Wali owuliddeko omuntu ng’agamba nti alina ‘gangrene’? Oboolyawo ekigambo kino okiwulidde nga kikwatagana n’ekiwundu ekifunye obulwadde bungi, oba okugulu oba omukono ogufuuse omuddugavu. Eno mbeera ya mangu ey’obujjanjabi ey’akabi ennyo nga yeetaaga obujjanjabi obw’amangu. Mu ngeri ennyangu, obulwadde bwa gangrene bwe buba ng’omusaayi ogugenda mu kitundu ky’omubiri gwo guyimiridde, ekivaako ebitundu ebiri mu kitundu ekyo okufa. Wadde nga kiyinza okubaawo wonna, kisinga kutandikira mu ngalo oba mu bigere. Leero, tugenda kwogera ku nsonga eno mu ngeri ennyangu, ennyangu okutegeera.
Ddala gangrene kye ki?
Teebereza nti buli katoffaali n’ebitundu by’omubiri ebiri mu mubiri gwaffe byetaaga omukka gwa oxygen n’ebiriisa okusobola okuwangaala. Ebintu bino bisitulibwa omusaayi. Kiki ekibaawo singa omusaayi ogugenda mu kitundu ky’omubiri gukoma olw’ensonga ezimu? Ng’omuti bwe gufa nga teguliimu mazzi, n’ebitundu by’omubiri ebiri mu kitundu ekyo nabyo bitandika okufa. Ekyo kye tuyita gangrene .
Ekikulu nti gangrene bulijjo kufa kwa tissue. Kyokka, obulwadde bwa gangrene bwonna si nti buva ku buwuka. Oluusi, omusaayi guyinza okuyimirira era ebitundu by’omubiri ne bifa, nga tewali buwuka bwonna bukwatibwa. Kyokka singa obulwadde bwa bakitiriya bwegatta ku bitundu ebifu, embeera yeeyongera okwonooneka. Singa tejjanjabibwa mangu, embeera eno eyinza okuleeta ebizibu eby’amaanyi ennyo, n’okufa.
Bika ki ebikulu eby’obulwadde bwa gangrene?
Gangrene esobola okwawulwamu ebika ebikulu ebiwerako. Buli emu ku zo ya njawulo katono ku munne. Ka tulabe kiki kye bali.
| Ekika ky’obulwadde bwa gangrene | Ennyinyonnyola ennyangu |
|---|---|
| Obulwadde bwa Gangrene obukalu | Kino kibeera kizibu kya kuzimba musaayi. Tewali bulwadde bwa bakitiriya. Olususu olukoseddwa lufuuka lukalu, nga lulina ebikuta era nga luddugavu. Tewali bizimba bijjudde masira birabibwa. Kino kisinga kubeera mu bantu abalina embeera nga ssukaali n’okuzimba emisuwa, ekiyinza okuvaako emisuwa okuzibikira olw’ekirungo kya kolesterol ekingi. |
| Obulwadde bwa Gangrene obubisi | Buno bulwadde bwa bakitiriya obw’amaanyi obubaawo ng’omusaayi guyimiridde. Ng’erinnya lyalyo bwe liri, olususu luzimba, ne luvaamu ebizimba, era ne lukulukuta amazzi agalinga amasira. Y'ensonga lwaki kiyitibwa 'wet'. Kirina akawoowo akabi ennyo. Obulwadde obw’ekika kino busaasaana mangu nnyo mu bitundu ebirala ebiramu. |
| Gas Gangrene Obulwadde bwa Gangrene | Kino kika kya bulabe nnyo era kisaasaana mangu. Ebika bya bakitiriya ebimu ebiyingira mu mubiri nga biyita mu biwundu ebizito bikola ggaasi munda mu binywa. Kino kisaanyaawo ebitundu by’omubiri. Bw’onyiga ku lususu olukoseddwa, ojja kuwulira eddoboozi lya ‘chiri chiri’ ng’olinga ebiwujjo by’empewo ebibutuka wansi. Kino kiyinza okutta omuntu mu ssaawa ntono. |
| Obulwadde bwa Fournier obwa Gangrene | Buno bulwadde bwa bakitiriya obutatera kulabika nnyo, obw’amaanyi. Bubeera mu bitundu by’ekyama n’ebitundu ebiriraanyewo. Businga kubeera mu basajja. |
| Obulwadde bwa Gangrene obw’omunda | Kino kibaawo ng’omusaayi ogugenda mu kitundu ekiri munda mu mubiri gusaliddwako. Ng’ekyokulabirako, embeera eno eyinza okubaawo mu nnyindo, mu byenda oba mu kitundu ky’omubiri ekiyitibwa appendix. |
Bubonero ki obulaga obulwadde bwa gangrene?
Obubonero bw’obulwadde bwa gangrene busobola okwawukana katono okusinziira ku kika. Naye waliwo obubonero obumu obwa bulijjo bw’osobola okulaba. Bw’oba olina ekimu ku bino, olina okugenda ew’omusawo mu bwangu.
- Okukyusa langi y’olususu: Olususu mu kitundu ekikosebwa luyinza okusooka okufuuka olumyufu, oluvannyuma olumyufu, kakobe, kiragala n’okusembayo okuddugala.
- Obulumi obw’amaanyi: Mu kusooka, wayinza okubaawo obulumi obutagumiikiriza mu kitundu ekyo, ate oluvannyuma ne wabaawo okufiirwa ddala okuwulira ng’ekitundu ekyo kifa.
- Okuzimba n’okuzimba: Ekitundu ekikosebwa kiyinza okuwulira nga kizimba n’okuzirika.
- Olususu olunnyogovu: Bw’ogeraageranya n’ebitundu ebirala ebiramu, ekitundu ekirimu enkwaso kiwulira nga kinnyogoga nnyo bw’okikwatako.
- Amasira agawunya obubi: Mu gangrene ennyogovu, ebizimba biyinza okuvaamu ne bikulukuta amasira agawunya obubi oba amazzi aga langi y’omusaayi.
- Eddoboozi lya ‘Cherry-Cherry’: Mu ggaasi gangrene, olususu bwe lunyiga waggulu, eddoboozi liwulikika ng’ebiwujjo by’empewo bikutuka wansi.
- Obubonero obutera okulabika:Obubonero ng’omusujja, okukoowa, omutima okukuba amangu, okussa okweyongera, n’okutabulwa mu birowoozo nabyo biyinza okubaawo naddala ng’obulwadde buno busaasaana mu mubiri gwonna (sepsis).
Ekisinga obukulu y’enkyukakyuka mu langi y’olususu. Mu kusooka, kifuuka kimyufu olw’omusaayi okukendeera, oluvannyuma ne kifuuka kimyufu, mpolampola ne kifuuka kitaka, ate okukkakkana nga kifuuse kya kakobe oba kijanjalo-kiddugavu. Kiyinza okuba ekizibu omuntu alina olususu oluddugavu okutegeera enkyukakyuka zino eza langi mu kusooka.
Biki ebivaako n’ebiyinza okuvaako obulwadde bwa gangrene?
Ekisinga okuvaako obulwadde bwa gangrene kwe kuzibikira omusaayi okugenda mu kitundu ky’omubiri. Waliwo ebikulu ebiwerako ebivaako n’ebintu eby’akabi ebivaako kino.
Ebivaako omusaayi okulemesa okutambula kw’omusaayi:
- Endwadde z’emisuwa: Okutereka kolesterol mu misuwa n’okuzifunza (Peripheral Artery Disease) kye kisinga okuvaako obulwadde bwa gangrene obukalu.
- Obuvune obw’amaanyi: Singa wabaawo obuvune obw’amaanyi, gamba ng’akabenje k’emmotoka oba okukwatibwa mu byuma, n’emisuwa ne gyonooneka.
- Ebizibu ebiva mu kulongoosebwa: Wadde nga tebitera kubaawo, okutambula kw’omusaayi kuyinza okutaataaganyizibwa oluvannyuma lw’okulongoosebwa okumu.
- Yinfekisoni: Obulwadde bwa bakitiriya obutajjanjabiddwa buyinza okuvaako okuzimba ebitundu by’omubiri n’okuvaamu omusaayi.
Abantu abongera obulabe bw’okukwatibwa obulwadde bwa gangrene:
- Abalwadde ba Ssukaali: Ssukaali atera nnyo mu ggwanga lyaffe. Ssukaali ayonoona emisuwa n’obusimu. N’ekyavaamu, okuwulira mu magulu kukendeera, n’ekiwundu ekitono tekitegeerekese, era emikisa mingi nti tekijja kuwona mangu era kijja kukwatibwa obuwuka ne kifuna obulwadde bwa gangrene. Abantu abalina ssukaali balina okufaayo ennyo ku bigere.
- Abanywa sigala: Okunywa sigala kwonoona emisuwa ne gikendeera.
- Omugejjo: Omugejjo gwongera obulabe bw’okulwala obulwadde bwa gangrene, kuba buyinza okuvaako endwadde nga sukaali ne puleesa.
- Abantu abalina abaserikale b’omubiri abanafuye: Abantu abalina akawuka ka siriimu, abalwadde ba kookolo, n’abo abajjanjabwa eddagala eriweweeza ku bulwadde bukendeera.
- Obulwadde bwa Raynaud’s syndrome: Embeera ng’omusaayi gugenda mu ngalo n’obugere guyimirira okumala akaseera ng’ofunye ennyonta.
Obulwadde bwa gangrene buzuulibwa butya era ne bujjanjabwa butya?
Bw’oba olowooza nti olina obubonero bw’obulwadde bwa gangrene, olina okulaba omusawo oba okugenda mu kitongole ky’eddwaaliro eky’amangu (ETU) awatali kulwa.
Omusawo ajja kukukebera, akubuuze ku byafaayo byo eby’obujjanjabi, era alagire okukeberebwa ebimu bwe kiba kyetaagisa.
- Okukebera omusaayi: Kebera obuwuka n’obutoffaali obweru.
- Okukuza obuwuka: Laba obuwuka obuleeta obulwadde buno era owandiike eddagala eritta obuwuka erisinga okutuukirawo.
- Okukebera ebifaananyi: Ekifaananyi kya X-ray, CT scan oba MRI scan kisobola okunoonya ebitundu by’omubiri ebyonooneddwa ne ggaasi.
- Okukebera okutambula kw’omusaayi: Okukebera okw’enjawulo okukebera oba emisuwa gizibiddwa.
Enkola z’obujjanjabi
Waliwo ebigendererwa ebikulu bisatu mu kujjanjaba obulwadde bwa gangrene: okuggyawo ebitundu ebifu, okufuga yinfekisoni, n’okuzzaawo omusaayi okutambula.
1. Eddagala eritta obuwuka: Singa wabaawo obulwadde bwa bakitiriya, eddagala ery’amaanyi liweebwa mu misuwa okusobola okubufuga.
2. Okusalako: Eno nkola ya kulongoosa. Ebitundu ebiyitibwa Gangrenous tissue tebiwona. N’olwekyo, erina okulongoosebwa okuggyibwamu. Bwe kitaba ekyo, yinfekisoni ejja kusaasaana mu bitundu ebiramu.
3. Okulongoosa okuzzaawo okutambula kw’omusaayi: Okulongoosa kuyinza okukolebwa okugaziya omusuwa oguzibiddwa (Angioplasty) oba okukola ekkubo eppya okuguyitako (Bypass surgery).
4. Hyperbaric Oxygen Therapy (HBOT): Mu kino, omulwadde ateekebwa mu kisenge ekirimu hyperbaric n’akolebwa okussa omukka gwa oxygen omulongoofu 100%. Kino kyongera nnyo omukka gwa oxygen mu musaayi, ne kiyamba ebitundu by’omubiri okuwona.
5. Okusalako ebitundu by’omubiri: Mu mbeera enzibu, obujjanjabi obulala bwe bulemererwa, engeri yokka ey’okutaasa obulamu bw’omulwadde kwe kulongoosa okuggyamu ekitundu ekikosebwa, gamba ng’engalo, ekigere oba omukono. Kino abasawo bakitwala ng’ekisembayo.
Ddi lw’osaanidde okugenda mu ddwaaliro ery’amangu?
Gangrene mbeera ya mangu mu by’obujjanjabi. Bw’oba olina obubonero buno wammanga, genda mu ddwaaliro mu kitongole ky’abalwadde ab’amangu (ETU) mu bwangu.
- Singa olususu lwo lufuuse luddugavu, nga telufunye kuwulira, nga lunnyogoga oba nga luzimba awalala ku mubiri gwo.
- Singa ekiwundu ekitawona kiba kiwunya bubi oba nga kikulukuta amasira.
- Bw’oba olina omusujja n’obulumi obw’amaanyi obw’amangu.
Bw’oba n’obubonero buno wamu n’okukaluubirirwa okussa, omutima okukuba amangu ennyo, okutabulwa mu birowoozo, n’okutuuyana ennyo, kitegeeza nti yinfekisoni eno esaasaanidde mu mubiri gwonna era egenda ekula n’efuuka embeera eyinza okutta omuntu eyitibwa septic shock . N’olwekyo, kyetaagisa okujjanjabibwa mu bwangu.
Obubaka Obutwala Awaka
- Gangrene kwe kufa kw’ebitundu by’omubiri olw’obutaba na musaayi mu kitundu ky’omubiri. Eno mbeera ya bulabe nnyo era ya mangu ey’obujjanjabi.
- Obubonero obukulu kwe kukyusa langi y’olususu (naddala okuddugala), okulumwa ennyo, okuzimba, n’okuwunya amasira. Bino bw’obyetegerezza, tolwawo.
- Abantu abalina ssukaali bali mu bulabe bwa maanyi okukwatibwa obulwadde bwa gangrene, n’olwekyo kikulu okugoberera ebiragiro by’omusawo n’okulabirira ebigere mu ngeri ey’enjawulo.
- Ebiseera bye bikulu ng’ojjanjaba obulwadde bwa gangrene. Obujjanjabi gye bukoma okutandika amangu, n’ebivaamu gye bikoma okuba ebirungi.
- Bw’oba olina ky’oteebereza ku bulwadde bwa gangrene, toteebereza era olabe omusawo mu bwangu.
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