Oluusi owulira ng’olina obuzibu mu kussa? Oba omusawo akugambye nti olina okukebera enkola ya diaphragm yo? Mu kiseera ekyo, oyinza okusabibwa okukola ‘okukebera okuwunyiriza’. Kale, ka twogere ku kino mu ngeri ennyangu era entuufu, nedda?

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Ddala okukebera okuwunyiriza kye ki?

Mu ngeri ennyangu, kino kigezo kya X-ray. Okusobola okubeera omutuufu, era kiyitibwa chest fluoroscopy . Okukebera kuno kutunuulira engeri diaphragm yo , ekinywa ekinene wakati w’ekifuba n’olubuto ekikuyamba okussa, gye kikola obulungi. Ebifaananyi bya X-ray biraga engeri diaphragm gy’etambulamu ng’ossa n’ofuluma. Kino kiyinza okuyamba okuzuula oba ekitundu ky’omubiri ekiyitibwa diaphragm kinafu oba kisannyaladde.

Lwaki twetaaga okukola okukebera okuwunyiriza?

Omusawo ajja kutera okulagira okukeberebwa kuno singa oba olina embeera gy’alowooza nti eyinza okuba ng’ekosa obusimu obufuga okussa. Ng’ekyokulabirako, lowooza ku mbeera nga zino:

Obulwadde bw’okusannyalala mu bitundu by’omubiri ebiyitibwa Amyotrophic Lateral Sclerosis (ALS) .
Obulwadde bw’obusimu obuyitibwa chronic inflammatory Demyelinating Polyneuropathy (CIPD) .
Obulwadde bw’olususu
Obulwadde bwa Guillain–Barré
Obulwadde bwa Lambert-Eaton
Obulwadde bw’okusannyalala (MS) .
Obulwadde bw’okusannyalala kw’ebinywa
Obulwadde bwa myasthenia Gravis
Obulwadde bwa Pompe
Obulwadde bw’oluvannyuma lwa poliyo
Obuvune ku mugongo

Ng’oggyeeko endwadde zino, okukebera kuno era kukozesebwa singa oba olina okussa obubi mu ngeri etategeerekeka (dyspnea) , oba okukebera engeri omusuwa gwo gye gutambulamu nga tonnalongoosebwa oba ng’omaze okulongoosebwa.

Okukebera kuno okuwunyiriza kikola kitya?

Kyangu nnyo. Mu kiseera ky’okukebera, kkamera ya X-ray ejja kukulaba ng’ossa n’okufulumya. Bajja kukugamba okole kino:

Fuuwa mpola era mu ngeri eya bulijjo.
Fuuwa omukka omungi.
Omukka gwonna guveemu.
Fuuwa mu ddoboozi ery’omwanguka era mu bwangu ng’oyita mu nnyindo yo (nga bw’oba ng’owunyiriza ekintu - y’ensonga lwaki kiyitibwa okukebera ‘okuwunyiriza’! ).

Kati laba, singa diaphragm yo ekola bulungi, bw’ossa, ejja kusika wansi, kwe kugamba, ng’eyolekera olubuto lwo, n’efuumuuka. Bw’ossa omukka, kijja kudda waggulu era kiringa ekikondo. Naye singa, bw’ossa, ekisenge ky’omubiri (diaphragm) kijja kukyagenda waggulu ne kifaanana ng’ekisenge ekiwanvu (ekigulumivu), olwo wayinza okubaawo ekikyamu ku nnabaana oba ku busimu bwa phrenic obuyamba ekisenge ky’omubiri okukola.

Nneetegekera ntya okugezesebwa kuno?

Laba ekitundu ekisinga obulungi. Tewali kya njawulo ky’olina kukola okwetegekera okugezesebwa kuno okw’okuwunyiriza. Olina okuba nga wa bulijjo. Ddala kyangu, nedda?

Kiki ekibaawo mu kiseera ky’okugezesebwa? Kiki kye nsuubira?

Bino bye bibaawo ng’okola okukebera okuwunyiriza, oba okukebera ekifuba:

Okusooka, omuyambi w’omusawo ajja kukuyamba okuyimirira mu maaso ga kkamera ya X-ray. Bw’oba okaluubirirwa okuyimirira, bajja kukutuuza mu ntebe oba okukugalamiza ku mmeeza ewanise katono. Zijja kukuteeka emiguwa ku mikono n’amagulu okukukuuma obutaseerera, era zijja kukufunira n’ekifo w’oyinza okuwummulira ebigere. Tofaayo, kino kya bukuumi bwo.
Olwo, bajja kukugamba okussa mu ngeri ez’enjawulo (okugeza, mu ngeri eya bulijjo, mu buziba, fulumya omukka, n’okussa mu ddoboozi ery’omwanguka ng’oyita mu nnyindo yo). Olina okugezaako okukola ddala nga bwe bakugamba . Kino kikulu nnyo eri obutuufu bw’ebivuddemu.
Bakuba ebifaananyi bya X-ray mu kukebera kuno kwonna.

Tewali kya kutya, kino kyangu nnyo era tekiruma.

Okukebera okuwunyiriza kutwala bbanga ki?

This sniff test usually takes about 15 minutes to complete , era kiggwa mangu okusinga bw’oyinza okulowooza.

Waliwo akabi konna akali mu kukebera kuno? Waliwo ebizibu byonna ebivaamu?

Mu butuufu, tewali buzibu bunene buva mu kukebera okuwunyiriza. X-ray ddala ekulaga obusannyalazo obutono ennyo. Naye wansi nnyo, ng’okukeberebwa X-ray mu kifuba. Omusawo wo ajja kupima emigaso gy’okukola okukebera kuno n’akabi akatono ak’obusannyalazo.

Kale tewali kya kweraliikirira. Abasawo bulijjo bafuba okukukolera ekisinga obulungi.

Lipoota y’okukebera okuwunyiriza eya bulijjo eringa etya?

Ebyava mu kukeberebwa okuwunyiriza bikomawo nga ‘positive’ oba ‘negative’. Ka tulabe ekyo kye ki.

Okukebera okuwunyiriza obulungi kitegeeza nti ebifaananyi biraga nti ekikuta kyo kigulumivu ng’ossa.Kino kiyinza okutegeeza nti ekitundu oba kyonna eky’omusuwa gwo kisannyaladde.
Normal, kwe kugamba, okukeberebwa okuwunyiriza nga tekuliimu.Lipoota eraga nti ekisenge kyo eky’omubiri (diaphragm) kikola bulungi, nga bwe kirina okuba. Ekyo kitegeeza nti diaphragm egenda wansi bulungi ng’ossa.

Ddi lwe nnaasobola okumanya ebyava mu kukeberebwa kuno?

Oluusi, omusawo wo ajja kusobola okukubuulira ebyavaamu amangu ddala ng’omaze okukeberebwa . Oba, omusawo akola ku by’okukuba ebifaananyi - omusawo mukugu mu kuzuula endwadde ng’akozesa ebifaananyi nga X-rays - ajja kutunuulira ebifaananyi byo n’aweereza ebivuddemu eri omusawo wo. Kino kiyinza okutwala ennaku ntono. Ekyo tokyeraliikirira.

Singa ebyavaamu biba si bya bulijjo, kiki ekiddako?

Teebereza nti okukeberebwa kwo okw’okuwunyiriza kulina obulwadde buno. Omusawo ajja kwogera naawe n’akunnyonnyola engeri gye kikwata ku mbeera yo. Oluusi, ebyava mu kukeberebwa okuwunyiriza bisobola okuwa ‘false positives’ . Kino kitegeeza nti ekisenge ky’omubiri ekiyitibwa diaphragm kiyinza okugulumizibwa mu kiseera ky’okukebera, naye mu butuufu obusimu buyinza obutakola. Oba basobola okuwa ‘negatiivu ez’obulimba’ . Kino kitegeeza nti ekisenge ky’omubiri ekiyitibwa diaphragm kiyinza okulabika ng’ekola obulungi, naye wayinza okubaawo ekikyamu ku busimu.

N’olwekyo, omusawo wo tajja kulowooza ku bivudde mu kukeberebwa okuwunyiriza kwokka, wabula n’ebyava mu kukeberebwa okulala, obubonero bwo, n’ebirala byonna by’olina okusalawo ekiddako. N’olwekyo, tosalawo ng’osinziira ku lipoota emu yokka.

Ddi lwe nnina okuyita omusawo wange?

Bw’oba olina ekibuuzo kyonna ku kukebera kuno oba ebyavaamu, tolwawo kwogera n’omusawo wo . Totya kubuuza nti, "Omusawo, sikitegedde, ekyo osobola okuddamu okukinnyonnyola?" Eyo ddembe lyo.

N’ekisembayo, ebintu by’olina okujjukira (Obubaka bw’okutwala awaka) .

Okukebera okuwunyiriza kwe kukebera okw’amangu, okutali kwa kuyingirira kuyinza okuwa omusawo wo amawulire mangi ku ngeri obusimu n’ebinywa ebikuyamba okussa gye bikolamu.

Kino kijja kukuyamba okuddukanya obulwadde oba obulwadde bwonna bw’oyinza okuba nabwo.
Kino kiyinza okuyamba okuzuula obuzibu mu kussa oba obuzibu ku diaphragm nga bukyali , ekyongera emikisa gy’okujjanjaba n’okufuga obulwadde.

Kale, totya kubuuza bibuuzo ku nsonga lwaki omusawo akola okukebera kuno n’ebyavaamu bye bitegeeza. Kikulu okubeera ng’omanyi ebikwata ku bulamu bwo. Okuba n’enkolagana ennungi n’omusawo wo kiyinza okukuyamba ennyo okuwulira obulungi.