Owulira ng’amawuggwe go galina puleesa esukkiridde? Ka twogere ku puleesa y'amawuggwe eya Chronic Thromboembolic Pulmonary Hypertension (CTEPH)!

Oluusi owulira ng’omukka gukukendeddeko katono, oba okuwulira okwewuunyisa mu kifuba? Kiyinza okuba nga puleesa eri munda mu misuwa mu mawuggwe go eri waggulu katono. Eno mbeera ya njawulo eyitibwa `(Chronic Thromboembolic Pulmonary Hypertension)` oba `(CTEPH)`. Tofaayo, kino tujja kukyogerako mu ngeri ennyangu, mu ngeri gy’osobola okutegeera.

Kino `(CTEPH)` kye ki? Tutegeere bulungi!

Mu ngeri ennyangu, CTEPH kweyongera kwa puleesa mu ngeri etaali ya bulijjo munda mu misuwa emitono mu mawuggwe. Kiringa puleesa eri munda mu payipu y’amazzi. Naye ensonga enkulu lwaki kino kikoleddwa eri nti obadde ofunye omusaayi mu mawuggwe go emabegako (kino tukiyita Pulmonary Embolism) era ekizimba tekisaanuuka bulungi . Wano puleesa eno we yeeyongera.

Ani asinga okulwala CTEPH?

Kino kikulu nnyo. CTEPH ebeerawo mu bantu bokka abalina ebyafaayo by'okuzimba amawuggwe . Bw’oba ​​olina puleesa mu mawuggwe naye nga tolina musaayi guzimba, kiyinza obutaba CTEPH, wabula embeera ya njawulo. Kale kikulu okutegeera enjawulo eno.

Embeera eno ya bulijjo etya?

CTEPH mu butuufu mbeera etali ya bulijjo . Ng’ekyokulabirako, mu nsi nga Amerika, abantu nga 5,000 bokka be bakwatibwa buli mwaka. Kyokka olw’okuba oluusi tekizuulibwa bulungi, omuwendo guyinza okuba nga gusingako nnyo. N’olwekyo, kikulu nnyo okumanya obubonero.

Kika ki ekikwata ku CTEPH ky’eyinza okukola ku bulamu bwo?

Puleesa mu mawuggwe bwe yeeyongera naddala mu mbeera ya CTEPH, oludda olwa ddyo olw’omutima gwo luwulira puleesa nnyingi . Teebereza omutima gwo gulina okukola ennyo okusobola okusindika omusaayi mu mawuggwe go. Ekibaawo omusaayi ogumu ogutaliimu mukka gwa oxygen gusibira mu mutima gwo ne gutwala ekiseera kiwanvu okutuuka mu mawuggwe. Kino kiyinza okuvaako omubiri gwo okubeera n’omukka gwa oxygen omutono. Eno embeera nnungi nnyo, si bwe kiri?

Lwaki kino `(CTEPH)` kikulaakulana? Biki ebivaako?

Ensonga enkulu lwaki kino kibeerawo kwe kuba nti ebizimba by’omusaayi ebikolebwa mu misuwa emitono mu mawuggwe tebisaanuuka bulungi. Kino bwe kibaawo , ebitundu ebiringa enkovu bitondebwa awali ebizimba. Enkovu eno ereetera emisuwa okufunda, ng’okufaananako payipu y’amazzi okuzibikira. Okufunda kuno bwe kweyongera, puleesa nayo yeeyongera.

Biki ebiyinza okuvaako okulwala CTEPH?

Waliwo ebintu ebimu eby’akabi ebiyinza okuyamba mu nkulaakulana ya `(CTEPH). Ka tulabe kiki kye bali:

• Okubeera n’ekika ky’omusaayi ekitali kika kya O.
• Okubeera n’obulwadde mu magumba (Osteomyelitis).
• Ebika bya kookolo ebimu.
• Endwadde z’ekyenda ezitawona, okugeza, embeera nga `(Inflammatory Bowel Disease)`.
• Okubeera omukazi. (Abakyala batera okufuna embeera eno okusinga abasajja.)
• Obulwadde bw’ebitundu by’omutima olw’ekyuma ekikuba omukka.
• Ggwe oba omuntu mu maka go alina ebyafaayo by’obuzibu bw’okuzimba omusaayi, gamba nga Antiphospholipid Syndrome.
• Nga emabegako yaggyibwako enseke (Splenectomy).
• Okumira eddagala erikyusa obusimu bwa thyroid.

Ebintu bino byonna tebikwata ku buli muntu, naye bizuuliddwa ng’ebiyinza okuleeta akabi.

Bubonero ki obwa `(CTEPH)`?

Omuntu alina CTEPH ayinza okufuna obubonero nga:

• Okuwulira obulumi mu kifuba oba okunyiga .
• Okusesema omusaayi (kino tekitera kubaawo).
• Okukyuka langi ya bbululu mu nsonga z’engalo n’ebigere (Cyanosis).
• Okuwulira ng'oziyira .
• Obulwadde bwa Syncope.
• Okuwulira nga okooye nnyo (`Fatigue`) .
• Okuwulira ng'ekifuba kikuba, kino tukiyita ``Heart Palpitations''.
• Okukaluubirirwa okussa , naddala ng’olina ky’okola oba ng’otambula.
• Okuzimba amagulu, nga kino kiva ku kukuŋŋaanyizibwa kw’amazzi mu mubiri (edema).

Tokitwala nti olina CTEPH olw’okuba olina obubonero buno bumu oba bubiri. Naye obubonero buno bwe busigala nga bukyaliwo, kirungi okugenda ew’omusawo.

Obulwadde buno `(CTEPH)` buzuulibwa butya?

Bw’olaba omusawo, ayinza okusooka okukola ebigezo ebimu okukebera oba CTEPH, gamba nga:

• Okukebera okutunuulira empewo n’omusaayi oguyingira mu mawuggwe (`(Lung ventilation-perfusion scan - V/Q scan)`).
• ``Pulmonary Angiogram'' kwe kukebera okukebera oba omusaayi guzimba oba gufunda mu misuwa gy'amawuggwe.
• Ebigezo by’emirimu gy’amawuggwe.
• Transthoracic Echocardiogram (TTE) eringa okukebera omutima mu ddoboozi ery’omwanguka.

Oluvannyuma lw’okukeberebwa kuno okusooka, kiyinza okwetaagisa okukeberebwa okulala okukakasa okuzuula obulwadde bwa CTEPH n’okuzuula obuzibu bwayo. Mu bino biyinza okuli:

• Right Heart Catheterization kigezo ekipima puleesa nga oyingiza akatuba akatono mu ludda olwa ddyo olw’omutima.
• Kebera emisuwa mu mawuggwe ng’okozesa obukodyo obw’omulembe obw’okukuba ebifaananyi nga CT Pulmonary Angiography (CTPA) oba Digital Subtraction Angiography.
• Okukebera MRI.
• ``Exercise Stress Test'' ekebera enkola y'omutima mu kiseera ky'okukola dduyiro.

Ebigezo bino bye bisobozesa abasawo okuzuula ddala oba olina CTEPH ne ku mutendera ki.

Bujjanjabi ki obwa `(CTEPH)`?

Obujjanjabi bwa CTEPH butera okuzingiramu okulongoosebwa oba enkola efaananako bwetyo. Waliwo engeri bbiri enkulu:

1. Pulmonary Endarterectomy : Eno nkola ya kulongoosa mu lwatu. Mu nkola eno, omusaayi omukadde n’enkovu ezisibye munda mu misuwa gy’amawuggwe bilongoosebwa. Kino kikolebwa okugezaako okuzzaawo omusaayi mu mawuggwe.

2. ``(Okulongoosa emisuwa mu bbaatule y'amawuggwe)''.: Mu kino, akapiira akatono kakwatibwa ku nkomerero ya ttanka empanvu (catheter), nga kayisibwa mu musuwa gw’omusaayi ogufunda mu mawuggwe. Baluuni efuumuulwa okusika ekitundu ky’enkovu ku bbali, ne kiddamu okugaziya omusuwa.

Okulonda emu ku nkola zino ebbiri kisinziira ku bintu bingi, gamba ng’embeera y’omulwadde n’ekifo omusaayi we gukutte.

Waliwo obujjanjabi obulala bwonna?

Yee, abantu abamu bayinza obutasobola kulongoosebwa kuno. Ku bantu abo, oba abo abasigala nga balina puleesa mu mawuggwe oluvannyuma lw’okulongoosebwa, empeke eyitibwa `(Riociguat)` esobola okuweebwa. Lino ddagala eriweebwa ku puleesa y’amawuggwe. Kino kiyamba okumalawo obubonero.

CTEPH esobola okuziyizibwa?

CTEPH kizibu ekiva ku mbeera z‟obulamu endala nnyingi. Ebintu ebimu bye tutasobola kufuga. Naye ekisinga obukulu ky'oyinza okukola kwe kulabirira obulungi amawuggwe go . Ekyo kitegeeza okulekera awo bw’oba ​​onywa sigala n’okwewala taaba kikulu nnyo.

Endowooza etya eri abalwadde abalina CTEPH?

Gano ge mawulire agasinga! Pulmonary Endarterectomy ne Pulmonary Balloon Angioplasty bisobola okuwonya ddala CTEPH . Abantu bangi abakola obujjanjabi buno bafuna ebirungi nnyo.

Kyokka, wadde ng’ebirungi bino bibaawo, abalwadde abamu bayinza okufuna ekigero ekimu eky’okunyigirizibwa mu birowoozo, okweraliikirira, n’okwennyamira. Kino kiyinza okuba ekituufu naddala eri abo abatalina bisaanyizo bya bujjanjabi obwogeddwako waggulu. Bw’oba ​​olina ekimu ku bizibu bino eby’omutwe, yogerako n’omusawo wo. Basobola okuwuliriza ebikweraliikiriza ne bakuwa amagezi ku bujjanjabi obujja okukuyamba okuwulira obulungi.

Bintu ki ebikulu by'olina okumanya ng'obeera ne `(CTEPH)`?

• Kirabika ojja kwetaaga okumira eddagala erikendeeza omusaayi obulamu bwo bwonna .
• Bw’oba ​​omira eddagala nga Warfarin, kiyinza okwetaaga okussa ekkomo ku mmere ezimu (nga soya ne broccoli, ezirimu ekirungo kya Vitamiini K). Buuza omusawo wo ku nsonga eno.
• Dduyiro omutono , gamba ng’okutambula, asobola okuyamba abantu bangi okuddamu amaanyi n’okusigala nga balamu bulungi. Omusawo ayinza n’okukuwa amagezi okukola dduyiro ng’alabirirwa (okuddaabiriza amawuggwe).

N’ekisembayo, kino kijjukire.

Chronic Thromboembolic Pulmonary Hypertension (CTEPH) mbeera etali ya bulijjo nga puleesa mu misuwa gy’amawuggwe yeeyongera, naye bulwadde obujjanjabwa singa buzuulibwa nga bukyali era ne bujjanjabwa mu ngeri esaanidde . Bw’oba ​​olina ekimu ku bubonero buno, tolwawo kunoonya magezi ga musawo. Jjukira nti abantu abasinga obungi bwe bajjanjabwa obulungi, basobola okuwona obulungi. N’olwekyo tosattira. Goberera n’obwegendereza ebiragiro by’omusawo, ojja kusobola okuwona amangu!

`CTEPH, Puleesa y’amawuggwe, Okuzimba omusaayi, Obuzibu mu kussa, Obulwadde bw’omutima, Okuzimba amawuggwe, Puleesa y’amawuggwe