Bwe tukimanya nti maama waffe, taata waffe oba omuntu ow’oku lusegere ennyo alina obulwadde bwa Alzheimer, tuwulira ennaku n’okweraliikirira kungi. Kizibu nnyo okulaba ng’okujjukira kwabwe kugenda kuggwaawo mpolampola ne beerabira ebintu. Naye teweeraliikiriranga. Wadde nga tewali ddagala eriwonya bulwadde buno, waliwo ebika by’eddagala ebiwerako ebiyinza okuyamba okufuga obubonero, okukendeeza ku kukula kw’obulwadde buno, n’okwanguyiza obulamu bwabwe katono. Leero, tugenda kwogera ku ddagala eryo.
Kiki ekituuka ku bwongo mu bulwadde bwa Alzheimer?
Nga tetunnaba kwogera ku ddagala lino, ka tutegeere mu ngeri ennyangu ennyo ekituuka ku bwongo mu bulwadde bwa Alzheimer. Obubaka buwanyisiganyizibwa wakati w’obutoffaali bw’obusimu mu bwongo bwaffe nga buyita mu ddagala. Mu bulwadde bwa Alzheimer, obutoffaali obutali bwa bulijjo (amyloid ne tau) butandika okukuŋŋaanyizibwa mu bwongo. Kino kyonoona obutoffaali bw’obusimu n’okutaataaganya empuliziganya wakati waabwe. Kino kikwata nnyo ku bitundu by’obwongo ebifuga okujjukira, endowooza, n’enneeyisa .
Eddagala eririwo kati okusinga lifuga enkola eno. Eddagala erimu ligeraageranya emiwendo gy’ababaka b’eddagala mu bwongo, ate eddagala eppya ligezaako okuggyawo ebirungo ebizimba omubiri ebitali bya bulijjo.
Eddagala erisinga okukozesebwa mu bulwadde bwa Alzheimer
Eddagala eriwonya obulwadde bwa Alzheimer liyinza okwawulwamu ebika bibiri ebikulu. Ekimu lye ddagala erifuga obubonero. Ekirala ddagala mpya erigezaako okufuga okukula kw’obulwadde, kwe kugamba, okweyongera kw’obulwadde.
1. Ebiziyiza Cholinesterase
Lino lye ddagala erisinga okulagirwa abalwadde abali mu mitendera egy’okusooka n’egya wakati egy’obulwadde bwa Alzheimer.
Zikola zitya?
Mu ngeri ennyangu, obwongo bwaffe bulina omubaka w’eddagala ayitibwa acetylcholine , nga kino kyetaagisa nnyo mu bintu ng’okujjukira n’okuyiga. Mu bulwadde bwa Alzheimer, emiwendo gya acetylcholine ono gikendeera. Eddagala lino kye likola kwe kukomya okumenyaamenya kwa acetylcholine mu bwongo. Kino kisobozesa obubaka okusindikibwa wakati w’obutoffaali bw’obusimu obulungi katono.
Eddagala lino teriwonya bulwadde buno. Naye zisobola okulwawo obubonero okweyongera okumala emyezi nga 6 ku 12. Ku balwadde abamu, basobola okulongoosa mu kussaayo omwoyo, okujjukira, n’obusobozi bw’okukola emirimu egya buli lunaku.
| Erinnya ly’eddagala | Enkola y’okukozesa | Engeri y'okugaba |
|---|---|---|
| Donepezil, omuwandiisi w’ebitabo | Ku mitendera gyonna egy’obulwadde | Empeke emira omulundi gumu olunaku |
| Eddagala lya Rivastigmine | Ku masomero agasooka n’aga wakati | Empeke emira emirundi ebiri olunaku oba ekikuta ky’olususu |
| Ekirungo kya Galantamine | Ku masomero agasooka n’aga wakati | Empeke/amazzi agamira omulundi gumu oba ebiri olunaku |
Biki ebiva mu bino?
Si buli muntu nti afuna ebizibu, naye abantu abamu bayinza okuziyira, okusesema, okutabuka olubuto, okuzimba n’okukoowa.
2. Ekintu ekiyitibwa Memantine
Eddagala lino litera kuweebwa abantu abali mu mitendera egy’ekigero oba egy’amaanyi egy’obulwadde buno. Oluusi, omusawo ayinza okugiwa ng’agigatta wamu ne Donepezil eyogeddwako waggulu.
Kikola kitya?
Omubaka omulala ow’eddagala mu bwongo ayitibwa glutamate afuuka mungi nnyo mu bulwadde bwa Alzheimer. Kino kiyinza okwonoona obutoffaali bw’obusimu. Memantine akola nga afuga emiwendo gya glutamate gino. Kino kiyinza okuyamba okulongoosa okufaayo kw’omulwadde, okukubaganya ebirowoozo, n’olulimi lwe. Era kiyinza okuyamba okufuga obubonero ng‟obutawummula, okukola obusungu, n‟okulaba/okuwulira ebintu ebitaliiwo .
Ebizibu ebivaamu: Okuziyira, okuziyira, okulumwa omutwe n’otulo.
3. Eddagala eppya erigenderera ebifo ebitereka amyloid mu bwongo
Bino bye bisembyeyo okukulaakulana mu bujjanjabi bw’obulwadde bwa Alzheimer. Zino ddagala lya njawulo eriyitibwa ``monoclonal antibodies.'' Lino ligenderera butereevu ebifo bya puloteyina eby’obulabe ebiyitibwa amyloid plaques ebikuŋŋaanyizibwa mu bwongo. Ziweebwa nga ziyita mu musuwa (IV). Mu kiseera kino zikkirizibwa ku balwadde bokka abali mu ntandikwa y’obulwadde buno.
- Lekanemab (Leqembi) .
- Donanemab (Kisunla) eddagala eriweweeza ku bulwadde.
Eddagala lino kiragiddwa mu kugezesebwa nti likendeeza nnyo ku kukula kw’obulwadde buno. Wabula ziyinza okuvaako ebizibu eby’obulabe ng’okuzimba obwongo okumala akaseera oba okuvaamu omusaayi omutono, kale ziweebwa n’obwegendereza bungi era nga zilabirirwa nnyo omusawo.
Ebintu by’osaanidde okwegendereza ng’owa omulwadde eddagala
Ng’omulabirizi w’omuntu alina obulwadde bwa Alzheimer’s, olina obuvunaanyizibwa bunene naddala okumuwa eddagala lye mu budde. Waliwo ebintu ebitonotono by’olina okumanya.
Mu mitendera egy’okusooka egy’obulwadde buno:
Wadde ng’omulwadde ayinza okusobola okumira eddagala lino ku lulwe mu ntandikwa, mpolampola ayinza okulyerabira. Ebintu bino bikole okubayamba.
- Kozesa ekyuma ekitegeka empeke: Eddagala lyo likuume nga litegekeddwa bulungi okumala wiiki. Kirungi okuba n’emu erimu ebitundu eby’oku makya, emisana n’akawungeezi.
- Wejjukize mu budde: Teeka alamu ku ssimu yo. Oba bw’oba osobola, kuba essimu weejjukize mu kiseera ekyo.
- Yogera nabo: Babuuze mu kwagala nti, "Nsobola okukuyamba okufuna eddagala lyo?" Bayambe ng’ossa ekitiibwa mu bwetwaze bwabwe.
Obulwadde bwe buba obw’amaanyi:
Ekiseera bwe kinaagenda kiyitawo, ojja kuba olina okutwala obuvunaanyizibwa bwonna obw’okugaba eddagala.
- Bw’oba olina obuzibu mu kumira empeke: Kiyinza okuba nga kiva ku kamwa ko akalu. Omwana muwe amazzi nga tonnaba kumuwa ddagala. Naye ekyo bwe kitakola, buuza omusawo wo oba eddagala lino liyinza okunyigirizibwa ne litabulwa n’emmere, oba liri mu ngeri ya mazzi. Eddagala lyonna si ddungi okumenyaamenya , kale kakasa nti obuuza omusawo wo.
- Bwe bagamba nti tebasobola kumira ddagala: Tolwana nabo. Ekyo kijja kwongera okubanyiiza. Mu kiseera ekyo, lekera awo okugimira, lindako katono, era oddemu ogezeeko. Mpozzi bajja kugimira singa obajjukiza mpola nti, "Lino lye ddagala eriwonya ekizibu kyo." Bwe beeyongera okugaana, buulira omusawo wo.
- Kuuma olukalala lw’eddagala: Wandiika buli ddagala, vitamiini, n’obungi bw’eddagala lye bamira, ne ddi lwe bamira. Olukalala luno mutwale ng’ogenda okulaba omusawo.
- Eddagala lyo likuume bulungi: Eddagala lyonna liteeke mu kabineti eriko kkufulu, ng’abaana n’omulwadde tebasobola kugituukako.
Ekisinga obukulu, tolekera awo kumira ddagala musawo lye yakulagidde oba okukyusa mu ddoozi nga tosoose kumubuuza. Bw’oba olina ekizibu kyonna, laba omusawo mu bwangu.
Obubaka Obutwala Awaka
- Wadde ng’obulwadde bwa Alzheimer tebusobola kuwona ddala, waliwo eddagala eriyinza okufuga obubonero n’okukendeeza ku kukula kw’obulwadde buno.
- Eddagala liyinza okwawulwamu ebika bibiri ebikulu: eryo erifuga obubonero (Cholinesterase inhibitors, Memantine) n’eddagala eppya erigezaako okukyusa enkola y’obulwadde (Monoclonal antibodies).
- Omusawo ajja kusalawo eddagala erisinga okusaanira omwagalwa wo, okusinziira ku mutendera gw’obulwadde n’embeera y’obulamu bw’omulwadde.
- Omulimu gwo mu kuwa omulwadde eddagala n’okulabirira omulwadde mukulu nnyo. Kikulu nnyo okukola n’obugumiikiriza, okwagala, n’okugoberera ebiragiro by’abasawo.
- Bw’olaba obuzibu oba ebizibu ebiva ku ddagala lyo, yogerako n’omusawo mu bwangu.











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