Olina ekizibu nga kino ng’olina omusuwa mu bulago? (Vertebral Artery Dissection) Ka tuyige ku nsonga eno.

Wali owuliddeko ng’ensingo enyiga, ng’omutwe gukuluma, oba ng’olaba ebintu bibiri mu liiso erimu mu bwangu? Wadde nga bino biyinza okulabika ng’ebintu ebyangu, oluusi wayinza okubaawo ekintu eky’amaanyi ennyo emabega wabyo. Embeera emu ng’ezo gye tugenda okwogerako leero ye ``Vertebral Artery Disection``.

Okusala emisuwa gy’omugongo kye ki?

Mu ngeri ennyangu, kino kye kiseera omusuwa omukulu emabega w’ensingo yo, ku mugongo gwo, ogutwala omusaayi okutuuka ku bwongo bwo – oguyitibwa omusuwa gw’omugongo – bwe gukutuka okuva munda. Okufaananako n’olugoye olukutuka, layeri emu oba eziwera ez’ekisenge ky’emisuwa zisobola okukutuka. This is actually a rare cause of stroke in younger people , abali wansi w’emyaka 45, okusinga abantu abakulu.

Kale omusuwa guno ogw’omugongo kye ki?

Teebereza, emabega w’ensingo yo, waliwo emisuwa ebiri egy’omusaayi egidduka waggulu ku mugongo gwo. Tuziyita emisuwa gy’omugongo. Omulimu gwazo omukulu kwe kuwa omusaayi omuyonjo ogulimu omukka gwa oxygen mu bwongo bwo n’omugongo gwo . Kiringa payipu y’amazzi naye kizibu okusinga ekyo.

Omusuwa guno gulina layers ssatu enkulu:

• Intima : Eno ye layeri ey’omunda, esinga okumpi n’entambula y’omusaayi.
• Media : Eno ye layeri eya wakati. Kiyamba omusaayi okutambula mu ludda lumu.
• Adventitia : Eno ye layeri esinga ebweru. Kye kiwa omusuwa enkula yaago n’amaanyi.

Okusalako kuno kukosa kutya obulamu bwo?

Kati teebereza, nga bwe nnagambye, oluwuzi olw’omunda olw’omusuwa bwe lukutuka, omusaayi gutandika okukulukuta wakati wa layeri zombi eziyitibwa intima ne media. Olwo omusaayi ne gusobola okukuŋŋaana eyo ne guzimba ng’akapiira akatono. Omusaayi guno ogukung'aanyiziddwa guyinza okusibira awo ne gukola ekizimba ky'omusaayi . Omusaayi guno oguzimba guyinza okulemesa omusaayi okutambula munda mu musuwa, era gusobola n’okuguzibikira ddala. Omusuwa nagwo gusobola okuzimba (okugaziwa).

Ekisinga okuba eky'obulabe ekiva mu kino kwe kusannyalala :

• Ischemic stroke : Kino kibaawo ng’omusaayi gufuuse munene ekimala okuzibikira ddala oba ekitundu ku musaayi ogugenda mu bwongo. Oluusi, ekitundu ky’ekizimba kiyinza okukutuka ne kigenda wansi mu musaayi ogugenda mu bwongo ne gusibira mu musuwa omutono.
• Hemorrhagic stroke : Kino kibaawo nga layers zonsatule ez’ekisenge ky’emisuwa zikutuse. Olwo omusaayi ne gutandika okukulukuta okuva mu musuwa, mu kifo ky’okukulukuta mu bwongo. Singa amaziga gano gagenda munda mu bwongo, omusaayi guyinza okukulukuta mu kifo ekyetoolodde obwongo – tuguyita subarachnoid hemorrhage – oba guyinza okuvaamu omusaayi mu bitundu by’obwongo.

Ani asinga okulwala okusalako emisuwa gy’omugongo?

Abantu abamu basobola okufuna embeera eno awatali nsonga. Kyokka bw’oba ​​olina embeera z’obulamu ezimu, oyinza okuba mu bulabe obusingako katono okubufuna. Laba oba ebintu bino naawe bikukwatako:

• Okunywa sigala : Kino kintu ekiggulawo endwadde nnyingi.
• Embeera z’obuzaale ezimu : Okugeza , cystic medial necrosis , Ehlers-Danlos syndrome , Marfan syndrome , ne osteogenesis imperfecta bisobola okuleeta ebisenge by’emisuwa okunafuwa.
• Fibromuscular dysplasia : Eno mbeera obutoffaali obutali bwa bulijjo mwe bukula mu misuwa.
• Puleesa : Puleesa naddala mu misuwa egigatta amawuggwe n’omutima (arterial hypertension).
• Obulwadde bw’ekibumba obuyitibwa Polycystic kidney disease : Obulwadde obukola ebizimba mu nsigo.
• Obulwadde bw’emisuwa : Okuzimba emisuwa.

Waliwo ebintu ebirala ebiyinza okuleeta akabi?

Yee, ddala. Okusalako kuno era kuyinza okubaawo olw’obuvune obumu ku bulago. Kino kiyinza okubaawo naddala ng'ensingo eri mu mbeera ya hyperextended oba ng'ensingo etambuzibwa mangu mu bwangu . Lowooza ku bintu nga bino:

• Obubenje bw'emmotoka.
• Obujjanjabi obumu obw’ensingo, gamba ng’okutereeza eddagala ly’omubiri (chiropractic adjustment ) n’okusiiga ensingo mu bitundu ebiwanvu, buyinza okuyamba. Kyokka bino biyinza obutakola ku buli muntu, era waliwo akabi akayinza okuvaamu.
• Okuggulawo omusulo ng’onyiga ensaya zo mu ddoboozi ery’omwanguka.
• Bw’okola yoga, ensingo bagikwatira waggulu ne bagikyusa okumala ebbanga eddene.
• Kiba ng’okusiiga langi ku ssilingi, ng’okola obutasalako ng’ensingo efukamidde.
• Okuzuukusa omutima n’amawuggwe (CPR) bwe bujjanjabi obuweebwa singa omutima gukutte mu bwangu.
• Okusesema mu ddoboozi ery’omwanguka.
• Okusesema.
• Emizannyo gya beetingi (`Okumegganyizibwa`).
• Okusitula obuzito obuzito.
• Ekintu ekirala kyonna ekiyinza okuvaako obuvune mu bulago.

Stroke nayo esobola okubaawo olw’okusalako emisuwa emirala?

Yee, omusuwa mu bulago bwe bwe gukutuse, tutera okuguyita okusalako omusuwa gw’omumwa gwa nnabaana . Kuno kw’ogatta emisuwa gy’omugongo gye twaakayogerako, wamu n’emisuwa ebiri egy’omugongo egitambulira mu maaso g’ensingo yo. Singa omu ku misuwa gino gukutuka, guyinza okusalako omusaayi okugenda mu bwongo, ekivaako okusannyalala .

Obulabe ki obw’amazima obw’okusannyalala?

Mu butuufu kino kiva ku kusalako emisuwa gy’omugongo oba egy’omugongo.Obulabe bw’okusannyalala okutwalira awamu butono. Ischemic strokes zikola nga 2% ku stroke zonna. Obulwadde bwa ischemic stroke obusinga buva ku mbeera eyitibwa atherosclerosis . Wano ebisenge by’emisuwa bwe bifuuka ebinene n’okufunda olw’ebintu ebirala ebiyinza okuleeta akabi, gamba ng’okunywa sigala, puleesa, kolesterol omungi, ne ssukaali.

Naye wuuno ekikulu: Okusala emisuwa gy’omugongo kye kisinga okuvaako okusannyalala mu bavubuka n’emyaka egy’omu makkati. Kiyinza okuleeta okutuuka ku bitundu 25%, oba omu ku buli bana, ku stroke mu kibinja ky’emyaka kino.

Bubonero ki obulaga nti omuntu asala emisuwa gy’omugongo?

Oyinza obutafuna bubonero bwonna mu kusooka. Naye singa omusuwa gukutuka oba omusaayi ne guziyiza omusaayi okutambula mu bwongo, oyinza okufuna obubonero bw’okusannyalala .

Weetegereze engeri zino:

• Ataxia : Okubulwa bbalansi ng’otambula oba ng’oyimiridde, obutasobola kukola bulungi mirimu.
• Okuziyira.
• Okubulwa okuwulira.
• Okulaba emirundi ebiri.
• Obulumi mu bulago (emirundi mingi ku ludda olumu).
• Omutwe ogw’amaanyi.
• Okwogera okutali kwa maanyi (Dysarthria).
• Vertigo - Okuwulira ng’owuuta.

Omanya otya oba olina okusalako emisuwa gy’omugongo?

Ekigezo ekisinga obulungi okuzuula ekituufu ekigenda mu maaso ye magnetic resonance angiography (MRA) . Kino kigatta MRI scan n’enkola eyitibwa angiography okukuba ebifaananyi ebitegeerekeka obulungi ennyo eby’emisuwa gyo egy’omugongo. Kino kisobozesa abasawo okumanya amangu ekitundu ekisaliddwamu, obuzibu bwe kiri, n’ebbanga lye kimazeewo.

Wabula okukebera kuno okwa MRA tekusangibwa buli wamu era si kwangu kukola. N’olwekyo, abasawo batera okuzuula embeera eno nga bakozesa CT scan (`Computed Tomography - CT scan`) oba CT angiography (`CT angiography`) . Bino ebiseera ebisinga bye bimu ku bigezo ebisooka okukolebwa ng’omuntu ayingidde.

Oluusi, omusawo wo ayinza n’okukuwa amagezi okukozesa enkola eya bulijjo ey’okukebera emisuwa . Kino kizingiramu okuyingiza ekyuma ekigonvu ekiwanvu (catheter) okuyita mu ngalo oba mu kisambi, okufuyira langi ey’enjawulo (contrast dye), n’okukuba ebifaananyi mu X-ray okulaba engeri omusaayi gye gukulukuta munda mu musuwa, obunene bw’omusuwa we gusaliddwa, n’ekifo ekiwundu we kiri.

Kino kikwatibwa kitya?

Ebiseera ebisinga, embeera zino ez’okusalako zijja kuwona ku bwazo okumala ekiseera. Kyokka okusobola okukendeeza ku bulabe bw’okuziyira omusaayi, oyinza okuweebwa eddagala erigonza omusaayi.Zino ze bujjanjabi obusookerwako. Okugeza, aspirin , eddagala eddala (nga Plavix®) , heparin mu ngeri y’amazzi, oba empeke za warfarin zisobola okuweebwa.

Kyokka, singa ekitundu ekyo kibunye nnyo mu bwongo, oba bw’oba ​​ofunye obulwadde bw’okusannyalala omusaayi , kiyinza obutaba kya bulabe kuwa ddagala lino erikendeeza omusaayi. Omusawo ajja kukukuwa amagezi ku bujjanjabi obulala.

Kiki eky’okukola singa obujjanjabi obwa bulijjo tebufuna buwanguzi?

Ekyo bwe kibaawo, kiyinza okwetaagisa okulongoosebwa. Enkola zino era zikozesebwa ku bantu ababadde bafunye obulwadde bwa stroke obw'omusaayi .

Enkola z’okusalako emisuwa gy’omugongo ze zino wammanga:

• Endovascular embolization : Nga bwe kyayogeddwako emabegako, obupiira obugonvu (catheters) buyingizibwa okuyita mu mukono oba mu kisambi, mu kitundu we basala, era oba empiso y’ekirungo ekikola embolic oba obukoola obutono obw’ebyuma ne buyingizibwa. Ekitundu ky’omusuwa ekitali kya bulijjo kisibibwa n’ekintu kino oba koyilo. Kino kiremesa omusaayi okuguyitamu.
• Angioplasty : Kino era kizingiramu okukozesa obupiira obugonvu (catheters) okugenda mu kifo we basala n’okufuuwa bbaatule ey’enjawulo okuddaabiriza ekitundu ky’omusuwa ekyakutuse.
• Intracranial stenting : Kino era kizingiramu okuyingiza ekyuma ekigonvu (catheter) mu kitundu we basala n’okuteeka ekyuma ekiringa akatimba (ekiyitibwa stent) munda mu musuwa. Kino kinyweza ekisenge ky’emisuwa. Kino tekikolebwa ku buli muntu, ku balwadde abalonde bokka. Ebiseera ebisinga, abasawo bakola wamu okulongoosa emisuwa n’okussa stent .
• Okulongoosebwa : Ku abo abatasobola kulongoosa misuwa egyogeddwako waggulu, kiyinza okwetaagisa okulongoosebwa. Mu kiseera ky’okulongoosebwa, abasawo bakozesa obusiba obutonotono obw’ebyuma okuggalawo ekitundu ky’omusuwa ekitali kya bulijjo.

Abantu abalina embeera eno bawona kitya?

Abantu abasinga bawona ddala . Kyokka, oyinza okuba ng’okyali mu bulabe bw’okufuna okusalako okufaananako n’okwo mu biseera eby’omu maaso. Naye akabi ako kakendeera okumala ekiseera.

Kibeera kitya okubeera n’okusalako emisuwa gy’omugongo?

Abasawo bajja kukulondoola buli kiseera okutuusa lw’onookakasa nti kino kiwonye ddala. Ebiseera ebisinga, ojja kukeberebwa magnetic resonance angiography (MRA) buli luvannyuma lwa myezi esatu oba mukaaga.Ojja kusabibwa okukola ebigezo ebimu. Era ojja kwetaaga okugenda mu maaso n’okumira eddagala erikendeeza omusaayi mu kiseera kino. Abantu abali mu bulabe obw’amaanyi obw’okulongoosebwa mu biseera eby’omu maaso bajja kwetaaga okulaba abasawo baabwe okumala emyaka okufuna amagezi (`follow-up care`).

Kiki kye sisaanidde kukola oluvannyuma lw’okusalako emisuwa gy’omugongo?

Osobola okukola dduyiro naye olina okwewala ebintu nga:

• Dduyiro akolebwa ng’oteeka obuzito bw’omubiri ku ngalo gamba ng’okusika n’okusika waggulu.
• Okusitula obuzito obusukka mu pawundi 25-30 (kkiro nga 11-13.5).
• Okusitula obuzito waggulu w’omutwe.
• Tuukirira ebyemizannyo.
• Okuvuga ku mmotoka ezitambula amangu nga roller coasters.
• Okubeera n’omusawo w’omugongo akukwata ku mutwe/ensingo.
• Okusiiga ensingo n’amaanyi.
• Ebintu nga sky diving.
• Emirimu emirala egyongera/okukendeeza ku sipiidi mu bwangu.
• "Ekifo ky'olubaawo" (`Ekifo ky'olubaawo`). (Naye ng’oggyeeko ekyo, tewali buzibu mu kukola yoga oba Pilates, kasita kiba nga tekiteeka puleesa ku bulago).
• Weewale omulimu gwonna oguleetera ensingo okudda emabega mu bwangu (obuvune bw’okukuba emiggo), oba omulimu gwonna oguleetera ensingo okugaziwa obutasalako waggulu (hyperextension).

Obubaka Obutwala Awaka

Okusala emisuwa gy’omugongo (Vertebral Artery Disection) kwe kukutuka mu bbugwe w’omusuwa gw’omusaayi emabega w’ensingo yo. Tekitera kuviirako kukwatibwa stroke . Naye bwe kiba bwe kityo, obujjanjabi obw’amangu (emirundi mingi eddagala erikendeeza omusaayi oba enkola) busobola okutaasa obulamu bwo. Obujjanjabi n‟okugenda mu maaso n‟okulabirira abasawo bisobola okuyamba abantu abalina embeera eno okwewala ebizibu. N’olwekyo, bw’oba ​​olina obubonero bwonna obwogeddwako mu kitundu kino, nsaba ogende mu bwangu omusawo amagezi. Ekyo kye kintu ekisinga obukulu.

` Okusala emisuwa gy’omugongo, okusannyalala, okusannyalala, okulumwa ensingo, okulumwa omutwe, okuziyira, okukutuka kw’emisuwa