Watya singa obuwuka buyingira mu mutima? Ka tuyige ku bulwadde bwa endocarditis mu bigambo ebyangu

Omutima gwo kitundu kya mubiri ekyewuunyisa, si bwe kiri? Naye oluusi, n’akawuka akatono akava awalala mu mubiri gwaffe kasobola okuyita mu musaayi ne kwonoona omutima gwennyini. Eyo y’emu ku mbeera ey’amaanyi, wadde ey’okutta obulamu gye twogerako leero, eyitibwa endocarditis. Kikulu nnyo okukimanya kino obulungi n’okufuna obujjanjabi mu bwangu.

Endocarditis kye ki mu ngeri ennyangu?

Mu ngeri ennyangu, obulwadde bw’omutima (endocarditis) buba yinfekisoni n’okuzimba ekitundu ky’omutima gwo eky’omunda (mu by’obujjanjabi kye tuyita endocardium) ne valve z’omutima. Ebiseera ebisinga kiva ku buwuka, gamba nga bakitiriya .

Teebereza, obuwuka obuva mu kamwa ko, olususu lwo, oba awalala mu nkola yo ey’okussa buyingira mu musaayi gwo. Olwo, obuwuka buno butambula n’omusaayi ne bugenda ku mutima gwo. Omutima omulamu tegukwatibwa mangu. Naye singa wabaawo okwonooneka oba obunafu mu vvaalu z’omutima gwo, obuwuka bugenda ne bunywerera ku bifo ebyo ebinafu, ne busimba emirandira eyo, ne butandika okweyongera.

Obuwuuka buno bwe bukula eyo, bukola obutundutundu obutonotono, gamba ng’okuzimba omusaayi n’ebitundu ebirimu obuwuzi. Bino tubiyita `ebimera`. `Ebimera` bino bisobola okuleeta okwonooneka okw'amaanyi ku valve z'omutima. Kino kiyinza okuvaako obuuma obutaggalawo bulungi, okuvaako omusaayi okukulukuta oba n’okuleetera omutima okulekera awo okukola.

Kino kirina ebika bibiri ebikulu.

Endocarditis esobola okwawulwamu ebika bibiri ebikulu.

1. Infective Endocarditis: Kino kye kika ekisinga okubeerawo. Nga erinnya bwe liraga, kiva ku kawuka, gamba nga obuwuka oba ffene, okuyingira mu mutima. Abasawo oluusi bakiyita `(Bacterial Endocarditis - BE)`.

2. Obulwadde bwa Endocarditis obutakwatibwa bulwadde: Buno tebutera kubaawo. Wano, `ebimera` ebiri mu mutima tebiva ku buwuka. Bino tubiyita `( ebimera ebitaliimu buwuka )`. Embeera eno etera okubaawo n’endwadde ezireetera omusaayi okuzimba amangu. Okugeza, kiyinza okulabibwa n’embeera nga `( lupus )` obulwadde ne `( Antiphospholipid syndrome)`.

Bubonero ki obulaga obulwadde bw’omutima? Obategeera otya?

Obubonero bw’obulwadde buno buzibu katono, kuba buyinza okulabika amangu, oba okulabika mpolampola okumala wiiki.

Obulwadde bw’omutima obusiigibwa buyinza okujja mu ngeri bbiri:

• Acute: Kino kitandikira mangu. Kiyinza okutta obulamu mu nnaku ntono, n’obubonero ng’omusujja omungi n’omutima okukuba amangu .
• Subacute: Kino kikula mpola, okumala wiiki oba emyezi.Obubonero ng’okuwulira obunafu n’omusujja omutono bye bisooka okulabika.

Obulwadde bw’omutima obutakwatibwa bulwadde butera obutaleeta bubonero. Bubonero bw’obulwadde obusibukako (nga lupus) obubuleeta bwe bulabika.

Ani ali mu bulabe obw’amaanyi obw’okufuna kino?

Endocarditis si bulwadde bwa bulijjo nnyo, naye abantu abamu bali mu bulabe bwa maanyi okubufuna.

• Abantu abalina obuuma obuyitibwa artificial heart valves , pacemakers, oba defibrillators : Ebyuma bino bitera okufuuka ebicaafu n’obuwuka.
• Abantu ababadde n’obulwadde bwa endocarditis emabegako: Bw’oba ​​obufunye omulundi gumu, waliwo akabi k’okuddamu okubufuna.
• Abantu abalina embeera z’omutima ezimu: naddala obulwadde bw’ensuwa z’omutima n’obulwadde bw’omutima obuyitibwa hypertrophic cardiomyopathy.
• Abakozesa eddagala mu IV: Obuwuka busobola okuyingira butereevu mu musaayi nga buyita mu mpiso encaafu ez’empiso.
• Abantu abalina obuyonjo mu kamwa n’amannyo obubi: Obuwuuka obuli mu kamwa busobola bulungi okuyingira mu musaayi olw’okuvunda kw’amannyo n’endwadde z’ennyindo.
• Abantu abalina abaserikale b’omubiri abanafu: Abantu abalina endwadde nga sukaali oba abamira eddagala eriziyiza abaserikale b’omubiri.
• Abantu abamaze okulongoosebwa valve y’omutima.

Bizibu ki ebivaamu singa birekebwa nga tebijjanjabwa?

Kiki ekiyinza okubaawo singa obujjanjabi bulwawo:

• Valiva z’omutima zisaanawo ddala, ekivaako omusaayi okukulukuta (Leaky heart valve) .
• Omutima okulemererwa
• Ebizimba okwetoloola omutima
• Omutima obutakuba bulungi (Arrhythmia) .
• Obutundutundu obutono obw’ebimera ebyo busobola okukutuka ne buziba omusuwa gw’omusaayi mu bwongo, ne kivaako okusannyalala.
• Obulwadde buno busaasaana mu mubiri gwonna, ne buleeta embeera etta abantu eyitibwa sepsis.
• Mu nkomerero, okufa kuyinza n’okubaawo.

Kino abasawo bakizuula batya?

Bw’oba ​​olina obubonero n’ebintu ebiyinza okuvaako akabi, omusawo ajja kukuzuula amangu ddala nga bwe kisoboka. Kino okusinga kijja kuzingiramu okukebera okuwerako.

• Okukebera omusaayi:
• Okukebera okukuza omusaayi:Eno y’engeri gy’omanyamu ddala ekika kya bakitiriya ekiri mu musaayi.
• Okubala omusaayi mu bujjuvu: Kebera oba olina yinfekisoni.
• C-reactive protein test: Okukebera oba okuzimba mu mubiri.

• Okukebera omutima mu bifaananyi:
• Echocardiogram: Eno ye sikaani y’omutima. Kisobola okulaba bulungi engeri omutima gye gukolamu, okwonooneka kwonna ku valve, era oba waliwo `ebimera` byonna.
• Transesophageal echocardiogram: Kino nakyo kika kya echo. Wabula akatundu akatono kayingizibwa mu mumiro ne kasika okumpi n’omutima. Kino kiyinza okuvaamu ebifaananyi ebitegeerekeka obulungi n’okusingawo.
• Heart MRI scan: Mu mbeera ezimu, okukebera kuno nakyo kiyinza okwetaagisa.

Obujjanjabi bwe buruwa?

Endocarditis mbeera eyeetaaga okuweebwa ekitanda mu ddwaaliro n’okujjanjabibwa. Obujjanjabi obukulu bwe ddagala eritta obuwuka eriweebwa mu misuwa (IV antibiotics).

Obujjanjabi buno bujja kugenda mu maaso okumala wiiki eziwera, oluusi okumala wiiki 6 oba 8. Ekika kya bakitiriya mu musaayi gwo bwe kinaaba kizuuliddwa, omusawo ajja kulonda eddagala eritta obuwuka erituufu. Mu kiseera ky’obujjanjabi bwo, obubonero bwo bujja kulondoolebwa buli kiseera, era omusaayi gwo gujja kuddibwamu okukakasa nti obuwuka buweddewo.

Embeera eno esobola okuziyizibwa?

Wadde nga tekisoboka kukiziyiza ddala, waliwo bye tuyinza okukola okukendeeza ku bulabe. Ebintu bino olina okwegendereza naddala bw’oba ​​oli mu kiti eky’akabi ennyo.

• Kuuma obuyonjo obulungi mu kamwa n’amannyo: Senya amannyo go obulungi buli lunaku. Yoza wakati w’amannyo go. Lambula omusawo w’amannyo buli kiseera okukebera obulamu bw’omumwa gwo. Kino kye kintu ekisinga obukulu.
• Amagezi ag’enjawulo eri abantu abali mu bulabe obw’amaanyi: Bw’oba ​​olina vvaalu ey’ekinnansi, ng’obadde n’obulwadde bw’omutima mu biseera eby’emabega, oba ng’olina obulwadde bw’omutima obulala obw’akabi ennyo, omusawo ayinza okukuwa amagezi okumira eddagala eriziyiza obuwuka nga tonnaba kukola mannyo agamu (e.g., okuggya amannyo, okulongoosa ennyindo). Kino kikolebwa okutta obuwuka obuyinza okuyingira mu musaayi nga balongoosa amannyo nga tebunnatuuka ku mutima.
• Tegeeza abasawo bo:Bulijjo tegeeza omusawo w’amaka n’omusawo w’amannyo ku mbeera y’omutima gwo n’obulabe bw’okulwala endwadde z’omutima.