Omutima gwo munafu era gugaziye? Ka twogere ku bulwadde bwa Dilated Cardiomyopathy!

Omutima gwaffe ddala kitundu kya mubiri ekyewuunyisa, si bwe kiri? Tufaayo kutya ku mutima guno oguwa obulamu buli kiseera omubiri gwaffe gwonna? Oluusi, nga tetumanyi, omutima guno era gusobola okufuna ebizibu n’endwadde ez’enjawulo. Leero tugenda kwogera ku bulwadde obunafuya omutima ne bufuula ekinywa ky’omutima ekinene ekiteetaagisa, obulwadde obulina erinnya eritiisa katono, naye nga bukulu nnyo ffenna okubumanya. Kino abasawo kye bayita (Dilated Cardiomyopathy).

Obulwadde bw’emisuwa gy’omutima obugazi (Dilated Cardiomyopathy) kye ki?

Mu ngeri ennyangu, embeera eno (Dilated Cardiomyopathy) ebeera ekisenge ekikulu eky’okupampagira omutima gwo, left ventricle , oba ekinywa ekikulu eky’omutima, bwe kiwanvuwa ne kifuuka ekinene okusinga ekya bulijjo. Kilowoozeeko ng’akapiira akagolola, naye mu mbeera eno, si kirungi ku mutima. Ebinywa by’omutima bwe binafuwa, ne bigonvuwa, era ne bigaziwa, obusobozi bw’omutima okusiba omusaayi obulungi bukendeera. Kiki ekibaawo olwo? Buli omutima lwe gukuba, omusaayi omutono gusigala munda mu mutima. N’ekyavaamu, omubiri gwonna tegufuna musaayi mungi ogulimu omukka gwa oxygen. Mu mbeera enzibu, kino kiyinza okukosa n’ebitundu by’omutima ebirala.

Abanoonyereza bateebereza nti abantu nga 36 ku buli 100,000 mu bantu bonna balina embeera eno. Naye ekirungi nti waliwo obujjanjabi bw’obulwadde buno obw’omutima. Era waliwo ebintu by’osobola okukola okuddukanya embeera eno.

Bubonero ki obulaga obulwadde buno?

Abantu bangi naddala mu ntandikwa y’obulwadde buno bayinza obutalaga bubonero bwonna. Ekyo kye kitundu ekitiisa ku bulwadde buno. Naye enkola y’omutima bwe yeeyongera okwonooneka mpolampola, otandika okuwulira obubonero obweyongera.

Obubonero bw’obulwadde bwa Dilated Cardiomyopathy buyinza okuli:

• Obulumi mu kifuba oba okunyiga
• Okusesema n’okuzimba
• Okuziyira oba okuziyira
• Okuzirika
• Okuwulira nga okooye mu ngeri etaali ya bulijjo ( Fatigue ) .
• Okukuba oba okuwuuma mu kifuba
• Okussa obubi / okussa obubi
• Okuzimba/okuzimba olubuto, amagulu, enkizi, n’ebigere
• Okugejja mu ngeri etasuubirwa okuva mu kusigala kw’amazzi

Bw’oba ​​olina obubonero buno obumu oba obusingawo, kikulu nnyo okugenda mu basawo amagezi amangu ddala.

Lwaki kino (Dilated Cardiomyopathy) kibaawo?

"Lwaki ku nsi kino kyantuukako?" oyinza okuba nga weebuuza. Mu butuufu, emirundi mingi, n’abakugu tebasobola kuzuula kituufu ekivaako. Kyokka, waliwo ebimu ebimanyiddwa nti bivaako obulwadde buno. Bbo bali:

• Omutima okukuba mu ngeri etaali ya bulijjo (obuzibu mu kukuba ennyimba) ( Arrhythmia ) .
• Obuzibu mu kunywa omwenge
• Eddagala erimu eriweweeza ku kookolo (lino liyinza okuba ery’obulabe eri omutima - eddagala eritta omutima )
• Ebizibu ebibaawo ng’olubuto luwedde oba ng’omaze okuzaala
• Obulwadde bw’omutima obuzaalibwa nabwo
• Obulwadde bw’emisuwa gy’omusaayi
• Ekirwadde ekya sukaali
• Embeera ezisikira abazadde okuyita mu buzaale (kino kiyitibwa family dilated cardiomyopathy . Kino kiyinza okuvaako ebitundu ebisukka mu 50% ku balwadde) .
• Omutima okulwala
• Obulwadde bwa valve y’omutima
• Puleesa eri waggulu
• Okukwatibwa akawuka ka siriimu
• Yinfekisoni nga okuzimba ebinywa by’omutima (okugeza, myocarditis ) .
• Okukozesa ebiragalalagala nga cocaine
• Obulwadde bwa thyroid
• Obulwadde bw’ekibumba obuva ku kawuka

Oluusi omuntu asobola okuba n’ensonga ezisukka mu emu. Okugeza oyinza okufuna obulwadde bwa Dilated Cardiomyopathy olw’embeera endala ey’obujjanjabi, ate oyinza okuba ng’olina obuzibu mu buzaale.

Ani asinga okubeera mu bulabe bw’okukwatibwa obulwadde buno?

Abantu abamu batera okufuna embeera eno okusinga abalala. Bbo bali:

• Abantu abali wansi w’emyaka 50
• Abantu ab’ekika ky’abaddugavu (wadde nga kino tekikwatagana nnyo na Sri Lanka, kintu ekirabibwa mu nsi yonna)
• Abantu ssekinnoomu abasajja
• Singa omuntu mu maka alina obulwadde bwa Dilated Cardiomyopathy (obuzaale) .

Bizibu ki ebiyinza okuva mu bulwadde bwa Dilated Cardiomyopathy?

Singa obulwadde buno bweyongera, kwe kugamba, mu mitendera egy’enkomerero, ebizibu eby’enjawulo bisobola okubaawo. Bino bya maanyi nnyo, y’ensonga lwaki kikulu okunoonya obujjanjabi amangu.

Ebizibu bino biyinza okuli:

• Okukuba kw'omutima okutali kwa bulijjo ( Arrhythmia ) .
• Obulumi mu kifuba ( Angina ) .
• Okuzimba omusaayi mu mutima (okuzimba omusaayi kuno kuyinza okugenda mu mawuggwe ne kuleeta embeera ey’akabi eyitibwa pulmonary embolism ) .
• Omutima okusiba
• Omutima okulwala
• Omutima okulemererwa - Kino kitegeeza nti omutima munafu nnyo nga tegusobola kutuukiriza byetaago by’omubiri.
• Obulwadde bwa valve y’omutima
• Storoko

Lowooza ku ngeri ebizibu bino gye biri eby’amaanyi. Eno y’ensonga lwaki olina okweraliikirira singa olaba n’akabonero akatono.

Abasawo bazuula batya obulwadde buno (Dilated Cardiomyopathy)?

Bw’ogenda okulaba omusawo, ky’asooka okukola kwe kutwala ebyafaayo byo eby’obujjanjabi.Omusawo wo ajja kukubuuza ku byafaayo byo eby’obujjanjabi (nga endwadde zonna ez’emabega oba eddagala ly’omira) n’ebyafaayo by’amaka go (nga endwadde amaka go ze gabaddemu). Oluvannyuma, bajja kukola okukebera omubiri . Mu kiseera kino omusawo ajja kuwuliriza amawuggwe go okukebera oba amazzi gakuŋŋaanye. Ekyewuunyisa, omusawo ayinza okuwulira eddoboozi eritali lya bulijjo mu mutima gwo (omutima okwemulugunya) nga tonnaba kulaba bubonero bwonna.

Oluvannyuma lw’ekyo, ojja kwetaaga okukeberebwa mu ngeri ez’enjawulo okuzuula obuzibu bwennyini obw’obulwadde n’okuteekateeka obujjanjabi obukusaanira.

Kino kigezo ki ekikolebwa?

Mu budde obutuufu, ebigezo nga bino bisobola okukolebwa:

• Angiogram: Kino kikebera okulaba oba waliwo okuzibikira kwonna mu misuwa gy’omusaayi egy’omusaayi ku mutima gwo.
• Okukebera omusaayi: Bino bikebera oba omutima gwonoonese n’ebizibu ebirala.
• X-ray y’ekifuba: Kino kiyinza okukuwa endowooza enkambwe oba omutima gwo munene okusinga ogwa bulijjo.
• Echocardiogram: Kino kigezo kikulu nnyo. Kiringa 'vidiyo' y'omutima. Kiyinza okulaga engeri omutima gye gukola obulungi, engeri ebinywa gye biri, n’engeri obusuwa gye bukolamu.
• Electrocardiogram (EKG/ECG): Kino kikebera amasannyalaze g’omutima, ekitegeeza oba waliwo obuzibu bwonna ku nnyimba z’okukuba kw’omutima.
• Okugezesa situleesi mu dduyiro: Kino kigezesa engeri omutima gye gye gukwatamu ng’okola dduyiro.
• Okukebera obuzaale: Okukebera kuno kuyamba okuzuula oba olina obuzaale obutera okulwala obulwadde buno.
• Heart MRI: Kino era kisobola okuwa ekifaananyi ekitegeerekeka obulungi ku bunene n’enkola y’ebisenge by’omutima.
• Endomyocardial biopsy: Kino tekikolebwa nnyo. Kizingiramu okutwala akatundu akatono ak’ekinywa ky’omutima n’okyekebejja.

Obulwadde bwa Dilated Cardiomyopathy bujjanjabwa butya?

Oyinza okwetaaga ebika by’obujjanjabi eby’enjawulo. Wadde obujjanjabi buno emirundi mingi tebusobola kuwonya bulwadde buno mu bujjuvu, busobola okuyamba okufuga obubonero n’okukuyamba okubeera omulamu obulungi, obulamu obuwanvu. Obujjanjabi gye bukoma okutandika amangu, n’ebivaamu gye bikoma okuba ebirungi. Omusawo wo ow’omutima oba omukugu mu by’okulemererwa kw’omutima ajja kwogera naawe era asalewo enteekateeka y’obujjanjabi esinga obulungi gy’oli.

Enkola z’obujjanjabi zisobola okwawulwamu ebika bisatu ebikulu: eddagala, okukyusa mu bulamu, n’okulongoosa oba enkola endala ez’obujjanjabi.

Eddagala

Waliwo ebika by’eddagala ebiwerako ebiyinza okulongoosa enkola y’omutima gwo mu mbeera z’obulwadde bwa Dilated Cardiomyopathy. Ebimu ku byokulabirako bye bino:

• Ebiziyiza ACE
• Ebirungo ebiziyiza eddagala lya Aldosterone
• Ebiziyiza okukwata omusuwa gwa angiotensin/neprilysin (ARNI) .
• Antiarrhythmics (eddagala eriweweeza ku kukuba kw’omutima okutali kwa bulijjo) .
• Ebiziyiza ebiziyiza (Beta-blockers).
• Ebirongoosa omusaayi/ebiziyiza okuzimba omusaayi - naddala eri abantu abalina embeera nga atrial fibrillation
• Eddagala erikendeeza ku mazzi agatali geetaagisa mu mubiri ( Diuretics ) .

Kikulu nnyo okumira eddagala lino lyonna ng’omusawo bw’akulagidde, mu ddoozi entuufu, era mu kiseera ekituufu.

Enkyukakyuka mu mize egya bulijjo

Bw’okola enkyukakyuka entonotono mu nkola yo eya bulijjo, mu mmere yo n’ebintu ebirala, osobola okufuula eddagala lyo okukola obulungi, era mpozzi n’okulwawo oba okwewala ddala obwetaavu bw’okulongoosebwa.

Enkyukakyuka zino ze zino:

• Kuuma omubiri gwo: Komya omwenge gw’onywa. Weewale ddala ebiragalalagala ebimenya amateeka. Weekuume obutakwatibwa bulwadde nga obulwadde bw’ekibumba obuva ku kawuka ne siriimu.
• Lya emmere eyamba omutima: Lya ennyama ennyingi (nga enkoko n’ebyennyanja), ebibala n’enva endiirwa. Okulya emmere erimu omunnyo omutono kiyinza okuyamba okukendeeza ku mazzi agasigala mu mubiri ekiyinza okussa akazito ku mutima.
• Okwongera okukola emirimu gy’omubiri: Dduyiro omugonvu atali mukalu nnyo ku mutima asobola okuyamba okulongoosa enkola y’omutima. Yogerako n’omusawo wo ku dduyiro ki akusaanira. Oyinza n'okulowooza ku ky'okwetaba mu nteekateeka y'okuddaabiriza omutima . Kino kifo kirungi okutandika okukola dduyiro nga tolina bulabe.

Okulongoosa n’enkola ezitali za kuyingirira nnyo

Singa obulwadde buno buba bugenda mu maaso ate ng’omutima gukendedde nnyo, oyinza okwetaaga okulongoosebwa oba obujjanjabi obulala obw’enjawulo. Ezimu ku nkola z’okujjanjaba obulwadde bwa Dilated Cardiomyopathy ze zino:

• Biventricular pacemaker: Kino kyuma ekiyamba ebisenge by’omutima okukola mu nnyimba ezitakyukakyuka.
• Implantable cardioverter defibrillator (ICD): Singa omutima gwo gukuba mu ngeri ey’akabi, ekyuma kino kiwa amasannyalaze amatono okuzzaawo omutima gwo.
• Okulongoosa omutima okulemererwa oba obusuwa bw’omutima: Bino bitereeza enkola y’omutima.
• Left ventricular assist device (LVAD): Kino kyuma kya makanika ekiyamba okukuba omusaayi okutuuka ku binywa by’omutima ebinafuye ennyo.
• Okukyusa omutima: Kino kya bulijjo nnyo, okulowoozebwako ng’obujjanjabi obulala bwonna bulemye.

Obulwadde buno busobola okuziyizibwa?

Mu butuufu, embeera eno teyinza kuziyizibwa bulijjo. Kiyinza okuba ekintu ekiddukira mu maka go (genetics). Oba, kiyinza okuba nga kiva ku ddagala erijjanjaba obulwadde nga kookolo.Era kiyinza okubaawo ng’ekizibu ekiva mu bujjanjabi.

Wabula waliwo ebintu by’oyinza okukola okukendeeza ku bulabe bw’okukwatibwa obulwadde bwa Dilated Cardiomyopathy:

• Weewale ddala ebiragalalagala nga cocaine.
• Bw’oba ​​onywa omwenge, gukendeeze ku bungi obutono ennyo.
• Bw’oba ​​olina endwadde nga sukaali oba puleesa, zifuge bulungi.
• Faayo bulungi omutima gwo okutangira okulwala omutima (endya ennungi, dduyiro, n’okwewala okunywa sigala).

Kiki ky’oyinza okusuubira ng’obeera n’embeera eyitibwa Dilated Cardiomyopathy?

Enteebereza yo esinziira ku kivaako n’obuzibu bw’embeera yo. Bw’oba ​​ojjanjabiddwa buli kiseera, oyinza okudda ku mulimu n’oddamu okukola emirimu gyo egya bulijjo egya bulijjo. Kyokka oluusi obubonero bwo buyinza okweyongera okumala ekiseera. Singa embeera yo yeeyongera okwonooneka oba ebizibu bikujja, oyinza okukaluubirirwa okugumira embeera eyo. Oyinza okwetaaga okusigala mu ddwaaliro okutuusa ng’obubonero bwo buteredde.

Ku bantu bangi, obulwadde bw’omutima obugazi (dilated cardiomyopathy) busobola okweyongera okumala ekiseera ne buvaako omutima okulemererwa okumala ebbanga eddene. Kino kitegeeza nti omutima gunafuwa nnyo ne gutasobola kukwatagana na mubiri bye gusaba. Okulemererwa kw’ekibumba n’omutima okulemererwa ennyo kabonero akalaga nti obulwadde buno tebugenda kutambula bulungi. Abantu abalina obubonero ne bwe bawummudde, oba abatasobola kukola mirimu gyonna egy’omubiri, batera okuvaamu obubi.

Naye teweeraliikiriranga! Obulamu n’obulamu bw’abantu abalina obulwadde bwa Dilated Cardiomyopathy biteredde nnyo mu myaka egiyise. Kino kiva ku bujjanjabi obulongooseddwa n’okuzuula amangu. Leero, abantu abasoba mu 80% abalina obulwadde buno babeera bulungi okumala emyaka munaana, nga tebeetaaga kusimbulwa mutima.

Nze nneerabirira ntya?

Ekisinga obukulu ky’oyinza okukola ng’obeera n’obulwadde buno kwe kwerabirira. Goberera n’obwegendereza ebiragiro by’omusawo wo.

• Buli lunaku beera ku bunkenke okulaba obubonero obulaga ebizibu, gamba ng’okugejja amangu.
• Kola enkyukakyuka omusawo z’akugamba (e.g., okulya emmere erimu omunnyo omutono) ddala.
• Laba omusawo wo okukugoberera emirundi egiwerako mu mwaka.
• Eddagala lye bakulagidde limira mu budde bwennyini era mu budde.

Ddi lwe nnina okulaba omusawo wange?

Olw’okuba embeera yo esobola okukyuka ng’obudde buyise, kirungi n’osigala ng’okwatagana n’omusawo n’okukeberebwa buli kiseera. Kino kintu ky’osaanidde okukola mu bulamu bwo bwonna. Bw’owulira ng’obubonero bwo bweyongera, yogerako n’omusawo amangu ago. Asobola okukuyamba okuddukanya obubonero bwo.

Bibuuzo ki bye nnina okubuuza omusawo wange?

Bw’oba ​​waakazuulibwa ng’olina obulwadde, kya bulijjo okuba n’ebibuuzo bingi. Tolwawo kubuuza musawo wo bibuuzo nga:

• Kirungi okukeberebwa obuzaale bw’ab’omu maka gange abalala?
• Nsaanidde okwewala okukola emirimu egy’amaanyi?
• Waliwo ekibiina ekiwagira kye nsobola okwegatta, oba mu Sri Lanka oba ku yintaneeti?
• Endya ki ensaanira?
• Dduyiro wa ngeri ki gwe nnina okukola era mmukole bbanga ki?

Tewali ayagala kumanya nti omutima gwe tegukola bulungi. Wabula abasawo b’ennaku zino basobola okukuwa obujjanjabi obw’enjawulo okuyamba omutima gwo okukola obulungi mu mbeera nga Dilated Cardiomyopathy. Waliwo n’enkyukakyuka ennyangu z’osobola okukola okulongoosa embeera yo. Totya kubuuza bibuuzo era otegeere eby’okulondako. Osobola okukolagana n’omusawo wo okuzuula ekkubo erisinga obulungi erigenda mu maaso n’embeera eno.

Ebintu ebikulu by'olina okujjukira (Take-Home Message)

Nsuubira kati otegedde bulungi obulwadde bw’ebinywa by’omutima bwe twogeddeko leero (Dilated Cardiomyopathy) . Wadde embeera eno ya maanyi, bw’oba ​​ogimanyi n’ogiddukanya obulungi, osobola okubeera n’obulamu obulungi.

Ekisinga obukulu kwe kumanya obubonero, okunoonya amagezi mu bwangu omusawo, n’okugoberera ddala obujjanjabi n’ebiragiro ebikuweereddwa omusawo. Si ggwe wekka, waliwo abasawo n’abakozi b’ebyobulamu okukuyamba n’okukulambika mu lugendo luno. Kale sigala ng’oli mugumu era oyolekere embeera eno.

` Obulwadde bw’omutima, omutima okugaziwa, dilated cardiomyopathy, okunafuwa kw’ebinywa by’omutima, okussa obubi, omutima okulemererwa, obujjanjabi bw’omutima