Oh, osanga otidde kati nga kino nange kintuseeko, nedda? Ba maama bangi bafuna obulwadde bwa sukaali nga buno nga bali embuto. Kya bulijjo. Kale teweeraliikiriranga. Ka tuyige ebisingawo ku mbeera eno eyitibwa `(Gestational Diabetes)`.
Ssukaali ow’olubuto kye ki?
Mu ngeri ennyangu, Gestational Diabetes (oluusi eyitibwa GD oba GDM) kika kya sukaali abeerawo ng’oli lubuto lwokka. Ssukaali mu musaayi gwo (era ayitibwa hyperglycemia) yeeyongera katono mu kiseera kino. Kino kiri bwe kityo kubanga obusimu obuva mu nnabaana yo butaataaganya obusobozi bw’omubiri gwo okukozesa oba okukola obusimu obuyitibwa insulin. Insulini y’eyamba okutereeza ssukaali mu musaayi. Ssukaali omungi mu musaayi ayinza okuvaako obuzibu ng’oli lubuto. Butera kubeerawo wakati mu lubuto, wakati wa wiiki 24 ne 28. Omusawo wo oba omuzaalisa ajja kukukebera omusaayi okukebera kino.
Ekikulu ky’olina okujjukira nti kino tekitegeeza nti walina obulwadde bwa sukaali nga tonnafuna lubuto. Eno mbeera ebeerawo ng’oli lubuto. Abantu abalina obulwadde bwa sukaali obwaliwo edda, ka kibeere Ssukaali ow’ekika kya 1 oba Ssukaali ow’ekika eky’okubiri, bafuna okusoomoozebwa okw’enjawulo nga bafunye embuto.
Naye waliwo amawulire amalungi! Abasawo bategedde bulungi kino `(Gestational Diabetes)`. Ate era, bw’okola enkyukakyuka entonotono mu bulamu bwo n’okufuga endya yo, embeera eno esobola okufugibwa obulungi. Abantu abasinga bafuna omwana omulamu obulungi nga talina buzibu bwa maanyi.
Kiki ekibaawo singa nfuna ssukaali ow’olubuto?
Singa ozuulibwa nti olina obulwadde bwa sukaali mu lubuto, omusawo wo ow’okuzaala (omusawo akulaba ng’osuubira) ajja kukusindika ew’omukugu mu by’endya omukugu mu ssukaali ow’olubuto. Bajja kukunnyonnyola emmere ki erinnyisa ssukaali mu musaayi gwo ne kiki n’obungi bw’olina okussa mu mmere yo n’emmere ey’akawoowo.
Ojja kusomesebwa n’engeri y’okukebera ssukaali mu musaayi gwo awaka n’obungi bw’olina okulya ng’omaze okulya. N’ekisembayo, omusawo wo oba omukugu mu by’emmere ajja kwogera ku nteekateeka y’okuddukanya ssukaali wo ow’olubuto. Abantu abalina ssukaali ebiseera ebisinga balina okugenda mu ddwaaliro buli kiseera okukebera enkula y’omwana ali mu lubuto, okulondoola omugejjo gwo n’okukubaganya ebirowoozo ku ngeri ssukaali gy’afugibwamu.
Obulwadde bwa sukaali obw’olubuto bungi butya mu Sri Lanka n’ensi yonna?
Mu Amerika embeera eno yeeyongedde. Okusinziira ku kitongole kya CDC (Centers for Disease Control and Prevention), kikwata abakyala ab’embuto wakati wa 8% ne 10%.
Average y’ensi yonna eri wakati wa 14% ne 17%. Omuwendo guno oluusi guyinza okuba omungi olw‟ensonga ng‟emyaka, eggwanga/ekika, okufuna obujjanjabi nga tebannazaala, n‟ekifo.
Lwaki ssukaali mu lubuto abaawo?
Ensonga enkulu lwaki kino kivaako y’enkyukakyuka mu busimu n’engeri omubiri gwo gye gukyusaamu emmere okugifuula amaanyi. Lowooza ku kino, obusimu bwa ``Insulin`` buyamba ssukaali (``glucose``) mu mmere gye tulya okuyingira mu butoffaali bwaffe. ``Insulin`` eno y'ekuuma ssukaali mu musaayi gwaffe ku mutindo omulamu. Wabula singa ``Insulin`` eno tekola bulungi, oba nga temumala, ssukaali yeeyongera mu musaayi era ssukaali n'afuna.
Mu kiseera ky’olubuto, obusimu obuva mu nnabaana busobola okutaataaganya engeri insulini gy’ekola. Kino kiyinza okuvaako ssukaali mu musaayi obutafugibwa bulungi. Wano we wava obulwadde bwa sukaali obw’olubuto.
Ani ali mu bulabe obw’amaanyi obw’okufuna obulwadde bwa sukaali mu lubuto?
Mu butuufu kino omuntu yenna asobola okukifuna ng’ali lubuto. Kyokka waliwo ebintu ebimu ebyongera ku bulabe. Bino bye bino:
- Bwoba olina obulwadde bw'omutima.
- Bw’oba olina puleesa.
- Bw’oba obadde omugejjo oba omugejjo okuva nga tonnafuna lubuto.
- Bw’oba obadde n’obulwadde bwa sukaali mu lubuto ng’oli lubuto emabega.
- Singa omuntu mu maka alina `(Type 2 Diabetes)`.
- Bwoba olina `(Obulwadde bw'enkwaso eziyitibwa Polycystic Ovary Syndrome (PCOS))` .
- Abantu abasukka mu myaka 25 bali mu bulabe bwa maanyi naddala abo abava mu South ne East Asia, Hispanic, Native American oba Pacific Islander.
- Bw’oba olina prediabetes (ssukaali mu musaayi asingako katono ku bulijjo nga tonnafuna sukaali).
Bubonero ki obulaga obulwadde bwa sukaali mu lubuto?
Ebiseera ebisinga, Gestational Diabetes terina bubonero bwonna obweyoleka. Ne bwe kiba bwe kityo, kiba kya magezi nnyo. Oyinza n’obutakyetegereza okutuusa ng’omusawo akukebedde. Kyokka singa obubonero bubaawo, buyinza okuli:
- Okwetaaga okufulumya omusulo ennyo.
- Okufuna ennyonta ennyo.
- Okuwulira ng’okooye.
- Okuwulira ng’oziyira.
Bizibu ki ebiyinza okuva mu ssukaali ow’olubuto atafugibwa?
Bw’oba tosobola kukuuma ssukaali mu musaayi ku mutindo omulamu, ggwe n’omwana wo muyinza okufuna ebizibu. Kino kikulu nnyo, n’olwekyo wuliriza bulungi.
Ssukaali ow’olubuto asobola okwongera ku bulabe bw’okufuna:
- C-section kiyinza okwetaagisa (ssinga omwana aba munene nnyo).
- Preeclampsia (puleesa okulinnya ng’oli lubuto) eyinza okubaawo.
Era, abo ababadde n'obulwadde bwa ``Gestational Diabetes'' batera okulwala ``Type 2 Diabetes'' nga bakuze.
Ssukaali ow’olubuto akosa atya omwana wange?
Bw’oba olina Gestational Diabetes, omwana wo ayinza okuba mu bulabe bw’okulwala:
- Okwongera ku buzito bw’okuzaalibwa (`(Fetal macrosomia)`) - Kino kitegeeza nti omwana ayinza okuzaalibwa nga munene nnyo.
- Obuzibu mu kussa buyinza okubaawo ng’azaalibwa.
- Hypoglycemia (ssukaali omutono mu musaayi). Kino kiyinza okuleeta embeera ng’okukonziba mu balongo.
- Omugejjo guyinza okubaawo oluvannyuma.
- Kisoboka okuzaalibwa nga tannatuuka.
- Ssukaali ow’ekika eky’okubiri ayinza okulwala oluvannyuma.
Ebintu bino biyinza okuwulikika ng’ebitiisa. Naye jjukira nti akabi kano konna kajja singa tebuddukanyizibwa bulungi . Singa ziddukanyizibwa bulungi, obulabe buno busobola okukendeezebwa ennyo.
Ddi omusawo akebera obulwadde bwa sukaali mu lubuto?
Omusawo oba omuzaalisa ajja kutera okukukebera obulwadde bwa sukaali mu lubuto wakati wa wiiki 24 ne 28 ng’oli lubuto. Abasawo abasinga balowooza nti kino kye kiseera ebivuddemu we bisinga okubeera ebituufu. Kyokka bw’oba olina ebintu ebikuyinza okuleeta akabi, oyinza okukeberebwa nga bukyali.
Ssukaali ow’olubuto azuulibwa atya?
Omusawo ajja kukebera ssukaali mu musaayi ng’akukebera mu musaayi. Ebiseera ebisinga, okukebera okusooka kuba kwa ``kukebera`` okuzuula abantu abali mu bulabe obw'amaanyi obw'okufuna ``ssukaali ow'olubuto``. Bw'oto ``yita``, omusawo ajja kukusaba okole omusaayi ogw'okubiri ogulabika ng'oguzibye katono.
- `(Okugezesa okusoomoozebwa kwa Glucose)` : Kino era kiyitibwa `(Okugezesebwa okw'okukebera glucose)`, oba okugezesebwa okw'essaawa emu `(Okugezesa okugumira glucose)`. Mu kino, bakuwa amazzi agawooma okunywa. Olwo olina okumala mu `waiting room` okumala essaawa nga emu. Oluvannyuma lw’essaawa emu, nnansi akuggya omusaayi ku mukono gwo. Singa ssukaali mu musaayi mungi, omusawo ajja kukusaba okukola `(Glucose Tolerance Test)`.
- `(Glucose Tolerance Test)` : Kino era kiyitibwa `(Glucose Test)` ey'essaawa bbiri oba ssatu. Kino kikolebwa singa ebyava mu `okugezesebwa okw'okusoomoozebwa` okwasooka tebiba bya bulijjo. Nga tonnaba kukebera kuno, tolina kulya kintu kyonna okumala essaawa nga 8 (`okusiiba`). Omusawo ajja kutwala omusaayi buli ssaawa, essaawa bbiri oba oluusi essaawa ssatu ng’omaze okunywa amazzi ago amawoomu. Kino `okukebera okugumiikiriza` kye kigenda okukakasa oba olina `(Gestational Diabetes)` oba nedda.
Oddukanya otya obulwadde bwa sukaali mu lubuto?
Bw’oba olina ssukaali ow’olubuto, ojja kwetaaga okwekebejjebwa buli kiseera ng’oli lubuto. Omusawo wo ajja kunoonya mu ngeri ey’enjawulo:
- Okulondoola enkula y’omwana. Kino kitera okuzingiramu okukola sikaani za ‘ultrasound’ ez’enjawulo okukakasa nti omwana tagenda munene nnyo.
- Okukebera ssukaali mu musaayi gwo. Kino kitera okuzingiramu okukebera emirundi ssukaali gy’agenda waggulu n’okukka, n’engeri emiwendo egyo gy’atera okusigala.
Okukebera ssukaali mu musaayi gwo awaka, ojja kwetaaga ``Glucose Meter`` (ekyuma ekipima ssukaali). Kyetaaga mita, lancets, ne test strips. Bw’okebera ssukaali mu musaayi, ofumita engalo n’empiso entono, olwo n’oteeka ettondo ly’omusaayi ku ddagala ly’okukebera. Olwo, bw’oteeka ekigezo mu mita, kiraga ennamba mu sikonda ntono. Ogwo gwe muwendo gwa sukaali mu musaayi gwo. Omusawo wo ow’emmere oba omusomesa wa ssukaali ajja kukulaga engeri y’okukozesaamu ekyuma kino. Kiyinza okuwulira nga kizibu katono mu nnaku ezisooka, naye oluvannyuma lw’ennaku ntono, ojja kukimanyiira. Totya kubuuza musawo wo bw’oba olina ekizibu kyonna.
Olina okuwandiika ku by’olya ne ssukaali mu musaayi gwo, oba ku lupapula, mu app oba mu ngeri omusawo gy’akugamba. Oluvannyuma, omusawo wo ajja kwetegereza by’osomye buli luvannyuma lwa kiseera (oboolyawo buli wiiki oba buli luvannyuma lwa wiiki bbiri). Oluusi, omusawo wo ayinza okwetaaga okukola enkyukakyuka mu mmere yo (okugeza, okukendeeza ku bungi bwa carbohydrates) okuyamba okufuga ssukaali mu musaayi gwo. Emirundi egisinga, okulondoola ssukaali mu musaayi gwo n’okulya emmere esaanira obulwadde bwa sukaali kye kyokka ekyetaagisa okuddukanya ssukaali w’olubuto.
Abantu abamu beetaaga eddagala nga insulini okusobola okufuga sukaali waabwe ow’olubuto. Kino kitera okuzingiramu okufuyira insulini mu lubuto, mu kisambi oba mu bisambi omulundi gumu oba emirundi egiwerako olunaku. Emirundi gy’olina okukuba empiso ya insulini kisinziira ku bintu bingi. Omusawo ajja kukubuulira engeri y’okukubamu insulini, ddi lw’olina okugikuba n’obungi bw’olina okugikuba. Bw’oba weetaaga okukozesa insulini okufuga ssukaali, kikulu nnyo okugikozesa ddala nga omusawo bw’akugamba.
Ssukaali mu musaayi yandibadde atya?
Mu budde obutuufu, olina okusooka okukebera ssukaali mu musaayi gwo ku makya (nga tonnalya kintu kyonna) n’essaawa nga emu oluvannyuma lw’okulya buli mmere. Ng’ekyokulabirako, singa ozuukuka ku ssaawa 6:15 ez’oku makya n’okebera ssukaali mu musaayi. Bw’oba olya ekyenkya ku ssaawa 7 ez’oku makya, olina okuddamu okukebera ssukaali mu musaayi ku ssaawa nga 8 ez’oku makya Olina okuwandiika emiwendo gino nga ggwe n’omusawo wo bwe mugiteesezzaako.
Bino wammanga bye bipimo bya sukaali mu musaayi okutwalira awamu ebisemba ekitongole kya American College of Obstetricians and Gynecologists:
- Nga tonnalya: 95 `mg/dL` oba wansi (`mg/dL` kitegeeza miligiraamu buli desilita).
- Essaawa emu oluvannyuma lw’okulya: 140 mg/dL oba wansi.
- Oluvannyuma lw’essaawa bbiri ng’olya: 120 mg/dL oba wansi.
Naye jjukira nti buli muntu wa njawulo. Bino biragiro bya bulijjo byokka. Omusawo ajja kukubuulira ssukaali mu musaayi gw’alina okuba.
Bintu ki by’otolina kulya ng’olina obulwadde bwa sukaali mu lubuto?
Osobola okuyamba okuddukanya ssukaali ow’olubuto ng’olya emmere erimu ebiriisa etalinnyisa ssukaali mu musaayi mu ngeri ey’akabi. Gezaako ebintu bino:
- Kendeeza ku mmere erongooseddwa n’ebyokunywa ebirimu ssukaali nga bwe kisoboka.
- Londa emmere erimu ebirungo ebizimba omubiri, ebirungo ebizimba omubiri, ebiwuziwuzi n’amasavu ku buli mmere.
- Tolya nnyo omulundi gumu, lya mpolampola era emirundi mingi.
- Fuba okulya emmere mu kiseera kye kimu buli lunaku.
Abantu abamu abalina sukaali mu lubuto basobola okukuuma ssukaali mu musaayi nga bakola enkyukakyuka entonotono mu mmere gye balya. Naye abantu abamu beetaaga okukola enkyukakyuka ennene. Ekikulu kiri nti wadde emmere ezimu ziyinza obutaba na kinene kye zikola ku muwendo gwa sukaali mu musaayi gwabwe eri abantu abamu, eyinza obutaba na kinene ku ggwe. Jjukira nti buli muntu wa njawulo, era omubiri gwa buli muntu gwa njawulo.
Okunywa amazzi kikendeeza ku sukaali mu musaayi mu ssukaali ow’olubuto?
Mu kiseera ky’olubuto naddala ng’olina obulwadde bwa sukaali mu lubuto, omubiri gwo gwetaaga amazzi amangi (hydration). Kyokka tewali kunoonyereza kulaga nti okunywa amazzi gokka kikendeeza butereevu sukaali mu musaayi.
Wabula okusigala ng’olina amazzi mu mubiri kiyamba omubiri gwo okufuga ssukaali mu musaayi. Kigonza omusaayi gwo, kyanguyira ensigo zo okuggya ssukaali asusse mu musaayi gwo. Amazzi era gayamba omubiri gwo okukozesa obulungi insulini, era nga kino kiyamba okufuga ssukaali mu musaayi.
Okola otya dduyiro mu ngeri ey’obukuumi ng’olina ssukaali ow’olubuto?
Bw’okola dduyiro, omubiri gwo gukozesa glucose omungi ekiyinza okukendeeza ku sukaali mu musaayi. Bw’oba olina obulwadde bwa sukaali mu lubuto, yogerako n’omusawo akukole enteekateeka y’okukola dduyiro etali ya bulabe ekusaanira. Enteekateeka eno ey’okukola dduyiro erina okuba nga yeetongodde ku bulamu bwo okutwalira awamu n’omutindo gw’obulamu bwo nga tonnafuna lubuto.
Ssukaali ow’olubuto asobola okuwona ddala ng’oli lubuto?
Ssukaali ow’olubuto tasobola kudda mabega ng’amaze okukula. Omusawo ajja kukukebera ng’omaze okuzaala omwana wo (ebiseera ebisinga wakati wa wiiki 6 ne 12) alabe oba okyalina ssukaali.
Nsaana kweraliikirira ntya ku ssukaali ow’olubuto?
Ssukaali w’olubuto mbeera ya bulijjo. Era abasawo bamanyi engeri y’okugiddukanyaamu obulungi n’okugijjanjaba. Ne bw’oba olina obulwadde bwa sukaali mu lubuto, osobola okufuna olubuto olulamu n’omwana omulamu obulungi. Ekisinga obukulu kwe kutegeera enteekateeka yo ey’obujjanjabi n’okukolagana n’omusawo wo okukuuma ssukaali mu musaayi nga mulamu bulungi.
Tegeera ebizibu ebiyinza okubaawo singa Sukaali ow’olubuto tafugibwa. Waliwo emikisa mingi omwana wo okuzaalibwa nga mulamu bulungi, naye olina okukola emitendera okufuga embeera eno. Singa ssukaali mu musaayi abeera mungi buli kiseera, tolwawo kulaba musawo.Mugambe nti ssukaali mu musaayi akyali mungi, asobole okukuyamba ng’akyusa mu mmere oba eddagala. Ssukaali w’olubuto kintu ekiyinza okuddukanyizibwa, naye okyalina okutwala obuvunaanyizibwa ku lubuto lwo n’obulamu bw’omwana wo.
Ssukaali ow’olubuto anaatereera oluvannyuma lw’okufuna olubuto?
Bw’omala okuzaala omwana wo, ng’obusimu bwo budda mu mbeera eya bulijjo, ssukaali mu musaayi alina okukendeera. Omusawo ajja kuddamu okukukebera obulwadde bwa sukaali mu lubuto ng’omaze okuzaala omwana wo (ebiseera ebisinga wakati wa wiiki 6 ne 12) okukakasa nti agenze.
Wabula abantu nga 50% ababadde n’obulwadde bwa sukaali mu lubuto bajja kufuna sukaali ow’ekika eky’okubiri oluvannyuma. Obulabe buno osobola okubukendeeza ng’olya emmere ennungi n’okukola dduyiro buli kiseera. Omusawo ayinza okwagala okebere glucose mu musaayi buli luvannyuma lwa myaka mitono naddala ng’olina ebintu ebirala ebiyinza okulwala ssukaali.
Okubeera n’obulwadde bwa sukaali mu lubuto kifuula olubuto olw’akabi ennyo?
Yee, okubeera ne ssukaali ow’olubuto kiyinza okufuula olubuto lwo okuba olw’akabi ennyo. Omusawo atwala olubuto ng’olw’akabi ennyo ng’olina embeera z’obulamu ekyongera obulabe bw’ebizibu by’olubuto gy’oli oba omwana wo (oba byombi).
Omwana wange anaaba mulamu bulungi singa mba n’obulwadde bwa sukaali mu lubuto?
Yee. Abalongo abasinga bazaalibwa nga balamu bulungi. Waliwo ebintu by’osobola okukola okuwa omwana wo entandikwa ennungi mu bulamu n’okufuga sukaali w’olubuto ng’oli lubuto. Ebintu ebibiri ebisinga obulungi by’osobola okukola kwe kugenda mu malwaliro go gonna n’okufuga obulwadde bwa sukaali nga bw’osobola ng’oli lubuto.
Ssukaali ow’olubuto asobola okuziyizibwa?
Tekisoboka kukiziyiza ddala. Naye osobola okukola emitendera okukendeeza ku bulabe bwo. Okulya emmere ennungi, erimu ebiriisa n’okukola dduyiro buli kiseera , nga tonnafuna lubuto ne ng’oli lubuto, y’engeri ezisinga obulungi ez’okukendeeza ku bulabe bw’okufuna ssukaali ow’olubuto.
Kiki kye nnyinza okukola okusobola okwanguyiza okubeera ne ssukaali ow’olubuto?
Okuddukanya obulwadde bwa sukaali mufuule ekitundu ku mirimu gyo egya bulijjo. Tonda enteekateeka era oginywerere. Gezaako ebintu bino:
- Kebera glucose mu musaayi gwo mu kiseera kye kimu buli lunaku.
- Londa okukola dduyiro omutono okumala eddakiika 30 ennaku ssatu mu wiiki.
- Tegeka emmere entonotono era ennungi nga bukyali.
- Yogerako n’omusawo wo oba omusomesa wa ssukaali okufuna amagezi amalala ku ngeri y’okuddukanyaamu obulwadde bwa sukaali buli lunaku.
Ddi lwe nnina okulaba omusawo wange singa mba nnina obulwadde bwa sukaali mu lubuto?
Ne bw’oba weegendereza otya okuddukanya embeera yo, wayinza okubaawo ebiseera ng’olina okugenda ew’omusawo. Mazima ddala olina okulaba omusawo singa oba olina ``(Gestational Diabetes)`` era nga olina ekimu ku bino wammanga:
- Bw’oba olina obuzibu okufuga ssukaali mu musaayi. Kwe kugamba, singa ssukaali mu musaayi gwo abeera waggulu buli kiseera okusinga omusawo gw’akuwadde. Olwo ayinza okwagala okukyusa mu nteekateeka yo ey’okuddukanya obulwadde bwa sukaali.
- Singa ssukaali wo abeera mutono buli kiseera. Ssukaali omutono mu musaayi si kintu kirungi. Omusawo asobola okukuwa amagezi ku ngeri y’okukuuma ssukaali mu musaayi ng’ali ku mutindo omulamu.
- Bw’oba olina obulwadde obukaluubiriza okugoberera enteekateeka yo ey’okuddukanya emirimu. Okugeza singa oba olina obutwa mu mmere oba ng’osesema olw’ensonga endala. Obutasobola kulya kiyinza okukosa ssukaali mu musaayi.
Osobola okufuna ssukaali ow’olubuto ne bw’oba olya bulungi?
Yee. Ne bw’olya obulungi nga tonnafuna lubuto oba ng’oli lubuto, osobola okulwala ssukaali ow’olubuto. Waliwo ebintu ebirala bingi ebikosa obulabe bw’okufuna ssukaali. Ebintu ng’obusimu n’obuzaale bikola kinene era ebyo bye bintu by’otosobola kufuga.
Wabula bw’oba olina obulwadde bwa sukaali mu lubuto, okulya emmere ennungi era erimu ebiriisa y’engeri esinga okuddukanya embeera eno mu lubuto lwo lwonna.
Omusawo wo yaakakugamba nti okukebera glucose kwo kwalemererwa era olina ssukaali ow’olubuto. Oboolyawo weebuuza ebintu obukadde. ‘Kino kintu kye nnakola? Nnaaba nnina okusiba engalo mu kamwa ebbanga lyonna nga ndi lubuto? Omwana wange anaaba mulamu bulungi?’. Kya bulijjo okuba n'ebibuuzo bino (n'ebirala). Ekirungi abasawo bamanyi bulungi obulwadde bwa sukaali mu lubuto era bamanyi engeri y’okukuyamba okubuddukanya.
Abantu abasinga basobola okufuga sukaali waabwe ow’olubuto nga bakola enkyukakyuka entonotono mu mmere gye balya. Omukugu mu by’emmere oba omusomesa wa ssukaali asobola okukuyamba ku kino. Kyokka abantu abamu beetaaga ‘insulin’ okusobola okufuga ssukaali mu musaayi. Emirundi egisinga, ssukaali ow’olubuto afugibwa obulungi tajja kubaako kinene kye kikola ku lubuto lwo. Wabula olina okukola ennyo mu kuddukanya embeera yo okulaba ng’olubuto lwo n’omwana wo biba bulungi.
Obubaka Obusembayo Okutwala Awaka
Okay, kale okusinziira ku bye twogeddeko, nsuubira nti ofunye ekirowoozo ekirungi ku `(Gestational Diabetes)`. Tekyetaagisa kweraliikirira. Kino kintu ekituuka ku bamaama bangi. Ekisinga obukulu kiri nti:
- Wuliriza bulungi omusawo by’ayogera era obigoberere ddala. Kebera buli kiseera ssukaali mu musaayi gwo, fuga emmere yo, era mira eddagala lyo obulungi bwe kiba kyetaagisa.
- Lya emmere ennungi. Goberera amagezi g’omukugu mu by’endya. Kendeeza ku mmere enwoomu n’amafuta nga bwe kisoboka.
- Dduyiro nga bwe kisoboka.Twala amagezi g’omusawo wo olonde dduyiro akusaanira.
- Tosubwa nnaku zo eza clinic. Genda mu bigezo byonna buli kiseera.
- Bw’oba olina ekibuuzo kyonna oba ekikweraliikiriza, yogerako n’omusawo wo oba omuntu w’omu maka go. Tofaayo wekka.
Ebintu bino bw’obikola obulungi, naawe ojja kufuna omwana omulamu obulungi era omulungi. Tobuusabuusa kwonna ku nsonga eyo. Tuyozaayoza nnyo!
` Ssukaali ow'olubuto, Sukaali ow'olubuto, Ssukaali ng'oli lubuto, Maama ow'olubuto, Okufuga ssukaali, Obulamu bw'omwana, Ssukaali mu musaayi











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