Wakubye omutwe? Ka tuyige ku kuvaamu omusaayi munda mu kiwanga (Subdural Hematoma)

Bwe tukuba omutwe awalala, tutera okulowooza nti, "Oh, kikuba kitono kyokka era ekyo si kibi," nedda? Naye oluusi naddala bwe tukuba omutwe katono, tetulaba kwonooneka munda mu kiwanga kyaffe. Awo we wayinza okubaawo embeera ey’akabi ennyo, wadde eyinza okutta omuntu. Kino kiyitibwa Subdural Hematoma . Mu ngeri ennyangu, kino omusaayi bwe gukuŋŋaanyizibwa munda mu mutwe, okwetooloola obwongo. Ka twogere ku kino ddala, mu ngeri ennyangu.

Subdural Hematoma kye ki?

Subdural hematoma kwe kuvaamu omusaayi munda mu bwongo. Okusingira ddala, gwe musaayi ogukuŋŋaanyizibwa wakati wa layers z’obuwuka obukuuma obwongo bwaffe. Kino kitera okubaawo olw’obuvune ku mutwe.

Lowooza ku bwongo bwaffe ng’ejjinja ery’omuwendo. Waliwo ebibikka ebiringa emitto okwetooloola ejjinja eryo okulikuuma. Mu ngeri y’emu, waliwo layers enkulu ssatu ez’obuwuka obuyitibwa membranes okukuuma obwongo bwaffe. Bino tubiyita `(meninges)`.

• Dura mater: Eno ye layeri esinga ebweru, enywevu wansi w’ekiwanga.
• Arachnoid mater: Eno ye layeri eya wakati, enzibu ennyo eringa omukutu gw’enjuki.
• Pia mater: Eno ye layeri ey’omunda ennyo eyeekwata ku bwongo bwennyini.

Subdural hematoma ebaawo ng’okukuba ku mutwe kireetera omusuwa omutono wakati wa layers zino okukutuka. Omusaayi oguva mu kisuwa ekyakutuse olwo ne gukuŋŋaanyizibwa mu bbanga wakati wa dura mater ey'ebweru ne arachnoid mater ey'omunda . Okukuŋŋaanyizibwa kuno okw’omusaayi, okukola ekisenge ky’omusaayi, kuyitibwa subdural hematoma. Eno mbeera ya maanyi nnyo egwa mu kiti ky’obuvune ku bwongo obuyitibwa Traumatic Brain Injury (TBI).

Bika ki ebikulu eby’obulwadde bwa Subdural Hematoma?

Abasawo embeera eno bagigabanya okusinziira ku sipiidi obubonero bw’atandika, obungi bw’omusaayi bw’avaamu, n’obunene obwongo bwe bukosebwa. Okugabanya kuno kukulu nnyo mu kusalawo obujjanjabi.

Bubonero ki obulaga embeera eno?

Obubonero buyinza okulabika amangu ddala ng’omuntu afunye obuvune ku mutwe, oba buyinza okulabika ng’ekiseera kigenda kiyitawo. Kisinziira ku kika kye twayogeddeko waggulu.

Obubonero obutera okulabibwa

• Obulumi bw’omutwe obutasalako, obw’amaanyi: Buno buba bwa maanyi nnyo naddala mu kika kya `(Acute)`.
• Okuziyira n’okusiiyibwa: Okusesema awatali nsonga.
• Obuzibu mu kwogera (Dysarthria): Ebigambo biba bifuuse biwujjo era owulira nga biwuuma.
• Enkyukakyuka mu kulaba: Okulaba okuzibu, okulaba emirundi ebiri.
• Okuziyira: Okuwulira ng’omutwe guwuuta.
• Okukaluubirirwa okutambula n’okubulwa bbalansi: Okuwuguka ng’otambula.
• Obunafu ku ludda olumu olw’omubiri: Omukono oba ekigere kifuuka kizibu oba kinafu.

Obubonero naddala obulabibwa mu kika ekitawona

• Okubulwa okujjukira: Okwerabira ebibaddewo gye buvuddeko.
• Okutabulwa: Tosobola kumanya gy’oli oba essaawa bwe ziri.
• Enkyukakyuka mu nneeyisa: Obusungu obw’amangu n’okutabuka.

Ku balongo abatoKino bwe kibaawo, ekiwanga kyabwe kiyinza okugaziwa ng’omusaayi gukuŋŋaanyizibwa kubanga ekiwanga kyabwe kikyali kigonvu.

Obubonero obuyinza okubaawo ng’embeera eno ya maanyi

Omusaayi bwe gweyongera munda mu mutwe ne puleesa yeeyongera, obubonero buyinza okweyongera.

• Okusannyalala
• Okukonziba
• Okukaluubirirwa okussa
• Okufiirwa okutegeera
• Coma

Biki ebikulu ebivaako obulwadde bwa Subdural Hematoma?

Emirundi egisinga embeera eno eva ku buvune ku mutwe. Okugeza nga:

• Okuseerera n’okugwa mu kinaabiro n’okukukuba omutwe.
• Obuvune ku mutwe mu kabenje k’obugaali, mmotoka ya nnamuziga ssatu oba mmotoka.
• Okukuba omutwe ng’ozannya emizannyo ng’omupiira oba rugby.
• Obuvune ku mutwe olw’okukuba omuntu.

Ani ali mu bulabe obw’amaanyi?

Wadde omuntu yenna asobola okufuna embeera eno oluvannyuma lw’okugwa ku kabenje, abantu abamu baba mu bulabe bwa maanyi.

• Emyaka: Abantu abasukka mu myaka 65 n’abaana abato bali mu bulabe bwa maanyi. Bwe tukaddiwa, obwongo bwaffe mu butonde bukendeera katono. Kino kireeta ekituli ekitono wakati w’ekiwanga n’obwongo. Kino kiyinza okugolola emisuwa emigonvu egigenda mu bwongo. Ne bw’ogwa katono, emisuwa gino egyagoloddwa gisobola bulungi okukutuka ne givaamu omusaayi. Okuva ebinywa by’ensingo by’abaana abato bwe bitali bya maanyi, embeera eno eyinza okubaawo nga bakankanyizibwa nnyo (shaken baby syndrome) .
• Abantu abamira eddagala eriweweeza ku musaayi: Eddagala ng’eddagala eriziyiza okuzimba omusaayi, erikozesebwa okujjanjaba embeera ng’endwadde z’omutima n’okusannyalala, lifuga omusaayi okuzimba. Singa omuntu amira eddagala lino akuba ku mutwe, omusaayi guyinza okugenda mu maaso nga tegukomye.
• Embeera z’obujjanjabi ezimu: Abantu abalina endwadde ezikosa omusaayi okuzimba, gamba nga hemophilia, bali mu bulabe bwa maanyi.
• Okunywa omwenge ekisusse: Okunywa omwenge ekisusse okumala ebbanga eddene kiyinza okwonoona ekibumba. Ekibumba kikola obutoffaali obwetaagisa omusaayi okuzimba. Ekibumba bwe kyonoonese, obutoffaali obwo bulekera awo okukolebwa, ne kyongera obulabe bw’okuvaamu omusaayi.

Omusawo kino akizuula atya?

Bw’ogenda mu ddwaaliro ng’ofunye obuvune ku mutwe, omusawo ajja kusooka kukukebera bulungi. Ajja kukubuuza ebibuuzo nga:

• Bubonero ki bw’olaba?
• Wakukuba otya omutwe era ddi?
• Endwadde ki endala z’olina?
• Ddagala ki ly’okozesa?

Olwo singa wabaawo okuteebereza nti waliwo obulwadde bwa subdural hematoma, bajja kulagirwa okukeberebwa omutwe.

• CT scan (Computed Tomography scan): Kino kiyinza okukuba ekifaananyi amangu munda mu mutwe okukebera oba omusaayi guvaamu. Kino kisinga kukolebwa mu mbeera ey’amangu.
• MRI scan (Magnetic Resonance Imaging scan): Kino kiyinza okukuba ebifaananyi ebitegeerekeka obulungi era ebikwata ku nsonga eno. Kino kiyinza okuyamba okuzuula obunene bw’omusaayi n’emyaka gye gulina.

Kijjanjabwa kitya?

Mu mbeera ey’amangu, abasawo mu kitongole ky’eddwaaliro ekikola ku bujjanjabi obw’amangu (ETU) bajja kusooka kutebenkeza kussa kwo ne puleesa. Olwo, obujjanjabi bujja kusalibwawo okusinziira ku bungi bw’omusaayi gw’ovaamu n’obuzibu bw’obubonero bwo.

• Okulongoosa: Singa wabaawo ekizimba ekinene omusaayi ate ng’obubonero buba bwa maanyi, ebiseera ebisinga kyetaagisa okulongoosebwa. Kino kikolebwa omusawo alongoosa obusimu .
• Craniotomy: Kino kizingiramu okuggyamu akatundu akatono ku kiwanga okumala akaseera okusobola okuggyawo ddala omusaayi ogukuŋŋaanyiziddwa munda. Okulongoosa kuno kusinga kukolebwa ku bulwadde bwa acute hematomas.
• Ebituli by’obuziba: Kino kizingiramu okukola ekituli kimu oba ebisingawo ebitono ennyo mu kiwanga, n’oyisaamu ttanka ennyimpi, n’okufulumya omusaayi mpola. Enkola eno esinga kukozesebwa ku bulwadde bwa hematomas obutawona.

• Okwetegereza nga tolongooseddwa: Oluusi, omusaayi bwe guba mutono nnyo ate nga tewali bubonero, tekikwetaagisa kulongoosebwa. Omusawo ajja kukukuuma mu ddwaaliro okukwetegereza. Bajja kukuwa eddagala era bakole sikaani enfunda eziwera okulaba oba omusaayi gusaanuuka.

Kinatwala bbanga ki okuwona?

Ebiseera by’okuwona embeera eno byawukana okusinziira ku muntu. Abantu abamu bawona ddala mu wiiki ntono. Naye abantu abamu naddala abo abalina obuzibu obw’amaanyi obwongo, bayinza obutawona ddala.

Bw’osigala ng’olina obuzibu mu kujjukira oba obunafu oluvannyuma lw’okulongoosebwa, oyinza okwetaaga okuddaabirizibwa.

• Abajjanjabi b’omubiri: Yamba mu bintu ng’okutambula n’okukuuma bbalansi.
• Abajjanjabi b‟emirimu: Ddamu okutendeka abantu okukola emirimu gya buli lunaku nga beetongodde (nga okwambala, okulya).
• Abakugu mu by’endwadde z’okwogera n’olulimi: Bajjanjaba ebizibu by’okwogera oba okumira.

Waliwo ebizibu byonna ebiva mu mbeera eno?

Singa omusaayi tegujjanjabwa, omusaayi omunene guyinza okuvaako okugwa mu kkoma n’okufa. Okugatta ku ekyo, ebizibu nga bino bisobola okubaawo.

• Okusannyalala kw’obwongo: Eno mbeera nga puleesa mu bwongo yeeyongera nnyo ne kiba nti ebitundu by’obwongo bibuuka ne biva mu mbeera yaabyo eya bulijjo. Kino kya bulabe nnyo.
• Okuddamu okuvaamu omusaayi: Waliwo akabi k’okuddamu okuvaamu omusaayi oluvannyuma lw’okulongoosebwa naddala mu bakadde.
• Okukonziba: Abantu abamu bayinza okukonziba ne bwe baba bamaze okujjanjabwa n’okuwona.