Ka tuyige ku kigezo kya Coombs mu ngeri ennyangu.

Oluusi omusawo waffe bw’atulagira okukebera omusaayi, tetusobola bulungi kutegeera kye guli. Emu ku mannya ng’ago ye ‘Coombs test’. Oteekwa okuba ng’owulidde ku kukeberebwa kuno naddala ng’oli lubuto, ng’olongooseddwa omusaayi, oba omwana wo bw’aba alina embeera nga jaundice. Kale ka tulabe ekigezo kino kye kinoonya ddala era lwaki kikulu, mu ngeri ennyangu ennyo.

Mu ngeri ennyangu, kino ekigezo kya Coombs kye ki?

Omubiri gwaffe gulina enkola y’okwekuuma, ng’eggye erikuuma eggwanga. Abajaasi ab'enjawulo mu ggye lino tubayita antibodies . Omulimu gwabwe omukulu kwe kutukuuma obutakwatibwa ndwadde nga balwanyisa abalabe, gamba ng’obuwuka, obuwuka, n’obuwuka obuyitibwa antigens , obuyingira mu mubiri okuva ebweru.

Naye teebereza, kiki ekibaawo singa oluusi amagye gano ag’okwekuuma gakola ensobi ne gatandika okulumba obutoffaali bwaffe obulungi, obulamu mu kifo ky’okubutegeera ng’abalabe ab’amawanga amalala? Ekyo kye kintu ekisinga obubi. Okukebera kwa Coombs okusinga kukebera oba waliwo obutoffaali bwonna obuziyiza endwadde mu musaayi gwaffe obuyinza okulumba obutoffaali obumyufu, oba nga bwabulumba dda.

Waliwo ebika bibiri eby’okugezesebwa kwa Coombs.

Yee, waliwo ebika bibiri ebikulu eby’okugezesebwa kuno okwa Coombs. Omusawo ajja kukugamba okole ekimu ku bino ebibiri. Ka tulabe enjawulo eriwo wakati w’ebintu bino byombi mu ngeri eno.

Lwaki ekigezo kya Coombs kikulu nnyo ng’oli lubuto?

Ekigezo kya Indirect Coombs Test ekikolebwa ng’oli lubuto, kikebera oba omusaayi gwa maama gulina obutoffaali obuziyiza obulwadde bwa Rh factor. Kati ka tulabe ensonga eno eya Rh kye ki.

Teebereza, ng’oggyeeko ebika by’omusaayi gwaffe (A, B, AB, O), wayinza okubaawo puloteyina endala ey’enjawulo, oba ‘akabonero’, ku butoffaali obumyufu. Kino kiyitibwa ensonga ya Rh .

• Singa akabonero kano kabaawo, ekika ky’omusaayi ekyo kiba Rh-positive (e.g. O positive, A positive).
• Singa akabonero kano tekabaawo, ekika ky’omusaayi ekyo kiba Rh-negative (e.g. O negative, A negative).

Kati lowooza ku kino: Kiki ekibaawo singa omusaayi gwa maama guba gwa Rh-negative (ekitegeeza nti tegulina kabonero ako ak’enjawulo), naye omwana ali mu lubuto asikira omusaayi gwa taata era nga Rh-positive (ekitegeeza nti omusaayi gw’omwana gulina akabonero ako)?

Ekiyinza okubaawo wano kiri nti singa akatundu akatono ak’omusaayi gw’omwana katabula n’omusaayi gwa maama mu kiseera ekimu, gamba ng’okuzaala, abaserikale b’omubiri aba maama bategeera ‘akabonero’ akayitibwa Rh factor mu musaayi gw’omwana ng’omulabe omugwira. Olwo omubiri gwa maama ne gutandika okukola antibodies okulwanyisa omulabe oyo. Kino kiyitibwa Rh sensitization .

Ebiseera ebisinga, mu kiseera ky’olubuto olusooka, obuziyiza buno butwala ekiseera kiwanvu okukula, n’olwekyo omwana asooka takosebwa nnyo. Kyokka obuzibu bujja mu kiseera ky’olubuto oluddako. Singa maama aba azzeemu okusitula omwana alina Rh, obutoffaali obuziyiza endwadde obwali bukoleddwa emabegako buba bwetegefu mu musaayi gwa maama, ne busala enseke, ne butandika okulumba n’okusaanyaawo obutoffaali obumyufu obw’omwana.

Kino kiyinza okuleeta obuzibu obw’amaanyi mu bulamu bw’omwana, gamba ng’okukendeeza ku musaayi n’obulwadde bwa jaundice. Eno y’ensonga lwaki kikulu nnyo okukola okukebera kuno okwa Coombs nga bukyali ng’olubuto okuzuula oba waliwo akabi ng’ako era bwe kiba kyetaagisa, okubujjanjaba okubuziyiza.

Okola n’okukebera kuno ku balongo abaakazaalibwa?

Yee. Oluusi, singa omwana eyaakazaalibwa aba n’obulwadde bwa jaundice obw’amaanyi, abasawo bayinza okukola Direct Coombs Test. Kino kikebera okulaba oba obutoffaali obuziyiza endwadde maama bw’akola ng’ali lubuto buyingidde mu mubiri gw’omwana, ne bwekwata ku butoffaali obumyufu bw’omwana ne bubusaanyaawo.

Waliwo kye nneetaaga okukola nga sinnakola kigezo?

Nedda Tewali kintu kya njawulo ky’olina kwetegekera nga tonnagenda mu kigezo kino ekya Coombs. Teweetaaga kusiiba wadde okulekera awo okumira eddagala lyonna.

Kino kyangu nnyo okukebera omusaayi. Empiso entono bagiteeka mu musuwa mu mukono gwo ne baggyibwako omusaayi. Ojja kuwulira ng’ofumita katono kwokka. Oluvannyuma omusaayi gusindikibwa mu laabu okukeberebwa. Ebivaamu bitera okufunibwa mu ssaawa 24 zokka.

Lipoota y’okukebera etegeeza ki?

Ebyava mu kugezesebwa kuno bisobola okujja mu ngeri bbiri enkulu: Positive oba Negative.

Kitegeeza ki singa ofuna ebirungi?

• Singa okeberebwa nga tonnaba kuwaayo musaayi: Kino kitegeeza nti olina okwegendereza ennyo ng’ogaba omusaayi, era olonde ekika ky’omusaayi ekikusaanira ddala. Abantu abafuna omusaayi emirundi mingi basobola okufuna obutoffaali buno obuziyiza endwadde, n’olwekyo kiyinza okuba ekizibu katono okufuna ekika ky’omusaayi ekikwatagana.
• Singa okeberebwa ng’oli lubuto: Kino kitegeeza nti omubiri gwo gufunye obutoffaali obuziyiza omwana alina Rh. Olwo ojja kwetaaga okunoonya obujjanjabi okukuuma omwana.
• Singa lipoota y’omwana eba nnungi: Ebiseera ebisinga eraga nti omwana alina obulwadde bw’okubulwa omusaayi oba obulwadde bwa jaundice. Omusawo ajja kukebera omwana n’amuwa amagezi ku bujjanjabi obwetaagisa.

Ddi lwe nnina okulaba omusawo?

Bw’ofuna obubonero bw’okukendeeza ku musaayi, gamba ng’olususu oba amaaso okufuuka kyenvu (jaundice) , okukoowa ennyo n’okunafuwa , okuziyira , oba okutabulwa , laba omusawo wo mangu . Ajja kukukebera era bwe kiba kyetaagisa akole ebigezo ebirala omuli n’okukeberebwa kwa Coombs okuzuula embeera gy’eri n’obujjanjabi obusinga okugifuna.

Okukebera kwa Coombs kwe kukebera kwokka okuwa omusawo wo ekizibu ku kizibu ekiri mu mubiri gwo. Tekubuulira ddala bulwadde bwe buli. N’olwekyo, bw’ofuna ekivuddemu ekirungi, kiyinza okwetaagisa okwongera okwekebejja okuzuula ekituufu ekikuleeta.