Kuba akafaananyi ng’olina obuvune obutonotono ku mukono. Oba okugulu okunyiga. Ebiseera ebisinga, obulumi buno bulina okukka mu nnaku ntono. Naye watya singa obulumi bweyongera, ne bufuuka obutagumiikiriza? Watya singa owulira obulumi obutagumiikiriza ne bw’oba oyambala akagoye? Ekyo kye twogerako leero. Kino oluusi kiyinza okubaawo oluvannyuma lw’okufuna obuvune obutonotono, okulwala omutima , oba okusannyalala.
RSD kye ki?
Mu ngeri ennyangu, RSD oba Reflex Sympathetic Dystrophy Syndrome, kigambo ekitali kya mulembe abasawo kye batakyakozesa. Erinnya ettongole erikwata ku mbeera eno kati ye Complex Regional Pain Syndrome , oba CRPS mu bufunze. RSD kye kika kimu ekya CRPS (Type I). Mu mbeera eno, obulumi buno obw’amaanyi buva ku buvune ku bitundu by’omubiri, awatali kwonooneka kwonna ku busimu.
Ekisinga obukulu kwe kuba nti obulumi buba bubi nnyo era nga tebugeraageranyizibwa okusinga obuvune obwasooka. Kiba ng’okufuna emyezi ng’olina obulumi obutagumiikiriza okuva ku kusika omuguwa okutono.
Lwaki kino kigenda mu maaso? Ensonga eri etya?
Wadde nga n’okutuusa kati tekinnamanyika ekituufu ekivaako kino, abasawo balowooza nti kiva ku buzibu obuli mu busimu bw’omubiri gwaffe obusaasira .
Lowooza ku nkola eno ey’obusimu ng’enkola ey’okwekuuma mu mubiri gwaffe. Bw’ofuna obuvune, enkola eno eraga nti emisuwa gigenda okuzimba. Kino kikendeeza ku bungi bw’omusaayi ogukulukuta okuva mu kifo ekifunye obuvune. Oluvannyuma, kiwa akabonero emisuwa okuddamu okugguka okusobola okuwa ebiriisa ebyetaagisa okuwona ekiwundu.
Naye ekituuka ku muntu alina RSD kwe kuba nti enkola eno ey’okwekuuma efuna ‘okutabulwa’ katono. Bwe wabaawo obuvune, emisuwa gizibikira, naye tegifuna kabonero kugguka bulungi. Ekyo kitegeeza nti enkola eno ‘ekoleezeddwa’ so si kuddamu ‘kuggyibwako’ . Wano ekifo we bafunye obuvune we kizimba olw’obulumi obw’amaanyi.
Embeera eno esinga katono mu bakyala . Wadde nga busobola n’okukula mu baana, businga kubeera mu bantu abali wakati w’emyaka 30 ne 60.
Bubonero ki obulaga embeera eno?
Obubonero bwa RSD tebujja mangu, bujja mpolampola. Obulumi obusooka busobola okweyongera okumala ekiseera. Oluusi oyinza n’obutamanya nti buno bulumi bwa bulijjo mu kusooka.
Ebintu ebitonotono ebiyinza okubaawo ne RSD:
- Okumenyamenya
- Okunyiganyiga
- Ebiwundu
- Okwokya (Bu RNS ) .
- Okulongoosebwa okutonotono
- Emiggo gy’empiso
- Obujjanjabi bw’amasannyalaze (radiation therapy).
Embeera eno etera okubaawo mu bitundu ng’omukono, ekibegabega, ekigere oba ekisambi. Obulumi buno era buyinza okusaasaana okusukka ekifo awaali obuvune.
| Ekika ky’obubonero | Ebintu eby’okulaba |
|---|---|
| Obutonde bw’obulumi | Okwokya, okuluma, okulumwa ennyo, okukuba. Obulumi obutasalako. |
| Olususu lukyuka | Ekitundu ekifunye obuvune kifuuka kimyufu, kizimba era kiwulira nga kibuguma ng’okikwatako. Olususu lufuuka lweru, bbululu oba emmyufu. |
| Okuwulikika ennyo | Okuwulira obulumi obw’amaanyi ne bwe buva ku bintu ebitera okuluma (amazzi okugwa, engoye okusiiga omubiri). |
| Ebizibu mu ntambula | Okunafuwa oba okukankana kw’ebinywa, ennyondo okukaluba, okukaluubirirwa okutambuza omukono/ekigere olw’obulumi. |
| Ebintu ebirala ebirimu | Okutuuyana ekisusse mu kitundu kyokka ekikosebwa. Enkyukakyuka mu kukula kw’enviiri oba emisumaali. |
Kino okisanga otya Omusawo?
Ebiseera ebisinga, kizibu okuzuula amangu ddala RSD ng’ekikuleetera obulumi. Omusawo ayinza okukiteebereza ng’oloopa nti olina obulumi obusinga obuvune ate nga tebugenda.
Tewali kugezesebwa kumu okukakafu okukakasa oba kino RSD.
Mu kifo ky’ekyo, omusawo wo ajja kusooka okuzuula obulwadde buno ng’asinziira ku kukukebera obulungi n’ebyafaayo byo eby’obujjanjabi. Okugatta ku ekyo, bayinza n’okukola ebigezo ebiwerako ebiwa obubonero obulala ku mbeera eno.
- Okukebera amagumba: Okukebera kuno kuyamba okulaba oba enkomerero z’amagumba zaakaddiwa era oba waliwo obuzibu bwonna mu ntambula y’omusaayi.
- MRI (Magnetic Resonance Imaging): MRI esobola okukolebwa okunoonya enkyukakyuka ezitali za maanyi munda mu mubiri naddala mu bitundu by’omubiri.
- Okukebera entuuyo: Kino kikebera okulaba oba oludda olumu lw’omubiri lutuuyana nnyo okusinga olulala.
- Thermography test: Ekebera oba ebbugumu oba omusaayi mu kitundu ekikosebwa gwa njawulo ku bitundu by’omubiri ebirala.
- X-rays: Mu mbeera ezisingako okukula, bakolebwa X-ray okulaba oba waliwo okufiirwa kw’eby’obuggagga eby’omu ttaka mu magumba.
Obujjanjabi bwe buruwa?
Ekisinga obukulu mu bulwadde buno kwe kuzuula obulwadde buno n'otandika okubujjanjaba amangu ddala nga bwe kisoboka . Gy’okoma okutandika amangu, gye bikoma okuba ebirungi. Wadde nga tewali ddagala lya njawulo eriwonya RSD, obubonero bungi busobola okufugibwa n’okuwona.
Enkola z’obujjanjabi eziwerako ezigatta awamu zitera okukozesebwa.
| Enkola y’obujjanjabi | Okunnyonnyola |
|---|---|
| Eddagala | Eddagala eriweweeza ku bulumi (e.g. Ibuprofen, Naproxen), eddagala eriziyiza okukonziba, eddagala eriweweeza ku kweraliikirira (liyamba okufuga obulumi), ebizigo nga Lidocaine, ebifuuyira mu nnyindo ebinyweza amagumba. |
| Empiso eziziyiza obusimu | Empiso okumpi n’obusimu obuleeta obulumi, okuyimiriza okumala akaseera obubonero bw’obulumi okutuuka ku bwongo. |
| Obujjanjabi bw’omubiri | Emu ku bujjanjabi obusinga obukulu. Okutambuza mpola omukono/ekigere ekikoseddwa kiyamba okunyweza ebinywa n’okukendeeza ku bulumi. |
| Obujjanjabi bw’eby’omutwe | Okuyiga enkola z‟okuwummulamu kiyinza okukuyamba okuddukanya situleesi n‟okweraliikirira ebijja n‟okubeera n‟obulumi obutawona. |
| Enzijanjaba endala | Obusannyalazo buteekebwa ku mugongo ne busindikibwa obubonero bw’amasannyalaze okukendeeza ku bulumi, ate n’obwambalira ebisiba okulumwa omukono. |
| Okuloongoosa | Singa tewali bujjanjabi bulala bumalawo bulumi, omusawo ayinza okukuwa amagezi okulongoosebwa okuyitibwa Sympathectomy ng’ekisembayo. |
Okusingira ddala eddagala eryeyoleka
Eddagala ery’amaanyi eriweweeza ku bulumi nga corticosteroids (e.g., Prednisolone) ne Opioids (e.g., Morphine, Fentanyl) likozesebwa ttono nnyo era nga lilabirirwa nnyo omusawo olw’ebizibu byabwe n’obulabe bw’okukwatibwa emize.
Obubaka Obutwala Awaka
- RSD oba CRPS si kintu ky’olowooza, mbeera ya ddala, eruma.
- Obulumi buno bubi nnyo okusinga obwaliwo oba obuvune obwaliwo mu kusooka. Kano ke kabonero akakulu.
- Okuzuula amangu obulwadde n’okujjanjaba kiyinza okuvaamu ebirungi. Kale, tobuusa maaso bulumi obutali bwa bulijjo.
- Olw’okuba embeera eno nzibu, obujjanjabi buzingiramu okukozesa eddagala, okujjanjaba omubiri, n’okubudaabudibwa ku by’omwoyo.
- Bulijjo yogerako n’omusawo wo ku bulumi bwonna obutasalako, obutali bwa bulijjo mu mubiri gwo.
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