Omanyi nnabaana okukutuka? Tukyogereko awatali kutya!

Bw’oba ​​weetegekera okuzaala, oba omuntu mu maka go bw’aba ali olubuto, kya bulijjo okuwulira ng’otya katono ebiseera ebimu olw’ebintu by’owulira. Leero tugenda kwogera ku mbeera eyitibwa okukutuka kwa nnabaana , eyinza okuba ey’amaanyi katono, naye nga tetera kubaawo nnyo . Tosattira nga owulira bino, katubitegeere mu ngeri ennyangu era mu ngeri entegeerekeka.

Okukutuka kwa nnabaana kye ki?

Mu ngeri ennyangu, nnabaana okukutuka kwekutula oba okukutuka mu bbugwe wa nnabaana wo. Kino kisinga kulabibwa mu bakyala abamaze okulongoosebwa (C-section) era nga bagezaako okuzaala omwana waabwe addako mu bukyala (Vaginal Birth After Cesarean - VBAC).

Lowooza ku nnabaana wo kitundu kya kitalo ekikoleddwa mu binywa ebisobola okukula ng’omwana akula. Kikolebwa layeri eziwerako ez’ebitundu by’omubiri. Bwe wabaawo okukutuka kwa nnabaana, layers zino zikutuka. Ebiseera ebisinga, okukutuka kuno kubaawo mu kifo awaali C-section eyasooka. Mu kiseera ky’okulongoosa omwana, omusawo akusala nnabaana okuggyamu omwana wo, era eyo ne wabaawo enkovu. Mu budde obwabulijjo, enkovu eno erina okuwona obulungi n’okugumira puleesa y’olubuto n’okuzaala oluvannyuma. Kyokka nnabaana bwe wakutuka, enkovu eno ekutuka.

Waliwo engeri bbiri enkulu nnabaana ono gy’ayinza okukutukamu:

• Okukutuka kwa nnabaana mu bujjuvu: Kino we wabaawo layeri zonna essatu ez’ekisenge kya nnabaana we zikutuse. Eno embeera ya maanyi nnyo era yeetaaga okujjanjabibwa mu bwangu.
• Okukutuka kwa nnabaana okutali kujjuvu: Mu kino, layeri zonsatule ez’ekisenge kya nnabaana tezikutuka.

Okukutuka kwa nnabaana okusinga kubaawo nga bazaala, naye oluusi kuyinza okubaawo ng’oli lubuto. Tekitera nnyo, era kiyinza okubaawo mu biseera ebitali bya lubuto.

Kiki ekibaawo singa nnabaana ekutuse?

Okukutuka kwa nnabaana kutwalibwa ng'embeera ey'amangu ey'obujjanjabi . Kino kiri bwe kityo kubanga kiyinza okukuteeka mu matigga n’omwana wo. Teebereza ekituli mu nnabaana wo ekikwatagana n’olubuto lwo. Kino kyabulabe nnyo era kiyinza okuvaamu omusaayi omungi. Nnabaana bw’akutuka, omwana abulwa obukuumi bw’afuna okuva mu nnabaana. Era kiyinza okuvaako omutima gw’omwana okukendeera era omwana ayinza okubulwa omukka gwa oxygen. Singa omwana abulwa omukka gwa oxygen, kiyinza okukosa obwongo oba n’okuziyira. N’olwekyo abasawo balina okukola amangu okuggyamu omwana n’okuddaabiriza nnabaana wo.

Okukutuka kwa nnabaana kwa bulijjo kwenkana wa?

Mu butuufu, nnabaana okukutuka tekitera kubaawo nnyo.. Mu bakyala abamaze okulongoosebwa omulundi gumu, kino kibaawo mu kuzaala nga omu ku buli 300. Wabula mu bakyala abamaze okulongoosebwa nnabaana okusukka mu gumu, emikisa gy’okukutuka nnabaana gisingako katono. Ekyo kitegeeza nti kiyinza okubaawo mu kuzaala nga 9 ku 300. Eno y’ensonga lwaki kikulu okwogera mu lwatu n’omusawo wo ku baana b’ozaala emabegako.

Ani asinga okubeera mu bulabe?

Ebiseera ebisinga, nnabaana okukutuka kubaawo ng’omukyala amaze okulongoosebwa C-section era ng’agezaako okuzaala omwana we addako mu bukyala (VBAC), enkovu okuva mu kulongoosebwa okwasooka we yali. Gy’okoma okukola ebitundu bya C-sections, emikisa gy’okukutuka nnabaana gye gikoma okubeera waggulu.

Waliwo n’ebintu ebirala ebiyinza okuleeta akabi:

• Bw’oba ​​obadde olongoosebwa nnabaana emabegako (e.g. okuggyawo fibroids).
• Bw’oba ​​obaddeko edda n’okukutuka kwa nnabaana.
• Singa wabaddewo akabi oba obuvune bwonna ku nnabaana.
• Bw’oba ​​olina nnabaana alina obuzibu mu kuzaalibwa (nga nnabaana ayitibwa septate uterus oba bicornuate uterus ).
• Singa nnabaana wo agaziye nnyo. Kwe kugamba, bw’oba ​​olina abalongo abawera, gamba ng’abalongo, oba singa wabaawo amazzi g’omu lubuto amangi .
• Singa omwana wo aba mu mbeera ya breech era ng’ogezezzaako okumukyusa mu ngalo (external cephalic version - ECV) nga tannazaala.
• Singa okuzaala kuwangaala.

Tofaayo ku bintu bino. Bino biba bya bulabe byokka. Si buli muntu alina bino nti ajja kuba n’okukutuka kwa nnabaana. Ekisinga obukulu kwe kuteesa ku bino byonna n’omusawo wo n’okola enteekateeka y’okuzaala esinga okukukolera.

Bubonero ki obulaga nti nnabaana yakutuka?

Oluusi, oyinza obutalaba bubonero bwonna. Omusawo wo ow’okuzaala n’omuzaalisa bajja kuba bakebera buli kiseera obubonero bw’ebizibu ng’ozaala. Bwe balowooza nti waliwo ekikyamu, bajja kubaako ky’akolawo mangu.

Obubonero bw’okukutuka kwa nnabaana buyinza okuli:

• Obutabeera bwa bulijjo mu kukuba kw’omutima gw’omwana mu lubuto (okunyigirizibwa kw’omwana mu lubuto) .
• Omutima okukuba amangu oba puleesa okukka mu maama ali olubuto.
• Obulumi obw’amangu, obw’amaanyi mu lubuto.
• Okuvaamu omusaayi mu bukyala.
• Okukonziba okuwangaala oba okutakendeera.
• Okuzaala kuyimirira oba kukendeera.

Omusawo bw’aba akimanyi nti oli mu bulabe bw’okukutuka nnabaana, asobola okwegendereza ekyetaagisa nga tannazaala. Eno y’ensonga lwaki kikulu nnyo okugabana ebyafaayo byo byonna eby’obujjanjabi n’omusawo wo.

Biki ebivaako nnabaana okukutuka?

Ebiseera ebisinga, nnabaana okukutuka kubaawo ng’omukyala azadde omwana we addako mu butonde, mu kifo we waaliwo enkovu eya C-section emabegako. Kino kiri bwe kityo kubanga puleesa n’okunyigirizibwa kw’okuzaala bisobola okunafuya ebitundu by’enkovu ne bikutuka. Nnabaana bw’emala okukutuka, omwana asobola okusenguka mu lubuto nga talina w’agenda.

Bw’oba ​​obadde olongoosebwa nnabaana, emikisa gy’okukutuka nnabaana gyeyongera. Kyokka singa omusawo wo yasala nnabaana mu ngeri ya wansi, akabi kali katono okusinga singa osala nnabaana mu ngeri ey’okwesimbye. Kyokka n’okulongoosa nnabaana okulala, gamba ng’okwo okuddaabiriza ekikyamu mu nnabaana, nakyo kisobola okwongera ku bulabe. Singa omusawo alowooza nti oli mu bulabe bwa maanyi obw’okukutuka nnabaana, ayinza okukuwa amagezi okulongoosebwa C-section okutangira ebizibu.

Naye jjukira kino: Olw’okuba obadde olongoosezza C-section tekitegeeza nti tojja kusobola kuzaala mu bukyala. Kikulu okwogera n’omusawo wo ku baana b’ozaala emabega n’okukebera oba oli mulungi nnyo mu VBAC. Mu mbeera ezimu, VBAC ya bulabe nnyo, n’olwekyo omusawo ayinza okukuwa amagezi okukozesa C-section okuziyiza nnabaana okukutuka.

Okukutuka kwa nnabaana kuwulira kutya?

Si buli muntu nti awulira nnabaana ng’akutuse. Kyokka bw’okola bw’otyo, oyinza okuwulira puleesa ey’amangu, ey’amaanyi oba okuwulira ng’ozimba mu lubuto. Oyinza n’okulaba obubonero bwa puleesa okukka oba omutima okukuba amangu, gamba ng’okuziyira oba okussa obubi.

Okukutuka kwa nnabaana kuyinza okuviirako okufa?

Yee, emikisa mitono nnyo egy’okufa olw’okukutuka kwa nnabaana. Omuwendo gw’abafa ku maama guli wansi wa 1%. Ekyo kitegeeza nti ku buli 100 tebawera omu.

Omwana ali mu lubuto alina akabi ak’okufa akasingako katono okusinga maama (nga 6%). Eno y’ensonga lwaki abasawo bagamba nti kikulu okukola amangu okutaasa omwana n’okumuwa obujjanjabi obutaasa obulamu.

Ozuula otya nti nnabaana yakutuse?

Kino kitera okuzuulibwa nga bazaala. Omusawo wo ayinza okwetegereza bino wammanga:

• Omutwe gw’omwana wo guseredde bulungi mu kisambi era tosobola kuguwulira ng’akebera obukyala.
• Singa omutima gw’omwana wo guba gukendedde ate ng’ofuna okukonziba okw’amaanyi mu nnabaana.

Abasawo bakakasa nti nnabaana yakutuse nga bakusala mu lubuto ne bakebera okulaba oba nnabaana yakutuse. Singa bakakasa nti nnabaana yakutuse, bajja kulongoosa okuggyamu omwana mu bwangu era mu ngeri etali ya bulabe nga bwe kisoboka.

Okukutuka kwa nnabaana kujjanjabwa kutya?

Singa nnabaana wo ekutuka, omusawo ajja kuzaala omwana amangu ago . Olwo, bajja kukulongoosa okuddaabiriza nnabaana wo. Oluusi, bw’oba ​​ovaamu omusaayi mungi, kiyinza okwetaagisa okuggyibwako nnabaana wo ddala (hysterectomy). Abajjanjabi balina okuba nga beetegefu okuggya omwana mu lubuto lwo mu bwangu n’okukuwa obujjanjabi obw’amangu ggwe n’omwana wo.

Okukutuka kwa nnabaana kitwala bbanga ki okuwona?

Weetaaga waakiri wiiki nnya ku mukaaga okusobola okuwona nnabaana eyakutuka.Kikulu okuwummula ennyo mu kiseera kino n’okwewala emirimu omusawo gy’akugamba obutakola okutuusa ng’oteredde. Omusawo ayinza okukugamba okwewala ebintu nga bino ng’owona:

• Okusitula pawundi ezisukka mu ntono.
• Okuyingiza ekintu kyonna mu bukyala. Kuno kw’ogatta okukozesa tampons n’okwegatta.
• Okukola dduyiro, okulinnya amadaala, n’okukola entambula ezikaluba.
• Okunaaba mu mazzi oba okutuula mu mazzi.

Bizibu ki ebiva mu nnabaana okukutuka?

Okukutuka kwa nnabaana kuyinza okuleeta ebizibu ebiyinza okutta omuntu. Kyokka singa ajjanjabwa mangu, akabi k’okufuna ebizibu eby’amaanyi katono.

Ebizibu ebiyinza okuva mu mwana ali mu lubuto:

• Okussa obubi.
• Obwongo okwonooneka olw’obutaba na mukka gwa oxygen.

Ebizibu by‟oyinza okufuna:

• Okuvaamu omusaayi omungi (okuvaamu omusaayi) .
• Okufiirwa obuzaale olw’okuggyibwako nnabaana.
• Okuzaalibwa nga mufu kubaawo.

Oyinza otya okukendeeza ku bulabe bw’okukutuka kwa nnabaana?

Osobola okukendeeza ku bulabe buno ng’ogabana ebyafaayo byo byonna eby’obujjanjabi n’omusawo wo n’okukubaganya ebirowoozo ku bintu ebikuleetera okukutuka kwa nnabaana. Okumanya nti oli mu bulabe bw’okukutuka nnabaana kijja kuyamba omusawo wo okukola enteekateeka ezeetaagisa okubutangira.

Bw’oba ​​oli mu bulabe bwa maanyi obw’okukutuka nnabaana olw’okuba olongooseddwa, omusawo ayinza okusalawo nti tekiba kya bulabe okuteekawo enteekateeka y’okulongoosebwa. Kino kijja kukulemesa okufuna obulumi bw’okuzaala n’okwongera okussa puleesa ku nnabaana wo.

Kisoboka okuddamu okuzaala omwana oluvannyuma lw’okukutuka nnabaana?

Yee, abantu bangi basobola bulungi okuddamu okufuna embuto ne bazaala oluvannyuma lw’okukutuka kwa nnabaana. Wabula bw’oba ​​obaddeko nnabaana eyakutuka emabegako, omwana wo addako ebiseera ebisinga ajja kuzaalibwa nga bamulongoosa mu ngeri ya C-section.

Njawulo ki eriwo wakati w’okukutuka kwa nnabaana n’okukutuka kwa nnabaana?

Okukutuka kw’enkwaso kwe kwawukana ku nnabaana nga omwana tannazaalibwa. Mu kugwa kw’ekibumba, ekisenge kyo ekya nnabaana tekikutuka wadde okukutuka. Kyokka okufaananako n’okukutuka kwa nnabaana, kiyinza okukuleetera n’omwana wo ebizibu eby’amaanyi. Ebimu ku bintu eby’obulabe, gamba ng’okukutuka kwa nnabaana n’okuba olubuto lw’abalongo, bitera okubeera mu mbeera zombi. Ekirala, obubonero obumu, gamba ng’okulumwa mu lubuto n’okuvaamu omusaayi mu bukyala, osobola okulabibwa mu byombi.

N’ekisembayo, ebintu by’olina okujjukira (Obubaka bw’okutwala awaka) .

Okukutuka kwa nnabaana kizibu ekitatera kubaawo naye nga kiyinza okuvaamu eky’amaanyi. Businga kubeera mu bakyala abamaze okulongoosebwa nnabaana oba okulongoosebwa nnabaana okulala era nga bagezaako okuzaala mu bukyala.

Ekisinga obukulu kwe kwogera mu lwatu n’omusawo wo ow’okuzaala ku byafaayo byo eby’obujjanjabi basobole okusalawo ekisinga obulungi ku ngeri y’okugenda mu maaso n’okuzaala kwo.

Ne bw’oba ​​omaze okulongoosebwa, bw’oba ​​otuukiriza ebisaanyizo ebimu, osobola okuzaala mu bukyala (VBAC). Yogerako n’omusawo ku ngeri gy’oyinza okuzaala n’okumanya oba oli mu bulabe bw’okukutuka nnabaana. Weetegeke okuleeta omwana wo mu nsi nga tolina kutya, era nga olina okumanya!

` Okukutuka kwa nnabaana, Okulongoosa, C-section, VBAC, Okuzaala, Okufuna embuto, Obulamu bw'abakyala