Kiki ekibaawo singa omusaayi ogukola awalala mu mubiri gwaffe gukutuka ne gusibira mu musuwa gw’omusaayi mu bwongo bwaffe? Ekirowoozo kya ntiisa, si bwe kiri? Yee, kino kye tuyita ‘embolic stroke’. Eno mbeera ya mangu ey’obujjanjabi eyinza okutta omuntu. Ekintu nga kino bwe kibaawo, buli sikonda ebalwa, n’olwekyo okufuna obujjanjabi amangu ddala kye kisinga obukulu.

Obulwadde bwa embolic stroke kye ki? Ka tukitegeere mu ngeri ennyangu.

Mu ngeri ennyangu, okusannyalala kw’omusaayi (embolic stroke) kwe kuzimba omusaayi oba ekintu ekirala (kino tukiyita ‘embolism’ ) bwe kisibira mu musuwa ogutwala omusaayi mu bwongo, ne kiyimiriza okutambula kw’omusaayi mu kitundu ky’obwongo, ne kivaako ekitundu ekyo okwonooneka. Kino kiri mu kiti ekinene ekiyitibwa ‘ischemic stroke’ . Kilowoozeeko ng’ekitundu ky’ebisasiro ekisibira mu payipu y’amazzi ne kiyimiriza okukulukuta. Wano, ‘embolism’ eno, ekitegeeza okuzimba omusaayi, etera okukolebwa mu musuwa omunene awalala mu mubiri, mpozzi mu mutima, ne guva awo, ne gutambula mu musaayi ne gusibira mu musuwa omutono ennyo mu bwongo. Olwo ekitundu ky’obwongo ekiweebwa omusaayi omusuwa ogwo tekifuna mukka gwa oxygen na biriisa.

Bubonero ki obulaga nti omuntu alina obulwadde bwa embolic stroke?

Obubonero buno bufaananako n’ebika ebirala eby’okusannyalala kw’omusaayi (ischemic strokes). They can come on suddenly , kale kikulu ggwe n'abaagalwa bo okubeera abamanyi.

• Aphasia mbeera ng’obusobozi bw’okwogera bukosebwa oba okubula ddala. Oyinza n’obutasobola kutegeera ebyo byogerwa.
• Okulaba okuzibuwalirwa okw’amangu , okulaba emirundi ebiri (Diplopia), oba okubulwa okulaba mu liiso erimu oba gombi.
• Okuwulira okutabulwa n’okutabulwa okw’amangu , okwerabira w’oli n’essaawa bwe ziri.
• Mu mbeera ezimu ez’amaanyi , wabaawo okufiirwa ddala okutegeera (Coma).
• Vertigo kwe kuwulira ng'owuuta n'okubulwa bbalansi .
• Omutwe ogw’amangu era ogw’amaanyi . Kino kyawukana ku kulumwa omutwe okwa bulijjo era kiyinza obutagumiikiriza.
• Obulwadde bw'okujjukira kwe kufiirwa okujjukira okw'amangu .
• Enkyukakyuka ez’amangu mu nneeyisa , ng’okunyiiga oba okunyiiga.
• Okuziyira n'okusiiyibwa .
• Okuwulira ng'obulago bunywezeddwa .
• Okusendebwasendebwa n'ogwa nga totegeera .
• Okubeera n’ekizimba (Seizures) .
• Okwogera obubi n’obutasobola kwatula bigambo bulungi (Dysarthria).
• Okukendeera okw’amangu oba okufiirwa ddala okuwulira kw’obusimu ng’okulaba, okuwulira, okuwunyiriza, okuwooma, n’okukwata .
• Okuziyira, okuwunya oba okunafuwa ku ludda olumu olwa ffeesi oba omubiri .

Bubonero ki obulaga nti omuntu alina obulwadde bwa embolic stroke? Jjukira nti 'BEERA EY'AMAANYI'!

Kikulu okujjukira amakulu g'ebigambo by'Olungereza 'BE FAST' okumanya oba ggwe oba omuntu gw'omanyi alina stroke. Buli sikonda ebalwa mu kiseera kino! Gy’okoma okukola amangu, gy’okoma okukola obulabe obutono.

• B - Bbalansi: Laba oba ofiirwa bbalansi mu bwangu oba nga weesittala ng’otambula.
• E - Amaaso: Kebera oba nga tolaba bulungi mu bwangu, nga tolaba bulungi, oba okulaba emirundi ebiri .
• F - Feesi: Akamwenyumwenyu era otunule. Laba oba oludda olumu olwa ffeesi lugwa oba lulabika nga lusimbuddwa.
• A - Emikono: Situla emikono gyombi mu maaso. Bw’oba ​​olina obulwadde bwa ssukaali, omukono ogumu guyinza obutasobola kusitulwa bulungi ne gugwa wansi oba okukaluubirirwa okugukwata waggulu.
• S - Okwogera: Laba oba enjogera yo oba ey’omuntu omulala efuuse ya kibogwe, ekaluubirirwa okulonda ebigambo ebituufu, oba nga nzibu okutegeera .
• T - Ebiseera: Ebiseera bye bikulu! Bw'olaba obubonero buno kuba 911 mu bwangu ofune ambyulensi . Bwe kiba kisoboka, tunuulira essaawa yo oba essimu yo okujjukira ekiseera obubonero bwo we bwatandikira. Bw’otegeeza omusawo ekiseera ekyo, kijja kubanguyira okulonda obujjanjabi obusinga obulungi.

Kiki ekivaako obulwadde bwa embolic stroke?

Ekisinga okuvaako obulwadde bwa embolic stroke, nga bwe twagambye emabegako , ‘embolism’ . Kino kitegeeza nti ekizimba ky’omusaayi (ebiseera ebisinga ekiwujjo ky’empewo, akatundu k’amasavu oba ekintu ekirala) ekikolebwa mu kifo ekimu mu mubiri kikutuka okuva awo, ne kiyita mu musaayi, ne kisibira mu musuwa gw’omusaayi mu bwongo.

Waliwo endwadde eziwerako eziyinza okuvaako okuzimba omusaayi:

• Atrial Fibrillation: Eno mbeera ng’ebisenge ebya waggulu eby’omutima (atria) tebikonziba bulungi, wabula mu kifo ky’ekyo bikuba mangu era mu ngeri etaali ya bulijjo. Kino kireetera omusaayi okukuŋŋaana munda mu mutima, ekifuula emikisa gy’omusaayi okutondebwawo. Zino ze zisinga okukutuka ne zigenda mu bwongo.
• Obulwadde bw’emisuwa: Buno amasavu nga kolesterol bwe gakuŋŋaana munda mu misuwa (emisuwa), ekivaako ebisenge by’emisuwa okukaluba n’okufunda. Amasavu gano (plaques) gasobola okukutuka ne gaziba emisuwa mu bwongo.
• Obuzibu mu kuzimba omusaayi: Abantu abamu bayinza okuba n’omuze gw’omusaayi gwabwe okuzimba amangu, oba olw’obuzaale oba endwadde endala.
• Embeera ezimu ezisiigibwa, gamba nga COVID-19, nazo zongera emikisa gy’okuziyira omusaayi.
• Yinfekisoni ezireetera ebitundu by'omubiri okufa . Okugeza, mu sepsis , yinfekisoni ey’amaanyi, obuwuka oba ebitundu by’ebitundu ebifu bisobola okuyingira mu musaayi ne bigenda mu bwongo. Kino era kiyinza okubaawo mu yinfekisoni za valve z’omutima (infective endocarditis).

Obulwadde bwa mini-stroke - embolic transient ischemic attack (TIA) .

Oluusi obulwadde bwa transient ischemic attack (TIA), era obumanyiddwa nga mini-stroke, buyinza okubaawo. Kino kifaananako n’okusannyalala, mu ngeri nti omusaayi ogugenda mu bwongo gusalako okumala akaseera. Wabula obubonero butera okuggwaawo mu ddakiika ntono okutuuka ku ssaawa emu oba bbiri ng’ekizimba kisaanuuka oba nga kitambula ne kifuluma okuva mu kuzibikira. Kyokka kano kabonero akalaga nti oli mu bulabe bwa maanyi obw’okulwala obulwadde bwa ssukaali obw’amaanyi mu biseera eby’omu maaso . Omuntu abadde n’obulwadde bwa TIA ayinza okwetaaga okujjanjabibwa amangu okuzuula ekivaako n’okutandika obujjanjabi okuziyiza okusannyalala okw’amaanyi.

Ani ali mu bulabe obw’amaanyi obw’okulwala obulwadde bwa embolic stroke?

Omuntu yenna asobola okufuna obulwadde bwa embolic stroke, naye abantu abamu bali mu bulabe bwa maanyi:

• Ku bantu abaddugavu.
• Ku bantu abasukka mu myaka 65 (obulabe bweyongera n’emyaka).
• Ku abo abanywa sigala oba abakozesa ebintu ebirala ebikolebwa mu taaba/nicotine (e.g., vapers, chewers). Okunywa sigala kwonoona emisuwa era kiyamba omusaayi okuzimba.
• Ku abo abakozesa ebiragalalagala (naddala cocaine ne amphetamines) .

Ate era, abantu abalina embeera z’obujjanjabi ezimu bali mu bulabe bwa maanyi:

• Ku abo abanywa ennyo omwenge (Obuzibu bw’okukozesa omwenge).
• Ku bantu abalina obulwadde bwa sukaali . Ssukaali asobola okwonoona emisuwa.
• Ku abo abalina puleesa (puleesa) . Kino bwe kitafugibwa, kiyinza okuleeta okwonooneka kw’emisuwa okumala ebbanga eddene.
• Ku bantu abalina kolesterol omungi (Hyperlipidemia) mu musaayi . Kino kireeta obulwadde bwa ‘atherosclerosis’.
• Abantu abalina obulwadde bw’omutima (e.g. atrial fibrillation, obuzibu mu valve y’omutima, okulwala omutima emabegako).

Otegeera otya obulwadde bwa embolic stroke? (Okuzuula obulwadde)

Omusawo ajja kukubuulira ddala obulwadde bwa embolic stroke kye ki. Bw’ogenda mu ddwaaliro, kye basooka okukola kwe kubuuza ku bubonero bwo, nga bwe bwatandika. Oluvannyuma bakola okukeberebwa kw'obusimu . Kino kikebera engeri gy’oyogera, okulaba, amaanyi, n’engeri gy’owuliramu. Era bakola okukebera omubiri okwa bulijjo n’okukeberebwa okulala okutonotono.

Ebigezo nga bino bye bikozesebwa okukakasa nti omuntu alina stroke:

• Okukebera omusaayi: Kebera ebintu ng’obuzibu mu kuzimba omusaayi, ssukaali ne kolesterol.
• CT scan: Kino kikuba ebifaananyi by’obwongo era kisobola okuzuula amangu oba waliwo okuvaamu omusaayi oba omusuwa oguzibiddwa (ischemic stroke).
• MRI scan: Kino kiwa ebifaananyi ebikwata ku nsonga eno okusinga CT scan. Kiyamba okulaba ddala obulabe obutuuse ku bwongo.
• Okukebera ECG (Electrocardiogram - EKG): Kuno kukebera enkola y’amasannyalaze g’omutima okukebera obuzibu bw’okukuba kw’omutima ng’okuwuuma kw’emisuwa.
• EEG (Electroencephalogram - EEG) test: Kino era kiyinza okukolebwa okukebera amasannyalaze g’obwongo, kubanga embeera ng’okukonziba oluusi ziyinza okutabulwa n’okusannyalala.
• Carotid Ultrasound: Okukebera oba waliwo amasavu agateekeddwamu n’okufunda kw’emisuwa emikulu mu bulago (carotid arteries).
• Echocardiogram: Okukebera omutima mu ngeri ya ultrasound. Okukebera oba omusaayi guzimba mu mutima n’obuzibu bwa valve.

Bujjanjabi ki obuweebwa obulwadde bwa embolic stroke?

Ekisinga obukulu ng'ojjanjaba obulwadde bwa embolic stroke kwe kuzzaawo omusaayi mu bwongo mu bwangu nga bwe kisoboka . Kino abasawo bakikola mu bwangu nga bwe kisoboka kubanga kino kiyinza okukendeeza ku bwongo okwonooneka okw’olubeerera n’okutuuka n’okutaasa obulamu. Waliwo enjogera egamba nti, "Obudde bwe Bwongo," ekitegeeza nti buli kaseera akayitawo nga tewali budde, obutoffaali bw'obwongo bufa.

Waliwo enkola bbiri enkulu ez’obujjanjabi ezitera okukozesebwa:

• Obujjanjabi bw’okuzimba omusaayi: Lino ddagala eriziyiza omusaayi (e.g., Alteplase). Eddagala lino lifukibwa mu musuwa okusaanuusa ekizimba omusaayi n’okuddamu okutambula kw’omusaayi. Abasawo batera okubiwa singa otuuka mu ddwaaliro mu ssaawa nnya n’ekitundu (essaawa 4.5) okuva obubonero bw’okusannyalala lwe butandise . Okuziwa oluvannyuma kiyinza okwongera obulabe bw’okuvaamu omusaayi munda mu bwongo.
• Mechanical thrombectomy: Eno nkola etali ya kulongoosa nga ekozesa ekyuma eky’enjawulo okuggyamu omusaayi oguzimba. Omusawo alongoosa (interventional neuroradiologist) ayingiza akapiira akatono akagonvu (catheter) okuyita mu musuwa omunene mu kisambi oba mu mukono n’agutwala mu maaso okutuuka ku kizimba ky’omusaayi mu bwongo ng’alungamizibwa X-ray. Olwo ekizimba kino kiggyibwamu nga bakozesa ekyuma ekiringa akatimba ekiyitibwa stent retriever oba suction catheter. Kino kitera okukolebwa mu ssaawa 6 okuva obubonero bwa stroke lwe butandise, naye kiyinza okukolebwa okutuuka ku ssaawa 24 mu mbeera ezimu. Kino kisinga ku bantu abalina omusaayi mu musuwa omunene.

Okugatta ku ekyo, kiyinza okwetaagisa obujjanjabi obulala:

• Okufuga puleesa ne sukaali mu musaayi: Abasawo bo bajja kulondoola puleesa yo ne sukaali mu musaayi buli kiseera okuyamba obwongo bwo okuwona. Okukendeeza ku kwonooneka kw’obwongo, bayinza okukuwa eddagala erikendeeza oba (mu mbeera ezimu) okulinnyisa puleesa yo.
• Eddagala eriweweeza ku musaayi: Eddagala eriziyiza okuzimba omusaayi (e.g. Warfarin, Apixaban) oba eriweweeza ku buwuka obuleeta omusaayi(Ex: Aspirin, Clopidogrel) Eddagala erikomya omusaayi okuzimba amangu. Okusinziira ku kivaako okusannyalala, oyinza okwetaaga okugenda mu maaso n’okumira eddagala lino oluvannyuma lw’okujjanjabwa thrombolytic therapy okuziyiza okusannyalala okulala.
• Endarterectomy oba okuteeka stent: Singa emisuwa gya carotid mu bulago gifunda nnyo olw’amasavu (carotid stenosis), amasavu ago gasobola okulongoosebwa (endarterectomy) oba okuyingiza stent okuyita mu musuwa okuguggulawo. Kino kiyinza okukendeeza ku bulabe bw’okuzimba omusaayi omulala (embolism).
• Mild intentional hypothermia: Mu mbeera ezimu, abasawo basobola okukendeeza ku bbugumu ly’omubiri gwo katono awatali bulabe. Okunoonyereza okumu kulaga nti kino kiyinza okuyamba okukendeeza ku kwonooneka kw’obwongo mu kiseera ky’okusannyalala n’oluvannyuma lw’okusannyalala, naye buno tebunnaba bujjanjabi bwa mutindo.
• Obujjanjabi bwa oxygen: Mu kiseera ky’okusannyalala, obwongo tebufuna oxygen emala. Singa omukka gwa oxygen mu musaayi gwo guba mutono, abasawo bayinza okukuwa omukka gwa oxygen ogw’enjawulo nga bayita mu kanyula mu nnyindo oba masiki mu maaso. Kino kyanguyiza okussa era kiyamba okusindika omukka gwa oxygen mu mubiri gwo n’obwongo.

Okuddaabiriza kuli kutya oluvannyuma lw’okusannyalala kw’omusaayi (embolic stroke)?

Stroke rehab kitundu kikulu nnyo mu bujjanjabi. Kikulu nnyo ggwe okumanyiira enkyukakyuka mu bwongo n’omubiri gwo oluvannyuma lw’okusannyalala n’okuddamu okufuna obusobozi bwo obubuze nga bwe kisoboka. Enteekateeka y‟okuddaabiriza abantu ekoleddwa ku ggwe, okusinziira ku byetaago byo. Kino kiyinza okuzingiramu okuyambibwako abajjanjabi nga:

• Obujjanjabi bw’omubiri: Ggumya ebinywa byo, okulongoosa bbalansi yo, era oddemu obusobozi bw’okutambula n’okukozesa emikono n’amagulu.
• Occupational therapy: Kikuyamba okuyiga okuddamu okukola emirimu gyo egya bulijjo (nga okulya, okwambala, n’okunaaba) nga weetongodde. Era kikuyamba okukola emirimu gy’awaka n’egy’emirimu mu ngeri ey’obukuumi naddala egyetaagisa okutambula obulungi mu mubiri.
• Obujjanjabi bw’okwogera: Bukuyamba okuddamu okufuna oba okulongoosa olulimi lwo n’obukugu mu kwogera (Aphasia, Dysarthria). Era ekutendeka okufuga ebinywa ebikuyamba okwogera, okussa, okulya n’okumira (Dysphagia).
• Cognitive rehab: Yongera ku kujjukira kwo, okussaayo omwoyo, obukugu mu kugonjoola ebizibu, n‟obusobozi obulala obw‟omutwe (ssinga okosebwa stroke).
• Okubudaabudibwa kw’abasawo b’eby’omutwe nakyo kiyinza okwetaagisa, kubanga kya bulijjo okufuna ekiwuubaalo, okweraliikirira, n’okukyukakyuka mu mbeera oluvannyuma lw’okusannyalala.

Emikisa ki egy’okuwona obulwadde bwa embolic stroke?

Omuwendo gw’abantu abawona okusannyalala gweyongera buli lunaku, nga bwe tusanga obujjanjabi obupya, obw’amangu. Wabula tewali budde bumu obw’okuwona oba okuteebereza okukola ku buli muntu.

Abakugu bagamba nti abantu nga 80% abalina obulwadde bwa embolic stroke bawangaala waakiri omwezi mulamba . Oluvannyuma lw’okusannyalala okusooka, akabi k’okufuna obulwadde obulala bweyongera. Abantu ababadde bafunye stroke emirundi mingi balina omuwendo omutono ogw’okuwona. Eno y’ensonga lwaki kikulu nnyo okuziyiza okusannyalala okulala.

Kitwala bbanga ki okuwona obulwadde bwa embolic stroke?

Omubiri gwa buli muntu guddamu mu ngeri ya njawulo ku stroke ya embolic. Kye muyinza okusuubira (`okuteebereza`) kisinziira ku nsonga eziwerako:

• Engeri gye wafuna obujjanjabi mu bwangu .
• Ebitundu by'obwongo ki ebyakosebwa era ku kigero ki .
• Emyaka gyo n‟obulamu bwo okutwaliza awamu (oba olina embeera endala ez‟obujjanjabi).
• Engeri gye weetabamu obulungi mu nteekateeka y'okuddaabiriza .

Kiyinza okutwala emyezi okutuuka ku mwaka oba okusingawo abantu abasinga okutuuka ku ddaala erimu ery’okuwona. Abantu abamu bayinza okubeera nga balina obulemu obw’olubeerera. Omusawo ajja kukubuulira ky’osuubira. Zijja kukuyamba okuteekawo ebiruubirirwa n’ebisuubirwa mu kudda engulu ebisaanira obulamu bwo n’embeera yo.

Tuziyiza tutya obulwadde bwa embolic stroke?

Engeri esinga okuziyiza embolism ne embolic stroke kwe kukuuma obulamu bwo okutwalira awamu n'okufuga ensonga z'obulabe bwo . Gezaako okukola ebintu bino:

• Dduyiro buli kiseera (waakiri eddakiika 30 ennaku 5 mu wiiki).
• Lya emmere erimu ebiriisa (ebibala, enva endiirwa, ebinyeebwa, n’emmere ey’empeke ennyingi nga mulimu ebiwuziwuzi, omunnyo omutono, ssukaali n’amasavu). Kuuma omugejjo omulungi. Omusawo ayinza okukuwa amagezi okugoberera enteekateeka y'endya ng'emmere y'omu Mediterranean .
• Kebera buli kiseera puleesa, kolesterol ne ssukaali era bikuume nga bifugibwa . Eddagala lyo limira ddala nga omusawo bw’akulagidde.
• Lekera ddala okunywa ssigala era weewale okubeera mu bifo abalala gye banywa ssigala.
• Okunywa omwenge gukomye oba olekere awo ddala.
• Bw’oba ​​olina obulwadde bw’omutima nga atrial fibrillation, funa obujjanjabi obutuufu.

Laba omusawo buli mwaka (oba ng’omusawo bw’akugamba) okwekebejjebwa . Endwadde n’ebizibu bingi ebiyinza okuvaako okusannyalala kw’omusaayi (embolic strokes) bibaawo oluvannyuma lw’ekiseera. Ziyinza n’okukuleetera okuwulira obulungi. Omusawo asobola okukuyamba okumanya n’okuddukanya obubonero obulabula nga tebunnayongera ku bulabe bwa stroke.

Nkola ntya okwerabirira oluvannyuma lw’okulwala obulwadde bwa embolic stroke?

Okudda engulu n’okuddaabiriza oluvannyuma lw’okusannyalala kiyinza okuba ekintu ekiwanvu era ekiwanvu. Ggwe n’omusawo bwe mumala okukola enteekateeka y’obujjanjabi, muginywerere nnyo nga bwe kisoboka. Okutwaliza awamu, olina:

• Kakasa nti ogenda mu bibiina byo eby'okuddaabiriza n'ebirala eby'obujjanjabi . Dduyiro abajjanjabi bo gye bakuwa kola awaka. Buulira abajjanjabi bo bw’oba ​​owulira nga tolina mirembe oba nga tolina bukuumi ng’okola ekintu kyonna. Okuddaabiriza mulimu gwa maanyi, naye tolina kubeera mu bulumi oba obutabeera bulungi buli kiseera.
• Naawe lowooza ku bulamu bwo obw'omutwe . Okwennyamira n’okweraliikirira bitera nnyo oluvannyuma lw’okusannyalala. Kya bulijjo okulowooza ebintu nga, "Lwaki kino kyantuukako?" "Nnaddamu okuba nga bwe ntyo?" Okuwulira ennaku oba okuggwaamu essuubi tekikufuula munafu oba okulemererwa. Obulamu bwo obw’omutwe bukulu nnyo ng’obulamu bwo obw’omubiri. Bw’oba ​​owulira nga weetaaga okuyambibwa okuzuula ekintu mu kiseera ky’okuwona, yogerako n’omusawo oba omukugu mu by’obulamu bw’obwongo (omubuulirizi, omusawo w’eby’omutwe). Obuwagizi okuva mu maka n’emikwano nakyo kikulu nnyo mu kiseera kino.
• Eddagala lyo limira ddala, mu budde, era mu ddoozi entuufu . Kino kikulu nnyo naddala bw’oba ​​omira eddagala eriweweeza ku musaayi, puleesa, kolesterol oba ssukaali. Kikulu okukendeeza ku bulabe bw’okuzimba omusaayi mu biseera eby’omu maaso, era okumira eddagala lyo ng’omusawo bw’akugamba kijja kuyamba omubiri gwo okuwona.

Ddi lwe nneetaaga okuddamu okugenda mu kitongole ky’abalwadde ab’amangu (ETU) ?

Bw’oba ​​olowooza nti olina stroke endala (jjukira BE FAST!) , kuba 911 oba ennamba yo ey’amangu mu kitundu kyo amangu ddala . Obulabe bw'okufuna ebizibu eby'amaanyi n'okufa bweyongera nnyo singa oba ofunye stroke endala . Tolwawo kusaba buyambi oba okugenda mu kisenge ky’abalwadde ab’amangu.

Abantu ababadde n’obulwadde bwa embolic stroke bali mu bulabe bw’okufuna ebizibu eby’amaanyi ennyo, gamba nga:

• Okuzimba omusaayi mu misuwa emiwanvu egy’amagulu (Deep vein thrombosis - DVT): okuzimba, okumyuuka, okulumwa ekigere.
• Omutima: Obulumi mu kifuba, okukaluubirirwa okussa.
• Pneumonia: Omusujja, okusesema, okukaluubirirwa okussa (naddala mu bantu abazibu okumira, emmere esobola okuyingira mu mawuggwe - Aspiration Pneumonia).
• Pulmonary embolism: Okussa obubi mu bwangu, okulumwa mu kifuba, n’omutima okukuba amangu. Kino kiyinza okuva ku kizimba ky’omusaayi ekikutuka okuva ku DVT.
• Okubeera n’ekizimba (Seizures).

Bw’ofuna obubonero bw’ebizibu bino, kuba essimu mu bwangu oba genda mu kisenge ky’abalwadde ab’amangu.

Bibuuzo ki bye nnina okubuuza omusawo wange?

Bw’omala okufuna obulwadde bwa ssukaali, ggwe n’ab’omu maka go muyinza okuba n’ebibuuzo bingi. Totya kubuuza musawo wo ebibakwatako.

• "Lwaki nnafuna stroke eno? Ekizimba ky'omusaayi (embolism) kyakolebwa wa?"
• "Balwadde ki oba kizibu ki ekyavaako kino?"
• "Obulabe ki obw'okufuna obulwadde bwa stroke obulala?"
• "Ddagala ki lye nneetaaga okugenda mu maaso n'okumira, ndimira ntya? Biki ebivaamu?"
• "Nkyukakyuka ki ze nneetaaga okukola mu bulamu bwange obwa bulijjo? Ebintu ng'endya, dduyiro n'ebirala."
• "Nja kumala bbanga ki nga nkola rehabilitation?"
• "Nnasobola okuvuga ne nzirayo ku mulimu? Ekyo kinaaba ddi?"

"Okubeera n'obulwadde bwa ssukaali kiyinza okukyusa obulamu bwo. Naye tekitegeeza nti si ggwe. Jjukira okwewa ekitiibwa olw'ebintu by'otuuseeko mu kiseera ky'okuddaabiriza n'okudda engulu. Ne bwe kiba nga tekiwulikika bulijjo, buli buwanguzi obutono busaana okujaguza."

Yogerako n’abasawo bo ku ky’oyinza okukola okuziyiza okusannyalala okulala mu biseera eby’omu maaso. Ziyinza okukuyamba okutereeza enkola yo eya buli lunaku okukendeeza ku bulabe bw’okufuna obulwadde bwa ssukaali obulala. Totya kubuuza bibuuzo. Ggwe asinga okulwanirira ggwe kennyini n’obulamu bwo , era olina eddembe okutegeera buli kyebakugamba.

Ebimu ku bintu bye ndowooza nti bikulu gyoli (Take-Home Message)

Okay, kale ka tumale tulabe ebimu ku bintu bye twetaaga okujjukira okuva mu bye twogeddeko.

• Okusannyalala kw’omusaayi (embolic stroke ) kwe kuzimba omusaayi ogukolebwa awalala mu mubiri (ebiseera ebisinga mu mutima) bwe gusibira mu musuwa gw’omusaayi mu bwongo. Eno mbeera ya bujjanjabi ya mangu!
• Weetegereze obubonero bwa ‘BE FAST’ (okubulwa bbalansi, enkyukakyuka mu kulaba, okugwa mu maaso, okuzirika mu mukono, okwogera obubi). Bw'olaba obubonero buno kuba 1990 mu bwangu . Ebiseera bye bikulu.
• Puleesa, ssukaali, endwadde z’omutima (naddala okuzimba emisuwa), kolesterol omungi, n’okunywa sigala bye bikulu ebiyinza okuvaako kino.
• Kikulu nnyo okutandika obujjanjabi mu bwangu. Obujjanjabi obuyitibwa thrombolytic therapy ne mechanical thrombectomy bwe bujjanjabi obukulu.
• Okuddaabiriza kyetaagisa oluvannyuma lw’okusannyalala. Obujjanjabi bw’okwogera, obujjanjabi bw’omubiri, obujjanjabi bw’emirimu, n’obujjanjabi obw’okutegeera bisobola okuyamba mu kino.
• Okuziyiza okusannyalala okulala, kikulu nnyo okukola enkyukakyuka mu bulamu obulungi (endya ennungi, dduyiro buli kiseera , okulekera awo okunywa sigala, n’okukendeeza ku mwenge) n’okugoberera ddala amagezi g’abasawo.
• Toli wekka . Waliwo abasawo, abajjanjabi, ab’omu maka n’emikwano abasobola okukuyamba mu lugendo luno. Buuza omusawo wo ekintu kyonna, saba obuyambi. Obulamu bw’obwongo bukulu nnyo ng’obulamu bw’omubiri.

Nsuubira nti amawulire gano ga mugaso gye muli, mikwano gyaffe abaagalwa. Sigala nga oli mulamu bulungi era nga musanyufu buli omu!

` Embolic stroke, stroke, stroke, brain stroke, okuzimba omusaayi, emisuwa okuzibikira, obubonero bwa stroke, obujjanjabi bwa stroke