Bw’oba oteekateeka n’okuzaala omwana ng’okozesa C-section , oyinza okuba nga wali owulidde ku kintu ekipya ekiyitibwa ‘Vaginal Seeding’ ng’ogenda ku yintaneeti. Oyinza okuba nga wali owulidde abantu abamu nga bagamba nti mulungi nnyo eri omwana era nti ayongera ku busimu obuziyiza endwadde. Kino mu butuufu kitegeeza ki? Ddala kino kirungi eri omwana? Ka twogere ku nsonga eno mu bujjuvu katono, mu ngeri ennyangu ennyo.
Mu ngeri ennyangu, ‘Okusiga obukyala’ kye ki?
‘Okusiga mu bukyala’ nkola nnyangu nnyo. Oluvannyuma lw’okuzaala omwana ng’ayita mu kulongoosa, akatundu akatono ku maama g’ava mu bukyala atwalibwa ne basiiga omwana mu kamwa, mu maaso n’omubiri. Abantu abamu era kino bakiyita ‘microbirthing’.
Naye tewannabaawo data nnyingi ku ngeri kino gye kiri eky’obukuumi oba ekikola obulungi. Olw’ensonga eno, ebibiina by’abasawo ebinene okwetoloola ensi yonna, gamba nga American College of Obstetricians and Gynecologists (ACOG), mu kiseera kino tebikuwa magezi ku nkola eno ebweru w’okunoonyereza ku by’obujjanjabi .
Lwaki abantu bakemebwa okukola kino?
Kino okusobola okukitegeera, tulina okusooka okumanya ku bamu ku mikwano emitono mu mibiri gyaffe.
‘Microbiome’ eno kye ki?
Teebereza nti omubiri gwaffe gulinga ekibuga ekinene. Mu kibuga kino, si ffe ffekka, naye n’obukadde n’obukadde bw’ebitonde ebirala ebitonotono bye bibeera. Bino biyitibwa obuwuka obutonotono . Kwe kugamba, ebitonde ebitalabika nga bakitiriya , ffene, ne akawuka . Bino biri buli wamu ku lususu lwaffe, mu kamwa kaffe, mu byenda byaffe, ne mu bitundu byaffe eby’ekyama.
Ensengekera y’obutonde obuwuka buno bwonna obutonda awamu tugiyita ‘microbiome’.Ebisinga ku bino si bye bitulwaza, wabula obuwuka obw’omugaso obuyamba emibiri gyaffe. Zituyamba okugaaya emmere yaffe, okutukuuma obutakwatibwa ndwadde, n’okunyweza abaserikale b’omubiri gwaffe .
Kale kino kikwatagana kitya ne C-section?
Omwana bw’azaalibwa mu ngeri eya bulijjo, kwe kugamba, ng’ayita mu kuzaala mu bukyala, omwana avaayo ng’ayita mu bukyala bwa maama. Nga bwe kifuluma, obuwuka obw’omugaso (vaginal flora) bwe twayogeddeko mu bukyala bwa maama busaasaanidde mu mubiri gwonna ogw’omwana. Eno y’ensigo ezisooka ‘microbiome’ y’omwana yennyini z’afuna okukula. Kino kitandika okukula kwa obuwuka obw’omugaso mu byenda by’omwana.
Naye omwana bw’azaalibwa nga bamulongoosa, olw’okuba omwana aggyibwa butereevu mu nnabaana, tafuna mukisa kukwatagana na buwuka obw’omugaso mu nkola y’obukyala.
Ekirowoozo ky’abo abalowooza ku ‘Vaginal Seeding’ kwe kuzzaawo mu ngeri ey’ekikugu enkola eno ey’obutonde eyabula oluvannyuma lw’okulongoosebwa omwana C-section.
Abalongo abazaalibwa nga bakozesa C-section batera okufuna obuzibu mu bulamu?
Kino kibuuzo abantu bangi kye babuuza. Okunoonyereza okumu kulaga nti abaana abazaalibwa nga balongoosebwa bayinza okuba n’akabi akatono ak’okufuna embeera z’obulamu ezimu okusinga abaana abazaalibwa nga bazaala mu bukyala.
| Embeera y’obulamu | Okunnyonnyola |
|---|---|
| Obunene | Obulabe bw‟omugejjo mu buto. |
| Obulwadde bwa asima | Obulwadde bw’enkola y’okussa. |
| Obulwadde bwa alergy | Ebintu nga alergy y’emmere, alergy y’enfuufu. |
| Obulwadde bwa Celiac | Enkola y’abaserikale b’omubiri ku puloteyina gluten. |
Abawagizi ba ‘Vaginal Seeding’ balowooza nti okuwa omwana obuwuka mu bukyala kiyinza okukendeeza ku bulabe buno. Naye ekikulu wano kiri nti abasawo tebannaba kusobola kutuuka ku kigambo kinywevu oba enkyukakyuka mu microbiome ze zokka ezireeta endwadde zino. N’olwekyo, okunoonyereza okulala kugenda mu maaso ku nsonga eno.
Obulabe ki obusinga okuva mu ‘Vaginal Seeding’?
Wano ffenna we twetaaga okusinga okufaayo. Obukyala bwa maama si mwe mubeera obuwuka obw’omugaso bwokka. Oluusi, era kiyinza okubaamu obuwuka obw’obulabe n’obuwuka obuyinza okuleeta yinfekisoni ez’obulabe ennyo eri omwana.
Obulabe buno bubaawo ne mu kiseera ky’okuzaala okwa bulijjo. Eno y’ensonga lwaki omusawo wo ajja kukola ebigezo eby’enjawulo ng’oli lubuto okukebera oba yinfekisoni ng’ezo.
Bwe tukola ‘Vaginal Seeding’, tusobola okuwa omwana obuwuka buno obw’obulabe mu bugenderevu. Kino kyongera emikisa gy’omwana okufuna endwadde ez’amaanyi.
| Ekibinja B ekika kya streptococcus (GBS) . | Akawuka akayinza okuleeta yinfekisoni ez’amaanyi ennyo (meningitis, pneumonia) mu baana abazaalibwa. |
| Obulwadde bwa Gonorrhea ne Chlamydia | Endwadde z’ekikaba eziyinza okuleeta yinfekisoni ez’amaanyi mu maaso g’omwana. |
| Obulwadde bwa Herpes mu bitundu by’ekyama (HSV-2) . | Obulwadde bw’akawuka obuyinza okwonoona obwongo bw’omwana n’ebitundu by’omubiri ebirala. |
Olw’akabi kano, abasawo balowooza emirundi ebiri ku nkola eno era mu kiseera kino tebagiteesa.
Kale singa omwana azaalibwa mu C-section, tewali ngeri ndala nnungi ey’okuwa omwana obuwuka obw’omugaso?
Butereevu! Awatali bulabe bwa nkola ya ‘Vaginal Seeding’, waliwo engeri bbiri ennyangu ennyo, ezitali za bulabe, era ennungi ez’okuyamba omwana wo eya C-section okuzimba microbiome ennungi.
1. Okuyonsa: Eno y’engeri esinga obulungi era esinga obukulu. Amata ga maama tegakwata ku mmere yokka. Kirimu ebikumi n’ebikumi bya bakitiriya ab’omugaso n’ebintu ebirala ebikulu ebyetaagisa okukula kw’obuwuka obutonotono obw’omwana. Ng’oggyeeko ekyo, omwana era afuna obuwuka obw’omugaso obubeera ku lususu okwetooloola enfuli za maama ng’anywa. Emigaso gy’okuyonsa okumala ebbanga nga bwe kisoboka naddala emyezi 6 egisooka gya muwendo nnyo.
2. Okukwatagana n’olususu ku lususu: Kino w’okwata omwana mu kifuba amangu ddala ng’amaze okuzaalibwa. Kino kiwa omwana wo obuwuka obw’omugaso ku lususu lwo. Era kinyweza omukwano wakati wo n’omwana wo, kitereeza ebbugumu ly’omubiri gw’omwana wo n’okukkakkanya omwana wo. Kino ba taata nabo basobola okukikola.
Enkola zino ebbiri zikakasiddwa mu sayansi nti ziyamba omwana wo okuzimba microbiome ennungi awatali bulabe bwonna.
Bwoba olowooza okukola kino ggwe kennyini...
Wadde ng’abasawo tebagiwa magezi, abazadde abamu bayinza okukemebwa okukola kino ku lwabwe. Bw’oba olowooza ku ky’okukola ekintu nga kino, nsaba osooke oyogere n’omusawo wo .
Bw’okola bw’otyo, weegendereze nnyo obubonero bw’omwana wo obulaga nti alina obulwadde. Bw’olaba obubonero bwonna ku buno wammanga, kuba essimu y’omusawo wo awatali kulwa oba twala omwana wo mu kitongole ky’abalwadde ab’amangu (ETU) mu ddwaaliro erikuli okumpi.
- Okukolola
- Omusujja oba ebbugumu ly’omubiri wansi okusinga ku lya bulijjo
- Endwadde z’amaaso (Conjunctivitis) .
- Okukendeeza oba okwewala okulya amata
- Okussa amangu
- Okusiiyibwa kw’olususu
- Obukoowu
Obubaka Obutwala Awaka
- ‘Vaginal Seeding’ kwe kugezaako okufuyira amazzi g’obukyala mu maama mu mubiri gw’omwana eyazaalibwa nga balongoosebwa, ne bamuwa obuwuka obw’omugaso.
- Kino kirimu akabi ak'amaanyi ak'okutambuza obuwuka obw'omugaso eri omwana wamu n'obuwuka obw'obulabe n'obuwuka obuyinza okuleeta yinfekisoni ez'obulabe ennyo .
- Olw’akabi kano, ebibiina by’abasawo ebikulu mu nsi yonna mu kiseera kino tebikuwa magezi ku nkola eno.
- Engeri ezisinga obulungi, ezitali za bulabe, era ezisinga okukola obulungi ez’okuwa omwana azaalibwa omwana alongooseddwa mu ngeri ya C-section obuwuka obutonotono (microbiome) obulungi kwe kuyonsa n’okukwatagana n’olususu ku lususu .
- Bw’oba olowooza ku ‘Vaginal Seeding’ oba enkola endala yonna, kakasa nti okiteesaako n’omusawo wo ow’okuzaala n’abakyala (VOG) oba Omusawo w’abaana nga tonnaba kukola kintu kyonna.











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