Amagulu gakuluma ng’otambula? Kyandiba nga bulwadde bwa Peripheral Artery Disease (PAD)?

Ofuna obulumi oba okuziyira mu magulu naddala ng’otambula olugendo olutono oba ng’olinnya amadaala? Tebugenda oluvannyuma lw’okutuula okumala akaseera? Abantu bangi balowooza nti kino kitundu kya bulijjo eky’okukaddiwa oba okulumwa ennyondo, naye kiyinza okuba akabonero akalaga nti waliwo ekintu eky’amaanyi ennyo. Leero twogera ku mbeera eyitibwa Peripheral Artery Disease, oba PAD, ereeta obubonero buno. Eno mbeera esobola bulungi okuddukanyizibwa singa ezuulibwa nga bukyali.

Mu ngeri ennyangu, obulwadde bw’emisuwa egy’okumpi (PAD) kye ki?

Okay, ka tukiteeke bwe tuti. Tulina omukutu gw’emisuwa ( emisuwa ) egitwala omusaayi mu bitundu by’omubiri byaffe byonna, nedda? Kiringa enkola ya plumbing etambuza amazzi mu nnyumba yonna. Obulwadde bw’emisuwa egy’okumpi (PAD) bwe buba emisuwa egyo naddala egy’okutwala omusaayi mu magulu, mu bisambi, n’oluusi ku mikono, bwe gigenda gifunda mpolampola.

Teebereza nti ekiseera bwe kigenda kiyitawo, payipu z’amazzi mu maka go zifuuka enfuufu era ne zizibikira obucaafu, ekikendeeza ku kukulukuta kw’amazzi okuva mu ttaapu. Mu ngeri y’emu ebintu ng’amasavu ne kolesterol bikuŋŋaanyizibwa mu misuwa gyaffe ne bikola ‘plaque’. Mu busawo, kino tukiyita (atherosclerosis) . Ekipande kino kikendeeza ku kifo ekiri munda mu misuwa. Kino olwo kiremesa okutambula kw’omusaayi okuyita mu zo. Obulumi obwo butandika ng’ebinywa mu magulu tebifuna mukka gwa mukka gwa oxygen n’ebiriisa bye byetaaga okuva mu musaayi.

Obulwadde buno bukosa abantu abasoba mu bukadde 200 mu nsi yonna. Obulabe bw’okubufuna bweyongera n’emyaka. N’olwekyo, kikulu nnyo okukimanya ku kino.

Bubonero ki obw’obulwadde bwa PAD?

Abantu bangi tebasooka kulaga bubonero bwonna. Kyokka obulwadde bwe bugenda bweyongera, obubonero buno buyinza okulabika. Katutunuulire obubonero obukulu.

Ku basajja, obulwadde buno buyinza okuvaako omusaayi okulemererwa mu busajja , ekivaako okusituka obutakola bulungi .

Ani ali mu bulabe obw’amaanyi obw’okukwatibwa PAD?

Wadde omuntu yenna asobola okukwatibwa obulwadde buno, abantu abamu bali mu bulabe bwa maanyi. Laba oba olina ekimu ku bintu bino eby'obulabe .

• Ku banywa sigala : Kino kye kisinga era ekisinga okuleeta akabiOkunywa sigala kwonoona ebisenge eby’omunda ebiseeneekerevu eby’emisuwa n’okwanguya okutondebwa kw’ebizimba.
• Ku bantu abalina ssukaali : Ssukaali omungi mu musaayi naye asobola okwonoona emisuwa. Omuntu alina obulwadde bwa sukaali n’okunywa sigala alina emikisa gy’okulwala PAD emirundi ebiri oba ena okusinga omuntu atalina mbeera zombi.
• Ku abo abalina puleesa: Puleesa bw’egenda yeeyongera, ebisenge by’emisuwa byonoonebwa era kyangu okukola ebizimba.
• Ku abo abalina kolesterol oba triglyceride omungi: Amasavu gye gakoma okubeera amangi mu musaayi, emikisa gy’okuteekebwa mu misuwa ng’ekikuta.
• Eri abalina obulwadde bw’ekibumba obutawona.
• Singa omuntu mu maka go abadde n’obulwadde bwa PAD, obulwadde bw’omutima oba okusannyalala.

Biki ebiyinza okuvaamu eby’amaanyi singa tebijjanjabwa?

Kino bw’okibuusa amaaso, ng’olowooza nti kizibu kya magulu gokka, kiyinza okuvaamu ebizibu eby’amaanyi.

Ekimu omusaayi ogugenda mu kigere bwe gukoma ddala era ebitundu by’omubiri ne bitandika okufa. Kino kiyitibwa gangrene . Kino bwe kibaawo, kiyinza okwetaagisa okusalako engalo, ekigere oba ekitundu ky’okugulu okukomya obuwuka obutasaasaana mu mubiri gwonna. Naye teweeraliikiriranga, abasawo bakola kyonna ekisoboka okulaba nga kino tekibaawo.

Omusawo azuula atya ddala obulwadde buno?

Bw’ogenda okulaba omusawo ajja kusooka kukubuuza ku bubonero bwo. Olwo ajja kwekenneenya amagulu go. Okusingira ddala ajja kuwulira omukka mu bitundu by’amagulu go eby’enjawulo okukebera oba waliwo enkyukakyuka yonna mu ntambula y’omusaayi.

Olwo, okukebera okuwerako kuyinza okukolebwa okukakasa obulwadde buno:

• Ankle-brachial index (ABI): Kino kigezo kyangu nnyo, nga tekiruma. Epima puleesa eri mu mukono gwo ne puleesa eri mu kisambi n’egeraageranya byombi. Mu budde obwabulijjo, puleesa eri mu kisambi kyo erina okuba waggulu katono okusinga puleesa eri mu mukono gwo. Bw’eba wansi kitegeeza nti waliwo obuzibu mu kutambula kw’omusaayi okutuuka ku kigere kyo.
• Okukebera emisuwa:Kino kiringa sikaani ya bbebi. Kisobola okuzuula sipiidi omusaayi gye gutambula munda mu misuwa n’okuzibikira kwonna.
• Pulse volume recording (PVR): Kino kipima omusaayi bwe gukulukuta okutuuka ku magulu.
• CT angiogram / MRA (Magnetic resonance angiogram – MRA): Zino zisobola okukuba ebifaananyi ebikwata ku misuwa mu bujjuvu n’okulaga ekifo ekituufu n’obunene bw’okuzibikira.

Bujjanjabi ki obuweebwa PAD?

Obujjanjabi businziira ku buzibu bw’obubonero bwo. Mu biseera ebisooka, zisobola okufugibwa obulungi nga zikyusakyusa mu bulamu n’eddagala.

1. Enkyukakyuka mu bulamu

Guno gwe musingi gw’obujjanjabi.

• Dduyiro: Dduyiro naddala dduyiro alabirirwa (Structured Exercise Therapy), akola nnyo. Wano, okolebwa okutambulira ku treadmill. Amagulu bwe gatandika okukuluma, oyimirira okumala akaseera, era obulumi bwe bukendeera, oddamu okutambula. Kino kisitula okukula kw’emisuwa emipya mu magulu go.
• Emmere eyamba omutima: Kikulu nnyo okwettanira emmere erimu enva endiirwa, ebibala, entangawuuzi, n’emmere ey’empeke, ate nga temuli mafuta n’omunnyo.
• Okulekera awo okunywa ssigala: Nziddamu, ekisinga obulungi ky’oyinza okwekolera kwe kulekera awo okunywa ssigala leero bw’oba ​​okikola. Yogerako n’omusawo wo akuyambe ku nsonga eno.

2. Eddagala (ebika by’eddagala) .

Omusawo ayinza okukuwa eddagala ery’ekika kino.

• Ebigonza omusaayi: Bikendeeza ku kuzimba omusaayi ne biyamba omusaayi okutambula. (Okugeza: Clopidogrel, Aspirin)
• Eddagala erikendeeza ku kolesterol (Statins): Likendeeza ku kuzimba obuwuka obuyitibwa ‘plaque’ mu misuwa.
• Eddagala lya puleesa: Likendeeza ku kwonooneka kw’emisuwa.
• Eddagala erigaziya emisuwa: Eddagala lino liyamba okugaziya katono emisuwa, lyongera ebanga ly’osobola okutambula nga tolina bulumi. (Okugeza: Cilostazol)

3. Okulabirira ebigere mu ngeri ey’enjawulo

Kikulu nnyo omuntu alina PAD okulabirira ebigere bye.

• Kebera ebigere byo buli lunaku oba tebirina biwundu, enjatika n’okukyuka langi.
• Naaba mu ngalo ne ssabbuuni buli lunaku era ozikalize bulungi, ne bwe ziba wakati w’obugere.
• Totambulangako nga tolina ngatto.
• Kozesa engatto n’amasokisi ebikalu, ebituukira obulungi, ebigonvu.

4. Enkola n’Okulongoosa

Singa obulwadde tebusobola kufugibwa na ddagala n’okukyusakyusa mu bulamu, oba obulwadde bwe buba bwa maanyi, oyinza okuddukira mu bujjanjabi obw’ekika kino.

• Angioplasty: Tube ennyimpi (catheter) eyingizibwa mu musuwa oguzibiddwa era ekyuma ekiringa bbaatule ne kifuuwa ku nkomerero okugaziya ekizibikira. Oluusi bateekebwamu akatono akalinga akatimba akayitibwa stent okusobola okugikuuma obutaddamu kuggalawo.
• Atherectomy: Catheter ekozesebwa okusenya ekikuta ekiri munda mu misuwa.
• Okulongoosa omusuwa ogw’okumpi: Okufaananako n’okulongoosa omutima, omusuwa omupya gutondebwawo nga bakozesa omusuwa oguggyibwa mu kitundu ekirala eky’omubiri oba omusuwa ogw’ekikugu okuyita ku musuwa oguzibiddwa.

Ddi lwe nnina okulaba omusawo? Ngenda ddi mu ETU?

Bw’oba ​​owulira ebintu bino, mazima ddala laba omusawo wo.

• Singa obubonero buba bwakatandika oba singa obubonero obuliwo bweyongera okusajjuka.
• Singa okutambula kuba kuzibu nnyo nga tosobola na kukola mirimu gya bulijjo.
• Singa amagulu gakuluma wadde ng’oyimiridde kwokka.
• Bw’oba ​​olina ekiwundu ku kigere ekitajja kuwona.

Embeera nga weetaaga okugenda mu ddwaaliro mu bwangu:

PAD mbeera ya bulamu bwonna. Naye singa oddukanyizibwa bulungi, osobola okubeera n’obulamu obwa bulijjo. Kikulu okusigala ng’okwatagana n’omusawo wo buli kiseera.

Obulwadde bw’emisuwa egy’okumpi, PAD, okulumwa amagulu, okugwa kw’enviiri, okuzibikira kw’emisuwa, okuzimba emisuwa, okunywa sigala, ssukaali