Ofuna obulumi mu magulu naddala mu kitundu ky’ennyana ng’otambula? Owulira ng’amagulu go gakendedde amaanyi oluvannyuma lw’okutambula akabanga katono, era nga kirabika gakendeera ng’owummudde? Oboolyawo omusuwa gw’omusaayi mu kigere kyo gugenda guzibikira mpolampola. Embeera eno tugiyita obulwadde bw’emisuwa egy’okumpi (PAD). Leero twogera ku kulongoosa okw’enjawulo okukolebwa ng’embeera eno ya maanyi era nga tesobola kufugibwa na bujjanjabi bulala.
Peripheral Artery Bypass kye ki?
Mu ngeri ennyangu, kiringa okuzimba ekkubo eppya erya bypass okwewala akalippagano k’ebidduka akangi ku luguudo. Cholesterol n'amasavu amalala bizimba mu misuwa egitwala omusaayi mu mibiri gyaffe naddala mu magulu gaffe ne bikola "plaque." Ekiseera bwe kigenda kiyitawo, ekikuta kino kizimba ne kiziba emisuwa. Kino kiggyako ebitundu ebiri mu magulu gaffe omukka gwa oxygen n’ebiriisa bye byetaaga.
Kale, mu kulongoosa Peripheral Artery Bypass , omusawo alongoosa akola ekkubo eppya okuyita ku musuwa oguzibiddwa. Kino kizingiramu okukozesa omusuwa omulamu okuva mu mubiri gwo (ebiseera ebisinga omusuwa oguva mu kigere kyo) oba omusuwa ogusimbuddwa. Kino kiyungibwa waggulu ne wansi w’ekitundu ekizibiddwa, ne kikola ekkubo eppya omusaayi mwe guyita.
Ddala ani eyeetaaga okulongoosebwa kuno?
Okulongoosa kuno si kwa buli muntu alina PAD. Omusawo wo ajja kusooka kugezaako kugezesa ddagala, okukyusa mu bulamu bwo (gamba ng’okulekera awo okunywa sigala, okukola dduyiro, n’okukola endya), era oboolyawo n’obujjanjabi obulala obuzingiramu okusalako obutonotono (nga okulongoosa emisuwa oba okussaako stent).
Okulongoosa kuno kutera okusemba eri abo abatafunye buwanguzi mu nkola yonna ku zino era nga bazibye nnyo ekitundu ekinene eky’emisuwa gyabwe.
Waliwo ensonga enkulu eziwerako ezikulowooza ku kulongoosa kuno.
| Obubonero | Kino kitegeeza ki? |
|---|---|
| Okulumwa amagulu ng’otambula oba ekiro | Obulumi buno bubaawo ng’ebinywa tebirina mukka gwa oxygen olw’omusaayi okukendeera. Singa obulumi buba bwa maanyi nnyo nga tosobola kwebaka kiro, eba mbeera ya maanyi. |
| Ebiwundu ebitawona ku magulu | Olw’okutambula obubi omusaayi, ebiwundu tebifuna biriisa bye byetaaga okuwona. Ne bwe kiba ekikunya ekitono kiyinza okufuuka ekiwundu ekinene. |
| Okufa kw’ebitundu by’omubiri (Gangrene) . | Guno gwe mutendera ogusinga okuba ogw’amaanyi. Omusaayi ogugenda mu kigere bwe guba kumpi gusaliddwaako ddala, engalo oba ebitundu by’ekigere bifuuka biddugavu ne bitandika okufa. Singa tekulongoosebwa mu kiseera kino, ekigere kiyinza n’okusalibwako. |
Kiki ky’osaanidde okukola nga tonnalongoosebwa?
Omusawo bw’anaasalawo okukulongoosa kuno, ajja kukukebera ebiwerako okukebera obulamu bwo okutwalira awamu.
- Electrocardiogram (EKG): Laba enkola y’amasannyalaze g’omutima.
- Ultrasound Scan: Laba ddala emisuwa gye gizibiddwa n’engeri gye giba gya maanyi.
- Okukebera omusaayi: Kebera ebintu nga ssukaali mu musaayi, kolesterol, n’enkola y’ekibumba.
- Okukebera situleesi: Okukebera kuno oluusi kukolebwa okulaba omutima bwe gukola nga okola dduyiro.
Ekisinga obukulu, bw’oba onywa sigala, olina okulekera awo okunywa sigala nga wabulayo wiiki ntono okulongoosebwa. Okunywa sigala kiziyiza emisuwa gyo era kyongera emikisa gy’okufuna ebizibu oluvannyuma lw’okulongoosebwa. Era ojja kwetaaga okwewala okulya oba okunywa oluvannyuma lw’essaawa 12 ez’ekiro ekiro nga tonnalongoosebwa n’okulekera awo okumira eddagala lyonna omusawo ly’akugambye okulekera awo.
Okulongoosa kukolebwa kutya?
Ojja kuweebwa eddagala eribudamya (okubulwa ekizibu kyonna) oleme kuwulira bulumi bwonna ng’olongooseddwa. Olwo, omusawo ajja kukola ebitundu ebiwanvu yinsi 4-8 waggulu ne wansi w’omusuwa oguzibiddwa. Singa omusuwa omulamu mu kigere kyo gukozesebwa okukola bypass, ekyo nakyo kijja kukolebwako okutema okw’enjawulo.
Olwo ekikuta kino kisimbibwa n’obwegendereza ku misuwa emilamu waggulu ne wansi w’ekizibiti. Omusaayi omupya bwe gumala okutondebwawo, ekifo ekisaliddwamu kiggalwa n’emisono oba ebisiba. Enkola yonna esobola okutwala essaawa yonna okuva ku ssaawa bbiri okutuuka ku mukaaga, okusinziira ku buzibu bw’okulongoosa.
Kiki ekibaawo oluvannyuma lw’okulongoosebwa?
Oluvannyuma lw’okulongoosebwa, ojja kwetaaga okubeera mu ddwaaliro okumala ennaku nga 2-5. Mu kiseera kino abasawo ne ba nurse bajja kukebera buli kiseera omukka gwo, puleesa n’omusujja. Ekisinga obukulu, buli kiseera bajja kukebera okukakasa nti omusaayi gukulukuta bulungi okutuuka ku kigere ekyalongoosebwa. Bajja kukuwa eddagala eriweweeza ku bulumi.
Bw’omala okudda eka, omusawo ajja kukulaga eddagala eriwerako osobole okugenda mu maaso n’okumira.
- Eddagala ery’ekika kya Statin (okukendeeza ku kolesterol).
- Eddagala nga Aspirin oba Clopidogrel (okuziyiza okuzimba omusaayi mu kusimbibwa okupya).
Kya bulijjo okulaba ng’otambula mu wiiki ezisooka ng’omaze okudda eka. Bino bijja kukendeera mpolampola ng’ekiseera kigenda kiyitawo. Kiyinza okutwala wiiki nga 6-8 okuwona mu bujjuvu.
Migaso ki n’akabi akali mu kulongoosa kuno?
Okufaananako buli kulongoosa okunene, kuno kulina emigaso nga kw’otadde n’akabi akamu.
| Ebirungi ebirimu | Obulabe/Ebizibu ebiyinza okuvaamu |
|---|---|
| Okuwona obulumi obw’amaanyi mu magulu obutawona bujjanjabi bulala. | Okuzimba omusaayi. |
| Ebiwundu ebitawona bitandika okuwona. | Yinfekisoni mu kusala. |
| Ggyawo obulabe bw’okufiirwa okugulu olw’obulwadde bwa gangrene. | Okuvaamu omusaayi ekisusse. |
| Ebivaamu ebiwangaala (60%-85% ku kusimbuliza bikyakola bulungi ne bwe wayise emyaka 5). | Okwonooneka kw’obusimu mu kitundu we balongoosebwa. |
| Okulongoosa omutindo gw’obulamu n’obusobozi bw’okutambula. | Obulabe obutono obw’okulwala omutima (nga 3% ku kulongoosebwa). |
Abantu abasinga tebafuna bizibu bya maanyi. Wabula abantu abasukka mu myaka 70 n’abo abalina obulwadde obulala, gamba nga sukaali oba endwadde z’ekibumba, bali mu bulabe bwa maanyi katono obw’okufuna ebizibu. Oluusi, n’ekikuta ekipya ekikoleddwa kiyinza okuzibikira oluvannyuma lw’emyaka mingi. Ekyo bwe kibaawo, kiyinza okwetaagisa okuddamu okubujjanjaba.
Bw’omala okudda eka, bw’ofuna omusujja, ng’owulira ennyonta, ng’amazzi agalinga amasira gafuluma mu kifo we balongoosezza, oba singa wabaawo enkyukakyuka ey’amangu mu langi, enkula oba okuwulira kw’ekigere kyo, laba omusawo mu bwangu oba genda mu kitongole ky’abalwadde ab’amangu (ETU) mu ddwaaliro awatali kulwa.
Obubaka Obutwala Awaka
- Okulongoosa emisuwa egy’okumpi (Peripheral Artery Bypass surgery) kwe kulongoosa okunene okukolebwa ku bantu abazibikira ennyo emisuwa mu magulu nga tebazzeemu bujjanjabi bulala.
- Bw’oba onywa sigala, kyetaagisa okumulekera ddala nga tonnalongoosebwa n’oluvannyuma lw’okulongoosebwa okusobola okutuuka ku buwanguzi.
- Eddagala omusawo ly’akulagidde limira mu budde. Tewerabira okumira eddagala lyo erikendeeza omusaayi naddala.
- Tosubwa ssaawa yonna mu ddwaaliro ng’omaze okulongoosebwa. Omusawo wo buli kiseera alina okukebera entambula y’omusaayi mu magulu go.
- Bw’olaba omusujja, amazzi okuva mu kifo we batemye oba okukyuka okw’amangu mu kigere, genda mangu omusawo amagezi.
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