Omwana wo alina obutoffaali obweru obutono? Ka tuyige ku mbeera eno ey'akabi (Neutropenia)!

Ba maama ne ba taata, oyinza okuba nga mwatya katono bwe mwalaba lipoota y’omusaayi gw’omwana wo omusawo n’agamba nti, ‘Low neutrophils’ oba ‘Low white blood cells’, nedda? Oba omwana wo bw’aba atera okulwala, oyinza okuba nga weebuuzizza oba kino kye kivaako. Kale leero tugenda kwogera ku mbeera eyitibwa `(Neutropenia)` (eyatulwa: neutro-pe-nia). Kino bw’okitegeera bulungi, kijja kukuyamba nnyo okukiddukanya obulungi nga tolina kutya mu ngeri eteetaagisa.

`(Neutropenia)` kitegeeza ki kyokka?

Mu ngeri ennyangu, `(Neutropenia)` kitegeeza nti tetulina kika kya njawulo kya butoffaali obweru obumala mu musaayi gwaffe. Obutoffaali buno obweru tubuyita `(Neutrophils)`. Lowooza ku `(Neutrophils)` zino ng'abajaasi abato munda mu mibiri gyaffe. Omulimu gwabwe omukulu kwe kulwanyisa obuwuka nga `(Bacteria)` obuyingira mu mibiri gyaffe n'okutukuuma endwadde. `(Bacteria)` kika kya buwuka, era be batuleetera yinfekisoni ez'enjawulo.

Kale, kiki ekibaawo nga tufiiriddwa abajaasi bano abayitibwa `(Neutrophils)` abamala mu musaayi gwaffe? Enkola y’omubiri gwaffe ey’okwekuuma enafuye. Olwo obuwuka busobola bulungi okuyingira mu mubiri ne buleeta yinfekisoni ez’amaanyi. Eno y'ensonga lwaki singa omwana alina `(Neutropenia)` aba n'omusujja, obubonero bw'okumyuuka okwetooloola ekitundu ekisaliddwa, oba omusujja n'okukankana, kikulu okugenda mu basawo amagezi amangu ddala . Naye teweeraliikiriranga, singa ofuna obujjanjabi amangu, yinfekisoni ezisinga mu baana abalina `(Neutropenia)` zisobola okuwona.

Bubonero ki obw'omwana alina ``(Neutropenia)''?

Omwana alina ``(Neutropenia)`` atera okufuna yinfekisoni okusinga abaana abalala abalamu. Ate era, yinfekisoni zino:

• Kiyinza okubaawo emirundi mingi.
• Kiyinza okuba ekibi ennyo.
• Kiyinza okweyongera amangu.

Obubonero businziira ku kika kya yinfekisoni omwana wo gy’alina. Okugeza omwana alina obulwadde bw’okutu ayinza okulumwa amatu. Oluusi era bayinza okulaga obubonero obw’awamu ng’omusujja, okulumwa omubiri, n’obutayagala mmere.

Lwaki kino `(Neutropenia)` kibaawo? Biki ebivaako?

Kati tukimanyi nti ``Neutropenia'' eva ku kukendeera kw'omuwendo gwa ``Neutrophils'' mu musaayi. Waliwo ensonga eziwerako eziviirako kino:

• Yinfekisoni ez'enjawulo: Yinfekisoni ezimu ez'akawuka oba bakitiriya zisobola okukendeeza ``(Neutrophils)'' okumala akaseera.
• Eddagala: Eddagala naddala erikozesebwa okutta obutoffaali bwa kookolo liyinza okukosa obusigo bw’amagumba n’okukendeeza ku busimu obuyitibwa neutrophils. Eddagala eddala erimu nalyo liyinza okuvaako kino.
• Obujjanjabi bw’amasannyalaze: Obujjanjabi bw’amasannyalaze obukozesebwa okusaanyaawo obutoffaali bwa kookolo nabwo busobola okwonoona obusigo bw’amagumba n’okulemesa okukola obuwuka obuyitibwa neutrophils.
• Ebizibu by’obuzaale:Abaana abamu bayinza okufuna ``Neutropenia`` olw'embeera y'obuzaale ebeerawo nga bazaalibwa. Kino era kiyitibwa ``Congenital neutropenia``.
• Obusigo bw’amagumba obutakola bulungi: Obusigo bw’amagumba kitundu ekiringa sipongi munda mu magumba gaffe. Wano we wava obutoffaali bwaffe obw’omusaayi. Kale, ekizibu kyonna mu busimu buno obw’amagumba kiyinza okuvaako okukendeera mu kukola `(Neutrophils)`.
• Abaserikale b'omubiri balumba ``Neutrophils'' zaayo: Kino kiyitibwa ``Autoimmune neutropenia''. Ekibaawo wano nti abaserikale b’omubiri, abalwanyisa obuwuka mu mubiri gwaffe, mu nsobi basaanyaawo obutoffaali bwabwe obwa ``Neutrophils''.

Oluusi, okukendeera kw’obusimu obuyitibwa neutropenia kuyinza okujja n’okugenda (cyclic neutropenia) . Kino kitegeeza nti omutindo gwa neutrophils gukka buli luvannyuma lwa nnaku ntono ate ne gudda mu mbeera eya bulijjo. Mu mbeera endala, abasawo tebasobola kuzuula kivaako bulwadde bwa neutropenia (idiopathic neutropenia) .

Omanya otya oba olina `(Neutropenia)`?

Abasawo bazuula obulwadde bwa neutropenia nga bakozesa omusaayi oguyitibwa Complete Blood Count (CBC). Kino kipima omuwendo gw’obutoffaali obw’enjawulo mu musaayi.

Okusobola okumanya ddala ensonga lwaki omwana alina obulwadde bwa neutropenia, omusawo w’omusaayi, omusawo mukugu mu ndwadde z’omusaayi, ayinza okukola okukebera okulala okuwerako. Mu bino mulimu:

• Okukebera omusaayi gw’omwana mu microscope.
• Okutwala sampuli entono ennyo ey’obusimu bw’amagumba (`(Bone marrow biopsy)`) n’obukebera wansi wa microscope.
• Okukebera yinfekisoni ez’enjawulo.
• Okukebera obuzaale.

Ebigezo bino bye bisalawo ekituufu ekivaako obulwadde bwa neutropenia.

Neutropenia ejjanjabwa etya?

Obujjanjabi bwa `(Neutropenia)` businziira ku kivaako n'obuzibu bw'embeera. Si misango gyonna egya `(Neutropenia)` nti gyetaaga obujjanjabi.

Abasawo bakozesa omuwendo oguyitibwa `ANC (Absolute Neutrophil Count)` okusalawo ku bujjanjabi. `ANC` kipimo ekituufu eky'omuwendo gw'obutoffaali bwa `(Neutrophils)` mu musaayi. Omuwendo guno gye gukoma okuba wansi, emikisa gy’omwana okukwatibwa obulwadde obw’amaanyi gye gikoma okubeera waggulu.

Bwe kiba kyetaagisa obujjanjabi, waliwo enkola eziwerako ezisobola okukozesebwa:

1. Okutereeza embeera ya `(Neutropenia)`:

• Empiso za Granulocyte Colony-Stimulating Growth Factor (G-CSF): Zino zisitula obusigo bw’amagumba okukola obuwuka obuyitibwa neutrophils obusingawo.
• Eddagala lya steroid: Eddagala lino likozesebwa okukomya abaserikale b’omubiri okusaanyaawo obusimu obuyitibwa neutrophils (naddala mu autoimmune neutropenia).
• Okuteekebwamu obutoffaali obweru: Okuwa omwana obutoffaali obw’enjawulo okulwanyisa yinfekisoni.
• Okusimbuliza obutoffaali obusibuka mu mubiri:Kino kizingiramu okukyusa obutoffaali obusibuka obukola omusaayi obulwadde n’ossaamu obutoffaali obulamu okuva eri omuntu agaba omusaayi. Kino kitera okukolebwa mu mbeera ez’amaanyi.
• Okusala enseke: Oluusi enseke zisaanyaawo obuwuka obuyitibwa neutrophils, n’olwekyo okuggyamu enseke kiyinza okwongera ku bungi bw’obusimu obuyitibwa neutrophils.

2. Okuziyiza n’okujjanjaba yinfekisoni:

• Eddagala eritta obuwuka: Eddagala eritta obuwuka liweebwa okujjanjaba yinfekisoni singa ebaawo oba oluusi okuziyiza yinfekisoni.

3. Ebiragiro eby’enjawulo eri abaana abalina omuwendo gwa neutrophil omutono ennyo era nga balina akabi ak’okukwatibwa obulwadde:

Okwegendereza okw’enjawulo kulina okukolebwa okukuuma abaana bano obutakwatibwa yinfekisoni.

Ekikulu: Okugoberera ebiragiro bino kiyinza okukuuma omwana wo obutakwatibwa yinfekisoni nnyingi.

• Weewale ebifo ebirimu abantu abangi, gamba ng’amasomero, nga bwe kisoboka.
• Okwewala abantu abalwadde.
• Yambala masiki mu maaso bw’oba ​​otambula ku bintu ebikulu.
• Naaba bulungi mu ngalo (nga okozesa ssabbuuni n’amazzi okumala waakiri sekondi 20) emirundi mingi.
• Okusenya n’okusiimuula amannyo buli lunaku.
• Tokozesa thermometer ya rectal thermometer okukebera omusujja (kino kiyinza okuvaako obuvune n’okuyingiza obuwuka).
• Bw’ofuna ekiwundu ekitono, kiyonje mangu osiige pulasita.
• Weewale okukozesa ebintu ebisongovu nga ebisema (kubanga bisobola okuleeta yinfekisoni singa obisala).
• Okwewala emmere ezimu:
• Amata agatali ga pasteurized n’emmere y’amata.
• Ebibala ebibisi, enva endiirwa, n’entangawuuzi – kasita biba nga binaazibwa bulungi era nga bifumbiddwa, tekiba kibi.
• Enjuki embisi.
• Emmere zino zeewalibwa kubanga ziyinza okubaamu obuwuka.

Mwe ng’abazadde muyinza mutya okuyamba?

Omwana wo bw’aba alina obulwadde bwa neutropenia, kikulu okugoberera ddala ebiragiro by’omusawo.

• Funa okwekebeza omusaayi ku nnaku eziteekeddwateekeddwa.
• Eddagala lye bakulagidde liwe mu budde bwennyini era mu budde.
• Goberera ebiragiro ebiweereddwa okuziyiza okukwatibwa ddala.

Ebintu bino bw’obikola bulungi, osobola okuddukanya obulungi embeera y’omwana wo.

Ddi lw’osaanidde okulaba omusawo? (Eby’amangu!)

Kikulu nnyo okugenda ew’omusawo amangu ddala singa omwana alina obulwadde bwa neutropenia alaga obubonero bwonna obulaga nti alina obulwadde. Singa omwana afuna obujjanjabi obw’amangu, ebiseera ebisinga atereera mangu.

Bw’ofuna obubonero bwonna ku buno wammanga , tegeeza omusawo wo mangu:

• Singa omusujja guba gusukka diguli 38 (100.4 Fahrenheit).
• Bw’oba ​​owulira nga munnyogoga, ng’okankana ne/oba ng’otuuyana.
• Okusesema, okukaluubirirwa okussa.
• Amabwa mu kamwa, okulumwa emimiro.
• Obulumi ng’ofulumya omusulo.
• Singa wabaawo okumyuuka n’okusaasaana okwetoloola ekiwundu ky’olususu.
• Okusesema oba ekiddukano.
• Obulumi obumu obupya.

Bw’olaba akabonero nga kano, laba omusawo awatali kulwa.

Ebintu ebirala by'olina okumanya...

Okuzaala omwana alina obulwadde obw’amaanyi kiyinza okuba ekizibu eri amaka gonna. Naye jjukira nti toli wekka. Yogerako n’omuntu yenna ku ttiimu y’abasawo b’omwana wo era obuuze ku ngeri gy’oyinza okufunamu obuyambi bwe weetaaga. Osobola n’okufuna ebisingawo n’obuwagizi ku mikutu gy’ebyobujjanjabi egyesigika ku yintaneeti (e.g., omukutu gw’ekitongole ky’ebyobulamu mu nsi yonna, emikutu gy’amalwaliro ag’ettutumu). Kyokka, si byonna ebisangibwa ku Intaneeti nti bituufu, n’olwekyo kikulu okwogera n’omusawo okukakasa nti amawulire ago matuufu.

Ebintu ebikulu by'olina okujjukira (Take-Home Message)

Okay, kale, okusinziira ku bye twogeddeko leero, nsuubira nti ofunye okutegeera okulungi ku `(Neutropenia)`.

Neutropenia kwe kukendeera kw’obutoffaali obweru obuyitibwa neutrophils mu musaayi. Kino kiyinza okukuleetera okukwatibwa yinfekisoni.

Ensonga ziyinza okubaawo nnyingi, era oluusi oyinza n’obutasobola kufuna nsonga.

Okuzuula obulwadde buno kukolebwa nga bayita mu kukeberebwa omusaayi.

Obujjanjabi businziira ku kivaako n’obuzibu. Si buli muntu nti yeetaaga obujjanjabi.

Ekisinga obukulu kwe kubeera ku bunkenke bw’obubonero obulaga nti omuntu alina obulwadde era ng’ogenda mangu omusawo amagezi bw’olaba nga waliwo.

Osobola okukuuma omwana wo ng’ogoberera ddala amagezi g’abasawo era ng’okola enkola z’okuziyiza omwana.

Nga twagaliza omwana wo okuwona amangu! Nsuubira nti amawulire gano gakuyamba.

` Neutropenia, neutropenia, omuwendo gw’obutoffaali obweru obutono, endwadde z’abaana, yinfekisoni, ANC, endwadde z’omusaayi, obutaba na busimu obuziyiza endwadde