Ofuna obulumi mu magulu ng’otambula? (Okuyimba)

Kuba akafaananyi ng’otambula mu kkubo okumala akabanga katono. Amangu ago, owulira obulumi obw’amaanyi, obufumita mu magulu naddala mu nnyana zo. Olina okuyimirira mu kifo w’otokyayinza kugumira. Ekyewuunyisa, bw’oyimirira okumala eddakiika ntono, obulumi bukendeera mpolampola. Bw’oddamu okutandika okutambula, obulumi buddamu okulabika ng’omaze okutambula olugendo olutono. Kino okifunyeemu? Olwo ekitundu kino kijja kuba kikulu nnyo gy’oli. Leero twogera ku mbeera eno, kwe kugamba, claudication.

Claudication kye ki?

Mu ngeri ennyangu, claudication si bulwadde, kabonero . Nga omusujja bwe gutali bulwadde, kabonero ka yinfekisoni. Embeera gy’ofuna obulumi mu binywa ng’okola emirimu, gamba ng’okutambula, era obulumi bugenda ng’owummudde. Obulumi buno businga kubeera mu magulu.

Lowooza ku nsonga eno bw’otyo. Bwe tukola, bwe tutambula, ebinywa byaffe byetaaga omukka gwa oxygen mungi okusinga bulijjo. Oxygen ono atwalibwa mu binywa omusaayi. Kale, kiki ekibaawo singa emisuwa egitwala omusaayi okutuuka ku magulu gizibikira oba ne gifunda olw’ensonga ezimu? Bwe tutambula, omusaayi tegusobola kuwa mukka gwa oxygen ogw’enjawulo ebinywa gwe byetaaga. Wano ebinywa we biwulira obulumi ne bikuwa akabonero nti "Sirina oxygen emala." Bw’oyimirira n’owummula, ebinywa tebyetaaga mukka gwa oxygen mungi. Kale balina omuwendo gw’omusaayi ogwa bulijjo ogubakulukuta. Olwo obulumi ne bugenda.

Emirundi egisinga, ekisinga okuvaako kino y’embeera eyitibwa Peripheral Artery Disease (PAD) . Kino kwe kufunda kw’emisuwa egitwala omusaayi mu bitundu by’omubiri naddala amagulu. Ekisinga okuvaako emisuwa okufunda kuno ye Atherosclerosis , nga eno ye misuwa okukaluba n’okufunda mpolampola olw’okuteekebwa kw’ebintu nga kolesterol mu bisenge by’emisuwa.

Bubonero ki obulaga nti omuntu alina okuzimba (claudication)?

Abantu abamu bayinza obutaba na bubonero bwonna mu kusooka, naye abo abalina obubonero buno batera okufuna obubonero buno mu magulu oba mu bigere.

Ani asinga okubeera mu bulabe bw’embeera eno?

Waliwo ebintu ebiwerako ebiyinza okuleeta akabi akayinza okuvaako okuzimba omubiri (claudication). Bw’oba ​​olina bino, olina okwegendereza katono.

• Okunywa sigala: Kino kye kisinga okuleeta akabi era ekisinga okuba eky’amaanyi . Okunywa sigala kwonoona emisuwa n’okwongera ku sipiidi gye gizibikira.
• Ssukaali: Abantu abalina ssukaali batera okwonooneka emisuwa.
• Kolesterol omungi: Kolesterol mu musaayi bwe yeeyongera, atereka ku bisenge by’emisuwa n’agiziba.
• Puleesa: Puleesa eyonoona emisuwa n’eyongera obulabe bw’okulwala emisuwa.
• Obulwadde bw’ekibumba: Okukendeera kw’enkola y’ekibumba nakyo kiyinza okukosa kino.
• Emyaka: Omuze gw’obutonde ogw’okuzimba emisuwa gweyongera n’emyaka.
• Ebyafaayo by’amaka: Singa omuntu mu maka go aba n’embeera ng’obulwadde bw’omutima oba PAD, naawe oba mu bulabe bwa maanyi.

Omusawo kino akizuula atya?

Bw’oba ​​olina obubonero buno, olina okulaba omusawo. Ajja kusooka kukubuuza ku bubonero bwo mu bujjuvu. Olwo ajja kwekenneenya amagulu go.

• Amagulu gakyuse langi?
• Olina ebiwundu byonna ebitwala ekiseera ekiwanvu okuwona?
• Enviiri ku magulu go zigudde?
• Osobola okuwulira omukka mu magulu n’ebigere byo?

Oluvannyuma lw’okutunuulira ebintu nga bino, okukebera okuwerako kuyinza okukolebwa okukakasa embeera eno n’okuzuula obuzibu bwayo.

Bujjanjabi ki obukolebwa ku kino?

Waliwo obujjanjabi obuwerako obusobola okuddukanya embeera eno, ng’otandikira ku bintu ebyangu by’osobola okwekolera.

1. Enkyukakyuka mu bulamu (kino kye kintu ekisinga obukulu!) .

Lino lye ddagala erisinga okukola ku claudication. Ebintu bino bijja kukuyamba nnyo okusinga eddagala omusawo ly’akuwa.

• Okulekera awo okunywa ssigala: Bw’oba ​​oli munywa ssigala, olina okulekera awo leero, kati . Obwo bwe buyambi obusinga obunene bw’oyinza okwekolera.
• Okutambula:"Nnuma bwe ntambula, kale sikyalina kutambula?" oyinza okulowooza nti. Naye ekyo kikyamu. Dduyiro asinga obulungi ku kino kwe kutambula. Omusawo ajja kukugamba okutambula ennaku 3-5 mu wiiki, okumala eddakiika nga 50 olunaku. Yimirirako ng’obulumi butandise, era oddemu okutambula ng’obulumi bukendedde. Mpola mpola, ojja kukiraba nti ebanga ly’osobola okutambula nga tolina bulumi lijja kweyongera.
• Emmere eyamba omutima: Lya emmere erimu amafuta amatono, omunnyo ne ssukaali, ate ng’erimu ebibala n’enva endiirwa.

2. Eddagala

Ng’oggyeeko enkyukakyuka mu bulamu bw’omuntu, omusawo ayinza okukuwa eddagala nga lino.

• Eddagala erikendeeza puleesa (e.g. ACE inhibitors) .
• Eddagala erikendeeza ku kolesterol (e.g., `Statins`) .
• Eddagala eriziyiza omusaayi okuzimba (e.g. Aspirin, Clopidogrel) .
• Eddagala eriggulawo emisuwa n’okulongoosa entambula y’omusaayi (e.g., `Cilostazol`)

3. Enkola ez’enjawulo ez’obujjanjabi (Enkola) .

Singa embeera eno eba ya maanyi era nga nzibu okufuga n’eddagala, omusawo ayinza okuddukira mu bujjanjabi obw’ekika kino.

• Angioplasty: Kino kizingiramu okuyingiza akapiira akatono mu musuwa oguzibiddwa n’ogufuuwa okuggulawo ekizibikira.
• Okuteeka stent: Oluvannyuma lw’okulongoosa omusuwa okuggulawo omusuwa, akatundu akatono akalinga akatimba (a `stent`) kayingizibwamu okugukuuma obutaddamu kuzibikira.
• Okulongoosa okuyita mu mubiri: Singa okuzibikira kuba kwa maanyi, omusuwa omupya gutondebwawo nga bakozesa ekitundu ky’omusuwa ekiggiddwa mu kitundu ekirala eky’omubiri oba omusuwa ogw’ekikugu okuyita mu kifo ekizibiddwa. Kino kikolebwa mu mbeera ez’amaanyi ennyo zokka.

Waliwo ebintu ebirala ebirina okweraliikirira ng’oggyeeko claudication?

Yee. Waliwo embeera endala eziwerako ezireeta obulumi bw’amagulu obuyinza okuba n’obubonero obufaananako n’obw’okuzimba amagulu, naye nga buyinza okuba obw’amaanyi ennyo. N’olwekyo, obulumi bw’amagulu tebulina kubuusibwa maaso.

• Obulwadde bwa Deep Vein Thrombosis (DVT): Kino kye kiseera ekizimba ky’omusaayi mu musuwa omuzito mu kigere. Singa ekizimba kino kikutuka ne kisula mu musuwa mu mawuggwe, kiyinza okuba embeera ey’amangu eyinza okutta omuntu . Kiyitibwa `Pulmonary Embolism`. N’olwekyo, singa ofuna okuzimba, okumyuuka n’obulumi mu kigere mu bwangu, olina okulaba omusawo oba okugenda mu ETU (Emergency Treatment Unit) mu bwangu.

• Chronic Compartment Syndrome: Kino puleesa bwe yeeyongera munda mu kisenge ekyetoolodde ekinywa, ne kiziyiza omusaayi okutambula. Kino nakyo kiyinza okuvaako obulumi ng’okola dduyiro.

N’olwekyo, olina okukirekera omusawo akumanye ddala embeera gy’olina.