Ofuna obulumi buno obw’ekyewuunyo mu lubuto? Ka twogere ku (Rectus Sheath Hematoma)!

Wali ofunye obulumi obw’amangu, obw’amaanyi mu lubuto nga buwulira ng’ekizimba mu lubuto? Oba wali osesema nnyo ate n’olaba akatundu ka bbululu ku lubuto lwo? Wadde ebintu bino si bya bulijjo nnyo, oluusi biyinza okuba obubonero bw’embeera eyitibwa `(Rectus Sheath Hematoma)` ebeerawo mu lubuto lwaffe. Kale leero, ka twogere ku nsonga eno mu bujjuvu katono, kubanga kikulu nnyo okubeera nga tumanyi kino.

Okusooka, ka tulabe kino `(Rectus Sheath)` kye ki?

Mu ngeri ennyangu, `(Rectus Sheath)` yo kibikka kya maanyi, eky’obuwuzi ekyetoolodde ebinywa ebiri mu maaso g’olubuto lwo. Okubeera omutuufu, luwuzi luwanvu (era luyitibwa `(aponeurosis)`). Munda mu kibikka kino mulimu ebinywa ebikulu ebibiri eby'olubuto lwo, `(rectus abdominis)` (bye tutera okuyita ebinywa "six-pack") ne `(pyramidalis)`.

Teebereza, kino `(Rectus Sheath)` kirina ekisenge eky’omu maaso (eky’omu maaso) n’ekisenge eky’emabega (eky’emabega). Ebisenge bino bikolebwa fascia (`(fascia)`) y’emu eyeetoolodde ebinywa ebirala mu lubuto lwo. Ekyo kili:

• ``(external abdominal obliques)`` yo (ebinywa eby'ebweru eby'olubuto ebiserengese) .
• ``(internal abdominal obliques)`` yo (ebinywa eby'omunda eby'olubuto ebiserengese) .
• `(transversus abdominis)` yo (ekinywa ky'olubuto ekisala) .

``Rectus Sheath'' ekolebwa okuva mu bibikka ku meatus zino.

Ate era, emisuwa egy’okungulu n’egya wansi egy’omu lubuto, nga gino gye misuwa emikulu egigaba omusaayi mu binywa by’olubuto lwo, giyita mu `(Rectus Sheath) eno. Kale omulimu omukulu ogwa `(Rectus Sheath)` eno kwe kukuuma ebinywa bino, emisuwa, n'ebitundu ebibyetoolodde mu bbugwe w'olubuto.

Naye waliwo akatono. Kino `(Rectus Sheath)` tekibikka ddala ebiri munda. Waggulu w'ekinywa kyo ekya `(rectus abdominis)` kibikkibwako `(Rectus Sheath)` eno ku njuyi zombi, mu maaso n'emabega. Naye waliwo ensalo wakati w’ekinywa kino ekya waggulu ne wansi, ekiyitibwa `(layini ey’ekika kya arcuate)`. Layini eno eri nga kimu kya kusatu eky’ekkubo erikka okuva ku nnabaana yo okutuuka amagumba go abiri ag’omu kifuba we gasisinkanira mu maaso (`(pubic symphysis)`).

Ekikulu kiri nti, wansi wa `(arcuate line)` eno, ekitundu ekya wansi eky'ekinywa kyo ekya `(rectus abdominis)` kibikkibwako `(Rectus Sheath)` yokka okuva mu maaso. Tewali `(posterior rectus sheath)` okuva emabega! Ekyo kitegeeza nti tewali kikuta ng’ekyo okukuuma ekitundu ekya wansi eky’ekinywa kya `(rectus abdominis)`. Kino kijjukire, kubanga kino kikulu eri embeera ya `(Rectus Sheath Hematoma)` gye twogerako.

Kale `(Rectus Sheath Hematoma)` kye ki?

`(Hematoma)`, mu ngeri ennyangu, kwe kukungaanya omusaayi munda mu bitundu byo. Kati, singa `(emisuwa gy'omu lubuto)` munda mu `(Rectus Sheath)` gye twayogeddeko emabegako gitandika okuvaamu omusaayi mu ngeri emu oba endala, omusaayi ogwo gusobola okukuŋŋaanyizibwa mu kitundu ekyo eky'olubuto lwo. Okukunganya omusaayi kuno kuyitibwa `(Rectus Sheath Hematoma).`

Mu mbeera eno, okuvaamu omusaayi naddala okuva mu musuwa ogw’omu lubuto ogwa wansi, kuyinza okuba okw’amaanyi katono. Kubanga nga bwe twagambye emabegako, wansi wa layini ya arcuate tewali kibikka, era singa omusaayi gutandika okukulukuta okuva awo, tewali kitundu kiziyiza musaayi kusaasaana. N’olwekyo, omusaayi mungi gusobola okukuŋŋaanyizibwa.

Ani asinga okukosebwa embeera eno?

Rectus Sheath Hematoma esinga kubeera mu bakyala okusinga abasajja, era era esinga kubeera mu bantu abasukka mu myaka 60 .

Embeera eno ya bulijjo etya?

Rectus Sheath Hematoma mu butuufu embeera etali ya bulijjo nnyo . Kikwata abalwadde 1% ku 2% bokka abeyanjula n’obulumi mu lubuto. N’olwekyo, oyinza obutakiwuliranga nnyo.

Obubonero bwe buliwa?

Akabonero akasinga okulabika mu mbeera eno kwe kulumwa olubuto . Obulumi buno:

• Osobola okutandika amangu ddala.
• Kiyinza okuba obulumi obw’amaanyi, obutagumiikiriza.
• Era kiyinza okuba ekiruma buli kiseera.
• Obulumi buyinza okweyongera ng’okankanya, ng’ofukamidde oba ng’onyiga ebinywa by’olubuto.

Okugatta ku ekyo, oluusi bw’okwata ku lubuto, oyinza okuwulira ekintu ng’ekizimba .

Obubonero obulala obuyinza okulabibwa mulimu:

• Okuziyira n’okusiiyibwa
• Omusujja
• Olususu olumyufu oba okunyiga (naddala mu kitundu ky’olubuto) .
• Okukendeera kw’omusaayi (ekitegeeza okukendeera kw’obungi bw’omusaayi) .
• Okweyongera kw’okukuba kw’omutima (tachycardia) .
• Puleesa ekka (hypotension) .

Kiki ekivaako kino?

Ekisinga okuvaako `Rectus Sheath Hematoma` kwe kuvaamu omusaayi mu `(Rectus Sheath).` Kino kitera okubaawo nga waliwo ekika ky'okulumwa ku bbugwe w'olubuto .

Mu ngeri ennyangu, embeera eno esobola okubaawo singa `(omusuwa gw’omu lubuto)`, emisuwa emitono egitabikira ku gwo, oba ekinywa kya `(rectus abdominis)` kyennyini kyonoonese. Nga bwe twagambye emabegako, ebinywa by’olubuto biweebwa omusaayi okuva mu `(emisuwa egy’omu lubuto)` egy’okungulu n’egya wansi. Nate, singa `(inferior epigastric artery)` eyonoonese, embeera eyinza okuba ey’amaanyi katono, kubanga terina bukuumi emabega waagwo wansi wa `(arcuate line)`.

Teebereza, singa ofuna ekigwo obutereevu ku lubuto lwo, oba singa ossa amaanyi agasukkiridde mu bwangu ku binywa by’olubuto (okugeza, singa osesema nnyo okumala ebbanga eddene, oba singa osika olubuto lwo ng’ositula ekintu ekizito), kino `(omusuwa gw’omu lubuto)` guyinza okukutuka ne gutandika okuvaamu omusaayi, ne gukola `(hematoma)`.

Biki ebiyinza okuvaako kino?

Ekisinga okuleeta akabi k’okulwala `Rectus Sheath Hematoma` kwe kukozesa eddagala eriziyiza omusaayi okuzimba (`(anticoagulants)` oba ``blood thinners``) . Kumpi abantu 70% abafuna obulwadde bwa ``Rectus Sheath Hematoma`` bamira ekika ky'eddagala lya ``(anticoagulant)``. Eddagala lino likendeeza ku nkola y’okuvaamu omusaayi, ekifuula ekizibu nti ``(hematoma)`` ejja kukula.

Ekirala ekikulu ekiyinza okuvaako akabi kwe kulwala ekibumba ekitawona . Kumpi abantu 60% abafuna obulwadde bwa rectus sheath hematoma balina obulwadde bw’ekibumba obw’omutendera ogw’okusatu oba okusingawo.

Ebirala ebiyinza okuleeta akabi mulimu:

• Okulongoosebwa mu lubuto gye buvuddeko
• Okukozesa eddagala eriweweeza ku bulwadde bwa steroids oba eddagala eriweweeza ku busimu bw’omubiri
• Okusesema okw’amaanyi ennyo era okutambula obutasalako
• Okumira `Antiplatelet therapy` (eddagala eriziyiza platelets z'omusaayi okukuŋŋaana awamu)
• Okufuna olubuto
• Embeera ezitawona, gamba nga puleesa n’okuzimba emisuwa (okugonza emisuwa olw’amasavu agateekebwa ku bisenge by’emisuwa) .

Ekikulu: Bw’oba ​​omira eddagala eriziyiza okuzimba omusaayi nga lino, olina okwegendereza naddala singa ofuna obulumi mu lubuto mu bwangu.

Okuzuula obulwadde buno kukolebwa kutya?

Oluusi kiyinza okuba ekizibu okuzuula obulwadde bwa rectus sheath hematoma, kubanga obubonero bwayo buyinza okufaananako n’obw’embeera endala ez’omu lubuto.

Kirabika omusawo wo ajja kusooka kukebera musaayi okupima omuwendo gwa hemoglobin ne hematocrit. Abantu abasoba mu kitundu abalina obulwadde bwa rectus sheath hematoma bajja kuba n’emiwendo gya hemoglobin egya wansi ennyo (ekitegeeza nti balina omusaayi omutono).

Ekiddako, omusawo ayinza okukukuba ‘ultrasound’ ku bbugwe w’olubuto. Kino kiyinza okuyamba okuzuula oba waliwo amazzi gonna agalinga omusaayi munda mu bbugwe w’olubuto n’obunene bwa hematoma.

Oluusi, CT scan esobola okukolebwa okufuna ekifaananyi ekituufu era ekitegeerekeka obulungi ku mbeera eno. CT scan naddala ekozesa langi ya contrast esobola okulaga ddala langi gy’ekulukuta okuva mu misuwa egyonooneddwa. Kino era kiyinza okuyamba omusawo okumanya omusaayi gye guva.

Kijjanjabwa kitya?

Amawulire amalungi gali nti obulwadde bwa rectus sheath hematomas obusinga buwona ku bwabwo era tezeetaaga bujjanjabi bwa njawulo. Obujjanjabi bw’embeera eno butera okuzingiramu:

• Okusiiga ebipapula bya ice (ice oba ebinyiga ebinyogovu) .
• Okuwummula
• Okukozesa eddagala eriweweeza ku bulumi erya bulijjo (`(eddagala eriweweeza ku bulumi)`)

Ebitundu nga 80% ku rectus sheath hematomas ziwona n’obujjanjabi obwangu nga buno.

Naye singa obujjanjabi buno obwangu tebuyamba, oba singa embeera eba ya maanyi nnyo, omusawo ayinza okuddukira mu bujjanjabi obuyitibwa ``angioembolization.`` Kino si kulongoosa. Kizingiramu okugatta ``angiography`` (enkola y'okukuba ebifaananyi by'emisuwa) ne ``embolization`` (enkola y'okuggala emisuwa), okuzuula omusuwa oguvaamu omusaayi n'okuguggalawo.

Singa enkola eno eya ``angioembolization`` tefuna buwanguzi, okulongoosa kuyinza okwetaagisa ng'ekisembayo. Mu kiseera ky’okulongoosebwa, omusaayi ogukung’aanyiziddwa (``hematoma``) guggyibwamu era omusuwa oguvaamu omusaayi ne guggalwa.

Mu kiseera ky’obujjanjabi n’oluvannyuma lw’okujjanjabwa, omusawo wo ajja kulondoola embeera yo ng’akebera omusaayi n’okukebera amaloboozi agayitibwa ultrasound. Kino kiyinza okuyamba okuzuula okuddamu okuvaamu omusaayi oba yinfekisoni yonna.

Kiki ekigenda okuddirira? Anaatereera?

Obulwadde obusinga obungi obuyitibwa rectus sheath hematomas buwona bweyo mu myezi ebiri oba esatu . Abantu abasinga abafuna embeera eno batereera bulungi era tebafuna buzibu bulala bwonna.

Naye, mu mbeera ezimu – naddala mu bantu abamira eddagala eriziyiza okuzimba omusaayi – embeera eno eyinza okutta . Kyokka, tekitera kubaawo nnyo. Okusinziira ku biwandiiko ebisembyeyo, abantu abatakka wansi wa 2% bafa olw’obulwadde bwa Rectus Sheath Hematoma.

Nga bwe kiri ku mbeera yonna ey’obujjanjabi, okuzuula amangu n’okujjanjabibwa amangu kyongera emikisa gy’okuwona . N’olwekyo, bw’oba ​​olowooza nti olina obubonero bw’obulwadde bwa `Rectus Sheath Hematoma`, kakasa nti onoonya amagezi g’omusawo.

N’ekisembayo, ebintu by’olina okujjukira

`(Rectus Sheath)` yo ye sheath enkulu ekuuma ebitundu by'omubiri, ebitundu by'omubiri, n'emisuwa mu bbugwe w'olubuto lwo. Singa ekisenge kyo eky’olubuto kifuna obuvune mu ngeri yonna, `(omusuwa gw’omu lubuto)` guyinza okukutuka ne guleeta `(Rectus Sheath Hematoma)`.

Ebiseera ebisinga, embeera eno tekyetaagisa bujjanjabi bwa maanyi. Ebintu ebyangu ng’okusiiga ice, okuwummula n’okumira eddagala eriweweeza ku bulumi bisobola okuyamba.

Kyokka, emisango egimu giyinza okuba egy’amaanyi ennyo. Bw’oba ​​olina obulumi obw’amaanyi mu lubuto obw’amangu, bulijjo kiba kya magezi okugenda ew’omusawo okuzuula oba weetaaga obujjanjabi. Tosattira naye kikulu ggwe n’ab’omu maka go okutegeera ebintu bino.

` Rectus Sheath Hematoma, obulumi mu lubuto, okuvaamu omusaayi mu lubuto, omusuwa gw’omu lubuto, eddagala eriziyiza okuzimba omusaayi, ekizimba mu lubuto, obulumi mu lubuto