Teebereza, singa omuntu afuna obulumi obw’amaanyi mu kifuba mu bwangu n’ateebereza nti omutima gumuluma ... Waliwo eddagala lingi abakulu abasawo lye bakozesa mu ddwaaliro okutaasa obulamu mu mbeera ey’amangu bwetyo. Eddagala erimu eryo ye Tirofiban. Eno mpiso efukibwa mu musuwa. Ka twogere ku ddagala lino erikulu mu ngeri ennyangu leero.
Tirofiban kye ki? Kikola ki?
Mu ngeri ennyangu, omusaayi gwaffe gulimu ekika ky’obutoffaali obutono obuyitibwa platelets . Omulimu gwazo omukulu kwe kwekuŋŋaanya nga tufunye obuvune, okunywerera ku kifo ekyo, n’okukomya omusaayi . Ekyo kintu kirungi nnyo eri omubiri.
Kyokka, oluusi obutoffaali buno busobola okukuŋŋaana mu ngeri etasaana ne bukola ebizimba by’omusaayi mu misuwa gy’omusaayi , egigabira omutima omusaayi. Singa omusaayi guzibikira ddala omusuwa, guyinza okuvaako omutima okulwala.
Tirofiban ekola ng’eyimiriza okumala akaseera obusimu obuyitibwa platelets okukwatagana ne bukola ebizimba by’omusaayi. Kino kiyamba okutangira embeera eno okweyongera mu bantu abafunye obulwadde bw’omutima oba okulumwa ennyo mu kifuba (unstable angina ). Era ekozesebwa okuziyiza ebizibu ebiyinza okubaawo mu bujjanjabi obumu okuggulawo emisuwa egyazibiddwa (nga angioplasty).
Ebintu omusawo wo by’alina okumanya nga tannakuwa ddagala lino
Olw’okuba lino ddagala lya maanyi nnyo, kyetaagisa nnyo okutegeeza omusawo wo ku byafaayo byo byonna eby’obulamu nga tonnakuwa ddagala lino. Okusingira ddala olina okwogera ku bukwakkulizo bwonna ku buno wammanga bw’olina:
| Embeera y‟obulamu oba ekizibu | Ennyinyonnyola ennyangu |
|---|---|
| Aneurysm (okubumbulukuka kw’ekisenge ky’omusuwa) . | Singa ekisenge ky’omusuwa mu mubiri kinafuye era nga kibuguma nga bbaatule. |
| Obuzibu bw’okuvaamu omusaayi oba omusaayi okuzimba | Bw’oba onyiga mangu, okaluubirirwa okukomya okuvaamu omusaayi, oba ng’olina obuzibu obulala mu musaayi. |
| Okwonooneka kw’amaaso olw’obulwadde bwa sukaali (Diabetic Retinopathy) . | Singa retina y’amaaso eba eyonoonese olw’obulwadde bwa sukaali. |
| Obuvune ku mutwe oba ekizimba | Bw’oba obadde n’obuvune obw’amaanyi ku mutwe gye buvuddeko oba emabegako oba ng’olina ekizimba ku bwongo. |
| Puleesa ya Musaayi | Bw’oba olina puleesa etafugibwa. |
| Storoko | Bw’oba nga emabegako walina embeera y’okusannyalala. |
| Okukendeera kw’omuwendo gw’obutoffaali obukola omusaayi | Bw’oba ozuuliddwa ng’olina omuwendo gwa platelet omutono. |
| Akabenje ak’amaanyi oba okulongoosebwa gye buvuddeko | Bw’oba ofunye akabenje akanene oba okulongoosebwa okw’amaanyi mu wiiki eziyise. |
| Okufuna olubuto oba okuyonsa | Bw’oba oli lubuto, ng’ogezaako okufuna olubuto, oba ng’oyonsa. |
| Obulwadde bwa alergy | Bw’oba olina alergy ku tirofiban oba eddagala eddala lyonna, emmere oba langi. |
Eddagala lino okozesa otya?
Lino si ddagala ly’osobola okutwala awaka. Tirofiban aweebwa mu ddwaaliro oba mu ddwaaliro lyokka. Kiweebwa nga bakuba empiso mu musuwa ( injection into a vein) omusawo oba nnansi omutendeke.
Bw’oba omira eddagala lino, omutima gwo ne puleesa bijja kulondoolebwa buli kiseera.
Watya singa ddoozi yeeyongera?
Okuva eddagala lino bwe liweebwa wansi w’obulabirizi bw’abasawo mu ddwaaliro, emikisa gy’okusubwa ddoozi mitono nnyo. Kyokka bw’oteebereza nti waliwo ekibaddewo mu ngeri yonna, olina okutegeeza abasawo mu bwangu. Bwe kiba kyetaagisa, osobola n’okutuukirira ekitongole kya National Poisons Information Center mu ddwaaliro lya Colombo National Hospital okufuna amagezi.
Ebintu ebirala ebiyinza okukwatagana ne tirofiban
Kikulu nnyo okubuulira omusawo wo ku ddagala lyonna ly’omira, wamu ne vitamiini n’ebiva mu muddo, kubanga eddagala erimu liyinza okukwatagana ne tirofiban ne lyongera obulabe bw’okuvaamu omusaayi.
- Aspirin n’eddagala eddala eririmu aspirin.
- Eddagala eddala eriziyiza omusaayi okuzimba, gamba nga Warfarin ne Enoxaparin .
- Eddagala eriweweeza ku bulumi (NSAIDs) nga ibuprofen .
- Ebintu ebikolebwa mu muddo nga Ginkgo .
- Eddagala nga dipyridamole .
Omusawo wo muwe olukalala lw’eddagala lyonna , vitamiini n’omuddo gw’omira. Kakasa nti obabuulira bw’oba onywa ssigala oba onywa omwenge.
Obubonero bw’olina okwegendereza ng’omira eddagala
Nga bakuweebwa eddagala lino, oyinza okufuna obubonero obw’amangu obulaga nti embeera yo yeeyongera okwonooneka. Kino bwe kibaawo , olina okutegeeza omusawo oba nnansi wo mu bwangu.
- Okukaluubirirwa okussa
- Enkyukakyuka mu kulaba (nga okulaba okuzibuwalirwa okw’amangu) .
- Omutwe ogw’amaanyi, ogw’amangu
- Okukaluubirirwa okwogera, okusiwuuka empisa
- Okuziyira oba okunafuwa mu maaso, omukono oba okugulu okw’amangu
- Obulumi, okuzimba n’okuwulira ng’ekigere kibuguma
Buno buyinza okuba obubonero bw’embeera ey’amaanyi evudde ku kuzimba omusaayi.
Ebizibu ebiva mu ddagala lino
Okufaananako n’eddagala lyonna, tirofiban asobola okuleeta ebizibu. Ebimu ku bino bya maanyi, ebimu si bya maanyi nnyo.
| Okugabanya ebizibu ebivaamu | |
|---|---|
| Ebizibu ebivaamu ebirina okuloopebwa eri omusawo mu bwangu | |
| Ebintu Ebiva mu Allergy | Okusiiyibwa ku lususu, okusiiwa, okuzimba mu maaso, emimwa oba olulimi. |
| Obubonero bw’okuvaamu omusaayi | Omusulo omuddugavu oba ogulimu omusaayi, omusulo omumyufu oba kitaka omuddugavu, ebikuta bya kaawa ebisesema, okuvaamu omusaayi ogutali gwa bulijjo okuva mu nnyindo oba ennyindo, amabala amamyufu ku lususu, n’okunyiga amangu. |
| Obubonero obulala obw’amaanyi | Okukaluubirirwa okussa, omutima okukuba amangu oba obutasalako, omusujja, okuwunya, okuzimba enkizi, ebigere oba emikono. |
| Ebizibu ebitera okuteetaagisa kujjanjabibwa (naye tegeeza omusawo wo bwe biba binywevu) . | |
| Ebizibu ebitonotono ebivaamu | Okulumwa omutwe, okuziyira oba okusesema, okutuuyana, okuzirika. |
Bw’ofuna obubonero obulala obutali bwa bulijjo obutayogerwako mu lukalala luno, nsaba otegeeze omusawo wo oba nnansi wo.
Obubaka Obutwala Awaka
- Tirofiban mpiso ya maanyi eweebwa mu ddwaaliro lyokka okuziyiza omusaayi okuziyira mu mbeera ez’amangu ng’omutima n’okulumwa ennyo mu kifuba.
- Nga tonnamira ddagala lino, kikulu nnyo okubuulira omusawo wo ku mbeera zonna ez’obujjanjabi (naddala obuzibu bw’okuvaamu omusaayi, puleesa, okusannyalala) n’eddagala eddala lyonna ly’omira.
- Bw’oba omira eddagala, weegendereze nnyo obubonero bw’okuvaamu omusaayi (omusulo omuddugavu, omusulo omumyufu, ebiwundu ebitali bya bulijjo). Bw’olaba ekintu kyonna nga kino, tegeeza abakozi b’ebyobujjanjabi mu bwangu.
- Lino si ddagala lya balwadde ba bweru, era obujjanjabi bwonna bukolebwa wansi w’obulabirizi bw’abasawo.
- Bw’oba olina ekikweraliikiriza oba ky’obuusabuusa, totya kwogera mu lwatu n’omusawo wo oba abakozi ba ba nnamusa.
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