Enkwaso ey’obulabe ekosa obwongo: Ka tuyige ku Cryptococcal Meningitis

Oboolyawo owulidde ku ‘musujja gw’obwongo’ oba obulwadde bw’okuzimba omutwe. Naye obadde okimanyi nti n’enkwaso esobola okuleeta embeera eno ey’akabi? Leero tugenda kwogera ku mbeera ey’amaanyi, naye ng’okusinga temanyiddwa. Kiyitibwa obulwadde bwa Cryptococcal Meningitis. Kikulu okukimanya kino naddala ng’abaserikale b’omubiri banafuye .

Mu ngeri ennyangu, Cryptococcal Meningitis kye ki?

Okay, ka tutandike ku ntandikwa. Cryptococcus kika kya kizimbulukusa, nga kino kika kya ffene. Enkwaso eno ebiseera ebisinga takola bulabe bungi ku muntu mulamu bulungi ate ng’abaserikale b’omubiri abalungi. Wabula ssinga abaserikale b’omubiri be banafuye, ffene ono afuna omukisa munene.

Enkwaso eno eyagala nnyo obusimu bwaffe naddala obwongo n’omugongo. N’olwekyo, yinfekisoni eno ekosa butereevu obuwuka obukuuma obwongo bwaffe. Mu by’obusawo obuwuka buno tubuyita ‘meninges’. Kale, obuwuka buno bwe bufuna obuwuka ne buzimba, tubuyita meningitis oba ‘omusujja gw’obwongo’. Embeera eno bw’eva ku ffene wa Cryptococcus, tugiyita obulwadde bwa cryptococcal meningitis .

Obulwadde buno buva ku puleesa okweyongera mu bwangu munda mu bwongo. Puleesa eno ey’amaanyi esobola okwonoona ebitundu by’obwongo eby’enjawulo. Tekikoma awo, naye oluusi amaaso n’amatu nabyo bisobola okwonooneka. Waliwo ebika bya ffene ebikulu bibiri ebireeta obulwadde buno. Zino ze zino: `Cryptococcus neoformans` ne `Cryptococcus gattii`. Ku bano, ekika ekisooka kye kisinga okubeerawo.

Ani ali mu bulabe obw’amaanyi obw’okukwatibwa obulwadde buno?

Nga bwe twayogeddeko emabegako, ffene ono afuna emikisa. Kino kitegeeza nti linda okutuusa ng’abaserikale b’omubiri, abaserikale b’omubiri, banafuye olwo ne balumba.

Ng’oggyeeko akawuka ka siriimu, waliwo n’embeera endala eziwerako ezinafuya abaserikale b’omubiri . Bw’oba ​​olina emu ku mbeera zino, kikulu okumanya obubonero buno.

• Abantu abalina endwadde ezeekuusa ku musaayi (Endwadde z’omusaayi) .
• Abantu abalina obulwadde bw’okulemererwa kw’ebitundu by’omubiri, gamba ng’ekibumba okulemererwa
• Ensigo, ekibumba n’ebirala.Abantu abakyusiddwa ebitundu by’omubiri era nga bamira eddagala eriweweeza ku busimu bw’omubiri
• Abantu abalina obulwadde obulala obw’obusimu obuziyiza endwadde
• Abantu abakozesa eddagala eriweweeza ku busimu obuziyiza endwadde nga steroids okumala ebbanga

Enkwaso eno eyingira etya mu mibiri gyaffe?

Enkwaso eno eya Cryptococcus esaasaanyizibwa mu butonde nga obuwuka obuyitibwa spores. Zisinga kubeera mu ttaka, omusulo gw’ebinyonyi (naddala omusulo gw’ejjiba), n’enku ezivunda.

N’olwekyo, bwe tussa, obuwuka buno busobola okuyingira mu mawuggwe gaffe . Naye teweeraliikiriranga, tebusaasaana okuva ku muntu okudda ku mulala ng'omusujja ogwa bulijjo.

Obuwuka buno bwe buyingira mu mubiri gw’omuntu alina abaserikale b’omubiri omulungi, obutoffaali obukuuma mu mawuggwe (alveolar macrophages) bubusaanyawo. Kyokka ekintu eky’enjawulo kibaawo mu mubiri gw’omuntu alina abaserikale b’omubiri abanafu.

Mu ngeri ennyangu, kino kye kibaawo:

1. Obuwuka bwa ffene buyingira mu mawuggwe nga buyita mu kussa.

2. Olw’obusimu obuziyiza endwadde obunafu, obutoffaali obukuuma mu mawuggwe tebusobola kusaanyawo bino.

3. Okuva awo, enkwaso etambula okutuuka mu nnywanto, gye yeeyawulamu mangu n’ekola obutoffaali bwa ffene bungi.

4. Olwo, obutoffaali buno obwa ffene butambula mu musaayi ne butuuka ku bwongo n’omugongo.

5. Eyo, obutoffaali buno butandika okukula mu bitundu ebyetoolodde obwongo. Mpola mpola obubonero bulabika.

Bubonero ki obulaga obulwadde buno?

Obubonero bw’obulwadde bwa cryptococcal meningitis butera okukula mpola. Oyinza obutalaba njawulo nnene amangu ago. Kale kikulu okumanya obubonero buno.

Oyinza otya okuzuula obulwadde buno mu butuufu?

Bw’oba ​​olina ekimu oba ebisingawo ku bubonero buno era ng’oli mu kimu ku bibinja eby’akabi ebyogeddwako waggulu, laba omusawo mu bwangu . Kikulu nnyo.

Omusawo ajja kukukebera n’atebereza obulwadde bw’okuzimba omutwe. Bw’oba ​​oli mu bulabe, era bajja kulowooza ku ky’okulwala obulwadde bwa cryptococcal meningitis.

Okukakasa nti olina obulwadde buno, omusawo ayinza okukuboola ekifuba.Kiyitibwa ttaapu y’omugongo. Tofaayo, kino tekitiisa nga abantu bangi bwe balowooza. Kizingiramu okuyingiza empiso ennungi ennyo mu mugongo gwo ogwa wansi n’okwata akatundu akatono ak’amazzi ageetoolodde obwongo n’omugongo (Cerebrospinal Fluid - CSF). Amazzi gano ge galiisa n’okufukirira obusimu bwo obw’omu makkati.

Olwo sampuli eno eya CSF ekeberebwa mu laboratory okulaba oba ffene wa Cryptococcus aliwo.

Okugatta ku ekyo, omusawo ayinza n’okukuwa amagezi okukebera obwongo mu CT oba MRI .

Ddala obulwadde buno bwa bulabe?

Yee, buno bulwadde bwa maanyi nnyo, n’okutta omuntu. Singa tebujjanjabwa, kiyinza okwonoona obwongo obw’amaanyi. Ebimu ku byonooneddwa biyinza obutaddamu kuddamu.

Singa tebajjanjabwa, okukonziba, okubulwa amagezi, okugwa mu kkoma, n’okufa n’okufa.

Ne bwe wabaawo obujjanjabi obusinga obulungi mu nsi yonna, omuwendo gw’abafa olw’obulwadde buno guli wakati wa 15% ne 30% . Ekyo kisaana okukuwa endowooza ku buzibu bw’obulwadde buno.

Kijjanjabwa kitya?

Kino kijjanjabwa n’eddagala eriweweeza ku buwuka obuleeta endwadde. Kyokka obujjanjabi buno tebunnaggwa mu lunaku lumu oba bbiri. Kiyinza okutwala emyezi okuwona mu bujjuvu.

Waliwo ebigendererwa bibiri ebikulu eby’obujjanjabi:

1. Okuddukanya embeera y’obujjanjabi gy’oli: Okugeza, bw’oba ​​olina akawuka ka siriimu, kyetaagisa okufuna obujjanjabi obutuufu (antiretroviral therapy) n’okuzzaawo obusimu bw’omubiri.

2. Okujjanjaba obulwadde bwa ffene: Eddagala nga Amphotericin B, Fluconazole, Flucytosine, ne Itraconazole lye likozesebwa ku kino.

Ojja kwetaaga okusigala mu ddwaaliro mu biseera by’obujjanjabi ebisooka. Obuwanguzi bw’obujjanjabi businziira ku ngeri obulwadde gye buzuulibwamu amangu n’embeera gy’olina.

N’olwekyo, bw’oba ​​oli mu bulabe bw’okukwatibwa obulwadde buno, bulijjo weetegereze obubonero obusooka. Bw’oba ​​olina n’okubuusabuusa okutono, tolwawo kwogera na musawo . Okuzuula amangu n’okujjanjabibwa amangu y’engeri esinga okutaasa obulamu bwo.