Teebereza nti omuntu wo afuna obulumi obw’amaanyi mu kifuba mu bwangu, nga tasobola kwogera... oba okuzirika amangu ago ku ludda olumu olw’omubiri... Mu kiseera ng’ekyo, ffenna tusattira ne tudduka mu ddwaaliro amangu ddala nga bwe kisoboka. Mu lutalo lw’obulamu n’okufa ng’olwo, leero twogera ku kika ky’eddagala ery’amaanyi ennyo era ery’omuwendo abasawo lye bakozesa okutaasa obulamu. Zino ziyitibwa Thrombolytics, mu ngeri ennyangu, "eddagala erisaanuusa omusaayi okuzimba".
Zino Thrombolytics ze ziruwa? Ka tukitegeere mu ngeri ennyangu.
Mu ngeri ennyangu, zino ‘ddagala eriziyiza omusaayi’, oba eddagala erisaanuusa ne liggyawo ebizimba eby’obulabe ebikola munda mu misuwa gyaffe ne biremesa omusaayi okutambula. Zino kika kya enzymes.
Teebereza nti ekivundu bwe kisibira mu payipu y’amazzi, amazzi galekera awo okukulukuta. Mu ngeri y’emu, omusaayi bwe gusibira mu gumu ku misuwa gyaffe, omusaayi guyimirira. Singa omusaayi ogugenda mu kitundu ekikulu ennyo ng’obwongo, omutima oba amawuggwe guyimirira, okwonooneka okuyinza okubaawo tekuyinza kulowoozebwako.
Wano we wayingira eddagala eriyitibwa thrombolytics.Eddagala lino limenya puloteyina eyitibwa fibrin ekola okuzimba omusaayi, ne lisaanuusa ekizimba, n’okuddamu okutambula kw’omusaayi . Kino kisobozesa ekitundu ekizibiddwa okuddamu okufuna omukka gwa oxygen, ne kiziyiza okwongera okwonooneka.
Mu mbeera ki eddagala lino mwe likozesebwa?
Lino si lye ddagala ly’osobola okugula ku kkawunta. Zikozesebwa mu malwaliro gokka naddala mu bifo eby’amangu (ETUs), nga waliwo embeera eyinza okutta omuntu. Ebiseera bye bikulu wano . Singa eddagala lino liyinza okuweebwa mu ssaawa ezisooka nga waliwo embeera ey’amangu, ebivaamu biba birungi nnyo.
Oluusi obujjanjabi buno busobola n’okutandikibwa mu ambyulensi. Omusawo ayinza okuwa eddagala lino ng’ayita mu IV mu musuwa mu mukono gwo oba butereevu mu kizimba ky’omusaayi ng’akozesa ekituli.
| Embeera y’obujjanjabi | Ennyinyonnyola ennyangu |
|---|---|
| Storoko | Omusaayi oguzimba mu musuwa ogugaba omusaayi mu bwongo. Kikulu nnyo okugiwa mu ssaawa 3-4.5 ezisooka ng'obubonero butandise . |
| Obulwadde bw'omutima | Omusaayi oguzimba mu musuwa gw’omusaayi ogugabira omutima. Buno bujjanjabi bwa maanyi mu malwaliro agatalina bikozesebwa kuyingiza ttanka (stent) mu mutima n’okuggyamu ekizimba. |
| Obulwadde bw’okuzimba amawuggwe | Ekizimba ky’omusaayi ekikoleddwa awalala mu mubiri (emirundi mingi mu kigere) kikutuka ne kibeera mu musuwa mu mawuggwe. |
| Obulwadde bw’okuzimba emisuwa emiwanvu (DVT) . | Ebizimba by’omusaayi bitera okutondebwa mu misuwa emiwanvu egy’amagulu. |
| Emisango emirala | Okuzibikira kw’omusuwa mu kigere oba okuzibikira kw’omusuwa ogw’omu makkati ogw’ekiseera ekiwanvu olw’omusaayi oguzimba. |
Enjawulo eriwo wakati w’eddagala eriweweeza ku thrombolytics n’ebirala ‘ebikendeeza omusaayi’.
Kino kifo abantu bangi we batabulwa. Oboolyawo owulidde ku ‘ddagala erikendeeza omusaayi’ nga Warfarin, Aspirin, ne Clopidogrel. Naye Thrombolytics kintu kya njawulo ddala.
Thrombolytics: Lino ddagala erikozesebwa mu mbeera ey’amangu okumenya n’okusaanuusa ekizimba ky’omusaayi ekyatondebwa edda era nga kizibye omusuwa . Kiringa okukozesa dynamite okuggyawo olwazi olunene oluzibye ekkubo.
Anticoagulants/Antiplatelets (nga Warfarin, Aspirin): Eddagala lino likola nga liziyiza okutondebwa kw’omusaayi omupya, ogw’obulabe . Lino ddagala eriwangaala, erikendeeza ku bulabe bw’okuzimba omusaayi. Kiba ng’okuteeka akatimba ku luguudo okulemesa amayinja okukulugguka wansi.
Migaso ki n’akabi akali mu ddagala lino?
Ekirungi ekisinga obunene kiri nti eddagala lino lisobola okuzzaawo omusaayi mu bwangu ddala, ne likendeeza ku kwonooneka okw’olubeerera ku bwongo oba omutima olw’obutaba na mukka gwa oxygen. Naddala mu mbeera ng’okusannyalala, gy’okoma okufuna amangu eddagala lino, emikisa gy’okuwona mu bujjuvu gye gikoma okubeera eminene.
Naye, okufaananako eddagala lyonna ery’amaanyi, waliwo akabi akayinza okuvaamu.
Obulabe obusinga era obw’amaanyi kwe kuvaamu omusaayi nga tofugibwa. Olw’okuba eddagala lino likola nga lisaanuusa ebizimba omusaayi, omusaayi guyinza okuva wonna mu mubiri. NaddalaSinga wabaawo omusaayi munda mu bwongo, kiba kya bulabe nnyo. Kiyinza okuvaako okusannyalala okulala.
Ani ali mu bulabe obw’okwongera okuvaamu omusaayi?
- Ku bantu abakadde
- Ku abo abalina omuze gw’okuvaamu omusaayi
- Abo abaakalongoosebwa oba nga bafunye obuvune obw’amaanyi
- Ku abo abamira edda eddagala erigonza omusaayi nga Warfarin
- Eri abalina puleesa etafugibwa
N’olwekyo, omusawo ajja kusalawo okuwa eddagala lino singa, oluvannyuma lw’okulowooza ku mbeera y’omulwadde n’ebintu byonna ebiyinza okuvaako akabi, omugaso gw’okuwa eddagala lino gusinga wala akabi . Abasawo bajja kulondoola buli kiseera puleesa yo n’ebintu ebirala ng’ofunye obujjanjabi n’oluvannyuma lw’okujjanjabibwa.
Ddi lw’osaanidde okunoonya amagezi mu bwangu omusawo?
Kino kintu ky’osaanidde okujjukira ddala. Bw’oba olina n’okuteebereza okutono nti ggwe oba omuntu akuli ku lusegere alina obubonero bw’okulwala omutima oba okusannyalala, tomala biseera.
Bw’ofuna obubonero bw’okulwala omutima oba okusannyalala (e.g. okulumwa mu kifuba okw’amangu, okukaluubirirwa okussa, okuzirika ku ludda olumu olw’omubiri, okukaluubirirwa okwogera), kuba 1990 Ambulance Service amangu ddala oba weetwale mu ddwaaliro erikuli okumpi Emergency Department (ETU) amangu ddala nga bwe kisoboka .
Mu mbeera nga zino, buli sikonda ebalwa. Obujjanjabi obw’amangu busobola okutaasa obulamu n’okuziyiza obulemu obw’ekiseera ekiwanvu.
Obubaka Obutwala Awaka
- Thrombolytics kika kya ddagala lya maanyi eriweebwa mu mbeera ey’amangu okusaanuusa ekizimba ky’omusaayi ekyatondebwa edda.
- Bino bikozesebwa mu mbeera eziyinza okutta omuntu ng’okusannyalala n’okulwala omutima.
- Ebiseera bye bikulu mu buwanguzi bw’obujjanjabi buno. Okujjanjabibwa mu ddwaaliro amangu ddala ng’obubonero butandise kiyinza okulongoosa ebivaamu.
- Okuva bwe kiri nti akabi akasinga okuva mu ddagala lino kwe kuvaamu omusaayi, omusawo ajja kuliwa oluvannyuma lw’okulowooza ennyo ku migaso n’obulabe eri omulwadde.
- Weetegereze obubonero bw’okulwala omutima oba okusannyalala, n’ab’omu maka go. Okukola eky’amangu kiyinza okutaasa obulamu.
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