amaaso.

Obubonero buno buva ku puleesa okweyongera munda mu kifo ekiyitibwa cavernous sinus olw’omusaayi okuzimba. Weegendereze okulaba oba olina obubonero buno:

• Obulumi bw’omutwe obw’amaanyi era obusongovu obutaggwaawo ne bw’omala okumira eddagala.
• Okuzimba kw’eriiso erimu oba oluvannyuma lwombi, oluusi n’okuwulira ng’amaaso gakulukuta.
• Okugwa kw’ebikowe by’amaaso, nga eriiso bwe liggaddwa ekitundu (`droopy eyelids`).
• Okuwulira obulumi obw’amaanyi ng’ogezaako okutambuza eriiso erimu oba gombi.
• Obutasobola kutambuza liiso limu oba gombi, nga linyweredde ku ludda olumu.
• Okulaba okuzibu, okubulwa okulaba okutegeerekeka.
• Okulaba emirundi ebiri.
• Okuziyira oba okubulwa okuwulira mu maaso naddala okwetooloola amaaso.
• Eyokya nnyo.
• Abantu abamu bayinza okufuna okukonziba.

Kikulu nnyo: Singa tajjanjabwa, obulwadde bwa cavernous sinus thrombosis busobola okweyongera mpolampola, ekivaako omulwadde okusoberwa n’okwebaka. Kino kiyinza okuvaako omuntu okugwa mu kkoma n’okufa. N’olwekyo, kikulu nnyo okugenda ew’omusawo amangu ddala ng’olaba obubonero buno, ng’embeera tennagenda mu maaso okutuuka ku ssa lino.

Kino kibaawo mangu ki?

Cavernous sinus thrombosis etera okubaawo oluvannyuma lw’ennaku 5 ku 10 oluvannyuma lw’okukwatibwa yinfekisoni mu maaso go oba ku mutwe (okugeza, sinus, erinnyo oba okutu). Akabonero akasooka kwe kulumwa omutwe. Obubonero bw’amaaso (nga okuzimba, okubumbulukuka) buyinza okujja mu bwangu, nga wayiseewo akaseera katono ng’omutwe gulumwa, oba buyinza okukula mpolampola.

Kiki ekivaako kino? Lwaki kino kigenda mu maaso?

Kilowoozeeko bw’otyo. Olina akazimba akatono mu maaso, mpozzi ku ludda lw’ennyindo, oba ku mimwa gyo egya waggulu. Oba olina amannyo agakuluma. Tokifaayo nnyo, ng’olowooza nti, ‘Kino kintu kitono, kijja kugenda ku bwakyo.’ Naye, yinfekisoni ya bakitiriya mu kifo ekyo ekitono etera okuvaako embeera eno ey’akabi eyitibwa Cavernous Sinus Thrombosis . Kwe kugamba, kijja ng’ekizibu ekiva mu yinfekisoni.

Ekibaawo kiri nti: Omusaayi mu misuwa gyo egy’omu kifuba (cavernous sinus veins) guzimba mu kugezaako okukomya obuwuka obutasaasaana. Ye nkola y’okwekuuma omubiri. Naye mu kifo ky’okukomya obuwuka obutasaasaana, ekizimba kino eky’omusaayi kitega obuwuka. Olwo omusaayi ne gulekera awo okukulukuta okuva mu bwongo. Kino kireetera puleesa munda mu kifo ekiyitibwa cavernous sinus okweyongera, ekivaako obubonero obwogeddwako emabegako.

Ebika by’obulwadde ebisinga okukosa kino bye bino:

• Obulwadde bwa sinus (sinusitis). Yinfekisoni mu bifo ebiriraanye ennyindo.
• Amafuta oba amafundo agakola wansi w’olususu ku maaso naddala okwetooloola ennyindo n’emimwa egya waggulu.
• Ebizimba by’amannyo.
• Endwadde z’amatu naddala ez’amatu aga wakati.

Ebiseera ebisinga, nga 70% ku misango, ekivaako ye bacteria `Staphylococcus aureus` . Kino kiwuka kya bulijjo nnyo. Ng’oggyeeko ekyo, ebika bya bakitiriya ebirala n’ebika bya ffene ebimu nabyo bisobola okuleeta yinfekisoni ezireeta okuzimba omusaayi mu cavernous thrombosis. Gye buvuddeko, emisango egiwerako egy’obulwadde bwa cavernous sinus thrombosis obukwatagana n’obulwadde bwa `COVID-19` gyaloopebwa.

Tekitera nnyo, ekizimba kino eky’omusaayi kiyinza okutondebwawo olw’obuvune obw’amaanyi ku mutwe, okusinga yinfekisoni.

Abasawo kino bakizuula batya?

Kiyinza okuba ekizibu katono okuzuula, kubanga obubonero bwakyo bufaananako n’obw’embeera endala ezitera okubaawo, gamba ng’okukwatibwa obulwadde bw’amaaso, omutwe omuzito oba embeera endala ez’obusimu.

Kyokka okusinziira ku bubonero bwo naddala bw’oba ​​mu kiseera kino olina yinfekisoni mu maaso oba mu nnyindo oba nga waakafuna obulwadde buno, omusawo ayinza okuteebereza nti olina obulwadde bwa cavernous sinus thrombosis .

Ekimu oba ebisingawo ku bigezo bino biyinza okukolebwa okukakasa nti omuntu azuuliddwa:

• Ebigezo by’okukuba ebifaananyi.
• MRI (Magnetic Resonance Imaging): Kino kikusobozesa okulaba obulungi obwongo n’ekitundu kya cavernous sinus, ekintu ekikulu ennyo mu kuzuula oba waliwo omusaayi oguzimba.
• `CT` (Computed Tomography) scan: Kino era kisobola okunoonya omusaayi okuzimba n'obubonero bw'obulwadde.
• MRV (Magnetic Resonance Venogram with MRI): Eno y’engeri esinga okukwata ku bulwadde buno. Mu MRV eno, omusawo akukuba amazzi ag’enjawulo (contrast dye) mu musuwa gwo. Olwo MRI esobola okulaba obulungi omusaayi bwe gutambula n’okuzibikira mu misuwa.
• Okukebera okukuza obuwuka. Omusawo ajja kukebera omusaayi gwo oba amazzi amalala ag’omubiri (nga amazzi agava mu nnyindo zo oba amasira agava mu kiwundu) alabe oba waliwo obuwuka oba obuwuka obulala obuleeta obulwadde buno. Kino kiyinza okuyamba okuzuula obuwuka obutuufu n’okuwandiika eddagala ettuufu eritta obuwuka.
• Taapu y’omugongo / okuboola omugongo. Okukebera kuno kusobola okulaba oba yinfekisoni esaasaanidde ku membranes ezibikka obwongo n’omugongo (meninges). Bwe kiba nga kifunye, kiyitibwa obulwadde bwa meningitis . Obulwadde bw’okuzimba omutwe (meningitis) buzibu bwa bulabe obuva ku bulwadde bwa cavernous sinus thrombosis. Mu kukebera kuno, omusawo ayingiza empiso ennyimpi mu mugongo gwo ogwa wansi n’akwata sampuli y’amazzi g’omugongo. Amazzi gano gakeberebwa obuwuka n’obubonero obulala obulaga nti galina obulwadde.

Ekikulu: Olw’okuba obulwadde bwa cavernous sinus thrombosis bulwadde bwa bulabe eri obulamu, obugenda mu maaso amangu, omusawo ayinza okutandika obujjanjabi ng’asinziira ku kuteebereza nga tebannaba kukakasibwa mu bujjuvu. Kubanga buli sikonda ebalibwa wano.

Bujjanjabi ki obukolebwa ku kino? Kisobola okuwona?

Yee, obujjanjabi obw’amangu era obutuufu busobola okufuga embeera eno n’okutaasa obulamu. Kyokka singa obujjanjabi bulwawo, embeera eyinza okweyongera. Oboolyawo ojja kuweebwa ekitanda mu ddwaaliro erijjanjaba abalwadde abayi (ICU).Ojja kukkirizibwa. Olwo abasawo n’abajjanjabi basobola okukulondoola obulungi essaawa 24 buli lunaku.

Wammanga bwe bujjanjabi obukulu:

• Eddagala eritta obuwuka. Buno bwe bujjanjabi obukulu. Omusawo ajja kukutandika okukozesa eddagala eritta obuwuka eriweebwa mu misuwa (IV) okutta obuwuka obuleeta omusaayi okuzimba. Nga bwe kyayogeddwako emabegako, eno nkola etwala obudde bungi, n’olwekyo oyinza okuweebwa eddagala eritta obuwuka nga tebannaba kukeberebwa okuzuula ekituufu ekivaako obulwadde buno (bacteria oba fungus). Okubeera ku ludda olutaliiko bulabe, ojja kuweebwa eddagala eritta obuwuka erya broad-spectrum eriyinza okutta obuwuka obw’enjawulo (naddala obuwuka obwa bulijjo nga S. aureus) . Oluvannyuma, ebyava mu kulonda bwe bimala okudda, oyinza okukyusibwa n’odda ku ddagala eritta obuwuka erisinga okutuukirawo. Ojja kwetaaga okugenda mu maaso n’obujjanjabi buno mu ddwaaliro okumala wiiki eziwera.
• Eddagala erikendeeza omusaayi (anticoagulants). Oyinza okuweebwa eddagala eriweweeza ku musaayi (ebigonza omusaayi) nga heparin okuziyiza ekizimba obutakula, okukisaanuusa mpola, n’okuziyiza ebizimba ebipya okutondebwawo.
• Anticoagulants (blood thinners) osobola okugiweebwa mu misuwa oba wansi w’olususu. Ojja kwetaaga okumira eddagala lino erikendeeza omusaayi mu ngeri y’empeke okumala emyezi egiwerako oluvannyuma lw’okusooka okujjanjabibwa.
• Eddagala eriyitibwa corticosteroids. Omusawo ayinza okukuwa eddagala eriweweeza ku bulwadde bwa steroid okukendeeza ku kuzimba n’okuzimba ebivaako puleesa munda mu nnyindo zo. Wabula bino biweebwa ng’omaze okutandika eddagala eritta obuwuka okufuga obulwadde buno ate ng’obulwadde buba bufugibwa.
• Okuloongoosa. Mu mbeera ezimu, kiyinza okwetaagisa okulongoosebwa okuyonja ensibuko y’obulwadde (e.g., yinfekisoni ya sinus, ekizimba mu mannyo) n’okuggyawo amasira oba amazzi amalala agakuŋŋaanyiziddwa. Kino kiyinza okuyamba okufuga obulwadde buno mu bwangu.

Kiki kye tuyinza okusuubira singa kino kibaawo? Bizibu ki ebivaamu?

Nga eddagala eritta obuwuka terinnazuulibwa, obulwadde bwa cavernous sinus thrombosis bwatera okutta. Naye kati, olw’enkulaakulana mu sayansi w’obusawo, abantu abasoba mu 70% abakwatibwa obulwadde buno bawangaala. Ekyo kituukiridde kinene nnyo.

Kyokka ne bwe bawangaala, abantu bangi basobola okufuna ebizibu kubanga eno embeera ekosa obwongo n’obusimu. Okugeza, abantu nga 20% abawona obulwadde bwa cavernous sinus thrombosis bayinza okusigala nga balina obuzibu mu kulaba (okulemererwa okulaba, okuziba amaaso) n’obuzibu mu busimu (okuziyira mu maaso, okukaluubirirwa okutambuza amaaso) .

Ebizibu ebirala ebiyinza okuvaamu bye bino:

• Omutwe ogutera okulumwa ennyo.
• Okubulwa ddala okulaba mu liiso erimu oba gombi.
• Okukonziba okutambula obutasalako.
• Meningitis (okukwatibwa obuwuka obubikka obwongo).
• Sepsis (okusaasaana kw’obulwadde mu musaayi).

Ekirala, okubeera n’obulwadde bwa cavernous sinus thrombosis kikuteeka mu bulabe bw’okufuna ebizimba ebirala eby’obulabe, gamba ng’okuzimba omusaayi mu magulu go ( Deep Vein Thrombosis - DVT ), okuzimba omusaayi okugenda mu mawuggwe go ( Pulmonary Embolism - PE ), oba okuzimba omusaayi okukola awalala mu bwongo bwo ( Stroke ).

N’olwekyo, kikulu okubeera omuggule n’omusawo wo ku bizibu ebiyinza okuva mu mbeera yo. Era kikulu okumanya obubonero obulabula ku bizibu osobole okubiziyiza buli lwe kiba kisoboka.

Ddi lw’osaanidde okunoonya amagezi mu bwangu omusawo?

Bw’oba ​​olina obubonero buno, funa amagezi mu bwangu omusawo awatali kulwa:

• Obulumi bw’omutwe obusongovu obutaggwaawo ne bw’omala okumira eddagala eriweweeza ku bulumi, ne bweyongera.
• Singa omutwe guwerekerwako obulumi obweyongera bw’ogalamidde oba ng’ofukamidde.
• Singa eriiso erimu oba gombi litandika okuwulira obulumi, okuzimba, okumyuuka oba okubumbulukuka.
• Bw’owulira ng’olwadde nnyo, ng’oli munafu oba ng’otulo otungi.
• Bw’oba ​​olina obuzibu mu kussa.
• Bw’oba ​​olina omusujja omungi, okuwunya, n’okukankana.

Obubonero nga buno bulaga nti embeera ey’amangu eyinza okubaawo.

Bibuuzo ki ebikulu by’olina okubuuza omusawo?

Singa omusawo akugamba nti olina embeera eno, oyinza okuwulira nga weeraliikirira. Naye, okuteeka ebirowoozo byo mu mbeera ennungi n’okutegeera obulungi embeera yo n’obujjanjabi bwo, tewerabira kubuuza musawo wo ebibuuzo bino:

• Kiki ddala kye nnina? Kino kya maanyi kitya?
• Bujjanjabi bwa ngeri ki bwe nneetaaga? Kinaatwala bbanga ki?
• Biki ebiva mu bujjanjabi buno?
• Nja kumala bbanga ki mu ddwaaliro?
• Mikisa ki egy’okunfuna ebizibu eby’ekiseera ekiwanvu okuva mu kuzimba omusaayi guno? Biki? Ziyinza okuziyizibwa?
• Nkyukakyuka ki ze nja okukola mu bulamu bwange obwa bulijjo olw’ebizibu bino?
• Mikisa ki egy’okuddamu okufuna embeera eno? Nkole ki okubuziyiza?
• Bintu ki bye nneetaaga okulabirira nga mmaze okudda eka?

Eby’okuddamu mu bibuuzo bino bijja kuba bikulu nnyo gy’oli.

N’ekisembayo, ebintu by’olina okujjukira

Kiyinza okukutiisa okumanya nti ekintu ekitera okubaawo ng’okukwatibwa obulwadde bwa sinus oba ekizimba ekitono mu maaso kiyinza okukuviirako omusaayi okukukuba mu matigga. Cavernous sinus thrombosis — omusaayi oguzimba mu maaso go oba mu mutwe nga guddamu yinfekisoni — mu butuufu mbeera etali ya bulijjo nnyo. Kale, tekisuubirwa nti okulumwa omutwe oba amaaso go kabonero akalaga nti waliwo ekintu eky’amaanyi ennyo. Kiyinza okuba akabonero k’ekintu ekitali kya maanyi nnyo.

Naye ekisinga obukulu okujjukira bulijjo kwe kujjanjaba yinfekisoni yonna – ne bwe yalabika ng’entono etya – mu bwangu era mu ngeri entuufu. Weegendereze nnyo yinfekisoni ezibeera mu maaso, mu nnyindo, mu kamwa n’ebitundu by’amaaso. Obujjanjabi obw’amangu obw’engeri eyo busobola okuyamba nnyo mu kuziyiza embeera ey’amaanyi bwetyo okubaawo. N’olwekyo, kiba kya magezi okusaba omusawo amagezi bw’oba ​​olina obubonero bwonna obutali bwa bulijjo, ne bwe buba butono. Faayo ku bubonero omubiri gwo bwe gukuwa!

` Cavernous Sinus Thrombosis, Okuzimba omusaayi mu bwongo, Obulwadde bw’oku mutwe, Obulwadde mu maaso, Okulumwa ennyo omutwe, Okuzimba amaaso, Eddagala eritta obuwuka, Obuzibu mu busimu