Omwana wo alina obuzibu ku bwongo? Ka tuyige ku bulwadde bwa Schizencephaly!

Olina okutya oba okubuusabuusa okutono ku nkula y’omwana wo omuto? Oluusi tweyongera okweraliikirira bwe tuwulira amannya amapya okuva mu basawo, si bwe kiri? Well, leero tugenda kwogera ku mbeera y’obwongo etali ya bulijjo gy’oyinza okuba nga towulirangako, naye nga esaanira nnyo okumanya. Kino kiyitibwa Schizencephaly.

Obulwadde bw’okutabuka emitwe kye ki?

Mu ngeri ennyangu, obulwadde bw’okutabuka emitwe (schizencephaly) buzibu mu bwongo obubaawo ng’azaalibwa, kwe kugamba, ng’omwana azze mu nsi eno. Obwongo bwaffe bulina ebitundu bibiri ebiyitibwa cerebral hemispheres , okubeera omutuufu, oludda olwa ddyo n’oludda olwa kkono. Bino bye bitundu ebifuga obukugu bwaffe obw’omubiri ng’okwogera n’okutambula, engeri gye tulowoozaamu, kwe kugamba, enkola y’okutegeera , enneewulira zaffe , okuwulira , n’okulaba , n’ebintu ebirala bingi ebikulu. Mu schisencephaly, enjatika oba ekituli (cleft) kikolebwa mu bitundu bino eby’obwongo, kwe kugamba, mu njuyi zino ez’obwongo. Enjatika eno eyinza okuba ku ludda lumu lwokka olw’obwongo (`unilateral`), oba eyinza okuba ku njuyi zombi (`bilateral`).

Teebereza, waliwo amazzi agayitibwa cerebrospinal fluid agakuuma n’okuliisa obwongo bwaffe. Ate era, waliwo ekika ky’ebitundu ebiyitibwa grey matter . Kino kiyamba okufuga entambula yaffe, okujjukira kwaffe, n’enneewulira zaffe. Kati, munda mu bbanga eryo, amazzi gano ag’omu bwongo n’ekintu enzirugavu bijjula. Kyokka bino bwe bikuŋŋaanyizibwa ennyo, ebizibu bibaawo, kwe kugamba, obubonero butandika okulabika. Ng’ekyokulabirako, okukula kw’omwana kuyinza okulwawo , okusannyalala , oba omutwe guyinza okuba omutono .

Bika ki ebikulu eby’obulwadde bw’okutabuka emitwe?

Waliwo ebika bibiri ebikulu eby’embeera eno, Schizencephaly.

• Open-lip schizencephaly: Mu mbeera eno, enjatika eva ebweru w’obwongo okutuukira ddala mu ventricles , ebisenge ebiri munda mu bwongo ebijjudde amazzi g’omu bwongo. Kino kitegeeza nti enjatika esingako katono ate nga nnyimpi.
• Closed-lip schizencephaly: Mu kika kino, enjatika eba nnyimpi katono. Tebugaziwa kutuukira ddala mu bitundu by’omubiri ebiyitibwa ventricles. Oluusi, ekika kino kiyinza obutaba na bubonero.

Embeera eno ya bulijjo etya?

Obulwadde bw’okutabuka emitwe mu butuufu mbeera etali ya bulijjo nnyo . Si kintu ekituuka ku bantu bangi. Okusinziira ku bibalo, kikwata abaana nga 1.5 ku buli 100,000 abazaalibwa mu Amerika. Mu Bungereza, bukwata abalongo nga 1.48 ku buli 100,000. Kale osobola okulaba engeri kino gye tekitera kubaawo.

Bubonero ki obulaga obulwadde bw’okutabuka emitwe?

Obubonero bw’embeera eno buyinza okwawukana okusinziira ku muntu okusinziira ku bunene n’ekifo ekiwundu ku bwongo we kiri. Bino bye bimu ku bubonero obutera okulabika:

• Sayizi y’omutwe ntono okusinga eya bulijjo.
• Okunafuwa kw’ebinywa oba okufiirwa amaanyi (hemiparesis). Kiwulira ng’ekitundu ky’omubiri kisannyaladde.
• Okukaluba oba okukaluba kw’ebinywa (`(spasticity)`).
• Okusannyalala : Kino kitegeeza nti ekitundu oba omubiri gwonna gusannyalala.
• Embeera z’okusannyalala , kwe kugamba, okukonziba .
• Amazzi g’omu bwongo (CSF) agasukkiridde munda mu bwongo gayitibwa hydrocephalus .
• Enkyukakyuka mu mbeera y'amaaso , nga strabismus .

Okugatta ku ekyo, obulwadde bw’okutabuka emitwe buyinza okuleeta okulwawo okukula kw’abaana . Kino kitegeeza nti abaana bano batwala ekiseera kitono okuyiga n’okukola ebintu omwana bye yanditandise okukola ku myaka egimu.

• Tambula ku bubwo, kwata ku bintu (gross and fine motor skills).
• Yogera n‟okuwuliziganya n‟abalala (obukugu mu kwogera n‟olulimi).
• Yiga era ojjukire ebintu ebipya (cognitive skills).
• Zannya era obeere bulungi n‟abalala (obukugu mu mbeera z‟abantu n‟enneewulira).

Naye jjukira nti abaana abamu abalina obulwadde bw’okutabuka emimwa egy’emimwa egy’okuggalawo egyogeddwako emabegako bayinza obutalaga bubonero bwonna .

Biki ebivaako obulwadde bw’okutabuka emitwe?

Mu butuufu, ekituufu ekivaako obulwadde bwa Schizencephaly tekinnategeerekeka . Kyokka, okunoonyereza kulaga nti kiyinza okuba nga kiva ku kukwatibwa ebintu ebimu ng’omwana ali mu lubuto akula .

• Eddagala erimu , okugeza, eddagala erikendeeza omusaayi nga Warfarin.
• Ebiragalalagala ebimu , okugeza `(Cocaine)`.
• Yinfekisoni ezimu ez’akawuka , okugeza `(Zika virus)` oba `(Cytomegalovirus)`.
• Era kiyinza okuba nga kiva ku bizibu ebimu ebibaawo mu kukebera okuyitibwa ``Amniocentesis'' okukolebwa ng'oli lubuto.

Okugatta ku ekyo, enkyukakyuka mu buzaale (enkyukakyuka) nazo zisobola okukosa engeri obwongo bw’omwana ali mu lubuto gye bukulamu. Enkyukakyuka mu buzaale nkyukakyuka mu DNA yaffe. Bino bitera okubaawo mu ngeri ey’ekifuulannenge, ekitegeeza nti tewali muntu yenna mu maka yali afunye embeera eno emabegako, naye bisobola okubaawo mu bwangu. Si bulijjo nnyo, embeera eno esobola okusiigibwa okuva ku mulembe okudda ku mulala.

Ani asinga okubeera mu bulabe bw’embeera eno?

Singa ebintu ebimu bibaawo ng’oli lubuto, obulabe bw’okuzaala omwana alina obulwadde bw’okutabuka emitwe buyinza okweyongera katono.

• Obuzibu mu kukozesa ebiragalalagala.
• Okukulaakulanya obulwadde bw’akawuka (e.g., Cytomegalovirus oba Zika virus).
• Omukka gwa oxygen omutono mu musaayi (hypoxia).
• Okukebera obulwadde bwa Amniocentesis .
• Okufuna ensisi oba obuvune (Trauma) .
• Okukozesa eddagala ``(Warfarin)`` eriwandiikiddwa omusawo.

Era kigambibwa nti emyaka gya maama, okubeera wansi w’emyaka 25 , eyongera akabi ku mbeera eno.

Embeera endala zisobola okubaawo n’obulwadde bw’okutabuka emitwe?

Yee, oluusi abasawo bwe bazuula obulwadde bw’okutabuka emitwe, era banoonya embeera endala. Wano waliwo ebyokulabirako ebitonotono:

• Obulwadde bw'okusannyalala kw'obwongo (`(Obulwadde bw'okusannyalala kw'obwongo)`)
• Agenesis of the corpus callosum ( ekitundu ky’obwongo ekiringa omutala ekigatta ebitundu by’obwongo ebibiri) .
• Septo-optic dysplasia ( embeera ereeta obuzibu mu kulaba n’obusimu) .
• Arachnoid cysts ( ebizimba ebijjudde amazzi wakati w’obuwuka obubikka obwongo) .

Osobola otya okuzuula obulwadde buno?

Ebiseera ebisinga, abasawo basobola okulaba obubonero bw’obulwadde bw’okutabuka emitwe nga bakeberebwa nga tebannaba kuzaala oluvannyuma lwa wiiki 20 ng’oli lubuto. Kyokka, okuzuula obulwadde obutuufu kukolebwa ng’omwana amaze okuzaalibwa . Kino kikolebwa nga tukozesa sikaani ya MRI (Magnetic Resonance Imaging) oba CT (Computed Tomography) . Sikaani zino zisobola okulaga bulungi obunene bw’ekikyamu ku bwongo n’ekika kyabwo.

Okugatta ku ekyo, omusawo w’omwana wo ayinza n’okulagira okukeberebwa obuzaale . Kino kijja kunoonya enkyukakyuka yonna mu DNA eyinza okuba nga y’ereeta embeera eno.

Bujjanjabi ki obw’obulwadde bw’okutabuka emitwe?

Ekisinga okussa essira ku bujjanjabi bw’obulwadde bw’okutabuka emitwe kwe kufuga n’okukendeeza ku bubonero , kubanga si mbeera ewonyezebwa ddala. Obujjanjabi bw’oyinza okukozesa mulimu:

• Okuwa eddagala okuziyiza okukonziba kw'okusannyalala .
• Embeera eyitibwa hydrocephalus , nga eno y’amazzi bwe gakuŋŋaana mu bwongo, yeetaaga okulongoosebwa okuyingizaamu ekyuma ekiyitibwa shunt oba tube . Kino kikyusa amazzi agasukkiridde.
• Oluusi balongoosebwa okukendeeza ku puleesa eva ku mazzi agasukkiridde mu bwongo.
• Obujjanjabi nga physical therapy , occupational therapy, ne/oba speech therapy buyinza okuyamba nnyo mu kulongoosa obusobozi bw’omwana.
• Beetaba mu nteekateeka z’ebyenjigiriza eziwagirwa essomero.

Waliwo ebizibu byonna ebiva mu bujjanjabi buno?

Kirungi okwogera n’omusawo wo ku bizibu ebiva mu bujjanjabi bw’obulwadde bw’okutabuka emitwe. Waliwo ebizibu eby’enjawulo ebiyinza okuva mu kulongoosa n’okukozesa eddagala. Bino bijja kwawukana okusinziira ku kika ky’obujjanjabi ggwe oba omwana wo bw’ofuna.

Endowooza etya eri omuntu alina obulwadde bw’okutabuka emitwe?

Endowooza y'omuntu alina obulwadde bw'okutabuka emitwe ekyukakyuka nnyo okusinziira ku bunene n'ekifo ebiwundu by'obwongo we bibeera . Abantu abamu bayinza okuba n’ekiwundu ekitono kyokka ekiyinza okuvaako bubonero bwonna ne babeera n’obulamu obwa bulijjo. Kyokka abalala bayinza okuba n’ekiwundu ekinene, ekiyinza okuleeta obubonero obusingawo era nga kyetaagisa okuyambibwa obulamu bwabwe bwonna .

Ate kiri kitya ku bulamu?

Obulwadde bw'okutabuka emitwe tebukosa butereevu bulamu bwo . Kwe kugamba, tekikendeeza ku bulamu bwo. Kyokka, ebizibu ebimu ebiva mu mbeera eno, gamba ng’okukonziba nga tofugibwa oba okulumwa amazzi mu mutwe, biyinza okutta omuntu .

Embeera eno esobola okuziyizibwa?

Mu butuufu, tewali ngeri yonna gye tuyinza kuziyiza bulwadde bwa schisencephaly bulijjo. Kubanga ebimu ebivaako embeera eno tetusobola kusobola kubifuga. Wabula bw’ofaayo obulungi ng’oli lubuto , osobola okukendeeza ku bulabe bw’omwana wo okufuna embeera eno okutuuka ku ddaala eritali limu.

• Laba omusawo buli kiseera era okebere.
• Kola ebyetaagisa okwekuuma yinfekisoni .
• Yogerako n’omusawo wo ku ddagala ly’omira mu kiseera kino. Eddagala erimu terisaanira ng’oli lubuto.
• Weewale ddala ebintu eby’obulabe eri omwana ali mu lubuto, gamba ng’eddagala.
• Era kyandibadde kirungi singa osobola okusisinkana omukugu mu kubuulirira ku by’obuzaale okumanya ku bulabe bw’omwana okufuna obulwadde bw’obuzaale.

Ddi lw’osaanidde okulaba omusawo?

Ggwe oba omwana wo bw’oba ​​olina obubonero buno, laba omusawo mu bwangu:

• Enkyukakyuka mu ddoboozi ly’ebinywa (okunyiga oba okunafuwa).
• Bw’oba ​​tosobola kutambuza kitundu kya mubiri gwo (nga okusannyalala).
• Singa omwana alwawo okutuuka ku nsonga z’enkulaakulana ezisaanira emyaka gye.

Ekisinga obukulu: Ggwe oba omwana wo bw’oba ​​olina obulwadde bw’okusannyalala, kuba ku ssimu mangu aba 1990 Suwaseriya Ambulance Service oba genda mu ddwaaliro erikuli okumpi.

Bibuuzo ki bye nnina okubuuza omusawo wange?

Bw’okizuula nti omwana wo alina obulwadde bw’okutabuka emitwe, oyinza okuba n’ebibuuzo bingi. Kirungi okubuuza omusawo wo ebintu nga:

• Omwana wange alina obulwadde bwa schizencephaly bwa kika ki?
• Nsaanidde kulabirira ntya omwana wange?
• Bizibu ki bye tusaanidde okumanya naddala?
• Omwana wange yeetaaga okulongoosebwa?
• Bujjanjabi ki bw’okuwa amagezi?
• Waliwo ebizibu byonna ebiva mu bujjanjabi buno?
• Waliwo ebibiina ebiwagira abazadde abalabirira abaana nga bano?

Ebintu by’olina okujjukira mu bufunze

Kya bulijjo okuwulira ng’ozitoowereddwa ng’oyiga ku mbeera eno ey’obusimu etali ya bulijjo, obulwadde bw’okutabuka emitwe, era oba ggwe, omwana wo oba omuntu gw’oyagala olina. Obulwadde bw’okutabuka emitwe n’engeri gye bukukwatamu byawukana okusinziira ku bunene bw’obwongo bw’obwongo. Oyinza okuba nga tolina bubonero bwonna, oba oyinza okwetaaga obuyambi mu bulamu bwo bwonna. Embeera eno tekosa butereevu bulamu bwo, era tetaataaganya busobozi bwo kutuukiriza biruubirirwa byo ebya buli lunaku. Kyokka, ebintu ebimu biyinza okukusoomooza okusinga ebirala. Ttiimu yo ey’abasawo esobola okukuyamba okumanya ebisingawo ku mbeera eno n’okukubaganya ebirowoozo ku bujjanjabi obuyinza okukuyamba okuwulira obulungi. Towulira ng’oli wekka, era ofune obuyambi bwe weetaaga.

` Obulwadde bw’okutabuka emitwe, enjatika mu bwongo, obutabeera bulungi mu bwongo, endwadde ezizaalibwa, endwadde z’abaana, okulwawo okukula, okusannyalala, amazzi mu bwongo, endwadde z’obuzaale