By'olina okumanya ku Thrombolytic Therapy!

Teebereza nti emisuwa gy’omubiri gwaffe eringa omukutu gw’enguudo mu kibuga ekirimu abantu abangi. Omusaayi gutambula mu makubo gano obutasalako okuliisa ebitundu byaffe byonna, gamba ng’omutima gwaffe, obwongo, n’amawuggwe. Kale, kiki ekibaawo singa oluguudo luno olukulu, kwe kugamba, omusuwa, guzibikira mangu omusaayi omunene? Okufaananako n’akabenje akanene ku luguudo n’akalippagano k’ebidduka, omusaayi ogugenda mu bitundu byaffe guyinza okuyimirira, ekivaamu embeera ey’akabi ennyo ng’okulwala omutima oba okusannyalala. Leero, twogera ku bujjanjabi obukulu ennyo abasawo bwe bakozesa okusaanuusa ekizimba ky’omusaayi ekiyinza okutta omuntu n’okuzzaawo entambula y’omusaayi.

Mu ngeri ennyangu, Thrombolytic Therapy kye ki?

Kino kitegeeza ‘obujjanjabi obusaanuusa omusaayi okuzimba’ mu lulimi Olusinhala. Mu ngeri ennyangu, kino kizingiramu okuwa omubiri eddagala ery’amaanyi ennyo (thrombolytics) okusaanuusa ebizimba by’omusaayi eby’obulabe ebisibye munda mu misuwa. Ekizimba bwe kimala okusaanuuka, omusuwa oguzibiddwa guddamu okugguka omusaayi ne guddamu okugenda mu kitundu ekikoseddwa. Buno bujjanjabi butaasa bulamu obukozesebwa mu mbeera ez’amangu ennyo . Obujjanjabi buno gye bukoma okutandikibwa amangu, gye bukoma okutuuka ku buwanguzi.

Ani yeetaaga obujjanjabi buno era mu mbeera ki?

Abasawo batera okulowooza ku bujjanjabi buno mu mbeera ez’amaanyi, ez’amangu nga zino wammanga.

• Myocardial Infarction: Omusaayi bwe guzibikira omusuwa gw’omutima ogugaba omusaayi mu mutima naddala nga tewali kuteekebwako stent oba okulongoosebwa mu bwangu.
• Ischemic Stroke: Stroke eva ku kuzimba omusaayi okuziba omusuwa ogugaba omusaayi mu bwongo.
• Pulmonary Embolism: Omusaayi oguzimba awalala mu mubiri (ebiseera ebisinga mu magulu) bwe gukutuka ne gusibira mu musuwa mu mawuggwe.
• Deep Vein Thrombosis (DVT): Okuzimba omusaayi omunene naddala mu misuwa emiwanvu egy’amagulu, kireeta ebizibu ng’amagulu okufuuka bbululu, obulumi obw’amaanyi, era tebiddamu ddagala lya bulijjo erigonza omusaayi (anticoagulants).
• Acute Peripheral Arterial Occlusion: Omusaayi oguzimba guziba omusuwa omunene mu mukono oba ekigere .

Waliwo abantu abatalina kufuna bujjanjabi buno?

Yee, ddala. Olw’okuba akabi akasinga okuli mu bujjanjabi buno kwe kuvaamu omusaayi, abalwadde abamu tebuweebwa. Kubanga gye bali, obulabe obuva mu bujjanjabi buno buyinza okusinga omugaso.

Okugatta ku ekyo, abasawo kino bakirowoozaako emirundi ebiri kubanga bamaama abali embuto n’abakadde bali mu bulabe bwa maanyi okufuna ebizibu.

Obujjanjabi buno bukolebwa butya?

Waliwo enkola bbiri enkulu ez’obujjanjabi, okusinziira ku mbeera yo n’obwangu bw’olina.

1. Okusengejja omusaayi mu nkola (systemic Thrombolysis).

Eno y’enkola esinga okukozesebwa mu mbeera ez’amangu (okulwala omutima, okusannyalala).

• Kino kizingiramu okussa eddagala erisaanuusa omusaayi okuzimba butereevu mu musaayi ng’oyita mu kanyula ya IV eteekebwa mu musuwa mu mukono.
• Eddagala lino litambula n’omusaayi, ne ligenda mu kifo omusaayi we gukutte, ne litandika okugusaanuusa.
• Enkola eno etera okukolebwa mu kifo awajjanjabirwa abalwadde abayi (ICU) . Enkola yonna eyinza okutwala essaawa nga emu.

2. Obulwadde bwa Thrombolysis obulung’amibwa catheter

Enkola eno etera okukozesebwa ku bujjanjabi obutegekeddwa nga DVT oba PAD.

• Mu nkola eno, ekituli ekitono kikolebwa nga kiyita mu lususu lw’omugongo, ensingo oba omukono, era ne kiyisibwamu ttanka ennyimpi ennyo era empanvu eyitibwa catheter okuyita mu musuwa.
• Nga bakozesa tekinologiya alinga X-ray, ensonga y’ekituli kino etunuulirwa ddala mu kifo omusaayi we gukutte.
• Oluvannyuma, eddagala lino lifukibwa butereevu mu kizimba ky’omusaayi nga liyita mu kituli. Oluusi, ekyuma eky’enjawulo ku nkomerero y’ekituli kiyinza okukozesebwa okumenya omusaayi oguzimba (mechanical thrombectomy).
• Enkola eno esobola okutwala essaawa 48 (ennaku 2) omusaayi okusaanuuka ddala. Mu kiseera kino, ojja kukuumibwa mu ddwaaliro era olondoolebwe ttiimu y’abasawo.

Obulabe n’ebizibu ebiva mu bujjanjabi bye biruwa?

Nga bwe kiri ku bujjanjabi bwonna, waliwo akabi akayinza okuvaamu.

Ng’oggyeeko akabi kano akakulu, waliwo n’omukisa omutono nti ebintu bino wammanga bijja kubaawo:

• Allergy ku ddagala lino.
• Okuvaamu omusaayi oba okunyiga we baateeka kanyula oba ekituli.
• Puleesa ekka (hypotension).
• Akatundu akatono ak’omusaayi ogusaanuuka kakutuka ne kasibira mu musuwa omulala.
• Okwonooneka kw’ekibumba (naddala mu bantu abalina ssukaali).
• Omusaayi omutono ogufuluma mu nnyindo, nga gulimu omusulo oba omusulo.

Omusawo wo ajja kukunnyonnyola akabi kano oba abakulabirira nga tannafuna bujjanjabi.

Oluvannyuma lw’okujjanjabwa n’okuwona

Oluvannyuma lw’okujjanjabwa, omusawo ajja kukola ebigezo ebiwerako, gamba nga angiogram ne CT scan, okulaba oba omusaayi oguzimba gusaanuuse ddala.

Ojja kwetaaga okubeera mu kisenge ky’abalwadde abayi (ICU) waakiri okumala olunaku lumu, n’oddako ennaku endala emu oba ssatu ng’otunuuliddwa mu waadi eya bulijjo.

Bw’omala okudda eka, omusawo ajja kukuwa eddagala erikendeeza omusaayi okuziyiza okuzimba omusaayi okuddamu okukola . Kikulu nnyo okugoberera ebiragiro bino ddala.

Obubonero obulabula nti olina okulaba omusawo ng’omaze okudda eka

Bw’ofuna obubonero bwonna ku buno wammanga, .Tegeeza omusawo wo mu bwangu oba genda mu ddwaaliro erikuli okumpi Emergency Department (ETU).