Omuntu bw’aba mulwadde n’aweebwa mu ddwaaliro ng’amazzi n’omunnyo mu mubiri bitono, abasawo bajja kumuwa omunnyo okumalawo ebbula. Ekyo kya bulijjo. Naye obadde okimanyi nti oluusi, singa sodium omutono mu mubiri gweyongera mu bwangu era mu bwangu, kiyinza okwonoona obwongo? Ekyo kye tuyita embeera etali ya bulijjo naye nga ya maanyi eyitibwa Central Pontine Myelinolysis. Wadde erinnya lino lizibu katono, ka tukwogereko mu ngeri ennyangu.
Mu ngeri ennyangu, eno mbeera ya ngeri ki?
Buno bulwadde obukwatagana n’obusimu. Obubonero bw’amasannyalaze omubiri bwe gwetaaga buyita mu butoffaali bw’obusimu (neurons) mu bwongo bwaffe. Waliwo ekibikka ekikuuma okwetooloola obutoffaali buno obw’obusimu. Tukiyita ekikuta kya myelin . Kiba ng’ekikuta ky’akaveera ekyetoolodde waya y’amasannyalaze . Ekikuta kino ekya myelin kye kisobozesa obubonero bw’amasannyalaze okutambula amangu nga tewali kiziyiza kyonna.
Central Pontine Myelinolysis (CPM) ebaawo ng’ebikuta bya myelin mu kitundu ekimu eky’obwongo naddala pons byonoonese. Okwonooneka kuno kuyinza okukosa enkola y’ebitundu by’omubiri eby’enjawulo.
Oluusi, mu bitundu nga 10%, okwonooneka kuno tekuyinza kukosa pons zokka, naye n’ebitundu ebirala eby’obwongo. N’olwekyo, embeera eno emanyiddwa n’erinnya eddala erigazi. Okwo kwe kugamba nti obulwadde bw’okukendeera kw’omubiri (ODS) .
Embeera eno si ya bulijjo, naye kizuuliddwa nti abalwadde nga 2.5% abaweebwa ebitanda mu bifo ebijjanjabirwamu abalwadde abayi (ICUs) bali mu bulabe bw’okukwatibwa ODS.
Kiki ekivuddeko embeera eno?
Ensonga enkulu lwaki kino kibaawo kwe kuba nti sodium mu mubiri (nga ye ali mu munnyo gwe tulya) bw’aba mutono nnyo, yeeyongera mangu era mangu nnyo . Obulabe buno bweyongera naddala nga sodium mu mubiri amaze ennaku ezisoba mu bbiri nga mutono ate nga n’obujjanjabi buweebwa.
Ekikulu, kino si kintu kye tulya oba kye tunywa. Kino kintu ekiyinza okubaawo mu ddwaaliro, nga sodium aweebwa mu misuwa , kwe kugamba, okuyita mu saline, ng’obujjanjabi.
Lowooza ku nsonga eno bw’otyo. Omuntu amaze ennaku ng’asesema nnyo, oba ng’alina ekiddukano. Olwo, si mazzi gokka, wabula n’eminnyo nga sodium gibula mu mubiri gwabwe. Bwe bajja mu ddwaaliro, ekirungo kya sodium kyabwe kiba kitono nnyo. Kati abasawo babawa saline okugezaako okuzza omuwendo gwa sodium mu mbeera yaabwe. Wabula singa tebamanyi bintu birala omulwadde by’alina, bayinza okwongera ku bungi bwa sodium amangu katono.
Ekyo bwe kibaawo, amazzi agali munda mu butoffaali bw’obwongo gakulukuta mangu okuva mu butoffaali. Obutoffaali bukendeera ng’omuzabbibu omukalu. Enkyukakyuka eno ey’amangu y’eyonoona ebikuta bya myelin bye twayogeddeko.
Ani ali mu bulabe obw’amaanyi?
Si buli muntu nti afuna embeera eno nga sodium alinnye mangu, naye abantu abamu baba mu bulabe obw’amaanyi.
| Ekibinja ky’akabi | Okunnyonnyola |
|---|---|
| Abatamiivu b’omwenge | Ebbula ly’emmere n’obutakwatagana mu munnyo bitera mu bantu abanywa omwenge okumala ebbanga. |
| Abalwadde abasimbibwa ekibumba | Obulabe buno bungi nnyo naddala eri abo abalongooseddwa ekibumba. |
| Hyperemesis nga oli lubuto | Hyperemesis Gravidarum, embeera y’okusesema obutasalako ng’oli lubuto, esobola okuvaako omunnyo mu mubiri okukendeera ennyo. |
| Endwadde ezimala ebbanga eddene | Embeera endala yonna ey’obujjanjabi emala ebbanga eddene enafuya omubiri oba ereeta endya embi eyongera ku bulabe. |
Bubonero ki obulaga obulwadde buno?
Obubonero butera okutandika okulabika mu nnaku bbiri oba ssatu oluvannyuma lw’okutereeza sodium mu mubiri. Waliwo obubonero obulabika nga bukyali, wamu n’obubonero obulabika nga wayise wiiki.
| Obubonero bwa CPM | |
|---|---|
| Obubonero obusooka (mu nnaku 2-3) . | |
| |
| Obubonero obuyinza okulabika oluvannyuma (oluvannyuma lwa wiiki oba emyezi mitono) . | |
|
Naye totya. Wadde ng’omuwendo gw’abafa mu kusooka gwalowoozebwa nti gwali mungi, ekyo kyazuulibwa mu kwekebejja omulambo. Okusinziira ku biwandiiko ebipya, abantu 94% abafuna embeera eno bawangaala . Ate era, wakati wa 25% ne 40% ku bo bawona ddala . Naye wakati wa 25% ne 30% bayinza okulekebwa n‟obulemu obumu obw‟olubeerera.
Kino abasawo bakizuula batya?
Engeri esinga obulungi ey’okuzuulamu obulwadde buno kwe kukozesa MRI (Magnetic Resonance Imaging) scan . Omusawo wo ajja kutunuulira ebifaananyi bya MRI eby’obwongo bwo era akebere oba waliwo enkyukakyuka ezenjawulo eziraga nti ebikuta bya myelin byonoonese.
Oluusi okwonooneka kuno tekulabika mangu ku MRI, n’olwekyo omusawo ayinza okukusaba okukola MRI endala mu wiiki emu oba bbiri.
CPM esobola okufaanana embeera endala eziwerako ku bifaananyi bya MRI. N’olwekyo abasawo beegendereza nnyo obutatabula mbeera eno na ndwadde zino wammanga.
- Obulwadde bwa Multiple Sclerosis
- Autoimmune oba infectious encephalitis (okuzimba obwongo) .
- Obulwadde bw’emisuwa mu nkola y’obusimu obw’omu makkati
- Ebika bya kookolo ebimu
Singa MRI yokka tesobola kulaga bulungi kwonooneka, omusawo ajja kukola okukebera obusimu mu bujjuvu. Kino kiyinza okuzingiramu okukebera okupima obubonero bw’amasannyalaze mu bwongo, gamba nga EEG (electroencephalography).
Ojjanjaba otya? Okwetangira kwe kusinga!
Mu butuufu, obujjanjabi obukulu obw’obulwadde bwa Central Pontine Myelinolysis kwe kuziyiza embeera eno okubaawo .
Kikulu nnyo okumanyisa ttiimu y’abasawo yo ku bintu byonna eby’obulabe by’olina (okugeza, bw’oba onywa omwenge, bw’oba olina embeera endala ez’obujjanjabi) basobole okwongera ku muwendo gwa sodium mu ngeri ey’obukuumi era mpola mpola.
Bw’ofuna embeera eno, obujjanjabi bujja kusinziira ku bubonero bw’olaba. Emirundi mingi, emyezi mingi egy’okujjanjaba omubiri n’obujjanjabi obulala obw’okuddaabiriza abantu kijja kwetaagisa.
Singa ofuna obubonero obufaananako n’obw’obulwadde bwa Parkinson, gamba ng’okukankana, omusawo ayinza okukuwa eddagala eriyitibwa dopaminergic .
Mu kiseera ky’omala mu ddwaaliro, okuziyiza ebizibu ebirala eby’okubiri nakyo kitundu kikulu nnyo mu bujjanjabi. Ttiimu y’abasawo egenda kuba ng’erondoola buli kiseera ebintu nga:
- Okusinziira ku kyuma ekissa
- Obulwadde bw’omusulo
- Obulwadde bw’ekifuba
- Okuzimba omusaayi mu musuwa (Deep vein thrombosis) .
- Okukendeera kw’ebinywa
Waliwo n’okugezesebwa mu malwaliro okugenda mu maaso ku bulwadde buno, era omusawo ayinza okukuwa amagezi.
Obubaka Obutwala Awaka
- Central Pontine Myelinolysis (CPM) mbeera ya maanyi evudde ku kwonooneka kw’ebisenge bya myelin mu bwongo olw’okweyongera okw’amangu era okw’amangu mu muwendo gwa sodium (omunnyo) omutono mu mubiri.
- Obujjanjabi obusinga obulungi ku kino kwe kuziyiza . Nga tonnafuna bujjanjabi bwonna, buulira omusawo wo ebyafaayo byo byonna eby’obujjanjabi naddala ku kunywa omwenge oba endwadde endala.
- Singa embeera eno ebaawo, emikisa gy’okuwona giba mingi, naye okuwona mu bujjuvu kiyinza okutwala ekiseera ekiwanvu, omuli n’okujjanjaba omubiri.
- Singa ggwe oba omuntu gw’omanyi afuna obubonero buno naddala ng’omaze okuweebwa obujjanjabi obukyusa sodium mu ddwaaliro, tegeeza omusawo mu bwangu.
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