Omutima gwo nagwo gubonaabona n’ekizibu kino? Ka tuyige ku bulwadde bwa Giant Cell Myocarditis!

Oluusi owulira ng’omutima gwo gukuba, gukuba oba waliwo ekintu ekyewuunyisa mu kifuba kyo? Bino bye bintu oluusi bye tutafaayo nnyo, naye biyinza okuba obubonero bw’embeera z’omutima ezimu ezitatera kubaawo. Leero tugenda kwogera ku mbeera emu ng’eyo etali ya bulijjo, naye eyinza okuba ey’amaanyi ey’omutima. Erinnya lyayo ye Giant Cell Myocarditis, oba mu Lungereza `(Giant Cell Myocarditis)`.

Obulwadde bwa Giant Cell Myocarditis kye ki? Ka tukitegeere mu ngeri ennyangu.

Mu ngeri ennyangu, Giant Cell Myocarditis kika kya kuzimba ebinywa by’omutima ekitali kya bulijjo nnyo . Okuzimba kika kya kuzimba. Ekibaawo mu bulwadde buno kwe kuba nti obumu ku ‘obutoffaali obuzimba’ obw’omubiri gwaffe bwe bukwatagana ne bukola ekika ky’obutoffaali obunene obuyitibwa ‘Giant Cells’. Obutoffaali buno obunene, okufaananako abalabe, bulumba ebinywa by’omutima gwo ne buleeta enkovu.

Lowooza ku kino, omutima gwaffe gulinga ppampu y’amazzi. Kye kipampagira omusaayi mu mubiri gwonna. Kale, obutoffaali buno obunene bwe bwonoona ebinywa by’omutima, omutima tegusobola kukola bulungi. Ekyo kitegeeza nti:

• Kigenda kyeyongera okukaluba okukuba omusaayi .
• Omutima bwe gukuba, ebitundu byagwo byonna tebikwatagana mu kiseera kye kimu .
• Obubaka bw’amasannyalaze obufuga okukuba kw’omutima butaataaganyizibwa , era obubaka obwo tebutambula bulungi mu mutima.

Olw’okuba embeera eno esobola okukaluba amangu ddala, abantu abalina obulwadde buno batera okusimbibwa omutima .

Njawulo ki eriwo wakati w’obulwadde bwa Myocarditis ne Giant Cell Myocarditis?

Obulwadde bwa Myocarditis era buzimba mu binywa by’omutima. Wabula obulwadde bwa giant cell myocarditis kika kya myocarditis ekitali kya bulijjo nnyo era nga kya njawulo . Okufaananako n’ebika ebirala eby’obulwadde bw’omusuwa gw’omutima, era buyinza okuvaako omutima obutatambula bulungi, oba obutatambula bulungi.

Obulwadde bw’akawuka butera okuvaako obulwadde bw’emisuwa gy’omutima. Wabula abanoonyereza bakyagezaako okuzuula lwaki obulwadde buno obuyitibwa giant cell myocarditis (GCM) bubaawo.

Ani asinga okukosebwa embeera eno? Kitera kitya?

Obulwadde bwa Giant cell myocarditis (GCM) businga kubeera mu bavubuka abalamu n’abantu ab’emyaka egy’omu makkati . Kyokka, kiyinza okubaawo mu bantu ab’emyaka gyonna, awatali kufaayo ku kikula kyabwe.

Ku ngeri kino gye kitera okubaawo, tekitera kubaawo nnyo nnyo. Abasawo obulwadde buno babuzuula mu bantu abatakka wansi wa muntu omu ku buli 100,000 buli mwaka. Ekyo kitegeeza nti kitegeezebwa mu bantu nga 0.13 ku buli bantu 100,000 .

Obubonero bwe buliwa? Tubategeera tutya?

Obubonero obusooka obw’obulwadde bwa giant cell myocarditis (GCM) buyinza okuli:

• Omutima okukuba (okuwulira ng’omutima gukuba mangu oba ekifuba kikuba) .
• Obulumi mu kifuba
• Okukaluubirirwa okussaoba Okussa obubi
• Enkizi ezizimba
• Obukoowu obuyitiridde

Ebiseera ebisinga obubonero buno butandika mangu nnyo . Oluvannyuma, omutima guyinza okuvaamu obuzibu mu nnyimba z’omutima. Abantu abasoba mu kitundu abalina obulwadde buno bafuna obutabeera bulungi mu nnyimba z’omutima ez’akabi (`Ventricular arrhythmias`), ezitandikira mu bisenge by’omutima . Bino bisobola okuviirako omutima okuyimirira mu bwangu.

Ate era, omutima guyinza okuba ogw’amangu ennyo oba okulwawo ennyo. Oyinza okuwulira ng'oziyira oba ng'ozirika . Abantu abamu bayinza n'okufuna embeera ey'amaanyi eyitibwa ``cardiogenic shock,'' omutima mwe gutasobola kukuba musaayi bulungi.

Lwaki kino kibaawo? Ensonga ze ziruwa?

Abanoonyereza n’okutuusa kati tebamanyi bulungi kiki ekivaako obulwadde bwa giant cell myocarditis (GCM). Batunuulidde ebintu eby’enjawulo. Ng’ekyokulabirako, batunuulidde obanga yinfekisoni ezimu, obutali bwa bulijjo mu baserikale b’omubiri, oba ekintu ekiri mu buzaale bwo kiyinza okukuleetera okufuna obulwadde buno.

Ekirala kiri nti abantu nga 20% abafuna obulwadde buno bazuuliddwa nga balina obuzibu mu busimu obuziyiza endwadde . Endwadde z’abaserikale b’omubiri (autoimmune diseases) bwe buba nga enkola y’omubiri gwaffe ey’okwekuuma, kwe kugamba, abaserikale b’omubiri, bwe balumba obutoffaali bw’omubiri gwaffe. Kale, ebika by’endwadde bino nabyo bisobola okuba ekivaako oba eky’obulabe eri okukulaakulanya GCM.

Ozuula otya mu butuufu obulwadde buno?

Okusobola okukakasa nti olina obulwadde bwa giant cell myocarditis (GCM), omusawo wo ajja kwetaaga okutwala akatono ku binywa by’omutima gwo . Kino kiyitibwa okukebera omutima. Sampuli eno esindikibwa mu laboratory n’ekeberebwa omukugu mu by’endwadde z’omutima.

Kikulu okukeberebwa sampuli omukugu nga ono kubanga ebiva mu kukeberebwa obulwadde bwa giant cell myocarditis bisobola okufaananako n’eby’endwadde endala ezireeta okuzimba ebinywa by’omutima, gamba nga cardiac sarcoidosis. N’olwekyo, okuzuula obulungi obulwadde kyetaagisa nnyo mu nteekateeka y’obujjanjabi.

Okukebera kuno okwa `(Biopsy)` kwa bulabe, naye y'engeri yokka ey'okumanya obulungi oba olina obulwadde buno. Ebimu ku bizibu ebiyinza okuva ku kinywa ky'omutima `(Biopsy)` bye bino:

• Pericardial effusion (okukuŋŋaanyizibwa kw’amazzi mu luwuzi okwetooloola omutima) .
• Okuzimba omutima
• Okutomera bbugwe w’ekisenge ky’omutima (ventricular wall) .

Omusawo bw’aba akwata sampuli eno, ayingiza ekyuma ekigonvu ennyo ekiyitibwa catheter mu mutima gwo ng’ayita mu musuwa omunene mu bulago oba mu kisambi. Catheter eno elungamizibwa mu mutima nga ekozesa ekyuma eky’enjawulo (`Imaging`). Oluvannyuma, ekintu eky’enjawulo ekiri munda mu kituli kitwala akatundu akatono ak’ekinywa ky’omutima.

Oluusi `(Biopsy)` ezisukka mu emu ziyinza okwetaagisa. Kino kiri bwe kityo kubanga `(GCM)` eyinza obutakosa bitundu byonna eby'omutima mu ngeri y'emu. Okukola ekintu nga `(MRI)` scan y'omutima kijja kuyamba omusawo okusalawo ddala w'agenda okutwala `(Biopsy)`.

Bikebe ki ebirala by’okola?

Okukakasa nti tolina bulwadde bwa mutima bulala, omusawo ayinza okulagira okukeberebwa ebirala. Ebimu ku bino mulimu:

• Okukebera omutima mu byuma (EKG) .
• Okukebera omutima (echocardiogram).
• Okussa eddagala eriyitibwa catheter mu mutima

Obujjanjabi bwe buruwa?

Omusawo ayinza okukuwa eddagala ery’enjawulo okujjanjaba embeera eno. Eddagala lino mulimu:

• Asobola okukendeeza ku buzimba .
• Kiyamba okutangira okubeerawo kw’ennyimba z’omutima ezitali za bulijjo oba omutima okulemererwa.
• Oyinza okuweebwa obudde obulala okutuusa nga weetaaga okusimbibwa omutima.
• Ayamba okwongera ku bulamu .

Enzijanjaba endala ez’obulwadde bwa giant cell myocarditis (GCM) ziyamba okufuga okulemererwa kw’omutima n’okukuba kw’omutima okutali kwa bulijjo. Obujjanjabi buno buyinza okuli:

• Eddagala
• Okuggyamu ekituli mu ngeri ya catheter
• Ekintu ekiyitibwa pacemaker
• Ekyuma ekiyitibwa implantable cardioverter defibrillator (ICD) kye kyuma ekiteekebwa mu mubiri okutereeza n’okukuba omutima okukuba.
• Okukyusa omutima

Nga olinda okusimbibwa omutima, oyinza okwetaaga ekyuma ekiyamba omutima ogwa kkono (LVAD). Bw’oba ​​weetaaga okusimbibwa omutima, ojja kwetaaga okukeberebwa n’obujjanjabi mu ddwaaliro eririna ebikozesebwa ebyo.

Eddagala lya ngeri ki erikozesebwa?

Obujjanjabi bw’obulwadde bwa giant cell myocarditis (GCM) buzingiramu eddagala erifuga abaserikale b’omubiri gwo (immunosuppressants). Kwe kugamba, eddagala erikendeeza ku busimu obuziyiza endwadde. Ebimu ku bino mulimu:

• Ekirungo kya Cyclosporine (okugeza Gengraf®, Neoral®) .
• Eddagala eriyitibwa corticosteroids nga prednisone (e.g. Sterapred®, Rayos®) .
• Azathioprine (okugeza Imuran®, Azasan®) 100 .

Kikulu nnyo okutandika eddagala lino mu bwangu. Awatali ddagala lino, kiyinza okwetaagisa okusimbuliza omutima mu myezi esatu bukya obubonero butandikiddewo, oba embeera eno eyinza okutta omuntu. Wabula abantu abamira eddagala erifuga abaserikale b’omubiri batera okuwangaala emyezi nga 12.

Waliwo ebizibu byonna ebiva mu bujjanjabi buno?

Ebizibu ebivaamu bisobola okwawukana okusinziira ku kika ky’eddagala ly’omira. Ebimu ku bizibu ebisinga okuvaamu mulimu:

• Obulumi mu binywa oba obunafu
• Okulumizibwa omutwe
• Ssukaali omungi mu musaayi
• Embiro
• Ebbula ly'otulo

Bw’oba ​​owulira ekintu kyonna nga kino, tewerabira okubuulira omusawo wo.

Obulamu bunaaba butya n’obulwadde buno?

Bw’oba ​​olina obulwadde bwa giant cell myocarditis (GCM), buyinza okukuleetera omutima okulemererwa oba omutima okuzibikira . Embeera zino bwe zifuuka ez’amaanyi (ebiseera ebisinga mu myezi nga etaano), oyinza okwetaaga okukyusibwa omutima, bw’oba ​​olina ebisaanyizo. Abantu bangi bafuuka abatalina bubonero oluvannyuma lw’okufuna omutima omupya, naye bajja kwetaaga okumira eddagala lingi eppya okusobola okuwagira omutima omupya.

Obulwadde bwa giant cell myocarditis busobola okuziyizibwa?

Wadde ng’abantu basobola okuwangaala ekiseera ekiwanvu nga balina obulwadde bwa giant cell myocarditis (GCM) okusinga bwe baali, bukyali bulwadde bwa kufa nga tebakyusiddwa mutima . Okumala ekitundu ekinene eky’emyaka gya 1900, abantu abalina GCM baawangaala emyezi egitawera esatu. Naye leero, singa obulwadde buno buzuulibwa nga bukyali ne bujjanjabwa n’eddagala erifuga abaserikale b’omubiri, abantu 90% abalina GCM bawangaala waakiri omwaka mulamba. Eddagala lino liyinza okukugulira emyezi oba emyaka okutuusa lwe weetaaga okusimbibwa omutima.

Obulwadde buno butegeeza ki?

Oluvannyuma lw’okusimbibwa omutima, abantu nga 71% abalina obulwadde bwa giant cell myocarditis (GCM) bawangaala okumala emyaka etaano (82% mu kunoonyereza okulala) . Oluvannyuma lw’emyaka kkumi ng’omutima gukyusiddwa, omuwendo gw’abawangaala guba nga 68%.

Wabula obutoffaali obunene busobola okuddamu okulabika mu bantu wakati wa 10% ne 50% abafuna omutima omupya. Kino kiyinza okubaawo wonna okuva ku wiiki ntono okutuuka ku myaka mwenda oluvannyuma lw’okusimbuliza. Kino bwe kibaawo, ojja kwetaaga okumira eddagala eriyitibwa steroids okumala emyezi egiwerako.

Nze nneerabirira ntya?

Bw’oba ​​olina obulwadde bwa giant cell myocarditis (GCM), olina okwewala emizannyo egy’okuvuganya okumala waakiri emyezi esatu oba mukaaga . GCM yo bw’emala okutebenkera, buuza omusawo wo oba tekiba kya bulabe okuddayo mpolampola mu dduyiro.

Ddi lwe weetaaga okulaba omusawo?

Bw’oba ​​ofuna ebizibu eby’amaanyi olw’eddagala lyo, oba singa obubonero bwo bulabika nga bweyongera, laba omusawo mu bwangu . Era kikulu okulaba omusawo buli kiseera okulondoola embeera yo.

Ddi lwe weetaaga okugenda mu kitongole ekijjanjaba abalwadde ab’amangu (ETU) ?

Bw’ofuna obulumi obw’amaanyi mu kifuba oba okukaluubirirwa okussa, kuba 911 oba genda mu kisenge eky’amangu amangu ddala. Kino kikulu nnyo, kubanga buno buyinza okuba obubonero bw’embeera ey’amaanyi.

Bibuuzo ki bye nnina okubuuza omusawo?

Tewerabira okubuuza ebibuuzo bino ng’olaba omusawo wo:

• Mirundi emeka gye nneetaaga okujja okukola enteekateeka z’okugoberera?
• Waliwo ekibiina ekiwagira abantu abalina obulwadde buno kye basobola okwegatta?
• Olowooza nja kwetaaga okukyusibwa omutima?

N’ekisembayo, ekintu ekisinga obukulu ky’olina okujjukira

Kale, kati osanga okitegedde nti Giant Cell Myocarditis bulwadde bwa mutima obutatera kulabika nnyo, naye nga bwa maanyi nnyo. Ekisinga obukulu kwe kumanya obubonero nga bukyali, okunoonya amagezi g’abasawo n’okutandika obujjanjabi obutuufu. Teweeraliikiriranga, kubanga waliwo obujjanjabi bw’obulwadde buno kati, era n’obulamu bw’omuntu busobola okwongezebwayo. N’olwekyo, bw’owulira ekintu ekitali kya bulijjo ku mutima gwo, tokibuusa maaso n’olaba omusawo. Labirira omutima gwo!

` Giant Cell Myocarditis, Giant Cell Myocarditis, Obulwadde bw’omutima, Okusimbuliza omutima, Obutoffaali obunene, Obuzibu mu nnyimba z’omutima, Abaserikale b’omubiri, Obulwadde bw’omutima, Obulwadde bw’omutima