Ensonga yo yakoma oluvannyuma lw’okuggyibwako nnabaana? Kino kiyinza okuba nga kya Asherman’s Syndrome!

Okirabye nti okugenda mu nsonga za buli mwezi kukendedde nnyo mu bwangu oba okukoma ddala oluvannyuma lw’okukeberebwa D&C, oba okuggyibwako nnabaana? Ofuna obulumi obw’amaanyi mu lubuto okusinga bulijjo mu nsonga z’ogenda mu nsonga? Okyaloota okuzaala omwana? Ebiseera ebisinga ebintu bino tubilowoozaako nga bya bulijjo, mpozzi n’enkyukakyuka mu busimu, ne tubyerabira. Naye eno eyinza okuba embeera eyeetaaga ddala okujjanjabibwa. Twogera ku mbeera emu ng’ezo leero. Oyo ye bulwadde bwa Asherman's Syndrome .

Mu ngeri ennyangu, obulwadde bwa Asherman’s Syndrome kye ki?

Mu ngeri ennyangu, Asherman syndrome kwe kukula kw’ebitundu by’enkovu oba ebikwatagana munda mu nnabaana wo ne/oba omumwa gwa nnabaana. Abasawo oluusi kino bakiyita ``okunyweza mu nnabaana''.

Lowooza ku nnabaana wo ng’akapiira akatono. Mu budde obwabulijjo, ebisenge eby’omunda ebya bbaatule eno bikulukuta mu ddembe, nga tebikwatagana. Naye kiki ekibaawo singa olw’ensonga ezimu ebisenge bino eby’omunda bifuna ebisago, era ng’obuvune obwo bwe buwona, enkovu zitondebwawo, era ebisenge ne bitandika okukwatagana? Ekyo kye kibaawo ne wano. Ebikwatagana bino bikendeeza ku kifo ekiri munda mu nnabaana. Kino kiyinza okuleeta obuzibu ng’obulumi, okugenda mu nsonga obutasalako, n’obutazaala.

Omanya otya oba olina obulwadde bwa Asherman syndrome? Obubonero bwe buliwa?

Si buli muntu nti afuna obubonero bwe bumu. Abantu abamu bayinza obutafuna bubonero bwonna n’akatono. Naye waliwo obubonero obutonotono obutera okulabika. Ka tulabe kiki kye bali.

Oluusi newankubadde togenda mu nsonga, oyinza okuwulira ng’ogenda mu nsonga ng’ogenda mu nsonga. Kino kitegeeza nti mu butuufu okugenda mu nsonga, naye ekitundu ky’enkovu kiyinza okuba nga kizibye ekkubo eriyingira mu nnabaana wo ne kiremesa omusaayi okufuluma.

Lwaki ebika by’okunyweza bino bibaawo? Ensonga enkulu ze ziruwa?

Ensonga enkulu lwaki ebikwatagana bino okutondebwawo kwe kwonooneka oba obuvune obumu ku kisenge eky’omunda ekya nnabaana, ``Endometrium.`` Naddala singa ebitundu bibiri eby’ekisenge eky’omunda ekya nnabaana ebitunudde mu maaso biba bifunye obuvune mu kiseera kye kimu, emikisa gy’okunywerera awamu nga bwe giwona giba mingi.

Ensonga eziviirako kino abasawo bazigabanyaamu ebika bibiri ebikulu.

1. Ebivaako embuto

Okunoonyereza kuzudde nti ebitundu ebisoba mu 90% ku balwadde ba Asherman syndrome bava ku nkola ya D&C (Dilation and Curettage) ekolebwa ng’oli lubuto. D&C nkola yokka eggyawo n’okuyonja munda mu nnabaana. Zino ze mbeera D&C mw’eyinza okukolebwa:

• Okuggyawo olubuto.
• Ggyako ebitundu bya nnabaana ebisigaddewo oluvannyuma lw’okuvaamu olubuto nga terunnaggwa.
• Singa wabaawo ebitundu by’enseke ebisigala mu nnabaana ng’omwana amaze okuzaala, biggyemu.

Nnabaana ewunyiriza nnyo oluvannyuma lw’okufuna olubuto. Mu biseera ng’ebyo, ne bwe wabaawo okwonooneka okutono ku ``endometrium`` kuyinza okuvaako okutondebwa kw’ebitundu ebinene eby’enkovu. Tekitera nnyo, embeera eno era esobola okubaawo oluvannyuma lw’okulongoosebwa (C-section).

2. Ebivaako ebitakwatagana na lubuto

Wadde nga D&C etera okukolebwa olw’ensonga ezikwata ku lubuto, D&C n’okulongoosa okulala nabyo bikolebwa olw’ensonga endala.

• Bw’oba ​​oteebereza kookolo wa nnabaana, funa sampuli y’ebitundu by’omubiri (biopsy).
• Ggyawo obuwuka obuyitibwa polyps mu nnabaana.
• Hysteroscopy nkola ya kulongoosa okuggyamu obuwuka obuyitibwa fibroids mu nnabaana.
• Okulongoosa okuggyamu nnabaana ow’ekika kya septate.

Ng’oggyeeko kino,

• Yinfekisoni ez’amaanyi mu kifuba
• Ebintu nga radiation therapy eri ekitundu ky’ekisambi nabyo bisobola okuleeta kino.

Embeera eno ezuulibwa etya? Bigezo ki ebikolebwa?

Bw’obuulira omusawo wo ku bubonero bwo, ajja kukubuuza ku byafaayo byo eby’obujjanjabi naddala okulongoosebwa kwonna okwasooka (nga D&C). Olwo, bajja kuteesa ku kukeberebwa okuwerako okukakasa embeera eno.

Ekigezo ekisinga obulungi era ekituufu ku kino kwe kukebera nnabaana okuzuula obulwadde. Kino kizingiramu okuyingiza ekyuma ekigonvu ennyo nga kiriko kkamera eyungiddwa okuyita mu bukyala n’omumwa gwa nnabaana n’okukebera munda mu nnabaana wo. Kino kisobozesa omusawo okulaba obulungi ebikwatagana ebingi ebiri munda mu nnabaana n’obutonde bwabyo bwe buli.

Okugatta ku ekyo, ``Transvaginal Ultrasound Scan'' nakyo kisobola okukolebwa. Oluusi, mu sikaani eno, omunnyo omutono gufukibwa mu nnabaana, ekivaako nnabaana okuzimba katono nga sikaani tennabaawo. Kino kisobozesa ekifaananyi ekirungi eky’omunda mu nnabaana n’ebikwatagana byonna, bwe bibaawo, okufunibwa.

Waliwo emitendera egy’obuzibu bw’obulwadde bwa Asherman?

Yee, embeera eno esobola okwawulwamu emitendera egiwerako okusinziira ku buzibu bwayo. Kino kijja kukuyamba ggwe n’omusawo wo okutegeera obulungi embeera eno.

Bujjanjabi ki obukolebwa ku kino?

Waliwo obujjanjabi ku kino. Ekigendererwa ekikulu eky’obujjanjabi kwe kuggyawo enkovu n’okuzza nnabaana mu mbeera yaayo eya bulijjo. Bw’oba ​​tolina bulumi era nga toyagala kuzaala, oyinza obuteetaaga bujjanjabi bwonna. Kyokka bw’oba ​​olina obubonero, obujjanjabi buyinza okuli:

• Obulumi buno busobola okukkakkana.
• Enzirukanya y’ensonga esobola okuddamu.
• Obusobozi bw’okufunyisa omwana olubuto busobola okuzzibwawo.

Obujjanjabi obukulu bwe bwa Operative Hysteroscopy. Kino kifaananako n’okukebera nnabaana okuzuula obulwadde. Wabula mu nkola eno, kkamera n’akasero akalungi ennyo oba layisi biyingizibwa mu nnabaana era ebikwatagana ne bisalibwa n’obwegendereza. Enkola eno eyinza okwetaaga okukolebwa emirundi egisukka mu gumu, okusinziira ku buzibu bw’embeera.

Ebintu by’olina okulabirira oluvannyuma lw’okulongoosebwa

Okusoomoozebwa okusinga obunene oluvannyuma lw’okulongoosebwa kuno kwe bulabe bw’ebizimba okuddamu. Omusawo wo ajja kukola emitendera egiwerako okuziyiza kino.

• Okuwa eddagala ly’obusimu: Okuwa obusimu obuyitibwa estrogen kiyamba olususu lw’omu nnabaana (endometrium) okukula amangu era obulungi.
• Okuyingiza ekiziyiza mu nnabaana: Akapiira akatono (intrauterine balloon) oba catheter oyinza okuteekebwa munda mu nnabaana okumala ennaku ntono oluvannyuma lw’okulongoosebwa okutangira ebisenge bya nnabaana okukwatagana.
• Okuwa eddagala eritta obuwuka: Lino liweebwa okuziyiza obuwuka okukwatibwa ng’ekintu ng’akapiira kiri mu kifo.

Oyinza okuddamu okwekebejjebwa oluvannyuma lwa wiiki nga emu oba bbiri ng’olongooseddwa okulaba oba waliwo ebipya ebitandise okukwatagana.

Kisoboka okuzaala omwana alina obulwadde bwa Asherman syndrome?

Kino kibuuzo kinene eri abantu bangi. Kizibu okuwa obutereevu "ye, osobola" oba "nedda, tosobola." Kisinziira ku buzibu bw’embeera yo n’obuwanguzi bw’obujjanjabi bwo.

Okutwaliza awamu, abantu abalina obulwadde bwa Asherman obw’ekigero oba obw’amaanyi balina emikisa emitono egy’okufuna embuto n’okukuuma olubuto olulamu ne bwe baba bamaze okujjanjabibwa.

Okusinziira ku kunoonyereza okumu:

• Ku abo abalina ebizimba ebitonotono, 60.7% baafuna embuto oluvannyuma lw’okujjanjabwa.
• Ku abo abalina adhesions ez’ekigero , 53.4% ​​baafuna embuto oluvannyuma lw’okujjanjabwa.
• Ebitundu 25% ku abo abalina ebizimba eby’amaanyi bafunye embuto oluvannyuma lw’okujjanjabwa.

Totya olw’ebibalo bino. Omusawo wo ajja kukuwa okutegeera obulungi embeera gy’olimu. Ekisinga obukulu kwe kubeera omuggule era omwesimbu eri omusawo wo ku biruubirirwa byo eby’okuzaala.