Wali owuliddeko bw’otyo? Bw’ofukamira omutwe okusitula ekintu ekyagudde wansi, oba bw’omala okufukamira ensingo yo mu maaso, owulira obulumi obw’amaanyi obuwulira ng’amasannyalaze agakulukuta wansi mu mugongo. Kiba ng’amasannyalaze agakubwa. Wadde nga kigenda mu sikonda ntono, okuwulira kuno kutiisa katono. Ekyo kyetugenda okwogerako leero. Mu ngeri y’obusawo, akabonero kano kayitibwa Akabonero ka Lhermitte.
Ddala Akabonero ka Lhermitte kye ki?
Mu ngeri ennyangu, akabonero ka Lhermitte bulumi bwa maanyi obulinga obw’amasannyalaze obukukuba amasasi mu bwangu wansi mu mugongo, oluusi ne buyingira mu mikono n’amagulu, bw’ofukamira ensingo yo mu maaso. Kino kiyinza okubaawo ng’osesema oba ng’osesema. Obulumi bujja mu bwangu ne bugenda mu sikonda ntono. Naye kiyinza okubaawo emirundi egiwerako olunaku.
Oluusi omusawo wo kino ajja kukiyita ``barber chair phenomenon.'' Ensonga lwaki kino kibaawo eri nti emabega, abantu abamu baafuna obulumi obw'ekika kino nga bawanise emitwe mu maaso mu ntebe z'abasala enviiri nga bwe banaaba enviiri.
Naye jjukira nti akabonero kano akayitibwa Lhermitte’s Sign si ka bulabe oba okutta omuntu. Kyokka, kabonero kakulu akatuwa ku kintu ekigenda obubi munda mu mubiri gwaffe.
Lwaki tuwulira bwe tutyo? Ensonga eri etya?
Ensonga enkulu lwaki kino kiri bwe kityo eri nti waliwo okwonooneka kw’obusimu mu mugongo gwaffe. Mu busawo, okwonooneka kuno tukiyita ``ekiwundu'' oba ``enkovu''. Omusawo asobola okuzuula oba olina enkovu ng'eyo mu mugongo gwo ogwa nnabaana ng'akozesa sikaani ya ``MRI''.
Lowooza ku busimu bwaffe nga waya z’amasannyalaze. Waya zino zikuumibwa n’ekikuta ekikuuma (insulation). Ekikuta kino ekikuuma okwetooloola obusimu bwaffe kiyitibwa myelin. Ekikuta kino ekya myelin kye kisobozesa obubaka okuva mu bwongo okutambula amangu era mu butuufu okutuuka mu bitundu by’omubiri ebirala.
Singa olw'ensonga ezimu ekikuta kino ekya myelin kyonoonese, embeera eyitibwa ``demyelination,'' obusimu bufuuka obweyoleka. Mu kiseera ekyo, bw’ofukamira ekitundu ng’ensingo yo, obusimu obwonooneddwa busikirizibwa ne buweereza obubonero obw’obulimba obw’obulumi ku bwongo. Ekyo kye kituleetera okuwulira ng’amasannyalaze gatukubwa.
Mbeera ki ez’obujjanjabi eziyinza okuvaako Akabonero ka Lhermitte?
Ekisinga okuvaako obubonero buno era ekisinga okuvaako obulwadde buno bwe bulwadde bwa multiple sclerosis (MS). Okunoonyereza kuzudde nti abantu nga omu ku buli basatu abalina MS ajja kulaba akabonero ka Lhermitte waakiri omulundi gumu mu bulamu bwabwe.
Ng’oggyeeko ekyo, waliwo ensonga endala eziwerako eziyinza okuba nga zikosa kino. Omulongooti guno wansi gujja kwongera okunnyonnyola kino.
| Embeera/Ekivaako | Ennyinyonnyola ennyangu |
|---|---|
| Obulwadde bw’okusannyalala (MS) . | Buno bulwadde obukosa obusimu. Mu mbeera eno, abaserikale b’omubiri bennyini bwonoona ekikuta kya myelin okwetoloola obusimu. Kino kye kisinga okuvaako. |
| Obutabeera na vitamiini B12 | Vitamiini B12 yeetaagibwa nnyo okusobola okubeera n’obusimu obulungi. Omuwendo gwa B12 mu mubiri bwe guba wansi ennyo, obusimu buyinza okwonooneka. |
| Disiki efunye obuzibu (herniated disk). | Disiki eringa jelly wakati w’omugongo (amagumba) g’omugongo ebuguma, n’enyiga ku mugongo oba obusimu. Tutera okugamba nti "herniated disc." |
| Obulwadde bw’omumwa gwa nnabaana | Okunyigirizibwa kw’obusimu olw’okwambala n’okukutuka kw’omugongo n’ennyondo mu bulago n’emyaka. |
| Okunyigirizibwa kw’omugongo | Puleesa ku mugongo olw’ekizimba, akabenje oba ensonga endala. |
| Akawuka ka ssennyiga w’enkoko (Shingles) . | Mu mbeera ezimu akawuka akaleeta ekizimba kasobola okuddamu okukola ne kakosa obusimu. |
| Obujjanjabi bw’amasannyalaze oba eddagala (Radiation/Chemotherapy) . | Kino kiyinza okubaawo ng’ekizibu ekiva mu bujjanjabi bw’amasannyalaze ku kookolo naddala mu kitundu ky’ensingo. |
Biki ebivaako obulumi buno?
Obulumi buno buyinza okulabika mu bwangu olw’emirimu n’embeera ezimu.
- Okufukamira ensingo mu maaso: Kino kye kisinga okuvaako.
- Okukolola
- Okuyigga engo
- Okuwunya
Ate era, emikisa gy’akabonero kano okubaawo giri waggulu mu mbeera zino wammanga:
- Bwoba okooye (Tired) .
- Bw’oba olina situleesi
- Bw’oba okola dduyiro
- Bw’oba mu mbeera ey’ebbugumu
Kino omusawo akizuula atya era obujjanjabi bwe buruwa?
Tewali kukebera kwonna okukebera akabonero ka Lhermitte. Omusawo ajja kukitegeera amangu ddala ng’okyogerako. Ekigendererwa ky’omusawo ekikulu kwe kuzuula ekivaako obubonero obwo, kwe kugamba, embeera y’obujjanjabi erimu.
Olw’ekyo, .
- Omusawo ajja kukubuuza n’obwegendereza ku bubonero bwo.
- Okukeberebwa kw’omubiri kugenda kukolebwa. Okukebera nga Spurling test kuyinza okukolebwa okukebera oba obusimu bunyigirizibwa ekiyinza okuba nga kye kivaako obulumi mu bulago.
- Oyinza okusindikibwa okukeberebwa ebifaananyi, gamba nga MRI scan . Kino kiyinza okulaga bulungi oba waliwo ebiwundu, herniated disc, oba ebirala ebyonooneddwa ku mugongo.
Bwe kituuka ku bujjanjabi, obulumi buno obumala sekondi ntono, buyinza obuteetaagisa bujjanjabi bwa njawulo. Ekisinga obukulu kwe kujjanjaba ekizibu ekivaako obulwadde buno.
Okugeza nga:
- Singa ekivaako kiba kya MS, okugijjanjaba kijja kukendeeza ku kubeerawo kw’akabonero ka Lhermitte.
- Singa ekivaako kiva ku bbula lya vitamiini B12, okumuwa vitamiini B12 kiyinza okuwonya ddala embeera eno.
- Singa disiki eba efunye herniated, obujjanjabi obw’omubiri oba oboolyawo okulongoosebwa kiyinza okwetaagisa.
Okugatta ku ekyo, omusawo ayinza okukuwa amagezi bino wammanga okuyamba okuddukanya obulumi buno:
- Eddagala eriwonya obulumi mu busimu, okugeza `(Gabapentin)`.
- Ekyuma ekiziyiza ensingo kyambalibwa okukendeeza ku ntambula y’ensingo.
- Okusindikibwa ew’omusawo w’omubiri okukola dduyiro w’okuwummuza ebinywa n’okugolola.
Ddi lwe nnina okulaba omusawo?
Bw’owulira obulumi obulinga okukubwa amasannyalaze obwogeddwako waggulu naddala ng’ofukamidde ensingo, tobubuusa maaso.
- Eri ggweBw’oba owulira ekintu nga kino omulundi ogusoose mu bulamu bwo, mazima ddala laba omusawo.
- Bw’oba olina dda embeera nga MS, era obubonero buno bulabika nga bupya oba bweyongera, tegeeza omusawo wo.
- Singa obulumi buno buwerekerwako obubonero obulala (e.g. okuziyira mu bitundu by’omubiri, okukaluubirirwa okutambula, enkyukakyuka mu kulaba), funa amagezi mu bwangu omusawo.
Wadde nga kino si kya bulabe eri obulamu bwo, kabonero kakulu okuva mu mubiri gwo. Kale tokibuusa maaso era leka ekivaako kifuuke kya maanyi.
Obubaka Obutwala Awaka
- Akabonero ka Lhermitte bulumi obumpi obulinga obw’amasannyalaze obuwulirwa wansi ku mugongo ng’ensingo efukamidde mu maaso.
- Wadde obubonero buno si bwa bulabe, kabonero kakulu akalaga nti obusimu obuli mu mugongo gwonoonese.
- Wadde ng’ekisinga okuvaako kino ye Multiple Sclerosis (MS), n’ebintu ebirala nga obutaba na vitamiini B12 n’okusannyalala kw’omugongo nabyo bisobola okukola kinene.
- Bw’oba olina obubonero buno, tobubuusa maaso era olabe omusawo mu bwangu omanye ekituufu ekivaako n’okufuna obujjanjabi obutuufu.
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