Kizimba mu bulago? Kino kiyinza okuba nga kiva ku kizimba? Ka tukizuule mu bukakafu!

Wali owuliddeko nga waliwo ekizimba oba okuzimba mu maaso g’ensingo? Oboolyawo wakiraba ng’otunudde mu ndabirwamu, oba omuntu omulala eyakubuulira. Kya bulijjo okuwulira ng’otya katono ng’olaba ekintu nga kino. Naye wadde abantu bangi kino bakitya, kino kitera okuba embeera eyitibwa ‘Goiter’. Leero, kino tugenda kukyogerako mu ngeri ennyangu ennyo, mu ngeri gy’osobola okutegeera.

Mu ngeri ennyangu, goiter kye ki?

Goiter kwe kugaziwa kw’endwadde yo eya thyroid. Teebereza, mu maaso g’ensingo yaffe, wansi ddala w’obulo bwa Adamu, waliwo akatundu akatono akafaanana ng’ekiwujjo. Ekyo kye tuyita endwadde ya thyroid gland .

Ensigo eno entono ekola obusimu bubiri obukulu ennyo eri omubiri gwaffe. Zino ze zino: thyroxine (T4) ne triiodothyronine (T3). Obusimu buno bufuga ebintu bingi mu mubiri gwaffe. Nga yingini y’emmotoka.

• Enkyukakyuka y’emmere: Guno gwe sipiidi emmere gye tulya gy’ekyusibwamu n’efuuka amaanyi.
• Ebbugumu ly’omubiri: Litereeza ebbugumu ly’omubiri gwaffe.
• Enneewulira: Ekwata ku mbeera yaffe, essanyu n’obusungu bwaffe.
• Omutima: Gufuga sipiidi omutima gwaffe gye gukuba.
• Okugaaya emmere: Kituyamba okugaaya emmere gye tulya.

Kale, singa olw’ensonga ezimu endwadde ya thyroid ezimba oba n’egaziwa, embeera eyo tugiyita ‘goiter’. Kino kiyinza okuba ekizimba oba ekizimba munda mu nseke.

Ebika by’obulwadde bwa goiter bye biruwa?

Abasawo bagabanya obulwadde bwa goiters mu ngeri eziwerako. Ekimu kiri ku ngeri gye kizimbamu. Ekirala kiri ku mutindo gw’obusimu bwa thyroid. Ka tulabe bino byombi mu ngeri ennyangu.

Okugabanya okusinziira ku kika ky’okuzimba

Okugabanya okusinziira ku miwendo gy’obusimu bwa thyroid

• Toxic goiter: Mu mbeera eno, endwadde ya thyroid egaziwa era ekola obusimu bwa thyroid bungi okusinga bwe kyetaagisa . Kino era kiyitibwa `Hyperthyroidism`.
• Nontoxic goiter: Mu mbeera eno, wadde ng’endwadde ya thyroid egaziwa, obusimu buba bwa bulijjo . Kwe kugamba, tewali kweyongera (`Hyperthyroidism`) wadde okukendeera (`Hypothyroidism`) mu busimu.

Ani asinga okubeera mu bulabe bw’okufuna embeera eno?

Omuntu yenna asobola okufuna obulwadde bwa goiter, naye abantu abamu bali mu bulabe bwa maanyi.

• Ku bakyala: Abakyala batera okufuna obulwadde bwa goiter emirundi nga ena okusinga abasajja.
• Emyaka: Obulabe buno bweyongera oluvannyuma lw’emyaka 40.
• Ebyafaayo by’amaka: Singa omuntu mu maka go alina obulwadde bwa thyroid, naawe otera okubufuna.
• Embeera endala ez’obulamu: Abantu abalina embeera ng’omugejjo n’obutaziyiza insulini nabo bali mu bulabe bwa maanyi.
• Okukwatibwa obusannyalazo: Singa ekitundu ky’ensingo oba omutwe kiba kifunye obusannyalazo okusobola okufuna obujjanjabi, ekyo nakyo kiba kya bulabe.

Ekisinga okuvaako obulwadde bwa goiter mu nsi yonna kwe kubulwa ayodini . Kyokka mu nsi nga Sri Lanka, okuva bwe kiri nti mu munnyo gwe tukozesa tussaamu ayodini, kati ekivaako ekyo tekitera kubaawo nnyo.

Bubonero ki obulaga nti omuntu alina obulwadde bwa goiter?

Obulwadde bwa goiter busobola okuva ku bunene okuva ku butono obutalabika bulungi okutuuka ku bunene obulabika. Ebiseera ebisinga, obulwadde bwa goiters tebuluma. Wabula singa ziwerekerwako okuzimba enseke z’omubiri (thyroiditis), ziyinza okuluma.

Ka tulabe obubonero bwe buli mu kipande wansi.

Biki ebivaako obulwadde bwa goiter?

Goiter kabonero ka puleesa ku nnywanto ya thyroid. Kiyinza okuba n’ensonga eziwerako.

• Obutabeera na ayodini: Kino kye kisinga okuvaako mu nsi yonna. Iodine yeetaagibwa nnyo mu kukola obusimu bwa thyroid. Bw’oba ​​tofuna ayodini emala mu mmere yo, endwadde eno ejja kugezaako okukola obutoffaali obusingawo, okukula obunene, era mu ngeri emu oba endala ekole obusimu.
• Obulwadde bwa Graves: Eno mbeera ya `autoimmune`. Kino kitegeeza nti abaserikale b’omubiri gwaffe bennyini balumba endwadde yaffe eya thyroid. Kino kireetera endwadde okusikirizibwa ennyo, okugaziwa, n’okukola obusimu obuyitiridde (`Hyperthyroidism`).
• Obulwadde bwa Hashimoto: Eno nayo mbeera ya `autoimmune`. Mu mbeera eno, abaserikale b’omubiri balumba endwadde eno ne bagizimba. Ekiseera bwe kigenda kiyitawo, enkola y’endwadde eno ekendeera era n’ekola obusimu obutamala (`Hypothyroidism`). Endwadde eyinza okuzimba okusobola okusasula.
• Kookolo w’ekibumba: Kookolo w’ekibumba naye asobola okuleetera endwadde eno okugaziwa. Kyokka, si nti endwadde zonna eziyitibwa goiters nti zirina kookolo . Okukeberebwa omusawo kwetaagibwa okumanya obukakafu.
• Olubuto: Ensigo ya thyroid eyinza okukula katono olw’obusimu obuyitibwa ``Human chorionic gonadotropin`` (HCG), obufuluma ng’oli lubuto.
• Obulwadde bwa thyroiditis: Endwadde eno esobola okuzimba n’okuzimba olw’ensonga ezitali zimu.

Omusawo azuula atya kino nti obulwadde bwa goiter?

Bw’oba ​​olina ekizimba mu bulago, olina okulaba omusawo ddala . Omusawo agenda kukola ebigezo ebimu okuzuula oba kizibu kya goiter ne kiki ekikireeta.

1. Okukebera omubiri: Okusooka, omusawo ajja kuwulira ensingo yo akebere oba okuzimba, ebizimba, n’obulumi.

2. 2. .Okukebera omusaayi: Bino bipima emiwendo gy’obusimu bwa thyroid (T3, T4) ne TSH. Kino kiyinza okumanya oba endwadde eno ekola bulungi era oba obusimu buyitiridde oba butono.

3. Thyroid Ultrasound Scan: Okufaananako ne baby scan, eno etunuulira endwadde mu bulago. Kisobola okulaba obulungi enseke bw’eri ennene, oba waliwo ebizimba byonna, n’okumanya oba ebizimba bikalu oba mazzi.

4. Biopsy: Singa sikaani eraga ekizimba ekinene oba ekiteeberezebwa, omusawo ajja kukozesa empiso okuggya akatundu akatono ak’obutoffaali okuva mu kizimba n’akasindika mu laabu okukebera obutoffaali bwa kookolo. Kino kikolebwa okugaana nti omuntu yenna alina kookolo.

5. CT oba MRI scan: Singa ekizimba kiba kinene nnyo, oba singa wabaawo okuteebereza nti kikuze mu kifuba, sikaani ey’ekika kino nayo eyinza okukolebwa.

Bujjanjabi ki obujjanjaba obulwadde bwa goiter?

Obujjanjabi businziira ku bunene bw’ekizimba, obubonero bw’olina n’ekivuddeko.

• Okulinda n’obwegendereza: Singa ekizimba kiba kitono, nga tolina buzibu bwonna, era ng’obusimu bwo buba bwa bulijjo, omusawo ayinza okusalawo okukutunuulira okumala ekiseera ekigere nga tolina bujjanjabi bwonna.
• Ebika by’eddagala:
• Singa obusimu buba butono ( Hypothyroidism ), empeke z’obusimu nga `Levothyroxine' zilagirwa okumira buli lunaku.
• Singa obusimu buba bungi ( hyperthyroidism ), eddagala nga Methimazole liwandiikibwa okukendeeza ku busimu obukola.
• Singa obulwadde bwa goiter buva ku kuzimba kw’endwadde, eddagala eriweweeza ku bulumi oba eddagala eriweweeza ku bulumi liyinza okuweebwa.
• Obujjanjabi bwa radioactive iodine: Buno bujjanjabi ku bulwadde bwa hyperthyroidism. Omira amazzi oba akapiira ka ayodini akola amasannyalaze agagenda mu nseke za thyroid, ne gasaanyaawo obutoffaali obusukkiridde awo ne kireetera endwadde okukendeera.
• Okulongoosa (Okulongoosa - Thyroidectomy):
• Singa ekizimba kiba kinene nnyo era nga kizibuwalira okussa oba okumira.
• Singa kikakasibwa nti kookolo.
• Singa wabaawo ekizibu ekinene ku ndabika.

Mu mbeera zino, omusawo ayinza okukuwa amagezi okulongoosebwa okuggyamu ekitundu ky’endwadde oba zonna. Singa endwadde eno eggyibwawo ddala, ojja kuba olina okumira empeke z’obusimu bwa thyroid obulamu bwo bwonna.