Omwana wo omuto alina stroke? (Pediatric Stroke) Tofaayo, kino tukimanye!

Ffenna tuwulidde nti abantu abakulu basobola okufuna stroke . Naye obadde okimanyi nti, wadde nga si bulijjo nnyo, abaana baffe abato, okuva ku balongo okutuuka ku baana abali wansi w’emyaka 18, nabo basobola okuba n’embeera eno, eyitibwa Pediatric Stroke . Ne bw’oba ​​weeraliikirira katono ng’owulira bino, tofaayo. Singa otegeezebwa bulungi ku nsonga eno, osobola okukola ebintu ebyetaagisa mu bwangu.

Stroke y’abaana kye ki?

Mu ngeri ennyangu, okusannyalala mbeera ebaawo ng’omusaayi ogugenda mu kitundu ky’obwongo bwaffe gutaataaganyizibwa. Kiringa ekibaawo nga ekyuma kyaffe ekibugumya amazzi kiweddewo amazzi. Obwongo bufuna omukka gwabwo okuva mu musaayi. N’olwekyo omusaayi bwe gukoma, obutoffaali bw’obwongo butandika okufa. Eno mbeera ya mangu eyinza okutta omuntu.

Kino kiyinza okutuuka ku bantu abakulu awamu n’abaana. Tukiyita ' Pediatric Stroke ' bwe kibeera mu mwana atali wansi w'emyaka 18. Waliwo n'enjawulo:

• Okusannyalala mu kiseera ky’okuzaala: Abaana abamu bazaalibwa n’embeera eno.
• Ebyo ebibaawo mu nnaku 28 ezisooka ez’obulamu: Kwe kugamba, ebyo ebituuka ku balongo abaakazaalibwa.
• Era awo ezo ezibeerawo okutuuka ku myaka 18: zino ze tuyita ‘childhood strokes’.

Ebivaako bitera okuba endwadde z’omutima, obuzibu mu kuzimba omusaayi, n’ebirala Oluusi kiyinza okuva ku bubenje obukendeeza ku mukka gwa oxygen mu bwongo, oba embeera ezimu ezizaalibwa .

Ebika bya poliyo ebikulu bye biruwa?

Okufaananako n’abantu abakulu, abaana baffe abato basobola okufuna ebika by’okusannyalala ebikulu bisatu:

• Hemorrhagic stroke: Kino kibaawo ng’omusuwa mu bwongo gukutuse ne guvaamu omusaayi. Kilowoozeeko ng’omudumu gw’amazzi ogukutuse n’okukulukuta amazzi.
• Ischemic stroke: Kino kibeera omusaayi bwe guzibikira omusuwa mu bwongo, ne guziyiza omusaayi okutambula. Kiba ng’ekitundu ky’ekivundu ekizibye payipu y’amazzi.
• Transient Ischemic Attack (TIA): Kino kiringa ‘mini stroke’. Omusaayi oguzimba gusibira mu musuwa mu bwongo okumala akaseera katono, olwo ne gusengulwa omusaayi ne gudda mu mbeera eya bulijjo. Obubonero buno bumala akaseera oluvannyuma ne bugenda. Naye kano era kabonero kakulu nnyo akalaga nti okusannyalala okw’amaanyi kisoboka.

Kino kya bulijjo kitya?

Mu butuufu, okusannyalala mu baana tekitera kubaawo nnyo . N’olwekyo tekyetaagisa kweraliikirira mu ngeri eteetaagisa. Okusinziira ku banoonyereza, embeera eno ebeera mu mwana omu oba babiri ku buli mwana 100,000 abali wansi w’emyaka 18 buli mwaka. Abalongo nga omu ku buli baana 3,500 ayinza okufuna obulwadde bwa stroke nga bazaala . Naye kizibu okuwa omuwendo omutuufu, kubanga oluusi kizibu okuzuula.

Bubonero ki obulaga poliyo? Bayinza batya okuzuulibwa?

Obumu ku bubonero abantu abakulu bwe bafuna nga bafunye obulwadde bwa ssukaali busobola n’okubeerawo mu bavubuka. Obubonero buno mulimu:

• Waliwo enkyukakyuka ey'amangu mu nneeyisa oba mu ndowooza .
• Enkyukakyuka mu kuwulira n’okulaba zibaawo.
• Okuwulira oba okuwulira nga munafu ku ludda olumu olw’omubiri (Hemiparesis) .
• Okukaluubirirwa okwogera n’okutegeera ebigambo (Aphasia) .
• Okukaluubirirwa okumira (Dysphagia) .
• Bw’oba ​​otambula, owulira ng’owuubaala ku ludda olumu n’otambula mu ngeri etali nnungi (ataxia) .

Teebereza, singa omwana wo avuma ebigambo bye mu bwangu ng’amaze okuzannya, oba ng’awulira nga tasobola kutambuza mukono oba kigere... Mu mbeera ng’ezo, olina okugenda mu basawo amangu ddala.

Wabula abaana abato ennyo naddala abalongo n’abaana abato abatannaba kwogera bulungi bayinza obutalaga bubonero buno obweyoleka. Mu kifo ky’ekyo, bayinza okulaba ebintu nga:

• Okukonziba. Kano ke kabonero akasinga okulabika ng’okusannyalala mu baana abato.
• Nnina omutwe omubi.
• Okusiiyibwa, okuziyira.
• Okukoowa buli kiseera n’okwebaka.
• Omusujja awatali nsonga.

Obubonero buno era busobola okubaawo mu ndwadde endala, kale kizibu okulowooza amangu nti nti stroke. Naye bw’olaba ekintu nga kino naddala ng’owulira nga kikutte, mazima ddala wandibadde olaba omusawo.

Lwaki abaana abato basannyalala? Biki ebivaako?

Okusannyalala kutera kubaawo ng’omusaayi ogugenda mu bwongo gutaataaganyizibwa. Kino kiyinza okuva ku kuzimba omusaayi (ischemic stroke) oba omusuwa ogukutuse munda mu bwongo (hemorrhagic stroke) .

Waliwo ensonga eziwerako entongole lwaki embeera eno ebaawo mu baana abato:

• Ebintu ebimu ebitali bya bulijjo ebizaalibwa mu misuwa mu bwongo: Ng’ekyokulabirako , embeera eyitibwa Arteriovenous Malformation (AVM) . Mu mbeera eno, emisuwa mu bwongo gitabula, ne gitera okukutuka n’okuvaamu omusaayi. Zino zitera okuba embeera z’obuzaale.
• Obulwadde bw’omutima obuzaalibwa: Abaana abamu bazaalibwa n’ebizibu by’omutima ebimu. Embeera z’omutima zino nazo zisobola okwongera ku bulabe bw’okulwala obulwadde bwa ssukaali.
• Endwadde ezeekuusa ku musaayi: Okugeza , abaana abalina obulwadde obuyitibwa Sickle Cell Disease batera okulwala omusaayi. Ate era, endwadde ezitangira omusaayi okuzimba amangu (e.g. Hemophilia ) nazo zisobola okuvaako omusaayi okuva mu bwongo.

Biki ebiyinza okuvaako okusannyalala?

Abaana abamu bayinza okuba mu bulabe obusingako katono obw’okusannyalala okusinga abalala. Ebintu ng’ebyo ebiyinza okuleeta akabi mulimu:

• Omutima obutakuba bulungi (Arrhythmias) .
• Obulwadde bw’omutima obuzaalibwa nabwo(Obulwadde bw’omutima obuzaalibwa) .
• Obutabeera na oxygen mu bwongo nga bazaalibwa (Cerebral hypoxia) .
• Ekirwadde ekya sukaali.
• Puleesa eri waggulu.
• Omugejjo kitegeeza okubeera omunene ennyo.
• Embeera omusaayi mwe guzimba mangu (Thrombophilia) oba embeera ng’omusaayi teguzimba mangu (Hemophilia) .
• Obuvune obw’amaanyi ku mutwe oba mu bulago (Traumatic Brain Injury - TBI) .
• Obulabe buno era busingako katono ku baana abalina embeera z’obuzaale ezimu, okugeza , Down syndrome .

Bizibu ki ebiyinza okuva mu kusannyalala?

Emirundi egisinga, abaana abasinga obungi abafuna stroke bawona mu bujjuvu. Ago ddala mawulire malungi. Kyokka okusinziira ku kitundu ky’obwongo ekikoseddwa obulwadde bwa ssukaali, abaana abamu bayinza okuba n’enkyukakyuka ez’olubeerera.

• Ng’ekyokulabirako, wayinza okubaawo obunafu obutasalako mu ngeri gye tulowoozaamu n’engeri gye twogeramu .
• Wayinza okubaawo obunafu obutasalako ku ludda lw’omubiri olukoseddwa okusannyalala.
• Enkyukakyuka ez’olubeerera mu kulaba nazo ziyinza okubaawo.
• Ate era, abaana abafunye obulwadde bwa ssukaali bali mu bulabe bwa maanyi obw’okulwala obulwadde bw’okusannyalala nga bakuze.

Eno y’ensonga lwaki kikulu nnyo okunoonya obujjanjabi mu bwangu n’okwenyigira obulungi mu nteekateeka z’okuddaabiriza.

Polio azuulibwa atya? Bigezo ki ebikolebwa?

Mu butuufu, okuzuula obulwadde bw’okusannyalala mu baana abato oluusi kiyinza okuba ekizibu ekitono . Kubanga nga bwe kyayogeddwako emabegako, obubonero tebutera kweyoleka. N’olwekyo abaana abamu bayinza obutafuna bujjanjabi mangu. Oluusi abasawo bwe balaba ng’omwana alwawo okukula , ne balowooza nti, ‘Oo, omwana ono ayinza okuba nga yasannyalala emabegako.’

Okusobola okuzuula obulwadde, omusawo ajja kusooka kukubuuza ku bubonero bw’omwana wo. Olwo bajja kwekenneenya omwana. Okugatta ku ekyo, bayinza okukola ebigezo bino wammanga:

• CT scan (Computed Tomography scan): Kino kikuba ebifaananyi by’omutwe okulaba oba waliwo omusaayi mu bwongo oba omusaayi oguzimba gwonoonye ekitundu ky’obwongo. Kino kigezo kya mangu.
• CT angiogram: Kino kikebera entambula y’omusaayi mu mutima, emisuwa n’obwongo.
• MRI scan (Magnetic Resonance Imaging): Kino kye kigezo ekisinga okukwata ku kuzuula obulwadde bwa stroke. MRI esobozesa abasawo okulaba obulungi ennyo ensengekera y’obwongo n’emisuwa gy’omusaayi.
• MRA (Magnetic Resonance Angiogram): Kino nakyo kitunuulira engeri omusaayi gye gutambulamu.

Ng’oggyeeko ebigezo bino ebikulu, okukebera okulala kukolebwa okuzuula ekivaako okusannyalala n’okunoonya ebizibu ebirala (naddala okukonziba) ebiyinza okubaawo:

• Echocardiogram (Echo): Kino kyekenneenya ensengeka y’omutima gw’omwana.
• EEG (Ekipima ky’amasannyalaze eky’obwongo):Okukebera kuno kukolebwa okuzuula ddala oba omwana alina ekizibu.
• Okukebera omusaayi: Kebera oba temuli buzibu mu musaayi nga sickle cell disease oba embeera endala ezikosa omusaayi okuzimba.
• Okukebera obuzaale: Okukebera kuno kukolebwa singa embeera y’obuzaale eteeberezebwa okuba nga y’evuddeko okusannyalala.

Obulwadde bw’okusannyalala kw’abaana abawere bujjanjabwa butya?

Okusannyalala mbeera ya mangu eyinza okutta omuntu. N’olwekyo, omwana bw’alaga obubonero bw’okusannyalala, alina okutwalibwa mu kisenge ky’abalwadde ab’amangu mu ddwaaliro ekiri okumpi awatali kulwa, oba akubire 1990. Ekiseera ky’okutandika obujjanjabi kikulu nnyo.

Obujjanjabi bwawukana okusinziira ku kika ky’okusannyalala:

• Ku stroke evudde ku kuzimba omusaayi (ischemic stroke): Abasawo batera okuwa eddagala (thrombolytics) okusaanuusa omusaayi, oba oluusi baggyawo omusaayi nga bayita mu nkola eyitibwa thrombectomy ne bazzaawo omusaayi mu bwongo.
• Ku stroke evudde ku kuvaamu omusaayi mu bwongo (hemorrhagic stroke): Okulongoosebwa kuyinza okwetaagisa okuyimiriza omusaayi.

Buli ddwaaliro lirina enkola eyeetongodde, eyitibwa Stroke Protocol , egobererwa ku stroke y’abaana. Eno y’engeri obulwadde buno gye buzuulibwamu era obujjanjabi butandika amangu ddala nga bwe kisoboka.

Ng’oggyeeko obujjanjabi buno obukulu, abasawo bayinza okukozesa eddagala eddala:

• Eddagala eriziyiza okuzimba omusaayi .
• Omwana bw’aba alina ekizibu, bajja kuweebwa eddagala eriweweeza ku kuzimba okusobola okukifuga.

Kitwala bbanga ki okuwona? Okuddaabiriza kuli kutya?

Buli mwana awona mu ngeri ya njawulo ate n’obudde bw’atwala bwa njawulo. Oluvannyuma lw’okusannyalala, omwana ajja kwetaaga okugenda mu nteekateeka y’okuddaabiriza abaana obulwadde bwa ssukaali . Okusinziira ku bubonero bw’omwana, bayinza okufuna obujjanjabi okuva mu ttiimu y’abakugu. Mu bino mulimu:

• Omukugu mu by'obusimu bw'abaana .
• Omusawo w'abaana akola ku by'omutima .
• Omusawo mukugu mu ndwadde z’omusaayi, obusigo bw’amagumba, n’enkola y’amazzi (Pediatric hematologist) .
• Omusawo w’abaana alongoosa obusimu bw’omubiri.
• Omusawo w’omubiri – Kola dduyiro ku ludda lw’omubiri olukoseddwa.
• Omusawo w’endwadde z’okwogera n’olulimi (SLP) – ayamba mu kwogera n’okumira.
• Occupational therapist – Weegezeemu okukola emirimu gya buli lunaku ku bubwo.

Emikisa ki egy’okuwona poliyo?

Nga abanoonyereza ku poliyo y’abaana bwe bakizudde, gy’okoma okuzuulibwa okumala ebbanga eddene, gy’ekoma okukwata ku biva mu bulamu.Abaana bangi ababadde bafunye obulwadde bwa ischemic stroke bawona. Kyokka bayinza okuba mu bulabe bw’okufuna obulwadde bwa ssukaali obulala naddala nga balina obulwadde bw’omutima oba obuzibu mu kuzimba omusaayi.

Polio asobola okuziyizibwa?

Obulwadde bw’okusannyalala kw’obwongo buyinza okubaawo olw’ensonga ezitali zimu. Ebimu biba bya buzaale. Kale tewali ngeri gye tuyinza kuziyiza mbeera ezimu ezizaalibwa. Omwana wo bw’aba alina embeera y’obujjanjabi, yogerako n’omusawo wo ofune amagezi ku ngeri y’okukuuma omwana wo nga mulamu bulungi.

Singa omwana wo aba n’embeera nga Arteriovenous Malformation (AVM) , Congenital heart disease , oba Sickle Cell Disease , abasawo bajja kujjanjaba embeera ezo. Obujjanjabi buno busobola okuyamba okukendeeza ku bulabe bw’okusannyalala mu biseera eby’omu maaso. Abaana abamu era bayinza okwetaaga okukeberebwa buli kiseera okulaba oba bali mu bulabe obw’okulwala obulwadde bwa ssukaali.

Waliwo akabi nga oli lubuto?

Yee, oluusi omwana asobola okufuna obulwadde bwa stroke (perinatal strokes) olw’ebizimba by’omusaayi ebibaawo ng’azaalibwa oba nga wayise akaseera katono ng’azaalibwa. Embeera ezimu maama z’alina ng’ali lubuto nazo zisobola okwongera ku bulabe eri omwana. Eby’okulabirako:

• Ssukaali ow’olubuto .
• Preeclampsia mbeera ya puleesa.
• Okukutuka kw'obuwuka obuyitibwa membranes nga tebunnatuuka .

N’olwekyo, kikulu nnyo okwogera n’omusawo wo ku ngeri gy’oyinza okukendeeza ku bizibu ebiyinza okubaawo ng’oli lubuto.

Kiki kye nnyinza okukola okukendeeza ku bulabe bw’omwana wange okusannyalala?

Yogerako n’omusawo wo ku bulabe bw’omwana wo okulwala obulwadde bwa ssukaali. Abaana abamu baweebwa eddagala eriweweeza ku kuzimba omusaayi, ekiyinza okuyamba okuziyiza okusannyalala.

Okugatta ku ekyo, omwana wo bw’aba atereera oluvannyuma lw’okusannyalala, goberera ddala ebiragiro by’omusawo wo. Eddagala lyonna liwe nga bwe liragiddwa. Omwana:

• Olina okukola dduyiro omulungi n’okusigala ng’okola.
• Olina okulya emmere erimu ebiriisa (fuga obulabe bwa kolesterol omungi ne sukaali).
• Olina okufuna otulo otumala.

Ddi lw’osaanidde okutwala omwana wo ew’omusawo? Ddi lw’osaanidde okugenda mu kitongole ky’abalwadde ab’amangu (ETU) ?

Oluvannyuma lw’okusannyalala, omwana wo ayinza okwetaaga obujjanjabi okuva mu ttiimu y’abakugu. Kakasa nti omwana wo omutwala ku ssaawa zonna n’omusawo. Bw’oba ​​olina ekikweraliikiriza ku bulamu bw’omwana wo oba enkula ye naddala ng’olaba obubonero obupya, kuba essimu y’omusawo amangu ago.

Omwana wo bw’alaga obubonero bw’okusannyalala, kuba ku ssimu 911 oba mutwale mu ddwaaliro erikuli okumpi mu bwangu. Stroke kiba kya mangu. Okufuna obujjanjabi amangu kiyinza okuyamba nnyo okutumbula obulamu bw’omwana wo.

Ebintu ebikulu bye tulina okujjukira

Okay, kale okusinziira ku bye twogeddeko, nsuubira nti olina okutegeera okulungi ku Pediatric Stroke . Jjukira nti kino tekitera kubaawo nnyo. Naye, bwe kiba nga kibaawo, kikulu okukola amangu.

• Obubonero bw’okusannyalala mu baana abato buyinza okuba obw’enjawulo ku bw’abantu abakulu. Weetegereze nnyo ebintu ng’okukonziba, enkyukakyuka ez’amangu mu nneeyisa, n’obunafu ku ludda olumu olw’omubiri .
• Bw’olaba obubonero buno, laba omusawo awatali kulwa, oba kuba 1990.
• Omwana wo bw’aba alina ekintu kyonna ekiyinza okuvaako akabi, gamba ng’endwadde z’omutima oba ezeekuusa ku musaayi, buli kiseera yogerako n’omusawo wo ofune obujjanjabi obwetaagisa.
• Totya. Okumanyisa abantu ge maanyi agasinga obunene. Ekisinga obulungi ky’oyinza okukolera omwana wo kwe kumanya ebintu bino.

` Okusannyalala kw’abaana, Okusannyalala, Okusannyalala, Obulwadde bw’abaana, Okuvaamu omusaayi mu bwongo, Okuzimba omusaayi, Abalongo, Obulamu bw’abaana