Ogenda kuzaala? Oba waliwo omuntu mu maka go eyeetegekera okufuuka maama? Olubuto kiseera kya kitalo ekijjudde essuubi ddene nnyo, naye leero tugenda kwogera ku mbeera etali ya bulijjo, naye ey’akabi ennyo, eyinza okutta obulamu eyinza okubaawo mu kiseera kino. Kino kiyitibwa okuzimba amazzi mu lubuto ( amniotic fluid embolism ) . Totya linnya, eno mbeera ya bbula nnyo. Naye kikulu nnyo okukimanya.
Kiki ddala ekiyitibwa amniotic fluid embolism (AFE)?
Mu ngeri ennyangu, kino amazzi g’omu lubuto ageetoolodde omwana ng’ali mu lubuto, oba obutoffaali bw’omwana, enviiri n’ebirala bwe gayingira mu musaayi gwa maama. Lowooza ku kino, ebiseera ebisinga wabaawo ekiziyiza eky’obutonde wakati w’omusaayi gwa maama n’omwana. Mu mbeera eno, mu ngeri emu oba endala ekiziyiza ekyo kimenyeka, omusaayi gw’omwana ne gutabula n’omusaayi gwa maama.
Kino kireeta alergy ey’amaanyi mu mubiri gwa maama. Amangu ago, awatali kulabula , enkola nnyingi ez’omubiri zitandika okukola obubi. Embeera eno esobola okubaawo ng’omwana tannazaalibwa, ng’azaalibwa oba ng’amaze okuzaalibwa.
Embeera eno tetera kubaawo nnyo, ekosa wakati w’omuntu 1 ne 12 ku buli baana 100,000 abazaalibwa nga balamu. Naye bwe kibaawo, kiba kya bulabe nnyo eri obulamu bwa maama era kyetaagisa okujjanjabibwa mu bwangu .
Biki ebivaako embeera eno n‟ebiyinza okuvaako akabi?
Mu butuufu abasawo n’okutuusa kati tebamanyi bulungi kiki ekibuleeta. Olw’okuba kijja mu bwangu, kizibu okwogera mu butuufu ekikireeta. Wabula okunoonyereza okumu kuzudde ebintu ebiwerako eby’obulabe ebyongera ku mikisa gy’okufuna embeera eno.
Ka tulabe kye kiri.
| Ensonga y’akabi | Ennyinyonnyola Ennyangu |
|---|---|
| Emyaaka | Emyaka gya maama mu kiseera ky’okuzaala giba gya myaka 35 n’okudda waggulu. |
| Okutuusa ebintu mu ngeri ey’emirimu | Mu mbeera ng’omwana azaaliddwa mu ngeri ya Caesarean, forceps oba vacuum, ekiziyiza wakati wa maama n’omwana kiyinza okukosebwa. |
| Okuleetera okuzaala (Induced Labour) . | Wadde nga waliwo endowooza nti enkola ezimu ezikozesebwa okuzaala mu ngeri ey’ekikugu ziyinza okwongera ku bulabe, okunoonyereza ku kino kukyagenda mu maaso. |
| Obutabeera bwa bulijjo mu nnabaana | Embeera nga nnabaana okubeera wansi mu nnabaana, okubikka omumwa gwa nnabaana (placenta previa) oba nnabaana okwekutula ku bbugwe wa nnabaana nga bazaala (placental abruption). |
| Obulwadde bwa preeclampsia | Embeera ebeerawo ng’olubuto luwedde era ng’emanyiddwa ng’obubonero nga puleesa, puloteyina mu musulo, n’okuzimba ebitundu by’omubiri ebikoma. |
| Amazzi g’omu lubuto okweyongera (Polyhydramnios) . | Omuwendo gw’amazzi g’omu lubuto okwetooloola omwana gusinga nnyo ku gwa bulijjo. |
Bubonero ki obulaga kino?
Ekisinga okuba eky’obulabe ku mbeera eno kwe kuba nti obubonero buno bulabika mangu, nga tofunye wadde obudde kulowooza. Obubonero obukulu bwe buno:
- Okutandika amangu okukaluubirirwa ennyo mu kussa .
- Okukka kwa puleesa mu bwangu era okw’akabi (Hypotension).
- Okuvaamu omusaayi oguyitiridde era nga tofugibwa okuva mu nnabaana oba okuva mu kiwundu ekyalongoosebwa .
- Okuwulira ng’olina obunkenke bungi, ng’otya , oba nga weeraliikirira.
- Omutima gw’omwana gukuba mpola mu ngeri etaali ya bulijjo oba gukyuka.
- Okuziyira n’okukankana n’okukonzibaOkubeerawo.
- Omutima okulemererwa oba okuzirika amangu (Cardiac Arrest).
Ekivaako omusaayi guno okuyitiridde kwe kumenya enkola yonna eyamba omubiri okuzimba omusaayi. Kino kiyitibwa Disseminated Intravascular Coagulation (DIC) mu by’obujjanjabi. Ekibaawo mu kino kwe kuba nti omusaayi gufiirwa obusobozi bwagwo okuzimba. N’ekyavaamu, omusaayi guba gwa maanyi nnyo ne gutasobola kuyimirizibwa. Ekirala, okukaluubirirwa okussa, okwonooneka kw’amawuggwe n’obutasobola kussa bisobola okubaawo, ekiyitibwa Acute Respiratory Failure .
Embeera eno ejjanjabibwa etya?
Okuva bwe kiri nti eno mbeera ya bulamu oba kufa, obujjanjabi butandika mu sikonda ntono. Kiddukanyizibwa mu kisenge ky’abalwadde abayi (ICU) oba ekisenge omulongoosebwa mu ddwaaliro. Wano, si bujjanjabi bumu, wabula okugatta obujjanjabi obuwerako okusinziira ku mbeera y’omulwadde.
- Okuzaala amangu: Abasawo basalawo okuzaala omwana amangu ddala nga balowooza ku bulamu bwa maama n’omwana.
- Obujjanjabi obutaasa obulamu (Resuscitation): Singa maama azirika, aweebwa omukka gwa oxygen ng’akola Cardiopulmonary Resuscitation (CPR) .
- Okussa empewo mu makanika: Bw’oba okaluubirirwa okussa, oyungibwa ku kyuma ekiyitibwa ventilator okukuyamba okussa.
- Puleesa n’okulondoola omutima: Emisuwa egy’enjawulo giteekebwa mu misuwa emikulu n’emisuwa gy’omubiri okulondoola obulungi ebintu nga puleesa n’enkola y’omutima, ekyokubiri ku sikonda.
- Okuteekebwamu Omusaayi: Olw’okufiirwa omusaayi ekisusse, omusaayi omungi n’ebitundu by’omusaayi biweebwa okudda mu kifo ky’omusaayi ogubuze n’okuwa obutoffaali (clotting factors) obwetaagisa omusaayi okuzimba.
- Eddagala ery’enjawulo: Eddagala ery’enjawulo liweebwa okuzzaawo puleesa entono, okulongoosa enkola y’omutima, n’okukomya okuvaamu omusaayi nga kireetera nnabaana okukonziba.
Bino byonna bikolebwa n’ekigendererwa ekikulu eky’okutaasa obulamu bwa maama. Wadde ng’omuwendo gw’okuwangaala eri maama mu mbeera eno mutono, okujjanjabibwa amangu kiyinza okwongera ku mikisa gy’okuwona. Omuwendo gw’omwana gw’awangaala guli waggulu nnyo (nga 70%).
Obubaka Obutwala Awaka
- Amniotic fluid embolism (AFE) mbeera etali ya bulijjo naye nga ya bulabe nnyo era eyinza okubaawo ng’oli lubuto.
- Wano amazzi g’omu lubuto ageetoolodde omwana bwe gayingira mu musaayi gwa maama. Ekituufu ekivuddeko kino tekinnazuulibwa.
- Obubonero obw’amaanyi ng’okukaluubirirwa okussa, puleesa okukka, okuvaamu omusaayi omungi, n’okubulwa amagezi bulabika mangu.
- Eno mbeera ya bujjanjabi ya mangu. Okuyingizibwa amangu mu ddwaaliro mu kitongole ky’abalwadde abayi (ICU) oba mu kifo ekijjanjaba abalwadde ab’amangu (ETU) kyetaagisa okusobola okufuna obujjanjabi, era obujjanjabi obutaasa obulamu busaana okutandikibwawo mu bwangu.
- Embeera eno togitya, kuba tetera kubaawo nnyo. Wabula kikulu okutegeeza omusawo wo ku bubonero bwonna obutali bwa bulijjo bw’olaba ng’oli lubuto.
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