Omusaayi mu mubiri gwaffe ddala mazzi ga kitalo, si bwe kiri? Omusaayi guno gwe gutwala ebiriisa n’omukka gwa oxygen mu bitundu by’omubiri byaffe byonna, n’okutukuuma obutakwatibwa ndwadde. Naye oluusi, ebimu ku bintu ebiri mu musaayi guno bitandika okuleeta obuzibu ku mubiri gwaffe. Wano we tugenda okwogera ku nkola y’obujjanjabi erimu obuzibu naye nga nkulu nnyo ejja okutaasa.
Ka tusooke tulabe, pulasima eno kye ki?
Bwe twogera ku musaayi, tulowooza ku mazzi amamyufu. Naye omusaayi guno gulimu ebitundu bina ebikulu.
1. Obutoffaali obumyufu: Obutoffaali obutambuza omukka gwa oxygen mu mubiri gwonna.
2. Obutoffaali obweru: Amagye gaffe agalwanyisa obuwuka obuleeta endwadde.
3. Platelets: Obutundutundu obutono obukoma okuvaamu omusaayi nga waliwo ekiwundu.
4. Plasma: Gano ge mazzi aga kyenvu obutoffaali bwonna obwogeddwako waggulu mwe bulengejja. Kiringa ebitundu by’enva endiirwa ebitengejja mu ssupu. Plasma eno esinga kuba ya mazzi. Naye era erimu ebintu bingi ebikulu mu mubiri gwaffe, gamba nga puloteyina n’obusannyalazo. Ebimu ku puloteyina (antibodies) ebikuuma omubiri gwaffe okuva ku ndwadde nabyo bisangibwa mu plasma eno.
Kati nga bw’olina ekirowoozo ekikakafu ku plasma, katutunuulire obujjanjabi buno obubiri.
Enjawulo wakati wa Plasmapheresis ne Plasma Exchange
Wadde ng’amannya gano gombi gawulikika nga gafaanagana bw’ogawulira, waliwo enjawulo entono.
- Plasmapheresis: Mu ngeri ennyangu, eno y’enkola ey’okwawula plasma yokka ku musaayi. Ebiseera ebisinga, enkola eno ekozesebwa okuggya omusaayi mu muntu omulamu obulungi, okwawula omusaayi ku gwo, ne guweebwa omulwadde omulala. Kye kugaba omusaayi (plasma), okufaananako n’okugaba omusaayi.
- Plasma Exchange: Buno bwe bujjanjabi obusinga okukozesebwa. Kino kizingiramu okuggya omusaayi ku muntu omulwadde, okukozesa ekyuma eky’enjawulo okuggyawo omusaayi ogulina obuzibu , okuguzzaamu omusaayi omulamu oba amazzi amalala agafaananako bwe gatyo, n’oluvannyuma omusaayi ogwalongoosebwa n’oguzza eri omuntu oyo. Kiba ng’okuggyawo amazzi amakyafu n’ogateekamu amazzi amayonjo.
Endwadde ki eziyinza okuwonyezebwa mu bujjanjabi buno?
Okuwanyisiganya omusaayi (plasma exchange) bujjanjabi obukozesebwa okujjanjaba endwadde eziwerako. Kikola bulungi nnyo ku ndwadde z’abaserikale b’omubiri, ng’abaserikale b’omubiri gwaffe balumba ebitundu byaffe ebiramu. Kino kiri bwe kityo kubanga plasma erimu obutoffaali (antibodies) obulumba omubiri mu bukyamu. Kale plasma erimu obuzibu bw’eggyibwawo, obubonero bukendeera nnyo.
Katutunuulire ekipande wansi tulabe embeera z’obujjanjabi enkulu obujjanjabi buno mwe bukozesebwa.
| Ekika ky’endwadde | Erinnya ly’obulwadde | Engeri obujjanjabi gye buyambamu |
|---|---|---|
| Obuzibu mu by’obusimu | Obulwadde bw’okusannyalala (MS) . | Obubonero bwe bweyongera mu bwangu, obutoffaali bw’omubiri obwerumba buggyibwa mu plasma era obubonero ne bufugibwa. |
| Obulwadde bwa myasthenia Gravis | Obuziyiza obutali bwa bulijjo obunafuya ebinywa n’okulumba ebitundu ebiramu busengejebwa okuva mu plasma. | |
| Obulwadde bwa Guillain-Barré | Abaserikale b’omubiri bwe balumba obusimu, baggyawo obusimu obwo obw’obulabe mu plasma. | |
| Obuzibu mu Musaayi | Obulwadde bwa Cryoglobulinemia | Okusobola okuziyiza puloteyina z’omusaayi okukuŋŋaana awamu ne ziziba emisuwa, kiggyawo obutoffaali obwo obw’obulabe. |
| Obulwadde bwa thrombotic thrombocytopenic purpura obuyitibwa thrombocytopenic purpura | Plasma ey’obulabe ereetera okuzimba omusaayi mu misuwa emitono eggyibwawo ne plasma ennungi n’eweebwa. | |
| Ebika bya Kookolo | Waldenström obulwadde bwa macroglobulinemia | Ziggyibwa mu plasma okufuga obungi bw’obutoffaali obuziyiza endwadde obukolebwa mu ngeri etaali ya bulijjo (immunoglobulin M). |
| Obulwadde bwa myeloma obuyitibwa multiple myeloma | Kiggyawo obutoffaali obw’obulabe obukolebwa obutoffaali bwa pulasima obutali bwa bulijjo, obulina kookolo mu busimu bw’amagumba. |
Engeri obujjanjabi gye butambulamu: nga tebunnabaawo, mu kiseera n’oluvannyuma
Kya bulijjo okuwulira ng’otya katono ng’owulira ku bujjanjabi obw’ekika kino. Naye bw’omala okutegeera obulungi engeri gye kikola, okutya okwo kuggwaawo.
Okwetegeka nga tonnafuna bujjanjabi
Singa omusawo akusindikidde mu bujjanjabi buno, bino bye bimu ku magezi:
- Nywa nnyo amazzi agataliimu kaboni (amazzi, omubisi gw’ebibala) okumala essaawa nga 72 nga tonnaba kujjanjaba.
- Lya emmere ennungi ng’ebula essaawa nga emu okujjanjabibwa.
- Yambala engoye ezinyuma . Olw’okuba obujjanjabi buno bujja kumala essaawa eziwera, kirungi okuleeta ekitabo ky’osoma oba ekintu ky’owuliriza.
- Kikulu nnyo okuba n’omuntu akutwala awaka ng’omaze okujjanjabibwa.
Ebibaawo mu kiseera ky’obujjanjabi
Kino mu butuufu si kizibu nga bw’oyinza okulowooza.
1. Okusooka, abakozi b’ebyobujjanjabi bajja kuyingiza ekyuma eky’enjawulo (catheter) mu musuwa mu mukono gwo oba oboolyawo omusuwa omunene mu bulago oba mu kisambi.
2. Olwo, omusaayi omutono ne guggyibwa mu mubiri gwo nga guyita mu ttanka eyo.
3. Omusaayi gugenda butereevu mu kyuma eky’enjawulo. Ekyuma kino kyawula plasma ku musaayi gwo.
4. Olwo, plasma yo ebuusibwabuusibwa eggyibwamu n’esuulibwa .
5. Obutoffaali bwo obumyufu, obutoffaali obweru, n’obutoffaali obuyitibwa platelets obusigaddewo kati bitabuddwamu plasma ennungi oba amazzi ag’enjawulo agalimu puloteyina eyitibwa albumin .
6. N’ekisembayo, omusaayi guno ogwayonjo guzzibwa mu mubiri gwo nga guyita mu ttanka eyo.
Enkola yonna eyinza okutwala essaawa eziwerako , mu kiseera ekyo osobola okuwummulako mu kitanda oba mu ntebe.
Kino kiruma?
Nedda Obujjanjabi buno tebuluma . Kyokka oyinza okuwulira obuzibu ng’oyingiziddwa ekituli mu mukono gwo. Ekirala, tewali bulumi. Kyokka, abantu abamu bayinza okufuna bino wammanga:
- Kiwulira ng’ebitundu by’omubiri ebizimba katono.
- EkikeetoOyo ajja.
- Okuwulira ng'oziyira .
- Okuwulira nga munnyogovu .
Bw’oba owulira ekintu nga kino, kikulu nnyo okutegeeza nnansi oba omusawo mu bwangu.
Oluvannyuma lw’okujjanjabwa
Abantu bangi bawulira nga bakooye nnyo oluvannyuma lw’okujjanjabibwa. Kino kya bulijjo. Plasma y’ensibuko y’amazzi amakulu eri emibiri gyaffe. Kale omusawo ajja kukuwa amagezi okunywa amazzi n’amazzi amangi okusinga bulijjo okumala ennaku ntono ng’omaze okujjanjabwa.
Emigaso n’akabi akali mu bujjanjabi
Nga bwe kiri ku bujjanjabi bwonna, waliwo emigaso n’akabi akatono ennyo.
| Emigaso | Obulabe oba Ebizibu Ebiyinza okuvaamu |
|---|---|
|
|
Jjukira nti obulabe buno butono nnyo , era nti ttiimu y’abasawo ejja kuba ekulondoola buli kiseera ng’ojjanjabibwa, kale singa wabaawo obuzibu bwonna, bujja kujjanjabwa mangu.
Ebibuuzo by’oyinza n’okuba nabyo
Kino kintu kiringa dialysis?
Ekibuuzo ekirungi. Omusingi oguli emabega w’enkola zombi gwe gumu: okusengejja ebintu ebiteetaagibwa, eby’obulabe okuva mu musaayi. Naye waliwo enjawulo.
Dialysis ekozesebwa okuggya kasasiro mu musaayi gw’omuntu alina ekibumba ekiremye.
Okuwanyisiganya omusaayi (plasma exchange) kukolebwa okuggya obuziyiza oba obutoffaali obw’obulabe mu musaayi.
Kinatwala bbanga ki okuwona oluvannyuma lw’okujjanjabibwa?
Kyawukana okusinziira ku mbeera gy’olimu. Ng’ekyokulabirako, omuntu alina obulwadde bwa myasthenia gravis ayinza obutaba na bubonero okumala emyezi egiwerako oluvannyuma lwa wiiki ntono ng’ajjanjabwa. Oluvannyuma lw’ekyo, kiyinza okuddamu okwetaagisa obujjanjabi. Buno bujjanjabi obufuga obubonero n’okwanguyiza obulamu, okusinga okuwonya obulwadde buno.
Jjukira nti okuwanyisiganya omusaayi mu plasma si ddagala eriwonya endwadde nnyingi. Naye erina obusobozi okufuga obubonero obw’amaanyi n’okutumbula omutindo gw’obulamu bwo. Bw’oba bakuwandiikiddwa obujjanjabi buno, wulira nga oli waddembe okukubaganya ebirowoozo n’omusawo wo ku bibuuzo oba ebikweraliikiriza byonna by’oyinza okuba nabyo.
Obubaka Obutwala Awaka
- Plasma exchange bujjanjabi bwa njawulo obuggya plasma ey’obulabe mu musaayi n’agikyusa n’essaamu amazzi amalungi n’agazza mu mubiri.
- Kikozesebwa okujjanjaba endwadde z’abaserikale b’omubiri, endwadde ezimu ez’omusaayi ne kookolo.
- Enkola eno teruma era okutwalira awamu terimu bulabe nnyo. Ebizibu byonna ebitonotono ebiyinza okubaawo, abasawo babiddukanya mangu.
- Buno bujjanjabi obufuga obubonero n’okwanguyiza obulamu, naye si bujjanjabi buwonya ddala ndwadde nnyingi.
- Kikulu nnyo okwogera mu lwatu ku bujjanjabi buno n’omusawo wo n’okugonjoola byonna ebikweraliikiriza.
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