Ebitundu bya nnabaana bisobola okusigalawo ng’omwana amaze okuzaalibwa? (Ebiva mu kufunyisa olubuto ebikuumiddwa)

Oyinza okuba nga wazaala, oba oyinza okuba nga wavaamu olubuto. Kyokka, kitwala ekiseera omubiri gwo okudda engulu oluvannyuma lw’ekintu ekyo. Kya bulijjo okufuna omusaayi ogumu mu kiseera kino. Kyokka oluusi embeera eno esobola okusukka ku ya bulijjo. Ensonga emu lwaki ekyo kibaawo y’embeera gye twogerako leero.

Kino kitegeeza ki ddala ku bitundu bya nnabaana ebikuumiddwa (RPOC)?

Mu ngeri ennyangu, Retained Products of Conception (RPOC) kwe kuba nti ebitundu ebiva mu mwana ali mu lubuto oba mu nnabaana bisigala munda mu nnabaana wo ng’olubuto luwedde. Waliwo engeri eziwerako kino gye kiyinza okubaawo:

• Oluvannyuma lw’okuzaala mu ngeri eya bulijjo
• Oluvannyuma lw’okulongoosebwa (C-section) .
• Oluvannyuma lw’okuggyamu olubuto
• Oluvannyuma lw’okuggyamu olubuto

Ebisinga obungi ebisigalawo kitundu kya nnabaana, naye oluusi ebitundu by’omwana ali mu lubuto nabyo biyinza okusigala.

Omanya otya oba olina embeera eno?

Omubiri gwo guyita mu nkyukakyuka nnyingi ng’omaze okufuna olubuto. Okuvaamu omusaayi ogumu n’okufulumya amazzi mu bukyala bya bulijjo. Kyokka singa ofuna omusaayi omungi oba omusaayi omunene, kiyinza okuba akabonero akalaga nti weetaaga okugenda ew’omusawo.

Akabonero akakulu era akasinga okumanyibwa ku RPOC kwe kuvaamu omusaayi omungi oba ogutali gwa bulijjo . Okugatta ku ekyo, obubonero buno nabwo buyinza okubaawo.

Lwaki kino kibaawo? Biki ebiyinza okuvaako akabi?

Kizibu okuzuula ensonga entuufu lwaki ebitundu bya nnabaana bisigalawo oluvannyuma lw’olubuto. Kyokka, ensonga ezimu ziyinza okwongera ku bulabe bw’embeera eno.

• Bw’oba ​​obadde n’embeera eno emabegako: Bw’oba ​​obadde n’embeera ya RPOC mu kuzaala okwasooka, otera okuddamu okugifuna.
• Obuzibu mu nnabaana: Mu mbeera eyitibwa ``Placenta Accreta'', nga enseke yeekwata nnyo ku bbugwe wa nnabaana, enseke eyinza obutayawukana mu bujjuvu n'efuluma.
• Emyaka: Obulabe buba bungi katono singa oba osukka emyaka 35 mu kiseera ky’olubuto.
• Okuzaala n'ebikozesebwa: Obulabe buno buyinza okweyongera ng'omwana azaaliddwa ng'akozesa ebikozesebwa nga ``Forceps'' oba ``Vacuum''.
• Okuvaamu olubuto mu kiseera eky’okubiri: Singa okuzaala, okuvaamu olubuto oba okuggwaamu olubuto kubaawo wakati wa wiiki 13 ne 26 ng’olubuto luwedde.
• Okulongoosebwa emabegako: Bw’oba ​​wali omaze okulongoosebwa C-section oba dilation and curettage (D&C), enkovu mu nnabaana ziyinza okuleeta obuzibu mu nnabaana okukutuka.
• Obutabeera bulungi mu nkula ya nnabaana: Abakyala abamu bayinza okuzaalibwa n’enkula ya nnabaana ey’enjawulo. Mu mbeera ng’ezo, akabi kano nako kabaawo.

Kiki ekibaawo singa ebitundu bino tebiggyibwamu?

Singa ebitundu bya nnabaana ebisigadde bisigala, kiyinza okuvaako ebizibu ebiwerako, ng’ebimu ku byo biyinza okuba eby’amaanyi ennyo.

• Okukendeera kw’omusaayi: Okuvaamu omusaayi ekisusse kiyinza okuvaako omusaayi okukendeera mu mubiri, ekivaako okukoowa n’okuzirika.
• Yinfekisoni: Yinfekisoni ziyinza okuva ku bitundu bya nnabaana ebisigadde. Singa yinfekisoni zino tezijjanjabwa bulungi, zisobola okwonoona enkola y’okuzaala era zisobola n’okukulaakulana ne zifuuka embeera ey’akabi eyitibwa `sepsis` .
• Obulumi obw’olubuto obwa wansi obutawona: Obulumi obw’olubuto obwa wansi obutera okubaawo.
• Obulwadde bwa Asherman:Eno embeera etatera kubaawo. Kizingiramu okutondebwa kw’ebitundu by’enkovu (adhesions) munda mu nnabaana. Kino kiyinza okuleeta obuzibu mu lubuto mu biseera eby’omu maaso n’obutagenda mu nsonga.

Abasawo bazuula batya embeera eno?

Kizibu okumanya oba olina RPOC ng’otunuulira obubonero bwokka. Obubonero buno buyinza okufaananako n’embeera endala ezibeerawo oluvannyuma lw’okuzaala. Kale omusawo ayinza okukola okukebera okutonotono okukakasa embeera eno.

Bujjanjabi ki obukolebwa ku kino?

Singa RPOC ekakasiddwa, obujjanjabi bukolebwa okuggyamu ebitundu ebisigadde. Waliwo enkola bbiri enkulu ez’obujjanjabi.

1. Eddagala: Misoprostol ddagala erimira mu kamwa oba okuteekebwa mu bukyala. Eddagala lino likola nga lireetera nnabaana okukonziba n’okugoba ebitundu ebiri munda.

2. D&C (Dilation and Curettage): Kuno kulongoosa kutono. Mu kino, omumwa gwa nnabaana guggulwawo ne bakozesa ekintu eky’enjawulo okusenya ebitundu byonna ebiri munda mu nnabaana.

Waliwo akabi konna akali mu bujjanjabi buno?

Nga bwe kiri ku nkola yonna ey’obujjanjabi, waliwo akabi akatono ennyo. Emikisa mitono nnyo egy’okuvaamu omusaayi omungi oba okukwatibwa yinfekisoni. Waliwo akabi akatono ennyo ak’okukutuka nnabaana mu kiseera kya D&C. Kyokka kino kitera okugonjoola ku bwakyo.

Ddi lw’osaanidde okunoonya amagezi mu bwangu omusawo?

Bw’ofuna obubonero bwonna ku buno wammanga oluvannyuma lw’okuzaala, okuggyamu embuto oba okuggyawo olubuto, genda mu kitongole ky’eddwaaliro eky’amangu (ETU) mu bwangu oba olabe omusawo wo.

• Okukaluubirirwa okussa
• Okuvaamu omusaayi omungi ennyo (okufukirira sanitary napkin ezisukka mu emu buli ssaawa) .
• Omusujja ogw’amaanyi
• Okuziyira n’okusiiyibwa
• Obulumi obw’amaanyi mu lubuto olwa wansi obutagumiikiriza

Oluvannyuma lw’okuzaala omwana oba okuvaamu olubuto, weetaaga obudde okuwummula n’okuwona, mu mubiri ne mu birowoozo. Kya bulijjo okuwulira ennaku n’okuggwaamu essuubi nga bakugambye nti olina okugenda mu bujjanjabi obulala. Naye jjukira nti embeera eno bw’ogireka nga tegijjanjabiddwa kiyinza okuvaako obuzibu obw’ekiseera ekiwanvu. Kale totya kwogera na musawo wo. Bw’oyogera mu lwatu ku nneewulira zo n’ebikweraliikiriza kijja kukuyamba okuwulira obulungi.