Waakazaala omwana? Oba wayita mu mbeera ey’ekikangabwa ng’okuvaamu olubuto? Oluvannyuma lw’ekintu ng’ekyo, omulambo gutwala ekiseera okudda engulu. Kale, kya bulijjo okuvaamu omusaayi mu bukyala n’obulumi obutonotono okumala ennaku ntono. Wabula singa omusaayi guno guzitowa nnyo okusinga ogwa bulijjo, bw’oba oyisa ebizimba ebinene, oba nga tewali kulongooka oluvannyuma lw’ennaku ntono, si kirungi kumala gavaako. Kiyinza okuba nga kiva ku mbeera eyitibwa "retained uterine tissue," gye twogerako leero.
Mu ngeri ennyangu, kiki ekikuumibwa ekitundu kya nnabaana (RPOC)?
Kino kiyinza okuwulikika ng’ekizibu katono ng’owulira erinnya, naye kyangu nnyo.
Oluvannyuma lw’ekiseera ky’olubuto okuggwaako, kwe kugamba, ng’omwana amaze okuzaalibwa, oluvannyuma lw’okuggyamu olubuto, oba oluvannyuma lw’okuggyamu olubuto, waliwo ebitundu by’ebitundu ebisigadde munda mu nnabaana ebikwatagana n’ekiseera ekyo eky’olubuto, kye tuyita mu by’obusawo `(Retained Products of Conception - RPOC)`. Lowooza ku kino, mu kiseera ky’olubuto, ekintu ekirala ekikulu ekiyitibwa placenta kikula mu nnabaana wamu n’omwana, nedda? Omwana afuna emmere n’omukka gwa oxygen bye yeetaaga ng’ayita mu nseke eno. Omwana bw’amala okuzaalibwa, enseke eno erina okuva ddala mu nnabaana n’efuluma. Naye oluusi, obutundutundu obutono obw’enkwaso eno, ebitundu by’ebitundu by’omubiri eby’embuto oba omwana ali mu lubuto, oba ebitundu ebirala eby’ebitundu ebikwatagana n’ekiseera ky’olubuto biyinza obutaggyibwawo ddala ne bisigala nga bisibye munda mu nnabaana. Eno y’ensonga lwaki embeera eno tugiyita.
Kale kino kye kimu ne "Retained Placenta"?
Nedda, ba njawulo katono. Tuyita "Retained Placenta" nga nnabaana yonna tefuluma mu nnabaana mu ddakiika 30-60 ng'omaze okuzaala. Mu mbeera eyo, tuba twogera ku
nnabaana yonna . Naye `(RPOC)` mbeera egazi katono. Wano, si nnabaana yonna, wabula
akatundu akatono ak’omu lubuto, akatundu k’omubiri gw’omwana ali mu lubuto oba ekintu ekirala kyonna ekiyinza okulekebwa mu nnabaana. Mu ngeri ennyangu, `(Retained Placenta)` esobola okutwalibwa ng'ekika kya `(RPOC)`.
Bubonero ki obulaga embeera eno? Okitegeera otya?
Olw’okuba omubiri gwo guyita mu nkyukakyuka nnyingi ng’omaze okuzaala omwana, oluusi kyangu okukyamusa obubonero buno ng’ogamba nti waliwo ekintu ekya bulijjo. Naye kikulu okukimanya ku kino.
Jjukira nti kya bulijjo okuvaamu omusaayi omutono okumala wiiki ntono ng’omaze okuzaala omwana oba okuvaamu olubuto. Naye kisaana okukendeera mpolampola. Bwe kitaba bwe kityo, kiba kintu kya kussaayo mwoyo.
Akabonero akakulu era akasinga okulabika kwe
kuvaamu omusaayi mu bukyala ogutali gwa bulijjo oba oguyitiridde. Kino ka twongere okukinnyonnyola:
- Okuvaamu omusaayi omungi : Singa ovaamu omusaayi ogumala okufukirira ddala paadi buli luvannyuma lwa ssaawa bbiri.
- Okuyisa ebizimba ebinene: Singa oyisa ebizimba ebinene okusinga ebya bulijjo.
- Okuvaamu omusaayi mu biseera ebitali bimu : Singa omusaayi gukoma okumala ennaku ntono ate ne guddamu okutandika amangu , guba muzito.
- Amazzi agawunya obubi: Singa amazzi agava mu bukyala galina akawoowo akabi, kayinza okuba akabonero akalaga nti omuntu alina yinfekisoni.
Ng’oggyeeko akabonero kano akakulu, obubonero obulala obuwerako busobola okulabibwa.
| Obubonero | Okunnyonnyola |
|---|
| Omusujja n’okuziyira | Singa yinfekisoni ebaawo olw’ebitundu ebisigadde munda mu nnabaana, omusujja guyinza okuvaamu. |
| Obulumi mu lubuto olwa wansi | Kiyinza okuwulira ng’obulumi obw’amaanyi, obutasalako oba okuzimba mu lubuto olwa wansi. |
| Nabaana agaziye era nga alina obuzibu | Omusawo bw’aba akeberebwa, ayinza okukizuula nti nnabaana munene okusinga bwe yali asuubira era ng’aluma okukwatako. |
| Okulemererwa okuddamu okugenda mu nsonga buli mwezi | Bw’oba toyonsa, ebiseera ebisinga ensonga zo zirina okuddamu okutandika mu wiiki 6-8. Bwe kitaba bwe kityo, era kiyinza okuba akabonero k’embeera eno. |
Lwaki kino kigenda mu maaso? Waliwo ensonga entongole lwaki kino kivuddeko?
Kitera okuba ekizibu okuzuula ekintu kimu ekivaako. Kyokka abasawo bazudde ebintu ebiwerako ebyongera obulabe bw’okufuna embeera eno.
Ekisinga okuleeta akabi kwe kuba nti oba obadde n’embeera eno (RPOC) mu lubuto lw’omaze, .Obulabe bwa kino okuddamu okubaawo mu mbuto eziddirira nagwo bungi. Okugatta ku ekyo, embeera zino wammanga nazo ziyinza okwongera ku bulabe.
| Ensonga y’akabi | Ennyinyonnyola ennyangu |
|---|
| Ensigo Accreta | Eno mbeera nga nnabaana yeekwata butereevu ku bbugwe wa nnabaana. Olwo omwana bw’amala okuzaalibwa, tavaayo mangu. Emikisa mingi nti ebitundu bijja kusigala. |
| Okubeera nga wa myaka egisukka mu 35 | Obulabe bweyongera katono singa maama aba asussa emyaka 35 mu kiseera ky’olubuto. |
| Okuzaala nga tuyambibwako | Bw’oba olina okukozesa ebikozesebwa nga forceps oba vacuum okuggyamu omwana. |
| Okuvaamu olubuto oba okuzaala nga mufu mu kiseera ky’olubuto olw’okubiri (wiiki 13-26) . | Mu kiseera kino, emikisa mingi nti nnabaana tegenda kuggyibwawo ddala era ebitundu bijja kusigalawo. |
| Okulemererwa Okukulaakulana mu Kuzaala | Okuzaala bwe kugenda mu maaso, nnabaana ayinza okukoowa n’obutaba na kukonziba kwetaagisa okugoba ddala nnabaana. |
| Okulongoosebwa nnabaana emabegako | Bw’oba omaze okulongoosebwa (C-sections) oba D&Cs, enkovu mu nnabaana ziyinza okuvaako nnabaana okwekwata ennyo. |
| Okubeera ne nnabaana atali mu nkula etali ya bulijjo | Nnabaana z’abakyala abamu zibeera za njawulo katono mu nkula okuva lwe zazaalibwa, era ne mu kiseera ekyo, ebitundu bisobola okusigala. |
Kiki ekigenda okubaawo singa ebitundu bino tebiggyibwamu? Wajja kubaawo ebizibu eby’amaanyi?
Yee. Singa embeera eno erekebwa nga tejjanjabiddwa, oluusi eyinza okuvaako ebizibu eby’amaanyi. Ky'ova olaba nga tugamba okumanyiira obubonero buno.
- Okukendeera kw’omusaayi : Okuvaamu omusaayi omungi kiyinza okuvaako omusaayi okukendeera mu mubiri, ekivaako obubonero ng’okukoowa n’okuziyira .
- Yinfekisoni: Ebitundu ebisigadde munda mu nnabaana kifo kituufu obuwuka we busobola okukula . Obulwadde buno busobola okusaasaana mu nseke n’enkwaso , ne bukosa obusobozi bwo obw’okuzaala mu biseera eby’omu maaso. Oluusi, obulwadde buno busobola okusaasaana mu mubiri gwonna ne buleeta embeera eziyinza okutta omuntu nga sepsis .
- Obulumi bw’omu kifuba obutawona: Oyinza okumala ebbanga eddene ng’olina obulumi mu lubuto olwa wansi.
- Obulwadde bwa Asherman’s Syndrome: Eno embeera etatera kubaawo. Yinfekisoni oba obujjanjabi obuli munda mu nnabaana (naddala D&C) buyinza okuvaako ebisenge bya nnabaana okunywerera awamu. Kino kiyinza okuvaako okugenda mu nsonga ezitali za bulijjo, okuvaamu embuto, n’okukaluubirirwa okufuna embuto mu biseera eby’omu maaso.
Abasawo bazuula batya embeera eno?
Kizibu okubeera omukakafu 100% nti olina embeera eno okusinziira ku bubonero bwokka. Obubonero buno era busobola okulabibwa mu mbeera endala ez’obujjanjabi. N’olwekyo, omusawo ayinza okukola ebigezo ebiwerako okukakasa kino.
| Enkola y’okugezesa | Ekyo oyigira ki? |
|---|
| Okukebera Ultrasound okuyita mu bukyala | Sikaani eno erimu okuyingiza akapiira akatono okuyita mu bukyala, esobola okulaba obulungi oba ekisenge eky’omunda ekya nnabaana kigonvu oba waliwo ebizimba by’ebitundu by’omubiri. |
| Okukebera langi ya Doppler Ultrasound | Kino nakyo kika kya sikaani. Kisobola okulaba oba ebitundu ebisigadde mu nnabaana bikyalina omusaayi. Singa wabaawo omusaayi, gusinga kuba kitundu kya nnabaana. |
| Okukebera omusaayi gwa HCG (Human Chorionic Gonadotropin Test) . | HCG busimu obukolebwa nnabaana ng’oli lubuto. Singa omuwendo gw’obusimu buno mu musaayi guba gukyali waggulu nga wayise wiiki eziwera ng’olubuto luwedde, kiraga nti ebitundu by’enseke biyinza okuba nga bikyali mu nnabaana. |
| Okukebera nnabaana | Mu kino, ttanka ennyimpi nga kuliko kkamera eyungiddwako eyisibwa mu bukyala n’eyingira mu nnabaana era munda ne balabibwa butereevu ku ssirini. Kino kikusobozesa okulaba ddala ebitundu ebisigadde. |
Bujjanjabi ki obukolebwa ku kino?
Singa embeera eno ekakasiddwa, ebitundu ebisigadde byetaaga okuggyibwamu. Waliwo enkola bbiri enkulu ez’obujjanjabi ku kino. Omusawo ajja kusalawo obujjanjabi obusinga okukusaanira okusinziira ku mbeera gy’olimu, obuzibu bw’obubonero bwo, n’obungi bw’ebitundu by’omubiri ebisigadde. 1.
Enzirukanya y’ebyobujjanjabi:- Misoprostol: Lino ddagala erimira ng’empeke oba okuteekebwa mu bukyala. Kireetera nnabaana okukonziba (okugaziwa). Nnabaana bw’akwata, asika ebirimu ebisigadde ebweru.
2.
Enzirukanya y’okulongoosa:- Dilation and Curettage (D&C): Kuno kulongoosa kutono. Mu Lusinhala, era tukiyita "okunaaba nnabaana." Wano, omumwa gwa nnabaana guggulwawo katono, ne bateekebwamu ekintu eky’enjawulo (ekitera okuba ekisonseka), era ebisasiro byonna ebisigaddewo ebinyweredde ku bisenge bya nnabaana biyonjebwa ne biggyibwamu. Kino kitera okukolebwa nga bakozesa eddagala eriwunyiriza.
Waliwo akabi konna akali mu bujjanjabi buno?
Nga bwe kiri ku nkola yonna ey’obujjanjabi, waliwo akabi akatono ennyo akali mu nkola zino. Ebintu ng’okuvaamu omusaayi omungi n’okukwatibwa yinfekisoni bisobola okubaawo ku byombi, naye emikisa giri mitono nnyo. D&C tetera kubaawo nnyo.
Okukutuka kwa nnabaana kuyinza okubaawo, naye emirundi mingi kuwona ku bwakyo. Ekisinga obukulu kwe kwogera mu lwatu n’omusawo wo ku bujjanjabi buno n’ebirungi n’ebibi byabwo. Oluvannyuma osobola okusalawo mu ngeri ey’amagezi.
Biki eby’amangu ebyetaagisa okulaba omusawo?
Oluvannyuma lw’olubuto lwo okuggwaako, bw’oba olina obubonero buno wammanga, genda mu ddwaaliro mu kitongole ky’abalwadde ab’amangu (ETU) mu bwangu oba tegeeza omusawo wo.- Okukaluubirirwa okussa
- Okuvaamu omusaayi omungi ennyo mu bukyala (okufukirira paadi ezisukka mu emu buli ssaawa) .
- Omusujja ogw’amaanyi
- Okuziyira n’okusiiyibwa
- Obulumi obw’amaanyi mu lubuto olwa wansi obutagumiikiriza
Mu mbeera ng’eyo, tolinda waka. Ekisinga okuba eky’obukuumi kwe kunoonya amagezi mu bwangu eri abasawo. Nkimanyi nti okwolekagana n’embeera ng’eyo kiyinza okuba ekizibu ennyo, ne mu birowoozo. Bw’oba oyagala okufuna essanyu ly’okuzaala omwana, oba ng’ogezaako okugoba obulumi bw’okuggyamu olubuto, kya bulijjo okuwulira omugugu omunene nga bakugambye nti ojja kuba olina okugenda mu bujjanjabi obulala. Naye jjukira nti eno mbeera esobola okuwona ddala ng’okozesa obujjanjabi. Abakyala bangi basobola okuddamu okufuna embuto awatali buzibu bwonna oluvannyuma lw’obujjanjabi buno ne bazaala abaana abalamu. Yogerako mu lwatu n’omusawo wo, omwami wo, n’ab’omu maka go ku bibuuzo byo, by’otya, n’engeri gy’owuliramu. Kijja kuba kiwummulo kinene nnyo gy’oli. Obubaka Obutwala Awaka
- Okubeerawo kw’ebisigadde mu bitundu bya nnabaana oluvannyuma lw’olubuto okuggwa (okuzaala, okuggyamu embuto) kiyitibwa residual uterine tissue (RPOC) .
- Obubonero obukulu bwe buvaamu omusaayi omungi, omusujja, n’okulumwa olubuto olwa wansi .
- Singa omusaayi tegukendeera mpolampola oluvannyuma lw’okuzaala oba okuggyamu olubuto, wabula ne gweyongera oba ne guddamu okutandika, laba omusawo mu bwangu.
- Singa embeera eno erekebwa nga tejjanjabiddwa, eyinza okuvaako okukendeeza ku musaayi n’okukwatibwa yinfekisoni ez’amaanyi.
- Kino kiyinza okuzuulibwa nga tuyita mu kukebera amaloboozi agayitibwa ultrasound scans n’okukeberebwa omusaayi, era kisobola okuwona ddala n’eddagala oba okulongoosebwa okutono (D&C).
- Oluvannyuma lw’okufuna obujjanjabi obutuufu, ebiseera ebisinga tewabaawo kikwata ku mbuto ennungi mu biseera eby’omu maaso.
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