Wali ogenzeeko mu Southwest ya Amerika, oba mu bitundu bya Central ne South America? Oba oteekateeka kugenda? Bwe kiba bwe kityo, kino kiyinza okukunyumira. Leero tugenda kwogera ku bulwadde bwa ffene obw'ekyewuunyo obuyitibwa "Valley Fever." Kikosa amawuggwe gaffe.
"Omusujja gw'ekiwonvu" kye ki? Mu ngeri ennyangu...
Mu ngeri ennyangu, "omusujja gw'ekiwonvu" bulwadde bwa ffene mu mawuggwe go. Kiva ku kika kya ffene ekiyitibwa Coccidioides. Enkwaso eno ebeera mu butonde naddala mu bukiikaddyo bw’amaserengeta ga Amerika (nga California ne Arizona), ebitundu by’essaza ly’e Washington, ne mu ttaka lya Central ne South America.
Teebereza, omutendera ogusooka ogw'obulwadde buno obwa `(Coccidioides)` obwa ffene guyitibwa `(Valley Fever).` Oluusi kino bwe kibaawo, obubonero ng'omusujja oba ssennyiga buyinza okulabika, oba guyinza okugenda nga tewali bubonero bwonna. Kyokka, oluusi kino kiyinza okufuuka embeera ey’amaanyi ennyo.
Kigambibwa nti abantu nga emitwalo abiri bafuna ``Valley Fever`` buli mwaka. Kitera nnyo naddala mu California ne Arizona. Era kiyitibwa ``Coccidioidomycosis``.
Bubonero ki obulaga nti "omusujja omutono"? Laba oba naawe bino olina
Ebiseera ebisinga, yinfekisoni eno tereeta bubonero bwonna. Wabula singa ofuna obubonero bwa ``Valley Fever'', buyinza okuli:
- Ekizimba nga kiriko ebizimba ku lususu ebikyuse langi (emmyufu, kakobe, kitaka oba ekiddugavu). Kino abasawo bakiyita `(Erythema Nodosum)`.
- Okukolola
- Okuwulira nga okooye nnyo (Obukoowu) .
- Omusujja
- Obulumi mu binywa
- Obulumi mu binywa
- Entuuyo z’ekiro
- Obuzibu mu kussa (Dyspnea) .
Oluusi abasawo bayita okusiiyibwa kuno okw'olususu, omusujja, n'okukaluba kw'ennyondo nti "obulwadde bw'enkizi obw'eddungu."
Omuntu afuna atya "omusujja gw'ekiwonvu"?
Waliwo ebika bibiri ebya ffene wa Coccidioides ebivaako omusujja gw’omu kiwonvu:
1. `(Coccidioides immitis)` (`C. immitis`): Enkwaso eno emera mu ttaka lya California.
2. `(Coccidioides posadasii)` (`C. posadasii`): Kino kisangibwa mu bitundu bya America ebirala ne mu ttaka lya Central ne South America.
Ebika byombi bireeta obubonero bwe bumu.
Kati ka tulabe engeri kino gye kiyingira mu mibiri gyaffe. Ettaka bwe litaataaganyizibwa, kwe kugamba, bwe tulisima, nga mu mpewo, ffene zino zikutuka. Bwe zikutuka, ebitundu ebitonotono ebizaala ebiyitibwa spores , bifulumizibwa mu mpewo. Bw’ossa empewo erimu obuwuka buno, bugenda mu mawuggwe go ne busenga, gye butandikira okukula ne bufuuka ebibinja ebinene eby’obuwuka obuyitibwa spores.
Ensigo zino zisobola okuddamu okukutuka, ne zisindika obuwuka obulala mu bitundu by’amawuggwe go ebirala, n’oluusi mu bitundu by’omubiri gwo ebirala. Olwo obuwuka obwo busobola okuddamu okukola enzirugavu, ne busaasaanya ffene mu mubiri gwo gwonna.
Ekikulu: Enkwaso eno tetera kusangibwa mu ttaka lya Sri Lanka. Kikoma mu bitundu by’ettaka ebitongole. N’olwekyo, tekyetaagisa bantu ababeera mu Sri Lanka okufaayo ennyo ku nsonga eno. Wabula kikulu abagenda mu bitundu bino okukimanya.
"Omusujja gw'ekiwonvu" gusiigibwa?
Nedda, Valley Fever si bulwadde busiigibwa. Tosobola kugikwata ku muntu mulala. Kyokka oluusi kiyinza okusaasaana mu bitundu omuli enfuufu ennyingi mu mpewo okugeza mu bitundu omuli empewo ez’amaanyi oba nga bazimba.
Naye, si bulijjo nnyo, osobola okussa obuwuka obuva mu kiwundu ekiggule ku mubiri gw’omuntu alina ``Valley Fever.`` Naye emikisa gy’ekyo okubaawo mitono nnyo. Ebiseera ebisinga, engeri yokka gy’oyinza okugifunamu kwe kussa obuwuka obuyitibwa spores mu mpewo ebweru.
Ani asinga okubeera mu bulabe bw’okufuna kino?
Singa omuntu assa ffene `(C. immitis)` oba `(C. posadasii)`, asobola okufuna `(Valley Fever).` Kyokka bw'oba osukka emyaka 60, otera okufuna kino.
Ate era, oli mu bulabe bwa maanyi obw'okulwala ``Valley Fever`` singa:
- Bwoba oli muddugavu oba Mufilipino.
- Bw’oba oli mu lubuto olw’okusatu.
- Singa abaserikale b’omubiri bo banafu, oba ``immunocompromised.`` Kino kiyinza okuba nga kiva ku mbeera nga ``HIV/AIDS``, oba kiyinza okuba nga kiva ku kumira eddagala erimu nga ``immunosuppressants`` oba ``immunomodulators``.
- Bw’oba olina obulwadde bwa sukaali (Diabetes Mellitus).
- Bw’oba waakatambula oba okusenguka mu kitundu ekiwuka kino mw’abeera.
- Bw’oba okola n’ettaka oba enfuufu (e.g. okulima, okuzimba).
Bizibu ki ebiyinza okuva mu "musujja gw'ekiwonvu"?
Ebizibu ebiva mu Valley Fever okutwalira awamu tebitera kubaawo. Ku buli bantu 100, 5 ku 10 bokka be bafuna obubonero obw’amaanyi. Ate era, ku buli bantu 100, omuntu omu yekka y’ajja okukwatibwa obulwadde buno okutuuka mu bitundu by’omubiri ebirala.
Kyokka bw’ofuna ebizibu eby’amaanyi, biyinza okuli:
- Obulwadde bw’okusannyalala mu kussa (ARDS) .
- Okufulumya amazzi mu kibumba oba Empyema
- Okusaasaana kw’obulwadde ebweru w’amawuggwe (Disseminated Coccidioidomycosis) .
- Obulwadde bw’ekifuba
- Hydropneumothorax (ensawo ejjudde amazzi oba ejjudde empewo mu mawuggwe) .
Ku bino, ekizibu ekisinga okuba eky’obulabe mu Valley Fever kwe kusaasaana kw’obulwadde buno okusukka amawuggwe. Kino kiyinza okusaasaana mu bitundu byo eby’omubiri nga:
- Eggumba
- Obwongo
- Junction
- Ekibumba
- Ensigo
- Olubuto oluyitibwa pancreas
- Omubiri
Singa obulwadde bwa Coccidioidomycosis busaasaana ku bwongo, osobola okufuna embeera eyitibwa Coccidioidal Meningitis. Kino kiyinza okutta omuntu . Era kiyinza okuvaako obubonero bw’obusimu ng’okukyuka mu kulaba n’okuwulira, okulumwa omutwe, n’okukaluba ensingo.
Abasawo bazuula batya "omusujja gw'ekiwonvu"?
Omusawo ajja kukutwala ebyafaayo by’obujjanjabi bwo, akubuuze ku bubonero bwo n’ebyafaayo by’entambula yo, era akukebere omubiri. Okuzuula obukakafu oba olina Valley Fever, bayinza okukola ebigezo bino wammanga:
- Biopsy : Omusawo akwata akatundu akatono ku bitundu byo n’abiweereza mu laabu okukebera obubonero bw’ekiwuka kya Coccidioides.
- Okukebera Omusaayi : Okukebera omusaayi kutera okukozesebwa okuzuula obulwadde bwa Valley Fever. Basindika omusaayi mu laabu ne banoonya antibodies oba antigens ezikwata ku ffene wa Coccidioides.
- Okukebera ebifaananyi : Omusawo ayinza okukola X-ray oba CT scan mu kifuba okukebera obubonero bw’ekifuba ekiva ku Valley Fever.
"Omusujja gw'ekiwonvu" gujjanjabwa gutya?
Obujjanjabi bw’omusujja gw’omu kiwonvu businziira ku buzibu bwagwo. Omusawo ayinza okukuwa amagezi okukozesa enkola ya "watchful waiting". Kino kitegeeza nti teweetaaga bujjanjabi bwa mangu kubanga tolina bubonero bwa maanyi, wabula bajja kukulondoola nnyo era bakukebere buli kiseera.
Bw’oba olina yinfekisoni ey’amaanyi oba etaggwaawo, oba bw’oba oli mu bulabe bw’embeera ez’amaanyi (okugeza, obulwadde bw’amawuggwe obutawona (COPD)), bayinza okukuwa eddagala eritta obuwuka. Mu bino biyinza okuli:
- Amphotericin B eweebwa mu misuwa
- `(Eddagala lya Fluconazole)`
- `(Eddagala lya Itraconazole)`
Oyinza okwetaaga okumira eddagala eritta obuwuka okumala emyezi esatu oba mukaaga. Wabula bw’oba olina omusujja gw’omu kiwonvu ogw’amaanyi oba ebizibu, ekiseera kino kiyinza okuwanvuwa.
Ddi lwe nnina okulaba omusawo?
Bw’oba obeera mu kitundu ffene `(Coccidioides)` gy’atera okubeera, oba nga waakagenda mu kitundu ng’ekyo, era ng’olina obubonero obulinga obwa ssennyiga obumala wiiki ezisukka mu emu, laba omusawo mu bwangu .
Singa omusawo akuzuula nti olina ``Valley Fever'' n'ofuna obubonero bwonna ku buno, mutuukirire mangu, oba genda mu kisenge ky'abalwadde ab'amangu ekikuli okumpi:
- Omusaayi mu ntuuyo
- Okukaluba kw’ensingo
- Okukaluubirirwa okussa
- Enkyukakyuka mu kulaba oba mu kuwulira
Bw’olaba omusawo, oyinza okubabuuza ebibuuzo bino:
- Ndi mu bulabe obw'amaanyi obw'okufuna obulwadde obw'amaanyi obwa ``Valley Fever''?
- Kika ki ekya ffene (Coccidioides) ekyandeetera obulwadde?
- Bujjanjabi ki bw’oteesa?
- Nsaanidde okubeera ku bunkenke okulaba obubonero obulala?
- Ddi lwe nnina okugenda mu kisenge ky’abalwadde ab’amangu?
"Omusujja gw'ekiwonvu" gusobola okuziyizibwa?
Bw’oba obeera mu kitundu omuli obuwuka bwa Coccidioides, kiyinza okukuzibuwalira okwewala okubussa.Wabula osobola okukola bino wammanga okukendeeza ku bulabe bw’okufuna omusujja gw’omu kiwonvu:
- Weewale ebifo w’oyinza okusanga ettaka oba enfuufu.
- Mu kiseera ky’enfuufu, ggalawo amadirisa obeere mu nnyumba.
- Kozesa ebyuma ebisengejja empewo ebiyitibwa High-Efficiency Particulate Air (HEPA) mu maka go.
- Yambala masiki y’okussa eya N95 ng’okola ensuku, ng’osima oba ng’okola emirimu emirala egy’ebweru egiyinza okukulaga obuwuka bwa ffene.
Kiki kye nsuubira singa nfuna "omusujja gw'ekiwonvu"?
Abantu abasinga bawona omusujja gwa Valley Fever nga tebalina buzibu bwonna obw’ekiseera ekiwanvu. Kyokka, abantu abatonotono bayinza okufuna yinfekisoni z’amawuggwe ezitaggwaawo. Bino bisobola okutwala ekiseera ekiwanvu okudda engulu okuva - oluusi emyaka. Omuwendo gw’abafa olw’omusujja gw’ensiri guli wansi w’omuntu omu ku buli kikumi.
Tekitera kubaawo, ffene ono asobola okusaasaana mu bitundu by’omubiri gwo ebirala. Singa tojjanjabwa, obulwadde bwa coccidioidomycosis mu bwongo bwo buyinza okutta omuntu.
"Omusujja gw'ekiwonvu" guwangaala bbanga ki?
Obubonero bwa Coccidioidomycosis butera okugenda ku bwabwo mu wiiki oba emyezi mitono.
Kyokka abantu abatonotono bayinza okuba n’obulwadde obutasalako mu mawuggwe. Kino bwe kimala ebbanga ddene, abasawo bakiyita amawuggwe agatali ga bulijjo (agamala ebbanga eddene) `(coccidioidomycosis). Obubonero bw’amawuggwe agatali ga bulijjo `(coccidioidomycosis)` bwe buno:
- Obulumi mu kifuba
- Okusesema okutambula obutasalako
- Okusesema omusaayi (Hemoptysis) .
- Okukaluubirirwa okussa
- Okugejja awatali nsonga
"Omusujja ogw'omutindo ogwa wansi" gusobola okubaawo omulundi ogw'okubiri?
Emirundi egisinga singa ofuna Valley Fever n’owona, emikisa gy’okuddamu okugifuna giba mitono.
Ngoba ntya obuwuka obuleeta "omusujja gw'ekiwonvu" mu lusuku lwange?
Coccidioides spores ntono nnyo - zisobola okulabibwa ne microscope yokka. Tewali ngeri nnyangu gy’oyinza kuzizuula oba okuziggya mu lusuku lwo.
Ekikulu: Amagezi gano gakwata ku abo ababeera mu bitundu by’Amerika ffene `(Coccidioides)` gy’asinga. Tekyetaagisa kutya nnyo ffene ono mu nnimiro za Sri Lanka.
N’ekisembayo, ebintu by’olina okujjukira (Obubaka bw’okutwala awaka) .
Bw’oba obeera mu kitundu ffene Coccidioides mw’amera, kiyinza okukukaluubirira katono okwewala omusujja gw’omu kiwonvu. Ekirungi emisango egisinga si gya maanyi era gigonjoolwa ku bwagyo.
Kyokka bw’oba oli lubuto, ng’olina emyaka egisukka mu 60 oba ng’abaserikale b’omubiri banafuye, kiba kirungi n’okola emitendera mitono egy’enjawulo okwekuuma. Okyayinza okunyumirwa okubeera ebweru. Wabula kirungi n’oyambala masiki ya N95 n’osigala mu nnyumba naddala mu nnaku ezirimu empewo. Yogerako n’omusawo wo ku ngeri endala gy’oyinza okukuumamu obulamu bwo n’obubonero bw’osaanidde okwegendereza.
Jjukira: Buno okusinga bulwadde obukwata ku bitundu ebimu ebya Amerika. Wabula ng’omutambuze wonna mu nsi, bulijjo kirungi okubeera ng’omanyi ebintu bino. Sigala nga oli mulamu bulungi!
` Omusujja gw'ekiwonvu, Coccidioides, Obulwadde bwa Fungal, Obulwadde bw'amawuggwe, Okusesema, Omusujja, Obulwadde bwa Fungal, Obulwadde bw'amawuggwe











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