Wali owuliddeko ku luganda oba mukwano gwo eyali mu kifo ekijjanjabirwamu abalwadde abayi (ICU) ng'afuna "obulwadde obufunibwa mu ddwaaliro"? Oluusi kiva ku kika kya bakitiriya kye twogerako, ekigumira eddagala lingi ate nga kya bulabe katono. Wadde obuwuka buno butera obutaleeta buzibu bungi eri abantu abalamu, buyinza okuba obw’obulabe obw’amaanyi eri omuntu ali mu ddwaaliro era ng’abaserikale b’omubiri banafuye.
Ddala Acinetobacter baumannii kye ki?
Mu ngeri ennyangu, kino kika kya bakitiriya. Zibeera nnyingi mu butonde naddala mu ttaka n’amazzi. Mu kukebera mu laboratory, obuwuka buno buteekebwa mu kibinja kya ``Gram-negative''. Ekyo kitegeeza nti bw’ogisiiga langi emu eringa eya pinki. Wadde ng’ekyo kiyinza obutaba kikulu gye tuli, naye kikulu eri abasawo.
Naye ensonga enkulu lwaki ffenna tutya obuwuka buno bwe busobozi bwayo obw’ekyewuunyo. Obwo bwe busobozi bwayo okuziyiza eddagala eritta obuwuka . Tukimanyi nti bwe tufuna obulwadde bwa bakitiriya, omusawo atuwa eddagala eritta obuwuka. Naye obuwuka buno, Acinetobacter baumannii, bufunye engeri y’okuziyiza eddagala lingi eritta obuwuka. Kino tukiyita okuziyiza eddagala eringi. Kiba ng’okuzimba ebika bya bunkers eby’enjawulo okwekwekamu ng’omulabe azze. N’olwekyo abasawo balina okwolekagana n’okusoomoozebwa okunene okuwonya yinfekisoni ezireetebwa obuwuka buno.
Obulwadde buno busiigibwa butya? Ani asinga okubeera mu bulabe?
Obulwadde buno obwa bakitiriya tebutera nnyo mu bantu bonna ebweru w’embeera y’eddwaliro. Kyokka oluusi kiyinza okubaawo ebweru w’eddwaliro mu bantu abalina ssukaali, obulwadde bw’amawuggwe obutawona, oba abaserikale b’omubiri abanafuye.
Naye akabi akasinga kuli ku balwadde abajjanjabirwa mu ddwaaliro naddala abo abalwadde ennyo. Lowooza ku kino: Omuntu ali mu mbeera nga eno atera okufuna obulwadde buno:
- Abo abafuna obujjanjabi mu Intensive Care Unit (ICU).
- Abantu abayungiddwa ku byuma ebiyamba okussa.
- Abantu abalina emisuwa gy’omusulo oba emisuwa.
- Abantu abaludde mu ddwaaliro.
- Abantu abalina ebiwundu ebiggule eby’okulongoosebwa.
Engeri enkulu obulwadde buno gye buyinza okusaasaana kwe kuyita mu mikono gy’abakozi b’eddwaaliro, nga bakwata ku mulwadde alina akawuka, nga bayita mu matondo agayingira mu mpewo ng’omuntu alina akawuka asesema oba ng’asesema, n’okuyita mu byuma eby’obujjanjabi ebitannaba kuyonjebwa bulungi.
Obuwuuka buno busobola okuwangaala ebbanga eddene ku bintu ng’ebikozesebwa mu malwaliro n’ebitanda. Eno y’ensonga lwaki ebintu ng’obuyonjo mu malwaliro n’okunaaba abakozi mu ngalo bikulu nnyo.
N’ekitongole ky’ebyobulamu mu nsi yonna (WHO) kitadde obuwuka buno obwa `Acinetobacter baumannii` mu buwuka obusinga okubeera obw’obulabe eri abantu. Ensonga lwaki kino kiri bwe kityo bwe busobozi obw’ekitalo obw’okuziyiza eddagala eritta obuwuka eryayogeddwako waggulu.
Bubonero ki obulaga obulwadde buno?
Obubonero buno businziira ku kitundu ky’omubiri obuwuka buno bwe bufunye. Okugeza amawuggwe bwe gaba galina akawuka, tewajja kubaawo bubonero bwonna, naye obwongo bwe buba bufunye akawuka, wajja kubaawo.
Kino ka twongere okukinnyonnyola n’emmeeza eri wansi.
| Ekika ky’obulwadde | Ennyonnyola n’obubonero |
|---|---|
| Obulwadde bw’ekifuba obufunibwa mu ddwaaliro | Kino kye kisinga okukwatibwa obuwuka buno. Kiyinza okubaawo naddala mu bantu abali mu ICU oba abali ku byuma ebiyamba okussa. Obubonero: omusujja, okukaluubirirwa okussa, omutima okukuba amangu, okulumwa mu kifuba, n’okuziyira. |
| Endwadde z’omusaayi (Obulwadde bw’omusaayi / Sepsis) . | Obuwuuka buyingira mu musaayi ne busaasaana mu mubiri gwonna. Eno embeera ya bulabe nnyo. Mu ICU, obulabe bw’okufa olw’obulwadde obw’engeri eno buli nga 30%-40%. Obubonero: Omusujja omungi, okuwunya, okussa amangu n’okutabulwa. |
| Yinfekisoni z’obusimu obw’omu makkati | Obulwadde bwa Meningitis, yinfekisoni y’obuwuka obubikka obwongo, busobola okubaawo naddala oluvannyuma lw’okulongoosebwa obwongo. Obubonero buno mulimu omusujja ogw’amaanyi, okubulwa amagezi, okusiiyibwa, ensingo okukaluba, okulumwa omutwe, n’obutasobola kutunuulira bitaala bimasamasa. |
| Yinfekisoni endala | Yinfekisoni z’omusulo, yinfekisoni z’amagumba, yinfekisoni z’olususu n’ebitundu ebigonvu, yinfekisoni z’ebiwundu, n’okukwatibwa yinfekisoni z’omutima ogw’omunda (endocarditis) nazo zisobola okubaawo. |
Kino kikwatibwa kitya?
Kino kye kisinga okusoomoozebwa. Olw’okuba obuwuka buno bugumira eddagala lingi eritta obuwuka, kizibu nnyo abasawo okulonda obujjanjabi.
Kino kye kitera okubaawo:
Omusawo wo bw’ateebereza nti olina yinfekisoni, ajja kuggya sampuli (e.g. omusaayi, omusulo, oba amazzi okuva mu kiwundu) okuva mu kifo ekirimu obuwuka ne bagisindika mu laabu. Kino kiyitibwa okugezesebwa kwa ``obuwangwa''.
Naye kitwala ennaku eziwera ebiva mu ``(obuwangwa)`` obwo okudda. Omulwadde bw’aba mulwadde nnyo, toyinza kulinda bivaamu ebyo. Kale omusawo atandika obujjanjabi okusinziira ku kuteebereza kwe okusinga obulungi , okusinziira ku bumanyirivu bw’alina ku bika bya bakitiriya ebitera okubeera mu ddwaaliro n’eddagala ki eritta obuwuka erifunye obuwanguzi gye buvuddeko.
Lipoota y’ebyobuwangwa bw’eneejja mu nnaku ntono, ejja kulaga bulungi obuwuka obuleeta obulwadde buno, eddagala ki eritta obuwuka erikola, n’eddagala ki eritakola. Olwo omusawo ajja kusalawo oba okukyusa obujjanjabi obwatandikibwawo emabegako oba nedda okusinziira ku lipoota eyo.
Oluusi, obuwuka buno bugumira eddagala ery'amaanyi ennyo, "erisembayo" nga ``carbapenem''. Mu mbeera ng’ezo, obujjanjabi buba buzibu nnyo. N’olwekyo, mu mbeera ng’ezo, okusalawo ku bujjanjabi kuleke ddala eri omusawo wo.
Obubaka Obutwala Awaka
- Acinetobacter baumannii bulwadde bwa bakitiriya obw’amaanyi obugumira eddagala lingi era nga businga kusaasaana mu malwaliro.
- Obulabe obusinga obungi buli ku balwadde abali mu mbeera embi abali mu bifo eby’abalwadde abayi (ICUs), abali ku byuma ebissa, abo abalina ebiwundu ebyalongoosebwa, n’abo abalina abaserikale b’omubiri abanafuye.
- Obubonero businziira ku kitundu ky’omubiri ekikwatibwa (amawuggwe, omusaayi, obwongo n’ebirala).
- Obujjanjabi buzibu era bulina okuddukanyizibwa omusawo wo okusinziira ku lipoota z’okukeberebwa mu laboratory.
- Engeri esinga okwewala obulwadde buno kwe kugoberera ennyo enkola entuufu ey’obuyonjo mu malwaliro (naddala okunaaba mu ngalo abakozi).
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