Omanyi embeera ya DIC (Disseminated Intravascular Coagulation), embeera ey’akabi etaataaganya omusaayi okuzimba?

Teebereza, kiki ekyandibaddewo singa enkola y’omubiri gwo ey’obutonde ey’okulekera awo okuvaamu omusaayi eva mu bwangu ate n’ekoma ddala? Obuzimba obutono obw’omusaayi bwatondebwa mu mubiri gwo gwonna, ebintu byonna ebyetaagisa okugukola ne biweddewo, olwo n’otosobola kulekera awo kuvaamu musaayi wadde ng’olina obuvune obutono. Ekyo kye kimu ku ndwadde ezo ez’amaanyi ennyo, enzibu ze twogerako leero , DIC (Disseminated Intravascular Coagulation) . Wadde nga lino liwulikika ng’erinnya eritiisa, ka tulitegeere mu ngeri ennyangu.

DIC kye ki ddala?

Mu ngeri ennyangu, DIC mbeera ya maanyi ekosa obusobozi bw’omusaayi gwo okuzimba. Ekibaawo nti enkola y’omusaayi gw’omubiri gwo egenda mu maaso ddala. Embeera eno esobola okubaawo mu mitendera ebiri emikulu.

1. Omutendera 1 (Clot Formation Stage): Mu mutendera guno, enkumi n’enkumi z’obutundutundu obutonotono obw’omusaayi butandika okutondebwa mu mubiri gwo gwonna, munda mu misuwa gyo . Okukola ebizimba bino eby’omusaayi, tukozesa nnyo obutoffaali obuyitibwa platelets n’ebintu ebizimba omusaayi. Kiringa okukozesa bulooka za seminti nnyingi okuzimba obusenge obutono obuteetaagisa mu kibuga kyonna. Mu ngeri eno, ebintu bino biggwaawo mangu.

2. Omutendera 2 (Bleeding Stage): Kati, omubiri guweddewo obusimu obuyitibwa platelets ne proteins ezeetaagisa okuzimba omusaayi. Mu kiseera kino, n’obuvune obutono tebusobola kuyimiriza kuvaamu musaayi . Kino kiri bwe kityo kubanga omubiri tegukyalina “seminti” eyeetaagibwa okukola ekizimba ky’omusaayi. Kino kireeta omusaayi omungi ogutafugibwa. Guno gwe mutendera ogusinga okuba ogw’obulabe mu bulwadde buno era gwetaaga okujjanjabibwa mu bwangu.

Kiki ekivaako DIC?

Nga bwe twayogeddeko emabegako, DIC eva ku mbeera y’obujjanjabi erimu. Ekivaako kyawukana okusinziira ku bulwadde. Kitera okutandika n’ekintu ekigwira (e.g., obutwa bwa bakitiriya , ebitundu by’ebitundu ebyonooneddwa) okuyingira mu musaayi. Ka tulabe ebikulu ebivaako obulwadde buno.

Bubonero ki obuyinza okuva mu DIC?

Obubonero bw’olaba businziira ku oba embeera ya DIC ejja mangu (acute) oba mpola (chronic).

Obubonero bwa Acute DIC

Akabonero akakulu era akasinga okuba ak’obulabe ku kino kwe kuvaamu omusaayi ogutafugibwa.

• Okuvaamu omusaayi omungi okuva mu kifo we balongoosezza, ekifo we balongoosezza IV, ennyindo oba ennyindo.
• Ebiwundu ebirabika mu mubiri gwonna awatali nsonga.
• Okusesema omusaayi.
• Okuyisa omusaayi n’omusulo.
• Okuvaamu omusaayi mu bwongo, mu nkola y’okugaaya emmere, mu binywa oba ebituli by’omubiri.

Obubonero bwa Chronic DIC

Obulabe obusinga mu kika kino si kuvaamu musaayi, wabula buva ku bikuta by’omusaayi ebitondebwawo mu biseera ebisooka. Ebizimba bino bisobola okutambula ne biziba emisuwa mu bitundu ebikulu.

• Okulemererwa kw’ebitundu by’omubiri: Singa omusaayi guziyiza omusaayi okutambula mu kitundu ky’omubiri ng’ensigo, ekibumba oba amawuggwe.
• Strokes: Singa omusaayi guziba omusuwa mu bwongo.
• Omutima: Singa omusuwa ogugaba omusaayi mu mutima guzibikira.
• Deep Vein Thromboembolism (DVT): Omusaayi guzimba munda mu misuwa gy’amagulu oba emikono, ekivaako okuzimba n’obulumi mu bitundu ebyo.
• Okukaluubirirwa okussa: Singa ekizimba omusaayi kigenda mu mawuggwe.

Bujjanjabi ki obuweebwa DIC?

Ekintu ekisooka era ekikulu abasawo kye bakola mu mbeera ya DIC kwe kujjanjaba embeera y’obujjanjabi eyaliwo eyavaako DIC. Okugeza, singa DIC eva ku yinfekisoni (sepsis), eddagala eritta obuwuka lijja kuweebwa ku yinfekisoni eyo.

Okugatta ku ekyo, obujjanjabi era buweebwa okufuga obubonero obuva ku DIC.

• Okuteekebwamu omusaayi: Singa wabaddewo omusaayi oguyitiridde okufiirwa, omusaayi guweebwa omusaayi okudda mu kifo kya puloteyina (clotting factors) ezeetaagisa omusaayi okuzimba.
• Okuteekebwamu omusaayi: Bino biweebwa okuzzaawo omuwendo gw’obutoffaali obutono obukendedde olw’okuvaamu omusaayi.
• Obujjanjabi bwa okisigyeni: Singa omusaayi mu kitundu ky’omubiri gutaataaganyizibwa olw’omusaayi okuziyira, omukka gwa oxygen guweebwa okutangira ekitundu ekyo okwonooneka.
• Eddagala eriziyiza okuzimba omusaayi: Eddagala erikendeeza omusaayi nga heparin liyinza okukozesebwa. Oyinza okuba nga weebuuza, “Wow, lwaki omuntu eyavaamu edda omusaayi yandibadde yeetaaga eddagala eriweweeza ku musaayi ?” Bino bikozesebwa n’obwegendereza bungi. Ziweebwa okuziyiza okutondebwa kw’omusaayi ogw’obulabe ennyo naddala mu DIC etawona oba mu mitendera egy’okusooka egy’obulwadde. Kino kye kisalawo omusawo wo yekka ky’asobola okusalawo.

Acute DIC mbeera ya bujjanjabi ey’amangu. Kyetaaga okujjanjabibwa mu ddwaaliro mu kisenge ky’abalwadde abayi (ICU) oba mu kifo ekijjanjaba abalwadde ab’amangu (ETU). Naye teweeraliikiriranga, ebiseera ebisinga kino kibaawo nga balongoosebwa oba nga bazaala, era ttiimu y’abasawo ebeera awo wennyini naawe.

Bw’omala okuva mu ddwaaliro, omusawo wo ajja kwongera okukulondoola n’okulondoola embeera yonna ey’obujjanjabi n’ebizibu ebiva ku DIC.

DIC, Disseminated Intravascular Coagulation, Okuzimba omusaayi, Okuvaamu omusaayi, Okuvaamu omusaayi, Sepsis, Obubonero