Naawe owulira ng’oziyira oba ng’omutwe gukutte? Kino kiyinza okuba nga kya Vertebrobasilar Insufficiency!

Oluusi owulira ng’oziyira, ng’omutwe teguweweevu oba ng’otambula bulungi? Abantu abamu nabo bwe boogera ebigambo byabwe babivuma. Obubonero buno tobugoba nga bwa bulijjo. Ziyinza okuba obubonero bw’embeera ekendeeza ku kutambula kw’omusaayi okudda emabega w’obwongo bwo. Leero, tugenda kwogera ku mbeera eyitibwa Vertebrobasilar Insufficiency (VBI) .

Obutakola bulungi mu mugongo (VBI) kye ki?

Mu ngeri ennyangu, vertebrobasilar insufficiency (VBI) mbeera ng’omusaayi ogugenda emabega w’obwongo bwo gukendeera oba okuyimirira. Ekitundu kino eky’emabega eky’obwongo bwaffe kivunaanyizibwa ku kufuga bbalansi n’entambula. Kale teebereza ebizibu ebiyinza okuvaamu singa ekitundu kino tekifuna musaayi gumala.

Abantu abasinga abalina VBI balina ebizibu by’obulamu ebitonotono byokka. Wabula embeera eno ekuteeka mu bulabe obw’okufuna stroke oba transient ischemic attack (TIA) , embeera efaananako ne mini-stroke. Oluusi embeera eno eyinza okuba ey’amaanyi era eyinza okuvaako obulema obulamu bwe bwonna oba n’okufa. Eno y’ensonga lwaki kikulu okukimanya ku nsonga eno.

Abasawo batera okujjanjaba embeera eno eya VBI nga bawa amagezi ku nkyukakyuka mu bulamu era bwe kiba kyetaagisa, ne bawandiika eddagala. Kyokka singa obubonero busigalawo oluvannyuma lw’okukola bino, kiyinza okwetaagisa okulongoosebwa.

Waliwo ebika bya VBI eby’enjawulo?

Yee, waliwo ekika kimu eky’enjawulo. Kiyitibwa Obutakola bulungi mu mugongo (Transient Vertebrobasilar Insufficiency ) . Kino tekitera kubaawo katono. Embeera eno ebaawo ng’okyusizza oba ng’okyusakyusa omutwe. Abasawo era bakiyita:

• Obulwadde bw’omuyizzi w’obusaale
• Omutwe okukyusa syncope
• Obutamala mu bitundu by’omugongo ebikyukakyuka

Ekibaawo mu mbeera eno, omusuwa ogutwala omusaayi mu bwongo okumala akaseera kazibikira ng’omutwe gukyusiddwa.

Ani asinga okulwala VBI?

Oli mu bulabe bwa maanyi obw’okukwatibwa VBI singa oba osukka emyaka 50 era ng’olina embeera zino wammanga:

• Bw’oba ​​olina obulwadde bw’emisuwa oba obulwadde bw’emisuwa egy’okumpi (PAD) , nga buno buzibu ku misuwa egigabira omutima n’ebitundu ebiri ewala ng’amagulu n’emikono.
• Bwoba olina obulwadde bwa sukaali .
• Singa omuntu mu maka abadde ne VBI emabegako (a hereditary link).
• Bw’oba ​​olina puleesa (Hypertension) oba kolesterol omungi mu musaayi gwo .
• Bw’oba ​​olina ebyafaayo by’okunywa sigala.
• Obunene, kwe kugamba, singa wabaawo omugejjo ogw’amaanyi.
• Bw’oba ​​olina amasavu (plaque) munda mu misuwa gyo, kitegeeza nti olina obulwadde bw’emisuwa .
• Singa omuwendo gw’amasavu mu musaayi gulinnya, kiyitibwa hyperlipidemia .

Embeera z’omutima (cardioembolic conditions) eziyinza okuziba omusuwa gw’omusaayi nazo zongera ku bulabe bw’okulwala VBI. Okugeza nga:

• Atrial fibrillation (Afib) (obuzibu bw’okukuba kw’omutima) .
• Obuzibu mu kuzimba omusaayi
• Obulwadde bw’oluwuzi lw’omutima olw’omunda (infective endocarditis) .
• Vertebral artery dissection ( okukutuka mu bbugwe w’omusuwa gw’omu lubuto ogutwala omusaayi mu bwongo) .

Mu bibalo, abasajja batera okulwala VBI emirundi ebiri okusinga abakyala. Embeera eno era esinga kubeera mu mawanga agamu.

VBI ya bulijjo etya?

Kigambibwa nti abantu nga 25% abasukka mu myaka 70, oba nga omu ku buli bana, bayinza okuba ne VBI. Kale kino si kintu ekitawulirwa ddala.

Biki ebikulu ebivaako VBI?

Ekisinga okuvaako VBI mu mbeera ezisinga y'embeera eyitibwa atherosclerosis . Nga bwe twagambye emabegako, kino we wava amasavu (plaque) agakoleddwa mu kolesterol ne calcium we gakuŋŋaana munda mu misuwa, ne gifunza ne gikendeeza ku kutambula kw’omusaayi. Kiba ng’obucaafu obusibira mu payipu y’amazzi.

Waliwo ensonga endala ezimanyiddwa ennyo:

• Obulwadde bw’emisuwa obuyingira mu mubiri ( okuzibikira emisuwa emitono ennyo mu bwongo) .
• Pulmonary embolism (okuzimba omusaayi mu mawuggwe – kino kiyinza okuba n’ekikolwa ekitali butereevu) .
• Okusalako emisuwa gy’omugongo ( okukutuka kw’ekisenge ky’omusuwa gw’omugongo) .

Waliwo n’ensonga ezitatera kubaawo:

• Endwadde z’omusaayi (Coagulopathies) .
• Omuze gw’okukozesa ebiragalalagala
• Fibromuscular dysplasia (FMD) (okukula okutali kwa bulijjo kw’ebisenge by’emisuwa) .
• Omutwe ogulumwa omutwe – Omutwe ogumu ogw’amaanyi guyinza okukwatagana n’embeera eno.

Bubonero ki obulaga obulwadde bwa VBI?

Omuntu alina VBI ayinza okufuna obubonero buno obumu oba okusingawo. Bino biyinza okulabika mu bwangu ne bibula oluvannyuma lw’akaseera, oba biyinza okuba nga binywevu.

• Ebizibu by’okutebenkera : okuziyira, okuwulira ng’ebintu bikwetoloola ( vertigo ). Teebereza, singa owulira ng’oziyira ne bw’oba ​​ng’oyimiridde buyimiridde, wandiwulidde otya ng’otambula?
• Okutabulwa, okubulwa okutegeera ( delirium ).
• Okukaluubirirwa okumira emmere ( dysphagia ).
• Endwadde ezikosa entambula n’okukwatagana ( ataxia) .) - Kiringa nga tosobola kutambula, kizibu okufuga ebitundu byo.
• Okulaba emirundi ebiri oba okubulwa okulaba.
• Okubulwa okutegeera okw’amangu ( syncope ).
• Okuzirika mu kitundu ky’omubiri gwo.
• Okuwuuma n’okuvuma ebigambo ng’oyogera ( dysarthria ).
• Okubulwa okutegeera okw’amangu n’okugwa ku ttaka (drop attacks).
• Obutasobola kufuga musulo (Urinary incontinence).
• Okuziyira n’okusiiyibwa.

Ekikulu: Bw’oba ​​olina obubonero buno naddala nga bujja mu bwangu ne buddamu, kakasa nti ogenda mu basawo amagezi, kuba buyinza okuba akabonero k’okusannyalala.

Abasawo bazuula batya obulwadde bwa VBI?

Bw’olaba omusawo ajja kusooka kukubuuza ku bubonero bwo. Oluvannyuma, bajja kwekebejja omubiri. Okugatta ku ekyo, bayinza okukola ebigezo ebirala ebitonotono okukakasa embeera entuufu.

• Ebigezo by’okukuba ebifaananyi:
• CT scan (computed tomography scan) oba MRI (magnetic resonance imaging) ekuba ebifaananyi by’emisuwa egy’emabega w’obwongo bwo. Kino kiyinza okuyamba okulaba oba waliwo okuzibikira oba okwonooneka kw’emisuwa.
• Angiography: Kino kigezo ekikozesa ebifaananyi bya X-ray okukebera emisuwa gyo (emisuwa). Oluusi, amazzi ag’enjawulo (contrast dye) gafukibwa mu misuwa okukola ebifaananyi bino.
• CTA (computed tomography angiography) oba MRA (magnetic resonance angiography): Okukebera kuno kuyinza okuvaamu ebifaananyi ebitegeerekeka obulungi ennyo, eby’ebitundu bisatu (3D) eby’emisuwa gyo.
• Echocardiogram (Echo): Kino kiringa okukebera omutima mu ngeri ya ultrasound. Kikebera engeri ebisenge by’omutima ne valve gye bikolamu, n’engeri omutima gye gupampagira omusaayi (pumping action).
• Electrocardiogram (ECG oba EKG): Kino kipima amasannyalaze g’omutima gwo. Kisobola okuzuula obutali bwenkanya bwonna mu kukuba kw’omutima gwo.
• Holter monitor: Kino kyuma kitono ekiyambala ku mubiri gwo okumala essaawa 24 ku 48. Ewandiika obutasalako amasannyalaze g’omutima gwo ng’okola emirimu egya bulijjo.
• Okukebera omusaayi mu kiseera kya prothrombin time (PT) ne partial thromboplastin time (PTT) : Okukebera omusaayi kuno kupima obudde omusaayi gwo bwe gutwala okuzimba.

Ebigezo bino byonna tebijja kwetaagisa. Omusawo ajja kusalawo okukebera kw’olina okulagira okusinziira ku bubonero bwo n’embeera gy’olimu.

VBI ekwatibwa etya ?

Waliwo engeri eziwerako ez’obujjanjabi. Omusawo wo ajja kusalawo obujjanjabi obusinga okutuukirawo okusinziira ku mbeera gy’olimu.

1. Enkyukakyuka mu bulamu:

Ebiseera ebisinga, ekintu ekisooka okugezaako kwe kukendeeza ku bubonero ng’okola enkyukakyuka ezimu mu bulamu.

• Kuuma omugejjo omulungi: Omugejjo gwe guvaako endwadde nnyingi.
• Fuga kolesterol ng’okyusakyusa mu mmere gy’olya: Kikulu nnyo okukendeeza ku mmere erimu amafuta n’amasavu amangi.
• Dduyiro: N’ekintu eky’angu ng’okutambula okumala eddakiika 30 olunaku kiyinza okuleeta enjawulo nnene.
• Okulekera awo okunywa sigala: Kino mazima ddala kintu ky’osaanidde okukola.

2. Eddagala (eddagala): .

Omusawo ayinza okumuwa eddagala okufuga ebizibu by’obulamu.

• Eddagala erifuga okuzimba omusaayi: Nga aspirin.
• Eddagala erifuga puleesa.
• Eddagala erikendeeza ku kolesterol.
• Eddagala erifuga obulwadde bwa sukaali.

3. Okulongoosa:

Singa enkyukakyuka mu bulamu bw’omuntu n’eddagala teriddamu kutambula musaayi, omusawo ayinza okukuwa amagezi okulongoosebwa.

• Carotid endarterectomy: Kino kizingiramu okulongoosa okuggya amasavu (plaque) mu musuwa omunene mu bulago (omusuwa gw’omusaayi).
• Coronary angioplasty ne stent: Singa omusuwa mu mutima guzibikira, akatimba ak’ekyuma (stent) nga munda kayingiziddwamu akapiira akatono okugaziya omusuwa.
• Okulongoosa omusuwa gw’omusaayi (Coronary artery bypass surgery): Omusuwa ogwonooneddwa mu mutima gukyusibwa ne guteekebwamu omusuwa omulamu oguggyibwa mu kitundu ekirala eky’omubiri.
• Okuddamu okuzimba emisuwa gy’omugongo: Okulongoosa okuddaabiriza okwonooneka kw’emisuwa gy’omugongo egitwala omusaayi mu bwongo.

Obujjanjabi bwa Transient VBI:

Ng’obujjanjabi bw’embeera ya VBI gye twayogeddeko emabegako, ebaawo ng’okyusizza omutwe:

• Ekyuma ekisiba ensingo oba enkokola.
• Eddagala.
• Okulongoosa, oboolyawo n’okulongoosa omugongo nga tekuyingirira nnyo, kuyinza okusoboka.

Oyinza otya okukendeeza ku bulabe bw’okulwala VBI?

Singa ogoberera amagezi gano, osobola okukendeeza ennyo ku bulabe bwo obw’okufuna VBI:

• Lya emmere ennungi: Lya nnyo enva endiirwa, ebibala n’emmere erimu ebiwuziwuzi. Kendeeza ku mafuta, ssukaali n’omunnyo.
• Okukola dduyiro buli kiseera.
• Okufuga emiwendo gya kolesterol.
• Bw’oba ​​olina embeera endala ez’obulamu, gamba nga puleesa oba ssukaali, zifuge bulungi okusinziira ku magezi g’abasawo.
• Okulekera awo okunywa sigala.

Ebintu bino biyamba okukuuma si VBI yokka, wabula n’endwadde endala nnyingi.

Embeera y’obulamu bw’omuntu alina VBI eri etya? (Endowooza)

Enteebereza y’omuntu alina VBI esinziira ku bintu ebiwerako:

• Ekigero enkola y’obwongo ky’ekoseddwa ( obuzibu bw’obusimu) .
• Oba wali ofunye stroke emabegako.
• Emyaaka.
• Waliwo ebizibu ebirala eby’obulamu?

Singa VBI efuuka ya maanyi, eyinza okuvaako obulemu n’okufa. Naye singa kimanyibwa nga bukyali era ne kijjanjabwa obulungi, ebirungi ennyo bisobola okutuukibwako.

VBI esobola okuleeta ebikosa eby’ekiseera ekiwanvu?

Abantu bangi abalina obubonero obutono basobola okuddukanya obubonero bwabwe nga bakyusakyusa mu bulamu n’eddagala. Kyokka, singa obubonero buba bwa maanyi, kiyinza okwetaaga emyezi, wadde emyaka, okuddaabirizibwa.

Ebimu ku bizibu (ebizibu) ebiyinza okubaawo olw’obulwadde bwa VBI bye bino:

• Okuzimba omusaayi mu magulu - Deep Vein Thrombosis (DVT) .
• Okuzimba omusaayi mu mawuggwe - Pulmonary Embolism .
• Okubulwa amazzi mu mubiri n’okukaluubirirwa okumira.
• Okukaluubirirwa okussa.
• Okusannyalala oba okuzirika.
• Okuzimba mu lubuto ( gastritis ).
• Omutima okulwala ( myocardial infarction) .
• Yinfekisoni z’amawuggwe.
• Obuvune bwa puleesa / ebiwundu by’ebitanda.
• Stroke oba okulumbibwa omusaayi mu kiseera ekitono (TIA) .
• Okufiirwa okulaba.

VBI esobola okuddamu oluvannyuma lw’okujjanjabwa?

Omuwendo gw’okuddamu okulwala VBI guli wakati wa 10% ne 15%. Kino kitegeeza nti ne bw’odda engulu, waliwo omukisa nti kijja kudda. N’olwekyo kikulu okugenda mu maaso n’okugoberera ebiragiro by’omusawo n’okukuuma obulamu obulungi.

Bwemba nina VBI, nnyinza ntya okwerabirira?

Bw’oba ​​ozuuliddwa nti olina VBI, kikulu okuyiga ebintu eby’enjawulo ebiyinza okukuyamba mu kiseera ky’okuwona. Oyinza okwetaaga obuyambi ku bintu nga:

• Okutendekebwa mu kibumba n’ekyenda.
• Amagezi ku by’endya.
• Okukakasa obukuumi awaka.
• Okusomesa engeri y’okukolamu emirimu egya buli lunaku.

Obujjanjabi obw’ekika kino buyinza okukuyamba:

• Occupational therapy: Okukuyigiriza engeri y’okukola emirimu gya bulijjo ku bubwo.
• Obujjanjabi bw’omubiri: Bulongoosa entambula y’omubiri, amaanyi n’okutebenkera.
• Obujjanjabi bw’okwogera: Buyamba ku buzibu mu kwogera n’okumira.

Oyinza n’okwetaaga obuyambi bwa nnansi alabirira awaka okulondoola enkola yo ey’okuwona.

Obubaka bw’okutwala awaka: Kiki kye twayigira mu kino?

Okay, kale, obulwadde bwa vertebrobasilar insufficiency (VBI) bwe twogeddeko leero.Embeera ng’omusaayi ogugenda emabega w’obwongo gukendeera. Kino kiyinza okuvaako obubonero ng’okuziyira, obutafuga mubiri, n’okukaluubirirwa okwogera. Ekisinga okuvaako kwe kuzibikira emisuwa olw’amasavu (atherosclerosis).

Tofaayo! Ebiseera ebisinga, embeera eno esobola okufugibwa ng’okyusakyusa mu bulamu n’okukozesa eddagala. Abantu abamu bayinza n’okuba nga beetaaga okulongoosebwa.

Bw’oba ​​olina obubonero buno bwonna, tobubuusa maaso. Laba omusawo amangu ago okufuna amagezi. Okuzuula amangu kiyinza okukuyamba okuzijjanjaba mu ngeri ennyangu n’okuziyiza embeera ez’amaanyi ennyo okutandika.

Ebintu nga okujjanjaba emirimu, okujjanjaba omubiri, n’okujjanjaba okwogera bisobola okukuyamba okwanguyiza obulamu bwo obwa bulijjo. Sigala nga oli mulamu bulungi!

` Obutamala mu mugongo, VBI, Okukendeera kw’omusaayi mu bwongo, Okuziyira, Okusannyalala, TIA, Okuzimba emisuwa, Sstroke