Abasawo bwe bakugamba nti omwana wo eyaakazaalibwa alina embeera y’omutima enzibu, kizibu okuteeka mu bigambo okutya n’okukankana kw’owulira ng’omuzadde. Ku ludda olumu, owulira ennaku n’okutya olw’omwana wo. Ate owulira nga totegedde kigambo na kimu abasawo kye boogera wadde amannya g’eddagala. Mu biseera ng’ebyo, erimu ku mannya g’omanyi g’onoowulira ye ‘Alprostadil.’ Kale leero, ka twogere mu ngeri ennyangu ennyo era mu mpisa ku ddagala lino kye liri, lwaki liweebwa abalongo, ne by’olina okumanya ku byo.
Lwaki eddagala lino liweebwa omwana omuwere? Kino ka tusooke tukitegeere.
Nga tetunnaba kwogera ku ddagala lino, tulina okutegeera katono. Lowooza ku kino, omwana bw’aba mu lubuto lwa maama, amawuggwe ge tegakola, nedda? Omukka gwa oxygen gwe yeetaaga agufuna okuva mu nnabaana. Kale mu kiseera kino, waliwo akakwate akatono, ng’ekkubo erya ‘bypass’, wakati w’omusuwa ogutwala omusaayi okuva ku mutima okutuuka mu mawuggwe (Pulmonary Artery), n’omusuwa omukulu ogutwala omusaayi mu mubiri (Aorta). Kino kye tuyita Ductus Arteriosus . Omwana bw’azaalibwa n’atandika okussa ku lulwe, ekkubo lino erya ‘bypass’ terikyali lyetaagisa. Kale kiggalawo ku bwayo mu ssaawa ntono. Eyo y’enkola eya bulijjo.
Wabula abalongo abamu bazaalibwa nga balina obuzibu ku mutima obuzibu ennyo (Congenital Heart Defects). Ng’ekyokulabirako, omusuwa ogutwala omusaayi mu mawuggwe guyinza obutatondebwa bulungi, oba wayinza okubaawo enjawulo mu ngeri emisuwa emikulu gye gikwataganamu. Mu mbeera eno, singa ekkubo lya ‘bypass’ lye twayogeddeko emabegako eryayitibwa Ductus Arteriosus lizibikira, omubiri n’amawuggwe g’omwana tebijja kufuna musaayi gumala ogulimu omukka gwa oxygen. Kino kyabulabe nnyo eri obulamu bw’omwana.
Wano abasawo we beetaaga okulongoosa okukuuma ekkubo erya ‘bypass’, ductus arteriosus, nga liggule mu ngeri ey’ekikugu okutuusa ng’ekizibu ky’omutima kitereezeddwa. Eddagala eritaasa obulamu eriweebwa ku kino liyitibwa alprostadil.
Kale, ddala Alprostadil kye ki?
Mu ngeri ennyangu, alprostadil ddagala lya butonde erifaananako n’eddagala eriyitibwa ‘Prostaglandin’ erikolebwa mu butonde mu mibiri gyaffe. Kisinga kukozesebwa mu ggwanga lyaffe wansi w'erinnya lya Prostin VR .
Omulimu omukulu ogwa kino kwe kuyimiriza ductus arteriosus okuggalawo n’okugikuuma nga nzigule. Kiba ng’okuteeka akaggo akatono wakati mu mulyango okugukuuma nga guggule. Eddagala lino likuuma omubiri gw’omwana nga guweebwa omusaayi gwe gwetaaga okutuusa omutima lwe gulongoosebwa. Kale lino ddagala ddene nnyo, ng’omutala ogw’ekiseera .
Eddagala lino omuwa otya omwana?
Lino si ddagala lya kukozesa waka. Alprostadil aweebwa mu ddwaaliro naddala mu ddwaaliro erijjanjaba abaana abato (NICU) oba ekitongole ekirabirira abaana abato (PICU).
Kino kiri bwe kityo kubanga eddagala lino lirina okuweebwa butereevu mu musuwa, nga saline solution (intravenous infusion) , n’obwegendereza bungi, obutasalako. Ekirala, ng’eddagala lino liweebwa, ebintu ng’omutima gw’omwana, puleesa, n’omukka gwa oxygen birondoolebwa nnyo abasawo n’abajjanjabi essaawa 24 buli lunaku nga bakozesa ebyuma eby’enjawulo. Kale jjukira nti omwana wo talina bulabe bungi.
Ebintu ebikulu okutegeeza omusawo
Nga tonnatandika ddagala lino, kikulu nnyo okukubaganya ebirowoozo ku bikwata ku mwana wo ne ttiimu yo ey’abasawo. Ebiseera ebisinga, abasawo bajja kukubuuza kino, naye kirungi naawe kino okukimanya.
- Singa omwana aba n’ekizibu ky’okuvaamu omusaayi (okugeza embeera ng’omusaayi teguzimba mangu).
- Singa omwana aba n'obuzibu bwonna mu kussa .
- Bw’oba omaze okulaga alergy ku ddagala oba emmere.
- Bw’oba olina embeera endala yonna ey’obujjanjabi.
Biki ebiyinza okuva mu ddagala lino?
Okufaananako n’eddagala lyonna, alprostadil esobola okuleeta ebizibu ebimu. Naye teweeraliikiriranga, kubanga omwana ali mu kifo awajjanjabirwa abalwadde abayi, abakozi beetegefu okuzuula n’okujjanjaba ekimu ku bino mu bwangu.
| Side Effect | By’olina okumanya |
|---|---|
| Ebintu by’olina okuloopa eri omusawo oba abakozi ba ba nnamusa mu bwangu | |
| Ebintu Ebiva mu Allergy | Okusiiyibwa ku lususu, okusiiwa, okuzimba emimwa/olulimi/ffeesi. |
| Okussa kukyuka | Okulekera awo okussa okumala akaseera (Apnea), okukendeera oba okweyongera kw’omutindo gw’okussa. |
| Enkyukakyuka mu kukuba kw’omutima oba puleesa | Omutima okukendeera oba okweyongera, puleesa okukendeera. |
| Omusujja | Ebbugumu ly’omubiri okweyongera. |
| Okukonziba | Okukankana kw’omubiri oba okukonziba. |
| Okufuuwa amazzi | Okumyuuka kw’olususu. |
| Ebintu by’olina okutegeeza omusawo singa bigumiikiriza | |
| Okulumwa olubuto | Embiro. |
| Obulumi we baweebwa eddagala | Okuzimba oba okumyuuka eddagala we lyaweebwa mu musuwa. |
Jjukira nti olukalala luno teruliimu bizibu byonna ebiyinza okuvaamu. Kale bw’olaba enkyukakyuka yonna etali ya bulijjo mu nneeyisa oba endabika y’omwana wo, oba bw’oba olina ekikweraliikiriza, tegeeza omusawo oba nnansi mu bwangu.
Kiki eky’okukola singa ddoozi y’eddagala eyongezeddwa?
Kino kiweebwa mu ddwaaliro, abasawo abatendeke, nga bakozesa ebyuma eby’enjawulo (infusion pumps), kale emikisa gy’okunywa eddagala erisukkiridde mutono nnyo. Kyokka bw’oba olina ky’obuusabuusa, yogerako n’omusawo oba nnansi alabirira omwana wo mu bwangu. Okumanya ebisingawo ku ddagala lyonna oba obutwa, osobola okukuba essimu mu National Poisons Information Center mu ddwaaliro lya Colombo National Hospital . Mu mbeera ey’amangu, olina okugenda butereevu mu kitongole ky’eddwaaliro ekikola ku bujjanjabi obw’amangu (ETU) .
Obubaka Obutwala Awaka
- Alprostadil ddagala lya kaseera buseera, eritaasa obulamu eriweebwa abalongo abalina obulwadde bw’omutima obuzaalibwa (abazaalibwa n’obulwadde).
- Omulimu gwayo omukulu kwe kukuuma omusuwa ogw’enjawulo oguyitibwa Ductus Arteriosus nga guggule okutuusa ng’omutima gw’omwana gulongooseddwa.
- Eddagala lino liweebwa mu kisenge ky’abalwadde abayi mu ddwaaliro, nga lilabirirwa mu bujjuvu abasawo ne ba nurse . Kale tofaayo ku bulamu bw'omwana.
- Bw’olaba obubonero bwonna obutali bwa bulijjo mu mwana wo (gamba ng’omusujja, okukaluubirirwa okussa, okukyuka kw’olususu) ng’owa eddagala, tegeeza abasawo mu bwangu .
- Eddagala lino si ddagala lya lubeerera ku kizibu ky’omutima gw’omwana. Wabula bridge nkulu nnyo eteekateeka omwana okulongoosebwa, nga kino kye kigonjoola eky’olubeerera.
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