Eriiso lyo liwulira nga libbira mu? Ka twogere ku bulwadde bwa Silent Sinus Syndrome!

Wali olabye nga waliwo enkyukakyuka entonotono ku ludda olumu olwa ffeesi yo naddala okwetooloola ekitundu ky’amaaso? Mpozzi eriiso lyo libbidde mu katono, oba ekibikka kyo kigwa? Wadde bino biyinza okulabika ng’ensonga entonotono, oluusi wayinza okubaawo embeera emabega waabyo gye tutawulidde nnyo, naye nga kikulu okumanya. Embeera emu ng’ezo eyitibwa ‘Silent Sinus Syndrome.’ Erinnya lino liyinza okuwulikika nga lya kyewuunyo katono, naye ka tulikuume nga lyangu.

Obulwadde bwa Silent Sinus Syndrome kye ki?

Mu ngeri ennyangu, eno mbeera erimu ebituli ebyetoolodde ennyindo yaffe, ebiyitibwa ‘sinus’. Kikosa ebituli ebiri ku buli ludda lw’ennyindo yaffe, ebiyitibwa `(Maxillary sinuses)`. Mu mbeera eno, eriiso erimu oba oluusi zombi zibbira munda katono (`(Enophthalmos)`). Oba ekitundu ky’amaaso kigenda wansi mu kisenge ky’amaaso (`(Eye socket)`). Kilowoozeeko nga bbaatule efulumya omukka n’okukendeera, kino kibaawo kubanga ebisenge by’ebituli byaffe ebya sinus bikonziba munda. Wansi w’ekisenge ky’amaaso ekiringa akasolya k’ebituli bino ebya sinus, wansi mu ngeri eno.

Ensonga enkulu lwaki kino kibaawo eri nti ebituli bya sinus bifuuka ebizibiddwa. Olwo ebikuta ebiri munda mu nnyindo tebisobola kufuluma ne bikuŋŋaanyizibwa, era ekiseera bwe kigenda kiyitawo, ne bidda mu mubiri. Olw’ensonga eno, ekituli kitondebwawo munda mu kisenge kya sinus, era ekituli ne kikendeera mpolampola. Awo eriiso we lifuuka ery’okubbira.

Ekigambo ‘silent’ kyongerwako kubanga embeera eno etera obutalumwa. Kyokka enkula ya ffeesi naddala ku ludda olumu eyinza okuba nga tekwatagana. Ebiseera ebisinga, bukosa oludda lumu lwokka olwa ffeesi, naye si bulijjo, kiyinza okukwata enjuyi zombi. Obujjanjabi bwetaagisa okuziyiza obubonero okweyongera n’okuziyiza ebizibu ng’okubulwa okulaba okw’okumpi oba okulaba mu tunnel.

Embeera eno ya bulijjo etya?

Mu butuufu, embeera eno eyitibwa ``Silent Sinus Syndrome'' tetera nnyo . Yasooka kuzuulibwa era n’ennyonnyolwa mu 1964. Okuva olwo, abantu batono ddala, nga 100, be baakakwatibwa mu nsi yonna. N’olwekyo, tewali nnyo kwogerwako.

Obubonero bwe buliwa? Oyinza otya okuziwulira?

Obubonero bwa ``Silent Sinus Syndrome'' butera okulabika mpolampola mu bbanga lya wiiki okutuuka ku myezi. Kyokka oluusi obubonero buno busobola okulabika amangu. Obubonero obukulu obulabika kwe kukyuka mu ndabika ya ffeesi yo.

• Enophthalmos: Buno bwe bubonero obusinga okulabika. Kumpi abalwadde bonna balina. Omuwendo gw’okubumbulukuka kw’eriiso guyinza okuva ku mmita 2 okutuuka ku 6.
• Okusengulwa kw’ekitundu ky’eriiso wansi (`(Hypoglobus)`):Abalwadde nga kitundu ku balwadde bafuna akabonero kano. Kino kitegeeza nti ekikuta ky’eriiso kikka mu kisenge ky’amaaso. Kino kiyinza okuba nga milimita emu ku mukaaga.
• Enkyukakyuka mu kikoola ky’amaaso: Enkyukakyuka mu kifo ky’ekibikka eky’okungulu zibadde zitunuuliddwa mu balwadde nga 88%.
• Okulaba emirundi ebiri (`(Diplopia)`): Okunoonyereza okunene kubiri kuzudde nti abalwadde wakati wa 28% ne 65% bafuna embeera mwe balaba ebintu bibiri omulundi gumu.

Ng’oggyeeko obubonero buno obukulu, wayinza okubaawo obubonero obulala obuwerako:

• Ptosis (oba Blepharoptosis): Okugwa oba okugwa kw’ekibikka eky’okungulu.
• Okutunula: Ebikoola by’amaaso biba wansi, ekirabika ng’amaaso gatunula.
• Okulaba okutali kwa maanyi: Okukaluubirirwa okulaba ebintu obulungi n’okukaluubirirwa okussa ebirowoozo ku kintu.
• Sinusitis: Okuzimba n’okukwatibwa yinfekisoni mu bitundu by’omusuwa.
• Rhinorrhea (okukulukuta kw’ennyindo): Amazzi agakulukuta, agalinga omusulo agafuluma mu nnyindo.
• Okutonnya oluvannyuma lw’ennyindo: Omusulo oguyitiridde guzimba ne gukulukuta wansi emabega w’emimiro .
• Okunyigirizibwa mu maaso oba obulumi: Okuwulira obulumi oba okunyiga mu bitundu by’omusuwa, gamba nga okwetooloola amaaso, ekyenyi n’amatama.

Lwaki obulwadde bwa silent sinus syndrome bubaawo? Biki ebivaako?

Okuva obulwadde buno lwe bwazuulibwa, abanoonyereza bazze n’endowooza ez’enjawulo ku bivaako obulwadde buno. Bangi balowooza nti ekisinga okuvaako embeera eno kwe kuzibikira mu kitundu ky'ennyindo yaffe ekiyitibwa ``osteomeatal complex.'' Kino ``osteomeatal complex'' nsengekera nnyangu eyamba omusulo n'empewo okufuluma mu nnyindo. Okubeera omutuufu, kiringa omulyango oguyingira mu bifo byaffe eby’omu sinus.

Ebifo bino bisobola okufuuka ebizibiddwa olw’ensonga ez’enjawulo. Bwe zizibikira, ebikuta bikuŋŋaanyizibwa munda mu bifo ebiyitibwa sinus cavities. Ekiseera bwe kigenda kiyitawo, omubiri gwaffe guddamu okunyiga ebikuta bino ebikung’aanyiziddwa. Ekibaawo kwe kuba nti ekiwujjo (`(Vacuum effect)`) kitondebwawo munda mu kisenge kya sinus. Olw’okunyigirizibwa kuno okw’ekiseera ekiwanvu, ebisenge by’ebituli by’omusuwa bigenda bigenda munda mpolampola ne bikendeera. Olw’ensonga eno, wansi w’ekisenge ky’amaaso (`(Orbital floor)`) waggulu w’ekisenge kya sinus kisika wansi. Kino kiyinza n’okuleetera amagumba okugonza n’enkula yaago okukyuka.

Ani asinga okukulaakulanya kino?

Omuntu yenna asobola okufuna embeera eno, eyitibwa ``Silent Sinus Syndrome.`` Wabula abantu abalina ensengekera y'ennyindo etali ya bulijjo bali mu bulabe bwa maanyi. Okusingira ddala abantu abalina ekisenge ekikyamye (deviated septum) batwalibwa ng’abali mu bulabe obw’amaanyi.

Obulwadde buno businga kuzuulibwa mu bantu abali mu myaka 30 ne 40. Ate era, abanywa sigala bali mu bulabe bwa maanyi obw’okufuna embeera eno.

Bizibu ki ebiyinza okubaawo singa tebijjanjabwa?

Teebereza ekyandibaddewo singa ebituli byo eby'omu sinus bikendeera era amaaso go ne geeyongera okubbira mu.Singa tegujjanjabwa, kino ``Silent Sinus Syndrome'' kiyinza okweyongera okukosa sinus zo n'okwonoona obubonero bwo. Eriiso lyo oba amaaso gombi gayinza okwongera okubbira munda ate n’amaaso go ne gagenda wansi. Ekiseera bwe kigenda kiyitawo, kino kiyinza okuvaako ``Peripheral vision loss'', nga eno mbeera gy'olaba ebintu ng'oli ku mabbali n'olaba ng'otunudde mu ttanka. Tekikoma awo, era kiyinza okuvaako ebizibu ebirala eby’obulamu.

Ozuula otya mu butuufu obulwadde buno?

Bw’oba ​​olina obubonero buno, bw’osooka okulaba omusawo, ajja kukukebera n’akubuuza ku bubonero bwo. Oluvannyuma, oyinza okusindikibwa ew’omusawo omukugu mu matu, ennyindo, n’emimiro (omusawo w’amatu, oba omusawo w’amatu).

Omukugu ajja kukebera amaaso go obulungi era azuule embeera eno okusinziira ku bubonero bwo. Ajja kunoonya ebintu ng’amaaso agabbira, ebikowe ebigwa, n’ebikowe ebigwa.

Okukakasa embeera eno, omusawo wo ayinza n'okukusaba okukola ``CT scan`` (Computed Tomography scan). Kino kiyinza okulaba obulungi embeera y’ebituli by’omusuwa.

Bujjanjabi ki obukolebwa ku kino? Kisobola okuwona?

Amawulire amalungi gali nti, yee, mu mbeera ezisinga obungi , okulongoosa bwe bujjanjabi bw’embeera eno (Silent Sinus Syndrome). Waliwo ebika bibiri ebikulu eby’okulongoosa:

• Antrostomy: Kino kizingiramu okukozesa endoscope, ekyuma ekigonvu ekirimu kkamera, okuggyawo ekizibiti mu kisenge ky’omusuwa n’okusobozesa ebifuluma okufuluma obulungi. Era egaziya okugguka kw’ekituli kya sinus ekivaako obuzibu. Kino kitera okugwa mu kiti ky’okulongoosa ensuwa mu ngeri ey’okukebera (endoscopic sinus surgery).
• Okuddaabiriza wansi mu nkulungo: Mu mbeera ezimu, okulongoosa kuyinza n’okuzingiramu okuddaabiriza wansi w’enkulungo. Kyokka abasawo abamu bagamba nti kino tekikwetaagisa bulijjo.

Oluvannyuma lw’obujjanjabi buno, ebituli by’omu nnyindo bitandika okuddamu okukola mu ngeri eya bulijjo, era obubonero ng’okufulumya amazzi mu maaso buyinza okudda mu mbeera eya bulijjo.

Essuubi lya ngeri ki ly’oyinza okuba nalyo ng’omaze okujjanjabibwa?

Gy'okoma okuzuula amangu embeera eno eya ``Silent Sinus Syndrome'', gy'ekoma okuba ennungi gy'oli. Olwo osobola okuziyiza ebizibu by'amaaso eby'amaanyi n'ogonjoola ekizibu nga okozesa ``Endoscopic sinus surgery'' yokka, nga tekyetaagisa kulongoosebwa kwa maanyi (nga ``Orbital floor repair'').

Singa tebujjanjabwa, nga bwe kyayogeddwako emabegako, embeera eno eyinza okweyongera okusajjuka n’okuleetawo ebizibu ng’okubulwa okulaba okw’okumpi, okuzibuwalirwa, n’okulaba okuzibu. N’olwekyo, kikulu okunoonya amagezi mu basawo amangu ddala nga bwe kisoboka.

Waliwo engeri y’okuziyiza kino okubaawo?

Mu butuufu, eno ``Silent Sinus Syndrome'' mbeera eyinza okukwata omuntu yenna. Okuva abanoonyereza bwe batannaba kuzuula kituufu ekivaako kino, tewali ngeri ntongole gye bayinza kukiziyiza kubaawo. Kyokka singa wabaawo ekitali kya bulijjo mu nnyindo, kikulu okugenda mu basawo amagezi.

Ddi lwe nnina okulaba omusawo?

Bw’oba ​​olina obubonero bwonna obupya, gamba ng’okuwulira ng’ozibye mu liiso lyo, ekibikka ky’eriiso ekigwa oba ekibikka ekigwa, kakasa nti ogenda ew’omusawo. Bino biyinza okuba ebintu ebyangu naye kikulu okukakasa nti tewali kintu kya maanyi.

Bibuuzo ki by’osaanidde okubuuza omusawo wo?

Bw’ogenda okulaba omusawo, okubuuza ebibuuzo nga bino kiyinza okukuyamba okutegeera obulungi embeera:

• Nafuna ntya obulwadde buno obwa ``Silent Sinus Syndrome''?
• Bujjanjabi ki bw’oteesa?
• Nneetaaga okulongoosebwa?
• Kinatwala bbanga ki okuwona oluvannyuma lw’okulongoosebwa? Kiki kye nsaanidde okweraliikirira mu kiseera ekyo?
• Waliwo kye nsobola okukola okutangira ``Silent Sinus Syndrome'' eno obutaddamu kubaawo?

Waliwo erinnya eddala eriyitibwa kino?

Yee, kino ``Silent Sinus Syndrome'' kiyitibwa amannya amalala agawerako. Okugeza, ``Chronic maxillary atelectasis'' ne ``Imploding antrum syndrome'' bye bikozesebwa. Kyokka, abanoonyereza abamu batwala bino ng’embeera ez’enjawulo, ezeetongodde.

Kale, bintu ki ebikulu bye tulina okujjukira okuva mu bino byonna?

Okay, kale nsuubira kati olina ekirowoozo ekirungi ku kye tubadde twogerako, ``Silent Sinus Syndrome.`` Jjukira, wadde nga eno mbeera ya rare, eyinza okukosa amaaso olw'okuzibikira mu sinus cavities zaffe.

Ekisinga obukulu nti bw’olaba enkyukakyuka yonna empya oba etali ya bulijjo ku maaso go naddala okwetooloola amaaso go – gamba ng’eriiso eribbira oba ekibikka ekikka – togibuusa maaso. Kiyinza obutaba kintu kyonna ekyeraliikiriza. Wabula kirungi okugenda ew’omusawo okumanya ekituufu ekigenda mu maaso era bwe kiba kyetaagisa, otandike obujjanjabi mu bwangu. Kino kijja kuyamba okutangira ebizibu byonna ebiteetaagisa. Obulamu bwo kye kintu ekisinga obukulu gye tuli!

` Silent sinus syndrome, ebiwujjo by’amaaso, sinus, enophthalmos, hypoglobus, ekituli ky’ennyindo, ENT