Olina n’obubonero obulala wamu n’obulumi bw’ennyondo obw’ekika kino? Ka tuyige ku bulwadde bw'enkizi obuyitibwa Reactive Arthritis!

Oluusi tuyinza okulumwa ennyondo mu bwangu, nedda? Ng’oggyeeko ekyo, n’obubonero obulala ng’okulumwa omubiri n’amaaso amamyufu nabwo buyinza okulabika. Oyinza n’obutakirowoozaako, naye kino kiyinza okuba nga kiva ku bulwadde obutono bwe walina emabegako. Eyo y’ekika ky’embeera gye tugenda okwogerako leero, eyitibwa Reactive Arthritis.

Obulwadde bw’endwadde z’enkizi (Reactive Arthritis) kye ki?

Mu ngeri ennyangu, obulwadde bw’enkizi obuyitibwa reactive arthritis, oluusi obuyitibwa Reiter’s Syndrome, mbeera ya kaseera buseera era ereetera ennyondo okuzimba n’okulumwa. Kiva ku bulwadde bwa bakitiriya. Kuba akafaananyi ng’olina obulwadde bwa bakitiriya awalala mu mubiri gwo, oboolyawo mu nkola y’omusulo, mu bitundu by’ekyama oba mu byenda, era bw’omala okubujjanjaba, abaserikale b’omubiri bo bakola mu ngeri eyeewuunyisa.

Mu budde obwabulijjo, abaserikale b’omubiri baffe balwanyisa yinfekisoni ne bazitta. Naye ekibaawo mu bulwadde buno obw'enkizi obukola (reactive arthritis) kiri nti ne bwe kiba nti yinfekisoni eweddewo, abaserikale b'omubiri balowooza nti, "Olutalo terunnaggwa." Kale kireeta okuzimba mu bifo awatali yinfekisoni naddala mu binywa byo, amaaso n’olususu. Kiringa abajaasi abakyakubagana amasasi oluvannyuma lw’olutalo, naye nga tebasobola kumala gatuula butuuzi ne balinda.

Kyokka okufaananako ebika by’endwadde z’enkizi ezisinga obungi, eno si mbeera ya bulamu bwonna. Butera okuggwaawo mu bbanga eritakka wansi wa mwaka gumu. Ekyo si kiwummuza kinene?

Obubonero bwe buliwa?

Kati ka tulabe obubonero bwe tuyinza okusuubira mu bulwadde buno obw’endwadde z’enkizi (reactive arthritis).

Obubonero obusinga obukulu era obutera okulabika kwe kulumwa ennyondo n’okukaluba , naddala mu bitundu bino wammanga:

• Omugongo gwo ogwa wansi guli bulungi.
• Amaviivi
• Akakongovule
• Ebigere

Naye ng’oggyeeko kino, obubonero obulala obw’enjawulo buyinza okulabika. Ka tulabe kye bali:

• Amaaso okumyuuka, okuzimba, n’obulumi (kiyinza okuwulira ng’ekintu kiri mu liiso).
• Obubonero bw’omu lubuto ng’okulumwa olubuto n’ekiddukano.
• Okwetaaga okufulumya omusulo ennyo n’okuwulira obulumi ng’ofulumya omusulo.
• Ebizimba ku lususu n'amabwa mu kamwa .
• Obulumi mu bigere, oboolyawo obulwadde bwa Achilles tendinitis .
• Okuzimba engalo naddala engalo n’engalo. Kino abantu abamu bakiyita ‘engalo za sosegi’ kubanga engalo yennyini ezimba nga sosegi.
• Obubonero obulinga obwa ssennyiga ng’omusujja, okulumwa omubiri, n’okukoowa ennyo.

‘Triad’ eno kye ki?

Oluusi abasawo bwe boogera ku bulwadde bw’endwadde z’enkizi (reactive arthritis), boogera ku ‘triad’. Kwe kugamba, obubonero busatu bwe bugatta . Kino kiyamba okuzuula amangu obulwadde buno. Obubonero busatu bwe buno:

1. Endwadde z’enkizi - Kino kitegeeza okuzimba ennyondo.

2. Obulwadde bw’amaaso - Kino kitegeeza okuzimba amaaso, okumyuuka kw’amaaso.

3. Obulwadde bw’omusulo - Kino kitegeeza okuzimba omusulo, okwokya ng’ofulumya omusulo.

Naye jjukira nti si buli muntu nti alina obubonero buno bwonna obusatu mu kiseera kye kimu. Abantu abamu tebabangako byonna ebisatu mu kiseera kye kimu. Obubonero obw’enjawulo busobola okujja ne bugenda. Kale oyinza okuba n’obubonero obulala obutali mu ‘triad’ eno.

Kiki ekikireeta?

Twagamba dda nti obulwadde bw'endwadde z'enkizi (reactive arthritis) butandikira ku bulwadde bwa bakitiriya . Kino kye kiyinza okutera okubaawo:

• Obulwadde bw’omusulo (UTI) .
• Obulwadde bw’ekikaba (STI) .
• Obulwadde bw’omu lubuto, gamba ng’obutwa mu mmere .
• Okulumwa emimiro .

Waliwo n’ebika bya bakitiriya ebitongole ebiyinza okukosa kino:

• Obulwadde bwa Chlamydia
• Obulwadde bwa Gonorrhea
• Ensigo ya Salmonella
• Shigella
• Obulwadde bwa Campylobacter
• Yersinia
• Obulwadde bwa mycoplasma
• C. obuzibu (difficile).
• Obulwadde bwa Streptococcus

Obulwadde bwa Reiter’s Syndrome butandika nga wayise ennaku oba wiiki ntono ng’omuntu asoose okukwatibwa. Era tekituuka ku buli muntu, ku bantu batono ku buli kikumi bokka abafuna obulwadde buno. Kirabika kiva ku bulwadde obuleeta okuddamu kw’abaserikale b’omubiri mu baserikale bwo. Kwe kugamba, abaserikale b’omubiri bo mu nsobi batandika okulumba ebitundu by’omubiri ebiramu, ne bivaako okuzimba.

Naye ekirungi, obutafaananako ndwadde nnyingi ezikwatibwa abaserikale b’omubiri, obulwadde bw’endwadde z’enkizi ezikola (reactive arthritis) butera okuba embeera ey’akaseera obuseera.

Endwadde z’enkizi ezikola (reactive arthritis) zibeera mu kibinja ky’endwadde z’enkizi ezizimba eziyitibwa spondyloarthritis. Bingi ku bino ndwadde ezikwatibwa abaserikale b’omubiri. Bannasayansi n’okutuusa kati tebamanyi lwaki abantu abamu bafuna endwadde zino ate abalala tebazifuna. Obulwadde bw’endwadde z’enkizi (reactive arthritis) tekyetaagisa yinfekisoni nnene era ya maanyi okusobola okukula.

Ensonga emu eyinza okukwata ku kino ye ggiini eyitibwa HLA-B27 . Abantu bangi abafuna obulwadde bwa spondyloarthritis ne Reiter’s syndrome balina obuzaale buno.

Ani asinga okukosebwa kino?

Wadde ng’omuntu yenna asobola okulwala obulwadde bw’endwadde z’enkizi (reactive arthritis), abantu abamu bali mu bulabe bwa maanyi okubufuna. Mu bino mulimu:

• Abasajja abali wansi w’emyaka 40.
• Bwoba olina akawuka ka siriimu .
• Bwoba olina obulwadde obulala obw'abaserikale b'omubiri .
• Bw’oba ​​olina obuzaale bwa HLA-B27 obwogeddwako emabegako mu mubiri gwo.

Kino okitegeera otya?

Bw’oba ​​waakafuna obubonero bw’endwadde z’enkizi, gamba ng’okulumwa ennyondo n’okuzimba, olina okutegeeza omusawo. Ajja kukukebera. Obubonero obumu bwe bukwatagana, omusawo ayinza okuteebereza nti obulwadde bw’endwadde z’enkizi (reactive arthritis). Okusingira ddala, ajja kukubuuza oba gye buvuddeko wawona yinfekisoni eyali eyinza okubuleeta.

Kiyinza okwetaagisa okukeberebwa okw’enjawulo okusobola okuzuula obulungi obulwadde buno. Okugeza nga:

• Okukeberebwa mu X-ray .
• CT scan (Ekifaananyi kya kompyuta - CT scan) .
• Okukebera kwa MRI (Magnetic Resonance Imaging - MRI) okukebera.
• Joint aspiration/arthrocentesis: Kino kikolebwa okukebera oba waliwo okuzimba n’obulwadde obulala munda mu kiwanga.
• Okumira eddagala ly’emimiro (ssinga oteeberezebwa okuba n’obulwadde bw’emimiro).
• Okukebera omusulo .
• Okukebera omusaayi : Bino bisobola okukebera oba waliwo okuzimba, okubeerawo kw’obuzaale bwa HLA-B27, n’obulwadde obulala.

Kijjanjabwa kitya?

Abasawo bayinza okukuwa amagezi ku bujjanjabi obw’enjawulo ku bulwadde bw’endwadde z’enkizi (reactive arthritis).

• Eddagala eritta obuwuka: Okusinziira ku bulwadde obusirikitu n’okumanya oba bukyakola, eddagala eritta obuwuka nga doxycycline ne rifampin liyinza okuwandiikibwa. Bino bisobola okuyamba okukomya oba okwanguya okuwona kw’obulwadde bw’endwadde z’enkizi (reactive arthritis).
• NSAIDs (Nonsteroidal anti-inflammatory drugs): Lino ddagala eriziyiza okuzimba eritali lya steroid . NSAID ey’amaanyi nga Indomethacin esobola okuweebwa mu dose ennene okumala akaseera. Dozi ekendeezebwa ng’obubonero bukendedde.
• DMARDs (Disease-modifying anti-rheumatic drugs): DMARDs, nga sulfasalazine, zijjanjaba endwadde z’enkizi ezizimba nga ziziyiza ebimu ku bikolwa by’abaserikale b’omubiri bo. Bino biyinza okuyamba singa eddagala lya NSAID terifugibwa bulungi.
• Eddagala eriyitibwa corticosteroids:Zino ddagala lya maanyi eriziyiza okuzimba. Wadde ng’eddagala eriweebwa mu kamwa terina mugaso munene eri abantu abasinga obungi abalina obulwadde bwa Reiter’s Syndrome, oluusi osobola okulisiiga ku lususu ng’ebizigo oba okuweebwa ng’empiso butereevu mu kiwanga ekiruma.

Ekikulu: Obujjanjabi buno bwonna bulina okutwalibwa ng’abasawo babubuulirira. Okwejjanjaba kiyinza okwonoona embeera eno.

Kino kisobola okuwona ddala?

Ebiseera ebisinga, obulwadde bwa Reiter’s Syndrome ‘bulina ekkomo’ . Kwe kugamba, kijja kugonjoola ku bwakyo okumala ekiseera (ebiseera ebisinga mu myezi 3 ku 12). Mu kiseera kino, obujjanjabi busobola okuyamba okufuga obubonero n’okukuyamba okudda engulu amangu.

Kyokka, olw’okuba obulwadde bw’endwadde z’enkizi (reactive arthritis) buzibu obuva ku busimu obuziyiza endwadde, tewali bulwadde bwonna obuziyiza endwadde busobola ‘okuwona’ mu butuufu. Kino kitegeeza nti bulijjo wabaawo omukisa obubonero okuddamu. Okugeza singa ofuna yinfekisoni endala.

Mu bantu abatono ennyo, obulwadde bwa Reiter buyinza okuvaako obulwadde bw’enkizi obw’amaanyi ennyo, obw’ekiseera ekiwanvu obuyitibwa spondyloarthritis. Zirina okuzimba ennyondo okumala ebbanga eddene ekiyinza okukkakkana ng’ennyondo eyonoonese. Kizibu okugamba mu butuufu oba kino bulwadde bwa chronic reactive arthritis oba buva ku mbeera endala. Obulwadde obumu obuva ku busimu obuziyiza endwadde buyinza okuvaako obulala, era abantu abamu bayinza okuba n’obulwadde obusukka mu bumu.

Kiki ky’oyinza okukola ng’obeera n’embeera eno?

Wadde nga kya kaseera buseera, obulwadde bw’endwadde z’enkizi (reactive arthritis) busobola okukosa ennyo obulamu bwo obwa bulijjo. Abantu abamu balina obubonero obutono, obw’okujja n’okugenda, ate abalala bayinza okukoowa ennyo n’obutabeera bulungi. Era kiyinza okwetaagisa okukola enkyukakyuka mu nkola yo eya bulijjo n’enteekateeka yo ey’okukola mu kiseera kino.

Omusawo ayinza okukuwa amagezi ku bintu nga:

• Obujjanjabi bw’omubiri: Omusawo asobola okukuyigiriza engeri y’okukolamu dduyiro mpola ebinywa n’emisuwa ebiwanirira ennyondo zo eziruma. Kino kiyinza okuyamba okukendeeza ku kukaluba kw’ennyondo n’okukendeeza ku puleesa ku binywa. Teebereza nti Sameera yafuna obuzibu okutambula olw’okulumwa okugulu. Mu kukola dduyiro ennyangu buli lunaku, omusawo w’omubiri yakendeeza ku bulumi bwe mpolampola era n’amukkiriza okuddamu okukola obulungi.
• Orthotics: Omukugu mu by’emirimu asobola okukuwa amagezi ku ngeri y’okuwagira oba okukyusa mu ngeri gy’okozesaamu ennyondo zo. Oyinza okuganyulwa mu kukozesa ekyuma ekinyweza engatto, eky’okusiba engatto oba eky’okuyingiza engatto.
• Obujjanjabi obw’ebbugumu/obunnyogovu: Ebipapula bya ice n’ebipapula by’ebbugumu bisobola okuyamba okumalawo obulumi mu ngeri ez’enjawulo. Ng’ekyokulabirako, omusawo ayinza okukuwa amagezi okusiiga ice ku binywa ebiruma oba ebbugumu ku binywa ebinywezeddwa.
• Power naps: Obukoowu obutawona busobola okukukoowa. Naye okubeera ku kitanda okumala ebbanga eddene si kirungi eri ennyondo zo eziruma oba ebinywa ebinywezeddwa. Wabula, kwata ‘power nap’ ogezeeko okutambulako katono mu kiseera ekyo.

Teebereza, bw’olowooza nti yinfekisoni yo ewedde, omuntu ono gw’otomanyi ayitibwa reactive arthritis alabika mangu, n’akuzzaayo obubonero bw’obulwadde obwasooka, awamu n’obubonero obupya naddala okuzimba ennyondo. Ka kibe nti kikukosa katono oba kinene, kizibu nnyo okubeera nga tomanyi ddi kino lwe kinaggwa. Naye, eri abantu bangi, kiggwaawo, era okutuusa olwo, obujjanjabi busobola okuyamba.

Ebintu by’olina okujjukira mu bufunze

Okay, kale ka tufunze ebintu by'olina okujjukira ku Reactive Arthritis.

• Obulwadde bw’endwadde z’enkizi (reactive arthritis ) buzimba bwa kaseera buseera mu binywa obubaawo oluvannyuma lw’okukwatibwa obuwuka.
• Kino kiyinza okuvaako obubonero ng’okulumwa ennyondo, okuzimba, okumyuuka amaaso, n’okukwatibwa endwadde z’omusulo.
• Si buli muntu nti afuna obubonero bwe bumu, era obubonero buyinza okujja ne bugenda.
• Buno si bulwadde busiigibwa, naye yinfekisoni ezibuleeta (e.g. STIs, food poisoning) ziyinza okusiigibwa.
• Kino kitera okuwona mu myezi mitono okutuuka ku mwaka gumu.
• Obujjanjabi busobola okufuga obubonero. Kakasa nti ogoberera ebiragiro by’omusawo.
• Olw’okuba eno mbeera ya busimu obuziyiza endwadde, tebutera kuddamu oba okuwangaala.
• Bw’oba ​​olina obubonero buno, weebuuze ku musawo akuwe amagezi. Teweeraliikiriranga, embeera eno esobola okufugibwa n’obujjanjabi obulungi n’okugiddukanya obulungi.

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