Kuba akafaananyi ng’olina mukwano gwo, mpozzi n’omuntu ow’omu maka go. Anywa omwenge mungi katono. Wabula gyebuvuddeko ebintu abadde yeerabira nnyo. Tajjukira byayogedde ku makya ng’abiwulira akawungeezi. Alabika ng’atambula taliiwo bbalansi, ng’awuubaala okuva ku ludda olumu okudda ku lulala. Oluusi weebuuza oba amanyi. Olabye ku bubonero buno? Kino si kintu kyangu, kiyinza okuba akabonero k’embeera ey’amaanyi ekosa obwongo bwaffe. Leero twogera ku mbeera emu ng'ezo , Wernicke-Korsakoff Syndrome .
Mu ngeri ennyangu, obulwadde bwa Wernicke-Korsakoff Syndrome kye ki?
Kino mu butuufu kigatta embeera bbiri, wadde nga ziyitibwa erinnya limu. Kino abasawo bakiraba ng’abalwadde babiri abalina obulwadde bwe bumu.
1. Wernicke Encephalopathy: Buno bwe bulwadde obusinga okutandika amangu, mu bwangu. Kyetaaga okujjanjabibwa mu bwangu.
2. Korsakoff Syndrome: Guno gwe mutendera ogwokubiri ogw’okubulwa okujjukira ogubaawo ng’obulwadde bugenda bugenda mu maaso.
Ensonga enkulu lwaki tulina embeera eno eri nti omubiri gwaffe tegufuna vitamiini B1 emala nga eno ye thiamine . Kuba akafaananyi ng’obwongo bwaffe bulinga yingini y’emmotoka. Yingini eno yeetaaga amaanyi okukola. Obwongo bukola amaanyi gano okuva mu sukaali gwe tulya. Naye okukyusa ssukaali okufuuka amaanyi, ekika ky’amafuta ekiyitibwa vitamiini B1 kyetaagisa. Omubiri bwe gubulwa vitamiini B1, obwongo n’obusimu tebisobola kukola maanyi ge byetaaga. Olwo enkola yazo n’ekosebwa ddala.
Bubonero ki obulaga obulwadde buno?
Obubonero bw’abalwadde babiri abalina obulwadde buno bwa njawulo katono. Tukimenye mu ngeri eno tukitegeere bulungi.
| Omutendera gw’obulwadde buno | Obubonero Obutera Okulabika |
|---|---|
| Omutendera ogusooka: Wernicke Encephalopathy - obubonero okutandika amangu | |
| Bbalansi n’entambula | Amagulu agakankana, okuwuubaala okuva ku ludda olumu okudda ku lulala ng’otambula, okutambula mpola ng’olina amadaala amampi era agagazi. Oluusi oyinza okwetaaga obuyambi bw’omuntu wadde okusituka. |
| Okusoberwa | Okutabulwa, okutunula butunuzi ku bigenda mu maaso okwetooloola, n’okulwawo okuddamu ebibuuzo. |
| Ebizibu by’amaaso | Okulaba emirundi ebiri, ebikowe ebigwa, n’okutambula kw’amaaso okutafugibwa. |
| Obubonero bw’omutima n’emisuwa | Okwebaka ennyo, okuziyira, omutima okukuba amangu okusinga ogwa bulijjo, puleesa okukka ng’oyimiridde, n’okuwulira ng’anafuye. |
| Oluvannyuma: Korsakoff Syndrome - Obubonero obukosa okujjukira | |
| Okufiirwa okujjukira | Kano ke kabonero akakulu. Okujjukira okw’ekiseera ekitono kumpi kubula ddala. Oyinza obutajjukira ani gwe wali oyogera naye oba kiki kye wali oyogerako eddakiika ntono emabega. Tojja kusobola kuyiga bintu bipya oba okukola ebijjukizo ebipya. |
| Okukyusakyusa (Confabulation). | Okusobola okuziba ebituli mu kujjukira kwabwe, bayiiya emboozi mu birowoozo byabwe nga tebategedde wadde. Kino si bulimba, ngeri ya kujjuza bituli ebyo n’obwongo bwabwe. |
| Ebintu ebirala ebirimu | Okufiirwa n’ebimu ku bijjukizo byo eby’edda, okulaba oba okuwulira ebintu ebitali bya ddala (hallucinations), n’obutasobola kutegeera bigambo bulungi. |
Ekisinga obukulu ye, WernickeSinga obulwadde bw’obwongo obusookerwako tebujjanjabwa mangu, buyinza okukula ne bufuuka obulwadde bwa Korsakoff syndrome, embeera enzibu okujjanjaba, era n’okubulwa okujjukira.
Biki ebivaako embeera eno? Ani asinga okubeera mu bulabe?
Nga bwe twayogeddeko emabegako, ekisinga okuvaako kino kwe kubulwa vitamiini B1. Ekisinga okuvaako bbula lino kwe kunywa omwenge omungi okumala ebbanga eddene .
Omwenge guleeta obutaba na vitamiini B1 mu ngeri zino wammanga:
- Omwenge gwonoona olubuto n’ekyenda ekikendeeza ku busobozi bw’omubiri okunyiga vitamiini B1 okuva mu mmere.
- Omwenge era gukendeeza ku busobozi bw’ekibumba okutereka vitamiini B1.
- Abantu bangi abalina omuze gw’okunywa omwenge tebalya mmere nnungi, y’ensonga lwaki tebafuna vitamiini B1 emala.
Ng’oggyeeko omwenge , embeera eno esobola n’okubaawo olw’ensonga endala.
- Endya embi ey’amaanyi.
- Embeera z’obujjanjabi ezimu. Okugeza kookolo, mukenenya oba yinfekisoni ez’amaanyi ezikwata omubiri gwonna.
- Obuzibu mu kulya nga anorexia.
- Obulwadde bw’ekibumba obw’amaanyi (abalwadde bano bayinza okufiirwa vitamiini kubanga bali ku dialysis).
- Obujjanjabi bwa kookolo obw’eddagala eriweweeza ku bulwadde.
- Okusesema okumala ebbanga eddene.
- Okulongoosa okugejja (okulongoosa olubuto).
Ani asinga okubeera mu bulabe?
- Kisingako katono mu basajja okusinga mu bakazi.
- Businga kubeera mu bantu abali wakati w’emyaka 45-65.
- Obulabe buno businga mu bantu abatalina mwasirizi, abakadde ababeera bokka, n‟abantu abalina obulwadde obw‟amaanyi obw‟omutwe, kubanga ebibinja bino bitera okunywa omwenge oba endya embi.
Omusawo kino akizuula atya?
Omusawo wo ajja kutera okuzuula embeera eno ng’asinziira ku bubonero bwo, ebyafaayo by’obulamu bwo (naddala okukozesa omwenge), n’okukeberebwa omubiri. Era bajja kukola okukebera okugaana embeera endala eziyinza okuleeta obubonero obufaananako bwe butyo (nga ekizimba ku bwongo oba okusannyalala).
Bino bye bimu ku bigezo by’osobola okukola:
- Okukebera omusaayi: Kebera omuwendo gwa thiamine mu musaayi n’engeri ekibumba n’ensigo gye bikolamu.
- Brain scans (imaging scans): Kakasa nti tewali buzibu bulala.
- Okukebera amaaso: Kebera entambula y’amaaso.
- Okukebera obulamu bw‟omutwe: Gezesa obusobozi bw‟okujjukira n‟okulowooza.
- Okukebera obusimu: Kebera bbalansi n’engeri gy’otambulamu.
Kijjanjabwa kitya?
Ekisooka era ekikulu mu kujjanjaba obulwadde buno kwe kuzzaawo vitamiini B1 mu mubiri . Kino kikolebwa mu mbeera y’eddwaliro, nga bawa dose nnyingi eza vitamiini B1 mu misuwa (IV) mu musuwa mu mukono, ng’omunnyo. Kino kiyinza okutwala emyezi egiwerako.
Oluvannyuma lw’ekyo, ekisinga obukulu kwe kulekera ddala okunywa omwenge. Singa oddamu okunywa omwenge, obubonero bwo buyinza okuddamu. Era kyetaagisa nnyo okulya emmere ennungi era erimu ebiriisa.
Bw’oba olina obuzibu mu kutambula, kiyinza okwetaagisa okunoonya obuyambi okuva mu bujjanjabi bw’omubiri okusobola okuddamu okutambula.
Bizibu ki ebiyinza okuva mu kino n’okudda engulu?
Kino ffenna kye tulina okumanya. Obulwadde bwa Korsakoff bwe bumala okugenda mu mutendera ogw’okubiri, ebiseera ebisinga tekisoboka kuzzaawo kufiirwa kujjukira kubaawo. Mu mbeera ez’amaanyi, kiyinza okuleeta okwonooneka kw’obwongo okw’olubeerera, n’okuzibuwalirwa okujjukira n’okutambula okumala obulamu bwonna.
Naye waliwo amawulire amalungi. Emikisa gyo egy’okuwona gisinziira ddala ku ngeri gy’otandika amangu obujjanjabi. Singa otandika obujjanjabi amangu ddala ng’obubonero bulabika, osobola okuwona mu bujjuvu. Naye kiyinza okutwala omwaka mulamba. Ebiseera ebisinga okutabulwa bwe bubonero obusembayo okugonjoolwa.
Obubaka Obutwala Awaka
- Obulwadde bwa Wernicke-Korsakoff Syndrome bulwadde bwa maanyi ku bwongo obuva ku bbula lya vitamiini B1 (thiamine). Ekisinga okuvaako kwe kunywa omwenge ekisusse.
- Okutabulwa mu birowoozo, okukaluubirirwa okutambula, obuzibu mu maaso, n’okubulwa ennyo okujjukira bwe bubonero obukulu.
- Bw’oba ggwe oba omuntu gw’omanyi naddala anywa omwenge alaga obubonero buno, laba omusawo mu bwangu awatali kulwa.
- Obujjanjabi buno mulimu okukozesa ebirungo bya vitamiini B1 ebingi n'okulekera awo okunywa omwenge ddala .
- Okuwona kisoboka singa obujjanjabi butandikibwawo nga bukyali, naye okulwawo kiyinza okuvaako obwongo okwonooneka okw’olubeerera.
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