Omuntu mu maka gaffe bw’atandika okubulwa okujjukira ng’akaddiye, ffenna tukilowoozaako ng’obulwadde bwa Alzheimer . Kituufu, obulwadde bwa Alzheimer’s bwe bumu ku bulwadde bw’okusannyalala obusinga okubeerawo. Naye obadde okimanyi, waliwo embeera endala eyitibwa Lewy Body Dementia , oba LBD . Kino nakyo kikwata ku bantu abasukka mu myaka 50. Kale leero, ka twogere ku LBD kye ki.
Mu ngeri ennyangu, Lewy Body Dementia (LBD) kye ki?
Teebereza nti obutoffaali obuli mu bwongo bwaffe buwuliziganya ne bannaabwe nga buyita mu ddagala . Emibiri gya Lewy biba bikunta bya puloteyina ebitali bya bulijjo ebikuŋŋaanyizibwa mu bwongo bwaffe. Bwe zikuŋŋaanyizibwa, zitaataaganya enkola y’obwongo eya bulijjo. Okusingira ddala, zisobola okutaataaganya ebintu bingi, omuli okujjukira kwaffe, entambula, obusobozi bw’okulowooza, embeera , n’enneeyisa yaffe.
Embeera eno eya LBD esobola okubaawo mu ngeri bbiri enkulu:
1. Obulwadde bw’okubulwa amagezi ng’emibiri gya Lewy: Kino kitandikira ku bizibu by’omubiri, gamba ng’okukaluubirirwa okutambula n’okutambula. Oluvannyuma lw’omwaka nga gumu, obuzibu bw’okujjukira n’okulowooza obufaananako n’obulwadde bwa Alzheimer bubaawo. Okulaba ebirooto nakyo kiyinza okubaawo.
2. Obulwadde bwa Parkinson obw’okubulwa amagezi: Mu kino, obuzibu bw’okutambula (obubonero bwa Parkinson) busooka kulabika. Obuzibu mu kujjukira n’okulowooza bulabika oluvannyuma nnyo mu bulwadde buno.
Ekikulu nti mu kiseera kino tewali ddagala lya LBD. Wabula waliwo engeri y’okuddukanyaamu obubonero n’okuwa obuweerero obw’akaseera obuseera.
Njawulo ki eriwo wakati w’obulwadde bwa LBD, Alzheimer’s, ne Parkinson’s?
Wadde ng’endwadde zino essatu ziyinza okufaanana, waliwo enjawulo ezeeyoleka wakati wazo. Okutegeera enjawulo zino kikulu mu bujjanjabi.
| Okugeraageranya endwadde | Enjawulo enkulu wakati wa LBDs |
|---|---|
| Obulwadde bwa Alzheimer | Okwawukanako n’obulwadde bwa Alzheimer, LBD mu kusooka tefiirwa kujjukira kwa bbanga ttono. Mu LBD, obukugu bw‟okussaayo omwoyo n‟okulowooza bukyukakyuka mangu (ekiyinza okwawukana okuva ku lunaku okudda ku lulala, essaawa okudda ku ssaawa). Okulaba ebirooto kitera okubaawo mu mitendera egy’olubereberye egya LBD, naye mu bulwadde bwa Alzheimer, bubaawo nga buyise mu bulwadde buno. |
| Obulwadde bwa Parkinson | Mu bulwadde bwa Parkinson, obuzibu bw’okujjukira (okubulwa amagezi) bubaawo ng’obulwadde butuuse ku mutendera ogw’oku ntikko ennyo, oba oluusi ne butatuuka n’akatono. Naye mu LBD , ebizibu by’okujjukira bitandika mu kiseera kye kimu n’obuzibu bw’okutambula oba nga wayiseewo akaseera katono . |
| Enneeyisa y’otulo | Ekintu eky'enjawulo ku LBD ye REM sleep behavior disorder . Kino kye kiseera ddala ng’ozannya ebirooto byo ng’osula (e.g., bw’oba olwana mu birooto byo, mu butuufu otambuza ebitundu byo, oba n’ogwa ku kitanda). Kano kayinza okuba akabonero akasooka aka LBD. |
Ebivaako n’ebintu ebiyinza okuvaako obulabe bwa LBD
Ebibumbe bya puloteyina bino ebiyitibwa emibiri gya Lewy, bikolebwa ekika kya puloteyina ekiyitibwa alpha-synuclein. Bwe zikuŋŋaanyizibwa mu bwongo, zitaataaganya okukola eddagala bbiri ery’omugaso mu bwongo bwaffe.
- Acetylcholine: Kino kikosa okujjukira kwaffe n’okuyiga kwaffe.
- Dopamine : Kino kifuga entambula yaffe, embeera y’omuntu n’otulo.
Bannasayansi n’okutuusa kati tebamanyi bulungi lwaki emibiri gino egya Lewy gikuŋŋaanyizibwa mu bwongo, oba lwaki abantu abamu bokka be bafuna LBD.
Buno bulwadde bwa nsikirano? Okutwalira awamu LBD tetwalibwa ng’obulwadde bwa nsikirano. Wabula singa omuntu mu maka go alina obulwadde bwa LBD, oyinza okuba n’emikisa katono okubufuna.
Ebikulu ebiyinza okuleeta akabi:
- Okukaddiwa (naddala okusukka emyaka 50) .
- Okubeera n’embeera endala ez’obujjanjabi, gamba ng’obulwadde bwa Parkinson
- Okubeera n’ebyafaayo by’amaka ebya LBD
- Abasajja batera okukwatibwa obulwadde buno
Bubonero ki obwa LBD?
Abalwadde bonna tebafuna bubonero bwe bumu. Obubonero obumu buyinza okuba obutono, ate obulala buyinza okuba obw’amaanyi. Wansi waliwo obumu ku bubonero obutera okulabika.
| Ekika ky’engeri | Eby’okulabirako |
|---|---|
| Ebikosa obusobozi bw’okulowooza | Obuzibu mu kusalawo, obutasobola kusalawo bbanga, okukendeeza ku kufaayo, okukendeera mu kujjukira, okutabulwa ku kifo oba ekiseera, okukaluubirirwa okukola n’ennamba. |
| Ebikosa entambula | Okusika ebigere ng’otambula, okukaluba, emikono okukankana, okubulwa bbalansi n’okugwa, okufukamira mu maaso, okuwandiika obutono, okukaluubirirwa okumira. |
| Ebikosa otulo | Obuzibu mu nneeyisa mu tulo REM, okwebaka ennyo emisana, obuteebaka, n’obulwadde bw’amagulu obutawumula. |
| Ebikosa embeera y’omuntu | Okwennyamira, okweraliikirira, obutawummula, okulaba oba okuwulira ebintu ebitaliiwo, okutya okutali kwa bulijjo (e.g. okulowooza nti waliwo agenda okunkolako obulabe). |
| Ebintu ebirala ebirimu | Okuziyira n’okuzirika, enkyukakyuka mu puleesa, okuziyira, obutasobola kufuga musulo, n’okukendeera mu kuwunyiriza. |
Okukaaba oba okuseka okutafugibwa
Abantu abamu abalina LBD bayinza okukaaba mu bwangu oba okuseka mu ddoboozi ery’omwanguka awatali nsonga. Kino kimanyiddwa mu by’obujjanjabi nga `pseudobulbar affect (PBA).` Kino si kye nneewulira zaabwe entuufu, wabula ekintu ekibaawo nga tezifugibwa olw’obulwadde.
Okuzuula n’okujjanjaba
Tewali kukebera kumu kuyinza kuzuula LBD. Olw’okuba obubonero buno bufaananako n’endwadde endala, kiyinza okuba ekizibu abasawo okukizuula naddala mu ntandikwa. N’olwekyo, omusawo ajja kukola ebigezo ebiwerako okukakasa nti tewali mbeera ndala .
- Okukebera omubiri n’obusimu
- Okukebera omusaayi (okukebera emiwendo gya vitamiini oba obusimu) .
- Okukebera obwongo (CT scan, MRI scan) .
- Ebigezo ebipima obusobozi bw’okujjukira n’okulowooza
- Okukebera otulo
Bwe twogera ku bujjanjabi, .
Mu kiseera kino tewali ddagala oba bujjanjabi bwa LBD, naye waliwo eddagala n’obujjanjabi ebiyinza okuyamba okufuga obubonero n’okwanguyiza obulamu.
Okulabula: Eddagala erimu eriziyiza obulwadde bw’omutima erikozesebwa okujjanjaba obulwadde bwa Alzheimer liyinza okuba ery’obulabe eri abantu abalina LBD. Ziyinza okwonoona obubonero. N’olwekyo, kakasa nti oyogera n’omusawo wo nga tonnaba kukozesa ddagala lyonna.
Ng’oggyeeko eddagala, obujjanjabi ng’okujjanjaba omubiri, obujjanjabi bw’emirimu, n’okubudaabudibwa busobola okuwa omulwadde obuweerero bungi n’abamulabirira.
Okubeera ne LBD
LBD kusoomoozebwa eri omulwadde n’ab’omu maka ge, naye singa wabaawo enteekateeka entuufu n’obuwagizi, olugendo lusobola okwanguyirwa.
- Kakasa nti obukuumi: Ggyawo ebiziyiza mu bifo we batambulira awaka. Teeka ebbaala ezikwata mu kinaabiro.
- Funa obuwagizi: Yogerako n’ab’omu maka go n’emikwano ku nsonga eno. Funa obuyambi bw’abakugu bwe kiba kyetaagisa.
- Tegeka nga bukyali: Salawo eby’obujjanjabi n’eby’ensimbi nga bukyali, okusinziira ku mulwadde bw’ayagala.
- Beera musanyufu: Omulwadde ayingize mu bintu by’anyumirwa era by’anyumirwa.
Obulamu bw’omuntu alina LBD buli myaka nga 7-8 okuva obubonero lwe butandika. Kyokka kino kiyinza okwawukana nnyo okusinziira ku muntu. Abantu abamu bawangaala okutuuka ku myaka 20.
Obubaka Obutwala Awaka
- Obulwadde bw’okubulwa amagezi si bulijjo bulwadde bwa Alzheimer. Obulwadde bw’okusannyalala mu mubiri (LBD) nabwo bulwadde bwa bulijjo.
- Ng’oggyeeko obuzibu mu kujjukira, enkyukakyuka mu ntambula, otulo, n’enneeyisa zisobola okulabibwa mu mitendera egy’olubereberye egya LBD.
- Obuzibu mu nneeyisa mu tulo mu REM n‟okulowooza ebirooto biyinza okuba obubonero obukulu obwa LBD.
- Wadde nga tewali ddagala lyonna eriwonya bulwadde buno, omutindo gw’obulamu bw’omulwadde gusobola okulongoosebwa nga tuddukanya obubonero.
- Omuntu ali ku lusegere bw’aba ng’afuna obubonero buno, kikulu nnyo okulaba omusawo omukugu mu bwangu n’okufuna amagezi.
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