Waliwo ekiseera nga ffenna tutidde nnyo n’ekirwadde kya COVID-19. Okutya kuno, obutali bukakafu buno, kuteekwa okuba nga kwawulirwa nnyo omuntu awangaala n’embeera ey’ekiseera ekiwanvu nga lupus. Ebibuuzo nga "Biki ekinabaawo singa nfuna COVID?", "Ndi mu bulabe obweyongedde n'eddagala lino?" kiyinza okuba nga kyali ku birowoozo byo. Kale leero, ka twogere ku kakwate akaliwo wakati wa lupus ne COVID-19, mu ngeri ennyangu ennyo, mu ngeri gy’osobola okutegeera.
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Kakwate ki akaliwo wakati wa lupus ne COVID-19 risk?
Mu ngeri ennyangu, ng’olina obulwadde bwa lupus, otera okufuna ekika kyonna eky’obulwadde okusinga omuntu atalina bulwadde buno. Kino kiri bwe kityo kubanga lupus ekyusa engeri obuziyiza bw’omubiri gwaffe, abaserikale b’omubiri , gye bukolamu.
Lowooza ku baziyiza baffe ng’eggye erikuuma eggwanga lyaffe. Omulimu gw’eggye lino kwe kutukuuma nga tutegeera n’okulumba abalabe abagwiira (obuwuka, akawuka). Naye mu lupus, eggye lino litabulwa katono ne batasobola kumanya ani mukwano oba mulabe. Kale batandika okulumba si balabe abagwira bokka wabula n’obutoffaali bwaffe obulamu. Kino tukiyita embeera y’abaserikale b’omubiri (autoimmune condition).
Kino kiri bwe kityo kubanga abaserikale b’omubiri gw’omuntu alina lupus batera okukola ekisusse era nga waliwo okunafuwa. Kale akawuka nga COVID-19 bwe kayingira mu mubiri, kayinza obutasobola kukalwanyisa bulungi. N’ekyavaamu, abalwadde ba lupus tebakoma ku kufuna COVID-19, wabula n’okufuna obubonero obw’amaanyi singa bafuna.
Okugatta ku ekyo, abantu bangi abalina obulwadde bwa lupus bayinza okuba n’ebizibu ebirala eby’obulamu ebiyinza okukaluubiriza okulwanyisa obulwadde nga COVID-19:
- Endwadde ezeekuusa ku mawuggwe (e.g. Chronic Obstructive Pulmonary Disease) .
- Obulwadde bw’omutima
- Obuzibu mu kibumba
- Puleesa eri waggulu
- Ssukaali (Obulwadde bwa sukaali) .
Eddagala lyomira ku lupus ne COVID-19
Oyinza okuba ng’omira eddagala eriweweeza ku busimu bw’omubiri okusobola okuddukanya lupus yo. Eddagala lino likola nga liziyiza abaserikale b’omubiri abakola ennyo. Kino kiyinza okuyamba okufuga okubumbulukuka kw’obulwadde bwa lupus.
Naye oludda olulala olw’ekinusu kino kiri nti olw’okuba kinyigiriza abaserikale b’omubiri, obulabe bw’okukwatibwa obulwadde okuva ebweru bweyongera. Naye ekisinga obukulu wano nti tolina kulekera awo kumira ddagala lino nga tolina magezi ga musawo wo . Kubanga singa olekera awo okumira eddagala, lupus yo eyinza okweyongera. Bw’ofuna yinfekisoni ng’obulwadde buno bwakula dda, buba bwa bulabe nnyo.
Ezimu ku ddagala eriweweeza ku busimu bw’omubiri eritera okukozesebwa ku lupus liwandiikiddwa wansi.
| Erinnya ly’eddagala erya Generic | Amannya g’ebika agakozesebwa ennyo |
|---|---|
| Eddagala lya azathioprine | Azasan, mu kibuga Imuran |
| Eddagala lya Methotrexate | Obulwadde bw’endwadde z’enkizi |
| Ekirungo kya Cyclophosphamide | Ekirungo kya Cytoxan, Neosar |
| Ekirungo kya Cyclosporine | Gengraf, Neoral, Obusimu bw’omusenyu |
| Eddagala lya Belimumab | Benlysta |
| Eddagala lya Rituximab | Rituxan |
| Eddagala lya Prednisone | (Esangibwa wansi wa brand nnyingi) |
Eddagala lya lupus liyinza okuwonya COVID-19?
Oyinza okujjukira nti mu nnaku ezaasooka nga ssennyiga wa COVID, waaliwo okwogera kungi ku hydroxychloroquine ne chloroquine, eddagala erikozesebwa okujjanjaba lupus. Waaliwo endowooza nti eddagala lino liyinza okuwonya COVID-19. Kino kyavaako okunoonyereza okukolebwa okwetoloola ensi yonna.
Wadde okunoonyereza okumu okwasooka kwalaga ebimu ebisuubiza, oluvannyuma okunoonyereza okunene kwakakasa nti eddagala lino teririna kinene kye likola ku COVID-19. Abantu abamu baatuuka n’okufuna ebizibu eby’amaanyi. N’olwekyo, wadde ng’eddagala lino lyasooka kukkirizibwa kukozesebwa mu bwangu, oluvannyuma olukusa lwalyo lwaggyibwawo.
Ekizibu ekisinga okuva mu kukubaganya ebirowoozo kuno kwe kuba nti eddagala lino abalwadde ba lupus lye bakozesa okufuga obulwadde bwabwe lyatandika okubula ku katale. Kino kyafuuka ekizibu kinene eri abalwadde ba lupus mu Sri Lanka nabo.
Ekisinga obukulu: Tokozesangako, n’akatono, eddagala lino ng’eddagala lya COVID-19 ng’osinziira ku by’owulira okuva eri omuntu omulala oba by’olaba ku mutimbagano. Bulijjo goberera ebiragiro by’omusawo.
Singa olwala okola ki?
Bw’oba owulira nga tolina bulungi oba ng’ofuna obubonero obupya, gamba ng’omusujja, okusesema oba okukaluubirirwa okussa, ky’osaanidde okusooka okukola kwe kuyita omusawo wo . Abantu abasinga abalina COVID-19 balina obubonero obutono. Kino kitegeeza nti basobola okudda engulu awaka.
Wabula ng’omulwadde wa lupus, waliwo ebintu ebitonotono by’osaanidde okwegendereza naddala.
- Bw’oba omira eddagala eriweweeza ku busimu bw’omubiri, oyinza obutafuna musujja ne bw’oba olina yinfekisoni.
- Abalwadde ba Lupus oluusi basobola okufuna omusujja ogw’omutindo ogwa wansi awatali nsonga.
- Omusujja era guyinza okuba akabonero akalaga nti omuntu alina obulwadde bwa lupus flare.
N’olwekyo kikulu nnyo okwogera n’omusawo wo singa ofuna obubonero bwonna. Ate era, waliwo obubonero obumu, bwe bulabika, obwetaagisa okubuulirirwa mu bwangu mu basawo oba okusindikibwa mu kitongole ky’abalwadde ab’amangu (ETU) .
| Obubonero | Eky’Okukola |
|---|---|
| Obubonero bwa COVID-19 obutera okulabika | |
| Omusujja | Kuba essimu y’omusawo mu bwangu akuwe amagezi. Sigala awaka owummuleko. |
| Okusesema okukalu | |
| Okukaluubirirwa okussa katono | |
| Obubonero obw‟amangu (genda mu ddwaaliro/ETU amangu ddala) . | |
| Okuwulira ng’omukka gukutte nnyo | Genda mangu mu ddwaaliro erikuli okumpi mu kitongole ky’abalwadde ab’amangu (ETU) oba kuba essimu ya ambyulensi ey’amangu. |
| Obulumi mu kifuba oba okunywezebwa obutasalako | |
| Okutabulwa okupya | |
| Emimwa oba ffeesi eya bbululu | |
Obubaka Obutwala Awaka
- Okubeera n’obulwadde bwa lupus kyongera obulabe bw’okufuna obulwadde bwonna, omuli COVID-19, n’obulabe bw’obulwadde okweyongera okuba obw’amaanyi.
- Weewale okuyimiriza oba okukyusa ddoozi y’eddagala lyo erya lupus olw’ensonga yonna nga tobuuzizza musawo wo.
- Goberera ebiragiro byonna eby’obukuumi (okunaaba mu ngalo, okwambala masiki, okubeera ewala) ebiweebwa abasawo n’abakulira ebyobulamu n’obwegendereza ennyo.
- Weewale ebintu ebiyinza okusajjula lupus yo, gamba nga situleesi mu mubiri ne mu birowoozo n’okubeera omusana, nga bwe kisoboka.
- Yogerako n’omusawo amangu ddala ng’olaba obubonero bwonna. Manya obubonero obw’amangu era okole mu bwangu.
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