Bw’oba oli maama ali lubuto, osanga owulidde bingi ku mazzi ageetoolodde omwana, ‘ensawo y’amazzi’. Oyinza n’okumanya emboozi ya ‘amazzi go okumenya’. Bw’otyo bw’omanya nti omwana anaatera okujja. Kale amazzi gano aga amniotic kye ki ? Kikulu kitya eri omwana? Eby’okuddamu mu bibuuzo byonna by’olina mu birowoozo byo osobola okubisanga mu kitundu kino. Ka twogere ku nsonga eno mu ngeri ennyangu era mu ngeri entegeerekeka.
Ddala amazzi g’omu lubuto kye ki?
Mu kiseera ky’olubuto, omwana wo akula munda mu nsawo ekuuma. Ensawo eno tugiyita ensawo y’omu lubuto. Kilowoozeeko ng’akawundo akatono akakuuma. Amazzi amatangaavu agali munda mu nsawo eno gayitibwa amazzi g'omu lubuto . Omwana wo atengejja n’akula obulungi mu mazzi gano. Mu ngeri ennyangu, amazzi gano ge mutto ogukuuma omwana wo era nga ge mubiri ogw’ebiriisa ebikulu omwana wo okukula.
Amazzi gano gakolebwa gatya? Kiki ekirimu?
Ensawo eno ey’omu lubuto etandika okutondebwa nga wayise ennaku nga 12 oluvannyuma lw’okufuna olubuto. Omwana bw’akula, ensawo eno ejjula amazzi g’omu lubuto.
Mu wiiki ezisooka ng’oli lubuto, amazzi gano gasinga kuba mazzi agava mu mubiri gwo. Naye ekiseera bwe kigenda kiyitawo, olubuto bwe lugenda lugenda mu maaso, ebirungo by’amazzi gano bikyuka.
Kiki ekiri mu mazzi gano?
Mu biseera ebisooka, bitundu 98% biba mazzi n’eby’obuggagga eby’omu ttaka ebiyitibwa electrolytes. Ebitundu 2% ebisigadde bikolebwa ebintu ebisinga obukulu.
- Antibodies: Bino bye bintu omwana wo by’afuna okuva mu baserikale b’omubiri gwo ne bimukuuma obutakwatibwa yinfekisoni.
- Hormones : Ababaka b’eddagala eryetaagisa okukula kw’omwana.
- Ebiriisa: Ebiriisa omwana bye yeetaaga, gamba nga puloteyina, ebirungo ebizimba omubiri, ebirungo ebiyitibwa lipids ne vitamiini.
Ekyewuunyisa katono nti oluvannyuma lwa wiiki 20, amazzi gano gasinga kubaamu musulo gwa mwana yennyini. Kiyonjo ddala era tekiriimu buwuka. Era omwana bw’a ‘ssa’ (assa n’okufuluma amazzi), gatuuka n’okubaamu ebifulumizibwa okuva mu mawuggwe.
Amazzi gano ga langi ki? Kiba kya bulabe singa kiba kya kiragala?
Mu budde obwabulijjo, amazzi g’omu lubuto tegalina langi (nga amazzi) oba ga kyenvu omutangaavu .
Naye oluusi amazzi gano gaba ga kiragala oba kitaka.Kiyinza okubaawo. Kino kibaawo ng’omwana ayisizza omusulo gwe ogusooka mu lubuto. Kino tukiyita meconium . Ebiseera ebisinga abalongo basooka kuvaamu kyenda nga bamaze okuzaalibwa.
Singa meconium eno etabuddwa mu bwangu n’amazzi g’omu lubuto, eyinza okuba ey’akabi katono eri omwana. Olw’okuba omwana amira amazzi gano, amazzi agatabuddwamu meconium gasobola okugenda mu mawuggwe g’omwana. Ekyo bwe kibaawo, omwana ayinza okufuna obuzibu obw’amaanyi mu kussa. Embeera eno eyitibwa Meconium Aspiration Syndrome . Y’ensonga lwaki, amazzi go bwe ganakutuka, abasawo ne ba nurse bajja kubuuza langi yaago. Omwana alina embeera eno ayinza okwetaaga obujjanjabi obw’enjawulo amangu ddala ng’amaze okuzaalibwa.
Lwaki amazzi gano ag’omu lubuto kikulu nnyo?
Amazzi gano gakola omulimu munene nnyo eri omwana. Kiringa ' life support system' y'omwana mu lubuto.
| Omulimu gw’amazzi | Mu ngeri ennyangu... |
|---|---|
| Obukuumi n’okusiba emitto | Ne bw’okwata oba okumukuba akatono ku lubuto lwa maama kikuuma omwana obutatuusibwako bulabe. |
| Okukuuma omusuwa gw’omu nnabaana | Kiremesa omusuwa gw’omu nnabaana ogutambuza omukka gwa oxygen n’ebiriisa okuva ku maama okutuuka ku mwana okunyigirizibwa. |
| Okufuga ebbugumu | Omwana akuuma ebbugumu eritakyukakyuka munda mu lubuto. |
| Obukuumi okuva ku yinfekisoni | Ebirungo ebiziyiza endwadde bya maama bikuuma omwana obutakwatibwa ndwadde. |
| Okuyamba mu nkula y’ebitundu by’omubiri | Omwana bw’amira amazzi gano, enkola ye ey’okugaaya emmere ekula, ‘bw’assa’ amawuggwe ge gakula, ate bw’alengejja n’okutambuza ebitundu bye, ebinywa n’amagumba bye bikula. |
Amazzi galina kubeerawo mmeka? Kiki ekibaawo singa wabaawo ebitono oba ebisusse?
Omuwendo gw’amazzi gano gukyuka mu lubuto lwonna. Kitera okutuuka ku ntikko ku wiiki nga 34 , ku mililita nga 800 (ml) . Olwo omwana bw’asemberera okuzaalibwa, omuwendo gutandika okukendeera mpolampola. Mu wiiki 40, ekendedde okutuuka ku 600 ml.
Oluusi amazzi gano gayinza okuba amatono ennyo (Oligohydramnios) oba amangi ennyo (Polyhydramnios) . Wadde ng’embeera zino zombi zisobola okuleeta obuzibu nga bali embuto, abalongo batera okuzaalibwa nga balamu bulungi . Kyokka, okulabirira abasawo kyetaagisa nnyo.
| Ennyimirira | Okunnyonnyola |
|---|---|
| Amazzi amatono (Oligohydramnios) . | Wakati wa wiiki 32-36, obungi bw’amazzi buba wansi wa 500ml. Kino kiyinza okuva ku bintu ng’emyaka gy’olubuto n’embeera z’obujjanjabi ezimu eza maama. Ebivaamu: Omwana okukula mpola, okukendeera kw’omukka gwa oxygen n’endya eri omwana olw’omuguwa gw’omu nnabaana okunyiga, n’oluusi nga kyetaagisa okulongoosebwa. |
| Amazzi okweyongera (Polyhydramnios) . | Amazzi agayitiridde okukuŋŋaanyizibwa mu lubuto. Eno mbeera ya bbula nnyo. Kiyinza okuva ku bintu ng’abalongo ne sukaali mu lubuto mu maama. Ebivaamu: Okuzaala nga tannatuuka, omwana okukula ennyo, nnabaana okukutuka, okuvaamu omusaayi omungi ng’amaze okuzaala. |
Omusawo okebera otya amazzi gano?
Omusawo wo akozesa amazzi gano ag’omu lubuto okukebera obulamu bw’omwana ng’ali lubuto.
- Okukebera amaloboozi ga Ultrasound:Osobola okupima obungi bw’amazzi gano mu kiseera ky’okusika. Abasawo bakozesa ebipimo nga Amniotic Fluid Index (AFI) .
- Amniocentesis: Kino kigezo kya njawulo. Empiso ennungi ennyo ekozesebwa okuggya amazzi amatono agayitibwa amniotic fluid mu nnabaana. Amazzi gano galimu obutoffaali bw’omwana, obuyinza okukeberebwa okuzuula oba omwana alina embeera yonna ey’obuzaale, obulemu mu kuzaalibwa oba obuzibu obulala mu bulamu. Kino kitera okukolebwa ku magezi g’omusawo singa wabaawo akabi akateeberezebwa.
Ekisinga obukulu kwe kutegeeza omusawo oba eddwaaliro mu bwangu bw’oba oteebereza nti waliwo amazzi agafuluma mu bukyala ng’oli lubuto. Bajja kukebera okulaba oba mazzi ga amniotic oba nedda.
Obubaka Obutwala Awaka
- Amazzi g’omu lubuto (amniotic fluid) mazzi makulu agakuuma, okuliisa n’okuyamba omwana okukula.
- Omuwendo ne langi y’amazzi gano bitegeeza ebikulu ebikwata ku bulamu bw’omwana.
- Bw’ofuna amazzi okuva mu bukyala ng’oli lubuto, tokyeraliikirira era oyite omusawo oba genda mu ddwaaliro mu bwangu .
- Wadde ng’okunywa amazzi amatono oba amangi tekitera kuba kizibu kya maanyi, mazima ddala kyetaagisa omusawo okulondoola ennyo.
- Kikulu nnyo okugoberera ebiragiro by’omusawo n’okukukola sikaani mu budde.
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