Bw’oba olina obulumi mu mugongo oba mu bulago, owulira ng’oyagala okumira eddagala eriweweeza ku bulumi okugoba obulumi amangu ago, nedda? Mu butuufu, abantu bangi mu nsi yaffe ekyo bakikola. Oluusi, eddagala eryangu eriweweeza ku bulumi bwe litayamba, abantu abamu bakemebwa okukozesa eddagala eriweweeza ku bulumi ery'amaanyi, "ery'amaanyi". Naye obadde okimanyi nti okunoonyereza okwakakolebwa kuzudde nti okukozesa eddagala lino eriyitibwa eriweweeza ku bulumi ery’amaanyi ku bulumi obw’amangu obw’omugongo n’ensingo mu butuufu tekirina kinene kye kikola?
Eddagala lino ery’amaanyi eriweweeza ku bulumi (Opioids) lye liruwa?
Mu ngeri ennyangu, zino kibinja kya njawulo eky’eddagala eriweweeza ku bulumi abasawo lye bawandiika okufuga obulumi obw’amaanyi ennyo, obw’amaanyi. Ng’ekyokulabirako, oyinza okuba nga wali owuliddeko amannya nga Tramadol, Morphine, ne Pethidine. Bino bye tuyita opioids. Bino bitera okuweebwa ku bulumi obw’amaanyi oluvannyuma lw’okulongoosebwa, okulumwa kookolo n’ebirala Bikosa obwongo n’obusimu ne bikendeeza ku kuwulira obulumi. Kyokka ziyinza okuzifuula omuze ennyo, n’olwekyo tezirina kukozesebwa nga tolabirirwa musawo.
Okunoonyereza okusembyeyo kwogera ki?
Okunoonyereza okwakakolebwa ekibinja ky’abanoonyereza mu Australia kwafulumizibwa mu katabo k’ebyobujjanjabi akamanyiddwa mu nsi yonna *The Lancet*. Okunoonyereza kuno ddala kwewuunyisa abantu bangi.
Teebereza, baagabanya abalwadde abasukka mu 340 abaali batandise okulumwa omugongo oba mu bulago mu bwangu, ekitegeeza nti baali balumwa okumala wiiki ezitakka wansi wa 12, mu bibinja bibiri .
1. Ekibinja ekyasooka: mu butuufu kyaweebwa eddagala lya opioid.
2. Ekibinja ekyokubiri: kyaweebwa eddagala eriyitibwa placebo. Kwe kugamba, ekintu ekiringa eddagala, naye nga tekirimu ddagala lyonna erikola. Kyokka omulwadde tamanyi oba afuna ddagala ddala oba ddagala lya kicupuli.
Ebyavudde mu kunoonyereza kuno okwamaze emyaka 6 byewuunyisa nnyo.
Oluvannyuma lwa wiiki 6 , tewaaliwo njawulo nnene mu miwendo gy’obulumi bw’abalwadde mu kibinja kyonna. Era ebyavaamu byali bye bimu oluvannyuma lwa wiiki 12. Kwe kugamba, tewaaliwo njawulo nnene mu kukendeeza obulumi wakati w’omuntu eyamira eddagala ery’amaanyi eriweweeza ku bulumi n’oyo eyaakamira empeke.
Abanoonyereza bagamba nti, "Ebyavudde mu kunoonyereza kuno biraga nti tusaanidde okuddamu okulowooza ku kuwandiika eddagala lya opioid erijjanjaba obulumi obw'amaanyi obw'omugongo n'ensingo, kubanga tetwazudde njawulo nnene mu kukendeeza ku bulumi bw'ogeraageranya ne placebo."
Lwaki kino kikulu?
Kino kikulu kubanga ebiragiro bingi eby’abasawo okwetoloola ensi yonna bikyawa amagezi okukozesa opioids ku bulumi obw’ekika kino. Okunoonyereza kuno kulaga nti tewali mugaso gwonna mu kuwa ddagala lino ery'amaanyi olw'ekyo kye tutera okuyita " obulumi bw'omugongo ," obulumi obutasukka myezi esatu.
Obulabe obw’amazima obuli mu ddagala lya opioids
Okunoonyereza kuno kwazuula ekintu ekyeraliikiriza n’okusinga obutaba na kukendeeza ku bulumi: abantu abamira eddagala lya opioids baali mu bulabe bwa maanyi obw’okufuuka omuze oba okukozesa obubi eddagala lino oluvannyuma lw’omwaka gumu.
Kino kye kizibu ekisinga obunene. Kiba kya bulabe kitya okumala gasala ekkubo erigenda mu mize nga tolina kukendeeza bulumi bwonna? Bino bye bimu ku bintu ebiyinza okubaawo n‟omuze gw‟okukozesa opioid:
- Okugumiikiriza: Oluvannyuma lw’akaseera, obulumi tebukyakendeera ku ddoozi eyasooka. Olwo n’owulira ng’oyagala okumira ddoozi esingako.
- Okwesigamira ku mubiri: Singa olekera awo okumira eddagala lino, ojja kutandika okufuna obubonero bw’okulivaako, gamba ng’okutuuyana, okulumwa omubiri, okuziyira n’okuzimba olubuto.
- Okumira ennyo: Okumira ennyo kiyinza okuvaako okussa okusiba n’okufa.
- Ebizibu ebirala: Okuziyira, otulo , okuziyira, okusesema, n’okutabulwa nabyo bitera okubeerawo.
Kale ddala kiki ky’osaanidde okukola ku bulumi bw’omugongo/ensingo?
Kati osanga olowooza nti, "Kale ogenda kumala kugumiikiriza obulumi buno?" Nedda. Waliwo engeri ezisingako obukuumi era ennungi ez’okuddukanya ebika bino eby’obulumi obw’amangu okusinga opioids.
1. Okusenguka: Twagamba nti bw’oba olina obulumi bw’omugongo, olina okusigala ku kitanda. Naye kati tugamba nti emirimu gyo olina okugikola mu ngeri eya bulijjo nga bwe kisoboka n’okutambulako katono. Okutuula nga tokyuka kinyweza ebinywa byo.
2. Heat/Cold Packs: Okusiiga eccupa y’amazzi agookya oba ice pack mu kifo ekiruma kiyinza okukuwa obuweerero obulungi.
3. Obujjanjabi bw’omubiri: Kino kye kisinga obulungi era ekisinga okumala ebbanga eddene. Omusawo w’omubiri ajja kukuyigiriza dduyiro n’obukodyo bw’okunyweza ebinywa obusaanira embeera yo.
4. Eddagala eddala eriweweeza ku bulumi: Paracetamol oba NSAIDs (Non-Steroidal Anti-Inflammatory Drugs) nga ibuprofen ne diclofenac liyinza okukola obulungi ku bulumi obw’ekika kino okusinga opioids. Naye jjukira nti bulijjo olina okwebuuza ku musawo nga tonnaba kukozesa ddagala lyonna ku lino.
Ddi ddala lw’osaanidde okulaba omusawo?
Obulumi obw’omugongo/ensingo obwa bulijjo bujja kukendeera mu nnaku ntono oba wiiki bbiri oba ssatu. Kyokka waliwo obubonero obumu obulina okuleetera omuntu okugenda mu ddwaaliro mu bwangu . Bino tubitwala nga "bendera emmyufu."
| Obubonero | Kino kitegeeza ki? |
|---|---|
| Okuziyira mu magulu oba mu bitundu by’ekyama, obutasobola kufuga musulo oba omusulo. | Kino kiyinza okuba nga kyakosa omugongo. Genda mu kitongole ky’eddwaaliro eky’amangu (ETU) mu bwangu. |
| Obulumi obw’amaanyi oluvannyuma lw’akabenje oba okugwa. | Eggumba erimenyese oba obuvune obulala obw’amaanyi buyinza okubaawo. |
| Obulumi nga buwerekerwako omusujja, okuziyira n’okugejja. | Kiyinza okuba akabonero akalaga nti alina yinfekisoni oba embeera endala ey’amaanyi ey’obujjanjabi. |
| Obulumi buno buba bubi ekiro era busigalawo ne bw’oba awummudde. | Wayinza okubaawo embeera eyeetaaga okunoonyereza okw’obwegendereza. |
Bw’oba olina obubonero buno, tosigala waka n’olaba omusawo mu bwangu.
Obubaka Obutwala Awaka
- Okunoonyereza okwakakolebwa kukakasizza nti okukozesa eddagala ery’amaanyi eriweweeza ku bulumi (Opioids) tekiwa buweerero bwa maanyi eri bulumi obw’amangu, obw’ekiseera ekitono mu mugongo n’ensingo.
- Eddagala lino terikoma ku butakendeeza bulumi, naye era lirina akabi ak’amaanyi ak’okukwatibwa emize n’ebizibu ebirala eby’obulabe.
- Obujjanjabi obusinga obulungi ku bulumi bw’omugongo/ensingo kwe kutambula obulungi, okujjanjaba omubiri, n’eddagala eriweweeza ku bulumi eritali lya bulabe erimira ng’omusawo bw’alagira.
- Tokozesangako ddagala lya maanyi eriweweeza ku bulumi naddala erya opioids nga tolina ddagala lya musawo.
- Singa obulumi bwo buwerekerwako obubonero ng’omusujja, okuziyira, oba obutasobola kufuga kibumba/ekyenda, genda mangu omusawo amagezi.
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