Era olina ebizibu ebigenda mu maaso mu magulu/emikono gyo oluvannyuma lw’okukola DVT? Ka tuyige ku (Post-Thrombotic Syndrome)!

Bw’oba ​​wali ofunye omusaayi mu musuwa omuzito mu kigere oba omukono gwo, ekimanyiddwa nga Deep Vein Thrombosis (DVT) , oyinza okuba n’ebizibu ebimu ebisigaddewo. Kiba ng’ekiwundu ekiwona, naye kiyinza okulekawo enkovu entono oba obutabeera bulungi. Leero, tugenda kwogera ku mbeera eyinza okukosa abantu abamu okumala ebbanga eddene oluvannyuma lw’okukwatibwa DVT. Kino abasawo kye bayita Post-Thrombotic Syndrome oba Postphlebitic Syndrome .

Obulwadde bwa Post-Thrombotic Syndrome kye ki? Mu ngeri ennyangu...

Teebereza ng’olina obulwadde bwa deep vein thrombosis (DVT) mu kigere oba mu mukono gwo. Ne bwe tugijjanjaba obulungi, oluusi ekizimba kiyinza okukosa omusuwa. Kiba ng’ekintu ekikwatiddwa mu payipu y’amazzi era bw’okiggyamu, kikyakola obulabe ku payipu.

Okwonoonebwa kuno kuyinza okuvaako emisuwa okubulwa obugonvu bwagwo era ne vvaalu eziyamba okutambula kw’omusaayi tezikola bulungi. Kino kireetera omusaayi okukuŋŋaana mu misuwa egyonooneddwa mu kifo ky’okudda ku mutima. Omusaayi bwe gukuŋŋaanyizibwa mu ngeri eno, puleesa munda mu misuwa yeeyongera, ekivaako obubonero ng’obulumi n’okuzimba . Kino kye tuyita okukung’aanya obubonero (Post-Thrombotic Syndrome). Abantu abamu bayinza okuba n’obubonero obutono ennyo, naye obulala buyinza okuba obw’amaanyi ennyo ne kiba nti tebasobola na kukola mu bulamu bwabwe obwa bulijjo.

Bw’oba ​​obadde n’obulwadde bwa DVT mu myaka ebiri egiyise nga kati ofuna obubonero buno, laba omusawo mu bwangu. Basobola okwekenneenya embeera yo ne batandika obujjanjabi obutuufu okukuleetera obuweerero.

Embeera eno ya bulijjo etya?

Post-Thrombotic Syndrome mu butuufu mbeera ya bulijjo mu bantu ababadde ne DVT. Bukwata wakati w’abantu 20 ne 50 ku buli bantu 100 mu myaka ebiri bukya bazuuliddwa nti balina DVT. Ekyo kitegeeza nti kikosa abantu bangi nnyo.

Bw’oba ​​olina obulwadde bwa Post-Thrombotic Syndrome, kizibu nnyo omusaayi mu musuwa ogwo ogwonooneddwa okudda ku mutima. Okukuŋŋaanyizibwa kw’omusaayi kuno kwe kuleeta ebizibu ebya buli ngeri.

Bubonero ki obulaga kino? Tuwulira tutya?

Obubonero bwa Post-Thrombotic Syndrome (PTS) okusinga bukosa kigere oba omukono DVT we yagwa. Oyinza okufuna ebintu nga:

• Obulumi: Obulumi mu kigere naddala ng’otambula oba ng’oyimiridde. Kino oluusi kiyitibwa claudication .
• Obulumi oba okulumwa ng'omusuwa guyiringisibwa .
• Okuwulira obuzito n’obukoowu mu mikono/amagulu.
• Okusiiwa (Okusiiyibwa) .
• Okuzirika, okuwunya, n’okuwulira okutali kwa bulijjo (Paresthesia) .

Obubonero buno buyinza okuba obutono eri abamu, ate nga bwa maanyi eri abalala.Kiyinza okukukosa. Oyinza okukizuula nti obubonero buno bweyongera ng’oyimiridde oba ng’otambula okumala ebbanga eddene, ate nga bw’owummudde akaseera katono bukendeera. Obutabeera bulungi buno nabwo buyinza okweyongera ng’olunaku lunaatera okuggwaako. Ku bantu abamu, obubonero buno buyinza okuba nga buli kiseera, oba buyinza okujja ne bugenda.

Bubonero ki obw’ebweru obw’obulwadde bwa Post-Thrombotic Syndrome?

Obubonero bye bintu bye tuwulira. Obubonero bintu bye tusobola okulaba. Omusawo wo naye ajja kukebera obubonero buno.

• Okuzimba (Edema): Okuzimba omukono oba okugulu okukosebwa.
• Olususu okumyuuka oba okukyuka langi.
• Okugonza olususu , okuwulira ng’olususu.
• Okulabika kw'emisuwa emipya egya varicose .
• Endabika y'emisuwa emitono egy'enjuki .
• Singa embeera eno efuuka ya maanyi, ebiwundu ebitawona (amabwa g’emisuwa) biyinza okuvaamu.

Lwaki kino (Post-Thrombotic Syndrome) kibaawo? Kiki ekivaako?

Ensonga ennyangu kwe kwonooneka kw’emisuwa gyo olw’obulwadde bwa Deep Vein Thrombosis (DVT) .

Emisuwa emiwanvu mu magulu gaffe n’emikono gyaffe girina obuuma obuyitibwa ‘one-way valves’ obusobozesa omusaayi okutambula mu ludda lumu lwokka. Okufaananako oluggi, lusobola okugguka mu ludda lumu lwokka. Valiva zino ziyamba omusaayi okudda ku mutima. Kyokka, omusaayi bwe gukola munda mu musuwa, omusaayi guyinza okwonoona obusuwa obwo. Olwo valve tezikola bulungi.

N’ekyavaamu, omusaayi gutambula mpola nnyo. Mu kifo ky’okukulukuta obulungi okutuuka ku mutima, omusaayi gukuŋŋaana mu misuwa. Kino kyongera puleesa munda mu bisenge by’emisuwa, ekivaako obubonero obwogeddwako emabegako.

Ani asinga okubeera mu bulabe bw’embeera eno?

Omuntu yenna abadde n’obulwadde bwa DVT asobola okulwala obulwadde bwa Post-Thrombotic Syndrome. Kyokka, akabi kasinga singa oba obadde n’obulwadde bwa DVT enfunda eziwera naddala mu mukono oba okugulu kwe kumu. Kwe kugamba, bw’oba ​​obadde n’omusaayi omungi mu kifo kye kimu.

Ate era, akabi kwo kasingako n’okusingawo singa oba obadde n’obubonero buno bwonna obw’okuzimba omusaayi emabegako:

• Singa kyali kyasaasaana mu kitundu ekinene eky’omusuwa.
• Okuzimba omusaayi mu kisambi ekya waggulu oba mu kisambi (ekiyitibwa proximal DVT ) kya bulabe okusinga omusaayi mu nnyana (ekiyitibwa distal DVT ). Obulabe buba bungi naddala singa ekizimba kikolebwa mu musuwa gw'omugongo oba mu musuwa gw'omu kifuba ogwa bulijjo .
• Bw’oba ​​olina ekizimba mu musuwa omunene mu mubiri gwo ogwa waggulu, ekibegabega oba mu kifuba ekya waggulu (kino kiyitibwa axillo-subclavian vein thrombosis) .
• Singa waaliwo ekizimba ky’omusaayi (residual thrombosis) ekitasaanuuka ddala ne bwe kyamala okujjanjabwa.

Okugatta ku ekyo, waliwo ebintu ebirala ebiwerako ebiyinza okuleeta akabi:

• Bw’oba ​​olina embeera eyaliwo nga chronic venous insufficiency (CVI) .
• EbibyoSinga omuwendo gw’omubiri gwo (BMI) gusukka mu 30 (ekyo kitegeeza omugejjo).

Abasawo bazuula batya obulwadde bwa Post-Thrombotic Syndrome?

Abasawo bazuula embeera eno okusinga nga bayita mu kwekebejja omubiri . Mu kukebera kuno, omusawo wo ajja:

• Buuza ku byafaayo byo eby’obujjanjabi (nga engeri gy’obadde n’obulwadde bwa DVT emabega, obujjanjabi ki bw’ofunye).
• Babuuza ku bubonero bwo n’engeri gye bukosaamu obulamu bwo obwa bulijjo.
• Amagulu n’emikono byo bijja kwekebejjebwa okulaba oba tebirina bubonero bwa Post-Thrombotic Syndrome (nga okuzimba n’okukyusa olususu).

Okusinziira ku mawulire gano, omusawo ajja kuzuula oba olina obulwadde bwa Post-Thrombotic Syndrome era bwe kiba bwe kityo, bwe buba obw’amaanyi.

Minzaani ya Villalta kye ki?

Oyinza okuba nga wali owulidde omusawo wo ng’ayogera ku ‘Villalta scale’ . Eno y’engeri eya mutindo abasawo gye bakozesa okuzuula embeera eno n’okukebera obuzibu bwayo. Kiba ng’olukalala lw’okukebera oluliko obubonero. Mulimu obubonero 5 n’obubonero 6. Omusawo awa obubonero ku buli kabonero n’assaako akabonero:

• 0 points: Tekiriwo.
• Obukodyo 1: Okubeerawo katono.
• Obukodyo 2: Okubeerawo mu kigero.
• Obukodyo 3: Kibi nnyo.

Olwo omusawo n’agatta obubonero buno bwonna. Singa obubonero bwonna awamu buba wansi wa 4, tolina Post-Thrombotic Syndrome. Bw’oba ​​olina obubonero 5 oba okusingawo, olina embeera.

Embeera eno eyongera okugabanyizibwamu nga etali ya maanyi, ya kigero oba ya maanyi okusinziira ku bubonero buno:

• Obukodyo 5 ku 9: Embeera etali ya maanyi.
• Obukodyo 10 okutuuka ku 14: Embeera ya kigero.
• Singa wabaawo amabwa, oba obubonero 15 n’okudda waggulu: embeera ey’amaanyi.

Omusawo wo ajja kukunnyonnyola ebivuddemu bino era akubuulire kye bitegeeza.

Waliwo okukeberebwa okw’enjawulo okuzuula embeera eno?

Tewali kukebera kwonna okuzuula obulwadde bwa Post-Thrombotic Syndrome. Wabula mu mbeera ezimu abasawo bayinza okulagira ‘Duplex ultrasound’ okulaba engeri omusaayi gye gukulukuta mu misuwa.

Bujjanjabi ki obw’obulwadde bwa Post-Thrombotic Syndrome?

Ebiseera ebisinga obujjanjabi buzingiramu okunyigirizibwa, okukyusa mu bulamu, n’okukola dduyiro . Abantu abamu bayinza okwetaaga okulongoosebwa oba okujjanjabibwa amabwa mu misuwa. Abasawo bajja kulongoosa obujjanjabi okusinziira ku byetaago bya buli muntu. Ekigendererwa ekikulu eky’obujjanjabi kwe kukendeeza ku bubonero bwo n’okutumbula omutindo gw’obulamu bwo.

Obujjanjabi bw’okunyigiriza

Omusawo ayinza okukuwa sitokisi ez’enjawulo ezinyigiriza.Oyinza okugamba nti zambala. Zino ze nkola ezisinga okukozesebwa mu bujjanjabi bw’okunyigiriza. Amasokisi gano olina okwambalibwa buli kiseera (emirundi mingi buli lunaku). Amasokisi gano gateeka puleesa ku binywa by’ennyana yo ne galongoosa entambula y’omusaayi mu misuwa. Wadde nga ziyinza okuwulira nga zinywezeddwa nga zambala, tezirina kuluma.

Waliwo ebika by’amasokisi eby’enjawulo ebiwa emitendera egy’enjawulo egy’okunyigirizibwa. Omusawo ajja kukulagira ekika ky’amasokisi ekituufu okusinziira ku byetaago byo.

Kiyinza okukutwalira ekiseera okumanyiira okwambala bino (compression stockings). Kikulu okwogera n’omusawo wo ku ngeri gye bawuliramu n’okumanya oba osobola okuzambala obulungi. Omusawo ayinza n’okutereeza omutindo gw’okunyigirizibwa okusinziira ku ngeri gy’owuliramu n’obuweerero sitokisi bwe zikuwa ku bubonero bwo.

Enzijanjaba endala ezijjanjaba obulwadde bwa thrush mulimu:

• Ekyuma ekiyamba okudda mu misuwa: Okugeza , Venowave® . Kino kyuma ekiringa ppampu ky’oyambala mu bulago okuyamba okulongoosa entambula y’omusaayi. Osobola okugyambala awaka oba ng’ogenda okutambula.
• Ekyuma ekinyiga empewo (IPC): Kino mukono gwa mpewo oguyambalibwa ku kigere mu mbeera y’eddwaliro.

Enkyukakyuka mu bulamu

Okukola enkyukakyuka entonotono mu bulamu bwo kiyinza okukuyamba ennyo mu kukendeeza ku bubonero bwo. Omusawo ayinza okukuwa amagezi ku bintu nga:

• Amagulu go gakuume waggulu w’omutindo gw’omutima gwo , oba otudde oba ogalamidde.
• Kuuma omugejjo gw'omubiri nga mulamu .
• Kozesa eddagala erifukirira olususu okutangira okukala oba okwatika.

Dduyilo

Dduyiro asobola okuyamba okulongoosa entambula y’omusaayi n’okukendeeza ku bubonero. Okugeza, singa obulwadde bwa Post-Thrombotic Syndrome bukukosezza amagulu, omusawo ayinza okukuwa amagezi okukola dduyiro anyweza ebinywa by’amagulu go.

Ekyo kiri bwe kityo kubanga ebinywa by'ennyana yo biba ppampu za maanyi ezikola nga "omutima ogw'okubiri." Bw’otambula, okukonziba kw’ebinywa by’ennyana zo kiyamba okukuba omusaayi okuva mu magulu n’ebigere okudda ku mutima gwo. N’olwekyo, bw’onyweza ebinywa ebyo, emisuwa gyo gifuna obuyambi bwe gyetaaga okutambuza obulungi omusaayi.

Dduyiro ayamba okukyukakyuka kwo n’okugumira emisuwa gy’omutima. Bulijjo yogerako n’omusawo wo nga tonnatandika nteekateeka mpya ya dduyiro. Ajja kukubuulira dduyiro ki ataliiko bulabe era asaanira ebyetaago byo.

Okuloongoosa

Mu mbeera ezimu ez’enjawulo, abasawo bayinza okukuwa amagezi okulongoosebwa oba obujjanjabi obw’omu misuwa (okugeza, okuteeka stent) okusobola okulongoosa entambula y’omusaayi mu misuwa. Omusawo ajja kukubuulira oba obujjanjabi obw’engeri eyo bukusaanira.

Obujjanjabi bw’amabwa g’emisuwa

Singa embeera efuuka ya maanyi , amabwa g’emisuwa gayinza okuvaamu. Kikulu nnyo okujjanjaba amabwa gano mu ngeri entuufu era n’obwegendereza. Bwe kitaba bwe kityo, ebizibu eby’amaanyi, gamba ng’okutemebwako ebitundu by’omubiri, bisobola okubaawo. Omusawo ayinza okukugamba ekimu oba ebisingawo ku bino wammanga:

• Eddagala eritta obuwuka.
• Bandage oba dressings okubikka ekiwundu.
• Bandage ezinyigiriza oba sitokisi.
• Okwoza ebiwundu buli lunaku.
• Ebizigo ebizigo.
• Eddagala eriweweeza ku bulumi.
• Okusalako (Debridement) kwe kuggyawo ebitundu ebifu.
• Okusindikibwa eri abakugu okuyambako mu kuddukanya endwadde ezitawona nga sukaali.

Obulwadde bwa Post-Thrombotic Syndrome bumala bbanga ki?

Obulwadde bwa post-thrombotic syndrome mbeera etawona . Kino kitegeeza nti omusawo asobola okukuyamba okukiddukanya, naye tekisobola kuwona . Obujjanjabi busobola okukendeeza ku bubonero bwo n’okulongoosa obusobozi bwo okukola emirimu, okubeera n’abantu n’okusanyuka nga bw’oyagala.

Obulwadde bwa Post-Thrombotic Syndrome busobola okuziyizibwa?

Obulwadde bwa Post-Thrombotic Syndrome bulijjo tebusobola kuziyizibwa. Kino kiri bwe kityo kubanga obulwadde bwa Deep Vein Thrombosis (DVT) tebusobola kuziyizibwa bulijjo. Kyokka ggwe n’omusawo musobola okukolera awamu okukendeeza ku bulabe bwe mulina:

• Zuula n’okukendeeza ku bulabe bwa DVT: Engeri esinga obulungi ey’okuziyiza DVT (Post-Thrombotic Syndrome) kwe kugiziyiza okukula mu kifo ekisooka. Gezaako okukendeeza ku bulabe bw’osobola okukyusa. Ng’ekyokulabirako, osobola okukendeeza ku bulabe bw’olina ng’okwewala ebintu ebikolebwa mu taaba, ng’okola emirimu gy’okola, n’okukuuma omugejjo omulungi. Omusawo ajja kukubuulira ensonga z’obulabe z’osaanidde okussaako essira n’engeri y’okuzikolamu enteekateeka.
• Okuzuula amangu DVT n’okujjanjaba obulungi: Bw’oba ​​olina DVT, okuzuula amangu n’okujjanjaba kiyinza okuyamba okukendeeza ku kwonooneka kw’emisuwa gyo. Era kiyinza okuyamba okuziyiza DVTs mu biseera eby’omu maaso. Kino kiri bwe kityo kubanga bw’oba ​​olina DVT endala, oba mu bulabe obw’okulwala obulwadde bwa post-thrombotic syndrome. Omusawo wo ajja kukusalawo enteekateeka y’obujjanjabi esinga obulungi gy’oli. Kino kitera okuzingiramu okumira eddagala eriziyiza okuzimba omusaayi okumala emyezi egiwerako oba okusingawo.

Nze nneerabirira ntya?

Omusawo ajja kukuwa ebiragiro ku ngeri y’okwerabirira ng’oli waka. Goberera n’obwegendereza ebiragiro ebyo, era buuza ebibuuzo singa wabaawo ekintu kyonna ekitali kitegeerekeka bulungi. Ebiseera ebisinga osobola okukola ebintu nga bino:

• Eddagala lyo limira ddala nga bwe likulagiddwa .
• Nga otudde oba nga ogalamiddeAmagulu go gakuume waggulu.
• Weewale okutuula okumala ebbanga eddene nga bwe kisoboka. Wummulako akaseera katono okutambula n’okugolola omubiri gwo.
• Kozesa eddagala erifukirira olususu lwo okukuuma olususu nga lulamu.

Era kikulu okufaayo ku bulamu bwo obw'omutwe . Okubeera n‟obulwadde bwa Post-Thrombotic Syndrome kiyinza okukuleetera okunyigirizibwa mu birowoozo ne mu nneewulira. Abantu abalina embeera eno basobola okufuna ekiwuubaalo, okweraliikirira, n’okwetwala nga tebalina kitiibwa. Bayinza okweraliikirira okubeera n’omusaayi omulala. Era bayinza okuwulira ennaku olw’okuba tebakyasobola kukola bintu bye baali bakola olw’obubonero bwabwe.

Bw’oba ​​ofuna enneewulira zino, okwogera n’omubuulirizi oba omujjanjabi kiyinza okukuyamba ennyo. Ziyinza okukuyamba okukola ku nneewulira zino n’okufuna eby’okugonjoola ebikuleetera okuwulira obulungi.

Ddi lwe nnina okulaba omusawo wange?

Omusawo ajja kukuwa ebikugoberera okulondoola embeera yo. Kikulu nnyo okugenda ku ssaawa zino zonna omusawo asobole okutereeza enteekateeka yo ey’obujjanjabi nga bwe kyetaagisa.

Bw’ofuna obubonero bwonna obupya oba obubonero bwo bwe bukyuka , kuba essimu y’omusawo mu bwangu.

Bibuuzo ki bye nnina okubuuza omusawo wange?

Ebibuuzo bino bijja kukuyamba okumanya ebisingawo ku ngeri gy’ozuddemu obulwadde:

• Ddala nnina obulwadde bwa Post-Thrombotic Syndrome? Bwe kiba bwe kityo, kikulu kitya?
• Bujjanjabi ki bw’onteesa?
• Nkyukakyuka ki ze nneetaaga okukola mu bulamu bwange?
• Dduyiro ki ezinsaanira?
• Endowooza yange ejja kuba etya?

Bw’ozuulibwa nti olina obulwadde bwa Post-Thrombotic Syndrome, oyinza okuba n’ebibuuzo bingi n’okutya. Naye teweeraliikiriranga, omusawo wo aliwo okuddamu ebibuuzo byo n’okukulambika mu bujjanjabi. Wadde embeera eno ya bulijjo, ebyetaago byo n’ebikweraliikiriza bya njawulo. Kola n’omusawo wo okufuna eby’obugagga ebiyamba obulamu bwo obw’omubiri n’obwongo.

Obubaka Obutwala Awaka

Obulwadde bwa Post-Thrombotic Syndrome (PTS) mbeera eyinza okubaawo oluvannyuma lw’okukwatibwa DVT era eyinza okunyigiriza ennyo. Naye kisobola okuddukanyizibwa .

Ekisinga obukulu kwe kunoonya obujjanjabi obw’amangu era obutuufu singa ofuna DVT, okumanya obubonero bwonna obuddirira, n’okunoonya amagezi g’abasawo bwe kiba kyetaagisa.

Okugoberera amagezi g’omusawo, okukola enkyukakyuka ezeetaagisa mu bulamu, n’okusingira ddala okukozesa obulungi sitokisi ezinyigiriza kiyinza okukuyamba okufuna obuweerero bungi. Jjukira nti toli wekka era waliwo abasawo abasobola okukuyamba okukola ku mbeera eno.

` Post-Thrombotic Syndrome, DVT, Okuzimba omusaayi, Obulwadde bw’emisuwa, Obulumi bw’amagulu, Okuzimba amagulu, Obuvune mu misuwa