Wali owuliddeko ku bikuta by’omusaayi ebitambula mu misuwa egy’omusaayi munda mu mibiri gyaffe? Mu butuufu, okuzimba omusaayi kikulu nnyo okukomya okuvaamu omusaayi ng’emibiri gyaffe gifunye ebisago. Naye oluusi, awatali nsonga, singa ebizimba by’omusaayi bitondebwa munda mu misuwa, kiyinza okuba eky’akabi katono. Kubanga ebizimba bino bisobola okulemesa omusaayi okutambula n’okuleeta obuzibu obw’amaanyi. Mu mbeera ng’ezo, okulongoosa okw’enjawulo okuggyamu ebizimba ebyo omusaayi kuyitibwa Embolectomy. Leero, kino tugenda kukyogerako mu ngeri ennyangu, mu ngeri gy’osobola okutegeera.
Mu ngeri ennyangu, Embolectomy kye ki?
Embolectomy kwe kulongoosa okuggyamu ekizimba ky’omusaayi ekikwatiddwa mu musuwa (omusuwa gw’omusaayi). Kino oluusi kiyitibwa thrombectomy. Waliwo enjawulo entono wakati w’amannya gano gombi. Ekyo nakyo katukitegeere.
Kuba akafaananyi ng’omusaayi gukola mu musuwa omunene mu kigere kyo. Singa ekizimba kino kisigala mu kifo kyaakyo, tukiyita thrombus . Kati teebereza akatundu akatono ak’omusaayi guno kakutuka, ne katambula n’omusaayi, ne kagenda mu mawuggwe go ne kasibira mu kasuwa akatono awo. Mu ngeri y’emu, omusaayi oguzimba mu kifo ekimu, ne gugenda mu kifo ekirala ne gusibira guyitibwa embolis .
Kale, mu ngeri ennyangu, Thrombectomy kwe kuggyawo ekizimba ky’omusaayi (`thrombus`) mu kifo we kyatondebwa. Embolectomy kwe kuggyawo ekizimba ky’omusaayi (`embolis`) ekitambudde ne kisibira awalala. Kyokka ennaku zino ebigambo bino ebibiri bitera okukozesebwa nga bikyusibwakyusibwa.
Okulongoosa kuno kukolebwa omusawo alongoosa oba omusawo atendekeddwa mu bukodyo obutayingira mu mubiri. Okusinziira ku kifo omusaayi we gubeera, kino kiyinza okuba okulongoosebwa okw’amangu ennyo . Singa ekizimba kiziyiza omusaayi okugenda mu kitundu ekikulu mu mubiri, kiyinza okutta obulamu.
Ani eyeetaaga okulongoosebwa kuno? Mu mbeera ki?
Deep Vein Thrombosis mbeera nga omusaayi gukola mu musuwa omuzito mu kigere. Singa omusaayi guno gukutuka ne gugenda mu mawuggwe, guyinza okuleeta embeera ey’amaanyi eyitibwa Pulmonary Embolism . Singa embeera eno tesobola kufugibwa na ddagala, omusawo ayinza okusalawo okukola Embolectomy.
Okutwalira awamu, abantu abamu bali mu bulabe bw’okulwala okuzimba omusaayi okusinga abalala. Kino kiyinza okuba nga kiva ku bintu ebiwerako.
- Eri abalina obulwadde bw’omutima
- Ku abo abalina omugejjo
- Mu kiseera ky’olubuto
- Mu mbeera za kookolo
- Ku bantu abalina endwadde ezimu ez’obuzaale ezikosa okuzimba omusaayi
Lwaki omusawo yandiwadde amagezi okulongoosebwa kuno?
Abantu abasinga obungi abalina ekizimba omusaayi basooka kuweebwa ddagala eriweweeza ku musaayi, naye kiyinza okwetaagisa okulongoosebwa mu mbeera zino wammanga:
- Bw’oba tosobola kuweebwa ddagala eriweweeza ku kuzimba omusaayi oba eddagala eriziyiza okuzimba omusaayi olw’ensonga yonna.
- Singa wadde nga bawadde eddagala eryo, ekizimba ky’omusaayi tekisaanuuka era embeera yeeyongera okwonooneka.
- Waliwo akabi k’embeera eyitibwa paradoxical embolism , nga eno y’engeri omusaayi oguyinza okuyita mu kinnya ekitono mu mutima ne gugenda mu kitundu ekikulu ng’obwongo.
Ebiseera ebisinga, okusalawo nga kuno kukolebwa ttiimu y’abasawo abajja awamu ne bakebera n’obwegendereza embeera y’omulwadde.
Ka tuyige mutendera ku mutendera engeri okulongoosa gye kukolebwamu.
Okulongoosa kuno kuyinza okukolebwa mu ngeri bbiri enkulu. Omusawo ajja kulonda enkola esinga obulungi okusinziira ku bunene n’ekifo omusaayi we gukutte.
Kiki ekibaawo nga tebannalongoosebwa?
Nga bakuteekateeka okulongoosebwa, ttiimu y’abasawo ejja kuteekateeka okukeberebwa n’ebikozesebwa ebyetaagisa.
- Singa okulongoosa okuggule (Surgical Embolectomy) kukolebwa, enteekateeka zijja kukolebwa ku sikaani eyitibwa transesophageal echocardiogram okulondoola enkola y’omutima mu kiseera ky’okulongoosebwa.
- Catheter embolectomy ekozesa ekyuma ekiyitibwa ultrasound okuzuula ekifo ekituufu omusaayi we gukutte n’enkola ya X-ray eyitibwa angiogram okulungamya catheter.
Ka kibeere ngeri ki gy’olongoosebwamu, ojja kuweebwa eddagala eribudamya oleme kuwulira bulumi bwonna.
Ebibaawo mu kiseera ky’okulongoosebwa
Omulongooti guno wansi gujja kutuyamba okutegeera obulungi enjawulo eriwo wakati w’enkola zino ebbiri n’engeri gye zikolebwamu.
| Engeri | Engeri gye kikolebwamu |
|---|---|
| Okusala Embolectomy mu ngeri ya Catheter | Tewali kusala kunene mu kino.
|
| Okulongoosa mu lwatu (Okulongoosa Embolectomy) . | Mu kino, ekifuba kiggulwawo ne balongoosebwa.
|
Abalwadde abamu era baba n’akauma akatono akayitibwa vena cava filter akassiddwamu okuziyiza omusaayi okuzimba mu biseera eby’omu maaso okugenda mu mawuggwe.
Kiki ekibaawo oluvannyuma lw’okulongoosebwa?
Oluvannyuma lw’okulongoosebwa, singa walongoosebwa mu lujjudde, ebitundu ebisaliddwa munda n’ebweru bijja kutungibwa waggulu, era ojja kuggyibwa mu kyuma ekikozesa omutima n’amawuggwe. Singa walina ekituli, akatundu akatono kajja kunywezebwa era ne kasibirwako bbandi.
Oluvannyuma lw’okulongoosebwa, kirabika ojja:
- Ojja kuba olina okugenda mu maaso n’okumira eddagala eriziyiza okuzimba omusaayi okugonza omusaayi gwo.
- Ojja kwetaaga okukola sikaani endala (Transthoracic echocardiogram) okukebera enkola y’omutima.
- Oyinza okubeera mu kifo awajjanjabirwa abalwadde abayi (ICU) okumala ennaku ntono.
Ka twogere ne ku birungi n'ebibi (akabi)
Okufaananako n’obujjanjabi bwonna, buno bulina emigaso n’akabi.
Okulongoosa kuno si kwa buli muntu, naye kuyinza okuba enkola esinga obulungi eri abo abatasobola kumira ddagala eriweweeza ku musaayi, abataddamu, era abalina obubonero obw’amaanyi ennyo, okusobola okuwona amangu.
Wabula kikulu okumanya obulabe obuyinza okuva mu kulongoosa kuno.
| Obulabe obuli mu kulongoosa embolectomy | |
|---|---|
| Obulabe obuli mu nkola ya Catheter (Eziyingirira nnyo) . | |
| Okuvaamu omusaayi | Okuvaamu omusaayi kuyinza okuva ku kwonooneka kw’omusuwa. |
| Omutima okwonooneka | Omutima okulumwa oba okukuba obutasalako (arrhythmia) kuyinza okubaawo. |
| Omusaayi gusigaddewo | Kiyinza obutasoboka kuggyawo ddala kizimba kya musaayi. |
| Obulabe bw’okulongoosebwa mu lwatu | |
| Okuvaamu omusaayi omungi | Okuvaamu omusaayi omungi ng’olongooseddwa oba oluvannyuma lw’okulongoosebwa. |
| Obulwadde bw’omutima | Omutima okukuba amangu (supraventricular tachycardia - SVT) n’okulemererwa kw’omutima biyinza okubaawo. |
| Obulabe obulala | Ekibumba okulemererwa, okukwatibwa yinfekisoni, era si bulijjo nnyo n’okufa. |
Okuwona ne ddi lw’olina okuddamu okulaba omusawo
Ojja kwetaaga okubeera mu ddwaaliro okumala ennaku ntono ng’omaze okulongoosebwa. Ojja kukkirizibwa okudda eka ng’okussa n’omutima bikomyewo mu mbeera eya bulijjo. Ebiseera ebisinga okuwona amangu oluvannyuma lw’okulongoosebwa ekituli okusinga oluvannyuma lw’okulongoosebwa mu lujjudde.
Edda abantu bangi nnyo abalongoosebwa kuno baafa. Kyokka, olw’okukulaakulana kwa ssaayansi w’obusawo, embeera eyo ekyuse nnyo . Leero, obulabe bw’okufa olw’okulongoosebwa kuno bukka wakati wa 5% ne 16%. Okunoonyereza kuzudde nti abantu 73% abalongoosebwa kuno bakyali balamu era nga balamu bulungi oluvannyuma lw’emyaka etaano.
Faayo ku bubonero buno!
Bw’ofuna obubonero buno bwonna ng’omaze okudda eka, olina okutegeeza omusawo wo mu bwangu .
- Okukaluubirirwa okussa
- Obubonero bw’obuwuka mu kifo ekisaliddwa (okuzimba, okumyuuka, okufulumya amasira) .
- Obulumi mu kifuba
- Okukuba kw’omutima
- Okuvaamu omusaayi mu ngeri etaali ya bulijjo
Balabika kye kimu naye nga ba njawulo! (Eddagala eddala)
Waliwo ebigambo ebirala ebitonotono ebiwulikika ng’eby’okusala embolectomy. Ka tulabe enjawulo eriwo wakati waabwe.
Okusala embolectomy ne Endarterectomy
Embolectomy kwe kuggya omusaayi oguzimba. Endarterectomy kwe kulongoosa okuggyamu amasavu (plaque) agazimba munda mu musuwa. Kino kikolebwa okutangira emisuwa okuzibikira.
Embolectomy n’obujjanjabi bwa Thrombolytic
Embolectomy nkola ya mubiri erimu okulongoosa okuggyamu omusaayi oguzimba. Obujjanjabi obuyitibwa thrombolytic therapy buzingiramu okufuyira eddagala mu musuwa okusaanuusa omusaayi oguzimba munda mu mubiri. Eddagala lino oluusi liyinza okuvaamu omusaayi mu bitundu ebirala, gamba ng’obwongo.
Nga bw’olaba, waliwo engeri nnyingi ez’enjawulo ez’okujjanjaba okuzimba omusaayi. Omusawo wo y’ajja okusalawo obujjanjabi ki obusinga okukukwatako n’obusinga obutaba na bulabe gy’oli. Bw’oba ggwe oba omuntu gw’omanyi alina okulongoosebwa okw’ekika kino, totya kubuuza musawo wo bibuuzo byonna by’oyinza okuba nabyo ku nsonga eno.
Obubaka Obutwala Awaka
- Embolectomy kwe kulongoosa okuggyamu omusaayi ogw’obulabe ogusibye mu musuwa.
- Kino kikolebwa mu ngeri bbiri enkulu: okuyita mu catheter (tube ennyimpi) n’okuyita mu kulongoosa ekifuba ekiggule.
- Okulongoosa kuno kuyinza okutaasa obulamu bw’abalwadde abataddamu oba abatasobola kumira ddagala eriweweeza ku musaayi.
- Okufaananako n’okulongoosa kwonna, kuno kulina akabi, naye olw’obusawo obw’omulembe, omuwendo gw’obuwanguzi guli waggulu nnyo.
- Bw’ofuna obubonero ng’okukaluubirirwa okussa oba okulumwa mu kifuba oluvannyuma lw’okulongoosebwa, tegeeza omusawo mu bwangu.











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