Oluusi, bwe tuba tutudde butudde, ekinywa mu mubiri gwaffe kikankana mangu, nedda? Mpozzi nga tunaatera okwebaka ne tuzuukuka nga tulina ekiwuubaalo. Ebintu nga bino bitera okutuuka ku buli muntu. Naye singa okusika omuguwa kuno kw’ebinywa kugenda mu maaso, singa kutaataaganya emirimu gya buli lunaku, kiyinza okuba akabonero k’embeera emu ey’obujjanjabi. Kale leero, ka twogere ku ‘Myoclonus’ eno kye ki, ekigireeta, ne ddi lwe tusaanidde okugifaako.
Myoclonus kye ki?
Mu ngeri ennyangu, Myoclonus kuba kuwuuma oba okusannyalala okw’amangu, okutali kwa kyeyagalire, era okw’ekiseera ekitono okw’ekinywa kimu oba ebisingawo. Kiyinza okuba ng’amasannyalaze agakubwa era ne kimala akatundu ka sikonda. Kiyinza okukosa ekinywa kimu kyokka mu mukono, ekigere, ekibegabega, ekiwato, mu mugongo oba mu maaso, oba kiyinza okukosa ebinywa ebiwerako omulundi gumu.
N’omuntu omulamu obulungi kino asobola okukifuna mu kiseera ekimu mu bulamu bwe. Kyokka, oluusi, era kiyinza okuba akabonero k’embeera z’obujjanjabi eziwerako ez’amaanyi.
Myoclonus esobola okubaawo mu ngeri bbiri enkulu:
- Positive myoclonus: Kino kye kiseera ebinywa bwe bikonziba mu bwangu.
- Negative myoclonus: Kino kibeera kiwummulo kya binywa mu bwangu. Mu by'obujjanjabi, era kiyitibwa ``Asterixis''. Kimanyiddwa ng’okukankana nga kikuba emikono.
Biki ebikulu ebivaako obulwadde bwa Myoclonus?
Waliwo ebintu bingi ebivaako obulwadde bwa myoclonus. Ebimu bitera nnyo era bisuubirwa. Naye ebirala biyinza okuva ku mbeera z’obujjanjabi ezikosa enkola ez’enjawulo mu mubiri gwaffe. Abakugu bagabanyaamu ebivaako bino mu biti bina ebikulu.
Ebivaako ebya bulijjo, eby’omubiri (Physiological Myoclonus) .
Bino bika bya myoclonus ebitali bya bulabe ebiva ku nkola eza bulijjo mu mibiri gyaffe. Tewali nsonga yonna lwaki tutya kino.
- Hiccups: Kino nakyo kika kya Myoclonus. Kyokka bwe buba bumaze ennaku ezisukka mu bbiri, kiba kirungi okugenda ew’omusawo.
- Sleep myoclonus/Hypnic jerks: Okuwuuma kw’omubiri okw’amangu , oba ng’ogenda okwebaka oba ng’ogenda okuzuukuka. Kino kya bulijjo eri abantu bangi.
- Startle reflexes: Bwe tutya oba okwewuunya mu bwangu, omubiri gwaffe gukankana nga tegufugibwa.
Myoclonus eva ku bulwadde bw’okusannyalala
Okusika omuguwa kuno kw’ebinywa kuyinza okubaawo n’embeera ezimu ez’okusannyalala. Embeera eno etera nnyo naddala ku `(myoclonic seizures)`. Era kiyinza okukwatagana n‟embeera nga `(Lennox-Gastaut syndrome)` ne `(juvenile myoclonic epilepsy)`.
Nga akabonero k’embeera endala ey’obujjanjabi (Secondary Myoclonus) .
Singa myoclonus ebaawo ng’akabonero k’obulwadde obulala, eyitibwa ‘Secondary Myoclonus’. Waliwo ebintu bingi ebiyinza okuvaako kino. Ka tuyige ebisingawo ku nsonga eno okuva ku kipande ekiri wansi.
| Ensonga evuddeko ensonga | Ennyonnyola n’ebyokulabirako |
|---|---|
| Endwadde z’abaserikale b’omubiri (autoimmune diseases). | Endwadde abaserikale b’omubiri mwe balumba obutoffaali bwagwo. Okugeza: (Obulwadde bwa Celiac) . |
| Obutakwatagana mu kemiko mu mubiri | Obulwadde bw’ekibumba oba ekibumba, obuzibu mu thyroid, obutaba na vitamiini oba mineral, n’obutakwatagana mu masanyalaze . |
| Ebiwundu ku bwongo | Okwonooneka kw’ebitundu by’obwongo olw’obutaba na mukka gwa oxygen (cerebral hypoxia) oba okusannyalala. |
| Endwadde z’obwongo ezivunda | Okugeza: obulwadde bw’okusannyalala obukwatagana ne (Obulwadde bwa Alzheimer) , (Obulwadde bw’okusannyalala mu mubiri gwa Lewy) , ne (Obulwadde bwa Parkinson) . |
| Obuzibu mu buzaale | Endwadde ezireetebwa enkyukakyuka mu DNA eziyinza okusikira abazadde. Okugeza: (Obulwadde bwa Krabbe) , (Obulwadde bwa Wilson) . |
| Yinfekisoni | Yinfekisoni z’akawuka oba bakitiriya ezikosa obwongo oba obusimu. Okugeza: (Obulwadde bwa Herpes simplex) , (Obulwadde bwa Lyme) .. |
| Obuvune mu busimu oba omugongo | Akabenje kataataaganya empuliziganya wakati w’obwongo n’ebitundu by’omubiri, ekivaako ebitundu ebyo okukola mu ngeri ey’okwekolako. |
| Eddagala n’eddagala | Kino kiyinza okuva ku biragalalagala ebimira nga temuli musawo (nga omwenge, cocaine, heroin). Era kiyinza okuva ku ddagala omusawo lye yalagira, gamba ng’eddagala eriweweeza ku bulwadde bw’okusannyalala, eriweweeza ku kweraliikirira , eddagala lya puleesa, n’eddagala eritta obuwuka . |
| Obutwa n’obutwa | Okumira ebyuma ebizito nga lead, manganese, mercury. Obutwa nga eddagala ly’ebiwuka (e.g. methyl bromide ). |
Myoclonus ey’omugaso ennyo
Eno mbeera ya buzaale eyisibwa okuva ku mulembe okudda ku mulala. Ebiseera ebisinga tebuleeta bulabe bwonna era ekiseera bwe kigenda kiyitawo tekiyongera kusajjuka. Wabula okunywa omwenge kiyinza okuleetera ebinywa bino okunyiganyiga okweyoleka katono.
Embeera eno esobola okuziyizibwa?
Myoclonus kintu ekibaawo mu bwangu, awatali kulabula kwonna. Kale ebika bya myoclonus bye twayogeddeko emabegako, ebiyitibwa physiological and essential myoclonus, tebisobola kuziyizibwa.
Wabula tusobola okufuga embeera za myoclonus ezireetebwa endwadde endala (ez’okubiri) n’okusannyalala (okusannyalala) okutuuka ku ddaala eritali limu.
- Weewale okukozesa eddagala: Weewale okukozesa eddagala eritawandiikiddwa musawo. Ekirala bw’ofuna obubonero buno ng’omaze okumira eddagala eriwandiikiddwa omusawo, tegeeza omusawo mu bwangu. Baliwo kukuyamba, so si kukusalira musango. N’olwekyo kyetaagisa nnyo olw’obukuumi bwo n’obujjanjabi obutuufu okubabuulira buli ky’okozesezza.
- Kuuma obusimu bwo: Okukozesa ebyuma ebikuuma ng’enkoofiira n’emisipi kiyinza okuziyiza obuvune ku bwongo n’omugongo.
- Dukanya embeera ezitawona: Bw’oba olina embeera ezitawona ng’okusannyalala oba obulwadde bw’ekibumba, okugoberera ebiragiro by’omusawo wo ddala kiyinza okuyamba okuziyiza oba okukendeeza ku bulwadde bwa myoclonus.
Ddi lwe tusaanidde okulaba omusawo?
Obulwadde bwa spasticity obwa bulijjo tekyetaagisa bujjanjabi. Wabula singa okusannyalala kuno kw’ebinywa kugenda mu maaso naddala nga kutaataaganya emirimu gyo egya bulijjo oba otulo, mazima ddala olina okugenda ew’omusawo.
Jjukira nti tekyetaagisa kusattira olw’ekintu ng’ekizimba ekya bulijjo. Naye singa ebizimba bino bisigala, kiyinza okuba akabonero akalaga nti waliwo ekintu eky’amaanyi, n’olwekyo kiba kya magezi okugenda mu basawo amagezi.
Bw’oba oteebereza nti onywedde obutwa, genda mu ddwaaliro ekitongole ekijjanjaba abalwadde ab’amangu (ETU) mu bwangu. Osobola n’okukuba essimu mu National Poisons Information Center mu ddwaaliro ly’eggwanga erya Colombo okufuna amagezi.
Ebika ebirala ebitongole ebya myoclonus
Waliwo ebika ebirala ebiwerako ebitongole ebya myoclonus, ebibeerawo mu bibinja by’emyaka ebimu byokka oba mu ngeri ezenjawulo.
Obulwadde bw’otulo obw’abaana abazaalibwa nga tebalina bulabe bwa myoclonus
Eno embeera ekwata abalongo. Abalongo bano baba n’okuwuuma okw’amangu ku bitundu byabwe oba emibiri nga beebase. Wadde nga kino kiyinza okulabika ng’obulwadde bw’okusannyalala ku kusooka okulaba, ekyuma ekikebera omutwe (EEG) tekiraga mulimu gwonna ogw’okusannyalala. Kino tekirina bulabe ku mwana era ebiseera ebisinga abulako ddala ng’awezezza emyezi 6.
Myoclonus y’okutu okwa wakati
Kino kye kiseera ekinywa ekiyitibwa tensor tympani ekiri munda mu kutu kwo bwe kikonziba nga tofugibwa. Mu budde obwabulijjo, ekinywa kino kikonziba nga twogera, nga tulya oba nga tuseka okukuuma okutu okw’omunda. Naye mu mbeera eno, ekinywa kino kikonziba mu kiseera ekikyamu, ne kireeta eddoboozi ery’okunyiga oba okubuuka buli kiseera munda mu kutu. Kino kinyiiza, naye si kya bulabe. Kiyinza okujjanjabibwa n’okulongoosebwa oba mu ngeri endala.
Obulwadde bwa opsoclonus-myoclonus (OMS) .
Opsoclonus ye ntambula etali ya kyeyagalire ey’ebinywa ebifuga obulagirizi bw’amaaso. OMS mbeera etatera kulabika ng’okukankana kw’amaaso n’okukankana kw’ebinywa by’omubiri byombi bibaawo wamu. Oluusi kibaawo ng’abaserikale b’omubiri baffe balumba obusimu bwaffe mu nsobi. Mu baana, okuddamu kuno kw’abaserikale b’omubiri kuyinza okuva ku kika kya kookolo w’obwongo ayitibwa neuroblastoma. Mu bantu abakulu, embeera eno eyinza okukwatagana ne kookolo w’amawuggwe, amabeere oba enkwaso.
Ensigo y’omumwa gwa palatal myoclonus
Kino kika kya myoclonus ekikosa ebinywa by’olulimi olugonvu munda mu kamwa kaffe. Kino kiyinza okuvaako eddoboozi erya ‘clicking’ eritali lya bulijjo mu kutu. Kino kiyinza okuba eky’obuzaale oba akabonero k’ekika ky’okwonooneka kw’obwongo. Embeera eno etera okufugibwa n’eddagala.
Obubaka Obutwala Awaka
- Myoclonus kibeera kiwujjo ky’ebinywa mu bwangu. Ebintu ng’okunyiganyiga n’okwebaka bya bulijjo era tebirina bulabe.
- Naye singa okusika omuguwa kuno kw’ebinywa kusigala, kubaawo emirundi mingi, nga kwa maanyi oba okutaataaganya obulamu bwo obwa bulijjo, kiyinza okuba akabonero k’embeera endala ey’obujjanjabi.
- Mu mbeera ng’eyo, togibuusa maaso, era mazima ddala laba omusawo wo.
- Obujjanjabi businziira ku kivaako, omusawo wo yekka y’asobola okuzuula.
- Okwogera mu bwesimbu n’omusawo wo ku ddagala oba ebintu ebirala by’omira kikulu nnyo okusobola okuzuula obulungi obulwadde n’obujjanjabi obutaliimu bulabe.
👩🏽 ⚕️ Ebibuuzo ebirala (FAQs)
💬 Empeke za Metoprolol Tartrate / Lopressor ziwandiikibwa ku bulwadde ki?
Eno ye ‘empeke y’omutima’ esinga okukola obulungi era ey’amaanyi, ekola amangu mu nsi yonna (Cardioselective Beta-blocker)! Kiba ‘Tartrate’, kale nga kinywera mangu mu mubiri. Abasawo bakikozesa okufuga ‘High Blood Pressure’ ey’amaanyi, angina, n’okusingira ddala ng’eddagala erisooka okutaasa obulamu bw’omulwadde mu kaseera katono oluvannyuma lw’okulwala ‘Heart Attack’.
💬 Empeke eno ey’omutima ey’amangu (Metoprolol Tartrate) ekendeeza etya puleesa n’obukoowu bw’omutima?
Omutima bwe gugwa, omutima gukuba mangu olw’obubaka ‘adrenaline (Epinephrine)’ obusindikibwa okuva mu bwongo. Kasita empeke eno eyingira mu mubiri, egenda butereevu ku mutima ogugenda okufa nga teguliimu mukka gwa oxygen, era emiryango 100% adrenaline gy’ayitamu (Beta-1 Receptors) gizibikira/giggalwa, era ne gisibirwa mu ngeri ey’amaanyi. Okuva bwe kiri nti tewali ngeri bubaka gye buyitamu, omutima gumala kukendeeza ku sipiidi ne gutandika okukuba nga guwummudde. Olwo omugugu ku mutima ne gukendeera omulwadde n’awona okufa.
💬 Lwaki kigambibwa obutalekera awo kumira ddagala lino (Lopressor) mu bwangu? Biki ebiyinza okuvaamu (Black Box Warning)?
Singa omira empeke eno okumala emyezi n’oluvannyuma ‘olekera awo’, ebitundu ebyo byonna ebizibiddwa adrenaline bijja kugguka mangu nga tofugibwa! Olwo, mu ddakiika ntono, ojja kukwatibwa omutima ogw’amaanyi era omutima gwo gujja kuyimirira (Angina Exacerbation / Myocardial Infarction / Severe Tachycardia) ekintu ekitta ennyo n’osobola okufa! Ate era, empeke eno esobola okukendeeza ku mutima gwo ennyo n’okuziyira/okwebaka ennyo/obuteebaka/obukoowu.
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