Kiki ddala ekiyitibwa pleural effusion? Ka tuzuule ddala kye kiri.

Oboolyawo owulidde ku mukadde aweebwa ekitanda mu ddwaaliro nga "amazzi agali mu mawuggwe." Mpozzi nga kituuse ku muntu mu maka go. Kiki ddala kino "amazzi mu mawuggwe" kitegeeza ki? Kino kintu kya kutya? Leero, ka twogere ku mbeera eno, eyitibwa ``Pleural Effusion'' mu bigambo by'obusawo, mu ngeri ennyangu ennyo gy'osobola okutegeera.

Kitegeeza ki ddala okujjuza amawuggwe amazzi?

Kuba akafaananyi ng’amawuggwe gaffe gali mu kisenge ekikuuma munda mu kifuba. Okwetoloola amawuggwe gano, awamu ne munda mu kifuba, waliwo obuwuka bubiri obugonvu. Kiringa bbaatule munda mu bbaatule. Obuwuka buno obubiri tubuyita pleura.

Mu budde obwabulijjo, mu muntu omulamu obulungi, wabaawo amazzi matono nnyo wakati w’obuwuka buno obubiri. Kiba ng’aka giriisi akatono mu kyuma. Olw’amazzi amangi gano, bwe tussa, amawuggwe gaffe bwe gakonziba ne gagaziwa, enkola eyo ebaawo awatali buzibu bwonna oba okusikagana kwonna. Eyo y'engeri ey'obutonde.

Naye mu mbeera eyitibwa ``Pleural effusion'', amazzi mangi okusinga ku geetaagisa gakuŋŋaanyizibwa mu kifo ekyerere wakati w'obuwuka buno obubiri. Kino kye tutera okuyita "amazzi mu mawuggwe." Okubeera omutuufu, amazzi gano tegajjuza mawuggwe gennyini, wabula wakati w’obuwuka obubiri obw’amawuggwe obwetoolodde amawuggwe.

Wayinza okubaawo ensonga bbiri enkulu eziviirako amazzi okukuŋŋaanyizibwa mu ngeri eno:

1. Omubiri guyinza okuba nga gufulumya amazzi gano amangi .

2. Bwe kitaba ekyo, omubiri guyinza obutasobola kuddamu kunyiga bulungi mazzi ga bulijjo agakolebwa.

Mu ngeri yonna, ekivaamu amazzi gakuŋŋaana okwetooloola amawuggwe, ne gagateekako puleesa, era obuzibu mu kussa ne butandika okubaawo.

Waliwo ebika by’amazzi bibiri ebikwatagana.

Abasawo bagabanyaamu amazzi agafuluma mu kibumba (pleural effusion) mu bika bibiri ebikulu okusinziira ku butonde bw’amazzi agakuŋŋaanyizibwa. Kubanga ebitundu by’amazzi bisobola okuwa endowooza ennungi ku kivaako.

Bw’oba ​​ojjanjaba, kyetaagisa okumanya ddala kika ki ku bino ebibiri ky’olina n’ekikuleetera.

Bubonero ki bw’oyinza okufuna?

Abantu abamu bafuna amazzi g’ekibumba (pleural effusion) naye nga tebalaga bubonero bwonna. Kizuulibwa mu butanwa nga bakubwa X-ray mu kifuba olw’ensonga endala. Kyokka abantu bangi bafuna obubonero naddala ng’amazzi ago gakuŋŋaanye.

• Obuzibu mu kussa: Buno bwe bubonero obukulu era obusinga okulabika. Amazzi bwe gajjula okwetooloola amawuggwe, tewabaawo kifo kimala amawuggwe okufuuwa obulungi. Kino kizibuwalira okussa n’okuwulira ng’oziyira.
• Obulumi mu kifuba: Obulumi obw’amaanyi obuwulirwa naddala ng’ossa omukka omungi oba ng’osesema. Kino kibaawo ng’obuwuka obubiri obuyitibwa pleural membranes busika wamu.
• Okusesema okukalu: Abantu abamu bayinza okusesema okukalu okutambula obutasalako.
• Orthopnea: Buno kabonero ka njawulo. Okussa kweyongera okukaluba ng’ogalamidde, naye okussa kweyongera okwangu ng’otudde oba ng’oyimiridde.
• Omusujja: Singa ekivaako kiba yinfekisoni (nga ekifuba), obubonero ng’omusujja n’okulumwa omubiri nabwo buyinza okubaawo.

Otegeera otya embeera eno?

Bw’ogenda ew’omusawo, ajja kusooka kukubuuza ku bubonero bwo n’embeera endala zonna ez’obujjanjabi z’oyinza okuba nazo (nga obulwadde bw’omutima oba ssukaali). Olwo bajja kuteeka ekyuma ekiwuliriza ku kifuba kyo bawulirize. Singa wabaawo amazzi okwetoloola amawuggwe go, amaloboozi g’owulira ng’ossa gayinza okukyuka.

Oluvannyuma lw’ekyo, waakulagirwa okukeberebwa okuwerako okukakasa obulwadde buno n’okuzuula ekivuddeko.

• X-ray y’ekifuba: Kino kye kigezo ekisinga obukulu era eky’angu. X-ray esobola okulaba obulungi oba waliwo amazzi okwetoloola amawuggwe n’obungi bwe buli.
• CT scan: Kino kiyinza okuvaamu ekifaananyi ekitegeerekeka obulungi, eky’ebitundu bisatu (3D) eky’amawuggwe n’ekifo ky’amawuggwe. Kino kiyinza okuyamba ennyo mu kuzuula ekivaako amazzi okuzimba (nga ekizimba).
• Ultrasound scan: Kino kiyinza okuyamba okuzuula ekifo amazzi we gali n’okupima obungi bw’amazzi. Kikozesebwa okuyamba okulungamya empiso mu kitundu naddala ng’okola omulimu oguzingiramu okuggyamu amazzi.
• Thoracentesis: Kino kye kimu ku bikulu ebikeberebwa. Kizingiramu okusala akatundu akatono mu kifuba, okuyingiza empiso entono wakati w’embavu bbiri, n’okutwala sampuli y’amazzi ageetoolodde amawuggwe. Olwo sampuli eno ey’amazzi esindikibwa mu laabu okukeberebwa.

Kiki ky’onoonya ng’ogezesa sampuli y’amazzi?

Laabu eno ekebera amazzi gano okuzuula obutoffaali, ssukaali, ebika by’obutoffaali (waliwo obutoffaali bwa kookolo?), n’obuwuka obutonotono nga bakitiriya. Amawulire gano gayamba omusawo okuzuula oba ``Transudative'' oba ``Exudative'', era oba ekivaako yinfekisoni, kookolo, oba ekintu ekirala kyonna.

Mu mbeera ezimu, singa okukebera kuno tekusobola kulaga kivaako kivaako, enkola eyitibwa thoracoscopy oba VATS eyinza okukolebwa. Kino kizingiramu okuyingiza kkamera ng’oyita mu butundutundu obutonotono obumu oba okusingawo mu kifuba okutunula butereevu mu kifuba n’amawuggwe. Sampuli y’ebitundu by’omubiri nayo eyinza okutwalibwa okukeberebwa.

Obujjanjabi bwe buruwa?

Waliwo ebigendererwa bibiri ebikulu mu kujjanjaba okufulumya amazzi mu kibumba:

1. Okuggyawo amazzi agasukkiridde n’okumalawo obuzibu mu kussa.

2. Okujjanjaba ekivaako amazzi gano okukuŋŋaana n’okuziyiza okwongera okuzimba.

1. Okujjanjaba ekizibu ekikulu

• Singa amazzi gakuŋŋaanyizibwa olw’omutima okulemererwa , eddagala eritereeza enkola y’omutima n’eddagala erifulumya amazzi (empeke z’amazzi) eziggya amazzi agasukkiridde mu mubiri liweebwa.
• Ekivaako: Obulwadde bw’ekifubaBwe kiba nga kiva ku bakitiriya, baweebwa eddagala eritta obuwuka.
• Singa ekivaako kookolo , ojja kwetaaga okujjanjabibwa eddagala eriweweeza ku bulwadde (chemotherapy) n’obujjanjabi obw’amasannyalaze (radiation therapy).

2. Enkola z’okuggyamu amazzi agakung’aanyiziddwa

• Therapeutic Thoracentesis: Kino kye kigezo kye kimu kye twayogeddeko emabegako, naye mu kifo ky’okutwala sampuli, amazzi mangi nga bwe kisoboka gaggyibwamu n’empiso. Kino kiwa omulwadde obuweerero obw’amangu.
• Chest Tube: Singa obungi bw'amazzi buba buyitiridde oba amazzi gaba manene (nga pus), akatubu akatono akayitibwa ``chest tube'' kayinza okuteekebwa mu kifuba okumala ennaku ntono. Amazzi gakulukuta mpola mu ccupa nga gayita mu ttanka eno.
• Pleural Sclerosis: Enkola eno ekozesebwa singa amazzi geeyongera okukuŋŋaanyizibwa olw’ekivaako nga kookolo. Mu nkola eno, eddagala ery’enjawulo (nga talc) liyingizibwa nga liyita mu ttanka y’ekifuba wakati w’obuwuka obubiri obw’omu kifuba. Eddagala lino lireeta okuzimba wakati w’obuwuka buno obubiri, ekivaako okunywerera awamu. Kino olwo kimalawo ekifo amazzi we gayinza okuddamu okukuŋŋaanyizibwa.
• Okulongoosa: Singa enkola endala tezikola bulungi oba singa wabaawo oluwuzi oluwanvu okwetooloola enseke olw’obulwadde, kiyinza okwetaagisa okulongoosebwa.
• VATS (Video-assisted thoracoscopic surgery): Okulongoosa okukolebwa nga bakozesa kkamera eyingizibwa mu bitundu ebitonotono ebisaliddwa.
• Thoracotomy: Okulongoosa okw’ekinnansi okuzingiramu okuggulawo ekifuba. Kino kisobola okuggyawo ddala ebitundu ebirimu obuwuka.

Ebizibu ebiyinza okuva mu mbeera eno

Singa tebujjanjabwa bulungi, okufulumya amazzi mu kibumba (pleural effusion) kuyinza okuleeta ebizibu eby’enjawulo.

• Obulwadde: Obuwuka busobola okuyingira mu mazzi ageetoolodde amawuggwe ne bukola ekizimba.
• Enkovu okwetooloola amawuggwe: Amazzi bw’amala okumala ebbanga eddene kiyinza okuvaako oluwuzi lw’amawuggwe okugonvuwa, ne kiremesa amawuggwe okufuuwa obulungi.
• Amawuggwe agagwa/Pneumothorax: Oluusi amawuggwe gayinza okwonooneka mu nkola y’okuggyamu amazzi.

N’olwekyo, kikulu nnyo okunoonya amagezi mu bwangu ew’abasawo bw’oba ​​olina obubonero.

Embeera eno esobola okwewalibwa?

Okuva bwe kiri nti okufulumya amazzi mu kibumba kiva ku bulwadde obulala, kye tulina okukola kwe kugezaako okuziyiza okukula kw’obulwadde obwo obusirikitu.

• Weewale okunywa sigala: Okunywa sigala kye kisinga okuvaako kookolo w’amawuggwe n’endwadde z’omutima.
• Weewale okukwatibwa asibesito: Kino kiyinza okuvaako endwadde z’amawuggwe.
• Obulamu obulungi: Ebintu ng’emmere ennungi, dduyiro, n’okukendeeza ku munnyo omungi bisobola okuyamba okufuga embeera ng’endwadde z’omutima n’endwadde z’ekibumba.
• Bw’oba ​​olina dda obulwadde bw’omutima oba ekibumba, mira eddagala nga bwe likulagidde ddala omusawo era ogende mu malwaliro mu budde.