Ka tuyige ku bujjanjabi obusembyeyo obutalongoosebwa ku kukankana kw’emikono (MR-Guided Focused Ultrasound).

Oluusi owulira nga tolina mirembe nnyo ng’emikono gikankana, nga tosobola wadde okukwata obulungi ekikopo kya caayi? Oba omuntu gw’omanyi alina embeera eno? Tewali bigambo bitegeeza bulumi na butabeera bulungi bw’owulira ng’otosobola kukola wadde ebintu ebyangu ng’okussa omukono ku kiwandiiko oba okuteeka emmere mu kamwa. Ebiseera ebisinga abantu abamu bafuna obuweerero okuva ku ddagala eriweebwa ku kino, naye abalala eddagala eryo terikola. Kale ekiddako bye bintu ng’okulongoosa obwongo. Naye ani atatya bwe kituuka ku kulongoosa? Naye totya, leero tugenda kwogera ku nkola ey’okujjanjaba okukankana kuno okusembyeyo era eyeewuunyisa eyinza okukolebwa awatali kulongoosebwa, awatali kutemebwa kwonna.

MR-guided focused ultrasound kye ki?

Erinnya lino liyinza okuwulikika nga lizibu katono, naye mu butuufu lyangu nnyo. Mu ngeri ennyangu, bujjanjabi obugatta tekinologiya bubiri.

1. MR (Magnetic Resonance) Imaging: Eno ye MRI scan osanga gy’omanyi. Kiringa maapu entegeerekeka ennyo eraga enguudo n’ebizimbe ebiri munda mu bwongo bwaffe. Abasawo basobola okutunuulira ebifaananyi bino ebya MRI ne bazuula ekifo ekituufu munda mu bwongo kye banaajjanjaba, okutuuka ku milimita . Era kibayamba okukakasa nti buli kimu kitambula bulungi mu kiseera ky’obujjanjabi.

2. Focused Ultrasound: Ultrasound ye ddoboozi erya frequency enkulu nga tetusobola kuwulira. Nga bw’okyali mwana muto, omusana wali ossa essira ku lupapula n’ogyokya. Tekinologiya ono assa amaloboozi agasukka mu 1,000 mu kiseera kye kimu ku kalonda akatono akali munda mu bwongo. Ensonga yokka ebiwujjo bino we bitunuuliddwa y’ebuguma, ne kisaanyaawo obutoffaali obulina obuzibu awo. Ekyewuunyisa, obutoffaali bw’obwongo obulungi obubeetoolodde tebukoseddwa.

Ekyo kitegeeza nti, awatali kuggulawo mutwe, amaloboozi gasindikibwa okuva ebweru ne gajjanjabwa awali obuzibu munda mu bwongo.

Obujjanjabi buno bulungi eri ani? Ku bika ki eby’endwadde?

Ekitongole kya Amerika ekivunaanyizibwa ku by’emmere n’eddagala ekya FDA mu kiseera kino kikkirizza obujjanjabi buno okumala embeera bbiri.

• Essential tremor: Eno mbeera abantu bangi gye balina ereetera emikono, omutwe oba eddoboozi okukankana. Okukankana kuba kwa maanyi nnyo naddala nga balina kye bagezaako okukola. Obujjanjabi buno buweebwa abantu abatasobola kufuga kukankana kwabwe n'eddagala .
• Obulwadde bwa Parkinson obusinga okukankana: Wadde ng’obulwadde bwa Parkinson bulina obubonero bungi, eri abantu abamu, okukankana bwe bubonero obusinga. Enzijanjaba eno era esaanira abantu ng’abo.

Enkola eno ekendeeza etya okukankana?

Eno mboozi nnyuvu nnyo. Waliwo ekitundu ky'obwongo bwaffe ekiyitibwa thalamus . Kino kiringa ekifo ekikulu eky’okuwanyisiganya amasimu mu ggwanga lyaffe. Obubonero bw’enkola y’omubiri n’obusimu okuva mu bitundu by’omubiri eby’enjawulo busindikibwa mu bitundu by’obwongo ebirala okuva wano.

Abantu abalina okukankana okukulu n’obulwadde bwa Parkinson balina akamogo akatono mu bitundu ebiyitibwa circuits mu thalamus. Eno y’ensonga lwaki obubonero obukyamu busindikibwa emikono ne gitandika okukankana.

Obujjanjabi buno buzingiramu okulungamya ddala ekitangaala kya ultrasound mu kifo obubonero obukyamu we bubeera n’okukola akawundu akatono awo. Kiba ng’okuggyako switch eriko obuzibu. Obubonero obukyamu bulekera awo okukulukuta, era kumpi amangu ago okukankana kukendeera oba kuyimirira ddala.

Enkola y’obujjanjabi ey’omutendera ku mutendera

Okay, kati ka tulabe ekibaawo nga obujjanjabi buno bukoleddwa. Tewali kyeraliikiriza, tewali kusala oba biwundu.

1. Okwetegeka: Ku makya g’obujjanjabi, enviiri zo zijja kumwesebwa ddala. Kino kiri bwe kityo kubanga amayengo ga ultrasound geetaaga okukwatagana n’olususu lw’oku mutwe. Olwo, omutima gwo ne puleesa bijja kulondoolebwa.

2. Fuleemu y’omutwe: Fuleemu ey’enjawulo ejja kuteekebwa ku mutwe gwo okutangira omutwe gwo okutambula wadde akatono. Mu kiseera kino, ojja kuweebwa eddagala ettono nga liyita mu musuwa okukuyamba obutawulira buzibu bungi.

3. Mu kyuma kya MRI: Olwo ojja kusindikibwa mu kyuma kya MRI. Tojja kusobola kutambuza mutwe gwo olw’ekifuba ekikutte ku mutwe. Abasawo bajja kukukwata sikaani ku bwongo era balonde ekitundu ekituufu w’ogenda okujjanjaba.

4. Okukebera: Nga tonnatandika bujjanjabi, ttiimu y’abasawo ejja kukusaba okukuba enzirugavu, okuwandiika amannya go oba okukola ebintu ebimu n’engalo zo. Kino kijja kupima obuzibu bw’okukankana kwo.

5. Okutandika obujjanjabi: Kati omulimu omutuufu we gutandikira. Okusooka, amayengo ga ultrasound agatali ga maanyi matono gasindikibwa ku kifo ekigendererwamu okukakasa nti kiri mu kifo ekituufu. Oluvannyuma lw’okukikakasa nga bakozesa MRI, amaanyi geeyongera mpolampola.

6. Eky’okuddamu kyo: Ozuukuse ng’okola bino byonna. Osobola okwogera ne ttiimu y’abasawo. Bulijjo bajja kukubuuza engeri gy’owuliramu. Era bajja kukusaba okole ebintu bye mukola edda, gamba ng’okukuba ebifaananyi n’okuwandiika. Ojja kulaba ng’okukankana kukendeera awo wennyini.

7. Emergency stop button: Waliwo button ya emergency stop ku mukono gwo gy’osobola okunyiga mu kiseera kyonna eky’obujjanjabi. Bw’oba ​​owulira obuzibu bwonna, bunyige obujjanjabi bujja kukoma.

8. Enkomerero:Okukankana bwe kumala okufugibwa obulungi, amayengo g’amaloboozi aga ultrasound gasindikibwa ku maanyi amatuufu okulaga ddala ekigendererwa. Enkola yonna etwala essaawa nga 3-4. Oluvannyuma lw’ekyo, gadgets zonna ziggyibwa ku mutwe n’okyusibwa n’otwalibwa mu waadi y’okulondoola.

Ebivaamu n’ebirungi n’ebibi

Ekisinga obulungi ku bujjanjabi buno kwe kuba nti osobola okulaba ebivaamu amangu ago. Okunoonyereza kulaga nti okukankana kw'abantu bangi kukendeera ebitundu 50% - 60% kumpi amangu ddala.

Buli kimu kiri bulungi? Tewali buzibu bwonna buvaamu?

Nga bwe kiri ku bujjanjabi bwonna, waliwo ebizibu ebimu n’obulabe, naye ebisinga biba bya kaseera buseera .

• Okuziyira n’okulumwa omutwe (mu kiseera ky’obujjanjabi) .
• Okuziyira okumala akaseera mu ngalo oba emimwa
• Obukodo obutonotono ng’otambula, obuzibu mu bbalansi (obw’ekiseera) .
• Obuzibu okwogera oba okumira (obw’ekiseera) .

Waliwo n'obulabe obuwerako obw'ekiseera ekiwanvu .

• Okukankana kuyinza okuddamu emyezi oba emyaka oluvannyuma lw’okujjanjabwa.
• Oluusi okukankana kuyinza obutakendeera n'akatono .
• Mu mbeera ezitali nnyingi nnyo (nga 10-15% ku bantu), obunafu bw’ebinywa n’okuzimba biyinza okusigalawo enkalakkalira .

Obujjanjabi buno tebusaanira ani?

Obujjanjabi buno si bwa buli muntu. Tekisaanira bantu abalina embeera zino wammanga:

• Abantu abalina ebyuma eby’ebyuma mu mibiri gyabwe (e.g. pacemakers, spinal rods, joint implants) kubanga kino kikolebwa munda mu kyuma kya MRI.
• Abantu abalina enkovu ennene ku mutwe.
• Abantu abalina ebizimba ku bwongo.
• Abantu abalina obulwadde bw'ekibumba nga bagenda kulongoosebwa .
• Abantu abalina embeera z’obujjanjabi ez’amaanyi oba yinfekisoni ezitasobola kufugibwa.
• Abantu abatasobola kusigala nga bakyali mu mbeera y’emu okumala essaawa 3-4.
• Abantu abatasobola kulekera awo kumira ddagala lya antiplatelet oba anticoagulation therapy .

Kale, omanya otya oba obujjanjabi buno bukusaanira?

Kino kye kintu ekisinga obukulu. Tosobola kusalawo ku nsonga eno wekka. Olina okwogera n’omusawo wo ow’obusimu ku nsonga eno.

Okutwalira awamu, oyinza okuba nga oli mulungi eyeesimbyewo ku kino, .

• Bw’oba ​​ozuuliddwa bulungi nti olina obulwadde bwa Essential Tremor oba Tremor-dominant Parkinson .
• Singa okukankana kwo tekufugibwa ddagala erikulagiddwa.
• Singa okukankana kuno kuba kutaataaganya emirimu gyo egya bulijjo (nga okulya, okuwandiika, okunywa amazzi) okutuuka ku ssa ly’otosobola kubikola .

Omusawo ajja kukukebera bulungi, akole okukeberebwa okulala bwe kiba kyetaagisa, era akunnyonnyole oba obujjanjabi buno, oba obujjanjabi obulala nga Deep Brain Stimulation (DBS), bwe businga okukuyamba.