Olunaku lw’okuzaala lusembera, era mpozzi n’olunaku luyiseewo. Mu kiseera nga kino, omusawo bw'akukebera n'agamba nti, "Katutunuulire omumwa gwa nnabaana," n'oluvannyuma n'agamba nti, "Obubonero bwa Bishop buli waggulu bwe buti," era olowooza nti, "Oh, kino kitegeeza ki?"? Bamaama bangi bwe batyo bwe bawulira. Kya bulijjo nnyo. Teweeraliikiriranga, leero tugenda kwogera ku Bubonero bwa Bishop buno kye buli, kye butegeeza, n'engeri gye buyinza okuba obukulu mu kuzaala kwo.
Bishop Score kye ki mu ngeri ennyangu?
Mu ngeri ennyangu, obubonero bwa Bishop Score nkola ya bubonero egera engeri omubiri gwo naddala omumwa gwa nnabaana gye gwetegefu okuzaala. Okufaananako nnyo ekigezo ky’essomero, omusawo wo ajja kukuwa obubonero okusinziira ku nkyukakyuka mu nnabaana wo n’embeera omutwe gw’omwana wo.
Teebereza, nnabaana wo kye kisenge omwana mw’ali. Omumwa gwa nnabaana gwe mulyango oguyingira mu kisenge ekyo. Omwana okusobola okuvaayo, oluggi luno lulina okugguka nga lwagazi. Obukodyo bw’Omulabirizi bupima ‘oluggi’ luno lwe lwetegekera okuggulwawo, n’okumanya oba ebizibiti by’enzigi biyidde ekimala.
Obukodyo buno buyinza okuva ku 0 okutuuka ku 13. Obukodyo gye bukoma okuba obunene, omubiri gwo gye gukoma okwetegekera okuzaala. Era kiraga nti singa okuzaala kuleetebwa olw’ensonga ezimu, gy’okoma okuzaala obulungi mu bukyala.
Olaba ku ssaawa mmeka eno Bishop Score?
Abasawo batera okubala obubonero buno ng’omaze okuweza wiiki 40 ng’oli lubuto. Kino kiri bwe kityo kubanga bw’oba obadde obuuka ennaku ate nga n’okutuusa kati tonnatandika kuwulira bulumi bwonna ku wiiki 41 oba 42, kye kiseera okulowooza ku ky’okuzaala mu ngeri ey’ekikugu. Wabula oluusi olw’embeera y’obulamu mu maama oba omwana, omusawo ayinza okwagala okutunuulira obubonero buno nga bukyali.
Naye okugezesebwa kuno tekukolebwa buli mulundi.
Okugeza, bw’oba olina placenta previa , kiba kirungi okuzaala mu ngeri ya cesarean. Okukebera okw’omunda okw’ekika kino tekukolebwa mu kiseera ekyo. Ate era, singa amazzi go gaba gamenyese nga tegannabaawo (okukutuka kw’obuwuka obuyitibwa premature rupture of membranes) , okukebera okw’ekika kino kuyinza okuba okw’akabi olw’obulabe bw’okukwatibwa obuwuka.
Obukodyo buno bubalirirwa butya?
Omusawo wo abala Obukodyo buno obw’Omulabirizi ng’essira aliteeka ku nsonga ttaano enkulu. Ka tulabe ensonga ezo ettaano kye ziri.
1. Okugaziwa kw’omumwa gwa nnabaana:Kino kipima obungi bw’omumwa gwa nnabaana bwe gugaziye. Omusawo akozesa engalo ze okukebera n’oluvannyuma n’agitambuza sentimita ntono. Bwe kigaziwa mu bujjuvu, kiba sentimita nga 10.
2. Okusannyalala kw’omumwa gwa nnabaana: Kino kitegeeza engeri omumwa gwa nnabaana gye gufuuse omugonvu oba omumpi. Omumwa gwa nnabaana gugonvuwa ng’okuzaala kusembera. Bwe kisannyalala 100%, kigambibwa nti "kigonvu mu mpapula."
3. Okukwatagana kw’omumwa gwa nnabaana: Kino kipima omumwa gwa nnabaana bwe gukaluba oba omugonvu. Omumwa gwa nnabaana omugonvu gugguka mangu. Kiba ng’enjawulo wakati w’ensonga y’ennyindo yo (enkalu) n’emimwa gyo (egonvu).
4. Enfo y’omumwa gwa nnabaana: Ng’okuzaala kusembera, omumwa gwa nnabaana gukyuka okuva ku kubeera emabega okudda ku kugenda mu maaso mpolampola. Kino kikozesebwa okulaba ekifo ekyo bwe kiri.
5. Embeera y’omwana oba ekifo ky’omwana ali mu lubuto: Kino kipima wala wansi w’omutwe gw’omwana okusinziira ku kifo ekigere mu kisambi kyo. Singa omutwe gw’omwana gukyali waggulu, ofuna omuwendo gwa negativu (-), ate bwe guba wansi wala, ofuna omuwendo gwa positive (+).
Obukodyo bwo obw’Omulabirizi busalibwawo ng’owa buli emu ku nsonga zino obubonero obw’enjawulo, n’okusembayo okugatta obubonero bwonna obutaano.
| Ensonga egaba obubonero | obubonero 0 | 1 akabonero | obubonero 2 | obubonero 3 |
|---|---|---|---|---|
| Okugaziwa kw’omumwa gwa nnabaana (cm) . | Kiggaddwa | 1-2 cm | 3-4 cm | Okusukka sentimita 5 |
| Okugonza omumwa gwa nnabaana (%) . | 0-30% . | Ebitundu 40-50% | Ebitundu 60-70% | Ebitundu ebisukka mu 80% |
| Enfo y’omutwe gw’omwana | -3 | -2 | -1, 0 | +1, +2 |
| Obutonde bw’omumwa gwa nnabaana | Obuggumivu | Midiyamu | Obugonvu | - |
| Enfo y’omumwa gwa nnabaana | Emabega | Ekifo eky’omu makkati | Mu maaso | - |
Oluusi, bw’oba olina embeera nga preeclampsia ng’oli lubuto, oba ng’omaze okuzaala mu bukyala, omusawo ayinza okwongera akabonero akalala ku bubonero bwo bwonna kubanga eddagala eriweweeza ku bulumi litera okutuuka ku buwanguzi mu kiseera ekyo.
Bishop Score yange egamba ki?
Okay, kati katugambe nti ofunye obubonero. Kiki ky’oyagala okutegeera okuva mu ekyo?
- Bw’oteeba 8 oba okusingawo: Embeera eno nnungi nnyo. Kitegeeza nti omubiri gwo gwetegese bulungi okuzaala. Okuzaala kwolekedde okutandika mu butonde mu bbanga ttono. Ate era singa okuzaala kuleetebwa, kiyinzika nnyo okutuuka ku buwanguzi ne kivaamu okuzaala mu butonde.
- Singa obubonero buba wakati wa 6-7: Eno mbeera ya kigero. Okuleeta obulumi kuyinza oba nedda. Mu biseera nga bino, omusawo ajja kusalawo ekisinga obulungi ng’asinziira ku bikwata ku bulamu bwo ebirala.
- Singa obubonero buba 5 oba wansi:Kino kitegeeza nti omubiri gwo tegunnaba kwetegekera bulungi kuzaala. Bw’ogezaako okukuleetera okuzaala mu kiseera kino, kitera obutafuna buwanguzi.
Naye kino kikuume mu birowoozo: Obukodyo bw’Omulabirizi buba bulagirizi bwokka. Si kiteebereza kituufu 100%. Bamaama abamu abalina obubonero obutono bazadde bulungi mu butonde nga bafunye obulumi. Waliwo n’emisango ng’okuleeta obulumi kulemererwa wadde ng’obubonero bungi. Kikozesebwa kyokka ekikuyamba ggwe n’omusawo wo okusalawo ekisinga obulungi.
Lwaki obulumi buleetebwa mu ngeri ey’ekikugu?
Waliwo ensonga eziwerako lwaki omusawo ayinza okukugamba nti okuzaala mu ngeri ey’ekikugu. Ensonga enkulu eri nti olubuto lwo lugenda mu maaso okuyita mu wiiki 41-42. Kino kiri bwe kityo kubanga okugenda mu maaso okusukka wiiki 42 kyongera emikisa gy’okufuna ebizibu eri omwana ne maama. Ate era singa maama oba omwana aba n’ekizibu ky’ebyobulamu, omusawo ayinza okusalawo okuleetera omwana okuzaala singa bawulira nti tekirina bulabe kuzaala nga tebakyalinze.
Obukodyo bw’Omulabirizi kye kimu ku bikozesebwa ebikulu ebijja okuyamba omusawo wo okusalawo kuno. N’olwekyo beera muggule eri omusawo wo ku bubonero bwo, kye butegeeza, n’eky’okuddako. Obukuumi bwo n’obw’omwana wo bye bisinga okukulembeza buli muntu.
Obubaka Obutwala Awaka
- Enkola ya Bishop Score nkola ya bubonero egera engeri omumwa gwa nnabaana gy’ali mwetegefu okuzaala.
- Bw’ofuna obubonero 8 oba okusingawo kitegeeza nti omubiri gwetegese bulungi okuzaala. Singa obulumi buba buleetebwa mu ngeri ey’ekikugu, butera okutuuka ku buwanguzi.
- Obubonero 5 oba wansi kitegeeza nti omubiri tegunnaba kwetegekera.
- Kino kikulaga kyokka ekikuyamba okusalawo; si kusalawo kwa nkomerero.
- Yogerako n’omusawo wo ku Bishop Score yo n’emitendera egiddako gy’olina okukola. Wesige amagezi gaabwe ag’abasawo.

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