Mu maka gammwe mulimu omukadde, oboolyawo maama wo, taata wo, oba jjajja wo, eyeerabira ebintu mu bwangu, n’akyusa enneeyisa ye ng’ayimiridde, oluusi n’ayogera ku bintu ebitaliiwo, gamba nga “Ani aliwo?” Afuna n’obuzibu obutono okutambula? Bw’oba olina obubonero nga buno, kiyinza obutaba kukaddiwa kwa bulijjo nga bwe tulowooza. Leero twogera ku bulwadde obw’enjawulo obuyinza okuleeta obubonero obw’engeri eno, obuyitibwa ‘ Dementia ’ oba Lewy Body Dementia , nga buno bubeera mu kiti kya ‘Memory Loss Diseases’.
Lewy Body Dementia (LBD) kye ki mu ngeri ennyangu?
Mu ngeri ennyangu, LBD kye kika ky’obulwadde bw’okusannyalala eky’okubiri oluvannyuma lw’obulwadde bwa Alzheimer . Butera okukwata abantu abasukka mu myaka 50.
Kino kiri bwe kityo kubanga ebibumbe bya puloteyina ebiyitibwa “Lewy bodies” bitondebwa munda mu butoffaali bw’obwongo bwaffe. Ekika kya puloteyina kino kiyitibwa alpha-synuclein. Ebibumbe bino bwe bikuŋŋaanyizibwa mu bwongo, bitaataaganya enkola y’obwongo eya bulijjo, naddala okujjukira kwaffe, okutambula kwaffe, obusobozi bw’okulowooza, embeera y’omuntu, n’enneeyisa yaffe .
Emibiri gino egya Lewy gitaataaganya okukola eddagala bbiri enkulu mu bwongo.
1. Acetylcholine: Kino kikulu nnyo mu kujjukira kwaffe n’okuyiga.
2. Dopamine : Kino kifuga entambula y’omubiri gwaffe, embeera y’omubiri , n’otulo.
Waliwo ebika bya LBD ebikulu bibiri. Ekimu ye ' Dementia with Lewy bodies' ate ekirala ye ' Parkinson 's disease dementia'. Waliwo enjawulo entonotono mu nsengeka obubonero gye bulabika.
Kino kyawukana kitya ku ndwadde za Alzheimer ne Parkinson?
Abantu bangi batabula embeera zino essatu kubanga obubonero bwazo bufaanagana nnyo. Kyokka, waliwo enjawulo ezeeyoleka wakati waabwe. Okumanya kino kikulu mu kuzuula obulwadde n’okufuna obujjanjabi obutuufu.
| Embeera y’obujjanjabi | Ensengeka ebizibu by’okujjukira n’ebizibu by’entambula mwe bibaawo | Ebintu ebirala eby’enjawulo |
|---|---|---|
| Lewy Obulwadde bw’okusannyalala mu mubiri (LBD) . | Ebiseera ebisinga, obuzibu mu kutambula (okukaluubirirwa okutambula, okukankana) n‟obuzibu bw‟okujjukira (okwerabira) bibaawo mu kiseera kye kimu oba mu mwaka gumu. | Okulaba ebirooto kuyinza okubaawo nga bulwadde buno bukyali. Obuzibu mu nneeyisa mu tulo ya REM butera okubeerawo. Okufaayo n‟obukugu mu kulowooza bikyukakyuka olunaku lwonna (oluusi birungi nnyo, oluusi bitabulwa nnyo). |
| Obulwadde bwa Alzheimer | Kitandikira ku buzibu bw’okujjukira (naddala okujjukira okw’ekiseera ekitono). Obuzibu mu ntambula bubaawo mu mitendera egy’oluvannyuma egy’obulwadde. | Okulaba ebirooto bitera okulabibwa ng’obulwadde buno bugenda mu maaso nnyo, kwe kugamba, mu biseera ebisembayo. |
| Obulwadde bwa Parkinson | Kitandikira ku buzibu bw’okutambula (okukankana, okukaluba kw’ebinywa). Obuzibu bw’okujjukira (okubulwa amagezi) bulabika oluvannyuma nnyo mu bulwadde, oba buyinza obutalabika. | Okusinga kikosa entambula. Singa obulwadde bw’okusannyalala bubaawo, buyitibwa ‘Parkinson’s disease dementia’. |
Ekisinga obukulu, eddagala eriweebwa ku mbeera zino nalyo lya njawulo, n’olwekyo okuzuula obulungi obulwadde kikulu nnyo.
Biki ebiyinza okuvaako okulwala LBD?
Bannasayansi n’okutuusa kati tebamanyi bulungi lwaki abantu abamu bafuna emibiri gya Lewy mu bwongo bwabwe, naye bazudde ensonga eziwerako eziyinza okuvaako kino.
- Emyaka: Okubeera n’emyaka egisukka mu 50 kye kisinga okuleeta akabi.
- Embeera endala ez’obujjanjabi:Okubeera n‟embeera nga obulwadde bwa Parkinson oba obuzibu bw‟enneeyisa y‟otulo eya REM.
- Ebyafaayo by’amaka: Wadde nga buno tebutwalibwa ng’obulwadde obw’obuzaale, singa omuntu mu maka go abadde n’obulwadde bwa LBD, emikisa gyo egy’okubufuna bweyongera katono.
- Ekikula ky’omuntu: Abasajja batera okukwatibwa obulwadde buno okusinga abakyala.
Bubonero ki obukulu obulaga nti omuntu alina LBD?
Abalwadde bonna tebafuna bubonero bwe bumu. Obubonero obumu buyinza okuba obutono, ate obulala buyinza okuba obw’amaanyi. Obubonero busobola okugabanyizibwamu ebika bina.
| Ekika ky’engeri | Eby’okulabirako |
|---|---|
| Ebikosa Obukugu mu Kulowooza | Okukaluubirirwa okusalawo, okukaluubirirwa okusalawo ebanga, okukaluubirirwa okussa ebirowoozo ku kintu ekimu, okubulwa okujjukira, okutunuulira ekifo ekimu, okulaba ebintu ebitaliiwo (hallucinations), okutabulwa ku budde n’ekifo. |
| Olugendo | Okutabula ebigere ng’otambula, okukaluba kw’omubiri, okubulwa bbalansi n’okugwa, okukankana, okuyimirira mu maaso, okukaluubirirwa okumira, okukendeeza ku ndabika y’amaaso, n’eddoboozi erinafu. |
| Ebikosa otulo | Okuzannya ebirooto mu tulo (e.g., okukuba enduulu, okuzimba ebitundu by’omubiri, okugwa ku kitanda), okwebaka ennyo emisana, obuteebaka, n’obwetaavu bw’okutambuza amagulu (Restless legs syndrome). |
| Ebikosa Omuudu n’Enneeyisa | Okwennyamira, okweraliikirira, obutawumula, okuwuubaala, okubutuka kw’obusungu okw’amangu, okuseka oba okukaaba okutafugibwa (pseudobulbar affect). |
Bubonero ki obusooka obwa LBD?
Ebiseera ebisinga okulaba ebintu ebitaliiwo (Hallucinations) .Okulaba ebirooto kye kabonero akasooka okubeerawo mu balwadde nga 80% ku balwadde ba LBD. Kino kitegeeza nti balaba ebintu, gamba ng’ebisolo, abantu, n’enkula, ebitaliiwo. Okugatta ku ekyo, enkyukakyuka mu ngeri y’okulowooza, okwerabira, n’obuzibu mu tulo nazo zisobola okulabibwa mu ntandikwa.
Omusawo azuula atya obulwadde bwa LBD?
LBD tesobola kuzuulibwa n’okukeberebwa omulundi gumu. Olw’okuba obubonero bwayo bufaananako n’ebika ebirala eby’obulwadde bw’okusannyalala, kiyinza okuba ekizibu okuzuula naddala mu biseera ebisooka. Kale omusawo ajja kugaana embeera endala ezireeta obubonero obufaananako bwe butyo.
Omusawo ayinza okukola ebigezo ebiwerako, gamba nga:
- Okukeberebwa omubiri n’okukubaganya ebirowoozo mu bujjuvu ku bubonero bwo.
- Okukebera obusimu: Okukebera engeri gy’okola, amaanyi, bbalansi, entambula, n’entambula y’amaaso.
- Okukebera omusaayi: Kebera oba tewali buzibu mu busimu oba vitamiini.
- Okukebera obwongo: Okukebera CT oba MRI kuyinza okunoonya enkyukakyuka ezikwatagana n’ebika ebirala eby’obulwadde bw’okusannyalala. Sikaani ez’enjawulo nga PET oba SPECT nazo ziyinza okukolebwa.
- Okukebera otulo: Kebera oba waliwo obuzibu mu tulo nga REM sleep behavior disorder.
Bujjanjabi ki obuweebwa LBD?
Mu kiseera kino tewali ddagala oba bujjanjabi bwa LBD. Kyokka waliwo obujjanjabi obuyinza okuyamba okufuga obubonero n’okwanguyiza obulamu .
- Eddagala:
- Eddagala nga `donepezil (Aricept)` ne `rivastigmine (Exelon)`, eriweebwa abalwadde ba Alzheimer olw'obuzibu mu kulowooza n'okujjukira.
- Eddagala nga levodopa eriwonya obuzibu mu kutambula (okukankana, okukaluba).
- Eddagala nga melatonin oba clonazepam (Klonopin) eriwonya obuzibu mu tulo.
- Enzijanjaba endala:
- Obujjanjabi bw’omubiri: Dduyiro okutumbula entambula n’okutebenkera.
- Occupational therapy: Okuyiga engeri y’okukolamu emirimu gya bulijjo mu ngeri ennyangu.
- Okubuulirira: Okuddukanya ebizibu by‟obwongo ng‟okwennyamira n‟okweraliikirira.
Kikulu nnyo: Eddagala erimu eriweweeza ku bwongo erikozesebwa okujjanjaba endwadde z’obwongo liyinza okuba n’ebikosa abantu abalina LBD. Bino bisobola okuleeta obubonero (naddala okulaba ebintu ebitaliiwo n’obuzibu mu kutambula) okwonooneka. N’olwekyo, tokozesa ddagala lyonna nga tolina magezi ga musawo.
Amagezi eri omuntu abeera ne LBD n’abalabirira
Okubeera ne LBD kusoomoozebwa eri omulwadde n‟abalabirira, naye singa wabaawo enteekateeka entuufu n‟obuwagizi, olugendo lusobola okwanguyirwa.
- Lowooza ku by’okwerinda: Ggyawo ebiziyiza ebiyinza okukuleetera okugwa munda mu nnyumba. Teeka ebbaala ezikwata mu kinaabiro.
- Funa obuwagizi: Yogerako n’ab’omu maka go n’emikwano ku nsonga eno. Funa obuyambi bwabwe. Omulabirira naye yeetaaga okuwummula.
- Tegeka nga bukyali: Tegeka enteekateeka z’amateeka n’ez’ebyensimbi nga bukyali okusinziira ku mulwadde bw’ayagala.
- Beera musanyufu: Omulwadde yeetaba mu bintu ebimusanyusa n’okunyumirwa (nga okuwuliriza ennyimba, okukuba ebifaananyi n’ebirala).
Obulamu bwa LBD buba bwa myaka 7-8 oluvannyuma lw’obubonero okutandika, naye kino kiyinza okwawukana okusinziira ku muntu. Singa abalwadde abamu balabirirwa bulungi n’okujjanjabibwa obulungi, basobola okuwangaala emyaka 20.
Obubaka Obutwala Awaka
- Lewy body dementia (LBD) mbeera ereetebwa obutoffaali obuterekeddwa mu bwongo obukosa okujjukira, entambula n’enneeyisa.
- Kino kyawukana ku bulwadde bwa Alzheimer ne Parkinson mu nsengeka n’engeri y’obubonero. Okutaataaganyizibwa mu kulaba n’obuzibu mu tulo bitera okubeera mu LBD.
- Wadde nga tewali ddagala lyonna eriwonya kino, eddagala n’enkola ez’enjawulo ez’obujjanjabi bisobola okufuga obubonero n’okukwanguyira obulamu.
- Singa omuntu ali ku lusegere afuna obubonero buno, tosattira era olabe omusawo amangu ddala nga bwe kisoboka . Okuzuula obulwadde obutuufu kikulu nnyo.
- Obulamu bw‟omutwe n‟omubiri gw‟oyo alabirira nakyo kikulu nnyo. Tolwawo kunoonya buwagizi nga kyetaagisa.
Lewy Body Dementia, LBD, Obulwadde bw’okusannyalala, Okubulwa okujjukira, Alzheimer’s, Parkinson’s, Obulamu bw’abakadde
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