Omwana wo alina ‘Horseshoe Kidney’? Ka twogere ku mbeera eno etali ya bulijjo

Kyewunyisa engeri ebitundu by'omwana gye bikulamu munda mu lubuto lwa maama, si bwe kiri? Mu nkola eno enzibu, enkyukakyuka entonotono oluusi zisobola okubaawo. ‘Horseshoe Kidney’ y’emu ku mbeera ng’ezo ezitatera kubaawo ezibeerawo ng’azaalibwa. Oyinza okuwulira ng’otya katono ng’owulira erinnya lino. Naye teweeraliikiriranga, tujja kwogera ku buli kimu mu ngeri ennyangu era mu ngeri entegeerekeka.

Mu ngeri ennyangu, eno Horseshoe Kidney kye ki?

Kino kyangu nnyo. Mu budde obwabulijjo, tulina ensigo bbiri mu mubiri gwaffe. Zisangibwa waggulu ddala w’ekiwato, ku buli ludda lw’omugongo. Naye mu mbeera eyitibwa ‘Horseshoe Kidney’, enkomerero eza wansi ez’ensigo zino zombi zeegatta wamu ng’omwana akula mu lubuto, ne zikola ekifaananyi kya ‘U’, oba embalaasi. Kino mu by'obujjanjabi kiyitibwa Renal Fusion . Kino kitera okubaawo wakati wa wiiki ey’omusanvu n’ey’omwenda ng’oli lubuto.

Embeera eno si ya bulijjo nnyo. Bukwata abaana nga 1 ku buli 500 abazaalibwa. Era kisingako katono mu balenzi okusinga abawala. Ekisinga obulungi nti abaana abasinga abalina embeera eno tebafuna buzibu bwa bulamu bwa maanyi.

Kyokka, abaana nga kimu kya kusatu abalina ekibumba eky’ekika kino bayinza okufuna ebizibu ebirala ku mutima, emisuwa, obusimu, enkola y’omusulo, enkola y’okugaaya emmere oba mu magumba. Wadde nga tewali ddagala lya Horseshoe Kidney, omusawo wo asobola okujjanjaba ebizibu ebirala ebikwatagana nabyo n’okuyamba omwana wo okubeera n’obulamu obulungi.

Bubonero ki obulaga embeera eno?

Ekyewuunyisa, abaana nga kimu kya kusatu tebafuna bubonero bwonna. Kyokka abaana abamu bayinza okufuna ebizibu ebimu. Omulongooti guno wammanga gulaga ebimu ku bizibu ebisinga okubeerawo n’obubonero bwabyo.

Ebizibu ebirala eby’obulamu ebiyinza okuva ku Horseshoe Kidney

Ng’oggyeeko ebintu ebyogeddwako waggulu, waliwo akabi k’okufuna ebizibu ebirala ebiwerako eby’obulamu.

• Ekizimba kya Wilms: Ekizimba kya kookolo ekiyinza okubeera mu nsigo z’abaana abato.
• Obulwadde bw’ekibumba obuyitibwa Polycystic kidney disease: Okutondebwa kw’ebizimba bingi ebitali bya kookolo mu nsigo.
• Kookolo w’ekibumba: Waliwo akabi akayinza okuva mu kino okubaawo mu bukulu.
• Hydrocephalus: Okukuŋŋaanyizibwa kw’amazzi mu bwongo.
• Spina bifida: Embeera ng’ekitundu ky’omugongo tekikula bulungi.

Lwaki kino kigenda mu maaso? Ensonga eri etya?

Ekituufu ekivaako kino tekinnamanyika, wabula abakugu mu by’obujjanjabi balowooza nti kiyinza okuba nga kiva ku buzibu obuli mu buzaale bw’omwana.

Abaana abalina embeera z’obuzaale zino wammanga naddala bali mu bulabe bw’okulwala Horseshoe Kidney.

• Obulwadde bwa Turner syndrome: Embeera eno ekwata abawala bokka era ereeta obuwanvu obumpi n’okufuna obuzibu mu nkwaso.
• Edwards syndrome: Era emanyiddwa nga ``Trisomy 18'', embeera eno ereeta okukula okulemererwa, okuzaalibwa omugejjo omutono, n'ebizibu by'obulamu eby'amaanyi ebiwerako mu lubuto.
• Down syndrome: Era emanyiddwa nga ``Trisomy 21'', kino kiva ku chromosome ey'enjawulo ereeta okulwawo mu magezi n'enkula, wamu n'ebizibu ebirala eby'obulamu.
• Obulwadde bwa Patau syndrome: Kino kiyitibwa `(Trisomy 13)` era kireeta obuzibu ng'emimwa n'ennyindo okukutuka, n'okunafuwa kw'ebinywa.

Omusawo akizuula atya kino? Obujjanjabi bwe buliwa?

Embeera eno tetera kuzuulibwa nga bayita mu sikaani nga tebannaba kuzaala. Okuva obubonero bw’embeera eno bwe bufaananako n’obw’endwadde endala, kikulu okugenda ew’omusawo akuzuule bulungi.

Omusawo ajja kukubuuza ku bubonero bw’omwana wo n’ebyafaayo by’obulamu bwe, akebere omwana wo, n’oluvannyuma akole ebigezo ebiwerako okukakasa embeera yennyini, gamba nga:

• Okukebera omusaayi: Kebera engeri ensigo zo gye zikolamu.
• Okukebera omusulo: Kebera oba waliwo yinfekisoni oba obuzibu obulala.
• Kidney ultrasound: Ekozesa amaloboozi okukuba ekifaananyi ky’ensigo okukebera oba waliwo amayinja, ebizimba oba kookolo.
• Okukebera okw’enjawulo okwa X-ray: Okukebera nga `(Intravenous pyelogram - IVP)` oba `(Voiding cystourethrogram - VCUG)` kukebera engeri omusulo gye gukulukuta munda mu mubiri.
• Radionuclide scan: Dozi entono ennyo ey’ekirungo ekikola amasannyalaze eweebwa okuzuula ebitundu ebirimu obuzibu.
• MRI oba CT scan: Bino bikozesebwa okufuna ebifaananyi ebitegeerekeka obulungi.

Bwe kituuka ku bujjanjabi, Ekibumba ky’Embalaasi tesobola kukyusibwa. Ensigo bwe zimala okuyungibwa wamu, zisigala bwe zityo. Kyokka ebizibu ebivaamu bisobola okujjanjabibwa obulungi. Okugeza, eddagala eritta obuwuka liyinza okuweebwa omuntu alina obulwadde bw’omusulo, ate amayinja mu kibumba asobola okulongoosebwa.

Ebintu ebirala by’osaanidde okumanya ng’omuzadde

Ensigo zino zisangibwa wansi katono ne mu maaso g’omubiri okusinga ku za bulijjo. N’olwekyo, batera okulumwa mu kabenje oba okugwa. N’olwekyo, kakasa nti oyogera n’omusawo wo ku mizannyo gy’okukwatagana. Kikulu nnyo okubuuza omwana wo emirimu ki egitalina bulabe gy’ayinza okukola.

Era kirungi omwana wo ayambadde akakomo akalaga obusawo.Mu mbeera ey’amangu, kijja kuyamba abo abajjanjaba omwana okumanya embeera eno amangu n’okubawa obujjanjabi obutuufu.