Oboolyawo owuliddeko ku kulongoosa omutima, nedda? Mpozzi omuntu mu maka go oba mukwano gwo abadde alina okulongoosebwa okw’ekika kino. Ebiseera ebisinga bwe twogera ku kulongoosa omutima nga tuyita mu kkubo, tulowooza ku kulongoosa okunene okuzingiramu okuyimiriza omutima n’okuguyunga ku kyuma. Naye obadde okimanyi nti waliwo n’okulongoosa okuyitira (bypass surgery) okuyinza okukolebwa nga tekuyimiriza mutima, kwe kugamba ng’omutima gukyakuba? Ekyo kye tuyita "Off-pump" bypass surgery, oba "Beating Heart Surgery." Kino ka twogere mu bigambo ebyangu leero.

Okay, okulongoosa kuno okwa bypass okukolebwa nga tekuyimiriza mutima kye ki?

Mu ngeri ennyangu, kino kika kya coronary artery bypass graft (CABG). Mu kulongoosa okuyita mu mutima, omusuwa omupya gutondebwawo okuyita ku musuwa oguzibiddwa (coronary artery) ogugabira omutima omusaayi. Kino kikolebwa nga tukozesa omusuwa omulamu (graft) oguggyibwa mu kitundu ekirala eky’omubiri okugeza ekigere oba ekifuba.

Teeberezaamu akalippagano k’ebidduka ku luguudo, n’olwekyo mmotoka tezitambula. Olwo ne tuzimba oluguudo oluyitawo okwewala akalippagano ako. Kino kiddamu okutandika okutambula kw’omusaayi okutuuka ku mutima.

Mu kulongoosa okw’ekinnansi (On-pump CABG) , abasawo abalongoosa bayimiriza ddala omutima gw’omulwadde. Olwo, omulimu gw’omutima n’amawuggwe gukolebwa ekyuma eky’enjawulo okutuusa ng’okulongoosa kuwedde. Kino kiyitibwa ekyuma ekiyita ku mutima n’amawuggwe. Ekyuma kino kiggya omusaayi mu mubiri, ne gukigattamu omukka gwa oxygen, ne kiggyamu omukka gwa kaboni, ne kikuba omusaayi omuyonjo ne gudda mu mubiri.

Naye mu CABG etali ya ppampu, ekyuma ky’omutima n’amawuggwe tekikozesebwa. Omusawo alongoosa alongoosa ng'omutima gwo gukuba . Eno y'ensonga lwaki kiyitibwa "okukuba omutima" okulongoosa.

Ani eyeetaaga okulongoosebwa kuno?

Okulongoosa kuno okusinga kukolebwa ku balwadde abalina obulwadde bw’emisuwa gy’omutima (CAD). Mu CAD, amasavu (plaque) gazimba munda mu misuwa gy’omutima, ne gakendeeza ku kutambula kw’omusaayi. Kino kiyinza okuvaako obubonero ng’okulumwa mu kifuba n’okussa obubi. Singa emisuwa gino gizibikira ddala, obulabe bw’okulwala omutima buba bungi nnyo.

Obulwadde bwe buba bwa maanyi nnyo nga tebusobola kufugibwa nga bakyusakyusa mu bulamu, eddagala, n’obujjanjabi obulala, abasawo bagamba nti omuntu alongoosebwe mu ngeri ey’okuyita mu kkubo. Okulongoosa kuno kuyinza okukendeeza ku bubonero, okukendeeza ku bulabe bw’okulwala omutima, n’okwongera okuwangaala. Kale, eri abalwadde abamu abasalawo okulongoosebwa bypass, enkola eno etali ya ppampu eyinza okuba enkola ennungi.

Oteekateeka otya nga tonnalongoosebwa?

Bw’oba ​​olina okulongoosebwa kuno, ttiimu yo ey’abasawo ejja kukuwa ebiragiro ku ngeri y’okwetegekamu. Ebiragiro bino biyinza okuli:

• Bw’oba ​​onywa sigala, lekera awo mangu.
• Omusawo ajja kukuwa amagezi okulekera awo okumira eddagala erimu naddala eriziyiza okuzimba omusaayi okumala akaseera.
• Olunaku olusooka okulongoosebwa, ojja kugambibwa obutalya wadde okunywa ekintu kyonna okuva mu ttumbi.

Okugatta ku ekyo, oyinza n’okukeberebwa okuwerako okulaba oba oli mu mbeera nnungi okulongoosebwa:

• Okukebera omusaayi
• Okukeberebwa mu kifuba nga bakozesa X-ray
• Okukebera omutima (Echo) .
• Okukebera ECG (Electrocardiogram) .
• Ebigezo eby’enjawulo nga Nuclear Cardiac Stress Test

Kiki ekibaawo mu kiseera ky’okulongoosebwa?

Omusawo akulongoosa ajja kukunnyonnyola ekigenda okubaawo mu kiseera ky’okulongoosebwa. Bino bye bimu ku bintu ebigenda okutera okubaawo:

1. Anesthesia: Bakuteeka ddala mu tulo ne bakubudamya oleme kuwulira bulumi bwonna.

2. Graft Harvesting: Ekitundu ky’omusuwa omulamu ogwetaagisa okuyita mu bypass kiggyibwa mu kigere, omukono oba mu kifuba eky’omunda.

3. Okusala: Okutema kukolebwa wakati mu kifuba, nga batambuza n’obwegendereza eggumba ly’amabeere ku buli ludda. Oluusi okusinziira ku kifo omukutu oguzibiddwa, wayinza okusalibwako akatundu akatono wakati w’embavu eziri ku ludda olwa kkono olw’ekifuba.

4. Okutebenkeza omutima: Okuva okulongoosa bwe kukolebwa ng’omutima gukuba, ekyuma eky’enjawulo ekiyitibwa ``Stabilizer`` kikozesebwa okukwata akatundu akatono ak’omutima akalongoosebwa ne kaleme kutambula. Kino kisobozesa omusawo alongoosa okusigala nga asirise era n’alongoosa mu ngeri etegeerekeka obulungi.

5. Bypass: Okutambula kw’omusaayi mu musuwa oguzibiddwa kuyimirizibwa okumala akaseera, era enkomerero emu ey’omusuwa omulamu ogwasooka okutwalibwa n’eyungibwa ku aorta ate enkomerero endala n’eyungibwa ku musuwa gw’omusaayi wansi w’omusuwa oguzibiddwa. Kino kitondekawo bypass empya.

6. Okuggalawo: Omulimu bwe guggwa, omusaayi guyimirizibwa okumala akaseera, eggumba ly’ekifuba ne liddamu okugattibwako waya ez’enjawulo, olususu ne lutunga ne luggalwa.

Okulongoosa okw’ekinnansi (On-pump) oba enkola eno empya (Off-pump) esinga?

Okunoonyereza kukyagenda mu maaso okuzuula enkola ki ku zino ebbiri esinga mu bbanga eggwanvu. Omusawo akulongoosa ajja kuteesa naawe enkola ki esinga okukukwatako. Ka tulabe enjawulo enkulu n’ebirungi n’ebibi ebiri mu nkola zino ebbiri.

Obulabe ki obuli mu kulongoosebwa kuno?

Nga bwe kiri ku kulongoosa kwonna okunene, waliwo akabi akali mu kulongoosa. Kyokka, abantu abasinga obungi bafuna obuwanguzi. Obulabe obuyinza okubaawo mulimu:

• Okuvaamu omusaayi
• Okuzimba omusaayi (ekiyinza okuvaako okusannyalala oba okulwala omutima) .
• Ebizibu ebiva mu kubudamya
• Yinfekisoni
• Omutima obutakuba bulungi (Arrhythmia) .
• Okulemererwa kw’ekibumba

Kitwala bbanga ki okuwona?

Ekiseera ky’okuwona oluvannyuma lw’okulongoosebwa kisinziira ku bintu ebiwerako, gamba ng’emyaka gyo, obulamu bwo okutwalira awamu, n’obunene bw’ekifo we batemye. Ebiseera ebisinga kigenda bwe kiti:

• Osobola okutandika okumira amazzi n’emmere entonotono ku lunaku lwe lumu oba enkeera ng’omaze okulongoosebwa.
• Mu lunaku olusooka oba bbiri, ojja kusobola okutuula mu ntebe ng’oyambibwako n’otambulako katono.
• Olina okumala ennaku ntono mu ddwaaliro.
• Mazima ddala kikulu okuba n’omuntu akuyamba mu nnaku ezisooka ng’omaze okudda eka.
• Emisono gino gijja kuggyibwawo mu wiiki nga kkumi.
• Kirungi obutasitula buzito bwonna okumala wiiki ntono.
• Kiyinza okutwala wiiki eziwera oba okusingawo okuwona mu bujjuvu.
• Abasawo bajja kukuwa amagezi okwetaba mu nteekateeka y’okuddaabiriza omutima okuddamu okuzimba amaanyi go.

Mu mbeera ki gy’osaanidde okunoonya amagezi mu bwangu omusawo?

Mu kiseera ky’okuwona, ojja kwetaaga okugenda mu ddwaaliro ku nnaku eziteekeddwawo n’olaba omusawo. Wabula singa ofuna obubonero bwonna ku buno wammanga, kuba essimu y’omusawo mu bwangu oba genda mu kitongole ky’abalwadde ab’amangu (ETU) mu ddwaaliro erikuli okumpi.