Omanyi obulwadde buno obw’akabi obwa ffene? (Mucormycosis) Ka twogere!

Wali owuliddeko ku 'ffene ono omuddugavu'? Mpozzi wakiwulira mu lupapula lw’amawulire oba ku mawulire ga TV. Mu butuufu bulwadde bwa ntiisa era obuyinza okuba obw’amaanyi. Leero, ka twogere ku bulwadde buno obwa ffene, obumanyiddwa mu by’obujjanjabi nga Mucormycosis, mu ngeri ennyangu.

Obulwadde bwa Mucormycosis kye ki?

Mu ngeri ennyangu, Mucormycosis bulwadde bwa ffene obw’amaanyi ennyo . Kiva ku kibinja kya ffene ekiyitibwa mucormycetes. Enkwaso zino zisobola okukosa ebitundu by’omubiri gwaffe bingi eby’enjawulo. Okugeza, kiyinza okukosa amaaso go, ensuwa (ebifo ebiri mu kyenyi n’amatama go), obwongo, amawuggwe, olubuto n’ebyenda (enkola y’omu lubuto), oba olususu.

Mu mbeera eno, obubonero bwawukana okusinziira ku kitundu ky’omubiri gwo ekikosebwa enkwaso. Oluusi kiyitibwa zygomycosis.

Kati teebereza, ffene zino eziyitibwa mucomycetes zibeera mu butonde obutwetoolodde naddala mu ttaka, nnakavundira, ebisasiro by’amakoola ebivunda, ne mu bitundutundu by’enku. Naye ekyewuunyisa, abasinga tetulwala ffene ono. Wabula abantu abalina obulwadde bwa sukaali, ebika bya kookolo ebimu oba embeera endala ezinafuya abaserikale b’omubiri bali mu bulabe bwa maanyi okukwatibwa obulwadde bwa mucomycosis.

Ekisinga obukulu nti mucormycosis bulwadde obutera okutta omuntu . N’olwekyo bw’oba ​​olina obubonero buno, mazima ddala olina okugenda mu ddwaaliro oba okugenda mu basawo amagezi mu bwangu.

Bika ki ebikulu eby’obulwadde bwa Mucormycosis?

Waliwo ebika ebikulu ebiwerako eby’obulwadde bwa mucormycosis. Bbo bali:

• Ekika ekikwata ennyindo, amaaso n’obwongo (Rhino-orbital-cerebral oba Rhinocerebral mucormycosis) .
• Obulwadde bwa mucormycosis mu mawuggwe
• Obulwadde bwa mucormycosis mu lususu
• Ekika ekikosa enkola y’okugaaya emmere (Gastrointestinal mucormycosis) .
• Obulwadde bwa mucormycosis obusaasaanyiziddwa

Bubonero ki obulaga obulwadde buno?

Obubonero bw’obulwadde bwa mucormycosis businziira ku kitundu ky’omubiri gwo ekirimu akawuka. Oyinza okufuna obubonero mu nnyindo, amawuggwe, mu nkola y’okugaaya emmere, okwetooloola amaaso go oba ku lususu lwo.

Ekika ekikwata ennyindo, amaaso n’obwongo (Rhino-orbital-cerebral Mucormycosis) .

Kino kye kika ky'obulwadde bwa mucormycosis obusinga okubeerawo . Mu mbeera eno, enkwaso esooka kusiiga misuwa gyo era esobola okusaasaana mu nkulungo n’obwongo. Kitera nnyo naddala mu bantu abalina ssukaali ow’amaanyi, atafugibwa (okugeza, A1C esukka mu 8% wadde nga bajjanjabwa bulijjo okumala omwaka ogusukka mu gumu) ne mu bantu abakyusiddwa ebitundu by’omubiri.

Obubonero obw’ekika kino bwe buno:

• Omusujja
• Okulumizibwa omutwe
• Obulumi mu sinus (obulumi mu kyenyi, amatama) .
• Okuzibikira ennyindo
• Amabwa oba amabwa ku kasolya k’akamwa
• Okubulwa okulaba oba okulaba emirundi ebiri
• Obuzibu okukyusa amaaso n’okumwenya (kino kiyitibwa `cranial nerve palsy`)
• Amaaso agafuluma (proptosis) .
• Okuzimba okwetoloola amaaso
• Amaziga amaddugavu oba amasira okuva mu maaso
• Okutabulwa oba enkyukakyuka endala mu birowoozo

Obulwadde bwa Mucormycosis mu mawuggwe

Obulwadde buno obwa ffene mu mawuggwe kye kika eky’okubiri mu bungi. Kisinga kubeera mu:

• Abantu abalina kookolo eyeekuusa ku musaayi (e.g., leukemia, lymphoma, oba myeloma), naddala abo abalina obutoffaali obumu obweru obutono (neutropenia) .
• Ku abo ababadde bakyusiddwa obusigo bw’amagumba
• Ku abo ababadde bakyusiddwa ebitundu by’omubiri ebigumu

Obubonero obw’ekika kino:

• Omusujja
• Obulumi mu kifuba
• Obuzibu mu kussa (okusannyalala) .
• Okusesema omusaayi (hemoptysis) .

Obulwadde bwa Mucormycosis obw’olususu

Obulwadde obw’ekika kino bubaawo ng’enkwaso ayingidde olususu lwo ng’eyita mu kusala oba okukunya. Kuba akafaananyi ng’olina ekiwundu ekitono ate ekintu ng’ekivundu ne kituuka ku kiwundu. Kino kiyinza okuvaako ekiwuka kino okuyingira. Ekyewuunyisa, ekika kino era kitera mu bantu abalina abaserikale b’omubiri abalamu.

Obubonero bw’olususu:

• Ebizimba ebiruma, amabwa oba ebizimba ebikalu ku lususu
• Olususu okumyuuka, okukyuka langi oba okuzimba

Enkyukakyuka zino ez’olususu zeeyongera okwonooneka okumala ekiseera. Zifuuka ddugavu, ne zisaasaana mu bitundu ebinene, era oluusi zisobola okugaziwa okutuuka mu binywa oba amagumba.

Ekika ekikosa enkola y’okugaaya emmere (Gastrointestinal Mucormycosis) .

Kino kibeera yinfekisoni mu lubuto oba mu byenda. Businga kubeera mu baana abazaalibwa nga tebanneetuuka. Naye gye buvuddeko, era yeeyongedde mu bantu abakulu abalina abaserikale b’omubiri abatono (neutropenia), abantu abamira eddagala lya corticosteroid erimala ebbanga eddene, n’abantu abalina endwadde endala ezinafuya abaserikale b’omubiri.

Obubonero:

• Obulumi mu lubuto
• Okuziyira n’okusiiyibwa
• Okuvaamu omusaayi mu lubuto

Obulwadde bwa Mucormycosis obusaasaanyiziddwa

Mu mbeera eno, obulwadde buno busaasaana nga buyita mu musaayi okutuuka mu bitundu by’omubiri eby’enjawulo. Businga kukwata bwongo, naye era busobola okukosa omutima, ennyindo oba olususu. Eno y’engeri y’obulwadde bwa mucormycosis obusinga okuba obw’amaanyi era obutta. Kisinga kulabibwa mu:

• Abantu abalina kookolo eyeekuusa ku musaayi naddala abalina obulwadde bwa neutropenia
• Abantu ababadde bakyusiddwa obusigo bw’amagumba
• Abantu ababadde bakyusiddwa ebitundu by’omubiri ebigumu

Olw’okuba ekika kino kikwata ebitundu by’omubiri bingi, obubonero bw’ebika ebirala ebyogeddwako waggulu nabwo buyinza okulabika, awamu n’obubonero bw’embeera yonna ey’obujjanjabi gy’oyinza okuba nayo.

Lwaki obulwadde bwa Mucormycosis bubaawo?

Obulwadde bwa mucomycosis buva ku ffene ow’enjawulo. Ebisinga okumanyika ye Rhizopus oryzae ne Rhizopus delemar. (Bino bika bya ffene ebitongole.) Enkwaso zino zibeera mu butonde - naddala mu ttaka, nnakavundira, ebisasiro by’amakoola ebivunda n’ebikuta by’enku. Era osobola okuzisanga mu mmere etanaaba bulungi. Abasinga tetulwala kussa oba okukwata ku ffene zino. Naye bw’oba ​​olina embeera z’obulamu ezimu, abaserikale b’omubiri bo bayinza obutasobola kulwanyisa bulwadde buno.

Kino kitutuuka kitya?

Osobola okufuna obulwadde bwa mucormycosis ng’ossa mu buwuka obuyitibwa spores (ebitundu ebizaala ebya ffene) bya ffene ono, ng’olya ekintu ekirimu oba ng’oyita mu kuwummulamu mu lususu. Obuwuka buno butono nnyo nga tetusobola kubiraba oba okubyewala.

Tekitera kusiigibwa okuva mu malwaliro, okuyita mu byuma eby’obujjanjabi ebirimu obucaafu, n’oluvannyuma lw’obutyabaga obw’obutonde. Ng’ekyokulabirako, omuyaga ogw’amaanyi guyinza okusiikuula ettaka eddene ne gufulumya ffene mu bbanga.

Kino kisiigibwa okuva ku muntu okudda ku mulala?

Nedda.Obulwadde bwa mucormycosis tebusaasaana okuva ku muntu omu okudda ku mulala. Enkwaso eno osobola okugifuna okuva mu butonde bwokka.

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

Abantu abalina obulwadde bwa sukaali n’embeera z’obujjanjabi ezimu ezinafuya abaserikale b’omubiri be bali mu bulabe obw’amaanyi obw’okufuna embeera eno. Ate era okubeera n’ekyuma ekisusse mu mubiri kiyinza okuvaako kino. Ebintu ebiyinza okuleeta akabi mulimu:

• Ssukaali naddala ng’olina embeera nga hyperglycemia ne ketoacidosis.
• Olw’okuba yasimbulizibwa ebitundu by’omubiri ebigumu.
• Nga bamaze okusimbuliza obutoffaali obusibuka mu musaayi (hematopoietic stem cell transplant) (okusimbuliza obusigo bw’amagumba).
• Neutropenia kwe kukendeera kw’obutoffaali obweru obuyitibwa neutrophils.
• Kookolo naddala obulwadde bwa leukemia, lymphoma oba myeloma.
• Okukozesa eddagala lya corticosteroid okumala ebbanga eddene.
• Okukuba eddagala empiso nga tolina magezi ga musawo.
• Embeera eyitibwa hemochromatosis (eyongera ku bungi bw’ekyuma mu mubiri - `iron overload`).
• Okwokya oba obuvune obw’amaanyi ku lususu obusobozesa obucaafu n’obuwuka okuyingira mu kiwundu.
• Okuzaalibwa nga tannatuuka oba ng’obuzito butono ng’azaalibwa.

Mu ngeri ennyangu, singa enkola y’omubiri gwo ey’okulwanyisa endwadde (abaserikale b’omubiri) eba nnafu, otera okukwatibwa kino.

Bizibu ki ebiyinza okuva mu bulwadde buno?

Obulwadde bwa mucormycosis buyinza okuleeta ebizibu eby’amaanyi era ebiyinza okutta omuntu omuli:

• Cavernous sinus thrombosis: Kino kizimba omusaayi ekikolebwa mu bifo byo eby’omu sinus. Kiyinza okutta omuntu.
• Obulwadde bwa fasciitis obuyitibwa necrotizing fasciitis:Buno bulwadde bwa bakitiriya obw'amaanyi, obusaasaana amangu (era buyitibwa "obuwuka obulya ennyama"). Kiyinza okutta omuntu.
• Osteomyelitis: Buno buba yinfekisoni mu magumba go. Amagumba gasobola okusaanawo.

Zino ddala mbeera za bulabe, y’ensonga lwaki kikulu okufuna obujjanjabi mu bwangu.

Ozuula otya mu butuufu obulwadde buno? (Okuzuula obulwadde)

Omusawo ayinza okuteebereza obulwadde bwa mucormycosis okusinziira ku bubonero bwo n’embeera endala ez’obujjanjabi z’olina. Okukakasa kino, bajja kukuba ebifaananyi (okukuba ebifaananyi) ku bitundu by’omubiri ebikoseddwa era bakebere ebitundu by’omubiri gwo oba waliwo ffene.

Ebigezo ku kino:

• Okukuba ebifaananyi: Okukuba ebifaananyi mu kifuba, CT scans (computed tomography scans), oba MRI (magnetic resonance imaging) ziyinza okukolebwa.
• Endobronchial ultrasound: Kino kika kya kukebera nnyindo. Kino kitegeeza nti ekyuma ekikebera amaloboozi ekissiddwa ku ttanka ennyimpi eriko ekitangaala kikozesebwa okukuba ebifaananyi by’amawuggwe ag’omunda.
• Okukebera ebitundu by’omubiri: Omusawo asobola okutunuulira ebitundu byo ng’akozesa microscope oba ng’ayita mu kukeberebwa mu laabu okulaba oba ffene wa mucormycosis aliwo.

Obulwadde bwa Mucormycosis bujjanjabwa butya?

Abasawo bajjanjaba obulwadde bwa mucormycosis n’eddagala eritta obuwuka. Era bayinza okwetaaga okulongoosebwa okuggyamu ebitundu ebirimu obuwuka oba ebifudde. Eddagala eriweweeza ku buwuka obuleeta endwadde erikozesebwa mu kino lye:

• Ekirungo kya Amphotericin B
• Posaconazole `(Eddagala lya Posaconazole)`
• Eddagala lya Isavuconazole

Ojja kwetaaga okumira eddagala lino eritta obuwuka okumala wiiki, mpozzi n’emyezi.

Obulwadde buno busobola okuwona ddala?

Yee, kisoboka. Naye kyetaaga okujjanjabibwa mu bwangu. Ne bwe kiba nti obujjanjabi bulwawo okumala ennaku ntono, emikisa gy’okuwona giyinza okukendeera ennyo. Ne bwe kiba nti obujjanjabi butandikiddwa mangu, kiyinza okuba ekizibu okuwona.

Obujjanjabi obw’amangu gwe mukisa ogusinga okutaasa obulamu!

Omuwendo gw’abafa olw’obulwadde bwa Mucormycosis guli gutya?

Olw’okuba kizibu okujjanjaba era olw’okuba abantu bangi abalina obulwadde bwa mucormycosis balina abaserikale b’omubiri abanafuye, omuwendo gw’abafa guli waggulu. Omuwendo gw’abafa ku bika byonna ebya mucormycosis guli nga 54%. Mucormycosis ekosa sinus zokka erina omuwendo gw’abafa ogwa wansi katono (nga 46%). Wabula obulwadde bwa mucormycosis obusaasaanyiziddwa obusaasaana mu bitundu by’omubiri ebirala butera okutta.

Eno nsonga ya maanyi katono. Olw’okuba obulwadde buno buzibu okubujjanjaba, era olw’okuba abantu abasinga obungi ababufuna abaserikale b’omubiri batono, omuwendo gw’abafa guli waggulu. Naye toggwaamu ssuubi, waliwo omukisa gw’okuwona ng’ofunye obujjanjabi nga bukyali.

Ddi lwe nnina okulaba omusawo?

Bw’oba ​​olina emu ku mbeera zino wammanga, buuza omusawo engeri y’okuziyiza endwadde za ffene n’engeri y’okuzitegeera nga bukyali:

• Bw’oba ​​olina obulwadde bwa sukaali oba kookolo.
• Bw’oba ​​obadde okyusiddwa ebitundu by’omubiri oba okusimbuliza obutoffaali obusibuka mu mubiri.
• Bw’oba ​​olina embeera y’obujjanjabi oba ng’omira eddagala erinafuya abaserikale b’omubiri.

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

Obulwadde bwa mucormycosis buyinza okutta omuntu singa tebujjanjabwa mangu. Bw’oba ​​olina obubonero bw’obulwadde bwa mucormycosis naddala ng’abaserikale b’omubiri banafuye oba ssukaali, genda mu kisenge eky’amangu mu bwangu. Bulijjo noonya obujjanjabi obw’amangu singa oba olina obubonero buno obw’amaanyi:

• Omusujja ogw’amaanyi (omusujja ogusukka mu 103 Fahrenheit/40 Celsius).
• Okukaluubirirwa okussa.
• Okusesema omusaayi.
• Amaaso okubumbulukuka oba okuzimba okwetooloola amaaso.
• Okulaba kukyuka, gamba ng’okulaba emirundi ebiri.
• Okutabulwa oba enkyukakyuka endala mu birowoozo.
• Okukonziba.
• Omusulo omuddugavu oba amaziga.
• Ekiwundu ekitawona, ekigenda mu maaso n’okusaasaana oba okuddugala.

Bw’oba ​​olina ekimu ku bubonero buno, genda mu ddwaaliro awatali kulwa!

Bibuuzo ki bye nnina okubuuza omusawo wange?

Kiyinza okuba eky’omugaso okubuuza omusawo wo ebibuuzo bino:

• Ndi mu bulabe bwa maanyi obw’okukwatibwa yinfekisoni za ffene?
• Kiki kye nnyinza okukola okukendeeza ku bulabe bwe nnina?
• Bubonero ki bwe nnina okwegendereza era ddi lwe nnina okunoonya amagezi g’abasawo?
• Bujjanjabi ki bwe nnina?
• Kiki kye nsuubira mu kuzuula kuno?

Waliwo engeri y’okuziyizaamu obulwadde bwa Mucormycosis? (Okuziyiza) .

Enkwaso ezireeta obulwadde bwa mucormycosis zitwetoolodde, kale kizibu okuzeewala ddala. Naye wano waliwo emitendera gy’oyinza okuyitamu okukendeeza ku bulabe bw’okukwatibwa obulwadde bwa ffene:

• Bw’oba ​​olina embeera y’obujjanjabi ekuteeka mu bulabe bw’okukwatibwa obulwadde bwa ffene obw’amaanyi, kola n’omusawo wo okugiddukanya.
• Bw’oba ​​oli mu bulabe obw’amaanyi obw’okukwatibwa obulwadde bwa ffene, omusawo ayinza okukuwa eddagala eriweweeza ku ffene okukuyamba obutalwala.
• Singa omulimu gwo gukuteeka mu bulabe bw’okukwatibwa ffene, buuza omusawo wo oba oli mu bulabe obw’okukwatibwa obulwadde.
• Weewale ebifo ebirimu enfuufu, gamba ng’ebifo awazimbibwa. Bw’oba ​​olina ddala okubeera mu bifo ng’ebyo, yambala masiki ya ``N95`` (oba ebyuma ebirala ebikuuma) ebiyamba okusengejja obuwuka bwa ffene okuva mu mpewo gy’ossa.
• Weewale emirimu egiyinza okukuleetera obuwuka obuleeta ffene, gamba ng’okulima ensuku n’okusima. Yambala ggalavu n’engoye ezibikka olususu nga bwe kisoboka ng’okola ebweru.
• Ebisale n’ebisenya binaabe bulungi ne ssabbuuni n’amazzi.

COVID-19 ayongera obulabe bw'okulwala Mucormycosis?

Mu mwaka gwa 2021, waaliwo okweyongera kw’abalwadde ba mucormycosis mu bantu abaali bafunye COVID-19. Naye abakugu tebakakasa ddala link eno. Era tebakakasa oba okubeera ne COVID-19 yennyini kimala okwongera ku bulabe, kubanga:

• Emisango egisinga gyaloopebwa okuva mu bitundu by’ensi omuli obulwadde bwa mucormycosis. Mu kiseera kino ekya COVID-19, abantu nga 1 ku buli 3 abalina obulwadde bwa mucormycosis mu bitundu bino teyalina COVID-19.
• Mu kiseera kino ekya ssennyiga omukambwe, abantu abawerako abakwatibwa COVID-19 ne mucormycosis byombi byaloopebwa mu bitundu by’ensi ebirala (nga mucormycosis etera obutabeera nnyo), naye tewaaliwo kubutuka kwa bulwadde bwa ffene mu bitundu omuli mucormycosis etera obutatera kubaawo.
• Abantu bangi abaalina obulwadde bwa mucormycosis ne COVID-19 baali tebafuga bulungi ssukaali oba nga bamira eddagala lya corticosteroid. Bino bye bintu ebiyinza okuvaako obulwadde bwa mucormycosis.
• Abantu bangi abaalina COVID-19 ne mucormycosis byombi baalina ekika ekikwata ennyindo, amaaso, n’obwongo (rhino-orbital-cerebral mucormycosis) – so si yinfekisoni y’amawuggwe eya bulijjo gy’oyinza okusuubira. Kino era kiraga nti embeera endala ezisibukamu, so si COVID-19 yokka, ze ziviirako okukwatibwa obulwadde buno.

Kale, kizibu okugamba amangu ddala nti kino kiva ku Covid-19. Wandibaawo ensonga endala ezikiviirako.

N’ekisembayo, ebintu by’olina okujjukira

Obulwadde bwa Mucormycosis bulwadde obutatera kulabika . Bukwata abantu nga omu oba babiri mu bukadde buli mwaka. Naye bw’oba ​​olina embeera yonna ey’obulamu enafuya abaserikale b’omubiri, oba mu bulabe bwa maanyi. Abantu abalina ssukaali ne A1C omungi balina okwegendereza naddala.

Okuddukanya embeera z’obulamu bwo ezikusibukako y’engeri esinga obulungi ey’okusigala ng’oli mulamu bulungi. Naye yogerako n’omusawo wo ku ngeri endala gy’oyinza okukendeeza ku bulabe bw’okukwatibwa obulwadde. Asobola okukubaganya ebirowoozo ku kintu kyonna ekikweraliikiriza n’akubuulira obubonero bw’olina okwegendereza.

Buno si bulwadde obukwata buli muntu. Kyokka bw’oba ​​olina obulwadde obunafuya abaserikale b’omubiri, gamba nga ssukaali, weegendereze nnyo. Ekisinga obukulu nti bw’oba ​​olina obubonero bw’obulwadde bwa mucormycosis, genda mu kisenge ky’abalwadde ab’amangu mu ddwaaliro erikuli okumpi mu bwangu. Kubanga obujjanjabi obw’amangu busobola okutaasa obulamu!

` mucormycosis, ffene omuddugavu, okukwatibwa ffene, ssukaali, obutafaali obuziyiza endwadde, sinus, amawuggwe, olususu, obwongo, ffene