Ojjukira enneewulira eyo ey’ekyewuunyo gy’ofuna oluvannyuma lw’okukola dduyiro ennyo, oba ng’omaze okuzuukuka ng’owulira nga tolina bulungi? Okwo okuwulira okuzirika mu bitundu byo, ebinywa ebiruma. Ensonga emu lwaki kino eyinza okuba nga y'okuzimba ekintu ekiyitibwa "lactic acid" mu mubiri gwo okumala akaseera. Ebiseera ebisinga, kino kigenda oluvannyuma lw’akaseera. Naye oluusi tekibaawo. Ekyo kyetugenda okwogerako leero.

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Ddala Lactic Acid kye ki?

Mu ngeri ennyangu, asidi wa lactic ddagala erikolebwa obutoffaali bw’omubiri gwaffe naddala obutoffaali bw’ebinywa n’obutoffaali obumyufu. Kikolebwa emibiri gyaffe bwe gikyusa emmere gye tulya okugifuula amaanyi. Enkola eno eyanguwa naddala ng’omubiri tegulina mukka gwa oxygen gumala. Lowooza ku kino, bw’odduka amangu oba bw’ositula obuzito obuzito, omubiri gwo gwetaaga amaanyi mangi mu bwangu. Mu kiseera ekyo, omukka gwa oxygen gwokka guyinza obutamala kussa. Mu biseera ng’ebyo, omubiri gwaffe gukozesa enkola endala okukola amaanyi. Asidi wa lactic akolebwa ng’ekiva mu kino. Mu budde obwabulijjo, tewali buzibu bwonna. Bw’omala okukola dduyiro, oba bw’owona obulwadde, ekibumba kyaffe n’ensigo bikolagana ne biggyawo asidi ono asusse ne bifuuka glucose asobola okuddamu okukozesebwa ng’amaanyi. Enkola ya bulijjo mu mubiri.

Naye singa olw’ensonga ezimu asidi ono ayitibwa lactic acid azimba mu kifo ky’okuggyibwa mu mubiri, kiyinza okuba embeera ey’akabi.

Embeera ey’akabi eyitibwa lactic acidosis

Omuwendo gwa asidi wa lactic mu musaayi gwaffe bwe gufuuka ogw’akabi , asidi (pH) mu musaayi akyuka. Kino kye tuyita lactic acidosis mu ddagala. Kino bwe kitajjanjabwa mangu, kiyinza okuviirako omutima okulemererwa, ebitundu by’omubiri okulemererwa, okuzirika, n’okufa. Waliwo obubonero obukulu obuwerako obuyinza okulabibwa mu mbeera eno.

Obubonero obukulu obw’obulwadde bwa lactic acidosis bwe butategeera (coma) mu mbeera ez’amaanyi.

Obunafu bw’ebinywa obuyitiridde	Okwongera ku sipiidi y’okussa
Okusesema	Okutuuyana ekisusse

Omusawo awandiika okukebera kuno ku ssaawa mmeka?

Bw’oba olina obubonero obumu obuyinza okulaga nti olina asidi wa lactic mungi, omusawo ayinza okukuwa amagezi okukebera omusaayi guno. Buno bwe bubonero obuyinza okulaga nti waliwo ekizibu ng’ekyo.

Obubonero	Okunnyonnyola
Okukoowa okuyitiridde	Okuwulira nga tolina ky’osobola kukola nga tolina ky’osobola kukola.
Okuziyira n’okusiiyibwa	Okuziyira n’okusiiyibwa ng’olubuto luluma.
Omutima okukuba amangu n’okussa	Okuwulira ng’omutima gwo gukuba mangu ate n’okussa kwo kweyongera.
Okufuuka okwa kyenvu kw’olususu	Okufuuka okwa kyenvu kw’olususu n’amaaso (nga mu musujja gwa kyenvu).
Ebintu ebirala ebirimu	Okunyiga ebinywa, obunafu, okutabulwa , obutakola musulo, okukaluubirirwa okutambula

Bw’oba olina obubonero buno, olina okugenda ew’omusawo mu bwangu . Ye ajja kusalawo oba weetaaga okukeberebwa kuno oba nedda.

Kiki kye tuyinza okuyigira ku lipoota y’okugezesebwa?

Kino kyangu nnyo okukebera omusaayi. Omusaayi omutono guggyibwa mu musuwa gwo, oba oluusi okuva mu musuwa. Tekitera nnyo, ttaapu y’omugongo nayo esobola okukolebwa okukebera amazzi g’omu bwongo.

Omutendera ogwa bulijjo

Singa lactic acid mu musaayi gwo eba ya bulijjo (nga wansi wa 2 mmol/L), kitegeeza nti tolina lactic acidosis. Kino kitegeeza nti obutoffaali bwo bufuna omukka gwa oxygen ogumala, era ekibumba n’ensigo bikola bulungi. Obubonero bwo buyinza okuba nga buva ku kintu ekirala. Omusawo ajja kulagira okukeberebwa okulala okuginoonya.

Omutendera ogwa waggulu

Singa asidi wo eya lactic eba waggulu okusinga eya bulijjo (okusukka 2 mmol/L), wayinza okubaawo ensonga nnyingi ezikuviirako.

Omutindo wakati wa 2-4 mmol/L gutwalibwa nga guli waggulu katono (hyperlactemia).
Omutindo ogusukka 4 mmol/L gutwalibwa ng’ogw’amaanyi.

Zino ze zimu ku nsonga enkulu lwaki asidi wa lactic yeeyongera:

Embeera omubiri mwe tegufuna mukka gwa oxygen gumala :
Sepsis , yinfekisoni ey’amaanyi
Omutima okulwala
Omutima okulemererwa okuzimba
Obulwadde bw’amawuggwe obw’amaanyi
Okukendeera kw’omusaayi okw’amaanyi (omuwendo gw’obutoffaali obumyufu obutono) .

Ebizibu ebikwata ku nkyukakyuka y’emmere:
Obulwadde bw’ekibumba
Obulwadde bw’ekibumba
Ssukaali atafugibwa
Kookolo w’omusaayi (Leukemia) .
Obuzibu mu kunywa omwenge
Embeera nga siriimu oba mukenenya
Obutabeera na vitamiini B1

Kiki eky’okukola singa asidi wa lactic abeera mungi?

Kino kye kintu ekisinga obukulu. Singa lipoota yo eraga nti asidi wa lactic ali waggulu, tosattira. Omusawo wo ajja kuzuula ddala ekibuleeta.

Ekikulu tomala gajjanjaba mutindo gwa asidi wa lactic. Ojjanjaba embeera eyaliwo eyavaako omutindo ogwa waggulu.

Okugeza, singa ekivaako yinfekisoni ey’amaanyi, eddagala eritta obuwuka lijja kuweebwa. Singa ekivaako ssukaali, obujjanjabi bujja kutandikibwawo okubufuga. Ekivaako ekizibu kino bwe kijjanjabwa, asidi wa lactic ajja kudda mu mbeera eya bulijjo. Okugatta ku ekyo, okusinziira ku mbeera y’omulwadde, obujjanjabi obuwagira nga omunnyo mu misuwa (amazzi ga IV) ne oxygen nabyo buweebwa. Singa embeera eyo eva ku ddagala eritali limu, omusawo ayinza okusalawo okukyusa eddagala eryo.

Obubaka Obutwala Awaka

Lactic acid kintu kya bulijjo ekizimba mu mubiri nga tukola dduyiro, naye emiwendo gyayo bwe giyitiridde (lactic acidosis), eba mbeera ya maanyi.
Bw’ofuna obubonero ng’okukoowa ennyo, okussa amangu, okusesema oba okunyiga ebinywa, funa amagezi g’omusawo.
Okukebera omusaayi gwa lactic acid kwekebeza omusaayi okwangu okukozesebwa okuzuula embeera eno.
Singa asidi wa lactic abeera waggulu, ekisinga obukulu kwe kuzuula ekivaako n’okujjanjaba embeera gy’olina.
Togendangako kujjanjabibwa ku bubwo. Bulijjo goberera ebiragiro by’omusawo wo .