Ggwe oba omuntu mu maka go oluusi weerabira ebintu? Oba owulira ng’enneeyisa yo ekyuse mu ngeri gy’obadde tosuubira? Wadde oyinza okulowooza nti ebintu bino mbeera za bulijjo ezijja n’emyaka, oluusi kino kiyinza okuba ekintu ky’olina okweraliikirirako katono. Leero tugenda kwogera ku bulwadde bw’okubulwa okujjukira obuva ku kukendeera kw’omusaayi mu bwongo. Kino kye tuyita mu by’obujjanjabi (Vascular Dementia) .
Obulwadde bw’okusannyalala kw’emisuwa kye ki? Mu ngeri ennyangu...
Mu ngeri ennyangu, Vascular Dementia mbeera ebaawo ng’emisuwa egigaba omusaayi mu bwongo gyonoonese ate ng’ebitundu ebimu eby’obwongo tebifuna musaayi gumala . Nga bw’omanyi, obwongo bwaffe era bwetaaga omukka gwa oxygen n’ebiriisa okusobola okukola obulungi. Bino bifunibwa mu musaayi. N’olwekyo, omusaayi bwe gukendeera, obutoffaali bw’obwongo bwonoonese. Okwonooneka kuno kwe kuleetera enkola y’ebirowoozo byaffe, kwe kugamba, engeri gye tulowooza, okujjukira n’ebirala okukosebwa. Embeera eno eyinza okuba ey’amaanyi ennyo ne kiba nti tetusobola kukola mirimu gya buli lunaku. Ekisinga okuvaako kino ye (Stroke) , ekitegeeza okusannyalala.
Obulwadde bw’okusannyalala mu misuwa kye kimu ku bika by’obulwadde bw’okusannyalala mu bantu abasukka mu myaka 65. Okunoonyereza okumu kulaga nti wakati wa 5% ne 10% ku bantu abalina obulwadde bw’okusannyalala balina obulwadde bw’okusannyalala kw’emisuwa bwokka. Kyokka, kitera okulabibwa awamu n’obulwadde bwa Alzheimer . Mu mbeera eno, tugiyita mixed dementia , ekitegeeza nti waliwo ebisukka mu kimu ebivaako obulwadde bw’okusannyalala.
Abasawo oluusi bakozesa ekigambo Vascular Cognitive Impairment (VCI) mu kifo kya Vascular Dementia kubanga enkyukakyuka mu ndowooza ezireetebwa okwonooneka kw’emisuwa gino ziyinza okuva ku buzibu okuva ku kwerabira okutono (okuyitibwa Mild Cognitive Impairment (MCI)) okutuuka ku kubulwa amagezi okw’amaanyi.
Bw’ozuulibwa ng’olina obulwadde bw’okusannyalala, kiyinza okuwulira ng’obulamu bwo bukyusiddwa mu bwangu. Ggwe n’abaagalwa bo muyinza okutya ebigenda okubaawo mu maaso. Naye jjukira nti obulwadde bw’okusannyalala kw’emisuwa tebukwata buli muntu mu ngeri y’emu. Kale, kola ne ttiimu yo ey’ebyobulamu okufuna obulagirizi n’okwogera ku by’osuubira mu lugendo luno.
Bubonero buno bwe buliwa?
Kati oyinza okuba ng’olowooza nti, ‘Okay, kale bubonero ki obw’obulwadde bw’okusannyalala kw’emisuwa?’. Mu butuufu obubonero buno buyinza okwawukana okusinziira ku muntu. Omanyi lwaki? Ebitundu by’obwongo bwaffe eby’enjawulo bifuga ebintu eby’enjawulo. Kale, obubonero bwawukana okusinziira ku kitundu ky’obwongo ekyonoonese n’obunene bw’okwonooneka.
Lowooza ku bantu abamu bayinza okuba nga tebajjukira bulungi nnyo . Abalala bayinza okukaluubirirwa okutambula n'okukuuma bbalansi . Abamu bayinza okukaluubirirwa okukola n’okutegeera ebigambo nga boogera (aphasia nayo mbeera nga eno).
Ekirala, osobola okulaba ebintu bino wammanga:
- Kifuuka kizibu okussa essira ku kintu , okugoberera ebiragiro, okulowooza mu ngeri entegeerekeka, okutegeka ebintu, okuteekateeka, n’okumaliriza emirimu.
- Omuudu ekyukakyuka . Mpozzi omala kuwulira nnaku (nga okwennyamira), oba okunyiiga mangu.
- Oyinza okulaba enkyukakyuka mu buntu n'enneeyisa . Oyinza okuwulira nga toli muntu y’omu gwe wali.
- Obutafaayo kuyinza okukulaakulana.
- Okutabulwa kuyinza okubaawo naddala ekiro (era ekimanyiddwa nga Sundown Syndrome).
- Oyinza obutasobola kufuga nseko oba okukaaba kwo awatali nsonga (kino kiyitibwa Pseudobulbar Affect).
- Kiyinza okuba ekizibu okufuga omusulo n’omusulo (embeera eno eyitibwa obutakwata musulo).
- Kiyinza okuba ekizibu okukwata ebintu ebitonotono oba okukola emirimu emizibu, gamba ng’emikono n’ebigere okukankana.
- Obuzibu mu tulo nabwo buyinza okubaawo.
Ekisinga obukulu nti ggwe oba omuntu gw’omanyi bw’aba alina obubonero buno, mazima ddala wandibadde olaba omusawo n’ofuna amagezi.
Waliwo embeera ez’enjawulo ku kino nakyo?
Tewali mutendera gwonna ogw’okusannyalala kw’emisuwa. Kino kiri bwe kityo kubanga buli muntu kikwata mu ngeri ya njawulo, era obulwadde buno bugenda mu maaso ku miwendo egy’enjawulo. Kisinziira ku bitundu by’obwongo ebikoseddwa n’okwonooneka bwe kuli okw’amaanyi.
Emirundi mingi, obubonero buno bulabika mpolampola okumala emyaka. Kyokka oluvannyuma lw’okusannyalala okw’amaanyi, obubonero buyinza okulabika mu bwangu. Oluusi, obubonero buyinza okulabika ng’obutereera okumala akaseera katono. Kyokka bw’oba olina obulwadde bwa ssukaali obusingako, embeera yo eyinza okweyongera.
Ne bwe kiba nti obulwadde bw’okusannyalala kw’emisuwa bubeera wamu n’ekika ekirala eky’okusannyalala, gamba ng’obulwadde bwa Alzheimer, engeri obubonero gye bulabika eyinza okwawukana.
Lwaki kino kigenda mu maaso? Ensonga ze ziruwa?
Ekisinga okuvaako obulwadde bw’okusannyalala kw’emisuwa kwe kwonooneka kw’emisuwa mu bwongo, oba okuzibikira ddala oba ekitundu ky’omusaayi okutambula mu bwongo . Omusaayi bwe gukendeera mu ngeri eno, ebitundu by’obwongo tebifuna mukka gwa mukka gwa oxygen n’ebiriisa bye byetaaga. Awatali zo, obutoffaali bw’obwongo butandika okufa.
Ebimu ku bisinga okuvaako obulwadde bw’okusannyalala kw’emisuwa bye bino:
- Atherosclerosis kwe kukaluba oba okufunda kw’emisuwa mu bwongo. Kino era kiyinza okukosa emisuwa emitono egigasa omusaayi mu bwongo. Embeera eno eyitibwa ischemic stroke .
- Omusuwa gukutuka ne guvaamu omusaayi munda mu bwongo. Ng’ekyokulabirako, embeera eyitibwa Hemorrhagic Stroke .
Biki ebiyinza okuvaako akabi?
Waliwo ebintu ebimu ebiyinza okuvaako emisuwa gino okwonooneka n’okukula kw’obulwadde bw’okusannyalala kw’emisuwa. Bbo bali:
- Kino kiyitibwa okuzimba emisuwa (Afib).
- Ekirwadde ekya sukaali .
- Obulwadde bw'omutima .
- Puleesa (Peesa).
- Kolesterol omungi mu musaayi ((Hyperlipidemia)).
- Okuba nga yafuna stroke emu oba eziwera emabegako .
- Okwongera emyaka , naddala eri abo abasukka mu myaka 60.
- Okunywa sigala .
Waliwo ebika bya Vascular Dementia eby’enjawulo?
Yee, abasawo bakozesa ebigambo eby’enjawulo okunnyonnyola obulwadde bw’okusannyalala kw’emisuwa, okusinziira ku muwendo n’ekika ky’emisuwa egyakosebwa, n’engeri obubonero gye bulabika. Ebimu ku byo mulimu:
- (Post-stroke Dementia): Wano obulwadde bw’okusannyalala kw’emisuwa we busobola okukula oluvannyuma lw’okusannyalala. Kino kye kiseera ekitundu ky’obwongo ekifuga emirimu gyakyo egy’okulowooza egisukka mu gumu bwe kyonoonese olw’okusannyalala. Obuzibu mu lulimi n’obuzibu mu kujjukira bitera okubaawo. Kyokka obubonero buno businziira ku kitundu ki eky’obwongo ekyakosebwa okusannyalala. Ebizibu bino eby’okulowooza birina okulabika amangu ddala nga stroke oba mu myezi mukaaga, era tebirina kutereera, abasawo kino okukigabanya nga (Post-stroke Dementia).
- (Multi-infarct Dementia): "Okuzimba" kye kimu ne (Stroke). Kale (Multi-infarct) kitegeeza nti (Strokes) nnyingi zikosa entambula y’omusaayi mu bitundu by’obwongo eby’enjawulo. Obubonero obuva ku bino (Strokes) butera okulabika nga bwe bubaawo. N’olwekyo, enkyukakyuka mu busobozi bw’okulowooza zibaawo mpolampola (kwe kugamba, embeera eyo yeeyongera mangu okumala ekiseera).
- (Binswanger Disease) (Subcortical Vascular Dementia): Kino kiva ku kufunda kw’emisuwa emitono mu kitundu kyonna ekyeru eky’obwongo olw’okuzimba emisuwa okumala ekiseera. Obubonero tebukula mangu, wabula bukula mpolampola okumala ekiseera.
- Obulwadde bw’okusannyalala obutabuliddwamu: Obubonero bw’okusannyalala bwe buva ku nsonga ezisukka mu emu, abasawo babuyita Mixed Dementia. Omugatte ogusinga okulabibwa ne Vascular Dementia bwe bulwadde bwa Alzheimer. Naye era kiyinza okubaawo n’embeera endala eziyitibwa Neurodegenerative.
Kino kintu ekiva mu milembe?
Obulwadde bw'okusannyalala mu misuwa si bwa buzaale butereevu . Kyokka ezimu ku mbeera ezibuleeta, gamba nga puleesa n’endwadde z’omutima, zisobola okutambulira mu maka.
Wabula waliwo ebika bibiri ebitali bimu nnyo eby’obulwadde bw’okusannyalala kw’emisuwa, nga bino biva ku kusannyalala okuwerako okuva ku nkyukakyuka (eziyitibwa enkyukakyuka) mu buzaale obumu. Bino byombi okusinga bikosa emisuwa emitono mu kintu ekyeru eky’obwongo. Bbo bali:
- (CADASIL): .Erinnya lya kino mu bujjuvu lye (Cerebral Autosomal Dominant Arteriopathy with Subcortical Infarcts ne Leukoencephalopathy). (CADASIL) kibaawo ng’omu ku bazadde alina embeera eno, era omwana n’agisikira ((Autosomal Dominant Inheritance) Kino kiyitibwa). Obubonero obw’enjawulo obwa (CADASIL) bwe buzibu bw’omutwe n’okusannyalala okuddamu.
- (CARASIL): Erinnya lya kino mu bujjuvu ye (Cerebral Autosomal Recessive Arteriopathy with Subcortical Infarcts ne Leukoencephalopathy). (CARASIL) okusobola okubaawo, abazadde bombi balina okuba nga basitula embeera eno, era omwana ajja kugisikira ((Autosomal Recessive Inheritance)). Obubonero obusinga okulabika ku (CARASIL) kwe kukaluba mu magulu n’okukaluubirirwa okutambula.
Kino okitegeera otya ddala?
Okusobola okukakasa nti olina obulwadde bw’okusannyalala kw’emisuwa, olina okwekebejjebwa omukugu . Kubanga waliwo ebika by’obulwadde bw’okusannyalala bingi, era obubonero bwa kino buyinza okufaananako n’obubonero bw’endwadde endala.
Omusawo wo ajja kukola ebintu bino:
- Nze mbuuza obubonero bwo bwe bwakula.
- Buuza ku bulwadde bwo obw’emabega.
- Bajja kutunuulira eddagala ly’omira mu kiseera kino, kuba eddagala erimu liyinza okuleeta obubonero obulinga obw’okubulwa amagezi.
- Buuza ku ndwadde eziri mu maka go.
Oluvannyuma lw’ekyo, osanga ojja kuweebwa amagezi okukola ebigezo eby’enjawulo ebiwerako. Mu bino biyinza okuli okukeberebwa omusaayi, okukebera obwongo, n’okukebera engeri obwongo gye bukola. Era ojja kwetaaga okulaba abakugu mu bulwadde bw’okusannyalala, gamba ng’abakugu mu by’obusimu n’abakadde okusobola okuzuula obulwadde buno.
Okukebera omusaayi/amalusu (Okukebera mu laboratory) .
Okukebera omusaayi kukozesebwa okukebera embeera endala ezireeta obubonero bw’okusannyalala, gamba nga yinfekisoni, okuzimba mu mubiri, obulwadde bwa thyroid, n’obutaba na vitamiini (naddala vitamiini B12).
Oluusi, abasawo bakola ttaapu y’omugongo okukebera amazzi g’omu bwongo (CSF) okukebera embeera ng’embeera z’abaserikale b’omubiri n’endwadde z’obusimu.
Okukebera okukuba ebifaananyi ku bwongo
Omusawo ayinza okulagira okukebera obwongo nga bino:
- (Computed Tomography - CT) ne (Magnetic Resonance Imaging - MRI): Ebigezo bino (Scan) binoonya ebintu nga okusannyalala, okuvaamu omusaayi, ekizimba, oba amazzi agakuŋŋaanyiziddwa mu bwongo. Abasawo basinga kwagala kukola kukeberebwa (MRI) okulaba oba waliwo (Vascular Dementia).
- (Ssikaani ya Amyloid PET):Kino kika kya njawulo ekya PET scan. Enoonya ebifo ebitali bya bulijjo ebya puloteyina eyitibwa amyloid mu bwongo. Kino kye kintu ekitera okulabibwa mu bulwadde bwa Alzheimer. Abasawo oluusi bakuwa amagezi okukebera kuno singa baba bateebereza nti olina obulwadde bwa Alzheimer.
Okukebera obusimu bw’omubiri (neuropsychological testing).
Mu kukebera kuno, omusawo wo ajja kukozesa ebigezo mu buwandiike ne ku kompyuta okukebera obusobozi bwo obw’omutwe. Mu bino mulimu:
- Obusobozi bw’okugonjoola ebizibu.
- Obusobozi bw’okuyiga.
- Obusobozi bw’okusalawo.
- Amaanyi g’okujjukira.
- Obusobozi bw’okuteekateeka.
- Obusobozi okulowooza mu ngeri entegeerekeka.
- Obusobozi bw’olulimi.
Abakugu mu by’empisa abatendeke mu ngeri ey’enjawulo (abayitibwa Neuropsychologists) batunuulira ebyava mu kukebera kuno ne bagezaako okutegeera obulungi enkolagana eriwo wakati w’obulamu bw’obwongo bwo n’obusobozi bwo obw’okulowooza (abayitibwa Cognition).
Okakasa otya obulwadde bw’okusannyalala kw’emisuwa?
Abasawo bakozesa emisingi gino okuzuula obulwadde bw’okusannyalala kw’emisuwa:
- Okukebera obusimu bw’omubiri (neuropsychological testing) kwetaagisa okukakasa oba obulwadde bw’okubulwa amagezi oba MCI buliwo.
- Wateekwa okubaawo obujulizi okuva mu sikaani y’obwongo (emirundi mingi MRI) nti wafuna stroke gye buvuddeko, oba nti olina enkyukakyuka endala mu misuwa gy’omusaayi mu bwongo bwo ezikwatagana n’obuzibu bwo obw’okutegeera.
- Wateekwa okubaawo obukakafu obulaga nti tewali nsonga ndala eviirako obusobozi bw’okulowooza okukendeera.
Emisingi gino gye gisinga okulaga nti obuzibu bw’okutegeera obutono (MCI) oba okusannyalala buva ku kwonooneka kw’emisuwa so si nsonga ndala yonna.
Bujjanjabi ki obukolebwa ku kino?
Ebyembi, tewali ddagala eriwonya obulwadde bw’okusannyalala kw’emisuwa. Obwongo bwe bumala okwonooneka, kiba kizibu okubuzzaawo mu bujjuvu. Mu kifo ky’ekyo, ekigendererwa ekikulu eky’obujjanjabi bw’okusannyalala kw’emisuwa kwe kufuga ensonga eziyinza okuleeta akabi n’okukomya oba okukendeeza ku kwonooneka okulala . Era kiyamba abantu okugumira ebizibu ebiva ku bwongo okwonooneka n’okunoonya engeri empya ez’okukolamu ebintu.
Eddagala
Okwawukanako n’obulwadde bwa Alzheimer, mu kiseera kino tewali ddagala likkirizibwa mu ngeri ey’enjawulo ekitongole kya FDA erijjanjaba obulwadde bw’okusannyalala kw’emisuwa. Wabula abasawo basobola okuwandiika eddagala eriyitibwa Cholinesterase Inhibitors for Vascular Dementia. Okunoonyereza kulaga nti bino bisobola okwongera okutambula kw’omusaayi mu bwongo n’okutumbula obukugu mu kulowooza.
Memantine ddagala eddala erikkirizibwa okujjanjaba obulwadde bwa Alzheimer era nga liyinza n’okuyamba ku bulwadde bw’okusannyalala kw’emisuwa.
Omusawo ayinza n’okukuwa eddagala eddala okusobola okufuga obulabe bwo obw’okulwala stroke. Okugeza eddagala eriwonya puleesa, kolesterol omungi ne ssukaali.
Okuddaabiriza n‟okuteekateeka okulabirira nga bukyali
Oyinza okwetaaga okukolagana n’abakugu ab’enjawulo okusobola okuddukanya obubonero bwo obw’obulwadde bw’okusannyalala kw’emisuwa. Ng’ekyokulabirako, abasawo abajjanjaba omubiri n’abajjanjaba emirimu basobola okukuyamba okutumbula obusobozi bwo obw’omubiri n’okufuna engeri empya gy’oyinza okukolamu emirimu egya bulijjo. Omusawo ajjanjaba okwogera n’olulimi asobola okukuyamba okuyiga engeri endala ez’okwogera, okumira, n’okuwuliziganya.
Abakugu abalala abasobola okukuyamba be bano:
- Abajjanjabi mu by’okwesanyusaamu.
- Abakugu mu by’emmere abawandiisiddwa.
- Abakugu mu by’empisa oba abasawo b’eby’omutwe.
- Abakola ku nsonga z’abantu mu malwaliro.
- Abaddukanya okulabirira abakadde.
Abakugu bano bakolagana naawe n’abaagalwa bo okulaba ng’ofuna obujjanjabi obutakyukakyuka obutuukagana n’ebyetaago byo n’ebiruubirirwa byo. Era bakuwa amagezi ggwe n’ab’omu maka go ku nteekateeka y’okulabirira mu biseera eby’omu maaso, omuli n’okusalawo ku by’ensimbi n’ebyobulamu. Era basobola okukola referrals okugenda mu palliative care oba hospice nga embeera efuuse ya maanyi.
Waliwo engeri y’okwewala kino?
Waliwo ebintu ebimu ebiyinza okukosa embeera eno, gamba ng’emyaka gyo oba obuzaale bwo, by’otosobola kukyusa. Wabula waliwo ebintu ebirala bingi eby’obulabe by’osobola okufuga okugezaako okuziyiza embeera eno - okusinga ebyo ebyonoona emisuwa gyo. Wano waliwo emitendera gy’oyinza okuyitamu:
- Puleesa yo, kolesterol, ne ssukaali (glucose) mu musaayi bikuume nga bituufu . Kino kyetaagisa okukolagana obulungi n’omusawo wo.
- Kuuma omugejjo omulungi ku lulwo.
- Dduyiro buli kiseera . Gezaako okukola waakiri eddakiika 30 olunaku.
- Lya emmere eyamba omutima , gamba ng’emmere ya Mediterranean oba emmere ya DASH.
- Lekera awo okunywa sigala .
- Kkomya ku kunywa omwenge .
- Fuga situleesi yo .
- Genda okwekebejjebwa abasawo buli kiseera era onywe eddagala lye bakulagidde ddala nga bwe bamulagira.
Obulwadde bw'okusannyalala mu misuwa bwawukana ku bika by'okusannyalala ebisinga obungi kubanga okusinga busobola okuziyizibwa . Bw’oba olina ekimu ku bintu bino eby’obulabe, yogerako n’omusawo wo ku ky’oyinza okukola okubiddukanya.
Kiki ky’oyinza okusuubira ng’obeera n’embeera eno?
Obulwadde bw’okusannyalala mu misuwa buyinza okweyongera okumala ekiseera. Enkyukakyuka zino ziyinza okubaawo mu bwangu oba mpolampola. Olugendo lwa buli muntu lwa njawulo. Obujjanjabi busobola okuyamba okufuga okukula kw’obulwadde. Nga muli wamu, ggwe n’omusawo wo mujja kukola enteekateeka y’obujjanjabi esinga obulungi ku bubonero bwo n’omutendera gw’obulwadde.
Funa obuwagizi okuva mu baagalwa bo mu kiseera kino. Nga muli wamu, musobola okukola enteekateeka essa ekitiibwa mu mutindo gw’obulamu bwammwe n’ebyo by’oyagala ng’obulwadde bw’okusannyalala bwe bugenda mu maaso.
Omulimu gwo ojja kutuusa wa okugukola wekka?
Omuntu alina obulwadde bw’okusannyalala kw’emisuwa ayinza okwetaaga obuyambi ku bimu ku bintu by’akola buli lunaku. Ng’ekyokulabirako, okuddukanya eddagala, okusasula ssente, n’okuteekateeka emmere. Omwagalwa wo alina embeera eno ayinza okuba ng’asobola okukola ebintu bingi ku lulwe. Kyokka, okusinziira ku busobozi ki obukosebwa, kiyinza obutaba kya bulabe gye bali okubeera bokka. Abantu abamu abalina obulwadde bw’okusannyalala kw’emisuwa bayinza okwetaaga okulabirira okw’enjawulo okuva mu bifo ebikugu mu kulabirira abantu abalina obulwadde bw’okusannyalala.
Obulamu buno buli butya?
Obulamu bw’omuntu alina embeera eno busalibwawo okusinziira ku buzibu bw’obulwadde. Obulwadde bw’okusannyalala mu misuwa bwawukana mu buzibu, era bukosa buli muntu mu ngeri ya njawulo.
Abantu abalina obulwadde bw’okusannyalala kw’emisuwa bawangaala nnyo okusinga abo abalina obulwadde bwa Alzheimer. Kino kiri bwe kityo kubanga abantu abalina obulwadde bw’okusannyalala kw’emisuwa batera okufa olw’okusannyalala oba okulwala omutima okusinga okufa obulwadde bw’okusannyalala kwennyini.
Bubonero ki obw’ebiseera eby’enkomerero?
Kizibu okwogera ddala obubonero obusembayo obw’obulwadde bw’okusannyalala kw’emisuwa bwe buli. Oluusi kiyamba nnyo okulowooza ku ngeri obulwadde bw’okusannyalala gye bukosaamu omwagalwa wo okutwaliza awamu. Obulwadde bw’okusannyalala we bunaakoma, bujja kuba bukosezza nnyo ebintu bingi ebikwata ku bulamu bw’omwagalwa wo. Bajja kwetaaga okulabirirwa n’okuyambibwa okujjuvu.
Obubonero obulwawo oba obw’omutendera ogw’enkomerero buyinza okuli:
- Okufiirwa ennyo okujjukira.
- Ebizibu by’omubiri ebitasobola kukola mirimu gya buli lunaku ng’okulya, okunaaba, n’okwambala nga toyambiddwa .
- Kumpi okufiirwa ddala obusobozi bw’olulimi.
- Ennaku, obutafaayo ku kintu kyonna ((Apathy)).
- Okulaba ebirooto n'okuwubisa .
- Obutawummula, obusungu oba okutabuka.
Ttiimu y‟abasawo b‟omwagalwa wo, nnansi w‟abalwadde abayi, oba omusawo akola ku by‟okukkakkanya obulumi be bantu abasinga okubuuza ku biseera ebigere. Basobola okukubuulira obubonero bw’olina okunoonya, n’ofuna endowooza enkambwe ku by’osuubira.
Ddi lwe nnina okulaba omusawo?
Singa ggwe oba oyo akulabirira mulaba ng’obubonero bwo bweyongera okusajjuka, oba singa wabaawo obubonero obupya, kakasa nti olaba omusawo wo.Omusawo wo oba ttiimu y’ebyobulamu ejja kwekenneenya enkyukakyuka zonna era ekole enkyukakyuka mu nteekateeka yo ey’obujjanjabi bwe kiba kyetaagisa.
Bw’oba ggwe oba omuntu wo olina obulwadde bwa Vascular Dementia, jjukira nti toli wekka. Kumpi buli muntu abadde akoseddwa obulwadde bw’okusannyalala obw’engeri emu mu kiseera ekimu. Okumanya engeri gy’ozuddemu obulwadde kikuwa ggwe n’ab’omu maka go obudde okwetegekera n’okuteekateeka ebiseera eby’omu maaso. Osobola okuyiga ku kika ky‟okulabirira kw‟oyinza okwetaaga ne wa w‟oyagala okufuna okulabirira okwo. Ttiimu yo yonna ey’ebyobulamu yeetegefu okukuyamba.
Ekisinga Obukulu - Obubaka Obutwala Awaka
Okay, kale, okusinziira ku bye twogeddeko (Vascular Dementia), bino bye bimu ku bintu ebikulu by’olina okujjukira:
- Obulwadde bw'okubulwa amagezi mu misuwa (Vascular Dementia) mbeera nga okubulwa okujjukira kubaawo olw'omusaayi okukendeera mu bwongo .
- Ekisinga okuvaako kino kwe kwonooneka kw’emisuwa, gamba ng’okusannyalala .
- Obubonero buyinza okwawukana okusinziira ku muntu . Okubulwa okujjukira, okukaluubirirwa okutambula, n’okukyuka mu nneeyisa bitera okubeerawo.
- Wadde nga tekisobola kuwona ddala, okukula kw’obulwadde buno kuyinza okufugibwa nga tufuga ensonga eziyinza okuvaako akabi .
- Kikulu nnyo okufuga ebintu nga puleesa, sukaali, kolesterol omungi, n’okunywa sigala.
- Bw’oba olina obubonero, kyetaagisa okugenda amangu ew’omusawo .
- Toli wekka, osobola okufuna obuwagizi n’okulabirira obulungi .
Nsuubira nti amawulire gano ga mugaso gy’oli. Sigala nga oli mulamu bulungi!
` Obulwadde bw’okusannyalala kw’emisuwa, okubulwa okujjukira, okutambula kw’omusaayi mu bwongo, okusannyalala, okusannyalala, obulamu bw’abakadde, endwadde z’obwongo











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