Omusuwa gw’omutima gw’omwana wo omuto gusangibwa mu kifo kya njawulo? Ka tuyige ku kino (Overriding Aorta)!

Oluusi abaana baffe abato bajja mu nsi eno nga balina enkyukakyuka entonotono mu mitima gyabwe. Kya bulijjo nnyo ggwe nga maama oba taata okuwulira ng’otya nnyo era nga weeraliikirira ng’owulira ekintu ng’ekyo. Naye teweeraliikiriranga, kubanga leero tugenda kwogera ku mbeera eyitibwa ``Overriding Aorta'', nga eno bulwadde bwa mutima obuzaalibwa. Tujja kwogera ku bintu bingi mu bigambo ebyangu, gamba nga kino kiki ddala, lwaki kibaawo, obubonero bwe buliwo, n’obujjanjabi bwe buli. Ebintu bino bw’obitegeera bulungi, kijja kukuwa amaanyi mangi okusobola okuwa omwana wo obujjanjabi obusinga obulungi.

Kino `(Overriding Aorta)` kye ki? Ka tukitegeere mu ngeri ennyangu, nedda?

Okay, ka tusooke tulabe kino `(Overriding Aorta)` kye ki. Mu ngeri ennyangu, guno gwe musuwa omukulu mu mutima gw’omwana waffe, omusuwa oguyitibwa aorta, ogusangibwa mu kifo eky’enjawulo katono okusinga we gulina okuba.

Kati laba, mu mutima omulamu obulungi, omusuwa guno omunene `(Aorta)` gusangibwa ku ludda olwa kkono olw’omutima, kwe kugamba, nga guyungiddwa ku ventricle ya kkono. Omanyi kiki? Awo omusaayi omuyonjo ogulimu omukka gwa oxygen oguva mu mawuggwe we gusobola okusaasaanyizibwa mu mubiri gwonna. Ogwo gwe mulimu gwayo omukulu.

Naye mu mbeera ya `(Overriding Aorta)`, omusuwa guno gusangibwa waggulu wa bbugwe wakati w’ekisenge kya kkono ne ddyo eky’omutima (kino kiyitibwa `Ventricular Septum`), oba waggulu w’ekituli mu bbugwe oyo (`Ventricular Septal Defect` oba VSD). Teebereza, ekibaawo wano kiringa okuteeka hoosi ya ppampu y’amazzi ku ttanka enkyamu.

Kiki ekibaawo olw’ensonga eno? Oludda olwa ddyo olw'omutima lulina omukka gwa oxygen mutono, ekitegeeza nti guweddewo, omusaayi "gucaafu" katono. Olw’ekituli ekyo (`VSD`) n’omusuwa gw’omusaayi okubeera mu kifo ekikyamu, ogumu ku musaayi guno ogutaliimu mukka gwa oxygen guyingira mu musuwa ne gutabula n’omusaayi ogutambula mu mubiri gwonna. Kino kitegeeza nti omukka gwa oxygen mu musaayi ogutuuka mu bitundu by’omubiri gw’omwana eby’enjawulo gukendeera. Kino kye kizibu ekikulu.

Enkolagana ki eriwo wakati wa kino n'embeera eyitibwa `(Tetralogy of Fallot)`?

Overriding Aorta si mbeera etera okubaawo yokka. Ky'ekimu ku bintu ebina ebikulu ebiraga obulwadde bw'omutima obuzibu obw'obuzaale obuyitibwa Tetralogy of Fallot . "Tetralogy" kitegeeza nnya. Kale, mu mbeera eno, ebizibu by’omutima bina ebikulu birabibwa wamu:

1. `(Overriding Aorta)`: Omusuwa gwe twaakayogerako guli mu kifo kikyamu.

2. Ventricular Septal Defect (VSD): Ekituli mu bbugwe wakati w’ebisenge bya kkono ne ddyo eby’omutima. Kino kireetera omusaayi ogulimu omukka gwa oxygen okutabula n’omusaayi ogutaliimu oxygen.

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4. Okugonza ebisenge by’omusuwa ogwa ddyo ogw’omutima (`Right Ventricular Hypertrophy`):Olw’okuba omusuwa ogwo ogw’amawuggwe guzibiddwa, omusuwa ogwa ddyo gulina okukola ennyo okukuba omusaayi. Nga ebinywa bwe bikula ng’okola dduyiro, ebisenge by’omusuwa guno bwe bigenda bigonvuwa okumala ekiseera.

Teebereza, kiringa nga tewali bbugwe wakati w’ekifo awanywa ssigala n’ekifo ekitaliimu ssigala mu dduuka. Olwo omukka ne gutambula mangu okuva mu kifo ekimu okudda mu kirala, era tewali awulira bulungi. Ekyo kye kibaawo mu mbeera eno eya `(Tetralogy of Fallot)`. Omusaayi ogulimu oxygen omutono n’omusaayi ogulimu oxygen omungi bitabula.

Ani asinga okukosebwa embeera eno (Overriding Aorta)?

Embeera eno eyitibwa ``Tetralogy of Fallot'', omuli ``Overriding Aorta,'' mu bibalo elabibwako katono mu balongo abasajja okusinga mu baana abakazi.

Ate era, abalongo abalina obuzibu obumu mu chromosomal, gamba nga Down syndrome, batera okufuna Tetralogy of Fallot. Ekizibu kino eky’omutima era kiyinza okulabibwa n’embeera endala ezitatera kulabika nnyo, gamba nga Apert syndrome ne Williams syndrome.

Embeera eno ya bulijjo etya?

Kigambibwa nti abaana nga omu ku buli 100 abazaalibwa mu nsi ayinza okuba n’obulema bw’omutima obw’engeri emu. Bw’okitunuulira bw’otyo, abalongo abo nga 10% abalina obuzibu ku mutima, kwe kugamba, nga omu ku balongo 3,000, ayinza okuba n’embeera eyitibwa `(Tetralogy of Fallot)`, omuli `(Overriding Aorta)`. Kale, kino si kya bulijjo nnyo, naye mbeera abasawo gye batera okulaba.

Bubonero ki obulaga embeera eno?

Abalongo bonna abalina obulwadde bwa Tetralogy of Fallot tebalina bubonero bwe bumu. Abamu bayinza okuba n’obubonero obutono ennyo, ate abalala bayinza okuba n’obubonero obw’amaanyi. Obutonde bw’obubonero buno businziira nnyo ku bungi bw’omusuwa gw’amawuggwe bwe guzibiddwa. Kwe kugamba, omusaayi bwe gutuuka mu mawuggwe. Singa tebujjanjabwa, obubonero buno busobola okweyongera mpolampola okumala ekiseera.

Obubonero obutonotono

Abalongo abamu bayinza okulaga obubonero obutono nga buno:

• Langi y’olususu eya bbululu (`Cyanosis`): Langi eno eya bbululu yeeyoleka nnyo mu bitundu ng’emimwa, olulimi, n’enjala. Kino kiva ku bungi bwa oxygen mu musaayi okukendeera.
• Okuwulira ng’okooye amangu: Omwana wo ayinza okulabika ng’akooye mangu ng’amaze okuzannya oba okuyonsa.
• Okussa obubi: Oyinza okukaluubirirwa okussa naddala ng’okola emirimu.
• Ebizibu by’okwagala okulya n’okugejja: Omwana ayinza obutalya bulungi era ayinza obutagejja.

Obubonero obw'amaanyi ne `(Tet Spells)`

Oluusi, omukka gwa oxygen gw'omwana gukka mangu, ekivaako ``Tet spells''.Embeera ey’akabi eyitibwa tet spell esobola okubaawo. Kino kiyinza okubaawo mu bwangu, nga kimala okuva ku ddakiika ntono okutuuka ku ssaawa ntono. Teebereza omwana ng’azannya era amangu ago n’afuuka bbululu n’afuna obuzibu mu kussa.

Obubonero obw’amaanyi nga buno busobola okulabibwa mu biseera by’okuloga Tet:

• Olususu lufuuka bbululu omuddugavu mu bwangu.
• Okuwulira ng’okooye nnyo, ng’omubiri gwo gugenda guzirika.
• Okuzirika kuyinza okubaawo.
• Okukonziba.
• Okukaluubirirwa okussa, okussa amangu.
• Omwana ayinza okutandika okukaaba amangu ago n’azirika.

Oluvannyuma lw'okukola ``Tet spell'' nga eno, omwana ayinza okwebaka okumala ebbanga eddene. ``Tet spells'' zino mbeera eyeetaaga okujjanjabibwa mu bwangu.

Lwaki embeera nga ``Overriding Aorta'' zibaawo?

Mu butuufu, ebiseera ebisinga, kizibu okuzuula ensonga entongole lwaki omwana alina obulema ng’obwo ng’omutima gw’omwana gukula mu lubuto. Kwe kugamba, ekivaako tekitegeerekeka bulungi (`ensonga ezitamanyiddwa`). Wabula kizuuliddwa nti abalongo nga 25% abalina embeera eno `(Tetralogy of Fallot)` (nga muno mulimu `(Overriding Aorta)`) balina obulemu oba obuzibu obumu mu kuzaalibwa mu bitundu by'omubiri gwabwe ebirala .

Abasawo bazuula batya embeera eno (Overriding Aorta)?

Amangu ddala ng’omwana azaaliddwa, abasawo ne ba nurse mu ddwaaliro bajja kukebera obulamu bw’omwana. Mu kiseera kye kimu, bajja kufaayo nnyo ku buli kintu kyonna ekitali kya bulijjo mu mutima.

• Pulse Oximetry: Sensulo entono eteekebwa ku mukono oba ku kigere ky’omwana okupima obungi bwa oxygen mu musaayi. Omukka gwa oxygen omutono guyinza okuba akabonero k’obulwadde bw’omutima. Kino kigezo kyangu, ekitaliimu bulumi.
• Okwemulugunya kw'omutima: Omusawo bw'awuliriza omutima gw'omwana n'ekyuma ekiwuliriza, singa wabaawo embeera nga ``Overriding Aorta'', eddoboozi ery'enjawulo, eriyitibwa ``heart murmur'' , liyinza okuwulirwa nga kwotadde n'okukuba kw'omutima okwa bulijjo. Kyokka, okwemulugunya kwonna si kwa kabi, naye mu mbeera eno, kabonero kakulu.

Ebigezo okukakasa

Singa obubonero obwo waggulu bubaawo, abasawo bajja kulagira okukeberebwa nga kuno okukakasa embeera eno n’okuzuula obutonde bwennyini obw’ekizibu ky’omutima:

• Echocardiogram (Echo): Kino kiringa okukebera omutima mu ngeri ya ultrasound. Kisobola okulaba bulungi buli kimu okuva ku nsengeka y’omutima, enkola y’obusuwa, engeri omusaayi gye gukulukuta, obunene bwa VSD, n’ekifo omusuwa gw’omusaayi we guli. Kino kye kigezo ekikulu okuzuula obulwadde bwa Tetralogy of Fallot.
• Electrocardiogram (ECG/EKG): Kino kiwandiika amasannyalaze g’omutima. Kisobola okuzuula ebintu ng’ebisenge by’omutima ebigazi n’obuzibu mu nnyimba.
• X-ray y’ekifuba:Kino kiyinza okuwa endowooza ku bintu ng’obunene n’enkula y’omutima n’okumanya oba omusaayi ogugenda mu mawuggwe mutono nnyo oba mungi nnyo.
• Computed Tomography (CT) scan oba MRI scan of the heart: Oluusi, okukebera kuno kukolebwa singa kiba kyetaagisa okumanya ebisingawo ebikwata ku mutima n’emisuwa eminene.
• Cardiac Catheterization: Mu kino, tube (catheter) ennyimpi ennyo eyisibwa mu musuwa gw’omusaayi mu kisambi oba omukono gw’omwana okutuuka ku mutima, nga eno epimibwa puleesa eri munda mu mutima, ne bakeberebwa omukka gwa oxygen, ate oluusi ne bakuba langi ne bakwatibwa ebifaananyi bya X-ray. Kino kiyamba nnyo mu kwekenneenya obulungi embeera y’omutima nga tonnalongoosebwa.
• Okukebera omusaayi: Bino biyamba okukebera ebintu nga omukka gwa oxygen mu musaayi n’obungi bw’obutoffaali obumyufu (Hemoglobin).

Embeera eno eya `(Overriding Aorta)` ejjanjabibwa etya?

Obujjanjabi obusinga obulungi era obw’olubeerera bwokka eri embeera eno (Tetralogy of Fallot) kwe kulongoosa okutereeza obulema bwonna obuna mu mutima. Kino kitera okukolebwa ng’okulongoosa omutima oguggule .

• Ebiseera by’okulongoosebwa: Emirundi egisinga, abasawo bagamba nti okulongoosa kuno ng’omwana tannaweza myezi 6, oba mu mwaka ogusooka . Waliwo ebiseera we kiyinza okukolebwa nga bukyali ku balongo abamu, okusinziira ku mbeera y’omwana.
• Kiki ekibaawo nga balongoosebwa?: Omusawo alongoosa aggalawo ekituli mu bbugwe wakati w’ennywanto (VSD) n’akatundu ak’enjawulo. Era aggyawo ekizibiti mu musuwa gw’amawuggwe ne vvaalu, ekisobozesa omusaayi okutambula obulungi. Ebintu bino bwe bitereezebwa, ekizibu ky’omusuwa ogusukkiridde n’okugonza kw’omusuwa ogwa ddyo bigonjoolwa.
• Temporary Shunt: Abalongo abamu batono nnyo, oba emisuwa gyabwe egy’amawuggwe mitono nnyo, n’olwekyo kiyinza okuba ekizibu okulongoosa mu bujjuvu amangu ago. Mu mbeera ng’ezo, omusawo alongoosa ayinza okuteeka ekyuma ekiyitibwa shunt okumala akaseera . Kino kizingiramu okuggya ettabi mu musuwa gw’omwana oba omusuwa omulala omunene n’ogyunga ku musuwa gw’amawuggwe. Kino kyongera omusaayi ogugenda mu mawuggwe, ne guwa obuweerero okutuusa ng’omwana akuze katono era n’asobola okulongoosebwa mu bujjuvu.

Abasawo babadde bakola okulongoosa kuno okw’omutima okuggule okujjanjaba Tetralogy of Fallot okuva mu myaka gya 1950, kale nkola emanyiddwa bulungi mu by’obusawo.

Ebika by’eddagala erikozesebwa

Ng’oggyeeko okulongoosa, eddagala erimu likozesebwa n’okufuga obubonero n’okuziyiza ebizibu:

• Eddagala lya Beta-blocker (e.g. Propranolol): Lino liyamba okuziyiza ebirooto ebyo eby’obulabe ebya Tet okubaawo n’okukendeeza ku buzibu bwabyo singa bibaawo.
• Eddagala erifulumya omusulo: Bino biyamba okukendeeza ku mazzi agateetaagisa mu mubiri n’okukendeeza ku puleesa ku mutima (mu mbeera ng’omutima okulemererwa).
• `(Eddagala eritta obuwuka)` (Eddagala eritta obuwuka):Abalongo abalina obulwadde bw’omutima obw’ekika kino bali mu bulabe bw’okufuna yinfekisoni y’omutima ogw’omunda (`Infective Endocarditis`), naddala mu biseera by’obujjanjabi ebimu ng’okuggyamu amannyo. N’olwekyo eddagala lino liweebwa okutangira endwadde ng’ezo.

Waliwo ebizibu byonna ebiva mu bujjanjabi buno?

Ne bwe kiba nti okulongoosa kuno kugenda bulungi, ebizibu ebimu biyinza okuvaamu ng’ekiseera kigenda kiyitawo.

• Bwe baddaabiriza Tetralogy of Fallot, abasawo abalongoosa bafuula vvaalu y’amawuggwe okubeera ennyangu katono, n’olwekyo abantu bangi bayinza okufuna omusaayi omutono nga gukulukuta emabega nga guyita mu vvaalu eyo (okufuluma kw’amawuggwe).
• Kino kyongera obulabe bw’okufuna obuzibu mu kutambula kw’omutima (arrhythmias).
• Ekiseera bwe kigenda kiyitawo, okukulukuta kuno okwa vvaalu kweyongera, ne kyongera okunyigirizibwa ku ludda olwa ddyo olw’omutima, ne kireetera ekitundu ekyo okugaziwa, era kiyinza n’okuviirako omutima okulemererwa.
• Nga wayise emyaka oluvannyuma lw’okulongoosebwa, ebintu ng’omusuwa ogunene (okugaziwa kw’ebikoola by’omusuwa) oba vvaalu ya tricuspid ekulukuta bisobola okubaawo. Kino bwe kibaawo, oyinza okwetaaga okulongoosebwa okusingawo oba obujjanjabi obulala. Eno y’ensonga lwaki kikulu okugenda mu maaso n’okukeberebwa buli kiseera.

Ofuga otya obubonero bw’omwana okutuusa ng’alongooseddwa?

Okutuusa ng’okulongoosa kuwedde, abasawo bajja kukola bino wammanga okufuga obubonero bw’omwana n’okubudaabuda omwana:

• Bwe kiba kyetaagisa, muwe eddagala ly’omutima (e.g., beta-blockers).
• Okukakasa nti omwana afuna amazzi n’endya emala.
• Kebera buli kiseera omuwendo gwa hemoglobin mu musaayi era bwe kiba kyetaagisa, muwe siropu ezirimu ekyuma (okuziyiza okukendeeza ku musaayi).
• Weewale emirimu egireetera omwana okunyigirizibwa ennyo, gamba ng’okukaaba okumala ebbanga.
• Singa ``tet spell'' ebaawo, okukwata amaviivi g'omwana okumpi n'ekifuba kye (``knee-chest position'') kiyinza okumuwa obuweerero. Omusawo wo ajja kukuyigiriza engeri y’okukola kino.

Obulabe bw’ekintu kino okubaawo busobola okukendeezebwa?

Wadde ng’emirundi mingi tekimanyiddwa kituufu ekivaako endwadde z’omutima mu baana abaakazaalibwa, abanoonyereza balowooza nti obulamu bwa maama n’engeri gy’abeera ng’ali lubuto bisobola okugukosa. Ensonga zino wammanga ziyinza okwongera ku bulabe bw’omwana okufuna obulwadde bw’omutima:

• Okubeera n’obulwadde bw’omutima obuzaalibwa mu maama, taata oba omuntu omulala ow’omu maka.
• Maama okunywa sigala ng’ali lubuto.
• Maama afuna yinfekisoni nga ``Rubella`` (German measles) nga bukyali lubuto.
• Maama alina obulwadde bwa sukaali obutafugibwa.
• Okumira eddagala erimu (e.g., eddagala erimu erikonziba) mu myezi esatu egisooka ng’oli lubuto.
• Maama okukozesa omwenge.
• Ebbula ly’emmere ng’oli lubuto.
• Emyaka gya maama egisukka mu myaka 40 mu kiseera ky'okufunira olubuto.

Kale, okukendeeza ku bulabe buno mu mbuto ez’omu maaso, kikulu nnyo okufaayo ku bulamu bwo nga tonnafuna lubuto, okufuga embeera z’obujjanjabi eziriwo (nga ssukaali), okwewala ddala okunywa sigala n’omwenge, era tomira ddagala lyonna nga tonnafuna lukusa lwa musawo. Omuntu yenna mu maka go bw’aba alina obulwadde bw’omutima, era kiba kya magezi okunoonya amagezi okuva eri omukugu mu kubuulirira ku buzaale.

Biseera ki eby'omu maaso omwana alina `(Overriding Aorta)` by'ayinza okusuubira?

Kino kiyinza okukuwulikika ng’eky’entiisa, naye ekituufu kiri nti abalongo abasinga bagenda mu maaso ne babeera mu bulamu obwa bulijjo era nga balamu bulungi oluvannyuma lw’okulongoosebwa.

• Abalongo abasoba mu 90% abalongooseddwa obulungi obulwadde bwa Tetralogy of Fallot (nga muno mulimu Overriding Aorta) bakula bulungi era babeera mu bulamu obwa bulijjo obw’abantu abakulu. Bagenda ku ssomero, bazannya, bakola, era balina amaka. Abamu babeera mu bulamu obulungi okutuuka mu myaka gyabwe egy’obukulu 70 ne 80.
• Kyokka singa tebalongoosebwa, embeera eyo eba ya bulabe. Ekyo bwe kibaawo, obubonero bujja kweyongera okumala ekiseera, kikendeeze ku bulamu bwo. Oyinza n’obutawangaala okutuuka ku myaka 20 egy’obukulu.

N’olwekyo, ekisinga obukulu kwe kuwa obujjanjabi obutuufu mu kiseera ekituufu.

Olabirira otya omwana ng’amaze okulongoosebwa?

Bw’oleeta omwana awaka ng’amaze okulongoosebwa, olina obuvunaanyizibwa bunene.

• Okugenda mu maaso buli kiseera: Omwana wo ajja kwetaaga okugoberera buli kiseera n’omusawo w’omutima gw’abaana. Bino biyinza okuba nga bitera okubeerawo mu kusooka, ate oluvannyuma ne bitera okubeerawo. Bino tobibuuka.
• Okwekuuma obulwadde bw’okussa: Abaana abalongooseddwa omutima nga guno basobola okufuna yinfekisoni z’okussa, ekiyinza okuvaako amangu obuzibu. Kale omwana wo mubeere wala n’abantu abalina omusujja n’omusujja. Singa yinfekisoni ng’eno ebaawo, genda mangu ew’omusawo.
• Eddagala eritta obuwuka: Abasawo bayinza okukuwa amagezi ku ddagala eritta obuwuka nga tebannaba kulongoosa mannyo agamu oba okulongoosebwa okulala okutonotono okuziyiza yinfekisoni z’omutima (endocarditis). Buuza omusawo wo ku nsonga eno.
• Endya n’okukula: Faayo ku mmere n’okukula kw’omwana wo.
• Ebikolebwa: Omwana bw’agenda akula, yogerako n’omusawo wo ku mirimu n’emizannyo gy’ayinza okukola. Ebiseera ebisinga, asobola okukola buli kimu mu ngeri eya bulijjo.

Nga tukaddiwa, ebizibu by’omutima ebipya biyinza okuvaamu, n’olwekyo kikulu nnyo okugenda mu maaso n’okukeberebwa kuno okw’abakugu mu mutima ne bwe tuba nga tukuze.

Ddi lwe nnina okulaba omusawo?

Omwana wo bw’alaga obubonero buno, laba omusawo oba mutwale mu ddwaaliro mu bwangu:

• Singa obubonero obupya bulabika.
• Singa olususu lwo, emimwa n’olulimi birabika nga bifuuse bbululu.
• Bw’oba ​​olina obuzibu mu kussa.
• Bw’oba ​​toyagala kunywa mata oba okulya emmere.
• Bw’oba ​​olabika okoowa mangu.

Ddi lwe nnina okugenda mu kisenge ky’abalwadde ab’amangu (ER)?

Singa omwana wo aba alina ``Tet spell'' ey'amaanyi, ekitegeeza nti afuuka bbululu mu bwangu, afuna obuzibu mu kussa, oba anaatera okuzirika, kuba 911 mu bwangu oba mutwale mu kisenge ky'abalwadde ab'amangu mu ddwaaliro erikuli okumpi. Eyo, basobola okuweebwa omukka gwa oxygen ne/oba eddagala nga ``Morphine'' okufuga embeera.

Bibuuzo ki bye nnina okubuuza omusawo wange?

Mu kiseera nga kino, oyinza okuba ng’olina ebibuuzo bingi mu birowoozo byo. Totya kubuuza musawo wo ku bintu bino:

• Nsaanidde okussa ekkomo ku mizannyo gy’omwana wange oba emirimu emirala gy’akola?
• Omwana wange yeetaaga okujja emirundi emeka okwekebejjebwa?
• Omwana wange anaakyetaaga okulongoosebwa okusingawo? Bwe kiba bwe kityo, ddi?
• Bizibu ki ebiyinza okusuubirwa okumala ebbanga eddene? Kiki ekiyinza okukolebwa okuziziyiza?
• Eddagala ki eririna okuweebwa omwana? Zirina okuweebwa ebbanga ki? Zirina ebizibu ebivaamu?

Ebintu ebikulu bye twagala okutwala awaka okuva mu mboozi eno bye bino

Okay, twogedde nnyo ku Overriding Aorta ne Tetralogy of Fallot. Oboolyawo owulira puleesa nnyingi mu kiseera kino. Naye, jjukira ebintu bino:

• Overriding Aorta bulwadde bwa mutima obuzaalibwa nabwo obuyitibwa Tetralogy of Fallot. Kino kye kiseera omusuwa gw’omwana bwe guba nga tegukwatagana bulungi, ekivaako omusaayi ogutaliimu mukka gwa oxygen okutambula mu mubiri gwonna.
• Obubonero buyinza okuli olususu olwa bbululu, obukoowu, okukaluubirirwa okussa, n’okuloga ‘tet’ okw’akabi.
• Embeera eno esobola okujjanjabibwa obulungi ng’olongooseddwa. Abasawo abalongoosa bamaze emyaka mingi nga balongoosa kuno bulungi nnyo.
• Oluvannyuma lw’okulongoosebwa, abalongo bangi babeera mu bulamu bulungi, obwa bulijjo.
• Okwekebeza abasawo buli kiseera n’okugoberera amagezi g’abasawo bye bisinga obukulu. Si ggwe wekka mu lugendo luno. Waliwo abasawo abakugu, ba nurse, n’abakozi b’ebyobulamu okukuyamba n’okulungamya n’omwana wo. N’olwekyo beera n’omutima omugumu.

Singa omwana wo eyaakazaalibwa alinze kulongoosebwa, kakasa nti obuuza omusawo n'abakozi abayonsa ku bintu by'oyinza okukola okuyamba omwana wo mu kiseera ky'okulongoosebwa, n'eky'okukola singa wabaawo ``tet spell''. Okumanya okwo kujja kukuyamba nnyo.

` overriding aorta, tetralogy of fallot, congenital heart defect, ventricular septal defect, cyanosis, tet spells, okulongoosa omutima omuggule, obulwadde bw’omutima, obulema mu kuzaalibwa, omwana wa bbululu, tetralogy of fallot, okulongoosa omutima, obulwadde bw’omutima obw’abaana