Bw’oba oli maama agenda okuzaala, osanga omusawo ajja kukusaba okukeberebwa ennyo. Mu byo, oyinza okuba nga bakugambye ku ' antibody test '. Okuwulira erinnya lino kiyinza okukuleetera okutya katono n’okwagala okumanya. Naye totya kintu kyonna. Kino kigezo kikulu nnyo okukukuuma n’omwana wo ali mu lubuto. Leero, tujja kwogera ku buli kimu mu ngeri ennyangu ennyo, nga tulinga ayogera ne mukwano gwaffe.
Lwaki okukebera kuno okw’obutoffaali obuziyiza endwadde kikulu gy’oli?
Mu ngeri ennyangu, antibodies kika kya puloteyina eky’enjawulo ekikola abaserikale baffe abaserikale b’omubiri. Balinga abakuuma omubiri gwaffe. Omulimu gwabwe kwe kutukuuma nga balwanyisa ebintu "eby'ebweru", ng'obuwuka obuleeta endwadde, obuyingira mu mibiri gyaffe.
Bw’oba olubuto, abaserikale b’omubiri bo bakuuma omwana wo. Naye oluusi ekizibu ekitono kiyinza okuvaamu. Olwo omusaayi gwo n'omwana wo lwe gutakwatagana.
Ekikulu era ekisinga okubeera mu kino bwe kabonero ka '+' oba '-' mu kika ky'omusaayi gwaffe. Kino tukiyita ensonga ya Rh . Abantu abasinga mu Sri Lanka balina ekika ky’omusaayi ekya Rh-positive. Ekyo kitegeeza nti zirina puloteyina eyitibwa Rh mu butoffaali bwazo obumyufu. Naye abantu abamu balina Rh-negative. Ekyo kitegeeza nti tebalina puloteyina eno mu butoffaali bwabwe obumyufu.
Lowooza ku kino: ekika ky’omusaayi gwo kirimu Rh-negative. Naye singa omwana ali mu kika ky'omusaayi gw'olubuto lwo aba Rh-positive (ekitera okubaawo singa taata w'omwana aba Rh-positive), olwo omubiri gwo gujja kutegeera obutoffaali obumyufu obw'omwana nga "bugwira" era gutandike okukola antibodies okubulumba.
Obuziyiza buno busobola okuva gy’oli okutuuka ku mwana wo nga buyita mu nnabaana ne busaanyaawo obutoffaali obumyufu obw’omwana. Kino kiyinza okuvaako omusaayi omungi mu mwana, ekiyinza okumutta obulamu. Okukebera kuno okw’obutoffaali obuziyiza endwadde kukolebwa okuzuula nga bukyali oba waliwo akabi ng’ako.
Okugezesebwa kuno kukolebwa kutya?
Kyangu nnyo. Bw’osooka okukimanya nti oli lubuto, oboolyawo mu kiseera ky’osooka okugenda mu ddwaaliro, omusawo ajja kukebera ekika ky’omusaayi gwo.
- Bw’oba oli Rh-negative , ojja kusabibwa okukeberebwa kuno antibody mu myezi 3 egisooka ng’oli lubuto.
- Ne bw’oba olina Rh-positive , omusawo ayinza okukusaba okukola okukebera kuno mu lubuto olusooka olw’ensonga endala.
Laabu ejja kumala kuggyamu musaayi mutono okuva mu musuwa oguli mu mukono gwo. Empiso y’empisoOyinza okuwulira obulumi obutono ng’ofunye empiso, era wayinza okubaawo okuvaamu omusaayi oba ekitundu kiyinza okufuuka bbululu. Kino kya bulijjo nnyo, n’olwekyo tokyeraliikirira.
Olwo omusaayi guno gusindikibwa mu laabu okukeberebwa okuyitibwa ‘indirect Coombs test.’ Kino kye kikebera okulaba oba omusaayi gwo gulina obutoffaali obuziyiza obutoffaali obumyufu.
Lipoota egamba ki?
Totya ng’olaba lipoota. Ka tulabe butunuulizi makulu gaayo.
| Alizaati | Amakulu n’eky’okukola |
|---|---|
| Ekibi | Gano mawulire malungi nnyo! Kitegeeza nti mu musaayi gwo temuli buziyiza bwa bulabe eri omwana.
|
| Lungi | Kino kitegeeza nti omusaayi gwo gwakola dda obutoffaali obuziyiza endwadde. Bwe kiba bwe kityo, empiso ya RhoGAM tegenda kuyamba. Naye teweeraliikiriranga. Omusawo ajja kukulondoola nnyo n’omwana wo. Bajja kukebera obulamu bw’omwana wo buli kiseera era bwe kiba kyetaagisa, bayinza okwetaaga okuzaala omwana wo nga bukyali katono oba okukuteekebwamu omusaayi ng’ayita mu nnabaana. |
Ekisinga obukulu kiri nti, ne bwe kiba ki ekivaamu, obeera wansi w’obulabirizi bw’omusawo. N’olwekyo totya mu ngeri eteetaagisa oba okukuuma ebintu ku ggwe kennyini. Yogerako n’omusawo wo ku bibuuzo byonna by’oyinza okuba nabyo.
Obubaka Obutwala Awaka
- Kikulu nnyo okumanya ekika ky’omusaayi gwo naddala Rh factor (+ oba -), ng’okyali lubuto.
- Bw’oba maama alina Rh-negative, kakasa nti okeberebwa antibody mu kiseera ekituufu ng’omusawo bw’akugamba.
- Singa empiso ya RhoGAM ddaala ddene nnyo okukuuma ggwe, omwana wo, n’abaana bonna ab’omu maaso. Tokibuukangako.
- Bw’oba olina n’okubuusabuusa okutono ku lipoota y’okukeberebwa, totya kwogera na musawo wo ku nsonga eno. Ajja kukunnyonnyola buli kimu era akuwe okulabirira okusinga obulungi.
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