Hemorrhagic Stroke: Ka twogere ku mbeera eno ey’akabi!

Oh, teebereza ekyandibaddewo singa akasuwa akatono akali munda mu mutwe gwo, kwe kugamba, mu bwongo bwo, kakutuka mangu? Ddala kitiisa okulowoozaako, si bwe kiri? Kino kye tuyita ‘hemorrhagic stroke ’, embeera y’okusannyalala ereetebwa omusuwa okubutuka munda mu bwongo n’okuvaamu omusaayi. Eno ddala mbeera ya bulabe eri obulamu, ey’amangu. "Okuvaamu omusaayi" kigambo abasawo kye bakozesa, mu ngeri ennyangu, ku kuvaamu omusaayi okuva awalala munda mu mubiri.

Omusaayi bwe gutandika okukulukuta mu bwongo mu ngeri eno, obwongo tebufuna musaayi oba omukka ogumala. Kale obwongo tebusobola kukola. Tekikoma awo, wabula puleesa ey’okwongera munda mu mutwe esobola okwonoona obutoffaali bw’obwongo ne butuuka n’okubutta. Obulwadde bw’okusannyalala obw’ekika kino (hemorrhagic stroke) bwa maanyi nnyo kubanga obubonero bulabika mangu ate bweyongera mangu. Bw’otofuna bujjanjabi mangu, oyinza okukosa obwongo obw’olubeerera n’otuuka n’okufa. Bw’oba ​​olowooza nti ggwe oba omuntu gw’oli naye alina stroke , kuba 911 (oba ennamba yo ey’amangu mu kitundu kyo) mu bwangu. Ekisinga obukulu kwe kutuusa omulwadde mu ddwaaliro mu bwangu n’okutandika okujjanjabibwa. Buli sikonda ebalwa wano.

Bubonero ki obulaga nti omuntu alina ‘hemorrhagic stroke’?

Bwe wabaawo okusannyalala okuva mu musaayi, obubonero bumu oba okusingawo buyinza okulabika omulundi gumu. Bino bye bimu ku byo:

• Okulumwa omutwe olw’okubwatuka: Obulumi bw’omutwe obw’amangu, obutagumiikiriza, obw’amaanyi.
• Okutya ebifaananyi: Amaaso gafuuka ga bbululu bwe gakwatibwa amataala agayakaayakana oba omusana.
• Okuziyira oba okuziyira.
• Okukaluubirirwa okutegeera abalala bye boogera oba okukaluubirirwa okwogera (Aphasia).
• Ebigambo bifuuka bya bbugumu era okwogera ne kufuuka okutategeerekeka (Dysarthria).
• Obunafu obw’oludda olumu oba okusannyalala.
• Ebitundu by’obusimu ng’okulaba, okuwulira n’okukwata bifiirwa emirimu gyabyo.
• Obulago okukaluba, okukaluubirirwa okufukamira.
• Okusiiyibwa n'okuziyira .
• Fiiti ejja (Okukonziba).
• Okuzirika oba okuzirika.
• Coma.

Bubonero ki obulabula ku ‘stroke y’omusaayi’?

Okusannyalala kuno kuyinza okuleeta obubonero obw’enjawulo. Okumanya oba ggwe oba omwagalwa wo olina embeera eno, BEERA MABIJjukira enfunyiro. Kikolebwa nga tugatta ennukuta ezisooka mu bigambo by’Olungereza ebitonotono.

• B - Balance : Weetegereze okufiirwa bbalansi mu bwangu. Nga bw’otosobola kuyimirira butereevu.
• E - Amaaso: Laba oba waliwo okubulwa okulaba okw’amangu mu liiso erimu oba gombi, era oba waliwo enkyukakyuka.
• F - Feesi: Gezaako okumwenya. Laba oba oludda olumu oba enjuyi zombi eza ffeesi yo zirabika nga zigwa.
• A - Emikono: Gezaako okusitula emikono gyombi. Bw’oba ​​osannyaladde , oyinza obutasobola kusitula mukono gumu, n’ogwa wansi, n’onafuwa ennyo.
• S - Okwogera: Laba oba okwogera kuwuguka oba nga kizibu okufuna ebigambo ebituufu.
• T - Ebiseera: Ebiseera bye bikulu - noonya obuyambi mu bwangu. Bwe kiba kisoboka, tunuulira essaawa oba essimu era weetegereze ekiseera obubonero bwo we bwatandikira. Okubuulira omusawo ddi obubonero bwo lwe bwatandika kiyinza okumuyamba okusalawo obujjanjabi obusinga okukuyamba.

Jjukira nti bw’oba ​​olina ekimu ku bubonero buno obwa BE FAST, kiyinza okuba stroke. Kale tomala budde otuuke mu ddwaaliro amangu ago.

Ka tuyige ne ku mini-stroke (Transient Ischemic Attack - TIA).

Oluusi wabaawo embeera eyitibwa ‘mini-stroke’, abasawo gye bayita ‘transient ischemic attack’ ( TIA ) . Kino kiringa okusannyalala, naye obubonero buggwaawo oluvannyuma lw’akaseera. Naye kuno kulabula kwa maanyi nnyo ! Omuntu abadde n‟obulwadde bwa TIA ali mu bulabe bwa maanyi nnyo obw‟okulwala obulwadde bwa ssukaali obw‟amaanyi mu bbanga eritali ly‟ewala. N’olwekyo, kyetaagisa nnyo omuntu abadde n’obulwadde bwa TIA okunoonya obujjanjabi amangu ddala nga bwe kisoboka.

Biki ebivaako ‘obulwadde bwa ‘hemorrhagic stroke’ buno?

Mu ngeri ennyangu, ekintu kyonna ekyonoona emisuwa mu bwongo bwo ne gikutuka kiyinza okuvaako kino. Puleesa (hypertension) y’ensonga enkulu era esinga okuvaako kino. Obulabe buno buba bungi naddala singa puleesa yo eba waggulu nnyo, oba ng’emaze ebbanga nga tefugibwa.

Wano waliwo ensonga endala:

• Brain aneurysms ze misuwa mu bwongo egibumbulukuka oba okubumbulukuka nga bbaatule. Bino bisobola okunafuwa ne bikutuka mu bwangu.
• Ebizimba ku bwongo.
• Obulwadde bwa Moyamoya: Mu kino, emisuwa emikulu egigasa omusaayi mu bwongo gizibikira, era emisuwa emipya emitono ne gikola, naye nga ginafu nnyo.
• Cerebral amyloid angiopathy: Mu kino, puloteyina eteekebwa mu bisenge by’emisuwa mu bwongo, ne ginafuya.
• Ebisago ku mutwe.
• Kizuuliddwa nti obulwadde bwa COVID -19 oluusi buyinza okuba nga buvaako kino.
• Oluusi, oluvannyuma lw’okusannyalala kw’omusaayi (ischemic stroke) okuva ku kuzimba omusaayi mu bwongo, omusaayi guyinza okutandika mu kitundu ekyo.

Waliwo ebika bya ‘hemorrhagic stroke’?

Yee, waliwo engeri bbiri omusaayi gye guyinza okukulukuta mu bwongo bwe guti:

1. Okuvaamu omusaayi mu bwongo: Kino omusuwa oguli munda mu bwongo bwe gukutuka. Olwo omusaayi ne gukuŋŋaanyizibwa munda mu bitundu by’obwongo ne gukola puleesa. Kilowoozeeko ng’ebbaluuni y’amazzi ekutuse munda.

2. Okuvaamu omusaayi mu bitundu by’omubiri (subarachnoid hemorrhage): Obwongo bwaffe bwetooloddwa oluwuzi olugonvu olukuuma oluyitibwa arachnoid membrane. Ekifo ekiri wakati w’oluwuzi luno n’obwongo kiyitibwa ekifo ekiyitibwa subarachnoid space. Singa omusuwa oguyita mu kino gwakutuka, omusaayi gukuŋŋaanyizibwa mu kifo kino. Kino kiteeka puleesa ku bwongo okuva munda mu kiwanga.

Ani ali mu bulabe obw’amaanyi obw’okufuna bino?

Omuntu yenna asobola okulwala obulwadde bw’okusannyalala okuvaamu omusaayi, naye abantu bano wammanga be bali mu bulabe obw’amaanyi:

• Abantu abasukka mu myaka 65.
• Abantu abanywa sigala (oba abakozesa ebika bya taaba ebirala).
• Abantu abakozesa ebiragalalagala ebimenya amateeka.

Ate era bw’oba ​​olina emu ku mbeera zino ez’obulamu ezikosa enkola yo ey’okutambula kw’omusaayi, emikisa gyo egy’okusannyalala giba mingi:

• Puleesa (Peesa).
• Obuzibu mu kunywa omwenge.
• Kolesterol omungi (Hyperlipidemia).
• Omutwe ogulumwa omutwe naddala ogwo ogulina aura.
• Ssukaali (Obulwadde bwa sukaali).

Kino abasawo bakitegeera batya?

Omusawo azuula obulwadde bw’okusannyalala okuva mu musaayi ng’akola okukebera obusimu n’okukola ebigezo nga:

• CT scan: Eno y’engeri yokka ey’okukebera amangu omusaayi mu bwongo.
• Okukebera omusaayi: Kebera ebintu ng’obuzibu mu kuzimba omusaayi ne ssukaali.
• ECG (Electrocardiogram - EKG): Ekebera enkola y’omutima.
• MRI: Kino kiyamba okulaba obwongo mu bujjuvu.

Bujjanjabi ki obukulu obw’okusannyalala okuva mu musaayi?

Enzijanjaba bbiri enkulu ku kino ze ddagala n’okulongoosa.

Eddagala eriweweeza ku 'hemorrhagic stroke'.

Abasawo bakozesa eddagala ery’enjawulo okujjanjaba embeera eno. Zikola mu ngeri bbiri enkulu:

1. Okwanguya omusaayi okuzimba: Abantu bangi balowooza nti okuzimba omusaayi kintu kibi (mu butuufu, omusaayi guyinza okuba ogw’akabi). Naye okuzimba omusaayi y’engeri omubiri gwaffe gye guyinza okukomya omusaayi. Abasawo basobola okukuwa eddagala nga Vitamin K therapy oba Prothrombin complex concentrate okuyamba omubiri gwo okulekera awo okuvaamu omusaayi mu bwongo.

2. Fuga puleesa yo: Puleesa bw’ogikuuma ng’eri ku mutindo ogutaliiko bulabe kiyinza okuyamba okukendeeza ku kuvaamu omusaayi mu bwongo. Era ayamba okuziyiza okuzimba omusaayi mu misuwa egyonooneddwa. Omusawo ayinza okukutandika okukozesa eddagala erikendeeza puleesa erya IV (intravenous).

Okulongoosebwa olw'obulwadde bwa 'hemorrhagic stroke'.

Omusaayi ogukuŋŋaanyizibwa olw’okusannyalala guteeka puleesa nnyingi ku bitundu by’obwongo ebyetoolodde omusuwa oguvaamu omusaayi. Singa puleesa eri munda mu kiwanga (intracranial pressure) yeeyongera nnyo, oyinza okwetaaga okulongoosebwa mu bwangu. Omusawo alongoosa era ajja kuggyawo omusaayi ogukung’aanyiziddwa n’okukendeeza ku puleesa ku bwongo.

Okuddaabiriza Stroke

Okuddaabiriza kitundu kikulu nnyo mu kujjanjaba obulwadde bw’okusannyalala okuva mu musaayi. Kikuyamba okumanyiira enkyukakyuka mu bwongo n’omubiri. Oyinza okwetaaga okuddamu okufuna obusobozi obufiiriddwa oba okuyiga okubeera n‟obulemu obupya. Oyinza okwetaaga obujjanjabi bumu oba okugatta ku bujjanjabi buno wammanga:

• Obujjanjabi bw’okwogera: Ddamu oba okulongoosa olulimi lwo n’obukugu mu kwogera. Kino kiyamba okufuga ebinywa ebikuyamba okwogera, okussa, okulya n’okumira.
• Obujjanjabi bw’omubiri: Okunyweza ebinywa, okulongoosa bbalansi, n’okuzzaawo emirimu mu mikono n’amagulu.
• Occupational therapy: Ekuyamba okukola emirimu gyo egya buli lunaku nga tolina bulabe naddala emirimu egyetaagisa okutambula obulungi.
• Obujjanjabi obw’okutegeera: Buyamba okulongoosa okujjukira, okussaayo omwoyo, n’obusobozi obulala obw’omutwe.

Obulwadde bwa ssukaali obuva mu musaayi busobola okuziyizibwa?

Okukuuma puleesa nga nnungi y’engeri esinga obukulu ey’okuziyiza okusannyalala okuvaamu omusaayi. Bw’oba ​​olina puleesa omusawo asobola okukuyamba okugifuga. Basobola okukuwabula ku ddagala n’enkyukakyuka z’olina okukola mu nkola yo eya bulijjo.

Ebintu ebirala bye bino:

• Embeera z’obujjanjabi endala z’olina (nga sukaali ne kolesterol) zikuume nga zifugibwa.
• Lya emmere ennungi n’okukuuma obuzito obulungi obukugwanira.
• Dduyiro okole bulungi.
• Weekebere omusawo buli mwaka (oba ng’omusawo bw’akulagidde).
• Bw’oba ​​onywa sigala, mukomye mangu.

Kiseera ki eky’okuwangaala oluvannyuma lw’okusannyalala okuvaamu omusaayi?

Kizibu okwogera ebbanga ddala ly’osobola okuwangaala oluvannyuma lw’okusannyalala okuva mu musaayi n’omuwendo gw’okuwona gwe guli, kubanga omubiri gwe n’obulamu bwe buli muntu bya njawulo.

Okusannyalala kuyinza okutta omuntu n‟okuleeta obulemu obw‟olubeerera, naye tewali nteekateeka oba endowooza emu ey‟okudda engulu.

Obulwadde bwa hemorrhagic stroke butera okutta abantu okusinga ischemic stroke, obuva ku kuzimba omusaayi mu bwongo. Naye ekyo tekitegeeza nti ddala ojja kuba n’ebivaamu ebibi okusinga abalala.

Omubiri gwa buli muntu guddamu mu ngeri ya njawulo ng’afunye stroke. By’oyinza okusuubira (okuteebereza) oluvannyuma lw’okusannyalala kisinziira ku bintu ebiwerako:

• Bitundu ki eby’obwongo ebyakosebwa?
• Engeri gye wafuna obujjanjabi mu bwangu.
• Obulamu bwo okutwalira awamu.

Omusawo ajja kukubuulira ky’osuubira. Zijja kukuyamba okuteekawo ebiruubirirwa byo eby’okudda engulu n’ebisuubirwa okusinziira ku bulamu bwo n’embeera yo.

Nkola ntya okwerabirira oluvannyuma lw’okusannyalala okuvaamu omusaayi?

Okudda engulu n’okuddaabiriza oluvannyuma lw’okusannyalala si kyangu. Ggwe n’omusawo bwe mumala okukola enteekateeka y’obujjanjabi, gigoberere bulungi nga bwe kisoboka. Okutwaliza awamu:

• Eddagala lyo limira bulungi: Okumira eddagala lyo ng’omusawo bw’akulagidde kijja kuyamba omubiri gwo okuwona. Okufuga puleesa kikulu nnyo.
• Genda mu rehab n’obujjanjabi obulala buli kiseera: Buulira abajjanjabi bo oba waliwo ekikuleetera okuwulira nga tolina mirembe oba nga tolina bukuumi. Rehab kizibu, naye tolina kubeera mu bulumi oba obutabeera bulungi buli kiseera.
• Lowooza ku bulamu bwo obw’omutwe: Okwennyamira n’okweraliikirira bitera okubaawo oluvannyuma lw’okusannyalala. Okuwulira ennaku oba okunyiiga tekitegeeza nti oli munafu oba olemereddwa. Obulamu bwo obw’omutwe bukulu nnyo ng’obulamu bwo obw’omubiri. Bw’oba ​​weetaaga okuyambibwa okwogera ku bintu ng’owona, yogerako n’omusawo wo oba omukugu mu kubuulirira ku bulamu bw’obwongo .

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

Bw’oba ​​owulira ng’olina stroke endala, kuba 911 (oba ennamba y’amangu) mu bwangu. Stroke endala eyolekedde nnyo okutta oba okuleeta ebizibu eby’amaanyi. Tolwawo kunoonya buyambi.

Omuntu abadde afunye stroke naye ali mu bulabe bw’okufuna ebizibu ebirala eby’amaanyi, gamba nga:

• Obulwadde bw’okuzimba amawuggwe.
• Obulwadde bw’omutima.
• Omusaayi guzimba mu misuwa emiwanvu egy’amagulu (Deep vein thrombosis - DVT).

Bw’oba ​​olowooza nti olina obubonero bw’ekimu ku bizibu bino, kuba essimu mu bwangu oba genda mu kisenge ky’abalwadde ab’amangu.

Bibuuzo ki bye nnina okubuuza omusawo wange?

• Nmira ntya eddagala lyange?
• Nja kwetaaga obujjanjabi okumala bbanga ki?
• Nkyukakyuka ki ze nneetaaga okukola mu bulamu bwange obwa bulijjo?
• Bubonero ki obw’okulabula bwe nsaanidde okwegendereza obulaga nti stroke endala ejja?
• Ddi lwe nnandizzeemu okukulaba?

Obulwadde bwa ssukaali obuva mu musaayi buyinza okukosa ennyo obulamu bwo. Ekintu kyonna ekiyinza okukosa obwongo bwo enkalakkalira kitiisa. Bw’oba ​​olowooza nti olina obubonero bw’okusannyalala, funa obuyambi amangu ago. Omusawo gy’akoma okuzuula amangu embeera eno n’okugijjanjaba, gy’akoma okubeera omulungi.

Bw’omala okubeera mu mbeera ey’obukuumi, ennywevu, okuddaabiriza kutandika. Omulimu omuzibu naye gusaanira. Tobuusa maaso nneewulira zo, era buulira abasawo n’abajjanjabi bo ebikunyiiza. Okudda engulu kwo kuyinza okujja mu mitendera emitonotono, naye tewerabira okujaguza buli buwanguzi bw’otuukako.

Obubaka Obutwala Awaka

Obulwadde bw’okusannyalala (hemorrhagic stroke) mbeera ya bulabe nnyo, ey’amangu ereetebwa omusuwa ogukutuse mu bwongo. Ekisinga okuvaako kino ye puleesa.

Jjukira enfunyiro BE FAST (Balance, Eyes, Face, Arms, Speech, Time) okutegeera amangu obubonero. Bw’oba ​​olina obubonero bwonna , genda mu ddwaaliro mu bwangu.

Obujjanjabi buzingiramu eddagala n’okulongoosa. Okuddaabiriza (obujjanjabi obw’okwogera, obw’omubiri, obw’emirimu, obw’okutegeera) kikulu nnyo mu kudda engulu.

Okubuziyiza, fuga puleesa, goberera obulamu obulungi, era weewale okunywa sigala.

Tewerabira, mu mbeera nga eno, buli sikonda ebalwa. Okukola amangu kiyinza okutaasa obulamu n’okuziyiza obuvune obw’amaanyi.

` Okusannyalala, Okuvaamu omusaayi mu bwongo, Okusannyalala okuva mu musaayi, Puleesa, Obubonero bwa Stroke, Obujjanjabi bwa Stroke, Okuddaabiriza