Waliwo ekizimba omusaayi mu musuwa gw’olubuto lwo? Tumanye embeera eno ey'akabi (SMV Thrombosis)!

Wali owuliddeko obulumi obw’amangu mu lubuto lwo, oba okuwulira okwewuunyisa ng’olubuto lujjudde? Oluusi ebintu ng’ebyo tetubifaayo nnyo, naye biyinza okuba akabonero akalaga nti tulina ekizibu eky’amaanyi mu bulamu. Leero tugenda kwogera ku mbeera etali ya bulijjo naye nga ya bulabe nnyo. Kwe kugamba (SMV Thrombosis) , oba okuzimba omusaayi mu musuwa ogw’okungulu ogw’omu lubuto.

Kino kye ki (SMV Thrombosis)? Ka tukitegeere mu ngeri ennyangu?

Mu ngeri ennyangu, SMV Thrombosis kwe kutondebwa kw’omusaayi (thrombus) mu musuwa oguyitibwa Superior Mesenteric Vein (SMV) mu lubuto lwo. Omusuwa guno gutwala omusaayi okuva mu kyenda kyo ekitono okutuuka mu kibumba kyo. Nga payipu y’amazzi ezibiddwa, ekizimba kino eky’omusaayi kiziyiza okutambula kw’omusaayi wakati w’ebitundu eby’enjawulo mu lubuto lwo.

Eno y’engeri embeera eno gy’eri ey’akabi: Omusaayi bwe gutakola bulungi, ebitundu byaffe tebifuna mukka gwa oxygen gwe byetaaga. Olwo obutoffaali (tissues) mu bitundu ebyo ne butandika okufa. Okwonooneka kw’ebitundu by’omubiri okw’ekika kino kuyinza okukosa omubiri gwonna. Singa embeera eno eyitibwa SMV Thrombosis tejjanjabwa mangu, oluusi eyinza okutta omuntu.

Erinnya eddala eriyitibwa kino ye "mesenteric venous thrombosis." Lino linnya lya bulijjo. Kitegeeza nti okuzimba omusaayi kuyinza okutondebwa mu musuwa ogw’okungulu ogw’omu lubuto, omusuwa ogw’omu lubuto ogwa wansi oba emisuwa egitabikira okuva ku gwo. Wabula ebitundu nga 95%, omusaayi guno gukola mu musuwa ogw’okungulu ogw’omu lubuto, gwe twayogeddeko emabegako. N’olwekyo, amannya gombi gatera okukozesebwa ku mbeera y’emu.

Bika ki ebikulu eby’obulwadde bwa Mesenteric Venous Thrombosis?

Abasawo embeera eno bagigabanya okusinziira ku ngeri obubonero gye bulabika.

• Acute: Obubonero bulabika mangu, mu ssaawa 24 ku 72 ng’omusaayi gukoleddwa. Kino kye kisinga okubeera (60% - 80%) ku balwadde. Mu mbeera eno, ebyenda bisobola okwonooneka amangu, kubanga omusaayi tegulina ngeri gye guyinza kubituukako, ekizimba ky’omusaayi kiziba ekkubo eryo.
• Subacute: Mu mbeera eno, obubonero buva mpolampola okumala ennaku. Teziba za maanyi nga bwe ziri mu mutendera ogw’amangu. Wano, omusaayi ogumu guyingira mu byenda, naye obungi tebumala. Abantu abamu bayinza obutalaba musawo okumala wiiki bbiri wadde nga balina obubonero.
• Embeera etawona: Oluusi tewabaawo bubonero. Kino kiri bwe kityo kubanga emisuwa emitono egy’omusingo gikola, egigabira ebyenda omusaayi. Abasawo batera okuzuula embeera zino ezitawona nga bakebera ebifaananyi okuzuula embeera endala. Embeera eno etawona ebaawo mu bitundu nga 20% ku 40% ku balwadde.

Embeera eno ya bulijjo etya?

Kino mu butuufu kitwalibwa ng'embeera etali ya bulijjo . Bubaawo mu balwadde nga omu ku buli 5,000 okutuuka ku omu ku buli 15,000 abajjanjabirwa mu malwaliro.

Obulwadde bw’okuzimba emisuwa mu mesentericWadde nga busobola okukula ku myaka gyonna, butera okukwata abantu abali wakati w’emyaka 40-50.

Bubonero ki obulaga kino?

Obubonero buyinza okwawukana ennyo. Abantu abamu naddala abalina embeera ezitawona bayinza obutaba na bubonero bwonna. Kyokka mu mbeera ez’amaanyi, okuzimba okw’amaanyi kuyinza okubaawo mu bwangu. Mu mbeera ezitali za maanyi, obulumi mu lubuto buyinza okujja ne bugenda okumala ennaku oba wiiki.

Abantu abamu bafuna embeera eyitibwa Portal Hypertension olw’embeera eno. Olwo oyinza okulaba obubonero nga:

• Omusaayi mu musulo gwo.
• Okuziyira n’okusiiyibwa, oluusi ng’omusaayi gubeera mu kusesema.
• Olubuto oluzimba.
• Okuzimba amagulu n’ebigere (Edema) .
• Okutabulwa mu birowoozo.

Bw’oba ​​olina obulumi mu lubuto obupya oba obweyongera, olina okulaba omusawo amangu ddala . Olwo lwokka ekiyinza okuzuulibwa ekituufu ekivaako.

Biki ebivaako (Superior Mesenteric Vein Thrombosis)?

Abanoonyereza ensonga eziviiriddeko kino bazigabanyizza mu biti bisatu ebikulu:

1. Okwonooneka obutereevu ku musuwa: Omusuwa gwo guyinza okwonooneka butereevu olw’okukwatibwa yinfekisoni (okuzimba) oba okulongoosebwa.

2. Omusaayi okutambula mpola oba okuzibikira: Embeera nga cirrhosis (obulwadde bw’ekibumba), omutima okulemererwa, oba ekizimba oba ekizimba mu lubuto ziyinza okuvaako omusaayi okutambula empola oba okuzibikira mu musuwa gw’omu lubuto n’emisuwa egyetooloddewo.

3. Obuzibu mu kuzimba omusaayi: Bino byongera obulabe bw’okuzimba omusaayi okutondebwa wonna mu mubiri gwo.

Oluusi abasawo tebasobola kuzuula kivaako kino (idiopathic) .

Ani asinga okubeera mu bulabe bw’okulwala obulwadde buno?

Oli mu bulabe obw’okulwala obulwadde bwa SMV Thrombosis singa oba olina emu ku mbeera z’obujjanjabi zino wammanga:

• Obuzibu bw’okuzimba omusaayi obubaawo ng’azaalibwa oba oluvannyuma, omuli n’obuva ku ddagala erimu.
• (Obulwadde bw’ekyenda obuzimba - IBD) .
• (Cirrhosis) (obulwadde bw’ekibumba).
• (Pancreatitis) (okuzimba olubuto).
• Kookolo w'olubuto .
• Omutima okulemererwa .
• Ensigo ezigaziye .
• Okubeera n’ekizimba oba ekizimba ekinene mu lubuto.
• Ebimu ku bikwatibwa akawuka, omuli (COVID-19) .

Okulongoosa okumu ku lubuto lwo, gamba ng’okusalako enseke, kuyinza okwonoona olubuto lw’omusaayi olw’omunda (endothelium).Okwonooneka kuyinza okubaawo. Obuzimba obuva ku kwonooneka kuno kwongera ku bulabe bw’okutondebwa kw’omusaayi.

Bizibu ki ebiyinza okuva mu bulwadde bwa SMV Thrombosis?

Omusaayi bwe gukola mu misuwa gyo egy’omu lubuto, kiyinza okuvaako okuzimba mu bitundu by’ekyenda. Era kiyinza okuvaako embeera eyitibwa mesenteric ischemia , nga eno y’omusaayi okukendeera mu bitundu by’enkola yo ey’okugaaya emmere.

Ebitundu byo ebigaaya emmere bwe bitafuna musaayi gumala ogulimu omukka gwa oxygen, tebisobola kukola bulungi. Era ebitundu byabwe eby’omubiri bitandika okufa. Mu mbeera ezimu, kino kiyinza okuleeta ebituli mu byenda, ne kisobozesa ebiri mu byenda okukulukuta mu kifo ekikyetoolodde. Mu mbeera endala, obuwuka obutera okubeera mu nkola yo ey’okugaaya emmere busobola okusaasaana mu bitundu by’omubiri gwo ebirala, gye butalina kubeera. Kino kiyinza okuvaako obulwadde bwa sepsis (obutwa mu musaayi) n’okulemererwa kw’ebitundu by’omubiri ebiyinza okutta omuntu.

N’olwekyo, embeera eno eyitibwa (SMV Thrombosis) eyinza okutta omuntu singa tejjanjabibwa mangu.

Obulwadde bwa Mesenteric Venous Thrombosis buzuulibwa butya?

Abasawo bayinza okuteebereza embeera eno okusinziira ku bubonero bwo. Kyokka, okukizuula kiyinza okuba ekizibu kubanga obubonero bungi si bwa njawulo . Kwe kugamba, ziyinza okuva ku mbeera endala ez’enjawulo. Bw’oba ​​olina obulumi mu lubuto oba obubonero obulala, okuzimba omusaayi mu musuwa gw’omu lubuto si kye kisooka okujja mu birowoozo.

Singa omusawo ateebereza nti olina omusaayi oguzimba, ajja kukukebera ebifaananyi ebiwerako .

(Mesenteric Venous Thrombosis) Okukebera okuzuula obulwadde

Ekigezo kya zaabu okuzuula obulwadde buno ye CT Angiography . Mu sikaani eno, langi ey’enjawulo bagifuyira mu musuwa era omusaayi ne gulabibwa nga gukulukuta mu misuwa gyo. Kino kiyinza okulaga engeri omusaayi gye guyitamu obulungi mu misuwa n’emisuwa mu lubuto lwo n’okumanya oba waliwo ekizimba omusaayi. Ebinaava mu kukeberebwa kuno bye bijja okusalawo enteekateeka yo ey’obujjanjabi.

Oluusi, abasawo bakozesa okukebera okuyitibwa MRI Angiography ng’eky’okuddako oba okukakasa ebivudde mu kukebera okutali kwa maanyi okuva mu CT Angiography . Ebigezo bino era osobola okubikozesa okulaba engeri gy’okwatamu obujjanjabi.

Bujjanjabi ki obw’obulwadde bwa (SMV Thrombosis)?

Abasawo bajja kulongoosa enteekateeka yo ey’obujjanjabi okusinziira ku byetaago byo. Ebigendererwa ebikulu bye bino:

• Okuzzaawo omusaayi mu byenda byo n’okubiyamba okukola obulungi.
• Ziyiza oba okukomya okwonooneka kw’ebyenda byo.
• Okuziyiza okuzimba omusaayi omupya okutondebwawo n’okuzuula ekivaako omusaayi.

Obujjanjabi obw’amangu kye kisumuluzo ky’okutaasa obulamu.Gy’okoma okufuna obujjanjabi amangu, emikisa gyo egy’okufuna obuwanguzi gye gikoma okubeera emirungi. Okusinziira ku ngeri y’embeera yo (ey’amangu oba ey’olubeerera) n’obuzibu bwayo, omusawo ayinza okukozesa emu oba eziwera ku bujjanjabi buno wammanga:

• Anticoagulation: Buno bwe butera okuba obujjanjabi obusooka abasawo bwe bakozesa. Kino kizingiramu okukuwa eddagala okuyamba okusaanuusa ekizimba n’okuziyiza ebizimba ebipya okutondebwa. Abasawo bangi batandika n’okukuwa eddagala eriyitibwa heparin mu misuwa, olwo ne bakozesa eddagala nga warfarin . Abantu abamu beetaaga okumira eddagala lino okumala emyezi nga mukaaga, ate abalala bayinza okwetaaga okulimira ekiseera ekiwanvu. Bw’oba ​​olina ekizibu ky’okuzimba omusaayi, oba ng’obadde ofunye omusaayi nga tolina nsonga, kiyinza okwetaagisa okumira eddagala lino obulamu bwo bwonna.
• Thrombolysis: Mu nkola eno, omusawo akozesa ekituli okukuba eddagala mu misuwa gyo okusaanuusa ekizimba . Eddagala lino litera okuweebwa okumala essaawa 24 ku 72.
• Thrombectomy: Eno nkola ya kulongoosa okuggyako omusaayi oguzimba . Obujjanjabi buno bukozesebwa mu mbeera ntono zokka, okugeza , mu bantu abatasobola kuba na thrombolysis . Abasawo basobola okukola enkola eno nga bakozesa okulongoosa mu lwatu oba enkola ezitayingirira nnyo.
• Okusala ekyenda: Kino kizingiramu okulongoosa okuggyamu ekitundu ky’ekyenda kyo . Singa omusaayi oguzimba guzibye omusaayi okuyingira mu kyenda kyo ne gukola okwonooneka okw’olubeerera, kiyinza okwetaagisa okusala ekyenda ekitono oba okulongoosebwa ekyenda ekinene. Bw’otandika okukozesa eddagala eriziyiza okuzimba omusaayi mu ddwaaliro, omusawo ajja kulondoola obubonero bwo alabe oba weetaaga okulongoosebwa oba waliwo obuzibu bwonna.

Ebizibu ebiva mu bujjanjabi

Ekizibu ekisinga okuva mu bujjanjabi kwe kuvaamu omusaayi (omunene oba omutono). Wabula kikulu okujjukira nti obulwadde buno butta omuntu singa tebujjanjabwa . N’olwekyo, emigaso gy’obujjanjabi gisinga wala akabi akali mu bizibu ebiyinza okuvaamu.

Obulwadde bwa SMV Thrombosis busobola okuziyizibwa?

Bulijjo tosobola kuziyiza musaayi kuzimba. Wabula osobola okukwata enkola ey’okusooka ku bulamu bwo ng’oziyiza n’okuddukanya embeera nnyingi ezikusibukako ekyongera ku bulabe bwo. Wano waliwo obukodyo:

• Genda okwekebejjebwa omusawo omulundi gumu mu mwaka.
• Eddagala lyo limira ddala nga omusawo bw’akulagidde.
• Buulira omusawo wo singa ofuna obubonero obupya oba obubonero bwo bwe bukyuka.
• Buuza omusawo wo enkyukakyuka mu bulamu bw’olina okukola okusobola okuganyula obulamu bwo.

Kiki ekibaawo singa mba n’obulwadde bwa (SMV Thrombosis)?

Omusawo ajja kukubuulira ky’osuubira ng’ojjanjaba n’okuwona. Bajja kunnyonnyola akabi akali mu kuzimba omusaayi omupya n’obujjanjabi bwe bateesa okukendeeza ku bulabe obwo. Kikulu nnyo okugoberera enteekateeka y’obujjanjabi bw’omusawo wo mu butuufu. Kino kiyinza okuzingiramu okumira eddagala obulamu bwo bwonna. Kino kijja kuyamba obutaddamu kuzimba musaayi.

Okulondoola engeri abantu gye baddamu obujjanjabi

Bw’oba ​​omira eddagala eriziyiza okuzimba omusaayi, ojja kwetaaga okwekebeza omusaayi buli kiseera okukakasa nti omira eddagala erituufu. Omusawo wo era ajja kukulondoola oba omusaayi gwonna guvaamu.

Endowooza etya eri embeera eno?

Omuntu asinga okubuuza ku ndowooza yo ye musawo wo. Bajja kwetegereza ebyafaayo byo eby’obujjanjabi n’embeera yo era bakuwe ekirowoozo ku ky’osuubira. Okutwaliza awamu, endowooza yo ku bulwadde bwa Mesenteric Venous Thrombosis esinziira ku bintu ebiwerako:

• emyaka gyo.
• Obuzibu bw’embeera yo.
• Ekifo ekituufu omusaayi we guzimba.
• Embeera endala ez’obujjanjabi z’olina.
• Obunene bw’okwonooneka kw’ebyenda byo.
• Oba walina okuggyibwako ekitundu ky’ekyenda kyo.
• Engeri gye wafuna obujjanjabi mu bwangu.

Obulwadde bwa Mesenteric Venous Thrombosis buyinza okutta omuntu. Mu mutendera ogw’amangu, obulabe bw’okufa bweyongera buli ssaawa eyitawo oluvannyuma lw’obubonero okutandika. Singa embeera eno erekebwa okumala essaawa ezisukka mu 24 nga tajjanjabiddwa, etera okutta omuntu.

Ddi lwe nnina okulaba omusawo wange?

Bw’odda engulu oluvannyuma lw’obujjanjabi, kikulu okulondoola engeri gy’owuliramu n’okubuulira omusawo wo singa wabaawo ekikyuse. Omusawo ajja kukubuulira emirundi gy’osaanidde okujja ku ssaawa z’okugoberera. Zikuume nga zituuka ku nteekateeka. Kino kijja kuyamba omusawo wo okulondoola embeera yo n’okuzuula obuzibu bwonna obupya (nga omusaayi omupya). Kyokka ne mu kiseera ky’okujjanjabibwa, bw’ofuna obubonero obupya oba ng’olina ekikweraliikiriza, tolwawo kuyita musawo wo amangu ago.

Ddi lwe nnina okugenda mu kitongole ky’abalwadde ab’amangu (ETU) ?

Bw’oba ​​olina obulumi obw’amaanyi mu lubuto oba obubonero obulala obwa (SMV Thrombosis) , kuba 911 oba ennamba y’amangu mu kitundu kyo mu bwangu. Tolwawo. Kino kikulu nnyo naddala bw’oba ​​olina ensonga z’obulabe eri (SMV Thrombosis) . Obujjanjabi nga bukyali y’engeri yokka ey’okutaasa obulamu.

Bibuuzo ki bye nnina okubuuza omusawo wange?

Ebibuuzo byo biyinza okwawukana okusinziira ku mbeera yo entongole n’omutendera gw’obujjanjabi. Bino bye bimu ku bibuuzo ebitera okubuuzibwa okukuyamba okufuna amawulire ge weetaaga. Osobola okubuuza ebibuuzo bino ng’omaze okuzuulibwa (oba ku muntu wo):

• Embeera yange ya maanyi etya?
• Bujjanjabi ki bwe wandisoose okugezaako?
• Bujjanjabi ki obulala bwe nja okwetaaga?
• Biruubirirwa ki eby’obujjanjabi?
• Emikisa ki egy’obujjanjabi okubeera obulungi?
• Waliwo akabi konna akali mu bujjanjabi buno?
• Endowooza yange eri etya?
• Nteekateeka ki ez’okugoberera ze nja okwetaaga okugendako?
• Nneetaaga okukyusa eddagala lyange oba emirundi gye ndimira?
• Nkyukakyuka ki mu bulamu bw’ogamba nkole nga mmaze okuwona?

Kya bulijjo okuwulira ng’otya ng’okizudde nti olina ekizimba ky’omusaayi awalala mu mubiri gwo. Mu mbeera nga SMV Thrombosis , omusaayi ogwo oguzimba guyinza okuteeka obulamu bw’ebyenda byo mu matigga, era guyinza n’okuleeta ebizibu ebiyinza okutta obulamu bwo.

Bw’oba ​​ggwe oba omwagalwa wo olina ensonga z’obulabe ez’okulwala SMV Thrombosis , yogerako n’omusawo wo ku ddaala ly’akabi ko ak’obuntu n’engeri y’okubuddukanyaamu. Bulijjo tosobola kuziyiza musaayi kuzimba. Naye, okwekebejjebwa abasawo n’okumanya obubonero kiyinza okukuyamba okuzuula obulwadde n’obujjanjabi nga bukyali. Okukola ng’okwo nga bukyali kiyinza okutaasa obulamu.

Ebintu ebikulu bye twetaaga okujjukira (Take-Home Message) .

• SMV Thrombosis kwe kuzimba omusaayi mu musuwa omunene mu lubuto. Kino kya maanyi nnyo era kiyinza okutta omuntu singa tekijjanjabwa mangu.
• Bw’ofuna obubonero ng’okulumwa ennyo olubuto mu bwangu, okuzimba, okuziyira, okusesema oba omusaayi mu musulo, tolwawo. Noonya abasawo amagezi mu bwangu.
• Bw’oba ​​olina ebintu eby’obulabe eri kino (e.g., obuzibu mu kuzimba omusaayi, obulwadde bw’ekibumba, obulwadde bw’ekyenda obuzimba), yogerako n’omusawo wo ku nsonga eno era okole emitendera egyetaagisa.
• Bw’ozuulibwa ng’olina obulwadde buno, goberera obujjanjabi omusawo bw’akuwa ddala. Ne bw’oba ​​olina okumira eddagala obulamu bwo bwonna, liyinza okuyamba okutaasa obulamu bwo.
• Okuzuula obulwadde buno nga bukyali n’okubujjanjaba amangu y’engeri esinga okwewala obulwadde buno. Kale beera mwegendereza obubonero era olabe mangu omusawo bw’oba ​​olina ky’obuusabuusa.

` SMV Thrombosis, Mesenteric Venous Thrombosis, Okuzimba omusaayi, Obulumi mu lubuto, Superior mesenteric vein, Enkola y’okugaaya emmere, Obujjanjabi obw’amangu