Otera okufuna omusujja n’endwadde eziringa ssennyiga? Oba owulira ng’okooye era ng’okooye? Wadde nga bino tutera okubirowoozaako ng’ebintu ebya bulijjo, oluusi wayinza okubaawo emboozi ennene emabega waabyo munda mu mibiri gyaffe. Omu ku bantu abakulu mu mboozi eyo ayitibwa ‘Granulocytes’. Katulabe baani abakuumi bano abato mu mibiri gyaffe?
Granulocytes kye ki mu bigambo ebyangu?
Mu ngeri ennyangu, granulocytes kika kya butoffaali obweru mu musaayi gwaffe. Bino bye bika by’obutoffaali obweru obusinga okubeera mu mubiri gwaffe. Teebereza nti omubiri gwaffe gulinga ensi. Olwo obutoffaali buno obweru ge ggye ly’eggwanga eryo. Granulocytes ziringa bakomando abatendeke mu ngeri ey’enjawulo mu ggye eryo.
Munda mu butoffaali buno mulimu obutundutundu obutonotono. Munda mu butundutundu buno mulimu eddagala n’enziyiza ez’enjawulo. Obulwadde, kwe kugamba, obuwuka bwe buyingira mu mubiri gwaffe, obutoffaali buno obuyitibwa granulocytes bugenda mangu mu kifo ekyo, ne bufulumya obutundutundu obuli munda mu zo ne bulwanyisa obuwuka obwo.
Engeri yokka gy'oyinza okumanyamu emiwendo gya granulocyte zo kwe kwekebeza omusaayi .
- Singa omuwendo gwa granulocyte guba mungi: Kiyinza okutegeeza nti waliwo ekika ky’obulwadde mu mubiri gwo.
- Singa omuwendo gwa granulocyte guba mutono: Kiyinza okuba akabonero k’obulwadde bw’obusimu bw’amagumba, gamba nga leukemia oba aplastic anemia.
Kiki ekibaawo singa obusimu obuyitibwa granulocytes obutakuze bubaawo mu musaayi?
Ebiseera ebisinga, obutoffaali buno obuyitibwa granulocytes buyingira mu musaayi nga bumaze okukula mu bujjuvu mu busimu bwaffe obw’amagumba. Naye oluusi obutoffaali buno obutakuze nabwo busangibwa mu musaayi . Ekyo bwe kibaawo, waliwo ebintu ebiwerako ebiyinza okutegeeza.
Ekimu kiri nti waliwo ekikyamu ku busimu bw’amagumba. Oba, kiyinza okuba nti omubiri gugezaako okwanukula amangu yinfekisoni amangu ddala nga etandise. Ebiseera ebisinga, abasawo be basinga okweraliikirira singa granulocytes zino ezitakuze zikola ebitundu ebisukka mu 2% ku muwendo gwonna ogw’obutoffaali obweru.
Naye tewali kyeraliikiriza singa maama ali olubuto oba omwana eyaakazaalibwa aba n’obutoffaali buno obutakuze mu musaayi gwe. Kiraga nti obusigo bw’amagumba bwabwe bulamu bulungi era bukola bulungi. N’olwekyo, mbeera ya bulijjo.
Bika ki ebikulu ebya granulocytes n’emirimu gyabyo?
Twagamba nti bano balinga bakomando. Ttiimu eno eya bakomando era erina abakugu mu mirimu egy’enjawulo. Mu ngeri y’emu, waliwo ebika ebikulu ebiwerako ebya granulocytes. Buli kika kikola omulimu ogw’enjawulo.
| Ekika ky’Obutoffaali | Omulimu omukulu n'okunnyonnyola okwangu |
|---|---|
| Ebirungo ebiyitibwa Neutrophils | Bano be bazibizi abakulu era abasinga obungi mu mubiri gwaffe. Zikola ebitundu nga bibiri ku bisatu eby’obutoffaali bwaffe obweru. Omulimu gwabwe omukulu kwe kulwanyisa obuwuka. |
| Ebirungo ebiyitibwa Eosinophils | Obutoffaali buno businga kukola mu alergy . Ng’oggyeeko ekyo, ziyamba okulwanyisa obuwuka obusirikitu. |
| Ebiwuka ebiyitibwa Basophils | Bino bisinga kwenyigira mu alergy. Bano be bafulumya ebintu nga histamine ne biyamba okugoba alergy mu mubiri. |
| Obutoffaali obuyitibwa mast cells | Zino zifaananako ne basophils. Enjawulo eri nti tezitambula mu musaayi, wabula zisigala mu bitundu by’omubiri ng’olususu lwaffe n’amawuggwe. Zino ze zisooka okukola emirimu nga yinfekisoni efunye. |
Embeera ki ezireetebwa omuwendo gwa granulocyte omutono oba omungi?
Okukuuma omuwendo gw’obutoffaali buno ogwa bulijjo kikulu nnyo eri obulamu bwaffe. Singa omuwendo gwazo gukendeera oba gweyongera, kiyinza okuba akabonero k’embeera z’obujjanjabi ez’enjawulo.
- Granulocytosis: Kino kweyongera mu muwendo gwa granulocytes.Kino kiyinza okuva ku yinfekisoni, kookolo oba obulwadde bw’abaserikale b’omubiri.
- Neutropenia: Kino kikendeeza ku muwendo gwa neutrophils. Kino kitera okuva ku bulwadde bw’omusaayi oba obusigo bw’amagumba (e.g. leukemia).
- Eosinophilia: Okweyongera kw’omuwendo gwa eosinophil. Embeera eno osobola okugiraba mu bantu abalina asima oba alergy.
- Basophilia: Okweyongera kw’ebirungo ebiyitibwa basophils. Kino era kiyinza okuva ku yinfekisoni, endwadde z’abaserikale b’omubiri oba embeera nga leukemia.
Obubonero obutera okulabika mu mbeera eno
Emiwendo gya granulocyte egitaali gya bulijjo giyinza okuleeta obubonero obw’enjawulo, naye wano waliwo obubonero obutera okulabika:
- Obukoowu n’okuwulira ng’okooye buli kiseera
- Omusujja ogutera okubeerawo
- Okulwala amangu ennyo (Frequent infections) .
- Obulwadde bw’ennyindo
- Amabwa mu kamwa
- Obulumi mu binywa
- Okuziyira n’okusiiyibwa
- Ebizimba ku lususu
- Ennywanto z’omusaayi ezizimba
Ntegeera ntya ddala omutindo gwa granulocyte gwange gwe guli?
Engeri esinga okukimanya kwe kufuna lipoota ya Complete Blood Count (CBC) . Mu Sri Lanka, kino era tukiyita lipoota ya "Full Blood Count". Kino kikeberebwa musaayi ekya bulijjo.
Noonya ebigambo bino mu lipoota yo eya CBC:
- `Neutrophil` oba "ekiwujjo".
- `Eosinophil` oba "eosin".
- `Basophil` oba "baso".
Oyinza okuba nga wakirabye nti waliwo "abs" oluvannyuma lw'ebigambo bino. Ekyo kitegeeza "absolute." Kitegeeza omuwendo gwennyini ogw’obutoffaali mu musaayi. Bw’oba olina okubuusabuusa kwonna ku mpisa eziri mu lipoota yo, kirungi okwogera n’omusawo wo ku nsonga eyo.
Bujjanjabi ki obukolebwa ku kino?
Obujjanjabi businziira ku kivaako emiwendo gyo egy’obusimu obuyitibwa granulocyte obutali bwa bulijjo.
Obujjanjabi obw’awamu
- Eddagala eritta obuwuka - eri embeera ezisiigibwa
- Eddagala eriyitibwa corticosteroids
- Eddagala eriziyiza obusimu obuziyiza endwadde
- Okusimbuliza obusigo bw’amagumba - ku misango egy’amaanyi
- Empiso za G-CSF - okusitula okukula kw’obutoffaali obuyitibwa granulocytes
Singa wabaawo kookolo
Bwe kiba nti ekivaako kookolo, waliwo obujjanjabi obw’enjawulo ku ekyo.
- Obujjanjabi bw’eddagala
- Obujjanjabi bw’amasannyalaze (radiation therapy).
- Obujjanjabi obugendereddwamu
- Okuloongoosa
Singa omuwendo gwa granulocyte gwange guba gwa bulijjo, nkole ntya?
Bw’oba olina omuwendo gwa granulocyte omutono oba omungi, otera okufuna yinfekisoni. Kale kikulu nnyo okwekuuma obutakwatibwa yinfekisoni.
- Naaba mu ngalo emirundi mingi: Naaba bulungi mu ngalo ne ssabbuuni naddala nga tonnalya n’oluvannyuma lw’okukozesa kaabuyonjo.
- Weewale okukwata ku maaso, amaaso n’ennyindo: Tokwata ku bitundu bino nga tonaaba mu ngalo.
- Funa okugema okwetaagisa: Funa okugema omusawo kw’akuwadde mu budde.
- Faayo ku bulamu bw’omu kamwa: Senya amannyo buli lunaku. Sigala ng’olaba omusawo w’amannyo.
Okusinga byonna, kikulu okugoberera ddala ebiragiro by’omusawo. Ajja kukubuulirira ku ngeri ezisinga obulungi ez’obujjanjabi n’okuziyiza embeera yo.
Obubaka Obutwala Awaka
- Granulocytes kika kya butoffaali obweru obwetaagisa mu mubiri gwaffe era nga bulwanyisa obuwuka.
- Okukendeera oba okweyongera kw’omuwendo gwazo kuyinza okuba akabonero k’ekintu kyonna okuva ku yinfekisoni ennyangu okutuuka ku mbeera ey’amaanyi nga leukemia.
- Osobola bulungi okuzuula omuwendo gwa granulocyte zo ng’okozesa okukebera omusaayi okwangu (CBC).
- Bw’oba owulira ng’olwadde buli kiseera oba ng’owulira nga tolina bulungi, tobuusa maaso bubonero buno. Laba omusawo wo mu bwangu.
- Kikulu nnyo okunoonya obujjanjabi n’okwekuuma obutakwatibwa yinfekisoni.
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