Essanyu ly’owulira ng’okizudde nti oli lubuto lisukka bigambo. Naye mu kiseera kye kimu, naawe owulira ng’otya katono, si bwe kiri? Buli kimu kinaatambula bulungi era omwana anaabeera bulungi? Ebiseera ebisinga buli kimu kitambula bulungi. Naye oluusi, tulina okwolekagana n’ebintu bye tutasuubira, ebibeera eby’amaanyi katono. Ekimu ku mbeera ez’amangu ng’ezo eyeetaaga okujjanjabibwa ye lubuto olutali mu nnabaana . Wadde guno mulamwa ogutiisa katono, kikulu nnyo ggwe okukimanya ku kino.
Mu ngeri ennyangu, Olubuto olw’ebweru w’olubuto kye ki?
Ekitera okubaawo kwe kuba nti eggi erifunye eggi lye yeekwata ku bbugwe wa nnabaana wo, gye likula mpola ne lifuuka omwana. Kiba ng’okusimba ekimera mu ttaka eddungi. Nnabaana y’embeera etuukiridde okugibeeramu.
Wabula mu ``Ectopic Pregnancy``, eggi erizaala liteekebwa awalala ebweru wa nnabaana. Ebiseera ebisukka mu 90%, kino kibaawo mu ``Fallopian tube``. N’olwekyo embeera eno era eyitibwa ``Olubuto mu nseke``. Okugatta ku ekyo, embuto esobola okusimbibwa mu bifo nga ``Ovary``, ``Abdominal cavity`` oba ``Cervix``.
Ekikulu, omwana ali mu lubuto asimbibwa ebweru wa nnabaana tasobola kuwangaala oba okukula n’afuuka mwana mulamu . Olw’okuba tefuna musaayi, kifo, n’endya bye yeetaaga ebweru wa nnabaana, kino bulijjo kiggwa mu kuvaamu olubuto (`Okufiirwa olubuto`).
Singa embeera eno temanyibwa era n’ejjanjabwa nga bukyali, ekitundu (ebiseera ebisinga ekikuta ky’enkwaso) omusimbibwa embuto kiyinza okukutuka (okukutuka). Kino bwe kibaawo, kiyinza okuvaako omusaayi ogw’amaanyi munda n’okutuuka n’okutta omuntu. N’olwekyo, kikulu nnyo okukimanya ku kino.
Bubonero ki obulaga embeera eno?
Mu biseera ebisooka, obubonero bw’olubuto olutali mu nnabaana bufaanagana nnyo n’obw’olubuto olwa bulijjo. Oyinza okusubwa okugenda mu nsonga, ng’amabeere gakulukuta, n’okuwulira ng’olubuto lukutawaanya katono. Kale kiyinza okukuzibuwalira katono okukitegeera mu kusooka.
Wabula obubonero obw’enjawulo butera okutandika okulabika wakati wa wiiki 4 ne 12.
| Obubonero obusooka | Okunnyonnyola |
|---|---|
| Okuvaamu omusaayi mu bukyala | Kiyinza okuba eky’enjawulo ku kuvaamu omusaayi ogwa bulijjo mu nsonga, era kiyinza okujja mu ngeri y’okufulumya omusaayi ogwa kitaka omutangaavu. |
| Obulumi mu lubuto olwa wansi | Oyinza okufuna obulumi obw’amaanyi obweyongera ku ludda olumu olw’olubuto lwo. |
| Okuziyira n’okunafuwa | Oyinza okuziyira mu bwangu oba okuwulira ng’omutwe gukutte. |
| Obulumi mu bibegabega | Kano kabonero katono akawuniikiriza. Bwe wabaawo omusaayi munda mu lubuto, obusimu busobola okusikirizibwa ne buwulira ng’obulumi mu nsonga y’ekibegabega. |
| Okusesema n’okuziyira | Okusesema kuyinza okuwerekera obulumi mu lubuto. |
| Manya embeera ey’amangu (Ruptured Ectopic Pregnancy)! | |
Singa omusuwa gwa nnabaana gukutuka, kiba mbeera ya mangu eyinza okutta omuntu . Bw’oba olina obubonero buno, genda mu kisenge ky’abalwadde ab’amangu mu ddwaaliro (ETU) mu bwangu oba okuyita ambyulensi.
| |
Lwaki kino kibaawo? Biki ebiyinza okuvaako akabi?
Ebiseera ebisinga kiba kizibu okuzuula ensonga entongole ekivaako kino. Kyokka ensonga enkulu eyinza okuba nti eggi erya nnabaana lyonoonese mu ngeri emu, ekizibuwalira eggi erizaaliddwa okugenda mu nnabaana.
Oyinza okuba mu bulabe obw’amaanyi obw’okufuna olubuto olw’ebweru w’olubuto singa:
- Bw’oba onywa sigala: Okunywa sigala kiyinza okukosa enkola y’enseke z’omu nnabaana .
- Bw’oba olina emyaka egisukka mu 35.
- Bw’oba obadde n’obulwadde bw’ekikaba (STI) emabegako: Yinfekisoni naddala chlamydia esobola okwonoona ebisenge ebiweweevu eby’enseke z’omu nnabaana n’okuleeta enkovu.
- Bw’oba olongooseddwa mu lubuto oba mu kisambi: Okugeza, okulongoosebwa omumwa gwa nnabaana oba okulongoosebwa oluusi kiyinza okuvaako enkovu munda.
- Bw’oba wali ofunye olubuto olw’ebweru w’olubuto: Bw’oba obadde n’olubuto, akabi k’okuddamu okulufuna kali waggulu.
- Bw’oba obadde olongooseddwa tubal ligation ng’enkola y’okuteekateeka amaka oba ng’olongooseddwa okugizza emabega.
- Bw’oba obadde ofunye obujjanjabi bw’okuzaala nga IVF.
- Singa ofuna olubuto ng’okozesa enkola y’okuziyiza okuzaala nga IUD, emikisa mingi nti olubuto lujja kuba lwa bweru wa nnabaana.
- Bwoba olina embeera eyitibwa ``Endometriosis``: Mu kino, ebitundu ebifaananako n'ebyo ebisangibwa munda mu nnabaana bikula ebweru wa nnabaana. Kino nakyo kiyinza okuvaako enseke z’omu nnabaana okuzibikira.
Kino okisanga otya Omusawo?
Bw’oba olina obubonero bwonna obwogeddwako waggulu, omusawo ajja kukukebera. Ebigezo bino wammanga bye bitera okukolebwa:
1. Okukebera ekisambi: Okukebera oba obulumi n’obunene bwa nnabaana.
2. Okukebera omusaayi: Kino kipima omutindo gw’obusimu bw’olubuto `hCG` (`human chorionic gonadotropin`). Mu `(Ectopic Pregnancy)`, omutindo gw'obusimu buno guyinza okuba wansi okusinga mu lubuto olwa bulijjo, oba guyinza obutalinnya mangu nga bwe kisuubirwa.
3. Ultrasound scan: Kino kye kigezo ekisinga obukulu. Kino kisobozesa omusawo okulaba oba ensawo y’olubuto eri munda oba wabweru wa nnabaana. Oluusi, ng’oggyeeko sikaani ekolebwa ku ngulu w’olubuto, sikaani okuyita mu bukyala (transvaginal ultrasound) nakyo kiyinza okukolebwa, kubanga kisobozesa enseke n’enkwaso okulabibwa obulungi.
Kijjanjabwa kitya?
Olw’okuba olubuto olutali mu nnabaana terusobola kukula bweru wa nnabaana era nga luli mu bulabe eri obulamu bwa maama, kyetaagisa okuggyamu omwana ali mu lubuto. Waliwo enkola bbiri enkulu ez’okukola kino. Omusawo ajja kusalawo obujjanjabi obusinga okutuukirawo okusinziira ku mbeera yo, enkula y’omwana ali mu lubuto, n’okumanya oba omusuwa gw’omu lubuto gwakutuse oba nedda.
1. Okujjanjaba n’eddagala
Singa embeera eno ezuulibwa nga bukyali, omusuwa gw’omu lubuto tegukutuse ate nga n’omutindo gwa hCG guba wansi w’omutindo ogugere, eddagala eriyitibwa methotrexate liyinza okuweebwa ng’empiso. Empiso eno eyimiriza okukula kw’obutoffaali bw’omwana mu lubuto. Olwo mu wiiki 4-6, omubiri gwo gunyiga ebitundu by’omubiri ku bwagwo. Enkola eno tekyetaagisa kulongoosebwa. Wabula omusawo ajja kukulondoola okutuusa ng’omutindo gwa hCG gukka ddala okutuuka ku ziro.
2. Obujjanjabi nga balongoosebwa
Mu mbeera endala, kyetaagisa okulongoosebwa.
- Laparoscopy: Kino kye kisinga okulongoosebwa. Era kiyitibwa "okulongoosa ebisumuluzo." Ebitundu ebitonotono ebitono ennyo bikolebwa mu lubuto olwa wansi, era ne bateekebwamu ttanka ennyimpi nga eriko kkamera okuggyamu embuto ``ectopic``. Singa omusuwa gw’omu nnabaana gwonoonese, guyinza okuggyibwamu wamu n’omusuwa.
- Laparotomy: Okulongoosa okw’amangu okukolebwa nga baggulawo olubuto singa wabaawo omusuwa gwa nnabaana ogwakutuka n’okuvaamu omusaayi omungi.
Oyinza okuwulira ng’okooye n’ofuna obuzibu mu lubuto okumala wiiki ntono ng’omaze okujjanjabwa. Olina okwewa obudde okuwona mu mubiri ne mu birowoozo.
Oluvannyuma lw’obumanyirivu buno...
Olubuto olutali mu lubuto luluma nnyo, mu mubiri ne mu nneewulira. Ennaku y’okufiirwa omwana eyinza okuba enzibu okugumira. Kikulu nnyo okwogera ku nsonga eno n’omwami wo, ab’omu maka go oba mukwano gwo gwe weesiga. Bwe kiba kyetaagisa, tolwawo kunoonya buyambi okuva eri omukugu mu kubudaabuda abantu.
Nga tonnagezaako kuddamu kufuna lubuto, olina okuwa omubiri gwo obudde okuwona. Abasawo batera okukuwa amagezi okulinda waakiri emyezi 3. Yogerako n’omusawo wo asalewo essaawa esinga okukusinga. Bw’oba n’omusuwa gumu oguggiddwamu naye ng’endala nnungi, osobola okuddamu okufuna olubuto mu ngeri eya bulijjo. Ekyo nakyo kyogere n’omusawo wo.
Obubaka Obutwala Awaka
- Olubuto olw’ebweru w’olubuto mbeera ya maanyi nnyo ng’omwana ali mu lubuto asimbibwa ebweru wa nnabaana era nga yeetaaga okujjanjabibwa amangu.
- Obubonero obusooka buyinza okufaananako n’obw’olubuto olwa bulijjo, naye weeraliikirira nnyo okuvaamu omusaayi mu bukyala ogutali gwa bulijjo, obulumi obw’amaanyi ku ludda olumu olw’olubuto, n’okuziyira.
- Singa ofuna obulumi obw’amangu mu lubuto obutagumiikiriza, okuvaamu omusaayi omungi oba okubulwa amagezi, .Genda mu ddwaaliro mu kitongole ekijjanjaba abalwadde ab’amangu (ETU) mu bwangu.
- Waliwo obujjanjabi. Singa ezuulibwa nga bukyali, embeera eno esobola okuddukanyizibwa n’eddagala oba okulongoosebwa.
- Kya bulijjo okuwulira ennaku n’okwennyamira olw’ekyo kino. Enneewulira ezo toziziteeka mu ccupa. Yogerako n’omusawo wo, era bwe kiba kyetaagisa, omuwabuzi ku by’obulamu bw’obwongo, okufuna obuwagizi.
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