Bw’oba oli maama-to-be, osanga ennaku zino obadde oyogera nnyo n’omusawo. Oboolyawo owulidde ekigambo ' Group B Strep', oba GBS . Kino kiyinza okuba ekipya gy’oli. Kale, leero tugenda kwogera ku GBS, ebikosa ggwe ne bbebi wo, n’ebigonjoolwa mu ngeri ennyangu, ennyangu okutegeera. Tekyetaagisa kusattira, ekisinga obukulu kwe kubeera aware.
GBS kye ki? Lwaki kikulu eri bamaama abali embuto?
Mu ngeri ennyangu, GBS (Group B Strep) yinfekisoni ereetebwa ekika kya bakitiriya ekiyitibwa Group B Streptococcus . Obuwuuka buno butera okusangibwa mu bukyala bwo oba mu kitundu ky’omumwa gwa nnabaana. Tewewuunya, nga 25% ku bakyala ab’embuto, oba nga omu ku buli bana, ayinza okuba n’obuwuka buno obwa GBS mu mibiri gyabwe. Naye abantu bangi tebamanyi na nti balina, kubanga ebiseera ebisinga tekiraga bubonero bwonna .
Kale, bw’oba olina GBS, waliwo omukisa nti obuwuka buno busobola okuyisibwa okuva gy’oli okutuuka ku mwana wo ng’azaala mu bukyala. Abalongo, abakadde, oba abo abalina abaserikale b’omubiri abanafuye oba abatakula batera okufuna ebizibu okuva mu GBS.
Naye jjukira kino: Abalongo bonna abafuna GBS tebajja kulwala. Kyokka, abalongo batono nnyo ku buli kikumi basobola okufuna yinfekisoni ez’amaanyi, oluusi eziyinza okutta obulamu okuva ku buwuka buno . Eno y’ensonga lwaki abasawo bakukebera GBS ng’ekimu ku bitundu by’okulabirira bulijjo nga tonnazaala ng’oli lubuto. Singa kikakasibwa nti olina GBS, omusawo ajja kukuwa eddagala eritta obuwuka.
GBS eyingira etya mu mubiri?
GBS kika kya buwuka obubeera mu butonde mu mibiri gyaffe, gamba ng’ebyenda byaffe, ebitundu by’ekyama n’emikutu gy’omusulo. Tebusaasaana okuva ku muntu okudda ku mulala oba okuva mu kugabana emmere oba ekyokunywa n’omuntu alina akawuka. Abakugu tebakakasa ddala lwaki obuwuka buno busaasaana bwe buti. Naye bakimanyi nti kiyinza okuba eky'obulabe eri abalongo n'abantu abalina abaserikale b'omubiri abanafuye .
GBS ekeberebwa ddi?
Ekitongole ekivunaanyizibwa ku kulwanyisa endwadde ekya Centers for Disease Control and Prevention (CDC) kiwa amagezi okwekebejjebwa bulijjo okuzuula GBS buli lubuto. Kino kitera okwekebejjebwa wakati wa wiiki 36 ne 37 ng’oli lubuto.Ekigezo kya GBS kyangu nnyo. Omusawo aggyayo ekyuma ekikuggya mu bukyala oba mu nseke n’akisindika mu laabu okwekebejjebwa.
Group B Strep ekosa omwana ali mu lubuto?
Bino by'olina okutegeera. Obuwuuka bwa GBS tebukosa mwana munda mu nnabaana wo. Wabula omwana asobola okukwatibwa obulwadde bwa GBS ng’azaala n’okuzaala . Eno y’ensonga lwaki eddagala eritta obuwuka liweebwa okuziyiza GBS. Obujjanjabi buno bukendeeza nnyo ku bulabe bw’okuyisa GBS okuva gy’oli okutuuka ku mwana wo.
Omwana afuna atya GBS? Ebika ki?
Waliwo engeri bbiri enkulu abalongo gye bayinza okukwatibwamu obulwadde bwa GBS:
- Obulwadde obutandika nga bukyali : Abaana abasinga obungi (nga 75%) abafuna GBS bakwatibwa mu wiiki esooka ey’obulamu . Obulwadde bwa GBS butera okweyoleka mu ssaawa ntono ng’azaalibwa. Wadde ng’abaana abazaalibwa nga tebanneetuuka bali mu bulabe bwa maanyi obw’okukwatibwa obulwadde, abaana abasinga obungi abafuna GBS bazaalibwa nga batuuse.
- Obulwadde obutandika ekikeerezi: Omwana asobola okufuna obulwadde bwa GBS okuva ku wiiki emu oluvannyuma lw’okuzaalibwa okutuuka ku myezi esatu. Kino tekitera kubaawo era tekitera kuteeka bulamu bwa mwana mu matigga okusinga yinfekisoni eyatandika amangu.
GBS ya bulijjo etya?
Ekirungi, omuwendo gw’obulwadde buno gukendedde nnyo olw’okukeberebwa GBS ng’oli lubuto. Okusinziira ku kitongole kya CDC, abalongo nga 930 mu Amerika bafuna obulwadde bwa GBS obutandika amangu ate nga 1,050 buli mwaka bafuna obulwadde bwa GBS obutandika oluvannyuma. Abalongo nga 4% abafuna GBS bafa . Eno y’ensonga lwaki okwekebejja n’okujjanjaba kikulu nnyo.
Bubonero ki obulaga obulwadde bwa GBS?
Abantu abakulu bangi abalina GBS tebalaga bubonero bwonna . Abantu abakadde n‟abo abalina embeera z‟obujjanjabi ezimu bayinza obutatera kufuna bubonero. Mu bino mulimu:
- Omusujja, okuwunya, n’obukoowu obuyitiridde.
- Okukaluubirirwa okussa.
- Obulumi mu kifuba .
- Okukaluba kw’ebinywa.
Wabula obubonero bw’okukwatibwa GBS mu balongo bwa njawulo:
- Omusujja.
- Okukaluubirirwa okunywa amata.
- Obutabeera na mirembe n’okukaaba buli kiseera (Irritability).
- Okukaluubirirwa okussa.
- Obutabeera na maanyi.
Obubonero buno busobola okutabuka amangu mu baana abazaalibwa kubanga abaserikale b’omubiri banafu. Obulwadde bwa GBS buyinza okuleeta obuzibu obw’amaanyi eri omwana, gamba nga sepsis (embeera efaananako n’obutwa mu musaayi), ekifuba, n’obulwadde bwa meningitis (embeera efaananako n’okuzimba obwongo).
GBS enaasiigibwa munnange oba abantu abalala mu maka?
Nedda Tewali bulabe nti abantu abalala mu maka go nga mw’otwalidde n’abaana bo abalala, bajja kukulwala singa bakwata GBS. Eno si y’engeri gye kisaasaana.
Nnaakeberebwa GBS?
Yee, ddala. Omusawo wo ajja kukukebera GBS mu kitundu ekisembayo eky’olubuto lwo, wakati wa wiiki 36 ne 37 .
Omusawo w’okuzaala ajja kukozesa ppamba okuggya sampuli y’obutoffaali okuva mu bukyala n’omumwa gwa nnabaana. Okukebera kuno tekuluma era kutwala eddakiika ezitakka wansi wa emu . Olwo sampuli eno esindikibwa mu laabu okukeberebwa GBS. Ebivuddemu bitera okufunibwa mu ssaawa 48 zokka. Ebyava mu kukeberebwa nga birungi kitegeeza nti oli mutwalo wa GBS. Naye tekitegeeza nti ggwe oba omwana wo mujja kulwala ddala .
Bw’oba okozesa obuweereza bw’omuzaalisa, oyinza okuweebwa ebiragiro ku ngeri y’okukolamu okukebera kuno awaka ne bakusaba okusindika sampuli mu laboratory.
GBS bulwadde bwa kwegatta (STI)?
Nedda, GBS si bulwadde bwa kwegatta (STI) . Obuwuuka obuleeta GBS bubeera mu butonde mu bukyala oba mu nseke. Tekireeta bubonero bwonna mu bantu abasinga obungi. Kale si kintu kye wakola ekikyamu.
Kiki ekibaawo singa okeberebwa n’ofuna GBS ng’oli lubuto?
Teebereza nti okebereddwa n’ofuna obulwadde bwa GBS. Kati okola ki? Tosattira. Abasawo bajja kukuwa eddagala eritta obuwuka mu misuwa (IV) ng’ozaala n’okuzaala okutangira omwana wo okufuna GBS. Eddagala erisinga okukozesebwa okujjanjaba GBS ye penicillin oba ampicillin .
Okukuwa eddagala eritta obuwuka mu kiseera kino kiyinza okukuyamba obutasaasaanya GBS ku mwana wo eyaakazaalibwa. Okujjanjaba GBS nga tonnazaala tekikola nnyo. Eddagala lino eritta obuwuka lisinga kukola singa liweebwa waakiri essaawa nnya nga tannazaala . Kigambibwa nti obujjanjabi obw’ekika kino busobola okuziyiza yinfekisoni ebitundu 90% .
Teebereza, Nimali yakola okukebera GBS ku wiiki ye ey’amakumi 36. Lipoota eno yakomyewo ‘positive’ oluvannyuma lw’ennaku bbiri. Nimali yatya katono. ‘Oo, waliwo ekigenda okutuuka ku mwana wange?’. bwe yalowooza. Naye omusawo n’agamba nti, ‘Nimali, tofaayo. Ba maama bangi balina kino. Tumuwa eddagala mu misuwa ng’azaala, omwana n’atafuna buzibu bwonna.’ Bwe kityo bwe kiri.
Waliwo ensonga emu ey’enjawulo ekwata ku kiseera ky’obujjanjabi: Singa obulwadde bwa GBS buzuulibwa mu musulo, olwo obujjanjabi n’eddagala eritta obuwuka eriweebwa mu kamwa butandikibwawo amangu ddala nga GBS ezuuliddwa, awatali kulowooza ku mutendera gw’olubuto. Kyokka, n’eddagala eritta obuwuka eriweebwa mu misuwa (IV) lirina okuweebwa nga bazaala .
Ekirala, omukyala yenna ow’olubuto eyasooka okuzaala omwana alina obulwadde bwa GBS, oba eyafuna obulwadde bw’omusulo (UTI) olw’obulwadde bwa GBS mu kiseera kino eky’olubuto, naye ajja kujjanjabibwa ng’azaala.
GBS ejjanjabwa etya mu baana abazaalibwa?
Oluusi, ne bwe baba bamaze okukeberebwa n’okukozesa eddagala eritta obuwuka nga bazaala, si bulijjo nnyo, abalongo abamu basobola okufuna GBS . Kino bwe kibaawo, abasawo bayinza okukebera omusaayi oba amazzi g’omugongo okulaba oba omwana wo alina GBS. Singa omwana wo alina GBS, naye ajja kujjanjabibwa n’eddagala eritta obuwuka eriweebwa mu misuwa (IV) .
Oyinza otya okukendeeza ku bulabe bw’okulwala GBS?
Omuntu yenna asobola okufuna GBS. Naye abantu abamu bali mu bulabe bwa maanyi, oba olw’embeera z’obujjanjabi ezimu oba olw’emyaka gyabwe. Ensonga zino wammanga ziyinza okwongera ku bulabe bw’okuzaala omwana alina GBS:
- Oli GBS positive.
- Ofuna omusujja ng’ozaala.
- Essaawa ezisoba mu 18 ziyitawo wakati w’amazzi go okumenya n’okuzaala omwana wo.
- Olina embeera z'obujjanjabi nga sukaali , obulwadde bw'omutima oba kookolo .
Okwekebeza GBS ne (bw’oba ozuuliddwa) okumira eddagala eritta obuwuka y’engeri esinga okukuuma omwana wo obutakwatibwa yinfekisoni.
Bizibu ki ebiwangaala GBS by’eyinza okuleeta mu baana abaakazaalibwa?
Abalongo abakwatibwa GBS basobola okufuna embeera nga meningitis , pneumonia oba sepsis . Embeera zino ziyinza okutta omuntu. Kyokka, abalongo abasinga obungi tebalina buzibu bwonna buwangaala . Wabula, abalongo nga 25% abafuna obulwadde bw’okuzimba omutwe olw’obulwadde bwa GBS basobola okufuna ebizibu ebiwangaala nga cerebral palsy , obuzibu mu kuwulira , obuzibu mu kuyiga , oba okukonziba . Eno y’ensonga lwaki okuziyiza GBS n’okugijjanjaba nga bukyali kikulu nnyo.
Nnaddamu okukeberebwa GBS?
Nedda . Tojja kuddamu kukeberebwa.
Nze nneetaaga obujjanjabi bwa GBS singa mba nfunye C-section?
Mu budde obutuufu, bw’oba ng’oteekateeka okulongoosebwa (C-section) , tojja kwetaaga ddagala eritta obuwuka eri GBS. Kino kiri bwe kityo kubanga, ng’olongoosebwa omwana C-section, omwana tazaalibwa ng’ayita mu bukyala, kale emikisa gy’okuyisa GBS eri omwana giba mitono.
Wabula, okeberebwa obulwadde bwa GBS . Kino kiri bwe kityo kubanga okuzaala kuyinza okutandika nga tonnaba kulongoosebwa C-section yo. Singa amazzi go gakutuka n’obeera n’obulwadde bwa GBS, omwana wo ali mu bulabe bw’okukwatibwa obulwadde buno. Mu mbeera ng’ezo, eddagala eritta obuwuka liyinza okuweebwa.
Bwemba nnina GBS positive, ddi lwe nsaana okulaba omusawo?
Mu mbeera ezimu, GBS esobola okuleeta yinfekisoni ng’oli lubuto. Bw’oba olina obubonero ng’omusujja, obulumi, n’omutima okweyongera, tegeeza omusawo amangu ago. Kino kiyinza okuvaako okuzaala nga tebanneetuuka .
GBS era esobola okuleeta obulwadde bw’omusulo (UTI) , obujja okwetaaga okujjanjabwa n’eddagala eritta obuwuka eriweebwa mu kamwa.
Bw’oba olina GBS, yogerako n’omusawo wo ku by’osuubira ng’ozaala n’okuzaala.
N’ekisembayo, ekintu ekisinga obukulu ky’olina okukuuma mu birowoozo (Take-Home Message)
Singa omusawo akugamba nti olina GBS positive nga oli lubuto , totya oba okutya . Kino kiva ku buwuka obubeera mu mubiri gwo mu butonde, era tekiva ku kintu kyonna ky’okoze ekikyamu.
Emikisa gy’okuyisa GBS okuva gy’oli okutuuka ku mwana wo mu butuufu mitono nnyo , naddala ng’omira eddagala eritta obuwuka ng’ozaala.
Yogerako n’omusawo wo ku bibuuzo byonna oba ebikweraliikiriza by’olina ku GBS. Jjukira nti emirundi egisinga ne bw’oba olina GBS, tewajja kubaawo buzibu era omwana wo ajja kuzaalibwa nga mulamu bulungi . Ekisinga obukulu kwe kutegeezebwa n’okugoberera amagezi g’omusawo.











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