Watya singa ekibegabega kyo kikutte ng’ozaala? Ka twogere ku McRoberts Maneuver!

Ku maama agenda okuzaala, okuzaala kiba kiseera kya ssuubi ddene n’okutya okutono. Buli omu alina essuubi nti buli kimu kijja kutambula bulungi era bajja kusobola okukwata omwana omulamu mu ngalo. Ebiseera ebisinga buli kimu kitambula nga bwe kyali kitegekeddwa, naye oluusi embeera entonotono ez’amangu ziyinza okubaawo. Naye teweeraliikiriranga, abasawo ne ba nurse abagenda okukulabirira n’omwana wo batendekeddwa era beetegese okukola bino byonna. Leero tugenda kwogera ku nkola ey’enjawulo ekozesebwa mu mbeera ng’eno.

Ddala McRoberts Maneuver kye ki?

Mu ngeri ennyangu, McRoberts Maneuver bukodyo bwa njawulo obukozesebwa ng’azaala okusumulula ekibegabega ky’omwana oba ebibegabega byombi nga bikwatiddwa mu kisambi kya maama. Teebereza nti newankubadde omutwe gw’omwana guva mu bukyala, omubiri gwonna gulwawo. Ekyo kiri bwe kityo kubanga ekibegabega ky’omwana kisibye.

Mu kiseera kino omusawo oba omuzaalisa ajja kufukamira amagulu ku maviivi n’aganyiga nnyo ku lubuto. Entambula eno ejja kukyusa katono ekifo eggumba lyo ery’omu kifuba, kyanguyire omwana okuva mu kifo we yasibira. Wadde kino kikolwa kyangu okuva ebweru, kijja kuyamba omwana okuva munda.

‘Okukaluba kw’ebibegabega’ kitegeeza ki? Ekyo kitegeeza Shoulder Dystocia?

Yee, ekyo kituufu. Mu ngeri y’obusawo, kino tukiyita Shoulder Dystocia . Mu kuzaala okwa bulijjo, omutwe gw’omwana bwe gumala okuvaayo, ebibegabega bifuluma mangu. Naye oluusi ekibegabega kimu oba byombi bisobola okusibira emabega w’ekitundu ekiyitibwa pubic symphysis , amagumba abiri ag’omu maaso ag’ekisambi kya maama we gasisinkanira.

Eno eyinza okuba embeera ey’amaanyi. Olw’okuba omubiri gw’omwana gulwawo okuvaayo, omwana ayinza okuggyibwako omukka gwa oxygen. Naye ekikulu kiri nti emirundi egisinga, omwana asobola okutaasibwa awatali bulabe bwonna olw’abasawo okukola amangu. Enkola ya McRoberts maneuver y’enkola esoose era esinga okukola obulungi okukozesebwa mu mbeera ng’eyo.

Omusawo ajja kuzuula obulwadde bwa Shoulder Dystocia nga:

• Singa omutwe gw’omwana guba guvudde mu bukyala, naye ng’omubiri gwonna teguvuddeyo oluvannyuma lw’eddakiika nga emu.
• Singa omutwe gw’omwana gulabika nga guvaayo n’oluvannyuma n’edda mu katono (kino kiyitibwa ‘akabonero k’enkwale’).

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Ani asinga okubeera mu bulabe olw’ensonga eno?

Wadde nga kizibu okuzuula ekituufu ekivaako obulwadde bwa Shoulder Dystocia, abantu abamu bali mu bulabe bwa maanyi katono obw’okubufuna. Wabula kijjukire nti embeera eno esobola okubaawo ne mu bantu abatalina bintu bino eby’akabi. Era si buli muntu alina ensonga zino ez’akabi nti ajja kukifuna.

McRoberts Maneuver ewangudde etya?

Enkola eno ekola bulungi nnyo. McRoberts maneuver bw’ekolebwa yokka, eba n’obuwanguzi bwa bitundu nga 42% .

Naye waliwo enkola endala ekozesebwa nga ekwataganye ne kino. Kiyitibwa Puleesa ya Suprapubic . Kino kitegeeza nti omusawo oba nnansi asika puleesa n’engalo, wansi ddala w’olubuto lwo, waggulu ddala w’eggumba lyo ery’omu kifuba. Puleesa eno ekozesebwa okusika ekibegabega ky’omwana ekisibye ne kisumulula.

Ekikulu kiri nti McRoberts Maneuver ne Suprapubic Pressure byombi bwe bikozesebwa wamu, .Omuwendo gw'obuwanguzi gutuuka ku bitundu 90%! Kino kiraga engeri enkola eno gy’eri ey’omugaso.

Kiki ekibaawo ng’okola kino?

1. Okuzuula: Okusooka, omusawo akakasa nti eno mbeera eyitibwa Shoulder Dystocia.

2. Okutereeza embeera: Ebiseera ebisinga abantu babiri (abasawo, ba nurse) bajja kufukamira amagulu go ku maviivi ne baganyiga okumpi n’olubuto nga bwe kisoboka. Mu kiseera kino oyinza okuwulira nga tolina mirembe katono, naye kino kikolebwa okutaasa omwana, n’olwekyo mugumiikiriza.

3. Okusiiga puleesa (bwe kiba kyetaagisa): Mu kiseera kye kimu, omuntu omulala assa puleesa ey’okungulu (suprapubic pressure) ku lubuto okuva waggulu.

4. Okuzaala omwana: Enkola eno eyongera ekifo munda mu kifuba, esumulula ekibegabega ekisibye, n’okusobozesa omubiri gw’omwana ogusigaddewo okufuluma nga guyita mu bukyala.

Birungi ki ebiri mu nkola eno?

McRoberts Maneuver erina ebirungi ebikulu ebiwerako:

• Okusobola okuzaala mu ngeri eya bulijjo: Kino kikendeeza ku bwetaavu bw’okulongoosebwa mu bwangu (C-section) .
• Okukendeeza ku bulabe obuyinza okutuuka ku mwana: Okukuba ebibegabega kikendeeza nnyo ku bulabe bw’ebizibu eby’amaanyi ng’okumenya amagumba mu mukono gw’omwana, okwonooneka kw’obusimu oba obutaba na mukka gwa oxygen (okusannyalala) .
• Okukendeeza ku bulabe bw’obulabe eri maama: Obulabe bw’okwetaaga okusala episiotomy (okutema wakati w’obukyala n’obukyala) bukendeera.
• Nnyangu era ya mangu: Eno nkola nnyangu nnyo esobola okukolebwa mu bwangu, nga tewali kyuma kyonna.

Kino kisobola okuleeta ebizibu?

Enkola eno bw’ekolebwa mu butuufu, ebizibu ebivaamu tebitera kubaawo. Etteeka erisinga obukulu kwe butasika ku mutwe gwa mwana. Bw’okola bw’otyo kiyinza okwonoona ensingo oba omugongo gw’omwana. Ttiimu y’abasawo abakugu kino ekimanyi bulungi.

Tekitera nnyo, maama ayinza okufuna okuzibikira amagumba g’ekisambi we gasisinkanira oba obulwadde bw’obusimu obw’ekiseera mu magulu. Kyokka bino tebitera kubaawo nnyo.

Oluvannyuma lw’okukola McRoberts Maneuver ennungi, omwana wo azaalibwa nga mulamu bulungi era nga mu butonde ayita mu bukyala. Olwo omusawo ajja kukebera omwana n’obwegendereza okukakasa nti tewali kwonooneka ku kibegabega oba omukono. Ebiseera ebisinga buli kimu kitambula bulungi.