Oluusi oyinza okuba nga wakiwulira, nedda? Engalo n’ebigere bimala kuziyira, akamwa ne kawulira nga kawunya oba ebinywa byo ne binywezebwa ng’omusuwa gukutuse. Ebiseera ebisinga, bino tubirowoozaako ng’ebintu ebya bulijjo, naye oluusi kino kiyinza okuba akabonero k’embeera eyeetaaga okufaayo. Ekyo kye twogerako leero, ekiyitibwa ‘Tetany.’ Buno si bulwadde, wabula kabonero. Okugamba obulungi, obusimu bw’omubiri gwaffe buyitiridde okusikirizibwa, ekivaako ebinywa okukonziba mu ngeri ey’otoma.
Kale obubonero bwa Tetany bwe buliwa?
Tetany esobola okweyoleka mu ngeri nnyingi ez’enjawulo. Obubonero obumu buba butono nnyo, ate obulala buyinza okuba obw’amaanyi ennyo. Ka tuzimenye mu biti byabwe eby’enjawulo.
| Ekika ky’engeri | Ebintu ebitera okulabibwa |
|---|---|
| Obubonero obutono |
|
| Obubonero obw’amaanyi |
|
Ekisinga obukulu kwe kulaba omusawo mu bwangu bw’oba olina obubonero obutonotono. Kyokka bw’oba n’obubonero obw’amaanyi, gamba ng’okukaluubirirwa okussa oba okulumwa ennyo ebinywa, kiba kya mangu. Olina okugenda mu ddwaaliro mu kitongole ky’abalwadde ab’amangu (ETU) mu bwangu.
Tetany tetera kuba ya bulabe eri obulamu, naye mu mbeera ez’amaanyi eyinza okuba. Okusannyalala kw’ebinywa okw’amaanyi kuyinza okuvaako okumenya kw’ebitundu by’ebinywa, ne kituuka n’okuleetawo embeera ey’akabi eyitibwa `Rhabdomyolysis`.
Obulwadde bwa tetany buba bwa kukonziba?
Nedda, bino ebibiri bibiri. Naye kyangu okutabulwa. Tetany ey’amaanyi esobola okuvaako okukonziba.
Mu ngeri ennyangu, okukonziba kwe kukola amasannyalaze mu bwongo okumala akaseera katono, nga tefugibwa. Wabula ekirungo kya tetany tekiva ku buzibu mu bwongo, wabula okusikirizibwa okuyitiridde kw’obusimu n’ebinywa olw’obutakwatagana bw’amasannyalaze mu mubiri gwaffe.
Lwaki tetany ebaawo? Biki ebikulu ebivaako?
Ekisinga okuvaako obulwadde bwa tetany bwe butakwatagana bw’amasannyalaze mu mubiri. Ebiwujjo by’amasannyalaze bye biruwa? Bino bintu ebitambuza ekisannyalazo nga bisaanuuse mu mubiri gwaffe. Teebereza nti ebitundu 60% eby’omubiri gwaffe mazzi. Kale, kumpi buli katoffaali na buli mazzi birimu obusannyalazo. Obusannyalazo buno bwetaagisa nnyo mu bintu bingi mu mubiri gwaffe, gamba ng’enkola y’eddagala, okutambuza obusimu, n’okukonziba kw’ebinywa.
Ebirungo bino eby’amasannyalaze bwe bifuuka ebitali bya bbalansi, obubonero bw’obulwadde bwa tetany busobola okulabika. Ka tulabe ebikulu ebivaako obulwadde buno.
- Calcium omutono mu musaayi (Hypocalcemia): Kino kye kisinga okuvaako obulwadde bwa tetany. Calcium mu musaayi gwaffe y’ayamba obusimu okukola obulungi, okukonziba kw’ebinywa, okuzimba omusaayi, n’omutima okukola obulungi. Omuwendo gwa calcium guyinza okuba omutono olw’ensonga ezitali zimu, gamba ng’obusimu obutono obuyitibwa parathyroid hormone (Hypoparathyroidism) oba obutaba na vitamiini D.
- Magnesium omutono mu musaayi (Hypomagnesemia): Magnesium kirungo kya masanyalaze ekyetaagisa okukola emirimu mingi mu mubiri gwaffe. Obutabeera na magnesium kiyinza okuva ku ndwadde ezitawona, okunywa omwenge ennyo, endwadde z’enkola y’okugaaya emmere, n’endwadde z’ekibumba.
- Potassium omutono mu musaayi (Hypokalemia): Potassium yeetaagibwa nnyo okusobola okukola obulungi obusimu n’obutoffaali bw’ebinywa naddala ebinywa by’omutima. Eddagala erimu erifulumya amazzi, okusesema oba ekiddukano obutasalako, n’endwadde z’ekibumba ezitawona bisobola okuvaako potassium okubeera omutono.
- Metabolic Alkalosis: Enzikiriziganya ya acid-base (pH) mu musaayi gwaffe kikulu nnyo. Ne bwe tuva ku kino katono kiyinza okutulwaza. Mu mbeera eno, obungi bwa bicarbonate (base) mu mubiri gweyongera.
- Okussa amangu (Obulwadde bwa Respiratory Alkalosis): .Teebereza, bw’owulira amangu ago ng’otya nnyo oba ng’olina okweraliikirira, otandika okussa amangu, nedda? Mu biseera ng’ebyo, tufulumya omukka gwa kaboni dayokisayidi mungi okusinga bwe kyetaagisa. Olwo omukka gwa kaboni dayokisayidi mu musaayi gukendeera, omusaayi ne gufuuka alkaline. Kino nakyo kiyinza okuvaako obubonero bw’obulwadde bwa tetany.
Embeera eno ejjanjabibwa etya?
Waliwo ebigendererwa bibiri mu kujjanjaba obulwadde bwa tetany.
1. Ekigendererwa eky’ekiseera ekitono: Okutereeza obutakwatagana bwa masanyalaze mu bwangu.
2. Ekigendererwa eky’ekiseera ekiwanvu: Okuzuula n’okujjanjaba obulwadde obusibukamu obwaleeta embeera eno.
Bw’oba olina obubonero bw’obulwadde bwa tetany obuva ku bbula lya kalisiyamu mu ngeri etali ya maanyi (hypocalcemia), omusawo ajja kutera okukuwa amagezi bino wammanga:
- Ebirungo ebiyamba ku calcium
- Ebirungo ebiyamba ku vitamiini D
- Empeke za magnesium
Naye jjukira nti si kirungi okutwala ebintu bino nga bw’oyagala . Mazima ddala olina okugenda ew’omusawo, n’okola ebigezo ebyetaagisa, era bino obikozese ku kuteesa kwe kwokka.
Obulwadde bwa tetany obw’amaanyi mbeera ya mangu ey’obujjanjabi eyeetaaga okuweebwa ekitanda mu ddwaaliro mu bwangu. Kiyinza okwetaagisa obujjanjabi nga calcium mu misuwa (IV). Embeera ey’amangu bw’eneemala okuggwa, abasawo bajja kutandika okujjanjaba embeera eyali evuddeko.
Tetany esobola okuziyizibwa?
Tetany eyinza obutaziyizibwa ddala singa embeera y’obujjanjabi eba evuddeko obutakwatagana na masanyalaze. Kyokka, nga bwe kiri ku bulwadde bwonna, okuzuula amangu n’okubujjanjaba kye kikulu.
Bw’oyogera n’omusawo amangu ddala ng’olaba obubonero obutonotono ng’okuwunya okwetooloola akamwa n’emisuwa okuzimba, osobola okufuga embeera eno nga tennafuuka ya maanyi.
Ekisinga obukulu nti obubonero buno bwe buba nga bwabaawo dda, kizibu okutereeza obutakwatagana buno obw’amasannyalaze ng’omala kulya n’okunywa awaka. N’olwekyo, kyetaagisa nnyo okunoonya amagezi eri abasawo.
Obubaka Obutwala Awaka
- Tetany si bulwadde, wabula kabonero akava ku butakwatagana bwa electrolytes (naddala calcium) mu mubiri.
- Okuzirika okwetooloola akamwa n’ebitundu by’omubiri, n’okunyiga ebinywa bubonero obutonotono obutera okulabika. Bino bwe bibaawo, funa amagezi mu bwangu omusawo.
- Obubonero obw’amaanyi ng’okukaluubirirwa okussa, okulumwa ennyo ebinywa, n’okukonziba, mbeera ya mangu ey’obujjanjabi eyeetaaga okujjanjabibwa mu bwangu. Genda mu kitongole ky’eddwaaliro eky’amangu (ETU) amangu ddala nga bwe kisoboka.
- Togezaako kwejjanjaba, bulijjo weebuuze ku musawo okuzuula ekikolo ky’obulwadde n’okufuna obujjanjabi obutuufu.

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