Olina obuzibu mu kussa? Manya ku Emphysema, embeera y'amawuggwe, ne Nirogi Lanka!

Oluusi kikuzibuwalira okussa? Okulinnya amadaala oba okutambula wadde akabanga katono kikuleetera okuwulira ng’empewo ewunyiriza? Olwanagana n’okusesema okutambula obutasalako? Bino biyinza okuba obubonero bw’embeera y’amawuggwe emanyiddwa nga emphysema, gye tugenda okwogerako leero. Nsaba temutya; kino tukitambulire ffenna.

Emphysema kye ki? Okutegeera Ebikulu

Mu ngeri ennyangu, emphysema mbeera eva ku kwonooneka kw’obusawo obutonotono obw’empewo mu mawuggwe go obumanyiddwa nga alveoli. Ensigo zino zivunaanyizibwa ku kutambuza omukka gwa oxygen okuva mu mpewo okuyingira mu musaayi gwo ate nga ziggyamu kaboni dayokisayidi. Lowooza ku mawuggwe go nga bubble wrap; ebiwujjo (alveoli) bye biwujjo ebyo ebitonotono. Ekibinja ky’amawuggwe ekiramu kirimu obukadde nga 300 ku go.

Mu emphysema, ebisenge by’emisuwa gino binafuwa era okukkakkana nga bikutuse. Mu kifo ky’obuwundo obutonotono bungi, omaliriza ng’olina ensawo z’empewo ennene ezitali za bulijjo. Kino kikendeeza nnyo ku buwanvu bw’okungulu obuliwo okuwanyisiganya okisigyeni. Ekirala, empewo eyinza okusibira munda mu mawuggwe, ekivaako okukaluubirirwa okussa n’okussa obubi. Abantu abamu bayinza okufuna endabika ya "barrel-chested" olw'empewo eno esibiddwa.

Biki ebikulu ebivaako emphysema?

Okusinga, emphysema ebaawo mu bantu abamaze emyaka mingi nga banywa sigala. Kyokka, okunywa sigala si kye kyokka kye kivaako. Ensonga endala mulimu:

• Ebintu ebicaafuwaza empewo awaka oba ku mulimu: Okumala ebbanga eddene ng’okwatibwa enfuufu, omukka gw’eddagala oba obucaafu bw’empewo.
• Ensonga z’obuzaale : Abantu abamu balina embeera etali ya bulijjo eyitibwa alpha-1 antitrypsin deficiency , ekiyinza okuvaako emphysema.
• Yinfekisoni z’okussa : Obulwadde bw’amawuggwe obutera okukwatibwa nakyo kisobola okuvaako okwonooneka.

Obukadde n’obukadde bw’abantu mu nsi yonna balina obulwadde bwa emphysema. Embeera ya maanyi eyeetaaga okujjanjabibwa obulungi.

Njawulo ki eri wakati wa Emphysema ne COPD?

Oyinza okuba nga wali owulidde ekigambo COPD. COPD (Chronic Obstructive Pulmonary Disease) kigambo kya umbrella ekikozesebwa okutegeeza ekibinja ky’endwadde z’amawuggwe ezigenda zikula. Emphysema egwa mu kiti kino, nga bwe kiri ku Chronic Bronchitis. Abalwadde ba COPD abamu nabo bayinza okuba n’obulwadde bwa asima.

Njawulo ki eri wakati wa Emphysema ne Chronic Bronchitis?

Zombi bika bya COPD, era abantu bangi balina embeera zombi omulundi gumu.

• Emphysema: Kino okusinga kizingiramu okwonooneka kw’obusimu obuyitibwa alveoli mu mawuggwe go. Akabonero akamanyiddwa kwe kukaluubirirwa okussa .
• Obulwadde bw’ennyindo obutawona: Kino kizingiramu okwonooneka kw’ebitundu by’omubiri ebiyitibwa cilia —obutundutundu obutonotono obulinga enviiri —mu mikutu gyo egy’empewo. Cilia zino zivunaanyizibwa ku kugogola obuwuka , enfuufu, n’ebintu ebinyiiza. Akabonero akasookerwako kwe kusesema okuvaamu ebibala ebivaamu omusulo omunene, oguyinza okuba ogwa kyenvu, kiragala oba enzirugavu.

Emitendera ki egy’obulwadde bwa Emphysema?

Abakugu mu by’obujjanjabi bagabanya obulwadde bwa emphysema nga basinziira ku mutindo gwa GOLD (Global Initiative for Chronic Obstructive Lung Disease) okwekenneenya obuzibu bw’obulwadde buno.

• Omutendera 1 (Mild): Enkola y’amawuggwe go waakiri ebitundu 80% ku ekyo ekisuubirwa ku myaka gyo, obuwanvu bwo, n’ekikula kyo.
• Omutendera 2 (Ogwa kigero): Enkola y’amawuggwe go eri wakati wa 50% ne 79%.
• Omutendera 3 (Omukambwe): Enkola y’amawuggwe go eri wakati wa 30% ne 49%.
• Omutendera 4 (Ogwa maanyi nnyo): Enkola y’amawuggwe go eri wansi wa bitundu 30%.

Emitendera gino giyamba omusawo wo okulongoosa enteekateeka zo ez’obujjanjabi n’okuddukanya obulamu bwo.

Endowooza etya eri omulwadde wa Emphysema?

Buli muntu wa njawulo, era endowooza gy’olina esinziira ku myaka gyo, omutendera gw’obulwadde buno, n’ebyafaayo by’okunywa sigala. Okulekera awo okunywa sigala kiyinza okulongoosa ennyo omutindo gw’obulamu bwo, ne bw’omala okuzuulibwa nti olina obulwadde. Wadde ng’obulwadde buno businga kubeera mu bantu ssekinnoomu abali wakati w’emyaka 50 ne 70, ekintu ekikulu ky’oyinza okukola kwe kwebuuza ku musawo nga bukyali singa olaba obubonero.

Bubonero ki obusooka obw’obulwadde bwa Emphysema?

Bangi, obubonero bulabika oluvannyuma lw’ebitundu 50% oba okusingawo eby’ebitundu by’amawuggwe okwonooneka. Mu kusooka, oyinza okulaba ng’okussa obubi n’okukoowa kweyongera mpolampola.

Obubonero obulala kuliko:

• "Okusesema kw'omunywa sigala" okutambula obutasalako.
• Okuwunya ng’ossa.
• Shortness of breath , naddala nga okola amaanyi mu mubiri nga okulinnya amadaala.
• Okuwulira buli kiseera nga tofuna mpewo emala.
• Okunyiga mu kifuba.
• Okwongera okukola omusulo.
• Obukoowu obutawona .
• Ebikweraliikiriza ebikwata ku mutima .
• Okutaataaganyizibwa mu tulo.
• Okweraliikirira .
• Ennaku.
• Okugejja mu ngeri etategeerekeka.

Bw’oba ​​olina emphysema, era oba mu bulabe bwa maanyi okufuna yinfekisoni nga pneumonia ne bronchitis.

Kiki ekisinga okuvaako Emphysema?

Okunywa sigala kye kisinga okuvaako obulwadde bw’okusannyalala.

Omukka gwa sigala gusaanyaawo ebitundu by’amawuggwe n’okunyiiza emikutu gy’empewo ekivaako okuzimba n’omusulo oguyitiridde. Ng’oggyeeko okunywa sigala, ensonga endala mulimu omukka gw’enjaga, okufuuwa sigala, sigala ow’oku yintaneeti, omukka gwa sigala, obucaafu bw’empewo, enfuufu, n’omukka gw’eddagala mu makolero.

Emphysema esiigibwa?

Nedda, emphysema si bulwadde obusiigibwa. Tosobola kugiyisa mu muntu mulala yenna.

Emphysema ezuulibwa etya?

Omusawo asobola okuzuula obulwadde bwa emphysema ng’ayita mu kukebera omubiri n’okukeberebwa okuzuula obulwadde buno. Bajja kuwuliriza amawuggwe go nga bakozesa ekyuma ekiwuliriza; eddoboozi eririmu ekituli ng’okuba mu kifuba liyinza okulaga empewo esibiddwa. Bw’oba ​​olina obuzibu okussa, nsaba ogende mu bwangu ew’omusawo. Bw’oba ​​ofuna obuzibu obw’amaanyi mu kussa, nsaba otuukirire abakola ku by’amangu (911) omulundi gumu.

Bikebere ki ebikozesebwa okuzuula Emphysema?

Omusawo ayinza okukuwa amagezi ku kukeberebwa kuno wammanga:

• X-ray y’ekifuba: Okukebera embeera y’amawuggwe go. Nsaba omanye nti X-rays ziyinza obutazuula bulwadde buno nga bukyali; zisinga kuba za mugaso mu kuzuula abalwadde ab’ekigero oba ab’amaanyi.
• CT scan: Eno ekuwa ebifaananyi ebikwata ku mawuggwe go mu ngeri ya 3D, era ng’olaba bulungi nnyo okusinga X-ray eya bulijjo.
• Okukebera enkola y’amawuggwe (PFT): Okukebera kuno kupima engeri amawuggwe go gye gassa n’okufulumya empewo. Kuno kw’ogatta Spirometry , epima mu ngeri ey’enjawulo empewo n’obungi bw’empewo yonna amawuggwe go ge gasobola okukwata.
• Omukka gw’omusaayi ogw’emisuwa (ABG): Nga twekenneenya sampuli y’omusaayi okuva mu musuwa, okukebera kuno kupima omukka gwa oxygen ne carbon dioxide. Singa emphysema yo yeeyongera, okukebera kuno kuyamba okuzuula oba weetaaga oxygen ey’okugatta.
• Electrocardiogram (EKG): Kino kyekenneenya emirimu gy’omutima gwo okuzuula oba obuzibu bwo mu kussa bwekuusa ku mbeera y’omutima gy’olina.
• Okukebera omusaayi n’obuzaale: Okukebera kuno kukolebwa okukakasa oba waliwo ekivaako obuzaale, gamba ng’obutaba na Alpha-1 antitrypsin .

Okwonooneka kw’amawuggwe okuva ku emphysema kuyinza okukyusibwa?

Ebyembi, okwonooneka kw’amawuggwe okuva ku emphysema tekuyinza kudda mabega ddala. Kyokka bw’ofuna obujjanjabi obutuufu, osobola okukendeeza ennyo ku bubonero, okulongoosa omutindo gw’obulamu bwo, n’okuziyiza okwongera okwonooneka kw’amawuggwe go.

Emphysema ejjanjabwa etya?

Emphysema mbeera egenda ekula era eyinza okweyongera okumala ekiseera. N’olwekyo, ebigendererwa ebikulu eby’obujjanjabi kwe kukendeeza ku kukula kw’obulwadde n’okutumbula enkola y’ebitundu by’amawuggwe byo ebisigadde nga biramu. Enkola z‟obujjanjabi zituukagana n‟obuzibu bw‟embeera yo.

Enkola z’obujjanjabi ziyinza okuli:

• Okulekera awo okunywa sigala: Bw’oba ​​onywa sigala, okulekera awo okunywa sigala gwe mutendera gumu ogusinga obukulu era ogukola obulungi gw’oyinza okukola okuddukanya emphysema. Ggwe n’omusawo musobola okukolera awamu okunoonya enkola esinga obulungi ey’okukomya.
• Bronchodilators: Eddagala lino liyamba okuwummuza ebinywa ebyetoolodde emikutu gyo egy’empewo, ne kisobozesa empewo ennyingi okuyingira n’okufuluma mu mawuggwe go. Zitera okuweebwa nga ziyita mu byuma ebissa.
• Ensigo eziyitibwa corticosteroids ezissa: Zino zikendeeza ku buzimba n’okufulumya omusulo mu mifulejje gyo egy’empewo. Oyinza okwetaaga okukozesa bino buli lunaku okusobola okuddukanya obubonero.
• Eddagala lya corticosteroids eriweebwa mu kamwa: Zino ziwandiikibwa okumala ebbanga ttono mu kiseera obulwadde bwe buba butandika.
• Eddagala eritta obuwuka: Liwandiikibwa okujjanjaba obuwuka obuleeta endwadde nga pneumonia oba bronchitis.
• Eddagala eriziyiza okuzimba: Likozesebwa okwongera okukendeeza ku buzimba mu mifulejje gy’empewo.
• Obujjanjabi bwa oxygen: Singa amawuggwe go tegasobola kutuusa oxygen emala mu musaayi gwo (embeera eyitibwa hypoxemia ), obujjanjabi bwa oxygen busobola okukuyamba. Oxygen ayisibwa ng’ayita mu kyuma ng’ayita mu kanyula y’ennyindo oba masiki mu maaso.
• Okulongoosa okukendeeza ku bunene bw’amawuggwe (LVRS): Mu nkola eno, omusawo alongoosa aggyawo obutundutundu obutonotono obw’ebitundu by’amawuggwe ebyonooneddwa, ne kisobozesa ebitundu ebiramu ebisigaddewo okukola obulungi. Kino kikendeeza ku puleesa ku binywa byo ebissa era kiyamba okulongoosa obugumu bw’amawuggwe. Enkola eno tesaanira buli muntu.
• Bronchoscopic lung volume reduction: Mu nkola eno etali ya kuyingirira nnyo, omusawo akozesa bronchoscope okuteeka valve ezigenda mu kkubo erimu mu mikutu gy’empewo. Valiva zino zisobozesa empewo esibiddwa okufuluma ate nga ziremesa empewo empya okuyingira, ekiyinza okwanguyiza ennyo okussa. Kino nakyo tekisaanira buli mulwadde.
• Okukyusa amawuggwe: Bw’oba ​​olina emphysema ey’amaanyi era ng’obujjanjabi obulala bulemereddwa, okukyusa amawuggwe kuyinza okulowoozebwako okukyusa amawuggwe ayonoonese n’amawuggwe amalamu agagaba amawuggwe.

Kiki kye nsuubira singa mba nnina emphysema?

Endowooza yo ey’ekiseera ekiwanvu esinziira ku buzibu bw’obulwadde bwo obw’okusannyalala.

Bw’oba ​​olina obulwadde obutono, okutwalira awamu endowooza eba nnungi. Wabula ne emphysema etali ya maanyi esobola okukosa emirimu gya buli lunaku naddala ng’olina emyaka egisukka mu 65. Oyinza okulaba obubonero ng’okola emirimu egya bulijjo ng’okutambula, okulinnya amadaala oba okwambala.

Bw’oba ​​olina obulwadde bwa emphysema obw’amaanyi, okussa kuyinza okukukaluubirira ennyo, era oyinza okwetaaga okugenda mu ddwaaliro enfunda eziwera.

Tewali ddagala lyonna eriwonya emphysema, era okwonooneka kw’amawuggwe kwa lubeerera. Kyokka obujjanjabi bukusobozesa okuddukanya obulungi obulwadde. Gy’okoma okutandika amangu obujjanjabi ng’olabirirwa ttiimu ya Nirogi Lanka, gy’okoma okusobola okukuuma omutindo gw’obulamu bwo.

Nnyinza ntya okukendeeza ku bulabe bw’okulwala emphysema?

Engeri esinga okukendeeza ku bulabe bw’okulwala emphysema kwe kwewala okunywa sigala.

Okulekayo si kyangu, era kiyinza okutwala okugezaako emirundi egiwerako. Bw’oba ​​olowooza ku ky’okulekayo, yogerako n’omusawo wo. Basobola okukuwa eby’obugagga n’obuyambi okukuyamba okutuuka ku buwanguzi. Okwegatta ku kibiina ekiwagira nakyo kiyinza okuba eky’omugaso ennyo.

Engeri endala ez’okukendeeza ku bulabe bwo mulimu:

• Okwewala omukka ogufuluma, obucaafu bw’empewo, omukka gw’eddagala, enfuufu, obukuta, n’obuwunga bw’ebisolo by’omu nnyumba.
• Okugezesa amaka go okulaba oba temuli ggaasi wa Radon.
• Okwambala masiki ekuuma ng’okola n’eddagala oba mu bifo ebirimu enfuufu.

Nnyinza ntya okuddukanya embeera yange?

Bw’oba ​​olina emphysema, emitendera emikulu egy’okuziyiza ebizibu kwe kulekera awo okunywa sigala n’okwekuuma obutakwatibwa yinfekisoni z’okussa. Amagezi gano gasobola okuyamba:

• Naaba engalo enfunda eziwera.
• Sisiimuula n’okusiimuula eddagala lya ‘floss’ buli lunaku, era kozesa eddagala eritta obuwuka mu kamwa ng’omaze okulya.
• Ebikozesebwa byo byonna eby’okussa bikuume nga biyonjo.
• Kuuma embeera y’awaka ennyonjo ng’ofuuwa enfuufu buli kiseera.
• Sigala ng'omanyi ebigema byo, omuli eddagala lya ssennyiga, eddagala erigema ekifuba, n'okugema COVID-19.
• Goberera enteekateeka y’okukola dduyiro ng’omusawo bw’akulagidde.
• Weewale ebintu ebinyiiza nga omukka, omukka ogufuluma mu mmotoka, obuwoowo obw’amaanyi, eby’okwoza, langi/varnish, enfuufu, obukuta, n’obuwunga bw’ebisolo by’omu nnyumba.

Ddi lwe nnina okulaba omusawo?

Bw’oba ​​ofuna obuzibu obw’amaanyi mu kussa, kuba 911 oba ekitongole ky’abalwadde ab’amangu mu kitundu kyo mu bwangu.

Weebuuze ku musawo wo singa ofuna bino wammanga:

• Okussa kufuuka kuzibu okusinga bulijjo oba owulira nga kyangu okufuuwa empewo.
• Olaba okweyongera kw’okufulumya omusulo.
• Omusulo gwo gukyusa langi ne gufuuka ogwa kyenvu oba ogwa kiragala.
• Olina okukozesa eddagala lyo erya rescue bronchodilators oba inhaled corticosteroids emirundi mingi okusinga bulijjo.
• Eddagala lyo terikyakuwa buweerero bwe bumu.
• Okusesema kwo kweyongedde.
• Ozuukuka mu ttumbi olw’okukaluubirirwa okussa.
• Owulira ng’ofiirwa nnyo amaanyi oba ng’okooye.

Bibuuzo ki bye nnina okubuuza omusawo wange?

Bw’oba ​​weetegekera okugenda ew’omusawo, lowooza ku ky’okubuuza ebibuuzo bino ebikulu:

• Okizudde otya nti nnina obulwadde bwa emphysema?
• Bwemba sirina bulwadde bwa emphysema, mbeera ki endala eyinza okuba nga endeetera obubonero bwange?
• Bintu ki ebitongole ebiyinza okuvaako emphysema yange okweyongera?
• Nnasobola ntya okumanya oba okussa kwange kweyongera okwonooneka?
• Bujjanjabi ki bw’onteesa?
• Waliwo dduyiro entongole z’oteesa okutumbula obulamu bw’amawuggwe gange?
• Mitendera ki gye nsobola okukola okuziyiza yinfekisoni z’okussa?
• Bikozesebwa ki oba nkola ki z’ogamba okunnyamba okulekera awo okunywa sigala?
• Waliwo ebibiina ebiwagira ebisobola okunnyamba okuyita mu nkola y’okulekera awo okunywa sigala?
• Nneetaaga okwekenneenya enkola z’okukendeeza ku bunene bw’amawuggwe oba okusimbuliza amawuggwe?

COVID-19 asobola okuleeta emphysema?

Okuggyako ng'olina obulwadde bw'amawuggwe oba okwonooneka okwaliwo edda, tekitera nnyo ku COVID-19 okuleeta "giant emphysema." Amawulire agakwataganya COVID-19 n’okukula kw’obulwadde bwa giant emphysema matono nnyo.

Giant emphysema ngeri ya bulwadde bwa bulllous. Mu balwadde abalina embeera eno, ensawo z’empewo munda mu mawuggwe zisobola okugaziwa ne zibikka ekitundu kimu kya kusatu eky’amawuggwe agamu oba gombi. Abasawo ensawo zino ennene ez’empewo baziyita bulla (obumu) oba bullae (obungi).

Ebintu Ebisembayo Okutwala

Emphysema bulwadde obutawona obwonoona ensawo z’empewo mu mawuggwe, ekizibu okussa. Wadde ng’okwonooneka okuva mu emphysema tekukyuka era kuyinza okugenda mu maaso okumala ekiseera, obujjanjabi obutuufu busobola okuddukanya obulungi obubonero bwo n’okukendeeza ku buzibu bw’obulwadde buno ku bulamu bwo obwa bulijjo. Bw’ogoberera amagezi g’abasawo n’okwegendereza obulwadde bw’okussa, osobola okussa obulungi. Okuzuula amangu obulwadde n‟okuyingira mu nsonga kikulu nnyo mu kukuuma obulamu obw‟omutindo ogwa waggulu okumala ebbanga nga bwe kisoboka.Bw’oba ​​ofuna obuzibu mu kussa naddala ng’olina ebyafaayo by’okunywa sigala, weebuuze ku musawo mu bwangu. Ziyinza okuyamba okuzuula obulwadde bwa emphysema n’okukola enteekateeka y’obujjanjabi ey’obuntu ng’etuukana n’ebyetaago byo, okukuyamba okugenda mu maaso n’okunyumirwa emirimu gy’oyagala ng’oyambibwako Nirogi Lanka.

Emphysema, obulwadde bw’amawuggwe, okukaluubirirwa okussa, okunywa sigala, COPD, chronic bronchitis, obulwadde bw’okussa