By’olina okumanya ku buwuka obuyitibwa esophageal varices!

Emisuwa gy’omusaayi mu nnywanto yo, ttanka etambuza emmere okuva mu kamwa okutuuka mu lubuto, gizimba ne gigaziwa? Kino oyinza okuba nga tokiwulirangako wadde. Naye embeera eno eyitibwa Esophageal Varices eyinza okusirika n’efuuka ey’akabi mu bwangu. Kale leero, ka tuyige buli kimu ku nsonga eno mu ngeri ennyangu ennyo, nga tulinga ayogera ne mukwano gwaffe.

Mu ngeri ennyangu, esophageal varices kye ki?

Teebereza, oluusi amagulu gaffe gaba n’emisuwa egyazimba era egy’ekyekulungirivu? Tuziyita ‘emisuwa egy’ekika kya varicose’. Ekintu kye kimu kibaawo munda mu gullet yaffe. Ebisenge by’emisuwa gino binafu nnyo. Kale waliwo emikisa mingi nti omusaayi gujja kuzikulukuta, oba nti zijja kukutuka mangu ne zivaamu omusaayi. Okuvaamu omusaayi guno munda mu mubiri kuyinza okuba okw’amangu, okw’amaanyi, n’okutuuka n’okutta omuntu.

Embeera eno etera okuva ku puleesa okweyongera mu misuwa emikulu egiyita mu kibumba n’emisuwa emirala egyegattako (Portal Hypertension). Puleesa eno etali ya bulijjo ereetera emisuwa emitono mu kibumba okuzimba ne gikula. Embeera eno etera okulabibwa mu bantu abalina obulwadde bw’ekibumba.

Embeera eno ya maanyi etya?

Obulabe obusinga okuba obw'obulabe obw'obulwadde bwa portal vein thrombosis kwe kuvaamu omusaayi . Si buli muntu nti avaamu omusaayi, naye abantu nga 50% bali mu bulabe. Puleesa y’omulyango gy’ekoma okuba waggulu, emikisa gy’okuvaamu omusaayi gye gikoma okubeera waggulu. Puleesa eno yeeyongera n’obulwadde bw’ekibumba naddala obulwadde bwa cirrhosis .

Abantu abalina obulwadde bwa cirrhosis obw’amaanyi obw’ekibumba bayinza okuba n’ebizibu ebirala ng’oggyeeko okuzimba emisuwa gino. Wabula ekisinga okuvaako okuweebwa ekitanda mu ddwaaliro n’okufa kwe kukutuka kw’emisuwa gino n’okuvaamu omusaayi. Singa ovaamu omusaayi omulundi gumu mu ngeri eno, emikisa gy’okufa giba nga 20%. Ate era, omusaayi guyinza okuddamu emirundi mingi.

Bubonero ki obulaga embeera eno?

Olw’okuba emisuwa gino giri munda mu mubiri, tegirabika ng’omusuwa mu kigere. Oyinza n’obutaziwulira ng’omira emmere. Mu butuufu, bayinza obutalaga bubonero bwonna okutuusa nga batandise okuvaamu omusaayi .

Wabula singa omusawo alaba obubonero obulala obulaga nti olina obulwadde bw’ekibumba oba puleesa y’omulyango, kino nakyo ayinza okukiteebereza.

Lwaki emisuwa gino gizimba? Kiki ekivaako?

Nga bwe twayogeddeko emabegako, ekisinga okuvaako embeera eyitibwa ``Portal Hypertension.`` Kino ka tukitegeere mu ngeri ennyangu katono.

Lowooza ku kibumba kyaffe ng’omusengejja omunene. Omusaayi oguva mu mmere eri mu lubuto guyita mu kibumba, gye guyonjebwa oluvannyuma ne gugenda ku mutima. Omusuwa omukulu oguleeta omusaayi guno mu kibumba guyitibwa ``Portal Vein``.

Kati, singa ekibumba kiba n’enkovu ne kikaluba olw’obulwadde nga cirrhosis , omusaayi ogwo teguyinza kuyita mu kibumba mangu. Kiringa ekidduka ekinene ku luguudo. Kino kireetera puleesa munda mu musuwa gw’omulyango okweyongera ennyo.

Omubiri gugezaako okusasula puleesa eno eyeyongedde nga gukyusa omusaayi nga guyita mu misuwa emitono (emisuwa emitono). Emisuwa mu nseke z’omusulo misuwa mitono bwe gityo. Naye emisuwa gino emitono tegisobola kukwata musaayi ne puleesa ebingi. N’ekyavaamu, zizimba, ne zifuuka ennene, era zisobola okukutuka essaawa yonna.

Ebikulu ebivaako obulwadde bwa liver cirrhosis bye bino:

• Okunywa omwenge ekisusse.
• Ekibumba ekirimu amasavu (Obulwadde bwa Steatohepatitis obutali bwa mwenge).
• Obulwadde bw’ekibumba obuva ku buwuka obumaze ebbanga.
• Abaserikale b’omubiri bennyini balumba ekibumba (Autoimmune Hepatitis).
• Ebirala ebivaako omusaayi okuzimba, yinfekisoni z’ebiwuka (Schistosomiasis) n’ebirala.

Omanya otya oba olina embeera eno?

Ebiseera ebisinga kino okizuula ng’omusawo amaze okukukebera. Bw’oba ​​olina dda obulwadde bw’ekibumba, omusawo ajja kutera okukuwa amagezi okwekebejja okuzimba emisuwa egy’ekika kino.

Ekigezo ekikulu kwe kukebera kwa Upper Endoscopy oba EGD .

Kino kizingiramu okuyingiza ekyuma ekigonvu ekigonvu nga kiriko kkamera eyungiddwa mu kamwa n’okukebera omusulo gwo, olubuto n’entandikwa y’ekyenda kyo ekitono. Kino kisobozesa omusawo okulaba obulungi oba emisuwa gyo gizimba, obunene bwe giba, era oba giri mu bulabe bw’okuvaamu omusaayi.

Bujjanjabi ki obukolebwa ku kino?

Ekirungi waliwo obujjanjabi obw’enjawulo obusobola okufuga omusaayi n’okuziyiza okuddamu okuvaamu omusaayi. Ebigendererwa ebikulu eby’obujjanjabi bye bino:

• Fuga omusaayi ogukola singa wabaawo.
• Okuziyiza okuvaamu omusaayi mu biseera eby’omu maaso.
• Bwe kiba kisoboka, kendeeza ku mbeera ya `(Portal Hypertension)`.

1. Okufuga okuvaamu omusaayi (mu bwangu) .

Eno mbeera ya bujjanjabi ya mangu. Mu ddwaaliro, ojja kuweebwa amazzi aga IV, okuteekebwamu omusaayi bwe kiba kyetaagisa, n’okukeberebwa endoscopy ng’embeera yo emaze okutebenkera. Awo:

• Varicose Band Ligation: Ekivuga ekitono kiyisibwa mu endoscope ate akapiira akatono ne kateekebwa okwetooloola omusuwa gwa varicose. Kino kiyimiriza okutambula kw’omusaayi mu musuwa ne kifuga omusaayi.
• Eddagala: Eddagala erikendeeza puleesa n’okuzimba emisuwa (Octreotide, Vasopressin) liweebwa nga liyita mu musuwa.

2. Okuziyiza okuddamu okuvaamu omusaayi

Ka kibeere nti waliwo okuvaamu omusaayi oba nedda, singa wabaawo akabi k’okuvaamu omusaayi, omusawo ajja kutandika obujjanjabi obw’okuziyiza.

• Beta-blockers: Eddagala ery’ekika kino, eriweebwa ku puleesa, liyinza okukendeeza ku bulabe bw’okuvaamu omusaayi ebitundu nga 50%.
• Band Ligation: Enkola eno era ekozesebwa ng’eky’okuziyiza abantu abamu.

3. Okujjanjaba ekizibu ekikulu

Singa obujjanjabi obwo waggulu tebukendeeza ku bulabe bwa kuvaamu musaayi, omusawo ayinza okukuwa amagezi ku nkola endala okukendeeza butereevu ku mbeera ya ``Portal Hypertension.''

• Transjugular Intrahepatic Portal-Systemic Shunt (TIPS): Eno si nkola ya kulongoosa. Mu nkola eno, akatundu akatono (stent) kayingizibwa mu musuwa munda mu kibumba ogutambuza omusaayi okuva mu musuwa ogw'omulyango, ne gukola akakwate akapya, oba "ekkubo erimpi." Kino kikendeeza nnyo puleesa.
• Okulongoosa: Enkola z’okulongoosa nga ``Distal Splenorenal Shunt (DSRS)`` nazo zikendeeza puleesa nga zikyusa entambula y’omusaayi.