Abantu bangi kati bagenda kuwasa ne balowooza ku ky’okuzaala omwana nga bakuze katono. Mpozzi era oli busy mu mirimu, okusoma n'ebirala, era kati olowooza ku ky'okutandikawo amaka. Bwoba olina emyaka 35, oyinza okuba n'okutya mu nsonda y'ebirowoozo byo, "Oh, kati nkaddiye, kinaaba kizibu okuzaala omwana ?" Kya bulijjo nnyo. Naye ekisinga obulungi kiri nti bamaama bangi mu bantu ennaku zino abazaala abaana abalamu obulungi oluvannyuma lw’emyaka 35, ne bwe baba mu myaka amakumi ana. Ekisinga obukulu kwe kutegeezebwa obulungi ku nsonga eno n’okukola ebyetaagisa. Katukwogere ku nsonga eno leero.
‘Emyaka gya maama egy’oku ntikko’ kye ki?
Mu ngeri ennyangu, bw’oba olina emyaka 35 n’okudda waggulu ng’osuubira omwana, mu by’obujjanjabi embeera eno tugiyita ‘ advanced maternal age ’. Wadde ng'ebigambo nga "geriatric pregnancy" byakozesebwanga ku kino emabega, ebigambo ebyo tebikyakozesebwa nnyo.
Kino tekitegeeza nti tosobola kuzaala mwana mulamu. Kitegeeza kyokka nti obulabe obumu ku bulamu buyinza okweyongera n’emyaka, era ggwe n’omusawo wo mulina okubussaako essira mu ngeri ey’enjawulo.
Obulabe ki obuli mu kufuna embuto oluvannyuma lw’emyaka 35?
Ebizibu by’olubuto bisobola okubaawo ku myaka gyonna. Wabula oluvannyuma lw’emyaka 35, obulabe bw’embeera zino wammanga bweyongera katono. Naye jjukira nti bw’okolagana obulungi n’omusawo wo , osobola okuddukanya obulabe buno bwonna.
| Akabi | Ennyinyonnyola ennyangu |
|---|---|
| Puleesa eri waggulu | Kino oluusi kiyinza okuvaako embeera ey’akabi eyitibwa preeclampsia (puleesa n’okwonooneka kw’ebitundu by’omubiri eby’omunda). |
| Ssukaali ow’olubuto | Ssukaali akoma mu lubuto. |
| Okuvaamu olubuto oba okuzaala nga mufu | Obulabe buno bweyongera katono n’emyaka. |
| Okwetaaga okulongoosebwa (C-section) . | Emikisa mingi egy’okuddukira mu kulongoosa olw’ebizibu ebiva mu kuzaala. |
| Okuzaala nga tebanneetuuka | Okuzaala omwana ng’olunaku lw’okuzaala terunnatuuka. |
| Obuzito obutono mu kuzaalibwa | Obuzito bw’omwana bw’azaalibwa buba wansi wa bulijjo. |
| Obuzibu mu nsengekera y’obutonde (chromosomal disorders) mu mwana | Obulabe bw‟okufuna embeera nga Down syndrome bweyongera n‟emyaka. |
Lwaki obulabe buno bweyongera n’emyaka?
Waliwo ensonga bbiri enkulu eziviirako kino. Lowooza ku nti omukazi bw’azaalibwa, omubiri gwe guba n’amagi agawera g’ajja okwetaaga obulamu bwe bwonna. Bw’akaddiwa, omuwendo gw’amagi gukendeera, era n’omutindo gw’amagi agasigaddewo nagwo gukendeera mpolampola. Kino kyongera obulabe bw’obutabeera bulungi mu nsengekera y’obutonde (chromosomal abnormalities) mu magi.
Ekirala omuntu ow’emyaka 35 emikisa mingi dda okufuna endwadde ezitawona nga puleesa okusinga ow’emyaka 25. Kale, embeera zino ziyinza okwongera okukaluba olw’olubuto.
Waliwo ebirungi byonna ebiri mu kino?
Yee, teweewuunya! Okunoonyereza kulaga nti waliwo emigaso egimu egy’okufuuka maama ng’owezezza emyaka egy’obukulu.
- Bamaama abakadde batera okuba nga basoma bulungi era nga balina ssente ezitebenkedde , kale basobola okuwa omwana waabwe eby’obugagga ebyetaagisa.
- Olw’okuba olina obutebenkevu obulungi mu birowoozo n’obumanyirivu mu bulamu, kiyinza okuba eky’angu okwolekagana n’okusoomoozebwa kw’obuzadde.
- Okusinziira ku kunoonyereza okumu, bamaama abazaala abaana ku myaka emikulu batera okuwangaala .
- Omwana wo okuba n’obulamu obulungi, okusoma n’okukuzibwa obulungi .Era kigambibwa nti waliwo omukisa gw’okugifuna.
Oyinza otya okwongera ku mikisa gy’okuzaala omwana omulamu obulungi?
Bw’olabirira ebintu bino, naawe osobola okufuna olubuto olulungi era olulungi .
Ka twetegeke nga tetunnafuna lubuto.
Bw’oba olowooza ku ky’okuzaala, laba omusawo nga tonnaba na kugezaako kufuna lubuto. Kino kiyitibwa ‘okukeberebwa nga tonnafuna lubuto’. Wano w’osobola okukebera oba omubiri n’ebirowoozo byo byetegefu okufuna olubuto.
Funa obujjanjabi obutuufu nga tonnazaala okuva mu buto.
Kikulu nnyo okwekebeza abasawo buli kiseera okuva lw’okizuula nti oli lubuto. Wiiki 8 ezisooka nkulu nnyo naddala mu nkula y’omwana. Omusawo ajja kukebera buli kiseera puleesa yo, puloteyina ne ssukaali mu musulo, ne glucose mu musaayi. Kino kisobozesa okuzuula amangu n’okujjanjaba embeera nga preeclampsia ne ssukaali ow’olubuto.
Ddira ebirungo ebikulu (Prenatal Vitamins) .
Kikulu buli mukyala asuubira omwana okumira empeke ya vitamiini buli lunaku erimu asidi wa folic . Kino kikulu nnyo naddala bw’oba osukka emyaka 35. Folic acid ayamba okutangira omwana obulema mu bwongo n’omugongo. Dozi esengekeddwa buli lunaku eri micrograms 400. Wabula tomira micrograms ezisukka mu 1,000 (milligram emu) nga tewebuuzizza ku musawo.
Manya ku kukebera obuzaale
Obulabe bw’omwana wo obw’okufuna obuzibu mu nsengekera y’obutonde bwe bweyongera n’emyaka, waliwo okukebera okuwerako okuyinza okukuyamba okuzuula. Bino si bya kiragiro, naye kiba kya magezi okwogera n’omusawo wo ku nsonga eno n’osalawo ekisinga obulungi gy’oli.
| Erinnya ly’okugezesa | Kino kikola ki? |
|---|---|
| DNA y’omwana ali mu lubuto etaliimu butoffaali (cffDNA) . | Osobola okufuna okutegeera okusookerwako ku mbeera nga Down syndrome ng’okwata omusaayi gwo n’okebera DNA y’omwana. |
| Obulwadde bwa Amniocentesis | Okukebera okuggya amazzi amatono agayitibwa amniotic fluid okuva mu nnabaana. Kino kisobola okuzuula obulungi embeera z’obuzaale. Kyokka, waliwo akabi akatono ennyo ak’okuggyamu olubuto. |
| Okutwala sampuli z’ebiwuka ebiyitibwa Chorionic Villus (CVS) . | Okukebera okuggya sampuli y’obutoffaali okuva mu nnabaana. Okufaananako ne amniocentesis, kino nakyo kitwala akabi katono nnyo. |
| Screen ya Quad | Okukebera omusaayi okukolebwa mu lubuto olwokubiri. Kino kipima emiwendo gy’ebintu bina mu musaayi gwo (AFP, HCG, Estriol, Inhibin-A) okusobola okuwa ekirowoozo ku bintu ebikuleetera obulabe. |
Okwefaako kikulu nnyo.
Nga bw’olowooza ku mwana wo, era kikulu n’okulowooza ku ggwe kennyini. Bw’oba mulamu bulungi, omwana wo naye ajja kuba mulamu bulungi.
- Endya ennungi: Lya ebibala, enva endiirwa, ebinyeebwa, emmere ey’empeke, n’amata agataliimu masavu mangi. Lya emmere erimu ekirungo kya calcium .
- Omugejjo mu ngeri entuufu: Okwongera omugejjo gwokka ng’omusawo bw’akulagidde. Okugejja ennyo si kirungi.
- Dduyiro: Buuza omusawo wo okole dduyiro ennyangu ezikusaanira. N’ekintu ng’okutambula kirungi.
- Mulekere ddala okunywa sigala n’omwenge: Bino bya bulabe nnyo eri omwana.
- Fuga endwadde endala: Bw’oba olina endwadde nga sukaali oba puleesa, zifuge bulungi nga tonnafuna lubuto.
- Weegendereze ku ddagala: Tomira ddagala lyonna, ddagala eriweweeza ku bulumi, oba vitamiini nga tewebuuzizza ku musawo.
Okudda engulu oluvannyuma lw’okuzaala
Wiiki 12 ezisooka ng’omaze okuzaala kiseera kikulu nnyo eri obulamu bwo. Naddala bw’oba osukka emyaka 35, kyetaagisa okuwummula ennyo n’okufaayo ku bulamu bwo mu kiseera kino. Kirungi okulaba omusawo akukebere mu wiiki 2-3 ng’omaze okuzaala.
Noonya abasawo amagezi mu bwangu!
Bw’oba olina obubonero ng’omusujja omungi n’okuziyira, okukaluubirirwa okussa, okuziyira, oba okuvaamu omusaayi omungi ng’omaze okuzaala, genda mu ddwaaliro mu kitongole ky’abalwadde ab’amangu (ETU) mu bwangu oba tegeeza omusawo wo.
Obubaka Obutwala Awaka
- Okubeera n’emyaka egisukka mu 35 si kiziyiza kuzaala mwana mulamu, naye ggwe n’omusawo mulina okukifaako ennyo.
- Kikulu nnyo okukolagana obulungi n’omusawo wo nga tonnafuna lubuto n’olubuto lwonna.
- Ebintu bingi eby’obulabe bisobola okukendeezebwa singa olya emmere ennungi, okukola dduyiro buli kiseera, n’okwewala okunywa sigala n’omwenge.
- Totya kukebera buzaale, yogerako n’omusawo wo ku nsonga eyo, era osalewo mu ngeri etegeerekeka.
- Tolonzalonza kubuuza musawo wo bibuuzo byonna, ebikweraliikiriza, oba okubuusabuusa kwonna okujja mu birowoozo byo. Essanyu lyo n’obulamu bwo bye bikulu.
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