Waliwo ekintu ekyewuunyisa ku misuwa gyo? Ka tuyige ku bino (Vascular Malformations)?

Waliwo ebitundu ku lususu lwo ebikyuse langi, ebiringa obutundutundu obutonotono, era oluusi ebiruma? Oba waliwo ekifo ekyewuunyisa ku mubiri gwo omwana wo kye yazaalibwa nakyo, naye nga kirabika kyeyongera obunene? Bino biyinza okuba ebintu ebyangu. Kyokka, oluusi buno buyinza okuba obubonero bw’embeera etali ya bulijjo eyitibwa Vascular Malformations , nga buno buba butabeera bwa bulijjo mu misuwa, oba okusingawo, emisuwa. Kale, teweeraliikiriranga. Ka twogere ku nsonga eno mu bujjuvu era mu ngeri ennyangu leero.

Obuzibu bw’emisuwa kye ki? Mu ngeri ennyangu...

Obuzibu bw’emisuwa bwe butabeera bwa bulijjo oba enkyukakyuka mu misuwa mu mubiri gwaffe. Bino bitera okuba eby’obuzaale. Kyokka, oluusi byeyoleka mu buto, mu myaka gy’obuvubuka, oba n’okukula.

Lowooza ku nkola y’emisuwa etambula mu mibiri gyaffe gyonna ng’omukutu gw’enguudo. Oluusi, enguudo zino bwe zizimbibwa, obutali butuukirivu obutonotono n’obutakwatagana buyinza okubaawo. Ekyo kye kibaawo ne wano.

Obuzibu buno obw’emisuwa busobola okubaawo wonna ku mubiri gwo, okuva ku mutwe okutuuka ku bigere. Oluusi zirabika ng'ebitundu ebigonvu , obulumi , okuzimba oba okukyuka langi y'olususu . Ebimu birabika mu maaso, mu bulago, okumpi n’obwongo oba ku mugongo. Ebirala bifaanana ng’obubonero bw’okuzaalibwa oba amabala amamyufu.

Tekitera nnyo, zisobola okuddamu oluvannyuma lw’okulumwa oba ekintu ekirala, oba ne mu bukulu. Singa zireeta obulumi, zitaataaganya okulaba, zitaataaganya emirimu gya buli lunaku, zivaamu omusaayi oba zireeta obuzibu obulala, obuzibu buno obw’emisuwa bwetaaga okujjanjabibwa.

Bino we bisinga okubeera ku mubiri?

Ekigambo "emisuwa" kitegeeza "ekikwatagana n'emisuwa." Kale embeera eno esobola okukosa emisuwa gyonna mu nkola yaffe ey’okutambula kw’omusaayi. Era kiyinza okukosa emisuwa gy’amazzi mu nkola yaffe ey’amazzi.

Ebika by’emisuwa ebiyinza okukosebwa bye bino:

• Emisuwa n’emisuwa - Zino ze misuwa egitambuza omusaayi ogulimu omukka gwa oxygen okuva ku mutima okutuuka mu bitundu ebirala.
• Capillaries - Omukutu gw’emisuwa emirungi ennyo.
• Emisuwa n’emisuwa - Bino bye bireeta omusaayi ogukozesebwa okuva mu bitundu by’omubiri okudda ku mutima.
• Emikutu gy’amazzi (lymphatic channels).- Zino zitambuza amazzi g’omusaayi mu mubiri.

Bika ki ebikulu eby’obuzibu bw’emisuwa?

Embeera zino oluusi ziyinza okulabika ng’obubonero bw’okuzaalibwa ku lususu lw’omwana. Oba nga bwe kyayogeddwako emabegako, zisobola okukula wonna mu mubiri, omuli obwongo n’omugongo. Abasawo basalawo ekika okusinziira ku kika ky’omusuwa ogukosebwa.

Bino bye bimu ku bika ebisinga okulabibwa:

• Okuzimba emisuwa: Kino kye kika ekisinga okubeerawo. Nga erinnya bwe liraga, kikula mu musuwa. Emisuwa gye misuwa gy’omusaayi mu mubiri gwaffe egitwala omusaayi ogutaliimu mukka gwa oxygen okudda ku mutima. Bino biyinza okufaanana ng’ekizimba ekya langi ya bbululu, era oluusi biyinza okuluma okubikwatako.
• Arteriovenous malformation (AVM): Kino kibeera kikwatagana mu ngeri etaali ya bulijjo ey’emisuwa n’emisuwa. Mu budde obwabulijjo, emisuwa gikoma mu misuwa, ate oluvannyuma emisuwa ne gitandika. Naye mu AVM, omusaayi oguva mu misuwa gukulukuta butereevu mu misuwa, nga guyita mu kibinja ky’emikutu ekitali kya bulijjo ekiyitibwa nidus . Embeera eno eya AVM esobola okukosa obwongo oba omugongo.
• Capillary telangiectasia: Kino kitundu kitono eky’okugaziwa kw’emisuwa mu bwongo. Ebiseera ebisinga bino tebiba bizibu. Kyokka, si bulijjo nnyo, ziyinza okuvaako okuvaamu omusaayi , nga kino kwe kuvaamu omusaayi.
• Cavernous malformations: Mu mbeera eno, emisuwa mu bwongo gipakibwa bulungi, ne gikola "empuku" empanvu. Omusaayi gukulukuta mpola nnyo mu mpuku zino.
• Obuzibu bw’amazzi (lymphatic malformations): Mu kino, emikutu gy’amazzi gigaziwa ne gikola ebizimba ebijjudde amazzi. Bino bisinga kulabibwa mu bitundu ebigonvu nga ffeesi, ensingo, n’ebitundu by’omugongo.

Njawulo ki eriwo wakati w’obuzibu bw’emisuwa n’obulwadde bwa hemangiomas?

Zombi ziva ku buzibu bw’emisuwa. Zombi zisobola okulabika ng’amabala, okufaananako n’obubonero bw’okuzaalibwa. Naye waliwo enjawulo entegeerekeka wakati w’ebintu bino byombi.

• Hemangiomas: Zino bizimba by’emisuwa ebitali bya kookolo (ebitali bya bulabe). Zikolebwa ng’emisuwa gikuŋŋaana wansi w’olususu. Ekika ekiyitibwa "strawberry hemangiomas" kitera okulabika ng'omwana amaze okuzaalibwa. Zikula mangu mu myezi omukaaga egyasooka omwana. Wabula ebizimba bino tebitera kuleeta buzibu era ebiseera ebisinga bigenda ku bwabyo nga tebifunye bujjanjabi. Singa hemangioma eba nnene, etaataaganya emirimu egimu, ereeta obulumi oba n’ereeta obuzibu obulala, esobola okufugibwa n’eddagala erigikendeeza amangu. Tekitera kwetaagisa kulongoosebwa.

• Obuzibu bw’emisuwa:Bino bintu ebibeerawo ng’azaalibwa, naye nga biyinza obutalabika okutuusa ng’akyali muto oba ng’omuntu omukulu. Zikula mpola mpola. Ate era, zisobola okusaasaana wansi mu bitundu by’omubiri n’ebizimbe ebigyetoolodde ne zireeta obuzibu. Obuzibu bw’emisuwa butera okwetaagisa okujjanjabibwa.

Mu ngeri ennyangu: Hemangioma kizimba ekitali kya bulabe ekitera okugenda ku bwakyo. Wabula obuzibu bw’emisuwa mbeera ezitasalako eziyinza okukula n’okuleeta obuzibu. Kale kikulu okwawula wakati w’ebintu bino ebibiri.

Ebizibu by’emisuwa ebikulukuta mpola n’ebikulukuta amangu bye biruwa?

Ebizibu by'emisuwa bingi bigwa mu kiti kya "slow-flow" . Kino kitegeeza nti omusaayi gutambula mpola nnyo mu misuwa egikoseddwa. Eby’okulabirako ku kino bye bino: emisuwa, lymphatic, oba byombi (venolymphatic) malformations.

Wabula, AVM (Arteriovenous malformation) ye "fast-flow" obubi bw'emisuwa. Mu kino, omusaayi gukulukuta okuva mu misuwa okutuuka mu misuwa ku sipiidi ya maanyi, ebiseera ebisinga guyita mu musuwa ogutali gwa bulijjo oguyitibwa nidus . Omusaayi bwe gutambula ku sipiidi eno mu AVM ennene, omutima gulina okukola ennyo. Kino kyongera obulabe bw'omutima okulemererwa .

Bino bya bulijjo bitya?

Obuzibu bw’emisuwa mbeera ezitatera kubaawo. Zibeera mu bitundu nga 1% ku baana bonna abazaalibwa. Ku bino, obuzibu bw’emisuwa, ekika ekisinga okutawaanya, bukosa omuntu omu ku buli bantu 5,000 ku 10,000.

Kiki ekivaako emisuwa okutambula obubi?

Ebiseera ebisinga, bino biva ku butabeera bwa bulijjo mu nkula y’emisuwa ne/oba emikutu gy’amazzi ng’omwana ali mu lubuto akula mu lubuto lwa maama (mu nnabaana). Kino kitegeeza nti zitera kuba za buzaale .

Tekitera kubaawo, okwonooneka kw’emisuwa mu kiseera ky’obuvune kuyinza obutategeerekese ne kifuuka ekizibu ky’emisuwa oluvannyuma lw’ekiseera. Obuzibu bw'emisuwa nabwo busobola okulabika omulundi ogusooka oluvannyuma lw'akabenje oba olw'enkyukakyuka mu busimu ng'oli mu myaka gy'obuvubuka oba ng'oli lubuto .

Mu mbeera etali ya bulijjo nnyo, abantu abamu basikira enkyukakyuka mu buzaale ekyongera obulabe bw’okufuna obuzibu mu misuwa. Abanoonyereza bakyayiga ebisingawo ku biva ku buzaale buno.

Ani ali mu bulabe obw’amaanyi obw’okufuna bino?

Abantu abamu basikira enkyukakyuka mu buzaale eziyinza okwongera ku bulabe bw’okulwala emisuwa. Ezimu ku bukwakkulizo buno mulimu:

• Blue rubber bleb nevus syndrome: Kino kireeta emisuwa okutambula obubi mu byenda byo n’enkola y’okugaaya emmere. Era kiyinza okukuleetera ebiwundu ebya bbululu omuddugavu, ebimyufu oba ebiddugavu ku lususu lwo.
• CLOVES syndrome (congenital lipomatous overgrowth, vascular malformations, epidermal nevi ne spine deformities): Kino kireetera AVMs okutondebwa mu mugongo gwo. Era kiyinza okuvaako obulwadde bwa scoliosis ( curvature of the spine), okukula kw’amasavu, n’okusiiyibwa okumyufu enzirugavu.
• Hereditary hemorrhagic telangiectasia (era emanyiddwa nga Osler-Weber-Rendu syndrome): Kino kireeta tangles ezitali za bulijjo oba AVMs, mu misuwa emitono.
• Klippel-Trenaunay syndrome (KTS): Kino kireeta obubonero bw'okuzaalibwa obw'erangi emmyufu-kakobe obuyitibwa "port-wine stains", okukula kw'amagumba oba ebitundu by'omubiri, n'obuzibu obuzingiramu emisuwa oba emikutu gy'amazzi.
• Obulwadde bwa Parkes Weber syndrome: Kino kireetera AVMs okukola mu mikono oba amagulu go.

Bw’oba ​​olina embeera z’obuzaale nga zino, kikulu okuzimanya.

Bubonero ki obulaga nti emisuwa gifunye obuzibu?

Obubonero businziira ku kika kya malformation. Obuzibu bw’emisuwa obukosa olususu lwo buyinza okulabika ng’akabonero k’okuzaalibwa akamyufu, bbulu, kakobe, kitaka oba akaddugavu akagulumivu . Ebitundu bino biyinza okuzimba, okuvaamu omusaayi oba okuluma.

Bw’oba ​​olina AVM mu bwongo bwo , oyinza obutaba na bubonero bwonna okutuusa ng’evuddemu omusaayi. Singa AVM y’obwongo evaamu omusaayi, oyinza okulumwa omutwe, okukonziba, oba okusannyalala ku ludda olumu olw’omubiri gwo .

Obuzibu bw’emisuwa busobola okuvaako obulumi, okuzimba, obuzibu mu kuzimba omusaayi, n’okwonooneka kw’ebitundu by’omubiri.

Bino obitegeera otya? Omusawo kino akizuula atya?

Olw’okuba emisuwa emisuwa tegitera kuleeta bubonero, abasawo oluusi embeera eno bagizuula nga bakola okukebera ekizibu ekirala.

Abasawo bakozesa enkola ey’enjawulo ey’okukuba ebifaananyi okutunuulira entambula y’omusaayi n’okuzuula obuzibu bw’emisuwa. Ebigezo bino mulimu:

• Ultrasound , era eyitibwa vascular ultrasound .
• MRI (Magnetic Resonance Imaging) , nga muno mulimu n’okukebera okuyitibwa MR Angiogram (MRA) .
• CT scan (Computed Tomography scan), nga muno mulimu n’okukebera okuyitibwa CT angiogram .
• Angiogram ne/oba venogram .
• Okukubwa X-ray buli kiseera .

Okukebera kuno kusobola okulaba obulungi embeera y’emisuwa mu kitundu ekyo, engeri omusaayi gye gutambulamu, n’okumanya oba waliwo okufunda oba okugaziwa okutali kwa bulijjo.

Bujjanjabi ki eri kino?

Ekigendererwa ekikulu eky’okujjanjaba obuzibu bw’emisuwa kwe kukendeeza ku bubonero n’okukendeeza ku bizibu ebiyinza okuvaamu. Ebizibu ebitaleeta buzibu bwonna biyinza obuteetaagisa bujjanjabi era bisobola okulabibwa okumala ekiseera.

Obujjanjabi businziira ku kika ky’emisuwa egikoseddwa. Emirundi mingi, obujjanjabi buno buzingiramu okuggalawo oba okulongoosa okuggyawo omusuwa ogukosebwa. Ebizibu bingi bisobola okujjanjabibwa nga tukozesa obukodyo obutayingira mu mubiri . Abasawo bayinza okukozesa enkola nga:

• Sclerotherapy: Mu kino, eddagala ery’enjawulo lifukibwa mu musuwa ogukosebwa, ekivaako omusuwa okukendeera n’okuggalawo.
• Catheter embolization: Mu nkola eno, akatuli akatono (catheter) kayisibwa mu musuwa era omusuwa ogutali gwa bulijjo ne gusibwa okuva munda.
• Obujjanjabi bwa layisi: Kino kikozesebwa ku lususu olumu olutali lulungi.
• Obujjanjabi bw’amasannyalaze (radiosurgery): Buno bukozesebwa ku bizimba ebimu ebizito, ebizibu okulongoosa.

Oluusi, omusawo ayinza okukuwa amagezi okukebera omubiri (biopsy) , nga kino kizingiramu okutwala ekitundu ky’omubiri okwekebejjebwa. Kino kiyinza okuyamba okukakasa okuzuula n’/oba okufuna ebitundu by’omubiri okukeberebwa obuzaale .

Olw’okuba obuzibu bw’emisuwa buzibu era nga tebutera kubaawo, kirungi okubuddukanya n’enkola ya ttiimu erimu abakugu abawera .

Bino bisobola okuddamu okukula oluvannyuma lw’okujjanjabwa?

Yee, obuzibu bw’emisuwa busobola okuddamu ne bwe buba bumaze okujjanjabwa. N’olwekyo, oyinza okwetaaga okukyalira buli kiseera okugoberera n’okukeberebwa okuzuula obuzibu bwonna obuddamu nga bukyali.

Waliwo engeri y’okuziyiza bino okutondebwawo?

Vascular malformations are often congenital , ekitegeeza nti ddala tewali ngeri yonna gye tuyinza kuziziyiza.

Kyokka, singa omuntu mu maka go alina embeera y’obuzaale ereetera emisuwa okutambula obubi, kiyinza okwetaagisa okulaba omukugu mu kubuulirira ku buzaale.Omukugu ono asobola okukunnyonnyola engeri ezisobola okukendeeza ku bulabe bw’okuyisa embeera eno mu baana bo.

Bizibu ki ebiyinza okubaawo olw’obuzibu buno obw’emisuwa?

Ebizibu ebimu tebireeta buzibu bwonna era bisobola okwetegereza kwokka. Kyokka, emirundi mingi, ziyinza okuleeta obulumi n’okuzimba .

Ebimu ku bikolwa ebitali birungi biyinza okuleeta obulumi, oba ebinywa, ebinywa oba obusimu okuyingirira, ekiyinza okutaataaganya dduyiro, emizannyo, emirimu, oba emirimu gya buli lunaku .

Ebizibu ebinene ebikulukuta ennyo biyinza okukkakkana ng’omutima gulemererwa .

Obuzibu bw’emisuwa mu bitundu ebigumu ng’ekibumba, ekibumba oba nnabaana busobola okuvaako ebitundu by’omubiri obutakola bulungi n’ebizibu ebirala.

Emisuwa egimu egy’obubi, gamba nga AVMs mu bwongo oba mu mugongo, zisobola okukendeeza ku musaayi ogulimu omukka oguyingira mu bwongo. Kino kiyinza okuvaako ebizibu ebiyinza okutta omuntu, gamba nga:

• Aneurysms ( okunafuwa kw’ekisenge ky’emisuwa n’okubumbulukuka nga bbaatule) .
• Okuvaamu omusaayi mu mutwe
• Okusannyalala

Biki eby’omu maaso eri abantu abalina embeera eno? Kino kikwata kitya ku bulamu bwabwe?

Obuzibu bw’emisuwa obulabika ng’obubonero bw’okuzaalibwa, busobola okukosa endabika y’omuntu n’okwesiga. Kino kiyinza okuvaako embeera z'eby'omwoyo nga okwennyamira n'okweraliikirira . Kyokka, bingi ku bikolwa bino ebitali birungi bikola bulungi ku bujjanjabi.

Ebizibu eby’amaanyi ennyo, gamba nga AVMs mu bwongo, biyinza okuteeka obulamu mu matigga singa bitandika okuvaamu omusaayi.

Naye, ekisinga obukulu, malformations ezisinga zijjanjabibwa era ziddamu bulungi obujjanjabi. N’olwekyo, kikulu okunoonya amagezi amatuufu mu basawo nga tosattira.

Kiki ky’osaanidde okubuuza omusawo wo?

Bw’oba ​​olina okubuusabuusa kwonna ku mbeera eno, oba ng’ozuuliddwa ng’olina, osobola okubuuza omusawo wo ebibuuzo bino:

• Nafuna ntya obuzibu buno obw’emisuwa? (Kiki ekivaako?)
• Nnina kika ki eky’obuzibu bw’emisuwa?
• Bujjanjabi ki obusinga okunkwatako?
• Biki ebiyinza okuva mu bujjanjabi oba ebizibu ebiyinza okuva mu bujjanjabi obwo?
• Nsaana okweraliikirira obubonero bw’ebizibu? Obubonero obwo bwe buliwa?

Buuza ebibuuzo bino ofune okutegeera okulungi ku mbeera gy’olimu.

N’ekisembayo, ebintu ebikulu by’olina okujjukira (Obubaka bw’okutwala awaka) .

Okay, kale ka tumale tulabe ensonga enkulu z’olina okujjukira okuva mu bye twogeddeko.

• Obuzibu bw’emisuwa buba buzibu obutatera kubaawo mu misuwa, ebitera okubaawo ng’azaalibwa.
• Bino bisobola okubaawo wonna ku mubiri , okulaga obubonero obw’enjawulo, oba oluusi obutalaga bubonero bwonna.
• Hemangiomas ne Vascular Malformations bintu bibiri eby’enjawulo. Kikulu okumanya enjawulo eriwo wakati w’ebintu bino byombi.
• Waliwo obujjanjabi obw’enjawulo ku mbeera eno. Omusawo ajja kusalawo obujjanjabi obusinga obulungi ku mbeera yo.
• Ebika ebimu eby’amaanyi naddala AVM mu bwongo bisobola okuleeta obuzibu, n’olwekyo okulabirira obulungi abasawo kikulu.
• Ggwe oba omwana wo bw’oba ​​olina obubonero buno, totya era olabe omusawo akuwe amagezi.

Jjukira nti si ggwe wekka ng’okola ku mbeera eno. Singa olina amawulire amatuufu n’obuyambi bw’abasawo, embeera eno esobola okuddukanyizibwa obulungi.

` Obuzibu bw’emisuwa, obutabeera bulungi mu misuwa, obubonero bw’okuzaalibwa, AVMs, obubi mu misuwa, obuzibu bw’emisuwa, endwadde ezizaalibwa