Nabaana takonziba bulungi nga omaze okuzaala omwana? Ka twogere ku (Uterine Atony)!

Okufuuka maama kye kimu ku bintu ebisinga okulabika obulungi era eby’obuvunaanyizibwa mu bulamu. Kyokka, olw’essanyu lino, oluusi ebizibu by’ebyobulamu ebitali bisuubirwa biyinza okuvaamu. Leero tugenda kwogera ku mbeera ey’amaanyi naye nga esobola okujjanjabibwa bamaama abamu gye boolekagana nayo nga bamaze okuzaala. Kino kiyitibwa uterine atony, oba mu ngeri y’obusawo , uterine atony .

Uterine Atony kye ki? Mu ngeri ennyangu...

Mu ngeri ennyangu, Uterine Atony ye nnabaana wo bw’atakonziba bulungi oba okunywezebwa obulungi ng’omaze okuzaala. Mu budde obwabulijjo, omwana bw’amala okuzaalibwa, nnabaana akwatagana bulungi era n’afuga omusaayi nga nnabaana amaze okuzaala. Wabula mu mbeera eno, ebinywa by’omu nnabaana tebikola bulungi, ekitegeeza nti biba biyitiridde ate nga tebinywezeddwa nnyo. Kino kya bulabe nnyo kubanga kiyinza okuvaako omusaayi omungi oguyinza okutta omuntu .

Lowooza ku kino, omwana wo bw’aba akula munda mu nnabaana ng’ali lubuto, omwana afuna omusaayi gwonna, omukka gwa oxygen, n’emmere gye yeetaaga ng’ayita mu nnabaana. Waliwo emisuwa mingi egigabira omusaayi mu nnabaana ono. Omwana bw’amala okuzaalibwa, nnabaana akwatagana okugoba enseke. Bwe kikonziba, emisuwa egyo ginywezebwa ne gilekera awo okuvaamu omusaayi. Kale, singa nnabaana tekwatagana bulungi, kwe kugamba, bwe wabaawo (uterine atony), emisuwa egyo gitandika okuvaamu omusaayi obutasalako. Kino kye tuyita okuvaamu omusaayi oluvannyuma lw'okuzaala .

Embeera eno (uterine atony) esobola okubaawo oluvannyuma lw’okuvaamu olubuto oba okulongoosebwa okulala okuzingiramu nnabaana. Kiyinza okubaawo mu kiseera ky’okuzaala mu ngeri eya bulijjo nga kw’otadde n’okulongoosebwa. Wadde embeera eno ebaawo mu bitundu nga 2% ku baana bonna abazaalibwa, si bulijjo nti ereeta omusaayi oguyitiridde. Kyokka eno mbeera eyeetaaga okugenda mu ddwaaliro mu bwangu. Singa ajjanjabwa mangu, kisoboka okuwona mu bujjuvu.

Kiki ekibaawo singa nnabaana takonziba oluvannyuma lw’okuzaala omwana?

Singa ebinywa bya nnabaana tebikonziba bulungi oluvannyuma lw’okuzaala, oba mu bulabe bwa maanyi okuvaamu omusaayi. Nga bwe twagambye emabegako, oluvannyuma lw’okuzaala, enseke yeetaaga okwawukana ku bbugwe wa nnabaana. Kino kiggulawo emisuwa egyo. Okukonziba kwa nnabaana kunyweza emisuwa egyo ne kiyimiriza okuvaamu omusaayi. Kale, singa ebinywa tebikonziba bulungi, omusaayi gujja kugenda mu maaso. Eno mbeera ya mangu ey’obujjanjabi, kuba eyinza okutta obulamu.

Biki ebiyongera ku bulabe bw’embeera eno?

Waliwo ebintu ebiwerako ebiyinza okuvaako nnabaana okuggwaamu amaanyi. Ensonga zino ziyinza okutaataaganya nnabaana wo okukonziba ng’omaze okuzaala:

• Bw'oba ono ye mwana wo asoose , oba bw'oba olina abaana abasukka mu bataano .
• Bw’oba ​​osuubira abalongo, abaana basatu oba okusingawo .
• Omwana woSinga kiba kinene okusinga ku kya bulijjo (abasawo kino bakiyita Fetal Macrosomia) .
• Bwoba olina emyaka egisukka mu 35 .
• Bw’oba ​​olina amazzi amangi ennyo mu lubuto (amazzi ageetoolodde omwana) (kino kiyitibwa polyhydramnios) .
• Bwoba oli mugejjo .
• Bwoba olina ebizimba mu nnabaana .

Ate era abasawo balowooza nti singa ebintu bino bibaawo mu kiseera ky’okuzaala, nnabaana ayinza obutakonziba ng’amaze okuzaala:

• Bwoba olina obulumi obw'okuzaala obuwanvu ennyo , oba singa ozaala amangu ennyo .
• Singa walina obuzibu mu kuzaala .
• Singa okuzaala kwo kwaleetebwa .
• Bw’oba ​​obadde n’obulwadde obuyitibwa Chorioamnionitis (obulwadde obukwata obuwuka obwetoolodde omwana).
• Singa wali oweereddwa eddagala eribudamya abantu bonna .
• Bwoba olina nnabaana agaziye .

Ekikulu: Bw’oba ​​n’ebintu bino ebisukka mu bibiri, oba mu bulabe bwa maanyi obw’okulwala nnabaana. Abasawo bazuula abali mu bulabe nga bukyali ne bakola enteekateeka ezeetaagisa nga tebannazaala, basobole okuteekebwa mu nkola mu bwangu.

Lwaki kino kigenda mu maaso? Ensonga ze ziruwa?

Okukendeera kwa nnabaana kubaawo ng’ebinywa bya nnabaana tebiddamu bulungi busimu (oxytocin) omubiri gwo gwe gukola okusitula okukonziba kwa nnabaana nga tonnazaala n’okuzaala. Mu ngeri ennyangu, kiringa nnabaana "tawuliriza."

Bubonero ki obulaga kino?

Akabonero akasinga obunene era akasinga obukulu ak'okukendeera kwa nnabaana kwe kuvaamu omusaayi ogutaggwaawo oba oguyitiridde okuva mu nnabaana . Ebiseera ebisinga omusawo ajja kuzuula embeera eno amangu ddala ng’omaze okuzaala omwana wo. Okugatta ku ekyo, oluvannyuma lw’okuzaala, nnabaana wo ayinza okusumululwa, okunafuwa, n’obutanywevu.

Obubonero obulala bwe buno:

• Puleesa eya wansi .
• Omutima Okukuba Amangu .
• Okuwulira ng'oziyira oba ng'ozirika .
• Okulabika nga muddugavu .
• Okufiirwa okutegeera .
• Obutasobola kufulumya musulo .
• Obulumi naddala okulumwa omugongo .

Kino abasawo bakitegeera batya ?

Abasawo baffe batendekeddwa okuzuula n’okujjanjaba amangu obulwadde bwa Uterine Atony. Kino kitera okuzuulibwa ng’okebera mu ngalo obunene n’obugonvu bwa nnabaana wo ng’omaze okuzaala. Omusawo ajja kukuteeka omukono gumu ku lubuto n’ayingiza engalo z’omukono omulala mu bukyala bwo akebere nnabaana. Abasawo abamu era bajja kupima paadi oba gaasi ezikozesebwa okunyiga omusaayi okubalirira omusaayi gw’ofiiriddwa.

Bw’oba ​​olina nnabaana atony, nnabaana wo abeera munene, mugonvu ate nga munafu. Mu kuzaala okwa bulijjo, nnabaana alina okukonziba (okukaluba oba okukaluba) n’okutandika okukendeera ng’omwana amaze okuzaalibwa.

Okuva bwe kiri nti nnabaana atony y’esinga okuvaako omusaayi omungi ng’omaze okuzaala, omusawo wo era ajja kukebera bino wammanga:

• Waliwo amaziga gonna mu nnabaana, mu bukyala oba mu nnabaana ?
• Oba ebitundu by’enseke (Retained Placental Tissue) bikwatiddwa munda mu nnabaana.

Omusawo ajja kwongera okulondoola puleesa yo n’okukuba kw’omutima okulaba oba waliwo enkyukakyuka. Bayinza n’okukebera omusaayi okukebera obutoffaali bwo obumyufu n’ensonga y’omusaayi okuzimba.

Obujjanjabi bwe buruwa?

Okukendeera mu nnabaana kya mangu, n’olwekyo kyetaagisa okukola amangu okuva mu ttiimu yo ey’abasawo. Ekigendererwa ekikulu eky'obujjanjabi kwe kuyimiriza okuvaamu omusaayi mu bwangu nga bwe kisoboka n'okukyusa omusaayi oba amazzi agabuze . Ne bwe kiba nti omusaayi guwedde okufugibwa, kiyinza okwetaagisa okuteekebwamu omusaayi oba amazzi aga IV okusobola okudda mu kifo ky’ebyo ebibuze.

Omusawo wo ow’okuzaala-abakyala ajja kutandika okujjanjabwa ng’asiiga nnabaana okumuyamba okukonziba n’amaanyi. Okusinziira ku buzibu bw’embeera eno, kino kiyinza n’okuyamba okuwonya okuzimba nnabaana.

Ng’oggyeeko okusiiga nnabaana ng’omaze okuzaala, omusawo ayinza okukozesa eddagala eriwerako okuyamba nnabaana wo okukonziba. Eddagala lino mulimu:

• (Oxytocin) (erinnya ly’ekika Pitocin®)
• (Methylergonovine) (erinnya ly’ekika kya Methergine®)
• Prostaglandins , okugeza 15-methyl-PGF2 (Hemabate®), misoprostol (Cytotec®) oba dinoprostone .
• Ebika bya Ergot Alkaloids , okugeza (Ergometrine) .

Okussa puleesa ku bisenge bya nnabaana (Tamponade Techniques) .

Omusawo ayinza okwetaaga okussa puleesa ennyingi ku nnabaana wo okusobola okukendeeza ku bungi bw’omusaayi oguvaamu. Enkola zino mulimu okupakinga nnabaana ne gaasi oba okufuuwa bbaatule munda mu nnabaana. Ng’akozesa enkola zino, omusawo asika obutereevu ku bbugwe wa nnabaana okukomya omusaayi.

Obujjanjabi nga balongoosebwa

Singa enkola endala zonna ziremererwa okuyimiriza omusaayi, kiyinza okwetaagisa okulongoosebwa. Enkola z’okulongoosa ezikozesebwa okujjanjaba nnabaana atony mulimu:

• (Uterine Curettage): Mu kino, omusawo asika n’aggyawo ebitundutundu by’omusaayi oba nnabaana byonna ebisibye munda mu nnabaana (okufaananako ne D&C).
• Okusiba emisuwa gya nnabaana: Enkola esiba emisuwa egigasa omusaayi mu nnabaana.
• (Uterine Artery Embolization): Enkola ekozesa obutundutundu obutonotono obulinga omusenyu okukomya okuvaamu omusaayi mu nnabaana.
• Okuggyamu nnabaana: Ng’ekisembayo, ebirala byonna bwe biba biremye, okuggyawo nnabaana.

Bizibu ki ebirala bino bye biyinza okuleeta?

Okukendeera mu nnabaana kuyinza okuleeta ebizibu nga:

• Anemia - ekyo kitegeeza obutaba na musaayi.
• Okuwulira ng'okooye nnyo oba ng'okola ekisusse .
• Okuwulira ng’ozirika oba ng’ozirika olw’omusaayi okukka.
• Okwongera ku bulabe bw’okuvaamu omusaayi mu mbuto ez’omu maaso.

Kino kisobola okuziyizibwa?

Ebiseera ebisinga, nnabaana atony tesobola kuziyizibwa. Naye bw’oba ​​oli mu bulabe, omusawo asobola okukola emitendera okwetegekera okuvaamu omusaayi omungi. Okugeza, okubeera n’abayambi oba ebyuma eby’enjawulo mu kisenge omuzaala, oba okuzaala omwana wo mu ddwaaliro ery’enjawulo, kiyinza okuyamba. Osobola okukola emitendera okufuna olubuto olulamu. Kuno kw’ogatta okumira vitamiini nga tonnazaala , okukuuma enteekateeka zo nga tonnazaala , n’okukuuma obuzito obulungi ng’oli lubuto.

Bw’oba ​​obadde ovuddemu omusaayi omungi ng’omaze okuzaala, kakasa nti otegeeza omusawo wo ow’okuzaala n’omusawo w’abakyala ku nsonga eno.

Kino kiyinza okuddamu okubaawo?

Yee, kisoboka okubeera ne nnabaana atony emirundi egisukka mu gumu. Bw’oba ​​obaddeko emabegako, oba mu bulabe bwa maanyi okuddamu okubufuna.

Nsembayo, nnina okukugamba... (Take-Home Message)

Uterine atony kizibu kya maanyi ekiyinza okubaawo oluvannyuma lw’okuzaala. Bw’oba ​​olina embeera eno, ttiimu yo ey’abasawo ejja kwetaaga okukujjanjaba amangu okuziyiza omusaayi oguyitiridde. Yogerako n’omusawo wo ku nnabaana atony n’okumanya oba oli mu bulabe bw’okubufuna. Okumanya akabi akaliwo nga bukyali kijja kukuyamba okwetegekera obujjanjabi obw’amangu bwe kiba kyetaagisa. Jjukira nti okumanya ebintu bino si kivaako kutya, wabula mukisa gw’okufuna obuyambi mu bwangu bwe kiba kyetaagisa. Si ggwe wekka era abasawo bulijjo beetegefu okukuyamba.

` Okukonziba kwa nnabaana, Okukendeera mu nnabaana, Okuvaamu omusaayi oluvannyuma lw'okuzaala, Okuzaala, Nabaana, Obulamu bw'abakyala, Enseke