Olina omusuwa ogubumbulukuka emabega w’okugulu kwo? (Popliteal Aneurysm) Ka twogere ku nsonga eno!

Wali okirabye nti emabega w’okugulu kwo waliwo ekibumba ekiringa bbaatule, okugulu we kufukamira? Oyinza okuba nga wawulira obulumi obutonotono, ng’ozitowa oba ng’owulira ekizimba kyokka mu ngalo. Ebiseera ebisinga, oyinza okulowooza nti kino si kintu kya maanyi, naye mu mbeera ezimu, eno eyinza okuba embeera eyitibwa Popliteal Aneurysm . Tofaayo, kino tugenda kukyogerako mu bujjuvu era mu ngeri ennyangu ennyo leero.

Obulwadde bw’emisuwa gy’omubiri (popliteal aneurysm) kye ki?

Mu ngeri ennyangu, omusuwa gw’omusaayi oguyitibwa popliteal aneurysm kwe kuzimba mu musuwa omukulu emabega w’okugulu kwo, omusuwa gw’omusaayi oguyitibwa popliteal artery . Kiringa payipu y’amazzi ekutuka mu kiseera ekimu. Kiyinza okubeera mu magulu gombi mu bantu abamu.

Omusuwa bwe guzimba bwe guti, ebizibu bisobola okuvaamu. Omanyi otya?

• Ekitundu ekyo ekizimba kiyinza okukutuka .
• Ekizimba ky’omusaayi kiyinza okukola (thrombose) eyo, era ekitundu kyaakyo kiyinza okukutuka ne kizimba omusuwa mu kigere ekya wansi.
• Oba omusuwa gwonna guyinza okuzibikira.

Singa ekintu nga kino kibaawo, oluusi wayinza okubaawo okwonooneka okw’amaanyi ku kigere, abantu abamu bayinza okufiirwa okugulu, oba n’obulamu bwabwe buyinza okukosebwa. N’olwekyo, kikulu nnyo okukimanya ku kino.

Embeera eno ya bulijjo etya?

Popliteal aneurysms mu butuufu si ya bulijjo nnyo. Okusinziira ku bibalo, zibeera mu bakyala nga omu ku buli 100,000. Mu basajja, omuwendo guli waggulu katono, nga 7 ku buli 100,000.

Kyokka wadde nga si kya bulijjo nnyo, bw’ogeraageranya n’emisuwa emirala mu mubiri, gwe gusinga okubeera omusuwa ogw’okubiri oluvannyuma lw’emisuwa gy’omu lubuto . Ekyewuunyisa, waliwo akakwate wakati w’ebintu bino byombi. Abantu nga kitundu ku bantu abalina obulwadde bw’emisuwa gy’omu lubuto nabo bayinza okuba n’emisuwa mu musuwa gw’olubuto. N’olwekyo, omusawo bw’azuula ekimu ku bino ebibiri, kikulu nnyo okukebera omulala.

Bubonero ki obulaga kino?

Ebiseera ebisinga, abantu abalina obulwadde bwa popliteal aneurysm tebalaga bubonero bwonna . Ekyo kye kigifuula ey’entiisa katono. Kyokka, singa obubonero bulabika, kiyinza okutta omuntu.

Teebereza, kiki ekyandibaddewo singa omusuwa ogwo ogwazimba gukutuka (gukutuka) mu bwangu?

• Wandibaawo obulumi obw’amaanyi emabega w’okugulu.
• Ekitundu ekyo kiyinza okuzimba .
• Ebifo ebiringa ebiwundu biyinza okulabika.

Oba, bubonero ki obwandibaddewo singa ekizimba ky’omusaayi kikolebwa munda mu musuwa ogwo, ekitundu kyagwo ne kikutuka, era omusaayi ne gukulukuta wansi ku kigere ne guyimirira (embolized oba thrombose)?

• Obulumi bw'amagulu .
• Okuwulira ng'okugulu kwo kugenda okuzimba .
• Ebigere byange bigenda binnyogoga .
• Ebinywa by'amagulu binafuwa .
• Olususu lw’amaguluKifuuka kiddugavu.

Bw’oba ​​olina obubonero buno, kikulu nnyo okunoonya amagezi mu bwangu omusawo , kuba kino kiyinza okukuleetera embeera ey’amaanyi eyinza okulemesa omusaayi okutambula mu magulu.

Lwaki kino kigenda mu maaso? Ensonga ze ziruwa?

Abanoonyereza n’okutuusa kati tebamanyi kituufu kivaako okuzimba emisuwa gy’omu kifuba, naye balowooza nti waliwo ebintu ebitonotono ebiyinza okukiviirako:

• Okuzimba: Kino kitegeeza okuzimba oba yinfekisoni yonna ebeera mu bisenge by’emisuwa.
• Obulwadde bw’emisuwa: Buno ebintu nga kolesterol bwe bikuŋŋaana munda mu misuwa, ekivaako ebisenge by’emisuwa okugonza. Kino kiyinza okuvaako emisuwa obutakyukakyuka nnyo era nga ginafu.
• Popliteal artery entrapment: Mu bantu abamu, omusuwa guno omukulu guyinza okunyigirizibwa ebinywa oba ebitundu ebirala ebiri emabega w’okugulu. Ekiseera bwe kigenda kiyitawo, okunyigirizibwa kuno kuyinza okwonoona omusuwa ne kivaako okuzimba emisuwa.
• Obuvune obuva ku buvune: Embeera eno era esobola okubaawo olw’obuvune obw’amaanyi ku kugulu oba mu bitundu ebiriraanyewo.

Ani asinga okukulaakulanya kino? (Ebintu ebiyinza okuvaako akabi)

Kati ka tulabe ani ali mu bulabe obw’amaanyi obw’okulwala kino (Popliteal Aneurysm).

• Singa omuntu mu maka go abadde n’emisuwa nga gino: Singa maama wo, taata wo oba baganda bo bafunye obulwadde bw’emisuwa nga buno, naawe oli mu bulabe butono.
• Ku bazungu: Okunoonyereza kulaga nti embeera eno esinga kubeera mu bazungu.
• Ku bantu abasukka mu myaka 50: Obulabe buno bweyongera ng’emisuwa ginafuwa n’emyaka.
• Ku basajja: Nga bwe twagambye emabegako, kino kisinga kubeera mu basajja.
• Abantu abalina obuzibu mu bitundu by’omubiri: Abantu abalina endwadde ezireeta obunafu mu bitundu by’omubiri ebigatta ebitundu by’omubiri nabo bali mu bulabe bwa maanyi.
• Ku abo abakozesa ebintu ebikolebwa mu taaba: Okunywa sigala kwonoona nnyo emisuwa. Ekyo nakyo kye kisinga okuvaako kino.
• Ku abo abalina obulwadde bw’emisuwa: Kino nakyo nsonga nkulu enafuya emisuwa.

Kino kiyinza okuleeta bizibu ki?

Bw’oba ​​olina obulwadde bwa popliteal aneurysm, waliwo ebizibu ebiwerako ebiyinza okubaawo. Nga bwe twayogeddeko katono emabegako:

• Okuzibikira omusaayi mu kigere: Singa omusaayi gukola munda mu musuwa ate ekitundu ne kikutuka ne kiziba omusuwa mu kigere ekya wansi, kiyinza okusalako ddala omusaayi ogugenda mu kigere. Kino kya bulabe nnyo.
• Okukutuka kw’emisuwa: Kino nakyo kya mangu.
• Popliteal vein compression: Omusuwa oguzimba gusobola okunyigiriza omusuwa oguddukira okumpi ne gutwala omusaayi omucaafu waggulu ku kigere.
• Okunyigirizibwa kw’obusimu:Ate era, okunyigirizibwa kw’obusimu obuyita mu kitundu ekyo kiyinza okuvaako amagulu okuziyira n’okulumwa.

Omusawo akizuula atya kino? (Okuzuula obulwadde)

Okuzuula obulwadde bwa popliteal aneurysm oluusi kiyinza okuba ekizibu katono, kubanga embeera nga deep vein thrombosis (DVT) ne Baker’s cyst , ensawo ejjudde amazzi emabega w’okugulu, nazo zisobola okuleeta obubonero obufaananako bwe butyo. Kale, omusawo ajja kusooka kugoba mbeera ezo.

Okusobola okuzuula embeera eno, omusawo ajja kukebera n’obwegendereza ekitundu ekiri emabega w’okugulu kwo. Oyinza okuwulira oba okulaba omusuwa oguzimba. Oyinza n’okuwulira ng’ekuba n’okukuba kw’omutima.

Omusawo wo ayinza okunnyonnyola omusuwa gwo nga `fusiform` (ekitegeeza nti gubumbulukuka okwetooloola omusuwa gwonna nga bbaatule) oba `saccular` (ekitegeeza nti gubumbulukuka ku ludda lumu lwokka olw’omusuwa).

Ebigezo bya ngeri ki ebikolebwa?

Omusawo ayinza okulagira okukeberebwa okw’enjawulo okusobola okuzuula obulungi obulwadde n’okupima ebyetaagisa okuteekateeka obujjanjabi.

• Duplex ultrasound: Kino kye kigezo ekisinga okukozesebwa, eky’angu, ekitaliimu bulumi. Kisobola okukebera obunene bw’emisuwa n’engeri omusaayi gye gukulukutamu.
• Computed Tomography Angiography (CTA): Kino kigezo ekikozesa X-ray ne langi ey’enjawulo (contrast dye). Kisobola okufulumya ebifaananyi ebikwata ku misuwa mu bujjuvu.
• Magnetic Resonance Angiography (MRA): Kino kikozesa amaanyi ga magineeti n’amayengo ga leediyo okufulumya ebifaananyi by’emisuwa. Eriko ebirungi ebimu ku CTA.
• Digital Subtraction Angiography: Kino kigezo ekizibu katono. Bateekebwamu akatuba akatono mu musuwa, ne bamukuba langi, ne bakwatibwa ebifaananyi bya X-ray. Kino kitera okukolebwa nga bateekateeka okulongoosa.

Singa omusawo akuzuula nti olina obulwadde bwa popliteal aneurysm, kirabika ajja kukebera okugulu kwo okulala n’olubuto okulaba oba waliwo emisuwa gyonna eyo. Kubanga nga bwe twagambye emabegako, abantu bangi abalina embeera eno nabo balina emisuwa mu kigere ekirala n’omusuwa omukulu mu lubuto lwabwe. Singa wabaawo emisuwa emirala gyonna, gijja kwetaaga okulondoolebwa n’okukebera amaloboozi agayitibwa ultrasound scans obulamu bwabwe bwonna.

Kino kijjanjabwa ddi?

Obujjanjabi bw’okusannyalala kw’emisuwa gy’omubiri (popliteal aneurysm) bwawukana okusinziira ku mbeera gy’olimu. Mu bujjuvu, obuwanvu bw’omusuwa buba sentimita 2 (cm).Singa efuna obunene okusinga awo (nga yinsi emu), eba n’obulabe bungi obw’okukutuka. Kino kiba emirundi nga ebiri ku dayamita y’omusuwa ogwa bulijjo. Bw’oba ​​olina ekizimba ky’omusaayi mu misuwa gyo, omusawo ayinza okusalawo okukijjanjaba ne bwe kiba kitono okusinga ekyo, olw’obulabe nti ekitundu kyagwo kiyinza okukutuka ne kiziyiza omusaayi okutambula ku kigere kyo.

Singa omusuwa gwo ogw’omu kifuba guba mutono okusinga sentimita 2, era nga tolina bubonero bwonna, omusawo wo ajja kugulondoola buli kiseera okulaba oba gweyongera obunene.

Nze nneetaaga okulongoosebwa?

Bw’oba ​​olina obubonero obuva ku misuwa gy’omu kifuba, ne/oba bwe kiba kinene okusinga sentimita 2 (ne bwe kiba nga tewali bubonero), omusawo wo ayinza okukuwa amagezi okulongoosebwa (`okuddaabiriza emisuwa gy’omu kifuba`) ng’obujjanjabi.

Obujjanjabi bwe buruwa?

Waliwo enkola bbiri enkulu ez’obujjanjabi.

1. Okulongoosa mu lwatu:

Mu nkola eno, omusawo asiba emisuwa waggulu ne wansi w’omusuwa, n’akyusa ekkubo omusaayi we gutambula. Kino kitera okuzingiramu okukozesa ekisenge ky’emisuwa okuva mu kitundu ekirala eky’omubiri gwo. Kino kitegeeza nti ekkubo eppya litondebwawo okuva ku musuwa waggulu w’omusuwa okutuuka ku musuwa wansi w’omusuwa. Olwo omusuwa gusibibwa ne guzibikira (`ligated').

2. Enkola y’emisuwa gy’omubiri:

Eno nkola mpya nnyo. Kikozesebwa naddala ku bantu abalina embeera endala ezitawona abali mu bulabe obw’amaanyi obw’okufuna ebizibu ebiva mu kulongoosebwa mu lwatu. Mu nkola eno, ekituli ekitono kikolebwa mu kigere ekya waggulu, ne kiyisibwamu waya, era ekyuma ekikuba akatimba eky’ekyuma (stent graft) ne kiyingizibwa waggulu w’omusuwa. Nga stent graft eyita mu aneurysm, omusaayi gukulukuta butereevu okuva waggulu okudda wansi w’omusuwa. Okuva bwe kiri nti tewali musaayi gukulukuta butereevu mu misuwa, gukendeera mpolampola, ne guzimba, era ne gutakola.

Engeri y'okujjanjaba mu mbeera ey'amangu:

Bw’oba ​​olina ekikuta ky’omusaayi mu kigere, ekiziyiza omusaayi okutambula ku kigere, obujjanjabi bwa njawulo katono. Mu mbeera ng’ezo, omusawo ayinza okusooka okukuwa eddagala erikendeeza omusaayi, gamba nga heparin, ng’ayita mu IV. Oluvannyuma, bayinza okukolebwa angiogram okuddamu okutambula kw’omusaayi mu kigere n’ekigere ebikoseddwa. Mu mbeera ezimu, bayinza okukuwa eddagala erikendeeza omusaayi (thrombolytics) okusaanuusa ekizimba, oba bayinza okugezaako okuggyamu ekitundu ku kizimba nga bakozesa ebyuma eby’enjawulo (ebyuma ebisonseka).

Obujjanjabi busobola okuleeta ebizibu?

Nga bwe kiri ku kulongoosa kwonna, ebizibu ebimu bisobola okubaawo mu kiseera ky’obujjanjabi bwa Popliteal Aneurysm.

• Okuzimba omusaayi mu kigere (embolism).
• Okutemebwako amagulu:Kino tekitera kubaawo, nga tewali ngeri ndala yonna.
• Stents okumenya, okusenguka okuva mu kifo, oba obutasigala nga nzigule.
• Bypass graft okuzibikira.
• Obuvune mu busimu.
• Obulwadde bw’okuzimba emisuwa emiwanvu.

Bino omusawo ajja kukunnyonnyola bulungi nga tonnalongoosebwa.

Kitwala bbanga ki okuwona?

Oluvannyuma lw’okulongoosebwa mu lwatu, ojja kwetaaga okubeera mu ddwaaliro okumala ennaku nga bbiri oba ssatu. Oluvannyuma lw’okusemberera emisuwa egy’omunda, ekiseera ky’okuwona kitera okuba ekitono. Kyokka kijja kutwala ekiseera okudda engulu mu bujjuvu. Kikulu nnyo okugoberera ebiragiro by’omusawo mu kiseera ekyo.

Kiki ky’osaanidde okusuubira ng’obeera n’embeera eno?

Ne bw’oba ​​tolina bubonero bwa popliteal aneurysm kati, oyinza okufuna obubonero mu biseera eby’omu maaso. Era ebizibu biyinza okubaawo.

Obulwadde bwa popliteal aneurysm tebutera nnyo kubaawo. Ekisinga okubeerawo kwe kuzimba omusaayi okukutuka ne kuziba omusuwa mu kigere kyo. Bw’oba ​​olongooseddwa emisuwa gy’omubiri, oyinza okuba n’ebizibu ebitono ebikwata ku biwundu okusinga okulongoosebwa mu lujjudde. Kyokka, enkola y’okuwona eyinza obutamala bbanga ddene ng’okulongoosebwa mu lwatu.

Entunula eri etya? (Endowooza/Okulagula)

Singa ofuna omusuwa gwa popliteal aneurysm ne guddaabirizibwa nga obubonero tebunnalabika, prognosis yo eba nnungi nnyo . Okunoonyereza kuzudde nti abantu 80% abalina ‘bypass graft’ bakyalina emisuwa gyabwe emipya nga gikola bulungi oluvannyuma lw’emyaka etaano.

Wabula bw’oba ​​olina obubonero obuva ku misuwa, endowooza yo eyinza okuba entono.

Okunoonyereza okumu kwazuula nti abantu abasukka mu kitundu ekitono ku bantu abaalongoosebwa olw’omusuwa gw’omu kifuba ogwakutuka be baali balamu oluvannyuma lw’omwaka gumu. Ate era, abantu nga 15% abaali n’omusaayi oguzimba mu popliteal aneurysm baalina okusalibwako okugulu.

Totya olw’ebibalo bino. Bino mawulire ga bulijjo gokka. Ebintu bino bisobola okukyuka okusinziira ku mbeera gy’olimu, obujjanjabi bw’ofuna n’engeri gy’olabiriramu. Kale, yogerako n’omusawo wo ofune amawulire agakwatagana n’embeera yo.

Obulabe buno buyinza butya okukendeezebwa?

Abasawo balowooza nti ekisinga okuvaako okuzimba emisuwa mu bitundu by'omubiri ( popliteal aneurysm ) kwe kuzimba emisuwa . Kale, bw’oba ​​osobola okufuga embeera eyo, osobola okukendeeza ku bulabe buno.

• Lekera ddala okukozesa ebintu ebikolebwa mu taaba. Kino kye kintu ekisinga obukulu.
• Kuuma ennamba za kolesterol wo nga za bulijjo.
• Bw’oba ​​olina puleesa , gifuge bulungi.
• Lya emmere eyamba omutima erimu amasavu amatono.
• Dduyiro waakiri okumala eddakiika 150 mu wiiki.

Nze nneerabirira ntya?

Bw’oba ​​ng’onywa taaba, okulekayo kijja kuganyula nnyo obulamu bwo. Ate era bw’oba ​​olina emu ku mbeera zino wammanga, kola emitendera gy’okugifuga:

• Kolesterol omungi (Hyperlipidemia) .
• Puleesa (Peesa) .
• Ekirwadde ekya sukaali

Oluvannyuma lw’okulongoosebwa, omusawo ayinza okukugamba okumira eddagala eriweweeza ku buwuka obuleeta omusaayi, gamba nga aspirin, okukendeeza ku bulabe bw’okuzimba omusaayi mu bypass yo. Kakasa nti okuuma enteekateeka z’omusawo. Ojja kwetaaga okwekebejjebwa buli kiseera okukakasa nti bypass yo ekola bulungi. Kino kikulu oluvannyuma lw’okulongoosebwa ne ng’omusuwa gulondoolebwa okutuusa ng’okulongoosebwa kusaliddwawo.

Ddi lwe nnina okulaba omusawo?

Oluvannyuma lw’okuddaabiriza omusuwa gw’omusaayi (popliteal aneurysm), ojja kwetaaga okwekebejjebwa buli kiseera mu ultrasound okukakasa nti bypass yo ekola bulungi. Kikulu okukeberebwa kuno ku mwezi ogusooka, omwezi ogwokusatu, ogw’omukaaga, n’omwaka gumu oluvannyuma lw’okulongoosebwa, n’oluvannyuma buli mwaka okumala emyaka egiwerako oluvannyuma lw’ekyo.

Ddi lw’osaanidde okugenda mu kitongole ekijjanjaba abalwadde ab’amangu (ETU) ?

Bw’oba ​​olowooza nti Popliteal Aneurysm yo yakutuse oba omusaayi oguzimba gufuuse embolized , genda mu kitongole ky’abalwadde ab’amangu (ETU) amangu ddala. Buno bwe bubonero obuyinza okulabika:

• Okuzimba emabega w’okugulu oba mu kigere.
• Ebifo ebiringa ebiwundu birabika.
• Obulumi obw'amaanyi .
• Okuzimba amagulu .
• Ebigere ebinyogovu .
• Obuzibu okutambuza ekigere ekikoseddwa.

Bibuuzo ki by’osaanidde okubuuza omusawo?

Bw’okizuula nti olina obulwadde bwa Popliteal Aneurysm, kya bulijjo okuba n’ebibuuzo bingi mu birowoozo byo. Osobola okubuuza omusawo ebibuuzo nga:

• "Omusawo, (Popliteal Aneurysm) yange nnene etya?"
• "Ddala nneetaaga okulongoosebwa?"
• "Nkola ki ey'okulongoosa esinga okutuukagana n'embeera yange?"
• "Nnina obulwadde bwa popliteal aneurysm emabega w'okugulu kwange okulala?"
• "Nnina obulwadde bw'omusuwa gw'omu lubuto?"

Kya bulijjo okuwulira ng’ozitoowereddwa katono ng’okizudde nti olina obulwadde bwa popliteal aneurysm. Yogerako n’omusawo wo ku ddi lwe kisinga okujjanjaba obulwadde bw’emisuwa n’ekisinga okukukwatako.Osobola okutumbula obulamu bwo nga weewala ebiva mu taaba n’okufuga puleesa ne kolesterol. Bw’oba ​​weetaaga obuyambi ku kino, buuza omusawo wo.

Ebintu ebitonotono bye ndowooza nti bikulu gyoli (Take-Home Message)

Okay, kale kati olina okutegeera okulungi ku bye twogeddeko leero (Popliteal Aneurysm). Bino bye bimu ku bintu ebikulu by’olina okujjukira:

• Popliteal aneurysm kwe kubumbulukuka kw’omusuwa omukulu emabega w’okugulu.
• Ebiseera ebisinga, tewabaawo bubonero bwonna. Wabula singa obubonero bulabika (nga okulumwa emabega w’okugulu, okuzimba, okuziyira mu kigere, okunnyogoga) , laba omusawo mu bwangu.
• Ebintu nga okunywa sigala, kolesterol omungi, ne puleesa bisobola okukosa kino.
• Waliwo obujjanjabi, yogerako n’omusawo wo.
• Obulabe buno busobola okukendeezebwa nga tulina obulamu obulungi .

Si kintu kya kutya, wabula kintu kya kweraliikirira. Faayo ku mubiri gwo. Bw’olaba ekintu kyonna ekitali kya bulijjo, tolwawo kulaba musawo. Sigala nga oli mulamu bulungi!

` popliteal aneurysm, emisuwa egy’enjawulo emabega w’okugulu, emisuwa egy’enjawulo, okulumwa okugulu, okuzimba omusaayi mu kigere, okulongoosa emisuwa, okuzimba emisuwa