Wiiki ezisembayo ez’olubuto zibeera nnungi ate nga zeeraliikirirako katono. Nga olina essanyu lyonna ery’okukwata omwana wo, okutya okuzaala , ne bino byonna, osanga olina ekibuuzo ekinene mu birowoozo byo. "Omwana wange ali atya mu lubuto kati?" "Omwana akyuka bulungi?" "Omwana omutwe guli wansi?" Ekyo kye kiri. Ebiseera ebisinga abalongo basooka kuzaalibwa mutwe. Mu ngeri y’obusawo, kino tukiyita Vertex Position . Leero, tugenda kwogera ku nsonga eno mu bujjuvu, mu ngeri ennyangu ennyo.
Ddala Vertex Position kye ki?
Mu ngeri ennyangu, embeera y’oku ntikko (vertex position) ebeera ng’omwana wo ali mu lubuto ng’omutwe gugudde wansi, ekitegeeza nti atunudde mu bukyala bwo, ng’osemberera okuzaala. Kino kye kifo ekya bulijjo era ekisinga okuba ekituufu .
Lowooza ku kino, ekitundu ekisinga obunene era ekisinga amaanyi ku mubiri gw’omwana gwe mutwe. Kale, omutwe gw’omwana bwe gusooka okuyingira mu mwala gw’okuzaala, guggulawo mpolampola omumwa gwa nnabaana n’obukyala. Kiringa okuzimba oluguudo. Omutwe bwe gumala okuvaayo, omubiri gw’omwana ogusigaddewo gulina okuvaayo mu ngeri ennyangu ennyo. Kino kiyinza okukendeeza ku bizibu ebiva mu kuzaala n’okukendeeza ku budde bw’okuzaala.
Okuzaala bwe kunaatandika, omusawo oba omuzaalisa ajja kukulaga engeri gy’oyinza okuyambamu okusika omwana wo. Omutwe gw’omwana bwe gugenda gufuluma mpolampola, gufuna n’obudde okugolola mu lususu n’ebinywa ebyetoolodde obukyala bwo. Okussa ennyo mu kiseera kino kijja kuyamba omwana okufuna omukka gwa oxygen gwe yeetaaga.
Bifo ki ebirala omwana by’ayinza okuba mu?
Abalongo tebatera kukyusa mitwe wansi. Oluusi bayinza okuba mu bifo ebirala. Tekyetaagisa kweraliikirira bino, kubanga omusawo ajja kukunnyonnyola ekiyinza okukolebwa ku bino byonna.
| Ekifo | Mu ngeri ennyangu... | Omusawo okuyingira mu nsonga |
|---|---|---|
| Ekifo ky’Ekifo ekiyitibwa Vertex | Omutwe gw’omwana gutunudde wansi, nga gwolekedde obukyala. Kino kye kifo ekya bulijjo era ekisinga okuba eky'obukuumi . | Ebiseera ebisinga, wabaawo okugezaako okuzaala omwana ng’ayita mu bukyala (Normal Vaginal Delivery). |
| Ekifo kya Breech | Omwana atunudde wansi, oba breech, ku ludda lw’amagulu oba byombi. Kino kibaawo mu kitundu kitono ku buli kikumi eky’abaana abazaalibwa, nga 3%-4%. | Okugezaako okukyusa omwana ng’okozesa ECV, okuzaala mu bukyala mu nteekateeka (mu mbeera ezimu), oba okulongoosebwa (C-section). |
| Enfo ey’okusalako | Omwana ateekebwa ku mabbali mu nnabaana. Kino tekitera kubaawo nnyo. | Okugezaako okukyusa omwana ng’okozesa ECV oba, emirundi mingi, okukola okulongoosa omwana (C-section). |
Watya singa omwana aba mu mbeera ya njawulo?
Singa omwana wo akyali mu mbeera ya breech ku wiiki 36 ez’olubuto, omusawo ayinza okukuwa amagezi ku nkola eyitibwa ECV (External Cephalic Version) .
ECV omusawo bw’ateeka emikono gye ku lubuto lwo n’akunyiga n’obwegendereza ennyo okugezaako okukyusa omwana abeere omutwe wansi munda mu lubuto.
Oyinza okuwulira obuzibu oba obulumi nga kino kikoleddwa. Naye okutwalira awamu nkola ya bukuumi nnyo. Kirina obuwanguzi bwa bitundu nga 50%. Wabula ECV tolina kukolebwa singa oba waakavaamu omusaayi mu bukyala, singa omutima gw’omwana gukuba si gwa bulijjo, singa ensawo y’omu lubuto ekutuse, oba ng’ozaala abalongo.
Singa enkola ya ECV tekola bulungi, olina engeri bbiri. Ekimu kwe kulongoosebwa/C-section . Ekirala, mu mbeera ezimu ez’enjawulo, kuzaala mu bukyala ng’olabirirwa omusawo.
Naye si buli muntu nti asobola okuzaala mu breech. Singa amagulu g’omwana gaba gasibye wansi w’amata, singa omwana aba munene oba mutono okusinga ku bulijjo, singa nnabaana aba wansi, oba singa oba olina obulwadde bwa preeclampsia .Singa wabaawo embeera nga (puleesa ng’oli lubuto n’okwonooneka kw’ebitundu by’omubiri ebirala), omusawo ajja kukuwa amagezi okulongoosebwa C-section.
Obulabe ki obuli mu mbeera ya breech ne transverse?
Waliwo obulabe obutonotono obuli mu kusigala ebweru w’ekifo kya vortex, era kikulu okumanya bino.
- Ebizibu ebiyinza okuva mu ECV: Wadde nga tebitera kubaawo, waliwo emikisa mitono nti amazzi gayinza okukutuka nga bukyali mu kiseera kya ECV, omutima gw’omwana guyinza okukyuka, enseke eyinza okwawukana ku nnabaana, oba okuzaala kuyinza okutandika nga bukyali. Oluusi, omwana ayinza okudda mu mbeera gye yali amaze ng’akyuse.
- Ebizibu by’okuzaala mu bbugumu: Singa omumwa gwa nnabaana tegugaziwa mu bujjuvu ebitundu by’omubiri gw’omwana, omutwe oba ebibegabega by’omwana bisobola okusibira nga bw’afuluma. Obulabe obusinga obunene kwe kugwa kw'omusuwa gw'omu nnabaana . Kino kya mangu. Kino bwe kibaawo, omukka gwa omwana guyinza okusalibwako ne guteeka obulamu bwe mu matigga. N’olwekyo, kiyinza okwetaagisa okulongoosebwa amangu ddala C-section .
- Ebizibu ebiva mu kulongoosa C-section: Olw’okuba okulongoosebwa kulongoosa kwa maanyi, waliwo akabi akatono ak’okukwatibwa yinfekisoni, okuvaamu omusaayi omungi, n’okwonooneka kw’ebitundu ebigyetoolodde. Era wayinza okubaawo obulabe obweyongera katono obw’okukutuka kwa nnabaana oba obuzibu mu nnabaana mu mbuto ez’omu maaso.
Totya ng’owulira ku kabi kano. Omusawo wo ne ttiimu yo ey’abasawo batendekeddwa okuddukanya bino byonna. Obukuumi bwo n’obw’omwana wo bwe businga okubaluma.
Obubaka Obutwala Awaka
- Ekifo ekisinga okusaanira, ekisinga okuba eky’obukuumi, era ekisinga okumanyibwa okuzaala ye Vertex Position , ekitegeeza nti omutwe gw’omwana gutunudde wansi.
- Tofaayo singa omwana wo aba mu mbeera ya breech oba transverse. Omusawo asobola okukyusa omwana ng’akozesa ECV oba okukola C-section awatali bulabe .
- Kakasa nti oyogera n’omusawo wo ku bibuuzo byonna oba ebikweraliikiriza by’oyinza okuba nabyo. Ajja kukuyamba okusalawo ekisinga obulungi gy’oli n’omwana wo.
- Kikulu nnyo okugenda mu malwaliro ku nnaku eziteekeddwawo ng’oli lubuto. Kino kijja kukuyamba okusigala ng’omanyi ku nkula y’omwana n’embeera gy’abeera.
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