Ate era owulira ng’omukka gukutte oba ng’owunya ng’ofuba, ng’olinnya amadaala, oba ng’okola emirimu egya bulijjo? Oluusi ekivaako kino kiyinza okuba nga kiva ku musaayi omukadde ogumaze ebbanga mu mawuggwe go. Ebiseera ebisinga, ne bw’ogezaako okufuga embeera eno ng’okozesa eddagala, ekyo bwe kitakola, abasawo bakusindika mu kifo eky’enjawulo ekiyinza okutaasa obulamu bwo. Leero twogera ku kulongoosa okwo okuzibu, naye okukulu ennyo, PTE.
Okulongoosa kuno kwa PTE kye ki?
Mu ngeri ennyangu, PTE kifupi kya Pulmonary Thromboendarterectomy . Eno nkola ya kulongoosa eggyawo ebizimba by’omusaayi ebikadde n’enkovu ezibadde zisibye mu misuwa emikulu (emisuwa gy’amawuggwe) mu mawuggwe go. Eno nkola nzibu nnyo era nga yeetaaga okumanya okw’enjawulo. Naye asobola okuwonya ddala abalwadde abamu.
Embeera ki ezijjanjabwa n’okulongoosa PTE?
Okulongoosa kuno okusinga kukolebwa kujjanjaba mbeera eyitibwa CTEPH (Chronic Thromboembolic Pulmonary Hypertension) . Oyinza okulowooza nti, ‘Ddala linnya eryo ddene,’ nedda? Tukikuume nga kyangu.
Teebereza omuntu alina omusaayi mu mawuggwe. Tukiyita ``Obulwadde bw'okuzimba amawuggwe (PE)``. Ebiseera ebisinga, ebizimba bino eby’omusaayi bisaanuuka nga biweereddwa eddagala eriweweeza ku musaayi. Naye si bulijjo nnyo, mu bantu abamu, ebizimba bino eby’omusaayi tebisaanuuka ddala, wabula binywerera ku bisenge by’emisuwa mu mawuggwe, era ekiseera bwe kigenda kiyitawo, ne kifuuka ebitundu by’enkovu.
Okuzimba omusaayi omukadde n’enkovu bwe ziziba emisuwa mu mawuggwe, puleesa eri munda mu misuwa egyo efuuka waggulu nnyo. Ekyo kye tuyita CTEPH.
Kino kireetera oludda olwa ddyo olw’omutima okubeera nga lulina okukola ennyo okusobola okusiba omusaayi mu mawuggwe. Ekiseera bwe kigenda kiyitawo, kino kiyinza okuvaako embeera ez’amaanyi ng’omutima okulemererwa n’amawuggwe okwonooneka. Obujjanjabi bwokka obusobola okuwonya CTEPH kwe kulongoosa PTE.
Ani eyeetaaga okulongoosebwa kuno? Buli muntu asobola okubufuna?
Bw’oba olina CTEPH, ensonga eziwerako ze zijja okusalawo oba osobola okulongoosebwa PTE.
| Okulowooza ku nsonga eno | Okunnyonnyola |
|---|---|
| Obuzibu bw’obubonero | Obubonero bwo bwe buli obw’amaanyi, gamba ng’okussa obubi n’okuwunya. |
| Ekifo omusaayi we guzimba | Eky’okuba nti ebizimba omusaayi n’enkovu nabyo bibeera mu bifo we bisobola okuggyibwamu awatali bulabe nga balongooseddwa. |
| Obulamu bwo okutwalira awamu | Emyaka gyo, enkola y’omutima n’amawuggwe, n’okumanya oba olina embeera endala ez’obujjanjabi nabyo bikulu. |
Si balwadde ba CTEPH bonna nti balina ebisaanyizo okulongoosebwa kuno. Abalwadde nga 40% tebalina bisaanyizo bya kulongoosebwa kuno. Ensonga lwaki kino kikoleddwa eri nti kulongoosa kuzibu nnyo.
Lwaki okulongoosa kuzibu nnyo?
Teebereza nti mu kiseera ky’okulongoosebwa, omutima gwo n’amawuggwe biteekebwa ku kyuma ekiyita ku mutima n’amawuggwe okuyamba ku mulimu ogumu. Oluvannyuma, okusobozesa omusawo alongoosa okulaba munda mu mawuggwe go, ebbugumu ly’omubiri gwo likendeezebwa okutuuka ku diguli 18 Celsius (65°F), era okutambula kw’omusaayi gwo ne kuyimirira okumala akaseera. Kino kiyitibwa `deep hypothermic circulatory arrest.` Teweeraliikiriranga, enkola eno esobozesa omusawo okuggyawo ebizimba omusaayi n’ebitundu by’enkovu mu ngeri ennongoofu ennyo ate ng’akuuma obwongo bwo okuva ku kwonooneka kwonna.
Okwetegekera otya okulongoosebwa?
Omusawo ajja kukuwa ebiragiro byonna by’olina okwetaaga nga tonnalongoosebwa. Ebiseera ebisinga bajja kukugamba okufaayo ku bintu bino:
- Eddagala: Ojja kusabibwa okulekera awo okumira eddagala eriweweeza ku musaayi (nga aspirin ne warfarin) n’eddagala erimu eriweweeza ku bulumi (NSAIDs) ng’ebula ennaku ntono okulongoosebwa, kubanga bino bisobola okwongera ku bulabe bw’okuvaamu omusaayi ng’olongooseddwa.
- Emmere n’ebyokunywa: Ojja kusabibwa okusiiba (so si kulya oba kunywa) okumala essaawa eziwera nga tonnalongoosebwa. Kiba kya bulabe okubeera n’olubuto kyerere ng’oweereddwa eddagala eriwunyiriza.
- Okunywa sigala n’omwenge: Bw’oba okozesa byombi, kikulu nnyo okubikomya ddala nga tonnalongoosebwa, kuba bilwawo okuwona ne byongera obulabe bw’okufuna ebizibu.
Kiki ekibaawo oluvannyuma lw’okulongoosebwa?
Oluvannyuma lw’okulongoosebwa, ojja kuweebwa ekitanda mu ddwaaliro ly’abalwadde abayi (ICU). Ojja kusulayo ekiro ekyo. Enkeera ku makya, bajja kukebera oba osobola okussa ku bubwo n’oluvannyuma oggyemu ekyuma ekissa.
Ebiseera ebisinga ojja kumala mu ddwaaliro okumala ennaku 7 ku 10. Mu kiseera kino, ojja kutandika okutambula mpolampola. Ojja kukola n’okukeberebwa okulaba oba weetaaga omukka gwa oxygen nga tonnadda waka. Kino kifaananako n’okuwona oluvannyuma lw’okulongoosebwa omutima oguggule.
Migaso ki n’akabi ki?
Okufaananako n’okulongoosa kwonna, PTE erina emigaso n’akabi.
| Ebirungi ebirimu | Obulabe |
|---|---|
| Okusobola okuwona ddala okuva mu CTEPH. | Obulabe bw’okufa ng’olongooseddwa (kati butono nga 1%). |
| Okulongoosa okw’amaanyi mu kussa n’obusobozi bw’okukola dduyiro. | Obulabe bw’okusannyalala (1%-2%). |
| Okuddamu okwonooneka ku ludda olwa ddyo olw’omutima. | Puleesa y’amawuggwe (PH) esigala ku ddaala eritali limu ne bwe yalongoosebwa. |
| Obusobozi bw’okuwangaala obulamu obuwanvu era obulungi oluvannyuma lw’okulongoosebwa. | Okukuŋŋaanyizibwa kw’amazzi okwetoloola omutima (pericardial effusion). |
Kwelinda!
Bw’ofuna obulumi obw’amangu , obw’amaanyi mu kifuba, okussa ennyo, oba okuzirika oluvannyuma lw’okulongoosebwa, genda mu ddwaaliro erikuli okumpi mu kitongole ky’abalwadde ab’amangu (ETU) amangu ddala. Ekirala, bw’ofuna obubonero ng’okuzimba, okumyuuka, okusiiyibwa oba omusujja mu kifo we balongoosezza, laba omusawo mu bwangu.
Ekiseera ky’okudda engulu kiri kitya?
Kitwala emyezi nga 3 okudda engulu mu bujjuvu.
- Wiiki 6 ezisooka: Tewali kuvuga, kugenda ku mulimu, oba okusitula kkiro ezisukka mu 4.5 (10 lbs).
- Wiiki 7 okutuuka ku 12: Asobola okusitula kkiro 11 (25 lbs).
- Oluvannyuma lwa wiiki 12: Ebiseera ebisinga tewabaawo bukwakkulizo.
Obusobozi bwo obw’okussa n’okukola dduyiro buyinza okutereera mpolampola okutuuka ku myaka 4 oluvannyuma lw’okulongoosebwa.
Obubaka Obutwala Awaka
- Wadde nga PTE kulongoosa kuzibu okuggyamu omusaayi omukadde mu mawuggwe, gusobola okuwonya ddala embeera eyitibwa CTEPH.
- Okulongoosa kuno si kwa buli muntu. Omusawo wo ne ttiimu y’abakugu be bajja okusalawo oba kikusaanira.
- Wadde ng’obudde bw’okuwona buwanvuko katono, omutindo gw’obulamu bwo, obusobozi bwo obw’okussa n’okutambula bijja kulongooka nnyo oluvannyuma lw’okulongoosebwa.
- Oluvannyuma lw’okulongoosebwa, ojja kwetaaga okumira eddagala eriziyiza okuzimba omusaayi obulamu bwo bwonna okuziyiza okuzimba omusaayi okuddamu okukola.
- Kikulu nnyo okulaba omusawo mu budde n’okukeberebwa. Totya kwogera n’omusawo wo ku buzibu bwonna bw’oyinza okuba ng’olina.
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