Owulidde ku bulwadde buno obw’ekyewuunyo? Ka tuyige ku Melioidosis okuva ku A okutuuka ku Z!

Wali owuliddeko ku bulwadde obuyitibwa ‘Melioidosis’? Erinnya lino liyinza okuwulikika ng’eryewuunyisa katono. Naye buno bulwadde obulina okutunuulirwa mu mawanga nga gaffe awali ebbugumu n’obunnyogovu bungi naddala eri abo abakwatibwa ettaka n’amazzi. Kale tewali kintu kya kutya, ka twogere ku nsonga eno mu ngeri ennyangu, mu ngeri gy’osobola okutegeera.

Obulwadde bwa Melioidosis kye ki?

Mu ngeri ennyangu, obulwadde bwa melioidosis bulwadde obuva ku buwuka . Kiva ku kika kya bakitiriya ekiyitibwa Burkholderia pseudomallei (B. pseudomallei). Kitusiigibwa nga tuyita mu kukwatagana butereevu n’ettaka oba amazzi agafuuse amakyafu agalimu obuwuka buno. Obubonero bw’ofuna buyinza okwawukana okusinziira ku muntu. Kisinziira ku ngeri gye wakwatibwamu n’okumanya oba olina embeera endala ezikusibukako.

Obulwadde buno busobola okukwata abantu n’ebisolo. Kyokka, tebusiigibwa kuva mu bisolo ne bugenda mu bantu . Era kikulu okujjukira nti obulwadde buno oluusi buyitibwa "obulwadde bwa Whitmore".

Obulwadde bwa Melioidosis businga kubeera ludda wa?

Obuwuuka obuyitibwa `B. pseudomallei` esinga kubeera mu ttaka n’amazzi mu bukiikakkono bwa Australia ne Southeast Asia - naddala amawanga gaffe ag’omuliraano nga Thailand, Singapore, ne Malaysia. Wabula abalwadde bano nabo bazze baloopebwa okuva mu bitundu by’ensi ebirala.

Teebereza, obuwuka buno bwazuulibwa mu mbeera y’oku lubalama lw’ennyanja mu kibuga Mississippi, Amerika, mu 2022. Ate era, mu 2021, obuwuka buno bwasangibwa mu kintu mu ddagala erifuuyira eddagala eriwunya, era abantu abawerako babufunye obulwadde buno. Kino kitegeeza nti obuwuka buno busobola okusangibwa mu bifo by’obadde tosuubira.

Ani asinga okukosebwa obulwadde bwa Melioidosis?

Mu bitundu obuwuka buno mwe businga, businga kukwata bantu bakulu abalina embeera z’obujjanjabi ezisibukako, ebiseera ebisinga abali wakati w’emyaka 40 ne 60. Ekyewuunyisa, abaana abali wansi w’emyaka 15 tebatera nnyo kukwatibwa bulwadde buno.

Ani ali mu bulabe obw’amaanyi obw’okulwala obulwadde bwa melioidosis?

Oli mu bulabe bwa maanyi okukwatibwa obulwadde buno singa obeera oba ng’okolera mu kitundu obuwuka bwa B. pseudomallei mwe businga, era bw’oba ​​olina emu ku mbeera z’obulamu zino wammanga:

• Ssukaali : Kino kizibu abantu bangi kye balina.
• Obuzibu mu kunywa omwenge
• Obulwadde bw’ekibumba obutawona
• Endwadde z’amawuggwe ezitawona : Okugeza, `(Cystic fibrosis)` oba `(COPD)`.
• Kookolo oba endwadde endala ezinafuya abaserikale b’omubiri : Wabula okukwatibwa akawuka ka siriimu tekirabika kwongera bulabe bwa melioidosis.
• Obulwadde bwa Thalassemia

Era, mu bitundu obuwuka obuyitibwa `B. pseudomallei` kiyitiridde okubeerawoAbantu abeenyigira mu mirimu oba emirimu egy’okwesanyusaamu nga gizingiramu okukwatagana ennyo n’ettaka n’amazzi ag’okungulu, gamba ng’okulima ensuku, okulabirira ettaka, n’okulima, nabo bali mu bulabe bwa maanyi. Teebereza, Uncle Kamal alina obulwadde bwa sukaali ku kyalo kyaffe, akolera mu nnimiro, era atera okulinnya mu mazzi agajjudde ebitosi. Alina okwegendereza obulwadde obw’ekika kino.

Bubonero ki obulaga obulwadde bwa Melioidosis?

Obubonero bw’olaba bujja kwawukana okusinziira ku kifo mu mubiri gwo obulwadde we buli. Oyinza okuba n’obubonero mu mawuggwe, olususu, omusaayi oba ebitundu ebingi omulundi gumu.

Obubonero bw’okuzimba amawuggwe (Pulmonary melioidosis) .

Bw’oba ​​olina yinfekisoni mu mawuggwe, oyinza okufuna obubonero nga:

• Okukolola
• Obuzibu mu kussa (okusannyalala) .
• Obulumi mu kifuba
• Omusujja
• Endya
• Okulumizibwa omutwe

Melioidosis mu lususu lwo (localized) obubonero

Bw’eba yinfekisoni y’olususu, oyinza okulaba ebintu nga:

• Ebiwundu, amabwa oba ebizimba
• Ennywanto z’omusaayi ezizimba
• Omusujja

Obubonero bwa Melioidosis mu musaayi gwo

Oluusi, awamu n’obubonero obulaga nti omuntu alina obulwadde mu lususu oba mu mawuggwe, wayinza n’okubaawo obubonero obulaga nti omuntu alina obulwadde mu musaayi (septicemia). Kino era kiyitibwa obutwa mu musaayi. Obubonero buno bwe buno:

• Omusujja ogw’amaanyi
• Obukoowu/obukoowu obuyitiridde
• Okulumizibwa omutwe
• Okukaluubirirwa okussa/okussa obubi
• Obulumi mu lubuto
• Obulumi mu binywa
• Enkyukakyuka mu birowoozo ng’okutabulwa n’okubulwa okujjukira

Obubonero bw’obulwadde bwa melioidosis obutawona (obusaasaana).

Oluusi obubonero buno busobola okumala emyezi ebiri oba okusingawo . Mu kiseera kino, obuwuka bwa B. pseudomallei busobola okusaasaana mu bitundu by’omubiri eby’enjawulo. Obubonero buyinza okuli:

• Okusesema okutambula obutasalako
• Omusujja
• Okugejja
• Entuuyo z’ekiro
• Okusesema omusaayi
• Obulumi mu lubuto oba mu kifuba
• Obulumi mu binywa oba ebinywa
• Okulumizibwa omutwe
• Embeera z’okusannyalala (okukonziba) .

Oluvannyuma lw’okukwatibwa obuwuka buno obubonero bulabika bbanga ki?

Abantu abasinga obungi obubonero bulabika mu wiiki emu oba nnya nga bamaze okukwatibwa obuwuka buno. Kino kiyitibwa ekiseera ky’okufumbiza. Naye ekyewuunyisa, abantu abamu basobola okufuna obubonero emyezi, wadde emyaka, oluvannyuma lw’okukwatibwa obuwuka buno. Kale kizibu katono.

Kiki ekivaako obulwadde bwa melioidosis?

Ekivaako kino nga bwe nnagambye emabegako, ye buwuka obuyitibwa `B. pseudomallei`. Kibeera mu mazzi ag’okungulu (ebidiba, emigga, ennyanja) n’ettaka. Obuwuuka buno butera nnyo mu bitundu eby’obutiti oba eby’obutiti.

Abantu bafuna batya obulwadde bwa melioidosis?

Obulwadde buno obufuna ng’oyita mu kukwatagana butereevu n’ettaka oba amazzi agalimu obuwuka obuyitibwa bacteria `B. pseudomallei`. Waliwo engeri eziwerako obuwuka buno gye buyinza okuyingira mu mubiri gwo:

• Okuyita mu kiwundu ku lususu lwo, ng’okusala oba okukunya.
• Okussa : Kino kitegeeza nti obuwuka buno busobola okuyingira mu nkola yo ey’okussa wamu n’obutundutundu bw’enfuufu mu ttaka.
• Okufuuwa amazzi amakyafu mu mawuggwe : Kino kiyinza okubaawo ng’okola mu mazzi oba ng’onaaba.
• Nga onywa oba okumira amazzi amakyafu.

Obulwadde bwa B. pseudomallei businga kubeera mu biseera by’enkuba naddala oluvannyuma lw’enkuba ey’amaanyi, kubanga mu kiseera ekyo obuwuka obuli mu ttaka bujja kungulu ne buyingira mu nsibuko z’amazzi.

Obulwadde bwa Melioidosis busobola okusiigibwa okuva ku muntu okudda ku mulala?

Kino kizibu abantu bangi kye balina. Obulwadde bwa Melioidosis tebutera nnyo kusaasaana okuva ku muntu omu okudda ku mulala. Engeri enkulu ey’okukwatibwa obulwadde buno kwe kukwatagana n’ettaka oba amazzi agafuuse amakyafu. N’olwekyo totya mu ngeri eteetaagisa.

Obulwadde bwa Melioidosis buzuulibwa butya?

Omusawo ajja kusooka kukubuuza ku bubonero bwo, akukebere, n’oluvannyuma akutte sampuli z’omusaayi oba amazzi amalala g’omubiri gwo okukeberebwa. Era bayinza okubuuza ku mulimu gwo, by’oyagala ennyo, oba ebyafaayo by’entambula yo gye buvuddeko.

Sampuli zino zisindikibwa mu laabu, abakugu gye bajja okukebera sampuli zo okulaba oba zirimu obuwuka bwa B. pseudomallei n’obuziyiza obubuziyiza. Sampuli ezikozesebwa okukakasa obulwadde bwa melioidosis ze zino:

• Omusaayi
• Omusulo
• Amalusu
• Amasira okuva mu kiwundu

Obulwadde bwa Melioidosis bujjanjabwa atya?

Abasawo obulwadde buno babujjanjaba n’eddagala eritta obuwuka ery’ebika bibiri mu mitendera ebiri. Buno bujjanjabi buwanvu obutonotono.

• Mu mutendera ogusooka (ogw’amaanyi) : Ojja kuweebwa eddagala eritta obuwuka mu misuwa (IV) okumala waakiri wiiki bbiri. Buno bujjanjabi obwetaagisa okuweebwa ekitanda mu ddwaaliro.
• Mu mutendera ogwokubiri (okumalawo) : Ojja kwetaaga okumira eddagala eritta obuwuka eriweebwa mu kamwa okumala waakiri emyezi esatu.

Okusinziira ku buzibu bw’embeera yo, oyinza okwetaaga obujjanjabi obulala, gamba ng’okufulumya amazzi mu bizimba singa bibaawo.

Eddagala ki eritta obuwuka erikozesebwa ku bulwadde bwa melioidosis?

Mu ddagala eritta obuwuka eriweebwa mu misuwa (empiso), omusawo ayinza okukuwa:

• `Ceftazidime` `(Ceftazidime)`
• `Meropenem` `(Meropenem)`
• `Imipenem` `(Imipenem)`

Bino osobola okubiweebwa ng’eddagala eritta obuwuka eriweebwa mu kamwa:

• `Trimethoprim/sulfamethoxazole` `(Eddagala lya Trimethoprim/sulfamethoxazole - TMP/SMX)`
• `Amoxicillin/asidi wa clavulanic` `(Amoxicillin/asidi wa clavulanic - co-amoxiclav)`

Ekisinga obukulu kwe kumira eddagala lino ddala okumala obujjanjabi obujjuvu obulagiddwa omusawo. Toyimirira kitundu kya kkubo olw’okuba owulira bulungi katono.

Twekuuma tutya okuva ku bulwadde bwa Melioidosis?

Mu bitundu obuwuka bwa B. pseudomallei mwe businga, osobola okukola emitendera gino okwekuuma obulwadde buno:

• Bw’oba ​​olina obulwadde bwa sukaali oba obulwadde bw’ekibumba obutawona , weewale okukwatagana n’ettaka n’amazzi agayimiridde nga bwe kisoboka.
• Yambala engatto ezitayingiramu mazzi ng’otambula mu ttaka eribisi, mu mazzi agayimiridde oba mu bitoomi.
• Yambala ggalavu ng’okola mu lusuku oba n’ettaka.
• Bw’oba ​​olina ebisala oba ebikunyiga ku mubiri gwo, bibikkeko ekibikka ekiziyiza amazzi . Tokkiriza ttaka oba mazzi kuyingira mu biwundu, ekiyinza okubifuula ebikyafu.
• Okunaaba oba okunaaba obulungi ng’omaze okukola n’ettaka, amazzi agajjudde ebitosi oba okukola ebweru.
• Yambala masiki ebikka ennyindo n’akamwa ng’osala omuddo, ng’osala omuddo oba ng’okozesa ebyuma ebifuuyira amazzi aga puleesa waggulu ku ttaka.
• Bw’oba ​​olowooza nti oyinza okuba nga wakwatibwa obuwuka obuyitibwa bacteria `B. pseudomallei`, omusawo wo ayinza okukuwa amagezi okumira eddagala eritta obuwuka (post-exposure prophylaxis) okuziyiza melioidosis.

Kiki kye nsuubira singa nfuna obulwadde bwa melioidosis?

Abantu abasinga obungi abatalina mbeera ndala ez’amaanyi ezisibukako era abafuna obujjanjabi obw’amangu basobola okuwona ddala obulwadde buno. Kyokka, obujjanjabi buyinza okwetaagisa okugenda mu maaso okumala emyezi mingi okusobola okumalawo ddala obuwuka buno. Oluusi obubonero busobola okuddamu ne bwe buba bumaze okujjanjabibwa (okuddamu obulwadde). N’olwekyo, kikulu nnyo okugoberera ebiragiro by’omusawo.

Naye eri abo abalina embeera z’obujjanjabi ezisibukako, oba abo abatasobola kuzuulibwa nga bukyali n’okujjanjabibwa, embeera eyinza okuba ey’amaanyi ennyo.

Obulwadde bwa Melioidosis busobola okuwona?

Yee, obulwadde bwa melioidosis busobola okuwona n’enkola y’obujjanjabi obw’emitendera ebiri egy’eddagala eritta obuwuka. Kyokka, yinfekisoni ezimu zisobola okweyongera amangu, era obujjanjabi buyinza obutaba bulungi bulijjo. N’olwekyo, okuzuula amangu obulwadde n’okubujjanjaba kikulu nnyo.

Obulwadde bwa Melioidosis busobola okutta omuntu?

Singa bafuna obujjanjabi obw’amangu, obutuufu, omuwendo gw’abafa guli wakati wa 10% ne 20% . Wabula obulabe bw’okulwala ennyo n’okufa olw’obulwadde bwa melioidosis bweyongera nga:

• Oba olina obulwadde obulala bwonna obukusibukako oba nedda.
• Obusobozi bw‟okufuna obujjanjabi obw‟omutindo omulungi.
• Ebitundu ki ebirimu obuwuka?

Nkola ntya okwerabirira ng’omuntu alina obulwadde bwa Melioidosis?

Bw’oba ​​ozuuliddwa nti olina obulwadde bwa melioidosis, mira eddagala lyonna ddala nga omusawo bw’akulagidde . Singa olekera awo okumira amangu eddagala eritta obuwuka, oyinza okuddamu okulwala.

Kakasa nti ogenda ew’omusawo ku nnaku ze bakuweebwa okumulaba. Singa obubonero bwo bugenda ate ne bukomawo, oba singa obubonero obupya bulabika, oba singa obubonero bwo bweyongera, tegeeza omusawo.

Ebizibu ebiva mu bulwadde bwa Melioidosis

Obulwadde bwa Melioidosis busobola okusaasaana mu bitundu by’omubiri gwo bingi ne buleeta ebizibu nga:

• Obulwadde bw’amagumba `(Osteomyelitis)`
• Obulwadde bw’ennyondo `(Septic arthritis)`
• Okukunganya amasira (ebizimba) mu lususu, amawuggwe, ekibumba, enseke, obwongo oba ebitundu ebirala
• Obulwadde bw’okusannyalala mu kussa (ARDS) .
• Sepsis - Kino kiyinza okutta obulamu, okuddamu okw’amaanyi omubiri gwe gukola ku yinfekisoni eyonoona ebitundu by’omubiri.

Ddi lwe nnina okulaba omusawo?

Bw’oba ​​olina obubonero bw’obulwadde bwa melioidosis naddala ng’obeera mu kitundu B. pseudomallei gy’atera okubeera oba nga waakatambula, laba omusawo amangu ago . Obujjanjabi obw’amangu bukuwa omukisa ogusinga obulungi ogw’okuwona mu bujjuvu.

Bw’oba ​​olowooza nti oyinza okuba nga waakakwatibwa obuwuka bwa B. pseudomallei, laba omusawo. Ayinza okukuwa eddagala eriweweeza ku bulwadde buno oluvannyuma lw’okukwatibwa obulwadde buno.

Ddi lwe nnina okugenda mu kitongole ekijjanjaba abalwadde ab’amangu (ETU) ?

Bw’oba ​​olina obubonero buno obw’amaanyi, genda mangu mu kisenge ky’abalwadde ab’amangu:

• Omusujja ogw’amaanyi (okusukka 103 Fahrenheit/39.4 Celsius) .
• Okukaluubirirwa okussa okw’amangu oba okw’amaanyi
• Obulumi obw’amaanyi mu lubuto
• Okutabulwa oba enkyukakyuka endala mu birowoozo
• Obulumi mu kifuba
• Embeera z’okusannyalala (okukonziba) .

Bibuuzo ki bye nnina okubuuza omusawo wange?

Kiyinza okuba eky’omugaso okubuuza omusawo wo ebibuuzo bino:

• Eddagala lyange ndimira ntya?
• Ddi lwe nnandizzeemu okukulaba?
• Nnatereera ddi?
• Bubonero ki bwe nnina okugenda mu kisenge ky’abalwadde ab’amangu?
• Kiki kye nnyinza okukola okusobola okuddukanya obubonero bwange awaka?
• Obulwadde buno busiigibwa? (Kati nkimanyi kino tekitera kubaawo, naye kirungi okukakasa)

N’ekisembayo, by’olina okujjukira (Obubaka bw’okutwala awaka) .

Melioidosis bulwadde obwetaaga okufaayo era buyinza okuba obuzibu okuzuula . Kubanga obubonero bwayo buyinza okufaananako n’obw’endwadde endala eza bulijjo, ezitali za maanyi nnyo. Singa tebujjanjabwa, kiyinza okutta omuntu.. Kale bw’oba ​​olowooza nti oyinza okuba nga wakwatibwako `B. pseudomallei` bacteria, oba bw’oba ​​olina obubonero bwa melioidosis, oba bw’oba ​​oli mu kibinja ky’akabi ekiyinza okuba eky’amaanyi ennyo, tolwawo kulaba musawo wo n’okukubaganya ebirowoozo ku bikweraliikiriza . Okukola amangu y’engeri esinga obulungi ey’okusigala ng’oli mulamu bulungi!

` Melioidosis, Burkholderia pseudomallei, okukwatibwa ettaka, okukwatibwa amazzi, okukwatibwa obuwuka, okuziyiza