Ebizibu ebiva mu bulwadde bwa Sickle Cell: By’olina Okumanya

Oyinza okuba nga wali owulidde ku bulwadde bwa Sickle Cell Disease . Mu ngeri ennyangu, mbeera ekosa engeri omubiri gwaffe gye gukolamu obutoffaali obumyufu . Omanyi obutoffaali buno obumyufu bwe butambuza omukka gwa oxygen mu mibiri gyaffe gyonna. Mu budde obwabulijjo, obutoffaali buno buba bupapajjo, bwetooloovu, era nga bugonvu. Naye omuntu alina obulwadde bwa sickle cell afuna obutoffaali obumyufu obukaluba era obufaanana nga sickle cells. Kale, enkula eno etali ya bulijjo esobola okuvaako ebizibu by’obulamu ebiwerako, oba ‘ ebizibu ’. Naye teweeraliikiriranga, omusawo asobola okuyamba okujjanjaba ebizibu bino bingi, n’okutuuka n’okuziyiza ebimu. Ka twogere ku buli emu.

Obulumi - ekizibu ekisinga okubeerawo

Ekizibu ekisinga okutawaanya era ekinyiiza ekiva mu bulwadde bwa sickle cell kwe bulumi . Kino kiri bwe kityo kubanga obutoffaali obulinga ekiso busibira mu misuwa emitono . Lowooza ku ekyo ekibaawo ng’emmotoka ennene esibira mu kkubo erifunda. Ekyo kye kibaawo ng’obutoffaali buno buzibye emisuwa.

Obulumi buno butera okubeera mu mugongo ogwa wansi, amagulu, emikono, mu lubuto oba mu kifuba. Kiyinza okujja mu bwangu nga okulumbibwa okw’amaanyi (crisis oba episode). Mu bavubuka n’abakadde, oluusi kiyinza okuba ekiruma okumala ebbanga eddene.

Ebiseera ebisinga, bw’ofuna obulumi nga buno, osobola okufuna obuweerero ng’okozesa eddagala eriweweeza ku bulumi nga Paracetamol oba Ibuprofen . Naye jjukira nti towa aspirin muntu yenna ali wansi w’emyaka 19. Oluusi, singa obulumi buba bwa maanyi, omusawo ayinza okukuwa eddagala ery’amaanyi eriweweeza ku bulumi okuva mu kibinja kya opioid. Abantu abamu balina n’okuweebwa ebitanda mu ddwaaliro okufuna obujjanjabi.

Omusawo ayinza okukuwa amagezi gano wammanga okuziyiza oba okukendeeza ku bulumi buno:

• Nywa amazzi mangi.
• Weewale ebbugumu erisukkiridde n’obunnyogovu obuyitiridde.
• Tomala biseera bingi mu bifo ebya waggulu, ng’ebitundu by’ensozi.
• Eddagala eriyitibwa Hydroxyurea liyamba okukendeeza ku mirundi gy’obulumi buno mu baana n’abantu abakulu.

Okukendeera kw’omusaayi

Kino kye kizibu ekirala ekitera okuva mu bulwadde bwa sickle cell. Wano obutoffaali obumyufu obufaanana nga sickle we bufiira amangu okusinga obutoffaali obwa bulijjo.. Kale omubiri tegusobola kukola butoffaali bupya ku sipiidi y’emu nga bwe bufa. N’ekyavaamu, omukka gwa oxygen ogutuuka mu butoffaali bw’omubiri gukendeera, era oyinza okuwulira ng’okooye nnyo, nga munafu, era ng’oziyira . Oyinza n’okufuna ebintu ng’omutima okukuba amangu n’okukaluubirirwa okussa. Mu mwana, obulwadde bw’okubulwa omusaayi buyinza n’okulemererwa okukula.

Singa okukendeeza omusaayi mungi, kiyinza okwetaagisa okuteekebwamu omusaayi . Kyokka okuteekebwamu omusaayi enfunda eziwera kiyinza okuvaako ekyuma okweyongera n’okwonoona omutima, ekibumba n’olubuto. N’olwekyo omusawo ajja kukebera ekyuma kyo buli kiseera kiyambe okukiddukanya. Ku bantu abakulu, eddagala lya Hydroxyurea nalyo liyinza okuyamba ku kukendeera kw’omusaayi.

Yinfekisoni n’embeera endala ez’amangu

Okwongera okukwatibwa yinfekisoni

Abantu abalina obulwadde bwa sickle cell naddala abaana abato batera okufuna yinfekisoni. Kino kiri bwe kityo kubanga obulwadde buno bwonoona enseke . Omanyi ennywanto kitundu kikulu ekisengejja obuwuka nga obuwuka okuva mu musaayi gwaffe. Kale bwe kitakola bulungi, yinfekisoni zisobola bulungi okuyingira mu mubiri.

Okukwata enseke z’omubiri (Splenic Sequestration).

Kino kibeera kya mangu ekitta obulamu naddala mu baana abato. Kino kibaawo ng’obutoffaali obuyitibwa sickle cells buziyiza omusaayi okutambula mu nnywanto. Ensigo zizimba era nga ziruma. Abaana abamu bayinza obutaba na bubonero bwonna bunene. Kyokka abalala bayinza okufuna obubonero gamba ng’okunafuwa , olususu n’emimwa okumyufu, okwebaka ennyo, okulumwa oludda olwa kkono olw’olubuto, n’omutima okukuba amangu . Bw’ofuna obubonero buno, genda mangu mu ddwaaliro .

Obulwadde bw’ekifuba obuyitibwa Acute Chest Syndrome

Eno nayo mbeera ya maanyi nnyo. Wano obulwadde bwa sickle cell we buzibikira emisuwa mu mawuggwe. Bw’oba ​​olina obubonero ng’omusujja, okukaluubirirwa okussa, okulumwa mu kifuba, n’okusesema , genda mu ddwaaliro amangu ago. Abasawo bayinza okukuwa omukka gwa oxygen, eddagala eritta obuwuka, era oboolyawo n’okuteekebwamu omusaayi.

Ebizibu ebirala ebimala ebbanga eddene

Obulwadde bwa sickle cell busobola okuleeta obuzibu obusingawo okumala ekiseera.

• Okufiirwa amagumba (Avascular Necrosis): Omusaayi bwe gusalako okutambula mu binywa ebinene (nga ekisambi), ebitundu by’amagumba bitandika okufa. Kino kitera okubaawo mu bavubuka n’abakadde. Eddagala eriweweeza ku bulumi liyinza okukuwa obuweerero, naye abantu abamu bayinza okwetaaga okulongoosebwa.
• Okwonooneka kw’ebitundu by’omubiri ebirala: Ebizibu by’amaaso, omutima, ensigo n’ekibumba biba mu bulabe obw’amaanyi obw’okuzimba omusaayi n’okusannyalala. Eno y’ensonga lwaki omusawo ajja kukebera buli kiseera emirimu gy’ebitundu bino.

Okukyusa obusigo bw'amagumba n'obujjanjabi obw'omulembe

Ku abo abatera okufuna ebizibu eby’amaanyi, obujjanjabi obuyitibwa okukyusa obusigo bw’amagumba buyinza okulowoozebwako. Kino kizingiramu okukyusa obutoffaali bw’amagumba obukola obutoffaali obuyitibwa sickle cell ne bassaamu obutoffaali obulamu. Kino kisobola okuwonya ddala obulwadde buno.

Naye kino si kintu buli muntu ky’asobola okukola. Olina okufuna omugabi omulamu obulungi ng’akwatagana n’ebitundu byo. Ekirala, bw’oba ​​olina obuzibu ku bitundu by’omubiri ng’omutima oba ensigo, okulongoosa kuno kuyinza okuba okw’akabi. Oyinza okumala ebbanga eddene mu ddwaaliro. Oluusi obujjanjabi buno buyinza obutakola bulungi. N’olwekyo, ab’omu maka balina okwogera n’omusawo n’obwegendereza ne basalawo oba obujjanjabi buno bubasaanira.

Okugatta ku ekyo, waliwo eddagala eppya, nga Crizanlizumab, eriyinza okuyamba okukendeeza ku bulumi. Buuza omusawo wo ku bino nabyo.