Bw’otunuulira ekitabo ky’obulwadde bw’omwana wo omuto (CHDR), waliwo olupapula oluwandiikiddwa ennaku z’okugema, nedda? Nga maama oba taata, kyabulijjo okuwulira ng’otya katono n’ennaku ng’owa omwana empiso. Naye bw’olowooza ku ndwadde ez’amaanyi eddagala lino bwe likuuma omwana, okutya okwo kuggwaawo. Just like that, MMR vaccine ddagala ddene nnyo erikuuma abaana okuva ku ndwadde ssatu ez’amaanyi. Kino ka twogere mu ngeri entegeerekeka era ennyangu leero.
Ddala eddagala erigema MMR kye ki?
Mu ngeri ennyangu, MMR ddagala ssatu eriweweeza ku kugema. Empiso emu ekukuuma ggwe n’omwana wo obutakwatibwa buwuka busatu obw’obulabe. Bino bye bino:
- Omusujja gw’ensiri: Buno bulwadde busiigibwa nnyo, bwa maanyi. Butandika n’omusujja, okusesema, n’okusiiyibwa okumyufu, naye oluusi kiyinza okuvaako ekifuba, obulwadde bw’obwongo , okuziba amaaso, n’okufa.
- Mumps: Kino okusinga kivaako okuzimba enseke z’amalusu. Wabula oluusi ebizibu ng’okubulwa okuwulira (okubulwa okuwulira), okuzimba ensigo (mu balenzi), n’okuzimba omutwe (meningitis).
- Rubella: Wadde nga buno butera kuba bulwadde butono, buyinza okuba obw’obulabe ennyo singa maama ali olubuto abufuna. Omwana ali mu lubuto asobola okuzaalibwa ng’alina obulemu ku mutima, obutalaba bulungi, mu kuwulira, n’obuzibu mu nkula y’obwongo.
Kale eddagala lino erigema kye likola kwe kutendeka abaserikale b’omubiri gwaffe okulwanyisa endwadde ez’obulabe essatu ze wayogeddeko.
Amawanga agamu gawa eddagala erigema eriyitibwa MMRV, ng’oggyeeko lino essatu, lirimu n’eddagala erigema obulwadde bw’enkoko (Varicella/Chickenpox).
MMR ddagala lya ‘live’? Kiyinza okuleeta endwadde?
Yee, eddagala erigema MMR ddagala lya live attenuated. Tofaayo! Newankubadde nga kigamba nti "live," akawuka kano kanafuye mu laboratory. Kale, omuntu alina abaserikale b’omubiri abalamu tajja kufuna bulwadde bwa nnamaddala okuva mu ddagala lino erigema.
Kilowoozeeko bw’otyo. Abaserikale baffe ab’omubiri balinga eggye erikuuma eggwanga. Eddagala lino erigema kye likola kwe kuwa eggye lyaffe (immune system) workout ennungi nga ligalaga enkyusa enafuye ey’omulabe omutuufu nga omulabe omutuufu tannajja. Kale, singa olunaku lumu akawuka k’omusujja gw’ensiri, omusujja gw’ensiri oba akawuka ka rubella akatuufu kayingira mu mubiri, abaserikale baffe abaserikale b’omubiri bajja kukitegeera amangu ddala nga bakirabye, balulwane, era batukuume.
Enteekateeka y’okugema MMR mu Sri Lanka
Okusinziira ku kitongole kya National Immunization Program mu Sri Lanka, eno y’engeri eddagala lino gye liweebwamu. Kino kyawukana katono ku mawanga agamu.
| Emyaaka | Eddagala erigema | Okunnyonnyola |
|---|---|---|
| Ku myezi 9 | Eddagala erigema MR (dose esooka) . | Kino kikolebwa okukuuma omusujja gw’ensiri ne rubella. |
| Ku myaka 3 egy’obukulu | Eddagala erigema MMR (ddoozi eyookubiri) . | Kino kiwa obukuumi ku ndwadde zonsatule: omusujja gw’ensiri, omusujja gw’ensiri, ne rubella. |
Ekisinga obukulu kwe kugenda mu ddwaaliro mu budde okusinziira ku nnaku ezoogerwako mu likoda y’eddwaliro ly’omwana wo (CHDR). Bw’oba mu ngeri emu oba endala osubiddwa olunaku, tosattira. Yogerako n’omuzaalisa oba omusawo wo mu bwangu era obuuze ekiddako.
Abantu abakulu nabo beetaaga eddagala erigema MMR?
Oyinza okuba ng'olowooza nti, "Kino kya baana bato, lwaki nze?" Naye oluusi abasawo bagamba nti abantu abakulu nabo bafune eddagala lino. Okusingira ddala:
- Bw’oba okola mu by’obulamu: Oli mu bulabe bwa maanyi kubanga otera okukwatagana n’abalwadde.
- Bw’oba oteekateeka okugenda ebweru w’eggwanga: Amawanga agamu gayinza okuba n’obulwadde bw’omusujja gw’ensiri. Kiba kya magezi okwekuuma nga tonnagenda.
- Bw’oba oli mukyala asuubira omwana: Kikulu nnyo okukebera oba tonnafuna lubuto. Ekirala, omusawo ayinza okukuwa amagezi okugema eddagala lya MMR waakiri omwezi gumu nga tonnafuna lubuto .
- Bw’oba tokakasa oba nga wali ofunye eddagala lya MMR: Oyinza okuba nga wasubwa eddagala lino ng’okyali mwana muto. Mu mbeera ng’eyo, yogerako n’omusawo akuwe amagezi.
Ani atalina kugema ddagala lya MMR?
Eddagala lino erigema terisaanira buli muntu. Eddagala erigema MMR teriweebwa mu mbeera zino wammanga:
- Abantu abalina abaserikale b’omubiri abanafu ennyo: Kino tekisaanira bantu abalina akawuka ka siriimu, kookolo, oba abo abamira eddagala eriweweeza ku busimu bw’omubiri.
- Abakyala ab’embuto oba abanaatera okufuna embuto: Eddagala lino teriweebwa nga bali lubuto. Era kirungi okwewala okufuna olubuto okumala waakiri omwezi gumu ng’omaze okufuna eddagala lino.
- Abantu abalina alergy ey’amaanyi ku kintu kyonna ekiri mu ddagala erigema: Okugeza, bw’oba olina alergy ey’amaanyi eri eddagala eritta obuwuka erya Neomycin oba gelatin, olina okutegeeza omusawo wo.
Bw’oba olina ky’obuusabuusa ku nsonga eno, nsaba oyogere n’omusawo wo. Tosalawo ku bubwo.
Biki ebiva mu kugema?
Nga bwe kiri ku ddagala lyonna, eddagala erigema MMR liyinza okuleeta ebizibu ebimu ebitonotono. Kyokka bino ebisinga si bya maanyi era bigonjoolwa ku bwabyo mu nnaku ntono.
| Ekika ky’ebizibu ebivaako | Obubonero obuyinza okuvaamu |
|---|---|
| Ebizibu ebitonotono ebitera okuvaamu |
|
| Ebizibu eby’amaanyi ebitali bimu nnyo |
Omwana wo bw’alaga obubonero bw’okulwala alergy ey’amaanyi oluvannyuma lw’okugemebwa, gamba ng’okuzimba mu maaso, emimwa, okukaluubirirwa okussa, oba okusiiyibwa mu mubiri gwonna, mutwale mangu mu kitongole ky’abalwadde ab’amangu (ETU) mu ddwaaliro erikuli okumpi.** Wadde nga bino tebitera kubaawo nnyo, kikulu okukimanya.
Eddagala erigema MMR likola litya? Kiwa obukuumi okumala bbanga ki?
Dozi zombi ez’okugema MMR bwe ziggwa, obukuumi ku musujja gw’ensiri ne rubella busukka ebitundu 97%.Obukuumi ku mumps buli nga 88%. Guno muwendo gwa buwanguzi gwa waggulu nnyo.
Ku bantu abasinga obungi, obukuumi obuweebwa eddagala erigema MMR buwangaala obulamu bwabwe bwonna .
Abantu abatono ennyo, ne bwe baba bagemeddwa mu bujjuvu, bakyasobola okufuna obulwadde buno. Naye kumpi bulijjo kiba kigonvu nnyo. Era emikisa gy’okusaasaanya obulwadde buno mu balala mitono nnyo.
Eddagala erigema likola nnyo ne twerabira akabi akali mu ndwadde ze liziyiza. Tetusobola na kulowooza ku baana bameka abatawaanyizibwa n’okufa omusujja gw’ensiri n’enkwaso emyaka 50-60 egiyise. Naye leero, olw’okugema kwa MMR, tetutera kulaba mbeera ezo ez’entiisa. Ago ge maanyi g'okuziyiza. Eno y’ensonga lwaki abasawo bateesa ku ddagala lya MMR eri buli muntu asobola okulifuna awatali bulabe.
Obubaka Obutwala Awaka
- Eddagala lya MMR likuuma omwana wo okuva ku ndwadde ssatu ez’obulabe: omusujja gw’ensiri, omusujja gw’ensiri, ne rubella.
- Okusinziira ku nteekateeka y’eggwanga mu Sri Lanka, eddagala lya MR liweebwa ku myezi 9 ate eddagala lya MMR liweebwa ku myaka 3. Kikulu nnyo okugenda mu ddwaaliro ku lunaku oluteekeddwawo n’ogemebwa.
- Wadde nga lino ddagala erigema eririmu akawuka akalamu akanafuye, terireetera muntu mulamu kufuna bulwadde buno. Kitendeka abaserikale b’omubiri bokka.
- Ebizibu ebitonotono (omusujja, okuzimba) biyinza okubaawo, naye ebiseera ebisinga tebiba bya maanyi. Bw’ofuna obubonero obw’amaanyi obw’okulwala alergy, genda mangu omusawo amagezi.
- Bw’oba olina ekikweraliikiriza oba okutya ku ddagala lino, yogerako n’omusawo w’amaka go oba omukozi w’ebyobulamu mu maka ku nsonga eno mu lwatu. Bajja kukuwa obulagirizi obutuufu.
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