Omwana wo omuwere alina ebizibu bino? Ka twogere ku bulwadde bwa Neonatal Opioid Withdrawal Syndrome (NOWS) .

Essanyu maama ly’awulira ng’aleese omwana eyaakazaalibwa awaka teriyinza kwogerwako. Naye oluusi, singa omwana asigala akaaba, afuuwa amata enfunda eziwera, oba ng’alabika yeeyisa mu ngeri eyeewuunyisa, kiyinza okutiisa ennyo maama. Leero tugenda kwogera ku mbeera emu etiisa naye nga nkulu gye twetaaga okumanya. Oyo ye Neonatal Opioid Withdrawal Syndrome (NOWS) mu baana abaakazaalibwa. Emabegako, era kyayitibwanga Neonatal Abstinence Syndrome (NAS) .

Obulwadde bw’okuggya opioid mu baana abazaalibwa (NOWS) kye ki?

Mu ngeri ennyangu, kino kiba nga maama akozesa eddagala erimu (naddala opioids) oba ebintu ebirala ebitamiiza ng’ali lubuto, era omwana n’akwatibwa ebintu ebyo ng’ali mu lubuto, n’obutabeera bulungi obubaawo oluvannyuma lw’ebintu ebyo okuggyibwa mu mubiri oluvannyuma lw’okuzaalibwa. Obadde okimanyi nti omwana bw’aba mu lubuto, afuna ebiriisa n’omukka gwa oxygen okuva eri maama ng’ayita mu kitundu ekiyitibwa placenta . Mu ngeri y’emu eddagala n’eddagala erimu maama ly’amira nabyo biyita mu nseke eno okutuuka ku mwana. Kale, omwana ng’ali mu lubuto, amanyiira ebintu bino mu ngeri emu, kwe kugamba, atandika okubisinziirako. Ebintu ebiva eri maama bwe bikoma oluvannyuma lw’okuzaalibwa, omubiri gw’omwana gufuna obuzibu okugugumira. Awo obubonero buno obw’okuggwaamu amaanyi we bulabika.

Eddagala ki eriyinza okuleeta KATI?

Embeera eno esinga kuva ku ddagala eriri mu kibiina kya opioid . Wano waliwo ebyokulabirako ebitonotono:

• `( Ebirungo ebiyitibwa Amphetamines )`
• `( Ekirungo kya Buprenorphine )`
• `(Codeine)`
• `(Omusujja gw'ensiri)`
• `( Okisikodoni )`
• `( Ekirungo kya Hydrocodone )`
• `(Morphine)`
• `(Eddagala lya Methadone)`

Ng’oggyeeko kino, ebintu ebirala ebimu nabyo bisobola okuleeta embeera eno. Bbo bali:

• Omwenge
• Barbiturates (ebika by’empeke ezimu ez’okwebaka) .
• Benzodiazepines (eddagala erimu erikkakkanya abantu) .
• Nicotine (erimu mu taaba ) .
• Ebika by’eddagala eriweweeza ku kweraliikirira ebimu naddala eryo eriri mu kibinja ekiyitibwa Selective Serotonin Reuptake Inhibitors (SSRIs).

Ekisinga obukulu, bw’oba ​​oli lubuto oba ng’oteekateeka okufuna olubuto, olina okutegeeza omusawo wo ku ddagala lyonna, eddagala eriweweeza ku bulwadde oba ebintu ebirala by’omira.

Embeera eno ya bulijjo? Ani asinga okukosebwa?

Embeera eno eya NOWS ebyembi etegeezeddwa nti yeeyongera mu nsi yonna. Mu butuufu okusinziira ku bibalo, okusinziira ku kunoonyereza okumu, omwana omu azaalibwa ne NOWS buli ddakiika 25. Ekyo kitegeeza nti abalongo nga musanvu ku buli nkumi bbiri bayinza okuba n’akabi kano. Kino kisinga kukwata baana abazaalibwa nga bannyinaabwe bakozesa eddagala lya opioids oba ebintu ebirala ebitamiiza nga bali embuto. Omuze gw’okukozesa ebiragalalagala si mwangu nga bwe gulabika, nsonga nzibu.

Kiki ekituuka ku mubiri gw'omwana olw'obulwadde bwa KATI? Obubonero bwe buliwa?

Obubonero buno obumanyiddwa nga obubonero bw’okuva ku ddagala buyinza okusigalawo okutuusa ng’omwana avudde ddala ku ddagala. Kino kiyinza okuleetera omwana okukaaba ennyo, okutabuka ennyo oba okweyisa nga mulwadde. Kizibu kitya maama oba taata omupya okulaba omwana we omuto ng’abonaabona bwati? Era kiyinza okuba ekizibu ennyo okubudaabuda omwana mu kiseera kino. Okusinziira ku buzibu bw’obubonero bw’omwana, omwana ayinza okwetaaga okujjanjabibwa mu kitongole ekirabirira abaana abato (NICU) . Kino kibaawo okutuusa ng’omwana avudde ddala ku ddagala era ng’akola bulungi. Obubonero Obutera Okulabika:

• Okusesema ennyo ne/oba ekiddukano
• Omusujja n’okutuuyana
• Okussa amangu
• Okukaaba okutambula obutasalako, okw’amaanyi
• Okuyonka ennyo
• Okukankana
• Diaper rash (okumyuuka kw’olususu mu kitundu ky’amatabo olw’okusiiyibwa kwa diaper) .

Obubonero obulala obuyinza okulabibwa:

• Okukaluba kw’ebinywa (Hypertonia) n’okuddamu okukola ennyo
• Obuzibu mu kugejja
• Obuzibu okwebaka n’okusigala nga weebase
• Obuzibu mu kunywa amata
• Endabika y’omusono ogw’amabala, ogulinga amayinja amabajje ku lususu (mottling) .

Obubonero buno buyinza okwawukana okusinziira ku mwana, era obuzibu buno buyinza okwawukana. Kisinziira ku:

• Kisinziira ku kika ky’eddagala eriri mu mubiri gw’omwana.
• Kisinziira ku bungi bw’eddagala eriri mu mubiri.
• Kisinziira ku bbanga omwana lye yamala ng’akozesa eddagala lino ng’ali mu lubuto.

Watya singa obubonero bweyongera okusajjuka?

Singa omwana abeera n’eddagala erisusse mu mubiri gwe ng’azaalibwa, asobola okufuna obubonero obw’amaanyi, n’okutta obulamu bwe. Mu bino mulimu:

• Okuzaala nga tebanneetuuka
• Ebizibu by’enkulaakulana n’obulema mu kuzaalibwa
• Okukonziba
• Obulwadde bw’okufa kw’abaana abawere mu bwangu (SIDS) .

Obubonero bulabika ddi?

Obubonero buno busobola okutandika okulabika mu lunaku lumu oba ssatu ng’omwana amaze okuzaalibwa. Oluusi, obubonero buyinza obutalabika okumala wiiki emu. Mu kiseera kino, omwana atera okukuumibwa mu ``NICU'' y'eddwaaliro okutuusa ng'ekintu kivudde ddala mu mubiri era omwana n'abeera bulungi n'asobola okudda eka.

NOWS esobola okuleeta ebizibu eby’ekiseera ekiwanvu?

Eno nsonga ya maanyi nnyo. Ebiva mu NOWS eby’ekiseera ekiwanvu bisobola okwawukana okusinziira ku buzibu bw’embeera. Omwana bw’agenda akula, bayinza okufuna:

• Okulwawo mu nkulaakulana : Okulwawo mu nkulaakulana y‟obukugu mu kutegeera, mu mbeera z‟abantu, n‟enkola y‟enkola y‟emirimu.
• Ebizibu mu nneeyisa ku ssomero.
• Ebizibu by’okujjukira okw’ekiseera ekitono.
• Ebizibu by’okukula (obuwanvu, okugejja).
• Obuzibu mu kuwulira n’okulaba.

N’olwekyo, kikulu nnyo okutwala omwana wo okwekebejjebwa buli kiseera okukakasa nti atuukana n’enkulaakulana y’emyaka gye. Okunoonyereza kulaga nti abaana abazaalibwa ne NOWS batera okufuna embeera zino wammanga nga bakula:

• Obuzibu bw‟okussaayo omwoyo/okukola ennyo (ADHD) .
• Okweraliikirira
• Ennaku

Oyinza otya okuzuula embeera ya NOWS?

Olw’okuba obubonero bwa NOWS buyinza okufaananako n’obw’embeera endala mu balongo, abasawo basobola okuzuula embeera eno oluvannyuma lw’okumanya ku ddagala maama lye yamira ng’ali lubuto n’oluvannyuma lw’okukola okukebera eddagala . Okukebera eddagala kuno kusobola okuzuula ekika ky’eddagala eriri mu mubiri gw’omwana n’obungi bw’eddagala. Kino kiyinza okukolebwa nga okebera sampuli y’omusuwa gw’omwana, omusulo, omusaayi oba omusulo gw’omwana ogusooka (meconium). Oluusi maama ayinza n’okukeberebwa eddagala okukakasa nti azuuliddwa. Okugatta ku ekyo, abasawo bakozesa enkola ya NAS ey’okuteeba obubonero . Kino kikozesebwa okuwa obubonero okusinziira ku buzibu bw’obubonero bw’omwana n’okuteekateeka obujjanjabi okusinziira ku bubonero.

Bujjanjabi ki obwa NOWS?

Obujjanjabi obuweebwa omwana businziira ku kika ky’eddagala eriri mu mubiri, obungi bwalyo, obulamu bw’omwana okutwalira awamu, n’obuzibu bw’obubonero. Obujjanjabi buyinza okuli:

• Okuwa eddagala okukendeeza mpolampola obubonero.
• Singa omwana alina amazzi mu mubiri, muwe omunnyo mu misuwa (amazzi ga IV).
• Okusiiga ebizigo oba ebizigo ku kuzimba mu nnappi n’okunyiiga kw’olususu.
• Okukyusa emirundi n’obungi bw’ayonsa: Omwana wo okuyamba okugejja, muwe emmere erimu kalori nnyingi mu bungi obutono era buli kiseera.

Obujjanjabi busobola okumala ennaku ttaano okutuuka ku myezi nga mukaaga, okutuusa ng’omwana awonye era nga tewakyali ddagala mu mubiri gwe. Obujjanjabi obw’ekiseera ekiwanvu okukendeeza ku bubonero, gamba ng’obujjanjabi obw’enneeyisa ey’okutegeera (CBT) , buyinza okwetaagisa mu bulamu bw’omwana bwonna.

Bika ki eby'eddagala eriweebwa ku NOWS?

Omwana bw’aba n’obubonero obw’amaanyi, abasawo bayinza okukozesa eddagala erimu okuyamba okufuga obubonero buno obw’okulekera awo n’okwanguyiza omwana wo okulya n’okwebaka. Kino kizingiramu okuwa omwana wo ddoozi entono ennyo ey’eddagala erifaananako n’eryo lye yafuna mu lubuto, n’okendeeza ku ddoozi eyo mpolampola, n’okuggya omwana wo ku mabeere. Kino kiri bwe kityo kubanga okuyimiriza eddagala lino mu bwangu (cold turkey) kiyinza okwonoona obubonero. Ezimu ku ddagala erikozesebwa mu mulimu guno mulimu:

• `(Eddagala lya Methadone)`
• `(Morphine)`
• `(Eddagala lya Buprenorphine)`
• `(Eddagala lya Phenobarbital)`
• `(Klonidini)`

Omwana wo bw’aba yeetaaga okuweebwa eddagala mu ngeri eno, oyinza okwetaaga okumala wiiki oba emyezi mitono mu ddwaaliro. Kino kikoleddwa okulaba ng’abasawo balamu bulungi ekimala okuyimiriza ddala eddagala n’asindika omwana awaka.

Maama ayinza atya okuyamba okuddukanya obubonero bw’omwana we?

Omwana wo bw’aba alina obubonero bw’okuggwaamu amaanyi, kiyinza okukuteeka ku bunkenke nnyo era nga kizibu okumubudaabuda. Naye nga maama, osobola okuyamba nga:

• Sigala kumpi n’omwana nga bwe kisoboka.
• Kendeeza ku bungi bw’ekitangaala ekimasamasa n’amaloboozi amangi mu mbeera y’omwana.
• Mukankanya omwana mpola.
• Kwata omwana wo okumpi n’ekifuba kyo ( skin-to-skin contact ). Kino kibudaabuda nnyo omwana wo.
• Omwana muzinge bulungi mu lugoye olugonvu (swaddling).

Nsobola okuyonsa omwana wange nga nnywa ebiragalalagala?

Eno nsonga nkulu nnyo. Yee, eddagala nga opioids liyinza okuyita mu mata g’omwana wo. Kino kiyinza okuba n’ebizibu eby’obulabe eri omwana wo. N’olwekyo, bw’oba ​​okozesa eddagala eritakkirizibwa musawo wo, toyonsa mwana wo olw’ensonga yonna . Mu kifo ky’ekyo, omwana wo muwe amata oba amata g’amabeere agaweereddwayo. Naye bw’oba ​​oli mu nteekateeka y’okujjanjaba eddagala, kwe kugamba, bw’oba ​​omira eddagala lya opioid eriwandiikiddwa (nga methadone) ng’oli lubuto oba ng’omaze okuzaala okuziyiza obubonero bw’okuva ku ddagala, oyinza okusobola okuyonsa. Naye ng’omusawo akukkirizza era singa basazeewo nti tekirina bulabe eri omwana wo. Bw’oba ​​olina ekizibu ky’okukozesa ebiragalalagala oba omuze, yogerako n’omusawo wo ku ngeri gy’oyinza okufunamu obujjanjabi. Okusigala ng’oli mulamu bulungi kijja kukuwa amaanyi okubeerawo ku lw’omwana wo ng’asinga okukwetaaga.

Oyinza otya okuziyiza NOWS?

Osobola okukola emitendera gino okutangira omwana wo okufuna obubonero obw’amaanyi obwa NOWS:

• Bw’ofuna olubuto, kakasa nti otegeeza omusawo wo ku ddagala oba ebintu byonna by’okozesa. Singa olekera awo okukozesa eddagala ly’omaze ebbanga ng’okozesa, oyinza okuba n’obubonero obw’amaanyi obw’okulivaako, obuyinza okuba obw’obulabe eri omwana wo ali mu lubuto. Omusawo ajja kukuwa amagezi ku ngeri z’obujjanjabi ezitali za bulabe eri ggwe n’omwana wo.
• Buulira omusawo wo ku ddagala lyonna eriwandiikiddwa n’ebirungo by’omira. Kakasa nti tezirina bulabe eri ggwe n’omwana wo. Tolekera awo kumira ddagala lyonna okutuusa ng’omusawo akugambye.
• Kozesa eddagala eriziyiza okuzaala okutuusa lw’onoomala okuzaala. Bw’oba ​​olina akaboozi era ng’olina ekizibu ky’okukozesa ebiragalalagala oba ng’oli mu bujjanjabi, weegezeemu akaboozi akataliiko bulabe okutuusa lw’onooba omulamu obulungi okusobola okufuna olubuto.

Omwana wange bwaba alina KATI, nsuubira ki?

Omwana azuuliddwa n’obulwadde bwa NOWS atera okumala ennaku nga 20 mu ddwaaliro okukakasa nti ali bulungi okudda eka. Oluusi obujjanjabi bwa NOWS busobola okumala emyezi mukaaga. Abasawo bajja kulondoola bulungi obubonero bw’omwana wo era bamusindikire awaka ng’eddagala limaze okuva mu nkola ye. Omusawo ajja kukuwa amagezi ku ngeri gy’oyinza okuyonsa omwana n’engeri y’okulabirira omwana wo. Jjukira nti bw’oba ​​okozesa eddagala, toyonsa, kubanga eddagala lino liyinza okuyita ku mwana wo nga liyita mu mata go ne lireeta obubonero obuyinza okukosa obulamu bwe. Bw’omala okuleeta omwana wo awaka okuva mu ddwaaliro, omwana wo ajja kwetaaga okwagala kwo okw’enjawulo n’obuwagizi okumala wiiki oba emyezi egiwerako, mpozzi n’obuto bwonna. Faayo nnyo ku nkula y’omwana wo n’enkula ye. Omwana wo bw’aba tatuukiriza bikulu by’akula mu myaka gye, buulira omusawo wo amangu ago.

Ddi lw’osaanidde okunoonya obujjanjabi obw’amangu?

Omwana wo bw’aba n’obubonero buno obw’amaanyi, genda mu kitongole ky’abalwadde ab’amangu (ETU) mu bwangu oba kuba 1990:

• Omusujja ogw’amaanyi ogumala essaawa ezisoba mu 24.
• Bw’oba ​​tonywa mata, oba bw’osesema ng’omaze okunywa amata.
• Singa wabaawo okukonziba.
• Singa omutima gukuba mu ngeri etaali ya bulijjo.
• Bw’oba ​​olina obuzibu mu kussa.

Bibuuzo ki ebikulu by’olina okubuuza omusawo?

• Eddagala ki eritali lya bulabe okumira ng’oli lubuto?
• Olekera otya okukozesa eddagala eritamiiza?
• Obubonero bw’omwana wange bunaamukosa okumala ebbanga eddene?
• Nnyinza ntya okubudaabuda omwana wange ng’ajjanjabibwa?

N’ekisembayo, by’olina okujjukira (Obubaka bw’okutwala awaka) .

Omuze gw’okukozesa ebiragalalagala ddala kintu kya kusoomoozebwa era kisukkiridde. Bw’oba ​​oli lubuto, enneewulira zino ziyinza n’okusingawo, era oyinza okuwulira nga tomanyi kya kukola. Naye jjukira nti toli wekka.

Waliwo obujjanjabi obusobola okukuyamba ggwe n’omwana wo okubeera mu bulamu obw’essanyu era obulungi. Ekisinga obukulu kwe kubeera omwesimbu eri omusawo wo ku ddagala lyonna n’eddagala ly’omira ng’oli lubuto. Kino kijja kuyamba omusawo okusalawo obujjanjabi obusinga obulungi eri ggwe n’omwana wo. Tewali kikyamu mu kusaba buyambi, kikuwa amaanyi.

Neonatal Opioid Withdrawal Syndrome, Neonatal Abstinence Syndrome, NOWS, NAS, okuva mu baana abaakazaalibwa, okukozesa ebiragalalagala by’omwana, olubuto olw’omuze gw’okukozesa opioid, olubuto lw’okukozesa ebiragalalagala, abalongo abaakazaalibwa, ebikosa eddagala ku mwana