Kya bulijjo okuwulira ng'otya katono n'okweraliikirira singa omusawo akola sikaani ng'oli lubuto n'agamba nti, "Waliwo amazzi matono okwetooloola omwana." Oba watya singa omutima gw’omwana gukendeera katono ng’azaala ne bakugamba nti kiva ku bbula ly’amazzi? Mu mbeera zino, tugenda kwogera ku bujjanjabi obw’enjawulo era obukulu abasawo bwe bakozesa okuyamba maama n’omwana.
Mu ngeri ennyangu, Amnioinfusion kye ki?
Amnioinfusion nkola ezzaawo obungi bw’amazzi g’omu lubuto agaali gaweddewo ng’ofuyira amazzi ag’enjawulo mu nnabaana wo, omwana wo gy’ali. Mu ngeri ennyangu, kuba kuwa nnabaana wo amazzi agalinga omunnyo. Kino kizingiramu okuyingiza eddagala lya Ringer erya saline oba lactated Ringer mu nnabaana yo ng’okozesa ekyuma ekigonvu ekiyitibwa catheter . Okujjuza kuno amazzi agabuze kiyamba okutebenkeza omutima gw’omwana wo n’okutangira omwana okufuna omukka omutono ennyo.
Nga tetunnategeera bujjanjabi buno, ka tumanye ne ku bintu bino
Nga tetunnayongera kwogera ku bujjanjabi buno, ka twogere mu bufunze ku nsonga bbiri enkulu mu nsonga eno.
Amazzi g’omu lubuto (Amniotic Fluid) kye ki?
Amazzi g’omu lubuto (amniotic fluid) ge mazzi agakuuma omwana ageetoolodde omwana mu lubuto. Kikola ng’omutto ogukuuma omwana. Amazzi gano gakuuma omwana obutakwatibwa yinfekisoni, gakuuma omusuwa gw’omu nnabaana obutanyigirizibwa, era gayamba omwana okutambula mu lubuto nga talina buzibu bwonna. Okugatta ku ekyo, amazzi gano ag’omu lubuto geetaagisa nnyo mu nkula y’enkola y’omwana ey’okussa n’okugaaya emmere, n’okutereeza ebbugumu ly’omubiri. Kale amazzi gano bwe gatamala, gayinza okukosa obulamu bw’omwana nga kw’otadde n’okuzaala.
Omuguwa gw’omu nnabaana kye ki?
Omuguwa gw’omu nnabaana gwe muguwa gw’obulamu bw’omwana munda mu lubuto. Kino kye kiyunga omwana ku nnabaana. Omwana afuna omukka gwa oxygen, ebiriisa n’omusaayi gwe yeetaaga ng’ayita mu musuwa guno ogw’omu nnabaana. Kale, amazzi g’omu lubuto bwe gakendeera, omuguwa guno ogw’omu nnabaana guyinza okunyigirizibwa. Singa ekyo kibaawo, omukka gwa oxygen n’endya omwana by’afuna biba bikosebwa, era omwana ayinza obutabeera bulungi (fetal distress).
Mu mbeera ki obujjanjabi bwa amnioinfusion bwe bwetaagisa?
Obujjanjabi buno si bwa buli muntu. Abasawo bagikozesa mu mbeera ntono zokka ezirondeddwa. Ka tulabe kye kiri.
| Kakwakkulizo | Okunnyonnyola |
|---|---|
| Amazzi g’omu lubuto amatono (Oligohydramnios) . | Eno y’ensonga enkulu. Obujjanjabi buno bulowoozebwako singa amazzi ageetoolodde omwana gaba matono okusinga aga bulijjo . |
| Okunyigirizibwa kw’omuguwa gw’omu nnabaana | Amazzi g’omu lubuto bwe gaba matono, omuguwa gw’omu nnabaana guyinza okunyigirizibwa. Kino kireetera omutima gw’omwana okukyuka. Amazzi bwe gayingizibwa, omuguwa gw’omu nnabaana gukkirizibwa okulengejja mu ddembe. |
| Okuziyiza okuzaala nga tebanneetuuka (Preterm Premature Rupture of Membranes) . | Oluusi, amazzi gayinza okukutuka nga tebunnatuuka. Kino bwe kibaawo naddala mu myezi egy’olubuto egyasooka, amazzi gafukibwa mu nnabaana okusobola okutondawo embeera ennungi omwana gy’asobola okubeera mu lubuto okumala akaseera. |
| Okuziyiza obulwadde bwa meconium aspiration syndrome | Meconium gwe musulo ogusooka omwana gw’ayita mu lubuto. Kiyinza okutabula n’amazzi g’omu lubuto. Kiba kya bulabe nnyo singa omwana akimira, naye era asobola okukissa. Amnioinfusion ekendeeza ku bulabe buno nga ekendeeza ku meconium. |
Ekisinga obukulu kwe kusalawo oba weetaaga obujjanjabi buno oba nedda, n’ebirungi n’ebibi byabwo, okusinziira ku mbeera y’obulamu bwo.
Waliwo embeera yonna nga amnioinfusion tesaana kukolebwa?
Yee, mu mbeera ezimu obujjanjabi buno tebusaanira kubanga kiba kya bulabe okuzaala amangu omwana okusinga okumujjanjaba mu kiseera ekyo.
- Singa omwana aba mu buzibu obw’amaanyi mu lubuto, obujjanjabi buno tebuyinza kulwawo wadde eddakiika ntono.
- Bw’oba olina yinfekisoni ekola nga genital herpes oba yinfekisoni endala mu nnabaana.
- Bw’oba olina enseke eziri wansi (placenta previa) oba singa wabaawo okuteebereza nti nnabaana ekutuse.
- Singa omwana aba mu bbulawuzi oba mu mbeera endala etali ya bulijjo, okusinga omutwe wansi.
Obujjanjabi buno bukolebwa butya?
Kino kiyinza okuwulikika ng’ekitiisa katono, naye kikoleddwa mu ngeri entegeke nnyo.
Okusooka, omusawo ajja kukakasa nti omwana ali mu mbeera y’okusooka omutwe. Omumwa gwa nnabaana gwo nagwo gulina okuba nga gugaziye waakiri sentimita 1-2.
Oluvannyuma, ttanka ey’enjawulo eyitibwa Intrauterine Pressure Catheter (IUPC) eyingizibwa mu nnabaana. Tubu eno eyungibwa ku byuma ebiwerako. Omu apima omutima gw’omwana, omulala apima nnabaana okukonziba, ate owookusatu n’akuba empiso y’omunnyo.
Omunnyo ogw’ebbugumu mu kisenge guyingizibwa mpola mu nnabaana okumala eddakiika 10 ku 30. Mu kiseera kino abasawo ne ba nurse bajja kukulondoola nnyo n’omwana wo. Oyinza okuwulira obuzibu oba obulumi oluvannyuma lw’okujjanjabwa, ekintu ekya bulijjo.
Migaso ki egiri mu bujjanjabi bwa amnioinfusion?
Ng’oggyeeko okuzza omutima gw’omwana, obujjanjabi buno bulina emigaso emirala egiwerako.
- Okukendeeza ku bulabe bw’okulongoosebwa (C-section).
- Okukendeera kw’obwetaavu bw’okukozesa ebikozesebwa nga forceps oba vacuum.
- Okulongoosa entambula y’omusaayi ne oxygen okutuuka ku mwana nga bayita mu nnabaana.
- Okuyamba okulwawo okuzaala katono okutangira ebizibu ebiva mu kuzaala nga tebanneetuuka.
- Okukendeeza ku bungi bw’amazzi g’omu lubuto agasiigiddwa meconium.
- Obukodyo bwa Apgar obw’omwana - ekipima obulamu bw’omwana oluvannyuma lw’okuzaalibwa - buli waggulu.
- Okukendeeza ku bulabe bw’obulwadde bwa endometritis oluvannyuma lw’okuzaala, obuyinza okubaawo olw’obutaba na mazzi ga amniotic.
Waliwo akabi oba ebizibu ebiva mu kino?
Okutwaliza awamu, amnioinfusion nkola ya bulabe era ekola bulungi. Kyokka, okufaananako enkola yonna ey’obujjanjabi, waliwo akabi akayinza okuvaamu. Bino bitono nnyo.
| Obulabe / Obuzibu | Okunnyonnyola |
|---|---|
| Obulwadde bwa Chorioamnionitis | Obulwadde bwa nnabaana n’amazzi g’omu lubuto. |
| Okugwa kw’omusuwa gw’omu nnabaana | Omuguwa gw’omu nnabaana ogukka wansi nga guyita mu nnabaana. Kino kya mangu. |
| Obulwadde bwa Polyhydramnios | Okwongera ku bungi bw’amazzi g’omu lubuto mu nnabaana. |
| Okugaziwa ennyo nnabaana | Nabaana agaziwa olw’amazzi okweyongera. |
| Okutomera nnabaana | Tekitera nnyo, okwonooneka kw’ekisenge kya nnabaana olw’ekituli. |
Omusawo wo ajja kukutegeeza ku bulabe buno bwonna era akulondoole n’obwegendereza ng’ojjanjabibwa n’oluvannyuma lw’okujjanjabibwa.
Obubaka Obutwala Awaka
- Amnioinfusion bujjanjabi obuzzaamu amazzi g’omu lubuto mu nnabaana oba nga tonnazaala nga bafuyira amazzi agalinga omunnyo mu nnabaana.
- Ebigendererwa ebikulu mu kino kwe kuziyiza okunyigirizibwa kw’omusuwa gw’omu nnabaana, okuzzaawo omutima gw’omwana n’okukakasa nti omwana afuna omukka gwa oxygen.
- Wadde ng’okutwalira awamu eno nkola ya bulabe, nga bwe kiri ku nkola zonna ez’obujjanjabi, waliwo akabi akatono.
- Bw’oba owulira ng’okulukuta amazzi okuva mu bukyala ng’oli lubuto, genda mangu omusawo omanye oba gava mu bukyala.
- Bw’oba olina ekibuuzo kyonna ku bujjanjabi buno oba ku muwendo gwa calcium mu musaayi gwo, tolwawo kwogera na musawo wo. Ajja kukunnyonnyola buli kimu.
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