Omusawo ayinza okuba nga yakugamba nti omwana wo omuto alina obulwadde bwa Sickle Cell Disease (SCD). Kya bulijjo ggwe ng’omuzadde okuwulira okutya n’okweraliikirira kungi ng’owulira bino. Bwe tuba tubeera n’obulwadde buno, tulina okwegendereza ebintu bingi. Eno y’ensonga lwaki twetaaga okussaayo omwoyo mu ngeri ey’enjawulo, era leero twogera ku kizibu eky’akabi ekiyinza n’okutta obulamu. Kino kiyitibwa ‘Splenic Sequestration’. Wadde erinnya lino lya kyewuunyo katono, bw’oba limanyi bulungi, osobola okukuuma omwana wo.
Ddala Splenic Sequestration kye ki?
Kino okukitegeera, ka tusooke tujjukire katono ku bulwadde bwa sickle cell disease (SCD). Mu budde obwabulijjo, obutoffaali obumyufu mu muntu omulamu buba bwetooloovu era bupapajjo. Nga disiki entono. Zitambula mangu mu misuwa nga tezisibye. Wabula olw’enkyukakyuka mu hemoglobin mu butoffaali obumyufu obw’omwana alina SCD, obutoffaali buno bukaluba era ne buba bwa sickle.
Kati lowooza ku nsonga eno, obutoffaali buno obulinga ekiwujjo buwuga mu misuwa mu ngeri ennyangu ng’obutoffaali obwetooloovu obwa bulijjo? Nedda, nedda? Zinywerera wamu ne zigezaako okusibira munda mu misuwa emitonotono.
Wano obuzibu we butandikira. Mu mubiri gwaffe, ku ludda olwa kkono olw’olubuto, waliwo ekitundu ekiyitibwa ‘ spleen ’. Kino kiringa omukuumi mu mubiri gwaffe. Omulimu gwayo omukulu kwe kuyonja omusaayi nga guggyamu obuwuka n’obutoffaali obukadde mu musaayi. Naye mu mwana alina SCD, obutoffaali obwo obulinga sickle busibira mu misuwa emigonvu egy’omusaayi munda mu nnywanto. Kiba ng’akalippagano k’ebidduka ku luguudo.
Kino bwe kibaawo, omusaayi ogwetaaga okuva mu nseke tegusobola kukulukuta kufuluma, ne gukuŋŋaanyizibwa munda. Mpola mpola, ensuwa ejjula omusaayi, n’ezimba era ne yeeyongera obunene. Embeera eyo ey’akabi eyitibwa ‘Splenic Sequestration.’
Omusaayi omungi ogwetaaga okutambula mu mubiri bwe gusibira mu nseke, omuwendo gw’obutoffaali obumyufu obutambuza omukka gwa oxygen mu mubiri gwonna gukendeera mangu mu ngeri ey’akabi. Kino kiyitibwa okukendeera kw'omusaayi okw'amaanyi . Kino kiyinza okuleetera omwana omunafu ennyo n’okufuuka omumyufu.
Bubonero ki obulaga embeera eno? Ebintu by’olina okumanya ng’omuzadde
Kino kye kitundu ekisinga obukulu. Bw’oba omanyi obubonero buno, osobola okukola amangu n’otaasa obulamu bw’omwana. Wadde embeera eno esinga kubeera mu baana abato, esobola okubaawo mu bantu ab’emyaka gyonna abalina SCD.
| Obubonero | By’osaanidde okwegendereza |
|---|---|
| Obulumi ku ludda olwa kkono olw’olubuto | Kano ke kabonero akasinga okubeerawo era akakulu. Omwana wo bw’aba yeemulugunya olw’obulumi mu kitundu awali ennywanto, weeraliikirira. |
| Okugaziwa kw’ennywanto (okuzimba) . | Buuza omusawo wo oyige engeri y’okukwata ku nnywanto y’omwana wo. Bw’owulira ng’ekinene okusinga ekya bulijjo era nga kikaluba, ekyo kabonero akalabula. |
| Obunafu obw’amangu n’okukoowa ennyo | Weegendereze singa omwana wo eyali azannyira obulungi, amangu ago n’akoowa n’anafuwa n’atasobola na kutambula. |
| Olususu olumyufu | Singa emimwa gy’omwana wo, ennyindo n’engalo ze munda bifuuka bimyufu, kiba kabonero akalaga nti alina obulwadde bw’okubulwa omusaayi. |
| Okussa amangu oba omutima okukuba | Omubiri bwe gutafuna mukka gwa oxygen gumala, omutima n’amawuggwe bikola mangu okusobola okuliyirira. |
| Obusungu n’okunyiiga ebitannyonnyolwa | Olw’okuba omwana ali mu bulumi, ayinza okunyiiga n’akaaba olw’ebintu ebitonotono. |
| Otulo obutali bwa bulijjo | Omwana bw’aba yeebase nnyo nga tekisoboka kumuzuukusa, ekyo nakyo kabonero ka maanyi. |
Ekisinga obukulu: Oluusi, ne bwe kiba nti obubonero obulala tebulabika, okuzimba enseke eyinza okuvaako omuwendo gw’obutoffaali obumyufu okukendeera mu ngeri ey’akabi. Kale bw’olaba obubonero buno bwonna, twala omwana wo mu kitongole ky’eddwaaliro eky’amangu (ETU) mu bwangu. Eno si mbeera esobola okujjanjabibwa awaka.
Omusawo azuula atya embeera eno?
Bw’otwala omwana wo mu ddwaaliro, omusawo ajja kukola emitendera egiwerako okukakasa embeera eno.
1. Okukebera omubiri : Okusooka omusawo ajja kukwata ku lubuto lw’omwana n’akebera okulaba oba enseke zizimba oba zigaziye.
2. Okukebera omusaayi: Kino kyetaagisa nnyo. Sampuli y’omusaayi gw’omwana ne bakeberebwa omuwendo gwa hemoglobin okulaba omuwendo gw’obutoffaali obumyufu bwe guli omutono. Era banoonya enkyukakyuka mu miwendo gy’obutoffaali obweru n’obutoffaali obukola omusaayi.
3. Ebigezo ebirala: Mu mbeera ezimu, oyinza okukolebwa X-ray oba CT scan okusobola okutunuulira obulungi embeera y’ennywanto.
Okijjanjaba otya? Totya.
Wadde nga kino kya mangu, kiyinza okuddukanyizibwa obulungi singa oweebwa ekitanda mu ddwaaliro mu bwangu.
Obujjanjabi obukulu kwe kuteekebwamu omusaayi . Kino kitegeeza nti omuwendo gw’obutoffaali obumyufu bw’omwana guddizibwa nga bamussaamu omusaayi ogukwatagana. Kino kiyamba omubiri okufuna omukka gwa oxygen gwe gwetaaga, embeera y’omwana n’etereera mangu. Oluusi, omusaayi bwe guba mu nnyindo guyitiridde, omusawo ayinza okuba ng’alina okuggyamu omusaayi ogumu ku mubiri gw’omwana ng’awa omusaayi.
Kiki eky’okukola singa kiddamu?
Ekizibu ekimu ekikwata ku kukwata enseke kwe kuba nti bwe kimala okubaawo, kiyinza nnyo okuddamu okubaawo . Abaana abamu bajja kuba balina okukola ku mbeera eno emirundi egiwerako mu bulamu bwabwe.
Singa ekizibu kino kyeyongera okubaawo, abasawo bayinza okuteesa okulongoosa okuggyamu enseke (splenectomy). Okuggyawo enseke kiyinza okuziyiza ddala embeera eno ey’akabi okuddamu. Wabula oluvannyuma lw’okuggyibwako enseke, obusobozi bw’omubiri okuziyiza endwadde (obusimu obuziyiza endwadde) bukendeera katono, kale omwana ajja kwetaaga okumira eddagala ery’enjawulo eritta obuwuka n’okugema okwekuuma yinfekisoni ezimu. Kino omusawo ajja kukunnyonnyola bulungi.
Obubaka Obutwala Awaka
- Okukwata enseke, ekiyinza okubaawo mu mwana alina obulwadde bwa sickle cell, mbeera ya maanyi, eyinza okutta omuntu era nga yeetaaga okujjanjabibwa mu bwangu.
- Bulijjo beera ku bunkenke bw’obubonero ng’obulumi ku ludda olwa kkono olw’olubuto, okufuuka omumyufu, okukoowa ennyo, n’okuzimba ennywanto.
- Yiga okuva eri omusawo wo engeri y’okukwatamu omwana wo mu nnywanto. Kiyinza okuyamba okutaasa obulamu bw’omwana wo.
- Amangu ddala ng’olaba obubonero bwonna obwogeddwako waggulu, tomala biseera era twala omwana wo mu ddwaaliro erikuli okumpi erya Emergency Treatment Unit (ETU) .
- Olw’okuba waliwo obulabe obw’amaanyi obw’okuddamu okulwala embeera eno, beera ng’okwatagana n’omusawo wo buli kiseera era ogoberere ebiragiro ebiweereddwa okusinziira ku mbeera eno.
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