Ebika bya akawuka bimeka ebibeera mu mibiri gyaffe nga tetumanyi? Akawuka ka JC ke kamu ku zo. Mu butuufu akawuka kano kabeera mu mibiri gy’abantu abakulu abasukka mu kitundu ku nsi. Naye ekyewuunyisa, tekireeta bulabe oba buzibu bwonna eri abantu abasinga obungi. Kale, leero tugenda kwogera mu bujjuvu ku kino ddala kye kiri, ddi lwe kifuuka ekizibu, era oba tusaanidde okutya.
Ddala akawuka ka JC kye ki?
Mu ngeri ennyangu, akawuka ka JC kawuka ka bulijjo nnyo. Yasooka kuzuulibwa mu 1971. Omusawo yasanga akawuka kano mu bwongo bw’omusajja eyali alina kookolo ayitibwa Hodgkin’s lymphoma. Akawuka kano katuumiddwa amannya g’omulwadde (John Cunningham).
Naye abakugu n’okutuusa kati tebakakasa ngeri gye kisaasaana okuva ku muntu okudda ku mulala. Kyokka abantu bangi balowooza nti akawuka kano kayingira mu mibiri gyaffe nga tukyali bato nga kayita mu mazzi oba emmere erimu obucaafu. Akawuka kano bwe kamala okuyingira munda, kasobola okusigala nga kasula mu nkola yaffe ey’omusulo, mu busimu bw’amagumba, mu bitundu by’amagumba oba mu bwongo okumala emyaka, nga tetuleeta buzibu bwonna. N'ekyavaamu, abantu bangi tebamanyi na nti balina akawuka kano.
Kale ani ali mu bulabe okuva mu kino?
Bino bye bikulu. Kasita abaserikale b’omubiri bo abalungi era nga ba maanyi, akawuka ka JC tekajja kukutawaanya. Kiba ng’okwebaka.
Kyokka singa olw’ensonga ezimu abaserikale b’omubiri gw’omuntu banafuwa nnyo , akawuka ako akasula kazuukuka mangu ne katandika okukola.
Akawuka kano bwe katandika okukola mu ngeri eno, kayinza okuleeta obulwadde obw’amaanyi ennyo ku bwongo obuyitibwa Progressive Multifocal Leukoencephalopathy , oba PML .
PML kye ki?
Kino kyonoona ekibikka ekikuuma okwetoloola obutoffaali bwaffe obw'obusimu . Kiringa ekiveera ekibikka ku waya y’amasannyalaze nga kisaanuuka. Kino kitaataaganya ddala enkola y’okusindika obubaka okuyita mu busimu. Kino kiyinza okuvaako obulemu obw'olubeerera oluusi n'okufa .
Obulabe obusinga obunene obw’okulwala PML bwe buno:
- Ku balwadde ba siriimu .
- Obulwadde bwa Hodgkin), abantu abalina obulwadde bwa kookolo nga leukemia ne lymphoma.
- Ku bantu abalina embeera nga Multiple Sclerosis (MS) , Rheumatoid Arthritis , oba abo abamira ebika by’eddagala ebimu ebiziyiza abaserikale b’omubiri oluvannyuma lw’okusimbuliza ebitundu by’omubiri .
Bubonero ki obw’obulwadde bwa PML?
Obubonero buno butera okutandika mangu ne bweyongera okusajjuka ng’obudde bugenda buyitawo. Obubonero buyinza okwawukana okusinziira ku kitundu ky’obwongo ekyonoonese. Kyokka buno bwe bubonero obusinga okulabika.
| Obubonero | Okunnyonnyola |
|---|---|
| Obukodo | Ebintu ng’okukaluubirirwa okukola ebintu, okwesittala ng’otambula, n’okugwa mu ngalo. |
| Obunafu obweyongera | Obunafu mu mukono, ekigere oba oludda olumu obw’omubiri bweyongera mpolampola. |
| Enkyukakyuka mu buntu | Enkyukakyuka nga obusungu obw’amangu, okweraliikirira, n’okubulwa okujjukira. |
| Obuzibu mu kwogera | Ebigambo bitabula, era sisobola bulungi kwogera kye njagala okwogera. |
| Ebizibu by’okulaba | Okulaba kufuuka kwa bbugumu, n’ebizibu ng’okulaba ebintu bibiri omulundi gumu. |
Kino okizuula otya ddala?
Okusooka, osobola okwekebeza olabe oba olina akawuka ka JC. Kino kizingiramu okukeberebwa omusaayi oba okukebera ebitundu by'omubiri . Kino kikulu nnyo naddala bw'oba omira eddagala eriziyiza abaserikale b'omubiri .
Wabula singa omusawo ateebereza nti olina PML, enkola y’okukebera eba ya njawulo.
1. MRI scan: Okukebera okusooka kw’ogenda okukola kwe kukebera MRI (Magnetic Resonance Imaging) . Kino kikozesa magineeti ez’amaanyi n’amayengo ga leediyo okukuba ebifaananyi ebikwata ku bwongo bwo mu bujjuvu n’okunoonya enkola mu bitundu by’obwongo ebitera okubeera mu PML.
2. Spinal Tap : Ekiddako, omusawo ayinza okusalawo okukola spinal tap (lumbar puncture) . Tofaayo, kino kizingiramu okukwata empiso entono n’oggyayo amazzi amatono ag’omugongo okuva mu mugongo gwo ogwa wansi. Amazzi gano gakeberebwa okulaba oba galimu akawuka ka JC. Singa akawuka ka JC kasangibwa mu mazzi gano, kakakasa nti waliwo PML.
3. Okukebera obwongo: Singa ebigezo ebyo waggulu bikyali tebituufu, akatundu akatono okuva mu bwongo kayinza okwetaaga okuggyibwako okukeberebwa (biopsy).
Enkolagana wakati w’eddagala erikozesebwa okujjanjaba endwadde ezimu n’akawuka ka JC
Obulwadde bwa Multiple Sclerosis (MS) n’obulwadde bwa Crohn
Eddagala erimu erikozesebwa okujjanjaba embeera nga Multiple Sclerosis (MS) ne Crohn’s Disease (okugeza, Natalizumab, Dimethyl fumarate, Fingolimod, Ocrelizumab ) lizuuliddwa nga likwatagana ne PML.
N’olwekyo, nga tonnatandika ddagala lya kika kino, omusawo wo ajja kukukebera ddala okulaba oba olina akawuka ka JC. Oyinza okusobola okumira eddagala lino ne bw’oba olina akawuka kano, naye olina okuteesa n’omusawo ku bulabe n’emigaso gy’erina nga tonnaba kusalawo.
Akawuka ka siriimu
Eddagala erimu ery’omulembe eriweebwa abantu abalina akawuka ka siriimu liyamba okunyweza abaserikale b’omubiri. Kino kibadde kiyamba nnyo mu kutangira okukula kwa PML okuva mu kawuka ka JC. N’ekyavaamu, omuwendo gwa PML mu balwadde ba siriimu gukendedde nnyo mu myaka egiyise.
Bujjanjabi ki obuweebwa PML?
Mu kiseera kino, tewali ddagala lya njawulo erikkirizibwa okuwonya ddala PML, era bannassaayansi bakyanoonyereza ku nsonga eno.
Obujjanjabi obusinga obulungi mu kiseera kino kwe kuyamba abaserikale b’omubiri okulwanyisa akawuka kano ku bwabwe nga baddamu okuzimba. Ng’ekyokulabirako, omuntu bw’aba amira eddagala eriziyiza abaserikale b’omubiri gwe, omusawo we ayinza okusalawo okukomya oba okukyusa eddagala eryo.
Obubaka Obutwala Awaka
- Akawuka ka JC kawuka akamanyiddwa ennyo nga tekalina bulabe eri abantu abasinga obungi. Kale tokitya mu ngeri eteetaagisa.
- Obulabe bwokka obw’amazima obuva mu kino buli ku bantu abalina abaserikale b’omubiri abanafu ennyo, abayinza okufuna obulwadde obw’amaanyi obw’obwongo obuyitibwa PML.
- Bw’ofuna obubonero ng’obunafu obutali bwa bulijjo, okukaluubirirwa okutambula oba okwogera, oba enkyukakyuka ey’amangu mu buntu naddala ng’omira eddagala eriziyiza abaserikale b’omubiri, laba omusawo mu bwangu.
- Nga tonnatandika ddagala erimu eriwonya endwadde nga MS ne Crohn, kakasa nti oyogera n’omusawo wo ku bulabe bw’akawuka ka JC ne PML.
- Bw’oba olina ekibuuzo kyonna oba ky’obuusabuusa ku nsonga eno, ekisinga obulungi kwe kwogera n’omusawo wo ku nsonga eno mu ngeri etegeerekeka obulungi n’otegeezebwa.
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