Olina endwadde ezisukka mu emu? Ka twogere ku comorbidities zino!

Oluusi bwe tugenda ew’omusawo, ebimu ku bigambo bye boogera biyinza okutiisa katono, nedda? Ekigambo ekimu ng’ekyo ye ‘Comorbidities’. Naye okutegeera bino kye biruwa n’engeri gye bikwata ku bulamu bwo kiyinza okukuyamba ennyo okukola ku ndwadde zo. Kale ka twogere ku nsonga eno leero.

Kale comorbidities zino ze ziruwa?

Mu ngeri ennyangu, comorbidities kwe kubeerawo kw’obulwadde obulala bumu oba okusingawo ng’oggyeeko obulwadde bwo obukulu. Ekigambo ky'obusawo "obulwadde" kitegeeza okubeerawo kw'obulwadde oba embeera. Kale bwe kisookerwako "co" kitegeeza nti endwadde bbiri oba okusingawo ziriwo wamu.

Ekigambo ``Comorbidity'' kiyinza okutiisa katono okuwulira. Naye bw’omala okutegeera kye kitegeeza n’engeri gye kikosaamu obulamu bwo, osobola okukola ennyo mu kuddukanya obulamu bwo. Olw’okuba endwadde zino ezikwatagana ziyinza okukosa, enteekateeka yo ey’ebyobulamu eyinza okukyuka okusinziira ku nsonga eyo.

Teebereza kino. Omusawo akugamba okutambula buli lunaku okusobola okufuga omugejjo . Naye oluvannyuma lw’ennaku ntono, okizuula nti olina obulwadde bw’amagumba . Kale mu kifo ky’okutambula buli lunaku, osobola okukyusa n’odda ku water aerobics okutangira obulumi bw’ennyondo zo okweyongera. Mu mbeera eno, obulwadde bw’amagumba bulwadde obukwatagana n’omugejjo. Kale, engeri gy’oddukanyaamu omugejjo gwo ekyuka.

Ekyokulabirako ekirala ye puleesa (Hypertension) . Abantu abalina embeera endala, gamba ng’obulwadde bw’omutima oba amawuggwe, nabo basobola okuba ne puleesa. Bw’oba ​​olina puleesa wamu n’embeera endala, omusawo wo naye ajja kulowooza ku mbeera ezo. Ayinza okwetaaga okukuwa eddagala erikendeeza puleesa eritajja kutaataaganya ddagala eddala ly’omira.

Endowooza y’endwadde ezikwatagana (comorbidities) nkulu nnyo mu by’obusawo. Kale okumanya kye kitegeeza kiyinza okukuyamba okwogera n’omusawo wo n’otegeera obulungi enteekateeka yo ey’obujjanjabi. Era kiyinza okuba eky’omugaso mu kuwagira abaagalwa bo mu mbeera y’obujjanjabi bwabwe.

Wano waliwo ebigambo ebirala ebikozesebwa okunnyonnyola comorbidities:

• Embeera ezibeera awamu
• Embeera ezikwatagana nabyo
• Embeera eziwera ezitawona
• Endwadde ezitali zimu

Njawulo ki eriwo wakati w’okuzuula obulwadde obusookerwako n’obulwadde obulala?

Comorbidity mbeera ya bujjanjabi emanyiddwa obulungi gy’olina ng’oggyeeko obulwadde bwo obusookerwako (oluusi obuyitibwa underlying diagnosis oba index disease). Kati oyinza okuba nga weebuuza nti, "Ekizuula kino ekisookerwako kye ki?" Ennyonyola z’ebigambo bino mu butuufu zizibu katono.

Mu nsi y’obusawo, .Obulwadde obw’amaanyi y’embeera y’obujjanjabi gy’ojjanjabirwa mu kiseera ekigere oba mu kiseera ekigere. Kiyinza okuba obulwadde obusinga okuba obw’amaanyi, oba obwetaagisa okulabirira omukugu. Kiyinza n’okuba nga kye kyakuleetera okuweebwa ekitanda mu ddwaaliro.

Obulwadde bulondebwa ng'obulwadde "obukulu" omusawo ayogerwako. Obulwadde bwo obukulu nabwo buyinza okukyuka okusinziira ku musawo gw’olaba n’engeri obulamu bwo gye bukyuka.

Ng’ekyokulabirako, teebereza ng’olina obulwadde bw’ekibumba obutawona, Puleesa, ne Ssukaali ow’ekika eky’okubiri. Olaba omusawo w’ekibumba era buli kiseera ojjanjabibwa obulwadde bw’ekibumba. Olwo, omusawo oyo atwala obulwadde bwo obw’ekibumba ng’obulwadde bwo obukulu. Kubanga ekyo ky’ajjanjaba. Puleesa ne ssukaali abitwala ng’endwadde ezikwatagana n’endwadde z’ekibumba. Era alabirira comorbidities zino ng’ajjanjaba obulwadde bwo obw’ekibumba.

Ng’otwala ekyokulabirako kino mu maaso, teebereza nti bulijjo olaba omusawo w’endwadde z’omu lubuto okusobola okuddukanya obulwadde bwa sukaali. Olwo omusawo oyo atwala obulwadde bwo obusookerwako nga ssukaali. Obulwadde bwo obw’ekibumba ne puleesa abutwala ng’obulwadde bwa ssukaali obukwatagana.

Kale osobola okulaba, obulwadde obukulu kye ki ne comorbidity kye ki kiyinza okwawukana okusinziira ku mbeera. Abasawo abakugu batera okulaba embeera y’obulamu bwo ng’obulwadde obukulu n’endwadde ezikwatagana nazo.

Naye abantu nga omusawo wo ow’amaka (Primary Care Provider) bayinza okutunuulira kino mu ngeri ey’enjawulo katono. Era bayinza okukozesa endowooza ya ``Multimorbidity'' okufuna endowooza egazi ku bulamu bwo.

Obulwadde bw’endwadde nnyingi (multimorbidity) kintu nga kino?

Ekitongole ky'ebyobulamu n'obuweereza bw'abantu mu Amerika kitegeeza ``multimorbidity'' nga okubeerawo kw'endwadde oba embeera z'obujjanjabi ezitakka wansi wa bbiri ezimala omwaka ogusukka mu gumu . Ennyonyola eno teyogera ku bulwadde obusookerwako. Kino kyawukana ku nnyonyola ya comorbidity.

Abanoonyereza bangi bakozesa endowooza ya ``multimorbidity'' okunoonyereza ku ngeri endwadde gye zikwatamu. Naye abantu bangi bakozesa ebigambo comorbidity ne multimorbidity interchangeably, nga kino kwe kutegeeza okubeerawo kw’embeera z’obujjanjabi bbiri oba okusingawo awamu.

Endwadde zino ezikwatagana zikwata zitya ku bulamu bwo?

Okubeera n’endwadde ezikwatagana oba obulwadde obw’enjawulo kiyinza okukosa obulamu bwo mu ngeri nnyingi. Bw’oba ​​olina embeera bbiri oba okusingawo ezitawona:

• Embeera zino zisobola okuba n‟akakwate akanene ku bulamu bwo obw‟omutwe ne/oba mu mubiri okusinga bwe zandibadde ssekinnoomu, era zisobola n‟okukosa ennyo ku ``omutindo gw‟obulamu bwo ogwekuusa ku bulamu``.
• Olw’obulwadde obulala, endowooza y’ekiseera ekiwanvu ku bulwadde bwo obusookerwako eyinza okukyuka.
• Obujjanjabi buyinza okuba obuzibu. Ng’ekyokulabirako, obujjanjabi bw’embeera emu buyinza okwonoona embeera endala. Oba, okumira eddagala ly’embeera ez’enjawulo awamu kiyinza okuba eky’akabi.
• Oyinza okwetaaga okulaba abakugu ab'enjawulo abawerako . Bajja kukolera wamu nga ttiimu, nga bagabana okumanya kwabwe, n’okukola enteekateeka y’obujjanjabi esinga obulungi gy’oli.

Ka tulabe obulwadde obusinga okubeera obw’enjawulo (comorbidities).

Endwadde ez’enjawulo ezikwatagana zisobola okulabibwa mu balwadde abafuna obujjanjabi mu malwaliro ne mu abo abatawaanyizibwa embeera z’obujjanjabi ez’enjawulo.

Mu baweereddwa ebitanda

Okunoonyereza okumu kwazuula nti abantu abakulu abasoba mu 84% abajjanjabirwa mu malwaliro mu Amerika mu 2019 baalina obulwadde bumu oba okusingawo, ng’oggyeeko embeera eyaliwo eyabaviirako okuweebwa ebitanda. Kumpi ebitundu 50% ku kibinja kino baalina endwadde ezikwatagana waakiri ssatu.

Endwadde endala ezisinga okuzuulibwa mu kunoonyereza okwo ze zino:

• Puleesa (53.2% ku balwadde abajjanjabirwa mu ddwaaliro)
• Ssukaali (26.4% ku balwadde abajjanjabirwa mu ddwaaliro)
• Obulwadde bw’amawuggwe obutawona (20.5% ku balwadde abajjanjabirwa mu ddwaaliro) .
• Okukendeera kw’omusaayi olw’obutaba na musaayi (18.0% ku balwadde abajjanjabirwa mu ddwaaliro) .
• Omugejjo (17.0% ku balwadde abajjanjabirwa mu ddwaaliro)
• Obulwadde bw’ekibumba n’okulemererwa (16.3% ku balwadde abajjanjabirwa mu ddwaaliro) .

Okunoonyereza kuno era kwazudde ebintu ebirala ebiwerako:

• Comorbidities zeeyongera n’emyaka. Abantu abakulu 8% bokka ab’emyaka 18-24 be balina endwadde ezikwatagana waakiri ssatu. Wabula kumpi 73% ku abo ab’emyaka 85 n’okudda waggulu balina endwadde ezikwatagana waakiri ssatu.
• Endwadde ezikwatagana zikwata ku bivaamu. Abantu abalina obulwadde obulala busatu oba okusingawo bamala ebbanga eddene mu ddwaaliro era batera okufiira mu ddwaaliro okusinga abo abalina obulwadde obulala obutono oba obutaliiwo. Enkosa y’endwadde ezikwatagana (comorbidities) ya maanyi nnyo naddala bwe kituuka ku kulongoosa. Abantu abalina obulwadde obulala busatu oba okusingawo batera okufiira mu ddwaaliro oluvannyuma lw’okulongoosebwa emirundi munaana okusinga abo abatalina bulwadde buno.

Comorbidities ezitera okulabibwa n’endwadde ezimu ennene

Abanoonyereza batera okunoonyereza ku bantu abalina obulwadde obw’enjawulo – okugeza, endwadde z’enkizi oba okulemererwa kw’omutima – okulaba embeera ki endala (comorbidities) ze balina. Kya lwatu nti buli muntu wa njawulo, era okunoonyereza kuno tekutegeeza nti buli muntu alina obulwadde obw’enjawulo ajja kuba n’endwadde ezimu ezikwatagana. Naye zituwa endowooza ku nkola eza bulijjo.

Ka tulabe ebyokulabirako ebimu:

• Obuzibu bw‟okussaayo omwoyo/okukola ennyo (ADHD) .
• Common comorbidities: Okwennyamira, obuzibu mu kweraliikirira, obuzibu bw‟okuwuguka.

• Ssukaali ow’ekika eky’okubiri
• Endwadde ezitera okubeerawo: Puleesa, amasavu amangi (e.g. kolesterol omungi ne/oba triglycerides omungi - Dyslipidemia), Obulwadde bw’ekibumba obukwatagana n’obutakola bulungi mu mubiri - MASLD, Polycystic Ovary Syndrome - PCOS, Omugejjo, Obstructive Sleep Apnea.

• Omutima Okulemererwa
• Endwadde ezitera okubeerawo: Ssukaali ow’ekika eky’okubiri, Okusannyalala mu tulo, Omugejjo, Puleesa.

Oluusi, endwadde zibeera wamu kubanga zirina ebiziviirako oba ebizireeta akabi. Ng’ekyokulabirako, puleesa ne ssukaali byombi bisobola okwongera ku bulabe bw’okufuna endwadde z’omutima n’endwadde z’ekibumba. Naye oluusi comorbidities tezirina common underlying cause. Omusawo asobola okukubuulira ebisingawo ku bivaako embeera zo n’engeri obujjanjabi gye buyinza okukuyamba.

Kale bukulu ki obw’okumanya kino?

Okuyiga amakulu g’ebigambo comorbidities ne multimorbidities kiyinza okukuyamba okwogera n’omusawo wo ku bulamu bwo. Naye bw’oba ​​owulira ng’ebigambo bino bikuyitiriddeko, yimirirako olowooze akaseera katono.

Ekikulu si kukwata mu mutwe bigambo byonna eby’obusawo. Ekikulu kwe kutwala obudde okuyiga ku mbeera z’obujjanjabi bwo n’engeri gye zikwata ku bulamu bwo. Tegeera obujjanjabi bw’oyinza okwetaaga, lwaki weetaaga, n’engeri y’okuddukanyaamu eddagala lyo awaka. Era kikulu okukimanya nti tewali bantu babiri bafuna mbeera y’emu oba embeera ezigatta mu ngeri ya njawulo.

Buulira omusawo wo ebibuuzo byonna n’ebikweraliikiriza asobole okukuwa obulagirizi obutuukagana n’embeera yo entongole.

Obubaka obw’okutwala awaka okuva mu kiwandiiko kino bwe buno:

Okay, kale, bino bye bintu ebikulu by’olina okujjukira okuva mu bye twogeddeko leero:

• Comorbidities zitera okubeerawo: okubeerawo kw’obulwadde obulala bumu oba okusingawo nga kwotadde n’obulwadde obusookerwako, ekintu abantu bangi kye bafuna.
• Kikulu okutegeera: Okumanya obulwadde buno obulala, n’okutegeera engeri gye bukosaamu obulamu bwo, kiyamba nnyo mu kuddukanya obulamu bwo okutwalira awamu.
• Obujjanjabi buyinza okuba obuzibu:Okuteekateeka obujjanjabi kiyinza okukuzibuwalira katono ng’olina obulwadde obusukka mu bumu, n’olwekyo kyetaagisa okugoberera ddala ebiragiro by’omusawo wo.
• Yogerako n’omusawo wo: Buulira omusawo wo ku mbeera yonna ey’obujjanjabi gy’olina n’eddagala lyonna ly’omira. Tolonzalonza kubuuza kibuuzo kyonna oba ekikweraliikiriza kyonna ky’olina. Ttiimu yo ey’ebyobulamu eriwo okukuyamba.

Jjukira nti toli wekka. Abantu bangi ababeera n’embeera zino. Bw’oba ​​n’okumanya okutuufu, obuwagizi, n’okubuulirirwa kw’abasawo, naawe osobola okugumira embeera zino obulungi!

` Comorbidities, Embeera Ennyingi, Okuzuula Okusookerwako, Endwadde Ennyingi, Endwadde ezitawona, Enzirukanya y‟ebyobulamu, Okubuulirira kw‟abasawo