Omutima gw’omwana wo gukola eddoboozi ery’enjawulo? Ka twogere ku PDA (Patent Ductus Arteriosus) .

Maama oba taata alina omwana eyaakazaalibwa asobola okuwulira ng’atidde nnyo ne bwe balaba enkyukakyuka entono mu mwana we. Kale wandibadde mweraliikirivu otya singa omusawo akebera omwana n'amugamba nti, "Waliwo okwemulugunya kw'omutima okutono"? Naye totya. Leero twogera ku mbeera y’omutima etera okulabibwa mu baana abaakazaalibwa era nga nnyangu okujjanjaba. Kino kiyitibwa Patent Ductus Arteriosus, oba PDA nga bwe kiyitibwa mu basawo mu bufunze.

Mu ngeri ennyangu, PDA eno kye ki?

Kino okukitegeera, tuddeyo ku ddi omwana lw'ali mu lubuto lwa maama. Teebereza, omwana tassa nga ali mu lubuto. Omwana afuna omukka gwa oxygen gwe yeetaaga ng’ayita mu nnabaana ya maama. N’olwekyo, amawuggwe g’omwana tegakola mu kiseera ekyo. Kale, waliwo ekkubo ettono, nga ‘bypass’ connection, wakati w’omusuwa omukulu ogutwala omusaayi okuva ku mutima okutuuka mu mubiri (aorta) n’omusuwa ogutwala omusaayi mu mawuggwe (pulmonary artery). Kino kye tuyita mu busawo `(ductus arteriosus)`. Omulimu gwayo kwe kuyita mu mawuggwe, agatakola, n’okusindika omusaayi mu mubiri gwonna.

Omwana bw’amala okuzaalibwa n’assa omukka gwe ogusooka, amawuggwe gatandika okukola. Olwo tekyetaagisa kkubo eryo erya ‘bypass’. Kale ebiseera ebisinga mu nnaku ezisooka ng’omwana amaze okuzaalibwa, omusuwa guno gujja kukendeera ne guggalawo gwokka.

Naye mu balongo abamu, omusuwa guno oguyitibwa ``ductus arteriosus'' teguggalawo bulungi. Kireka ekituli ekitono. Eno y’ensonga lwaki tugiyita Patent Ductus Arteriosus (PDA) .

Embeera eno eya PDA ekosa etya omwana?

Kati, kiki ekibaawo nga bypass eyo teggaddwa? Puleesa mu musuwa omukulu ogutwala omusaayi mu mubiri, aorta, eri waggulu. Puleesa eri mu musuwa ogutwala omusaayi mu mawuggwe, omusuwa gw’amawuggwe, ntono. Kale, okuyita mu kinnya kino, omusaayi oguteetaagisa gukulukuta okuva mu kifo kya puleesa eya waggulu okudda mu kifo kya puleesa entono, kwe kugamba, okutuuka mu mawuggwe.

Kino kireeta ebizibu bibiri ebikulu:

1. Okukola ennyo ku mutima n’amawuggwe: Omutima n’amawuggwe g’omwana birina okukola ennyo okusobola okukuba omusaayi guno gwonna ogw’enjawulo.

2. Amawuggwe okwonooneka: Singa embeera eno egenda mu maaso nga tewali bujjanjabi, puleesa mu mawuggwe esobola okweyongera ekivaako embeera eyitibwa puleesa y’amawuggwe. Kino era kiyinza okwonoona emisuwa mu mawuggwe.

Ani ali mu bulabe obw’amaanyi obw’okufuna PDA eno?

Wadde embeera eno esobola okubaawo mu mwana yenna, abalongo abamu bali mu bulabe bwa maanyi.

• Abaana abazaalibwa nga tebanneetuuka:Kino kye kibinja ekikulu eky’akabi. Omwana gy’akoma okuzaalibwa wiiki ntono, gy’akoma okubeera n’obulwadde bwa PDA. Abaana nga 80% abazaalibwa nga tebannaweza wiiki 28 basobola okulaba embeera eno.
• Abalongo abakyala: Embeera eno esinga kubeera mu balongo abakyala okusinga abasajja.
• Ebivaako obuzaale: PDA esobola okubaawo n’obulwadde obumu obw’obuzaale.
• Obulwadde bwa Rubella mu maama ng’ali lubuto: Singa maama afuna obulwadde bwa German measles ng’ali lubuto, omwana aba mu bulabe obw’okufuna PDA.

Bubonero ki obulaga nti omuntu alina obulwadde bwa PDA?

Obubonero bwawukana okusinziira ku bunene bwa PDA. PDA entono ennyo eyinza obutalaga bubonero bwonna . Wayinza okubaawo okwemulugunya kw’omutima kwokka omusawo kw’asobola okuwulira ng’akozesa ekyuma ekiwuliriza. Wabula bw’oba ​​olina PDA ey’ekigero oba ennene, oyinza okulaba obubonero buno.

Kino okisanga otya Omusawo?

Bw’olaba obubonero buno bwonna mu mwana wo, buulira omusawo amangu ago. Ebiseera ebisinga, omusawo bw'aba akebera omwana wo, asobola okuwulira ``okumulugunya kw'ebyuma`` mu mutima. Wano we bateebereza nti waliwo PDA.

Olwo, okukakasa kino, ojja kusindikibwa ew’omusawo w’omutima gw’abaana . Ayinza okukola ebigezo bino wammanga:

• Echocardiogram (Echo): Kino kye kigezo ekisinga obukulu era ekituufu . Kiba ng’okusika omutima. Kisobola okulaba bulungi buli kimu nga oba PDA eriwo, obunene bw’eri, n’omusaayi bwe guyitamu. Kino si kigezo ekiruma.
• X-ray y’ekifuba: X-ray y’ekifuba esobola okukebera oba omutima gugaziye oba omusaayi mungi nnyo ogukulukuta mu mawuggwe.
• Electrocardiogram (ECG): Bw’otunuulira amasannyalaze g’omutima, osobola okukizuula oba omutima gunyigirizibwa nnyo.

Bujjanjabi ki obuweebwa PDA?

Obujjanjabi busalibwawo okusinziira ku myaka gy’omwana, obuzito bwe, embeera y’obulamu bwe, n’obunene bwa PDA. Si PDA zonna nti zijjanjabwa mu kiseera kye kimu.

1. Okulinda Obukuumi

Singa eba PDA ntono nnyo, era nga tekola bulabe bwonna ku mwana, omusawo ayinza okusalawo okulinda akaseera. Kubanga abamu ku bo baggalawo ku lwabwe. Naye kyetaagisa okugenda mu maaso n’okugenda mu ddwaaliro ly’omusawo okwekebejjebwa mu kiseera kino.

2. Okujjanjaba n’eddagala

Naddala ku baana abazaalibwa nga tebanneetuuka , eddagala erimu (e.g., Ibuprofen, Indomethacin) liweebwa okuyita mu mpiso okugezaako okuggalawo PDA eno. Eddagala lino liyamba emisuwa okukonziba n’okuggalawo. Kino kituuka ku buwanguzi mu wiiki ezisooka ng’omwana amaze okuzaalibwa.

3. Okussaamu Catheter y’omutima

Kino si kulongoosa. Omwana abuzibwabuzibwa mu bujjuvu, era ekyuma ekigonvu ennyo (catheter) kiyingizibwa okuyita mu musuwa gw’omusaayi mu kisambi ne kilungamizibwa okutuuka ku mutima. Olwo, ekyuma ekitono (oba koyilo) kiyisibwa mu ttanka era ekituli kya PDA ne kiggalwa. Kino kitera okukolebwa ku balongo abagejja katono nga bawezezza emyezi mitono. Ekirungi ekiri mu nkola eno kwe kuba nti omwana teyeetaaga kumusiba bbandi, kale omwana asobola okuwona amangu n’adda eka.

4. Okulongoosa

Mu mbeera ezimu naddala ku balongo abatasaanira kuteekebwamu kateete oba singa PDA eba nnene nnyo, kiyinza okwetaagisa okulongoosebwa. Mu mbeera eno, omusawo alongoosa asala akatundu akatono ku ludda lw’ekifuba, wansi w’enkwaso, n’aggalawo PDA n’emisono oba akaguwa akatono ak’ekyuma.

Kiki ekibaawo oluvannyuma lw’okujjanjabwa?

Oluvannyuma lw’okujjanjabwa n’okuggalawo PDA, omusaayi gw’omwana gudda mu mbeera eya bulijjo. Obubonero buno bugenda buggwaawo ddala.

Oluvannyuma lw’okujjanjabwa, omusawo ajja kukugamba okumira eddagala eritta obuwuka okumala emyezi nga 6 okwetangira obulwadde bw’omutima (endocarditis). Era kikulu nnyo okugenda mu ddwaaliro mu budde n’olaga omwana.

Ddi lw’olina okunoonya amagezi g’abasawo mu bwangu

Bw’oba ​​omanyi nti omwana wo alina PDA, kuba essimu mangu omusawo wo singa wabaawo obubonero obupya (e.g., okukendeera kw’amata, okukaluubirirwa okussa).

Singa omwana wo afuna obuzibu mu kussa mu bwangu oba emimwa gye gifuuka bbululu, mutwale mu kitongole ky’abalwadde ab’amangu (ETU) mu ddwaaliro erikuli okumpi awatali kulwa.