Bw’osemberera okuzaala, ofuna obulumi obw’amaanyi obutagumiikiriza mu mugongo ng’oggyeeko obulumi mu lubuto? Ba maama abamu bafuna obulumi obw’amaanyi mu mugongo nga buno nga bazaala. Kino si mugongo gwa bulijjo gwokka. Leero twogera ku mbeera abantu bangi gye batayogerako, naye nga ddala olina okumanya, eyitibwa ‘Back Labour’.
Mu ngeri ennyangu, ‘okuzaala mu mugongo’ kye ki?
Okuzaala omugongo bwe bulumi obw’amaanyi n’obutabeera bulungi bw’ofuna mu mugongo ogwa wansi ng’ozaala. Obulumi buno businga kuba bwa maanyi mu kiseera ky’okukonziba, era oluusi busobola okusigalawo ne bwe waba tewali kukonziba .
Kino kitera okutandika ng’omumwa gwa nnabaana gwo gugaziye sentimita nga 6 ate ng’omwana atandise okugaziwa mpolampola, ekiyitibwa ‘active labor.’ Naye oluusi kiyinza okutandika nga bukyali.
Obulumi buno buwulira butya?
Okuzaala n‟obulumi bintu bya njawulo nnyo eri buli muntu. Naye obulumi bw’okuzaala ‘omugongo’ bwa njawulo nnyo ku bulumi bw’omugongo obwa bulijjo. Omulongooti oguli wansi gulaga engeri abantu abagufunye gye bannyonnyolamu obulumi.
| Obutonde bw’obulumi | Okunnyonnyola |
|---|---|
| Obulumi obw’amaanyi ennyo, obw’amaanyi | Abamu, bawulira ng’obulumi obutagumiikiriza, buli kiseera. |
| Yawukana ku bulumi mu lubuto | Obulumi obufaananako oba obw’amaanyi okusinga okulumwa olubuto okwa bulijjo, naye nga bwa kika kya njawulo. |
| Obulumi obutasalako | Obulumi bweyongera ng’ekiseera kigenda kiyitawo. Naye okufaananako n’okugenda mu nsonga eza bulijjo, obulumi buno busobola okusigala nga tewali buweerero bwonna wakati. |
| Obulumi mu binywa | Ebinywa by’omugongo biyinza okuwulira nga binywezeddwa era obulumi buyinza okubuna mu bisambi. |
Biki ebivaako ‘okuzaala omugongo’?
Abasawo balowooza nti ensonga enkulu y’engeri omwana gy’abeera mu lubuto . Mu ngeri ennyangu, emabega w’omutwe gw’omwana enyigirizibwa ku magumba agasinga wansi ku mugongo gwo (omugongo n’omugongo). Kino mu by'obujjanjabi kiyitibwa ekifo kya ``Occiput Posterior''. Kino kitegeeza nti wadde omutwe gw’omwana gutunudde wansi, ffeesi ye etunudde mu lubuto lwo.
Okutwalira awamu, okuzaala okwangu, omwana alina okuba mu mbeera ya ``Occiput Anterior''. Kino kitegeeza nti ffeesi y’omwana etunudde mu mugongo gwo.
Wabula kati kizuuliddwa nti ensonga endala eziwerako, ng’oggyeeko ekifo omwana gy’abeera, ziyinza okukosa kino.
- Obuwanvu obumpi: Omuntu omumpi bw’aba n’omwana omunene okusinga ku wa bulijjo mu lubuto, obulumi bw’omugongo buyinza okweyongera kubanga omwana aba n’ekifo kitono okutambula mu lubuto.
- Enkula y’ekisambi: Ne bw’oba okyusizza obutonotono mu nkula n’obunene bw’amagumba g’omugongo osobola okwongera okulumwa omugongo.
- Ebizibu by’omugongo: Bw’oba olina ekizibu ky’omugongo nga scoliosis, otera okulumwa omugongo.
- Ennyimiririra: Bw’oba tolina mpisa nnungi ng’otudde oba ng’oyimiridde, gamba ng’okwesigamira mu maaso oba okukuba omugongo, ekyo nakyo kiyinza okuvaako obulumi buno.
Okugatta ku ekyo, otera okuba n’okuzaala ‘omugongo’ singa:
- Bwoba nga guno gwe kuzaalibwa kwo okusooka .
- Singa obuzito bw’omwana buba waggulu wa kigero.
- Bwoba oli muntu afuna obulumi bw'omugongo mu nsonga .
- Bw’oba omunene ennyo (Obesity) .
- Bw’oba oyiseeko wiiki 37 era ng’oli ku lunaku lw’okuzaala (embeera eno tetera kubeera mu abo abazaala nga bukyali).
Nnyinza ntya okufuna obuweerero okuva mu bulumi buno obw’amaanyi?
Kino kye kintu ekisinga obukulu. Tewali kigonjoola kimu ku bulumi bw’okuzaala mu mugongo. Naye waliwo engeri nnyingi ez’okufunamu obuweerero. Ekikulu kwe kukyusa ekifo kyo mu ngeri eyamba omwana okukyusa ekifo.
Engeri y'okuyamba okukyusa embeera y'omwana
Enkola zino zonna ziggulawo ebisambi byo, zitebenkeza ekisambi kyo, n’ofuna ekifo omwana w’asobola okutambula amangu.
- Bw’oba oyimiridde, kwata ku kintu ekigumu, gamba ng’entebe oba sofa, era weesigame mu maaso. Kino kijja kuyamba gravity okuyamba omwana okutuuka mu kifo ekituufu.
- Tuula ku ntebe oba kaabuyonjo ng'omutwe gwo gukutte ku ngalo ate ng'amaaso gakuvuddeko .
- Tambula, kola squats oba lunges . Okukyusa ebisambi ng’owuuta hula hoop nakyo kirungi nnyo.
- Tuula ku mupiira ogw’okuzaala obuukeko. Era kiyamba okukyusakyusa ebisambi byo okudda n’okudda ku mupiira.
- Kozesa akatambaala oba bandana. Ddira olugoye oluwanvu oluteeke wansi w’olubuto lwo (mu ngeri ya U), era munno alusika waggulu okuva ku njuyi zombi.
- Munno mugambe anyige munda ne waggulu ku njuyi zombi ez'ebisambi .
Engeri endala ez’okukendeeza ku bulumi
Bw’oba okukyusa ebifo tekimalawo bulumi, gezaako ebintu bino.
- Teeka ekintu ekibuguma oba ekinyogovu ku mugongo gwo ogwa wansi (londa ekikuwulira obulungi). Naye togiteeka butereevu ku lususu.
- Tuula mu kibya ky’amazzi agabuguma oba leka amazzi gakulukuta wansi mu mugongo okuva wansi w’ensuwa.
- Enkola ya counterpressure: Teeka eccupa y’amazzi oba omupiira gwa ttena ku mugongo gwo onyige. Oba saba munno akusiige bulungi wansi w’omugongo n’emikono gye oba ekintu ng’ekiwujjo.
- Singa obulumi tebugumiikiriza, osobola okufuna epidural . Buuza omusawo wo oba omuzaalisa ku nsonga eno. Era babuuze ku nkola endala ez’okukendeeza obulumi, gamba ng’ebyuma bya TENS n’empiso z’amazzi agataliimu buwuka.
Tewerabira, abasawo n’abakozi mu ddwaaliro lino bakola ku bintu bino buli kiseera. Kale tokwatibwa nsonyi, yogera nabo ku bulumi bwo era osabe obuweerero.
Ebibuuzo ebirala ebikwata ku 'back labor'.
‘Okuzaala mu mugongo’ kuyinza okuziyizibwa?
Tekisobola kuziyizibwa ddala, naye okukola ebintu ebimu okuva ku ntandikwa y’olubuto kiyinza okuyamba omwana okutuuka mu mbeera entuufu.
- Sigala ng’okola ng’oli lubuto (okutambula, yoga).
- Kola pelvic tilts (okufukamira, okuteeka emikono gyo wansi, okusitula omugongo ng’embwa, n’okudda mu mbeera eya bulijjo).
- Beera mu birowoozo ku ngeri gy’oyimiriddemu. Tuula oyimirire butereevu nga tofuddeeyo.
- Amaviivi gakuume wansi okusinga ebisambi buli lw’otuula.
Kino kinaakosa omwana obulabe?
Nedda Wadde ‘okuzaala mu mugongo’ kikuluma nnyo era tekikusanyusa, tekikola bulabe ku mwana .
‘Okuzaala mu mugongo’ kuyinza okuleeta ebizibu?
Obulumi bw’okuzaala mu mugongo bwennyini si bwa bulabe bwa maanyi eri obulamu. Wabula ekifo ky’omwana (sunny-side up position) ekivaako obulumi buno oluusi kiyinza okwetaagisa ebintu ebimu okukolebwa nga bazaala. Okugeza, waliwo emikisa mingi katono egy’okulongoosebwa (C-section) , oba okulongoosebwa episiotomy oba okuzaala nga bayambibwako vacuum .
Ddi lwe nsaana okuyita omusawo oba okugenda mu ddwaaliro?
Bw’oba olina obubonero buno wammanga wamu n’okulumwa omugongo, kuba essimu y’omusawo mu bwangu oba genda mu kitongole ky’eddwaaliro eky’amangu (ETU).
- Singa omuyaga gujja buli luvannyuma lwa ddakiika 5 , gumala eddakiika nga emu omulundi gumu, ne gugenda mu maaso bwe gutyo okumala essaawa emu.
- Singa wabaawo amazzi agakulukuta oba okuva mu bukyala.
- Bw’owulira ng’amazzi go gakulukuta okuva mu bukyala mu bwangu oba mpolampola (amazzi okumenya).
- Singa ofuna ekiddukano mu bwangu .
Obubaka Obutwala Awaka
- ‘Okuzaala omugongo’ kika kya bulumi obubeera mu mugongo ogwa wansi ng’ozaala, nga buzibu nnyo okusinga obulumi bw’omugongo obwa bulijjo. Ekisinga okuvaako omwana abeera mu mbeera.
- Guno si musango gwo, era bulijjo teguyinza kuziyizibwa.
- Okukendeeza obulumi kuyinza okutuukibwako nga tuyita mu nkola ng’okukyusakyusa ebifo, okussaako ebbugumu, n’okuziyiza puleesa.
- Singa obulumi tebugumiikiriza, yogerako n’omusawo wo ku nkola z’obujjanjabi ez’okukendeeza ku bulumi, omuli n’okukuba epidural.
- Singa okukonziba kufuuka okutali kwa bulijjo, singa wabaawo okuvaamu omusaayi oba amazzi bwe gakutuka, genda mangu omusawo amagezi.

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