Ensigo yo yeekwata nnyo ku nnabaana? Ka twogere ku Placenta Accreta!

Nga maama, oluusi obeera n’okutya okutono ku bintu, si bwe kiri? Naddala ng’ogenda okuzaala omwana, ku nseke. Leero tugenda kwogera ku mbeera bamaama abamu gye bayinza okufuna nga bali embuto, naye olina okwegendereza katono, era eyinza n’okuba ey’akabi. Eyo mbeera eyitibwa (Placenta Accreta) .

(Placenta Accreta) kye ki? Mu ngeri ennyangu...

Mu ngeri ennyangu, Placenta Accreta ye nnabaana, egaba omwana wo ebiriisa n’omukka gwa oxygen , bwe yeekwata ennyo ku bbugwe wa nnabaana wo. Mu lubuto olwa bulijjo, ekikuta kino kyangu okwekutula ku bbugwe wa nnabaana ng’omwana amaze okuzaalibwa. Wabula mu mbeera ya Placenta Accreta, nnabaana yeekwata nnyo ku bbugwe wa nnabaana ne kiba nti teyawukana mangu ng’omwana amaze okuzaalibwa.

Lowooza ku kino, nga ekimera bwe kisimbibwa mu ttaka, ebikoola byakyo mu budde obutuufu nga bisaasaana, mu lubuto olulamu enseke yeekwata ku bbugwe wa nnabaana. Kyokka, mu Placenta Accreta, emirandira gy’ekimera ekyo gigenda mu buziba okusinga bwe kyali kisuubirwa, oboolyawo nga gilinga egyayingidde ddala mu kintu ekikalu nga seminti, era enseke eyingidde mu binywa by’ekisenge kya nnabaana era nga yeekwata bulungi.

Mu mbeera enzibu, kino kiyinza okuvaako okuvaamu omusaayi omungi mu bukyala. Kiyinza okutta omuntu. Mu mbeera eno, oyinza okwetaaga okuteekebwamu omusaayi (i.e., okuteekebwamu omusaayi) n’okuggyibwako nnabaana. Abasawo abagaba obujjanjabi nga tebannazaala batera okuzuula embeera eno nga bali lubuto, oba oluusi nga bazaala. Obujjanjabi butera okuzingiramu okuzaala omwana nga bamuzaala mu ngeri ya cesarean (C-section) okukendeeza ku bulabe bw’ebizibu eby’amaanyi, oluvannyuma ne bamuggyamu nnabaana.

Waliwo ebika bya Placenta Accreta eby’enjawulo?

Yee, waliwo ebika bisatu ebikulu ebya Placenta Accreta. Abasawo basalawo ebika bino okusinziira ku ngeri nnabaana gy’ekwataganye ku nnabaana wo.

1. Placenta Accreta: Kino kye kika ekisinga okubeerawo. Wano, nnabaana yeekwata nnyo ku bbugwe wa nnabaana, naye tegaziwa kuyita mu bbugwe era tekosa nnyo binywa bya nnabaana.

2. Placenta Increta: Mu kika kino, enseke yeekwata nnyo mu bbugwe wa nnabaana, mu layeri y’ebinywa. Tennaba kuyingira ddala mu bbugwe, naye nga yeekwata bulungi ku binywa bya nnabaana. Kino kibaawo mu bitundu nga 15% ku balwadde bonna aba Placenta Accreta.

3. Placenta Percreta: Guno gwe musango ogusinga okuba ogw’amaanyi era ogw’akabi. Wano, enseke eyingira ddala mu bbugwe wa nnabaana. Kiyinza n’okusukka nnabaana ne kikwata ebitundu ebirala mu mubiri gwo, gamba ng’ekibumba n’ebyenda, oba n’okubinywerera. Kino kibaawo mu bantu batono bokka, nga 5%.

Ani ali mu bulabe obw’amaanyi obw’okulwala Placenta Accreta?

Oli mu bulabe bwa maanyi okukwatibwa Placenta Accreta singa oba olina emu ku mbeera zino wammanga:

• Bw’oba ​​ozaala mu nnabaana emabegako: Obulabe buba bungi naddala ng’omaze okuzaala mu nnabaana emirundi mingi, kubanga enkovu ya nnabaana eyinza okutondebwa mu kifo we balongoosezza.
• Singa nnabaana eba mu mbeera etali ya bulijjo mu nnabaana wo: Okugeza, bw’oba ​​olina embeera eyitibwa ``Placenta Previa``, ng’enkwaso eri mu kitundu ekya wansi ekya nnabaana, ng’ebikka omumwa gwa nnabaana.
• Bw’oba ​​omaze okulongoosebwa nnabaana : Bw’oba ​​olongooseddwa ng’okuggyawo ebizimba mu nnabaana oba D&C (dilation and curettage), embeera eno eyinza okubaawo olw’enkovu mu bitundu ebyo.
• Bwoba obadde n'embuto eziwera (`embuto ezisukka mu emu`) emabegako.
• Bw’oba ​​ofunye olubuto ng’oyita mu IVF (artificial insemination).

Teebereza, olina mukwano gwo, katugambe Nimali. Nimali abadde azaala abaana babiri emabega nga bamulongoosa. Kati nga bw’ali olubuto lw’omwana owookusatu, omusawo amugamba nti yeetaaga okwegendereza katono ku mbeera y’enkwaso. Olw’okuba yalongoosebwa emabegako, wayinza okubaawo enkovu ennungi ku nnabaana we yalongoosebwa. Eno y’ensonga lwaki obulabe bw’okulwala Placenta Accreta bweyongera.

Placenta Accreta anaakola obulabe ku mwana?

Placenta Accreta tekola bulabe butereevu ku mwana. Wabula embeera eno etera okuvaako okuzaala nga tebanneetuuka (preterm birth). Kino kitegeeza nti omwana asobola okuzaalibwa nga tannaweza wiiki 37. Abaana abazaalibwa nga tebanneetuuka balina akabi ng’okukaluubirirwa okussa n’okugejja. Era, waliwo emikisa mingi nti omwana ajja kuweebwa ekitanda mu ddwaaliro ly’abaana abato (NICU) okufuna obujjanjabi obw’enjawulo.

Obulabe ki obuli mu maama olw’obulwadde bwa Placenta Accreta?

Kino kiyinza okuwulikika ng’ekitiisa katono naye kikulu okukimanya. Maama alina Placenta Accreta ayinza okufuna akabi kano wammanga:

• Okuzaala nga tebanneetuuka.
• Okwonooneka kwa nnabaana n’ebitundu ebiriraanyewo nga ekibumba n’ebyenda.
• Okufiirwa obuzaale olw’okuggyibwako nnabaana.
• Okuvaamu omusaayi ekisusse, ekivaamu obwetaavu bw’okuteekebwamu omusaayi.
• Ensonga z’okuzimba omusaayi.
• Amawuggwe oba ekibumba okulemererwa.
• Mu mbeera ezitali nnyingi nnyo, okufa kuyinza n’okubaawo. Eno y’ensonga lwaki embeera eno etwalibwa ng’ey’amaanyi ennyo.

Placenta Accreta etera etya?

Kigambibwa nti Placenta Accreta ekwata embuto nga emu ku buli 533. Naye,Omuwendo gw’embeera eno gweyongedde mu myaka egiyise, okusinga olw’omuwendo gw’abalongoosa (C-sections) okweyongera.

Biki ebivaako obulwadde bwa Placenta Accreta?

Placenta Accreta esinga kuva ku bimu ebitali bya bulijjo mu layini ya nnabaana yo. Omusulo gwa nnabaana wo guyinza okuba nga gwayonooneka era nga guliko enkovu olw’okulongoosebwa okwasooka okuggyibwako nnabaana. Naye oluusi embeera eno esobola n’okubeerawo mu bantu abatalongoosebwangako nnabaana yonna, nedda?

Ebikulu ebiyinza okuvaako Placenta Accreta bye bino:

• Okulongoosebwa okwasooka (`Multiple C-sections`): Abakyala abamaze okulongoosebwa emirundi mingi bali mu bulabe bwa maanyi okufuna Placenta Accreta. Kino kiri bwe kityo kubanga enkovu ezikolebwa ku nnabaana olw’okulongoosebwa okwo ziyinza okuba ez’amaanyi. Obulabe bweyongera n’omuwendo gw’okulongoosebwa okukolebwa okumala ekiseera. Ebitundu ebisoba mu 60% ku balwadde ba Placenta Accreta babadde balongoosebwa emabegako.
• Okulongoosebwa nnabaana emabegako: Bw’oba ​​olongooseddwa okuggyamu ebizimba bya nnabaana (ebizimba ebitali bya kookolo), enkovu ziyinza okuvaako okuzimba nnabaana. Ekirala, okulongoosa nga curettage (D&C) oba endometrial ablation nakyo kiyinza okuvaako enkovu, ekivaako embeera eno.
• Ensigo Previa: Mu mbeera eno, enseke ebeera nga ebisse omumwa gwa nnabaana. Ku abo abalina Placenta Previa n’abo abamaze okulongoosebwa, obulabe bw’okufuna Placenta Accreta bweyongera n’omuwendo gw’okulongoosebwa.

Bubonero ki obulaga obulwadde bwa Placenta Accreta?

Ebiseera ebisinga, abantu abalina Placenta Accreta tebalaga bubonero bwonna. Ekyo kintu kya kulowoozaako. Naye abantu abamu bayinza okufuna omusaayi ogumu mu bukyala mu kiseera ky’olubuto olw’okusatu (i.e., okuva mu wiiki 28 okutuuka ku 40), oba bayinza okulumwa olubuto olwa wansi ng’enkwaso enyigiriza ku kibumba oba ebitundu ebirala.

Otegeera otya (Placenta Accreta)?

Placenta Accreta osobola okukizuula ng’okozesa ‘ultrasound scan’ ng’oli lubuto. Oluusi , okukebera kwa Magnetic Resonance Imaging (MRI) kuyinza okukolebwa okulaba ddala engeri nnabaana gye yeenyigiddemu mu bbugwe wa nnabaana.

Mu mbeera endala, abasawo bazuula Placenta Accreta ng’omwana amaze okuzaalibwa. Ebiseera ebisinga, nnabaana akwatagana n’enkwaso n’efuluma mu ddakiika 30 ng’omwana azaaliddwa. Kino bwe kitabaawo, omusawo ayinza okuteebereza Placenta Accreta.

Okuzuula amangu obulwadde bwa Placenta Accreta kikulu kitya?

Kikulu nnyo okutegeera embeera eno nga bukyali.

Kubanga olwo, mu kiseera ky’olubuto lwo n’oluvannyuma lw’omwana wo okuzaalibwa, abajjanjabi ab’enjawulo, kwe kugamba, abakugu ab’enjawulo, basobola okwegatta ne bateekateeka obujjanjabi obusinga obulungi eri ggwe n’omwana wo. Ng’ekyokulabirako, omusawo w’abaana abazaalibwa ayinza okuba nga yeenyigira mu kulabirira omwana wo, oba omusawo w’abaana abazaalibwa ayinza okwenyigira mu kulabirira omwana wo. Omusawo ajja kukulondoola nnyo era akole okukuwa ekisinga obulungi n’omwana wo.

Bw’oyingizaamu ttiimu y’abasawo entuufu, oyinza okwewala okuggyibwako nnabaana oba okuziyiza omusaayi omungi oguyinza okutta omuntu. Mu mbeera ezimu ez’amaanyi, okukizuula amangu kiyinza obutalemesa kuggyamu nnabaana oba okuteekebwamu omusaayi. Kyokka, okuzuula amangu kiyinza okukendeeza ennyo ku bulabe bw’ebizibu ebirala.

Placenta Accreta ejjanjabwa etya?

Obujjanjabi bwa kino buyinza okwawukana okusinziira ku muntu. Singa omusawo akizuula ng’omwana tannazaalibwa, ajja kukulondoola nnyo mu lubuto lwo lwonna. Oyinza okusabibwa okusigala mu ddwaaliro oba okuwummulako ku kitanda awaka okuyamba okutangira okuzaala nga tebanneetuuka.

Omusawo ajja kutegeka okulongoosebwa omwana C-section (cesarean section) okuzaala, ebiseera ebisinga wakati wa wiiki 34 ne 37 ng’oli lubuto. Kino kikolebwa okutangira omusaayi oguyitiridde oguyinza okuva mu kukonziba kwa nnabaana oba okuzaala. Bw’oba ​​oteekateeka okuzaala abaana abalala, omusawo ajja kufuba okutaasa nnabaana wo.

Wabula mu mbeera ez’amaanyi ng’enkwaso ebeera nzito nnyo, ng’ekwatagana nnyo oba ng’ekosezza ebitundu by’omubiri ebirala, okuggyamu nnabaana y’engeri esinga okuba ey’obukuumi. Okulongoosa nnabaana (cesarean hysterectomy) nkola nga nnabaana aggyibwamu mu kiseera kye kimu ng’omwana azaaliddwa nga bakozesa C-section. Mu nkola eno, omusawo aggyayo omwana n’omumwa gwa nnabaana n’enkwaso mu kiseera kye kimu. Okuggyawo nnabaana ng’enkwaso ekyali yeekwata kiyinza okukendeeza ennyo ku bulabe bw’okuvaamu omusaayi omungi.

Abasawo abamu basalawo okuleka obutundutundu obutonotono obw’enkwaso munda mu nnabaana, kubanga enseke ejja kusaanuuka okumala ekiseera. Wabula kino nakyo kirina akabi ng’okuvaamu omusaayi omungi mu bukyala, okukwatibwa obuwuka, n’okuziyira omusaayi. Era kiyinza okukaluubiriza okufuna olubuto mu biseera eby’omu maaso.

Omwana ozaala mangu wa nga olina (Placenta Accreta)?

Abasawo abasinga bagamba nti omuntu alina okulongoosebwa mu lubuto wakati wa wiiki 34 ne 37 , okuggyako nga waliwo ebizibu ebirala. Kino kikolebwa okukutangira okukonziba oba okutandika okuzaala, ekiyinza okuvaako omusaayi oguyitiridde. Omusawo ayinza n’okukuwa eddagala eriyitibwa corticosteroids okuyamba amawuggwe g’omwana wo okukula.

Placenta Accreta esobola okuziyizibwa?

Mu butuufu tewali ngeri yonna gye tuyinza kuziyiza ddala mbeera eno (Placenta Accreta).Wabula bw’oba ​​obadde okola C-sections eziwera mu biseera eby’emabega, oba bw’oba ​​olina placenta previa (placenta previa), akabi ko kasinga. Yogerako n’omusawo wo ku byafaayo by’obulamu bwo n’akabi akali mu kufuna obulwadde bwa placenta accreta.

Ebiseera by'omu maaso eby'abo abalina (Placenta Accreta) bye biruwa?

Placenta Accreta, singa ezuulibwa nga bukyali lubuto, ebiseera ebisinga eba n’ebirungi. Wabula kiyinza okuvaako ebizibu ng’okuzaala nga tannatuuka n’okuggyamu nnabaana. Singa omusawo akuggyamu nnabaana, tojja kuddamu kufuna lubuto. Embeera eno esobola okuvaamu omusaayi omungi, okwonoona ebyenda oba ekibumba, n’okufa. Eno y’ensonga lwaki mbeera eyeetaaga okufaayo ennyo.

Kisoboka okuddamu okuzaala omwana oluvannyuma lwa Placenta Accreta?

Kino kisinziira ku oba obadde olongooseddwa nnabaana (okulongoosebwa okuggyamu nnabaana wo). Bw’oba ​​oyagala okuzaala abaana abalala mu biseera eby’omu maaso, yogerako n’omusawo wo ku nsonga eno. Ayinza okwewala okuggyibwako nnabaana okukuuma obuzaale bwo (obusobozi bw’okuzaala).

Omukisa guli gutya okuwona Placenta Accreta?

Okutwalira awamu omuwendo gw’okuwangaala kwa Placenta Accreta mulungi. Emirundi mingi, kyetaagisa okuggyamu nnabaana okuziyiza okuvaamu omusaayi oluvannyuma lw’okuzaala oba ebizibu ebirala eby’amaanyi.

Ddi lwe nnina okuyita omusawo wange?

Placenta Accreta mbeera ya bulabe nnyo mu lubuto. Omusawo ajja kukulondoola nnyo era akumanyise ebisigadde mu lubuto lwo, okuzaala n’okuwona. Bw’oba ​​olina ekibuuzo kyonna ku kuzuula kuno, kibuuze. Baliwo okukuyamba.

Bw’otandika okuvaamu omusaayi omungi mu bwangu (nga n’ofukirira paadi mu ssaawa ezitakka wansi wa emu) oba bw’ofuna obulumi obw’amaanyi mu lubuto lwo olwa wansi, kuba 911 mu bwangu oba genda mu ddwaaliro erikuli okumpi amangu ddala.

Bibuuzo ki bye nnina okubuuza omusawo wange ow’okuzaala n’abakyala?

Kya bulijjo okuba n’ebibuuzo bingi ng’okizudde nti olina Placenta Accreta. Bino bye bimu ku bibuuzo by’osobola okubuuza omusawo wo:

• Nnaaba nnina okuzaala omwana nga bukyali?
• Embeera eno ejjanjabibwa etya?
• Nneetaaga okuwummula ku kitanda oba okukyusa mu nkola yange eya bulijjo?
• Ntegeera ntya ddi lwe nneetaaga okugenda mu ddwaaliro?
• Kisoboka okuzaala omwana mu ngeri eya bulijjo (mu bukyala)?
• Nnasobola okuzaala omwana omulala mu biseera eby’omu maaso?
• Nnaaba nnina okulongoosebwa nnabaana?

Okuggyamu nnabaana kinaaba kyetaagisa olw’obulwadde bwa Placenta Accreta?

Omusawo ajja kukola kyonna ekisoboka okutaasa nnabaana wo, naye akabi akali mu kukola ekyo kayinza okuba nga kasingako nnyo.(Placenta Accreta) Abantu bangi abalina obulwadde obw’amaanyi beetaaga okuggyibwako nnabaana okutangira okuvaamu omusaayi oguyinza okutta obulamu. Yogerako n’omusawo wo oba kyetaagisa okuggyamu nnabaana ku mbeera gy’olimu.

Kiki kye tuyinza okuyigira ku kino? (Obubaka Obutwala Awaka)

Placenta Accreta mbeera etera obutaleeta bubonero bwonna ng’oli lubuto, naye eyinza okutta omuntu. Wabula okuzuula amangu n’okulondoola n’obwegendereza nga okozesa ekyuma ekikebera eddoboozi (Ultrasound scan) kiyinza okukendeeza ku bulabe bw’ebizibu. Oluusi embeera eno ezuulibwa ng’omwana amaze okuzaalibwa. Bw’oba ​​olina Placenta Accreta, yogerako n’omusawo wo ku ky’osuubira. Jjukira nti ziriwo okukukuuma n’omwana wo nga temuli bulabe era nga mulamu bulungi. N’olwekyo totya kwogera nabo ku bikweraliikiriza n’ebikuli mu birowoozo.

` Ensigo, Nnabaana, Olubuto, Okulongoosa, Okuzaala, Okuvaamu omusaayi, Enseke Accreta, Obulamu bw'abakyala, Ebizibu ebiva mu lubuto