Ebitundu by’omubiri by’omwana wo bikankana nga tayagala? Kyandiba nga ye Sydenham Chorea?

Omwana wo omuto atandise mangu okutambuza ebitundu by’omubiri n’omubiri gwe mu ngeri ezeewuunyisa? Oluusi asikaasikanya ng’ayogera? Oba omulaba ng’amwenya mu bwangu n’okukola ffeesi? Ng’omuzadde, kyabulijjo okuwulira ng’otya nnyo ng’olaba ebintu bino. Naye wayinza okubaawo ensonga lwaki bino byonna bibaawo. Leero tugenda kwogera ku mbeera emu ng’ezo. Eyo mbeera eyitibwa `Sydenham Chorea`.

`Sydenham Chorea` kye ki?

Mu ngeri ennyangu, `Sydenham Chorea` buzibu bw’okutambula kw’obusimu obubeera mu baana. Mu ngeri ey’enjawulo kiva ku bulwadde bwa bakitiriya obuyitibwa `(Group A beta-hemolytic Streptococcus)`. Yee, yee, wateebereza bulungi, eno ye bacteria y’emu ereeta strep throat ne rheumatic fever.

Kati oyinza okuba ng'olowooza nti, "Kino kiyinza kitya okubaawo ng'olina obulwadde bw'emimiro?" Bino ebibaawo... Abaserikale b'omubiri gwaffe baliwo okutukuuma endwadde. Wabula obuwuka buno obwa `(Streptococcus)` bwe buyingira mu mubiri, abaana abamu abaziyiza endwadde batabulwa katono. Ekyo kitegeeza nti mu kifo ky’okulumba obuwuka bwokka, mu nsobi butandika okulumba n’ebitundu by’obwongo ebimu ebiramu. Kino kituufu naddala ku bitundu by’obwongo ebifuga entambula.

Ekigambo ky'Oluyonaani "Chorea" kitegeeza "amazina." Kale erinnya lino liva ku kuwuuma n’okusikasika kw’ebitundu by’omubiri ebitali bya kyeyagalire, eby’amangu, era ebitali bituufu abaana bano bye bayitamu, ebirabika ng’ebizina. Mu mbeera ezimu ez’amaanyi, entambula zino ziyinza n’okutaataaganya emirimu gy’omwana egya bulijjo.

Embeera eno etera okubaawo mu baana oluvannyuma lw'okufuna oba ``strep throat'' oba ``rheumatic fever.'' Eno y'engeri esinga okutawaanya chorea mu baana ereetebwa ebweru.

Embeera eno ya bulijjo etya?

Mu butuufu, mu nsi ezaakulaakulana nga North America ne Bulaaya, kati obulwadde bwa Sydenham Chorea butono nnyo. Ensonga lwaki kino kibaawo eri nti eddagala eritta obuwuka liweebwa mangu ku bulwadde bw’emimiro mu mawanga ago. Wabula mu nsi ezikyakula nga ezaffe, embeera eno ekyalabika kubanga oluusi enkola z’obujjanjabi ziba za njawulo era si buli muntu nti afuna obujjanjabi obw’amangu.

Ani asinga okukulaakulanya kino?

Businga kulabibwa mu baana abali wakati w’emyaka 5 ne 15. Era busingako katono mu bawala okusinga abalenzi. Butera nnyo mu baana abali wansi w’emyaka 5 oba mu bantu abakulu.

Bizibu ki ebirala bino bye biyinza okuleeta?

Abaana abalina obulwadde bwa Sydenham Chorea bali mu bulabe bw’okulwala embeera eyitibwa PANDAS (Pediatric Autoimmune Neuropsychiatric Disorders Associated with Streptococcal Infections). PANDAS bulwadde bwa autoimmune neuropsychiatric disorder obukwatagana n’obulwadde bwa streptococcal. Wabula wakyaliwo obutakkaanya mu basawo oba ddala obulwadde bwa strep buleeta PANDAS. Abaana abalina PANDAS bayinza okufuna obubonero nga:

• Enkyukakyuka mu nneeyisa n‟obutafaayo.
• Ebifaananyi ebisikiriza (obsessive-compulsive features).
• Entambula oba amaloboozi ag’amangu, agatali ga butonde (tics).

Si ekyo kyokka, naye engeri abaserikale baffe gye baddamu obulwadde buno obwa streptococcus era esobola okukosa ebitundu ebirala, gamba ng’olususu, ennyondo n’omutima. Okugeza nga:

• Obulwadde bw’endwadde z’enkizi
• Okuzimba mu kitundu eky’omunda eky’omutima (endocarditis) .
• Obulwadde bwa valve y’omutima

Ekikulu: Eno y’ensonga lwaki omwana alina obulwadde bwa Sydenham Chorea aweebwa amagezi okwekebejjebwa omusawo w’omutima.

Kiki ekituufu ekivaako `Sydenham Chorea`?

Nga bwe twagambye edda, ekisinga okuvaako kino kwe kuddamu okutali kwa bulijjo kw’abaserikale b’omubiri eri obulwadde bwa bakitiriya obulina `(Group A beta-hemolytic Streptococcus)`. Mu ngeri ennyangu, abajaasi baffe ab’ebyokwerinda (obutoffaali obuziyiza endwadde) balumba ebitundu by’obwongo bwaffe mu nsobi. Naddala ekitundu ky’obwongo ekifuga entambula. Mu musaayi gw'abantu abalina `Sydenham Chorea`, `(antibodies)` (antibodies) ez'enjawulo zizuuliddwa mu musaayi gw'abantu abalina `Sydenham Chorea`.

Bubonero ki obwa `Sydenham Chorea`?

Obubonero buno busobola okulabika wonna ku mubiri gw’omwana. Oluusi zirabika mangu era ziyinza okweyongera okwonooneka ng’omwana akooye.

Engeri z’omubiri:

• Ebitundu by’omubiri n’omubiri biwuubaala era biwuubaala awatali kigendererwa, mu bwangu, era mu ngeri ey’ekifuulannenge. Kino bw’okiraba, kirabika omwana tateredde nnyo era mujoozi.
• Obutasobola ku mulimu, ebintu okugwa okuva mu ngalo.
• Okukaluubirirwa okukwata ekintu mu ngalo.
• Okusiiga emikono gyo wamu.
• Obutawummula.
• Enkyukakyuka ez’amangu mu ngeri gye yeeyisaamu mu maaso (nga okukuba ennyindo katono).
• Okwesittala n’okugwa ng’otambula.

Ebizibu mu kwogera:

• Okuwuuma kw’okwogera, okusiwuuka empisa.
• Okubwatuka kw’ebigambo okw’amangu, okuleekaana n’ebirala.

Engeri z’ebirowoozo n’enneewulira:

• Okweraliikirira, okutya.
• Okukaluubirirwa okussa ebirowoozo ku kintu.

Teebereza omwana ayitibwa Amila bw’akomawo okuva ku ssomero, nnyina akiraba ng’ennyiriri ze zitabuddwatabuddwa okusinga bulijjo, era ng’awandiika emikono gye gikankana. Ne mu kibiina, tatuula butuuzi ng’omusomesa agamba nti agenda, azina buzina. Bw’akomawo awaka, tasobola na kuteeka bulungi muceere mu kamwa n’akajiiko ne guyiwa. Bw’olaba ekintu nga kino, mazima ddala wandibadde onoonya amagezi g’abasawo.

Obubonero butandika ddi?

Eno nsonga ya njawulo katono. Obubonero tebulabika mangu oluvannyuma lw’okukwatibwa obulwadde bw’emimiro (strep throat) oba omusujja gw’enkizi. Abaana abamu bayinza obutatandika kufuna bubonero buno obwa `Sydenham Chorea` okutuusa nga bawezezza emyezi nga 6 .

Kino okizuula otya?

Omusawo ajja kubuuza omwana wo ku bubonero bwe era amubuuze oba emabegako abadde alina obulwadde bwa Group A beta-hemolytic Streptococcus. Kino kitegeeza nti bajja kubuuza oba babadde balumizibwa emimiro gye buvuddeko, okukwatibwa obulwadde bw’olususu oba okulumwa ennyondo.

Olwo, okukebera omusaayi kuyinza okukolebwa okukebera oba waliwo obutoffaali obuziyiza obuwuka obuleeta obulwadde bwa strep. Kino kiyinza okuyamba ennyo mu kuzuula obulwadde. Singa omwana wo akakasiddwa nti alina Sydenham Chorea, okukeberebwa omutima (ebiseera ebisinga echocardiogram) nakyo kiyinza okukolebwa okukebera oba obusuwa bw’omutima gwonoonese oba embeera nga endocarditis.

Sydenham Chorea ajjanjabwa atya?

Obujjanjabi obusinga obulungi eri omwana wo bujja kusinziira ku bubonero bwe buli obw’amaanyi. Oluusi, singa obubonero buba butono nnyo, tewayinza kwetaagisa bujjanjabi bwa njawulo. Wabula omusawo agenda kwongera okulondoola omwana.

Obujjanjabi bw'obulwadde bwa `Sydenham Chorea` obw'ekigero n'obw'amaanyi:

Abaana abalina obubonero obw’ekigero oba obw’amaanyi bayinza okuganyulwa mu ddagala.

• Eddagala ery’ekika kya steroid: Lino liyamba okuggya obuwuka obuziyiza endwadde obukoleddwa mu bukyamu mu mubiri.
• Eddagala eddala: Oluusi kiyinza okwetaagisa okukozesa eddagala eddala. Wadde eddagala lino lisinga kukozesebwa ku mbeera ndala, era liyinza okukozesebwa mu ngeri etali ya bulabe ku Sydenham Chorea. Mulimu:
• Eddagala eriweweeza ku kuzimba: Eby’okulabirako mulimu eddagala nga valproic acid ne carbamazepine. Bino biyamba okutebenkeza obusimu obutambula.
• Eddagala eriweweeza ku bwongo: Okugeza, haloperidol. Bino bisobola okufuga ebiwujjo, gamba ng’okusika omuguwa n’okukuba enduulu ey’amangu.
• Ebikendeeza dopamine: Ekyokulabirako ku kino lye ddagala eriyitibwa Tetrabenazine. Kino kifuga entambula ezitali za kyeyagalire.

Jjukira nti eddagala lino lyonna lifunibwa ku ddagala lyokka. Tokozesangako ddagala lino nga tolina magezi ga musawo.

Embeera eno esobola okuziyizibwa?

Yee, okutuuka ku ddaala eritali limu. Obujjanjabi mu budde era obutuufu (eddagala eritta obuwuka) eri ``Strep throat`` (obulwadde bw'emimiro) ne ``rheumatic fever`` (rheumatic fever) busobola okukendeeza ku bulabe bw'okulwala ``Sydenham Chorea``.

Era era, .Omwana wo bw’aba alina obulwadde bwa Sydenham Chorea, abasawo bayinza okukuwa amagezi okugenda mu maaso n’eddagala eritta obuwuka okutuusa ng’omwana akuze (oboolyawo okutuuka ku myaka 21 oba n’okusingawo) okuziyiza obulwadde bwa strep okuddamu n’okukendeeza ku bulabe bw’okulwala omutima. Ekigendererwa eky’ekiseera ekiwanvu kwe kutangira okwonooneka okw’olubeerera kw’obusuwa bw’omutima obuyinza okuva mu bulwadde bw’omutima.

Ebiseera by'omu maaso by'abaana abalina `Sydenham Chorea` bye biruwa? (Okuteebereza)

Oyinza okusanyuka okuwulira bino. Abaana abasinga bawona ddala mu myezi 3 ku 6. Wabula omuwendo omutono ennyo guyinza okuba n’obubonero okumala emyaka 2.

Ekirala oluusi obubonero buno busobola okuddamu nga bakuze naddala ng’abakyala bamira empeke eziziyiza okuzaala ezirimu obusimu obuyitibwa `(estrogen)` oba nga bafunye embuto. N’olwekyo, bw’oba ​​wali ofunye `Sydenham Chorea` emabegako, kikulu nnyo okutegeeza omusawo wo ku nsonga eno.

Obulamu obwa bulijjo buli butya n’embeera eno?

Abaana abalina obubonero obw’ekigero oba obw’amaanyi bayinza okukaluubirirwa okukola emirimu egya bulijjo. Teebereza engeri entambula zino ezitali za kyeyagalire gye zitaataaganya emirimu gy’essomero, okuzannya, n’okusanyuka n’emikwano. Ekimu ku bisomooza okubeera ne Sydenham Chorea kwe kuba nti obubonero buyinza okujja mu bwangu era busobola okukendeera olunaku lwonna. Kino kiyinza okukaluubiriza okwenyigira mu mirimu egya bulijjo egy’obuto.

Sydenham Chorea bulwadde bwa busimu obufunibwa obubaawo oluvannyuma lw’okukwatibwa obulwadde bwa Group A beta-hemolytic Streptococcus. Businga kubeera mu nsi ezikyakula, abaana gye batafuna bujjanjabi bumala ku ddagala eritta obuwuka ku bulwadde bwa strep. Ne bwe bamala okujjanjabibwa obulungi, abaana abatonotono bayinza okufuna endwadde z’omutima n’ebizibu ebirala nga bakuze. Kyokka abaana abasinga batereera ddala era tebafuna buzibu bwonna.

Jjukira nga mu bufunze (Obubaka Obutwala Awaka)

• Sydenham Chorea buzibu mu ntambula obuva ku kuddamu okutali kwa bulijjo kw’abaserikale b’omubiri gwaffe eri obuwuka (streptococcus) obuleeta yinfekisoni z’emimiro n’omusujja gw’enkizi.
• Kino kisinga kulabibwa mu baana abali wakati w’emyaka 5-15 naddala abawala.
• Obubonero ng’okutambula kw’ebitundu by’omubiri mu ngeri etali ya kyeyagalire, okwogera obubi, n’enkyukakyuka mu nneeyisa biyinza okulabibwa.
• Okujjanjaba obulwadde bw’emimiro mu bwangu era mu ngeri entuufu kiyinza okuyamba okuziyiza kino.
• Abaana abasinga bawona ddala, naye abamu bayinza okufuna ebizibu ng’endwadde z’omutima, n’olwekyo okulondoola abasawo okumala ebbanga eddene kikulu.
• Omwana wo bw’aba alina obubonero buno, totya era olabe omusawo alina ebisaanyizo mu bwangu. Omwana wo okuzuula amangu n’okumujjanjaba kiyinza okuyamba okuwona amangu.

Bw’oba ​​olina ekibuuzo ekirala kyonna ku nsonga eno, kakasa nti oyogera n’omusawo w’amaka go oba omusawo w’abaana. Bajja kusobola okukunnyonnyola ebirala n’okukuyamba.

`Sydenham’s chorea, strep throat, omusujja gw’enkizi, obuzibu mu busimu, obuzibu mu ntambula, abaana, eddagala eritta obuwuka