Oluusi ssukaali mu musaayi gwaffe akendeera mangu, nedda? Naye olw’embeera ezimu ez’enjawulo ez’obujjanjabi, omubiri gukola ekirungo kya insulini ekisusse, era ssukaali mu musaayi bulijjo asobola okuba omutono mu ngeri ey’akabi. Mu ngeri y’obusawo, kino tukiyita ekikontana n’okulinnya kwa sukaali, nga kino kwe kukendeera kwa sukaali. Mu mbeera ng’ezo, eddagala ery’enjawulo abasawo lye bakozesa liyitibwa diazoxide. Leero, tugenda kwogera ku ddagala lino mu bujjuvu katono era mu ngeri ennyangu.
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Diazoxide ddagala lya ngeri ki?
Mu ngeri ennyangu, Diazoxide ddagala erifuga okukola obusimu obuyitibwa insulin mu mubiri gwaffe. Mu budde obwabulijjo, insulini efuga ssukaali mu musaayi ng’esindika ssukaali (glucose) okuva mu musaayi n’ayingira mu butoffaali. Wabula abantu abamu naddala abaana abato bayinza okuba n’embeera eyitibwa hyperinsulinism nga bakola insulini mungi. Kino kireetera ssukaali mu musaayi okukka wansi mu ngeri ey’akabi.
Diazoxide akola nga ayimiriza okukola insulini kuno okuteetaagisa . Kino olwo kizza ssukaali mu musaayi mu mbeera eya bulijjo. Kitera okujja mu ngeri y’amazzi (oral suspension). Mu Sri Lanka, oluusi osobola okugisanga wansi w’erinnya lya Proglycem.
Ebintu by’olina okubuulira omusawo nga tonnatandika kumira ddagala
Nga tonnaba kuwa ddagala lino ggwe oba omwana wo, kikulu okutegeeza omusawo wo bino wammanga: Kino kikulu nnyo.
- Bwoba olina obulwadde bwa sukaali .
- Bwoba olina obulwadde bw'omutima .
- Bwoba nga emabegako wali olina gaasi .
- Bwoba olina obulwadde bw'ekibumba .
- Bw’oba olina alergy eri diazoxide, eddagala lya sulfa oba eddagala eddala lyonna, emmere oba langi.
- Bwoba oli lubuto oba nga osuubira omwana .
- Bwoba oli maama ayonsa .
Okusinziira ku mawulire gano, omusawo ajja kusalawo oba eddagala lino likusaanira oba nedda, era bwe kiba bwe kityo, engeri y’okuliwa.
Okozesa otya eddagala mu butuufu?
Olw’okuba lino ddagala lya mazzi, weegendereze ebintu bino ng’olikozesa.
1. Kankanya bulungi: Kankanya bulungi eccupa nga tonnaba kugikozesa.
2. Okupima okutuufu: Kozesa ekijiiko eky’enjawulo kyokka ekipima (ekijiiko ekiriko akabonero) oba ekyuma ekitonnya ekijja n’eddagala. Tokozesa bijiiko bya waka oba ebijiiko by’omuceere. Kubanga tebawa ddoozi ntuufu. Kiyinza okuba eky’akabi. Bw’oba tolina kipimo ng’ekyo, buuza omusawo wo ku nsonga eno.
3. 3. .Mu budde: Eddagala liwe mu kiseera ekiragiddwa n’obudde obulagiddwa ng’omusawo bw’akulagira. Towa ssente zisukka ku muwendo ogulagirwa.
4. Bwe baweebwa abaana: Eddagala lino lituuka n’okuweebwa abalongo mu mbeera ezimu ez’enjawulo. Naye kisaana kukolebwa nga kilabirirwa omusawo w'abaana yekka . N’olwekyo, weegendereze naddala bw’oba owa omwana eddagala lino.
Watya singa nneerabira okumira ddoozi y’eddagala?
Bw’oba weerabira okumira ddoozi, gimira amangu ddala ng’ojjukira. Wabula bwe kiba nti kumpi ekiseera kya ddoozi yo eddako, buuka ddoozi gy’osubiddwa era onywe ddoozi yo eddako mu kiseera ky’otegese. Tomirangako ddoozi ya mirundi ebiri okusobola okukola ku ddoozi gye weerabidde.
Kiki ky’olina okukola singa oyitiridde okukozesa?
Bw’oba olowooza nti omira eddagala lingi okusinga bwe wali olowooza, tolwawo.
Amangu ago kuba ku ssimu ya National Poisons Information Center mu ddwaaliro ly'eggwanga erya Colombo . Oba genda mu ddwaaliro erikuli okumpi erya Emergency Treatment Unit (ETU) amangu ddala nga bwe kisoboka. Kino kitwale ng’embeera ey’amangu.
Biki ebiyinza okuvaamu?
Okufaananako n’eddagala lyonna, Diazoxide asobola okuleeta ebizibu ebimu. Ebimu ku bino bya maanyi, ate ebirala bya bulijjo. Omulongooti wansi guwa ekifaananyi ekitegeerekeka obulungi ku bino.
| Side effect | Okunnyonnyola |
|---|---|
| Ebizibu eby’amaanyi ebirina okuloopebwa eri omusawo mu bwangu | |
| Obulwadde bwa alergy | Okusiiyibwa ku lususu, okusiiwa, okuzimba mu maaso, emimwa oba olulimi. |
| Okwolesebwa kukyuka | Okulaba okutali kwa maanyi, enkyukakyuka mu kutegeera. |
| Obulumi mu kifuba, enkyukakyuka mu kukuba kw’omutima | Okuwulira ng’omutima gwo gukuba mangu oba mu ngeri etategeerekeka, obulumi mu kifuba. |
| Enkyukakyuka mu musulo n’ennyonta esukkiridde | Omusulo omuddugavu oba ogw’ebire, omusulo ogukendeera, ennyonta esusse, n’okuwunya ebibala ku mukka. |
| Okuzimba omubiri oba okugejja | Okuzimba omubiri mu ngeri etaali ya bulijjo naddala ebitundu by’omubiri oba okugejja amangu. |
| Obubonero obulala obw’amaanyi | Okuziyira, okugwa, okunyiga oba okuvaamu omusaayi mu ngeri etaali ya bulijjo, okunyiga amaaso oba akamwa mu ngeri etaali ya bulijjo, okukoowa ennyo. |
| Ebizibu ebitera obutaba bya maanyi, naye nga birina okuloopebwa eri omusawo singa bisigala | |
| Enviiri ezikula mu ngeri etaali ya bulijjo | Enviiri ezikula mu ngeri etaali ya bulijjo ku mubiri naddala mu maaso n’ebitundu by’omubiri by’abawala n’abakyala (hirsutism). |
| Obuzibu mu nkola y’okugaaya emmere | Okubulwa apetite, okuziyira, okusesema, ekiddukano, enkyukakyuka mu buwoomi. |
| Okulumizibwa omutwe | Okulumizibwa omutwe. |
Enkolagana n’eddagala eddala
Eddagala eddala ly’omira liyinza okukwatagana ne Diazoxide naddala:
- Eddagala erifulumya amazzi mu mubiri
- Eddagala eriwonya puleesa
- Eddagala ly’okusannyalala nga Phenytoin
- Eddagala eriweweeza ku musaayi nga Warfarin
N’olwekyo, omusawo wo muwe olukalala lw’eddagala lyonna ly’omira (omuli vitamiini, eddagala eritali ku ddagala, n’eddagala eriweweeza ku bulwadde).
Obubaka Obutwala Awaka
- Diazoxide ddagala erikozesebwa okujjanjaba embeera entongole nga sukaali mu musaayi akendeera nnyo. Kino kikozese ku magezi g’abasawo bokka.
- Bw’oba owa eddagala, kozesa ekijiiko oba ekyuma ekipima eky’enjawulo kyokka ekijja nalyo. Weewale okukozesa ebijiiko by’awaka.
- Nga tonnatandika ddagala, buulira omusawo wo ku mbeera zonna ez’obujjanjabi n’eddagala eddala lyonna ly’omira.
- Bw’ofuna ebizibu byonna eby’amaanyi ng’okulumwa mu kifuba, okukaluubirirwa okussa, oba okuzimba omubiri, laba omusawo mu bwangu.
- Okunywa eddagala erisukkiridde kiba kya mangu. Kuba ku ssimu ya National Poisons Information Center mu bwangu oba genda mu ddwaaliro erikuli okumpi Emergency Department (ETU).
- Eddagala lino liteeke mu kifo abaana we batasobola kutuuka, wala okuva ku kitangaala, era ku bbugumu erya bulijjo.
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