Bwe tuba tusuubira okufuuka maama oba taata, kye twagala ennyo kwe kuleeta omwana omulamu obulungi era omulamu obulungi mu nsi eno. Naye oluusi, mu ngeri etasuubirwa, abaana basobola okuzaalibwa nga balina ebizibu ebimu eby’obulamu nga bazaalibwa. Mu ngeri y'obusawo, kino tukiyita "obulema mu kuzaalibwa". Kya bulijjo okuwulira okutya n’okweraliikirira nga tuwulira ekigambo kino. Naye teweeraliikiriranga. Eno mbeera ya bulijjo okusinga bwe tulowooza. Kino ka twogere mu bujjuvu era nga tulina obukkakkamu.
Mu ngeri ennyangu, bizibu bino ebiva mu kuzaala bye biruwa?
Obulema mu kuzaalibwa nkyukakyuka ezitali za bulijjo ezibeerawo mu nkula y’omubiri gw’omwana ng’akyali mu lubuto, mu kiseera ky’okuzaalibwa. Enkyukakyuka zino zisobola okukosa ekitundu kyonna eky’omubiri gw’omwana. Ebiseera ebimu abasawo basobola okubizuula nga bali mu sikaani ng’oli lubuto. Ebirala bisobola okuzuulibwa ng’omwana amaze okuzaalibwa. Obulema obumu obw’okuzaalibwa buyinza obutatulabika okutuusa ng’omwana akuze katono. Ekikulu nti obulema bwonna obw’okuzaalibwa tebulabika kungulu.
Embeera zino zisobola okukosa obulamu bw’omwana mu ngeri nnyingi ez’enjawulo. Ebimu biyinza okuleeta enkyukakyuka entonotono mu ndabika y’omwana, ate ebirala biyinza okukosa engeri omwana gy’alowoozaamu, engeri gy’atambulamu, n’engeri gy’akola emirimu gya buli lunaku.
Bizibu ki ebisinga okuva mu kuzaala?
Waliwo ebizibu ebiwerako ebitera okuva mu kuzaala ebirabibwa okwetoloola ensi yonna. Ka tulabe kiki kye bali.
| Erinnya ly’Embeera | Ennyinyonnyola Ennyangu |
|---|---|
| Emimwa egyakutuse ne/oba Palate | Omumwa gw’omwana ogwa waggulu oba omumwa gwa waggulu tegukwatagana bulungi. Kino osobola okukitereeza ng’olongoosebwa mu ngeri ennyangu. |
| Embeera z’omutima ezizaalibwa | Omwana azaalibwa n’enkyukakyuka mu nsengeka (shape) mu mutima gwe. Ebimu biba bitono, ate ebirala byetaaga obujjanjabi. |
| Obulwadde bwa Down Syndrome | Eno mbeera ya buzaale, ereetebwa okuba ne kkopi ey’enjawulo eya chromosome 21 mu mubiri. |
| Ekigere kya kiraabu | Ekigere ky’omwana oba ebigere byombi bifukamidde munda. Waliwo n’obujjanjabi obw’okujjanjaba omubiri n’obujjanjabi obulala ku kino. |
| Obulwadde bw’okubulwa omusaayi mu sickle Cell | Okukendeera kw’omusaayi mbeera eva ku nkyukakyuka mu nkula y’obutoffaali obumyufu. Kino nakyo kintu ekiva mu buzaale. |
Kituufu okukozesa ekigambo "Birth Defect"?
Yee, kino kigambo kituufu mu by’obujjanjabi. Tewali kibi mu kukozesa kigambo kino okunnyonnyola enkyukakyuka mu nkula y’omubiri gw’omwana. Naye waliwo ekintu kimu ekikulu kye tusaanidde okujjukira bulijjo.
Toyita muntu alina embeera eno "ekikyamu." Enjawulo zaabwe mu mubiri tezitegeeza kye bali. Ffenna tusaanidde okussa ekitiibwa mu munne.
Bw'oba owulira nga tolina mirembe kukozesa kigambo "congenital complication," osobola n'okukozesa ekigambo nga "congenital condition."
Bubonero ki obuyinza okuba nga bulaga embeera ey’ekika kino?
Obubonero bw’ekizibu ky’okuzaala buyinza okuva ku buzibu obutono ennyo okutuuka ku buzibu obw’amaanyi.
| Engeri y‟okutegeera obubonero bw‟ekizibu ky‟okuzaala | |
|---|---|
| Obubonero obuyinza okulabibwa ng’oli lubuto | |
| Okuva mu kukeberebwa omusaayi | Emiwendo gya puloteyina ezimu mu musaayi gwa maama giba wansi oba waggulu okusinga bwe kisuubirwa. |
| Okukebera mu ngeri ya Ultrasound | Amazzi ag’enjawulo gakuŋŋaanyizibwa emabega w’ensingo y’omwana ali mu lubuto. |
| Okukebera omutima mu lubuto | Okubeerawo kw’ebintu ebimu ebitali bya bulijjo mu nkula y’ebitundu by’omubiri eby’omunda, gamba ng’omutima, mu mwana ali mu lubuto. |
| Obubonero obuyinza okulabibwa ng’omwana amaze okuzaalibwa | |
| Omutima gukuba | Enkuba y’omutima etali ya bulijjo. |
| Okussa | Okukaluubirirwa okussa ku bubwo. |
| Okuddamu | Obutaddamu nga erinnya lyabwe liyitibwa oba ku maloboozi amangi, obutagoberera kintu n’amaaso gaabwe. |
| Ekyokunywa eky’amata | Okukaluubirirwa okunywa amata. |
| Endabika | Okubeera n’endabika entongole, etali ya bulijjo ey’omutwe, mu maaso, amaaso, amatu oba akamwa. |
| Okukula | Okulemererwa okutuuka ku nsonga z‟enkulaakulana ezisaanira emyaka (e.g., obutakyusa bulago, obutayiringisibwa). |
Olukalala luno terunnaggwa. Bw’olaba ekintu kyonna ekitali kya bulijjo oba ekikwekengera ku mwana wo, yogerako mangu n’omusawo w’omwana wo .
Lwaki kino kigenda mu maaso? Ensonga ki eziviirako kino?
Kino kibuuzo kyeraliikiriza abazadde bangi. Beebuuza nti, "Lwaki kino kyatuuka ku mwana waffe?" Mu butuufu, kizibu okulaga ensonga emu yokka. Oluusi, wayinza okubaawo ensonga eziwerako nga zigatta wamu.
Naye kye tulina okumanya kiri nti ebitundu 70% ku bizibu byonna ebimanyiddwa mu kuzaala tebirina kivaako kitegeerekeka bulungi, ekikakafu . Ebisinga bibaawo mu ngeri ya kimpowooze. Ekyo kitegeeza nti tewali musango gwa muntu yenna.
Waliwo ebika ebikulu ebiwerako eby’ebivaako ebizuuliddwa:
1. Ensonga z’obuzaale
Mu ngeri ennyangu, pulaani y’engeri emibiri gyaffe gye girina okukulaamu eri mu buzaale bwaffe ne mu nsengekera z’obutonde (chromosomes). Enkyukakyuka yonna mu pulaani eno esobola okukosa enkula y’omwana.
- Okweyongera kw’omuwendo gwa chromosomes: Ekyokulabirako ye `(Down syndrome)`.
- Okukendeera kw’omuwendo gwa chromosomes: Ekyokulabirako ye `(Turner syndrome)`.
- Ebitundu bya chromosomes bibula oba byegattira mu bifo ebirala.
2. Eddagala erimu erimira ng’oli lubuto
Eddagala erimu liyinza okukosa omwana akula mu lubuto. N’olwekyo, bw’oba oteekateeka okufuna olubuto, oba ng’ofunye dda olubuto, kikulu okwogera n’omusawo wo ku ddagala oba vitamiini yonna gy’omira. Tokomya oba okutandika ddagala lyonna eppya nga tosoose kubuuza musawo.
3. Okukwatibwa eddagala oba eddagala erimu
- Okunywa omwenge
- Okukozesa taaba oba ebiragalalagala ebirala
- Okukwatibwa eddagala erimu eritta ebiwuka oba eddagala eritta omuddo
4. Ebizibu ebirala ebibaawo ng’oli lubuto
Oluusi, yinfekisoni mu maama (e.g., Toxoplasmosis, Cytomegalovirus), oba okukendeera kw’amazzi mu nnabaana kuyinza okukosa enkula y’omwana.
Abasawo bazuula batya embeera zino?
Ekizibu ky’okuzaala kiyinza okuzuulibwa ng’oli lubuto, amangu ddala ng’omaze okuzaala oba oluvannyuma. Kino kikozesebwa ebigezo eby’enjawulo.
- Mu kiseera ky’olubuto: Ebintu by’ogenda okusooka okukola kwe kukebera sikaani n’okukebera omusaayi. Bino biyitibwa ‘okukebera okukebera’. Singa bino biraga nti waliwo akabi, omusawo ayinza okukuwa amagezi okukeberebwa ebirala okukakasa nti omuntu azuuliddwa. Okugeza, ebintu nga ``Amniocentesis'' (okugezesa sampuli y'amazzi mu lubuto) oba ``Chorionic villus sampling (CVS)'' (okugezesa akatundu akatono ak'omu lubuto).
- Oluvannyuma lw’okuzaalibwa omwana: Singa omusawo akebera omwana n’alaba ekintu kyonna ekitali kya bulijjo, ayinza okukola okukebera okulala (e.g. okukebera omusaayi, okukebera echo, X-rays) okukakasa okuzuula nti alina obulwadde buno.
Kiki ky’okola ng’obujjanjabi?
Enkola z’obujjanjabi zisinziira ku kika n’obuzibu bw’ekizibu ky’okuzaalibwa omwana ky’alina. Obujjanjabi si bwe bumu ku mbeera zonna.
Enzijanjaba ezisinga okukozesebwa ze zino:
- Okuloongoosa:Okulongoosa kukolebwa okutereeza ekikyamu mu nsengeka y’omubiri (e.g., cleft palate, hole in the heart).
- Eddagala: Eddagala liweebwa okufuga obubonero oba okuddukanya embeera.
- Obujjanjabi bw’omubiri: Buyamba okunyweza ebinywa by’omwana n’okulongoosa entambula.
- Ebyuma ebiyamba: Ebiyamba okuwulira ku buzibu bw’okuwulira, obugaali bw’abalema eri obuzibu mu kutambula.
- Obuyambi obw’enjawulo mu by’enjigiriza: Okuwa obuyambi ku ssomero okusinziira ku byetaago by’omwana mu kuyiga.
Jjukira nti tewali ‘ddagala’ eriwonya ebizibu bingi ebiva mu kuzaala. Kyokka, obujjanjabi n’okuddukanya obulungi omwana bisobola okuyamba omwana okubeera n’obulamu obulungi era obumatiza.
Waliwo engeri y’okuziyiza ebizibu by’okuzaala?
Kino nakyo kibuuzo kikulu nnyo. Ekituufu kiri nti, ebizibu by’okuzaala ebisinga tebisobola kuziyizibwa , kubanga tetumanyi bulungi kiki ekibireeta.
Kyokka okubeera n’olubuto olulungi kiyinza okukendeeza ku bumu ku bulabe.
- Laba omusawo wo buli kiseera.
- Bw’oba oteekateeka okufuna olubuto, nywa vitamiini erimu 400 mcg za folic acid buli lunaku.
- Laba omusawo amangu ddala ng’oteebereza nti oli lubuto.
- Weewale ddala omwenge ne sigala.
- Yogerako n’omusawo wo ku ddagala oba eddagala lyonna ly’omira.
Ddi lw’olina okunoonya amagezi g’abasawo mu bwangu (ddi lw’olina okugenda mu ETU) .
Singa omwana wo alaga obubonero bumu oba okusingawo ku bubonero buno wammanga, mutwale mu ddwaaliro erikuli okumpi mu kitongole ky’abalwadde ab’amangu (ETU) mu bwangu.
- Okukaluubirirwa okussa
- Olususu okufuuka bbululu, enzirugavu oba enzirugavu
- Okufuuka okwa kyenvu kw’enjeru z’amaaso oba olususu
- Omutima gukuba amangu oba mpola mu ngeri etaali ya bulijjo
- Obuzibu okuzuukusa omwana
- Okugaana ddala ebyokunywa by’amata
Obubaka Obutwala Awaka
- Ebizibu ebiva mu kuzaala bitera okubaawo okusinga bwe tulowooza. Ebiseera ebisinga, bibaawo mu butanwa, kale si musango gwa bazadde.
- Obulabe obumu busobola okukendeezebwa ng’ogoberera obulamu obulungi (okumira asidi wa folic, okwewala omwenge) ng’oli lubuto.
- Kikulu nnyo okwogera n’omusawo wo ku ddagala lyonna ly’omira nga tonnafuna lubuto n’olubuto.
- Bw’ozuula obulwadde buno nga bukyali n’okutandika okujjanjaba n’okubuddukanya obulungi, omwana asobola okuweebwa obulamu obulungi.
- Omwana ne bw’aba alina ekizibu ky’okuzaala, okwagala kwo, okulabirira kwo n’okumuwa obuyambi bye bintu ebisinga okuba eby’omuwendo omwana by’ayinza okufuna.
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