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Mu ngeri ennyangu, Ototoxicity kye ki?
Bw’owulira ekigambo ototoxicity, kiyinza okulabika ng’ekintu ekinene. Naye amakulu gaayo mangu nnyo. Oto kitegeeza okutu, ate obutwa kitegeeza obutwa. Mu ngeri endala, tukiyita obutwa mu matu ng’eddagala erimu lyonoona amatu go . Kiringa "okuwa obutwa mu kutu." Okutu kwaffe okw’omunda kulina obutoffaali obutegeera obulungi ennyo obutuyamba okuwulira n’okufuga bbalansi yaffe. Eddagala erimu naddala nga limira mu miwendo mingi liyinza okwonoona obutoffaali buno obw’obusimu. Wano w’otandika okubulwa amatu, okuwulira amaloboozi ag’enjawulo mu matu go (tinnitus), n’owulira nga tolina bbalansi.Ekisinga obulungi nti embeera eno bw’ezuulibwa nga bukyali , emirundi mingi esobola okukyusibwa ng’eddagala erigireeta liyimiriziddwa oba okukyusibwa. Kyokka singa kikwatibwa kikeerezi, okutu kuyinza okwonooneka okw’olubeerera.
Eddagala ki n’eddagala ki ebiyinza okuleeta obutwa mu matu?
Mu kiseera kino, eddagala eritta obutwa mu matu erisoba mu 200 lye lizuuliddwa. Ebisinga ku bino bikozesebwa okujjanjaba embeera ez’amaanyi nga kookolo, yinfekisoni ez’amaanyi, n’endwadde z’omutima. Wadde ng’eddagala lino lyetaagisa nnyo okutaasa obulamu, kikulu okumanya ebizibu ebiyinza okuvaamu. Omulongooti wansi gulaga eddagala n’eddagala ebikulu ebireeta akabi kano.| Ekika ky’Eddagala/Eddagala | Ebyokulabirako n’ebiwandiiko |
|---|---|
| Aspirin eddagala eriweweeza ku bulwadde | Dozi ennyingi bw’omira okumala ebbanga eddene zisobola okuvaako okubulwa amatu n’okukuba mu matu (tinnitus). |
| Eddagala eririmu ekirungo kya quinine | Eddagala ly’omusujja eringi nga Chloroquine ne Quinidine liyinza okukosa okuwulira n’okutebenkeza okumala akaseera. |
| Eddagala ly’okufulumya amazzi erya Loop | Eddagala nga Furosemide ne Torsemide, erikozesebwa okuggya amazzi mu mubiri, litera okuba n’ebikosa okumala akaseera. |
| Aminoglycoside Eddagala eritta obuwuka | Zino ddagala lya maanyi eritta obuwuka nga Gentamicin, Amikacin, Kanamycin, eriweebwa ku yinfekisoni za bakitiriya ez’amaanyi. Ekikulu ekivaako obutwa mu matu. |
| Eddagala eriweweeza ku kookolo | Eddagala lya Chemotherapy nga Cisplatin ne Carboplatin nalyo liyinza okwonoona obutoffaali obukwata ku kutu ate nga litta obutoffaali bwa kookolo. |
| Eddagala erikwata ku butonde bw’ensi | Okukwatibwa ebintu nga mercury, lead, ne carbon monoxide nakyo kiyinza okuleeta okuwulira okwonooneka okw’olubeerera. |
Ani asinga okubeera mu bulabe?
Si buli muntu amira eddagala lino nti ajja kufuna obutwa mu matu, naye abantu abamu bali mu bulabe bwa maanyi.- Okumira eddagala erisukka mu limu eritta ototoxic mu kiseera kye kimu: Okugeza, akabi kasinga nnyo ng’omira eddagala eritta obuwuka erya loopu n’erya aminoglycoside wamu.
- Abantu abalina obuzibu mu kibumba : Eddagala lino liggyibwa mu mubiri ensigo. Singa ensigo tezikola bulungi, eddagala lino lisigala mu mubiri okumala ebbanga eddene, ne kyongera obulabe bw’amatu okwonooneka .
- Omuwendo n’obudde bw’eddagala : Obulabe bweyongera ng’eddagala lyeyongera ate ng’obudde bw’obujjanjabi bweyongera.
Bubonero ki obulaga obutwa mu matu?
Obubonero buno buyinza okutandika mu bwangu, oba buyinza okweyongera mpolampola ng’ekiseera kigenda kiyitawo.Obubonero obusooka
- Obulwadde bw’okuwulira: Kano ke kabonero akasooka abantu abasinga ke beetegereza. Eddoboozi erigenda mu maaso mu matu, gamba nga "okukuba..." oba "okukuba."
- Okubulwa amatu mu ngeri entono: Okuwulira ng’ebigambo tebiwulirwa bulungi mu mboozi eya bulijjo.
Obubonero obubaawo ng’embeera eno ya maanyi
- Obutakwatagana : Okuwulira ng’oziyira ng’otambula, ng’olinga atali mu bbalansi.
- Vertigo : Okuwulira nti ggwe oba ebikwetoolodde biwuuta.
- Oscillopsia: Okulaba obubi oba okuwulira ng’obuuka okulaba ng’osika omutwe.
- Okujjula mu kutu: Okuwulira ng’okutu kujjudde empewo.
- Okukaluubirirwa okutambula: Okukaluubirirwa okutambula mu nzikiza, okutambula ng’ebigere byawukanye okusobola okukuuma bbalansi.
- Okulumwa omutwe n’okukoowa ennyo.
Otegeera otya embeera eno?
Bw’oba olina obubonero bwonna obulagiddwa waggulu, yogerako n’omusawo wo ku ddagala lyonna ly’omira. Kirabika ajja kukusindika ew’omukugu mu kuwulira n’okutebenkeza, oba omusawo w’amatu . Bagenda kukola okukebera okukakasa nti bazudde obulwadde buno.- Ebigezo by’amaloboozi: Okugezesa emitendera gy’amaloboozi g’osobola okuwulira n’ag’otosobola kuwulira.
- Auditory Brainstem Response (ABR): Okukebera oba obubonero okuva mu kutu okw’omunda okutuuka ku bwongo bukola bulungi.
- Otoacoustic Emissions (OAE) test: Egezesa enkola y’obutoffaali obuwulira mu kutu okw’omunda. (Ebigezo bino ebya ABR ne OAE bikozesebwa nnyo okuzuula obuzibu mu kuwulira mu baana abato.)
- Ebigezo bya bbalansi: Ebigezo bino bipima bbalansi y’omubiri gwo nga bipima ebintu ng’okutambula kw’amaaso (Electronystagmogram) n’obusobozi bwo okuyimirira ku bintu eby’enjawulo (Posturography).
Kijjanjabwa kitya?
Obujjanjabi obusinga obulungi kwe kuyimiriza eddagala erikunyiiza oba okukyusa n’odda ku ddagala eddala, ng’omusawo bw’akulagidde . Emirundi egisinga, obubonero bujja kudda.Ekisinga obukulu: Tolekera awo kumira ddagala lyo oba okukyusa eddagala lyo nga tosoose kwebuuza ku musawo, kubanga eddagala lino liyinza okuba eryetaagisa mu bulamu bwo.Wabula singa eddagala lino terisobola kuyimirizibwa oba singa wabaawo okwonooneka kw’okutu okw’olubeerera, waliwo obujjanjabi obuyinza okukuyamba okuddukanya n’okubeera n’ebizibu. 1. Ebyuma ebiyamba okuwulira: Ebyuma bino ebisobola okwambalibwa munda oba ebweru w’okutu bikuyamba okuwulira obulungi amaloboozi agakwetoolodde. . 3. Balance Therapy / Vestibular Rehabilitation: Kino kifaananako n’obujjanjabi bw’omubiri okusobola okufuna balance. Omusawo w’omubiri akuyigiriza dduyiro ow’enjawulo okulongoosa ennyimiriririra yo, entambula yo n’okukwatagana.
Obubaka Obutwala Awaka
- Obutwa mu matu (Ototoxicity) bwe kwonooneka okuva mu ddagala erimu eri obutoffaali obugonvu obuli munda mu kutu.
- Bw’ofuna okukuba mu matu (tinnitus) oba okuziyira ng’omira eddagala ery’amaanyi eriwonya endwadde nga kookolo oba yinfekisoni ez’amaanyi, tegeeza omusawo mu bwangu.
- Weewale okuyimiriza eddagala lyo oba okukyusa eddagala lyo nga tolina magezi ga musawo olw’ensonga yonna.
- Okuzuula embeera eno amangu kiyinza okuziyiza okuwulira okwonooneka okw’olubeerera oba obuzibu mu bbalansi.
- Bw’oba oteebereza obutwa obuva mu kukwatibwa eddagala eriri mu butonde, genda mangu omusawo amagezi. Bwe kiba kyetaagisa, ebisingawo osobola okubifuna okuva mu National Poisons Information Center mu ddwaaliro ly’eggwanga erya Colombo National Hospital .
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