Okulongoosa omusaayi (cholecystostomy) kye ki? Simply about okuyingiza tube mu gallbladder

Oyinza okulowooza ku bulumi obutagumiikiriza obuva ku yinfekisoni ey’amaanyi, okuzimba, oba amayinja mu nnyindo mu nnyindo yo? Oluusi, mu mbeera ng’eyo, embeera y’omulwadde eyinza okuba ey’amaanyi ennyo ne kiba nti okulongoosa okuggyawo ddala ennywanto tekisoboka. Mu mbeera ng’ezo, tujja kwogera ku nkola ey’enjawulo, etali ya kuyingirira nnyo, abasawo gye bakozesa okutaasa obulamu bw’omulwadde, okukendeeza ku bulumi, n’okufuga obulwadde.

Okulongoosa omusaayi (cholecystostomy) kye ki?

Mu ngeri ennyangu, okulongoosa ekibumba (cholecystostomy) nkola ntono ey’obujjanjabi ng’okola ekituli ekitono mu nnywanto yo ne bayitamu ttanka (catheter). Nga erinnya bwe liraga, "cholecyst-" kitegeeza gallbladder, ate "-ostomy" kitegeeza okuggulawo okutondebwawo. Ennyindo kitundu kitono ekiringa ensawo ekitereka entuuyo, ekyetaagisa mu nkola yaffe ey’okugaaya emmere.

Enkola eno etera okuyitibwa "percutaneous cholecystostomy." "Percutaneous" kitegeeza ekintu ekikolebwa nga kiyita mu lususu. Ekyo kitegeeza nti omusawo akola ekituli ekitono mu lususu lw’olubuto lwo n’ayingiza ttanka eno mu nnywanto.

Lwaki obujjanjabi obw’ekika kino bwetaagisa?

Obujjanjabi buno butera okwetaagisa mu mbeera eyitibwa acute cholecystitis. Kino kibaawo ng’ekintu ng’amayinja g’ennyindo kizibye omukutu gw’entuuyo, ekivaako entuuyo okukuŋŋaanyizibwa ne zikwatibwa obuwuka. Kino kireetera ennyindo okuzimba n’okuluma ennyo.

Ebiseera ebisinga, obujjanjabi obusinga obulungi ku mbeera eno kwe kulongoosa okuggyawo ddala ennywanto (cholecystectomy). Kyokka singa omulwadde aba alina endwadde endala ez’amaanyi ng’endwadde z’omutima, ssukaali, endwadde z’ekibumba oba ng’akaddiye nnyo, ayinza obutasobola kugumira kulongoosebwa kwa maanyi mu kiseera ekyo. Mu mbeera ng’ezo, ng’eky’okuddako mu kulongoosa okunene, obujjanjabi buno obuyitibwa Cholecystostomy bukolebwa okutebenkeza embeera y’omulwadde.

Njawulo ki eriwo wakati wa Cholecystostomy ne Cholecystectomy?

Amannya gano gombi gayinza okuba nga gafaanagana katono, n’olwekyo oyinza okutabulwa. Naye buno bujjanjabi bubiri obw’enjawulo. Ka tutegeere bulungi enjawulo eriwo wakati w’ebintu bino byombi.

Obujjanjabi buno bukolebwa butya?

Kino kitera okukolebwa omusawo akola ku by'okukuba ebifaananyi ( Interventional Radiologist ) . Kwe kugamba, omukugu akozesa tekinologiya w’okukuba ebifaananyi nga ultrasound ne CT scan okutunuulira ebitundu by’omubiri ebiri munda mu mubiri n’okusala obutundutundu obutonotono obutuufu ennyo okukola obujjanjabi.

Okwetegeka nga tonnaba kujjanjabwa

• Omusawo ajja kukunnyonnyola akabi n’emigaso gy’obujjanjabi buno era afune olukusa lwo olutegeerekese.
• Oweebwa amagezi okwewala okulya oba okunywa okumala essaawa ntono.
• Okukebera omusaayi kukolebwa okukebera obusobozi bw’omusaayi okuzimba. Bwe kiba kyetaagisa, obujjanjabi buweebwa.
• Layini ya IV ejja kuteekebwa mu musuwa mu mukono gwo okukuwa eddagala eritta obuwuka, omunnyo, era bwe kiba kyetaagisa n’okukkakkanya.

Ebibaawo mu kiseera ky’obujjanjabi

1. Omutima gwo ne puleesa bilondoolebwa buli kiseera.

2. Okwoza ekifo awagenda okuteekebwamu ttanka y’olubuto, .Nze nmira eddagala eriweweeza ku bulumi.

3. Ultrasound oba CT scan ejja kukozesebwa okuzuula ekkubo erisinga obulungi era erisinga obukuumi ery’okuyingiza ttanka (ekkubo lino liyinza okuyita mu kibumba (transhepatic) oba okuyita mu bbugwe w’olubuto (transperitoneal).

4. Olwo, wansi w’obulagirizi bwa X-ray, ttanka eyingizibwa mu nnywanto nga bakozesa empiso ennungi ennyo ne waya elungamya.

5. Tubu bw’emala okubeera mu kifo, enyweza ku lususu n’omusono , ate enkomerero endala eya ttanka n’eyungibwa ku nsawo efulumya amazzi.

Enkola eno yonna etera okutwala wakati w’eddakiika 30 n’essaawa emu.

Tubu ogirabirira otya ng’omaze okujjanjabwa?

Kino kye kitundu ekisinga obukulu. Tubu eno efulumya amazzi etera okubeera mu mubiri gwo okumala wiiki 4 ku 6 . Ojja kwetaaga okugirabirira obulungi ng’odda eka.

• Okulabirira ebiwundu: Ekisiba ku ttanka olina okukyusibwa buli lunaku. Ekitundu kikuume nga kiyonjo era nga kikalu. Yambala ekibikka eky’akaveera ekitayingiramu mazzi ng’onaaba.
• Okufuuwa ttanka: Okuziyiza entuuyo okusibira mu ttanka, olina okunaaza ttanka n’omunnyo ogutaliimu buwuka nga omulundi gumu olunaku. Omusawo oba nnansi wo ajja kukulaga engeri y’okukola kino.
• Okufulumya amazzi mu nsawo: Ensawo ekuŋŋaanya amazzi erina okugifulumya amangu ddala nga ejjula. Omusawo ayinza n’okukugamba okulondoola amazzi g’osolooza buli lunaku. Singa amazzi geeyongera mu bwangu oba ne galekera awo okufuluma, ekyo kabonero kakulu.

Nga tebannaba kuggyamu ttanka, bakola okukebera okw’enjawulo okwa X-ray okuyitibwa cholangiogram okulaba oba kati entuuyo ezitambula mu nnywanto za bulijjo era nga tewali kuzibikira wonna. Oluvannyuma lw’okukakasibwa nti buli kimu kirungi, ttanka eggyibwamu.

Migaso ki n’akabi akali mu bujjanjabi buno?

Ku ludda olulungi, buno bujjanjabi bwa bulabe nnyo era bukola bulungi. Omuwendo gw’obuwanguzi mu kufuga obulwadde bwa acute cholecystitis guli waggulu nga 95%. Kiyinza okuwa omulwadde okuwona amangu ng’akabi katono nnyo eri omulwadde atasobola kugumiikiriza kulongoosebwa kwa maanyi.

Obulabe n’ebizibu ebivaamu tebitera kubaawo, naye tusaanidde okubimanya.

Ddi lwe nnina okuyita omusawo?

Bw’ofuna obubonero bwonna ku buno wammanga ng’owona, tegeeza mangu omusawo wo oba eddwaaliro mwe wafunira obujjanjabi.

• Omusujja: Omusujja ogusukka mu 38.3 Celsius (101 Fahrenheit).
• Obulumi: Obulumi obw’amaanyi, obutannyonnyolwa mu lubuto oba we baayingidde ttanka.
• Obubonero bw’obulwadde: olususu okwetooloola ttanka okumyuuka, okuzimba oba okuvaamu amazzi agawunya.
• Ebizibu bya tube: obutasobola kufuuwa tube, tube okuva mu lususu, bile okukulukuta okuva mu tube.
• Enkyukakyuka mu bungi bw’amazzi: Okwongera amangu oba okukoma ddala kw’omuwendo gw’amazzi agateekebwa mu nsawo.

Mu mbeera ng’eyo, kikulu nnyo okunoonya amagezi mu bwangu eri abasawo.