Ofunye okuzimba omusaayi mu bwangu, oba ofunye obuzibu ng’oli lubuto omusawo n’akukebera omusaayi? Wabadde mweraliikirivu lipoota bwe yagamba nti ‘Lupus Anticoagulant positive’? Wafuna okutya ng’olaba ekigambo ‘lupus’ n’olowooza nti ono lupus? Erinnya lino mu butuufu litabula katono. Eno y’ensonga lwaki abantu bangi balina obutategeeragana ku nsonga eno. Katugogole ebizibu byonna ebikwata ku nsonga eno leero.
Ddala Lupus Anticoagulant kye ki?
Mu ngeri ennyangu, kino kika kya antibody ekiyinza okuba mu musaayi gwaffe.
Lowooza ku baserikale b’omubiri gwaffe ng’eggye erikuuma eggwanga. Obuwuka oba ekintu eky’obulabe bwe kiyingira mu mubiri okuva ebweru, eggye lino litegeera omulabe oyo ne likola ekibinja ky’abaserikale ab’enjawulo, abayitibwa antibodies, okumusaanyaawo. Kino kye kitera okubaawo.
Naye, oluusi abaserikale baffe abaserikale bagenda bubi. Mu kifo ky’okulumba abalumbaganyi abagwira, etandika okulumba obutoffaali bwaffe obulamu . Bw’etyo eddagala lya lupus anticoagulant (LA) bwe liri antibody erikolebwa mu nsobi ne lyonoona omubiri gwaffe.
Antibody eno eya LA, awamu n’obuziyiza obulala bubiri, busobola okuleeta embeera eyitibwa Antiphospholipid Syndrome (APS) . Buno bulwadde bwa autoimmune. Ekikulu ekiraga kino kwe kuba nti obulabe bw’okuzimba omusaayi mu misuwa gy’omubiri buba bungi nnyo okusinga omuntu wa bulijjo.
Kale lwaki kino kiyitibwa ‘lupus’? Buno bulwadde bwe bumu ne lupus?
Wano abantu bangi we batabulira n’okutya. Wadde nga waliwo ekitundu kya ‘lupus’ mu linnya, mu butuufu lupus bintu bibiri eby’enjawulo: Lupus Anti-Coagulant (LA) n’obulwadde bwa Lupus. Emboozi ennyuvu nnyo engeri erinnya lino gye lyajja.
Antibody eno yasooka kuzuulibwa emyaka mingi emabega abanoonyereza bwe baakebera omusaayi okuva mu balwadde ba lupus. Kale baalowooza nti kyali kintu kya njawulo eri abalwadde ba lupus.
Era baakirabye nti omusaayi ogulimu ekirungo kino ekiziyiza obulwadde buno byatwala ekiseera ekiwanvu okusinga ekya bulijjo okuzimba mu vitro. ‘Eddagala eriziyiza okuzimba omusaayi’ kitegeeza ‘kiziyiza omusaayi okuzimba.’ Kale, baagituuma ‘lupus anticoagulant’, ekitegeeza ‘ekintu mu mubiri gw’abalwadde ba lupus ekiziyiza omusaayi okuzimba.’
Kyokka, oluvannyuma ebiteberezebwa ebyo byombi byazuulibwa nga bikyamu. Mu butuufu, ekintu ekikontana n’ekyo kiri bwe kityo. Antibody eno ky’ekola munda mu mubiri kwe kwongera omusaayi okuzimba, so si kuguziyiza!
Okugogola okutabulwa kuno, laba ekipande wansi.
| Amazima | Eddagala eriweweeza ku bulwadde bwa Lupus (LA) . | Obulwadde bwa Lupus (SLE) . |
|---|---|---|
| Enkula | Antibody emu ey’obulabe mu musaayi. | Obulwadde obuzibu obuva ku busimu obuziyiza endwadde obukwata ebitundu by’omubiri eby’enjawulo. |
| Ekikulu ekivaamu | Kyongera obulabe bw’okuzimba omusaayi. | Enkola nnyingi zisobola okukosebwa, gamba ng’olususu, ennyondo, ensigo, omutima n’obwongo. |
| Enkolagana | Okubeera ne LA tekitegeeza nti olina lupus, naye abantu abamu abalina lupus bayinza okuba ne LA. | LA kye kimu ku bizuuliddwa ebiyinza okuba nga bikwatagana ne lupus. |
Lwaki ekintu nga kino kituuka ku mibiri gyaffe?
Kino kiri bwe kityo kubanga abaserikale baffe abaziyiza endwadde bakola ensobi. Obuziyiza buno obwa LA bulumba obutoffaali obukwatagana n’ekika ky’ekirungo ky’amasavu ekiyitibwa phospholipids ku ngulu w’obutoffaali bwaffe. Obulumbaganyi buno bwonoona obutoffaali, ekibuleetera okunywerera awamu n’okwongera obulabe bw’omusaayi okuziyira.
Abakugu n’okutuusa kati tebakakasa ddala lwaki abaserikale b’omubiri batandika okukola obutoffaali buno obuziyiza endwadde obukyamu mu kusooka. Balowooza nti kiyinza okuba nga kiva ku buzaale, obutonde bw’ensi oba embeera endala ezisiigibwa.
LA positive kitegeeza ki? Kijja kunkosa kitya?
Okubeera ne LA mu musaayi kitegeeza nti oli mu bulabe bw’okufuna embeera eyitibwa antiphospholipid syndrome (APS). Wano, 'mu kabi'.Ekigambo "kijja" kikulu nnyo. Tekitegeeza nti ddala kijja kubaawo.
Wadde ng’ekirungo ekiziyiza obulwadde bwa LA kiri mu musaayi, waliwo abantu bangi abasigala nga balamu bulungi obulamu bwabwe bwonna nga tebalina kuzimba musaayi oba ebizibu.
Kale totya mu ngeri eteetaagisa ng’olaba kino ku lipoota yo. Wabula kikulu omusawo wo kino okukimanya n’okukulondoola. Okuva bwe kiri nti otera okuzimba omusaayi okusinga abalala, kiba kya magezi okukimanya.
Bujjanjabi ki obukolebwa ku kino?
Tewali bujjanjabi bwonna n’okutuusa kati buggyawo ddala antibody eno eya LA mu mubiri. Naye waliwo obujjanjabi obulungi ennyo okufuga okwonooneka kw’eyinza okuleeta, kwe kugamba okutondebwa kw’omusaayi.
Bw’oba tolina bubonero bwonna, ekitegeeza nti tolina kuzimba musaayi, omusawo ayinza okusalawo okumala okukwetegereza nga takuwa ddagala lyonna.
Kyokka bw’oba nga tonnaba kuzimba musaayi oba ng’ozuuliddwa nti olina APS, obujjanjabi obukulu bwe buziyiza okuzimba omusaayi oba okukendeeza omusaayi . Eddagala nga warfarin ne heparin liweebwa okukendeeza ku bulabe bw’okuzimba omusaayi. Oluusi, eddagala nga corticosteroids nalyo liweebwa okukendeeza ku kukola ennyo kw’abaserikale b’omubiri.
Obujjanjabi buno bwonna omusawo y’asalawo, ng’atunuulira ebintu bingi ng’embeera gy’olimu, emyaka gyo n’endwadde endala.
Ddi lwe nnina okulaba omusawo? Embeera ey’amangu kye ki?
Bw’oba obeera n’embeera eno, kikulu nnyo okumanya enjawulo eriwo wakati w’embeera eza bulijjo n’embeera ez’amangu.
| Omukisa | Eky’okukola |
|---|---|
| Okwetegereza okwawamu | Genda mu ddwaaliro mu ssaawa etegekeddwa okwekebejjebwa ng’omusawo bw’agamba. Bagenda kukebera omusaayi okulaba oba eddagala lye bakozesa mutuufu era oba waliwo enkyukakyuka endala yonna. |
| Emergency (genda mu ETU amangu ddala) |
|
Obubonero obulabula nti omusaayi guzimba
- Okugulu (Deep Vein Thrombosis - DVT): Okuzimba okw’amangu, okumyuuka, okubuguma, n’obulumi mu kigere ekimu.
- Pulmonary Embolism: Okussa obubi mu bwangu, okulumwa ennyo mu kifuba (naddala ng’ossa), okusesema omusaayi.
- Stroke: okugwa kw’oludda olumu olwa ffeesi, okufiirwa omukono gumu, okukaluubirirwa okwogera.
Singa wabaawo obubonero buno obulabika, genda mu ddwaaliro erijjanjaba abalwadde ab’amangu (ETU) awatali kulwa .
Obubaka Obutwala Awaka
- Eddagala eriziyiza okuzimba omusaayi mu lupus (LA) si lupus yennyini. Kika kya antibody yokka mu musaayi.
- Okubeera ne LA mu musaayi gwo kitegeeza nti oli mu bulabe bwa maanyi okufuna okuzimba omusaayi. Tekitegeeza nti ddala kijja kubaawo.
- Tosattira oluvannyuma lw'okulaba lipoota. Naye ddala yogerako n’omusawo wo ku nsonga eno era ogoberere amagezi ge.
- Ekigendererwa ekikulu eky’obujjanjabi kwe kutangira okuzimba omusaayi okutondebwawo. Omusawo wo y’ajja okukusalawo obujjanjabi obusinga obulungi.
- Bulijjo beera mwegendereza obubonero obulabula nti omusaayi guzimba (okuzimba mu magulu, okulumwa mu kifuba, okukaluubirirwa okussa). Singa akabonero ng’ako kalabika, genda mu ETU mu bwangu.
- Kya bulijjo okuwulira ng’otya n’okweraliikirira ng’olowooza nti ekintu ky’otosobola kulaba munda mu mubiri gwo kiyinza okukutuusaako obulabe. Mu kifo ky’okubeera mu kutya, beera n’okutegeera n’okulowooza. Omusawo wo asobola okukuyamba mu lugendo olwo.
💬 Comments (0)
Tewali bigambo biwandiikiddwa n'okutuusa kati. Yongera wano comment yo omulundi ogusoose.
Yongera ku comment yo