Obujjanjabi bwa kookolo obuyitibwa radiation bukosa omutima? Ka twogere ku bulwadde bw'omutima obuyitibwa Radiation Heart Disease!

Bw’oba ​​wali ofunye obujjanjabi bwa kookolo obuyitibwa radiation therapy , oba omuntu gw’omanyi bw’alina, oyinza okuba nga wali owulidde nti obujjanjabi buno buyinza okubaako kye bukola ku mutima. Kino mu butuufu kyeraliikiriza katono. Naye teweeraliikiriranga, kubanga ekisinga obukulu kwe kukimanya. Kale leero tugenda kwogera ku bulwadde buno obuyitibwa radiation heart disease kye buli, engeri gye bukula, ani ali mu bulabe obw’amaanyi okubufuna, n’ebirala ebiyinza okukolebwa ku nsonga eno.

Obulwadde bw’omutima obuyitibwa Radiation Heart Disease kye ki?

Mu ngeri ennyangu, obulwadde bw’omutima obuva ku masanyalaze (radiation heart disease) bukuŋŋaanyiziddwamu obuzibu n’ebizibu eby’enjawulo ebiyinza okubaawo mu mutima nga biva ku bujjanjabi bw’amasannyalaze, obukozesebwa okutta obutoffaali bwa kookolo. Lowooza ku kino, emisinde gy’obusannyalazo bwe gitunuulirwa mu kifo kookolo w’ali, wabaawo okusobola nti waliwo okwonooneka okuyinza okutuuka ku bitundu ebiramu ebiriraanyewo naddala omutima. Okwonooneka kuno oluusi kuyinza okulabika mu wiiki ntono ng’ofunye obujjanjabi bw’amasannyalaze, oba buyinza okulabika ne bwe wayise emyaka.

Embeera eno etera okubaawo mu bantu ababadde bafunye obujjanjabi bw’amasannyalaze okutuuka mu kitundu ky’ekifuba olw’ebika bya kookolo bino:

• Kookolo w’amabeere
• Kookolo w’omumwa gwa nnabaana
• Obulwadde bwa Hodgkin lymphoma
• Kookolo w’amawuggwe

Obujjanjabi bw’amasannyalaze bukosa butya omutima?

Obusannyalazo busobola okwonoona ebitundu ebiri mu mutima gwo n’ebikwetoolodde. Mu bbanga ettono, kino kiyinza okuvaako omutima okuzimba. Kino kitegeeza nti ebitundu by’omutima bizimba, bimyufu era ne biruma. Ekiseera bwe kigenda kiyitawo, ekitundu kino ekyonooneddwa kisobola okugonza mpolampola ne kifuuka ekiwuziwuzi. Kiba ng’enkovu ekolebwa ku kiwundu. Olwo ekitundu ekyo tekikyasobola kukola bulungi.

Ebitundu by’omutima ebisinga okukosebwa obujjanjabi bw’amasannyalaze bye bino:

• Emisuwa gy’omutima: Guno gwe misuwa egigabira omusaayi mu binywa by’omutima . Singa bino byonoonebwa, omusaayi ogugenda mu mutima gusobola okukendeera.
• Obutoffaali obukola n’okutambuza ebiwujjo by’amasannyalaze okukuuma okukuba kw’omutima n’ennyimba (conduction system): Kino kiringa waya z’amasannyalaze ez’omutima. Singa kino kyonooneka, omutima guyinza okutambula obutasalako.
• Myocardium: Kino kye kitundu ekikulu ekipampagira omutima. Singa gunafuwa omutima tegujja kusobola kusamba musaayi bulungi.
• OmutimaThe pericardium: Kino kiringa ensawo ekuuma okwetooloola omutima. Kiyinza okuzimba.
• Valiva eziri wakati w’ebisenge by’omutima: Zino ziyamba omusaayi okutambula mu ludda lumu lwokka. Singa bino byonoonebwa, omusaayi guyinza okutandika okukulukuta okudda emabega.

Ebivaamu mu bbanga ettono

Ebikulu ebiva mu bbanga ettono eby’obujjanjabi bw’amasannyalaze ku mutima biri ku kitundu ekiyitibwa pericardium. Obukwakkulizo buno mulimu:

• Obulwadde bwa Pericarditis : Kino kwe kuzimba oluwuzi olwetoolodde omutima.
• Okufuluma kw’omutima: Kino kwe kukuŋŋaanyizibwa kw’amazzi ag’amazzi wakati w’omutima n’ensawo y’omu lubuto.

Embeera zino zitera okubaawo mu wiiki ntono okutuuka ku myezi mitono ng’omaze okufuna obujjanjabi obw’amasannyalaze. Zisinga kubeera mu bantu ababadde bajjanjabiddwa kookolo ayitibwa Hodgkin lymphoma .

Ebizibu ebimala ebbanga eddene

Embeera z’omutima ezimu ziyinza okutwala emyaka, oluusi okumala emyaka 20, okukula. Ebizibu ebimala ebbanga eddene mulimu:

• Okulemererwa kw’omutima okuzimba : Omutima tegusobola kussa musaayi gumala mu mubiri.
• Obulwadde bw’emisuwa: Okufunda oba okuzibikira emisuwa egigabira omutima omusaayi.
• Obulwadde bw’emisuwa gy’omutima: Ebinywa by’omutima binafuwa, bigonvuwa oba ne bigaziwa.
• Omutima obutakuba bulungi (Arrhythmia): Omutima gukuba mu ngeri etategeerekeka, oba ya sipiidi oba mpola nnyo.
• Constrictive pericarditis: Olususu olwetoolodde omutima lufuuka lugonvu ne lukaluba, ekiremesa omutima okugaziwa obulungi.
• Obulwadde bw’omutima obuyitibwa Valvular heart disease: Valvular heart disease tezikola bulungi.

Ani asinga okubeera mu bulabe?

Bw’oba ​​obadde ofunye obujjanjabi bw’amasannyalaze mu kifuba naddala ku ludda olwa kkono omutima we guli, oyinza okuba mu bulabe bw’okulwala obulwadde buno obw’omutima. Yuniti y’okupima emisinde eyitibwa Enzirugavu (Gy) . Okutwalira awamu, obulabe bw’obulwadde bw’omutima obuva ku masanyalaze bweyongera singa ddoozi yonna esukka 30 Grey (Gy) ku bujjanjabi obuwerako obw’obusannyalazo.

Okugatta ku ekyo, waliwo ebintu ebirala ebyongera ku bulabe buno:

• Okujjanjaba awamu n’eddagala eddala eritta omutima , gamba nga trastuzumab oba anthracyclines.
• Okubeera n’embeera y’omutima eyaliwo edda.
• Okufuna obuto ng’ogenda mu bujjanjabi bw’amasannyalaze (radiation treatment).

Okugatta ku ekyo, embeera z‟obulamu ezimu n‟engeri y‟obulamu nabyo bisobola okwongera ku bulabe buno:

• Obunene.
• Ssukaali (Obulwadde bwa sukaali).
• Okunywa omwenge ekisusse.
• Puleesa eri waggulu.
• Obutakola dduyiro mu mubiri.
• Okunywa sigala.
• Omutindo gwa kolesterol ogutali mulamu.

Embeera eno ya bulijjo etya?

Edda, waaliwo obutategeera bulabe bwa butwa bw’omutima, n’olwekyo waaliwo emisango mingi egy’okwonooneka kw’omutima olw’obujjanjabi obw’amasannyalaze. Naye kati, abasawo n’abakugu bakoze okunoonyereza kungi ku kino era ne bakola obukodyo obupya, obutali bulabe. Kino kisobozesezza okukendeeza ku bungi bw’obusannyalazo obutuuka ku mutima. Kale, ekirungi, omuwendo gw’abantu abafuna obulwadde buno obw’omutima obuva ku masanyalaze kati gukendedde.

Bubonero ki obulaga obulwadde bw’omutima obuva ku masanyalaze?

Obubonero bw’obulwadde bw’omutima obuyitibwa radiation heart disease busobola okwawukana okusinziira ku muntu okusinziira ku ngeri obubonero gye bulabika amangu n’ekika ky’obulwadde bw’omutima obuva ku radiation.

Obubonero bw’obulwadde bw’omutima obw’obusannyalazo obw’ekiseera ekitono

Akabonero akakulu ak’obulwadde bw’omu lubuto n’okufulumya amazzi mu lubuto, nga bino biva mu bujjanjabi bw’amasannyalaze ag’ekiseera ekitono, kwe bulumi obw’amaanyi mu kifuba . Obulumi buno:

• Bukendeera ng’otudde n’okwesigamira mu maaso.
• Kyeyongera bw’ossa ennyo.

Ate era, obuzibu mu kussa (dyspnea) buyinza okubaawo. Kino kiwummuzibwa nga weefukamidde mu maaso.

Obubonero bw’obulwadde bw’omutima obuva ku masanyalaze okumala ebbanga eddene

Obulwadde bw’omutima obuva ku masanyalaze buyinza obutaleeta bubonero bwonna okutuusa nga bukuze nnyo. Obubonero bw’olina bujja kusinziira ku kika ky’obulwadde bw’omutima bw’olina. Obubonero obutera okulabika ku bulwadde bw’omutima mulimu:

• Obulumi mu kifuba oba obutabeera bulungi.
• Okuziyira oba okuzirika (syncope).
• Okusesema okukalu.
• Ekikeeto.
• Omutima okukuba amangu oba mu ngeri etali ya bulijjo (okukuba omukka).
• Okukaluubirirwa okussa.
• Okuzimba (edema) kw’enkizi, amagulu, ebigere oba olubuto.
• Obunafu oba obukoowu obuyitiridde.

Ekikulu: Obulwadde bw’omutima obw’amaanyi obuva ku masanyalaze buyinza okuvaako omutima okulwala oba omutima okusiba.

Omutima oba omutima okusiba, mbeera ya mangu eyinza okutta omuntu. Bw’oteebereza nti ggwe oba omuntu gw’oli naye alina obulwadde bw’omutima, genda mu kisenge ky’abalwadde ab’amangu mu ddwaaliro ekikuli okumpi oba kuba essimu mu bwangu. Ebiseera bye bikulu. Ne bw’olwawo okumala eddakiika ntono kiyinza okuleeta okwonooneka okw’olubeerera oba n’okufa.

Kino okitegeera otya?

Abasawo bakozesa okukebera okw’enjawulo okuzuula obulwadde bw’omutima obuva ku masanyalaze. Ebigezo by’okozesa bijja kusinziira ku bubonero bwo n’ebyafaayo by’obujjanjabi. Ng’oggyeeko okukeberebwa omubiri n’okukeberebwa omusaayi, omusawo ayinza okulagira okukeberebwa ekimu oba ebisingawo ku bino:

• Okussa eddagala eriyitibwa catheter mu mutima
• Okukebera omutima mu CT
• MRI y’omutima
• X-ray y’ekifuba
• Okukebera omutima (echocardiogram).
• Okukebera omutima mu byuma (EKG oba ECG) .
• Okugezesebwa kw’eby’amasannyalaze
• Okugezesa situleesi mu dduyiro
• Omulondozi wa Holter
• Okukebera ebitundu by’omubiri (endomyocardial) (omutima).

Obujjanjabi bwe buruwa?

Waliwo obujjanjabi bungi ku bulwadde bw’omutima. Bino bitandikira ku nkyukakyuka mu bulamu okutuuka ku ddagala, obujjanjabi obutayingirira nnyo, n’okulongoosebwa. Omusawo wo ajja kuteesa naawe obujjanjabi ki obusinga okukuyamba.

Olw’enkulaakulana empya ekoleddwa mu kujjanjaba endwadde z’omutima, kati abantu basobola okuwangaala obulamu obuwanvu era obulungi.

Tekinologiya omupya ayinza atya okukendeeza ku bulabe buno?

Engeri enkulu ey’okuziyiza obulwadde bw’omutima obuva ku masanyalaze kwe kussa ekkomo ku bungi bw’obusannyalazo omutima gwo bwe gufuna.

Tekinologiya ow’omulembe ow’obusannyalazo ku kookolo atuusa dose entuufu ez’obusannyalazo ku kizimba, ne kikendeeza ku bungi bw’obusannyalazo obutuuka mu bitundu ebiramu ebikyetoolodde naddala omutima. Ebimu ku bino mulimu:

• Intensity-modulated radiation therapy (IMRT): Kino kizingiramu okukola maapu y’ebizimba mu bitundu bisatu (3D) n’okutuusa emisinde gy’amasannyalaze mu ngeri efugibwa ennyo.
• Obujjanjabi bwa pulotoni: Buno bukozesa obutundutundu obw’amaanyi amangi, obulina omusannyalazo (positive charged particles) (protons) era amasoboza kumpi gonna gassa ku kizimba.

Ate era bw’oba ​​ojjanjaba kookolo w’amabeere, osobola okukendeeza ku bungi bw’obusannyalazo bw’ofuna ku mutima ng’okyusa ekifo w’obeera. Okugeza osobola okufuna obujjanjabi ng’ogalamidde ku lubuto, oba osobola okufuna obusannyalazo mu bbanga ttono ng’ossa omukka omungi.

Oyinza otya okukendeeza ku bulabe buno?

Bw’oba ​​obadde ofunye obujjanjabi bw’amasannyalaze okutuuka mu kifuba, osobola okukendeeza ku bulabe bw’okufuna endwadde z’omutima ng’okwata obulamu obulungi eri omutima. Ekyo kitegeeza nti:

• Okwewala okunywa omwenge.
• Okulya emmere ennungi.
• Okukola dduyiro buli kiseera.
• Okufuga puleesa ne kolesterol.
• Okulekera ddala okunywa sigala.

Oluvannyuma lw’obujjanjabi bwa kookolo okuggwa, era kikulu okuba n’obujjanjabi obugoberera buli kiseera. Kino kiyinza okuyamba okulondoola obulamu bwo okutwalira awamu. Omusawo ayinza n’okulagira okukeberebwa omutima gwo okukebera enkola y’omutima gwo buli luvannyuma lwa myaka 5 ku 10.

Abo abajjanjabiddwa amasannyalaze g’amasannyalaze bayinza kulowooza ki ku biseera eby’omu maaso?

Abantu bwe beeyongera okuwona kookolo n’okuwangaala, okutegeera kwaffe ku biva mu bujjanjabi okumala ebbanga eddene kweyongera. Gy’okoma okuwangaala oluvannyuma lw’okujjanjabwa kookolo, gy’okoma okulwala endwadde z’omutima. Wabula kati akabi kano kakendeera olw’okukozesa tekinologiya omupya akendeeza ku busannyalazo obuva ku mutima.

Endowooza yo ssekinnoomu esinziira ku bintu bino:

• Omuwendo gw’obusannyalazo omutima gwo bwe gwafuna.
• Emyaka gyo lwe wafuna obujjanjabi bwa radiation.
• Ebintu byo ebiyinza okuleeta akabi ku misuwa gy’omutima. Ekyo kitegeeza endya yo, dduyiro n’embeera endala ez’obulamu z’olina.

Ddi lw’osaanidde okulaba omusawo?

Bw’olaba obubonero bwonna obw’obulwadde bw’omutima, kuba essimu y’omusawo mu bwangu. Obubonero buno mulimu okulumwa mu kifuba oba obutabeera bulungi, okussa obubi oba omutima obutakuba bulungi.

Bw’oba ​​oteebereza nti olina obulwadde bw’omutima oba omutima okusiba, noonya obujjanjabi obw’amangu mu bwangu.

Abantu ababadde bafunye obujjanjabi bw’amasannyalaze ku kookolo mu kitundu ky’ekifuba basobola okufuna obulwadde bw’omutima obuva ku masanyalaze oluvannyuma lw’emyaka. Kyokka, enkulaakulana eyaakakolebwa mu tekinologiya w’obusannyalazo ekendeezezza ku muwendo gw’abantu abakwatibwa endwadde z’omutima olw’obusannyalazo. Enzijanjaba y’endwadde z’omutima nayo eteredde, ekisobozesezza obulamu obulungi. Bw’oba ​​wali ofunye obujjanjabi bw’amasannyalaze (radiation therapy) emabegako era ng’olina obubonero bwonna obw’obulwadde bw’omutima, kakasa nti otegeeza omusawo wo.

Mu bufunze (Obubaka Obutwala Awaka)

Well, twogedde nnyo ku Radiation Heart Disease leero. Bino bye bimu ku bintu ebikulu by’olina okujjukira:

• Obujjanjabi bw’amasannyalaze mu kifuba ku kookolo busobola okwonoona omutima.
• Ekikolwa kino kiyinza okubaawo mu bbanga ettono oba mu bbanga eggwanvu (oluvannyuma lw’emyaka).
• Obulabe buno kati bukendedde nnyo olw’okukozesa tekinologiya omupya ow’obusannyalazo.
• Bw’oba ​​obadde ofunye obujjanjabi obw’amasannyalaze, kikulu nnyo okugoberera obulamu obulungi omutima n’okukeberebwa abasawo buli kiseera.
• Bw’ofuna obubonero ng’okulumwa mu kifuba n’okukaluubirirwa okussa , tosattira era funa amagezi g’abasawo awatali kulwa.

Tewali kintu kya kutya, okumanyisa n’okufaayo bye bintu ebisinga obukulu. Bw’oba ​​olina ekibuuzo ekirala kyonna ku nsonga eno, yogerako n’omusawo wo.

` Obulwadde bw’omutima obuva ku masanyalaze, obujjanjabi bwa kookolo, obulwadde bw’omutima, obujjanjabi bw’amasannyalaze, obusannyalazo mu kifuba, okulwala omutima, obubonero bw’obulwadde bw’omutima