Tetusikira ndabika na bitone byaffe byokka okuva mu bazadde baffe, naye oluusi tusobola n’okusikira endwadde. Obulwadde bwa Huntington mbeera ya maanyi nnyo era ekosa obutoffaali bw’obusimu mu bwongo era buyisibwa okuva ku mulembe okudda ku mulala . Oyinza okuwulira ng’otya ng’owulira erinnya lino, naye kikulu nnyo okulimanya. Kale leero, katukyogereko mu ngeri ennyangu era etegeerekeka.
Ddala Obulwadde bwa Huntington kye ki?
Mu ngeri ennyangu, obulwadde bwa Huntington bulwadde bwa buzaale obusiigibwa okuva ku mulembe okudda ku mulala. Kireetera obutoffaali bw’obusimu mu bwongo okufa mpolampola. Ekiseera bwe kigenda kiyitawo, kino kiyinza okuvaako enkyukakyuka mu ngeri gye tukola emirimu gyaffe, mu kutegeera kwaffe, n’okutuuka ku mbeera y’omuntu. Kino kiyinza okwongera ku bulabe bw‟okufuna ebizibu by‟obulamu bw‟omutwe ng‟okwennyamira n‟okweraliikirira.
Wadde ng’obulwadde buno busobola okutandika ku myaka gyonna, obubonero businga kulabika wakati w’emyaka 30 ne 40. Kyokka singa obulwadde buno butandika mu buto, oba nga tebunnaweza myaka 20, buyitibwa obulwadde bwa Huntington obw’abaana abato (JHD).
Mu kiseera kino tewali ddagala liwonya bulwadde buno. Kyokka waliwo obujjanjabi bungi obuyinza okuyamba okufuga obubonero n’okwanguyiza obulamu. Kale toggwaamu ssuubi.
Kya bulijjo okuwulira ng’oyitiridde ng’oyiga ku bulwadde nga buno. Naye, okufuna obuyambi okuva eri omukozi w‟ensonga z‟abantu, omukugu mu kubudaabuda abantu, oba ekibiina ekiyamba abantu abawangaala n‟obulwadde buno kiyinza okuyamba ennyo mu kugumira embeera eno. Nga bayambibwako ttiimu y’abakugu mu by’obujjanjabi abakola emirimu egy’enjawulo, n’omuntu alina obulwadde bwa Huntington asobola okubeera nga yeetongodde okumala emyaka mingi.
Kiki ekivaako obulwadde buno?
Ensonga enkulu lwaki kino kibaawo kwe kuba nti alina obuzibu mu buzaale. Teebereza nti ebiragiro ebiwerako ebikwata ku buli mulimu mu mubiri gwaffe, okufaananako n’enkola y’emmere, biwandiikiddwa mu buzaale bwaffe. Ffenna tulina obuzaale obuleeta obulwadde bwa Huntington (HD gene). Naye mu maka agamu, kkopi y’obuzaale buno eriko obuzibu, ekyusiddwa, esikira abazadde okutuuka ku baana.
Singa maama wo oba taata wo alina obulwadde buno, olina emikisa gya bitundu 50% okusikira obuzaale obulema n’okufuna obulwadde buno. Ekyo kitegeeza nti oyinza okugifuna oba nedda. Kiba ng’okufuumuula ekinusu.
Kikulu okumanya ebintu ebirala ebitonotono ku nsonga eno:
- Ensengekera y’obuzaale eno eriko obuzibu esobola okusikira abasajja n’abakazi.
- Bw’otosikira buzaale buno obulema, tojja kufuna bulwadde bwa Huntington, era tojja kuyisa bulwadde buno mu baana bo.
- Obulwadde buno tebubuuka milembe . Kwe kugamba, tewali ngeri mwana gy’ayinza kubukulaakulanya singa jjajja yalina naye nga taata.
Bw’oba ggwe oba omuntu mu maka go olowooza ku ky’okukebera obuzaale okulaba oba olina embeera eno, kikulu okusisinkana omubuulirizi w’obuzaale nga bukyali. Ziyinza okukuyamba okutegeera ebiva mu bivudde mu kukeberebwa n’okukuyamba okubyetegekera.
Bubonero ki obulaga obulwadde buno?
Obubonero bw’obulwadde bwa Huntington busobola okwawulwamu ebika bisatu ebikulu: obukugu mu kukola emirimu gy’omubiri, enkola y’okutegeera, n’enkyukakyuka mu nneeyisa. Abantu bangi abalina obulwadde buno bafuna obubonero mu bitundu byonna ebisatu. Obubonero buno butera okulabika okusinziira ku mutendera gw’obulwadde.
| Omutendera gw’obulwadde buno | Obubonero obutera okulabibwa |
|---|---|
| Omutendera ogw’okusooka | Enkyukakyuka zino zibeera za magezi nnyo mu kiseera kino, kale kizibu okuzitegeera amangu.
|
| Omutendera ogw’omu makkati | Obubonero butandika okukosa obulamu obwa bulijjo buli lukya.
|
| Omutendera ogw’oluvannyuma | Ku mutendera guno, omulwadde tasobola kukola kintu kyonna ku lulwe era yeesigamye ddala ku balala.
|
Obubonero bw’obulwadde bwa Huntington (JHD) mu baana abato
Singa omwana oba omuvubuka afuna obulwadde buno, busobola okukula amangu. Waliwo obubonero obw’enjawulo obuwerako obuyinza okulabibwa:
- Okukaluba n’okukaluubirirwa okutambula
- Okukaluubirirwa okussa ebirowoozo ku kintu ekimu
- Obutabeerawo mu bwangu ku mirimu gy’essomero
- Okukankana
- Okukonziba
Ozuula otya obulwadde buno?
Obulwadde gye bukoma okuzuulibwa amangu, gy’okoma okukuuma omutindo gw’obulamu bwo. Bw’oba olina obubonero, omusawo wo ajja kukubuuza ku byafaayo by’obujjanjabi bw’amaka go era akukebere omubiri. Ng’oggyeeko ekyo, bagenda kukola ebigezo ebiwerako ebikwata ku busimu.
- Ebiwujjo (reflexes).
- Amaanyi g’ebinywa
- Bbalansi y’omubiri
- Okulaba n’okuwulira
- Obusobozi bw’okujjukira n’okulowooza
Okusinga byonna, engeri esinga obulungi ey’okukakasa obulwadde buno mu bujjuvu kwe kukeberebwa obuzaale . Kino kiyinza okukutegeeza mu butuufu oba olina obuzaale bwa HD obulema mu mubiri gwo oba nedda.
Kijjanjabwa kitya era kiddukanyizibwa kitya?
Wadde nga tewali ddagala eriwonya bulwadde buno, waliwo obujjanjabi bungi obuyinza okuyamba okufuga obubonero n’okwanguyiza obulamu. Waliwo enjogera mu basawo egamba nti, "Tuyinza obutayongera myaka mu bulamu bwo, naye tusobola okwongera obulamu mu myaka gyo." Kituufu. Ekisinga obukulu kwe kuba n’abakugu okuva mu mirimu egy’enjawulo nga bakolera wamu okukujjanjaba.
Eddagala
Omusawo ayinza okumuwa eddagala ery’enjawulo okusobola okufuga obubonero.
- Ku kufuga entambula: Ekika ky’eddagala eriyitibwa `VMAT2 inhibitors` (e.g. Deutetrabenazine, Tetrabenazine) likozesebwa okukendeeza ku ntambula ezitafugibwa nga `Chorea`.
- Ku bizibu by’obwongo:Eddagala eriweweeza ku kweraliikirira n’ery’okutebenkeza embeera y’omuntu liwandiikibwa okujjanjaba embeera ng’okwennyamira n’okweraliikirira.
Obujjanjabi
Bino kitundu kikulu nnyo mu kuddukanya endwadde.
- Obujjanjabi bw’omubiri: Buyamba okukendeeza ku kugwa ng’alongoosa entambula n’okutebenkera.
- Obujjanjabi bw‟emirimu: Asomesa obukodyo n‟ebikozesebwa ebyetaagisa okugenda mu maaso n‟emirimu gya buli lunaku (okwambala, okulya).
- Obujjanjabi bw’okwogera: Buyamba ku buzibu mu kwogera n’okumira.
Enkyukakyuka mu mmere n’engeri y’obulamu
Abalwadde ba Huntington batera okugejja. Kino kiri bwe kityo kubanga omubiri gwokya kalori nnyingi olw’entambula eya bulijjo n’okukaluubirirwa okumira emmere. N’olwekyo, kikulu nnyo okulya emmere erimu kalori nnyingi, erimu ebiriisa, era enyangu okugaaya, ng’omukugu mu by’emmere bw’awa amagezi .
Okugatta ku ekyo, okukola dduyiro, okwettanira emmere ey’omu Mediterranean, okwewala omwenge, okwebaka obulungi, n’okukendeeza ku situleesi nabyo biyamba nnyo mu kuddukanya obulwadde buno.
Obubaka Obutwala Awaka
- Obulwadde bwa Huntington bulwadde bwa buzaale obutambulira mu maka. Kya bulijjo okuwulira ng’otya ng’okitegedde naye ekisinga obukulu kwe kukimanya.
- Wadde nga kino tekinnaba kujjanjaba mu bujjuvu, waliwo obujjanjabi n’obujjanjabi bungi ebiyinza okukuyamba okufuga obubonero bwo n’okubeera n’obulamu obulungi.
- Obulwadde buno gye bukoma okuzuulibwa amangu, gye bukoma okwanguyirwa okufuga obubonero n’okukwanguyira obulamu.
- Kikulu nnyo okunoonya obuwagizi okuva mu ttiimu y’abasawo erimu abakugu ab’enjawulo, gamba ng’omusawo wo, omusawo w’omubiri, n’omubuulirizi.
- Oba okukeberebwa obuzaale oba nedda kiba kya muntu ku bubwe, naye funa obuyambi okuva eri omukugu mu kubuulirira ku buzaale nga tonnasalawo ekyo.
- Toli wekka. Waliwo ebibiina ebiwagira n’ebibiina ebisobola okukuyamba n’abakulabirira ababeera n’obulwadde buno. Embeera eno eyolekedde n’essuubi era n’obuvumu.
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