Bw’oba olina obulwadde bw’okwennyamira (MDD), oyinza okuba nga weebuuza ku ky’okutandikawo amaka. "Nja kuba nnina okukomya eddagala lyange?", "Omwana anaaba mu bulabe singa silekera awo kulimira?", "Nsobola okumira eddagala lino nga nyonsa?" Oyinza okuba ng’olina ebibuuzo bingi mu birowoozo byo. Oyinza okuba nga omaze ebbanga ddene ng’olwanagana n’ekiwuubaalo, oba oyinza okuba nga waakazuulibwa nti olina ekiwuubaalo. Ka kibeere ki ekivaako, waliwo ebintu by’olina okwegendereza ng’otandika olugendo luno. Ka tubyogereko.
Baby's due date (EDD)
Calculate the due date based on the last menstrual period
Lwaki obujjanjabi kikulu nnyo?
Mu ngeri ennyangu, bw’otojjanjaba kiwuubaalo kyo, obubonero bwo busobola okuddamu enfunda n’enfunda. Kino tukiyita okuddamu okulwala. Bw’oba olina ekiwuubaalo, otera okusubwa ebintu ng’okulya n’okunywa, okufuna obujjanjabi ggwe n’omwana wo bwe mwetaaga, era otera okudda ku bintu ng’ebiragalalagala.
Ekisinga obukulu, waliwo akabi akasingako nnyo ak’okwennyamira oluvannyuma lw’okuzaala , ekiyinza okukosa butereevu enkolagana yo n’omwana wo.
Nga abakugu mu by’obujjanjabi bwe balaga, abaana abazaalibwa bamaama abatawaanyizibwa ekiwuubaalo, situleesi, oba okweraliikirira nga bali embuto balina obusimu obuyitibwa ‘Cortisol’ bungi. Kino kiyinza okuleetera abaana abo okubeera abawulize ennyo mu nneewulira (extra reactive) ku myaka emito. Kino kiyinza okubaggulawo ekkubo ery’okufuna ebizibu by’obwongo mu biseera eby’omu maaso.
Okulonda obujjanjabi obutuufu gy’oli kisinziira ku bintu ebiwerako.
- Obuzibu bw’okwennyamira kwo.
- Bujjanjabi ki bw’ofuna mu kiseera kino?
- Engeri gye waddamu eddagala lye wakozesanga emabegako.
- Oba oli lubuto, oteekateeka kufuna lubuto oba oyonsa.
Singa ekiwuubaalo kyo kiba kitono, era nga emabegako wafuna obuweerero okuva mu bintu ng’obujjanjabi bw’eby’omwoyo, ebibiina ebiyamba oba yoga nga tonnazaala, oyinza okuyita mu kiseera kino nga tolina ddagala. Naye ekyo ky’osaanidde okuteesaako n’omusawo wo. Bw’oba weetaaga eddagala oluvannyuma, waliwo engeri nnyingi z’oyinza okutandika ku ddagala eritali lya bulabe nnyo.
Ku misango egy’amaanyi egy’okwennyamira egitaddamu ku ddagala, waliwo n’obujjanjabi obuyitibwa electroconvulsive therapy (ECT) . Kino kizingiramu okusindika obuwundo obutonotono obw’amasannyalaze mu bwongo, okukyusa emirimu gy’obutoffaali bw’obusimu (neurons) n’eddagala erimu. Obujjanjabi buno butwalibwa ng'obutaliiko bulabe eri ggwe n'omwana wo .
Eddagala n’obulabe bwalyo
Okutwalira awamu, obulabe bw’okuzaalibwa n’obulema oba ebizibu ebirala mu mwana olw’okumira eddagala eriweweeza ku kweraliikirira ng’ali lubuto butono nnyo. Kyokka okunoonyereza kulaga nti eddagala erimu teririna bulabe okusinga eddala. Ka tulabe kiki kye bali.
| Ekiseera ky’ekiseera | By’olina okukola n’eddagala ly’olina okulowoozaako |
|---|---|
| Nga tannafuna lubuto | Bwe kiba kisoboka, yogerako n’omusawo wo ow’okuzaala n’omusawo w’eby’omutwe nga tonnatandika kulowooza ku kuzaala mwana era ojje n’enteekateeka y’okujjanjaba. Bw’oba weetaaga okukyusa eddagala, kino kye kiseera ekisinga obulungi okukikola. Ebika by’eddagala eriweweeza ku kweraliikirira ebibiri ebiragiddwa nti bye bisinga okuba eby’obukuumi ng’oli lubuto bye bino: SSRIs (Selective Serotonin Reuptake Inhibitors) ne TCAs (Tricyclic Antidepressants) . Wabula olw’okuba TCA ddagala nkadde nga lirina ebizibu bingi, abasawo tebasooka kuliwa magezi. Abantu abasinga bawandiikibwa eddagala lya SSRI erinoonyezeddwa obulungi. Eby’okulabirako: Ekirungo kya Citalopram (Celexa), Ekirungo kya Escitalopram (Lexapro), Fluoxetine (Prozac), Sertraline (Zoloft) . |
| Mu kiseera ky’olubuto | Bw’oba omira dda ddagala, tokyusa mangu kudda ku ddagala eddala, ne bwe liba litya. Kino kijja kutangira omwana okukwatibwa eddagala eringi mu ngeri eteetaagisa. Ekisinga obukulu, towulira musango olw’okumira eddagala eriweweeza ku kweraliikirira ng’oli lubuto. Abantu abamu, n'abasawo, balowooza nti eddagala lino kintu ekirina okumira "nga kyetaagisa nnyo." Naye okwennyamira mbeera ya bujjanjabi eyeetaaga okujjanjabibwa, okufaananako ne ssukaali oba puleesa. |
| Oluvannyuma lw’okuzaala omwana | Kizibu nnyo okugumira obubonero bw’okwennyamira ng’olabirira omwana omuwere. Kale kikulu nnyo okugenda mu maaso n’okumira eddagala lyo. Bw’owulira ng’obubonero bwo bweyongera, yogerako n’omusawo amangu ago. Eddagala liyinza okuyita mu mata g’amabeere, naye mu bungi butono nnyo. Okubeera omutuufu, ebitundu ebitakka wansi wa 10% ku ddoozi gy’omira.N’olwekyo, tewali mbeera yonna gy’olina okulekera awo okuyonsa omwana wo kubanga omira eddagala. |
Katuyige n'ebika by'eddagala ebirala.
Bw’oba omira eddagala lya SNRI (Serotonin-Norepinephrine Reuptake Inhibitor) kubanga SSRI tezikukolera, nga Duloxetine (Cymbalta) oba Venlafaxine (Effexor), ekyo si nsonga nnene. Abasawo bagamba nti, "Singa eddagala lino likola ku muntu ono, era nga tukimanyi nti eddala liyinza obutakola, saagala kulikyusa." Kubanga waliwo okunoonyereza okulaga eddaala erimu ery’obukuumi eri SNRIs.
Wabula eddagala eppya nga Vortioxetine (Trintellix) terinnaba kunoonyezebwa kimala okuzuula obukuumi bwalyo ng’oli lubuto. Mu mbeera ng’ezo, omusawo ayinza okukuwa amagezi okukyusa n’odda ku ddagala eritali lya bulabe.
Enneewulira ezikutawaanya...
"Ndi maama mubi kubanga nnywa eddagala?" Ebirowoozo bino biyinza okujja mu birowoozo byo. Naye mu butuufu ekyo si bwe kiri.
"Olw'okuvumwavumwa okwetoolodde obulwadde bw'obwongo mu ggwanga lyaffe, abantu bangi balowooza nti okumira eddagala ly'okwennyamira kintu kya kwongera, ekiteetaagisa. Bw'ogamba nti, 'Eddagala lino lyokka bw'oba ddala lyetaaga,' maama awulira omusango omungi ku ye," abakugu bwe balaga.
Ekisinga obukulu ky’olina okutegeera nti okwennyamira si bunafu ku ludda lwo. Buno bulwadde obwetaagisa okujjanjabibwa. Okubeera maama omulamu obulungi kireeta embeera esinga obulungi eri omwana omulamu obulungi. Bwe kiba kyetaagisa eddagala, okulimira kye kintu ekisinga obulungi ky’oyinza okwekolera n’omwana wo.
Obubaka Obutwala Awaka
- Okwennyamira bulwadde bwa ddala. Kikulu okugijjanjaba ggwe n’omwana wo.
- Buli lwe kiba kisoboka, yogerako n’omusawo wo nga tonnafuna lubuto era okole enteekateeka y’obujjanjabi.
- Eddagala lingi erikozesebwa ku kweraliikirira teririna bulabe mu kiseera ky’olubuto n’okuyonsa.
- Tolekera awo kumira ddagala oba okukyusa eddagala nga tewebuuzizza ku musawo.
- Towulira musango olw’okumira eddagala okusobola okubeera omulamu obulungi. Maama omulamu obulungi kye kirabo ekisinga obulungi eri omwana omulamu obulungi.
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