Olina ‘bridge’ nga eno mu mutima gwo? (Myocardial Bridge) Ka tuyige ku nsonga eno.

Oluusi mu bulamu bwaffe, ebitalowoozebwa bibaawo, nedda? Naddala bwe kituuka ku bulamu bwaffe obw’omubiri, waliwo embeera z’obujjanjabi ezimu ze tuyinza okuba nga tetuwulidde wadde. Naye kikulu nnyo okuba abamanyi. Leero tugenda kwogera ku mbeera y’omutima eyeewuunyisa katono, naye ng’esobola okukwata abantu abamu. Kino kiyitibwa (Myocardial Bridge). Erinnya lino oyinza okuba nga toliwulirangako, naye tujja kuliyogerako mu ngeri ennyangu, mu ngeri gy’osobola okutegeera.

Omutala guno ogw’emisuwa gy’omutima kye ki?

Mu ngeri ennyangu, omutima gwo gulina emisuwa egigaba omusaayi, gye tuyita emisuwa gy’omusaayi . Emisuwa gino gitera okuba waggulu w’ekinywa ky’omutima. Kwe kugamba, zigenda ku ngulu w’omutima. Wabula mu mbeera eno eyitibwa (Myocardial Bridge), ekibaawo nti mu kifo ky’okugenda waggulu w’ekinywa ky’omutima, ekitundu ky’omusuwa guno ogw’omutima mu mutima gwo kigenda wansi w’ekinywa. Kiba ng’omukutu omutono, oba ng’okugenda wansi w’omutala. Ekyo abasawo kye bayita ekitundu ky’ekinywa ky’omutima ekituula waggulu w’omusuwa ogwo (Myocardial Bridge).

Kati teebereza, oluusi, omutima bwe gukuba, kwe kugamba, ebinywa by’omutima bwe bikonziba, omutala gw’ebinywa waggulu gusobola okunyigiriza omusuwa oguli wansi. Kiringa omuntu bw’alinnya ku payipu y’amazzi, okutambula kw’amazzi kukendeera. Kiki ekibaawo singa okinyiga bw’otyo? Puleesa eyo esobola okulemesa omusaayi okutambula. Olwo ekinywa ky’omutima kiyinza obutafuna musaayi ogulimu omukka gwa oxygen gwe kyetaaga.

Omanyi emisuwa gy’omusaayi (coronary arteries) mikutu egikola omulimu omukulu ennyo. Ebinywa by’omutima gwaffe, okufaananako buli kitundu ekirala eky’omubiri gwaffe, byetaaga omukka gwa oxygen. Oxygen ono atuleetebwa emisuwa egyo egy’omutima. N’olwekyo singa omusaayi guno guziyizibwa, ebizibu biyinza okuvaamu.

Ebiseera ebisinga, embeera eno (Myocardial Bridge) elabibwa ku ludda olwa kkono olw’omutima, omusuwa omukulu ogugenda wansi (Left Anterior Descending Artery) , oba ng’abasawo bwe baguyita (LAD) . Guno musuwa munene ogugabira omusaayi mu bbugwe ow’omu maaso ow’omutima n’ebitundu ebirala ebikulu. Wabula embeera eno esobola okubaawo mu musuwa gwonna oguleeta omusaayi ku mutima, ku kigero ekinene oba ekitono.

Embeera eno eyitibwa (Myocardial Bridge) ya bulabe? Kitera kitya?

Emirundi egisinga, okubeera n’omutala gw’emisuwa gy’omutima tekireeta bulabe bungi. Abantu abasinga babeera mu bulamu obwa bulijjo nga tebamanyi na kubulina era nga tebalina bubonero bwonna. Ekyo kye kituufu.

Kyokka oluusi, nga bwe kyayogeddwako emabegako, singa ebinywa by’omutima biba tebirina mukka gwa oxygen, oyinza okulumwa mu kifuba ekiyitibwa angina . Kino kitera okubaawo ng’omutima gutandise okukuba amangu, gamba ng’okola dduyiro.

Abanoonyereza bwe babuuziddwa engeri embeera eno gy’etera okubaawo, bagamba nti omutala gw’omusuwa gw’omutima embeera etera okuzuulibwa naye nga tezuuliddwa bulungi okusinga bw’oyinza okulowooza. Kino kiri bwe kityo kubanga ebitundu ku kikumi byawukana okusinziira ku nkola ekozesebwa okukizuula. Okusinziira ku kunoonyereza okumu, wakati wa 16% ne 30% ku bantu abazuulibwa n’embeera eno nga bayita mu kukeberebwa nga angiograms, bagamba nti embeera eno eyinza okubaawo mu bantu abawera. Kino kitegeeza nti abantu bangi nnyo bayinza okubufuna okusinga bw’oyinza okulowooza.

Bubonero ki obulaga kino?

Abantu bangi abalina omutala gw’omusuwa gw’omutima tebalaga bubonero bwonna. Kyokka bwe bakaddiwa oba bwe bafuna embeera endala ez’obujjanjabi (nga puleesa oba ssukaali), abantu abamu bayinza okufuna obubonero. Oluusi kiyinza okutwala emyaka obubonero okulabika.

Akabonero akakulu kwe kulumwa mu kifuba ((Angina)) . Kino kitera okuwulirwa:

• Bw’oba ​​okola dduyiro, ng’odduka oba ng’olinnya amadaala
• Bw’owulira ng’olina puleesa, okweraliikirira oba ennaku
• Oluusi era kiyinza okujja oluvannyuma lw’okulya emmere ennene.

Engeri obulumi buno gye bunnyonnyolwamu ekyukakyuka okusinziira ku muntu. Abamu bayinza okuwulira nga kinyigirizibwa, kinyigirizibwa oba okuzitowa.

Obubonero obulala oluusi buyinza okufaananako n’obw’okulwala omutima, n’olwekyo olina n’okumanya bino:

• Okussa obumpi : Okuwulira ng’olina obuzibu mu kussa ne bw’ofuba akatono.
• Omutima okukuba : Ekifuba kiyinza okuwulira nga kikuba oba kikuba.
• Okuziyira : Oyinza okuwulira ng’oziyira, nga kiyinzika n’okuzirika.

Ekikulu: Bw’oba ​​olina obubonero obulaga nti olina obulwadde bw’omutima (obulumi obw’amaanyi mu kifuba, obulumi obukulukuta wansi ku mukono, okutuuyana, okusesema), olina okugenda mu kisenge eky’amangu amangu ddala. Tokiteeka ku bbali.

Lwaki kino (Myocardial Bridge) kibaawo?

Kino kibuuzo ekirina eky’okuddamu eky’angu ennyo. Myocardial Bridge mbeera ya buzaale . Ekyo kitegeeza nti kintu ky'ozaalibwa nakyo . Omutima bwe gukula mu nnabaana, omusuwa ogwo gukolebwa mu ngeri egenda mu binywa. Tewali nsonga ntongole lwaki, kibeerawo bubaawo.

Kino kiyinza okuleeta bizibu ki?

Mu butuufu, ebizibu ebinene ebiva ku bridge y’emisuwa gy’omutima tebitera nnyo. Kyokka oluusi naddala bwe zigattibwa wamu n’embeera endala ez’obujjanjabi, ebintu bino bisobola okubaawo. Tolina kutya bino, naye mubitegeere:

• Myocardial Ischemia: Nga bwe kyayogeddwako emabegako, omusuwa bwe guzibikira, ebinywa by’omutima biyinza obutafuna oxygen emala. Wano ebintu ng’okulumwa mu kifuba we bibaawo.
• Coronary Vasospasm: Oluusi emisuwa gino giyinza okuzibikira mu bwangu era mu ngeri ey’amaanyi, ekiyinza n’okutaataaganya omusaayi okutambula.
• Atherosclerosis plaque buildup near the myocardial bridge: Kizuuliddwa nti plaque zizimba ku bisenge by’omusuwa okumpi n’omutala, ekifuula omusuwa okufunda. Kino kiyinza okuba nga kiva ku ngeri omusaayi gye guyitamu mu bridge ekyuka.
• Acute Coronary Syndrome: Kino kiyinza okuba obulwadde bw’omutima oba angina etali nnywevu.
• Ventricular Arrhythmias: Omutima okukuba obutasalako kuyinza okubaawo nga kutandikira mu bisenge ebya wansi eby’omutima.
• Obulwadde bw’omutima ogumenyese: Buno bunafu bw’omutima obw’akaseera obuseera obuyinza okubaawo oluvannyuma lw’okunyigirizibwa ennyo.
• Obulwadde bw’omutima: Wadde nga tebutera kubaawo, omutima guyinza okulwala singa omusaayi guzibikira ddala.
• Okufa kw’omutima okw’amangu: Kino tekitera kubaawo nnyo, naye kisoboka.

Jjukira nti ebizibu bino tebitera kubaawo .

Abasawo bazuula batya nti kino (Myocardial Bridge) kiriwo?

Kiyinza okuzuulibwa mu butanwa ng’olaba omusawo kubanga olina obubonero, oba mu kiseera ky’okukeberebwa olw’ensonga endala. Singa omusawo ateebereza nti olina omutala gw’omusuwa gw’omutima, bayinza okukola ebigezo bino wammanga:

• Coronary angiogram: Kino kye kigezo ekisinga obukulu. Mu kukebera kuno, akatundu akatono kayingizibwa nga kayita mu musuwa mu mukono oba ku kigere kyo ne kalungamizibwa okutuuka ku misuwa gy’omutima gwo. Olwo ne bagifuyira langi ey’enjawulo ne bakwatibwa ebifaananyi bya X-ray. Kino kisobozesa okufunda kw’omusuwa okulabika obulungi.
• Intravascular Ultrasound (IVUS): Mu kino, mu kiseera kye kimu n’okukebera emisuwa, ekyuma ekitono eky’okukebera amaloboozi kiyisibwa mu musuwa okulaba engeri ebisenge by’omusuwa eby’omunda n’omutala gye binyigirizibwamu.
• Optical Coherence Tomography (OCT): Okufaananako ne IVUS, eno nkola ndala ey’omulembe ekozesa ekitangaala okulaba munda mu musuwa.
• Coronary Computed Tomography Angiogram (CT Angiogram): Kino kifaananyi kya CT. Kino era kikozesa langi okukola ebifaananyi eby’ebitundu bisatu eby’emisuwa mu mutima. Kino kiyinza okuyamba okuzuula oba waliwo omutala gw’omusuwa gw’omutima n’obuwanvu n’obuziba bwe guli.

Kale waliwo obujjanjabi ku kino? Okikola otya?

Yee, waliwo obujjanjabi eri abo abalina obubonero. Si buli muntu nti yeetaaga okulongoosebwa. Omusawo wo y’ajja okusalawo obujjanjabi ki obusinga okukuyamba. Ka tulabe obujjanjabi buno bwe buli:

• Eddagala: Eddagala lye litera okusooka okulondebwa. Mu bino mulimu (Beta-blockers) ne (Calcium Channel Blockers).Bakozesa eddagala eriyitibwa "okari". Eddagala lino lifuga okukuba kw’omutima katono, lyongera ku budde omusuwa bwe guwummuzibwa wakati w’okukuba kw’omutima, n’okukendeeza ku puleesa ku misuwa. Ku bantu abamu, eddagala eriyitibwa (Ivabradine) nalyo liweebwa ng’eky’okuddako.
• Okulongoosa: Ku abo abalina obubonero obw’amaanyi obutasobola kufugibwa na ddagala, oba singa omutala guba muwanvu nnyo ate nga muwanvu, bayinza okusemba okulongoosebwa.
• Enkola emu eyitibwa (Surgical Myotomy) . Kwe kugamba, okulongoosa okusala n’okuggyawo omutala gw’ebinywa ku musuwa (okusumulula akasolya). Naye kino kikolebwa singa omutala guba mumpi katono ate nga teguwanvu.
• Enkola endala eyitibwa Coronary Artery Bypass Surgery (CABG) . Kino kizingiramu okuyita mu kitundu ekizibiddwa n’okukozesa ekitundu ky’omusuwa oguggiddwa mu kitundu ekirala eky’omubiri (ebiseera ebisinga okuva mu kigere oba munda mu kifuba) okukola ekkubo eddala omusaayi okutambula. Kino kitera okukolebwa singa omutala guba muwanvu ate nga muwanvu.
• Okuteeka stent: Ekirala ky’oyinza okukola kwe kuteeka stent. Stent ye ttanka entono ey’ekyuma eringa akatimba. Kiteekebwa munda mu musuwa oguzibiddwa ne kifuuwa okuva munda. Oluvannyuma, ne bwe kiba nti ekinywa kizibiddwa, stent ekuuma omusuwa nga guggule, ne kisobozesa omusaayi okutambula amangu. Wabula waliwo endowooza ez’enjawulo ku kuteeka stent mu mbeera eno. Oluusi, stent eyinza okukutuka oba okuddamu okuzibikira, n’olwekyo abasawo basalawo bino n’obwegendereza bungi.

Kiki kye nsuubira singa mba nnina omutala gw’omusuwa gw’omutima?

Okufaananako n’abantu bangi, oyinza okuba n’omutala gw’emisuwa gy’omutima n’otolina bubonero bwonna. Abantu ng’abo tebeetaaga bujjanjabi bwa njawulo. Singa wabaawo obubonero, emirundi mingi busobola okufugibwa n’eddagala.

Singa obubonero tebutereera n’eddagala, okulongoosa (myotomy oba bypass) oba okuteeka stent kulina okulowoozebwako. Singa omutala gw’omusuwa gw’omutima gulongoosebwa, kiba kya magezi okulonda eddwaaliro eririmu abasawo abalina obumanyirivu abalongoosa abatera okulongoosa ng’okwo.

Kino (Myocardial Bridge) si kintu ekijja okuwona ku bwakyo nga tewali kulongoosebwa kukiggyamu. Naye abantu abasinga obungi tebeetaaga kulongoosebwa.

Abantu abawangaala n’embeera eno bagumira batya?

Abantu bangi abalina Myocardial Bridge bawangaala nnyo era balina obulamu obulungi obw’ekiseera ekiwanvu.

Emiwendo gy’okuwona gisinziira ku oba olina embeera endala ez’obujjanjabi. Mu kunoonyereza okumu, abantu nga 90% abalina obulwadde bw’okuzimba omusuwa gw’omutima baali bakyali balamu nga wayise emyaka 10 bukya bazuuliddwa. Kyokka singa nabo baalina embeera z’omutima endala, gamba ng’obulwadde bw’emisuwa gy’omutima (CAD), emiwendo gy’abawona gyali wansi katono.

Nnalabirira ntya obulamu bwange?

Olw’okuba okubeera n’omutala gw’emisuwa gy’omutima kizuuliddwa nti kyongera katono ku bulabe bw’amasavu okuteekebwa mu misuwa (atherosclerosis), omusawo wo ajja kukuwa amagezi okufuga ensonga endala ez’obulabe eziyinza okuvaako. Kino kikulu oba olina obubonero oba nedda.

• Weewale okunywa sigala: Ekisinga obukulu okuziyiza okuzimba emisuwa kwe kwewala ddala ebintu ebikolebwa mu taaba. Bw’oba ​​onywa ssigala, saba omusawo akuyambe okulekera awo okunywa sigala.
• Fuga ebintu ebirala ebiyinza okuleeta akabi: Bw’oba ​​olina puleesa, ssukaali oba kolesterol omungi, bifuge bulungi.
• Endya ennungi: Lya emmere erimu amafuta amatono, ssukaali n’omunnyo ate ng’erimu ebibala n’enva endiirwa.
• Dduyiro buli kiseera: Yogerako n’omusawo omanye dduyiro ki akusaanira, era okole buli kiseera.
• Eddagala lyo likula mu ngeri entuufu: Bw’oba ​​olina dda obulwadde bw’emisuwa gy’omusaayi (CAD), kyetaagisa okumira eddagala lyo eriziyiza okuzimba omusaayi (eddagala erikendeeza ku musaayi) n’eddagala erikendeeza ku kolesterol (eddagala erikendeeza kolesterol) mu budde bwennyini era mu budde ng’omusawo bw’akulagidde.

Ddi lwe nnina okulaba omusawo?

Kikulu nnyo okukuuma essaawa zo ez’okugoberera n’omusawo wo. Omusawo ajja kwetaaga okukulaba buli kiseera okukakasa nti omira eddagala erituufu n’engeri obubonero bwo gye buli. Era kikulu okugenda ku ssaawa z’okugoberera oluvannyuma lw’okulongoosebwa oba okuteekebwako stent.

Nga bwe kyayogeddwako emabegako, bw’oba ​​olina obubonero bw’okulwala omutima (nga okulumwa ennyo mu kifuba, okukaluubirirwa okussa, okutuuyana), kuba ku ssimu 911 mu bwangu oba genda mu kisenge ky’abalwadde ab’amangu ekikuli okumpi.

Bibuuzo ki bye nnina okubuuza omusawo wange?

Bw’okizuula nti olina omutala gw’omusuwa gw’omutima, kya bulijjo okuba n’ebibuuzo bingi mu birowoozo byo. Osobola okubuuza omusawo ebibuuzo nga bino:

• Mirundi emeka gye nneetaaga okujja okugoberera?
• Nze nneetaaga eddagala oba nneetaaga okulongoosebwa?
• Lwaki onteesa ku ngeri eno ey’obujjanjabi? Migaso ki gyendi? Waliwo ebizibu byonna?
• Nkyukakyuka ki ze nneetaaga okukola mu mmere yange ne mu bulamu bwange?
• Nsobola okukola dduyiro? Dduyiro wa ngeri ki omulungi?

Kya bulijjo okuwulira ng’otya katono n’okweraliikirira ng’owulira nti waliwo ekikyamu ku mutima gwo. Naye jjukira nti eri abantu abasinga obungi, omutala gw’emisuwa gy’omutima si kintu kya kweraliikirira. Bw’oba ​​olina obubonero, yogerako n’omusawo akumanye obujjanjabi obusinga okukuyamba.

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

Okay, kale kati olina okutegeera okulungi ku bye twayogeddeko (Myocardial Bridge). Mu bufunze:

• Myocardial bridge mbeera ya kuzaalibwa nga omusuwa gw’omusaayi mu mutima guyita mu kinywa.
• Abantu bangi kino tekireeta bubonero bwonna era tekireeta bulabe bwonna.
• Abantu abamu bayinza okufuna obubonero ng’okulumwa mu kifuba (angina), naddala nga bakooye.
• Obubonero butera okufugibwa n’eddagala. Tekitera kubaawo, kiyinza okwetaagisa okulongoosebwa oba okussaako stent.
• Enkyukakyuka mu bulamu (okulekera awo okunywa sigala, okulya emmere ennungi, dduyiro) kikulu okukendeeza ku bulabe bw’okuzimba emisuwa.
• Bw’ofuna obulumi obw’amaanyi mu kifuba oba obubonero bw’okulwala omutima, genda mangu omusawo amagezi.

Kikulu okufaayo ku mutima gwo. Okumanya embeera zino kijja kukuyamba okufuna obujjanjabi nga bukyali bwe kiba kyetaagisa n’okukuyamba okubeera n’obulamu obulungi.

` Omutala gw’emisuwa gy’omutima, obulwadde bw’omutima, angina, omusuwa gw’omutima, okulongoosa omutima, stent, obulamu bw’omutima