Wali ofunyeeko poliyo nga kati ozzeemu okufiirwa ebitundu by’omubiri? Ka tuyige ku kino (Post-Polio Syndrome)!

Ojjukira obulwadde obuyitibwa poliyo edda? Mpozzi naawe okifunye era nga kizibu okudda engulu. Singa owona n'oluvannyuma n'owulira ng'okooye era ng'oli munafu okumala emyaka, kiyinza okuba akabonero k'embeera eyitibwa ``Post-Polio Syndrome''. Kino ka twogere mu ngeri ennyangu leero, osobole okukitegeera.

Obulwadde bwa Post-Polio Syndrome kye ki?

Mu ngeri ennyangu, ``Post-Post-Polio Syndrome'' oba ``PPS'' omuntu eyadda engulu okuva mu poliyo bw'addamu okufuna obunafu bw'ebinywa okumala emyaka – mpozzi emyaka 10, 20, oba 40. Ebinywa nabyo biyinza okukendeera oba n’okukendeera.

Nga bw'oyinza okujjukira, poliyo, oba ``Poliomyelitis'', bulwadde obuva ku kawuka akayitibwa ``Poliovirus.'' Abantu abasinga ababufuna tebalaga bubonero bwonna bunene, era abantu abamu bafuna omusujja omutono. Wabula abantu abamu, kiyinza okuleeta embeera ez’amaanyi ng’okusannyalala n’oluusi n’okufa.

Waaliwo ebika bisatu ebikulu ebya `(Poliovirus)` eno. Zino ze bika 1, 2, ne 3. Kati, ebika 2 ne 3 biweddewo mu nsi. Ekika kya 1 kyokka kye kikyalabibwa mu bitundu by’ensi ebimu. Polio kumpi eweddewo mu Sri Lanka kati. Naye abantu abaali bakwatibwa obulwadde buno emabega basobola okufuna embeera eno eya `(PPS)`.

Ani asinga okulwala obulwadde bwa ``Post-Polio Syndrome''?

Embeera eno ebeerawo mu bantu bokka abaali bafunye poliyo mu biseera eby’emabega. Ebiseera ebisinga butandika okulabika oluvannyuma lw’emyaka 10 oba okusingawo. Oluusi kiyinza okubaawo ne bwe wabaawo emyaka 40.

Okunoonyereza kuzudde nti abantu wakati wa 30% ne 40% ababadde bafunye poliyo bafuna embeera eno. Ate era bw’oba ​​obaddeko poliyo emabegako, ekitegeeza nti ebitundu byo byali binafu nnyo, oyinza okufuna obubonero obw’amaanyi singa ofuna PPS.

``Obulwadde bwa Post-Polio Syndrome'' butera kwenkana wa?

Mubutuufu `(Post-Post Syndrome)` mbeera etali ya bulijjo nnyo ensangi zino. Ensonga lwaki kino kituuse kwe kuba nti poliyo nayo tatera nnyo kati. Eddagala erigema poliyo limazeewo poliyo mu mawanga mangi mu nsi yonna omuli ne Sri Lanka. Wabula olw’okuba wakyaliwo amawanga agawerako poliyo gy’eri, era nga wakyaliwo abantu abaali bafunye poliyo emabega, abalwadde ba `(PPS)` balabibwa oluusi n’oluusi.

Bubonero ki obwa `(Post-Post Syndrome)`?

Akabonero akakulu era akasooka ak'obulwadde bwa ``Post-Polio Syndrome'' kwe kuba nti ebinywa ebyanafuwa mu kiseera ky'okukwatibwa poliyo biddamu okuggwaamu amaanyi mpolampola. Obubonero buno busobola okwawukana okusinziira ku muntu. Abantu abamu bayinza okukosebwa ku kigero ekinene oba ekitono.

Buno bwe bumu ku bubonero obutera okulabika:

• Okunafuwa kw’ebinywa mpolampola: Okuwulira ng’omukono, ekigere oba ekinywa ekirala ekyali kinafu olw’obulwadde bwa poliyo kiddamu okunafuwa mpolampola.
• Obukoowu:Si kukoowa kwokka, wabula okuwulira obukoowu obutagumiikiriza, obusukkiridde. Kiba ng’okoowa ne bw’oba ​​okoze omulimu omutono.
• Muscle atrophy: Kino kitegeeza nti ebinywa bikendeera mpolampola ne bikendeera.
• Obulumi bw’ebinywa n’okunyiganyiga: Ebinywa biruma, oluusi kiwulira ng’ebinywa bibuuka bubuuka waggulu ne wansi, nga binyiganyiga.
• Obulumi mu binywa: Obulumi buyinza okubeera mu binywa ng’amaviivi n’enkokola.
• Obulema bw’amagumba: Okugeza, wayinza okubaawo ebintu ng’obulwadde bwa scoliosis.

Teebereza, waliwo omuntu ayitibwa Nimal, eyakwatibwa poliyo ng’akyali mwana muto ate ng’okugulu kwe okwa ddyo kunafuye katono. Yawangaala obulamu obwa bulijjo okumala emyaka mingi. Naye kati ku myaka 50, awulira ng’okugulu kwe okwa ddyo kuddamu okuggwaamu amaanyi mpola. Awulira ng’akooye nnyo bw’alinnya amadaala oba ng’atambula olugendo olutono. Bw’etyo bwe kimukosa.

Okugatta ku ekyo, singa kino ``(PPS)`` kikosa ebinywa ebikozesebwa mu kussa oba ebinywa ebikozesebwa okumira, obuzibu mu kussa n'okumira buyinza okubaawo.

Mu mbeera ezimu ez’amaanyi eza PPS, obubonero buno buyinza okufaananako obw’obulwadde bw’obusimu obuyitibwa Amyotrophic Lateral Sclerosis (ALS). Kyokka, kikulu okujjukira nti kino si kye kimu ne ALS.

Kiki ekivaako `(Post-Post Syndrome)`?

Bannasayansi n’okutuusa kati tebannaba kuzuula kiki ddala kivaako obulwadde bwa Post-Polio Syndrome. Kyokka, waliwo endowooza emu ekwata ku nsonga eyo. Kwe kugamba, bw’owona poliyo, obusimu bw’omubiri gwo bukyuka.

Lowooza bweti, akawuka ka poliyo `(Poliovirus)` kwonoona obumu ku butoffaali bwaffe obw'obusimu `(Neurons).` Obutoffaali buno obw'obusimu bwe butambuza obubaka okufuula ebinywa okukola. Kale, poliyo bw’emala, mu kifo ky’obutoffaali bw’obusimu obwonooneddwa, obutoffaali bw’obusimu obusigaddewo obulungi butandika okukola ennyo. Obutoffaali buno obw’obusimu obulamu, okuva mu matabi gaago amakulu `(Axons)`, bukola amatabi amalala amatono `(Dendrites)`, ne butwala obuyinza bw’obuwuzi bw’ebinywa obutoffaali bw’obusimu obwonooneddwa bwe bwafuga. Kiringa omukozi omu okutwala emirimu gy'abalala.

N’olwekyo, bannassaayansi balowooza nti oluvannyuma lw’emyaka mingi nga bakola ekisukka ku busobozi bwabwe, obutoffaali obwo obw’obusimu obwali bulamu mu kusooka bunafuwa mpolampola ne bukoowa. Amatabi ago amatono (dendrites) gakendeera mpolampola. Olwo ebinywa ebyo ebyali bikola obulungi emabegako nabyo bitandika okuddamu okunafuwa. Eyo osanga y'ensonga lwaki embeera eno eya ``PPS'', mu kiseera kino elowoozebwa nti y'evuddeko.

`(Post-Post Syndrome)` bulwadde obusiigibwa?

Nedda ``Post-Polio Syndrome`` si bulwadde obuyinza okusiigibwa okuva ku muntu omu okudda ku mulala. Wabula akawuka ka poliyo kawuka akasiigibwa nnyo. Eno y’ensonga lwaki kikulu nnyo okwekuuma obulwadde buno ng’ofuna eddagala eriweweeza ku poliyo.

Otegeera otya `(Post-Post Syndrome)`?

Mu kiseera kino tewali kukebera kwonna kuyinza kukakasa bulungi nti waliwo ``Post-Post Syndrome''.

Mu kifo ky’ekyo, abasawo bazuula embeera eno nga bakukebera omubiri, ne bakukebera ebyafaayo by’obujjanjabi mu bujjuvu (nga oba wali ofunye poliyo emabegako ne ddi), era ne babuuza ku bubonero bwo mu kiseera kino. Era baagala okukakasa nti obubonero tebuva ku mbeera ndala ya bujjanjabi.

Omusawo ayinza okukola ebigezo ebiwerako okukebera oba PPS n’okugaana embeera endala, gamba nga:

• Sikaani z’omugongo eza MRI (Magnetic Resonance Imaging) ne CT (Computed Tomography): Zino zisobola okukebera oba waliwo obuzibu bwonna ku mugongo n’obusimu obukwatagana nabwo.
• Electromyogram (EMG) test: Kino kigezesa enkola y’amasannyalaze g’ebinywa n’obusimu obubifuga. Kino kiyamba okuzuula oba obunafu bw’ebinywa buva ku buzibu bw’obusimu oba obuzibu ku binywa byennyini.
• Muscle Biopsy: Oluusi, akatundu akatono ak’ekinywa kakwatibwa ne kakeberebwa mu microscope. Kino kiyinza okuyamba okuzuula enkyukakyuka mu binywa.
• Spinal Fluid Analysis: Okukebera okuggya amazzi amatono mu mugongo gwo. Kino kiyinza okuyamba okukebera oba waliwo ebizibu ebirala eby’obusimu.

`(Post-Post Syndrome)` ejjanjabwa etya?

Ebyembi, mu kiseera kino tewali bujjanjabi bwa njawulo busobola kuwonya ddala ``Post-Post-Polio Syndrome (PPS)``. N'olwekyo, ekigendererwa ekikulu eky'abasawo kwe kufuga obubonero n'okutumbula ``Omutindo gw'Obulamu`` bwo.

Bw’oba ​​olina PPS, kikulu nnyo okulaba omusawo mukugu mu mbeera z’obusimu.

Wano waliwo engeri y’okuyambamu okuddukanya obubonero bwa PPS:

• Dduyiro atakooya: Dduyiro ataleeta bulumi oba okukoowa ennyo asobola okutumbula amaanyi g’ebinywa n’okukendeeza ku bukoowu okutwalira awamu. Bino osobola okubimanya ng’obuuza omusawo w’omubiri.
• Okutendekebwa mu kugumiikiriza omutima n’okussa: Eno y’enkola ey’okulongoosa omulimu omutima gwo, amawuggwe n’ebinywa gwe bisobola okukola awamu mu dduyiro ow’ekiseera ekiwanvu. Mazima ddala olina okwogera n’omusawo wo nga tonnatandika kutendekebwa kwa kika kino.
• Ebiyamba okutambula: Okukozesa ebintu ng’emiggo, ebitambula, obugaali oba sikulaapu kiyinza okwanguyiza okutambula n’okukendeeza ku bukoowu bw’ebinywa.
• Obujjanjabi bw’emirimu:Omusawo w‟emirimu asobola okukola enkyukakyuka ezeetaagisa mu mbeera yo okusobola okwanguyiza emirimu gya bulijjo okwetoloola ennyumba (e.g., okwambala, okufumba).
• Obujjanjabi bw’okwogera: Bw’oba ​​olina obuzibu mu kumira olw’obulwadde bwa PPS, omusawo w’okwogera asobola okukuyamba.
• Enkyukakyuka mu bulamu: Omusawo wo ajja kukuwa amagezi okulya emmere ennungi, okufuga obuzito bwo, otulo otumala, n’okulekera awo okunywa sigala . Ebintu bino bisobola okuyamba okuddukanya obubonero n’okulongoosa obulamu bwo okutwalira awamu.

Okugatta ku ekyo, obujjanjabi bw‟eby‟omutwe busobola okukuyamba ggwe n‟ab‟omu maka go okugumira PPS. Era kiyinza okuyamba okwegatta ku bibiina ebiwagira mw’osobola okwogera n’abalala abayita mu kintu kye kimu n’okugabana ku by’oyitamu.

`(Post-Post Syndrome)` esobola okuwona?

Nedda, okusinziira ku mawulire agaliwo kati, tewali ddagala lya ``Post-Polio Syndrome''. Obujjanjabi bugendereddwamu okufuga obubonero n’okuyamba okwanguyiza obulamu.

Oziyiza otya `(Post-Post Syndrome)`?

Engeri yokka ey’okuziyiza poliyo kwe kutangira okufuna poliyo. Engeri yokka ey’okukola ekyo kwe kugema eddagala lya poliyo. Abaana batera okuweebwa ddoozi nnya ez’eddagala eriweweeza ku poliyo okutandika ku myezi 2 egy’obukulu. Bw’oba ​​tofuna ddagala lino ng’okyali mwana muto, osobola okulifuna ng’omuntu omukulu.

Wabula bw’oba ​​wafuna dda poliyo n’owona, tewali ky’oyinza kukola kutangira kufuna PPS mu biseera eby’omu maaso. Bannasayansi n’okutuusa kati tebalina kirowoozo kitegeerekeka lwaki abantu abamu ababadde ne poliyo bafuna PPS ate abalala tebafuna.

Kiki ekitegeeza nti `(Post-Post Syndrome)`?

Endowooza y’obulwadde bwa Post-Polio Syndrome (PPS) ya njawulo okusinziira ku muntu. Kisinziira ku binywa ebikoseddwa n’obubonero bwe buli obw’amaanyi.

Obubonero bwa PPS buyinza okukukaluubiriza okukola ebintu ku bubwo. Wabula ebintu ng’ebiyamba okutambula n’obujjanjabi bw’emirimu, bye twayogeddeko emabegako, bisobola okuyamba nnyo.

Obulamu bwo okutwalira awamu buli mu bulabe obw’amaanyi singa ebinywa byo eby’okussa binafuwa olw’obulwadde bwa PPS, oba singa ebinywa byo eby’okumira binafuye.

``Post-Post Syndrome'' ekendeeza ku bulamu bw'omuntu?

Ebiseera ebisinga, obulamu bw'omuntu alina ``Post-Post Syndrome'' buba bwa bulijjo. ``PPS'' mbeera eteeka obulamu mu matigga era nga tetera kubaawo nnyo.

Ddi lw’osaanidde okulaba omusawo ku `(Post-Post Syndrome)`?

Bw’oba ​​wali olina poliyo emabegako, ate oluvannyuma lw’emyaka n’owulira ng’ebinywa byo biddamu okunafuwa mpola mpola, .Mazima ddala laba omusawo oyogere ku nsonga eno.

Bw’oba ​​ozuuliddwa nti olina PPS, olina okulaba omusawo buli kiseera okukakasa nti enteekateeka yo ey’obujjanjabi ekola n’okukola enkyukakyuka zonna ezeetaagisa.

Ekikulu nti si buli muntu alina obulwadde bwa Post-Polio Syndrome nti akosebwa mu ngeri y’emu. Engeri esinga okumanya engeri entuufu embeera eno gy’ekukosaamu n’ekyo ky’osuubira kwe kulaba omusawo mukugu mu ndwadde z’obusimu n’ebinywa ne PPS. Bali wano okukuyamba.

Ebintu ebikulu by'olina okujjukira (Take-Home Message)

Okay, kale, okusinziira ku bye twogeddeko, nsuubira nti ofunye okutegeera okulungi ku `(Post-Polio Syndrome)`. Mu bufunze:

• ``(PPS)`` mbeera y'okunafuwa kw'ebinywa ebeerawo oluvannyuma lw'emyaka mu bantu abaali bafunye poliyo emabegako.
• Wadde nga tewali ddagala lya njawulo eriwonya kino, waliwo ebintu bingi by’osobola okukola okufuga obubonero n’okwanguyira obulamu.
• Dduyiro atali wa maanyi, okujjanjaba omubiri, ebikozesebwa mu kutambula bwe kiba kyetaagisa, n’okukyusakyusa mu bulamu obulungi bikulu nnyo.
• Bw’oba ​​olina obubonero buno, mazima ddala laba omusawo w’obusimu.
• Jjukira nti toli wekka. Waliwo abantu abasobola okukuyamba okuddukanya embeera eno n’okubeera obulungi.

Totya, ekisinga obukulu kwe kutegeezebwa n’okugoberera amagezi g’abasawo ageetaagisa.

` obulwadde bw’oluvannyuma lwa poliyo, poliyo, obunafu bw’ebinywa, obulwadde bw’obusimu, PPS, obulwadde bw’oluvannyuma lwa poliyo, okuddaabiriza omubiri