Maama wo, taata wo, jjajja wo oba jjajja wo omukadde atandise okwerabira ebintu? Oba olabye enkyukakyuka mu nneeyisa yaabwe oba mu njogera yaabwe? Bwe tulaba ekintu nga kino, okutya okusooka okujja mu birowoozo byaffe kwe kugamba nti, "Oh, omuntu ono naye atandise okufuna obulwadde bw'okubulwa amagezi?" Ebiseera ebisinga, tulowooza bwe tutyo ne tuwulira ennaku, naye ne tubivaako, nga tulowooza nti kintu ekitasobola kujjanjabibwa. Kyokka ngenda kubabuulira emboozi enkulu ennyo leero. Oluusi, okubulwa okujjukira kuno kuyinza obutaba bulwadde bwa kusannyalala, wabula embeera endala eyinza okujjanjabibwa n’okulongoosebwa.
Embeera eno elowoozebwa mu bukyamu ng’obulwadde bw’okubulwa amagezi y’eruwa?
Okunoonyereza okunene okwakakolebwa kwazuula nti wakati wa 10% ne 13% ku balwadde abazuuliddwa nga balina obulwadde bw’okusannyalala mu butuufu balina embeera endala ey’obujjanjabi. Embeera eno ekwatagana butereevu n’ekibumba, ekitundu ekikulu ennyo mu mubiri gwaffe.
Mu ngeri ennyangu, kino kye kibaawo:
1. Okwonooneka kw’ekibumba (Cirrhosis): Ekibumba kiringa ekkolero mu mubiri gwaffe. Ekibumba kikola emirimu mingi emikulu ng’okugaaya emmere gye tulya, okukola ebirungo ebizimba omubiri ebyetaagisa, n’okuggya obutwa mu musaayi. Wabula olw’ensonga ezitali zimu (okugeza, okunywa omwenge omungi, yinfekisoni ezimu ez’akawuka, ekibumba ekirimu amasavu ekiva ku ssukaali), ekibumba kino kyonooneka, ebitundu by’enkovu ne bikola mu kyo, era emirimu gyakyo gikendeera mpolampola. Kino kye tuyita obulwadde bwa cirrhosis mu ddagala.
2. Hepatic Encephalopathy: Kati ekkolero ly’ekibumba bwe litakola bulungi, obutwa obukolebwa mu mubiri naddala ebintu nga ammonia tebusengejebwa bulungi ne buggyibwamu. Obutwa buno bukuŋŋaanyizibwa mu musaayi ne bugenda butereevu mu bwongo n’entambula y’omusaayi. Obwongo bwe butasobola kukwata butwa buno, enkola y’obutoffaali bw’obwongo etandika okutaataaganyizibwa. Eno y'ensonga lwaki tugiyita Hepatic Encephalopathy .
Kino kitegeeza nti obwongo busobeddwa olw’obuzibu bw’ekibumba. Olw’okuba obubonero buno bufaananako nnyo n’obulwadde bw’okubulwa amagezi, abasawo oluusi bayinza okubusubwa.
Lwaki embeera zino ebbiri zikwatagana nnyo?
Obubonero bwa Dementia ne Hepatic Encephalopathy byombi bufaanagana nnyo. Eno y’ensonga lwaki batera okutabulwa ne bannaabwe. Enjawulo eno ka tugitegeere bulungi katono.
| Obubonero | Engeri gye kirabika mu bulwadde bw’okusannyalala | Engeri gye kirabibwa mu bulwadde bwa Hepatic Encephalopathy |
|---|---|---|
| Okujjukira n’okussaayo omwoyo | Okujjukira kukendeera mpolampola era okw’olubeerera. Embeera eno yeeyongera okwonooneka okumala ekiseera. | Ebiseera by’okujjukira n’okussaayo omwoyo bikyukakyuka. Ennaku ezimu obeera bulungi, ate endala otabulwa nnyo. Kizibu nnyo okusigala ng’ossa essira. |
| Enkola y’otulo | Wayinza okubaawo enkyukakyuka ezimu mu tulo. | Enkola y’otulo ekyusibwakyusibwa ddala. Otulo olunaku lwonna ate ekiro tosobola kwebaka. |
| Enneeyisa n’obuntubulamu | Oyinza okulaba enkyukakyuka mu buntu bw’omuntu ng’ekiseera kigenda kiyitawo. Oyinza okuwulira nga toli muntu y’omu gwe wali. | Okunyiiga amangu, okutabuka oba okusirika ennyo. Enkyukakyuka mu nneeyisa zisobola okwetegereza amangu. |
| Engeri z’omubiri | Ebiseera ebisinga, wabaawo engeri z’omubiri ez’enjawulo ntono mu mitendera egy’olubereberye. | Obubonero buno mulimu okukankana ng’emikono giwanvuye, okuwunya okuwooma oba okuwunya mu mukka, n’olususu n’amaaso okufuuka ebya kyenvu (jaundice). |
Lwaki kikulu nnyo okukimanya ku kino?
Teebereza engeri gye kiri eky’omugaso okumanya enjawulo eno, kubanga obujjanjabi n’okukulaakulana kw’obulwadde ku mbeera zino ebbiri bya njawulo ddala.
Obulwadde bw’okubulwa amagezi butera okuba embeera egenda mu maaso, etasobola kuddamu. Wabula obulwadde bwa Hepatic Encephalopathy bulwadde obusobola okufugibwa ng’ofunye obujjanjabi obutuufu, okumalawo obubonero, n’okudda mu bulamu obwa bulijjo.
Eno y’ensonga esinga obukulu wano.Obulwadde bw’obwongo mu kibumba mbeera esobola okujjanjabibwa! Abasawo basobola okujjanjaba ekibumba n’okuwa eddagala ery’enjawulo okukendeeza ku butwa mu musaayi. Obujjanjabi buno bwe bumala okutandika, obubonero obutaataaganya emirimu gy’obwongo bugenda buggwaawo mpolampola. Omulwadde asobola okuddamu okulowooza obulungi n’addamu okujjukira.
Tekikoma awo, okuzuula amangu obulwadde bwa kookolo w’ekibumba nakyo kiyamba okuziyiza endwadde endala ez’obulabe, kubanga singa tezijjanjabwa, obulwadde bwa cirrhosis busobola okufuuka embeera ez’amaanyi nga kookolo w’ekibumba .
Kale kiki kye tusaanidde okukola?
Oluvannyuma lw'okusoma ekitundu kino, ekibuuzo ekinene ekiri mu birowoozo byo kiri nti, "Kati tukole ki?" Ekyetaaga okukolebwa kyangu nnyo.
1. Bw’oba obuusabuusa, laba omusawo mu bwangu: Singa omuntu mu maka go naddala omukadde afuna obubonero ng’okubulwa okujjukira oba okukyuka mu nneeyisa, tomala gagoba nti ‘Dementia’. Laba mangu omusawo w’amaka go oyogere ku nsonga eno.
2. Buuza ku kibumba: Bw'oba oyogera n'omusawo wo, totya kwogera ku bubonero buno era obuuze nti, "Omusawo, obubonero buno buyinza okuva ku buzibu bw'ekibumba? Tetulina kukola n'okukebera enkola y'ekibumba?"
3. Okusindika ew’omusawo omukugu omutuufu: Omusawo wo ajja kukusindika ew’omusawo w’ekibumba/omusawo w’omu lubuto oba omusawo w’obusimu bwe kiba kyetaagisa.
4. Totya kukeberebwa: Okukebera okukebera enkola y’ekibumba kyangu nnyo. Ebiseera ebisinga, amawulire mangi gasobola okuzuulibwa okuyita mu bintu ng’okukebera omusaayi (Liver Function Tests) ne ultrasound scan .
Kijjukire nti buvunaanyizibwa bwaffe okulabirira obulamu bw’abaagalwa baffe. Toleka kigambo obulwadde bw’okubulwa amagezi kukutiisa okuva ku bulwadde obusobola okujjanjabibwa. Okuzuula obulwadde obutuufu gwe mutendera ogusooka era ogusinga obukulu okutuuka ku bujjanjabi obutuufu.
Obubaka Obutwala Awaka
- Si kwonna okubulwa okujjukira okubaawo n’emyaka nti bulwadde bw’okubulwa amagezi.
- Hepatic encephalopathy, embeera eva ku cirrhosis y’ekibumba, nayo esobola okuvaako okubulwa okujjukira.
- Embeera eno eyitibwa Hepatic Encephalopathy, esobola okuwona ddala singa omuntu afuna obujjanjabi obutuufu.
- Singa omuntu omukulu mu maka go aba afuna obuzibu mu kujjukira oba okukyuka mu nneeyisa, laba omusawo era okebere ekibumba kye.
- Okuzuula obulwadde mu butuufu kiyinza okutaasa obulamu n’okutumbula omutindo gw’obulamu.
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