Lacunar Stroke kye ki? Ka tukyogereko mu ngeri ennyangu!

Olwaleero tugenda kwogera ku mbeera ey’amaanyi ekulu ennyo okubeera n’obwegendereza. Oyinza okuba nga wali owuliddeko ku stroke. Ekimu ku bika bya stroke ebisinga okubeerawo ye lacunar stroke. Mu ngeri ennyangu, eno mbeera ebaawo ng’ekizimba ky’omusaayi kikoleddwa mu musuwa omutono ennyo mu bwongo. Kifaananako ne payipu y’amazzi ezibiddwa nga eyimiriza okutambula kw’amazzi.

Lacunar stroke ebaawo ng’omusaayi ogugenda mu musuwa omutonotono munda mu bwongo guyimiridde, oba ne guzibikira omusaayi oguzimba, ne gwonoona ekitundu ekyo eky’obwongo. Kino kika kya stroke ekiyitibwa ischemic stroke . Abasawo oluusi bakiyita lacunar infarction. Ekigambo ‘infarction’ kitegeeza nti ekitundu mu mubiri bwe kifiirwa omusaayi, ekitundu ekyo kifa. Stroke kye kintu kyonna ekitaataaganya okutambula kw’omusaayi mu bwongo.

Eno mbeera ya mangu ey’obujjanjabi etta obulamu , okufaananako n’akabenje. Kale bw’oba ​​ggwe oba omuntu gw’omanyi alina obubonero bw’okusannyalala, kuba 911 (oba ennamba y’amangu mu kitundu kyo) mu bwangu . Gy’okoma okutuuka amangu mu ddwaaliro n’otandika obujjanjabi, emikisa gyo egy’okutaasa obulamu gye gikoma okubeera emirungi. Buli sikonda ebalwa.

Bubonero ki obulaga nti omuntu alina obulwadde bwa lacunar stroke?

Obubonero bwa lacunar stroke bufaanagana nnyo n’ebika ebirala ebya ischemic stroke. Ekimu oba ebisingawo ku bino biyinza okubaawo omulundi gumu:

• Okuwulira obunafu oba okuzirika ku ludda olumu olwa ffeesi n’omubiri.
• Okukaluubirirwa okwogera, okukuba ebigambo ebisongovu, n’oluusi okufiirwa ddala okwogera (kino tukiyita ‘aphasia’ ).
• Okwogera okutali kwa maanyi, okusiwuuka empisa (kino kiyitibwa ‘dysarthria’ ).
• Okufiirwa okufuga ebinywa ku ludda olumu olwa ffeesi (nga akamwa okusimbulwa ku ludda olumu).
• Okunafuwa oba okufiirwa okw’amangu kw’obusimu bwaffe obumu oba obusingawo ku butaano (okulaba, okuwulira, okuwunyiriza, okuwooma, okukwata).
• Okulaba okuzibu, okulaba emirundi ebiri ( diplopia ).
• Okufiirwa bbalansi n’obutasobola kufuga bitundu by’omubiri, ng’omuntu atamidde ( ‘Ataxia’ ).
• Okuwulira ng’oziyira oba ng’oziyira.
• Okuziyira n’okusiiyibwa.

Bw’oba ​​oteebereza nti ofunye stroke, jjukira enkola eno eya ‘BE FAST’!

Kiyamba okujjukira ennukuta zino ez’Olungereza ezitegeeza ‘BE FAST’ okumanya amangu oba ggwe oba omuntu wo afuna obubonero obulabula obw’okusannyalala. Ka tulabe kiki kye bali:

• B for Balance: Laba oba ofiirwa balance yo mu bwangu. Okaluubirirwa okuyimirira oba okutambula?
• E ku Maaso: Laba oba waliwo okubulwa okulaba okw’amangu, okuzibikira oba okukyuka mu liiso erimu oba gombi.
• F for Face: Basabe bamwenya. Laba oba oludda olumu oba zombi eza ffeesi zaabwe zirabika nga zigwa. Akamwa kaabwe kasika ku ludda lumu?
• A for Arms: Basabe okusitula emikono gyombi. Singa guba gwa stroke, omukono ogumu guyinza okugwa wansi nga teguli waggulu nga omulala.
• S for Speech: Kebera oba owuguka, osiwuuka, oba okaluubirirwa okufuna ebigambo ebituufu ng’oyogera. Osobola okwogera obulungi ng’osabiddwa okwogera sentensi ennyangu?
• T for Time: Ebiseera bye bikulu! Bw’olaba obubonero buno bwonna , noonya obuyambi mu bwangu, ekitegeeza okukuba ku ssimu 1990. Bwe kiba kisoboka, weetegereze ekiseera obubonero bwo we bwatandikira ng’otunuulira essaawa yo oba essimu yo. Okubuulira omusawo ddi obubonero bwo lwe bwatandika kiyinza okumuyamba okusalawo obujjanjabi obusinga okukuyamba.

Ka tuyige ne ku 'Mini-Stroke'?

Oluusi ‘Transient Ischemic Attack’ oba ‘TIA’ esobola okubaawo. Abantu abamu era kino bakiyita ‘Mini-Stroke’. Kino kiba ng’olina obubonero obufaananako n’okusannyalala, naye nga bugenda oluvannyuma lw’ekiseera ekitono (ebiseera ebisinga mu ssaawa 24). Kyokka, kuno kulabula kwa maanyi nti okusannyalala okwa nnamaddala kuyinza okuba nga kujja mu bbanga ttono. Omuntu abadde n’obulwadde bwa TIA naye yeetaaga okujjanjabibwa mu bwangu. Si kirungi kumala kukibuusa maaso.

Kiki ekivaako obulwadde bwa lacunar stroke?

Lacunar strokes, nga bwe nnagambye emabegako, eva ku kuzimba omusaayi okuziba akasuwa akatono mu bwongo bwo. Ebitundu bino eby’obwongo bye bibeera ebifo ebikulu ebifuga obusimu bwaffe (enneewulira, okulaba, n’ebirala) n’entambula, gamba nga Basal Ganglia ne Thalamus .

Waliwo embeera z’obulamu eziwerako eziyinza okuvaako okuzimba omusaayi ne kivaako okusannyalala kw’omusaayi (lacunar stroke). Okugeza nga:

• Puleesa (Hypertension): Kino kye kisinga era ekisinga okuleeta akabi . Bw’oba ​​okimanyi nti puleesa yo eri waggulu, kyetaagisa okugifuga.
• Kolesterol omungi mu musaayi (Hyperlipidemia): Kolesterol ‘omubi’ bw’agenda yeeyongera, asobola okuteekebwa munda mu misuwa n’agiziba.
• Obuzibu mu kuzimba omusaayi: Abantu abamu balina omuze gw’omusaayi gwabwe okuzimba amangu.
• Obulwadde bwa COVID-19: Kino era kiyinza okwekuusa ku kuzimba omusaayi mu mbeera ezimu.
• Yinfekisoni ezisaanyaawo ebitundu by’omubiri: Okugeza, mu yinfekisoni ey’amaanyi nga sepsis , ebitundu by’ebitundu ebifu bisobola okukuŋŋaanyizibwa mu musaayi ne bigenda mu bwongo ne bisula.

Jjukira nti puleesa y’asinga okulwala obulwadde bwa lacunar stroke. Yogerako n’omusawo wo ku puleesa yo era fuba okugikuuma ku mutindo omulamu.

Ani ali mu bulabe obw’amaanyi obw’okulwala obulwadde bwa lacunar stroke?

Omuntu yenna asobola okufuna obulwadde bwa lacunar stroke, naye abantu abamu bali mu bulabe bwa maanyi. Mu bino mulimu:

• Abantu abasukka mu myaka 65.
• Abantu ab’ekika ky’Abaddugavu (kino kiyinza okuba nga kyekuusa ku nsonga z’obuzaale n’eby’enfuna n’embeera z’abantu).
• Abantu abanywa sigala oba abakozesa ebintu ebirala ebirimu nicotine (e.g. vaping).
• Abantu abakozesa ebiragalalagala.

Ate era, abantu abalina embeera z’obujjanjabi ezimu bali mu bulabe bwa maanyi:

• Abantu abalina enkyukakyuka mu buzaale mu buzaale bwa ‘NOTCH3’ (kino kikwatagana n’embeera etali ya bulijjo eyitibwa CADASIL).
• Abantu abalina obuzibu mu nnyimba z’omutima nga atrial fibrillation (ekiyinza okuvaako okuzimba omusaayi mu mutima).
• Obuzibu mu kunywa omwenge.
• Ku abo abalina ‘atherosclerosis’, obulwadde ebisenge by’emisuwa mwe bifuuka ebigonvu ne bikaluba.
• Ssukaali (Obulwadde bwa sukaali).

Abasawo bazuula batya mu butuufu obulwadde bwa lacunar stroke?

Omusawo ajja kuzuula oba olina obulwadde bwa lacunar stroke ng’atunuulira obubonero bwo, ng’akola okukeberebwa kw’obusimu , okukeberebwa omubiri, n’okukeberebwa ebirala ebiwerako eby’enjawulo. Singa otwalibwa mu kisenge ky’abalwadde ab’amangu, abasawo abaliyo basobola okuzuula obulwadde buno.

Abasawo bakozesa okukeberebwa nga kuno okukakasa nti ofunye obulwadde bwa lacunar stroke:

• Okukebera omusaayi: Kebera ebintu ng’obuzibu mu kuzimba omusaayi, ssukaali, ne kolesterol.
• CT scan: Kino kisobola okuzuula amangu omusaayi oba okuzibikira kw’omusuwa ng’okwata ebifaananyi by’obwongo.
• EEG (Electroencephalogram): Ekebera amasannyalaze g’obwongo (kiyinza okwetaagisa mu mbeera ezimu).
• ECG (Electrocardiogram): Kebera oba omutima tegukuba bulungi n’obubonero bw’okulwala omutima.
• MRI: Kino kiyinza okuvaamu ebifaananyi ebitegeerekeka obulungi era ebikwata ku bwongo. Kino kikulu nnyo mu kwekenneenya obulungi obwongo obwonooneddwa olw’okusannyalala.

Bujjanjabi ki obuweebwa obulwadde bwa lacunar stroke?

Ekisinga obukulu ng’ojjanjaba obulwadde bwa lacunar stroke kwe kuzzaawo omusaayi mu bwongo mu bwangu nga bwe kisoboka. Kino abasawo bakikola mu bwangu nga bwe kisoboka kubanga kikendeeza ku bulabe bw’okwonooneka kw’obwongo obw’olubeerera n’okufa.

Waliwo enkola bbiri enkulu ez’obujjanjabi:

• Thrombolytic therapy: Lino ddagala erisaanuusa ebizimba omusaayi. Zisinga kuweebwa mu ssaawa nnya n’ekitundu ng’obubonero butandise, kubanga singa ziweebwa oluvannyuma, wabaawo obulabe obw’amaanyi obw’okuvaamu omusaayi ogw’akabi munda mu mubiri.
• Mechanical thrombectomy: Eno nkola ya kulongoosa okuggyako omusaayi oguzimba. Omusawo alongoosa ayingiza akapiira akatono akagonvu (catheter) mu musuwa awalala mu mubiri gwo n’aguyingiza mu kisenge ky’omusaayi mu bwongo bwo. Olwo ekizimba kino kisonseka omulundi gumu oba okumenyekamu ebitundutundu ne kisonseka. Kyokka mu kusannyalala kungi okw’amayinja, omusuwa ogukoseddwa guyinza okuba omutono ennyo okusobola okusalako thrombectomy eno. Omusawo wo n’omusawo akulongoosa bajja kukubuulira ekisinga obulungi ku mbeera gy’olimu.

Ng’oggyeeko kino, oyinza okwetaaga obujjanjabi obulala:

• Eddagala eriweweeza ku musaayi: Eddagala eriweweeza ku kuzimba omusaayi liziyiza omusaayi gwo okuzimba amangu. Bino era biyinza okuweebwa oluvannyuma lw’okujjanjaba obutoffaali obukola omusaayi (thrombolytic therapy).
• Okufuga puleesa: Abasawo bakuwa eddagala okufuga puleesa n’okugikuuma ku mutindo ogutaliiko bulabe.

Okuddaabiriza kikulu oluvannyuma lw’okusannyalala?

Yee, ddala! Okuddaabiriza kitundu kikulu nnyo mu bujjanjabi oluvannyuma lw’okusannyalala. Obujjanjabi buno obw’okuddaabiriza bukuyamba okumanyiira enkyukakyuka ezituuse ku bwongo n’omubiri gwo olw’okusannyalala. Oyinza okwetaaga obuyambi okuddamu okufuna obusobozi bwe walina nga tonnafuna stroke, oba okumanyiira okubeera n’obulemu obupya. Oyinza okwetaaga emu oba okugatta ku bujjanjabi buno:

• Obujjanjabi bw’okwogera: Kino kiyinza okuyamba okutumbula obukugu bwo mu lulimi, engeri gy’oyogeramu, n’okufuga ebinywa ebikuyamba okwogera, okussa, okulya n’okumira. Eddagala eriweweeza ku buwuka obuleeta obulwadde bwa ‘platelet’ litera okwetaagisa oluvannyuma lw’okusannyalala (lacunar stroke).
• Obujjanjabi bw’omubiri: Kino kiyinza okuyamba okunyweza ebinywa byo, okulongoosa bbalansi yo, n’okuddamu okukozesa emikono n’amagulu.
• Obujjanjabi bw’emirimu: Kino kikuyamba okukola emirimu gyo egya bulijjo mu ngeri ey’obukuumi naddala emirimu egyetaagisa okutambula obulungi (e.g., okulya, okwambala, okuwandiika).
• Cognitive rehab: Kino kiyamba okulongoosa okujjukira kwo, okufaayo kwo, n’obusobozi obulala obw’omutwe.

Obulamu bwe bumala oluvannyuma lw’okusannyalala mu ngeri ey’ekibogwe (lacunar stroke)? Kisoboka okudda engulu mu bujjuvu?

Omuwendo gw’abantu abawona okusannyalala gweyongera, olw’obujjanjabi obulongooseddwa, obw’amangu. Naye kizibu okugamba mu butuufu oba waliwo enteekateeka y’okudda engulu oba entunula emu.

Lacunar strokes (n’ebika ebirala ebya ‘ischemic strokes’) okutwalira awamu biba n’omuwendo omunene ogw’okuwangaala okusinga hemorrhagic strokes , eziva ku kuvaamu omusaayi mu bwongo. Naye ekyo tekitegeeza nti ojja kuwangaala okusinga abalala.

Omubiri gwa buli muntu guddamu mu ngeri ya njawulo ng’afunye stroke. "Okudda engulu mu bujjuvu" kye kitegeeza gy'oli kiyinza okuba eky'enjawulo ku kye kitegeeza eri omuntu omulala. Oyinza okuddamu okukola mu bujjuvu obwongo n’omubiri gwo, naye era oyinza okufuna obulemu obupya oba obw’enjawulo oluvannyuma lw’okusannyalala mu ngeri ey’ekibogwe.

By’oyinza okusuubira bisinziira ku bintu ebiwerako:

• emyaka gyo.
• Engeri stroke gye yajjanjabwa amangu.
• Obulamu bwo okutwalira awamu.

Abantu abasinga batwala emyezi egiwerako okuwona. Omusawo ajja kukubuulira ky’osuubira. Ajja kukuyamba okuteekawo ebiruubirirwa byo eby’okudda engulu n’ebisuubirwa byo okusinziira ku bulamu bwo.

Obulwadde bwa lacunar stroke busobola okuziyizibwa?

Yee, nnyo! Okukuuma obulamu obulungi okutwalira awamu y’engeri esinga okuziyiza okusannyalala kw’obulwadde bwa lacunar stroke. Gezaako okukola ebintu bino:

• Puleesa yo, kolesterol, n’embeera endala ez’obujjanjabi (e.g., ssukaali) zikuume nga zifugibwa. Eddagala lyo limira nga omusawo bw’akulagidde.
• Lya nnyo emmere ennungi (enva endiirwa, ebibala, ebinyeebwa, n’ebiwuziwuzi). Kuuma obuzito obulungi obukukwatako.
• Bw’oba ​​onywa sigala, lekera awo. Weewale ebintu ebirala ebirimu nicotine.
• Funa dduyiro w’omubiri buli kiseera. Kola ekintu ng’okutambula okumala waakiri eddakiika 30 olunaku.

Weekebere omusawo buli mwaka (oba ng’omusawo bw’akugamba). Endwadde n’ebizibu bingi ebiyinza okuvaako okusannyalala mu lacunar bikula mpolampola okumala ekiseera. Oyinza obutalaba bubonero bwonna. Omusawo asobola okukuyamba okutegeera obubonero buno obulabula nga bukyali n’okukuyamba okubuddukanya.

Nkola ntya okwerabirira oluvannyuma lw’okusannyalala?

Okudda engulu okuva mu stroke n'okuyita mu nteekateeka z'okuddaabiriza si kyangu, mulimu munene. Ggwe n’omusawo bwe mumala okukola enteekateeka y’obujjanjabi, gigoberere bulungi nga bwe kisoboka. Okutwalira awamu, olina okukola bino wammanga:

• Eddagala lyo limira ddala nga bwe likulagiddwa. Kino kikulu nnyo naddala bw’oba ​​omira eddagala eriweweeza ku musaayi. Kikulu okukendeeza ku bulabe bw’okuzimba omusaayi mu biseera eby’omu maaso, era okumira eddagala lyo ng’omusawo bw’akulagidde kijja kuyamba omubiri gwo okuwona.
• Kuuma essaawa zo ez’okuddaabiriza n’obujjanjabi obulala. Buulira omusawo wo oba waliwo ekikuleetera okuwulira nga tolina mirembe oba nga tolina bukuumi. Okuddaabiriza mulimu gwa maanyi, naye tolina kubeera mu bulumi oba obutabeera bulungi buli kiseera.
• Naawe lowooza ku bulamu bwo obw’omutwe.Okwennyamira n’okweraliikirira bitera okubaawo oluvannyuma lw’okusannyalala. Obulamu bwo obw’omutwe bukulu nnyo ng’obulamu bwo obw’omubiri. Okuwulira ennaku oba okweraliikirira tekikufuula munafu oba okulemererwa. Bw’oba ​​owulira ng’ekintu ekikuyitiriddeko mu kiseera ky’okuwona, yogerako n’omusawo wo oba omukugu mu kubuulirira ku bulamu bw’obwongo .

Mmere ki n’ebyokunywa bye nnina okwewala?

Omusawo ayinza okukuwa amagezi okwongera oba okuggya emmere ezimu mu mmere yo. Era ayinza okukuwa amagezi okukola enkyukakyuka entonotono mu nkola yo eya bulijjo okuyamba okuddukanya embeera zo ez’obujjanjabi n’/oba okukendeeza ku bulabe bw’okulwala omusaayi mu biseera eby’omu maaso oluvannyuma lw’okusannyalala mu ngeri ey’ekibogwe.

Emmere okutwalira awamu eweebwa amagezi okwewala ze zino:

• Omwenge
• Ebyokunywa ebirimu caffeine (kyandibadde kirungi singa osobola okukendeeza ku caayi ne kaawa)
• Emmere erimu sukaali omungi (emmere enwoomu, ebyokunywa) .
• Emmere erimu omunnyo omungi (sodium) (kendeeza omunnyo mu mmere, weewale emmere erongooseddwa erimu omunnyo omungi)
• Emmere ensiike
• Emmere erongooseddwa ennyo (e.g. sosegi, ennyama, emmere epakibwa) .

Ddi lwe nneetaaga okuddamu okugenda mu kitongole ky’abalwadde ab’amangu (ETU) ?

Bw’oba ​​owulira ng’ofunye stroke endala, kuba 911 (oba ennamba yo ey’amangu mu kitundu kyo) mu bwangu. Stroke endala etera okuleeta ebizibu eby’amaanyi n’okufa. Tolwawo kunoonya buyambi oba okugenda mu kisenge ky’abalwadde ab’amangu.

Abantu ababadde bafunye obulwadde bwa lacunar stroke bali mu bulabe obw’okufuna ebizibu eby’amaanyi ennyo. Okugeza nga:

• Deep Vein Thrombosis (DVT) (omusaayi okuzimba mu misuwa emiwanvu egy’amagulu) .
• Omutima okulwala
• Obulwadde bw’ekifuba
• Pulmonary embolism ( okuzimba omusaayi mu musuwa mu mawuggwe) .
• Okukonziba

Bw’ofuna obubonero bw’ekimu ku bizibu bino, olina okukubira abajjanjabi ab’amangu oba okugenda mu kisenge ky’abalwadde ab’amangu mu bwangu.

Bibuuzo ki bye nnina okubuuza omusawo wange?

Bw’olaba omusawo, tolwawo kubuuza kibuuzo kyonna ky’olina. Bino bye bimu ku bintu by’oyinza okwagala okubuuza:

• ‘Wa ddala mu bwongo bwange we nnafuna obulwadde buno obw’ekika kya lacunar stroke?’.
• ‘Balwadde ki oba kizibu ki ekyaleeta kino?’.
• ‘Eddagala lya ngeri ki lye nneetaaga, era ndikozese ntya?’.
• ‘Nkyukakyuka ki ze nneetaaga okukola mu bulamu bwange obwa bulijjo?’
• ‘Nkole ki ekirala okunnemesa obulwadde bwa ssukaali obulala?’.
• ‘Enteekateeka yange ey’okuddaabiriza ejja kumala bbanga ki? Biki bye nsuubira okuvaamu?’.

N’ekisembayo, ebintu ebitonotono by’olina okujjukira

Lacunar stroke (era eyitibwa ‘lacunar infarct’) mbeera ekosa emisuwa emitonotono egy’omusaayi munda mu bwongo bwo, naye eyinza okukosa ennyo obulamu bwo. Eno y’ensonga lwaki kikulu okwekebejjebwa buli kiseera. Omusawo asobola okukuyamba okuzuula n’okuddukanya ebizibu by’obulamu (nga puleesa, kolesterol, ne ssukaali) eby’okwongera ku bulabe bw’okulwala obulwadde bwa ssukaali oluvannyuma lw’ekiseera. Yogerako n’omusawo wo ku ngeri ezisinga obulungi ez’okuddukanyaamu ensonga z’akabi z’ozudde.

Nga bw’odda engulu oluvannyuma lw’okusannyalala, tewerabira okujaguza wadde ennongoosereza entonotono z’okola. Ennaku ezimu oyinza obutawulira, naye obuwanguzi bwonna busaana okujaguza. Osobola okwenyumiriza mu mulimu omunene gw’oteeka mu kuddaabiriza kwo.

Nsuubira nti amawulire gano ga mugaso gy’oli. Sigala nga oli mulamu bulungi!

` Lacunar Stroke, Lacunar Infarct, Lacunar Infarct, Stroke, Okuzimba omusaayi, Puleesa, Obubonero bw'okusannyalala