Oyinza okulowooza nti akawundo akatono akatandikira ku nsonga z’obugere bwo kuyinza okusaasaana mpolampola mu mubiri gwo gwonna, ne kikuleetera okuziyira mu bitundu by’omubiri n’okusannyalala? Emboozi ya ntiisa. Naye kino kye kituufu eky’obulwadde bw’obusimu obutatera kulabika obuyitibwa
Guillain-Barré Syndrome (GBS). Kitera okukula ng’omaze okuwona ekiwuka ekitera okubaawo mu lubuto (nga jaundice) oba yinfekisoni y’okussa (nga
omusujja ).
Mu ngeri ennyangu, obulwadde bwa Guillain-Barré syndrome (GBS) kye ki?
Mu ngeri ennyangu, GBS ye nkola y’omubiri gwaffe,
abaserikale b’omubiri , bwe batandika okulumba obusimu bwaffe mu bwangu. Kiringa eggye lyaffe lyenyini okulumba abantu baffe mu butanwa. Kilowoozeeko ng’obusimu bwaffe bwe bulinga waya z’amasannyalaze. Waliwo ekikuta ky’akaveera okwetooloola waya zino nga insulation, nedda? Mu ngeri y’emu, obusimu bwaffe nabwo bwetooloddwa ekikuta ekikuuma ekiyitibwa
myelin . GBS bw’ekula, abaserikale baffe ab’omubiri balumba ekikuta ekyo ekya myelin. Ekikuta kino bwe kyonoonese, obubaka obuva mu bwongo tebutuuka bulungi ku binywa. Ekivaamu kwe kunafuwa kw’ebinywa, okuzirika, n’oluusi okusannyalala ddala.
Buno si bulwadde bwa kusiigibwa oba bwa nsikirano. Kyokka, mbeera eyeetaaga okujjanjabibwa mu bwangu . N’olwekyo, kikulu nnyo okufuna amagezi g’abasawo amangu ddala ng’obubonero obusooka bulabika.
Bika ki ebikulu ebya GBS?
Waliwo ebika bya GBS ebikulu ebiwerako, naye ekika ekisooka kye kisinga okubeera mu Sri Lanka.
| Ekika ky’obulwadde | Obukugu obw’enjawulo |
|---|
| Obulwadde bw’okuzimba obusimu obuyitibwa polyradiculoneuropathy (AIDP) . | Kino kye kika ekisinga okubeerawo. Mu kika kino, obunafu bw’ebinywa butandikira mu magulu ne busaasaana waggulu mu mubiri gwonna. |
| Obulwadde bwa Miller Fisher (MFS) . | Kino kitera okubaawo mu mawanga ga Asia. Kisooka kutandika n’obuzibu okutambuza amaaso. Okubulwa bbalansi ng’otambula nakyo kabonero. |
| Ebika bya AMAN ne AMSAN | Bino bisinga kubeera mu mawanga nga China ne Japan. Obubonero buyinza okuba obw’amaanyi okusinga ebika ebirala. |
Ebivaako n‟ebiyinza okuvaako okulwala GBS
Ekituufu ekivaako GBS tekinnamanyika. Kyokka abasawo balowooza nti yinfekisoni ezimu zikyusa obutonde bw’obutoffaali bwaffe obw’obusimu, ekivaako abaserikale b’omubiri okubukyamusa nti balabe. Abantu nga bibiri ku bisatu abafuna GBS balina obulwadde bw’olubuto ng’ekiddukano oba obulwadde bw’okussa ng’omusujja ng’ebula ennaku ntono oba wiiki ntono obubonero bw’obusimu butandike.
Ebimu ku bintu ebikulu ebiyinza okuvaako GBS mulimu:- Obuwuuka bwa Campylobacter: Obuwuuka buno obusiigibwa okuyita mu nkoko efumbiddwa bulungi, butwalibwa ng’obusinga okuvaako GBS .
- Akawuka ka ssennyiga
- Akawuka ka COVID -19
- Akawuka ka Cytomegalovirus
- Akawuka ka Epstein-Barr
- Akawuka ka Zika
- Obulwadde bw’ekibumba A , B, C ne E
- Akawuka ka siriimu
- Okulongoosebwa okumu oba obubenje
- Mu mbeera ezitali nnyingi, eddagala erimu erigema (e.g. Johnson & Johnson ne AstraZeneca COVID-19 vaccines) .
Si buli muntu alina obulwadde buno nti ajja kukwatibwa GBS. Omuntu omu yekka ku buli bukadde bw’abeera mu kabi.
Bubonero ki bw’osaanidde okwegendereza?
Obubonero bwa GBS busobola okulabika amangu ennyo, oluusi ne buba bwa maanyi mu ssaawa oba ennaku ntono.
| Obubonero | Okunnyonnyola |
|---|
| Okuzirika | Okuwulira ng’enseenene zeekulukuunya ku bigere, enkizi, engalo n’engalo. |
| Obunafu bw’ebinywa | Enneewulira etaliimu bulamu etandikira mu magulu n’esaasaana mpolampola okutuuka mu bitundu by’omubiri ebya waggulu. |
| Okukaluubirirwa okutambula | Nbulwa bbalansi nga ntambula era nfuna obuzibu okulinnya amadaala. |
| Enkyukakyuka mu maaso | Kifuuka kizibu okwogera, okukamula emmere, n’okumira. Oyinza okulaba ekintu kimu oba bibiri mu maaso gombi (okulaba emirundi ebiri). |
| Obulumi obw’amaanyi | Obulumi obufumita, obufumita mu binywa by’omubiri. Obulumi buno buyinza okweyongera naddala ekiro. |
| Ebintu ebirala ebirimu | Omutima okweyongera okukuba, puleesa n’entono, obutasobola kufuga musulo n’omusulo, okukaluubirirwa okussa. |
Kikulu nnyo: Singa owulira nga tolina bulungi mu bwangu ne yeeyongera okusajjuka mu ssaawa ntono, oba bw’oba okaluubirirwa okussa oba okumira, genda mu ddwaaliro mu kitongole ky’abalwadde ab’amangu (ETU) mu bwangu. Kino si kintu kya kulwawo.
Omusawo azuula atya obulwadde buno?
Olw’okuba obubonero bwa GBS bufaananako n’endwadde endala ez’obusimu, omusawo ajja kukola okukebera okuwerako okukakasa nti tewali ndwadde ndala.
- Okukubuuza ebibuuzo: Obubonero bwo bwe bwatandika otya era ddi, era oba olina endwadde yonna gye buvuddeko.
- Okukebera obusimu: Kino kigezesa amaanyi g’ebinywa byo, entambula yo, bbalansi n’engeri gy’okola.
- Spinal tap / Lumbar puncture: Kino kizingiramu okuyingiza empiso ennyimpi ennyo mu mugongo gwo ogwa wansi n’otwala akatono ku mazzi okwetoloola omugongo gwo (cerebrospinal fluid) n’ogasindika mu laabu okukeberebwa. Singa emiwendo gya puloteyina mu mazzi gano giba waggulu, kiba kabonero ka GBS.
- Okukebera enkola y’obusimu:
- Electromyography (EMG): Kino kizingiramu okuyingiza obusannyalazo obulungi obulinga empiso mu binywa okupima emirimu gy’obusimu.
- Okunoonyereza ku kutambuza obusimu: Kino kipima sipiidi ebiwujjo by’obusimu gye bitambula nga biteeka obusannyalazo ku lususu ne busindika akasannyalazo akatono. Sipiidi eno ekendeezebwa mu GBS.
- MRI scan: Oyinza n’okukola MRI scan y’obwongo oba omugongo.
Obujjanjabi bwe buruwa?
Bw’oba ozuuliddwa nti olina GBS, olina okutandika obujjanjabi amangu ago. Ojja kutera okujjanjabibwa mu kisenge ky’abalwadde abayi (ICU) mu ddwaaliro. Waliwo obujjanjabi obukulu bubiri: 1.
Okuwanyisiganya plasma / Plasmapheresis: Omusaayi gwo guteekebwa mu kyuma eky’enjawulo, era ekitundu ky’omusaayi gwo eky’amazzi (plasma) ne kyawulwamu. Plasma eno erimu obusimu obuziyiza endwadde obwonoona obusimu. Ekyuma kino kiggyawo obutoffaali buno obubi ne buzza obutoffaali obulungi mu mubiri gwo. 2.
Obujjanjabi bwa Immunoglobulin: Ebirungo ebiziyiza endwadde ebirungi bingi ebiggyibwa mu bantu abalamu bikuweebwa nga bayita mu ddagala ly’omunnyo. Antibodies zino ennungi zikendeeza ku mirimu gy’obuziyiza obubi mu mubiri gwo. Ng’oggyeeko obujjanjabi buno obukulu, ojja kuweebwa eddagala eriweweeza ku bulumi, eriweweeza ku musaayi, era bwe kiba kyetaagisa, ojja kuliisibwa ng’oyita mu ttanka kubanga tosobola kumira mmere.
Singa obuzibu mu kussa buba bwa maanyi, kiyinza okwetaagisa okuyungibwa ku kyuma ekissa okumala akaseera. Mu kiseera ky’okuwona, ojja kwetaaga okukola okutendekebwa kw’amaanyi ng’oyambibwako obujjanjabi bw’omubiri n’obujjanjabi bw’emirimu.
Okudda engulu n’ebiseera eby’omu maaso binaaba bitya?
Obulwadde buno butuuka ku ntikko nga wayise wiiki 2-3 ng’obubonero butandise. Oluvannyuma lw’ekyo, okudda engulu kutandika mpolampola.
- Abalwadde nga 80% basobola okutambula nga tebayambiddwa mu myezi 6.
- Abalwadde nga 60% baddamu amaanyi g’ebinywa mu bujjuvu mu mwaka gumu.
- Okudda engulu kuyinza okutwala wakati w’emyezi 6-12, ate abamu kiyinza okutwala emyaka 3.
Abaana abalina GBS bawona mangu okusinga abantu abakulu. Bw’omala okuwona mu bujjuvu okuva mu GBS, osobola okubeera n’obulamu obwa bulijjo.
Obubaka Obutwala Awaka
- Bw’oba olina okuziyira oba okuwulira ng’olina obunafu obutandikira mu magulu n’okubunyisa omubiri gwo, tokibuusa maaso.
- Singa obubonero buno buwerekerwako okukaluubirirwa okussa oba okumira, kiba kya mangu eky’obujjanjabi . Genda mu kitongole ky’eddwaaliro eky’amangu (ETU) mu bwangu.
- GBS bulwadde obutatera kulabika naye nga buyinza okuba obw’amaanyi. Kyokka singa obujjanjabi butandikibwawo nga bukyali, abantu abasinga basobola okuwona mu bujjuvu.
- Tosattira. Bw’oba olina obubonero buno, genda mangu omusawo akuwe amagezi.
Guillain-Barré Syndrome, GBS, obulwadde bw’obusimu, okuzimba amagulu, okuzirika, abaserikale b’omubiri, myelin
💬 Comments (0)
Tewali bigambo biwandiikiddwa n'okutuusa kati. Yongera wano comment yo omulundi ogusoose.
Yongera ku comment yo