Amawuggwe go gawulira nga gajjudde amazzi? Ka twogere ku pleural effusion!

Wali owuliddeko ng’ozitowa katono mu kifuba, ekintu ekyewuunyisa ng’ossa? Oba wali owuliddeko omuntu ng'agamba nti, "Amawuggwe gajjudde amazzi"? Ekyo kyetugenda okwogerako leero. Kino mu by’obujjanjabi kimanyiddwa nga pleural effusion.

Mu ngeri ennyangu, okufulumya amazzi mu kibumba kye ki?

Okay, kati ka tulabe kino kye ki mu bigambo ebyangu. Amawuggwe go gali munda mu kifuba kyo. Okwetoloola amawuggwe gano, ne munda mu kifuba kyo, waliwo obuwuka bubiri obugonvu ennyo. Obuwuka buno tubuyita pleura . Kiringa nga zibikkiddwa ku njuyi zombi.

Mu budde obwabulijjo, wabaawo amazzi matono nnyo wakati w’obuwuka buno obubiri obw’omu kibumba. Kilowoozeeko ng’amafuta agasiiga ebitundu ebibiri eby’ekyuma. Amazzi gano ge gasobozesa amawuggwe go okutambula, okugaziwa n’okukonziba amangu ng’ossa.

Kyokka, mu mbeera eno eyitibwa pleural effusion , obungi bw’amazzi wakati w’obuwuka obubiri obw’omu lubuto buba bungi nnyo okusinga obwa bulijjo . Kino kitegeeza nti oba omubiri gwo gufulumya amazzi gano mangi nnyo, oba amazzi agakolebwa tegaddamu kuyingizibwa bulungi kudda mu mubiri. Wano we tugamba nti "amawuggwe gajjudde amazzi."

Waliwo ebika by’okufulumya amazzi mu kibumba?

Yee, abasawo bagabanyaamu amazzi agafuluma mu mawuggwe mu bika bibiri ebikulu, okusinziira ku ngeri y’amazzi agakuŋŋaanyizibwa okwetooloola amawuggwe.

1. Amazzi agayitibwa Transudative oba protein-poor, watery fluid: Amazzi ag’ekika kino gatera okubaawo nga puleesa y’amazzi mu mubiri yeeyongedde. Okugeza omuntu alina obulwadde bwa cirrhosis (obulwadde bw’ekibumba) oba omutima okulemererwa ayinza okuba n’amazzi ag’ekika kino. Kino amazzi bwe gakulukuta okuva mu misuwa.

2. Amazzi agafuluma oba agalimu ebirungo ebizimba omubiri: Ebisinga okuvaako amazzi ag’ekika kino ye kookolo (okugeza kookolo w’amawuggwe, kookolo w’amabeere) oba ekika ky’obulwadde . Mu kino, amazzi amangi gakulukuta nga gayita mu misuwa emitono oba amazzi tegaggyibwa bulungi nkola ya lymphatic system.

Enkola z’obujjanjabi zisalibwawo okusinziira ku kika kino. Kale kikulu nnyo omusawo okumanya obutonde bw’amazzi gano.

Embeera eno ya bulijjo etya?

Mu butuufu, okufulumya amazzi mu kibumba (pleural effusion ) mbeera ya bulijjo okusinga bw’oyinza okulowooza . Ng’ekyokulabirako, kigambibwa nti abantu nga obukadde 1.5 mu Amerika yokka bafuna embeera eno buli mwaka. Embeera eno era elabibwa mu ggwanga lyaffe.

Bubonero ki obulaga nti omuntu alina amazzi mu kifuba (pleural effusion)?

Oyinza okuba n’obubonero obulala okusinziira ku mbeera eyaliwo eyavaako okufulumya amazzi mu kibumba. Wabula waliwo obubonero obuwerako obukwata ku kufulumya amazzi mu kibumba.

• Obulumi mu kifuba: Obulumi buno buyinza okweyongera naddala ng’ossa omukka omungi oba ng’osesema. Kiyinza okuwulira ng’ekintu ekikufumita okuva munda.
• Obuzibu mu kussa (Dyspnea): Okussa kuyinza okuwulira nga kuzibu n’okuziyira. Kino kiyinza okuba ekibi ennyo ng’ofuba nnyo.
• Orthopnea: Buno kabonero akalaga nti omuntu alina ky’amanyi. Kitegeeza nti olina obuzibu okussa mu mbeera endala okuggyako okutuula oba okuyimirira nga weegolodde (okugeza, okugalamira). Abantu abamu basula n’emitto ebiri oba esatu okwewanirira kubanga bawulira nga baziyira nga bagalamidde.

Kyokka abantu abamu bayinza okufuna amazzi g’ekibumba nga tebalina bubonero bwonna . Bakizuula nga bakubiddwa X-ray y’ekifuba olw’ensonga endala.

Lwaki kino kigenda mu maaso? Ensonga ki eziviirako kino?

Waliwo ebintu bingi ebivaako okufulumya amazzi mu nnyindo (pleural effusion). Oluusi ensonga ezisukka mu emu ziyinza okuzingirwamu. Nga bwe twayogeddeko emabegako, abasawo bagezaako okuzuula ekivaako nga bazuula oba amazzi agakung’aanya ga transudative ( watery) oba exudative (protein-rich). Oluusi, embeera eyitibwa pulmonary embolism (PE) eyinza okuba ey’ebika byombi.

Ebikulu ebivaako okukuŋŋaanyizibwa kw’amazzi agayitibwa transudative fluid bye bino:

• Omutima okulemererwa: Kino kye kisinga okuvaako. Omutima bwe guba tegukola bulungi, enkola y’amazzi mu mubiri etaataaganyizibwa.
• Cirrhosis: Embeera ey’amaanyi ebeera mu kibumba.
• Nephrotic Syndrome: Kino kizibu kya kibumba. Embeera eno esobola okubaawo ng’ensigo zifulumya ebirungo ebizimba omubiri ebisusse.

Ensonga enkulu eziviirako amazzi agafuluma okukuŋŋaanyizibwa ze zino:

• Pneumonia: Obulwadde bw’amawuggwe.
• Kookolo: Naddala kookolo w’amawuggwe , kookolo w’amabeere , oba lymphoma .
• Obulwadde bw’ekibumba
• Obulwadde bw’okuzimba: Embeera ez’enjawulo ez’okuzimba ezibeerawo mu mubiri.
• Oluvannyuma lw’okulongoosebwa omutima oguggule

Waliwo n’ensonga ezitatera kubaawo:

• Akafuba
• Obulwadde bw’abaserikale b’omubiri: Kino kitegeeza nti abaserikale b’omubiri bennyini balumba obutoffaali bwagwo.
• Okuvaamu omusaayi olw’obuvune mu kifuba.
• Chylothorax: Kino kibaawo ng’amazzi agayitibwa ‘chyle’ agava mu nkola y’amazzi gakuŋŋaanyiziddwa mu kifuba. Kitera okuva ku buvune.
• Yinfekisoni ezitatera kubaawo mu kifuba n’olubuto.
• Okukwatibwa asibesito.
• Okukutuka kw’omumwa gwa nnabaana
• Obulwadde bw’olubuto
• Meig’s Syndrome: Kiva ku kizimba ekitali kya bulabe ekikula mu nkwaso.
• Ovarian Hyperstimulation Syndrome obulwadde bw’okusikirizibwa ennyo
• Eddagala erimu
• Okulongoosa olubuto.
• Obujjanjabi bw’amasannyalaze (Radiation Therapy).

Mu mbeera ezimu, amazzi gennyini gayinza okubaamu obutoffaali obubi , oba gayinza okukuŋŋaanyizibwa ng’ekizibu ekiva mu bujjanjabi bw’eddagala .

Ani ali mu bulabe obw’amaanyi obw’okufuna kino?

Waliwo ebintu ebiwerako eby’akabi ebiyinza okuvaako okukula kw’okufulumya amazzi mu kibumba.

• Okubeera n’embeera z’obujjanjabi ezikireeta: Okugeza, bw’oba ​​olina obulwadde bw’omutima, ekibumba, obulwadde bw’ekibumba oba kookolo, oba mu bulabe bwa maanyi obw’okufuna amazzi g’ekibumba.
• Okukozesa ebintu ebikolebwa mu taaba: Abantu abanywa sigala batera okufuna obuzibu mu mawuggwe.
• Okukwatibwa asibesito: Kino kizimbe kya bulijjo. Bw’omala ebbanga eddene ng’okikwata kiyinza okuvaako amawuggwe okwonooneka.

Kino kiyinza okuleeta bizibu ki?

Singa okufulumya amazzi mu kibumba (pleural effusion) tekujjanjabibwa bulungi, ebizibu ebimu biyinza okubaawo.

• Yinfekisoni efuuka ekizimba: Amazzi agakung’aanyiziddwa gayinza okukwatibwa obuwuka, ne gafuuka ekizimba.
• Enkovu okwetoloola amawuggwe: Ebitundu by’enkovu bisobola okutondebwa amazzi we gaali, ne kitaataaganya enkola y’amawuggwe.
• Okwonooneka kw’amawuggwe go.

Embeera eno ogisanga otya ddala?

Bw’ogenda okulaba omusawo, ajja kusooka kukubuuza ku byafaayo byo eby’obujjanjabi . Endwadde ki endala z’olina era obubonero buno bwatandika ddi? Olwo bajja kukola okukebera omubiri . Bajja kuwuliriza amawuggwe go nga bw’ossa (nga balina ekyuma ekiwuliriza). Olwo lwe banaalagira okukeberebwa okwetaagisa.

Kino kigezo ki ekikolebwa?

Abasawo bakozesa ebigezo bino okuzuula n’okutegeera obutonde bw’amazzi agafuluma mu kibumba:

• X-ray y’ekifuba: Kino kiyinza okuyamba okuzuula oba amazzi gakuŋŋaanyiziddwa n’obungi.
• Chest CT scan (Computed Tomography - CT scan): Esobola okufulumya ebifaananyi ebitegeerekeka obulungi, ebikwata ku X-rays. Era esobola okukebera embeera y’amawuggwe wansi w’amazzi n’ebintu ebirala ng’ebizimba.
• Okukebera mu kifuba:Kino era kiyamba okuzuula ekifo n’obungi bw’amazzi, wamu n’ekifo ekituufu w’oyinza okuteeka empiso ennungi okuggyamu amazzi.
• Thoracentesis oba Biopsy: Kino kizingiramu okuyingiza empiso ennyimpi ennyo mu kifuba kyo wakati w’embavu zo bbiri okutwala sampuli y’amazzi agakung’aanyizza. Oluusi akatundu akatono ak’oluwuzi lw’ekibumba (biopsy) nakyo kiyinza okutwalibwa.
• Pleural Fluid Analysis: Sampuli y’amazzi esindikibwa mu laabu okukeberebwa. Kino kiyinza okuzuula obungi bwa puloteyina, ebika by’obutoffaali, oba waliwo obuwuka oba obutoffaali bwa kookolo. Kino kye kiyinza okukubuulira ddala oba amazzi gano ga transudative oba exudative.

Singa ebigezo bino ebyangu tebizuula kivaako, oyinza okwetaaga okukola enkola eyitibwa thoracoscopy . Kino era kiyitibwa okulongoosa ekifuba nga bayambibwako vidiyo (VATS) . Kino kikolebwa ng’oli mu bujjanjabi obw’okubudamya. Kino kizingiramu okuyingiza kkamera entono n’ebivuga mu kifuba kyo okusobola okulaba obulungi enseke n’ebitundu ebiriraanyewo. Obujjanjabi butera okukolebwa mu kiseera kye kimu n’enkola eno.

Kino kikwatibwa kitya?

Waliwo ebigendererwa bibiri ebikulu ng’ojjanjaba amazzi agakulukuta mu kibumba: Ekimu kwe kuggyawo amazzi agasukkiridde . Ekirala kwe kuyimiriza amazzi okuddamu okuzimba . Abasawo balondawo obujjanjabi okusinziira ku kivaako n’obuzibu bw’olina okussa olw’amazzi.

Eddagala

• Bwoba olina amazzi agasibye olw'embeera nga congestive heart failure , abasawo bajja kukuwa eddagala erifulumya amazzi (era erimanyiddwa nga "water pills" kubanga liyamba omubiri okumalawo amazzi agasukkiridde nga bayita mu musulo) n'eddagala eddala eriwonya omutima okulemererwa.
• Bwe kiba nga kiva ku yinfekisoni, ojja kwetaaga okumira eddagala eritta obuwuka .
• Singa embeera eno eva ku kookolo (malignant effusion), oyinza okufuna chemotherapy , radiation therapy , oba okufuyira eddagala ery’amazzi mu kifuba.

Enkola z’obujjanjabi (Enkola) .

• Bw’oba ​​olina obuzibu mu kussa, omusawo ayinza okukola ‘therapeutic thoracentesis’ (kino kifaananako n’okutwala sampuli y’amazzi, naye amazzi mangi nga bwe kisoboka gaggyibwamu). Oba bayinza okuyingizaamu ekituli mu kifuba . Kino kizingiramu okuyingiza akapiira akatono mu kifuba kyo n’oleka amazzi okukulukuta mu ccupa.
• Oluusi naddala amazzi bwe gakuŋŋaana olw’obulwadde bwa kookolo, amazzi ago gasobola okuddamu okuzimba ne bwe gaggyibwamu. Mu mbeera ng’ezo ezizibu okufuga, omusawo ayinza okukozesa ekyuma ekikuba amazzi mu kifuba okufulumya amazzi ago.Ekika ky’eddagala eriyitibwa sclerosing agent kifukibwa mu kisenge ky’omubiri ekiyitibwa pleural cavity. Eddagala lino mu bugenderevu lireeta enkovu (fibrosis) wakati w’obuwuka obubiri obuyitibwa pleural membranes. Kino era kiyitibwa obulwadde bwa pleural sclerosis oba pleurodesis . Enkovu eno bwe yatondebwa, obuwuka obubiri obw’omu kibumba bukwatagana ne kiremesa amazzi okuddamu okukuŋŋaanyizibwa. Enkola eno ekola ebitundu nga 50% byokka mu kuyimiriza amazzi okuddamu okukuŋŋaanyizibwa.

Okuloongoosa

Singa okufulumya amazzi oba obulwadde bwa pleural sclerosis tebumala kufuga mbeera yo, oyinza okwetaaga okulongoosebwa. Omusawo akulongoosa ajja kukukebera n’obwegendereza era ateese naawe ku birungi n’ebibi ebiri mu kulongoosa.

Waliwo ebika bibiri ebikulu eby’okulongoosa:

1. Okulongoosa ekifuba nga bayambibwako vidiyo (VATS): Kino kizingiramu okusalako obutundutundu obutono ennyo obumu ku busatu (nga kitundu kya yinsi) mu kifuba n’oyita mu kkamera n’ebikozesebwa mu kulongoosa okusobola okulongoosa. Enkola eno ekozesebwa ku mazzi agafuluma mu nnyindo (pleural effusions) agazibu okufuga oba agazzeemu olw’obulwadde bwa kookolo. Mu kiseera ky’okulongoosebwa, ekintu nga talc oba eddagala eritta obuwuka kiteekebwa mu kisenge ky’ekibumba okugezaako okukomya amazzi okuddamu okukuŋŋaanyizibwa.

2. Okulongoosa ekifuba (okulongoosa ekifuba mu ngeri ey'ekinnansi, "okuggule"): Mu nkola eno, omusawo asala ekifuba kya yinsi 6-8. Eno y’enkola esinga okukozesebwa singa oba olina yinfekisoni. Okusala ekifuba kuggyawo ebitundu byonna eby’obuwuzi era kiyamba okuyonja obulungi yinfekisoni mu kisenge ky’ennywanto. Oyinza okwetaaga okuteekebwamu ekyuma ekifulumya amazzi mu kifuba okumala ennaku bbiri okutuuka ku wiiki bbiri ng’omaze okulongoosebwa.

Waliwo ebizibu byonna ebiyinza okuva mu bujjanjabi buno?

Yee, nga bwe kiri ku bujjanjabi bwonna, obujjanjabi bw’okufulumya amazzi mu kibumba buyinza okuvaako ebizibu ebimu.

• Pulmonary Edema: Kino kiyinza okubaawo naddala singa amazzi amangi gaggyibwamu omulundi gumu.
• Okuzimba Omusaayi
• Ennyimba z’omutima ezitali za bulijjo
• Pneumothorax: Kino kuba kugwa kw’amawuggwe olw’empewo okujjuza amawuggwe. Oluusi kino kiyinza okubaawo ng’empiso ekozesebwa okuggyamu amazzi ekubiddwa.

Kitwala bbanga ki okuwona?

Kino kyawukana okusinziira ku bujjanjabi obukolebwa.

• Bw’oba ​​olina obulwadde bw’ekifuba , ojja kwetaaga okwegendereza katono okumala ennaku nga bbiri.
• Bw’oba ​​walongoosebwa VATS , kiyinza okwetaagisa okubeera mu ddwaaliro okumala ennaku ntono oluvannyuma lw’okulongoosebwa.
• Bw’oba ​​walongoosebwa ekifuba (okulongoosebwa mu lujjudde), ojja kwetaaga okumala wiiki nga emu mu ddwaaliro.

Kiki kye tuyinza okukola okukendeeza ku kabi kano?

Kizibu okuziyiza ebintu bingi ebivaako okufulumya amazzi mu kibumba. Kyokka, osobola okukendeeza ku bulabe bwo mu ngeri emu ng’okozesa:

• Weewale ebintu ebikolebwa mu taaba.
• Weewale okubeera mu mbeera ya asibesito.
• Omusawo bw’aba akuwadde amagezi, kwata emmere erimu omunnyo omutono.
• Mumira eddagala ly’okufulumya amazzi (empeke z’amazzi) ly’owandiikiddwa mu budde.
• Omusawo bw’akugamba, ssa kkomo ku mazzi g’onywa.

Kiki kye tusaanidde okusuubira mu mbeera eno?

Bw’omala okufuna obujjanjabi, ojja kwetaaga okuddamu okukubwa X-ray . Omusawo ajja kwagala okumanya oba obujjanjabi bwakola bulungi. Era ojja kwetaaga okugenda mu maaso n’okufuna obujjanjabi ku mbeera eyavaako okufulumya amazzi mu kibumba.

Obuzibu bw’embeera yo businziira ku bintu bino:

• Kiki ekisinga okuvaako okufulumya amazzi mu kibumba?
• Kikosa engeri gy’ossa?
• Kikwata ku oba kiddamu bulungi obujjanjabi.

Embeera eno etunuuliddwa etya?

Endowooza oba okuteebereza , ekyukakyuka nnyo okusinziira ku kiki ekyakuleetera okufulumya amazzi mu kibumba n’embeera endala ez’obujjanjabi z’olina. Ku bantu abamu, obujjanjabi bw’okufulumya amazzi mu kibumba (pleural effusion) buba buwanguzi. Kyokka, okufulumya amazzi mu kibumba (pleural effusion) kuyinza okuddamu .

Entunula y’okufulumya amazzi mu kibumba (pleural effusion) okuva ku kookolo si nnungi nnyo. Era bw’oba ​​tojjanjaba bulungi pleural effusion, nakyo si kirungi.

Weerabirira otya?

Embeera ezimu ezireeta okufulumya amazzi mu kibumba zeetaaga okujjanjabibwa okumala ebbanga eddene . Yogerako n’omusawo wo ku bujjanjabi obusinga obulungi obw’ekiseera ekiwanvu eri embeera yo. Oluvannyuma, goberera enteekateeka yo ey’obujjanjabi ddala . Eddagala lyo limira mu budde era okuume enkyukakyuka mu bulamu omusawo z’akugamba.

Ddi lwe kiba kirungi okulaba omusawo?

Genda mu ssaawa zonna ez’okugoberera omusawo wo z’alagidde okuddukanya embeera yo etali ya bulijjo. Bw'oba ofuna obuzibu mu kussa , genda mangu omusawo . Tolwawo.

Bibuuzo ki ebikulu by’olina okubuuza omusawo wo?

Osobola okubuuza omusawo ebibuuzo nga:

• Lwaki nnafuna amazzi gano agayitibwa pleural effusion?
• Mirundi emeka gye nneetaaga okujja okukulaba (follow-up appointments)?
• Mikisa ki egy’okuddamu okufuna obulwadde bwa pleural effusion?
• Biki ebiva mu kufulumya amazzi mu kibumba kyange okumala ebbanga eddene?

Kale, olina pleural effusion, mpozzi nga tewalina bubonero bwonna. Ekikulu kwe kuzuula ekivaako.. Omusawo bw’amala okumanya ekivaako, ajja kukola emitendera okukijjanjaba. Okuddamu obulungi ebibuuzo by’omusawo kiyinza okuyamba okuggyawo ebimu ku bivaako. Kya bulijjo okuwulira ng’otya ng’olina obuzibu mu kussa, n’olwekyo totya kubuuza bibuuzo ku kintu kyonna ky’oyagala okutegeera.

Kale, bintu ki bye twetaaga okujjukira okuva mu bino byonna?

Pleural effusion kwe kukuŋŋaanyizibwa kw’amazzi wakati w’amawuggwe, obuwuka obuzingiramu amawuggwe. Abantu abamu era kino bakiyita "amazzi mu mawuggwe."

• Wayinza okubaawo ensonga eziwerako eziviirako kino. Ebintu ng’endwadde z’omutima, ekifuba, ne kookolo bye bikulu.
• Obubonero buyinza okuli okulumwa mu kifuba n'okukaluubirirwa okussa . Abantu abamu bayinza obutaba na bubonero bwonna.
• Omusawo asobola okuzuula kino ng’ayita mu X-ray, CT scan, n’okutwala amazzi (thoracentesis) .
• Obujjanjabi bugendereddwamu ekivaako n'okuggyawo amazzi . Eddagala, obukodyo bw’okuggyamu amazzi, n’oluusi n’okulongoosebwa kiyinza okwetaagisa.
• Ekisinga obukulu kwe kulaba omusawo amangu ddala nga bw’oba ​​olina obuzibu mu kussa oba ng’owulira ekizimba mu kifuba. Okuzuula amangu kiyamba obujjanjabi era kikendeeza ku bulabe bw’okufuna ebizibu.

Bw’oba ​​olina ekibuuzo ekirala kyonna ku nsonga eno, tolwawo kwogera na musawo wo. Sigala nga oli mulamu bulungi!

` Okukulukuta kw’amawuggwe, amawuggwe, amazzi mu kifuba, okukaluubirirwa okussa, okulumwa mu kifuba, obulwadde bw’amawuggwe, obujjanjabi