Wali weebuuzizzaako kiki ekibaawo ng’omusaayi gutambula mu misuwa egy’omusaayi munda mu mibiri gyaffe ne wabaawo ekizimba ky’omusaayi ne kikolebwa mu kkubo? Kiyinza okuba embeera ey’entiisa era ey’amangu. Okulongoosa okuggyawo ekizimba ng’ekyo ekiyinza okutta obulamu kiyitibwa embolectomy. Leero, tugenda kwogera ku nsonga eno mu ngeri ennyangu gy’osobola okutegeera.
Mu ngeri ennyangu, Embolectomy kye ki?
Embolectomy y’enkola y’okuggyamu ekizimba ky’omusaayi ekisibye munda mu musuwa era nga kiremesa omusaayi okutambula obulungi. Oluusi kiyitibwa thrombectomy. Amannya gombi gategeeza kimu, kwe kuggyawo ekizimba ky’omusaayi.
Ebika by’omusaayi bino ebizimba biyinza okuba bibiri:
1. Embolus: Kuba akafaananyi ng’omusaayi gukola mu kifo ng’okugulu kwo, ne gukutuka okuva awo, ne gutambula n’omusaayi, ne gusibira awalala, ng’amawuggwe go. Ekyo kye tuyita embolus , ekizimba ky’omusaayi ekikutuka okuva we kyatondebwa ne kisibira awalala.
2. Thrombus: Omusaayi ogw’ekika kino gukola ne guleeta obuzibu mu kifo kye kimu. Ekyo kitegeeza nti tesumululwa era terina gy’egenda, esigala ng’esibye we yatondebwa. Kino tukiyita Thrombus .
Mu budde obwabulijjo, omusaayi okuzimba kyetaagisa nnyo okukomya omusaayi nga tufunye obuvune. Naye oluusi, awatali nsonga, ebizimba by’omusaayi bitandika okutondebwa mu bifo mu mubiri we bitasaanidde. Wano abasawo we balina okuggyamu ekizimba.
Ani eyeetaaga okulongoosebwa kuno?
Embolectomy etera okusemba ku mbeera ey’amaanyi yokka. Ng’ekyokulabirako, omusaayi oguzimba mu musuwa omuzito mu kigere guyitibwa Deep Vein Thrombosis (DVT) . Singa ekizimba kikutuka ne kisula mu mawuggwe, kiyinza okuleeta embeera ey’akabi ennyo eyitibwa Pulmonary Embolism . Singa embeera eno tesobola kufugibwa ddagala, abasawo baddukira mu kulongoosa kuno.
Waliwo ebintu ebiwerako ebiyinza okwongera ku bulabe bw’okuzimba omusaayi:
- Obulwadde bw’omutima: Omutima bwe guba tegukola bulungi, emikisa mingi egy’okutondebwa kw’omusaayi.
- Omugejjo: Obuzito bw’omubiri obuyitiridde nakyo kyongera obulabe bw’omusaayi okuziyira.
- Okufuna olubuto: Obulabe bw’omusaayi okuzimba bweyongera katono olw’enkyukakyuka mu busimu n’endala mu mubiri ng’oli lubuto.
- Kookolo: Ebika bya kookolo ebimu n’obujjanjabi bwa kookolo bisobola okuvaako omusaayi okuzimba.
- Ebizibu ebimu ebikwata ku kuzimba omusaayi:Obulabe buno era businga ku bantu abalina embeera y’obuzaale bw’okuzimba omusaayi.
Enkola bbiri ez’okulongoosa embolectomy
Okusinziira ku bunene bw’omusaayi gwo n’ekifo we guli, abasawo bakozesa enkola bbiri enkulu okuguggyamu. Ka twekenneenye ennyo enkola zino ebbiri.
| Engeri | Engeri y'okukikola (simple) . |
|---|---|
| Okusala Embolectomy mu ngeri ya Catheter | Eno nkola ntono. Olususu ku bulago oba mu kifuba luziyira, ne basalako akatundu akatono, ne bayitamu ttanka ennyimpi (catheter) okuyita mu musuwa okutuuka mu kifo omusaayi we gukutte. Kino kikolebwa nga tukozesa enkola efaananako n’eya X-ray. Oluvannyuma omusaayi oguzimba gusonseka okuva mu ttanka, ng’ekyuma ekiwunyiriza. Enkola eno erimu okusala okutono, n’olwekyo okuwona kwangu. |
| Okulongoosa Okusala Embolectomy | Kino kikwekweto kinene. Enkola eno ekozesebwa naddala singa omusaayi omunene gusibye mu mawuggwe oba mu mutima. Wano, okusalako omusuwa ogw’omu makkati (median sternotomy) kukolebwa wakati mu kifuba, omutima n’amawuggwe ne bikyusibwa okumala akaseera ne bidda mu kyuma (Cardiopulmonary Bypass), era omusawo alongoosa n’aggulawo omusuwa ogukwatagana n’omusaayi n’aggyamu omusaayi oguzimba mu ngalo. |
Lwaki baddukira mu kulongoosa? Tekisobola kukolebwa na ddagala?
Ebiseera ebisinga, abantu abalina okuzimba omusaayi basooka kuweebwa ddagala eriweweeza ku musaayi. Okugeza, eddagala eriziyiza okuzimba omusaayi (eddagala eriziyiza omusaayi okuzimba) oba thrombolytics (eddagala erisaanuusa ebizimba ebiriwo). Kyokka mu mbeera ezimu, okulongoosa kuno kwetaagibwa. Emisango egyo mulimu:
- Bw’oba tosobola kumira ddagala lino erikendeeza omusaayi olw’embeera endala ez’obujjanjabi.
- Singa omusaayi tegusaanuuka wadde ng’eddagala oba embeera yo yeeyongera okwonooneka.
- Singa obubonero obuva ku kuzimba omusaayi buba bwa maanyi nnyo era nga bwetaaga okujjanjabibwa mu bwangu.
Kiki ekibaawo oluvannyuma lw’okulongoosebwa? Era kabi ki akayinza okuvaamu?
Oluvannyuma lw’okulongoosebwa, ojja kwetaaga okubeera mu ddwaaliro okumala ennaku ntono, nga kiyinzika okuba ng’oli mu kifo awajjanjabirwa abalwadde abayi (ICU). Abasawo bajja kukulondoola okutuusa ng’okussa n’enkola y’omutima bidda mu mbeera eya bulijjo. Singa walongoosebwa mu lwatu, obudde bwo obw’okuwona bujja kuba buwanvu katono okusinga singa olongoosebwa omusulo.
Okufaananako buli kulongoosa, kuno kulina akabi akayinza okuvaamu.
- Obulabe bw’enkola ya catheter: Okuvaamu omusaayi olw’okwonooneka kw’emisuwa, omutima okwonooneka oba obutatambula bulungi, obutasobola kuggyawo ddala kizimba.
- Obulabe bw’okulongoosebwa mu lwatu: Okuvaamu omusaayi omungi, omutima okukuba amangu (SVT - Supraventricular Tachycardia), omutima okulemererwa, okulemererwa kw’ekibumba, n’okukwatibwa yinfekisoni.
Wadde nga waliwo akabi kano, ekisinga obukulu okujjukira nti okulongoosa kuno kukolebwa nga kyetaagisa nnyo okutaasa obulamu. N’olwekyo, abasawo basalawo kino oluvannyuma lw’okulowooza ku birungi n’ebibi.
Ddi lw’olina okulaba omusawo ng’omaze okulongoosebwa
Kikulu nnyo okulabirira omubiri gwo ne bw’oba ozzeeyo eka. Bw’ofuna obubonero bwonna ku buno wammanga, olina okutegeeza omusawo wo mu bwangu . Mu mbeera enzibu, genda mu kitongole ky’abalwadde ab’amangu (ETU) mu ddwaaliro erikuli okumpi.
- Okukaluubirirwa okussa
- Ekifo ekisaliddwamu kifuuka kikulukuta, kimyufu oba okuzimba (obubonero bw’obulwadde) .
- Obulumi mu kifuba
- Okukuba kw’omutima
- Okuvaamu omusaayi ekisusse
Obubaka Obutwala Awaka
- Embolectomy nkola ya kulongoosa ng’eggyawo ekizimba ky’omusaayi ekiyinza okutta omuntu ekikwatiddwa mu musuwa.
- Kino kikolebwa mu ngeri bbiri enkulu: okulongoosa okutono nga tukozesa catheter (thin tube) n’okulongoosa okunene nga tukozesa ekifuba ekiggule.
- Abasawo bagamba nti balongoosebwa kuno mu mbeera enzibu zokka ezitasobola kufugibwa ddagala.
- Nga bwe kiri ku kulongoosa kwonna, waliwo akabi, naye kino kiyinza okwetaagisa okutaasa obulamu.
- Goberera ebiragiro by’omusawo wo n’obwegendereza ng’omaze okulongoosebwa. Noonya mangu omusawo amagezi singa ofuna obubonero bwonna obutali bwa bulijjo.
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