Embeera ey’amangu esinga okuba ey’akabi eyinza okutuuka ku maama ali mu lubuto (Amniotic Fluid Embolism) .

Okufuna olubuto kiseera kirungi nnyo era nga kirimu essuubi mu bulamu bwa maama. Naye mu kiseera kye kimu, ebintu ng’okutya n’okubuusabuusa nabyo bijja mu birowoozo. Naddala ng'omwana anaatera okuzaalibwa, ekibuuzo "Buli kimu kinaaba bulungi?" kiri emabega w’ebirowoozo byo. Leero tugenda kwogera ku mbeera ey’amangu etali ya bulijjo nnyo, naye era ey’akabi ennyo eyinza okubaawo ng’oli lubuto. Totya ng’owulira bino, kubanga kino kintu kya bbula nnyo nga tekituuka wadde ku muntu omu ku lukumi. Naye kikulu nnyo okukimanya ku kino.

Mu ngeri ennyangu, obulwadde bwa amniotic fluid embolism (AFE) kye ki?

Erinnya lino liyinza okuwulikika nga lizibu katono, naye ka tulikuume nga lyangu. Omanyi omwana wo bw’aba munda mu lubuto, wabaawo amazzi aga liquidy agamwetoolodde. Kino tukiyita amazzi g'omu lubuto . Kino kikola ng’omutto ogukuuma omwana wo. Amazzi gano tegalimu mazzi gokka, wabula n’obutoffaali obuyiwa okuva mu lususu lw’omwana wo, enviiri ennungi n’ebirala.

Mu budde obwabulijjo, omwana bw’azaalibwa, agamu ku mazzi gano ag’omu lubuto gasobola okuyingira mu nkola y’omusaayi gwa maama, kwe kugamba, omusaayi gwe. Kino kyabulijjo nnyo era tekireeta buzibu bwonna eri bamaama abasinga obungi.

Naye, ebyembi, amazzi gano ag’omu lubuto bwe gayingira mu musaayi, emibiri gya bamaama abamu gifuna alergy ey’amaanyi ennyo, oba allergy response. Mu ngeri endala, omubiri gulowooza nti omulabe omunene ayingidde mu mubiri. Embeera ey’amangu eva ku nkola eno ey’amaanyi eyitibwa amniotic fluid embolism (AFE) . Oluusi kino era kiyitibwa anaphylactic syndrome of pregnancy .

Okuddamu kuno kuyinza okuvaako omutima n’amawuggwe okulekera awo okukola mu bwangu. Kino kitegeeza nti ebitundu by’omubiri ebirala tebirina musaayi ogulimu omukka gwa oxygen. Kino kiyinza okuvaako embeera ez’amaanyi ng’omutima okusiba. Tekikoma awo, naye era kiyinza okuvaako omusaayi ogutafugibwa okuva mu nnabaana oba okuva mu kiwundu ekyalongoosebwa.

Embeera eno eya AFE etera etya? Kintu kya kweraliikirira?

Nedda.Teweetaaga kweraliikirira nnyo ku nsonga eno. Kubanga kino tekitera kubaawo nnyo . Mu nsi nga Amerika, embeera eno etegeezebwa mu baana omu yekka ku baana 40,000 abazaalibwa. Ekyo kitegeeza nti singa abaana nga 300,000 be bazaalibwa mu Sri Lanka buli mwaka, embeera eno etegeezebwa mu bantu 7-8 bokka okusinga. Kale tofaayo ekiteetaagisa olw’olubuto lwo.

Obuzibu buli nti obubonero bwa AFE bufaanagana nnyo n’obw’embeera endala ez’amaanyi eziyinza okubaawo ng’oli lubuto, gamba ng’okukutuka kw’ennabaana, okukutuka kwa nnabaana oba okuzimba. N’olwekyo kiyinza okuba ekizibu okuzuula ekituufu ekivaako.

Biki ebiyongera ku bulabe bw’embeera eno okubaawo?

Olw’okuba tekitera kubaawo, era olw’okuba tekinnamanyika ddala lwaki abantu abamu bokka be bafuna enkola eno, kizibu okwogera ddala kiki ekiyinza okuvaako akabi. Kyokka okunoonyereza kulaga nti ensonga ezimu ziyinza okwongerako katono ku bulabe. Wabula kikulu okujjukira nti si buli muntu alina ensonga zino nti ajja kufuna AFE.

Bubonero ki obulaga obulwadde bwa AFE?

Ekisinga okuba eky'obulabe ku kino kwe kuba nti obubonero bulabika mangu era mangu nnyo . Maama ayinza okutandika amangu ddala okweyisa mu ngeri etaali ya bulijjo, oba ng’omwana anaatera okuzaalibwa oba amangu ddala ng’amaze okuzaalibwa.

Bizibu ki ebiyinza okubaawo olw’embeera eno?

AFE mbeera eyinza okuleeta ebizibu eby’amaanyi ennyo eri maama n’omwana.

Ebizibu ebiyinza okubaawo mu maama

• Omutima n’amawuggwe okulemererwa.
• Okufiirwa okutegeera.
• Okukonziba.
• Okuvaamu omusaayi ekisusse.
• Disseminated Intravascular Coagulation (DIC) mbeera ng’enkola y’omusaayi mu mubiri etaataaganyizibwa, ekivaako okuzimba omusaayi mu ngeri eteetaagisa ku ludda olumu ate ku ludda olulala okuvaamu omusaayi nga tegufugibwa.
• Storoko.
• Omutima okusiba.
• Okwonooneka kw’obwongo.
• Ebyembi, n’okufa kuyinza okubaawo.

Ebizibu ebiyinza okuvaamu omwana

Enkosa ku mwana ejja kwawukana okusinziira ku ddi embeera eno lw’eba mu maama. Singa kino kibaawo ng’omwana tannazaalibwa, kijja kwetaagisa okulongoosebwa mu bwangu okuggyamu omwana mu bwangu.

Obulabe obusinga obunene eri abaana abazaalibwa oluvannyuma lw'okutandika obulwadde bwa AFE kwe kubulwa oxygen . Omubiri gwa maama bwe gulemererwa, omwana abulwa omukka gwa oxygen. Ebbula lino ery’omukka gwa oxygen liyinza okwonoona obusimu oba obwongo bw’omwana.

Abasawo kino bakizuula batya n’okukijjanjaba?

Okuva bwe kiri nti kino kya mangu, tewali budde kukebera musaayi oba sikaani okuzuula obulwadde buno. Abasawo bateebereza AFE nga batunuulira obubonero ne bagaana mangu ebivaako ebirala (e.g., okuvaamu omusaayi omungi, okulwala omutima).

Embeera eno etera okugambibwa nti ebaawo mu mitendera ebiri:

1. Omutendera 1: Kino kye kiseera enkola y’okussa n’omutima okulekera awo okukola mu bwangu. Kino kitegeeza nti tosobola kussa era omutima ne guyimirira. Omuwendo gw’abantu ogusinga okufa guloopebwa mu mutendera guno.

2. Omutendera 2: Guno gwe mutendera omusaayi mwe guva. Singa obulamu buwonyezebwa mu mutendera ogusooka, omutendera oguddako kwe kuvaamu omusaayi ogutafugibwa.

Enkola z’obujjanjabi

Olw’okuba kino kya mangu, ttiimu y’abasawo erina okukola amangu ennyo okutaasa maama n’omwana. Ttiimu y’abajjanjabi erimu abantu bangi, gamba ng’abasawo b’abakyala, ababudamya, abasawo abajjanjaba abalwadde abayi, n’abakozi ba ba nnamusa.

Enzijanjaba enkulu ze zino:

• Okuzaala amangu omwana: Omwana bw’aba akyali mu nnabaana, okulongoosebwa amangu ddala nga bwe kisoboka okuggyamu omwana.
• Okuwa omukka gwa oxygen: Olw’okuba okussa kizibu, bayingizibwamu ttanka ne bagiyungibwa ku kyuma ekifuuwa empewo (mechanical ventilation).
• Obuyambi bw’omutima: Singa omutima guyimirira, baweebwa eddagala erinyiga mu kifuba (CPR). Eddagala liweebwa okufuga puleesa.
• Okuteekebwamu omusaayi: Olw’okuba omusaayi guyitiridde, birina okuweebwa omusaayi omungi, plasma, ne platelets.
• Okuggyamu nnabaana: Oluusi, singa omusaayi tegusobola kuyimirizibwa, okuggyamu nnabaana kuyinza okukolebwa ng’ekisembayo okutaasa obulamu bwa maama.

Bino byonna bibaawo mu kifo awajjanjabirwa abalwadde abayi (ICU) oba mu kisenge omulongoosebwa.

Bw’owona embeera eno, waliwo ebikukwatako okumala ebbanga eddene?

Omuwendo gw’abawangaala ku AFE ebyembi mutono, ng’okunoonyereza okumu kulaga nti omuwendo gw’abafa guyinza okuba waggulu nga 60%.

Kyokka, bamaama abawona embeera eno ey’entiisa bayinza okufuna ebimu ku bikolwa eby’ekiseera ekiwanvu, okusinziira ku bunene bw’okwonooneka kw’omubiri.

• Ebikosa omubiri: Okwonooneka kw’omutima okw’olubeerera, ebikosa ensigo, ebizibu ebiva ku kusannyalala.
• Ebikosa enkola y’obusimu: Obutabeera na mukka gwa oxygen mu bwongo kiyinza okukosa ebintu ng’okujjukira n’obusobozi bw’okujjukira ebigambo.
• Ebikosa ebirowoozo: Kino kikulu nnyo. Oluvannyuma lw‟okufa nga kino, kya bulijjo nnyo okufuna ebizibu by‟eby‟omwoyo nga okusannyalala okw‟amaanyi, okweraliikirira, okwennyamira, n‟ obuzibu bw‟okunyigirizibwa oluvannyuma lw‟okukosebwa (PTSD) . Abantu abamu bayinza n'okuwulira omusango, nga balowooza ebintu nga, "Lwaki kino kyantuukako?"

Waliwo engeri y’okuziyiza kino?

Ebyembi, eky'okuddamu kiri nti "nedda." Abasawo n’okutuusa kati tebamanyi lwaki abantu abamu bokka be balina obulwadde obw’amaanyi bwe butyo, kale tewali ngeri yonna gye bayinza kuziyiza AFE .

Kale kiki kye tuyinza okukola?

Ekisinga obulungi kye tuyinza okukola kwe kwetegekera embeera yonna ey’amangu. Ekyo kitegeeza okwogera n’omusawo wo nga tonnazaala n’okuyiga engeri ttiimu y’abasawo mu ddwaaliro gy’egenda okukwatamu embeera ey’amangu.

Lowooza ku nteekateeka yo ey'okuzaala . Y'enteekateeka y'okuzaala okusinga obulungi kw'osobola okusuubira. Naye jjukira nti mu mbeera ey’amangu, ttiimu y’abasawo ejja kuba erina okusukka enteekateeka eyo n’okukola kyonna ekyetaagisa okukutaasa ggwe n’omwana wo. Mu kiseera ekyo, kikulu okwesiga ttiimu y’abasawo .