Abaserikale b’omubiri gwo banafuye? Ka tuyige ku Neutropenia!

Obadde okimanyi nti obuwuka bwe buyingira mu mubiri gwaffe, omubiri gwaffe guba n’eggye erigulwanyisa? Ekimu ku bika by’abajaasi eby’enjawulo mu ggye lino kiyitibwa Neutrophil. Naye oluusi, olw’ensonga ezitali zimu, omuwendo gw’abaserikale bano mu mubiri gwaffe gukendeera. Wano n’obulwadde obutono we bufuuka obw’amaanyi era yinfekisoni ne zitandika okubeerawo ennyo. Leero twogera ku mbeera eno eyitibwa ‘Neutropenia’, nga muno abaserikale abakuuma omubiri bakendeera.

Mu ngeri ennyangu, Neutropenia kye ki?

Neutropenia (eyatulwa: neutro-pe-nia) mbeera nga omuwendo gwa neutrophils, ekika ky’obutoffaali obweru, mu musaayi gwo guli wansi okusinga ogwa bulijjo. Ebirungo bino ebiyitibwa neutrophils bisinga kukolebwa mu busimu bwaffe obw’amagumba. Omulimu gwabwe omukulu kwe kunoonya n’okusaanyaawo obuwuka, gamba nga obuwuka n’obuwuka obuyingira mu mibiri gyaffe.

Kale teebereza ekibaawo nga neutrophils zino ziri wansi. Kiringa amagye agakuuma eggwanga bwe ganafuye. Obusobozi bw’omubiri gwaffe okulwanyisa obuwuka bukendeera nnyo. Mu mbeera enzibu, ne obuwuka obwa bulijjo mu kamwa kaffe n’ebyenda, obutakola bulabe ku muntu mulamu, busobola okuleeta yinfekisoni ez’amaanyi.

Emiwendo gya neutrophil gisengekebwa gitya?

Kino omusawo ajja kukizuula ng’atunuulira ebyava mu kukebera omusaayi gwo. Mu budde obwabulijjo, omuntu omukulu omulamu obulungi alina okuba n’obusimu obusukka mu 1,500 buli microliter y’omusaayi. Neutropenia egabanyizibwamu emitendera esatu okusinziira ku muwendo guno bwe guli omutono.

Embeera eno eyinza okuba ey’ekiseera ekitono (acute) oba ey’ekiseera ekiwanvu (chronic). Era kiyinza okuba nga kyazaalibwa oba nga kyafunibwa.

Biki ebikulu ebivaako obulwadde bwa neutropenia?

Wayinza okubaawo ensonga eziwerako eziviirako okukendeera kw’obusimu obuyitibwa neutrophils. Oba obusigo bw’amagumba tebukola neutrophils zimala, oba neutrophils ezikolebwa zisaanawo mangu nnyo.

Zino ze zimu ku nsonga enkulu ezivuddeko:

• Kookolo n’engeri gy’ajjanjaba: Kino kitera okuvaako kookolo. Obujjanjabi bw’eddagala n’obusannyalazo naddala ku kookolo nabwo busobola okwonoona obutoffaali obulamu obuyitibwa neutrophils, nga buno buba butoffaali obweyawulamu amangu, bwe busaanawo. Era kiyinza okuva ku kookolo w’omusaayi nga leukemia.
• Yinfekisoni: Yinfekisoni ezimu ez’akawuka, bakitiriya, n’obuwuka zisobola okukendeeza ku bungi bwa neutrophil okumala akaseera. Eby’okulabirako mulimu akawuka ka siriimu, Hepatitis, Akafuba, ne sepsis, yinfekisoni ey’amaanyi.
• Eddagala erimu: Ng’oggyeeko eddagala lya kookolo, eddagala erimu erimira ku ndwadde endala nalyo liyinza okuvaako okukendeera kw’obusimu obuyitibwa neutrophils ng’ekizibu.
• Embeera z’abaserikale b’omubiri (autoimmune conditions): Kino kye kiseera abaserikale b’omubiri gwaffe bennyini bwe balumba mu bukyamu obutoffaali bwaffe obulamu obuyitibwa neutrophil cells, nga balowooza nti bwe mulabe. Eby’okulabirako mulimu embeera nga lupus ne rheumatoid arthritis.
• Ebbula ly’emmere: Embeera eno era esobola okubaawo singa omubiri gubulwa ebiriisa nga vitamiini B12, folate oba ekikomo.
• Ebivaako obuzaale: Abantu abamu embeera eno bagisikira okuva lwe bazaalibwa.

Bubonero ki obulaga obulwadde bwa neutropenia?

Ekikulu wano kiri nti Neutropenia yennyini terina bubonero bwonna. Wabula olw’obusimu obuyitibwa neutrophils obutono, oyinza okufuna obubonero obw’enjawulo olw’ yinfekisoni z’ofuna amangu. Bw’otera okulwala, kiyinza okuba akabonero ka Neutropenia.

Yinfekisoni bw’ebaawo, oyinza okulaba obubonero nga:

• Omusujja (obusukka mu 38 Celsius oba 100.4 Fahrenheit) .
• Okuwulira ng’okooye nnyo era nga tolina bulamu
• Okulumwa mu mamiro
• Okuzimba kw’ennyondo z’omubiri
• Amabwa agaluma mu kamwa oba mu nseke
• Embiro
• Okwokya n’okulumwa ng’ofulumya omusulo
• Yinfekisoni z’olususu (okumyuuka, okuzimba, obulumi) .

Singa omuwendo gwa neutropenia gwo guba mutono, oyinza okuba ng’okyalina neutrophils ezimala mu mubiri gwo okulwanyisa yinfekisoni. Oyinza obutaba na bubonero bwonna mu kiseera kino.

Bujjanjabi ki obukolebwa ku kino?

Obujjanjabi businziira ku kivaako emiwendo gyo egy’obusimu obuyitibwa neutrophil obutono n’engeri gye bubaamu. Emisango egimu emitono giyinza obuteetaagisa bujjanjabi bwonna.

Zino ze zimu ku nkola enkulu ez’obujjanjabi:

• Eddagala eritta obuwuka: Bw’oba ​​olina obulwadde bwa neutropenia wamu n’omusujja (oguyitibwa `febrile neutropenia`), kiyinza okuba akabonero k’obulwadde obw’amaanyi. Mu mbeera ng’eyo, omusawo ayinza okukuyingiza mu ddwaaliro n’akuwa eddagala ery’amaanyi eritta obuwuka ng’ayita mu musuwa (nga liyita mu layini).
• Corticosteroids: Singa neutropenia yo eva ku bulwadde obuva ku busimu obuziyiza endwadde, eddagala lino liweebwa okufuga emirimu gy’abaserikale b’omubiri.
• G-CSF (Granulocyte colony-stimulating factor): Zino kika kya mpiso eky’enjawulo ekisitula obusimu bw’amagumba n’okwongera okukola obutoffaali obweru (naddala neutrophils). Bino bitera okuweebwa abantu abajjanjabwa eddagala.
• Okukyusa eddagala: Singa embeera yo eva ku ddagala, omusawo ayinza okuyimiriza eddagala oba okukyusa eddagala.

Nkole ki okwekuuma obutakwatibwa yinfekisoni?

Bw’oba ​​okimanyi nti olina obulwadde bwa neutropenia, ekisinga obukulu ky’oyinza okukola kwe kwekuuma obutakwatibwa yinfekisoni. Okuva bwe kiri nti abaserikale b’omubiri banafuye, olina okwegendereza ennyo.

• Naaba bulungi mu ngalo ne ssabbuuni n’amazzi buli kiseera. Kozesa eddagala erirongoosa mu ngalo eririmu omwenge ng’amazzi tegaliiwo.
• Weewale abantu abalwadde n’ebifo ebirimu abantu abangi nga bwe kisoboka.
• Funa eddagala lyo lyonna eryetaagisa , gamba ng’ery’okugema ssennyiga, mu budde. Saba omusawo akuwe amagezi ku nsonga eno.
• Weewale okusala n’okusenya. Okwoza n’okujjanjaba n’ebiwundu ebitonotono mu bwangu.
• Weegendereze nnyo ku buyonjo bw’emmere. Enva endiirwa n’ebibala binaaze bulungi nga tonnalya. Ennyama, ebyennyanja n’amagi fumba bulungi nga tonnalya.
• Tokozesa ssowaani za bantu balala, ebikopo, ebijiiko, ebisema, obutambaala, ne bbulawuzi z’amannyo.
• Bw’oba ​​okolera mu lusuku, yambala ggalavu.
• Bw’oba ​​oggyayo kasasiro w’ebisolo by’omu nnyumba oba ng’okyusa obuwale bw’abaana abato, kakasa nti oyambala ggalavu n’okunaaba obulungi mu ngalo ng’omaze okukola.
• Weewale okuwuga mu mazzi agatali mayonjo, gamba ng’ennyanja, emigga, n’ebidiba.

Ddi lwe nnina okulaba omusawo mu bwangu?

Bw’oba ​​ogenda kujjanjabwa eddagala oba ng’olina embeera endala ey’obujjanjabi eyinza okuvaako obulwadde bw’obusimu obuyitibwa neutropenia, tolwawo singa ofuna obubonero bwonna ku buno wammanga. Kuba essimu y’omusawo wo mu bwangu oba genda mu kitongole ky’abalwadde ab’amangu (ETU) mu ddwaaliro erikuli okumpi.

Neutropenia si kintu kya kutya, naye kikulu okukimanya n’okwegendereza. Singa ogoberera bulungi ebiragiro by’omusawo n’okola ebyetaagisa okwekuuma yinfekisoni, embeera eno osobola okugiddukanya obulungi.