Obulago bwo busika mu ngeri gy’otayagala? Ka tuyige ku (Cervical Dystonia)!

Oluusi owulira obukaluba obw’ekyewuunyo mu bulago, obulumi, n’omutwe ne gukusika ku ludda olumu? Oba ebinywa by’ensingo byo binyiganyiga mangu, ekikuleetera okunyeenya omutwe nga tofuddeeyo? Bino biyinza obutaba bya kunyiga bulago byangu byokka. Leero tugenda kwogera ku mbeera y’obusimu eyeekuusa ku bulago gy’oyinza okuba nga towulirangako, naye ng’esobola okukwata abantu abamu. Kino abasawo kye bayita `(Cervical Dystonia)`.

Obulwadde bwa Cervical Dystonia kye ki?

Mu ngeri ennyangu, obulwadde bwa cervical dystonia mbeera ya busimu ng’ebinywa mu bulago bikonziba mu ngeri etafugibwa olw’ekizibu ekiri mu bwongo bwaffe n’enkola y’obusimu. Kiringa ebinywa mu bulago bwe bigenda bifuna ayaaye katono ne bizina ku tune yaabwe.

Ebinywa bino bwe bikwatagana, binywezebwa mu kifo ky’okuwummulamu. Kino kiyinza n’okukyusa ennyimiririra yo. Omutwe n’ensingo biyinza okutandika okutambula mu ngeri etaali ya bulijjo, ng’olinga ebiwunya oba okuwuuma amangu. Kino kiyinza okukuluma ennyo era kiyinza okutaataaganya obusobozi bwo okukola emirimu gya buli lunaku.

Cervical dystonia y’emu ku kibinja ekinene eky’embeera eziyitibwa ``Focal Dystonia.`` Focal Dystonia kitegeeza embeera ezireeta okusannyalala kw’ebinywa mu kitundu kimu kyokka eky’omubiri. Oluusi omusawo wo ayinza n'okugiyita ``Spasmodic Torticollis.`` Wadde eyitibwa amannya abiri oba asatu, embeera y'emu.

Waliwo ebika ebikulu eby’obulwadde bwa cervical dystonia?

Yee, ebika bibiri ebikulu bisobola okuzuulibwa. Ebika bino ebibiri byawulwamu okusinziira ku nsonga lwaki kino:

1. Primary cervical dystonia: Mu mbeera eno , ekituufu ekivaako obulwadde buno tekimanyiddwa. Embeera ebaawo mu ngeri ennyangu.

2. Secondary cervical dystonia: Mu mbeera eno, ekivaako kisobola okuzuulibwa. Kino kitegeeza nti kiyinza okuva ku mbeera endala ey’obujjanjabi, ekizibu ekiva mu ddagala oba akabenje.

Embeera eno ya bulijjo etya?

Obulwadde bwa cervical dystonia bwe bumu ku ndwadde ezisinga okubeera mu kiti kya ``Focal Dystonia``. Kiteeberezebwa nti abantu kumpi 60,000 mu Amerika yokka balina embeera eno. Wayinza okubaawo abalwadde ng’abo ne mu Sri Lanka, era mpozzi ebibalo biyinza okuba wansi olw’obutazuulibwa bulungi.

Bubonero ki obulaga obulwadde bwa cervical dystonia?

Embeera eno ereeta entambula z’otosobola kufuga. Obubonero obukulu kuliko:

• Okusannyalala kw’ebinywa: Ebinywa mu bulago binywera mangu, ng’amayinja, ne bitasobola kuwummulamu. Oluusi ebinywa biyinza okuwulira nga binywezeddwa oba nga bitambula.
• Okukankana: Okukankana kw’ebitundu by’omubiri mu ngeri etafugibwa, gamba ng’emikono n’amagulu. Okukankana kuno kuyinza n’okubaawo mu kitundu ky’ensingo.

Entambula zino ezitafugibwa ziyinza okuleeta enkyukakyuka mu ngeri gy’oyimiriddemu. Enyimirira y’engeri gy’okwatamu omubiri gwo ng’oyimiridde oba ng’otudde. Obulwadde bwa cervical dystonia busobola okuleeta enkyukakyuka zino mu nnyimiririra:

• `(Rotating)`: .
• Okulengejja omutwe mu maaso, emabega oba ku bbali: Nga omutwe gulengejja ku ludda olumu.
• Okufukamira ensingo n’omutwe mu maaso, emabega oba ku mabbali: Kifuuka kizibu okukuuma obulago nga bugolokofu.

Entambula zino era zisobola okuleeta obulumi mu bibegabega n’ensingo, ekiyinza okuwerekerwako okuzimba . Abantu abamu era balumwa omutwe . Teebereza engeri gye kiyinza okukuzibuwalira okukola emirimu gyo egya buli lunaku ng’olina ekintu ng’ekyo.

Lwaki obulwadde bwa cervical dystonia bubaawo?

Mu butuufu, abasawo n’okutuusa kati tebamanyi kituufu kivaako obulwadde bwa cervical dystonia mu buli mulwadde. Naye okunoonyereza kulaga nti kiva ku butakola bulungi mu kitundu ky'obwongo bwaffe ekiyitibwa ``Basal Ganglia'' . Ekitundu kino ekya ``Basal Ganglia'' kifuga entambula y'ebinywa byaffe. Bwe wabaawo ekizibu eyo, obubonero obukyamu busindikibwa mu binywa ebiri mu bulago, ekibireetera okukola obubi.

Secondary cervical dystonia eyinza okuva ku bintu bino wammanga:

• Nga ekizibu ekiva mu ddagala erimu ery'abalwadde b'emitwe .
• `(Traumatic brain injury)` .
• N’embeera endala ez’obusimu, gamba ng’obulwadde bwa Parkinson .
• Enkyukakyuka mu buzaale mu buzaale obuyitibwa `GNAL`, `THAP1`, `CIZ1` oba `ANO3`. Bino bizibu katono, naye bisoboka.

Ani ali mu bulabe obw’amaanyi obw’okukwatibwa obulwadde buno?

Wadde embeera eno esobola okubaawo ku myaka gyonna, abantu abamu bali mu bulabe bwa maanyi:

• Singa omuntu mu maka go abadde n’obulwadde buno emabegako (wayinza okubaawo akakwate ku buzaale).
• Bwoba omira eddagala eriyitibwa `(Dopamine antagonists)` oba `(Antipsychotics)`.
• Bw’oba ​​obadde n’obuvune ku bwongo.

Obulwadde buno businga kubeera mu bakyala n’abantu abali wakati w’emyaka 30 ne 60. Naye ekyo tekitegeeza nti abalala tebasobola kubufuna.

Bizibu ki ebiyinza okuva mu bulwadde bwa cervical dystonia?

Obubonero buno busobola okukosa ennyo obulamu bwo obwa bulijjo. Kiyinza n’okukaluubiriza okukola emirimu egimu. Obulumi, okukankana n’okukankana kw’ebinywa biyinza okukaluubiriza okutambuza obulungi ensingo, akawanga, emikono n’omubiri. Era kiyinza okukaluubiriza ebintu ng’okwogera , okumira, n’okukwatagana kw’omubiri .

Mu mbeera ezimu ez’amaanyi, oyinza okwesanga nga tosobola kukola wadde emirimu egyangu gye wali osobola okukola mu ngeri ennyangu, gamba ng’okusika enviiri oba okusenya amannyo. Kino kiyinza okunyigiriza ddala.

Singa tejjanjabibwa, embeera eno esobola okuleeta obulumi n’okusannyalala kw’ebinywa (dystonia) mu bitundu by’omubiri ebirala ng’oggyeeko ensingo . N’olwekyo, kikulu nnyo okunoonya amagezi mu bwangu ew’abasawo bw’oba ​​olina obubonero.

Obulwadde buno buzuulibwa butya?

Omusawo ajja kukukebera n’akubuuza ku bubonero bwo okuzuula oba olina obulwadde buno. Era bajja kubuuza ku byafaayo byo eby'obujjanjabi n'ebyafaayo by'obujjanjabi bw'amaka go . Kino kitegeeza okuzuula oba waliwo omuntu yenna mu maka go abadde n’obulwadde buno.

Si buli muntu nti atera okwetaaga okukeberebwa nga MRI scan oba electromyography (ekipima amasannyalaze g’ebinywa). Kyokka omusawo ayinza okulagira okukeberebwa kuno singa ateebereza nti omugongo gunyigirizibwa oba ng’obusimu gwonoonese .

Bujjanjabi ki obuweebwa obulwadde bwa cervical dystonia?

Waliwo obujjanjabi obw’enjawulo ku kino. Obujjanjabi bwonna tebukola ku buli muntu. Oyinza okwetaaga okugezaako obujjanjabi obuwerako okuzuula ekisinga okukukolera.

Okusinga waliwo ebika by’obujjanjabi bino:

• Empiso z’obutwa bwa Botulinum: Zino mpiso eziweebwa ebinywa by’ensingo ebikoseddwa.
• Eddagala eriweebwa mu kamwa: Eddagala eriweebwa okukendeeza ku bulumi n’okukendeeza ku kuzimba ebinywa.
• Obujjanjabi bw’omubiri: Okunyweza ebinywa mu bulago n’okulongoosa entambula ng’oyita mu dduyiro n’enkola endala.
• Okulongoosa okusitula obwongo mu buziba: Kuno kulongoosa mu ngeri emu okuzibu ennyo nga tekyetaagisa eri buli muntu era kukolebwa mu mbeera ez’enjawulo.

Abantu abamu era bakizuula nti okukwata ekirevu oba okwambala akaguwa mu bulago oba enkokola y'omumwa gwa nnabaana kiyamba okumalawo obubonero bwabwe . Bino biyitibwa obukodyo bw’obusimu.

Ekisinga obukulu kwe kukolagana n’omusawo wo okuzuula obujjanjabi obukusaanira.

Obujjanjabi bw’obutwa bwa botulinum bukola butya?

Abantu bangi bawulidde ku linnya `(Botox®)`. Lino linnya lya kika kya `(Botulinum toxin serotype A)`. Mu ngeri y’emu, `(Botulinum toxin type B)` era ekozesebwa okujjanjaba obulwadde bwa cervical dystonia.

Kino `(Botulinum toxin) kye kikola kwe kunafuya emirimu gy’ebinywa by’ensingo ebikoseddwa (dystonic neck muscles). Olwo, ebinywa ebyo bikoma okukonziba mu ngeri eteetaagisa.

Omusawo akuba eddagala lino mu binywa ebituufu mu bulago. Kiyinza okutwala wiiki nga emu okulaba ebiva mu ddagala. Wabula eddagala lino limala emyezi nga ebiri oba esatu.Oluvannyuma lw’ekiseera ekyo, obubonero buyinza okuddamu okulabika, n’olwekyo kiyinza okwetaagisa okugema enfunda eziwera okusobola okufuga obubonero.

Ebizibu ebiva mu kugema kuno biyinza okuli:

• Okukaluubirirwa okumira
• Obulumi mu kifo we bakuba empiso
• Okuwulira obunafu mu bulago

Ebintu bino tebituuka ku buli muntu naye kirungi okumanya nti bisobola okubaawo.

Eddagala ki eddala eriweebwa ku bulwadde bwa cervical dystonia?

Ebika bino wammanga bye bitera okukozesebwa ng’eddagala ly’omu kamwa:

• `Ebirungo ebikola dopaminergic` (e.g. `Levodopa`) .
• Ebirungo ebiziyiza okusannyalala (okugeza Benztropine, Trihexyphenidyl) .
• `Baclofen`
• `Klonazepam`

Eddagala lino era liyinza okuvaako ebizibu nga obuzibu mu kujjukira n'okukoowa . N’olwekyo, kikulu okuteesa ku bino byonna n’omusawo wo n’olonda obujjanjabi obusinga okukuyamba.

Endowooza ki eriwo ku bulwadde bwa cervical dystonia?

Obulwadde bwa cervical dystonia mbeera eriwo obulamu bwonna. Kyokka tekikosa bulamu bwo. Oluusi obubonero buyinza okweyongera mpolampola okumala ekiseera, oba buyinza okugwa wansi.

Ekisinga obulungi, bw’ofuna obujjanjabi obutuufu, ggwe n’omusawo musobola okuddukanya obubonero buno, bwe mutyo musobola okuddamu okukola ebintu by’oyagala awatali buzibu bwonna.

Obulwadde bwa cervical dystonia busobola okuwona ddala ne `(Botox)`?

Nedda.Tewali ddagala lyonna eriwonya obulwadde bwa cervical dystonia n’okutuusa kati. Obutwa bwa Botulinum (Botox) busobola okufuga obubonero okumala akaseera katono, si ddagala.

Waliwo engeri y’okuziyizaamu obulwadde bwa cervical dystonia?

Ebyembi, mu kiseera kino tewali ngeri emanyiddwa ey’okuziyiza obulwadde buno okukula.

Ddi lwe nnina okulaba omusawo?

Laba omusawo bw’oba ​​weetegereza ekimu ku bintu bino:

• Bw’owulira ng’ennyama mu bulago ekunyiga oba okunyiga.
• Bw’oba ​​omaze okuzuulibwa nti olina obulwadde bwa cervical dystonia era ng’obujjanjabi buleeta ebizibu oba obubonero bweyongera.

Kikulu nnyo okunoonya amangu abasawo amagezi mu biseera nga bino.

Kiki kye nsaana okubuuza omusawo wange?

Bw’ogenda okulaba omusawo osobola okubuuza ebibuuzo nga:

• Singa omuntu mu maka gange abadde n’obulwadde buno, nange ndi mu bulabe bw’okubufuna?
• Bujjanjabi ki bw’onteesa?
• Waliwo ebizibu byonna ebiva mu bujjanjabi buno?
• Nnaaba nneetaaga okulongoosebwa?

Ng’oggyeeko ebibuuzo bino, buuza omusawo wo okubuusabuusa oba ebibuuzo byonna by’oyinza okuba nabyo.

N’ekisembayo, ebintu by’olina okujjukira (Obubaka bw’okutwala awaka) .

Cervical dystonia eyinza okuba embeera ddala etali nnungi era eruma. Olw’okuba ebinywa mu bulago tebisobola kuwummulamu, omutwe gwo gutambula nga teguyagala. Kino kiyinza okukaluubiriza okukola ebintu bye wali onyumirwa, era kiyinza okukaluubiriza okukola emirimu egya bulijjo.

Naye jjukira nti toli wekka. Waliwo obujjanjabi ku kino. Omusawo asobola okukuyamba okufuna obujjanjabi obusinga obulungi ku bubonero bwo. Olwo osobola okuddamu okuwona. Kale bw’oba ​​olina obubonero, totya kulaba musawo.

Nsuubira nti amawulire gano ga mugaso gy’oli. Sigala nga oli mulamu bulungi!

` Cervical Dystonia, Spasmodic Torticollis, Obulumi mu bulago, Obulwadde bw’obusimu, Okunyiga ebinywa, Botox, Obujjanjabi