Oli mweraliikirivu nti muwala wo oba mutabani wo alaga obubonero bw’okukula ng’olunaku lw’okuzaala terunnatuuka? Okugeza okukula kw’amabeere nga tannaweza myaka 8 mu muwala, oba okuzimba eddoboozi nga tannaweza myaka 9 mu mulenzi. Kino mu by'obujjanjabi kimanyiddwa nga ``Central Precocious Puberty''. Tofaayo, waliwo obujjanjabi obulungi obuyinza okuyamba okufuga embeera eno. Mu kitundu kino, tugenda kwogera ku kintu eky’enjawulo ekiteekebwa wansi w’olususu ne kikozesebwa ng’obujjanjabi obw’engeri eyo.
Kino Histrelin implant (Supprelin LA) kye ki?
Mu ngeri ennyangu, ye ttanka entono era ennyogovu erimu eddagala eriyitibwa Histrelin . Ekintu kino ekiteekebwa mu mubiri omusawo akiteeka wansi w’olususu lw’omukono gw’omwana ogwa waggulu mu ngeri ennyangu ennyo.
Kati ka tulabe engeri kino gye kikola. Obuvubuka bw’omwana wo bufugibwa obusimu obw’enjawulo obufulumizibwa obwongo. Kiyitibwa `(Gonadotropin-Releasing Hormone)` oba `(GnRH)`. Eddagala lino eriyitibwa Histrelin likola mu ngeri y’emu n’obusimu obwo obwa `(GnRH)`. Ekintu kino ekissiddwa mu mubiri bwe kiyingira mu mubiri, kifulumya eddagala lya Histrelin. Olw’ensonga eno, enkola y’obusimu efuga obuvubuka mu mubiri eyimirizibwa okumala akaseera. Kiba ng’okunyiga bbaatuuni ya ‘pause’ okuyimiriza ekintu okumala akaseera. Olw’ensonga eno, enkola y’okukula nga tannatuuka mu mubiri gw’omwana efugibwa.
Ebintu by’olina okubuulira omusawo nga tonnatandika bujjanjabi
Nga tonnatandika bujjanjabi buno eri omwana wo, kikulu nnyo okukubaganya ebirowoozo n’omusawo ebikwata ku bulamu bw’omwana wo n’ab’omu maka go. Amawulire gano gajja kuyamba okuzuula engeri obujjanjabi buno gye busaanidde omwana wo.
| Embeera gy’olina okweraliikirira | Lwaki wandibadde otegeeza omusawo? |
|---|---|
| Ekirwadde ekya sukaali | Kubanga eddagala lino liyinza okukosa ssukaali mu musaayi. |
| Obulwadde bw’obwongo | Eddagala lino oluusi liyinza okukosa embeera z’obwongo. |
| Obulwadde bw’okusannyalala / Okukonziba | Okukebera enkolagana esoboka wakati w’eddagala n’embeera y’obujjanjabi. |
| Ebirowoozo oba okugezaako okwetta (mu maka oba omwana) . | Eddagala lino liyinza okuleeta enkyukakyuka mu muudu, n’olwekyo beera mwegendereza naddala. |
| Obulwadde bwa alergy | Bw’oba olina allergy ku Histrelin, eddagala eddala, emmere, langi oba ebikuuma. |
| Okubeera olubuto oba okuyonsa | Wadde nga buno bujjanjabi bwa baana, kikulu omusawo okumanya ebyafaayo by’obujjanjabi mu bujjuvu. |
Nkozesa ntya ekintu kino ekisimbibwa mu mubiri?
Kino si kintu ky’osobola okukikola awaka. Eno nkola nnyangu ekolebwa omusawo mu ddwaaliro oba mu ddwaaliro .
- Okusimbibwa: Kino kiteekebwa wansi w’olususu lw’omukono gw’omwana ogwa waggulu, omusawo alongoosa. Kino si kulongoosa kwa maanyi, n’olwekyo omwana tajja kuwulira bulumi bungi.
- Oluvannyuma lw’okulabirira: Oluvannyuma lw’okuteeka ekintu ekisimbibwa, ekitundu kisaana okukuumibwa nga kiyonjo era nga kikalu okumala essaawa 24 . Ate era weewale okusitula ebintu ebizito oba okukola dduyiro ow’amaanyi okumala wiiki emu .
- Pulasita: Ebikuta by’okulongoosa (nga pulasita) ebisiigibwa mu kifo we baasimbibwa bijja kugwa ku bwabyo mu nnaku ntono. Togezaako kuziggyawo mu ngeri ey’amaanyi.
- Ebbanga: Ekintu kino ekiteekebwa mu mubiri kitera okumala emyezi 12 . Oluvannyuma lw’omwaka mulamba, omusawo ajja kuggyayo enkadde n’ayingizaamu empya singa kiba kyetaagisa obujjanjabi.
Jjukira nti kino kiyinza okuweebwa abaana abato nga ba myaka 2, olw’ensonga ez’enjawulo ez’obujjanjabi. Naye ekyo kyonna kiri eri omusawo wo okusalawo.
Ebintu by’olina okulowoozaako ng’ojjanjabwa
- Enkyukakyuka mu wiiki ezisooka: Mu wiiki ezisooka ez’obujjanjabi, obubonero bw’okukula buyinza okweyongera katono.Ekyo kitegeeza ebintu ng’ekifuba ekinene katono n’okukyusa eddoboozi. Tokyeraliikirira. Kya bulijjo. Oluvannyuma lw’ennaku ntono, obubonero obwo bujja kukendeera era embeera ejja kutandika okufugibwa. Singa obubonero buno tebukendeera oluvannyuma lwa wiiki ntono, yogerako n’omusawo wo.
- Okuseerera kw’ekintu ekisimbibwa: Tekitera nnyo, ekintu ekisimbibwa kiyinza okuva mu kifo we bayingidde. Oyinza okukiraba, oba kiyinza okuvaayo nga tokitegedde na. Bw’oba olowooza nti ekintu ky’ossaamu kivuddeyo, kuba essimu y’omusawo amangu ago.
- Ssukaali mu musaayi: Eddagala lino liyinza okwongera ku ssukaali mu musaayi. Omwana wo bw’aba alina ssukaali, buuza omusawo oba yeetaaga okukola enkyukakyuka yonna mu mmere ye oba eddagala lya sukaali.
Biki ebiyinza okuvaamu?
Okufaananako n’eddagala lyonna, lino liyinza okuvaako ebizibu. Kyokka si buli muntu nti azifuna. Weegendereze obubonero buno wammanga.
| Okugabanya ebizibu ebivaamu | |
|---|---|
| 🚨 Ebintu by'olina okuloopa ew'omusawo mu bwangu | |
| Obulwadde bwa alergy | Okusiiyibwa ku lususu, okusiiwa, okuzimba mu maaso, emimwa oba olulimi. |
| Omutwe ogw’amaanyi | Obulumi bw’omutwe obusinga ku mutwe ogwa bulijjo, ogutagumiikiriza. |
| Enkyukakyuka mu birowoozo | Okwennyamira, okwennyamira, ebirowoozo by’okwetta, oba enkyukakyuka endala ezitali za bulijjo mu birowoozo. |
| Okukonziba | Okukonziba okw’amangu. |
| Okusesema, okulaba okukyuka | Okusesema okutambula obutasalako oba okulaba obubi. |
| Obulumi mu kifo we baasimbye | Obulumi obw’amaanyi oba okuzimba okusukka ku mutindo ogwa bulijjo. |
| Obubonero bwa sukaali omungi mu musaayi | Ennyonta esusse, okufulumya omusulo ennyo, enjala esukkiridde, obukoowu obuyitiridde. |
| 🙂 Ebiseera ebisinga si bya maanyi (naye bwekisigala, buulira omusawo wo ) | |
| Enkyukakyuka entonotono mu kifo we baasimbira | Okumyuka, okusiiwa okutono oba obutabeera bulungi mu kitundu. |
Wayinza okubaawo obuzibu ku ddagala eddala?
Yee, eddagala erimu liyinza okukwatagana ne Histrelin. N’olwekyo, kikulu nnyo okutegeeza omusawo wo ku ddagala lyonna, vitamiini, eddagala ly’ebimera, n’ebirungo ebiyamba omwana wo by’amira. Naddala bino wammanga:
- Obusimu bw’abakyala (empeke eziziyiza okuzaala, ebipande n’ebirala) .
- Obusimu bw’abasajja (nga testosterone) .
- Eddagala eriwonya obulwadde bw’obwongo
- Ebirungo ebiyamba omubiri ebirimu obusimu nga DHEA
Okuva bwe kiri nti eno mpiso eweebwa omusawo, tewali mukisa gwa kuginywa nnyo. Wabula bw’oba oteebereza nti waliwo ekibaddewo, kuba ku ssimu mangu ekitongole kya National Poisons Information Center mu ddwaaliro lya Colombo National Hospital , oba genda mu kitongole ekijjanjaba abalwadde ab’amangu (ETU) mu ddwaaliro erikuli okumpi.
Obubaka Obutwala Awaka
- Empiso ya histrelin bujjanjabi bulungi mu kufuga obuvubuka obusookerwako mu makkati mu baana.
- Kano katono akasimbibwa wansi w’olususu era kamala emyezi 12.
- Nga tonnatandika bujjanjabi, buulira omusawo ebikwata ku bulamu bw’omwana wo byonna n’eddagala ly’akozesa.
- Kya bulijjo obubonero bw’obuvubuka okweyongera okumala akaseera mu wiiki ezisooka ng’ofunye obujjanjabi, n’olwekyo tokyeraliikirira.
- Bw’ofuna ebizibu byonna eby’amaanyi ng’okulumwa omutwe ennyo, enkyukakyuka mu birowoozo oba okukonziba, funa amagezi mu bwangu omusawo.
- Kikulu nnyo okulaba omusawo mu kiseera ekigere n’okukebera embeera y’omwana.
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