Secondary Polycythemia: Ka tuyige ku bivaako, obubonero, n’obujjanjabi mu bigambo ebyangu

Oluusi owulira ng’okooye nnyo, ng’oziyira , era ng’okulaba kwo kuzibuwalira katono? Wadde tulowooza nti bino bintu bya bulijjo, oluusi ensonga lwaki kino eyinza okuba ng’omusaayi gukuŋŋaanyiziddwa mu mubiri gwaffe. Kino kiyitibwa Secondary Polycythemia mu sayansi w’obusawo. Totya ng’owulira erinnya lino, eno embeera etatera kubaawo. Mu ngeri ennyangu, kino kitegeeza nti omubiri gwo gukola obutoffaali obumyufu bungi okusinga bwe gulina okukola . Kale ka twogere ku nsonga eno mu bujjuvu, mu ngeri ennyangu ennyo.

Lwaki omusaayi gugonza bwe guti? Ensonga ze ziruwa?

Ekigambo "ekyokubiri" kitegeeza "ekyokubiri." Kale obulwadde buno era buweebwa erinnya eryo kubanga si kintu ekibeerawo butereevu, wabula kiva ku mbeera endala ey’obujjanjabi oba ekivaako .

Lowooza ku kino, obutoffaali obumyufu butwala omukka gwa oxygen mu bitundu by’omubiri gwaffe. Singa olw’ensonga ezimu obwongo oba ensigo zifuna akabonero nti omubiri tegufuna mukka gwa oxygen gumala, ensigo zikola obusimu obuyitibwa Erythropoietin oba EPO . Obusimu buno obwa EPO bugenda mu busimu bwaffe obw'amagumba ne bubugamba nti "bukole obutoffaali obumyufu obusingawo, omubiri tegufuna oxygen emala." Kale obusigo bw’amagumba butandika okukola obutoffaali obumyufu obupya. Omuwendo gw’obutoffaali obumyufu bwe gweyongera mu ngeri eno, omusaayi gweyongera mpolampola. Omusaayi guno omugonvu gulina obuzibu okuyita mu misuwa emitonotono (capillaries) mu mubiri gwaffe. Eno y’ensonga lwaki akabi k’embeera ez’amaanyi nga stroke bweyongera.

Kati ka tulabe ensonga enkulu eziviirako kino.

Njawulo ki eriwo wakati wa Primary ne Secondary Polycythemia?

Oyinza n’okuwulira ku Primary Polycythemia. Wadde bino byombi biwulikika nga bifaanagana, waliwo enjawulo nnene wakati w’ebibiri bino.

Mu ngeri ennyangu, obusigo bwaffe obw’amagumba bulinga ekkolero erikola obutoffaali bw’omusaayi.

• Primary Polycythemia: Kino kye kiseera ekkolero lyenyini (obusigo bw’amagumba) bwe likola obutoffaali obumyufu obuyitiridde ku bwalyo, nga tewali bubonero bwonna bwa bweru. Kino kitera okuva ku nkyukakyuka mu buzaale (mutation).
• Secondary Polycythemia: Wano, ekkolero (obusigo bw’amagumba) likola bulungi. Naye olw'obubonero obutali butuufu oba obuteetaagisa okuva ebweru (e.g., okuva mu kibumba) obugigamba "okukola ebisingawo," kikola obutoffaali obumyufu bungi nnyo.

Okusobola okwawula ebibiri bino, abasawo bakebera obuzaale obuyitibwa JAK2. Abantu bangi abalina Primary Polycythemia bakebera positive ku gene eno. Naye kino tekibaawo mu Secondary Polycythemia.

Bubonero ki obulaga embeera eno?

Obubonero bwa puleesa busobola okwawukana okusinziira ku muntu. Abantu abamu bayinza obutaba na bubonero bwonna. Kyokka buno bwe bubonero obusinga okulabika.

• Obukoowu
• Okulumizibwa omutwe
• Okuziyira
• Okulaba okutali kwa maanyi
• Obulwadde bw’okwetamwa okulya
• Obunafu mu mubiri
• Okukendeera kw’okussa ebirowoozo ku kintu ekimu

Ekikulu, obubonero buno tebuva ku kuzimba musaayi gwokka. Obubonero obulala (okusesema, okussa obubi) nabwo buyinza okubaawo olw’ensonga enkulu (e.g., obulwadde bw’amawuggwe).

Okugeza, singa ekivaako kiba Sleep Apnea, oyinza okufuna otulo otuyitiridde emisana n'okusinda ekiro.

Kino okisanga otya Omusawo?

Bw’obuulira omusawo wo ku bubonero buno, ky’agenda okusooka okukola kwe kukubuuza ku byafaayo byo byonna eby’obujjanjabi. Kwe kugamba, bw’oba ​​onywa sigala, waakagejja, wasesema, ekifuba kikunyiga, okussa obuzibu oba okusinda ekiro . Era ajja kubuuza oba waliwo omuntu yenna mu maka go abadde n’embeera zino.

Oluvannyuma, okukeberebwa omubiri era bwe kiba kyetaagisa, kirungi okukeberebwa okuwerako, gamba nga:

• Okukebera omusaayi: Kebera omuwendo gw’obutoffaali obumyufu, obusimu bwa EPO, n’omuwendo gwa oxygen mu musaayi (kino kiyinza okukolebwa n’okukebera Arterial Blood Gas - ABG).
• ECG (Electrocardiogram): Kebera enkola y’omutima.
• Okukebera ebifaananyi: Okukebera ekifuba, CT scan, oba ultrasound scan esobola okukebera oba omutima, ekibumba oba enseke zizimba.

Mu kukebera kuno omusawo mw’azuula ekituufu ekivaako embeera eno.

Bujjanjabi ki obukolebwa ku kino?

Ekisinga obulungi ku kino kiri nti secondary polycythemia esobola okuwona nga tuzuula n'okujjanjaba embeera eyaliwo eyavaako omusaayi okugonza .

Ekigendererwa ekikulu eky’obujjanjabi kwe kumalawo ekivaako omusaayi okuzimba.

• Okujjanjaba ekikolo ekivaako kino:
• Bw’oba ​​onywa sigala: Kikulu nnyo okulekera awo okunywa sigala. Omusawo ajja kuwa amagezi n’eddagala eryetaagisa ku kino.
• Bwe kiba nga kiva ku mugejjo: Ojja kuweebwa amagezi okukyusa mu bulamu bwo, okukola dduyiro n’okugejja.
• Bw’oba ​​olina obulwadde bw’amawuggwe nga COPD: Obujjanjabi bwa oxygen obutatambula bulungi busobola okuyamba okuzzaawo omukka gwa oxygen mu mubiri.
• Bwe kiba nga kiva ku kizimba: Embeera eno esobola okuwona ddala ng’olongoosezza ekizimba.

• Obujjanjabi okumalawo obubonero:
• Phlebotomy: Kino kifaananako n’okuteekebwamu omusaayi. Ekitundu kya ppini oba ppini y’omusaayi kiggyibwa mu musuwa, ekikendeeza ku butoffaali obumyufu n’okugonza omusaayi. Kino kikuwa obuweerero obw’amangu ku bubonero ng’okulumwa omutwe n’okuziyira.
• Eddagala: Omusawo ayinza okukuwa eddagala nga aspirin okukendeeza ku bulumi, n’eddagala eriweweeza ku histamine ku bubonero ng’okusiiyibwa.

Kikunyiiza okuyiga ku mbeera endala ng’okolagana n’emu. Naye jjukira, embeera ezisinga ezireeta Secondary Polycythemia zimanyiddwa bulungi era zirina obujjanjabi obuwerako. N’olwekyo, singa ekizibu kino kijjanjabwa bulungi, embeera eno ebiseera ebisinga tejja kukosa bulamu bwo.