Ofuna obulumi obw’amaanyi mu magulu naddala ng’otambula akabanga akatono? Obulumi bukendeera oluvannyuma lw’akaseera ate n’oddamu ng’otambula? Oba ofuna okuzimba mu magulu, oba okuwona mpola oluvannyuma lw’okufuna obuvune? Buno si bubonero bwa kubuusa maaso. Bino biyinza okuva ku misuwa gy’omusaayi mu magulu go okufunda mpolampola. Leero, twogera ku bujjanjabi obuyitibwa ‘Leg Revascularization’.
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Okuzzaawo emisuwa gy’amagulu kye ki?
Mu ngeri ennyangu, kino kiva ku kuggyawo okuzibikira oba okuzibikira kwonna mu misuwa (emisuwa) mu magulu go n’okusobozesa omusaayi okuddamu okutambula obulungi. Kiba ng’okuyonja payipu y’amazzi ezibiddwa n’oleka amazzi okuddamu okukulukuta.
Ekisinga okuvaako embeera eno y’embeera eyitibwa obulwadde bw’emisuwa egy’okumpi , oba Obulwadde bw’emisuwa egy’okumpi (PAD). Kino we wabaawo amasavu nga kolesterol bwe gakuŋŋaana munda mu misuwa, ne gakendeeza mpolampola okutambula kw’omusaayi. Okujjanjaba kino, abasawo basobola okukozesa enkola zombi ez’emisuwa n’okulongoosa mu lwatu.
Bujjanjabi buno bwe buruwa?
Enkola y’obujjanjabi omusawo gy’alonda eyinza okwawukana okusinziira ku mbeera gy’olimu. Waliwo enkola enkulu eziwerako ezikozesebwa.
| Enkola y’obujjanjabi | Mu ngeri ennyangu, kino kye kibaawo. |
|---|---|
| Okulongoosa emisuwa | Akapiira akatono kayingizibwa mu musuwa oguzibiddwa ne kafuuwa. Olwo oluwuzi lw’amasavu oluzibiddwa ne lunyiga ku bbugwe w’omusuwa, ne luddamu okugaziya ekkubo ly’omusaayi ogukulukuta. |
| Okuteeka stent ) . | Ekikolebwa mu kino kwe kuteeka akatundu akatono ak’ekyuma akalinga akatimba munda mu musuwa oluvannyuma lw’okulongoosebwa emisuwa okukuuma omusuwa obutaddamu kugwa. |
| Okuggyamu emisuwa | Mu kino, ekyuma ekirina ekiso oba ekitangaala kya layisi kiyisibwa mu ttanka entono ne kisenya oluwuzi lw’amasavu (plaque) oluzimba munda mu musuwa. |
| Okulongoosa okuyita mu bypass | Okutondawo ekkubo eppya omusaayi okutambula okwetooloola omusuwa oguzibiddwa. Kino osobola okukikola ng’okozesa omusuwa oguggyiddwa mu kitundu ekirala eky’omubiri gwo oba ekyuma ekikolebwa (artificial tube) (graft). |
| Okusalako endarterectomy | Kino kiringa katono okuggyamu emisuwa, naye ekikolebwa wano kwe kusala olususu, okuggyamu omusuwa oguzibiddwa, n’okulongoosa okuggyamu amasavu agali munda. |
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Ani eyeetaaga obujjanjabi buno?
Si buli muntu alina PAD nti ajja kwetaaga okulongoosebwa. Mu biseera ebisooka, obubonero busobola okuddukanyizibwa ng’olekera awo okunywa sigala, ng’omira eddagala omusawo ly’akulagidde, n’okutambula buli lunaku .
Wabula singa obubonero buba bwa maanyi nnyo, ekitegeeza nti olina obulumi mu magulu ne bw’oba oyimiridde, oba bw’oba n’ebiwundu mu kugulu ebitawona, embeera eyo tugiyita (Critical Limb Ischemia). Mu mbeera ng’eyo, okulongoosebwa oba obujjanjabi obwogeddwako waggulu bwetaagibwa nnyo. Singa tekikolebwa, omusaayi ogukulukuta okutuuka ku kigere guyinza okuyimirira ddala, era ekigere kiyinza n’okukiggyamu.
Ekisinga obukulu kwe kulaba omusawo okuzuula ekituufu ekivaako, okusinga okulowooza nti obulumi bw’amagulu buzibu bwa mugongo gwokka.
Oteekateeka otya nga tonnafuna bujjanjabi?
Omusawo wo ajja kuteesa naawe ku bujjanjabi obusinga obulungi gy’oli. Kino kijja kusinziira ku bintu bingi omuli obuzibu bw’embeera yo, ekifo we wazibikira, n’embeera endala yonna ey’obujjanjabi gy’oyinza okuba nayo.
Nga tannafuna bujjanjabi, omusawo ajja kukukebera, akubuuze ku byafaayo by’obujjanjabi bwo, era alagire okukeberebwa.
- Okukebera omusaayi (Lab tests) .
- Sikaani ya Ultrasound (Eddoboozi ery'amaanyi)
- Okukebera ECG (Electrocardiogram) .
- CT angiogram (Ekifaananyi ky’omusaayi mu kompyuta (CT)
- MR angiogram (Ekifaananyi ky’emisuwa eky’okuwuuma kwa magineeti)
- Okukebera emisuwa
Ojja kuweebwa amagezi okulekera awo okulya n’okunywa okumala essaawa ntono nga tonnafuna bujjanjabi, emirundi mingi oluvannyuma lw’ekiro. Nate,Okulekera awo okukozesa taaba kikulu nnyo okusobola okutuuka ku buwanguzi. Okusinziira ku magezi g’omusawo, era kiyinza okwetaagisa okulekera awo okumira eddagala erimu okumala akaseera. Tokola kintu kyonna ku bino nga tolina magezi ga musawo.
Kiki ekibaawo oluvannyuma lw’okujjanjabwa era kitwala bbanga ki okuwona?
Oluvannyuma lw’okujjanjabwa, ojja kwetaaga okugalamira ku kitanda okumala essaawa ntono. Abakozi mu ddwaaliro bajja kukulondoola era bakuwe eddagala lyonna eryetaagisa. Bayinza okuddamu sikaani ze wakola emabegako okulaba oba emisuwa gyo gizzeemu okuzibikira.
Ebiseera by’okuwona byawukana okusinziira ku bujjanjabi bwe wafuna:
- Angioplasty oba atherectomy: Oluvannyuma lw’okulongoosebwa mu ngeri entonotono nga eno, otera okumala olunaku nga lumu mu ddwaaliro era osobola okuwona mu bujjuvu mu wiiki nga emu.
- Okulongoosa okuyita mu ddwaaliro: Okuva bwe kiri nti kuno kulongoosa kwa maanyi, ojja kwetaaga okubeera mu ddwaaliro okumala ennaku ntono. Kiyinza okutwala wiiki nga 6 ku 8 okuwona mu bujjuvu.
Ebintu ebiyinza okuleeta akabi ne ddi lw’olina okulaba omusawo mu bwangu
Nga bwe kiri ku bujjanjabi bwonna, waliwo akabi akayinza okuvaamu. Ng’ekyokulabirako, emikisa emitono egy’okuvaamu omusaayi, okukwatibwa obuwuka, okuzimba omusaayi, n’okufuna obuzibu ku mutima. Naye bino emirundi mingi bisobola okufugibwa. Omusawo wo ajja kukunnyonnyola bino byonna.
Bw’oba olina obubonero buno wammanga, olina okuyita omusawo mu bwangu:
- Ekiwundu ekiri mu kifo we balongoosezza kifuuka kya yinfekisoni oba okufuukuuka.
- Okuvaamu omusaayi obutasalako.
- Okumyuuka, okuzimba oba okulumwa ennyo mu kifo ekiwundu we kiri.
- Omusujja oba okuwunya.
- Obulumi mu kifuba.
- Okuzimba oba okukaluubirirwa okutambuza ekigere ekijjanjabiddwa.
Omugaso ogusinga obunene mu bujjanjabi buno kwe kuba nti obulumi bw’amagulu bwo bujja kuba buweddewo, omutindo gw’obulamu bwo gujja kutereera, era ojja kuwona akabi ak’entiisa ak’okufiirwa ekigere.
Obubaka Obutwala Awaka
- Obulumi ng’otambula, okuzirika, n’ebiwundu ebitawona mu magulu go biyinza okuba obubonero bw’obulwadde bw’emisuwa egy’okumpi (PAD). Bino tobibuusa maaso.
- Leg Revascularization bujjanjabi obuddamu okuggulawo emisuwa egyazibiddwa n’okuzzaawo omusaayi mu magulu.
- Okusobola okukuuma ebivaamu okumala ebbanga eddene oluvannyuma lw’okujjanjabwa, kyetaagisa okulekera ddala okunywa sigala, okufuga kolesterol, n’okukola dduyiro buli lunaku .
- Wulira nga oli waddembe okubuuza omusawo wo ku bujjanjabi obusinga obulungi gy’oli n’akabi akalimu. Tolonzalonza kubuuza kibuuzo kyonna.
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