Omanyi ku musuwa guno omukulu munda mu lubuto lwaffe? (Omusuwa ogw’oku ntikko ogw’omu lubuto) .

Wali weebuuzizzaako engeri, oluvannyuma lw’okunyiga amaanyi agava mu mmere gye tulya, omusaayi ogwo ogulimu ebiriisa gye gulongoosebwamu nga tegunnasaasaanyizibwa mu mubiri gwonna? Leero tugenda kwogera ku musuwa omukulu ennyo ogukwekeddwa munda mu lubuto lwaffe oguyamba ku mulimu guno. Ye Superior Mesenteric Vein, era emanyiddwa nga SMV mu bufunze. Kino kitundu kikulu nnyo mu nkola ennungi ey’enkola yaffe ey’okugaaya emmere.

Mu ngeri ennyangu, omulimu gwa Superior Mesenteric Vein gukola gutya?

Kuba akafaananyi ng’enkola y’emisuwa gy’omusaayi munda mu lubuto lwo eringa omuti. SMV eno eringa ettabi eddene ku muti ogwo. Ettabi lino eddene lifuna omusaayi okuva mu kibinja ky’amatabi amatono (kwe kugamba, emisuwa emitono).

Omulimu omukulu ogw’omusuwa guno kwe kukungaanya omusaayi ogulimu ebiriisa naye nga teguliimu mukka gwa oxygen okuva mu bitundu by’omubiri mu nkola yaffe ey’okugaaya emmere ne gugutwala mu kibumba.

Enkola eno ebaawo okuyita mu nkola ey’enjawulo mu mubiri gwaffe. Tugiyita enkola y’omulyango gw’ekibumba. Omu ku misuwa emikulu mu nkola eno ye SMV. Kino kitegeeza nti ebiriisa ebiyingizibwa mu byenda byaffe bitambuzibwa mu kibumba okulongoosebwa nga tebinnasaasaanyizibwa mu mubiri gwonna.

SMV ekuŋŋaanya omusaayi okusinga okuva mu bitundu bino:

• Ekyenda ekitono
• Ekyenda ekinene
• Olubuto
• Olubuto oluyitibwa pancreas
• Ekyongerezeddwako

SMV ekuŋŋaanya omusaayi okuva mu bifo bino byonna n’agugabira omusuwa omunene ennyo oguyitibwa portal vein. Singa tutwala ekyokulabirako ky’omuti gwe twayogeddeko emabegako, singa SMV eba ttabi ddene, omusuwa gw’omulyango guba ng’ekikolo ky’omuti ogwo. Omugongo guno guyungibwa butereevu ku kibumba kyaffe.

Omusaayi guno bwe gumala okutuuka mu kibumba, ekibumba kikisengejja, ne kikirongoosa, ne kikiteekateeka okutuukiriza ebyetaago by’omubiri. Olwo, omusaayi ne gusindikibwa ku mutima. Okuva ku mutima, omusaayi gugenda mu mawuggwe okulonda omukka gwa oxygen, oluvannyuma ne gudda ku mutima okusaasaanyizibwa mu mubiri gwonna. Otegedde enkola eno gy’eri enkulu?

Migga ki egireeta omusaayi mu SMV?

Twagamba nti SMV efuna omusaayi okuva mu misuwa emitonotono. Ka tulabe mu ngeri ennyangu emisuwa egyo n’ebitundu bye bakung’aanya omusaayi.

SMV eno esangibwa wa mu lubuto?

Omusuwa guno ogwa SMV gusangibwa munda mu lubuto lwaffe. Mu ngeri ennyangu, kiri munda mu kifo ekinene mu lubuto lwaffe ekiri wansi w’ekifuba ne waggulu w’ekisambi, ebitundu ebikulu we bibeera.

Kitandikira okumpi n’olubavu lwaffe. Okuva awo, omusuwa guno gutambula waggulu ne gwegatta n’omusuwa gw’omugongo okumpi n’omugongo ogusooka ogw’omugongo (L1) ogw’omugongo gwaffe okukola omusuwa gw’omulyango ogwogeddwako waggulu.

Engeri omusuwa guno gye gutambulamu ya njawulo nnyo!

Mu budde obwabulijjo, omusuwa n’omusuwa mu mubiri gwaffe bidduka ku mabbali, ng’emmotoka ezigenda mu njuyi zombi ku luguudo. SMV etambulira ku ludda olwa ddyo olw’omusuwa gwayo ogukwatagana, omusuwa ogw’okungulu ogw’omu lubuto. Nga omusuwa gutwala omusaayi ogulimu omukka gwa oxygen mu byenda, omusuwa gutwala omusaayi omungi ebiriisa okuva mu byenda ne gwolekera ekibumba.

Wabula oluusi, olw’embeera ebaawo ng’omwana azaalibwa (malrotation) oba ekintu ekiringa ekizimba mu lubuto, nga kinyigiriza ebitundu ebikyetoolodde, omusuwa guno nagwo gusobola okuyita ku ludda olwa kkono olw’omusuwa.

Embeera ki ez’obujjanjabi ezikosa SMV?

Okufaananako n’ekitundu ekirala kyonna, waliwo embeera eziyinza okukosa omusuwa gwa SMV. Kikulu okumanya bino, kubanga embeera ezimu ziyinza okuba ez’amaanyi era nga zeetaaga obujjanjabi obw’amangu.

Waliwo embeera bbiri enkulu ezikosa:

1. Obulwadde bw’okuzimba omusaayi mu SMV

Kino we wabaawo ekizimba ky’omusaayi munda mu musuwa gwa SMV. Eno eyinza okuba embeera ey’amaanyi ennyo.

• Akabonero akakulu: Obulumi obw’amangu, obw’amaanyi mu lubuto bwe businga okulabika.
• Engeri endala: Kyokka eri abantu abamu, obulumi buno buyinza okujja ne bugenda okumala ennaku oba wiiki. Oluusi, embeera eno eyinza okubaawo nga tewali bubonero bwonna.

Okufuna obujjanjabi bw’embeera eno amangu ddala nga bwe kisoboka kiyinza okutaasa obulamu. N’olwekyo, bw’ofuna obulumi obw’amaanyi mu lubuto, olina okugenda mu ddwaaliro mu kitongole ky’abalwadde ab’amangu (ETU) mu bwangu.

2. Puleesa y’omulyango (portal hypertension).

Kino kitegeeza nti puleesa mu nkola ya portal venous system gye twayogeddeko emabegako yeeyongera.

• Ebivaako: Obulwadde bwa Cirrhosis mu kibumba n’okuzimba omusaayi bye bisinga okuvaako.
• Obuzibu: Kino kiyinza okuvaako ebizibu ebiyinza okutta omuntu, gamba ng’okuvaamu omusaayi munda.

Obujjanjabi buzingiramu okufuga ebizibu era mu mbeera ezimu, okukyusa omusaayi okukka wansi. Bino byonna omusawo abisalawo.

Okuyiga ku bintu ebizibu bwe bityo ebikwata ku mubiri kiyinza okuwulira nga kikuzitoowerera katono. Ekyo si kibi. Omusawo bw’akugamba nti olina embeera y’obujjanjabi eyeekuusa ku kino, totya. Buuza omusawo wo enfunda n’enfunda ku kintu kyonna ky’ototegedde. Buli kimu ajja kukunnyonnyola mu bigambo ebyangu. Gy’okoma okumanya ebikwata ku mibiri gyaffe, gye kikoma okutukwanguyira okusalawo obulungi ku bulamu bwaffe.