Omusuwa mu mubiri gwo gusobola okuzibikira mu bwangu? Ka twogere ku Embolism!

Wali weebuuzizzaako kiki ekyandibaddewo singa omusuwa mu mubiri gwaffe guzibikira mangu ekintu? Mpozzi ekyo tekikutuukako. Naye, kino ffenna kye twetaaga okumanya. Kubanga, omusuwa okuzibikira bwe guti, embeera eyitibwa (Embolism), oluusi eyinza okuba ey’akabi ennyo. Kale, tunaayogera ku nsonga eno mu bujjuvu katono era mu ngeri ennyangu leero?

Embolism kye ki? Mu ngeri ennyangu...

Mu ngeri ennyangu, embolism (embolism) bwe bumu ku misuwa gyo oba ekifo omusaayi we gukulukuta, bwe guzibikira ekintu. Ebiseera ebisinga, okuzibikira kuno kuva ku kizimba ky’omusaayi ekikoleddwa awalala. Wabula si kuzimba musaayi gwokka, wabula n’ebintu ebirala bisobola okuva mu kifo ekimu mu mubiri okudda mu kirala ne biziba omusuwa nga guno.

Kilowoozeeko ng’ekitundu ky’ekivundu ekikwatiddwa mu payipu y’amazzi. Emisuwa egimu, olw’obunene n’enkula yaago, gitera okuzibikira okusinga emirala. Kino kiyinza okubaawo naddala ng’omusuwa omunene gukutama ne gufuuka omutono, oba ng’omusuwa gufunda olw’amasavu agaterekeddwa (atherosclerosis).

Okuzimba kuno kuyinza okubaawo wonna mu mubiri gwo, omuli obwongo bwo, amawuggwe, ensigo, n’ennywanto. Ekika ky’obulwadde bwa embolism ekisinga okubeera mu mawuggwe. Omusaayi bwe gukola mu misuwa gy’amagulu go ne gugenda mu mawuggwe go, guyitibwa pulmonary embolism oba PE .

Engeri ki ez’enjawulo obulwadde bwa embolism gye buyinza okubaawo?

Embolism esobola okwawulwamu ebika ebiwerako okusinziira ku kika ky’ekintu ekisibira mu misuwa. Weetegereze:

• Thromboembolism: Kino kye kika ky’omusaayi ogusinga okulabika . Kiva ku musaayi oguzimba awalala mu mubiri naddala mu misuwa emiwanvu egy’amagulu (Deep Vein Thrombosis - DVT).
• Tumor embolism: Ekintu ekiringa ekitundu ky’obutoffaali bwa kookolo.
• Fat embolism: Amasavu gasobola okukuŋŋaanyizibwa mu musaayi mu kiseera ky’okumenya amagumba amanene.
• Septic embolism: Okuzimba omusaayi okukwatagana n’obulwadde.
• Air embolism: Okugeza, kiyinza okuva ku ggaasi wa nayitrojeni ng’ogenda okubbira mu mazzi.
• Amniotic fluid embolism: Kino kikwatagana n’okuzaala era tekitera kubaawo.

Ku zino, Venous Thromboembolism , nga kino kye kizimba ky’omusaayi ekikola mu misuwa ne kiziziba, kisinga kuzimba misuwa. Mu butuufu, mu nsi nga Amerika, kigambibwa nti abantu nga 900,000 omwaka bafuna embeera eno. Ate era, Pulmonary Embolism ye nsonga eyokusatu mu kutta abantu nga zeekuusa ku mutima n’emisuwa mu nsi yonna. (Nnamba emu n’ebiri ye Stroke ne Heart Attack).

Bubonero ki obulaga nti omuntu alina obulwadde bw’okuzimba omusaayi (embolism)?

Singa embolism ekolebwa mu musuwa gwo, eziyiza omusaayi okutambula. Omanyi omusaayi gutambuza omukka gwa oxygen buli katoffaali mu mubiri gwaffe gwe gwetaaga. Kale, omusaayi bwe guba tegusobola kuyita, omukka gwa oxygen tegusobola kuyita. Obutabeera na oxygen kuno kuleeta embeera eyitibwa "infarct," eyonoona ekitundu ekyetaaga oxygen eyo. Kino kiyinza okuvaako obulumi. Oluusi, obutaba na oxygen buno buyinza n’okutta omuntu.

Teebereza ekizimba ky’omusaayi (thrombus) nga kikolebwa mu musuwa omuzito mu kigere kyo, era obutundutundu obutono bwagwo ne bukutuka ne butambula n’omusaayi okutuuka ku ludda olwa ddyo olw’omutima gwo. Okuva awo omusaayi gusindikibwa mu mawuggwe. Obutundutundu buno obutono obw’omusaayi (pulmonary emboli) busibira mu misuwa emitono mu mawuggwe ne kivaako okuzimba amawuggwe. Tekitera nnyo, ennene (pulmonary emboli) zisobola okuziyiza ddala okutambula kw’omusaayi okwa bulijjo okuva ku ludda olwa ddyo olw’omutima okutuuka mu mawuggwe.

Obubonero bw’okuzimba omusaayi (embolism) bwawukana okusinziira ku kika n’ekifo obulwadde bwa embolism we bubeera. Abantu abamu bayinza obutaba na bubonero bwonna. Bino bye bimu ku bubonero obulaga nti obulwadde buno:

• Okussa obubi
• Omukka gwa oxygen omutono mu musaayi (Hypoxemia) .
• Okussa amangu naye nga tekuwanvu (Tachypnea) .
• Obunafu, obukoowu
• Okulumwa omutwe
• Amabala amamyufu ku lususu (Petechiae) .
• Obulumi mu kifuba
• Omutima okukuba amangu (Tachycardia) .
• Omusujja
• Okuzimba mu mukono oba ekigere
• Okukonziba
• Obulwadde bwa Vertigo
• Okusesema n’okuziyira
• Puleesa eya wansi (Hypotension) .

Kiki ekisinga okuvaako obulwadde bw’okuzimba omusaayi (embolism)?

Ebiseera ebisinga, okuzimba amawuggwe kubaawo mu mawuggwe. Ekisinga okuvaako kino kwe kuzimba omusaayi mu misuwa gy’amagulu (Deep Vein Thrombosis - DVT) . Oluusi, okuzimba amawuggwe nakyo kiyinza okubaawo olw’obulwadde bwa DVT mu misuwa emiwanvu egy’emikono.

Waliwo ensonga endala ezireetera embolism okubaawo:

• Obulwadde bw’oluwuzi lw’omutima olw’omunda (infective endocarditis) .
• Atrial fibrillation (omutima okukuba obutasalako) .
• Obulwadde bwa kkono obuyitibwa thrombus
• Eggumba eryamenyese mu kabenje akanene
• Kookolo
• Yinfekisoni ez’enjawulo
• Obulwadde bw’olubuto
• Okusonseka amafuta
• Okukyusa obusigo bw’amagumba
• Ssukaali ow’olubuto
• Placenta accreta (okunywerera ennyo kwa nnabaana ku bbugwe wa nnabaana) .

Ani ali mu bulabe obw’amaanyi obw’okulwala kino (embolism)?

Waliwo ebintu ebiwerako ebitera okuleetera omuntu okuzimba omusaayi (embolism). Laba oba ekimu ku bino ekikukwatako:

• Obutakola mirimu gya mubiri: Okubeera mu kifo kimu okumala ebbanga eddene naddala ng’omaze okulongoosebwa.
• Okulongoosebwa n’obujjanjabi obumu: Oluvannyuma lw’okulongoosebwa okunene.
• Omutima okulemererwa
• Storoko
• Kookolo
• Obuvune mu mubiri (Trauma) .
• Puleesa (Peesa) .
• Okukozesa ebiva mu taaba (okunywa sigala) .
• Okukozesa empeke eziziyiza okuzaala
• Embeera ezireetera omusaayi okuzimba amangu
• Ebyuma ebimu eby’obujjanjabi, gamba ng’ebyuma ebikuba omukka

Bizibu ki ebiyinza okubaawo olw’obulwadde bw’okuzimba omusaayi (embolism)?

Ebizibu ebiva mu kuzimba omusaayi (embolism) byawukana okusinziira ku kifo we bibeera. Kiyinza okuba eky’akabi ennyo. Bino bye bimu ku bizibu ebivaamu:

• Ebintu ebitali bya bulijjo mu nkola y’obwongo, gamba ng’okubulwa okujjukira
• Omutima obutakuba bulungi (Arrhythmia) .
• Omutima okusiba
• Omutima okulwala
• Okuzimba kw’obwongo
• Okuzimba kw’amawuggwe
• Obulwadde bw’okusannyalala mu kussa (ARDS) .
• Okufiirwa omukono oba okugulu
• Ekizimba mu nseke
• Okufa kw’ebitundu by’omubiri mu kibumba, enseke oba ekitundu ekirala ekikoseddwa
• Tricuspid valve regurgitation (omusaayi okudda emabega nga guyita mu valve y’omutima) .
• Okulemererwa kw’ekibumba
• Omutima okulemererwa
• Storoko
• N’okufiirwa obulamu kiyinza okubaawo.

Ekyo kitegeeza nti, kino si kintu kya kutwala ng’ekitono. Wadde nga kiyinza okulabika ng’ekintu ekitono, singa tekijjanjabwa mu budde, kiyinza okuvaako ebizibu ebiyinza okutta omuntu.

Omusawo azuula atya mu butuufu kino (embolism)?

Bw’oba ​​olina obubonero bw’okuzimba omusaayi, omusawo ajja kusooka kukukebera. Omusawo ayinza okwetegereza ebintu ng’olususu okukyuka oba okukaluubirirwa okussa. Singa ateeberezebwa okuba n’obulwadde bwa embolism, ayinza okukola ebimu ku bikeberebwa.

Okusinziira ku kika ky’obulwadde bwa embolism, okukebera kuno wammanga kuyinza okukolebwa:

• Okukebera omusaayi
• X-ray y’ekifuba
• Doppler ultrasound - okutunuulira entambula y’omusaayi mu misuwa.
• ECG (Electrocardiogram - EKG) - Ekebera enkola y’omutima.
• CT scan (Ekifaananyi ekikwata ku kompyuta - CT scan) .
• Okugezesebwa kwa MRA(Ekipimo ky’emisuwa ekiyitibwa magnetic Resonance Angiogram - MRA) .
• MRI (Ekifaananyi ekikwata ku magineeti) .
• Angiogram - X-ray y’emisuwa oluvannyuma lw’okukuba langi.
• Okukebera omutima mu ngeri ya Ultrasound: (Transthoracic echocardiogram - TTE) ne (Ekifaananyi ky’omutima ekiyitibwa Transthoracic echocardiogram - TEE) .
• Oluusi balongoosa ebitundu by’omubiri (biopsy) okukebera ekitundu ky’omubiri.

Bujjanjabi ki obuweebwa obulwadde bw’okuzimba omusaayi (embolism)?

Ekigendererwa ekikulu eky’obujjanjabi bw’obulwadde bw’okuzimba omusaayi (embolism) kwe kuggyawo okuzibikira mu misuwa n’okuzzaawo okutambula kw’omusaayi. Emirundi egisinga, okulonda okusooka kwe kugijjanjaba n’eddagala.

Wano waliwo obujjanjabi bw’obulwadde bw’okuzimba omusaayi:

• Anticoagulants : Tugamba nti bino "bikuba" omusaayi.
• Thrombolytics : Zino zisaanuusa butereevu ekizimba ky’omusaayi ne kiggyawo.
• Eddagala eritta obuwuka eriwonya Embolism
• Eddagala lyongera ku nkola y’omutima (Inotropes) .
• Obujjanjabi bwa oxygen oba obujjanjabi bwa hyperbaric oxygen
• Embolectomy (okulongoosa okuggyawo obulwadde bwa embolism) .

Mu mbeera ez’amaanyi ennyo, abantu abalina obulwadde bwa embolism bayinza okwetaaga obujjanjabi obulala obuyamba obulamu, gamba nga CPR , ECMO (ekyuma ekikola mu kifo ky’omutima n’amawuggwe), era n’ebyuma ebibayamba okussa.

Waliwo ebizibu byonna ebiva mu bujjanjabi buno?

Yee, ebyembi wayinza okubaawo ebizibu ebimu ebivaamu. Waliwo obulabe bw’okuvaamu omusaayi naddala ng’okozesa eddagala eriyitibwa anticoagulants ne thrombolytics. Omusaayi bwe guggyibwako nga balongooseddwa (embolectomy), wayinza okubaawo obulabe nga:

• Okwonooneka kw’omusuwa gw’omusaayi
• Okuvaamu omusaayi
• Omutima gukuba mpola (Bradycardia) .
• Puleesa eya wansi (Hypotension) .
• Omutima okusiba

Kiki ekibaawo singa embolism ebaawo?

Abantu abamu abalina obulwadde bwa embolism bayinza obutaba na bubonero bwonna, ate abalala bayinza okuba n’obubonero obw’amaanyi ennyo. Engeri gy’ojjanjabibwamu ejja kusinziira ku bintu ebiwerako omuli obunene n’obuzibu bw’obulwadde bw’okuzimba omusaayi, ne gye bwasibuka.

Embolism mbeera eri obulamu bw’omuntu mu matigga, n’olwekyo okuzuula amangu n’okujjanjabibwa amangu kiyinza okwongera ku mikisa gyo egy’okuwona.

Kiki kye tuyinza okukola okuziyiza obulwadde bwa embolism?

Yee, tusobola okuziyiza ebika ebimu eby’obulwadde bwa embolism. Bw’oba ​​oli mu bulabe bw’okulwala embolism, omusawo ayinza okukuwa amagezi bino wammanga:

• Bw’oba ​​otambula eng’endo empanvu (nga mu nnyonyi oba mu bbaasi), situka buli luvannyuma lwa ssaawa ntono osituleko katono n’okukka enkizi (calf pumps).Kino kiyinza okuyamba okukuuma omusaayi nga gutambula bulungi mu magulu.
• Eddagala erikendeeza omusaayi (Anticoagulants) .
• Okukozesa sitokisi ez’enjawulo ezinyigiriza.
• Ekyuma ekissa puleesa ku magulu (Intermittent Pneumatic Compression Device - IPC device) .
• Ku bantu abamu, ekyuma ekisengejja kiyinza okuteekebwa mu musuwa omukulu ogutwala omusaayi okuva mu mubiri ogwa wansi okutuuka ku mutima (omusulo ogwa wansi ogw’omusuwa oguyitibwa inferior vena cava filter) . Kino kiremesa omusaayi okutambula okutuuka ku mutima n’amawuggwe.

Nkola ntya okwerabirira singa nfuna obulwadde bwa embolism?

Oluvannyuma lw’okulwala embolism, oyinza okwetaaga okuddaabirizibwa okusobola okuwona. Kino kiri bwe kityo kubanga embolism eyinza okuba ng’eyonoonese ebitundu ng’obwongo bwo oba amawuggwe. Okwonooneka kuno kubaawo kubanga embolism esazeeko oxygen eri ekitundu ekyo oba ekitundu ekyo.

Ddi lwe nnina okulaba omusawo?

Bw’oba ​​olina obubonero bw’obulwadde bw’okusannyalala, olina okugenda ew’omusawo mu bwangu. Tolwawo.

Oluvannyuma lw’okusannyalala, ojja kwetaaga okugenda mu maaso n’okulaba omusawo wo era ogoberere ebiragiro bye. Naddala bw’oba ​​omira eddagala ng’eddagala eriziyiza okuzimba omusaayi, omusawo ajja kukebera okulaba oba olimira bulungi era oba obulabe bw’okuvaamu omusaayi bukyuse.

Bibuuzo ki bye nnina okubuuza omusawo?

Osobola okubuuza omusawo ebibuuzo nga bino:

• Lwaki kino (embolism) nakifuna?
• Emikisa ki egy’okuwona okusinziira ku mbeera yange?
• Bujjanjabi ki obusinga okunkwatako?
• Nkole ki okutangira embolism endala nga eno okuddamu okubaawo?

Mu bufunze (Obubaka bw’okutwala awaka)

Kya bulijjo okuwulira nga weeraliikirira embeera eyitibwa embolism, kuba eyinza okuteeka obulamu mu matigga. Eno y’ensonga lwaki kikulu nnyo okufuna obujjanjabi amangu ago. Bw’oba ​​olina obubonero bw’obulwadde bw’okusannyalala, genda amangu ddala ew’omusawo. Oluvannyuma lw’okujjanjabibwa, funa obuwagizi okuva mu b’omu maka go n’emikwano gyo. Bw’oba ​​weeraliikirira oba nga weeraliikirira okufuna obulwadde obulala obw’okusannyalala, yogerako n’omubuulirizi. Toli wekka, era totya kusaba buyambi.

` Embolism, okuzimba omusaayi, okuzibikira kw’emisuwa, okuzimba amawuggwe, Pulmonary Embolism, DVT, obubonero, obujjanjabi, okuziyiza