Oluusi ofuna omutwe ogw’amaanyi? Mu kiseera kye kimu, owulira ng’ozibye katono mu kulaba kwo, okuziyira oba okuziyira ? Obubonero buno bwe bubaawo, okutya okusinga okujja mu birowoozo byaffe kwe kugamba nti, ‘Oo, nnina ekizimba mu mutwe?’. Naye bulijjo tetulina kutya. Kubanga, waliwo embeera eraga obubonero bw’ekizimba ku bwongo, naye nga mu butuufu si kizimba. Ekyo kye tuyita Pseudotumor Cerebri.
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Pseudotumor Cerebri kye ki?
Ekigambo "pseudotumor" kitegeeza "ekizimba eky'obulimba." Kino kitegeeza nti mu butuufu si kizimba kya kookolo. Kyokka obubonero buno bufaanagana nnyo n’obw’ekizimba ku bwongo. Erinnya erisinga okukozesebwa mu by’obujjanjabi eri kino ye Idiopathic Intracranial Hypertension (IIH) . Mu ngeri ennyangu, kino we wabaawo puleesa eyeetoolodde obwongo bwo bwe yeeyongera awatali nsonga.
Tetusobola kwezuula oba obubonero buno buva ku kizimba ku bwongo oba embeera eyitibwa Pseudotumor Cerebri. N’olwekyo, bw’oba olina obubonero buno, kyetaagisa okugenda ew’omusawo amangu ddala n’okukeberebwa. Embeera eno eyinza okukuluma mu ngeri etanyuma, era eyinza n’okwonoona okulaba kwo okw’olubeerera. Bw’otandika obujjanjabi nga bukyali, osobola okutaasa amaaso go.
Lwaki kino kigenda mu maaso? Ensonga eri etya?
Okay, katulabe lwaki pressure okwetoloola obwongo yeeyongera bweti.
Obwongo bwaffe n’omugongo byetooloddwa amazzi ag’enjawulo agabikuuma obutayonoonebwa. Kino tukiyita amazzi g’omu bwongo (CSF) . Omubiri gwaffe buli kiseera gufulumya amazzi gano, era era gaddamu okuyingizibwa mu misuwa. Kino kikolebwa okukuuma amazzi agawera okwetooloola obwongo ekiseera kyonna.
Naye oluusi, emibiri gyaffe gitandika okukola amazzi gano amangi ennyo. Oba, teziddamu kunyiga nnyo nga bwe zikola. Mu ngeri yonna, ekivaamu kwe kweyongera kw’amazzi ga CSF okwetoloola obwongo. Amazzi gano bwe gazimba, puleesa eri munda mu bwongo yeeyongera. Puleesa eno eyeyongedde ereetera obusimu bw’amaaso obutambuza obubaka okuva mu maaso gaffe okutuuka ku bwongo okuzimba. Wano obuzibu bw’okulaba we butandikira okubaawo.
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Pseudotumor Cerebri esinga kubeera mu bakyala abali wakati w’emyaka 20 ne 50. Abakyala abagejjulukuka (abagejjulukuka) bali mu bulabe bwa maanyi.
Okugatta ku ekyo, akabi kano kayinza okweyongera olw’embeera endala ezimu ez’obujjanjabi n’eddagala.
| Embeera z’obujjanjabi ezongera akabi | Eddagala eryongeza obulabe |
|---|---|
| Obulwadde bwa Addison | Eddagala erimu eritta obuwuka |
| Ebizibu by’omusaayi okuzimba, okukendeera kw’omusaayi) . | Empeke z’okuziyiza okuzaala |
| Embeera nga lupus ne Behcet’s syndrome | Obusimu obuyamba okukula |
| Obulwadde bw’ekibumba | Lithium |
| Obulwadde bw’enkwaso eziyitibwa Polycystic Ovary Syndrome (PCOS) . | Ebika bya Steroids |
| Obulwadde bw’okusannyalala mu tulo | Eddagala eririmu vitamiini A |
Bubonero ki ddala obulaga kino?
Wano waliwo obubonero obulaga nti oyinza okuba n’embeera eno.
Okuva embeera eno bw’esobola okukosa amaaso, kikulu nnyo okulaba omusawo amangu ddala n’okufuna obujjanjabi .
| Obubonero | Okunnyonnyola |
|---|---|
| Okulumizibwa omutwe | Obulumi obw’amaanyi obutera okutandikira emabega w’amaaso oba emabega w’omutwe. Obulumi bweyongera bw’ogalamira ate bukendeera katono ng’otudde. |
| Ebizibu by’okulaba | Okulaba okuzibu, okulaba emirundi ebiri. Oluusi, okulaba kuyinza okubula okumala sekondi ntono. |
| Okuziyira n’okusiiyibwa | Okulumwa omutwe nga kuwerekerwako okuziyira n’okusiiyibwa. |
| Okuziyira | Okuwulira ng’aziyira. |
| Okuwulira eddoboozi mu matu | Okuwulira eddoboozi lya "gum gum" mu matu okusinziira ku kukuba kw'omutima. |
| Okukaluba kw’ensingo | Okuwulira ng’ebinywa by’ensingo binywezeddwa. |
Obubonero buno buyinza okweyongera ng’okola emirimu, gamba ng’okola dduyiro. Kino kiri bwe kityo kubanga puleesa munda mu bwongo yeeyongera nga okola dduyiro.
Omusawo kino akitegeera atya?
Bw’ogenda okulaba omusawo, basooka kubuuza ku bubonero bwo n’ebyafaayo by’obujjanjabi.
Ekisinga okukuyamba okuzuula obulwadde buno kwe kuba nti omusawo bw’akebera eriiso lyo n’ekintu eky’enjawulo (ophthalmoscope), obusimu bw’amaaso obuli emabega w’eriiso bulabika nga buzimba .
Okugatta ku ekyo, kiyinza okwetaagisa okukola ekigezo kimu oba ebisingawo ku bino:
- Taapu y’omugongo / Okuboola omugongo:Kino kizingiramu okuyingiza empiso entono mu mugongo gwo ogwa wansi n’okuggyamu akatono ku mazzi ga CSF ageetoolodde omugongo gwo. Okukebera kuno kusobola okukebera oba puleesa yeeyongedde munda mu mutwe era kuyinza okuyamba okukendeeza ku puleesa ng’oggyamu agamu ku mazzi agasukkiridde.
- CT scan ( computed tomography ): Kino kigezo kya maanyi nnyo mu X-ray ekiyinza okufulumya ebifaananyi ebikwata ku bwongo bwo mu bujjuvu.
- MRI scan (Magnetic Resonance Imaging): Kino kikozesa magineeti ez’amaanyi n’amayengo ga leediyo okunoonya puleesa eyeyongedde munda mu bwongo oba ebikula ebirala ebitali bya bulijjo.
Era ojja kwetaaga okukeberebwa amaaso go buli kiseera . Omusawo w’amaaso ajja kukebera oba waliwo ebifo ebizibe n’okuzimba obusimu bw’amaaso.
Kijjanjabwa kitya?
Okutandika obujjanjabi amangu ddala nga bwe kisoboka kiyinza okutaasa okulaba kwo.
Enkyukakyuka mu bulamu
Ekimu ku bisinga obulungi era ebikulu mu bujjanjabi ku kino kwe kugejja singa oba omugejjo . Okugejja ku bubwo kiyinza okuba ekizibu. N’olwekyo, kirungi n’onoonya obuyambi okuva eri omukugu mu by’endya oba omutendesi. Era kikulu okussa ekkomo ku munnyo n’amazzi mu mmere yo. Kino kiyinza okukendeeza ku bungi bw’amazzi ga CSF agakolebwa mu mubiri.
Eddagala n’okulongoosa
Eddagala n’okulongoosa okukendeeza ku puleesa ku bwongo bye bisinga okujjanjaba.
- Eddagala: Acetazolamide (Diamox) lye ddagala erisinga okukozesebwa. Kino kikendeeza ku bungi bw’amazzi ga CSF agakolebwa omubiri. Ate era bw’oba olina omutwe, gamba ng’omutwe omuzito, nakyo ojja kuweebwa eddagala.
- Okulongoosa: Singa obubonero tebusobola kufugibwa na ddagala, kiyinza okwetaagisa okulongoosebwa.
- Shunting: Mu ngeri ennyangu, kino kizingiramu okuyingiza akatuli akatono mu bwongo oba mu mugongo n’okufulumya amazzi agasukkiridde (CSF).
- Optic nerve sheath fenestration: Mu nkola eno, omusawo asala akatundu akatono mu bitundu ebyetoolodde obusimu bw’amaaso, ne kisobozesa amazzi agakung’aanyiziddwayo okufuluma.
Oluvannyuma lw’okujjanjabwa, puleesa eri munda mu bwongo ejja kukendeera mpolampola era ojja kutandika okuwulira obulungi. Abantu abasinga batereera ddala. Kyokka, abantu abatonotono bayinza okukosebwa okulaba okw’olubeerera.
Obubaka Obutwala Awaka
- Pseudotumor Cerebri mu butuufu si kizimba kya bwongo. Embeera ereetebwa puleesa eyeetoolodde obwongo.
- Obubonero obukulu kwe kulumwa ennyo omutwe, obutalaba bulungi, n’okuziyira. Bino bifaananako n’obubonero bw’ekizimba ku bwongo.
- Embeera eno etera okulabibwa mu bakyala abagejjulukuka, abato.
- Bw’oba olina obubonero nga buno, laba omusawo amangu ddala ng’okulaba kwo tekunnaba kwonooneka.
- Okugejja y’emu ku bujjanjabi obukulu era obukulu eri kino.
- Olw’okuba embeera eno esobola okuddamu, kyetaagisa okugoberera ebiragiro by’omusawo n’okukeberebwa buli kiseera.
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