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Obuzibu buno obw’okussa kye ki, kwe kugamba, Hyperventilation Syndrome?
Mu ngeri ennyangu, (Hyperventilation Syndrome) mbeera gy'ossa amangu era emirundi mingi, nga tolina mbeera yonna ya bujjanjabi. Abantu abamu era bakiyita "okussa ekisusse." Kiyinza okumala okuva ku ddakiika ntono okutuuka ku ssaawa emu , olwo ne kitera okutereera ku bwakyo. Lowooza ku kino, mu budde obutuufu tussa okutwala mu bungi bwa (Oxygen) omubiri gwaffe gwe gwetaaga n'okugoba (Carbon Dioxide). Naye bwe (Hyperventilation), otandika okussa amangu ennyo era mu buziba . Oyinza n’obutakyetegereza. Naye bw’ossa amangu kino, omuwendo gwa (Carbon Dioxide) mu musaayi gwo gukendeera mangu. Mu busawo, kino tukiyita (Respiratory Alkalosis) . Kati oyinza okuba nga weebuuza oba kirungi okuba n'ekirungo kya (Carbon Dioxide) ekitono. Mu butuufu buli kimu mu mubiri gwaffe kyetaaga okuba mu bbalansi. (Carbon Dioxide) bw'ekendeera, emisuwa gyaffe naddala egy'omusaayi mu bwongo gitandika okuzibikira . Kiba ng’okusika payipu y’amazzi. Olwo omusaayi ogugenda mu bwongo ne gukendeera. Y’ensonga lwaki otandika okufuna obubonero ng’okuziyira, okukaluubirirwa okussa, n’okunyiga ekifuba. Ebiseera ebisinga, abantu abalina obulwadde buno obwa (Hyperventilation Syndrome) tebamanyi nti bassa mu ngeri etaali ya bulijjo. Bamala kuwulira bubonero bulala obuva ku nkyukakyuka eno mu kussa.Bubonero ki obulaga kino? Oba, owulira otya ku nsonga eyo?
Embeera eno eya (Hyperventilation) eyinza okubaawo ng'olina enneewulira ey'amaanyi, gamba ng'ennaku, okutya, oba obusungu. Oluusi kiyinza okutandika mu bwangu awatali nsonga. Buyinza okumala eddakiika ntono okutuuka ku ssaawa emu ne bukka nga tolina ddagala lya njawulo. Ne bw’oba tokimanyi nti ossa mangu era nnyo, oyinza okufuna obubonero buno:- Okuwulira ng’omutwe guzibye, ng’oziyira, era nga tolina bulamu. Nga bw’obadde owunyiriza n’osuulibwa.
- Obuzibu mu kussa (abasawo nabo kino bakiyita Dyspnea''). Kiyinza okuwulira ng’oziyira oba ekifuba kikunyiga.
- Okuwulira obulumi oba okunyiga mu kifuba .
- Okuwulira ng’omutima gukuba nnyo ate ng’ekifuba kikuba.
- Okuzirika mu ngalo ne okwetoloola akamwa, okuwulira ng’enseenene zidduka.
- Okusannyalala kw'ebinywa kuba kunyiganyiga n'okukankana mu mikono n'amagulu .
- Okukaluubirirwa okussa ebirowoozo byo ku kintu ekimu, obutasobola kukuuma birowoozo byo mu kifo kimu.
- Bulijjo okuyingira mu mumiro, okuwulira ng’olubuto lujjudde.
- Akamwa akalu.
- Okulumizibwa omutwe.
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Mu butuufu, abanoonyereza n’okutuusa kati tebannaba kuzuula kiki ddala kivaako (Hyperventilation Syndrome) eno. Mu mbeera ezimu, embeera eno eyinza okuva ku bintu nga situleesi, okutya, n’okweraliikirira . Lowooza ku kino, ekigezo bwe kinaatera okutuuka, nga waliwo ekizibu ku mulimu, oba ng’owulira ng’olina okunyigirizibwa okungi olw’ekizibu ekimu eky’amaka. Wabula abantu abamu, awatali nsonga ntongole, batandika mangu okussa amangu bwe bati. Tebasobola kugamba nti, "Eno y'ensonga lwaki kino kyantuukako." Tekinnamanyika bulungi ngeri situleesi eno gy’ereetera okussa okweyongera. Naye abanoonyereza balowooza nti kikwatagana n'engeri omubiri gwaffe gye guddamu "okulwana oba okudduka." Mu ngeri ennyangu, omubiri gwaffe gulina enkola eyitibwa (Sympathetic Nervous System) . Kino kye kiteekateeka omubiri gwaffe nga tuli mu kabi, mu mbeera ey’amangu oba nga tuli ku puleesa ennene. Mu biseera nga bino, ebinywa byaffe byetaaga (Oxygen) ebisingawo. Eno y’ensonga lwaki tussa mangu. Naye bwe tuba nga mu butuufu tetwetaaga kudduka oba kulwana mu kiseera ekyo, okussa kuno okw’amangu kuyinza okufuuka (Hyperventilation). Ng’ekyokulabirako, teebereza ng’otambula mu kkubo era amangu ago embwa ejja ng’ekugoba. Omutima gwo gukuba mangu, okussa kwangu, n’otuuyana. Bino byonna bibaawo kubanga omubiri gwo gwetegekera okukutaasa akabi ako. Naye, bw'oba oli waka gokka, era ng'olina enkola efaananako bwetyo olw'ekizibu mu birowoozo byo, mu butuufu tewali "kutoloka" awo. Awo enkola eno ey’okussa we etaataaganyizibwa.(Hyperventilation Syndrome) ne (Panic Attacks) bintu bibiri eby’enjawulo?
Kati oyinza okuba nga weebuuza oba kino (Hyperventilation Syndrome) kye kimu ne (Panic Attacks) kye tuwuliddeko. Wadde ng’obubonero bw’ababiri bano oluusi bufaanagana, zino mbeera bbiri ez’enjawulo . A (Panic Attack) kwe kutya okw’amangu, okw’amaanyi n’ensengeka y’ebikolwa by’omubiri ebibaawo mu mbeera eya bulijjo, awatali kutiisibwatiisibwa kwonna. Singa (Panic Attacks) ebaawo emirundi mingi era nga tetusuubira, tugiyita (Panic Disorder) . Kino kizibu kya kweraliikirira. Ekikulu ekiraga (Panic Disorder) kwe kuba nti (Attacks) zino zijja awatali kulabula kwonna, era tezireetebwa bulwadde bulala bwa bwongo oba mu mubiri. (Obulwadde bw’okussa ennyo) .Mu kimu, okussa amangu kuyinza okuva ku nneewulira ez’amaanyi ng’okutya, obusungu, okweraliikirira. Oluusi kiyinza okubaawo awatali nsonga n’akatono. Ate era, oluusi kino (Hyperventilation) kiyinza okuddamu okuleeta okutya n'okweraliikirira. Kiba ng’enkulungo. Okunoonyereza kuzudde nti abantu nga kitundu ku bantu abalina (Panic Disorder) nabo balina (Hyperventilation Syndrome) . Era, abantu nga 25% abalina (Hyperventilation Syndrome) nabo balina (Panic Disorder) . Kale wayinza okubaawo akakwate wakati w’ebintu bino byombi, naye si kintu kimu.Kino okitegeera otya ddala? Kigezo ki ekikolebwa?
Tewali kukebera kwonna okuzuula obulwadde buno kuyinza okuzuula obulungi obulwadde bw’okussa ennyo (hyperventilation syndrome). Abasawo bagaana ebintu ebirala ebivaako okussa amangu mu mubiri nga tebannasalawo nti bulwadde bwa hyperventilation syndrome. Bw’olaba omusawo, ajja kusooka kukubuuza ku bubonero bwo n’ebyafaayo byo eby’obujjanjabi . Olwo bajja kukola okukebera omubiri. Emirundi egisinga, bayinza okulagira okukeberebwa kuno wammanga okusobola okuggyawo embeera eza bulijjo eziyinza okuvaako okussa amangu:- Pulse Oximetry: Kino kipima omuwendo gwa oxygen mu musaayi gwo. Omuntu alina obulwadde bwa hyperventilation syndrome atera okuba ne oxygen level ya 100% oba okumpi nayo. Okusoma wansi wa 95% kuyinza okuba akabonero k’embeera endala enkulu.
- X -ray y'ekifuba : Kino kiyinza okukebera oba tewali buzibu bwonna ku mawuggwe .
- An ECG (Electrocardiogram - EKG): Kino kiyinza okukebera oba tewali buzibu bwonna ku mutima.
Bujjanjabi ki obukolebwa ku kino?
Okay, kati tumanyi kye kiri, lwaki kibaawo, n’engeri y’okukitegeera. Kale bujjanjabi ki obugiyamba? Oyinza okufuna obuweerero bw’owulira bino. Kubanga obujjanjabi obukulu obugijjanjaba kwe kugugumya n’okuddamu okutendeka okussa. Omusawo bw’amala okugaana ebivaako ebirala byonna, ajja kukugamba nti okussa obubi n’obubonero obulala si kabonero ka mbeera ya maanyi gy’olina. Okumanya ekyo kijja kukuyamba okukendeeza ku kweraliikirira kwo. Olwo, osobola okukola emitendera okutangira okuddamu okubaawo.Ajja kukuyigiriza dduyiro w’okussa.Ekisinga obukulu kwe kutegeera nti embeera eno si ya bulabe. Ekyo bw’omala okukimanya, ojja kuwulira obuweerero bungi.Engeri emu ey’okuddamu okutendeka enkola eno ey’okussa kwe kuyita mu (Diaphragmatic Breathing) (Diaphragmatic Breathing) oba okussa mu lubuto . Kino kizingiramu okussa okuva mu lubuto lwo (olubuto) mu kifo ky’okussa mu kifuba. Ng’okozesa enkola eno, osobola okukendeeza ku kussa kwo n’oyimiriza oba okuziyiza (Hyperventilation) okubaawo. Okusobola okwegezaamu kino, kola bino wammanga: 1. Gaala wansi. 2. Teeka omukono gumu ku kifuba ate omulala ku lubuto (wansi ddala w’olubavu lwo). 3. Kati ssa mpola ng’oyita mu nnyindo. 4. Nga bw’ossa, weetegereze engeri emikono gyo gye gisituka n’okugwa. 5. Ekigendererwa kirina okuba omukono oguli ku lubuto lwo okusituka waggulu okusinga omukono oguli ku kifuba. Oluvannyuma lw’akaseera, ojja kwongera okweyagaza n’enkola eno ey’okussa. Bw’oba olina obulwadde bw’obwongo obukukwatako, gamba ng’okwennyamira oba okweraliikirira, era kiyinza okuba nga kivaako obulwadde bwo obw’okussa ennyo. Bwe kiba bwe kityo, omusawo ayinza okukuwa amagezi ku bujjanjabi bw’eby’omwoyo (obujjanjabi obw’okwogera) era bwe kiba kyetaagisa, n’eddagala erijjanjaba embeera ezo.
Kino kisobola okulemesebwa okuddamu okubaawo?
Nga bwetwagambye emabegako, kizibu okwogera oba kiziyizibwa ddala kubanga tetumanyi kituufu ekivaako. Kyokka waliwo ebintu by’oyinza okukola okukendeeza ku mikisa gy’okuddamu okubaawo . Naddala singa empewo yo esukkiridde eva ku situleesi n’okweraliikirira, obukodyo buno obw’okuddukanya situleesi n’okuwummulamu busobola okukuyamba:- Dduyiro w’okussa: Nga ( Diaphragmatic Breathing ) gye twayogeddeko emabegako.
- Dduyiro buli kiseera : Ekintu ky’onyumirwa, gamba ng’okutambula, okudduka oba okuwuga.
- Okuwummuza ebinywa mu ngeri egenda mu maaso: Kino kizingiramu okusika omuguwa n’oluvannyuma okuwummuza ebinywa mu buli kitundu ky’omubiri.
- Okufumiitiriza ((Okufumiitiriza)).
- Dduyiro wa yoga (( Yoga )).
- Okwegezangamu Okulowooza: Kino kitegeeza okussaayo omwoyo ku kaseera akaliwo kwokka.
Ddi lwe tusaanidde okulaba omusawo ku nsonga eno?
Wadde nga kino (Hyperventilation Syndrome) kiwulikika nga kitiisa katono, (Hyperventilation) yennyini si ya bulabe mu mubiri. Kyokka, oluusi okussa amangu nakyo kiyinza okuva ku nsonga endala ez’amaanyi . N’olwekyo, olina okulaba omusawo ddala mu mbeera nga zino:- Bw’oba olina obulumi, obuvune ku mutwe , omusujja, oba okuvaamu omusaayi.
- Singa empewo yo ey’amaanyi efuuka ya maanyi oba etera okubaawo, ne bw’omala obujjanjabi bw’okola awaka.
- Singa ofuna obubonero obulala obupya.
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